Context: How does a person start the counseling process?

Response: Hi, Reaching out on this site was a great first step! To start counseling, I would recommend looking up counselors and thinking about what sort of counselor would be a good fit. See if they have areas of focus that line up with your goals, and never be afraid to call and set up a consultation. Usually these are free of charge and can help you make your decision.


Context: How does a person start the counseling process?

Response: I have found that if you go to my website and fill out the form, I can usually get back to you within 24 hours. In my most efficient instances, I've been able to set-up a consultation within a couple of days, which is just 15 minutes by phone, to chat a little about what you might want to work on, how I may or may not be a good fit, etc. Then from there, if you want to meet in person we can set up an initial session. I will usually be able to let you know what kinds of ongoing times for counseling that I have available over the phone. Scheduling is a big barrier to finding a therapist, especially in New York, when schedules seem pretty busy all around.I've heard a lot of statistics about how prospective clients in therapy will often wait for months before reaching out, which is why I think that email is great. Cold-calling can cause an unnecessary amount of anxiety (also, who will hear me on the phone?) whereas email is relatively easy to begin a conversation, from what I've found.I tend to recommend clients give a new therapist a couple of sessions to get a feel for fit. But, if it's horrible after one session, and you feel awful when you leave, that's another story. I might want to explore with you what felt so awful, but if you don't want to come back, that is well within your right.Also, keep in mind that we want to help. So, please don't feel like we are judging you for seeking out help! You are strong for doing so. Far too often I hear about it as a weakness, and that's just BS:)


Context: How does a person start the counseling process?

Response: A great place to start is at www.psychologytoday.com.  You can search by location and identify therapists who have expertise in your area of concern.  Once you find a few people that fit your criteria, read about them on Psychology today as well as check out their website if they have one.  Next, either call or email them to set up a time to talk for a few minutes.  When you speak with them, you want to know a few things: do they have a decent amount of experience in your area of concern?  Are their fees, insurance coverage and scheduling availability a good fit for you?  Most importantly, see if you feel comfortable when you speak to them on the phone!  If this person is a good match in these areas, schedule an initial consultation so that you can see if you are also a good match in person.


Context: How does a person start the counseling process?

Response: Hello. Usually the person interested in therapy reaches out to the therapist, by telephone or email.  I like to respond with appreciation for their making contact and ask if they are available for a phone consultation in order to see how I may be able to help.  Once we are on the phone, I like to get a brief sense of what's happening in their life and the way in which I respond and the way we communicate will give each of us a sense of whether our dynamic is appealing enough to take the next step.  And the next step is making an appointment.  Also in the initial conversation, you can feel free to ask what their therapeutic modality is or give a brief scenario and ask how the therapist might respond to that situation.  I encourage you to be fearless in "interviewing" the therapist.  This is one of the most sacred connections of trust you could be about to forge, so if you don't feel comfortable, move on to the next therapist on your list.  If the connection feels good to you, then it's worth it to make the first appointment.  You will immediately know if you don't feel comfortable speaking with this person.  But if you DO feel comfortable, heard, validated even in that short conversation, I encourage you to make the appointment.  Once you're in the first session, you can continue to assess through how your feeling and responding, just how comfortable you are or are not. Just keep listening to yourself every step of the way!


Context: How does a person start the counseling process?

Response: Great question. The decision to pursue therapy can be a very difficult one and the fact that there seem to be so many profiles that you have to wade through can be particularly daunting. Here's what I suggest to make the process a bit easier: 1) Narrow down your preferred geographical area. Are you in a rural, suburban, or urban environment? If it's either of the latter two, you'll probably have a mental health professional close by. Decide now if it's important to you that their office be within walking or short driving distance. 2) Decide if you need it to be covered by your insurance. You'll have more options if you're willing to pay out of pocket and get reimbursed by your insurance, but more and more people are accepting insurance these days. 3) Find someone whose profile has the key words that you're looking for. If you're struggling with traumatic flashbacks, make sure they have "trauma" or something along those lines in their profile.4) Make sure they have a friendly and professional picture. This is small, but this detail shows that they really care about how they present to the world. 5) Come up with a list of about 3 people and rank them from most appealing to least. Set up an appointment with the person who seems like the best fit and give it a try for the first session. You'll know by the end of it if it's a good fit.It can be scary, but finding the perfect fit makes it so worth it. Good luck!


Context: How does a person start the counseling process?

Response: First, identify the areas that you need help with. What are the issues that are most troubling you? Are these situations creating an impact on your daily routine?Second, do some research as to the type of counselling service you are looking and that would best suit your needs. Are you looking for individual sesssions, couples/family sessions, etc. And research potential therapists in your area that focus their counselling approach on your therapeutic needs. Third, contact the therapist (most don't answer the phones, so leave a message or send an email). Don't be affraid to ask questions. You want to make sure that this professional is a good "match" for you and will work with you at working toward your therapeutic goals (the things you want to address/work on during the sessions).Fourth, have the expectation that, depending on the issues, you will need multiple sessions/appointments with the therapist to really address the issues and work toward your therapeutic goals.It takes strength and courage to reach out for help, but I know you can reach your goals. It takes time, patience, and practice do really address your needs. Good luck!


Context: How does a person start the counseling process?

Response: I always suggest that you find the right fit. You have every right to interview the therapist and ask as many questions as you need. It is our job as a therapist to explain our approach and philosophy. This gives you a good overview of the therapist. Just call and say that you would like to talk to the therapist. Say your interested in the services but unclear about how the process works. From there a seasoned therapist should be proficient in helping to guide you through the process with ease and comfort. www.lifecounselingorlando.com


Context: How does a person start the counseling process?

Response: Starting the counseling process can be daunting but here are some ways that hopefully help make the process a little less overwhelming. First,I'd start with finding a therapist through a therapist directory and searching for a therapist specifically in your area and with the expertise you're looking for. There are many reputable therapist directories online that offer specific information and links to therapist websites to learn more about how they can help.Next, I'd pick two or three of interest to contact directly. Have a list of questions that are important to you that you can ask to determine whether a particular therapist is a good fit. Many therapists offer a free phone consultation to allow you both to determine whether it is a good fit.Then, after you schedule, the next step is to see what it's like being in session to determine if the fit is still a match.


Context: How does a person start the counseling process?

Response: The easiest way to start the counseling process is to do a little research online. A quick search for the type of counseling you are looking for can be helpful. There are lots of Counselors out there to choose from, so many times you will have to take it a few steps further than that. Check out their website, social media, and any reviews (but remember, people are not always very nice). If you plan on using insurance to pay for at least part of the services, look for one that is in your network. You can find out if someone is in your network by looking for providers on your insurance's website. If your coverage isn't that great and you know you're going to be paying for it all anyway (because you're an all-star and verified your coverage already with the insurance company), then you can really pick any Counselor you want, but working with one that is at least out of network will give you the benefit of having it applied to your deductible. If you have any questions about that process or just want some help in getting your benefits from the insurance company once you've started counseling, Better is a good option. Once you've found a Counselor you think is a good fit for you, normally the best step to take here is to call and schedule your very first appointment. With many Counselors you can now send an email, but a phone call can normally tell you quite a bit about someone and their clinic. Once you're all scheduled, they will either get you to do some paperwork before you come in, or many times they just let you fill it out once you get there. From there, all you have to do is show up!


Context: How does a person start the counseling process?

Response: Approaching a counselor can seem intimidating at first, but most mental health professionals want to help you feel safe and heard.  You can often find counselors using search engines like CounselChat or Psychology Today.  These websites allow you to get to know therapists before you take the next step.  These days, counselors have websites where you can learn even more.  These websites usually have clear instructions for contact.  Typically, you can reach out via phone or email to request a consultation.  During a consultation call, you can ask the therapist questions about their credentials and areas of expertise.  If you feel like you connect, you can schedule a first session where you will tell them more about yourself and why you are seeking therapy.  The thing to remember is that therapists want you to reach out to them, and they are happy to be approached for support.  Good luck!


Context: How does a person start the counseling process?

Response: I think it is important that you are able to convey what you are looking for in a therapist even if that changes over time.  You need to look at it like you are interviewing the counselor and that they will be able to provide you with the therapy you need.  To many times we do not know and it ends up not being a good fit and then people are left with a bad experience and do not want to re-engage.  Remembering you are basically hiring someone to help you so I would treat it as such. Do some research and be clear as to why you are coming to therapy and ask questions as how they will be able to help you.


Context: How does a person start the counseling process?

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


Context: How does a person start the counseling process?

Response: 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.


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: Oh, crying in therapy is very normal! I have a stack of kleenex boxes in my office. Cry away, therapist are very used to it:) First time being in therapy is scary, but you'll soon know if you are a good match.


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: People do cry in therapy sometimes, but it's not at all necessary to cry in order for most kinds of therapy to be helpful. When you start counseling you don't yet know your counselor very well, so it's normal to keep your feelings in check until you feel comfortable and a bit more relaxed with your counselor and with the situation. Sometimes, though, there are emotions that have been waiting and waiting to finally find someone who will listen with a kind ear. If you feel safe right away in the situation with your counselor, you might just cry in spite of your fears about it. Your therapist is used to people expressing how they feel and will keep strict confidentiality, so even though it's embarrassing, finally experiencing someone truly listening with empathy and kindness may just be worth it. It's okay too to let your counselor know right at the beginning that you're kind of freaked out about getting too emotional in front of another person.


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: Crying is a natural process when you talk about upsetting things especially in therapy when you are opening up and being so vulnerable. I suggest that you consider how you would feel/respond to someone that was confiding to you and they began to cry. If you felt concerned, supportive and empathetic then you know exactly how us therapists feel when our clients are emotional in sessions. I suggest that you think of times where you have cried and how you felt at that time in public and what would have helped to make you feel less uncomfortable during your tears. I think of crying like any other natural reaction of our body such as sneezing, laughing, coughing. You can't help but do those things and most people won't really judge negatively if you do it in public. Similarly, crying is our body's reaction when we are emotional whether it is tears of joy, from a hilarious joke or from being upset. If you are very uncomfortable about crying but willing to start therapy perhaps you can ask the therapist if you can turn your chair around if you begin crying. This way you are not facing them and can self soothe without worrying about how you physically look at that time.I wish you luck and you should be proud of yourself for starting therapy and I wish you a wonderful journey on this important path that you are embarking on.


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: It is not uncommon to be a bit nervous meeting your therapist (or another person) for the first time. Your therapist understands that calling and getting an appointment was a big step for you and will do their best to put you at ease. Providing a safe environment for our clients includes not judging them and being comfortable with the information and emotions that they share with us. It is ok to cry and to trust that the therapist will honor this as part of your process.


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: Yes, if crying is how you are expressing an emotion, then not only would it be normal, but hopefully encouraged, because it's an important part of therapy to have a safe space to express your emotions. We might encourage you to put words to the tears as well, to help you expand on your experience and begin to make more sense of it.As a therapist, our job is help you open up and feel comfortable enough doing so. I sincerely hope no therapist would ever shame you for whatever experience you are having in the room.


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: It is is absolutely normal to cry in therapy. I can understand wanting to keep everything together and put your best foot forward with everyone you come into contact with, but it can be such a powerful experience to cry with somebody that can hear you and accept you. It's so brave of you to go and share yourself with your counselor! I hope you will keep being brave as you begin healing.


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: When talking about difficult issues, it is very normal to cry. Crying is a natural way for us to cope with the sadness that we experience in life. When confronting some of these things in a counseling session, tears just seem to come naturally. Every Counselor should be well equipped to handle that level of emotion, and you would be far from the first to cry when talking with a Counselor.


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: Hi there !  As someone who has practiced as a clinical psychologist for 25 years , I would say that crying is NOTHING TO WORRY ABOUT AT ALL ! Almost every single person I have worked with has cried at one point or another.  Starting therapy takes a lot of courage; when you work with a therapist ,once you feel safe ,  you talk about a lot of very private and potentially emotional things that you may have never discussed with anyone before.  I have seen  people cry with sadness , cry with relief at releasing painful things they have held onto for a long time, cry because they feel so relieved that they finally feel heard.   I myself have sometimes cried with clients because some things they talk about are so profoundly moving.   I can assure you that most , if not all , therapists expect clients to cry  and there is nothing to be embarrassed about.   Crying can be very cathartic and can allow us to release a lot of painful feelings we have been stuffing down.   Crying is  often a sign that you are really working things through and getting in touch with feelings that you need to get in touch with in order to heal .So , to summarize , don't worry at all about crying! It will probably feel uncomfortable  at first , but I promise you , you will not be judged for crying in therapy.   And it will be less embarrassing once it happens a time or two and you are assured that your therapist will be there for you and won't judge you !Good luck !!


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: Lots of people do cry in session, but your therapist won't be uneasy with this.  Crying is a natural response and it also releases toxins, so some might say it's necessary!  Remember that you can be in charge of what you talk about in your session and if there's something that feels too uncomfortable, just say, "I'm not ready to talk about that."  Your counselor wants  you to feel at ease and will probably not push you right away to a very uncomfortable place.  As you get to know your therapist, you will feel more relaxed and even not worry so much about how you appear to them.  It's normal to be anxious going into a new situation especially when you might not feel in control of uncomfortable emotions.  Don't give up, go and put your best effort in! Hope that helps, Allison


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: Many people cry during their therapy sessions. Actually most people cry in their therapist's office. I tell my clients that it's safe to cry in my office and crying isn't a sign of weakness. It's a normal human response to pain. People actually do more harm to themselves by trying not to cry than by crying. Crying is very cleansing and an important part of the healing process for many people.


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: Please feel free to cry during therapy if you suddenly feel painful emotions arising when you describe some of your unsatisfying and unfulfilling relationships and situations.Crying when realizing the emotional hurt and unfairness between you and someone, clears you for new ways of handling interactions.As a therapist, I always have a box of tissues on the table next to the couch where people who utilize my therapy, sit.I hope you will soon discover that once your tears unlock your awareness of harmful relationships in your life, you will quickly see the freedom to establish new and happier patterns of relating.Have a good therapy!


Context: I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?

Response: Please do not worry about crying. People cry, laugh, rage, rant, and talk during counseling sessions. Part of the therapy process is to look at your feelings, and to feel what you are actually feeling (instead of what you think you should feel). So if you need to cry, that's ok. If you feel embarrassed because you cried, or if you feel anxious that you might cry, well those feelings are ok as well. Your counselor can help you manage your feelings so that you can attain your goals, and your counseling session is the perfect place for that.


Context: After first meeting the client, what is the process that a counselor facilitates?

Response: For me, I want a client to feel like I understand what brings them to seek help from me. So I might explore both their present circumstances, as well as their history, and try to start making some connections between the two, but so that the both of us can understand what is taking place. Not every therapist goes into history in the same way, either. The way the therapist practices will often inform the ways in which they collect and look at data.However, above all, my goal, especially in the beginning of therapy, is to work on developing a working rapport with any client. Most research states that the quality of the relationship, rather than modality of therapy, indicates success rates. One of the most essential components of rapport is that someone feels heard, attuned to, and understood.


Context: After first meeting the client, what is the process that a counselor facilitates?

Response: Hi.  This is an excellent question !   I think that the answer probably varies depending upon the particular therapist .  In my work with people , once we have met and I have gotten an idea of the person'a concerns and the issues they want help with , I spend the next few sessions gathering as much history and as much information about the client's current concerns in order to formulate some ideas about what may be causing distress .  I would then share my thoughts with the client to see if they feel I am understanding them and on the right track.  We would then discuss the best plan to address the client's concerns .  Usually I will suggest strategies that I think may be helpful and ask the client for feedback about whether or not they think my suggestions feel helpful .   I always encourage clients to be really honest with me about this.  I tell them that I would hate for them to agree to try things that they know they won't try just to avoid "hurting my feelings" or "offending me."  I want to be helpful and while I have the expertise as far as typically helpful  strategies, I really like to work collaboratively and have clients tell me what they do and don't like / agree with or not agree with when I share my thoughts about a treatment plan .  We the   work together to come up with a plan that will be helpful , but also realistic and then revise it and try new things if necessary as we go along.   If things aren't improving , I am very happy and willing to try something new ! I hope this is helpful for you !


Context: After first meeting the client, what is the process that a counselor facilitates?

Response: There are probably no two therapists alike because first and foremost we are human beings!And...our personalities may somewhat guide how we go about getting to know you, identifying what you would like to be different in your life and developing a plan to get where you would like to be. The very most important thing that will determine a successful outcome is the healthy therapeutic relationship between you and your therapist.  If you don't feel safe, comfortable and ready to work together, then it is likely not a good fit. And that's OK...speak up and the therapist should assist you in finding someone you can readily work with.


Context: After first meeting the client, what is the process that a counselor facilitates?

Response: Each counselor may have a different process, so I'm not the end all authority here.  For myself, I review policies and confidentiality concerns with people first and answer any questions they have. Then I'll let them know I'll be writing a lot in this session and I have an assessment form that I like to get completed, but I want to have a conversation and I'll ask questions as we go.  My first question is usually, "How do you feel I can best help you today?"  Some people are very at ease and tell me many details.  Others are a bit more reserved and I have to demonstrate more curiosity.  Even people who have been very apprehensive are usually feeling very relaxed by the time the session is over.  Usually, when we get close to end of session time, I'll summarize what I think are the biggest concerns from what I've heard and confirm whether or not the person wants to work on those things.  I also try to give an exercise targetting my biggest concern for them to work on in between sessions.  For instance, a relaxation method if they are very anxious.  Counselors are just humans as well, so it does take a bit of time to really get to know another person.  I always tell people that are apprehensive to give the counselor 3 or 4 sessions to determine if they really connect with them.  I hope that helps, Allison


Context: After first meeting the client, what is the process that a counselor facilitates?

Response: After meeting a client, many Counselors will ask you lots of questions in order to complete a thorough assessment of what you came to counseling for. This assessment is required by most insurances and allows the Counselor to give a diagnosis, which is also required by most insurances in order for them to pay the Counselor. If you are paying out of pocket, this diagnosis is not really required for payment, but many Counselors will still perform a comprehensive assessment because we really want to know what the issues are that brought you to us. The better we understand what it is that bothers you, what you would like to get out of the counseling, and all the various things that tend to affect people such as family upbringing and medical issues, the easier it is for us to help you reach those goals. How the counseling actually plays out from there depends a lot on the theory that the Counselor uses to direct their approach to counseling, and that information is too much for this little post.


Context: After first meeting the client, what is the process that a counselor facilitates?

Response: A good therapist will discuss what brought you to therapy in the first place and devise a therapy plan with you on some of the things that you may want to work on.  The plan is not set in stone as things may arise during your therapy sessions. You also agree on how often and when you would like to meet.


Context: After first meeting the client, what is the process that a counselor facilitates?

Response: Great question which I imagine many other people have as well.The therapist will want to know your main source of life discomfort.  In what areas are the problem interactions which you hope will disappear?The therapist is trained to listen for your emotions to your story.  And to open these up to you in a kind and safe way so that you'll start to see your circumstance in a new light in which you feel more of your own authority to handle the troubling conditions.The therapist and you will refine your thinking and theories.   The therapist will ask questions to help you prepare for any stumbling blocks along your way of creating your own new answers to the problem you brought to counseling.I hope you'll enjoy learning and creating new thinking and interacting patterns!


Context:
My wife and mother are having tense disagreements. In the past, they’ve had minor differences. For example, my wife would complain to me my mother is too overbearing; my mother would complain my wife is lazy.
However, it’s intensified lately. I think the cause is my wife talked back to her once. Now, any little disagreement is magnified, leading to major disagreements. What can I do?

Response: What you are describing is something psychologists have termed "triangulation" which is what happens when one family member will not talk to the one they have a problem with and goes to a third member of the family to complain instead. You have been "triangulated" by your wife and mother.This is often seen in families. It's seen everywhere. How many times have you had a problem with someone but you didn't go to them to tell them, you went to someone else to complain? It is usually difficult for a person to confront another, especially in relationships where there is a power differential. For example, I bet it's easier to complain to a coworker about your boss rather than go to the boss with your complaint.I'm not saying triangulation is always a bad thing. Sometimes a third party mediator is needed to help solve problems between two people who disagree. That's what therapists do every day! Sometimes just getting someone else's perspective can help you see the issue clearer. However, in your situation it sounds like this is becoming a problem. You are stuck in the middle between two people that love you and that you love.If you want to put a stop to this triangulation, you will need to encourage the two of them to talk to each other and work out their differences. Perhaps it was a simple misunderstanding that some open communication can clear up. Even if they really don't like each other and can't get along, your relationship with the both of them is going to continue to deteriorate the longer you are stuck in the middle. Try to understand what might be the feelings behind their behavior. It is possible that they may both feel threatened by the other. These are the two most important women in your life and they both know it. Your mother may be afraid that she will lose you if she confronts your wife. I heard one mother-in-law describe her son's wife as the gateway to her son. The wife has the power to dictate when and how often the mother gets to see her son. The wife also is the gateway to the grandchildren. If your wife doesn't like her mother-in-law she can severely hamper or damage her mother-in-law's relationship with you and any children you two may have. From your wife's viewpoint, this is the woman that she may feel like she can never live up to. If you regularly praise your mom's cooking, her housework, gardening, or anything else your wife may feel that you are putting down her own efforts in these areas and can feel unappreciated. This can be especially difficult if your wife and mother are nothing alike. I am not saying that this is the case with your family's situation. These are just a few examples from other families in a similar situation as yours. Regardless of what the cause is, if this dysfunctional pattern is allowed to continue, your mom and your wife will begin to get upset with you when you don't agree with them. They will get upset if you don't align yourself with them against the other. They will be offended when it seems like you are choosing the other one's side or that you are not standing up for them like they think you should. In worst cases, if it continues to escalate you may even find yourself in the impossible position of having to choose between your wife and your mother which may mean cutting off contact with the other, ending that relationship. Change the dynamics before it spirals even further.


Context:
I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental.

I cannot help myself from thinking about smoking. What can I do to get rid of this addiction?

Response: Hi. Good for you in planning ahead to do what's healthiest for your baby (and yourself). That's a great first step! It's also good that you are able to identify that it's not always a physical need that's driving the addiction.For the next steps, I would suggest trying to figure out when the psychological cravings for a cigarette occur. The psychological (or mental) cravings are usually based out of habit, such as having a cigarette after a meal. And if you're consciously trying to quit, you'll find the craving starts with simply thinking about having a cigarette, then usually moves on to thinking about how good it made you feel, etc., etc. Well, if I'm on a diet and I continue to let myself think about the ice cream sitting in the freezer, eventually I'll give in and eat it.You're going to have thoughts about smoking a cigarette. That's normal and, for the most part, out of your control. But you choose whether or not to CONTINUE thinking and dwelling about it after that initial thought. That's what you would have to work on changing. When you have that initial thought, acknowledge it ("Ok, I kind of want a cigarette now."), but then change the thoughts that typically follow. Distract yourself, think about something else, do something else, whatever it takes to get your mind off of that cigarette.I've suggested to clients before that they should plan these scenarios out ahead of time so they already know what they're going to do when the time comes. Write down when you usually have the craving for a cigarette and then write down new thoughts or things to do to get your mind off of it. Eventually, it will become easier and easier to brush off that initial thought until you no longer have it.Best of luck, and you have a really great motivator to quit - your baby!


Context:
I have secrets in my mind, and I don't know what to do with them. I don't want to tell my wife and mom because I don't want to hurt them. But I'm not sure how long that I can keep the secret to myself.

What should I do? It's becoming annoying and making me anxious. Help me out

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


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

Response: Hi there. It's great you are able to realize there are other issues going on with someone who feels possessive. At the root of it is fear. Fear of losing someone, fear of being alone, fear of not being good enough. All those fears can lead to low self-esteem and feeling like you have to control other people so you don't lose them. The thing is, controlling other people only pushes them away. Vicious circle, right? What I would suggest is some cognitive therapy to change those underlying ways of thinking. You can start with this assignment. Write down all the things you think about yourself, positive and not-so-positive. Then rewrite those not-so-positive things so they are positive. For example, thinking something like, "I'm too pushy", can be rewritten as, "I'm assertive and I go after what I want." It can be hard to do since we tend to get "stuck" in our negative ways of thinking about ourselves. If you have someone you trust, you can ask for their help as well since most likely they see you differently than you see yourself.Finding a good cognitive therapist can help you further, but if that's not an option for you right now, there are lots of self-help books and websites that are out there. You've already taken the first step, so keep moving forward.


Context: I had a head injury a few years ago and my mind races all the time. I have trouble sleeping and have a lot of anxiety. Every medicine I have been on my body rejects; I get sick to my stomach and get blisters in my mouth. How can I calm my self down? I'm a wreck.

Response: You didn't say what or how many medications you've tried. Certain anxiety medications can make you feel nauseous, but I haven't heard of any that cause mouth blisters, so there may be some other underlying medical issue there. I would definitely talk to your primary care physician and whoever has prescribed the medication as well as a neurologist if you've suffered a severe head injury. There are so many medications available for anxiety or insomnia or even depression that there may be others with lesser side effects.But beyond that, have you tried any other treatments such as deep breathing or meditation? Meditation can be very effective, but it takes practice and you don't have to sit cross-legged for hours chanting "Ohm" to meditate. It's about focusing on your breath, rather than all the thoughts that are racing through your head. And when they do take your mind off your breath, simply refocus (and refocus and refocus). Like I said, it takes practice, so don't give up. You can find many sites offering different ways to meditate, so look around and see what works best for you. Like medication, you just have to find the one that works best and that might take some experimentation.I hope this helps and best of luck to you.


Context:
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?

Response: It is a good thing that you have recognized that you have been in some unhealthy relationships and that you are wanting to break this pattern.  You seem to have some good insight into the situation.The type of behavior that you are describing is usually rooted in childhood issues with insecure attachment bonds with your caregivers, childhood trauma and/or abuse or neglect, or dysfunctional family issues that did not allow you to develop healthy boundaries for yourself or a sense of self.  This is something that is going to take some time to work through in therapy.  I recommend a book titled “Boundaries: Where you end and I begin” by Anne Katherine.  Another book that might be helpful is “Codependent No More” by Melody Beattie. In the meantime, until you can work through your personal issues, absolutely do not enter into another relationship.  Take however long you need to and work on becoming a whole, happy, emotionally healthy person on your own.  Needing another person to define you is problematic.  That’s too much to expect from any individual.For a relationship to be healthy and happy, both people in the relationship first need to be a whole person on their own.  That means having a clear sense of self, knowing who you are and what you want, knowing how to set healthy boundaries, and knowing how to meet your own needs.  It is unreasonable to expect your partner to meet all of your needs all of the time.  There will be times that they won’t be able to meet your needs.  You have to know how to meet those yourself. When you are working on becoming the best you that you can be, eventually the right person will come into your life.  Then you can CHOOSE to be with someone because you want them in your life instead of feeling like you NEED them to complete you.


Context: I easily recognize this but have no control over it and need suggestions for managing my anger.

Response: I suggest that you work on emotional awareness. Emotional awareness basically means knowing what you are feeling and why.Emotional awareness also means that you can identify the link between the way you are feeling and your actions. In other words knowing that your feelings dictate what you do.Often feelings of hurt or insecurity can come out as anger if we cannot properly identify and express the feelings.Being emotionally aware also means that you are able to express your feelings to others.  Being unable to do so leads to feelings of frustration and being misunderstood.Many people for many different reasons are not in touch with their emotions.  For example, men traditionally have been brought up taught to not express sadness or weakness.  Therefore, many men learned to turn feelings of sadness, insecurities, or fears into anger and express these feelings as anger.  Being taught not to feel a certain emotion does not make that emotion disappear.  Instead it makes us learn how to express it in other, incorrect, ways.  If a man never learns to say “I am sad” or “that really hurt my feelings” and instead lashes out in anger, then the response they get from those around them will be to the anger and not a response to the underlying true feeling, which will leave the man feeling alone and misunderstood.You can control yourself and not explode.  Walk away, remove yourself from the situation, do whatever you have to do to not lash out.  Instead of reacting the way you normally would, go somewhere by yourself and think about what just happened and try to understand why such a “simple” thing upset you.  What is the real feeling driving these outbursts?  Maybe you can begin to recognize an underlying pattern. It might help to keep an anger journal.  Write down everything that gets you upset.  That might help you see a pattern and pinpoint what may be setting you off.  Talking with a therapist about this would be beneficial in helping pinpoint the underlying cause of the outbursts you are experience.


Context:
It takes me a long time to fall asleep; I’d estimate about two hours. I often have nightmares, starting with being eaten by a monster, and I often wake up frightened and unable to breathe.

I believe I started losing sleep after breaking up with a girlfriend of 8 years. Also, my father’s business went bankrupt and my mother has a chronic condition. I was under a lot of stress, and life lost meaning.

After improving my life and developing a habit of running and exercise to release stress, my symptoms improved. However in the past couple months, I started losing sleep again and having nightmares without warning. How can I solve this issue?

Response: First of all, exercise is always beneficial for your physical and emotional health. That's great that you have added this in your routine. Have you also considered altering your diet? Certain foods are linked with poor sleep. For example, alcohol, caffeine, nicotine and high fat content foods do not bode well with quality sleep, especially right before bed time.  On the other hand, warm milk and foods high in carbohydrates have actually shown to positively impact sleep.Additionally, at bed time it's important to keep your room dim, cool and without distractions (i.e. TV, IPad, Phone). Stick to a sleep routine and avoid any activities close to bed time that demand a lot of attention and energy.As far as your nightmares, there could be many causes contributing to them. Certain foods (many of the ones mentioned) or medications could be the culprit. Doing a bit of research into the ones you are consuming may help you eliminate the offender. You may also benefit from talk therapy with a qualified therapist to discuss any underlying issues you are experiencing. Oftentimes, depression and anxiety can manifest themselves during sleep, causing nightmares. Finally, Yoga has shown to be very beneficial for quality sleep. There are many instructional videos available that can introduce you to the practice if you'd rather not join a class right away. Best of luck to you and I sincerely hope you are able to catch up on some well deserved Z's!


Context: What do you do when a therapist and a parent drugs a child and makes up lies in order to stop the other parent's custody visitation?

Response: I will admit I am confused about this question.  Are you the other parent in question or a concerned coworker of this therapist? Therapists do not prescribe or have access to medication.  Most therapists won't even get involved in a custody battle.  They know there is a good chance of their records ending up in court and that they themselves will have to testify in court.  Of course, therapists are human and can make mistakes, but I find it highly unlikely that a therapist would knowingly and willingly do something like this that is such a major ethical violation.  Not only are they losing their license to practice by doing this, they are going to face criminal charges and jail time.  If their clinical judgment is that the other parent is a danger to the child, they don't have to resort to illegal means to try to prove this. If you have concrete proof that this has happened then there is a process in which you can file a report against the therapist with their licensure board.  Every therapist is licensed in their state.  There are different types of licensures so you would need to know this therapist's licensure.Most accusations from the other parent are expected in a custody situation because people do tend to get quite ugly.  Don't accuse the therapist or the parent of anything just to try to make yourself look better and them look bad.  Have evidence of wrongdoing before accusing them of this.  If this has really happened then of course it needs to be reported, but don't try to ruin someone's career unless you are sure this occurred.


Context: They're calling me names like hypocrite and a baby even when they act in the same manner as I do. I'm tired of being called names. What should I do?

Response: It sounds like your confused as to why your friends would be calling you a hypocrite when they act in the same manner, correct? Communication is key to any relationship. I would recommend speaking with your friends face-to-face to address why they feel your behavior is concerning. In-person contact is the best method of sorting out differences considering texts, emails or any written response can be misconstrued. Be upfront with them and let them know that being accused of hypocrisy is hurtful and you feel it is unfounded. If after speaking with them you feel that they have valid reasons for the way they are feeling, maybe you can consider modifying your behavior accordingly. Especially if this friendship is valuable to you. However, make sure they are aware that there is a respectful way to address these issues and name calling is not one of them. On the other hand, if you feel that their reasons are indeed unfounded, it may be best to distance yourself from the relationship. Not all friendships are healthy ones. And it is important that you surround yourself with people who are an asset to your self esteem as opposed to those that hinder it.I hope you are able to get this matter sorted. Best of luck!


Context:
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?

Response: 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!


Context: I have a lot of issues going on right now. First of all, I have a lot of trouble sleeping at times, while other nights I sleep too much and still feel quite tired. I’m also noticing increased irritability and experiencing anxiety attacks that last for hours. Is there something wrong with me and if so what should I do?

Response: It sounds as if you may be experiencing a bout of anxiety and/or depression. Sleeping difficulties, irritability and anxiety attacks all are correlated with these mood disorders. And it’s actually quite common for someone to deal encounter this during their lifetime. Also, keep in mind that just because you are experiencing this now does not mean that you will be dealing with it the rest of your life. Many times, it can be a single episode and if treatment is received, you can help prevent any recurrent episodes.However, you may want to first talk with your primary physician to rule out any medical issues that could be causing these problems. There may be a reason for the sudden onset of these symptoms that can be addressed quickly. On the other hand, if it is determined that you are experiencing anxiety and/or depression without a medical reason, there are two methods that are very helpful in your treatment:#1 Talk therapy with a certified therapistHe/She will be able to address the concerns you’re experiencing and discovering if there is an underlying issue that may be causing it.#2 MedicationThere are many medications that can assist you with the feelings that you are experiencing. Your doctor will be able to help you find the right one that works for you. If one doesn’t work, keep trying. There are many different options to address your specific needs.Also, a combination of these two options is extremely beneficial!Thank you for your question. I sincerely hope that you feel better soon!


Context:
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?

Response: 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!


Context: I have a lot of issues going on right now. First of all, I have a lot of trouble sleeping at times, while other nights I sleep too much and still feel quite tired. I’m also noticing increased irritability and experiencing anxiety attacks that last for hours. Is there something wrong with me and if so what should I do?

Response: Hi there. I have to commend you on reaching out to get some answers on why you are feeling the way that you are feeling. A lot of people secretly go about their lives every day feeling this way because they are too afraid of what the answer might be.First off, what stressors do you have in your life right now? Financial, relationship and unemployment are all common stressors for people. They can often make it difficult for us to sleep at night due to the constant racing thoughts and wonders of how you will deal with it all. Secondly, do you have a history of depression or does depression run in your family? Some of the symptoms listed here in this question (i.e. trouble sleeping, constant fatigue, too much sleep, anger & anxiety) are all common symptoms of depression. Often times, these symptoms can be overlooked and mistaken for "just being tired." Furthermore, it's important to ask yourself, if you are feeling worthless, problems with concentration and recurrent thoughts of death. If you are having these symptoms, please seek help IMMEDIATELY. Lastly, considering your stated symptoms I would recommend reaching out to your Doctor for further consult. It's always better to be safe and the earlier you catch the symptoms the faster you will get to feeling better!  do Some helpful tips for the your Doctor would be to monitor your sleep habits (i.e. how much or little are you sleeping), make a list of your triggers for your anger outbursts as well as your triggers for your anxiety attacks. I hope this was helpful and the best of luck to you.


Context: The last of my emotions belong to my pets. Today my dad said he might get rid of them tomorrow. If that does happen I might dig hole in the ground with a paper that says "here lays my emotions. R.I.P." I practically have no emotions left and I came to the realization about this not being normal by comparing my reaction to certain situations to my family's. What's wrong with me?

Response: It sounds to me like you have had a lot going on and now you are afraid you are going to lose the last things you care about, your pets.  I do not know what all is going on in your family, and I cannot answer for your dad’s actions or his reasoning behind this.I would recommend that you focus on developing healthy coping skills.  We cannot change what others do but we can change how what they do affects us.  If you have all of your emotions and all of yourself tied up into one thing (like your pets) then when that thing is taken away it causes a lot of emotional distress.  It is really good to have a wide variety of interests such as friends, hobbies, games, etc.  Develop other things that you care about and are passionate about.Another reason for developing healthy coping skills to deal with whatever might be going on in your life is if you don’t have healthy ones, you may develop some very unhealthy ones.  You have to cope somehow, right?  Developing unhealthy ways of coping with life is only going to make life more difficult for you.I don’t know if this is what it is like for you at your house, but there are two kinds of household environments that can cause dysfunction in children. One is when you grow up in a very rigid stern household where all decisions are made for you and you feel like you have no control over anything. The other is a household where things were chaotic and you never knew what was going to happen next and had no stability. People need to have some stability in their lives and need to feel in control over some things in order to feel safe.  Both of these environments can lead you to develop some unhealthy ways of coping with life.  Please talk to a trusted adult about your feelings before it gets any worse.


Context:
Me and my girlfriend just broke up. She said she loves me but is not in love anymore. This came out of nowhere. We seemed so happy together.
It all started when she went to Missouri to visit her family. The first week she was there she was fine then once she went to this one sister’s house everything changed. That's when she told me she loved me but was not in love with me anymore. I thought maybe it was just because she missed her family and she just wanted to be home because she told me that she could not leave them again.
Then she told me to come to her in Missouri. So that's what I did. I quit my job I dropped everything, said goodbye to my family in Florida and drove 15 straight hours to be with her.
Once I got there everything was fine again.  She apologized for everything and said she didn't mean any of it then we were good for about a week. Then she went back to saying she didn’t love me anymore and had no feelings for me.
The only thing that really gets me and makes me not want to accept this is that now she is pregnant. This wasn’t an accident. We were trying to get pregnant, so all this is hard to accept. I love her so much. I have never been bad to her. I've treated her the best I can. I wanted her to be my wife. I was going to propose to her when she got back. Now I'm losing my family and my mind. I don't know what to do.

Response: I am sorry to hear of these troubles.  I see a few issues here.  I wonder why you were both trying to get pregnant when the relationship seemed troubled?  Some people think that they can fix a broken relationship by getting pregnant, and all this does is bring up more problems.You say you never treated her badly, and I believe you.  People in a relationship can still be unhappy even when there is no abuse or mistreatment going on.  In fact, giving too much of yourself to the relationship and not having a “self” outside of this relationship can be unhealthy.  It takes two whole, healthy, happy people who are that way when they are single to come together to make a whole, healthy, happy couple in a relationship.  Expecting your partner to meet all your needs or to provide your happiness is not going to work.There are two books that I recommend you buy and read.  One is Codependent No More.  The other is Can My Relationship Be Saved?Sometimes when you cling and try even harder to hold onto someone, it makes you both miserable.  You cannot change her and cannot change her mind.  Sometimes the best thing is to let go.  If it is meant to be, you will end up back together again.  It seems like this is something that she needs to decide since she is the one that keeps doing the leaving.  I suggest backing off and letting her go.  Maybe she needs time to clear her head and make up her mind.  If it is meant to be, she will come back. If not, use this time to work on being a healthy happy you on your own.


Context: Now I have anger and trust issues. How can I treat this and fix myself?

Response: I will assume that for whatever reason, you either do not want to or are not able to seek counseling for this.  However, I highly urge you to do so because long-term childhood abuse does have negative consequences for your life as an adult, as it seems you are already aware. There are confidential and free crisis hotlines that you can call that deal with sexual abuse.  Some/most also offer free counseling services in local areas.  That would be a good place to start looking, especially if cost of counseling is an issue.The important thing to know is that what happened was not your fault and that you deserve to live a happy life free of the past.  Having anger and trust issues after something like this is a perfectly normal reaction to what happened to you.  Angry?  Yes! At your brother for what he did, at your parents for not protecting you.  Having trouble trusting?  Of course!  The very people who were supposed to love and protect you hurt you instead. Two books that might help you are Codependent No More and Boundaries: Where You End and I Begin.


Context:
I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my dad and acts like she doesn’t believe me either. I’m a pansexual, but I can’t trust my own parents.
I've fought depression and won; however, stress and anxiety are killing me. I feel that my friends don't listen to me. I know they have their own problems, which I do my best to help with. But they don't always try to help me with mine, when I really need them. I feel as if my childhood has been taken from me. I feel as if I have no one whom I can trust.

Response: Hi there. Being 15 years old can be a very difficult time in your teenage life. I remember when I was 15 and how I often felt my parents weren’t listening to me. It’s even more difficult when you feel that you do not have a friend that you can confide in. Having depression in the past and being able to get through it shows me that you can get through anything! Depression alone is a very difficult problem to work through. In addition to the communication problem with your parents, it appears that you are also struggling with stress and anxiety. We all have stress and anxiety in our lives. If we didn’t, none of us would be living. Anxiety & stress keep us on our toes! Often, I have to remind myself of this as well. However, it is how we manage stress and anxiety, so it will not overcome our lives. Are you familiar with relaxation techniques, such as: deep breathing exercises, meditation or yoga? Relaxation Techniques can help you tremendously in reducing your stress and anxiety. Deep breathing exercises are helpful when you are on the go, such as school, shopping, out with friends or whatever extracurricular activities you engage in.  Most people do not take full advantage of their lung capacity. I know, that sounds silly. But, it’s true. You would be surprised how much air you lungs can hold. Imagine being in the Doctor’s office and taking deep breaths. This is what you want to do when you are feeling overwhelmed and/or stressed. Take a moment to take in at least 10 deep breaths and let them out slowly. You will be surprised how well you feel afterwards. Meditation and Yoga are also healthy forms to working through stress and anxiety. You will need a quiet place for your meditation. You want to be “in the moment” and take in the peace and serenity. All it takes is a quiet place, closing your eyes and thinking of your “happy place.” Some people use meditation music as well. If you have access to this type of music and or the internet for more ways to practice meditation, please go for it! Yoga on the other hand will take a little more work and practice. I would not suggest you learning this on your own, if you have never attempted yoga before. Find an experienced Yoga instructor to teach you the ropes and/or ask your school counselor about the possibility of getting someone to come to the school to teach the students. Lastly, in regards to your parents it is very important to be able to have a relationship where you feel comfortable communicating. I would recommend writing a letter to them, if you are unable to express how you feel in person. A letter is more intimate and requires a little more effort on their end. If they are open on working on this relationship, maybe suggest family counseling to fully work on this issue. I hope this was helpful for you and I wish you the best!


Context: I have been with this guy on and off for 8 years. At first, we used to do things together and our sex life was ok. Then things started to change, we'd break up and reconnect, and he cheated on me numerous times.  We've also had two beautiful baby girls during this time. Now we argue and he says I am not affectionate at all or I don't know how to please a man, when I work part-time, take care of a 2 year old and a 5 month old and cook. Sometimes he cooks, but he also spends a lot of time on the internet. In addition, I have 2 boys and he has 1 son. I feel somewhere I have lost something. It's not that I don’t care, I truly love this guy, but I'm just tired of being the one who is always being judged. Please, I am in need of a Christian counselor to help us because I really need to speak to someone.

Response: I don't think you’ve lost something, I think you’ve found something - your breaking point, and it's about time. Your boyfriend seems to be a very selfish and immature man who reconnects with you when it's convenient for him. Obviously, he has his own issues, but I want to address yours. I agree you need to talk to someone. The fact that you’ve put up with his repeated cheating and then letting him blame you for it (by saying you're not affectionate enough, etc.), tells me you probably have low self-esteem and have likely told yourself over the years that you don't deserve any better. You do! You may truly love this guy, but based on his behaviors, he does not love you, not in the way you deserve.  And although you may want to believe he can change, he has proved over and over again that he's not willing to, so you need to do what is best for you and your children. What would you tell your daughters if someone was treating them this way? Would you want your sons to treat women this way? That's what you're teaching your children when they see this.Like I said, I agree that you should talk to someone. You can ask your boyfriend to go too, but my guess is he won't. Even if he does, you should still see someone individually to work on YOU. I understand it's not easy to just kick him out, especially since you have children together, but a counselor can help you talk through all the details while helping you raise your self-esteem and self-worth.


Context: My son claims that hes been having extremely violent thoughts and dreams. Not violent like he's hurting someone, but violent thoughts like horrible things happening to his loved ones. He explained one of his dreams the other day and it was so violent it was sickening. It was far beyond anything in a horror movie, he says he can't help these thoughts they just pop up. Please help!

Response: Let me start my stating this is important to take seriously - taking to his PCP, getting a referral to a pediatric specialist, and getting him to a relational psychotherapist would be my first tasks. I wont label this occurrences as "normal" yet it is important to note these things do occur. My first observation is to say that it is a tremendous advantage that your son is communicating what he is experiencing. I'd encourage him to continue to do so, no matter the extent of his thoughts - his trust of you being able the handle his experience is of utmost importance. His containment and sense of security is also dependent on your reaction to what he shares. Seek professional help, communicating your support, including a plan of action, and reassuring him you will figure this out together will help you as you begin.


Context: Whenever I leave my girlfriend I get panic attacks. I'm taking medications to control them, but I'm thinking of moving in with her since I get so anxious.

Response: I’m sorry to hear that you are currently experiencing panic attacks. I hope that the medication you have been prescribed has provided you with some relief. Unfortunately, I don’t feel that moving in with your girlfriend would alleviate your anxiety. Although you may feel very anxious about leaving her, your body is reacting to this stressful event in your life in an unhealthy manner. You may be able to render this particular situation but it’s likely that you may experience another panic attack when an additional stressful event arises. Therefore, it is essential that you address the reason for why you are experiencing panic attacks in the first place followed by practicing coping mechanisms in the case that one would arise in the future.Talk therapy has shown to be effective with those affected by anxiety along with breathing exercises and yoga. A trained therapist will be able to assist you in finding the right stress reducing method so that you can reduce the chance of another attack occurring.I wish you the best of luck! It sounds like you are very happy in your relationship and I hope you are able to reduce your anxiety so that you are able to enjoy one another.


Context: 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?

Response: 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!


Context:
I’ve known my boyfriend for several years. We were friends for a long time. In 2013 we started a relationship, and he even asked me to move in with him since I lived out of state. I planned to move in with him in 2014 after I finished school and he found a job. However, during this time we had a few arguments and broke up with each other for a short period of time. We decided later to make it work. Shortly after, I found out that I was pregnant. I wanted to tell him during his next visit. However, he never came to see me and instead asked me for money. After I gave him money, he quit answering my phone calls and texts.

Soon after, I experienced a miscarriage. I texted him about what had happened, and he didn’t seem to care. I was extremely hurt by this. I still decided to move back as I had originally planned. He helped me with the move and replaced the money I had lent him. During this time, I asked if he wanted to be in this relationship because I needed to know. Although he says he did, I hardly ever see him. He never got a job, which was in the original plan.

After that, we both started seeing other people for a short amount of time but once again got back together. Once we got back together, I cut all ties with the former relationship I had been in. I thought he had too. But I found out that he did not attempt to do as I did and was still talking with another woman. In fact, he had even sent inappropriate pictures to her. When I confronted him about this, he wasn’t apologetic. He said that he only did it to get even with me and was actually mad at me for looking through his phone. He even closed his car window on my finger and tried to throw me out of his car. I don’t know what to do.

Response: There are plenty of red flags that you have been presented with:Several breakups Not holding up his end of the bargain regarding workLack of empathy for your miscarriageLying about his involvement with another womanPhysical violence, which is of most concern. This seems to be a very unhealthy relationship. In my experience, relationships such as these rarely become positive ones. Violence is never okay and regardless of his reasoning (you looking through his phone), it is indefensible. You have to look at these red flags and ask yourself, “Is this really someone I want to marry? Is he an asset to my life?” I think you’ll realize he is not.Best of luck to you and please know that you deserve someone who treats you with kindness, dignity and respect.


Context: I am going through a divorce from a narcissistic sociopath who left me for another woman after mentally and emotionally abusing me for 11 years. I have moved to a different state and after giving up my successful business am working as a server at a restaurant. I’m coping as best as I can. Is it normal and healthy to not adapt as quickly and be as strong as I think I should be? I am astounded at his cruelty and how much he doesn't care, as well as most other people in my life. I feel like I don't exist to anyone anymore as there is no contact from anyone who I thought cared about me. My brother just said no to lending me a few hundred dollars for me to live on. I am losing faith in humanity itself.

Response: I am very sorry to hear of your struggles.  I think that it is normal to struggle to get your feet under you again after a divorce, especially after leaving a relationship that lasted 11 years, so try not to be too hard on yourself.  Take it one day at a time and do the best you can.I notice that you said he left you.  This tells me that you didn’t have the strength to leave him on your own despite the fact that you say he was emotionally and mentally abusive and also cheating on you.  Low self-esteem can keep someone in a bad relationship because they think they can’t do any better.  Also, abusers will make you think that they are the best thing you can get.  The way I see it, he did you a favor.   You are now free to make your own life whatever you want it to be. Take this time alone to work on you.  As hurtful as it may be that other people don’t want to help you, this is something that you need to do for yourself without feeling like you need someone in your life to take care of you.  Your statement “I don’t feel like I exist anymore” tells me that in addition to low self-esteem, you also don’t have a clear sense of identify and rely on the people in your life to help define who you are.  People can and will let you down.  It is important for you to learn to handle disappointment, learn to take care of your own needs, and to gain a stronger sense of self. Do nice things for yourself every day because you deserve it.  Even if it is just to soak a little longer in a hot bubble bath, do something that makes you feel good.  Find a hobby that you enjoy.  Look in the mirror and tell yourself some positive affirmations daily.  Google “positive affirmations” to find some that resonate with you.  Such statements might be “I am a good person who deserves to be happy” or “I can do this.”  Some relaxation and meditation exercises may help you as well.  There are some free meditation exercises that you can find online by doing a simple Google search.Take this time to focus on you and try not to worry about what everyone else in your life is doing.  When you are a happier, more stable person, the right people will come into your life without you even looking for them.  Good luck with rebuilding your life.  I know it is hard!  Remember to take it one day at a time.


Context: I've been married for 3 years and I have two kids. During my 3-years married, my husband cheated on me twice.  The second time really got to me and at my lowest I hurt him back. We aren't communicating as well as I would like. What do I do?

Response: Hi there. Thank you reaching out for help. It takes a lot of courage for someone that is being abused to reach out for help. I want you to know that I am here to help you in any way that I can. First and foremost, you did not mention whether or not you had children yourself by this man. I’m going to assume there are. So, the most important thing right at this moment is asking yourself, if you and your children are safe? Is the boyfriend currently living in the home or is he coming and going? If he is coming and going or currently living in the home, my suggestion for you to is to pack a bag for you and your children and go somewhere safe (i.e. family members home, friend or a shelter temporarily). I cannot stress this enough. Although, some people tend to minimize their abusers behavior (i.e. they only do it when they are drinking, they only do it when they are mad), it’s those individuals that find themselves or their children in a serious situation. So, you can never take abuse (physical or mental) lightly because you never know what is going through that persons mind at that particular time. It’s always better to be safe than sorry. Secondly, it will not be safe, helpful or productive to attempt to talk to the abuser about your relationship. Abusers often times try and manipulate you into staying by apologizing or attempting to justify their behaviors. This is the time you would want to go see a magistrate in order to get a protective order for you and your children.It’s unfortunate that your significant other was involved with another women causing pregnancy; however, that is no longer your concern. Your concern at this point is keeping yourself and your children safe. I would also suggest counseling for you and your children in order to work through these issues. I hope this was helpful and please stay safe and take care of yourself.


Context:
I have been with my husband for almost 7 years. We got engaged a little after 5 years of being together. I had always been clear that I wanted to get married and I sadly would drop hints about how i wanted him to propose.
When he did propose it was during a random vacation that I had planned. I was happy but I couldn't help feeling disappointed too.
I had told him numerous times before that I wanted him to do it in front of my friends and family. I know it sounds dumb to be upset but I couldn't help how I was feeling.
We are now married but the wedding and ring were also far from what I wanted and it wasn't due to lack of funds.  I know this is all material and the marriage is the most important thing but I cant help but get jealous and envious every time I see someone get a proposal or wedding that I had wanted.
I cant help my anger because I know we only get one proposal and one wedding. What I wanted will never happen.
I have been working on my feelings for the past year and half to get over it. I try to focus on our marriage but every time I see someone have the best proposals and weddings I get upset.
I know it is selfish and I know its petty but I just can't control it. It's ruining our relationship because I constantly think about it. Plus, I get mad at him for small things because I am trying to hide the fact that I am so disappointed.
Why can't I move on?

Response: It's hard to let go of the dreams you had regarding your wedding and engagement. This was something that you and most women think about for years, so it's understandable to be disappointed. But please be aware that it is rare that any wedding is perfect. You may envy your friends' weddings but more than likely they had a few mishaps of their own and/or it wasn't as perfect as they had planned it either. However, like you know, the marriage is the most important thing.  How many women are envious that you are in a happy, stable relationship? I assure you that there are plenty. Try to live in the present considering that dwelling on the past can still not change how you were proposed to or how your wedding day transpired. Focus on what you can control NOW. Perhaps, you can plan an extravagant renewal of your vows or change the look of your ring?I would also be upfront with your husband and explain why you've been short lately. But after that, close that chapter and move on. It sounds like you have a wonderful companion and you certainly don't want to lose this due to a situation that is impossible to change.


Context: What can I do to stop grieving my mother’s death?  When I am awake I just cry every day. I don't have anyone to talk to. I need help; I am still cry over her.  Will I ever stop crying? It’s been 3 years.

Response: I am sorry that you lost your mother. That is a really hard thing for someone to go through.There is really no set time for grief to be over, but I agree that if it has been three years and you are still crying every day then this is past the time for normal grief.  I do not know how old you are and if you are in school or have a job, but I would imagine that if by now you literally were doing nothing but crying every day all day, someone would have noticed and would have gotten you some help.  For one thing, bills have to be paid.There are typically five stages of grief and they can come in any order.  You can go back to another stage that you previously experienced. Denial, anger, bargaining, depression, and acceptance are the stages. At first, people are usually in denial over the fact that they lose someone or are losing someone.  This may mean that you deny they are ill or deny that they have actually died.Then comes bargaining, in which you may beg God that if you can only have this person back then you will do whatever. Depression is when the reality has settled in and when we cry and really feel the loss.  It sounds like you are stuck in this phase.Finally, acceptance is when we accept that it has happened and we pick up the pieces of our life and move on.When we lose someone we never forget them.  We may always have certain days that are tough, such as holidays or any special remembrance of your loved one.  But we do get to the place where we accept that death is part of life and that it is inevitable, and that life goes on.A therapist can help you explore the reasons for your extended grief and can help you with coping skills to better deal with it.  One suggestion I have is not to try to run from the sad feelings, don’t try to not feel them.  Embrace the feelings.  Let the feelings wash over you and accept them.  Trying not to feel something is not going to help.  Sadness is a part of life and needs to be felt just like happiness does.  Unpleasant feelings are not to be avoided.I am sincerely sorry that you lost your mother and that you have had such a hard time of it for three years now.  You deserve to be happy and to live a full life.  I am sure your mother would not want you being sad for so long.  I wish you all the best as you continue to try to heal from this loss and deal with your grief.


Context:
I'm having issues with my relative. The police never believe the experiences I have been through because I am only a kid.

I've even had trouble trying to reach a therapist because I said I wanted to get an adult to help me. Could you please give me advice?

Response: I think it would be wise for you to call a hotline especially designed for children. It's called the Childhelp National Child Abuse Hotline. The number is 1-800-4-A-CHILD (1-800-422-4453). It is completely anonymous and a trained therapist will be able to provide you with guidance, confidentiality, and can also help you make a report of you want.The call is completely free and they are open 24 hours a day / 7 days a week. I'm glad that you are taking steps to improve your situation. You are a very brave and an intelligent child. Please remember to call 911 if you are in immediate danger.


Context: My wife just last week said she wants a divorce and it's all sudden. I understand that marriages have their ups and downs but I don't understand why she can't tell me why she wants a divorce. Should I fight for my family (daughter and wife)?

Response: Chances are, if you really think about it, there were signs that something wasn’t quite right in your marriage. You may have passed these things off as being the normal ups and downs of a marriage, but whatever it was (or wasn't), it's obviously bothering your wife. I would say yes, keep trying to fight for your family, at least until you know what the problems are from your wife's perspective and if they're repairable. Ask your wife if she’s willing to try to work on the marriage and then see a marriage counselor. Just be sure you’re open to hearing what's said and try not to get defensive if she blames you for some things.Even if your wife is adamant about getting a divorce, that doesn't mean you’re divorcing your daughter and you should make sure she knows that. Continue to be a part of her life. And although it may be difficult, if a divorce does happen, try to be as amicable as possible with your wife so your daughter isn't further impacted by this new family dynamic.


Context: I loved him more than anything. He passed away on our anniversary which was also the day I was going to apply for our apartment. I'm not handling it well. I moved to a new town and started a new life but nothing helps.

Response: I am so sorry to hear of your boyfriend's passing. Grief is something that can take a long time to recover from. Have you considered speaking with a grief counselor? Being able to speak with someone that specializes in grief would be very beneficial. Do not get down on yourself for not recovering quickly. This is one of the hardest aspects to deal with in life but eventually you will be able to move forward. In the mean time, immerse yourself with positivity (i.e. Good friends, hobbies, exercise) and try to schedule a time with a counselor. Perhaps there will be a support group you could also join. Oftentimes, it is comforting to meet others who share the same experience as you.Good luck to you. I hope you will find peace and comfort soon.


Context: I did some horrible sexual things as a kid and I regret everything. Can someone help me cope with myself? Can someone help me remember my past?

Response: I'm very sorry to hear this. Hypnosis can be a valuable tool that a trained therapist can use to bring back suppressed memories. However, keep in mind that hypnosis doesn't work for everyone. I think regardless, speaking with a therapist about your sexual issues would be beneficial. It seems like you have experienced some painful experiences in the past and may need help dealing with them in order to move forward. In addition, if past memories do resurface a trained therapist will be able to help you cope with them as they arise. I wish you the best of luck and I hope you receive the treatment that you deserve.


Context: I have been with a guy for 4 years,  he's a great guy and we also have a son together. The problem is that I'm in love with a guy that I've been talking to for about 2 years but I've never met him in person. Honestly I'm bored with the relationship I have with the first guy and he makes want to go after the second guy, I don't know how to tell him that. What should I do?

Response: Hi there. Wow, this sounds like a sticky situation; however, I’m here to help guide you through this decision. First and foremost, you must ask yourself, if you ever loved your sons’ father or was it a situation to where you two got pregnant and stayed together for the child. It’s very common to stay with your partner when a child is involved regardless, if love is involved or not because “it’s the right thing to do.” Right? Well, not entirely.  Although, staying with your partner because you have a child together may seem right, in fact, it hurts the child in the long run. If you are not love with your partner, you will show distance, unhappiness, sadness, possibility of frequent arguments and cheating.  When a child grows up in the home and witnesses these types of emotions & behaviors it is unhealthy as he/she will expect their own relationships to be such. As a responsible adult, you are supposed to be there to shape and model the future for your child. Just remember, what you do, your child will model. Secondly, do not sell yourself short from love. Everyone deserves to be happy and to have someone to share their love and intimacy with. However, being in love with someone you have never seen before can be very risky. Honestly, that sounds like lust and the longing of love.  Humans have needs and when people are unhappy in their current relationship, they often seek out what they need.  If you decide to pursue the second relationship, I would suggest setting up an outing with a friend or two in order to get to know this person as there are a lot of scammers these days. Finally, I am not convinced that this has anything to do with choosing between two guys.  This seems as if you are making a decision to end the relationship with your child’s father or not. You should ask yourself, if you were in love with your child’s father first off. If you were, you would have never sought after love.  I hope this was helpful for you and I hope I was able to shed a different light on your situation. Take care of yourself!


Context: My boyfriend can't get over my promiscuous past. He says he loves me  but says the thought of my past is disgusting and a sexual distraction. He says he should have had more sex with different people. I don't know how to handle this.

Response: I am sorry to hear of your relationship struggles. One thing I wonder is did you volunteer the information about your past or is this something that he asked about?  In the future, it is probably best to leave details out of conversations like this.  I think it is common and natural for partners to ask about the sexual history.  For one thing, it is a good idea to be checked for STD’s before entering into a sexual relationship with someone, and it is fair to share that information with each other.  Partners usually want to know how many you have been with and what kind of sexual preferences you have or if there is anything you don’t like to do.  This gets into a gray area for some people.  I don’t necessarily want to know how many people my partner has been with and I certainly don’t want a whole lot of details.  Sometimes that is an image I just don’t want in my head about my partner.  Vague details are usually enough.However, I understand that your partner has the details and is not happy with your past.  This is a reflection on him, not you.  This shows insecurities on his part.  You cannot control how he will react to information that you provide to him and you cannot control how he feels about the information.  The past should remain in the past and not be held against you in the present or future.   If he cannot handle your past then it is going to cloud your relationship.  You can offer couples counseling to him and see if he will go with you.  I have seen relationships recover from some very serious problems such as infidelity.  It takes two people who both want it to work to make it work though. If your boyfriend cannot get over your past, you may have to let him go.  Don’t keep yourself tied to someone who is not right for you.  Constantly holding your past over your head and holding that against you is only going to bring you down and eventually you may start having insecurities or low self-esteem due to this type of treatment. I don’t see that you have done anything wrong.  If you aren’t cheating on him now and you answered his questions about your past honestly, how he handles that information is on him.  Ultimately, relationships have a tendency to come and go. Don’t fight to hold onto someone who is not right for you.  It is okay to be single and enjoy being the best you that you can be.  In time, the right person for you will enter your life.


Context: What do I do if I have been feeling like I could never be with anyone because no one would want me. Or I couldn't have many friends because of who I am. It's strange I want to be loved but I'd hate to be because I always lose.

Response: I'm sorry you are feeling uncared for. I'm sure there are plenty of people that care and love for you that you are not taking into consideration. Sometimes when we get upset we may think irrationally and see the world as all or nothing. However, take a deep breath, relax and start focusing on the positive relationships you have with others, regardless of how small or insignificant they may seem. I think you will quickly realize there are people out there that care a great deal about you.I also think it would help for you to surround yourself among people who you can identify with and share common interests with. Maybe you can attend a religious service, join an interest group (i.e. reading club, sports group, etc.) or start a group of your own. Most importantly, you need to tap into your interests and surround yourself with things that are beneficial for your own mental and physical health. From this, relationships will start to immerse. You may also like to talk with a therapist regarding your feelings of being unloved. This is an unhealthy way to think of yourself and I think with a little help, you can see that you are more than deserving of a great relationship. Thanks for reaching out and I wish you the best of luck moving forward.


Context: What makes my step child, an 8 year old boy, choke my daughter, a 6 year old girl? This has been going on for 4 years. The boy tells my daughter not to tell on him. He knows it's wrong; we have did time out, spanking, taking away toys, and sitting on the wall. I am afraid for my daughters safety!

Response: I can see why you are alarmed. That is a scary situation for a parent. Do you know if the child has been evaluated by a mental health professional? Early treatment is often the key. A professional will be able to help the child learn how to control their anger and mend the troublesome actions into more appropriate responses. Have you addressed your concerns with the child's other parent? There could be contributing factors in his life that could be causing these issues (exposure to violence, sexual/physical abuse, drug use, stressful events in his life, etc.). It is important that these factors are identified so that they can either be eliminated and/or reduced. I wouldn't hesitate to have him evaluated (if he hasn't been already) and to ensure that he is getting the help that he needs whether it be medication and/or therapy. Until then, I would make sure that he is always supervised under an adult's care.


Context: I have this weird fetish that I'm afraid to open up about it. What should I do?

Response: This is difficult to answer because you don’t tell us what the fetish is.  I do understand that this is something that is bothering you though. The first thing to ask yourself is if this is something that is illegal or not.  If this is illegal to engage in, then you need to seek counseling help immediately to control the urges.However, if your fetish is not something illegal and you just feel that it is something odd, a therapist could still help you deal with these feelings.  You may find that it is something very common and not something to be ashamed of.  You may find other people have the same interest as you.  Find a therapist that you can trust and tell them.  Don’t hold back with your therapist.  Trust me, they have heard and seen it all by now, and they can help you either stop the behavior that is causing you distress, or help you come to terms with accepting the behavior as part of who you are.  There is no need to suffer with this alone.