Context: My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her?  I want her to stay.

Response: You're probably not going to like my answer.Your question says a lot about what YOU want rather than what she wants or what may be best for her. Sometimes, what's best for a person is the hardest thing to do, and may be completely opposite of what YOU want.Addictions don't happen in a vacuum. If you've had any experience with addicts at all, then I'm sure you've heard the term "enabler". A lot of the times, when people think they're "helping", they're actually enabling the addict to continue their self-destructive behavior. Tough love and clear boundaries are needed in a lot of situations, but especially with addictions. Family and friends are often the biggest contributing factor to someone choosing to use/drink, continuing to do so, or relapsing back into it.You said she recently quit. You said she is depressed. She wants to move. When a person receives counseling for addictions, they are encouraged to make changes like this. They need to break the habit, and this means removing people from their lives at times. It means moving to new locations. Anything that may trigger a relapse needs to be identified and removed. Not only that, but the addict needs to do a lot of personal reflection to figure out WHY they use/drink in the first place, and not only break the physical addiction to it, but deal with whatever is the root cause that led them to use in the first place. She may need some time alone to figure out who she is as a person, time to make some decisions for herself and do what she needs to do to be healthy.Don't pressure her to stay. Let her have the freedom to do what she needs to do. If she stays, the decision needs to be hers and hers alone. It doesn't need to be made under pressure. That will only lead to resentment. Support her, but don't try to change her or make her do anything, especially for selfish reasons. Let her go. It sounds like she needs some time to focus on herself right now. It wouldn't be a bad idea for you to do the same.


Context: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

Response: Biologically, fear is designed to protect us from harm. Fear is not always a bad thing, and in fact can be quite healthy and appropriate depending on the situation. A phobia, however, is different. You used the term "fear" rather than "phobia". A phobia is an irrational fear - meaning it is not rational for you to fear that thing. If your situation is a phobia, exposure therapy can help. This consists of gradually exposing yourself a little at a time to the thing you are afraid of. Some people with phobias find that the irrational fear interferes with their life and they do need to overcome it. Someone who is afraid to drive over bridges may go to great lengths to avoid routes that have bridges. People who are afraid of elevators may always use the stairs instead, which may not always be feasible. If overcoming a phobia will improve the quality of your life, then by all means, seek professional help to overcome it.Everyone has fears, or things that make them nervous. Public speaking, asking a person out, fear of failure. Examine what your fear is and try to determine the reason for the fear. When you can get to the root cause of the fear, you can deal with that issue. A lot of times, it is a self-esteem issue. You may be able to peel back the layers of the fear and find out what's causing it and deal with the real issue. Some fears are caused by trauma. Someone with PTSD is going to have an exaggerated fear response and will find themselves being kicked into "fight or flight" mode over things that someone without the trauma experience wouldn't notice or react to. In cases like this, exposure therapy would be the wrong approach and could actually make things worse. If there is a possibility that a past trauma is the cause of your fear, I strongly urge you to seek a therapist - not just any therapist, but one who is trained to work with trauma and abuse victims.


Context: I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident?

Response: The answer would require a more in-depth knowledge of you and your situation. A lot of times, these feelings are the result of the people in your life treating you a certain way. You internalize it and accept it as your reality. The first step is to evaluate the people close to you, especially your parents. Even if you are an adult, think back to your childhood. Children who grow up in an unstable home often grow up to be adults with insecurities and emotional problems. The obvious, such as being abused, can certainly lead to a person having little to no confidence and self esteem, but there are other situations that might surprise you to hear they can be damaging to a person.You may have never been physically or sexually abused, but what about emotionally? Were you yelled at, berated, put down? Were you told you'd never amount to anything? Were you compared to siblings and felt like you always fell short, couldn't live up to expectations? When you hear something over and over again, you start to believe it.Maybe you weren't yelled at. Maybe it was the opposite. Studies show that children who grow up with a parent who is depressed show signs of emotional neglect. A chronically depressed mother, for example, may have seemed cold, detached, emotionless. She may have been less likely to show interest in a child's life, not give praise for accomplishments or show support by going to ballgames or performances. If one of your family members were chronically ill while you were growing up, chances are, a lot of the attention went to them, which could have led to your needs not being met.Any of these situations could cause a person to grow up feeling unimportant, unheard, unloved, or like they don't matter.Maybe nothing I've described here fits your situation. If you can't pinpoint what has caused you to feel this way on your own, a counselor can help.I am not saying "blame it on your parents" or telling you there's nothing you can do to change it! Quite the opposite! Understanding WHY you feel that way is a first step towards making the changes needed to feel better. Cognitive behavior therapy focuses on cognition - figure out the WHY. Then behavior - the HOW.


Context: My dad makes me feel like shit and like I'm worthless.  He calls me names and makes me feel depressed.  I want to move out because I swear if I stay here, I'm going to lose it. What can I do?

Response: Are you old enough to move out? Then by all means, what's stopping you?If not, is it possible for you to move in with another family member?If you're a minor, CPS may need to step in. They often do in cases of abuse. Your safety is the number one priority.It's difficult to offer advice without knowing more about your situation. But I can say this: Don't let other people define your self worth. You can choose NOT to allow him to make you feel anything. It really is that simple. By looking at it as a choice you make, you will be empowered to take control over your emotions and learn to feel better about yourself because your self-worth will no longer be defined by what someone else says about you or how they treat you.Let me say that again in a different way: Your self-worth is NOT defined by someone else. The way he treats you is a reflection of who he is as a person - not you. Don't take ownership of that! I understand that if you are a minor, setting healthy boundaries and refusing to accept this kind of treatment can be difficult. Reach out to others for help. But if you are 18 and over, there is absolutely no excuse for you to be there having to put up with maltreatment. Put up some boundaries and create the distance needed to protect yourself emotionally. You owe it to yourself, and deserve to live a healthy, happy life. Anyone who tells you otherwise is wrong.


Context:
My boyfriend shows affection, but I just push him away.  Every time my boyfriend tries to kiss, hug, or touch me I almost always push him away. I'm on birth control and it has killed my sex drive.

 I love him so much.  Why do I do this?

Response: I sympathize with you! It is actually quite common for one partner to have a higher sex drive than the other, and can lead to discord in the relationship. The good news is, there are ways to deal with this.You may have already answered your question. There are many medications that can alter one's sex drive. If your birth control pills are the cause of this, talk to your doctor about switching to a different brand. You may even consider alternate methods for birth control, such as condoms.However, there are some other things to ask yourself. First, you used the term "affection" but then talked about sex. They're not the same thing. There are different kinds of intimacy, and many different ways to show love for someone. A book you might find useful is "The Five Love Languages".Defining what "affection" means to you, and to him, and discovering all the ways you both can show this towards each other, may help lessen some of your anxiety over this.Humans are hard-wired to need appropriate physical touch. In fact, studies have shown that newborns/premies who can receive skin-on-skin contact with their parent can recover faster than babies who don't receive this touch. It's called Kangaroo Care. Children who have grown up in neglectful environments where they're not hugged and kissed and shown appropriate physical contact can often be unable to show this to their partners and children when they're adults. One question to ask yourself is, were you having intimacy issues before starting the medication? If so, there may be other, deeper issues at play here.For someone who has received the wrong kind of sexual/physical touch (sexual abuse, physical beatings) it can be difficult to allow someone to be physically close to you. A therapist could help you work through this.Sometimes, a person may lose their sexual feelings for their partner due to issues in the relationship. Once those issues are resolved, the sex drive comes back. Examine your relationship and see if either of you are unhappy, if you've been arguing a lot, or if there are any problems in your relationship that need to be addressed.Finally, look for the other ways that the two of you may be intimate in a non-sexual way. You may be doing things for each other that you don't even realize, and noticing these will help you appreciate it more. Take the stress off of the sexual gratification and focus on showing your love in other ways. Some people like to give gifts, do the other person's chores, or do other things they think the person will appreciate.If, after all of this, you still have a discrepancy with one of you having a higher sex drive, there are many articles online that offer advice for couples dealing with this situation that you may find useful. It is a very common issue for a lot of couples.


Context: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

Response: Fears are not that difficult to deal with, first you need to train yourself to relax using some relaxation strategy, once you are able to employ that in your daily life, you then need to start facing your fear, for instance I'll use an example of a man who has a fear of driving over a bridge. We would build a hierarchy of fears, that is a list of fears ranging from least to most, for example the man may want to start by looking at a picture of a bridge while employing his relation technique, then he may want to see a real bridge from a distance while employing that same relaxation technique, then moving closer to the bridge, then maybe standing on a bridge, all the while moving closer to his fear while relaxing, until you come to most fearful proposition which is crossing that bridge, or you can also engage in flooding which is for example, if you were scared of an elevator, go into an elevator until you are not panicking anymore, in the movie Batman Begins, Bruce Wayne who has a great fear of bats, goes into this cave and allows himself to be surrounded by bats until he is no longer fearful of them. Secondly, look at your fears, do they even need to be worked on, some fears are healthy, for example if i was a therapist in New York City and someone came to me and said "I'm scared of snakes", I would probably say that is OK because there are very little snakes left in ManhattanHope that helps C


Context:
My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough sexual attention from me.

I recently found out he cheated on me with another women.  He says he wants his family back but I'm confused on what to do.  Is it possible for us to get past the cheating, or should I just move on?

Response:
First off, let's start with really
validating the potential emotional pain you are feeling right now. There is
generally no lack of uncertainty, anxiety, fear, sadness, and anger. These are
all normal emotions and being allowed to feel them is the beginning of the
healing process. It might be helpful to talk about these feeling with your fiancé,
a friend or a counselor.Now to get to your primary question.
Can a relationship move past infidelity? The short answer is yes. A bit longer
of an explanation is that is sounds like you and your fiancé had pieces of a solid
foundation to base a relationship on. For many couples they encounter a primary
challenge, sometimes that's money, or parenting and for some it's sexuality. If
you and your fiancé are both committed to balancing the positive aspects of your
relationship while improving the challenges than it's definitely possible to
move past this. This is not an easy process and for many couples takes months
or years of healing while engaging in relationship counseling. Good luck to you and your continues
healing and growth!


Context: We weren't long distance until he joined the military.  I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going?

Response: Loving someone in the military is hard. My husband and I joined the USAF two months after we got married! How long do you expect to be apart? Do you have access to Skype or something similar? How far away from each other are you? Can you meet half way periodically? I have a number of military friends who have dates over the miles with facebook live. They pick a restaurant, order, and talk about their day. It's super cute and sweet. What are some things that you have tried?


Context: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.

Response: There could be a number of things going on here. For instance, have her eyes been checked by an optometrist? She might just not like writing or coloring. She could be rushing through assignments so that she can spend time with friends, play games, or do something else. She might need some extra help with fine motor skills. What are her grades like? Does she rush through other things like cleaning her room or getting ready for bed?


Context: I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems?

Response: Post Traumatic Stress Disorder can occur after any traumatic event where a real and present threat of harm or loss of life to yourself or others is present. Yes, a car accident could increase PTSD symptoms such as hyper-vigilance, anxiety, nightmares, re-playing the event, etc. Depending on the severity of the accident new triggers might exist. This is not to say that you cannot recover. Are you currently experiencing additional trauma symptoms?


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: As a prior military spouse myself I can happily report that you have several options in this case. First, you can go to the visitors center and let them know what has happened to get a temporary pass for a new id. Also, you can call the squadron commander or other official from your husband's unit to get them to tell you how to proceed. You can also contact the military personnel flight for more information The best thing is to get a new id as soon as you can. There should be no problems because it was stolen and yu might need to report it to the military police or security forces on base.


Context:
My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough sexual attention from me.

I recently found out he cheated on me with another women.  He says he wants his family back but I'm confused on what to do.  Is it possible for us to get past the cheating, or should I just move on?

Response: I think there are many different directions we could go as far as answering your question.  I think the first and most important question you need to ask yourself is do you truly believe in your heart that you can forgive him and trust him again?  Once you answer that question honestly then you can move in one of two directions.  First, if you truly love this guy and see yourself being with him long term and for the "long haul", so to speak...and you genuinely want to forgive him and trust him again, that is completely do-able and possible if you both put in the work.  But, there's a greater issue here that needs to be addressed.  You say your relationship is "good", but there's been a sexual disconnect between the two of you and that usually indicates some type of emotional disconnect is at the core.  Would you agree with that, or what are your thoughts?  Were you giving him less sexual attention than you normally do or were you guys never on the same page about sexual needs and having compatible sex drives?  If you are more of an emotional person than he is, you may have been less interested sexually because he hasn't been meeting your emotional needs.  For instance, if you hadn't been feeling loved, cared about, validated, appreciated, cherished, and special to him than you may have felt less connected physically and been less interested.  This is a common issue with couples, and can easily be addressed if the communication in your relationship is strong and you can find a way to express to him your frustrations.  In essence, many women tend to have more emotional needs than men, this is the way we are hard-wired, and there are exceptions to this of course, but if you have been feeling neglected emotionally than your lack of interest in sex is actually completely understandable and NORMAL!  Until he understands this, and can learn to tune into your needs emotionally, you may struggle with feeling you are out of sync emotionally (and sexually).  This leads to you both being frustrated, but if all this is ringing true to you, he seriously probably has no clue what's going on and may not know how you're feeling.  You need to communicate your needs to him; if you are super lost with how to do that, there's an awesome book called The Five Love Languages.  It's not that long, and it's very approachable and easy to apply the concepts to your relationships. Invaluable resource for relationships and truly eye opening; really!!This is a long post, I'm sorry!  But this is such an important issue that is very common and many people feel lost about how to handle it.  So back to the second direction you can go....you feel very betrayed, you aren't sure if you can ever trust him again and you see yourself perhaps being paranoid forever and never being able to completely get over this.  For instance, if he says he is working late, or if he doesn't call or text right away when he usually does, you may immediately jump to the worst case scenario that he is cheating again.  Of course, it may not be true, he may have legit reasons for his behaviors, but the point is if you are going to be in paranoia-mode OR you just will always be unsure whether he loves you and is committed to you and only you, then the trust may not be able to be re-built.  You need to think long and hard about this, and if you decide you have the capacity to forgive him and rebuild your foundation of trust and honesty, then you need to let him know very explicitly what you need him to do to earn that trust back.  You can't just tell him vaguely "I need to trust you again"; if he wants his family back and he's willing to do the work, you need to line out exactly what he needs to do and he needs to do it.  But, be prepared that he might throw out there that he cheated because he felt you weren't attracted to him anymore (or he tries to put the blame on you somehow because he says you weren't meeting his physical needs)...if he throws that out there, but you weren't showing him the affection because you were frustrated emotionally, then it all starts with you communicating that to him.  Get that book!In conclusion, if you feel in your heart there is no way you will be able to trust him again and you will always wonder if he's cheating when his behavior isn't spot on, you will be a nervous wreck and perhaps cutting your losses now would spare you the continued heartache.  There is certainly a way to work through this, but you both have to be motivated and you have to get to the source of why the cheating happened in the first place.  Rebuilding trust can be a long process, maybe even years, and for some people, they may never be able to fully trust and let go of the past.  I truly recommend starting with the book, and then going from there.  If you decide you want to stay with him, you would really benefit from couples counseling, as it sounds like a professional could help you strengthen your communication and ability to trust again.


Context: Often times I find myself thinking scary thoughts and sometimes  I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out.  How can I stop these thoughts?

Response: I'm sorry you're going through this problem of scary thoughts in your mind.None of us are able to directly stop thoughts from coming.What is possible is to question their value, accuracy, and believability.Maybe if you examine the thoughts which upset you, you'll be able to feel better by understanding that the thoughts are not very relevant to your actual life.Also, another choice of what to do with the upsetting thoughts, is to redirect them.  When a stressful or frightening thought shows up in your mind, give it a happy resolution.   Basically, turn the fright into something pleasant or at least bearable.I hope this helps you at least a little bit!


Context:
I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.

Currently I'm going through anxiety and my thearapist is not available. How do I handle this?

Response: Have you told either of your parents that the current house rotation of where you stay, bothers you?Since each parent has an interest to be together with you, I imagine that to some degree, each cares how you feel.If these conversations are not getting your problem solved, then maybe your therapist can have a family session with your parents together and depending on the outcome, with you and each parent.


Context:
I have high functioning autism and I have been on a lot of dating sites like meet me, match, and zoosk. I haven't had any luck on any of the dating sites I have been on.

 I really want a boyfriend but I don't know what I should do. I just want to be in a relationship. How can I meet someone?

Response: Are there dating sites for people who have autism on the high functioning end?If not, then find out the names of different organizations which support people who have autism.  At least one of these groups will have some guidance as to social activities for dating or even specific sites for dating when autism is a criteria.All the rejection on dating sites is rough for anyone to handle.How do you know that you're being passed over by guys who are on dating sites because you have autism?    Any reason is possible.Unless you've heard from a few particular guys that their reason for looking beyond you is because of your autism, it is possible you're in the same boat as everyone else who feels similarly frustrated by dating site rejection!


Context:
My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough sexual attention from me.

I recently found out he cheated on me with another women.  He says he wants his family back but I'm confused on what to do.  Is it possible for us to get past the cheating, or should I just move on?

Response: It's possible but challenging. Both partners need to be feel motivated enough to repair the relationship and dedicated to the work needed to address whatever underlying issues led to the serious breach of trust. For some people, cheating is an absolute deal breaker—for others, the context of the cheating allows them to see it as a mistake that they can forgive their partner for. So it depends on how you feel about the relationship and whether you want to put in the work to repair it.If you're not sure how you feel, counseling can help you resolve the ambiguity, either individually or with your partner. Then, depending on what you decide, a counselor can help you either repair the relationship or decouple from your former partner.


Context: I just don't know what I want in life anymore. I'm can't figure out what it is that is keeping me distracted and unfocused. I can't put things into perspective at all. I'm just stuck, and I'm disappointed with my lack of accomplishments.

Response: If you are a people-pleaser type or a natural caretaker, you can slowly "lose yourself" over time if you are always tending to the needs of others and neglecting yourself.  If this sounds like a familiar pattern for you, this may have happened without you even realizing it if you were raised in a family where you had to pick up the slack alot.  Maybe your parents were addicts or they might have even just worked all the time and you learned to "take care of everything" because that is what you had to do to help the family run smoothly. Over time, a person who grows up in this type of environment learns that you put the needs of others before your own.  You might also be stuck in these types of patterns in intimate relationships as well; if you completely give yourself over to your significant other and you don't create a life for yourself with your own interests and supportive friends, you are at risk of losing what is unique and amazing about you.  If you grew up in a family where you learned this role out of survival or because it was needed to take care of your family, it's easy to re-create this in adult relationships.In both scenarios, if there is no awareness that this "self sacrifice at the expense of others" is going on, your identity is shaped around being a caretaker/enabler/people-pleaser and down the road it can lead to depression, low self esteem, and a confused sense of self.  Basically, you spend so much time helping other people that you don't make time for yourself or create a life of fulfillment.  Before you realize it, you have been living a life for others instead of yourself and you have no idea who YOU are.  Supporting loved ones and friends is important and certainly admirable, but if you are always that person that rescues, those that rely on you begin to take advantage of you and they will suck you dry if you let them.  In conclusion, learning to set boundaries with those in your life that are too needy becomes a really important part of the process when you begin to recognize that you are unhappy and unfulfilled in life.  It sounds like you may be at that crossroads right now.  Take one small step at at a time.  Identify the worst offenders in your life that suck time and energy, and limit your contact and/or set some strong boundaries with those people so you can refocus and do some soul-searching.  Meanwhile, engage in pleasurable activities with people you enjoy being with, get yourself outside in the fresh air, get some good sleep, and eat some nourishing food!


Context: My ex-wife married and used me to have a child. She now uses that child as a pawn. I know my child misses me, but I need to move on and not live in the past. How do I do this? Do I see my child as much as possible or very little? Is it more confusing for the child?

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


Context: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

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


Context:
I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.

Currently I'm going through anxiety and my thearapist is not available. How do I handle this?

Response: OK first things first. We have to think of your safety and take care of those thoughts of hurting yourself.Yes, this is a major problem for you and can cause anxiety and depression. You have the right to be sick and tired. Kids often are pawns in this marital problems that their parents have. I'm sorry that this is happening to you.I am not sure of your rights in the state you live in but as far as I know you as a 17 year old you have the right to stay where you want. So your'e going through an anxiety episode and your therapist is not available.  If I'm the therapist we would have already set up a plan so that if you are in this situation you would know what to do. In the worst case scenario you would be able to contact me.But I would have given you several exercises to help reduce your anxiety.Staying with your mom should be your choice. I know you probably don't want to hurt anyone's feelings but there are ways to ease the tension. Maybe with your permission and their agreement, we all could meet together for a session or two to ease your tensions and get over and through this hassle.


Context: Often times I find myself thinking scary thoughts and sometimes  I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out.  How can I stop these thoughts?

Response: Hi there,I first want to let you know that having these thoughts is completely normal. Studies have been done that show that 80% of human thoughts are "negative" so you are not alone. I like to think of thoughts as a tornado... if you are in a tornado, you are completely consumed by it and it is nearly impossible to do anything beneficial. However, when you are, let's say, a mile away from a tornado, it is still scary but you have the option to do something that is important to you such as get shelter or make sure your family and friends are safe. When unhelpful or scary thoughts arise, we tend to start a "war" with them, which is the equivalent of jumping into the tornado. This makes the thoughts and emotions bigger and intensifies the feelings that go with them. So the question I imagine you have is "how do I get out of the tornado?" There are 3 steps to doing this:Get distance from your thoughts by adding "I am noticing I'm having the thought that...." to the front of them. For example, "I am noticing I am having the thought that something bad is going to happen to me."   The purpose of this is not to decrease your fear or get rid of the thought. These thoughts might always be there and that is okay because that is how the mind naturally works so struggling with that is a waste of time and energy. The purpose is to gain some distance from the thoughts so you don't get swept away by them. You can imagine them floating along like leaves in a stream or clouds in the sky (and often the same thought will come back again and again but that's okay... just continue to notice it with curiosity). I imagine the thoughts get in your way of doing what really matters to you so if you can get a little bit of distance, you can do things that are fulfilling and meaningful to you. Tune into your body and notice what sensations come up and where you feel them most intensely. Then breathe into them and make room for them. Our 5 main emotions are: joy, sadness, fear/anxiety, shame, and anger. ALL of these emotions are part of being human and there is no escaping them. So again, struggling with them ends up intensifying them. Instead, let them be and make a little bit of room for them. Often a side effect of this is the intensity will decrease but it might not. The purpose is to keep them from becoming more intense. Contact the present moment. Notice what is happening here and now. One way of doing this is tuning into the five senses. What are some things you hear, see, taste, smell, and feel? Another way is to notice what is happening in your body (without trying to change it). How deep are your breaths, what is happening with your heart rate, are you cold/warm, etc?Implementing these three steps can help you to refrain from getting caught up in your unhelpful thoughts. Unfortunately there is no way to get rid of thoughts or feelings completely. So the only option that works in the long run is to accept them while continuing to do what matters to you and what is fulfilling to you.I hope this helps!


Context: I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?

Response: Fear is a part of life. In fact, our five main emotions are joy, fear, sadness, shame, and anger. We tend to spend a lot of time and energy running away from or trying to get rid of most of those emotions and the more we do that, the more we set ourselves up for failure and disappointment. As a result of viewing our human emotions as "bad" or "wrong," we often get caught up in a trap of thinking we have to overcome them or get rid of them before we can do what matters to us. In reality, you can do what is important to you while having your fears! My question for you is, what would you do if this fear was completely gone? What behaviors would you have if you were the ideal you? What skills, knowledge, or personal qualities would you develop? What kind of relationships would you have?I imagine your fear has kept you from achieving those goals because your mind tells you you can't do it until the fear is gone. I challenge you to do the following exercise:What is a goal you would like to achieve? Example: I would like to change careersWhat actions are necessary to complete this goal? Example: see a career counselor to determine my ideal career, go back to school/get a certification, network with others in my desired industryWhat thoughts, feelings, or urges might get in my way? Example: thoughts of "What if I fail? I'm not smart enough. I can't do it. I'm too busy to put energy into this." Feelings of fear, shame, excitement. Urges to distract myself through drinking or watch tv instead of taking action.It would be helpful to remind myself that: example: It is natural to have these thoughts, feelings, and urges but I can take action anyway. I deserve to have a fulfilling life.The smallest and easiest step I can take now: example: research career counselors in my area and write down their phone numbersThe time, day and date that I will take that first step, is: example: Tonight at 7pm At least think through these answers but it is most beneficial to write them down. I hope this helps!


Context: Does counseling really do anything that can help people?

Response: Yes, Counseling provides an area for people to speak to an unbiased professional about their concerns to address their unique needs. While length of time varies, counseling is a process and can be done from as little as one session to multiple sessions. Counseling provide a safe, non-judgmental, empathetic atmosphere from a professional helper provide the service


Context: My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her?  I want her to stay.

Response: You should start by speaking with her about what has her so down. Have their been some significant events in her life that have affected her? Have their been significant events in your relationship that can be affecting  you both? If she just stopped drinking, she may be struggling to finding an alternative and healthier behavior. This is something the two of you can explore together. Also, if need be perhaps she can speak to a therapist to discuss her feelings about quitting alcohol. It sounds like you really care and right now she could use all the support she can get despite her pushing you away.


Context: It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this?

Response: Affairs and infidelity are tough areas to address. The power of the affair comes from the feeling of injustice that seems to have happened to you. The struggle I notice people have is with the forgiveness. Forgiveness is something that is asked of you from your partner but also you have the power to give. I assume you want to forgive or have forgiven. However, the forgetting part is difficult. It seems that image of her happiness may have triggered something in you that isn't happy. I'm not sure how often you are triggered by her but it seems there is something there you need to process. The forgetting part sadly is difficult to put past your mind. However, it's being able to see the unfortunate situation they did and be able to walkthrough it even though it's painful. I think maybe speaking with a local therapist about this as it's often difficult to process alone. Also, see how you are feeling as days go on. Do you find yourself obsessed? If so, you may need to seek a professional counselor.


Context: What makes a healthy marriage last?

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


Context: We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a  female coworker. I don't know how to approach this situation. How do I ask him about it?.

Response: The best way to get an answer is to just ask. I would defintely let him know you are asking out of concern and not to judge or criticize. Allow him to explain his answer and see how you feel about it. Try to ask him when you both are already discussing other topics and just say, "Can I ask you something?" Earl Lewiswww.RelationshipsGoneRight.com


Context: Does counseling really do anything that can help people?

Response: Hi there! Thank you for your question. It's a great question and one that many people want to know the answer to. The short answer is, YES! Counseling can be very helpful to people struggling with many different things. There has been a lot of research conducted to prove that counseling is an effective way to help people with mental health concerns, life stressors, and many other issues. In addition, there are many people who would tell you that counseling made a positive, profound impact on their lives. Indeed, some would tell you that counseling saved their lives. Now, not everyone would tell you that counseling helped. But when you think about it, there are many medical treatments for a variety of healthcare issues that also do not help everyone. So, is counseling guaranteed? No. But, it is something that is worth trying if someone is suffering or is just wanting some perspective or support. Also, there is many different types of counseling. Different counselors have different styles and have different training for various issues. This means that you are likely to find someone who has a good style and expertise in an area that you want to work on. If you don't know where to go, I suggest contacting your state's counseling association. They can help. I think the real question that most people have is, how? How does it help? That question is a bit more complicated, because there are many different models of counseling/therapy that work in different ways. What I can tell you is that, regardless of the model of counseling, the relationship between counselor and client is the most important factor. I don't mean that the relationship has to be ooowy goowy... but it does have to be one where there is trust and openness. A counselor will spend time to make sure that you are working together as a team toward a common goal. If you go to counseling and you don't feel this is the case, tell your counselor. An ethical counselor will welcome your feedback. I hope this is helpful, please ask more questions! I hope some colleagues add some other thoughts, too. Be well,Robin J. Landwehr, DBH, LPCC, NCC


Context: Does counseling really do anything that can help people?

Response: Counselling offers a number of ways to help one to improve their situation.  For some, this process can take a very long, winding path of self-discovery, while, for others, they are seeking a purposeful, solution-based way to approach and manage a specific problem. It's important to remember that there are different styles of therapy, some of which will work great with some, but poorly with others, specifically to help those to decide how they wish to move forward. I often recommend speaking with a number of therapists before beginning treatment to find out more about how they practice, in order to make sure their style aligns with your goals. On a more specific note, there is myriad research out in the world that indicates both counselling and medication can have an affect on changing our moods and behaviours.  However, medication is not an effective way of treating the problem, as it treats the symptoms of that problem (increased anxiety, lowered mood, etc.) and research has shown that the most effective route for better mental health care comes from a combination of counselling and medication.


Context: Does counseling really do anything that can help people?

Response: There are multiple ways that counseling helps people. The most basic is that it gives you someone to talk to about and through what you are facing. It is better than a friend because this is a space for your stuff and you get to focus on what you need and don't have to worry about the other side. This is also a place where you do not have to worry about how else the other person is involved in the situation. Beyond this basic level, a counselor will have expertise they can bring in terms of how people, including you, can effectively deal with this kind of situation. The counselor may also be aware of connections that you would not otherwise see. A good counselor will also recognize if and when you need other help or support in the situation. Why wouldn't you benefit from having someone walk with you in your journey to peace and wholeness.


Context:
On the first day of school I wore a bra that was too big so that it would look like I had bigger boobs.  I did that the whole school year and my parents never found out. But now I can never hang out with my friends at my house or invite them over because it would be around my parents and my friends would see there is nothing there on my chest.

How do I fix this?

Response: Sometimes we let our insecurities get the best of us, causing us to make some interesting choices. Honesty is always the best policy, but honesty comes with risk.  Perhaps you may want to start with your family first, explaining to them what you have done and why.  Perhaps they can help you to practice talking about your insecurities with your friends. Another way is to start, slowly, to dress more and more like yourself and your true body shape. Some of your "friends" may make fun of you, true, but then you must ask yourself...why do you want to be friends with people like that?


Context: I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems?

Response: A car accident can be a traumatic event. Especially,  if it was serious, you could have feared for your life, felt everythingvwas out of control and had normal reactions to an abnormal situation afterwards. This may or may not be related to the traumas that you experienced in the military. If it is then it is possible that you will see a direct effect in triggering off PTSD symptoms. Even if it didn't, it is possible that the complexity of the two situations will interact inside you to be a combined response. Having already been diagnosed with PTSD, this might be a good time to reconnect with the help system you had around military experiences and explore it a little bit about the new experience. The right exploration does not have to make things worse and can be a good source of prevention.


Context: I've been depressed for quite a while. I've been trying to work through it, and my boyfriend has been my rock. He is honestly the only person I trust enough to talk to about anything, but he decided to break up with me because of my depression. I cannot afford to see a therapist or anything, so he saw no hope in staying with me. My insurance has a $5000 deductible, so I’m screwed. I've had everything from suicidal thoughts to trying to quit my job. I have no one. My family doesn't care about me; they kicked me out when I turned 18 a few years ago. I had friends, but they have all moved on with their lives and have no time for me. My ex-boyfriend is trying to help but is making things worse because every time I see or hear him, I break down into tears. I found out that I will never be promoted now because of my depression.

Response: It sounds like you have been struggling with this for quite some time, using many of the same coping techniques that feel tried and true to no avail. Often, we fall back on coping techniques that would be helpful in other problems (stress, social anxieties, etc.) for our depression, but the truth is that depression requires it's own little tool kit. Depression is all-encompassing, and, based on what you've written, the symptoms are already affecting work and your personal life in myriad ways.  The best route forward would be to seek out counselling, admittedly, but if your insurance deductible is too high, that can be very expensive. I would recommend contacting your Employee Assistance Program (EAP) if offered by your employer. If not, you can look into community centres for counselling options, check if your doctor will give you a referral or your local religious organization. If, however, you are motivated to get your depression under control, there are some great workbooks out there that you can use on your own or with your therapist (as long as your therapist is trained in Cognitive Behavioural Therapy, or CBT), such as "Mind Over Mood".


Context: Does counseling really do anything that can help people?

Response: A counselor can do a few things that can be helpful:1) Give you a space where you can explore what's in your head without worrying about being judged or punished.2) Help you better understand yourself, your choices, your motivations.3) Give you tools and information you can use to help create change in your life. Ultimately, though, it's up to the client to take action, because action is what creates change. So, a counselor can't create change ... but they can facilitate and support it.


Context: I'm having relationship problems and I want to fix them to make things right before I lose her. How can I learn how to listen and get myself together?

Response: Hard to say a whole lot without knowing more. However, if you focus your attention on her, what she's saying, what she's feeling instead of trying to make yourself heard and understood first, that's often a good step. Also, work on building win-win agreements with her, and follow through on them. Those are the areas I see men fall short on most often. Hope that helps!


Context:
I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.

Currently I'm going through anxiety and my thearapist is not available. How do I handle this?

Response: Sounds like a lot is going on right now at such a young age. I'd start with discussing with mom your concerns and ideal situation. I'm unsure what prevents you from staying there, but whoever you are staying with, it should be brought to their attention. In regards to your anxiety attacks, deep breathing is always a benefits. I have a link you can use to help to do this online if you are interested. In addition, finding ways you usually cope with anxiety and what's worked before can help and if it isn't, exploring new way to calm you down can be beneficial. This is something you can speak with your therapist about going forward when they are available.In regards to feeling suicidal: I would call suicide prevention hotline (You can google them) if you truly feel the ideation is getting worse. They are professional agents who can speak with you about your ideation and help you through the process. Hope this helps.


Context: What makes a healthy marriage last?

Response: This is a fantastic question. In one sentence, I would say the following:Recognize that while you and your partner probably have common interests and areas of commonality, you are separate people, each with different wants, wishes, and desires – if you consider a diagram of two overlapping circles, they may share perhaps a third of the circle with overlap to indicate commonality (could be more or less) and then there are parts of the circles that are not overlapping, indicating separate interestsAs for ways that may strengthen any relationship, even the great ones, this is what came to mind. There are certainly more specific unique answers or elements for different people as far as the details, but here are some general ideas:Try to have at least 15 minutes a week where you are spending time together and not problem-solvingRealize that listening to your partner does not mean that you are agreeing with them, it just means that you are saying that you hear where they are coming fromLearn to hold on to your own wants, wishes, and desires while also recognizing those of your partnerSet boundaries for what is and isn't acceptable behavior during an argument or difficult discussionDiscuss how having important discussions can be anxiety-producing and consider having an understanding that if one of you (or both of you) feels overwhelmed, you can take a timeout for a certain amount of time. For example, you may say "okay, I'm feeling really stressed about this right now. Let's discuss it in an hour." And at that time, go back to the discussionConsider what your partner's top three or four complaints about you may be. Check in with them and see how accurate you are. If you see validity in their responses, consider whether or not you may want to make changesDiscover what makes your partner feel loved, valued, appreciated, or specialRelationships are always in progress and constantly changing. Some anxiety around change is typical. Being able to effectively discuss the anxiety and actually listen to one another without being defensive, name calling, finger-pointing, or asking each other to change is a true gift.You may enjoy this quote: "Connection is the energy that is created between people when they feel seen, heard, and valued; when they can give and receive without judgment." ~Brene Brown


Context: Does counseling really do anything that can help people?

Response: Counseling provides a safe environment for people to explore the beliefs about the challenges in life. The various types(modalities/techniques) of counseling serve as guides for specific individual's personal journeys.


Context: Does counseling really do anything that can help people?

Response: Hi!  Great question.  I believe counseling does help people! Of course, I am a therapist, so I would think that! :)  Seriously - I think therapy and counseling allow us to understand ourselves, our motivations and the things that bring us happiness and discontent.  Therapy can create opportunities to try new skills and enhance positive attributes that are already present in someone.  I like to think of therapy as an unbiased "aerial view" of our lives. Someone outside can often help us notice things we might otherwise miss. Hope this helps!


Context: Often times I find myself thinking scary thoughts and sometimes  I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out.  How can I stop these thoughts?

Response: Such a great question! I'm so sorry you are struggling! You may be experiencing Intrusive thoughts.  These are thoughts that seem to come from no where and victimize us.  I can strongly recommend a book called "When Panic Attacks" by Dr. David Burns.  It helps you to identify the thoughts, and the help you create ways to counteract them!  There is another technique, called Thought Stopping. Thought Stopping can be as simple as saying "Stop!" loudly (if you are alone) or in your head, if you are in public.  It's a quick way to distract you from the distressing thought, and allow you to refocus.  I recommend using this technique, followed by some deep breathing, while visualizing something that helps you feel relaxed (a favorite place, a pet, etc.).  These three things in conjunction can be of great assistance. One key component in addressing anxious thinking is building the skill of relaxation.  I recommend an App called Headspace which teaches relaxation through some simple guided mediation. Super easy to do, and a great way to begin to build relaxation skills.  Plenty of sleep and reducing caffeine intake can also be things to explore. Hope this helps!


Context: Does counseling really do anything that can help people?

Response: Counseling definitely helps people!  I have seen so many positive changes from those willing to engage in the counseling process.  Having a safe place to openly share concerns with an objective listener really is therapeutic and can make a huge difference in your life.    Many times people don't feel heard or validated by people in their lives, counseling call help validate your feelings and help you become more self-aware.  You can learn new skills to better manage your life as well.  I find the people who get the most out of it are the ones most willing to make changes.


Context:
I love my girlfriend so much. I get an erection even just thinking about her or seeing her.  But the two times we tried to have sex I couldn't get an erection.  We've only had sex once and it was a long time ago.

Why this is happening and what can I do about it?

Response: Sexual desire seems to be straightforward - I like someone and I become aroused at the thoughts of being intimate with them - but that idea does not always take into account other factors. Stress can have a huge effect on our body and how it performs.  When we are overstressed, for example, we often find ourselves ill at the same time.  Can you think of any part of your world that may be causing you some additional stress? Additionally, focusing on your erection may also be increasing the level of stress you feel about being intimate, which could also effect your ability to get and maintain an erection.  While this may seem counter intuitive, it makes sense in the word of stress!Finally, it's never a bad idea to follow up with your doctor, as well. You did not mention your age or sexual history outside of this relationship, but it is always a good idea to check in with medical staff to make sure there is nothing physically responsible for changes in our body, as well.


Context: Every winter I find myself getting sad because of the weather.  How can I fight this?

Response: Seasonal Affective Disorder (S.A.D.) is a term that reflects how many people are affected by the changing seasons, especially fall to winter.  Everyone suffers with some form of this (lessened activity levels, increased isolation, etc.) while some find that this time of year can put them into a deeper depression. If you have noticed that this happens frequently, there are some ways you can definitely help yourself going forward:1. Attend therapy to learn strategies and tools to help you to manage your mood.  It's important to stay within the therapy until you feel you have mastered these tools. 2. Push yourself to interact more with your social groups and other positive activities. It's easy to go out and spend the day outside in the summer months, when the temperature is warm and the sun shines for long periods of the day, but it seems harder to find fun ways to spend your time when the temperature drops and darkness comes on so quickly.  Perhaps winter time could become the time of year where you and your friends have weekly board game nights, complete with hot chocolate and a fire?3. You may want to consider the purchase of a S.A.D. Light.  These are lights that expose you to additional ultra violet light to increase the vitamin D in our bodies, as well as the release of growth hormone (which releases when we wake up). There are mixed reviews of these products, however, and they can be expensive.


Context: My depression has been reoccurring for a long time. It all started when I was being bullied in high school. In ninth grade, my principal told me I needed to stay home for a couple days to protect myself while she spoke to my classmates. I needed professional help for my stress because I was having crying spells from the stress of going to school and confronting my classmates. After that, I was fine for a couple of years. I entered my first year of college in a really tough program with high demands of expected work. I believe my depression re-booted from there with the stress. I began to cut myself because a friend of mine at the time told me how she used to do the same and it used to feel good for her. Obviously, that wasn't the right choice. I regret ever doing that, seeing as even though I'm not self-harming anymore, I always look back at that time whenever I feel very stressed. I have a big problem with handling problems in life. Whenever a problem arises, I get stressed and I feel hopeless, as if it's not going to get better. I get way too stressed from my problems, which leads to overreacting a lot (especially when talking to others), which then leads to depression. I have a hard time coping with stress because I know that if I could handle it easily then I wouldn't be sad all the time, and I would say and do the right thing instead of overreacting to my loved ones.

Response: I couldn't help but notice that you did not specify your age, so I am unable to set the total chronological order and length that you have suffered in this way, but I want to start by commending you on seeking out additional coping techniques on your own.  Unfortunately, it sounds like you were offered some that were more dangerous than helpful, but be proud that you were able to curb those before they caused too much harm. From what you have written, stress has always been a difficult thing for you to manage.  Often, when I am working with those who offer the same concern, there is a degree of people pleasing that comes with that stress.  When we are trying to make others happy, especially when we are unable to distinguish the proper "rules for success", it can make even the simplest of tasks overwhelming. Stress management is just that, management; of our own anxieties about the needs of others, about our skills and the ability to complete a task and having multiple requests at any given time. Each of these aspects requires a separate sets of "tools" to manage them accordingly. For example, assertiveness communication training could aid in communicating with your colleagues to manage their expectations of your deadlines and abilities, but it will not assist you with managing your own anxieties. Try to separate the different areas of the problem, in order to help yourself to find a solution and work on them in their own time. Perhaps keeping a journal will help you to better understand why you are so easily overwhelmed by stress and help you track some of your less-helpful responses to stress. For example, does a certain person's style of communication always make you feel undervalued and therefore push you to finish their requests first? Is there a certain time of the day where you start to fall off in productivity?  Is that the time fo the day where you also tend to pile up your requirements?Try to ask yourself some of these harder questions and see where they lead you.


Context: Every winter I find myself getting sad because of the weather.  How can I fight this?

Response: Light therapy is very helpful. You are not alone. The name for the condition is Seasonal Affective Disorder (SAD). You might want to see a therapist to assist you putting in place a behavioral program to help change the way you feel.


Context: My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her?  I want her to stay.

Response: After stopping the abuse of alcohol, depressive symptoms are common. She may benefit from exploring why she wants to move and see if she would still want to move if she did not feel depressed. 12 step meetings can also be helpful.


Context: Does counseling really do anything that can help people?

Response: Yes, counseling helps a lot of people, especially when there is a good rapport between the counselor and their client. Knowing your counselor is someone who is really on your side and wants to see you grow past your difficulties into a healthy, happy, successful life is more important than what kind of counseling method they use. If you are looking for a counselor, take your time and be sure you feel heard and respected as well as challenged to grow.


Context:
I love my girlfriend so much. I get an erection even just thinking about her or seeing her.  But the two times we tried to have sex I couldn't get an erection.  We've only had sex once and it was a long time ago.

Why this is happening and what can I do about it?

Response:
This is something I have
had to address with individuals often since working with couples is one of my
practice's focuses.  The answer can depend upon several reasons all which
tend to be explored while in session.  If you or your counselor utilizes
an integral approach, in which one of the main premises makes sure to check the
four irreducible perspectives (subjective, intersubjective, objective and
interobjective – also known as the four quadrants) in determining where the
challenges are, it then becomes possible to identify what might be contributing
to or causing the challenge as well as offering up ways to address the
situation.In this case, from the upper-right
or behavioral and physical perspective, we would want to make sure there is no
physical limitation or ailment meaning that you would need to visit your doctor
and have the basics checked (such as blood pressure.  We would also look at particular behaviors to
see if you are doing something with is effecting performance (such as
masturbating often or being influenced by pornography). Next we would look at the
upper left quadrant (thoughts, cognitions, identity, feelings) to look at what
is going on here both during sexual activities and at other times.  If you are worried about your job, your
family or under immense pressure to perform at work or while intimate, this can
contribute to your situation.  From there
we would turn to the lower left quadrant (cultural rules and tools) to see who
you have learned to interpret challenges that come up during sex and look for
ways to shift, update and/or reshape the way you view sex and its
challenges.  It would be here that we
would see whether one is even comfortable using a service like counseling based
upon how your family/culture of origin views the profession. Finally, we would need to
account for challenges that show up in the lower right quadrant (systems, laws,
rules of society) such as your economic ability to try services and products as
well as whether such services and products were even available.  Once we have rolled through these areas it
then becomes possible to look at which aspects might need to be looked at
further in a more meaningful way to help you change a perspective or if just
getting a blood pressure medication is all you need.To sum your question then
of why you can’t keep an erection we would need to look at your thoughts (look
at your actual thoughts during the act as well as before and after), look at
your behaviors, look at your physical body for issues, look at where you picked
up your rules and tools (culture) and look at your ability to access goods and
services.  They all contribute equally
and need to be taken into account.  So - as you can see, there is no one possible answer to this, but several.  I hope this helps.


Context: Every winter I find myself getting sad because of the weather.  How can I fight this?


Context: Does counseling really do anything that can help people?


Context: Every winter I find myself getting sad because of the weather.  How can I fight this?

Response: Thank you for sharing. It seems like since the "winter blues" happens to you every year it may also be impacting your quality of life and possibly relationships. What you report sounds like you may be experiencing Seasonal Affective Disorder (SAD) and is quite common to many from about fall thru winter seasons; but, also can impact folks during the Spring and summer months.The best care and treatment for SAD includes discussing it with your PCP (primary care physician), integrating light therapy (full-spectrum lighting) throughout home and workplace (where possible), psychotherapy, and possibly medications (e.g. Wellbutrin XL, Aplenzin).Be sure to exercise good self-care and checkout the Mayo Clinic's website for SAD here: http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047.


Context:
I love my girlfriend so much. I get an erection even just thinking about her or seeing her.  But the two times we tried to have sex I couldn't get an erection.  We've only had sex once and it was a long time ago.

Why this is happening and what can I do about it?

Response: First off, I want to acknowledge the emotional pain you must be experiencing about not being able to experience an erection -- you're not alone. And, it took a lot of courage for you to post your query here. Below you will find excellent advice from skilled clinicians regarding your question and concern. If you haven't done so already I'd encourage you to checkout the Mayo Clinic's website on this very topic (http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047).Once you've ruled out any medical-organic issues with either your PCP or Urologist I recommend you work with a Certified Sex Addiction Therapist (CSAT) and/or Certified Sex Therapist (CST) and do some psychotherapy around attachment/family-of-origin, intimacy, self-image, trauma history, sex history, pornography, etc. ). There is hope.


Context: Every winter I find myself getting sad because of the weather.  How can I fight this?

Response: There can be lots of different factors contributing to this. Here are some possible tips:Consider if you know anything about what specifically is making you feel sad? If you're looking for activities because you cannot participate in what you like to do in the warmer months, consider finding some indoor winter activitiesConnect with others. One idea is to join a group (such as a book club) that meets regularly. This could give you something to look forward to regardless of the colder weather.Enjoy the sunshine from indoors. You may notice that sometimes looks are deceiving women is bright and sunny outside, but is also quite cold when you open the door. If you are staying inside for the day, consider allowing yourself to enjoy the sunlight without specifically considering that it is also cold.Consider using a light box. Certain types of light boxes are designed to help with the "winter blues." You can find more information here: http://www.mayoclinic.org/tests-procedures/light-therapy/home/ovc-20197416Recently, one of the nurse practitioners that I work with has been checking a lot of vitamin D and vitamin B12 levels and she says the lower levels of these vitamins can contribute to feelings of less motivation or energy than is desired.Each of us has days when we are not thrilled about the weather and may be feeling sort of "bummed" or "down." If you find yourself having these days frequently or for several consecutive days in the above strategies are not helping, consider talking with a therapist about more specific strategies that may be of help to you. Also, because  if everything you would see is likely to live in your area, they would be familiar with the weather patterns where you are and may have some tips that they use for themselves or With other clients.


Context: Does counseling really do anything that can help people?

Response: A lot of things affect how helpful counseling is for each person, including at least these things, but often many others:The therapeutic alliance (this refers to the bond, connection, or trust between the client and the counselor)What the person is coming in to work onHow motivated the person is to work on what it is they would like to changeSome people also ask how counseling is different from friendship. There is a similarity in the sense that hopefully both counselors and friends will listen to what you are experiencing, but that is really the end of the similarities. Some differences are:Counselors are specifically trained to phrase questions or statements in ways that help you to gain more awareness of one could be contributing to what it is that you are trying to change, both within yourself, and possibly with people around youCounselors have experience in using lots of different types of techniques (for example, focusing on finding solutions, looking at how the present situation could relate to your past, using role-plays or examples in session to help you learn new skills or ways of looking at situations, and probably hundreds of other things)Counselors are taught to look at what you are experiencing and ask questions about other related ideas that you may not have connected to what you are experiencingThere is a treatment plan in place (usually after the first, second, or third session) so both you and the counselor have an idea of where you would like to go with counseling (what you are hoping to change or learn) and a general idea of a plan for getting to your goalsIn general, I would say the following:Yes, counseling can help people who want something to be different in their livesCounseling is most helpful when the connection between the counselor and the client is strong enough that some trust forms (in other words, not every counselor or technique is helpful for every person)A lot of counselors will talk to you on the phone for a few minutes prior to you coming in for your first appointment to answer any general questions that you may haveIf you are working with a counselor and you feel as though you are not "clicking" or connecting with one another, give it three or four sessions before you change. Trust is not happening in one hour for most of peopleIf you are working with a counselor and you would like to be getting more or something different out of it, tell the counselor about that because typically modalities can be changedIf you are asking this question because you would like help with a specific issue, call a local counselor and discuss it so that you could have a more specific answer about possible options for counseling


Context:
My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.

I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.

Do I have the rights to be able to sign my brother into mentalhealth facility?

Response: Thanks for asking this question. I know it can be really difficult to deal with issues like this.To answer your question, you might be able to get you brother some mental health help, even if he doesn't recognize that he needs it. In most states, an individual can request a mental health evaluation of a family member if that family member poses a danger to themselves or someone else, or if they are unable to take care of their own basic needs.You can always call 911 if you are concerned about his immediate safety (for example if you find him sleeping outside in below freezing weather.  As an alternative to calling 911, you might also be able to request an evaluation from an authorized mental health provider.  The deatsils of who you would contact vary from state to state. Here's a link with some additional resources:http://www.treatmentadvocacycenter.org/someone-i-know-is-in-crisisHe's lucky to have a brother who cares for his wellbeing as much as you do.


Context:
My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather.

I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility.

Do I have the rights to be able to sign my brother into mentalhealth facility?

Response: I'm sorry to hear that your brother has been having such a rough time. He's lucky to have you on his side (although he may not always see it that way).As far as whether you can sign him in, that depends on a lot of different things.I would suggest that you Google the state and county that you live in as well as some phrase similar to "crisis hotline." They can tell you how it works in that county. My guess is that you could sign him in as long as he met the criteria for admission at that moment, but I can't  be entirely sure. You could also ask the person on the phone about financial responsibility. I have not heard of that being a problem, but I guess it would depend on insurance.If you have trouble finding a local  hotline, consider calling the national crisis number (800-273-8255) and ask them to help you find someone local.


Context: I'm 15 and my girlfriend is 14. Am I a pedophile because I'm attracted to her and she's under 18?

Response: You are not a pedophile. You are both under 18 and your age is appropriate for a relationship. There would be a possible problem if she was 10 or younger. Pedophelia, is a whole other problem that you probably should not be worried about. I would be happy to talk with you in more detail about this.


Context: I'm a Christian teenage girl, and I have lost my virginity. My boyfriend is a Christian teenager too, but things just got out of hand between us in a sexual manner. I planned to abstain from sex but I guess I wasn't clear about this because I was also tempted and led him on. We continued to have sex. Does it mean that he isn't the one God planned for me? We're so young, but that doesn't stop me from dreaming of a potential future together. I really do feel like he is in my life for an important reason. I'm incredibly happy for I was able to escape from several abusive relationships because of him. I love him very much.

Response: Having sex with your boyfriend is and was a mistake. Mistakes can be forgiven and you can make amends.But it is not the end of your relationship or God's will for you.Have a serious talk with your guy and get back on track with where you want to be. Talk to a counselor or your priest/pastor. Get someone to be your guide and mentor. Check in with them regularly.Getting back to square one could actually strengthen your relationship.Have a plan for the future where you will not be put into a place of temptation. Group dates, public places and no alone time where temptations might arise.Forgive yourself and move on.


Context: Does counseling really do anything that can help people?

Response: Counseling can go a long way in improving your mental health. Counseling helps you to get new perspective on your life and problems.Talking about your problems with a counselor gives them substances and something to get a handle on. Talking about your problems gives you a chance look at your situation from a new angle to help solve your problems.The counselor is a neutral listener that can help give direction and answers to your needs.Counseling can help you solve your problems but also can set up a plan for the future. Counseling can help you to deal with things before they get out of hand.Give counseling a try.


Context: Does counseling really do anything that can help people?

Response: Counseling allows us to have a sacred space, a space that is set apart from the outside world, it is a space of non-judgement and exploration. Being that the universe is not made for us and that the the world tends to be a fairly untamed place at times, this sacred space allows us to explore ourselves. It allows for greater reflection upon our attitudes, our behaviors and our feelings. Imagine if you will a small goldfish swimming around the usual fish tank, although I dont attest to know what a goldfish thinks, I would imagine he does not see the world outside of him, he only sees the small fishbowl, oblivious to the outside world, when one comes into the counseling room, one is trying to gain insight that was not previously there. Remember the observer affect, one cannot truly act objectively with the world, we are in a dynamic relationship with life, it reacts to us and we to it, the time in the counseling room allows us to gain an understanding that is beyond the normal limits, allowing us to see what was before hidden, often times in plain sight.


Context:
Every time I send a message to someone or a group message on Instagram, iMessage, or snapchat people will read my messages but then they won't answer me.

Could it be that there is something they don't like about me? I don't understand why they won't answer my messages. How do I get people to respond to me?

Response: I'm sorry that you are having a difficult time.I wonder about how your friendships are in person. If you get along well with people and have effective conversations with them face-to-face, there could be some kind of technology-related problem.Have you tried gently talking to people about how you send a message and they didn't answer? If you can phrase it in such a way that they recognize that you are asking for information and not blaming them for not answering you, that could be effective.I'd also encourage you to consider how much this is bothering you. If it is causing a significant amount of anxiety (say, more than 5/10 if 10 is really anxious), I would suggest talking with a local therapist.In the meantime, consider talking about this with someone you trust to whom you can get more details to get a more specific answer.


Context: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.

Response: It is understandable that it's very hard for you to hear daily complaints from your mother regarding the caregiving of your niece. You cannot change your mother's feelings and responsibilities, which could create feelings of frustration and helplessness. It must be equally hard for your mother to assume full responsibility for your niece at a time where your sister cannot take care of her. This type of responsibility usually produces an enormous amount of stress and pressure because your mother and niece would both need to adapt to this new relationship, living situation, and the feeling of being "abandoned." Not knowing the history of your relationship with your mother and how you respond to each other in times of need, it may be difficult to fight the right recommendation on how to deal with this situation. Nonetheless, it is not easy to have to face daily complaints and you may have to set a healthy balance between empathy and boundary setting with your mother and some personal boundaries for yourself. It is likely that your mother's "complaints" may be her desperate cry for help because she does not know how to cope with stress or how to ask for the right kind of support. In this case, you could calmly and respectfully tell her the next time you hear her complain, "This must be very difficult for you because I hear the stress in your voice almost everyday. It's very hard for me to hear you feeling so overwhelmed. I feel helpless in this situation and would like to suggest that it might be helpful for you to seek some professional help and support to deal with such a big matter of importance." When empathy and understanding is communicated, recipients are usually more open because they hear and feel the caring behind it and are more likely to seek additional help.After sharing this message of empathy and encouragement to seek help, the next step is to protect yourself by explaining to your mother where your limits are so that she understands what she can expect from you. This means that you can decide the kind of support or help you are willing to give your mother and/or niece that is within your ability to provide without feeling overwhelmed. This could involve inviting them to dinner occasionally, taking them out to see a movie or inviting your niece over to give your mother respite. You could then say to her if she complains again, "I cannot change the way you feel in this situation and I encourage you to seek professional advice about that but what I could do is .........(explain what you could do to help)."www.PsychologyResource.ca


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: Teenage years are rough for anyone, and this is a time for self-discovery and experimentation. Having older parents can certainly pose challenges. Most kids feel like their parents don't understand them, but yours are older than the average parents of teenagers. They're from a completely different generation than you are. It sounds like they love you, but may not understand you. The problem here is the generation/age gap, and there's not a whole lot you can do about that. What you can do is accept the situation and perhaps look at it a little differently. It seems like you're looking for affirmation from them, looking for their approval and understanding. It's never a good idea to look to others to define who you are or to get a self-esteem boost. Who you are and how you feel about yourself needs to come from inside, not from outside. One way you can have a better relationship with your parents is to stop looking at all the things you aren't getting from them that you want, and rather look at all the things you are getting from them. Yes, this is a glass half full or half empty point of view, but it works. The negative will overshadow the positive if you let it. Start looking for the good things in your relationship with your parents and your feelings towards them will become more positive.I'm not sure how your friends/peers made you feel like your childhood has been taken from you. That's a curious statement, and requires a deeper conversation to understand where that came from. However, I do understand feeling different and out of place, especially in high school. Find the strength within yourself rather than looking to others in your life to make you feel better or feel like a complete person. It helps to have friends and loved ones, but you can never rely on them to fulfill all of your needs. Set some goals for your future, work towards them. Focus on being the best YOU that you can be, and the right people will enter your life at the right time.


Context:
I've hit my head on walls and floors ever since I was young.  I sometimes still do it but I don't exactly know why,

I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it.

How can I help myself to change my behavior?

Response: The best way to handle anxiety of this level is with a combination of appropriate medication given to you by a medical doctor, and therapy to help you understand the thoughts, feelings, and behaviors that are causing the anxiety.  This is not something that anyone should just “white knuckle” and try to get through on their own with no help.  Cognitive Behavioral Therapy is a technique that has been proven helpful for depression and anxiety.  This takes a therapist trained in CBT. You will learn to recognize when and why you perform the behavior of hitting your head, help you deal with the underlying cause of this, and replace the behavior with a more positive behavior. You'll learn coping skills.You mention having a rough childhood. Anyone who has experienced trauma like this, especially long-term ongoing trauma from abuse of any kind, definitely does not need "exposure therapy", which is what is recommended for phobias. You need a therapist trained specifically in trauma informed therapy.You are on the right path by recognizing there is an issue and what it is. Good luck with your healing journey!


Context:
I know that I need to get past my feelings for this person I fell in love with, but t's so difficult to move on because he showed me feelings I've never felt before.

I feel like I don't  want to be without my genuine love for him, but logically, I know I need to be without him. I can't discuss this with anybody in my life because the conditions surrounding our love are considered  "wrong" by a lot of people.

How can I get myself to just move on?

Response: It's difficult to move on and let go, especially when you've experienced things for the first time with someone, or feelings you've never felt before, as you said.I like the fact that you are looking at your situation "logically".  Feelings can take time to fade, but you seem to understand, even if it is subconsciously, that it's the feelings he stirred up in you that are keeping you tied to him, not necessarily the person himself. Realize that you can and will experience those feelings again with another person - the RIGHT person. Don't hold onto someone who is wrong for you just because of something like this. You're wanting those feelings and wanting a relationship - but with him necessarily? Or with anybody? You said you don't want to be without your love for him - not you don't want to be without him. In fact, you said you know you need to be without him. It seems like it's the LOVE that you can't let go of, and the feelings. Not the person. Trust me, you will find that again. Take some time to let this fade. Don't try to force him or anyone else into a role that is meant for someone else. Cherish the memories and the experiences you had. Sounds like it's been a valuable learning and growth experience for you, but you have your own reasons, and I don't know what they are, for thinking this person isn't good for you. Trust your gut instinct and be glad you've had this relationship. Not all are meant to last. But all shape you into the person you are and will become, and all teach us important lessons.


Context: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore.

Response: Buy the book "Boundaries: Where You End and I Begin." Read it. Apply it.Seriously, I'm not joking. You're not wrong to "not want to hear it anymore" but if you don't maintain healthy boundaries, you will allow your family to make you feel guilty for "not wanting to hear it anymore". That's not fair to you.Give a copy to your mom, too. No, I didn't write the book nor do I have any affiliation with it - I simply recommend it because it's a wonderful book and it helped me out a lot. I recommend it to a lot of people. It should be required reading!


Context:
I don't remember when the voices in my head started, but I remember Hearing them when I was little.

I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop.  They've been here so long and I want them gone. How can I make the voices stop?

Response: This isn't something you can do on your own. If you haven't already, you need to see a medical doctor ASAP to rule out medical causes for this. Many diseases, illnesses, and conditions can cause hallucinations. In the elderly, sometimes it's something as simple as a urinary tract infection. Some medicines may have that side effect as well.However, you say you've been hearing them since you were little. I have no idea how old you are now, but something that has been going on for many years does lead me to think it could be a type of schizophrenia. A psychiatrist could diagnose that after taking a complete look at your history, medical history, etc. There are medications that they can put you on that will help. One thing that I find encouraging is that you recognize you're hearing voices. This means you are not so far into a delusion as to believe it is real. A lot of people that hear or see things that aren't there are not able to have the awareness that these things are not real. They fully believe what they're hearing/seeing. It's completely real to them. Because you have the awareness that you do, I feel this is a very good sign that with treatment you can live a normal life (assuming you are not already receiving treatment for it. If you are and are still hearing the voices, please know that medications often need to be changed and adjusted, and the voices may never completely go away but medicines certainly help dull them a lot. Always talk to your doctor when it seems your symptoms are getting worse so that they can make the necessary medication adjustments for you).If at any time the voices are telling you to do something, please go to an ER as this is an emergency. Sometimes people hear voices telling them to harm themselves, harm someone else, or do other things that are against the law. Do not try to deal with something like that on your own. There are people who can help.


Context:
There is  just no communication at all between us.  She sleeps constantly all day (not at night).  She acts angry and unfocused and stays in her very messy room all the time. The only time she comes out is to eat.

She has aches and fatigue, weight gain, hair loss and skin problems. She does not look after her health.

I don't know how to communicate with her.  She is not open to any suggestions. How do I get through to her?

Response: 1. She's an adult.2. She lives in your house? She follows your rules.3. What you're describing could be any number of things, but could potentially be a medical issue that needs attention. Thyroid issues, autoimmune diseases - there's a ton of medical possibilities for her symptoms. I'm not a doctor; this is a forum of therapists.4. I recommend the book "Codependent No More" which may help you navigate your rocky relationship with your adult daughter. You may be inadvertently making things worse by "helping" her which can instead enable her to continue her behaviors. Another book you may find helpful is "Boundaries: Where you end and I begin". You cannot control another person, especially an adult. The only person you can control is yourself. Tough love is sometimes needed, and she is an adult - treat her like one. Maybe then she'll act like one. If we were having this conversation in person, you would interrupt me at this point with a "but..." and then explain all the reasons why you can't tell her to move out, get a job, get up and cook or clean the house, etc. I already know that you have a myriad of excuses for things being the way they are. Yes, I said excuses instead of reasons, because that's what they are. You may feel stuck and like you have to take care of her, but you have choices - you just may not like them. I know that when children are small, parents' lives are focused around them (some more than others) and decisions are made around what is best for your child. But you said your daughter is an adult. The relationship dynamics must change if the relationship is to be a healthy one. I know how difficult it is to watch your child make life choices that you wouldn't want for them, no matter what that choice may be. As a parent, we want to force them to do what we think is "the right thing" but trying to do that only results in frustrations for everyone involved. Whether the issue is a hair color, a tattoo, a lifestyle choice, a job, or choosing not to work or take care of their health, or doing drugs, or drinking - the choice is theirs and theirs alone and so are the consequences of those choices.