Context: There are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.

Response: My wife won't do things she used to doThere are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.Like we often hear, communication is the key to a good relationship.  Intimacy in the marriage is something we take for granted, and we rarely communicate about it. I noticed how you mentioned that she had “once agreed to try” things; did you ever asked if she enjoyed those things or would want to repeat them.  Have you asked if she would like to try new things as well?What if, you work on improving your communication with your wife? One thing to consider is the status of your relationship.  Are you in good terms with each other? Are you or your wife going under a stressful situation?   Many times when we have problems we reflect it in multiple areas, including our intimacy or lack of it.  Listen to her; ask how you can support her.  Find ways to reconnect as a couple, relax, have fun, and do things that you used to enjoy, or discover new interests together.Then you can focus on having conversations about your intimacy.  You could star by letting her know that you are concerned about your romantic life, and ask if you do anything that she likes or dislikes.  Remember this is a two-way street, you should be ready to listen and ready to share.  Take in consideration what she mentions, and work on resolving those issues.  It is important that you praise each other as you progress and do this in a loving and supportive way, avoiding hurtful comments. If you continue to struggle, or seems difficult to engage in communicating with your wife, consider couples therapy or individual therapy to work on communication skills.Mi esposa no hace las cosas que solía hacerHay cosas intimas que ella hacia al principio de nuestra relación, y cosas que alguna vez ella estuvo de acuerdo en probar y que ahora no hace.  Yo  me paso pensando en eso todo el día.  Me siento rechazado y pienso que me case con la persona equivocada.Como tanto escuchamos, comunicación es la clave para una buena relación.   La intimidad en el matrimonio es algo de damos por hecho y rara vez nos comunicamos al respecto.  Noté como mencionas que alguna vez tu esposa “estuvo de acuerdo en probar” algo.  ¿Alguna vez le preguntaste si le gusto lo que probo, o si quería repetirlo?  ¿Le has preguntado si ella quisiera intentar algo nuevo o diferente?¿Y qué tal si trabajas en mejorar la comunicación con tu esposa?Un aspecto a considerar es si hay alguna tención en el matrimonio.  Si están pasando por una situación tensa en su matrimonio o algún otro aspecto de su vida, lo pueden estar reflejando en su intimidad, o la falta de la misma.  Escúchala, pregunta cómo puedes darle apoyo.  Encuentra maneras de reconectar en pareja, relajarse, divertirse, y hacer cosas que antes disfrutaban, o descubrir nuevos intereses juntos. Si demuestran que son importantes uno para el otro y apoyan sus necesidades, se unirán más y disfrutaran de su tiempo intimo.Luego trabaja en tener conversaciones sobre la intimidad.  Puedes empezar por dejarle saber que te preocupa la vida romántica preguntarle si hay algo que a ella le agrada o desagrada al respecto. Recuerda que esto será beneficioso para los dos, tú debes estar preparado para escucharla, y compartir tus preocupaciones.  Toma en consideración lo que ella mencione, y trabaja en resolver o eliminar esas conductas.  Es importante que se alaguen y animen en el proceso, que este sea un proceso de apoyo y crecimiento y que continúen teniendo esta conversación frecuentemente.Si continuas teniendo dificultad o no sabes cómo comunicarte con tu pareja, considera terapia de pareja como una alternativa, o incluso consejería individual para trabajar en tus destrezas de comunicación.


Context: I recently lost a friend to suicide.  I'm smoking marijuana and drinking more to cope with it. How can I handle this better?

Response: Suicide is not a natural way to pass from this Earth, so many times it can be EXTREMELY tough to deal with because of the "unnatural-ness" of the event. We may find ourselves feeling guilty that we did not see it or that we could've have done more or something to stop it, but often the fish in the fishbowl cannot see that which is closest to him. You are currently trying to numb your feelings, those feelings as nasty as they are, are meant to be felt, those feelings help us to process the event and also help us to pass through the situation. Your friend has a legacy, remember it, and honor that legacy everyday in some small or even grand way, perhaps committing or volunteering your time to help others in honor of your friend.Hope this helps, C


Context: I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.

Response: As a past sufferer of anxiety myself, I have learned that it is a natural part of life, it is a natural part of us, the longer we try to run from it the more it entangles us in its clutches, if we deny certain parts of ourselves we will become depressed or even oppressed, the only way to deal with anxiety is to embrace it and accept it, and in fighting the fight without fighting we will eventually win, I would encourage you to look into Acceptance and Commitment Therapy, your answer I think lies in that area of research. Hope this helps,C


Context: There are intimate things she did early in the relationship, and things she had once agreed to try that she will not do now. I end up thinking about it all day. I feel rejected and think I married the wrong person.

Response: I'd say you're letting fear get a hold on you! You would really enjoy some sexual activities that your wife hasn't initiated in a long while, but it's a big leap to go from that to "I married the wrong person". Fear is telling you that she doesn't respect or like or want you? Look at the bigger picture. What is the evidence that your wife wants to please you?...that she is the "right" woman for you?...that she loves you?...that she cares about what's important to you?  If there is evidence there, then you owe it to the marriage to rein in your fearful thoughts.Talking to your wife is so important right now. We all have moments when we really just want to sit and stew in our self pity over our partner not vacuuming or cooking or saying loving things often enough...but they can't read our minds! Can you lovingly let her know what you miss? ...what you hope for?...what you need? This is the meat of a loving relationship. Sharing who we are, so that we can love each other better. Your wife deserves the benefit of the doubt that she'll listen to what you long for. Can you risk feeling vulnerable? You can't control her answer, but can you trust her to care?


Context: I hate everything I see in the mirror. I don't like being in pictures and always scribble out my face.  It's stressing me out. I don't trust my parents enough to tell them and I don't know what to do.

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


Context: I spent my whole life taking care of my dad, but left because of his verbally abusive behavior. I was the only one that helped with his health issues. I feel if I hadn't left he might still be alive. I need help dealing with my grief and guilty conscience.

Response: I see such a sharp contrast between your question and your first sentence. Do you see it? "I feel guilty about my father's death", and "I spent my WHOLE LIFE taking care of my dad." Wow. After everyone else had left him to his misery, you hung in there. He is so lucky to have had you there. You didn't have to do that. I have a hunch that your dad blamed you for a lot of things. Abusive people do that a lot; they make you believe things are your fault when they're not. You did the opposite of what you fear you did. You didn't contribute to your dad's death; your selfless care gave him a longer life...better health. In the end, no one's love and care could save him. No one could fault you for deciding you had had enough at some point. I would never expect anyone to keep putting themselves in a hurting place over and over again. But this is what you did. You did it for him, and you did it so you wouldn't feel guilty. But you feel guilty anyway, right?...so putting yourself in that position was only worth it if you allow your loving acts to melt away the guilt. Can you tell yourself "It's okay that I had to take care of myself too."... "I gave up a lot for my dad; I have nothing to feel guilty about".Putting yourself last for your dad was a loving thing to do. And... my hope is that you can also find different ways to help yourself feel "good enough" in this world, and a balance between caring for others and caring for yourself.  :)


Context: I recently lost a friend to suicide.  I'm smoking marijuana and drinking more to cope with it. How can I handle this better?

Response: I urge you to seek some therapeutic help for this, and also to connect with others who knew your friend, because they're likely feeling the same way. Suicide is difficult to understand, and those left behind have many mixed emotions that make their grief complicated and anguished. Your friend either had an impulse that no one could stop, or they made a big decision that impacted everyone around them. There are other things you can do to cope with this, and it has to do with accepting your powerlessness to stop it, not blaming yourself, forgiving your friend, and finding meaning in their life and yours. You won't find that meaning in a bottle or a joint. I hope you reach out soon. :)


Context: I always feel the need to impress people, whether it's my family, the people at school, or just random people. I know that no matter what I do or how I change, there will always be some people who hate me.  Why do I feel this way?

Response: My first reaction to this is that It sounds like you rely alot on the impressions and projections of the outside world, that you need validation from other people to compensate for a lack of something on the inside, build yourself up on the inside, work on yourself, use positive affirmations daily, it would be wise for you to research some self-construct theory and do some self-concept work.Hope this helps,C


Context: Is this something I should be worried about?  Should I do something about it?

Response: My son plays alone at recess.Is this something I should be worried about? Should I do something about it?Every mom is the expert on their children’s behavior.  First of all, I suggest checking with your son, asking him if he is happy while playing alone, or does he complain that no one wants to play with him?  Does he plays alone in school, but is social in other environments, with family or neighbors?Playing alone is healthy for children, it helps them to be independent and confident, it allows them to explore their environment and use their imagination, among other benefits.  On the other hand, it is also important to develop social skills early on and become confident in our skills as we grow.  Children go through stages of exploration until they develop a sense of “social confidence”. Depending on your son’s age, he might need some input or advice.  Provide the opportunity to interact with other children, without pushing it.  Take him to the park to play with a friend or to children’s activities in your neighborhood.  Later ask him, what did he thought of the activity, and if he enjoyed playing there.  Children also follow their parent’s model, so you can encourage social interaction by greeting other and asking your son to do the same, ask him to receive the guests who come to the house with you and sit to enjoy the conversation. If you notice any shakiness, becoming tearful, anxious or aggressive when approaching social encounters, you may want to talk to the school counselor or children’s therapist to evaluate those symptoms and rule out any behavioral problems or social anxiety.Mi hijo juega solo en el receso.¿Debería preocuparme al respecto?  ¿Debería hacer algo al respecto?Cada mama es experta en la conducta de sus hijos.  Primero que nada te sugiero que revises con tu hijo y le preguntes si él se siente contento jugando solo, o si se queja porque nadie quiere jugar con él.   Observa si él juega solo en la escuela, pero es sociable en otros ambientes como con la familia  o los vecinos. Jugar solo puede ser saludable para los niños, les ayudo a ser independientes, desarrollan sentido de seguridad, y les permite explorar su ambiente y utilizar su imaginación, entre otros beneficios.Por otro lado, también es importante desarrollar destrezas sociales y perfeccionarlas con la práctica.   Los niños van por etapas de exploración y prueba hasta que desarrollan un nivel de confianza en sus destrezas sociales.  Dependiendo de la edad de tu hijo, puede que el necesite algunos consejos.  Provéele la oportunidad de interactuar con otros niños, sin obligarlo. Ya sea yendo al parque a jugar con vecinos, o a actividades comunitarias infantiles con algún amigo.  Luego pregúntale como le pareció la actividad y si le gusto compartir allí.  También recuerda que los niños siguen el modelo de sus padres, así que puedes motivarlo invitándolo a que salude a otros después de ti, o invitándolo a recibir a la visita que llega a la casa y que los acompañe durante la conversación.Si observas que tu hijo está nervioso, lloroso, o agresivo cuando se acerca alguna actividad social, consulta con el consejero escolar o un consejero infantil para evaluar sus síntomas y descarta cualquier problema de conducta o ansiedad.


Context: I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.

Response: I agree with Cory. Acceptance and Commitment Therapy (ACT) does seem to help a lot of people who struggle with anxiety. It's not the only type of therapy that can help, but it seems to help people in a way that is more natural and realistic. As Cory mentioned, anxiety is something that is part of life, so therapies that indicate we can get rid of it are questionable. Our natural inclination when we have anxiety is to STOP any and all things that may cause it or provoke it. We do this because we think it will help, but it actually doesn't. Anxiety usually has us rehashing the past or rehearsing the future while ignoring the present. ACT helps folks who have those kinds of tendencies. Be well..Robin J. Landwehr, DBH, LPC, NCC


Context: Is this something I should be worried about?  Should I do something about it?

Response: The answer depends on how the other areas of your son's life are doing.Is he happy or does he seem happy, playing alone during recess?Does he have friends in other social circles besides the students whom he's with at recess?How is his academic progress?How is his social integration among his classmates?Are there any special or unusual circumstances in the home and family environment?Go through this list to form a fuller idea of whether your son simply likes alone time and takes this option during recess, or if any if the above areas show stress or difficulty for him and which need to be further understood and handled.


Context: Is this something I should be worried about?  Should I do something about it?

Response: Humans are social creatures so this can be an alarming thing for a parent to deal with, just like adults children are not the same and some children are more social than others, if he plays alone at recess (all the time) it would worry myself as well, however recess is only one domain of life, does he have friends outside of school or daycare? Does he socialize in other situations or is it just at recess where this occurs? If this is a global problem occurring at other social times it may be indicative of something deeper going on, if perhaps it is occurring "just during recess" it could be something else altogether. I would request reports from all teachers and caregivers concerning socialization and make a choice on whether or not to evaluate further.Hope this helps,C


Context: I feel really uncomfortable when I have people's attention.  It makes me not want to talk in public or answer questions in class. Can I get over this social anxiety?

Response: Since anxiety usually about anticipating a bad result, or fear of being judged negatively, as though having failed some sort of test, consider what would give you the feeling of anticipating a good result from talking to an audience?Maybe, for example, if you prepared and rehearsed your talk more than what you typically would, you'd feel more secure in speaking  in front of an audience.Once you sort through your particular reason as to the source of your discomfort, it may feel more manageable.Yes, social anxiety can change.  You may naturally prefer smaller groups than an audience.And, it is possible to decrease anxiety in what may always be somewhat uncomfortable for you.


Context: I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?

Response: There is a difference in someone agreeing to try something and agreeing to continue to do it. Have you ever been willing to try something and then decided you did not like it? A type of food? A sport? A new restaurant? A type of dance? So this does not mean that things have changed between you. It does mean that the two of you may need to spend some time to find out what you both like. Instead of looking at it as a rejection, look at it as a challenge, an adventure that the two of you can go on as explorers together. Some couples have even found it helpful to each write down ten things they would like the other person to try and then each person can pick three things from the other person's list to add into their life together when they chose to over the next few weeks.


Context: I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?

Response: There are many possible issues to consider as depression  social anxieties, even medical illness.  For some, even grief creates a sense of isolation, pains from relationship break up.  Also, obsessive thinking can be debilitating.  Seeking at least one trusted friend or family member can be a start towards increased personal support.  Some persons may simply feel connected by spending time with someone as this, even if not talking directly on issues, just being around another is positive.  Obviously there is more to explore on this question, given minimal information from two sentences.


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

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


Context: I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?

Response: It has been said that depression is often the result of a blocked goal.  Often people struggle with both anxiety and depression but have difficulty determining which is the most important issue. For some, depression is the result of frequently blocked goals and when their predominant issues are evaluated, they discover that they are anxious (worried) about a lot of areas in their life but seem to find no relief.  When there is no relief and there have been numerous attempts (either in their mind or in practical application) to resolve the anxiety, depression is often the result.  In this type of case, depression is not the main or underlying issue. The anxiety is the underlying issue.  Having "a lot on my mind" sounds like anxiety. Unresolved anxiety can lead to feelings of depression which are often associated with "emptiness."  In the question above, I would want to evaluate all of the issues surrounding having "a lot on my mind" and determine where these might be coming from. Has there been ongoing rejection from peers? From family? If so, why does this seem to be happening?  Isolation is often a protective measure that one implements to avoid further pain. Where does that need to protect originate?  Are there unmet needs from childhood? Are there traumatic life events that have created a need to self-protect as a defense mechanism? We can feel "alone" even when in a crow of people or at a party.  This has nothing, in this case, to do with being around people. It has more to do with how we view ourselves.  If there is a prevailing message or script that has been internalized that says, "You are worth nothing" or "You don't deserve the company of others" then being around people will not alleviate the problem but only exacerbate it. I would want to evaluate how one feels about themselves and what negative messages one has received and has repeated to oneself over time. The Developmental Needs Meeting Strategy is a therapy aimed at addressing unmet childhood needs. If there is specific trauma that is associated with socializing with people, then EMDR can be very helpful in desensitizing and reprocessing the trauma.  Looking at whether this individual's issue with emptiness is straight depression or whether it is depression as a result of unresolved anxiety is key to determining a treatment strategy.


Context: I have no friends, no hobbies, and no interest in anything. I get annoyed with everything and everyone. I am always tired, i can sleep 8 hrs or 12 hrs and im still tired.  I don't know what to do. Is this normal?

Response: Hello, and thank you for your question. It certainly sounds like you don't like how things are going. Here are a few thoughts and ideas:1. If you haven't seen a primary care provider in a while, you may want to. There are health conditions that can affect your mood and energy levels, even at your age. It doesn't hurt to get checked out. If they find the cause, they may be able to treat it and improve the symptoms. In addition, most primary care providers are trained to be able to manage medication for patients who have mild, moderate, and sometimes severe depression. So, don't be surprised if your primary care doctor offers to put you on an anti-depressant if they diagnose you with depression. Medication is not the only way to treat depression, but sometimes it is necessary depending on different factors.2. You may want to consider counseling, since it is another effective way to treat depression. A counselor will help you explore the factors that may be leading to depressive symptoms in the first place. This could include thoughts, behaviors, beliefs, life experiences, and other things. 3. Finally, to answer your question about whether these feelings are "normal." These symptoms could be the sign of an underlying general health or mental health condition. It is important to remember that even if these symptoms are "abnormal" it doesn't mean that YOU are. Millions of people struggle with depression. So remember, the symptoms are the problem, not YOU. Hope this helps. Be well.Robin J. Landwehr, DBH, LPC, NCC


Context: I'm a guy. If I don't like girls, nor do I like guys, does that mean I'm gay?

Response: Hi, and thanks for your question. I agree with my colleagues about researching asexuality, but I want too add a couple of things about that:Here is a website that you can start with to get some information about asexuality - http://www.asexuality.org/home/There are a whole lot of myths surrounding asexuality. One is that people who are asexual have absolutely no interest in sex, and that is not always the case. There are variations of asexuality. Some people who are asexual have an interest in sex and others don't. Also, once you read more on this topic, you may find that you don't connect with asexuality either, and that is okay. Our society usually thinks of sexual orientations as only being straight, gay, lesbian, or bisexual, but the truth is there are many variations of sexual orientations. Keep exploring. There is a good chance that there is a community of people who feel like you do. Finally, labels are important for a lot of things, but labeling ourselves can sometimes lead to some painful feelings. Try not to feel pressured to label yourself too quickly. This is your journey. Your experience. Take all the time you need. You may never feel the need to label how you feel, and that is okay, too. Hope this helps. Be well.Robin J. Landwehr, DBH, LPC, NCC


Context: It's really hard to not have negative feelings about friends who don't put any effort into nourishing our relationship.

Response: One thing I would ask is "why are you still hanging with those {friends}?" A relationship needs to be nurtured by both parties, it is a dynamic fluctuation between two people. I would ask you to question why you continue to remain together as friends, I always believed that a relationship should emit positivity towards all parties involved, if your in a relationship that is one-sided, it is inevitable that it will start to de-compensate. Never travel with the circus, never travel with fools, everything in life should have some positive payout, will things at times be negative, of course they will, but in order to keep something or someone in your life there should be more positivity than negativity.Hope this helps, C


Context: I was in a relationship for almost five years. We were friends for a few years before we got into a relationship. He was a caring, friendly, and charming guy up until three and a half years in. He started controlling me: who I hung out with, where I was at all times, and he had a huge hissy fit if I tried to ask him the same questions. All that time, he just liked me as a friend and was cheating on me with my so-called friends. At the end, he was a nasty and narcissistic person. Now it’s hard to be social.

Response: It sounds like you had a very confusing and painful experience in this relationship, and now you feel hesitant to let yourself get close to people. It is understandable that when we are hurt in relationships, we may have trouble trusting and allowing ourselves to be vulnerable with others.Therapy is a great place to explore the roots of present difficulties in relationships, to unpack what happened in prior relationships, and to find new ways to show up in relationships so that we can have the relaxed intimacy that we want. Often, relationship difficulties represent patterns of relating that we learn early in life which we may feel compelled to act on outside of our awareness and therapy provides an opportunity to become more aware of these patterns so that we can change them, enabling us to feel secure and to seek out satisfying companionship.


Context:
Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me.

He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard.  I want to end this relationship, but I don't feel like I can. How can I let go?

Response: Hello, and thank you for your question. Boy, ending relationships is tough, isn't it? Sometimes it's tough even when we are 100% sure that it is the right thing to do!I am going to give you some of my thoughts, and hopefully some colleagues will add some others. One of the things that I want to point out is that "letting go" is not really a thing. In other words, it's not really something you can reach out and grab. It's more of a process. This is good news, because you don't necessarily have to be at the end of the process to end an unhealthy relationship. We just have to accept that there will be feelings that come up even after the relationship is over. For example, someone can end an unhealthy relationship today, but then be reminded of the good times on what would have been their "anniversary." This could make the person very sad. They may even regret ending the relationship for a little while. It would important, then, for the person to remind themselves why the relationship needed to end, and that they are healthier because of it. This is relevant for you. It's hard to walk away from a relationship. We fear all kinds of things, including being single! Sometimes it's helpful to compare what you are getting out of the relationship to what you want from a relationship. It's helpful to be honest about what we have given up for an unhealthy relationship. It's fine to admit uncertainly about ending things. It's okay to be afraid. It's okay to have moments of doubt and sadness along with a dash of guilt. And even with all of that, someone can still leave if it is the healthiest thing for them. They can have sadness later on, and still not go back.It sounds like you are feeling responsible for making sure he is okay because of this divorce. The truth is that there is not necessarily a "perfect" time to end any relationship. There would be no guarantee that he would be doing any better after the divorce. Sometimes NOT making decisions stresses us out A LOT more than making a decision and living with the consequences, both good and bad. You may be at that crossroads. Be well..Robin J. Landwehr, DBH, LPC, NCC


Context: After I told them, they yelled at me.

Response: Hello, and thank you for your question. I am very sorry that this was your experience with your family. I truly wish I could give you some things to say to them that would change their reaction, but unfortunately I can't do that. Their acceptance of you is a journey, just like coming out is a journey for you. Sometimes families initially respond this way, but after time they become more accepting and even supportive. Unfortunately, there is no way to know for sure if that will happen. So, here are a few things I would suggest:Surround yourself with people and things that remind you that you really are okay as you are. That won't take the place of your family's acceptance, and I won't even pretend that it would, but it may help during those days when it hurts the most. And that is really important. Patience is not something that many of us are really good at, but this type of situation sometimes forces you to have some. When families first learn something like this, they may go through a period of shock. And then sometimes even grieving. They may even be worried if they are of a particular religion where being bisexual is forbidden. These things can take time for them to reconcile, so it may just take some patience. If it is safe for you, try to talk to them, but if it becomes painful or hurtful then you have the right to walk away. I do recommend setting up some personal boundaries for yourself, and perhaps learn some assertiveness skills if you feel you struggle with them. The reason I feel that this is important is that people sometimes take a lot of abuse from family members and friends in times like you're describing. They may want to be accepted so much that they put themselves in hurtful positions over and over again hoping that their families will come around. They may, or they may not. And if they don't, you deserve to live a life free of abuse and to feel confident and assured of who you are. To be surrounded by folks who remind you of that. If you start seeing this pattern and you are struggling, chatting with counselor may be a great idea. I am bias probably, but I think chatting with a counselor is ALWAYS a good idea. :) Hope this helps. Be well. Be you. Robin J. Landwehr, DBH, LPC, NCC


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

Response: A mediated safe talk session between. You and your sister.Then, you and your husband have a mediated safe talk.  So both hear what you feel in the respective relationships. Possibly the last step is a mediated  safe talk with sister, husband and youcoversation, in the future.


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

Response: What is going on in your life that brings up more sensitivity to the affair?The best way of handling your hurt is by noticing your own feelings and the current circumstances that increase your sense of pain.Concentrate on your own life and making your life the best it can be.


Context:
Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me.

He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard.  I want to end this relationship, but I don't feel like I can. How can I let go?

Response: First decide what you truly would like in the current relationship. Understand your reasons for staying in the relationship.Three years is a substantial amount of time to be involved with someone.   Whatever attachment you feel toward this man is deep and complex.Instead of deciding to leave or not leave, change your question to figuring out your satisfactions and dissatisfaction with the man. Also important is to tell the man your feelings.Whatever problem you are feeling may become clarified by discussing what bothers you.At the very least, you will give the guy a chance to show how interested he actually is in the tension you currently feel and have felt for a while.


Context: I am going through a divorce. He is extremely angry. He refuses to physically assist me with our teenager daughter. I have no extended family support. Often times, I feel overwhelmed, tired, and joyless. I feel out of control, sad and depressed on a daily basis. I am just going through the motions of life every day. I am in my mid-50s. I have almost 29 years on my job. How can I handle this?

Response: Going through a divorce is often a very low point for the people involved.Are you surprised that your soon to be ex doesn't help with your teenage daughter?Usually patterns and dynamics in parenting are not  sudden developments.Is it possible that what you're feeling now is more intensity to the stress of parenting by yourself, not that this is a sudden problem?This is relevant because you may be more familiar and more capable than you're giving yourself credit.  The lack of emotional support is definitely stressful.Your parenting skills may still be at the level at which they were prior to the divorce.Take your emotional weariness seriously and reflect on the various ways of stress relief which are available and interest you.Give yourself extra time to rest, nurture yourself and be flexible in finding what feels right for stabilizing yourself.Since you talk about your daughter and help in physical ways, if it is a matter of strength that you need, talk with your attorney so that the child custody agreement includes whatever is physically necessary in the way of strength, in taking care of your daughter.The Courts are very good at making effort that the custody agreement offers proper care to the kids.


Context: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.

Response: Its hard to answer this question based on the information presented but I shall give it a go, Is it possible that your daughter is afraid of failing, I've seen many children and kids who get stressed out over grades or performance in sports, can you tell me "what was your grade in fourth grade English? Or what was the score of the 7th game you played in football when you were a junior? Much of what happens to us is insignificant and we worry over things which really , in the long term don't matter much to us. But ask yourself this question, Is your daughters reaction to what is going grossly out of proportion with what would normally be expected, if the answer is yes, a visit to a psychotherapist might not be a bad idea to learn some coping skills and to alter our reaction to life.


Context: I believe my partner has a masturbation and porn problem. He masturbates daily, even when I am lying in bed sleeping beside him. We have sex once a week. He is rough and worries about his needs. He never touches me, and treats me like a porn star, wanting to finish on my face or chest.

Response: It sounds like your in quite a rough place, my recommendation just based on what you type might warrant a visit to a psychotherapist to resolve what may be going on, I am not entirely sure but it sounds like he might have a bit of a sex addiction problem. One thing you need to ask yourself is "Am I happy?", "Do I feel loved?", these are deep questions, but the answers to those questions will give you a direction to travel in.


Context: My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life.

Response: One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts.  Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy.  If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process.  You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo manejar mi ansiedad y depresión para sentirme normal otra vez?Mi motivación se ha ido. Es difícil salir de la cama.  No sé qué hacer.  Soy Miserable.  Mi ansiedad y depresión han tomado el control de mi vida.Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal.  Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte.  Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar.  También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico.


Context: I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.

Response: One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts.  Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy.  If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process.  You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo controlar mi ansiedad?Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal.  Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte.  Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar.  También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico.


Context: My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life.

Response: Anxiety and Depression are challenging experiences to live with and to manage on a daily basis. I would say that both are challenges to overcome but solutions to living healthy and well exist. Step 1: Talk about it. With friends, family, partners, counselors, and other trusted people in your life. Step 2: Create a plan with a counselor to learn new skills that help you recognize and manage your symptoms. Step 3: Don't give up. Working on yourself can be difficult and hard at the beginning. Stick with it and you will be able to find exercises, tools, and resources that help you live well.


Context: We've been dating for two months now. I have a heavy past that gets him angry. Does he have a right to penalize me for things I did before I met him?

Response: How is he penalizing you?Have you asked for his reasons for wanting to know about your heavy past?His answers may be very different than that he would like penalizing you.What you can do is explain how pressured you feel by his questions.Ideally, the two of you will become much closer by talking openly about your respective discomforts and wishes from the other.


Context: I am a young adult, and I was sexually assaulted by an older man when I was a teenager (which has really intensified the guilt/shame). However, I've been attracted to much older men since I was even younger than that.

Response: Sometimes the reason for being attracted to older men is because of growing up with a father who was distant.If you grew up having enough interaction with your dad to know you'd have liked more and didn't receive this, then maybe your longings of childhood are still active within you.It is ok to like older men.Just be sure you're not idealizing them, or anyone else.Because regardless of age, a relationship is based on who the two people really are, not how we'd like imagining them.


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

Response: Emotional pain is different from physical pain that way, isn't it? Even many years later, an old wound can be ripped open again by a small trigger.You were betrayed by two people close to you. That's a complex injury. I don't know whether you're still in the marriage or not, or whether your sister is still in your life. Perhaps not, as your contact with her seems to be through watching her facebook activity. I'm curious about why you're just now seeing her facebook posts again. Are you feeling more open lately to seeing how she's doing in her life? I guess if you were open to having your sister even in the periphery of your life again, you will have to figure out how to handle those triggers. If you can't, maybe consider unfollowing her or detaching from facebook for a while. So your sister is happy, or she at least appears happy. Your mind might go to some unhelpful places, like "She doesn't regret the affair" (you don't know that), "She doesn't deserve happiness" (that would be a harsh judgement), or "She doesn't care that I'm hurt" (again, there's no evidence of that). Where does your mind go? It's important to identify your worst thoughts in connection to her. When you have those worst thoughts identified, ask yourself "What evidence supports that thought as truth?" It's likely that either there's no evidence, or that the truth is so far from you that you can't know what she's feeling or thinking, which makes having those thoughts pretty futile.A therapist can help you determine what emotions are being triggered here. It doesn't help you and your happiness to carry around resentment, ill wishes, or the need for revenge. Forgiveness is not about saying that something was "okay". It's about saying "It happened. I accept that I can't change it, and I don't want to carry the emotional burden around all the time". Forgiveness is putting it down. She... (trust me this is true)...she carries her own burden of shame for what she did. For you to spend time feeling angry doesn't affect her burden. It only adds to yours. Can you find the tender emotion under your anger? You're hurt. Validate that hurt. Honour that hurt. Take care of that hurt. You can stay away from people who disregard your needs, and you have the power to forgive those who make mistakes out of their simple humanity if you want them in your life. If you continue to struggle, please seek the help of a professional who can assist you in navigating these waters. :)


Context: My husband and I are in our 40s. We’ve been married 17 years. Three weeks ago, he said he loves me but is not in love with me. He was going to leave me, but he said he thought about it and decided to stay. I don't know how to feel any more. How should I take what he said and not feel so hurt? He has been very blunt, and hurtful words just come out of his mouth. He makes me feel like I'm nothing, but I so dearly love him with everything in me. He said it wasn’t a mid-life crisis.

Response: I get it. Your husband tells you that he's not in love with you, but oops, he's changed his mind and will tolerate you for a while longer? Excuse me? My Dear, it's okay if you expect more than that from a marriage. Maybe the question has shifted from whether he is happy in the marriage to whether you are happy in the marriage. You say you love this man,  who makes you "feel like nothing". I say it might be time to sit down with an individual therapist and look objectively at your marriage and whether it's working for you.


Context: We've been dating for two months now. I have a heavy past that gets him angry. Does he have a right to penalize me for things I did before I met him?

Response: Not in my book. You're only two months in? At this early stage, this is a bit of a warning sign. If he can't accept or feel comfortable with who you are and decisions you've made, there's already a level of discomfort here that shouldn't be ignored. No, he doesn't have the right to penalize you or punish you ...not just for past things...not for anything. What he does get to do it tell you how it affects him. Sure...if he feels uncomfortable or needs reassurance...listen to those things. But If he doesn't dig who you are, maybe he can walk the other way.


Context: I believe my partner has a masturbation and porn problem. He masturbates daily, even when I am lying in bed sleeping beside him. We have sex once a week. He is rough and worries about his needs. He never touches me, and treats me like a porn star, wanting to finish on my face or chest.

Response: There is a lot of information out there right now about how porn is harmful...to a person's brain chemistry, to a relationship and one's ability to love, and to how men see women and sex in general. Your partner demonstrates a clear disregard for your needs. There is evidence, as you suggest, that there is addiction here. I recommend seeing a therapist who can help you sort out where to go from here.


Context: I have a bad habit of thinking and worrying about what others may think of me. I really want to stop it and enjoy things.

Response: Thinking about what others think of us is a natural tendency. Human beings are social creatures and rely on feedback from the outside world of people, places, and things to let us know more about ourselves. We also have an inner voice, dialogue, conscience, etc. that helps us to determine the path for us. Often, when someone is worried about the external feedback, and focuses on this as the sole source of information, it can create a dependency that can become problematic. Balance is key to so many things in life. Your own voice is powerful and has strength to provide you the enjoyment you seek. Don't discount it and rely only on the voices of others.


Context: I'm a teenager, and I just got my first job. I am a month and a half in. Yesterday, my boss pushed me to the point where I had to go to the restroom and cry. She didn't see me, and I'm glad, but when I went to talk to her about it today, I let a tear or two come out. I hate it. I feel like they're not going to keep me anymore.

Response: Getting your first job is an exciting, terrifying, and challenging experience. It is something you will remember for a long time and it shapes how you begin to think about yourself as a worker. You are literally "learning as you go" in this completely new environment. You are going to make mistakes. You are not going to get it right the first time. It can be even more challenging if you are having a difficult time building relationships that are supportive at work. A couple of things to remember here: 1) You are there to do a job and you are getting paid to do it, 2) There is a reason or reasons for you wanting to be there and do that work, 3) you know best what you need in order to be successful. These three items can be helpful to remember, especially when we feel our emotions are taking over in a place where we do not feel safe to express them fully. If you feel like your supervisor is approachable, meaning someone you could talk to because they express confidence in you, let them know you are nervous about doing a good job. Also let them know how you learn new tasks, information, or expectations so they can deliver the message in a way that you understand. Becoming a successful worker doesn't happen overnight, but each day you can identify what works for you and what doesn't by communicating with your work team, the easier it will be for you. We all had a first job once, and were all worried about doing well. Hang in there, and call a counselor if you need more help.


Context: My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life.

Response: It is challenging to maintain motivation at all times, anxiety and depression can set in which can make interacting with others a  struggle, it can lead us to do things that make us not feel good and we become isolated.  This ends up feeding into a cycle that maintains the anxiety/depression loop  and can be really challenging to step out of it.  You are in a place of awareness and this is the first step in making changes that can help you feel better.  It is really one step at a time, a concrete plan, with self-compassion to build the solid ground you need to come out of this. http://www.empoweryou2.com


Context: I live a normal life. I have tons of friends and family, but I feel lonely.

Response: This may be happening because you and the others are not connected to each other on a level which reaches your emotions.Loneliness may show the absence of feeling a variety of emotions when you are among others.How many friends you have doesn't affect whether you and someone else feel emotionally engaged with one another.Consider if you feel like concentrating your friendship on more intensively sharing your feelings with a few of your friends.This may lead to fewer friends who are also more meaningful to you and your feeling a decrease of loneliness.


Context: I have twin toddlers. I experienced a death of loved one prior to giving birth. I had a horrible break up with the father. People told him he was using me for money. My ex-boyfriend had extreme meltdowns every day for three years. I’m always alone with no friends.

Response: First, let me say that you are a survivor and a warrior. Managing 1 child by yourself is difficult, but twins is a whole different ballgame. Anxiety can affect us at any time anywhere. This is the challenge, especially when we have so many things to manage each day. There are several methods and practices that help manage and even reduce symptoms of anxiety. It will depend on what works best for you. Talk with friends, a counselor, or a loved one who can offer you support and feedback as you navigate this process of learning what works for you. When all else fails; make sure you are in a safe place, pause for a deep, cleansing breath in, a long exhale out, and ask yourself, "What do I want in this moment?" Now you can begin again.


Context: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.

Response: Watching children go through challenges in their lives is difficult. On a very basic level, There exists a primal need to protect them from harm. The hard part for parents is letting them feel those challenges and working through them as they get older. At some point, there is a moment that occurs when the role as a parent shifts. Children no longer need the basics (food, shelter. water, safety) as much as when they were toddlers, but rather, their needs shift to wanting more support, encouragement, advice, and room to make mistakes. This is where the ability to communicate with them, letting them direct the sails to gather the wind needed to move, is so important. Keep the lines of communication open and be available to give feedback when they ask for it.


Context: I often get the feeling that I'm being watched, like video cameras are hidden wherever I am, even at home. I feel like people can see all that I do and are reading my thoughts. Things I read or hear on the radio seem to be about (or meant for) me, and people are talking about me when they whisper.

Response: It sounds like you are feeling pretty overwhelmed with worry about being continuously monitored, with no privacy even in your own mind, and as if people are constantly saying things about you in whispers on in the media. It's hard to say from a post online what is at the root of this experience, but you may be able to get insight into that, as well as develop ways of coping with the distress of feeling this way, with the help of a good therapist. There is no pill or technique that can guarantee that this experience will go away, though it might, however, there are things that you can do so that you can understand it better and so that it does not have such an impact on your ability to lead a satisfy life.


Context: I have absolutely nothing to do with my life but lay in bed on my phone or hangout with my one friend. I don't have a job, my family doesn't include me in anything, and I don't have many friends. I have nothing to do besides go on my phone. I miss talking to people in person instead of online. I don't even talk to my family in person even from the other room.

Response: It sounds like you are feeling pretty stuck, lonely, and hopeless; like you have a desire to be more connected to people and to find purpose in life, but are not sure what to do. I am glad to hear that you have at least one friend and I think it is great that you are reaching out for more connection. If you can, working with a therapist who is competent in treating depression may be a huge benefit to you and help you to regain a sense of meaning, motivation, and connection. Additionally, anything you can do to give yourself a little break from the feeling of pointlessness and any ruminating thoughts you may be having may be of help. I know it may sound pointless in the moment, and you may feel a great deal of inertia in doing so, but you may find that if you force yourself to do something small that is pleasurable, like taking a walk for example, there's a good chance you will be glad that you did so after the fact. Thank you for reaching out.


Context: I sleep a lot. Music changes my mood. I cry every Wednesday. My mind is like a maze that even I get lost in. I don't usually feel my true emotions, but instead, I get fake mirrored ones.

Response: What happens in your life on Wednesdays that you feel like crying?   Crying is natural.  Crying on Wednesdays may also be natural if some type of regular event or situation comes up for you then that you don't like, feel oppressed by and have no way of avoiding.Maybe you would qualify for a diagnosis for depression.This matters less than what you will do with a diagnosis.  Very often people feel some type of relief from hearing a professional tell them what they "have".Don't let yourself get talked into taking pills because now you "have something".  Pills change your mood.Only you can change your life.The diagnosis matters so the therapist gets paid from insurance.It is a good sign that you know whether you feel true emotions or fake ones.  This is a clear sign of knowing about yourself.Your mind feeling like a "maze" is a little too vague to know if you mean there are too many thoughts at once so that you have difficulty knowing which ones to examine first, or if "maze" means you don't know what your thoughts are and  feel lost for this reason.Depression which is addressed by a person can become quite liberating because you will remove what bothers you so much in your life that it weighs you down and depresses you.


Context: I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.

Response: Depending on your relationship with your parents, inviting them to have a conversation might be a good first step.  If they consent then you can have the opportunity to discuss your concerns with them.  Inviting someone to a conversation and getting their agreement is a great first step. I would then make sure your location of the discussion is conducive to the conversation and once all that is considered it might be beneficial that you make a list of your concerns prior to the meeting.  this can help keep you on point.


Context: My husband and I are separated. He says he needs some time apart. He says he needs to get back the “in love” part of a relationship but doesn’t want to lose me. Should I wait or start over new?

Response: It's not uncommon for relationships to go cold over time. It is a matter of one or the other becoming complacent. If you and your husband have been together for quite some time it's likely that you are very comfortable and familiar with each other. While this is a good thing in some ways, it can also become boring and you run the risk of losing that "in love" feeling he is referring to. Couples simply become ambivalent. For some of the couples I work with in my practice, I find that helping to organize a time apart, which I call a "Therapeutic Separation" can do wonders for the relationship. I offer homework to be done during this time. Reading, worksheets and individual counseling helps people learn more about themselves and what they desire out of their relationship. It often times brings more appreciation for their partners. When the pair comes back together, we are able to push the reset button and begin a new chapter that is more fulfilling and exciting than before.


Context: I'm a teenager, and I just got my first job. I am a month and a half in. Yesterday, my boss pushed me to the point where I had to go to the restroom and cry. She didn't see me, and I'm glad, but when I went to talk to her about it today, I let a tear or two come out. I hate it. I feel like they're not going to keep me anymore.

Response: How sad for you!I'm sorry your first job is turning into a place of tension.Did the matter between you and your boss get resolved?Do you feel respected by your boss and does she listen to your point of view, even if afterwards, she disagrees?Keep an open mind over the next several weeks or few months on how you feel in your new work situation.Expect to be treated fairly and reasonably.If this is not the way you feel most of the time, then consider finding a new place to work.


Context: When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.

Response: I agree with your observation about your daughter feeling stressed.  Are you able to open this topic in conversation with her?Also, reflect on your own expectations as a parent.  It is possible that your daughter is trying to please you by getting consistently high grades.If your daughter prefers talking in confidence to a therapist, then this may help her regain a sense of balance in her life so that schoolwork feels less stressful.I wouldn't take her to a doctor because based on what you write, the problem is psychological and emotionally based.  While the stress may have physical symptoms, addressing the root cause of the problem has nothing to do directly with something being physically wrong with your daughter.Unless there is some other medical or physical problem that would explain your daughter's sense of stress,  I'd start first by bringing your areas of concern to your daughter, then possibly to a therapist.


Context: I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.

Response: I am so sorry you are struggling!  I do think it's a good idea to share your feelings with your parents and perhaps get some help connecting with a counselor or therapist if you feel that might help.  There are lots of ways to tell them, depending on your relationship.  Maybe saying "I wanted to tell you guys something.. sometimes I worry that I might be depressed." Or, some folks will write a letter, or even send a text.  The most important thing is that you tell someone you trust so you don't feel so miserable. I hope this helps.  Best of luck.


Context:
I'm transgender, I know I am, but I've only told a few friends. I know I can't tell my family because of previous conversations we've had. They just wouldn't accept it.
My gender dysphoria is getting really difficult to deal with on my own. I need some strategies for dealing with it. What should I do?

Response: Hi! I am so glad you're reaching out!  Sounds like you have some solid support in some areas of your life but are still dealing with some difficult dysphoria.  I think it can depend on what kind of dysphoria you have - sometimes it's physical, social or mental.  Sometimes physical dysphoria means less time around mirrors or plans to make showering less stressful (music, audio books, distraction).  Sometimes online support networks can be a great source of ideas in this way (for social and mental dysphoria as well).  Some of my clients do things that help them feel better in their bodies that don't require anyone to know (hair removal, binders, packing, hormones,) and other things.  I recommend stopping by a website called Conversations with a Gender Therapist. There are some awesome videos there that might help you!  I hope this helps some!  Don't forget to try to connect with other trans folks (even online) - it can be a great relief to know you're not alone in how you're feeling! Best of luck!!


Context: I am on the track and softball team. My school is small, so I play all four sports it offers. I feel obligated to do track because I'm not a horrible runner, and my dad wants me to. The catch is is that the days before a track meet and the morning of, I get sick and cry.

Response: It sounds like you are no longer committed to track emotionally.  It can be hard to talk to your dad about this, but he may think you love track and may not know you are getting so upset the days of meets.  An idea would be to first write a letter to your dad to see what feelings come out and then preparing to speak with him.  I think he will appreciate your honesty and maybe this conversation will bring you relief and also time to find something you really will enjoy.


Context: My boyfriend and I have been going out for about a year. I suddenly find myself jealous when I see him talking to other girls. I have never been this way before. I don't like these feelings. He said that my jealousy would cause our relationship to have problems. I told him I can't help these feelings. I don't know where they are coming from, but this is how I feel, I tried to stop, but I can't. I really like this guy, but I'm afraid that I'm messing up the relationship. It's just stupid.

Response: Trust is at the top of what makes a healthy relationship.  It sounds like you may benefit from personal counseling to explore where this jealousy comes from and what keeps you from having complete trust in your boyfriend.  This is not stupid, this is your mind telling you that there is something that needs to be worked through.  Sometimes we need to talk to someone like a counselor who is disconnected from our life to understand our feelings and what they mean in our relationships.


Context: I'm socially awkward. I've always want to be popular. I've had the opportunity to be popular, but every time I get i,t I'm too scared. All I have to do is talk the popular people. They're really nice to me, but I'm too scared of change. I really want to work up the courage to lose my fear.

Response: Change can be uncomfortable, but sometimes those uncomfortable moments are the opportunity for us to be the person we feel we really are.  It sounds like you like to spend the time in your head anticipating the worst, why not be in the present and encourage yourself that you can talk to people and it will be okay.  By telling yourself it will not be okay, or that it will go wrong you are hurting your confidence to do what you want.  Give yourself some credit for being awesome and tell yourself you can build new friendships...it may be the motivation you need to move past this fear.


Context: In middle school and high school, my friends and family thought I was gay. I tried telling them, but they wouldn’t believe me. It almost feels like they wanted me to be. Now I’m actually starting to believe them. I know I wasn’t back then, and now I’m not sure anymore.

Response: Use this time to explore who you are...imagine what your life would be like if you were gay and not, ask yourself what is different? What scenario do you find yourself gravitating to?  What is important is that you are happy. My message to you is that you do not need to define yourself with your sexual preference or feel the need to label yourself, especially if you are confused and exploring what your sexual preference is.


Context: He is an adolescent. He has peed his pant multiple times over the last few years, all at times when he is too wrapped up in a video game or video. We have taken away games and videos for long periods of time as punishment, but after a few months of having then back, he pees his pants again.

Response: From a behavioral standpoint you should refrain from punishing your son.  Instead of utilizing punishment when he wets himself provide contingencies prior to any accidents.  Sit down with your son and discuss the importance of utilizing the bathroom and responsibilities and inform him that if he chooses to wet his pants that his video games will not be available for use for him the next day(or your designated realistic time frame).  This way if an accident occurs, no heated words have to be exchanged because you have already laid the ground work.  Also allow him to clean up himself.  Gather cleaning supplies and and oversee cleaning operations without ridicule or negative feedback.  Since you have stated that you have an adolescent who is experiencing enuresis, you may want to check with your PCP and a licensed professional for underlying diagnosis that can be treated.   You can also call a local behavioral analyst.


Context: He is an adolescent. He has peed his pant multiple times over the last few years, all at times when he is too wrapped up in a video game or video. We have taken away games and videos for long periods of time as punishment, but after a few months of having then back, he pees his pants again.

Response: Sounds as though your son is "pissed off" about something.Punishment will most likely result in more of the same, not less of the peeing you would like to stop from happening."Laziness" is more of a social judgement than it is a characteristic of its own merit.Is this your description of your son or his description of himself?First step always before addressing any of the family dynamics, emotions, and psychology of the people involved, is a medical rule out as to why your son pees at times he plays video games.If he has medical clearance that there is no physiological  problem, then talk with your son on his opinions as to why he pees, if he is aware of the urge to pee and ignores it, or that his attention gets so absorbed he doesn't notice the urge to pee.See what modifications you can create by cooperating with your son.Maybe it is as simple as each two hours, he sets a timer and when it goes off, he takes a bathroom break.


Context: I am on the track and softball team. My school is small, so I play all four sports it offers. I feel obligated to do track because I'm not a horrible runner, and my dad wants me to. The catch is is that the days before a track meet and the morning of, I get sick and cry.

Response: Does anyone notice that you get sick and cry on track meet days?Have you told anyone?From what you write, as much as you would like to please your school and dad, something within you doesn't quite want to fully follow through.Step one in life always is to know what you want and what your limits are.   It already is difficult to avoid listening to your body.Try understanding what is difficult in telling your father that you'd like doing as he wishes, only are not able to do so because you are emotionally and physically distraught on the days you have track.After finishing the season for this year with your school's track team, then expect to concentrate on taking care of your own need to not do track.Hopefully your father will understand and care about your problem.   If he does not and track is more important than your well being, then you have a different problem entirely.


Context: I don't speak up if I'm uncomfortable and hardly ever make plans for us when we hang out. He is a very open and straightforward person, so he is getting upset with me for my lack of proper communication. We've been together two years and have identified this as our main problem. Arguments have arised from this single issue many times.

Response: Do you know what you're afraid may happen if you do speak up?Usually people don't talk freely because they feel afraid to do so.  Sometimes the fear of being rejected by the other, of being criticized or judged by the other person, or that what you will say stirs anger in the other person.If you are able to know what your particular reason is for not talking, then maybe you and your partner can talk about what makes talking easy or hard.Also, since speaking up is new for you, then ask your partner to be patient while you learn to do so.  Everyone does better at learning new skills when they feel supported and welcomed.


Context:
I'm transgender, I know I am, but I've only told a few friends. I know I can't tell my family because of previous conversations we've had. They just wouldn't accept it.
My gender dysphoria is getting really difficult to deal with on my own. I need some strategies for dealing with it. What should I do?

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


Context: I'm having problems shutting them out and putting up walls.

Response: It sounds like you would like to let other people get close to you and at the same time you are finding yourself compelled to keep people at a distance. Often times, when we have difficulty trusting others, it is because we have specific fears about what would happen if we get close or let our guard down. Such fears may be rooted in past experiences in relationships in which we were hurt and or disappointed. In working with a therapist, you can gain insight into what is underneath your compulsion to put walls around yourself and develop ways to form authentic, lasting, satisfying relationships with others.


Context: I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.

Response: You are not alone, many people fear opening up to family members about the topic of depression or mental illness. There are many different reason why some may fear telling their parents. The most common thoughts I hear in my office are: " My parents won't understand me", I may cause more problems to the family", "I am worried that something bad may happen if I tell them". If possible express your current concerns and worries to your parents. You can start the conversation with your parents by saying "I have not been feeling like myself lately, and I may want to see a counselor". I think you are doing the right thing by going on this website and asking for help. Just a helpful tip: positive self-talk can be beneficial before having difficult conversations with others. For example, tell yourself something positive before talking to your parents such as "I feel confident in myself, and I am doing this to overcome my fear of talking to my parents" can help to decrease the anxiety you are feeling leading up to the conversation. I would recommend if you are feeling depressed or down it would be beneficial to seek counseling to understand your current thoughts and behaviors. Best of luck and hope you decide to start counseling.


Context: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help?

Response: Thank you for asking this important question. I find that there are three steps to getting ready for treatment. Step one is expressing interest in wanting to receiving treatment for the outcome of positive behavioral change. Congratulations you did the first step! You are showing your readiness to start counseling by asking this question. Now the second step is to find a counselor who specializes in treating clients with Anxiety and Depression. The therapeutic orientations I have found to be helpful in treating clients with  Anxiety and Depression are a combination of Cognitive Behavioral Therapy with Mindfulness, and Solution Focused Brief Therapy. Receiving meditation for your symptoms if part of the treatment, and the other part is receiving counseling to increase your resilience for future events. Research has found that medication and psychotherapy treatments together shows the most effective outcome for Depression.  The third step is to increase your positive self-talk to motivate yourself to attend treatment. As counselors, we are aware of the anxieties and fears that are associated with talking to a new professional for the first time. However, remind yourself that you are doing this to improve your well being. I hope this was helpful, and good luck with your treatment journey.


Context: I feel like I am not at a good state of mind. I'm very unsettled in my soul. I'm not happy with myself or the decisions I make, which makes me not happy with anyone else. I feel like a failure most of my days. I don't feel like I'm good at anything anymore. I feel like less of a person.

Response: It seems like you may be experiencing depression symptoms, they could be the triggered by unexpected life changes, or building up throughout time.The important part is that you have identified them and wanting to change them.  The first step is to establish a self-care routine that will help you to feel centered and motivated: go for walks, or make any physical activity that you enjoy ( be kind to yourself, anything helps at this point), eat balanced, add whole grains and fibers to your diet, make a point to rest at night and avoid naps, practice a hobby that you love, or look for a new one that you are curious about. You mentioned that you feel unsettled in your soul: explore your spirituality, meditate about what makes your soul at peace, and find ways to practice that or surround yourself by those activities.If you find it difficult to begin, talk to your therapist to identify roadblocks and ways to find motivation. Suicidal and homicidal thoughts are common but serious depression symptoms, discuss them with your therapist, contact your doctor or psychiatrist, and call 9-1-1 if its and emergency.Once you feel stable, you can focus on exploring the source of the problem and see if you need to make changes or learn coping skills that will help you manage it.  It will also be a good time to explore your spirituality and your purpose in life, that may help you to feel better with yourself and then happier around others.¿Cómo puedo volver a ser la persona que realmente soy?Siento que mi mente no está bien.  My espíritu está intranquilo.  No me siento feliz con las decisiones que tomo, lo cual me hace infeliz con los demás. Me siento como un fracaso la mayoría del tiempo.  Siento que ya no soy bueno para nada. Siento que soy menos que los demás.Al parecer estas experimentando síntomas de depresión, la cual puede ser causada por cambios recientes en tu vida o estarse acumulando a través del tiempo.Lo importante en este momento es que tú reconoces los síntomas y estas buscando cambiar la situación.  El primer paso sería trabajar en restablecer una rutina de cuidado personal que te ayude a sentirte emocionalmente estable y motivado: Sal a caminar o hacer alguna actividad física(ten compasión contigo mismo, cualquier cosa funciona para comenzar), comienza a comer balanceado, especialmente granos y fibras integrales, , procura descansar en las noches y evita las siestas, y practica algún tipo de actividad que hayas disfrutado en el pasado o que te de curiosidad.  Mencionaste que tu espíritu esta intranquilo, explora tu espiritualidad, y que te ayudaría a encontrar la paz, busca la manera de hacer esa práctica una rutina.Si te cuesta mucho trabajo iniciar estas actividades, será bueno buscar a un consejero para que te ayude a identificar formas de estar motivado o obstáculos que te estén deteniendo.  Es común tener pensamientos que atentan en contra de tu vida o la de otros, discútelos con tu terapeuta, con tu medico primario o psiquiatra, y llama al 9-1-1 si es una emergencia.  Ya que consigas estabilidad, puedes comenzar a trabajar o explorar la causa del problema y ver si hay cambios mayores que debes hacer o destrezas que debes aprender para manejar el mismo. También es un buen momento para explorar tu espiritualidad mas profundamente y tu propósito en la vida, cuando encontramos un propósito y como ejercerlo, tendemos a ser más felices con nosotros mismos y con los demás.


Context: I have four children. One of them is in her 20s, and she cannot afford to go, nor can I pay for her. She went last year for two weeks by herself.

Response: Of what do you feel you'd be guilty?Family vacations are not a basic human right to existence.  They are fun, ideally.  You're not violating a basic human right.  You wrote that you don't have enough money to pay for her to come along.You may find yourself feeling more guilty toward yourself if you give more than you reasonably can afford to give.My suggestion is to tell your daughter your reason for not taking her along. Maybe this will open more dialogue between the two of you.


Context: I'm in my mid-twenties now, and my boyfriend of seven years and I want to start a life. My mother is 100% codependent on me and is extremely manipulative. She suffers from type 1 diabetes, which she uses to guilt me if I ever leave her. The problem is that I will feel guilty.

Response: Focus more on your own life and less on the very heavy descriptors you wrote to describe your mom.All the words you wrote represent psychological conditions which are either lifelong or take a lot of motivation and effort to change.Since the only person who can change how your mom handles her life, is your mom, and you are the only one who can do the same for yourself, devote more energy and time to living your own life fully, despite the emotions you feel regarding her.


Context: It's especially bad at night time. I am scared of sleeping alone.

Response: Being able to know you feel anxiety and write about it, is the first step to addressing and handling it!Generally, anxiety is deep fear of not being able to handle what comes up in life.  Somehow the person was insufficiently nurtured and so felt  insecure when very young.Usually the person had to fend on at least a psychological and emotional level for themselves before reaching an age when doing so would have been reasonable.Their inner feeling of overwhelmed from when very young, hasn't faced the reality that the grown person is now capable, even if this takes some practice. Try asking yourself what you are afraid of and theorize how you would handle these situations as a grown person.Also, sometimes anxiety comes from feeling lonely.  This loneliness is reminiscent of the loneliness that the grown person now, felt when being left to take care of situations as a child which were too difficult and complex for any child to address.


Context: I'm in college currently, so I am not a direct victim anymore. My father is very abusive with his words and actions, and my siblings are getting treated horribly.

Response: Yes you can help!  Emotional and verbal abuse can cause a negative impact in your family.  It is important that you encourage your siblings to seek assistance with a therapist, and maybe help them find one, they should have school counselors available and if not our college counselor may help you to get referrals.  It’s also a good idea to talk to your mom about the issue and ask her if she would like help as well.  If you are concerned about your siblings' safety, contact Family Protective Services in your state, they will investigate and refer your father to classes or therapy as needed. It takes courage to do the right thing, you can do this!¿Hay algo que pueda hacer para ayudar a mis hermanos a escapar de nuestro emocionalmente abusivo padre?Actualmente estoy en la universidad, así que no soy victima directamente.  Mi padre es muy abusivo con sus palabras y acciones, y trata a mis hermanos horriblemente.¡Tu si puedes ayudar!  El abuso emocional y verbal puede causar daños graves en la familia.  Es importante que motives a tus hermanos a visitar e incluso encontrar a un terapista, la escuela debe tener uno disponible, y también puedes pedirle referidos a tu Consejero universitario.  También es buena idea que hables con tu mama al respecto y le preguntes si a ella le gustaría buscar ayuda.  Si te preocupa la seguridad de tus hermanos, contacta a el Departamento de Protección a la Familia en tu estado para reportar el abuso.  Ellos investigaran y determinaran si el hogar es un ambiente seguro par tus hermanos y recomendaran terapia o clases para tu papa.  Hay que ser valiente para hacer lo correcto, ¡tú puedes hacerlo!


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

Response: First thing that you must realize is that most people only post the "best parts" of their lives on Facebook, some people even go so far as to make their lives seem better or more interesting and post mostly false views of their life. Facebook is watered down, candied version of our life, you put on there only what you want people to see. The questions you should ask is "How have I grown from this?", Is my marriage currently in a good place? I really wish there was some form of magic that could be performed to solve peoples issues and help them sort out their emotions and troubles, however there is not, the closest we can get is by using {time and insight} to heal our wounds.


Context: I have been having horrendous nightmares this whole month.

Response: Are you facing any type of overwhelming situation in your waking life?Dreams and nightmares are the non-logical ways in which we make emotional sense of what goes on in our everyday waking world.Besides having some type of relaxing bedtime routine to set a peaceful mood for your sleep, and avoiding viewing violent films and video games as entertainment, maybe even avoiding news stories which sometimes have similar themes of violence, the content of our dreams and nightmares is out of our direct control.Your nightmares may offer useful clues as to what you're trying to resolve in your life.  Pay attention to the story of your nightmare because it reflects how you feel in waking life.If you feel helpless and silenced in your nightmare, or taken advantage of, or whatever dreadful situation goes on during your nightmare, then look for where in waking life, you may feel similar.In this way, you'll become clearer about stressors in your life that you may not have realized existed were it not for the stress of nightmares.


Context: My husband took a job out of state for the next year and seems to be a different person. Before, he worked and slept, and on off days, he'd stay home because he didn't want to do anything else. Now he's going out with friends several nights a week while I'm still home working a 50 hours a week job and taking care of two kids by myself. He's suddenly saying he misses me and wants me to be his adored wife, but the whole time, I'm remembering how I've been emotionally starving for the last five years.

Response: My first concern is you: As you stated, you have been emotionally starving for the past five years.  Please try to find time for you; to clarify your thoughts and feelings by writing, talking to a trusted friend or family member and perhaps seeing a therapist.What's really going on with your husband?  Does he discuss in detail his sudden change? Can the two of you still talk? Do you want the same things?  Before you go to couples counseling, I suggest that you get some support first to feel grounded within yourself and your life.  Make sure you are ready to hear what might come out of counseling.   I wish you the best.


Context: It's really hard to not have negative feelings about friends who don't put any effort into nourishing our relationship.

Response: Interpersonal relationship (either positive or negatives) need to or more persons who give and receive: attention, dedication, time and communication. But what makes friendships special is that they last trough time, at least with those who we call our true friends, those who know us well and whom we have a special connection and those from whom we disconnect at times, without fear of losing them.Consider what is that you are going trough yourself and with your relationship, talk to your friend about your concern; let him (her) know that you would like to spend more time together.  Plan an activity that you both enjoy or try to discover a new hobby. If your friend is not enthusiastic or engaged, give him (her) some time and focus your energy spending time with other friends or enjoying activities in solitude. After a waiting period, call again to let your friend know how you are and that you are still a friend.   If you continue feeling rejected, analyze why you value this relationship so much and consider if it’s worth to maintain it.Mis amigos no ponen esfuerzo en nuestra relación.Es muy difícil no tenerles sentimientos negativos a amigos que no se esfuerzan en cuidar nuestra relación.Las relaciones interpersonales (negativas positivas) necesitan dos o más personas que den y reciban: atención, dedicación, tiempo y comunicación.  Pero lo que tienen de especial las relaciones de amistad es que perduran a través del tiempo, al menos con los que llamamos nuestros verdaderos amigos, los que nos conocen bien y con quien tenemos una conexión especial, y de quienes nos desconectamos en ocasiones, sin miedo a perderlos. Considera que está sucediendo contigo y en tu amistad, conversa con tu amigo(a) sobre tu preocupación, déjale saber que te gustaría pasar más tiempo juntos.  Planifica alguna actividad que les interese a ambos o descubran algún nuevo interés.  Si la respuesta de tu amigo(a) no es positiva o entusiasta, dale tiempo y acércate a otras personas que compartan intereses en común, o dedícate a hacer cosas que disfrutas en solitud.  Después de un plazo,  vuelve a comunicarte para saber como esta, y dejarle su amigo(a) de siempre está ahí. Si sientes que tu amigo(a) no tiene ningún interés, buscar hacer nuevas conexiones, y enfócate más en ti y en otras actividades.  Si tu amigo(a) no responde, analiza porque valoras esta relación, y si conviene mantenerla, aun cuando tu amigo(a) no responde a tus esfuerzos.


Context: My boyfriend of eight years and father of our two children is a truck driver. He is never home and only contributes to our family financially. There is no other support given. He comes home when able, sleeps, gives money, and leaves again. I can't get him to do anything with me or the kids. He just sleeps and works.

Response: After eight years and two children’s, people change.  I suggest to talk to him about how you feel, let him know that although he is gone for a long time, his presence as a husband and father are required and important.  Ask him if he will be willing to engage again and how he would like to do so.  Many times when the dads are away, moms design a perfect routine and they feel like they will disturb it.  Make alone time and family time for him, so you can reconnect as a couple and then as a family.¿Cómo trabajo con un esposo que solo contribuye económicamente?Mi novio de ocho amos y padre de mis dos hijos es camionero. El nunca está en casa y solo contribuye financieramente. No provee apoyo en ninguna otra forma. El viene a casa cuando puede, duerme, provee dinero y se va otra vez. No puedo lograr que haga nada conmigo y los niños. Solo duerme y trabaja.Después de ocho años y dos hijos las  personas cambian.  Te sugiero que hables con tu pareja sobre cómo te dientes, déjale saber que aunque el esta fuera la mayoría del tiempo, su presencia como pareja y padre es requerida e importante. Pregúntale si el está dispuesto a comprometerse  ser parte activa de la familia y como lo haría.  Muchas veces cuando los papás están afuera las mamás desarrollan rutinas que luego ellos no quieren interrumpir.  Crea tiempo a solas para dedicarle a el para que puedan reconectar como pareja y luego como familia.