Context: My coworkers are making false statements about me to the boss, saying I have mood swings. They have no proof to back it up. Can my employer make me see a therapist of their choice?

Response: I can’t give you legal advice, but employers can suggest you see someone if your behavior is affecting your job. I believe most government agencies have an Employee Assistance Program (EAP) where employees can talk to a therapist about any issue, not just work-related, for free (up to a certain amount of sessions).I’m wondering, though, why your coworkers would tell your boss this if it’s not true. Is it possible that you're not aware of how your interactions are affecting others? Maybe this “forced counseling” can be an opportunity for some introspection on your part.


Context: I'm in a state of depression right now. Who can I talk to? I've been sick in a lot of pain and crying. Don't know where to turn.

Response: First of all, if you’re sick and in pain, have you seen your doctor? If you have a chronic illness and pain, this can often lead to depression and is very common. You’ve taken the first step to dealing with it. You can talk to your doctor, even if your depression isn’t related to your health. He or she can either look at prescribing you an antidepressant or can refer you to a psychologist or psychiatrist.If that’s not really an option for you, there are also helplines (local or national) or support groups where people dealing with similar issues can talk to each other. If you can't find any in your area (newspapers usually publish this information), there are online support groups as well.


Context:
My dad refuses to acknowledge my anxieties about going to parties, dinners, etc. Whenever I have an opinion it gets shut down. My mom and everyone else behaves likewise. For my father who heads a company, this is normal. He has to be right all the time. He blatantly refuses to even try to see it from my angle.

Recently however, it's been getting to the point where I feel pressured and unable to speak my mind. It isn't possible for me to get professional one-on-one help. He tells me to grow a pair and get over it. I recently have been developing more severe body image and self-confidence issues, which I have had all my life. I feel invalidated by my dad.  I have been more paranoid lately as well. I can't turn on location services anymore on my phone because of a past incident. He makes me feel guilty about it.  I feel rather worthless more often than not, unfortunately.  What do I do?

Response: I'm sorry to hear that you are unable to get through to your parents. It sounds like you are experiencing a great deal of anxiety that needs to be addressed by a professional (despite the fact that you are unable to at the moment). I would recommend talking with another adult such as a  school counselor that can offer you support in this area. Perhaps they can work with you on your anxiety issues and schedule a meeting with your parents so that he/she may help mediate the conversation with them.If you are unable to reach out to a school counselor maybe you can try a member of the family such as an aunt or an uncle that feels comfortable addressing the issue with your parents. Sometimes it helps hearing it from a third party before the situations is taken seriously enough.Good luck!


Context: I'm a 40 year old male and having erection problems. Still have the desire for a woman. Awfully frustrated. Any suggestions? My Doc doesn't want to discuss it.

Response: Hi there, first off I have to commend you for reaching out. It takes a lot for a man to reach out for help when it comes to erection problems. Believe it or not, this problem is very common for men and women. There are some things that you can try naturally, before resulting in medication, such as your eating habits and exercise. I would suggest taking a look at what you are consuming throughout the day. Do you consume a healthy diet and do you exercise regularly? How much caffeine and sugar do you intake daily?  These are just a few common things to look at. You would be surprised of how much pressure what we consume puts on our bodies. Our bodies are like a car. You have to maintenance it, in order for it to continue to run. If you would like to get further natural advice and/or suggestions on eating healthy and exercising, I would recommend you see a nutritionist. A nutritionist specializes in maintaining a healthy diet. As far as your Doctor, I would recommend looking into getting another Doctor. I have never heard of a medical professional not wanting to talk about anything. That appears to be a personal issue on their part. I hope I was helpful and I wish you the best of luck!


Context: My husband cheated on me and it hurt me very bad. It was a time when my health was poor. I'm have a hard time moving on.

Response: How has your husband acted since then? Was he regretful? How did you find out? Did he confess? These are all things that you want to consider. Betrayal is very hard to get over so if it's taking you awhile to get over, know that this is normal.Hopefully you're husband has been very regretful and upfront and honest with you since this happened. It may take awhile to reestablish your trust with him and he should understand this. It's also very important to discuss WHY he cheated. You want to make sure that the reasoning behind this was not something that could arise again in the future. And if it can, there needs to be an action plan in place (i.e. being honest with how he's feeling) so that you both get a chance to rectify the situation.If the cheating has happened more than once, you may want to reevaluate your reasoning for staying in the marriage. It would be obvious that he did not truly regret what he had done or else he wouldn't repeat the same mistake. However, if it was a single event and he has shown you and continuously shows you that he genuinely loves you and is sorry for his mistake, I would give it a try. People do make mistakes and sometimes it takes an event like this to realize what you have.Know that it takes time and that you have the right to feel what you feel. If the relationship was a good, healthy relationship, it is worth saving. Ease back into it and be upfront with your feelings. In return, your husband should be patient and understanding of this. Also, marriage counselors are often a good go-to as they have a great deal of experience working with marriages in similar situations. Best of luck to you!


Context:
I've been abused emotionally all of my life and for some reason I keep getting with men that I let emotionally abused me.
How can I stop it? I know the mistakes that I've made in my life. I'm having a really hard time getting back on my feet. Can you help me please?

Response: I want to applaud you for taking this first step towards realizing that this is an issue and wanting to do something about it.  You are already on the road to a happier life with this realization.  A lot of women do not recognize that it may be something about them that continues to attract a man like this and will only blame it on the men for treating them that way.  Until you realize there is a problem you won’t start looking for a solution.Don’t misunderstand me!  The abuse is not your fault! You are seeing a pattern, though, so this does need to be addressed. First, go and buy the book “Boundaries: Where You End and I Begin” by Anne Katherine.  Read it.  This book describes many situations that are similar to yours, describes how a person came to be that way, and how to stop it.  You will have to learn to set good boundaries in your life and to maintain them.Be single for a while.  Stay single until you feel like a whole, healthy, happy person on your own.  Often we get in a relationship because of a need.  If you feel like you need a person in your life to make you a whole person then you are in a relationship for the wrong reasons.  The first step is to work on whatever it is in you that makes you feel like you need another person in your life.  Identify those needs and then learn to fulfill them on your own.I was doing a couples therapy session and the husband was being emotionally abusive to the wife.  This was a recurrent theme for her, like you are saying it is for you.  However, she had been doing a lot of work on her own and in private therapy, and this was a new relationship.  Obviously she still had not “gotten it right” because she did once again attract a man with these tendencies.  The difference this time was that she had done a lot of work on herself and had become a stronger person.  When she looked at him in our session and said to him “I don’t need you. I want you.  But not if you are going to continue to act like this.  So you leave the house and don’t come back until you are ready to make some changes.”  She stuck to that, too.  He didn’t leave for two more days because he kept telling her he would do different and begging to be allowed to stay.  She had drawn a boundary and stuck to it, and he left. She was fully prepared to be single again.  They actually did end up working things out in the end.You can’t let someone stay and continue to treat you badly.  Sure, a marriage takes work and compromise on both sides.  Couples therapy can help you both learn to communicate in a healthier way with each other and can help you realize what areas in the relationship need work.  You may not realize how some of the things you say to him comes across, and he may not realize how what he says does to you.  A therapist can help you with this so that you both learn how your words can hurt. But you need to know your boundaries and be prepared to stick to them and not compromise your boundaries.  That means following through on the threat to leave when he continues to abuse you.  Someone can’t do that if they are too scared to be alone.  If they feel they need the other person in their life. These patterns are developed in early childhood from what we learn from our parents.  When someone has grown up in a dysfunctional family, it is all they know.  Even when you can say that you realize it is a problem, you still don’t know how to stop it because you never learned any other way of interacting with people.  Something that took a lifetime to learn will take time and work to overcome.  Be patient with yourself and find a good therapist.  You can’t change your partner.  Work on you, and when you begin to heal and feel healthy, the right people will come into your life and stay.  The more you focus on trying to change the wrong ones to be what you want the more frustrated you will become.


Context: I feel like I would be more comfortable as a girl even though I still like girls. I think I'm like a girl stuck in a guy body. I imagine myself as a girl too. I think this more because my friends say that if I was a girl I would be a hot looking one. And I don't care about having boobs or anything. I just feel like the way that I do act will make more sense if I was a girl.

Response: I understand that gender and/or sexual identity crises can be very difficult to navigate, although in today’s time I think we have made a lot of progress and it is becoming easier for individuals to find themselves and also find acceptance from society.I am unsure how old you are.  If you are a child or teenager, this is a normal time to have identity questions and to be in a phase where you are trying to figure out who you are and what you want out of life.  I hope that you have understanding and supportive friends and family that you can talk to and who will support you in how you feel and what you may decide to do.  A lot of people, unfortunately, do not, and if this is the case then it makes it harder for you.  Because then you may not feel safe exploring these feelings and decisions.I urge you not to try to make any permanent changes for quite some time.  By this I mean a sex change.  Anything permanent like surgery or hormone replacement to change your actual gender is something that does not need to be done lightly.  Please find a therapist that can help you explore your feelings and your identity crisis.  Of course there are things that you can do that are not permanent changes.  Many people decide to dress like their gender of choice.  Maybe experimenting in this way is something that you could do.See if you have a local chapter of PFLAG in your area. PFLAG stands for Parents, Families and Friends of Lesbians and Gays.  They are able to help not only with those who identify as lesbian or gay, but also transgendered and asexual. I wish you all the best in your identity crisis.  It would be very easy for you to sink into depression if you do not have good support and understanding from those around you during this time.  Find a professional that can help, especially if you experience depression or any thoughts of harming yourself.


Context: I've have lived for sometime with depression but things have gotten a lot better, but why is it so hard to get over anxiety and social isolation?

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


Context:
Hello, I have a cousin in my family who has been making me feel belittled, insecure, and frustrated during her stay here in the city. I know she comes from a place of love, but she has always been short-fused and highly temperamental if something doesn't work out the way she planned it. I have tried my best to coordinate plans with her, but she always ends up frustrated about the lack of communication I seem to have on my part and then makes condescending comments about my character that include: inconsiderate, negative, oblivious, and self consumed.

I have tried to talk to her openly about this, but it always comes back as an attack on my character and I have never heard these comments from anyone else before. I have been thinking a lot about her comments and whether I truly am an inconsiderate person who is not thoughtful, spatially aware of surroundings/people, or positive, but in the end, I am feeling awfully hurt about how this has affected our relationship.

What can I do?

Response: Do you have a close friend or relative who's opinion you trust? Ask them for their honest feedback and if they see you like your cousin does. If they don’t see these qualities in you, then it may be your cousin’s issue and she’s taking it out on you. You can always ask her what would be the best way to communicate plans with her so you know, specifically, what she is expecting. Then if you meet these expectations and she still blames you and comments on how inconsiderate you are, it's her issue and she is not coming from a place of love.Even if you do resemble her comments, the way it sounds like she approaches this problem is not out of love. The fact that you're introspective enough to consider your own behavior suggests the problem is not with you.


Context:
I have a child with my baby mother. She works I take care of our young son. She says she is not cheating I have not found anything but she always putting me down, telling me to get out and telling me she doesn't love me, but then the next day after our fight she says she does. I'm having a hard time because before our child she said she was raped by a family member but she never went to the hospital or the cops. Now me and my family don't talk. She's always telling me I'm annoying and just belittles me. Nothing I do is right.

She says I work you watch the baby. On her days off she never cooks or cleans. I have no friends or family and a couple months ago she was confiding to some guy, but says he's not any thing to her. What do I do? I don't want to leave.

Response: It sounds like you are in a tough situation. You have to ask yourself why you don't want to leave her. Is it because of the child? Or is it because you want the relationship to work? You must consider that being in an abusive relationship is not healthy for you or your child. So if the abuse continues, it would be more beneficial for you and your child to move out.On the other hand, if you are just wanting the relationship to work out despite its current state, you need to evaluate whether the relationship is worth salvaging. It seems as though you are very unhappy and undervalued in this relationship. Although your question revealed just a short bit of information, I didn't read about any positives in the relationship. Sometimes it's extremely hard to leave a relationship even though you know that the relationship itself is harmful for you. However, with time and focus you can do it. Each day will get a little easier and you have to trust yourself that you are making the right situation for you and your child.However, if you really feel that you want to stay in the relationship, you have to be upfront with her. You need to tell her exactly how you feel and give her specific examples of how she is hurting you. This gives her a chance to render the situation. If after this there is no improvement, I suggest that you start reconsidering your decision to stay.I also think it would be valuable for you to start engaging in things outside of the home that make you happy. Are there any hobbies you enjoy? Are there any groups in the area that you can join such as playgroups that will allow you to engage with other parents? Start looking into these options and finding an avenue for you to do something for your own benefit.It is certainly not healthy for you to isolate yourself from friends and family. You need to have additional support networks besides the one with your girlfriend, especially since this has not been a healthy environment lately.Thank you for reaching out. I wish you the best of luck with your relationship.


Context: Or how to send him somewhere that can help him, something like The Baker Act.

Response: More information would be needed for me to accurately answer this question, such as your age, whether you live with your dad or not, and what other family members live in the household. Something like this, alcoholism, is a whole family disease.  In other words, family members often unknowingly contribute to the alcoholism and enable the alcoholic to continue the destructive behavior.First of all, you can’t make your dad do anything, and constantly nagging him or begging him to stop is just going to make him defensive and make this worse.  Nobody can change another person.  What you can do is change how you react to him and the things that you and other family members do for him. Research codependency.  There’s a great book called Codependent No More.  There are a lot of articles on the internet that you can read.  In short, you have to stop enabling him.  Like I said, you cannot control him, but you can control yourself.  This means do not buy his alcohol.  Do not make it easy for him to get.  Don’t loan him the car keys or pay any household bills for him.  Don’t call in sick to work for him or make excuses for him in any way.  Do not bail him out of jail when he gets arrested. He needs to be responsible for himself. This may mean losing his job or losing his driver’s license. This may mean that he loses his family if he doesn’t stop. What you and your family can do is set boundaries about what you will put up with.  It is his choice to drink, but it is your choice to put up with the behaviors of his drinking.  A lot of people go into rehab because their spouse said if they don’t then they are getting a divorce.If you are an adult and you don’t live with your dad, then the best thing you can do for him is STOP doing things for him.  If you are a child who lives at home with him, then this could be a case for child protective services. In my state this is called DHS.  A report is made to this organization for child abuse or neglect.  Substance abuse in the home qualifies.  Of course, alcohol is legal and when consumed in moderation, there is no problems.  The problem will be the result of his alcohol consumption.  Does he drive with children in the car while intoxicated?  Is he left to care for minors while in an intoxicated state?  Are there any domestic violence issues due to his drinking?  This could be a reason for the authorities to step in. You can look for a local meeting for family members of alcoholics.  They are similar to the AA meetings that an alcoholic should go to, but are for the family members.  They can help you.


Context: In particular during family gatherings (such as funerals), where there are different customs.

Response: I think the best thing you can do is be respectful of each family member's wishes. Although everyone may not agree with one another, the most important thing you can do for each other is to respect their faith and beliefs instead of trying to sway them in a certain direction. There are many families that are united despite their differences. For example, a mother may be Catholic and the father Jewish. By introducing the children to each faith until they are ready to decide for themselves can be beneficial. Also, it's not uncommon for views to change as one ages or faces different life experiences. So don't get too discouraged if your child wants to explore different avenues. Creating a loving and accepting environment is most essential.


Context:
I don't know what's wrong with me. At times I can be really happy, excited, I'll talk fast, and I want to do things. But lately I've been staying up way later and sleeping too much. I don't hang out with friends, I don't really have them. I feel nothing, worthless. I want to do nothing, I have no interest in anything.

All I usually do is stay in my room. I want to be happy, I want to be nice. What's wrong with me?

Response: I'm sorry to hear that you are feeling as if you're in a slump. First of all, nothing is wrong with you. Many people report similar symptoms. Have you ever talked with a physician regarding your symptoms? Two extreme emotions such as feeling extremely happy and then feeling extremely low for a length of time may indicate a mood disorder. I think it would be best to talk with your doctor or a therapist to help pinpoint the issue causing them.It's possible that it could just be certain stressors in your life that are causing the two extremities but you definitely want to rule out any mental health issues. If it is in fact mental health related there are many medications or therapy choices that can help. Thanks for reaching out! I hope that you will feel back on track soon!


Context: I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.

Response: Thanks for your question. I'm glad you realize that you need extra support and are being proactive. Simply explain to your doctor the feelings you have been experiencing and how you feel that speaking with a mental health therapist would be beneficial. However,  keep in mind that you do not have to go into detail about your personal feelings. You can simply state that you are feeling down, overwhelmed, stressed, or whatever it may be. I'm sure your doctor will be glad to direct you from there. Best of luck you you! I hope that you will be feeling better soon!


Context: I feel like my time is going too fast

Response: Thank you for reaching out! That is a great question! As an American, I can truly say that I spend way too much time on the go! It is a proven fact that Americans live in a fast paced environment compared to Europe! I often ask myself, what if I only had one day left on this Earth? What would I do? Well, that is an easy question. I would spend it with my family! Easier said than done when we are living in a tomorrow kind of World, right? Its hard to focus on the now when we are so consumed in what tomorrow shall bring.Time management is a very important factor when learning to "live life to the fullest"! In fact, this is a required course in undergraduate college now. Everyone manages their time differently and it is up to you to decide how you would like to do this. Personally, for myself I like to keep a calendar with a to-do list. I always place my most important tasks at the top of the list. That way, if I do not get through the list, I am not stressing over the little things. When planning your day, it is important you schedule work, eat and play. A much as it is hard not to work after getting off work, it must be done. There is discipline involved in this process. If you have trouble with this, then maybe seeking out some accountability such as including a coworker to make sure you do not bring work home once your shift is over or your spouse/partner reminding you that this is a time for play and not work.These are just some ideas that I am throwing out there. Again, everyone has their own style on time management. I hope this was helpful for you. Please don't hesitate to reach out for anything further!


Context: I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.

Response: Having this kind of conversation with a doctor can feel difficult.  But remember, you are the expert on you.  Any good medical professional will recognize that.You are absolutely right to think about the importance of being your own health care advocate.  Generally, the best approach is simply to be honest.  Let your doctor know what you are concerned about and tell your doctor what you think might help.  If there is a specific issue that you’d like to address in counseling, let you doctor know about it.  And don’t hesitate to directly ask for a referral.I know this may all feel a little overwhelming.  It might help to bring a family member or significant-other with you to provide support when you talk to your doctor.  It’s great that you’ve already taken this first step to reach out.  You’re on the right track.


Context:
My last relationships have ended horribly. They just up and abandoned me. One of them I have never gotten closure with over it, leaving me emotionally wrecked. I know something's wrong with me but I don't know how to even start trying to better myself.
I get into these depressed like states whenever anyone I care about is too busy to be with me. I know that I shouldn't act like that because people are genuinely busy, but I feel like they're doing it just because they don't want to be around me.

Response: Frequently when working with clients, I utilize the A-B-C model developed by Albert Ellis, the founder of Rational Emotive Behavior Theory. The theory basically states that you can not control an event but you can control your reaction to the emotions associated with said event. For instance here is an example:A (Action or Event): You need to talk to someone and that person is not calling you back.B (Behavior or Response): You begin to tell yourself that this person is too busy for me or I am not important to this person.C (Consequence): You feel depressed.If you look at the model, B has a direct effect on C. The thought is if you change your reaction to A, then C will have a better consequence, such as:A: stays the same.B (this is what you change): This person must be busy, they will call me back when they get a chance or I can call someone else to lean on for support until this person is available.C: Decreased feelings of depression & overall functioning improves.This is just an example but if you actively work to replace the negative thought patterns that effect your behavior, studies show that your overall outlook and mood will improve. If this model resonates with you, I recommend "Feeling better, getting better, staying better" by Alber Ellis. In addition, looking for support groups in your area are a great source of support when you are feeling abandoned or alone.


Context: I haven't uttered one word to my boyfriend in days. Now I'm over it and don't know how to approach the situation?

Response: In any relationship, it is important to be able to say "I'm sorry" because it shows vulnerability and openness. I recommend that you sit and have a discussion with him now that you are calm about why you were upset and how you would like to handle such incidents in the future. If you find yourself becoming upset again, I encourage you to take a 20 minute break and then come back to the conversation once you are no longer heated. Studies show that talking or discussing arguments are more effective once you have cooled down and you are more likely to hear/understand what your partner is trying to convey.


Context:
I've been with my boyfriend over 3 years. He cheated on me and the woman is now pregnant. He is physically and mentally abusive towards me. I have attempted to talk with him in order to resolve our issues; however, he never wants to talk and often blames me for everything.
I’m always there when he needs my help. He tells me although I help him doesn’t mean that I am a good person. He always discredits me as a woman and it’s hurtful. I spend most day crying and feeling lonely. I am unhappy and unsure of what I need to do.

Response: That sounds like a very hurtful situation. Unfortunately, without a batterers intervention course or a desire to change, the abuse cycle is unlikely to stop. I do not recommend that you try to leave on your own due that being the most dangerous time when in an abusive relationship. As an abuser, his goal is to control you whether it's through mental or verbal means. I recommend that you contact a domestic violence shelter in your area. I have worked closely with Harbor House of Central Florida and know they provide housing, transportation, and any other needed resources to women leaving an abusive relationship. There is help out there and you are not alone. If you need any additional resources in your area, please don't hesitate to contact me.


Context:
I started dating a guy I met online. He told me that he registered sex offender but he didn't do anything. He took a plea to always register as sex offender and he did two years. That was more than two decades ago. Nothing on his record since.
I always believe the past should be left in past. But my roommates, their family and my son are unforgiving. Should I forgive this man that I'm falling in love with or should I dump him? If I stay with him I will never see my family and granddaughter again.

Response: Thank you for your question. Trust is a huge thing in relationships and when that is broken, or perceived as being broken, it takes a long time to repair. From what you shared, it sounds like your boyfriend took steps to correct the situation and has shown to be trustworthy since. Unfortunately, no matter how much we apologize for something we did or for something others perceive we did, there will always be those with hardened hearts and will not forgive. If you feel confident in your relationship, then trust your inner wisdom. We cannot control others but only ourselves. Respect your families wishes to remain in unforgiveness while at the same time, ask them to respect your wish to believe in him and be in this relationship. Good luck to you.


Context:
About 3 years ago or so I was skinny, but I was still ugly. I really do want to change that but I've tried 3 times. Now can I try but don't stop. At school I get bullied about my weight and my ugliness and I have been bullied my whole life that I believe them.
How can I stop thinking about them and don't let it get in my head? My parents said I don't weight that much but, they do think I am fat but, they tell me I am not. I told my parents that I need to go to a therapist, but they think I am fine and I think they don't want to deal with it.

Response: Hey!  I am so impressed with your efforts to ask questions, to figure out how to change the messages that you hear (and say to yourself), and to get support!  And it sounds like you want to make some changes in your life!  Take a walk over to the counseling office at school, the school nurse or consider reaching out to your Pediatrician’s office. You don’t have to have your parent’s permission to seek support for yourself!  And maybe taking control of your support network will give you the strength to make even bigger decisions about your health!  I am rooting for you!  Be Wise!


Context:
A few nights ago I talked to this girl I know about my self esteem issues for the first time. We talked for hours and she told me time and again that I was a great guy. She told me I was attractive, and have a great personality, etc. I really started to feel better about myself by the time I woke up the next morning.
Now, though, I can't stop thinking about her, but I leave to go back to college in a few days and I go to school 4 hours away from her. So now I feel constantly depressed because even if I told her how I felt it wouldn't matter. I feel helpless and I don't know what to do.

Response: Hey!  It takes a lot of courage to share your feelings with someone!  And it sounds like you have been lucky to meet someone who makes you feel safe enough to explore some of your more painful feelings.  A big part of the process, however, of strengthening your self-concept is learning how to tell yourself those positive messages that you heard from your friend!  Leaving for college may also be contributing to your feelings of unsteadiness.  Try this - Make a list of all of the positive things that you know are true about yourself.  Ask your friends and family to contribute to the list.  Then carry it with you in your wallet - and when you need a self-esteem boost, take a look at it!  You are in a season of life that presents lots of challenges and opportunities.  Reach out to your long-distance friend when you need support - and take a walk over to the campus counseling center and check out what they might have to offer.  Be Wise!


Context: She cried because she lost all trust in me. Now I feel disgusting and like my heart just got stabbed, what do I do?

Response: Hey!  Sounds like the part of you that knows the RIGHT thing to do won here!  I am so proud of you for admitting that you lied to your Mom!  Sometimes lies come out of our mouths before we can even catch them because we are trying to say what the other person wants to hear.  I bet that, as you begin to show her that you are not going to lie any more, she will begin to gain trust in you again!  Be open with your feelings with you Mom - she is there to support you, guide you and love you!  Give her lots of hugs - and give yourself one too for being so brave!  Be Wise!


Context: When having sex I think of other men and want other men all day long. Been married 3 years, together 14. What do you think?

Response: Sustaining passion in marriage is tough stuff. It's a relatively modern dilemma you are facing with perhaps unrealistic expectations of what marriage "should" be. It sounds like your definitions of love and sexual passion have merged together, that's both common and confusing! Intimacy and sexuality within your marriage are bound to ebb and flow. Resparking your passion will involve growing. Using your sexual drama and fantasies as windows into discovering your needs (security) and wants (desires). Marriage is a people growing process; you mature into one another and to achieve fulfillment your continued development will be required.


Context: We make love once per month. Is it normal?

Response: To begin with, what's normal for one couple isn't going to be normal for the next, every couple has their own normal and that's important to keep in mind. Your sexual lives will ebb and flow. What I'd be more curious about is the quality rather than the quantity of the sex you are having. I'd also want you both to refocus on building up your little daily moments of connection, I wrote a post about exactly that a while back and you can find it here.


Context: In this argument my friends are all against me so I'm wondering if I'm exaggerating my feelings. I feel like I'm being attacked and that is making me blow things out of proportion and taking the role of the victim, when in reality I'm the one being unreasonable and I am simply annoying my reasonable friends. Or are they really being insensitive and not respecting me in our friendship?

Response: Conflict is a tricky beast and shows up in every one of our relationships. What I'm reading is that you find yourself in a loop of  seeking validation of your thoughts and feelings from your friends rather than validating yourself. Am I right? If you aren't validating yourself, no one else will be able to either.  Try finding a small nugget of truth in the feedback your friends give you, this will help to lower your defenses and help your friends hear what you are really sharing.  And then if you are still feeling vulnerable, share that too...


Context: I am always down and out. Could this be postpartum depression?

Response: Probably.  I always tell the new parents I work with (and this is just as true for dads as it is for moms) that if you are feeling off, seek help.  Postpartum Support International (www.postpartum.net) is a great place to start finding resources and locating support.


Context:
I am married to a beautiful lady. I love my wife with all my heart. We have 3 boys and I have a daughter from a previous marriage. We also have 3 grandchildren.
Now this event is tearing us apart. I want our family to be together and happy. It was a mistake from so long ago. My wife wants to leave and I don't want that to happen I love her so much. Please help me save my marriage. Even my 3 boys want us to work it out. They love us both and want our family together. Please give me some advice or hope. Sincerely heart broken.

Response: If your wife is willing, seek out a qualified couples therapist! Look for one trained in the Gottman Method or Emotionally Focused Therapy. Your relationship is repairable, but you may need some qualified support in the process.


Context: We do communicate but one of us has trouble accepting what the other person says. How can I fix things?

Response: Being able to accept your partner's influence is a key relationship skill. And it's very two sided.  Chances are if you don't feel your partner is being influenced by you, they likely don't feel you are being influenced by them either. The best fix you can practice is to soften yourself into your partner and see how much more open you can be to their influence.  Play with it.


Context:
My wife and I are newly married, about 2 months. We've had some issues surrounding sex, particularly her lack of libido. She's on an anxiety medication, of which diminished libido is a side effect, but I think our issue is also partly one of a lack of intimacy/romance centered around my hectic schedule. Our sex life has suffered as a result.
Tonight she made a genuine effort to let me know she wanted sex, which is a big deal. Once things started, she had the most obviously fake orgasm I've ever encountered. I was honest with her about why, and told her that the most important thing to me in sex was knowing that she was legitimately enjoying it. She responded angrily with a complete denial of the faking. I don't know how to broach this subject and have an honest conversation. I think she will continue to lie to me about faking it which will cause our sex life to spiral further. Please help.

Response: You are newly married, you Have a hectic schedule, your wife is on anti anxiety medication. What if you take the focus (hint: pressure) off of her orgasms and focus instead on connecting with one another. You know, like the gestures you each likely made while dating.  It turns out that these little moments of connection throughout our days are actually foreplay. Spend a few weeks making a real effort to focus on building up your little daily moments of connection, I wrote a post about this a while back, you can find it here: http://connectfulness.com/little-moments/ And have fun with it!


Context:
I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from.
Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas?

Response: Hello, and let me say first, what a great question! There are so many people putting forth their 100% everyday and often times, do not get the credit they deserve. Without being able to fully understand where you're question is coming from, I think there are a couple of different ways to look at this question.First, I think it's important for us to consider the message being sent by those in your life stating that you're "not good enough." Is that ACTUALLY what they said, or is this just what you heard? Sometimes, because of our own self-doubts and fears, we skew and misinterpret the messages we receive from others. Again, listen to the message being sent and attempt to remain objective. Is the message being sent coming from a place of love or concern? If so, have an honest and open communication with that individual about what your concerns are regarding the amount of energy and time you're spending on being "good enough." Explore with them how you feel you'r already giving your best.If the person is unwilling to work at understanding this concern you have, then it may be time to explore the relationship. Some relationships we engage in can be toxic, especially if the other person is toxic. It may be they have their own "stuff" going on and they feel the need to constantly put others down to make themselves feel better. If you're in the direct path of this individual, then it serves to reason you will probably be in the direct fire, as well. Explore whether or not you want this relationship to continue in your life. If it's a relationship that MUST continue, then work on what you will do to distance yourself from their toxicity or their problems. Until they're willing to work on these issues for themselves, then it may be necessary to find an exit strategy, such as leaving the room or simply refusing to engage in the conversation. Another perspective of this question is exploring the reason why it's important for YOU to satisfy the expectations of these other individuals? NO ONE will ever be 100% "good enough" for EVERYONE. Every single person has their own set of expectations in themselves and expectations in others. It would be impossible to satisfy all of those expectations for every single person in our lives. The question becomes, what is it WITHIN you that feels the need to meet these expectations? There is most likely a part of you, yourself, as an individual that feels "less than" and feels as if you, yourself, are not good enough. It then becomes impossible to every feel "good enough" for others, because it's really YOU you're trying to feel good enough for. If you already feel as if you're doing everything you can do to be at your best version of yourself, then really work on LETTING GO of the rest. No one is perfect, and striving for perfection in our lives only creates more anxiety and stress. Find a middle ground in which you are happy with your accomplishments and your daily goals, and learn to let go of what's left. After all, tomorrow is a new day and you can work on more of your goals tomorrow!I recommend doing this by finding a mantra, a statement or phrase you can repeat to yourself anytime you start to feel that sense of stress and pressure from striving for perfection. The mantra can remind you to let go of this expectation you have for yourself or that others have for you so you can also let go of the stress and anxiety surrounding the expectation. I leave you with one of my favorite quotes that perhaps you can use as your mantra, "No one can make you feel inferior without your consent. " - Eleanor Roosevelt.


Context:
I'm always told I'm not good enough or trying hard enough. I put 100% in to every thing. I'm worn out, I've worked on all of my family relationships, I'm doing great in school, I'm kind to those in need and otherwise. I stick to my religious beliefs and leave room for mistakes and learn from others so I don't have to make as many and the ones I do I learn from.
Somehow it's still not good enough and nothing I do works. Nothing has changed, and I feel hopeless. Any suggestions or ideas?

Response: The feeling of never feeling good enough usually stems from our early relationship with our parents or significant role models who made us to feel we were never good enough to meet their standards. In the healing process, you'll need to work on discovering the root source of where these thoughts and feelings come from and then learn to accept yourself just as you are unconditionally. I'd be pleased to help you in this process. I provide online private counseling through proventherapy.com. Dr. Rachelle Vaughan


Context:
He's been losing feelings and he doesn't know why. I love him very very much. He sometimes thinks I'm obsessed when I'm not at all. I give him his space and I make sure he's okay but  sometimes I think if me and him saw each other more it would be better?
I truly want me and him to get better, it's kind of hard not to stress about it, because the love of my life is losing feelings which is a sad feeling. He's a great guy! I just don't know why he's been losing feelings towards me. He's starting to put less effort in talking to me.
At this point I'll do anything to just make us better as a couple. I tried talking to him but he doesn't like talking about it much. Advice on what to do?

Response: I'm willing to bet that this isn't what you are hoping to hear, but I'd suggest giving him space. Ooph, that's a tough one, right?! I know. But here's the thing, when you keep trying to process and talk it out with him you keep pushing him away. He needs to feel like a solid and whole person (as you do too) to be able to be fully in your relationship. It's the work of being in relationship to learn this. I get that this is tough stuff. I wonder, outside of being with him, how do you soothe and calm yourself? That's the stuff for you to tune into and focus on right now.


Context:
I want a secure relationship with someone that wants to be with me and who will actually put effort into it.
I seem to gravitate toward unavailable men and those that want intimacy and no relationship. I let men dictate and control me because they accuse me of being controlling. I let men emotionally abuse me and I am at their beck and call.
I am not comfortable being alone or doing anything by myself. I feel I need the security of someone being around just to survive. I know what I'm doing wrong and I do it anyway just hoping things will change. How do I stop this behavior and thought process?

Response: You may be interested in reading my most recent post, Intimacy Begins With You. In it I offer 7 expert tips to help you get started on a path of self connection and discovery. This is important stuff to do in order to work through that stuff that's holding you back from the relationships you desire. You may find that it's especially helpful to do this work with the alliance of a skilled individual therapist.


Context:
I regret ever hurting her and they mean the world to me. But it feels like nothing I do seem to work.
I'll always love them no matter what and when I'm with them nothing else matters. I love them more then anything. I don't want another guy raising my kids.

Response: How you you expressed your regret and taken responsibility for the pain thus far? Repair is a very essential skill in and part of developing healthy relationships. Your love sounds deep, sit with that. Also sit with how she's been hurt. You get to feel your hurt too and your kids. In feeling all this you may also find our way to the repair. If feeling all this is tough to take on, seek out a local therapist to support your process.


Context: I have dog obsession disorder and I am having problems with my girlfriend because I am placing more importance to my two dogs over her. How do I get over this problem and prioritize my girlfriend over my two dogs?

Response: Hey, dogs are cool. They adore pleasing humans and often LOVE to work on learning what you want and expect from them. Your girlfriend on the other hand, likely has her own desires and needs that she attend to before tuning into yours. You are good with dogs, that tells me that you've spent some time observing their behavior. The first step in working through this issue would be similar, start to tune into and observe your girlfriend more often... Observation is a skill when it comes to relationship building. The skills you have mastered in relating with your dogs can carry over, you will just have to relearn what behaviors you are watching. And keep in mind that also means observing yourself in relationships.


Context: I find myself lying about small everyday things that there is really no need to lie about. How do I figure out what triggers me to do this? And how do I help overcome this problem? I would like to become more honest and open no matter the situation.

Response: Well let's start with the awesome realization you've already had, you want to notice that you have triggers. That's huge. Really. I find that when people lie, it's most often as a defense mechanism. Which is likely a flag that something doesn't feel safe. What exactly doesn't feel safe could be lots of different things but the key to notice is that it's that feeling of insecurity that is very likely triggering you. It could really help to explore this with therapist, perhaps even someone with a trauma specialty -- that's not to say this is related to a trauma but more so to suggest that therapists specializing in trauma are very skilled at helping to identify and assist in repatterning your triggers!


Context: I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.

Response: I recommend that you make a list of all the reasons you should change your life and all of the reasons you shouldn't change your life. Can the problem you are in be fixed? Is there others you can lean on for support? Are there other people you know who have been through a similar experience and are willing to share their story with you? It is important to rely on your support network to help you get multiple points of view. If you believe you need additional help, I suggest seeing a professional.


Context: I keep hearing I am attractive from people around me, and I think I believe it. But I have low confidence regarding approaching girls I like.

Response: I recommend that you focus on the negative thoughts or irrational beliefs that are going through your mind at the time in which you are trying to approach a girl. When you are aware of the negative thoughts or irrational beliefs, you can then work on changing them. An easy way to recognize an irrational belief is a thought that contains the words "must or never." Once you recognize the thought or belief, I would like you to picture a big red stop sign. This is called thought stopping. This is a technique to use to stop unwanted or unhealthy thoughts. Then, I would like you to think of a more positive thought to replace it with such as: Negative thought: "That girl will never go out with me" STOP Positive thought: "I won't know if she will go out with me unless I ask". What this does is increase your self confidence by replacing your negative thoughts with positive ones that will ultimately boost your self esteem.


Context: We have been fighting a lot and have 3 kids but we both want to stay together. I need some help to save our family.

Response: Hello, I do not live in the California area. However, perhaps I could make some suggestions as to where you might look for free counseling. First, I must mention that most insurances now cover for many different types of issues, including family issues. If your girlfriend lives with you, most insurances now cover "live-in partners," as well. If you have insurance, contact your policy provider and ask whether or not couples counseling is included.Aside from insurance, the next place that comes to mind is a religious affiliation. Do you belong to a church or other religious organization? Many of the pastors or leaders in these disciplines have significant training in counseling, as well as assisting with marriage and couples counseling. These services are ordinarily offered free of charge to members.Another option might be to explore support groups within the area. There may be a group in the form of a couples support group that brings couples together to explore their relationships in the safety of the group. If you find there are no such groups in your area, there are anonymous, support groups online. Here is one such site: http://relationship.supportgroups.com/


Context: I'm currently dating someone else and I really like him. But I love and miss my ex so much. What do I do?

Response: Finding the right person is a tricky thing to do. Why did you and your ex break up 3 months ago? In relationships with others you get to see a reflection of yourself.  Sometimes you may enjoy that reflection, other times it may not feel so good. I'm not sure where you are in your life and relationships and what you do from here depends on what you desire more of in your life. But I'm not simply talking in the moment desire, I'm referring to the direction you want your life to go. If one of these guys was to support you...who would help you reach your dreams? And who would you enjoy spending time with? It's complicated and no one can answer the 'what to do' question but you.  Slow down. Tune into your heart. Listen.


Context: I feel like I have to be promiscuous in order to keep people around? It started after I got raped by my ex-boyfriend.

Response: I recommend that you seek professional services to address the trauma you experienced. EMDR has been proven to be very effective in treating trauma. In addition, a support group might be helpful to find a more stable support network. Either a support group for victims of rape or sex/love addiction www.sa.org sound appropriate. Whichever group resonates the most with you will be the most helpful. If you have any additional questions or concerns, please feel free to ask.


Context:
We kissed and he grabbed my boobs and we exchanged some texts and a few calls. It went on for about 8 months. Just when we were all together and our spouses were out of the room. Once I met him for lunch to tell him that we needed to stop. We ended up kissing after lunch and then I sent him a few more texts that day telling him I was serious and that was the end of it. His wife (my good friend) saw us kiss once and told my husband. I told him a couple of things then and we got over it.
A year later she told him a couple of other things. Same story. It's been about 3 years since. They are now divorced and my husband and I have been happy. A few weeks ago the wife called me and said that her now ex told her more stuff we did. I decided to just tell my husband everything. We are trying to work things out. But he is having a really hard time believing that he knows all of it. How can I help him believe me?

Response: The issue at hand here is that you're betrayal broke his trust. In order to repair your relationship you will both need to confront the infidelity. And both of you will need to honor yourselves by communicating your feelings and ensuring that those feelings are heard and validated. It would be really helpful to do this work with a Gottman or Emotionally Focused Couples Therapist. Gottman's The Science of Trust and What Makes Love Last would both be helpful reference books to guide you along.


Context:
Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family.
However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my children to get hurt. I'm not sure how to move forward?

Response: Let's just start with acknowledging that trust is huge and betrayal hurts. You're entitled to your feelings; all of them and you need to know that your husband understands you. That said some ways are more effective at rebuilding and repairing relationships that others. I am a big fan of The Gottman Method for couples therapy, especially following infedienity. You can read about this approach in Gottman's books: "The Science of Trust" and "Making Love Last" and/or you can seek a Gottman Certified couples therapist here: https://www.gottman.com/private-therapy/


Context:
I feel that I need to end my present relationship. He lives three hours away and likes the reassurance of having someone to talk to multiple times per day and seeing me once or twice a month.  I want someone who is more present and more of a life companion.
Lately, he has had a very busy work schedule and I have only seen him a few times in the last 6 weeks. I told him that I can't continue in this way because I constantly feel frustrated and angry and that he is not making the relationship enough of a priority. I also feel it is keeping me from possibly finding the relationship I want.
We have been together 7 years. The problem is that I panic and experience anxiety and depression thinking of him with someone else and then thinking I will never meet someone I like. We have gone through this cycle already 4-5 times and I feel it is unhealthy to stay in it, but my aversion to the anxiety and depression I experience upon separation always leads me to reconcile.

Response: Sounds like your panic is less about loosing the relationship you are in (which by the way doesn't sound like it's meeting YOUR need for connection) and more about being alone. Being with him is serving you, even if the relationship is less than ideal, from being alone. Being alone can be scary. You'd have to face yourself. You'd have to learn to love and care for and cherish yourself. All important skills and tasks in maturing and growing up, but scary none the less. What if...What if you gave yourself permission to be in a relationship with YOU?


Context: He goes out with her to dinner/brunch/movies when we are not together (we live 2 hours apart).

Response: Would you have the same desire to meet this friend if she were a he? If you are concerned that their friendship is a substitute for you when you aren't present, talk to him. It sounds like you are concerned that he is building an emotional intimacy with her and spending time doing the sort of things with her that you'd otherwise be doing with him. Help him understand why this bothers you but try to also be open to allowing him to make friends. Is the issue that he hasn't introduced you? Is there another reason you don't trust their friendship?


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

Response: What would make you feel no one wants to be with you?


Context: I'm in a relationship, but I feel like I'm always putting more into it and not getting reciprocated. My ex told me that I will never find anyone else, and that's lingering in the back of my mind.

Response: The most crucial key to any relationship is that mutual feeling you hold between you both: that you matter.  Sounds like you are stuck in a cycle of hearing your ex say you don't matter. That's why it didn't work with him btw. He wasn't reflecting to you that you mattered. However it ended, clearly though that's the sentiment that's lingering with you.  So here you are hanging around a new man why is telling you the same message. Move on. You aren't unworthy, you just haven't found a man who is worthy of you! To be worthy of you, he must see your worth. Often though before anyone else can see your worth, you have to believe it.


Context: This is preventing me from getting a job. I have bad relationship with my bipolar mother. I am living with her but it stresses me out so much to be around her that I have locked myself in my room. I have no friends or other family to help me. I have no money for therapy, but I think I need therapy before I can secure a job.

Response: A good first step would be to make an appointment with your primary care provider & discuss your concerns.  They would have resources available to help in your particular situation.


Context: I have no self control over food. Most people stop when they've had enough, but I keep eating for the pleasure of it. Especially with sweets - I'm never done eating dessert.

Response: Hello! I'm so glad you decided to write in today. This is such a great question and I'm sure many others will relate to exactly what you're describing. There are a few different ways we can look at in understanding your concern. First, I think it's important to understand food is just food. Food is meant to nourish our bodies, provide us with energy and yes, sometimes reserved for special occasions and celebrations. But in many cultures, we place a LOT of emphasis on food. We have food at every gathering and every celebration. What's more people have come to almost EXPECT food to be present at any and every get-together. And if it's not? Well, then forget about it! I see this time and time again with my clients. Donuts appear in the office, and it's almost like donuts have never been there before! Must eat one (or two)! However, we need to remind ourselves that this occurrence, or similar ones, will not be the last time we can enjoy this particular food. It is likely the office donuts have happened before, and they will be there again on another day. During these moments, I like to have my clients employ a Stop-and-Think method. Stop-and-Think about your goals before you eat. Is this donut getting you where you want to be? Also, I have my clients ask themselves how special is this donut? If the donut really is a special donut (from the best bakery in town and you've never been there before) then now might be a time to have the donut. But if not, it would be wise to pass and wait until that "special" donut. Another aspect we need to remember about food, is to think about what we're getting from overindulging or overeating. Are you trying to drown out other emotions? Are you trying to feel better and the food gives you that feeling for a brief moment? What ELSE is going on? This can be determined by utilizing what we describe as a Thought Record. A Thought Record involves tracking and identifying thoughts and feelings associated with food triggers. By targeting the emotions, we can then determine where they're coming from, as well as how to decipher them. A therapist can also help you with understanding your emotions related to food and will be helpful in assisting you with the Thought Record.The most important thing to remember is that "food addiction" can be a real problem for a lot of people. If food is taking over your life and you are preoccupied and overwhelmed with knowing where to start, please seek out help. Binge eating is the most common eating disorder and impacts the lives of thousands. There are lots of free resources and information on my website at www.maddenwellnessky.com. In addition, I offer individual coaching and counseling through my website and I would love to help!- Amber


Context: I have no self control over food. Most people stop when they've had enough, but I keep eating for the pleasure of it. Especially with sweets - I'm never done eating dessert.

Response: I would recommend removing yourself from the environment you are in after you have finished eating. A simple walk around the block, calling up a friend and going to visit, or even going to another room in the house can help. If you find that you truly have no self control over food, I recommend attending Overeaters Anonymous; a 12 step group for those with compulsive issues related to food. I hope this helps.


Context:
I know someone who is extremely sensitive to stress and very sensitive to a negative tone of voice. Sometimes during a disagreement he tells me that my communication is having a harmful impact on him. Once he believes I am being negative I can't seem to find a better way of communicating. In fact, it is often a self fulling prophesy because his accusatory manner becomes unbearably frustrating.

What advice might you offer?

Response: With any type of criticism, it is usually best to introduce the topic at a neutral time, ie: when both of you are relaxed, with no current stressors involved, having fun, etc.  Begin with a non-judgmental reflective comment about a recent bothersome event, as if it were just then crossing your mind (therefore not something you've been consumed with ruminating over - eases the impulse for him to dive straight into defense mode).Then share how you felt at the time of the event.  Just say when.... I felt kind of hurt / shocked (or whatever the feeling was).  PERIOD.  THATS ALL YOU SHOULD SAY.  Wait for him to respond to your matter-of-fact statement.No matter what his response is, stick to your same message - don't get overwhelmed by trying to rephrase or explain your view as that will likely set you up for continued arguing.  You can even add, "I agree I could have misunderstood  it (event).... I just know it made me feel uneasy."Here you give him little wiggle room for a debate.Good luck & I'd love to hear how it goes!


Context: When I ask him who he is talking to, he tells me no one. But, it sounds like he is holding a conversation with someone. I have even accused him of having a secret cell phone. I ask so much, I feel like I am losing it.  Is he trying to make me question my sanity, or is he talking to himself?

Response: A rare topic & likely extremely troublesome for you... I would need to have more background information on the two of you before beginning to offer any insight. Feel free to email me.I would also like to add that aside from the reality of whether or not these conversations are actually occurring, as your partner, he should be just as concerned about something that is disturbing you to this level.  Partners need each others' trust and support, no matter who is right or wrong.


Context: Does this go against any ethical codes? Are there legal ramifications?

Response: Generally, the ethical codes only prohibit relationships with clients. There are however a few types of counselor-to-counselor relationships that are prohibited by the ethics codes. Such prohibited relationships include those between supervisors and supervisees; between professors and students; or any time the relationship might negatively impact your (or their) clients. Lastly, some workplaces have rules against dating coworkers. It would be a good idea to check if there is such a rule that applies to you.


Context: We went out had great sex and I was really liking her. Then one day she says we should just be friends, but I can't stop thinking about her. She's always on mind and I want her back.

Response: It can be really difficult when someone you care about doesn't feel the same about you. The most important thing to remember is that you can not make her feel a certain way.  There is nothing you can do to force her to want to be in a relationship with you.In the end, if she "just wants to be friends" then she's probably not the right match for you.Remember, every relationship ends - until that last one that doesn't.  And that is how it's supposed to be


Context: She cried because she lost all trust in me. Now I feel disgusting and like my heart just got stabbed, what do I do?

Response: It sounds like you've already learned that just being honest is often the best approach. What do you think about telling your mom how you're feeling?  She might really appreciate it if you also let her know that regaining her trust is really important to you.


Context: I'm a 40 year old male and having erection problems. Still have the desire for a woman. Awfully frustrated. Any suggestions? My Doc doesn't want to discuss it.

Response: When a doc blows you off it may be a signal that it is time to find a new one! ED can often be caused by health issues. If all physical possibilities are ruled out then it's time to look within and enlist the help of a sex therapist. Here's a good article for you to start with.


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

Response: As a relationship therapist I work with a lot of people who feel similar feelings to some degree or another and almost always find that the origin of these feelings point back towards childhood. How did you caregivers express (or not express) love towards you? How did they express (or not express) love towards one another. These early messages become your template for how you have learned to see yourself and what you expect from others. In his book Wired for Love, Stan Tatkin, PsyD writes “We learn to love ourselves precisely because we have experienced being loved by someone. We learn to take care of ourselves because somebody has taken care of us. Our self worth and self-esteem also develop because of other people.”  This could be very fruitful to explore in individual therapy with a relationship therapist who really gets it, you may have to interview a few to find the right fit; that's OK. Maybe you'd even want to read that book I linked above. :) Noticing this pattern is HUGE, it's where transformation begins. And now that you have be kind with yourself, it begins there too.


Context: He is in his late thirties and I am in my mid twenties. We have been together for about 5 months. I really like him. He says he cares about me and is willing to fight to make things right. He has been very apologetic and expressed he did it out of fear. I don't know if it's worth giving him a second chance.

Response: Cheating is often a sign that something is amiss in the relationship. His fear may be full of information. While it's possible to repair relationships after a betrayal it's also challenging to do, especially so early in your relationship. I can't tell you if you should/shouldn't give this relationship a second chance but I will tell you to tune into your own intuition (and follow your own fears in doing so, they often are incredibly informative when we don't push them away with denial).


Context: However, it seems as though he is really talking to someone other than himself. I have even accused him of having a secret phone. Is he trying to make me crazy on purpose, or is he really talking to himself?

Response: Some people simply talk to themselves as a way of processing information. Have you checked in with your husband about this in a non-accusatory way? Something like "Hey babe (or whatever sweet name you typically use), I'm so curious what that's all about? Do you notice that you are talking out loud?" Chances are it's just how he thinks things through and is not at all about trying to make you crazy, it's just one of his quirks you'll grow to endear. Early married life is a time full of discovering one another's quirks!


Context: I keep getting into relationships with men that are in bad situations. I take them on and help them and do all I can and the relationship still fails. How do I learn to not get in relationships with men in bad situations? I see someone in need of help, I jump in. And it is getting me nowhere. I am alone sad and frustrated.

Response: Sounds like you already see what's amiss. You're looking for fix-er-uppers! When you meet these men they need you. And you're filled by fixing them.  And when they are fixed, what do they have to give you? What's your need in relationship? What if you found someone who didn't need fixing?


Context: My girlfriend's grandma passed away 5 months ago. They were very close. She took care of her till she died. Things kinda returned to normal few weeks later. Last month it feels like we hit a brick wall. Intimacy fell off. I asked what's up. She says she can't connect with anyone and that it's not me. She used to be very open and expressive. Now she gives short answers and has no interest in sex or any touching.  When we did have sex in the last month, something felt really off. Now I'm very insecure about us and have thoughts of her cheating. She says otherwise, but I don't know. It just feels like something is really off.

Response: Grief has a huge impact on us and everyone's reaction is different. The one common reaction however is to shut down and distance ourselves. Her relationship with her grandmother was close, given she took care of her up until she passed. It sounds like she is working through a difficult loss and her ability to connect with you, or anyone else, is likely low right now. Trust what she is telling you and try to be there for her as she works through it. If she finds it too difficult to connect again, a good grief counselor can help her get back on track.


Context: I have manic depression and last summer was very very bad. I have recurring nightmares and I avoid anything that will give me a similar feeling as I did that summer.

Response: In general, the answer is no. Depression can not not generally cause PTSD. Your question does make a lot of sense, though. Depression is a common symptom of PTSD. A counselor in your area should be able to help you what's going on - either feelings of depression, PTSD, or both.


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

Response: Grief is unpredictable and does not fit into rules and stereotypes. Everybody grieves differently, react in their own ways. There can be no expectations about how long, how hard, how easy it will be. Furthermore there is no way around it. No matter how much we may want to escape the pain and accelerate the process by doing all the 'right' things we have been told will help with our bereavement, there is only one way: through...The more we allow the pain to go through us, experience it, accept it, acknowledge it, make peace with it, the more we will heal. Grief comes in waves but can also feel like a rollercoaster. At first the waves feel like tsunamis, with time they become smaller and more spaced out. Yet every time they catch us by surprise. All the 'firsts without them' after a loved one has passed away, every anniversary, birthday, holiday, are all difficult times.You can not force grief to go away, to heal the wound faster than it needs to take. What you can do though is ride the wave. Go with the flow. Accept the pain. Express it. Talk to your loved one that has passed away. Express your emotions, every single one of them, both positive and negative. Write down in your journal. Take good care of your body, your nutrition, your rest. Grief is very taxing on the body too yet we disregard that. Read inspiring books, surround yourself with beauty and things that soothe your soul. Be brave and be open to the world out there, be vulnerable with pride. Try new things you never dared try before. Meet new people. Travel. Hang out with close friends. Ask for help when you need it. Be kind and gentle to yourself. The more you chase and wait for happiness, the more it will elude you. The more you stay bravely in your present and do the best you can, being loving to yourself, honest about your feelings and do not try to escape grief, the sooner it will loosen up it's claws and allow you to feel relief and finally heal.One thing is for certain, happiness will be there to it's appointment and it will be when you least expect it!Keep the faith and keep walking, nothing can remain the same forever. The only certainty is change!


Context: I have recently separated from my husband whom I have been with for 5 years.  Throughout our 5 years together, I have stood by him through 2 affairs, him talking to other women while I was pregnant, his drug abuse and thru verbal and physical abuse.

Response: It usually boils down to a lack of self esteem, self love and self acceptance. If for whatever reason the 'scripts' we have been told about ourselves from others, or what we have witnessed as children has become our beliefs about what to expect from life and others, have been negative, it is hard to imagine a different reality for ourselves.If what we have learned and observed in our close environment has not taught us and inspired a healthy self esteem, then we can not know what it is and how it feels like. It is as if we lack the language, the words to define it and the skills to practice it.Putting up with a loved one's drug addiction, their infidelity, lack of respect and esteem, verbal and physical abuse, tend to show and reflect the degree of our lack of self esteem, lack of sense of self worth, lack of belief that we are worth and deserve more from life.Separating was the first step towards reversing this negative situation. Spending time on your own and distancing yourself from your past experiences with him will give you a better and clearer perspective. The fact that you are asking yourself this question, shows that at some level you are aware that something is not quite right. It is just a matter of finding out exactly what it is, how you got where you are now and how to get where you want to get in your life in the future.Working with a therapist/counselor will help you understand the mechanisms and learn how to build a healthy sense of self esteem. Get a good sense of who you are and what you want. And finally design the right strategy and plan of action to achieve your goal, to move on in a healthy manner.You have made the first step, it is now a matter of being consistent in seeking help and doing the work until you achieve what you want. Become who you want to be and create the life you want for yourself.


Context: I'm in a relationship with my fiancé and I currently found out that she's been cheating on me with a co-worker. I was very upset none the less. I understand what she did was wrong, but I want to spend the rest of my life with her. So I'm willing to forgive and move on. We have been together for a little over 9 years, and we have a son. At the beginning of our relationship, I was unfaithful and she caught me cheating. She forgave me for what I've done to her and since then I been completely faithful. I'm worried about our relationship and want to move forward  but its been very unsettling. All I can think about is her with another man. I don't know what to do or where to go for advice?

Response: My first question for you would be to see if you've talked with her about it yet? You mentioned you found out....and I know this can be so painful. It can also be frightening to bring up the experience when it hurts a lot, when you feel so unsettled as you mention. But you can look at this as a vital and important piece of information about what's happening in your relationship, and an invitation to get really honest and genuine with each other. You have a long history, being together 9 years, and a son, so you are very bonded no matter what changes happen in your relationship. It may be incredibly helpful to find a counselor you can both go talk with. Having a third party who is neutral and cares about your process and hers can be such a relief when you need to discuss things you feel scared about. Even just a few sessions can make a huge difference. If this doesn't feel possible for you right now.....ask your fiancee for time to set aside for a meaningful heart-to-heart talk. Say you'd like to set it up on the calendar, and make sure you have a babysitter for your son. Set aside at least 4 hours. Let her know that you'd like to hear her honest truth about what's going on, and share with her your truth as well. It's not a time for criticizing or condemning, and I don't sense that is your intention at all--you have a great deal of love for her. Speaking honestly and listening openly is an amazing gift, both for yourself and for your partner. You can do it.


Context: I'm in a relationship with my fiancé and I currently found out that she's been cheating on me with a co-worker. I was very upset none the less. I understand what she did was wrong, but I want to spend the rest of my life with her. So I'm willing to forgive and move on. We have been together for a little over 9 years, and we have a son. At the beginning of our relationship, I was unfaithful and she caught me cheating. She forgave me for what I've done to her and since then I been completely faithful. I'm worried about our relationship and want to move forward  but its been very unsettling. All I can think about is her with another man. I don't know what to do or where to go for advice?

Response: Hello, I know this is a tough situation your going through and it has you questioning everything but one thing is certain, and that is that you still love her, dealing with the hurt can be very challenging but after learning from your mistake you changed and became more faithful and loving and the comfort knowing she forgave you, is what made you love her more and less likely to hurt her once again. You live and you learn, she will soon realize her mistake and her outtake may be the same yours was. But marriage is a special bond in front of God, which means once you are officially married, cheating and lieing to eachother will only lead to an early divorce. Practice in your pre-marriage state with speaking to her and opening up to eachother about what you feel and what you look forward to in this marriage. It's possible she's seeking something from someone else because she is not receiving it in her own relationship, improve, grow and be strong. Learn from your mistakes


Context: About 5 months ago my ex left without fully explaining why. For me it seemed out of the blue. I don't miss her as much as I used to but I just don't trust people anymore, not even my friends who I have known since my childhood not even my family. I'm so terrified of being judged or dismissed. Instead of acting like someone else or putting on a mask of a personality, I've just shut down. I haven't felt that sense of comfort and happiness with myself since everything fell apart. I'm scared to because I don't want it to be taken away from me again. I feel like ever lesson I learn only last a day. I just don't know what to do. I'm working at a place I know I should enjoy. I'm keeping up with my creative passions: working out, eating healthy, etc. I'm doing everything the books say I should do, but I don't feel any different. I just don't know what to do.

Response: Sounds like you need closure. I'm sure your doing your best to overcome this feeling but seem to be struggling with your own happiness. Trust God no one else. Give this some time and don't close yourself off to the world or the people who love you. Be open hearted and minded. And know that no matter what reason your ex walked out of your life, she missed out on how great of a person you truly are and may have had personal issues of her own.


Context: Then turn right back around and say he loves me and needs me. This rollercoaster is crazy.

Response: Your partners obviously very confused when it comes to love. Sometimes people shy away from good and positive relationships and companionship because their afraid. They know that it's something worth holding on to but most feel they can't handle it and can't meet up to their partners expectations. Your partner loves you but must have fear that keeps standing in his way. It could also mean their afraid of getting hurt or disapointed in the long run.  Give your partner comfort and reassurance that they can come to you to confide in you about anything that may be bothering them.


Context: Sometimes 3 times a night.

Response:
That's a difficult question to answer. Dreaming is a normal (and healthy) part of the sleep cycle. The current thought is that we all generally
experience roughly the same number of dreams - the difference often is just
whether we remember the dreams or not.An increase in the number or frequency of distressing dreams
(or nightmares) can be a symptom of stress, anxiety, or PTSD.  If the dreams are disturbing to you, talking to a local
counselor could help. If the dreams themselves
are not troubling, you may just be remembering them more than most people do.


Context: I'm in a relationship with my fiancé and I currently found out that she's been cheating on me with a co-worker. I was very upset none the less. I understand what she did was wrong, but I want to spend the rest of my life with her. So I'm willing to forgive and move on. We have been together for a little over 9 years, and we have a son. At the beginning of our relationship, I was unfaithful and she caught me cheating. She forgave me for what I've done to her and since then I been completely faithful. I'm worried about our relationship and want to move forward  but its been very unsettling. All I can think about is her with another man. I don't know what to do or where to go for advice?

Response: I'm sorry for the stress and unhappiness stemming the problem you describe.Trust your instinct that there is more complexity to feeling good about being in a partnership than simply wanting this to happen.In any relationship, the complexities of each person combine.   Often people accept when this feels good and are lost as to what to do when natural human complexity, doesn't match up with our partner in the way we'd like.A couples' therapist would be able to help each of you talk about the factors motivating the cheating, as well as clarify the reasons you each have for continuing to stay together. The unique advantage of couple's therapy is that each person is able to hear their partner talk out loud about themselves and their partner.This is sometimes enormously helpful since our inner thoughts are often hidden yet very dominant in how we direct ourselves in relationships.Sometimes the initial consult session offers enough new understanding that a second session wouldn't be necessary for a while.Good luck in finding your relationship happiness!


Context: I feel like I'm trying to convince myself that I'm okay when I'm not. I'm always blocking out the bad things and forgetting. I also feel like nobody cares for me and they never will. I feel truly alone.

Response:
I can relate! When things are going badly, I feel like my life has
always been and will always be that way. (But I also do this when things are
going well. That is, I forget how good things can turn bad. Personally, to
avoid this emotional roller-coaster, I try and heed the famous advice by author
and feminist Rita Mae Brown: "One of the keys to happiness is a bad
memory."So maybe this weakness of your for forgetting is really a
strength! It sounds a lot like living in the moment to me. And while it’s hard
to manage my past and my future, the moment seems like a small enough piece of
temporal real estate to sort out. So that’s the “what” of my answer. The “how”
goes like this: Choose one from column A, two from column B, and three from
column C in the following chart. Then try doing them for as long as you can.
Then see what happens.A                                            B                                                  CGratitude                                Forgiveness                                 AppreciationExpectations                           Meditation                                    ExerciseBitterness                               Distraction                                    Volunteering
Resentment                            Substances                                  WorryRegret                                    Possessions                                 PessimismShame                                    Desire                                          SuperstitionRage                                      Isolation                                        WishingSelf-loathing                           Criticism                                       Withholding If you feel as though what you
think and believe are out of your control, or that your values were imposed on
you, or that nothing good will ever happen again, then we will have to
respectfully disagree. You’ve ask a very deep and insightful question, proving
that your hope has gotten you this far. Hang onto that hope because I’m an
example of things working out despite my previous way of looking at my life.Instead of “convincing”
yourself that you’re okay when you’re not, how about calling it “accepting
yourself as okay just the way you are, without judging your okayness.” You
probably have high standards (perfectionism?) and that’s a thing to talk with a
counselor about. The opposite of perfect is not horrible. It’s called “good
enough.”Blocking out the bad things and
forgetting is as natural as eating and sleeping. All the other mammals do it
(except when it comes to life-threatening bad things) so why shouldn’t we? This
might be called optimism.
Feeling alone and uncared for
is a worse feeling than being despised. This is good! This means (I suppose)
that you don’t despise yourself as much as you just don’t care for you (because
we can often project our own self-beliefs onto others). This is an abstract
concept that will take some time to get used to. But I have a suspicion that,
with just a little more self-care, and a little more caring for others, you
might be better off very soon.


Context: This is preventing me from getting a job. I have bad relationship with my bipolar mother. I am living with her but it stresses me out so much to be around her that I have locked myself in my room. I have no friends or other family to help me. I have no money for therapy, but I think I need therapy before I can secure a job.

Response: Overwhelming fear, social anxiety and depression are especially painful because they make behaving constructively a challenge.  But there are also lots of examples of folks who have successfully worked their way through this.  So there is hope!   In addition to the suggestion to visit your doctor (who may prescribe a medication to help you relax), there are many social service agencies who provide free counseling or take medicaid.  A good CBT therapist will help you look at your thinking so that you may see how you are distorting your thoughts.  Behavior is also important.  Despite how you may feel: it is helpful to go out, to do things that relax you (maybe a yoga class or a meditation class?).  Exercise. Diet. Eat well. Think back on the things that you used to do that helped in the past, and force yourself to do these things again.  I know that this seems hard, but it beats the alternative, doesn't it?  Of course, I recommend you pick up a copy of my book, Living Yes, which will help you look at these and other ideas to help you out.  I hope you get unstuck soon!  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)


Context: My doctor thinks that seeing a psychiatrist will help with my depression and anxiety.  Now my anxiety is worse, what do I do?  Writing on here has taken every bit of strength I have left.

Response: Did you take the medication the way the psychiatrist prescribed it?  Did you follow up with her/him to report how it was going?  Different medications work differently with different people.   It's not always the first one that helps.  And some of the medications take some time to have an effect.  Give the doctor the chance to help you. I suggest you find a certified CBT therapist to help you examine your thinking.  www.AcademyofCT.org has listings of the finest CBT clinicians.  In the meantime, do some "anxiety fasting" by taking a few minutes to do something nice for yourself right now.  I hope you feel better soon.  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)


Context: In particular during family gatherings (such as funerals), where there are different customs.

Response: You have an opportunity, but you haven't described a problem.  (Are you creating one?)  Many families have various members who have different spiritual beliefs and religious practices.  Accepting the idea that those with whom we are close may be different from us is the only way to create a world of peace.   This may be a wonderful opportunity to practice tolerance and love.  If mutual decisions need to be made in religious contexts, you may also get to practice boundary setting, assertiveness (without aggression), communication skills, and loving kindness.  This is a great problem to work through!  It is indeed a very spiritual question.  Blessings to you all, ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)


Context: I have manic depression and last summer was very very bad. I have recurring nightmares and I avoid anything that will give me a similar feeling as I did that summer.

Response: A PTSD diagnosis requires an event which occurred at least 6 months prior to the symptoms.   Depression is a common symptom of PTSD, but depression can come from many other sources as well.  In the end, diagnoses are systems of behavioral labels.  If you believe that one label (PTSD) is worse than another (Depression), you are creating a false hierarchy.   Consider consulting a CBT therapist, such as the fine clinicians listed in AcademyofCT.org.  You may also want to look at my book, Living Yes, for many ideas about challenging your thinking and improving you mood. www.LivingYes.org. I hope you feel better soon.  ~Mark  (www.MarkMorrisLCSW.com and www.LivingYes.org)


Context: I always feel like I'm not good enough and it literally is so hard living. I don't know how to talk to my parents about it.

Response: Are you a teen?  This is a really hard problem for more teens (and adults) than let on.  When I was about 15, I remember asking my parent's friend, Herman, whether life gets any easier when you get older.  He said the problems are actually harder, but you gain the ability to deal with them better.  I've been an adult a long time now, and that is so true. If you need someone to talk to, consider a teacher or a school guidance counselor or someone you respect, maybe in church.  If they're good and they don't know how to help you, they may know how to get you to someone who can.  Also, the idea of not being "good enough" is a common psychological event.  In CBT it's called a "core belief," but I call it a "core lie" in my book, Living Yes, a Handbook for Being Human.  If you are serious about changing yourself, read about it  at www.LivingYes.org and pick up a copy there or on Amazon.  I hope this was helpful.  The future is filled with possibility if we don't prejudge it!  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)


Context: I think I'm annoying and bothersome, but my girlfriend says I'm just fine. I don't think so, I think I'm stressing everyone else out

Response: I think you have identified something important here. It's not unusual to experience feelings that don't seem to match up with what your rational mind recognizes. In this case, it sounds like a part of you recognizes that the people around you do not find you "annoying and bothersome." Despite knowing that people like you, it seems that there's still a part of you that feels like you're a bother.Finding a local counselor who can work with you to process those feelings might be just the help you need.


Context: Sometimes 3 times a night.

Response: As a depth therapist (aka "psychodynamic practitioner"), I do a lot of dream work with clients; and they gain great insights from our explorations.We remember dreams, I believe, because dreams are messages (always in code) from the unconscious, communicating the crux of unresolved conflict between who we are and who we think we are supposed to be. You might be remembering so many dreams because your conscious mind is ready to hear these messages...and make some internal changes in response.Write them down! You'll be glad you did. A broad cross-section of these these messages will help your therapist help you interpret the meanings of these communications from you to you, and possibly chart your best path forward toward to resolve the cause of psychological symptoms you might be experiencing.