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<s> [INST] How does a counselor decide when to end counseling sessions or to terminate working with a client?[/INST]In the best case scenario, it's a mutual discussion and decision. If not, �I've had the discussion initiated both ways, by me, when I sense the client has gone has far as they want, by lack of interest in...
<s> [INST] How does a counselor decide when to end counseling sessions or to terminate working with a client?[/INST]In my therapy practice the decision to end therapy is mutually made together with the patient.Otherwise, the person can end up with a sense of tremendous rejection and abandonment.The way you'll both know...
<s> [INST] How does a counselor decide when to end counseling sessions or to terminate working with a client?[/INST]Hi there,�There are a number of reasons why a therapeutic relationship might end including, but not limited to the client reaching their goals, the client reaching a place of acceptance where they wish to...
<s> [INST] How does a counselor decide when to end counseling sessions or to terminate working with a client?[/INST]This is a question that is very specific to each person. There are definitely some variables, but I can give you some general ideas for when counseling might end:When a client has met all of their goals, ...
<s> [INST] My therapist is gay so there are no sexual issues here. However, my therapist for six years has made me believe that he cares about me and that we are friends. I have loaned money to him many times, and he always paid me back. I had a medical emergency last weekend and I was heavily medicated. I knew that...
<s> [INST] My therapist is gay so there are no sexual issues here. However, my therapist for six years has made me believe that he cares about me and that we are friends. I have loaned money to him many times, and he always paid me back. I had a medical emergency last weekend and I was heavily medicated. I knew that...
<s> [INST] My therapist is gay so there are no sexual issues here. However, my therapist for six years has made me believe that he cares about me and that we are friends. I have loaned money to him many times, and he always paid me back. I had a medical emergency last weekend and I was heavily medicated. I knew that...
<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]It's a great idea for you to reach out to find a psychologist to talk to if this is a field you might be interested in...
<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 o...
<s> [INST] I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking t...
<s> [INST] I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking t...
<s> [INST] I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking t...
<s> [INST] I have an eating disorder of binging. I've had gastric sleeve surgery. I need help with issues of abuse as a child, addiction, and abusive men. I have been in therapy for five months and get no feedback from my therapist.[/INST]It can be really frustrating to feel like your counselor is not providing you wit...
<s> [INST] I have an eating disorder of binging. I've had gastric sleeve surgery. I need help with issues of abuse as a child, addiction, and abusive men. I have been in therapy for five months and get no feedback from my therapist.[/INST]Hi Anaheim,Relationships with therapists have some things in common with other re...
<s> [INST] I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.[/INST]Having this kind of conversation with a doctor can feel difficult. But remember, you are the expert on you. Any good medical professional will recognize th...
<s> [INST] I'm worried I should see a therapist due to past events and current mental status. I'm just so unsure of how to ask my doctor about seeing someone.[/INST]Thanks for your question. I'm glad you realize that you need extra support and are being proactive. Simply explain to your doctor the feelings you have bee...
<s> [INST] I need help dealing with stress. How can I handle it all and feel less stressed out?[/INST]In case you feel some relief to know you're feeling the tone of our times.We live with crumbling of our values which then gives rise to insecurity everywhere. �If someone doesn't know what their values are then its dif...
<s> [INST] I need help dealing with stress. How can I handle it all and feel less stressed out?[/INST]Part of handling stress is making sure that your perception of the stress is accurate. Sometimes stress can seem more than it really is. One thing that I encourage my clients to do is to ask themselves, "What is this s...
<s> [INST] I need help dealing with stress. How can I handle it all and feel less stressed out?[/INST]There are many causes for feeling stressed out. Between a demanding job, family responsibilities, and everything else that can come up, stress becomes more and more part of our everyday life. One of the best ways to co...
<s> [INST] I need help knowing how to deal with stress. What can I do?[/INST]Something different works for each of us.There are the outward answers of self-pampering and making your home and work environment as pleasant as possible.A deeper level way to decrease stress is through exercise or alternative practices like ...
<s> [INST] I need help knowing how to deal with stress. What can I do?[/INST]Our body reacts to stress typically by breathing more shallowly, increasing our heart rate and tensing our muscles - so one thing that I find really effective is to try to do the opposite of that, which sends the signal to our mind that we are...
<s> [INST] I need help knowing how to deal with stress. What can I do?[/INST]Learn how to meditate. I recommend a Mindful Based Stress Reduction MBSR program.</s>
<s> [INST] I'm in my late 20s. I have two jobs right now, I'm in school, and I feel like I just have a lot under my belt right now. I get stressed out really easily. I tend to worry and over-think. I'm just worried about money and everything.[/INST]A good start is to pay attention to some basic issues: sleep, nutrition...
<s> [INST] Is it a type of fetish, or is it normal?[/INST]Maybe it is a way to secretly satisfy your own wish to be or to live life gay.</s>
<s> [INST] I am a young adult, and I was sexually assaulted by an older man when I was a teenager (which has really intensified the guilt/shame). However, I've been attracted to much older men since I was even younger than that.[/INST]Sometimes the reason for being attracted to older men is because of growing up with a...
<s> [INST] I have been experiencing a lot of sexual tension with a lot of the guys that I talk to nowadays. I keep imagining having sex with them. I have never had sex before, nor have I had a boyfriend. I feel lonely and empty. I feel like my body is not okay, and I am missing something. I talk to so many boys in scho...
<s> [INST] Back in high school, my friend and I used to masturbate around each other. I hate even talking about it now because it's so weird. We didn't even realize how messed up it was at the time. One time, it escalated and we ended up doing it for each other. It wasn't supposed to be a gay thing, but it sure sounds ...
<s> [INST] These "jokes" are made about everything. They seem to have the need to say something "funny" about everything. It's not funny, just awkward.[/INST]I agree, it is awkward when people make jokes about subjects which may not be funny at all. �And, if a person only jokes, then after laughing and realizing the pe...
<s> [INST] My best friend and I were pranking her friend, and I told her to tell him that she likes him. She said no, but I forced her. After she told him, he told her that he likes her too. Their friendship is ruined because of me. She won't forgive me, and I feel really guilty. I feel like crying.[/INST]In order for ...
<s> [INST] My best friend and I were pranking her friend, and I told her to tell him that she likes him. She said no, but I forced her. After she told him, he told her that he likes her too. Their friendship is ruined because of me. She won't forgive me, and I feel really guilty. I feel like crying.[/INST]This takes ti...
<s> [INST] I was �mentored� by this guy for a few years spiritually. It was okay at times, but other times, it was just weird. I try not to think about it too much, but a lot of manipulation and lying happened, yet no one else really believed me when I told them. It's like he's two different people, and no one else rea...
<s> [INST] I was �mentored� by this guy for a few years spiritually. It was okay at times, but other times, it was just weird. I try not to think about it too much, but a lot of manipulation and lying happened, yet no one else really believed me when I told them. It's like he's two different people, and no one else rea...
<s> [INST] Every time I send a message to someone or a group message on Instagram, iMessage, or snapchat people will read my messages but then they won't answer me. Could it be that there is something they don't like about me? I don't understand why they won't answer my messages. How do I get people to respond to me...
<s> [INST] Every time I send a message to someone or a group message on Instagram, iMessage, or snapchat people will read my messages but then they won't answer me. Could it be that there is something they don't like about me? I don't understand why they won't answer my messages. How do I get people to respond to me...
<s> [INST] Every time I send a message to someone or a group message on Instagram, iMessage, or snapchat people will read my messages but then they won't answer me. Could it be that there is something they don't like about me? I don't understand why they won't answer my messages. How do I get people to respond to me...
<s> [INST] She mostly targets me on social media. The bullying used to be much worse, but it is still going on. The comments are so vague, but I know that they are meant for me. Even when I confront her, she messages me short phrases to try to get in my head. If I try to fight back, she will ruin me.[/INST]Sorry to hea...
<s> [INST] It's really hard to not have negative feelings about friends who don't put any effort into nourishing our relationship.[/INST]One thing I would ask is "why are you still hanging with those {friends}?" A relationship needs to be nurtured by both parties, it is a dynamic fluctuation between two people. I would...
<s> [INST] It's really hard to not have negative feelings about friends who don't put any effort into nourishing our relationship.[/INST]Interpersonal relationship (either positive or negatives) need to or more persons who give and receive: attention, dedication, time and communication. But what makes friendships speci...
<s> [INST] I'm having problems shutting them out and putting up walls.[/INST]It sounds like you would like to let other people get close to you and at the same time you are finding yourself compelled to keep people at a distance. Often times, when we have difficulty trusting others, it is because we have specific fears...
<s> [INST] I'm having a quincea�era, and the girls don't like their dresses. They never told me, and now it's a week away. I don't know what to do.[/INST]How did you find out that the girls aren't happy with their dresses?Did you hear this directly from one of them or is this third hand information that someone else to...
<s> [INST] I would like to be able to have more positive relationships in the present.[/INST]Staying present is an attitude most of us aspire to, and most of us have to work at it�certainly at first. I�m here to tell you that living in the now or being mindful is a skill anyone can learn. Unfortunately, the only way to...
<s> [INST] I would like to be able to have more positive relationships in the present.[/INST]Would you describe yourself as sensitive to your surroundings and emotions?If yes, this may explain why letting go of past problems, is itself a problem.The dynamic of living one day at a time and letting go of past problems, i...
<s> [INST] I would like to be able to have more positive relationships in the present.[/INST]Hi Chapel Hill,�I like your goal; research is telling us more and more that one of the most important keys to happiness is having healthy relationships. If we feel successful in that area, it can give us the confidence and hope...
<s> [INST] I would like to be able to have more positive relationships in the present.[/INST]Take one day at a time!!!� Each day do things that make you happy, moves to a positive place, focusing on the future, give you a sense of fulfillment and accomplishment.� Journal at the end of the day of how well you did that d...
<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 someon...
<s> [INST] In this argument my friends are all against me so I'm wondering if I'm exaggerating my feelings. I feel like I'm being attacked and that is making me blow things out of proportion and taking the role of the victim, when in reality I'm the one being unreasonable and I am simply annoying my reasonable friends....
<s> [INST] They're calling me names like hypocrite and a baby even when they act in the same manner as I do. I'm tired of being called names. What should I do?[/INST]It sounds like your confused as to why your friends would be calling you a hypocrite when they act in the same manner, correct? Communication is key to an...
<s> [INST] I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years. How can I deal with being bullied at school when the teachers won't help?[/INST]That's a very difficult situation that you are in. But you are not alo...
<s> [INST] I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years. How can I deal with being bullied at school when the teachers won't help?[/INST]Teachers don't do anything about it due to liability of the school (sc...
<s> [INST] I've been bullied for years and the teachers have done nothing about it. I haven't been diagnosed with depression, but i have been extremely sad for years. How can I deal with being bullied at school when the teachers won't help?[/INST]To be bullied is very painful.I'm glad you know the bullies are doing ...
<s> [INST] I nanny a three year old. When he wakes up in the morning he calls out for someone to come get him. If I am the one to go get him out of bed he gets really upset and refuses to let me near him. He screams that he wants his mom or dad (they work from home). The rest of the day he loves me. But not in the m...
<s> [INST] I nanny a three year old. When he wakes up in the morning he calls out for someone to come get him. If I am the one to go get him out of bed he gets really upset and refuses to let me near him. He screams that he wants his mom or dad (they work from home). The rest of the day he loves me. But not in the m...
<s> [INST] I nanny a three year old. When he wakes up in the morning he calls out for someone to come get him. If I am the one to go get him out of bed he gets really upset and refuses to let me near him. He screams that he wants his mom or dad (they work from home). The rest of the day he loves me. But not in the m...
<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...
<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]Do you have any other form of identification? T...
<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]As a prior military spouse myself I can happily...
<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]In a way, self-harm can present somewhat like an addiction. �According to new research within the field of neuroscience there is a valid explanation for this. �When a person cuts or uses ...
<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 tha...
<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]Hello, and thank you for your question. This is a very serious time. I don't mean to frighten you, but you are right to be concerned. The time right after people leave the hospital after...
<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]This is actually more common then we often realize, and actually understandable, as he has gone through a trauma, an unresolved existential crisis. �He was taken care of by others and no...
<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'm thankful to read your husband found care and that his suicide attempt wasn't successful.�� While he was hospitalized, and prior to his release, your husband would've been provided in...
<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]This must be so difficult for both of you. �Watching someone you love suffer so profoundly can bring up lots of difficult feelings. �Without knowing what you are already doing, I have a ...
<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....
<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]A failed suicide attempt is commonly thought of as a �cry for help,� however it can also be a serious attempt to find a permanent solution to depression, hopelessness or other feelings a...
<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 ta...
<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]Since as husband and wife your lives are closely joined, how your husband feels greatly influences the way you feel.Give yourself some time to concentrate on how you've been affected by ...
<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]It seems like you are very receptive of your husband�s emotions and want to support him trough this time. �But it is also important of being aware of your emotions. �How are you feeling ...
<s> [INST] How do therapists classify the type of personality their clients have? What characteristics do they look at to decide what type of personality the client has? I've read about this online, but I'd like to understand this from a therapist's point of view.[/INST]This is a great question, and I am happy to have ...
<s> [INST] How do therapists classify the type of personality their clients have? What characteristics do they look at to decide what type of personality the client has? I've read about this online, but I'd like to understand this from a therapist's point of view.[/INST]That's a great question. There is such a wide ran...
<s> [INST] How do therapists classify the type of personality their clients have? What characteristics do they look at to decide what type of personality the client has? I've read about this online, but I'd like to understand this from a therapist's point of view.[/INST]Not very well :)So, you got the Jungians, and you...
<s> [INST] How do therapists classify the type of personality their clients have? What characteristics do they look at to decide what type of personality the client has? I've read about this online, but I'd like to understand this from a therapist's point of view.[/INST]In my therapy practice I avoid characterizing peo...
<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]I think we all go through a period of time where we think we ar...
<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]There is nothing wrong with you! Sometimes we get intrusive tho...
<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]We all suffer from random thoughts from time to time. Being abl...
<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]A lot of times the thoughts we have about ourselves are message...
<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 kinds of thoughts can be quite difficult to handle, but i...
<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]We have thousands of thoughts a day. Some thoughts we choose to...
<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]Many people have thoughts like those you describe, and often it...
<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]Talking to a licensed profession who can discuss this in greate...
<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]Life is beautiful without unwanted thoughts and stress. With pr...
<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]First off, there is nothing wrong with you. �In fact, having ra...
<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...
<s> [INST] I'm currently struggling with diagnosed depression, anxiety, and Misophonia. Also, I am 99% sure I have Borderline Personality Disorder and Avoidant Personality Disorder. I read the DSM-IV, taken college psychology, etc. I know it in my heart I have them. Is self-diagnosing okay with the right research?[/INS...
<s> [INST] I'm currently struggling with diagnosed depression, anxiety, and Misophonia. Also, I am 99% sure I have Borderline Personality Disorder and Avoidant Personality Disorder. I read the DSM-IV, taken college psychology, etc. I know it in my heart I have them. Is self-diagnosing okay with the right research?[/INS...
<s> [INST] She has trouble falling and staying asleep and she's always either extremely hungry or not hungry at all. She also gets angry and feels like crying really easily for no reason. She says she is always "kind of down." Is this depression? What can I do to help her?[/INST]Sounds like signs of someone who is d...
<s> [INST] I had a very troubled up bringing and I'm currently dealing with alot right now. I know some people may not think so, but to me its a lot. I feel overwhelmed. Could this be depression? I use to be in therapy as a child. Alll throughout elementry, middle, and high school I had counseling 2-3 times a week. ...
<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. Coul...
<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. Coul...
<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. Coul...
<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]Finding the right therapist for you is very important and can sometimes be tricky. It can sometimes take a number of sessions to get a good sense of whet...
<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]If your therapist is attentive and compassionate to what you are sharing then you will know you have a true connection with him or her and that he or she...
<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]When you find the right therapist, you will feel understood on a deeper level. �You'll feel that they not only understood what you were saying, but that ...
<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]The most important agent of change in therapy is your relationship with your therapist. It is so important for you to find a therapist that you trust and...
<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 simila...
<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]When you have the right therapist you just know, as evidence of the help that you have received, the progress that you have made, �from the rapport and p...
<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]This is a great question.� A good therapist should first be someone you can trust and second, someone who encourages you to be honest with yourself.� The...
<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]If you connect with your therapist and can say whatever you want to say and not be judged.</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]Having the perfect therapist can be the�key to any fruitful relationship. My private practice uses Life Coaching, though I am professionally qualified in...
<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]The right therapist is [a] man or woman with whom you see an immediate and continual improvement in your issue, up until the point when you no longer nee...
<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]One way is to bring one's concerns or desires to the therapist directly, rather than trying to subtly 'train' them. Here's why I say that:�One quite impo...