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<s>[INST] Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven. When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety. Am I crazy? I don't think these thoughts are normal. [/INST] Good questions! The paradox of thinking about forever is that you can become more motivated to live only in the present. Thinking about forever can certainly be overwhelming, it's a lot to think about, What can you do about your future? Be present - learn and relax, knowing that you are doing everything you can right here, right now. There is a book by Eckhart Tolle - The Power of Now - that you might be interested in. Enjoy your journey! </s>

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

<s>[INST] He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out. [/INST] I'm sorry for the hurt you're feeling from your husband's decision.Keep in mind that if one partner does not want to be in a relationship and remains in it, then both people will be unhappy, dissatisfied and feel stressed.Imagine being in a relationship that you'd rather leave.All the negative feelings and resentment of being with someone whom you'd rather be without, would not leave very much energy to satisfy your partner.I'm glad you realize that you feel depressed.Depression is a mood that can change once you understand what is causing it.Depression is an area that very often therapists help their patients understand, and emotionally support and encourage them during the course this takes.For now, concentrate on decreasing the tension in your life.  Your husband's indecision may very well be adding to your stress.Only he can make up his own mind.As hard as this may be, all you really can do is take care of how you feel so that you will feel better.From what you write, your husband is too unsure to offer you the love and care you'd like from him.Learning to love oneself is always worthwhile.   At this stage in your marriage, now sounds like an ideal opportunity for you to teach yourself self-love. </s>

<s>[INST] I have not been able to really sleep. I stay up all times of the night not even knowing why. Every day, I feel like I have anger inside of me. I have a little family, but I can't open up to them like I want to. I have a son, and I feel that I take my anger out on him by screaming at him. [/INST] Best question is....what are you so angry about?  You can't stop being so angry until you figure out what is the root of your anger.  If you feel like you have anger inside, while I am sure you do.  Taking it out on your son is only passing on the hurt and anger.  This will be inside him too.  Get some professional help so that you can be happy and have a happy child. </s>

<s>[INST] My husband’s ex-wife married a man who was charged with seven felony counts of pandering involving a minor. He, by his own admission, is addicted to child pornography. My step-daughters are now all teenagers. They do not know. My husband’s ex-wife has kept this information from my step-daughters. The step-father has had issues regarding his pornography addiction recently. The ex-wife minimizes it by saying that he has "repented." It is a constant strain on my husband, knowing that his girls are living with a man who is addicted to child pornography. My own therapist believes the girls should be told. The ex-wife says her therapist says the opposite. [/INST] The information from the other therapists here is sound and prudent. There are what sounds to be real legal (is this man a RSO [registered sex offender]; is he prohibited from being in proximity to minors? use/possession of child porn violates any # of state and federal statues...) and safety issues at play here. Your husband's daughters have an immediate "need to know" and this can be done developmentally-contextual, factually and in a non-shaming fashion. I would further counsel that you and your husband (his daughters welfare is at stake) seek immediate legal counsel. The ex-wife here seems to be between a "rock and a hard place" of her own creation -- she desperately needs care, treatment for herself. Resources for Your Consideration: 1) http://www.missingkids.com/home; 2) https://www.justice.gov/criminal-ceos/citizens-guide-us-federal-law-child-pornography </s>

<s>[INST] I was in a car accident and totaled my car. I gave up my job of nine years to pursue school full-time to better myself. I failed a class, and my boyfriend that I live with thinks I’m stupid and wants to break up with me. I have nowhere to go, and I feel like I’m losing everything. [/INST] When we feel overwhelmed by life situations, it is important to understand where the feeling is coming from.  Once we understand the source, it is important to normalize the situations that got us there and find balance in our lives.First, car accidents are common, and since they are accidents they are not a reflection of us.   When we have an accident we feel anxious, worried, and may have some trauma after the accidents.  If you have been experiencing anxiety since the car accident, talk to your doctor or therapist about it.  Second, a lot of people fail classes, tasks, deadlines, etc. but they don’t give up on their goal.  We have to remember that failing is part of the learning process, and having the courage to try again is what gives us determination and character.  Remind yourself what motivated you to leave your job, and the courage and determination that took to do so, then channel that energy back into school.  Third, when we have problems in our relationships, is helpful to look for ways to improve communication, discuss our concerns and how we want to resolve them, but it may be that the relationship needs to end if there isn’t enough interest in one of the parts or if there’s verbal or emotional abuse.  Consider talking to your boyfriend and set some boundaries regarding appropriate communication.At all times:  focus on being kind to yourself and improving your self-esteem: increase self-care activities, do more things that you enjoy, meditate in what gives you peace and make an effort to have more of that in your life.   At the end, you are the one in control of your life, and you determine who you become.¿Qué puedo hacer cuando siento que mi vida está fuera de control?Estuve en un accidente de auto, y fue pérdida total.  Deje mi trabajo de 9 años para completar un grado a tiempo completo.  Falle una clase, y mi novio piensa que soy estúpida, el quiere dejarme.  No tengo a donde ir y siento que lo estoy perdiendo todo.Cuando nos sentimos agobiados es importante reconocer donde estamos parados y entender de donde vienen esas emociones.  Ya que entendemos la fuente de agobio, es importante normalizar las situaciones que lo causaron, y volver a encontrar el balance en nuestra vida.Primero, los accidentes de auto son comunes, y por ser accidentes no son un reflejo de nosotros o nuestras destrezas.  Cuando experimentamos accidentes no s sentimos ansiosos, preocupados, y puede que experimentemos algún trauma.  Si sientes ansiedad, extrema preocupación habla con tu doctor o terapista al respecto.  Segundo, muchas personas fallan clases, tareas, fechas de entrega, pero no se rinden.  Tenemos que recordar que fallar es parte del proceso de aprendizaje, y tener el valor de intentarlo de nuevo, es lo que nos da determinación y carácter.   Recuerda que te impulsó a dejar tu trabajo y canaliza esa energía en la escuela.  Tercero,  cuando tenemos problemas en las relaciones, es importante comunicar nuestras preocupaciones y diferencias, pero puede ser que la relación termine si no hay interés mutuo o si hay algún tipo de abuso.   Considera hablar con tu novio y establecer límites respecto a la comunicación apropiada.En todo momento: enfócate en cuidarte a ti misma y mejorar tu autoestima, aumenta las actividades que te ayudan a sentirte bien, medita sobre lo que te paz y pasa más tiempo practicando esas actividades. </s>

<s>[INST] My husband has had issues with alcohol addiction in the past (he'd never admit to this). A while back (3 years ago), I asked him to stop drinking so much, and he agreed. I caught him one night drinking behind my back. I confronted him and he lied, but I told him I knew he was lying because I counted the beers in the fridge and four of them were missing. He admitted and apologized and promised he wouldn't do it again. Lately, my husband has been drinking on and off, but I noticed it was every single night. I didn't like this. For our New Year’s resolution, we decided we were going to limit our alcohol consumption. He was on board—no more drinking every night. The other night, I counted the beers in the fridge just to see if some were missing. It took a couple of days, but tonight, I discovered a few were missing along with a shot of vodka. He was passed out on the couch when I decided to wake him up and confront him (poor timing, but I couldn't wait). I asked him if he'd come to bed with me (when he drinks, he snores and I cannot sleep—it's a dead giveaway he's been drinking). He slurred a bit and said no. I asked if he had been drinking, but he snapped and said no. I went into our room to sleep, leaving him on the couch. I'm not sure if I'm overreacting or not. I just feel like I'm so honest with him about everything, and I expect the same honesty. He is a good husband in every other regard. [/INST] Hi Los Angeles,So your husband is giving you mixed messages. He says he's willing to cut back on the drinking, but he drinks and hides it. His behaviour is passive aggressive and immature, which puts you into this position of having to act like a disapproving parent. It sounds more like you're talking about an out-of-control teenager than your partner. Your husband's lying is sending a message. "I get to make my own decisions and you can't stop me" might be it. Underneath that, maybe it's "I want to stop but I'm ashamed that I can't and I don't want you to see my failures". Ultimately, as an adult, he gets to decide what he puts in his mouth and if you try to manage that by monitoring how many beers he has, you are pretty certain to get some fallout... pushback...backlash...  How does his drinking affect you? That's where your voice has power, rather than in counting his beers or setting him up to lie (when he's passed out, asking if he's been drinking seems confusing). You've mentioned snoring, which I guess is a legitimate complaint. If he's passing out, that's a legitimate complaint. When he drinks does he drive, act aggressively, or 'check out of' the relationship (avoid you)? All of these things are legitimate concerns, and I'd stick to talking about those rather than counting beers. My guess is he has few other ways to cope with stress, so he checks out with alcohol, and it also helps him avoid your relationship. But the problem is it makes it worse; the more he avoids you, then more you chase him with your questions.There's a conversation that would be helpful here.  It sounds like "I've tried to support you in your drinking less, and it's not working. What are your goals for alcohol and how can I support you in that more effectively?" I'd like to see you in a place where you're not micromanaging his drinking, but focusing on the things that affect you. What concrete supportive methods can you use with his agreement? Can we get the alcohol out of the house? Is he willing to seek treatment? Lay your expectations out really clearly. "I won't count your beers, but I can't tolerate lying". You have to decide what's more important; is it really the number of beers, or is it something else. What do you need to happen in order to want to remain in the marriage? What does he need? Does he let you know what isn't okay with him? He might have trouble saying these things. The drinking is only a part of the complex dynamic in your marriage. A qualified therapist can assist in pulling this apart, understanding it, and changing the way you relate to each other. </s>

<s>[INST] After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again. [/INST] The fact that you're reaching out for help here is really helpful.The first thing I would suggest is that you consider seeing a local mental health professional yourself to be able to talk about the details, how this is affecting you, and how you can hold onto you are while also being supportive to you husband.From the way that you describe this, I wonder what has changed since coming home from the hospital. Perhaps you can have a conversation with your husband this and mention that you are asking him questions to learn more about his experience and you can discuss how you notice that things were going much better when he came home from the hospital, and now things are not as good. Perhaps he can tell you about what is different so that you may know him would be most helpful to him.I also hope that you husband is still continuing with his own treatment.There may also be a local peer support telephone number for the county that you live in that they be able to help you determine whether your husband needs more immediate treatment if he is feeling hopeless again. There are national crisis telephone numbers listed below as well. </s>

<s>[INST] I feel like I hate myself physically and emotionally sometimes. How can I start accepting myself and be more confident? [/INST] This happens slowly and can be done.You already are at the first step of realizing that you hate yourself, not that the feelings of self-loathing are the best of what you're able to expect from life.A way to start building confidence is to pay close attention to the way you handle interactions and make decisions.If you start to notice what you'd like from an interaction, and afterwards, reflect on how well you handled yourself, especially with any unexpected circumstances, you'll build confidence in your ability to be good at something.Do you know why you hate yourself?This answer may help you address within yourself , a new type self talk which has more positives in it than what you've been accustomed to telling yourself. </s>

<s>[INST] I was raped a couple months ago, Since then, along with other unfortunately events that have occurred, I have been having trouble feeling emotions. It's almost as if I'm a sociopath lacking any feeling. What can I do to change this? [/INST] Sociopaths don't know they are sociopaths.Clearly, you realize you have pretty deep emotions and have lived through several severely distressing situations.Your sense of self may be protecting for a while until you recover the practical aspects of daily life and feel some sense of predictability and stability in your life.Knowing and feeling disturbing emotions which rupture basic trust that other people are safe, is itself a raw process.Yes, it is possible to become numb emotionally.   The good purpose is to protect you from additional hurt.When your inner world feels itself ready, more of your emotions from the recent distressing events will be accessible.If many months pass and you see no progress, then definitely consider a few sessions with a therapist who would be able to guide you to become more open to your feelings. </s>

<s>[INST] We've been in a long distance relationship for two and a half years. I recently saw his phone and saw the people he texts the most and one of them was a female coworker. I don't know how to approach this situation. How do I ask him about it?. [/INST] The best way to get an answer is to just ask. I would defintely let him know you are asking out of concern and not to judge or criticize. Allow him to explain his answer and see how you feel about it. Try to ask him when you both are already discussing other topics and just say, "Can I ask you something?" Earl Lewiswww.RelationshipsGoneRight.com </s>

<s>[INST] How do you know you have the right therapist for you? How would I know how to "train" my therapist to be able to give me what I need from treatment? [/INST] You know have the right therapist if:Your counselor specializes in what you are seeking help for or they have experience with treating people with similar issues.They are ethical and are able to understand your culture or religious norms.They are licensed in your state.They are able to provide you treatment that is tailored to your needs so that you can meet your goals for therapy.They are non-judgmental and can show empathy to you.They can meet you were you are in your journey of healing and understand you.The location of the office or use of technology to hold sessions is something that you are comfortable with.Recognize that a relationship with a counselor is like a relationship with any other person, sometimes you mesh well and sometimes you do not mesh well. A counselor should never take any offense if you do not feel like a good fit with the counselor, just be honest with your counselor about how you are feeling about the relationship. If you feel the need to change counselors, feel the freedom to change counselors as you will get more from therapy if you feel like you make a good team.To "train" your therapist:Be honest about your needs, expectations, barriers and about your situation.Know thyself and share that with your counselor. Create attainable goals for yourself with the help of the counselor.Set the pace that you are comfortable with.Feel comfortable to share an agenda for each session. </s>

<s>[INST] A few years ago I was making love to my wife when for no known reason I lost my erection, Now I'm In my early 30s and my problem has become more and more frequent. This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage. I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to. What could be causing this, and what can I do about it? [/INST] For starters, know that this is a normal experience for many men at some point in their lives. While this can certainly cause some embarrassment, a diminished sexual esteem or relationship problems, it is important to know you are not alone. I am going to move forward assuming that you have already checked with a medical professional to rule out any medical problems that may be related to this. Assuming that is the case, for most this happens for two primary reasons. It is either a short term biological shortage of blood flow to the penis. This can be caused my diet, lack of exercise, even stress. Another primary reason for loss of erections are anxiety. Have their been recent relationship issues? Are you feeling as though you aren't satisfied in the bedroom? These are just a few aspects that can cause subconscious anxiety and loss of erection. My suggestion to you would be to seek out a counselor that specializes in sexuality that can assist you in moving forward with this.  Best of Luck! </s>

<s>[INST] When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal. [/INST] children and adolescents who have a desire to achieve high grade point averages often have the symptoms you are describing. It sounds like, your gut is telling you to help her find ways to de-stress. Listen to your gut-always; as her mom, you know her needs better than anyone else. She would probably benefit from seeing a therapist to help her deal with the stress of being a high achiever. I provided the following suggestion to another parent with a similar concern: First identify the three most stressful aspects of the day. Do this by creating a circle on a regular size paper. (do this three times); ask your daughter how much of that circle can she confidently say she has under control. shade that in. The remaining parts of the circle are then named by intensity. (for example, in the circle labeled school anxiety, the client identified that she felt she could handle school anxiety 1 out of 4 days. The circle was split into 1/4. 1/4 of the circle was shaded . the remaining parts were labeled with the challenges that caused the client school anxiety.(these were 1. walking to class during passing time. 2. not having the assignments completed or at all. 3. feeling fat. after labeling each part; and making note of the percentage of the stress associated with each concern, free form thinking takes place and a pile of unwanted behaviors and genetic responses are portrayed  around the circle in bright colors. Using note cards, create a tree of concern; the concerns can be written on note cards. a concern = the behavior that leads to more trouble.  For example, "all i could do was think about that extra slice of pizza, I was unable to concentrate on the teacher's explanation of the assignment" (the concern you would write on the note card is Inability to concentrate. Now, fill up the back of the notecard with all of the different factors causing this pattern. nack. ( </s>

<s>[INST] I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow. [/INST] Understandably the idea of someone who tries to control you, is good reason to feel sad.Your feelings sound like they are very strong and meaningful in your life.Keep in mind that your feelings about others has more to do with one's own self-view than with what the other person is actually doing.Unless the people in your family are actually interrupting and impeding your life in practical ways or by intimidation or other verbal ways to inhibit you, then there is a great chance your feelings of being controlled by other family members has more to do with your fears to be who you are than with any family members' actions. </s>

<s>[INST] My brother just broke up with his girlfriend. While they were dating for the past two years, her son spent the weekends with me and my mother. Now she doesn't think her son should have any interaction with us. How should we approach the situation? Is she doing the right thing for her child? [/INST] Hi Tampa, I get that this is a loss for all of you; you have bonded with this child as a result of the significant time you have spent with him. He's a lucky boy to have had you all taking care of him. Certainly, it seems that his mother might not be making the best decision for her son; if you are willing to maintain the relationship, it would be good for him to still have that contact. In my book, the more people loving a child, the better. But, ultimately, she has the right to make these decisions. To oppose her won't likely do any good. You can focus on grieving this relationship and supporting your brother through his loss as well. </s>

<s>[INST] I have been diagnosed with posttraumatic stress disorder due to my military experiences. Not a year ago, I had a car accident. Could this experience add more problems? [/INST] You are right on to recognize that the effects of trauma can be cumulative.  It is very possible that a car accident could lead to an increase in PTSD symptoms that were related to other traumatic experiences.If you have been deployed to a combat area, you are most likely eligible for free counseling services through the VA Vet Centers.  The Vet Center clinicians typically have a lot of experience working with military trauma. Here's a link to a directory of Vet Centers:http://www.va.gov/directory/guide/vetcenter.aspYour service and sacrifice is greatly appreciated. </s>

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

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

<s>[INST] I self-harm, and I stop for awhile. Then when I see something sad or depressing, I automatically want to self-harm. [/INST] Self-harm has a way of becoming a go-to method of coping. When we get stuck using self-harm as a way to deal and manage emotions, when something serious happens it totally makes sense that that will be one the first things to go through the mind. It is its own kind of addiction. There is a therapy, DBT or, Dialectical Behavior Therapy, which focusing on giving you new tools to get through hard times, understand and manage your emotions, to stay present and to deal with relationships. This one of the most effective interventions there is for self-harm. If you are interested in DBT, reach a local therapist in your area and ask if they do DBT or can recommend you to a DBT program. This can help immensely. Self-harm recovery is totally possible, but it is definitely hard work! </s>

<s>[INST] I would like to be able to have more positive relationships in the present. [/INST] Remember, the past no longer exists and the future is just an illusion as we don't know what will happen tomorrow, so take the present as your guide. That is all we can do, so keep saying this to yourself and try to help someone each day.  The happiness is helping others to feel a bit better. </s>

<s>[INST] I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past. Currently I'm going through anxiety and my thearapist is not available. How do I handle this? [/INST] Have you told either of your parents that the current house rotation of where you stay, bothers you?Since each parent has an interest to be together with you, I imagine that to some degree, each cares how you feel.If these conversations are not getting your problem solved, then maybe your therapist can have a family session with your parents together and depending on the outcome, with you and each parent. </s>

<s>[INST] I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here. I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it. How can I change my feeling of being worthless to everyone? [/INST] Hello, and thank you for your question and seeking advice on this. Feelings of worthlessness is unfortunately common. In fact, most people, if not all, have felt this to some degree at some point in their life. You are not alone. Changing our feelings is like changing our thoughts - it's hard to do. Our minds are so amazing that the minute you change your thought another one can be right there to take it's place. Without your permission, another thought can just pop in there. The new thought may feel worse than the last one! My guess is that you have tried several things to improve this on your own even before reaching out on here. People often try thinking positive thoughts, debating with their thoughts, or simply telling themselves that they need to "snap out of it" - which is also a thought that carries some self-criticism. Some people try a different approach, and there are counselors out there that can help you with this. The idea is that instead of trying to change the thoughts, you change how you respond to them. You learn skills that allow you to manage difficult thoughts and feelings differently so they don't have the same impact on you that they do right now. For some people, they actually DO begin to experience less hurtful thoughts once they learn how to manage the ones they have differently. Acceptance and Commitment Therapy may be a good choice for you. There is information online and even self-help books that you can use to teach you the skills that I mentioned. Because they are skills, they require practice, but many people have found great relief and an enriched life by learning them. As for suicidal thoughts, I am very glad to read that this has not happened to you. Still, you should watch out for this because it can be a sign of a worsening depression. If you begin to think about this, it is important to reach out to a support system right away. The National Suicide Prevention Lifeline is 1-800-273-8255. The text line is #741741. I hope some other colleagues will provide you more suggestions. Be well...Robin Landwehr, DBH, LPCC </s>

<s>[INST] When my son was a teenager, we sent him to live with his dad because of the constant disrespectful attitude. A week after he graduated, his dad made him leave because of the same issues. All four parents tried to talk to him, and he just refuses help all around. He is now living with his grandparents. He had a job, and took steps to get his license and an insured vehicle. I thought he was heading down the right road, and then he tells me he quit his job because he didn’t like it. I just don’t know what to do. [/INST] I admire your efforts. You can continue to offer assistance for your son, but it is ultimately up to him to decide what to do with the information or ideas that you are giving to him.One thing you might try is to ask questions in a way that enables you to learn more about what he is experiencing. For example, if he is willing to talk to you about what he does on a daily basis and/or what he would like to be doing, you may be able to get a sense of what he finds difficult and find some resources to help.I might ask things like this (just as examples):Can we talk for a few minutes about some things that I would like to learn more about?I'm just looking to learn more about what has been happening for you recently and I'm not trying to make you do anything.I know you said you quit your job because you didn't like it. Could you tell me more about what you liked and what you didn't like?Do you see yourself doing the same kind of job in the future?What is it that makes you happy or what is it that you look forward to doing?Can you think of anything that I can do to be of support to you?If he is interested, you may be able to connect him with an area community college to learn more about possible job opportunities.With the way that I wrote the questions above, it probably sounds like it's relatively easy. In reality, it may not be an easy conversation and your son may choose not to discuss it with you. If that's the case, I'd remind yourself that you are trying to do everything you can. </s>

<s>[INST] I found out my boyfriend takes anti-depression medicine. Lately he's been saying he has a lot on his mind, and he needs time to think about us. We've only been dating 3 weeks but I like him a lot. [/INST] This seems like two questions.  The first is what may have happened to prompt him to back off.  The second is what it means to you to have a boyfriend who takes anti-depression medication who says he has "a lot on his mind."  Both give you opportunity to look at yourself.  Having expectations can be a huge trap.  I write about this extensively in the first chapter of my book Living Yes (www.LivingYes.org).  Is there any way that you can enjoy your time together without expecting anything down the road?  Are there wonderful lessons for you to take from the relationship - even if it only lasts three weeks?  Can you create a mindset of gratitude for what is and let the future expectations (and future demands) go?  Are there new ways to communicate that might bring you together?  What are the lessons for you about allowing the relationship to develop its own course on its own time?  Again, let go of all expectations, and see what happens. That's what "Living Yes" requires.I am sure this will work out well for you - either with him or without him.  ~Mark  (www.MarkMorrisLCSW.com and www.LivingYes.org) </s>

<s>[INST] My husband always works. He does work from home, but his hours are from morning until night, and he neglects his family. If I have anything I want to do, I have to find a babysitter, but he does what he wants. He rarely comes to bed when I do, and we never have date nights. [/INST] I'm glad you're aware to expect more satisfaction from being part of a couple, than you currently describe yourself as having.Are you and your husband able to talk about any or all of what you've written here?His answers would be a starting point for knowing how he understands his share of your relationship and whether and how he would like making any changes.If the two of you feel too much tension in the relationship to bring up any of the topics you write about here, then ask yourself the reason for this.Very commonly, people are afraid to ask questions of their partner, even when feeling unhappy and that they'd like changes to the relationship.Often, people are fearful of harsh criticism by the partner and worry that by simply stating the reasons for feeling unhappy, will mean hearing judgments against them, spoken by the partner.It is always a good idea to utilize the services of a professional, credentialed and licensed therapist, if after trying to start a conversation on the topics you bring up here, does not go well or very far.For all of us, the emotions in our intimate relationships are deep and powerful.  They are not easy to handle, especially under tension and frustration.Sending lots of good wishes for future happiness! </s>

<s>[INST] I'm a teenager, and throughout my entire life, I've never really had good parents, or parents at all for that matter. I'm not exaggerating. I was living with my mom and grandparents until my father, in prison for most of my life, got out when I was in middle school. His mom, my grandma, only lived a mile down the road from my mom’s house, and I was so awe-stricken with my dad that I got to stay with him for a long time. Meanwhile, I did not realize that my mom was doing hardcore drugs. My mom went to prison for that and lost her café. We live in a very small town, so everyone knew about it, and I was bullied because of who my parents were. My dad ended up getting in with the wrong people and went back to prison. My mom and him had a mutual friend and often hung out at that person’s house. My parents did not get along at this point. We were driving him home one day from this house, and my mom stopped the car and kicked him out. He got out of the car, went to the driver’s side, and punched my mom in the face. I got out and told him not to hit my mom. At that point, I was really scared and mad that he did that, so I ran towards him to stop him. He literally picked me up and threw me on the back of a gravel road. I couldn't even walk. My mom tried to help me, but he started choking her. I hobbled over, and she barely got into the car, and we quickly drove away and called the police and ambulance. He was so badly strung out on drugs. He went to prison again and seems to be doing well. I met up with him once with my grandma, and we had coffee, but he's so hard to handle. I think a lot of it is that I can't bring myself to forgive him. My mom went back to prison again for drugs, and while she was in there, I moved in with my dad’s mom (the one who lived just down the road) because I trust her, her house is stable, and she's more nurturing, understanding, and loving then my other grandparents. I also stay at my boyfriend’s a lot. Now that my mom is out of prison, she's trying to control every aspect of my life. She’s trying to make me move back home out of Susan's house, and I don't want to. I don't like it there. They condone drug abuse and many other things, and I'm just not comfortable. She's even threatened to call the police and say I'm a runaway because she has custody of me. My boyfriend has always had this picture-perfect life, and his family are strict Christians. One time, his mom even went as far as to say that if he and I break up, if we were having sex, I would say that he raped me. I've got so many problems I don't even know what to do. [/INST] Thank you for reaching out and I can see that this is getting to the point that it is becoming overwhelming with all that is going on. To address your question, the best answer is that it will take time and from what I read you are still living through it , so your feelings are perfectly normal for the situation. I get the  impression that you really need someone to process through all that you have been through and unfortunately getting  adequate feedback would best be done meeting one on one with a therapist vs. through a question answer forum. If you are currently in school you could see about meeting with a school therapist or if you are over the age of 15, in most states you can consent to your own therapy. If you choose not to meet with a therapist I would encourage you to call a crisis hotline to help you safety plan to keep yourself safe around your parents 1-800-273-8255  If you chose to meet with a therapist keep in mind that a lot of what you experienced can be reported to Family protective services since you are a minor. You can also choose to make a report if you are feeling unsafe with your parents. I’m glad to hear that you have your grandmother for support. I’m sure this is a lot to take in and I wish you the best. </s>

<s>[INST] My husband and I got into a huge dispute. He said he wanted a divorce, and I left. I still come home a lot and see my kids, and he has not filed yet even though he still said he is. What does that mean for our marriage? [/INST] In any relationship, including marriage, each partner will be better able to do their part, by understanding their own interests and wishes.Concentrate more on what you'd like from your marriage.  This will naturally raise the questions and criteria of what to talk with your husband about and what to ask of him.Think over whether you wish to divorce or not.Since he hasn't taken any action, then for the moment, you can assume he is not sure of what he wants.Once you feel a little more clear on your opinion about your marriage, including feeling uncertain if you'd like it to end or continue, then you will be able to tell your husband the suggestions you have for resolving the dispute matter and emotions.Try to re-direct your speculations about, "what does he want", "I wonder what he's thinking", back to answering these very reasonable questions, about yourself.This will strengthen your own purpose in clarifying where to start and guide a discussion with him.Good luck! </s>

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

<s>[INST] My fiancé and I have been in a relationship for two years. We have an infant son. My fiancé also has a child from a previous relationship. We do not live together. I live with my mother currently while I get on my feet, and he's living with some friends. My mother and I have an awful relationship that is completely unbearable most of the time. We cannot even stand to be around one another while living in the same house. She has made it clear that she wants me gone. Recently, I was talking to my father who lives in a different state. My father and I have always had a good relationship. I explained to him the situation I am in with my mother, and he said he would like for me, my fiancé, and our son to come live with him and his wife. I would really love to go. I do not want my son to be in this environment with constant arguing and negativity any longer. There is nowhere else for me to stay while remaining in this state. The problem is my fiancé is refusing to move away with me because he does not want to leave behind his other child. He and his child's mother have a horrible relationship, and she would absolutely not be willing to let him visit if we moved away. I believe I would be doing what is best for my child by moving away, but I do not want to leave without my fiancé. I have already explained the situation to him, and he will not give in. Do I continue to stay in this negative environment with my child and keep our family together? Do I move away with my child and have my relationship end? I do not want to take him out of either of his kids’ lives. What do I do? [/INST] Hi Bethlehem,You have a big decision to make.  I appreciate your fiancé's need to stay close to his child and be a stand-up dad, and I am glad that you know your son needs an emotionally safe place.I'm a bit confused, because the obvious answer seems to be that you and your fiancé would get your own place together. I get that you want your dad to take care of all of you, but maybe it's time to take responsibility for your own future and start building it independently of either parent. I say that without knowing how old you are, but if you have a child and a two year relationship, you basically have declared your independence anyway.  I wish you the best. </s>

<s>[INST] I am in my 30s with 2 kids and no job and I'm behind on the bills. I've been trying everything with no results. I feel like everyone else puts their needs in front on mine. I give intil it hurts and I'm afraid that I'm going to fail my babies I've been struggling for 5 yrs in a relationship with no communication and no alone time. How can I get some support? [/INST] Financial stability is probably a good place to start your new life project.If your partner doesn't work or doesn't contribute his money to the household bills, then maybe you are eligible  for some type of stipend from the government.Especially since you have kids the child welfare service may intervene to help you.  Sometimes too, a partner who is unwilling to pay for their kids' wellbeing may be pressured by child welfare to make regular contributions to you and your kids.I''m glad you are thinking of your needs and those of your kids.  This is the philosophy which will show you what road to follow so all three of you are in a secure financial place. </s>

<s>[INST] I recently broke up with my boyfriend After being together for over 4 years. I truly believe I did the right thing, but omehow being single now has made me very needy and unsure of myself. I am seeing someone casually and I am losing my mind with anxiety about how he feels about me and this need for validation. How can I learn to be content and at peace with myself regardless of my career, relationship status, etc? [/INST] A break up, even one that you initiated, may deserve some time and space to allow it to be complete.There's a few ideas I'll throw out there and you can choose if they stick.  One is to re-invest in the friendships you have by setting up regular coffee get-togethers for example.  Two, get out in nature.  It's hard to ignore how grand and patient nature is, and it sometimes takes the pressure off what we should be and instead allows us to be.  And the last one I'll throw out there is to invest your time and energy in a project or achievement you've wanted to do for a while, but that perhaps you didn't have the time to.  Something related to a hobby such as sports or music, or related to your career.  Something that is 'for' you.  Life knocks us off balance at times, and that's ok.  Self-questioning during these times can be a healthy endeavor.  Should you follow any of the advice on this website, continue to be kind to yourself about what you're feeling, and curious about why you're feeling that way. </s>

<s>[INST] I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this? [/INST] Yes, feeling nervous for the first few or several sessions of therapy, is completely normal.Therapy is an unusual way to have a conversation with someone.   The person is an expert in recognizing and understanding dynamics of human interactions.   For some people the fear is that the therapist knows more about you than you do yourself.In general terms hopefully your therapist has worked with many other people who've faced problems similar to yours.In this sense the therapist has a general idea of the basic dynamics you most likely are handling.No therapist could possibly know your particular details and your particular areas of upset or in what ways you feel unsure of yourself.Once you start to trust both your own right to tell your particular story and start to also feel that your therapist is listening attentively and cares what you tell the person, your nervousness will start to disappear all on its own.Good luck in getting the most from your therapy sessions! </s>

<s>[INST] Me and my adult daughter just do not get along. She's very belittling to me when I don't agree with her. It's almost like she scolds me. We get into all out war. She's said I don't support her in what she does and that I've never loved her. She calls me horrible names, and she pushes my buttons to the point I call her names. [/INST] As frustrating and probably hurtful as your daughter's comments sound, there's also a message in them about how she genuinely feels.To some degree, your daughter and you may both feel similarly misunderstood by the other.Developing ways of listening and talking to one another to better understand how you each feel, would probably help a lot.One major point to be aware, is that the mother/daughter relationship dynamic, because it is strong, may slow the new dynamic of relating as two adults.Watch for your own tendency to expect your daughter to consider you as a parenting authority, instead of considering her as a grown person.The same is true of your daughter.  She may need to remind herself to talk to you as the adult she is.Her needs from you are real, they just need to be spoken to you in an adult way. </s>

<s>[INST] I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? [/INST] Most clients have many issues that need working out. It is normal to have many events in our lives that trouble us and remain with us without counseling help. The right type of counsellor will help you focus on the main and most troubling issue you have first and work your way through all that you are managing step by step, goal by goal. Sometimes, working on  one issue helps to bring other issues to light in the context of your main problem. This can help you resolve some other issues that are connected. Look for someone with experience and specialty in your most pressing issue...even though you have had breast cancer, you may find that grief from your past is more troubling. Then you would look for a bereavement or grief specialist. </s>

<s>[INST] I am in my early 20s and I still live with my parents because I can't afford to live alone. My mother says that if I live under her roof I have to follow her rules. She is trying to control my life. What should I do? [/INST] You're among many millennials who live with their parents due to financial reasons.Does your mother mean rules pertaining to the way your family household organizes its daily or does she mean something else?Every household needs rules as responsibilities to keep the house clean, who does the grocery shopping, the way costs are distributed for this and all the other carrying charges  and tasks of maintaining the house in decent order, as well as respecting the privacy and noise level requests of others who live in the home.This set of responsibilities applies whenever more than one person lives with another person.Have you tried simply telling your mom that you're willing to be a responsible household member and that you prefer to keep the details of the way you live the rest of your life, to yourself?This would show respect to your mom and start the discussion as to the areas of your life you feel deserve privacy and how you would like to handle when your right to run your own life overlaps with any household duties. </s>

<s>[INST] I just feel sad all the time and I don't like anyone in my family. I feel like they're trying to control me and won't let me grow. [/INST] Hello,While one can be sad from time to time, feeling sad "all the time" could be a sign of depression. If you feel sad on most days, it is worthwhile speaking to a psychologist to determine whether you suffer clinical depression. Feeling sadness is a normal response to loss, whether you lose a family, friend, job, or something you deem important in your life. However, feeling sadness all the time is a signal that you are not happy about something in your life. If it is related to your family and often relationship with family members could affect our self-esteem and self-worth, then perhaps it is worthwhile exploring what you find unhappy about your relationship with your family. Is it that you do not feel heard, supported or loved? Is it that you feel disrespected, disregarded or feel unimportant? These are just a few examples of common issues that people report that contribute to their depression. To help you to uncover your reasons for your sadness or depression and to cope with them in a healthier and more constructive way, it may be helpful to contact a therapist who could support you with this process. You do not have to deal with it alone. Dr. Virginia Chow, Montreal Psychologist. For more information about depression, please consult my website at www.PsychologyResource.ca </s>

<s>[INST] I've been depressed for quite a while. I've been trying to work through it, and my boyfriend has been my rock. He is honestly the only person I trust enough to talk to about anything, but he decided to break up with me because of my depression. I cannot afford to see a therapist or anything, so he saw no hope in staying with me. My insurance has a $5000 deductible, so I’m screwed. I've had everything from suicidal thoughts to trying to quit my job. I have no one. My family doesn't care about me; they kicked me out when I turned 18 a few years ago. I had friends, but they have all moved on with their lives and have no time for me. My ex-boyfriend is trying to help but is making things worse because every time I see or hear him, I break down into tears. I found out that I will never be promoted now because of my depression. [/INST] It sounds like you have been struggling with this for quite some time, using many of the same coping techniques that feel tried and true to no avail. Often, we fall back on coping techniques that would be helpful in other problems (stress, social anxieties, etc.) for our depression, but the truth is that depression requires it's own little tool kit. Depression is all-encompassing, and, based on what you've written, the symptoms are already affecting work and your personal life in myriad ways.  The best route forward would be to seek out counselling, admittedly, but if your insurance deductible is too high, that can be very expensive. I would recommend contacting your Employee Assistance Program (EAP) if offered by your employer. If not, you can look into community centres for counselling options, check if your doctor will give you a referral or your local religious organization. If, however, you are motivated to get your depression under control, there are some great workbooks out there that you can use on your own or with your therapist (as long as your therapist is trained in Cognitive Behavioural Therapy, or CBT), such as "Mind Over Mood". </s>

<s>[INST] She works with a man and always looks at guys that check her out. [/INST] I wonder if you are having some of these thoughts related to something that has neither happened directly to you in your past or to someone that you care about. This can often change the way that we look at different situations. Try to look at what feelings, for you when you notice that someone is "checking her out," and perhaps when you have felt these feelings before.If you trust your girl enough to have an open conversation, perhaps you could ask her whether she is willing to talk about something that is important to you. Then you could talk about feelings that you're having. </s>

<s>[INST] I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal. Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes. [/INST] Hi Winters, I'm so glad you wrote, because I think there are a lot of young women experiencing the exact same thing. You feel self-loathing for both being a virgin, and for being sexually active. Young women have always gotten crazy mixed messages about what they're supposed to be. They feel pressure to be pure, and they also feel pressure to be the vixen and please men sexually. But you can't be both, so you can't ever win if you buy into all that horse manure (excuse my language). This current hook-up culture puts added pressure on girls to expect nothing more than random sexual encounters that leave you feeling empty and used; perhaps desirable in that moment but mostly worthless. The stupid part is that research tells us that young men are also impacted negatively by this cultural norm that values sex and not relationship; they feel guilt, and loneliness.  I urge you to talk to other girls and women about your feelings. My hope and prayer is that they will echo my words here.Your value and power cannot ever be found in whether a man wants you, whether you turn his eye, or how he treats you. Your sexuality is a beautiful part of who you are, and it is to be celebrated. I love that you want to celebrate it with someone who cares. Who you are is so very much more than your sexuality. You sound like you have a lot of things going for you. Try to see all of those things when you think of yourself.There are many more virgins out there, and many are afraid, like you, that they don't fit in. We are all different, and you don't have to be anything but who you want to be; who you are. You don't have to have any kind of sex until you're ready, and that makes you brave and smart, not weird.You're tall and beautiful, and guys may be intimidated by that. It may take time for you to meet the right guy, but he's out there. The question is: How do you want to spend your time until he crosses your path? I hope you talk to someone soon and find out that your feelings are normal. I wish you the best. </s>

<s>[INST] We had great chemistry, but then he became distant. I had the feeling that I can't be without him. As soon as I felt the difference, I was scared to lose him. I started freaking out if he did not answer, thinking that something bad happened. [/INST] The simplest answer is that love feels good, obsessions don't.Love deepens a sense of peacefulness and security.Obsessions give anxiety and worry of feeling abandoned.One suggestion is to study more about yourself and why you'd feel so ill at ease when you aren't w this person. </s>

<s>[INST] As I was growing up, my mother and father always fought. With that, I grew trust issues. I think it's going to affect my relationship now and end it sooner then I want to. I try not to let it affect me, but I can’t. [/INST] If you thing your trust issues are going to end or affect your relationship it will because you are being baggage from your parents into this relationship.  Don't allow their problems to become your problem.  You didn't mention that your partner in your present relationship have done anything to make you not trust them.  Like in the court of law, if no evidence....find not guilty.  Don't make them pay the consequences as if guilty of your parents unhealthy behavior. </s>

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

<s>[INST] I feel so irritated and frustrated because of it. I get so angry to the point that I feel like I'm going to explode. I feel pathetic, stupid, and worthless. I just can't take this anymore. [/INST] Yeah I get the same problem... Look I'm not a professional but I've heard a few things. a powernap can help. just a half hour of sleep can clear your mind and let you refocus. Also, brain activity increases with physical exertion. Just walk around for a minute and get your brain working and that'll help you reach the task at hand. Taking breaks it totally okay. Try to have something to do in between that you enjoy. </s>

<s>[INST] I have been diagnosed with general anxiety and depression by my family doctor. They wrote a prescription for me to have an emotional support dog, I have the paper work, and I gave it to my apartment manager. They said I can't keep the ESD because I'm not disabled. What do you suggest I do? [/INST] This is tricky because there are different types of emotional support dogs. The ones that are officially trained actually go through months of training and then are paired with someone for whom they perform specific tasks.You may benefit from looking at the blog written by Valerie Parrott, who has an emotional support dog due to severe anxiety and panic. I will warn you that her blog is very blunt, but she is honest and she has gone through this process: https://thedogintheroom.wordpress.com/2016/06/20/what-makes-a-service-dog/#more-508 </s>

<s>[INST] She refuses to talk to me and told my mom (her grand mother) that she is remembering things from the past. I don't know what to do. My daughter blames me and swears she hates me. My parents say I should just let my daughter live with her dad, but I don't see how I could fix things if I only see her every other weekend. What should I do? [/INST] Sorry to hear about your high degree of stress.How old is your daughter?Who abused yours daughter?The answers make a difference to your decision.Obviously if the father was the abuser, then unless your ex demonstrates to you and you believe, he will not abuse her, your daughter should stay with you.If someone other than the father was the abuser and the father has a good relationship with your daughter, then it is possible that the time away from your household will give each of you time away from arguing with one another.What does your daughter tell you she wants?Her wishes must be considered too.Relationships can be fixed.   Sometimes being apart helps this process because the two people each have time to reflect more deeply on what they value about the other. </s>

<s>[INST] I'm always listening to my husband, but it feels like he never listens to me. How do I get my husband to listen to me instead of me listening to him all the time? [/INST] Thanks for your question.  Communication is essential between couples and often times gets neglected in relationships.  Working with your husband to help him become a better listener and consequently, a better communicator is going to take some work from your part.  You have to calmly be able to express to him your concern and how it affects you.  Very important is that you do it in a loving and non-threatening way.  Therefore, the time to have this discussion is not when you are frustrated or need to vent to someone about something important.  Focus the discussion on how both of you could benefit from having more meaningful conversations where both parties are being heard and how it is important to you that he hears you just like it is crucial for him to be heard.  There is a lot of useful information online about how to be a good listener or therapist in your area that can help you.  Be patient and genuine, and he will come around.  Best of Luck, Mirella~ </s>

<s>[INST] My brother has been diagnosed with paranoid schizophrenia and has not been taking his medication. He's been using methamphetamine and alcohol and was found sleeping naked in my step mom driveway in 12 degree weather. I was adopted in by his dad (who just passed) and his mother will not Get involved because she's afraid of financial responsibility. Do I have the rights to be able to sign my brother into mentalhealth facility? [/INST] Family members sometimes get Power of Attorney over vulnerable adults. If you had this, you could do something like that. I'm assuming that you don't, though. There are steps family members can take through the court system to get someone involuntarily committed, but it is a long process. I deal with situations like this everyday on the job. The only time an adult can be committed against their will is if they are deemed by the doctor (such as at an emergency room) to be a threat to self or others. For instance, if he had suicidal thoughts and a plan to carry out the action, or if he had homicidal thoughts against someone else and a plan to carry it out, he could be placed on a short hold, but these holds only last for a few days. This still isn't a long-term solution. An adult has the right to refuse treatment and the right to make their own choices, no matter how bad those choices are. If you have a way to get him to an ER whenever things like that happen, such as being found sleeping outside in 12 degree weather, it will help a lot. They may or may not do a short term commitment for treatment based on the situation that brings him to the ER, but it's a start. They can help set him up with appointments for psych and he can get on medications. You can help by taking him to appointments and making sure his medications get filled. However, you can't force him to take the meds, so this may be something that happens a lot. With enough of a paper trail of many ER visits and that sort of thing, you'll stand a better chance of getting a court appointed psych ward stay. Some tips about ER visits: Don't send him alone. Always go with him or have someone go with him, because you will be able to give the treatment team better insight into what's going on than he will. He may say everything's fine and he wants to leave, so they won't have any reason to keep him if that is the case. Go with him. If you do get Power of Attorney, take the paperwork with you when you go to the ER and to doctor's appointments because they aren't just going to take your word. They need to see the actual paperwork. Having it on file in their system isn't good enough because paperwork expires, etc. Take it with you at all times. You can also compile his medical records and that sort of thing to take with you so they can see a full history of what's going on.Keep in mind that if you do get Power of Attorney, this makes you his guardian and you have to take care of him. Otherwise, you can get reported for vulnerable adult abuse and neglect. In fact, your mom ignoring and not helping may already put her at risk of that because she is willingly doing nothing to help someone who clearly needs the help. She won't be financially responsible for the hospital or doctor bills, but should be held responsible for his safety. Someone should. There are group homes for people with schizophrenia. " Being responsible" for someone doesn't mean you have to pay their bills, it just means you are going to make sure they get the care they need. That care may be placement in a long-term care facility like a group home or a nursing home. Psych inpatient hospitals aren't long-term, so you do need to look into other long-term options. Psych inpatient stays are temporary and are to stabilize him, they're not where someone stays forever.Good luck, and keep up the good attitude! Work with his treatment team. Ask for a social worker. If they see family that is wanting to do the right thing and wanting to help, they'll help you even if it does take a while to get things sorted out. The worst thing any of you can do is NOT go to appointments and that sort of thing. </s>

<s>[INST] I was raped repeatedly when I was younger. I told my parents and action was taken, but now that I’m an adult, I suffer from extreme anxiety. [/INST] It's not unusual for traumatic experiences that happened when we were younger to stay with us when we get older.  Traumatic experiences can become embedded in our bodies, as well as in our emotions.  If the issue doesn't get a chance to get resolved within, then external action doesn't necessarily take care of the problem.  Seek out a qualified trauma therapist so you can start to deal with the issues you're grappling with. </s>

<s>[INST] About 3 years ago or so I was skinny, but I was still ugly. I really do want to change that but I've tried 3 times. Now can I try but don't stop. At school I get bullied about my weight and my ugliness and I have been bullied my whole life that I believe them. How can I stop thinking about them and don't let it get in my head? My parents said I don't weight that much but, they do think I am fat but, they tell me I am not. I told my parents that I need to go to a therapist, but they think I am fine and I think they don't want to deal with it. [/INST] Hey!  I am so impressed with your efforts to ask questions, to figure out how to change the messages that you hear (and say to yourself), and to get support!  And it sounds like you want to make some changes in your life!  Take a walk over to the counseling office at school, the school nurse or consider reaching out to your Pediatrician’s office. You don’t have to have your parent’s permission to seek support for yourself!  And maybe taking control of your support network will give you the strength to make even bigger decisions about your health!  I am rooting for you!  Be Wise! </s>

<s>[INST] My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him. I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people. How can I feel more comfortable around other people? [/INST] There's a lot of layers there to your situation, and I'm focusing on two layers that may be contributing to your feelings of discomfort around others.  One layer is the daunting news that your son has autism.  Many parents can feel overwhelmed and distraught with this diagnosis.  The vast array of treatments available is daunting in and of itself at times to wrap one's head around.  Taking time to reflect or seek out therapy regarding how this diagnosis has impacted you may be helpful.  Some parents feel their individual identity gets lost in the diagnosis because they have dropped everything to help their child, and others may experience guilt.  If either of these or other feelings come to the forefront for you, it may be worth working through them with a therapist.  A support group list is available through www.autismspeaks.org and may help connect you with others raising children with autism.A second layer is the abusive relationship you were involved in.  The trauma you experienced in this relationship may have a very meaningful impact on your ability to trust and to be intimate with others.  Engaging with a therapist can help facilitate the healing process, as well as paving the way for more comfortable and trusting relationships. </s>

<s>[INST] After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again. [/INST] I appreciate that you are concerned about your husband's emotions and want to support him as best you can right now. I imagine that you must be going through your own difficult time too. You've had a complicated shock and trauma in your life and in your marriage; it's normal for both of your emotions to move from hope to despair to fear, anger, gratitude... there is no wrong way to feel and there is no particular pattern your emotions or his will follow. Try not to assume what he is feeling but ask him instead. "How are you doing today?" is something that can be asked over and over again and your love and compassion for him will come through. If he has a hard time talking, you can share your observations. "I notice you're more withdrawn. This worries me." Certainly it will help you if you know what he's thinking and feeling because he hid his intentions to hurt himself. It's normal that you want to know. If there is depression and hopelessness, this likely was part of what led to his initial despair. There is help out there. Depression is treatable, and seeking that treatment is important right now at this vulnerable time. This is the kind of complex situation that can be assisted by a therapist who is qualified to help you both understand and manage your emotions. Whether your husband seeks help or not, I hope that you do. </s>

<s>[INST] I just took a job that requires me to travel far away from home. My family and I really need this job. People keep telling me I have "anxiety" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do? [/INST] It is ok to have anxiety.   Please don't be anxious about being anxious.If you feel anxiety coming over you, then pull off the road to a safe place.   Concentrate on centering yourself and to breath slowly.   Take some sips of water.  Sit still.     The anxiety should pass in about twenty minutes.If it does not pass, then continue calming yourself until you feel safe enough to drive to your hotel.     You can always explain to your supervisor that you were taking care of a medical problem, because anxiety is a medical problem. </s>

<s>[INST] I empathize so much, even with characters on tv or in video games, that I actually feel physical pain. This has made life difficult to say the least. I believe I have an actually case of something called hyper empathy disorder. But since it's such a new disorder I can't find any information about it. Could this be what is going on with me? [/INST] It sounds like this would be difficult at times, particularly if you feel misunderstood.You may or may not know that we all have chemicals in our brain. We also have different sections of our brain that become active when different things happen. There is a part of our brain where a lot of our emotions originate that is also designed to protect us when we are going through things that have been physically or emotionally painful in the past, and when that part of the brain is sometimes overactive (perceiving threat when there is no actual threat at the time), sometimes anxiety can develop. This doesn't necessarily mean that everyone has an anxiety disorder, but often if we are afraid of something that is not actually a legitimate concern (for example, most insects are not going to hurt me, but I still do not like them very much), we have anxiety about it.The first thing I thought of when I read your question is that perhaps some part of your brain are overactive. I did find an article that may be helpful to you, but I just want to caution you. Not everything listed here applies to you. Also, the article uses the term "brain anomalies." This does not mean that there is something majorly wrong with your brain. While I cannot tell you exactly what is happening, I'm asking you not to panic over the term and to just consider that perhaps some of the chemical reactions in your brain may be a little overactive, which may be able to be corrected with medication or something similar. I can't tell for certain from what you posted whether or not this is what is happening, but I would recommend that you either talk to your primary care physician or a therapist or psychiatrist.Here is the article: http://blogs.psychcentral.com/addiction-recovery/2012/09/too-much-empathy/When you meet with your doctor or a therapist, please try to convey how much this is affecting your life.Thank you so much for posting here and I wish you the best. </s>

<s>[INST] I'm in my late teens and live with my dad. The only time I go out is for my college classes. Sometimes when I see my friends I want to talk with them, but sometimes I won't want to talk to them for days or even weeks. Sometimes I feel i'm not worth knowing or i'm never going to do anything right. Are they right, am I depressed? [/INST] The answer to the question of whether or not you're depressed, is less meaningful than what you are doing to feel strong and secure in your life.Otherwise, people shortcut themselves to go deeper in understanding who they are and what they'd like to do with their lives, and accept "depression" as though it is their new name.What you write sounds like classic depression.What to do about this feeling is to get closer to yourself in an accepting way.  Assume that what you do in daily living is somehow necessary.  Unless you are doing immoral or illegal actions to other people, to accept your own wishes as truth will open you to appreciate why you do what you do.Make believe you're interesting and find out more about who you are, if you have trouble to start with thinking of yourself as worth understanding.The more you appreciate who you are and your unique strengths, vulnerabilities and fears, the more these will dissolve by what seems on their own.In fact they will disappear bc you are believing in yourself and your ways.Good luck! </s>

<s>[INST] I've been getting told lately by my partner that it’s embarrassing that I'm so antisocial around his family and friends. I believe it's because I'm not as social as him. [/INST] Hi Buffalo, I think you're right; your partner's reactions are about him. I have to say it's a cruel thing to say to someone you love...that you're "embarrassed by them". The subtext says "You're not good enough", and I love that you can reject that false message.You don't have to be different for anyone. If he can't accept you for who you are, what is he doing with you? Your social habits (unless they are extreme...like you refuse to go anywhere) aren't a reflection on him; it's just you being you. Also, and I'm sure you've found this...the more he judges you, the more difficult it is for you to be the confident, outgoing person he wants you to be...so his method of trying to change you doesn't even work!I think that's the crux...he's trying to change you. What does that make you want to do? </s>

<s>[INST] Any time my family and friends are in an altercation, I’m the one who steps in. I’m the one they call to fight for them. I do this even though I have a tough time trusting the people I’m fighting for. I’m only in my early 20s. [/INST] You could be protective because of things that happened in your past or in the past of the people that you are protecting. A lot of us have natural instincts that we do not want other people to be in pain. For other people, conflict is just hard to watch and/or listen to.As for having a tough time trusting them, that could also relate to past events between you and these other people or it could relate to the conflict that you mentioned. It can be difficult to trust someone deeply when you don't know when the next big fight or argument is going to start.The next time you step in for someone, consider asking yourself what is making you do that? What are you feeling in the moment? </s>

<s>[INST] Something happened this summer that I cannot forgive myself for. When I think about what happened, I feel ashamed and guilty even though my loved ones forgave me. [/INST] What a beautiful discussion of guilt and shame Lynda offers! Those two demons start out as pesky and little when we are young, then grow with us to become quite formidable. I'd like to throw in a technique I learned from Randy Rausch (author of The Last Lecture) called The 3-Step Apology. I teach this important bit of wisdom to my clients when they need to apologize to someone else but more importantly when they need to forgive themselves.Yes, when we have trouble forgiving ourselves we sometimes forget that there is part of us that just doesn't know how to apologize effectively. Here goes:Step One: Say what you did and the damage it caused.Step Two: Say you're sorry and accept full responsibility (no excuses, no explanation, no defensiveness: “It was all my fault.”)Step Three: Ask what you can do to repair the damage.Step Three is the one many of us didn’t learn growing up. And when we add it to an apology, we are usually surprised that the penalty is as light as it is. Of course, sometimes the apology is not accepted and no way to atone is offered. So be it, we can’t control this. But if we are apologizing to ourselves, we can. There is always a way to make amends if we put our heart into it. Give this a try the next time you’re reluctant to let yourself off the hook. You might surprise yourself when how benevolent you can be when invited. </s>

<s>[INST] I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? [/INST] You absolutely do not have too many issues for counselling. The fact that you are wanting to seek help is commendable and you should feel proud of yourself for reaching out for support. I know from my experience working with clients that some may say they have only one issue but when we explore it turns out they have many things that they want to discuss that are of equal importance. I believe that you deserve to feel happy, at ease and also get restful sleep amongst other things. Please do not feel hesitant because the fact that you know what you want to discuss and work on is amazing. You know the directions you want to go and the therapist just needs to help you get there. I suggest sitting down and making a list of what you want to discuss as well as what you feel is more important to address first. Perhaps the therapist can help you with that as well. </s>

<s>[INST] When I see something I don’t like, I go off like a ticking time bomb. I go from “0 to 100” really quickly. [/INST] Sometimes we react to situations immediately, without thinking of the consequences of our actions. Typically by not reacting right away, we are better able to gather our thoughts, see the situation more clearly and from other perspectives, and respond more calmly. One of the strategies that almost always helps is deep breathing. When faced with a stressful situation, you can give yourself a time out by removing yourself from the stress and spend 5 minutes taking deep breaths (breathe in slowly counting to 4 and breathe out even slower counting to 6), while focusing and thinking only about your breathing. After doing so, think of the various ways you can respond to the situation and choose the one most appropriate. Good luck! </s>

<s>[INST] I’m a man, and I’m soon to be married. I have been messing around with other men on the side. It started as a once in a while thing, but it’s been happening a lot. I don't know what to do. [/INST] Hello, and thank you for your question. When faced with these kinds of difficult challenges, I usually encourage people to look to their values for help in determining what their behavior should be. Indeed, it is usually when our behaviors conflict with our values that we don't feel very content with our lives. Perhaps you can take some time to think through a couple of these questions: What kind of person do I want to be deep in my heart? What kind of character do I want to have when in public and in my private world when nobody is watching? How would I want others to describe me? Let's say that you want others to see you as being authentic, and YOU also value authenticity as something you want to live by. You may feel like this value is currently at odds with the behaviors you are engaging in right now. That you are not being the person that you really are deep in your heart. This is not an unusual struggle when it comes to sexual behavior and sexual orientation. So please, try not to feel alone. We all know quite well how unacceptable it may be to be seen as gay, lesbian, bisexual, etc. And I am not just talking about being unaccepted by others, but a person may have a VERY hard time accepting themselves. Thinking about your values and living a life based on them can bring a lot of freedom, but I won't lie, it can also bring a lot of pain at the same time. For example, someone with the value of living authentically may decide they have to tell others who they are and what they stand for, even if that means people may disapprove. That may cause a lot of pain, but it may also come with a sense of freedom to live a life based on honesty and authenticity. It may be helpful to find a counselor who is trained in affirmative therapy, which is recommended for people who are navigating their sexual behaviors and figuring out what is right for them. I would also sit down and think through some of the questions above and consider what your values are... both as an individual and as someone's fiancé.Above all, I wish you well in this journey. Robin J. Landwehr, DBH, LPC, NCC </s>

<s>[INST] I was hanging out with my close guy friend. We started kissing, but afterwards, he said that we should just stay friends because he doesn't want to ruin anything. We both just got out of relationships. His was very sexual. I'm not a sexual person, and he knows that. I want to be with him, but I'm not ready for another relationship, and I don't know if he ever will want to be more than friends. [/INST] Given that both you and your friend recently ended your respective romantic relationships, kissing each other sounds like each of you satisfied a very natural need which for right now does not has a natural source of satisfaction.Suddenly being without a partner is difficult because a relationship absorbs and offers much of a person's energy. Stay focused on what you know about yourself, which is that you're not ready for another relationship.From what you describe about your friend, similar to you, he does not feel ready for a new relationship.If and when you feel ready to enter a new relationship and your friend seems attractive, then you'll be in a position to find out, either by approaching your friend as a potential partner, or by asking your question of his interest in you.Who knows?It is possible your friend will feel ready for a new relationship, approach you, and depending on your personal wishes to be or not be with who he has become, accept his offer.Good luck with Step One, becoming familiar with your new state of single hood, and sorting through the good news and bad news of your most recent relationship. </s>

<s>[INST] I just wanted to get to know one so I can hear about their college experience and the courses they took. I also wanted to know if they enjoy their job and how long they were in school. [/INST] Mental Health is an exciting and rewarding field.  I hear you saying that you want to be a psychologist, and that is one path to working in mental health.  You could study psychology, social work or counseling to become a practicing therapist. I am a Licensed Professional Counselor Associate and a Licensed Clinical Addiction Specialist.  I currently provide assessments and supervise several counselors in a large clinic in Asheville.  I also have a private practice online. I studied Sociology and Interpersonal Communication as an undergraduate, and then I received a counseling masters degree.   My master's degree was comprised of several supervised practice courses and theory courses.    I really enjoyed my education, and I find my career equally rewarding and enjoyable. If you are considering working in the field, I recommend emailing several counselors, social workers, and psychologists in your area and setting up an informational interview.  Not everyone you contact will be willing to give you their time, but many may.   This will help you determine which path to therapy may be right for you.  Licensing restrictions and abilities vary state to state and a local practitioner may be able to provide you with a specific list of challenges/triumphs about their particular license and education.    Psychologists are usually PhD level practitioners and require more education to begin.  LCSWs , LPCs and LMFTS can practice with a master's degree.  Best of luck! This is an exciting time. </s>

<s>[INST] I find that I imagine things sexually, and I hate it because it puts strain on my relationship. I feel helpless and guilty. I want it to go away, and I want to make my woman happy again. [/INST] It is completely understandable that you would like to find a way to make these intrusive thoughts go away, however, your feeling that you can't control having these thoughts is accurate. It's also understandable that you would feel helpless and guilty, given that you see how these thoughts are effecting your relationship, though I would encourage you to go easy on yourself and remember that you aren't choosing to have these thoughts. I'm sure that if there was a switch to turn them off, you would flip it.There is no magic technique or pill that can guarantee these thoughts will go away, however, therapy may still have a lot to offer. In working with a competent therapist, you may be able to gain insight into where these thoughts are coming from and develop new ways of relating to them so that they do not leave you feeling as helpless and guilty and can be more present with your partner. Though there is no guarantee that the thoughts will go away, this may also be a result of work with a therapist. Either way, you may be able to find a way to deal with the thoughts and show up in your relationship in a way that will be satisfying to you and your partner. </s>

<s>[INST] I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac. I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years. I’ve never had counseling about any of this. Do I have too many issues to address in counseling? [/INST] Of course not. Counseling is a process, whereby you and your therapist will help you create goals- starting with issues that are most pressing and interfering with your daily functioning. When anxiety and daily stress is more manageable then you and your therapist can examine more deep rooted or more chronic issues. </s>

<s>[INST] I recently lost a friend to suicide. I'm smoking marijuana and drinking more to cope with it. How can I handle this better? [/INST] Let me begin by offering my condolences for your loss. I can understand how difficult this time maybe for you especially if you have several unanswered the questions due to the circumstances surrounding the death of your friend.  It's during this time, that you may experience the various stages of grief. This includes denial, anger, bargaining, depression and finally acceptance. In the bereavement process, there is so specific time frame or lengths of time for someone to work through each step. Its imperative to note  that one may express each stage with different levels of intensity. Also, the five stages do not necessarily occur in any specific order. We often move between stages before achieving a more peaceful acceptance of death. Just note that everyone greives differently, some internalize their feelings and emotions, others express it externally, while other avoid it all together.Coping with loss is ultimately a deeply personal and singular experience. Sometimes we feel that no one understands what we are feeling or going through, much less comprehend our emotional state of mind . What's important, is that you allow others to comfort you through the various stages. My recommendation is to allow yourself to go through the emotions and feel the grief. Avoiding or resisting may only delay the healing process. Reaching the acceptance stage of mourning is a gift not not everyone is awarded, but seeking the help of a Grief counselor may assist in deciphering your emotions and set you on a more positive path to achieve closer. </s>

<s>[INST] I have a severe back problem. I've had 3 major and several minor operations, but I'm still in constant pain. How can I deal with the depression from this chronic pain? [/INST] Chronic pain at the back likely results from a few areas:L4-L5 kidney zone, most likely (lower back);Bone spurs, fused discs, and slipped discs, caused by connective tissue weakness, and calcium deposits used to neutralize highly acidic areas...The 'depression' will evaporate when the chronic pain is drained out, through natural means;Pharmaceutical means will simply extend the pain and cause it to deepen over time, not solving the problem;Remember, medical doctors suppress, natural doctors cure... </s>

<s>[INST] My friend’s husband is bipolar and refuses to take medication for it. He has taken the wheels off her vehicle before to prevent her from leaving. He has held her a prisoner in her home. He has choked her, hit her, etc. She has almost divorced him a couple of times but always makes up with him, thinking that he is going to change. She and I went to a wedding out of town in September of 2014, and ever since she has been back, he is convinced that she cheated on him while we were gone. Now he is saying that I have also cheated on my boyfriend and has come to my house and told my boyfriend this. [/INST] I’m glad that you  are seeking help and that you are supporting your friend. I’m sure this is all overwhelming and frustrating for you. The biggest thing you can do for your friend is to be supportive as you are already doing. Unfortunately there isn’t much you can do for her outside of that because it is up to her husband to change and up to your friend if she wants to leave. There are things you can do to support more: it might be helpful for her to have some information on a domestic violence non profit in her area because they can assist her in many areas if she wants to leave. They can also provide you with support while you go through this with her. The nonprofit can also safety plan with her and it might be helpful for you to do it with her if you want to. Another thing you can do is support her in decision to stay with her husband or not despite what she decides. Many victims decide to stay with thier abusive partner for many reasons. It is important to support her decisions, even if you don’t agree with them, because she may have very little decision making in her relationship. I would also encourage you to make sure you are taking care of yourself while you support her so you are not becoming too overwhelmed. Here is some info that might be helpful to you. https://abuseintervention.org/sandbox77/wp-content/uploads/2012/03/How-to-Help-a-Loved-One.pdf </s>

<s>[INST] He owns his own business. Sometimes, he stays out all night but doesn't tell me. We have a son together, and I get to stay home with him. He says I complain too much about what he's doing. We've been together a year and a half. I got pregnant after being together for a month. We moved in together when I had my son in July. Everything was great, and then he started the staying out. He then started not spending time with either of us. I just don't know if I'm doing something wrong. We've talked and he says this is just how he is, but he wasn't like this before. [/INST] Congrats on the birth of your son!Your situation sounds painful, lonely, and isolating.And, these features are eating away at your self-confidence.Start by believing in yourself.  The feelings and ideas you describe here would only be arising from within you because they are at the very least, partly true.Ask your boyfriend if he is willing to listen and understand your point of view.  If he does, then hopefully the two of you will more easily talk with one another about the truth of feeling overwhelmed by the quick pace of your courtship and becoming a family.If these discussions continuously include him blaming you for having your own feelings and expecting him to more actively be a part of your and your son's life, then you'll need to start valuing your feelings and what is best for you and your son, by yourself.I send you lots of good luck! </s>

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

<s>[INST] After my fiancé cheated on me because of a miscommunication, I pulled myself away from him. Now he says all he wants is be with me. I'm pushing him away mentally now because he cheated on me again. I make plans with him that I don't keep. I really do love him still and I care about him. Should I give home one more chance? [/INST] People don't cheat bc of miscommunication.   People cheat bc they feel diminished regard for their partner.You pulling away doesn't explain his behavior.If the two of you still were a couple at the time he cheated on you, then there were many alternatives he cold have taken besides disrespecting you.Try to understand whether you are satisfied and happy in the relationship.  Your actions sound as though you are not either of these.Whether or not you decide to be together again many depend too on if the trust you had in him is restored.  Do you feel you can trust him again?If the two of discuss your relationship then if you don't trust him right now and the both of you talk about your dynamics, then tell him about your feelings.Trust is foundational to feeling safe and happy in a relationship. </s>

<s>[INST] I've become so jaded that I can't control my thoughts. I cannot focus on anything and been having anxiety attacks. [/INST] I imagine that it's pretty disconcerting to feel as though you lost yourself.When you said that you are jaded, I'm not sure whether you mean that you are jaded toward someone, something, life in general, or some combination thereof.One of the difficult things about anxiety is that anxiety can lead to more anxiety because of being concerned about having another panic attack. Consider remembering that panic attacks usually only last a few minutes and the reason they don't go away right away is because of the way your brain releases chemicals because some part of your brain is reacting as if you are in danger in some way.As far as finding yourself, you may consider looking at what parts of each day you can control as a way to stay centered. You could also focus on something that makes you feel happy and/or comfortable.You may also consider the list of values here to give yourself an idea of what is most important to you, what it is that you are living by now, and what values you would prefer to live by. http://www.therapistaid.com/therapy-worksheet/values-clarificationIf this proves to be difficult, consider seeing a local therapist. </s>

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

<s>[INST] She's in her early 20s, and she has a toddler. [/INST] It may be helpful to first have a discussion about what you are expecting and put a timeframe on it that if she is not doing certain things by a certain date, she will have to leave. If you don't know where she can go, there is probably a list of shelters for the county that you live in. </s>

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

<s>[INST] It happens especially at me and my sister, and then she gets emotional and brings up the past. How should I deal with it? She is always stressed about her work and doesn't put her family first. [/INST] You are very wise for a young person. You have already figured out that other people's behaviours...how they treat you...it's not about you...it's about them. I love that you don't blame yourself for your mom's behaviours. It's not your fault. She's getting upset because she doesn't know how to manage her emotions, and these emotions have to do with her past and her present stress. You're just the trigger. Yes, this is normal, but it's not necessary. She can find another way to manage her "stuff".Unfortunately, you can't help your mom a whole lot or even help her recognize this. But for yourself... remembering that her behaviours are her issue is the biggest piece of "dealing with it". You can always try some new strategies when you talk to mom...you can say "I'll listen you better if you don't bring up past stuff", or "I'm worried about you mom. You seem stressed", or even "I don't like the way you talk to me". Good luck! </s>

<s>[INST] What are some difficulties that a counselor can encounter when dealing with a client? [/INST] Each counselor will have their own list of "difficulties" in doing therapy work with a client.  Even if clinically trained similarly, since counselors are human then their response to your question will reflect their unique differences as humans.On my list is when the emotional pain I feel for someone describing some type of injustice or unfair treatment by another, feels very deep.Sometimes I feel like avoiding the pain I feel by asking questions which will steer the conversation away from the painful areas the client talks about.What in fact is necessary to clear out their pain, is to step further into so as to realize their emotional pain isn't greater than who they are. </s>

<s>[INST] My ex-girlfriend says she's bored and wants to experience life single. I treated her really badly and caused meaningless fights when she didn't do anything, I feel remorseful, and I'm willing to do whatever it takes to get her back. She's unhappy. When I called her, she was crying and said she will text me when she's ready. [/INST] Were you happy with the ways she satisfied you?A relationship is happiest if each partner concentrates on the happiness of the other.Strange for someone who was treated badly to describe themselves as bored, rather than say they feel hurt.Is it possible you are being self-critical about your behaviors toward your ex girlfriend? Either she is unaware of her feelings or not being fully truthful with you about her feeling badly treated.Since she's putting up a barrier to communicating with you, better for you to respect this than contact her by phone again.Consider in a few weeks, so each of you has time to think over your happiness with the other person, to write her an email which states your interest to re-open the relationship.Who knows, you may even decide by the end of a few weeks, that you're fine without this particular relationship.Depending on her response to your email, you'll know whether and how much chance there is for the relationship to clear up the problems of the past and to continue. </s>

<s>[INST] Does counseling really do anything that can help people? [/INST] I love this question! Some people shy away from counseling because they think since they already talk about how they feel to their relatives or friends they shouldn't need a counselor. However, if you are having a difficult time, counseling can be beneficial in helping you move forward and get your life back on track. Counseling is not like the kind of talking we do to people we know. For one, your counselor does not have a history with you and has no expectations of how you will act and what you will do. In that way, counselors come to a session without judgement and expectation. This gives you the platform to truly explore your thoughts and feelings. A counselor can also help you understand your motivation and help you integrate your past experiences and recommend coping skills that can help you if you are feeling overwhelmed by your emotions. Over time, as you work with a counselor you will get feedback and also be able to share new insights. The work you do is based on you and where you are at. Oftentimes, when we talk to friends they bring their own agenda to a conversation, and while they mean well they may offer solutions that work for them and not you. A counselor will help you uncover the solutions that work best for you and help you find the motivation to follow through with your plan.Best of luck to you! </s>

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

<s>[INST] My roommate is a unapologetic person who doesn't care who she hurts. She never apologizes to me or my family. She made me lose my temper today to the point where I was using swear words in front of my mom and brother. [/INST] You must be feeling frustrated about how to resolve this. Some people seem to really provoke emotional responses in us. One thing to learn for a quick review of yourself when you are provoked is to pay attention to your body. Notice your heart rate, fists clenched, some warmth going through your body and these are signs that the interaction is toxic for you. Move out of the room, say something calling to both of you and let things simmer down before responding. When you are able to calm your body, think of ways to bring the issue to her attention using positive words but holding your ground. If she doesn't listen ask someone to come with you to talk to her about it, If she still won't listen, reassess your expectations of her.Finally if you need to , you may have to consider changing the status of your rooming together. </s>

<s>[INST] My ex-boyfriend and I met over a year ago. We hit it off and fell in love pretty quick. However, he has trust issues and assumed I was cheating. When I found out I was pregnant, we had just broken up. Five months later, I lost the baby, and we did not speak for a few weeks. Now we are talking, and he says he loves me but is afraid I will hurt him "again." I just want to know where to go with this because I love him so much, and I want to get back to us being happy and a family. [/INST] I'm truly sorry to hear that your relationship is causing you such distress at this time. When we are in relationships, trust is so integral to our satisfaction within the relationship.  Often, when we feel we are required to prove ourselves, feelings of resentment can replace those feelings of wanting to be supportive.  In situations like this, I often recommend being open and honest in your communication with your partner.  Your fears about his response are valid, as he made an assumption which you cannot disprove because you cannot battle against a shadow fact. If you feel comfortable doing so, you can always ask him why he is so concerned you are unable to remain faithful and challenge those beliefs with the facts that disclaim them.  You can also ask your partner what it is that he needs from you to help you to help him trust in your responses.  In the end, these are issues that you cannot conquer for him - you can only guide him and show him the path towards trust.  You may suggest couples counselling or that he seek out a professional to talk to, as well.  But in terms of your question, only you can decide whether you feel you can remain in a relationship in which you defend yourself against an uncommitted offense. </s>

<s>[INST] I just took a job that requires me to travel far away from home. My family and I really need this job. People keep telling me I have "anxiety" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do? [/INST] Congratulations on your new job. Chances are, you accepted this opportunity knowing that sometimes, you feel heightened levels of anxiety while traveling (or at least, people are telling you this is true) Rather than working towards how to stop it from happening, it might make more sense to prepare for if it does: often, when we know how we might deal with a situation, the situation doesn't manifest. On a more broad scope, though, tools to minimize anxious feelings abound: there are apps (headspace or happify for example) therapy helps, and tools like yoga and meditation can help reduce anxious feelings too. Safe travels~ </s>

<s>[INST] My mom and I have been fighting a lot now, and I just want a good relationship with her. [/INST] The best way to work on a relationship is for both people to engage with the problem and start communicating with each other more effectively.  One of the hardest things about this, however, is getting both people within the relationship to recognize that they are both responsible for the successes and failures within the relationship and remove all the all-or-nothing blame. The best style of communication is open and asking for clarification; why not try asking your mother why this particular fight/situation is eliciting such an angry response.  Often, the simple act of expressing that we don't understand the other person's point of view can open the doors to better levels of communication. The hardest part is trying to remain humble as we seek out that clarification and avoid the blaming language we are so used to using in such times. </s>

<s>[INST] I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender. [/INST] Hi, as an affirming gender therapist I like to let people know that like sexuality, gender is a spectrum too.  It's possible to look like a girl and feel more like a boy, just as it's possible to feel halfway between a boy and a girl, or anywhere else on a horizontal line with two points between it.  Some people use different pronouns or words to express their gender and that's okay.  It's up to you to find out what is most comfortable. </s>

<s>[INST] I tried telling my husband I was depressed, and he ignored me. He said "you're always sad or depressed." And he picked up his phone and ignored me. I said, "Please don't exaggerate, that isn't true." And he said, "Whatever babe. You just want to be sad." How can I get through to him so he will take me seriously? [/INST] Oh dear.From what you write, your husband doesn't have any interest to know about you and your sad feelings.Stay clear in understanding that you already did your part by asking him to listen and care about the way you feel.In this example, he told you he doesn't care.Its up to him to open his mind and heart to you.Depending on how motivated to continue asking him to hear you, try until you feel satisfied that you've given him enough chances to know who you are.   At a certain number of tries at this, you'll either have success or not.Just don't try forever because doing so will increase your depressed feelings. </s>

<s>[INST] I've been feeling worthless, unaccomplished, and so frustrated. I want to break things, hit myself, run away, kick, scream, and cry. I just want to be happy and outgoing again. I want to be able to take care of my daughter and live comfortably. [/INST] Philadelphia, there is help out there. For your daughter's sake, start somewhere. Feelings are only that; your worst fears about who you are are only based on a few moments that haven't gone well. Depression is so treatable, but you have to seek treatment from a professional.Here's a quick exercise for you to do that can show you how therapy might work... fear is telling you the worst possible story of your life, right? So... if there was an opposite story...the very best story that someone could tell about you and your life...what would that be? Who would be telling it? Someone who loves you? Someone who was around you when you were that outgoing person? Someone who's been watching your life from the start? God? Write that best story. I dare you to give it as much credibility as the worst one. Therapy is often about helping people reject their "worst stories". I invite you to start exploring with a qualified therapist whatever barriers stand between you and your best life. I hope you reach out soon. :) </s>

<s>[INST] I have been in a relationship with my boyfriend for about six years now. In the past, our relationship was difficult and frustrating. We argued a lot, and due to that, there was a lot of tension between us. We stayed together because we love each other and wanted to make it work. I used to party a lot, and several times I got into situations where I would end up kissing someone else. These situations were never more than just kissing. I have come clean about these situations with my boyfriend, and he decided to forgive and move forward with me. I love him so much and want to work things out too, but I'm having a difficult time understanding how he can forgive me. I can't seem to forgive myself. I'm overwhelmed with feelings of guilt and unworthiness. [/INST] Hi Cerritos,This is an interesting twist because it's more common for the person in your position to want to move forward, and for the person who was wronged to struggle with forgiveness. You are lucky to have a loving, compassionate partner, and your boyfriend is lucky to have a partner who takes full responsibility for their actions. My hunch is that you learned some things about yourself when you were younger that are playing a role here. Your sense of worthlessness seems out of proportion to the mistakes you made. You don't have to be perfect in order to deserve the love of a good man. You only have to have the maturity to recognise when you've hurt someone and work hard to make it better. Who in your life overreacted to small mistakes you made? Were you shamed as a child? Did you learn that you deserved to be punished? Did something bad happen that you thought was your fault? Is there a mistake you made long ago that you need forgiveness for? There is a younger person inside you waiting to be forgiven for something they weren't entirely responsible for. The bar is too high for you. If I was your therapist, I would work with you to find the source of the shame, and address that wound. If you want to move forward and be with your boyfriend, your job will be to forgive yourself. Forgiving doesn't mean "it was okay"; forgiving simply means that it happened, that you can't erase it, and that you don't want to carry it around or punish yourself for it anymore. You have done many things here that you can feel proud of! You've 'come clean', you've been honest, you've taken responsibility for your actions, you've not tried to minimize what you did, and you've chosen to be more loyal and aware of how you impact your boyfriend. These are all things you can use to build your sense of worth. You are acting very honourably. It's time to put your past mistakes away on the shelf knowing that you've learned from them and are a better person now. It's not our mistakes...not our worst moments that define us...it's how we handle them afterwards.I wish you growth and happiness. </s>

<s>[INST] My fiancé and I come from a strong Christian background but both went off the "straight and narrow" once before. He is having a hard time accepting my past, especially that I'm not a virgin. He has a hard time in general accepting himself and others. His insecurities are hurting our relationship. How can I help him let go of my past and decide to live in the present? [/INST] Your patience with his pace of accepting your past, is the factor most in your control in this situation.Everyone accepts a new understanding at their own particular rate.  Yours may be faster than his pace.Since it is possible he may accelerate his pace of accepting your past if he knows that this is a priority for you, tell him about your own discomfort .Even if knowing how you feel does not motivate him to a quicker pace of accepting your past, you will have the peace of mind to know you gave him all the information you possibly had to give. </s>

<s>[INST] I need to get on base to see my doctor. My ID card was in my wallet which was stolen. I’m unable to reach my husband at this time. He is only one who can take me on base in order to get a new ID so I can continue to see doctor. Is there anything I can do? [/INST] You should be able to get a replacement ID card either from the Personnel Office on your local base (the actual name of this office will vary depending on which branch of the military it is). You may also be required to go to the Military Police or Security office on base to report the loss of your old ID card. </s>

<s>[INST] We weren't long distance until he joined the military. I love him and I know he loves, me but it's complicated. He said he's not going to find someone else, but I'm afraid. How do I keep our relationship going? [/INST] You're wise to be aware of possible changes to your relationship once your bf is away from you for extended time periods.All you both can do is state your intentions and wishes, keep in contact as much as possible, and wait to see how your relationship unfolds.To a large degree, each of you is relying on faith that if the relationship is meant to last for a while, then it will.   The military may add stress.This doesn't necessarily mean the stress will dissolve the relationship.Sometimes all anyone is able to do, is try. </s>

<s>[INST] I feel so alone. I have so many people around me, but it seems as they just listen and dont understand. They say it will all be okay, or they don't listen to me st all. Everyone says they are here for me but it doesn't feel like they are. Why do I feel so alone? [/INST] Hello there.  Thank you for sharing your heart here.  I want to start off by saying, in kind of an ironic way, your struggle is something many people go through, I might say quite often.  Many feel alone with one another quite frequently.  THe reasons for feeling alone vary much between person to person.  In reading how you presented things, I will just respond from how this strikes me.  Sometimes feeling alone might be the result of not completing the second half of the equation; meaning that although people "listen" it wont necessarily equate the elimination of being alone. Instead, its when you follow up by inquiring and listening to others that you  may discover they feel and think and struggle just like you do. And as a result, you discover you really were never alone; when people discover common struggle and feelings, we are connected.  Second, we as humans are sometimes feeling alone because we may be lacking some self-acceptance.  Not fully accepting myself or situation , can be in the way of feeling the presence of others or the hearing the voice of others too. Or in other words, not bein 'ok' with myself makes it difficult being with others.  Third; feeling alone may be us not clear on what we are really needing from another person?   These are just some thoughts to consider.  Aloneness feels so real; and yet it has much to do with our perspective and view of things...  we are all alone in a crowded world until we speak and listen more closely.Kindly-keith hughes M.A.  keithcounseling.com </s>

<s>[INST] I recently broke up with my boyfriend After being together for over 4 years. I truly believe I did the right thing, but omehow being single now has made me very needy and unsure of myself. I am seeing someone casually and I am losing my mind with anxiety about how he feels about me and this need for validation. How can I learn to be content and at peace with myself regardless of my career, relationship status, etc? [/INST] Hello.  What you are experiencing is entirely reasonable for someone that is still trying to adjust to a new life and also leave behind a long term relationship.  It sounds like you lost touch with who you were as a person and need to start exploring that side of you again.  Spend time doing things that you have been putting off, or did not do because you were involved.  Take the time to become one with yourself before you get into another serious relationship.  Regaining self-confidence on yourself will help you with all other areas of life.  It is time to make you a priority and to start focusing on your mental and physical well being.  Get connected with your community and find things you would want to do that give you purpose and lift you.  Before too long you will be in your way to being content and in total control of your mind and at peace.  Best of luck. Mirella~ </s>

<s>[INST] My girlfriend's grandma passed away 5 months ago. They were very close. She took care of her till she died. Things kinda returned to normal few weeks later. Last month it feels like we hit a brick wall. Intimacy fell off. I asked what's up. She says she can't connect with anyone and that it's not me. She used to be very open and expressive. Now she gives short answers and has no interest in sex or any touching. When we did have sex in the last month, something felt really off. Now I'm very insecure about us and have thoughts of her cheating. She says otherwise, but I don't know. It just feels like something is really off. [/INST] Grief has a huge impact on us and everyone's reaction is different. The one common reaction however is to shut down and distance ourselves. Her relationship with her grandmother was close, given she took care of her up until she passed. It sounds like she is working through a difficult loss and her ability to connect with you, or anyone else, is likely low right now. Trust what she is telling you and try to be there for her as she works through it. If she finds it too difficult to connect again, a good grief counselor can help her get back on track. </s>

<s>[INST] When I ask him who he is talking to, he tells me no one. But, it sounds like he is holding a conversation with someone. I have even accused him of having a secret cell phone. I ask so much, I feel like I am losing it. Is he trying to make me question my sanity, or is he talking to himself? [/INST] A rare topic & likely extremely troublesome for you... I would need to have more background information on the two of you before beginning to offer any insight. Feel free to email me.I would also like to add that aside from the reality of whether or not these conversations are actually occurring, as your partner, he should be just as concerned about something that is disturbing you to this level.  Partners need each others' trust and support, no matter who is right or wrong. </s>

<s>[INST] My mother and I have an okay relationship. I know she loves me unconditionally, and I love her the same. However, more times than not, I'm afraid to tell her anything personal because she either doesn't listen, she turns it around and makes everything about her, or she ignores things - even when they are about my mental health. [/INST] Could you tell her ?  What would happen if you said "Mom, I love you and I really want to share myself with you, but often I you get upset and I don't want that to happen. I really want to be able to talk to you." </s>

<s>[INST] He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out. [/INST] Although the marriage vows say in sickness and health, each person has the right to choose to stay or to leave, depending on their ability to cope and handle marriage challenges.  I know is hard not to focus on him and his choice, but the more you put the focus of attention on him the least support you will receive. Focus on increasing self-care activities and building a support system around you.  A therapist can help you to work with depression symptoms, build up your self-esteem, and developing coping skills.  Also, invite him to a therapy session so he can clarify any questions and concerns regarding your diagnosis.If you would like to engage in therapy, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478.Mi esposo quiere divorciarse después que fui diagnosticada con depresión severa.El dijo que intentaría y nunca lo hizo.  Has pasado nueve meses, y esto me está haciendo sentir peor.   Hoy, el dijo que yo debo respetar la decisión que el tome.   ¿Es eso cierto? ¿SE supone que respete la decisión de irse porque él no puede manejar lo que yo estoy pasando y me deja llorando y preocupada cada noche?  El cambia de opinión todo el tiempo.A pesar de que los votos matrimoniales dicen en la salud y la enfermedad, cada persona tiene el derecho de decidir si se queda o se va, dependiendo en su habilidad de lidiar los retos del matrimonio.  Entiendo que es difícil evitar enfocarte en él y sus decisiones, pero mientras más enfocas tu atención en el, más vas a resentir la falta de apoyo.  Enfócate en aumentar el cuidado personal y en desarrollar tu sistema de apoyo.  Un terapista te puede ayudar a trabajar con los síntomas de depresión, mejorar tu autoestima y desarrollar mecanismos de defensa.  También puedes invitar a tu esposo a terapia para hablar sobre tu diagnosis y que aclare dudas sobre los síntomas y expectativas.Si te gustaría recibir terapia, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478. </s>

<s>[INST] I'm almost never happy. Half of the time, I don't feel anything. I find it easy to make myself feel nothing. I know I push people away because it’s easier. I just want answers. I'm sick of feeling this way. It’s ruining my relationships with people. [/INST] Hi Loyal, This is a common question. I suggest that you not diagnose yourself (only a physician can do that), but the symptoms you mention are certainly common signs of depression; rarely happy, emotional numbness, hopelessness, isolation. Depression is very common. Research suggests that one in three people may experience it in their lifetime and at any one point, ten percent of adults may be experiencing it.  Most therapists are very good at spotting the signs and treating accordingly, although only a physician can prescribe medication.The great news is that depression is treatable. Some people experiencing depression may benefit from medication (often to lift the heaviness of the illness enough so that one can focus on psychotherapy), and therapies such as cognitive behavioural therapy and behavioural activation therapy have demonstrated a clear ability to reduce symptoms of depression. Even if medication helps, seeing a therapist to look at the roots of your depression and to build coping skills is very important. A qualified therapist will help you look at the barriers to happiness in your specific case and suggest a course of treatment. You are not alone, and you don't have to suffer. Keep asking questions and you will find your answers! </s>

<s>[INST] I have terrible anxiety and depression. I've tried various therapists and pills, but nothing's helped. [/INST] I'm sorry that you have tried several different things and not had much relief.I will say that there are several different types of medications that may help and each therapist is different, so it is quite possible that a different combination of things you've already tried may be helpful.I would encourage you to continue trying different therapists. I would say to give each one at least six sessions before you decide that the approach that they are using is not working for you. Also, most places have a certain sort of structured initial session that must be done, but after that, the decisions are largely up to what you and the clinician feel is helping. If something is or is not working, communicate this with your therapist. This is a big deal. Most therapists I know actually welcome this feedback.There is a fair amount of research into the idea that the therapeutic alliance (the relationship that you have in the context of working through the reasons that brought you into therapy) is very important. Also, sometimes anxiety and depression can make it difficult to go to therapy on a regular basis. If that is something with which you are struggling, I would encourage you to talk about that as well.In addition to a solid relationship with a therapist who you connect with, you may consider trying something like yoga or meditation. Mindfulness is sometimes helpful as well.Here's a link to questions for finding suitable therapists: http://www.pharmatherapist.com/12-tips-for-finding-a-suitable-therapist </s>

<s>[INST] My boyfriend says I'm nuts. I need to get help because I get an overwhelming feeling that he is cheating on me. Whenever I try to talk with him about it, he always turns it around on me by telling me what I'm doing wrong. I know that accusing him does not help. When his whole demeanor shifts towards me, I can't help but think that something is wrong. Am I wrong for feeling this way? I try to talk with him to make it better. I let him know when I am feeling down. But I am not confident in these things. Two weeks ago a girl texted his phone 3 times trying to hook up with him. He texted her back with "Sorry, I've been working. I just read your message." The girl was trying to get him to call her at a time when he was at home with me. He texted her back with "Don't text me anymore." I don't feel like I am way out of the line. But I can't talk with him if all that he will say is that I'm crazy and I need help. What should I do? How will I go about checking if there really is something wrong with me? [/INST] Trust your intuition that your boyfriend is involved with other people.You gave examples which strongly suggest this.Quite commonly, a person twist someone's words to convince then of having problems in seeing or understanding their own and other's behavior.Your intuition is again working quite well in telling you that your problem is having a boyfriend who manipulates you, not that you're seeing things incorrectly.One way to check if you're totally misreading him, is to examine whether you feel similarly in other relationships.If no one else who knows you tells you that you're crazy, then this strongly points to your boyfriend twisting words so that you feel wrong.Also, a consult with a therapist would clarify the dynamics between you and your boyfriend.A therapist session would also allow you to think out loud in a confidential discussion, what to do with your newfound clarity! </s>