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### Instruction: It was over 20 years ago, but the pain has resurfaced again now because I have started seeing her Facebook posts about how great her life is. I feel so angry. How can I handle this? ### Response:
Emotional pain is different from physical pain that way, isn't it? Even many years later, an old wound can be ripped open again by a small trigger.You were betrayed by two people close to you. That's a complex injury. I don't know whether you're still in the marriage or not, or whether your sister is still in your life...
### Instruction: Last year, I just always felt hopeless. I don't have a great relationship with my sister. I lost my mother recently, and that really added to my sadness. My sister always brings up how I was never close to my mother. ### Response:
I am so sorry about your loss.  Losing someone you love is always difficult, however, losing a mother is a significant loss in a daughters life.  What makes this loss complicated is that it appears you have also had a loss in your relationship with your sister.  It is difficult to know what happened with your sister wi...
### Instruction: My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time. ### Response:
Hi Biddeford,This is a super goal. Feeling powerless is something parents are wise to get used to; there's a creature in the home whose job it is to find and use their power in the family and in the world. Of course your toddler defies you, and that's healthy. I worry more about the overly compliant ones. She is wantin...
### Instruction: My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time. ### Response:
Hi Biddeford,This is a super goal. Feeling powerless is something parents are wise to get used to; there's a creature in the home whose job it is to find and use their power in the family and in the world. Of course your toddler defies you, and that's healthy. I worry more about the overly compliant ones. She is wantin...
### Instruction: My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I le...
Hi Rockford, While no relationship is "perfect", and it's natural for the passionate beginnings of a relationship to lessen with time, because we have established the trust and love needed as a foundation and we don't have to smother each other with attention anymore, your situation sounds like something different. "He...
### Instruction: My fiancé and I have almost the best relationship every girl wants, but lately it's changed. I get less attention and little to no intercourse. He works a lot and goes to the gym a lot (he's a football player for an indoor league), but he has no time for me. We live two hours from family, and when I le...
Hi Rockford, While no relationship is "perfect", and it's natural for the passionate beginnings of a relationship to lessen with time, because we have established the trust and love needed as a foundation and we don't have to smother each other with attention anymore, your situation sounds like something different. "He...
### Instruction: How does a counselor decide when to end counseling sessions or to terminate working with a client? ### Response:
To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment.  Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals.  As therapy progress, we verify goals on a monthly to a quarterly basi...
### Instruction: How does a counselor decide when to end counseling sessions or to terminate working with a client? ### Response:
To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment.  Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals.  As therapy progress, we verify goals on a monthly to a quarterly basi...
### Instruction: Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family. However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my chil...
It is completely understandable that you are struggling to forgive and forget this betrayal, and I'd like to echo the sentiment of Danielle Alvarez: infidelity takes time to heal from, so allow yourself to grieve and find the support you need. I'd highly suggest going to couples therapy and addressing all the issues th...
### Instruction: My son stole my debit card and lied about it. It's not the first time he has lied. I don't know what to do anymore. I don't know if I should punish him or make him do something. I've tried talking to him and asking if anything was wrong. I have grounded him, but nothing works. What should I do? ### Re...
A lot depends on the age of your child, but given that it was a mis-used debit card, I am going to guess he's a teen?  Assuming that, there are a couple of important things to keep in mind...1.  That he lied about the misuse indicates he knows he was in the wrong.  That's a dreadful feeling - getting caught out- and an...
### Instruction: I have cheated on my husband of five years roughly ten times. I pretend we aren't married at my work. Recently, he has caught on, but I lie to cover it. He use to talk to girls online, but I have caught myself constantly having a affair. ### Response:
Clearly you seem interested in being other people, and you are also concerned about your husband being unfaithful online.  But it seems like there is something that keeps you with your husband.   And I have so many questions for you: What are you looking for outside of your marriage?  Are you willing to give that up if...
### Instruction: Cheating is something unacceptable for me but because we have two daughters I decided not to break up the family. However, now I am struggling to forget and forgive what happened. I feel like I cannot trust him. Without trust, I cannot stay in this relationship. On the other hand, I do not want my chil...
It is completely understandable that you are struggling to forgive and forget this betrayal, and I'd like to echo the sentiment of Danielle Alvarez: infidelity takes time to heal from, so allow yourself to grieve and find the support you need. I'd highly suggest going to couples therapy and addressing all the issues th...
### Instruction: I have cheated on my husband of five years roughly ten times. I pretend we aren't married at my work. Recently, he has caught on, but I lie to cover it. He use to talk to girls online, but I have caught myself constantly having a affair. ### Response:
Clearly you seem interested in being other people, and you are also concerned about your husband being unfaithful online.  But it seems like there is something that keeps you with your husband.   And I have so many questions for you: What are you looking for outside of your marriage?  Are you willing to give that up if...
### Instruction: Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) ...
Hi California,I'm happy to hear you want to get a hold of this problem. Relationships don't tend to last when we treat people poorly. It is very possible for you to learn different ways of relating, with some strong effort. I would highly suggest working with a therapist, and I will give you a few things to think about...
### Instruction: I have a child with my baby mother. She works I take care of our young son. She says she is not cheating I have not found anything but she always putting me down, telling me to get out and telling me she doesn't love me, but then the next day after our fight she says she does. I'm having a hard time be...
It sounds like you are in a tough situation. You have to ask yourself why you don't want to leave her. Is it because of the child? Or is it because you want the relationship to work? You must consider that being in an abusive relationship is not healthy for you or your child. So if the abuse continues, it would be more...
### Instruction: Whenever I run into a situation that makes me upset or angry, I tend to start cursing and badly offending the person I am confronting. I say mean things to let my anger out. Whenever people tell me stuff about my relationship (like starting rumors or saying negative things about me or my relationship) ...
Hi California,I'm happy to hear you want to get a hold of this problem. Relationships don't tend to last when we treat people poorly. It is very possible for you to learn different ways of relating, with some strong effort. I would highly suggest working with a therapist, and I will give you a few things to think about...
### Instruction: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help? ### Response:
Certainly counselling can help. however, there is a caveat, namely, you will need the right counsellor with the right approach. This leads to two questions: 1) What are the identifiers for the right counsellor, and 2) What is the right approach?1) What are the identifiers for the right counsellor? The right counsellor ...
### Instruction: I have been dealing with depression and anxiety for a number of years. I have been on medication, but lately my depression has felt worse. Can counseling help? ### Response:
Certainly counselling can help. however, there is a caveat, namely, you will need the right counsellor with the right approach. This leads to two questions: 1) What are the identifiers for the right counsellor, and 2) What is the right approach?1) What are the identifiers for the right counsellor? The right counsellor ...
### Instruction: I've have lived for sometime with depression but things have gotten a lot better, but why is it so hard to get over anxiety and social isolation? ### Response:
The best way to handle depression and anxiety is with a combination of appropriate medication given to you by a medical doctor, and therapy to help you understand the thoughts, feelings, and behaviors that are causing the depression and anxiety in the first place and then to replace these with more positive thoughts an...
### Instruction: I have a child with my baby mother. She works I take care of our young son. She says she is not cheating I have not found anything but she always putting me down, telling me to get out and telling me she doesn't love me, but then the next day after our fight she says she does. I'm having a hard time be...
It sounds like you are in a tough situation. You have to ask yourself why you don't want to leave her. Is it because of the child? Or is it because you want the relationship to work? You must consider that being in an abusive relationship is not healthy for you or your child. So if the abuse continues, it would be more...
### Instruction: I’m trying to make marriage work after a split. Before our split, he lied a lot and broke every promise to me. I don't think he cheated. Last month, I asked what women work with him, so he told me. Yesterday, I found out about a girl that he said he forgot about. Should I be upset? ### Response:
Do you want to be upset about a girl that he forgot about?  Think about it for a minute.  Do you want to measure your trust based on knowing how many female co-workers your husband has?  And if so, what does that say about your marriage?  Trust is something that we earn based on our actions and the actions of people we...
### Instruction: My fiancée suffers from severe anxiety and depression. She has had it most of her life. Her anxiety in public places is the worst. It gets to points where she can't breathe or move. Sometimes, she won't even go to the restroom, so she will hold in her pee until her stomach hurts or she pees herself. Sh...
It sounds like you have been a positive support for your fiancee. There is no doubt that this situation is a great challenge for the both of you. While it may feel like you are responsible for her health and happiness, it is important that you understand that you, on your own, won't be able to resolve her mental health...
### Instruction: I’m trying to make marriage work after a split. Before our split, he lied a lot and broke every promise to me. I don't think he cheated. Last month, I asked what women work with him, so he told me. Yesterday, I found out about a girl that he said he forgot about. Should I be upset? ### Response:
Do you want to be upset about a girl that he forgot about?  Think about it for a minute.  Do you want to measure your trust based on knowing how many female co-workers your husband has?  And if so, what does that say about your marriage?  Trust is something that we earn based on our actions and the actions of people we...
### Instruction: My fiancée suffers from severe anxiety and depression. She has had it most of her life. Her anxiety in public places is the worst. It gets to points where she can't breathe or move. Sometimes, she won't even go to the restroom, so she will hold in her pee until her stomach hurts or she pees herself. Sh...
It sounds like you have been a positive support for your fiancee. There is no doubt that this situation is a great challenge for the both of you. While it may feel like you are responsible for her health and happiness, it is important that you understand that you, on your own, won't be able to resolve her mental health...
### Instruction: 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? ### Response:
Hello. First, I am so sorry you are experiencing these feelings. They can be intense, I will do my best to offer some suggestions or thoughts that I hope will be helpful to you. There could be a number of things occurring. Therapy is a delicate, private decision and I would first like to commend you for the fact that y...
### Instruction: 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? ### Response:
Hello. First, I am so sorry you are experiencing these feelings. They can be intense, I will do my best to offer some suggestions or thoughts that I hope will be helpful to you. There could be a number of things occurring. Therapy is a delicate, private decision and I would first like to commend you for the fact that y...
### Instruction: 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? ### Response:
Hello. First, I am so sorry you are experiencing these feelings. They can be intense, I will do my best to offer some suggestions or thoughts that I hope will be helpful to you. There could be a number of things occurring. Therapy is a delicate, private decision and I would first like to commend you for the fact that y...
### Instruction: I got sick really bad and was throwing up for three days and nights. I thought I was going to die. Then about a week later, I started having this desire to be female. I never had this desire before. All I can think about is being a woman. I don't get pleasure from my penis anymore either. Women are att...
Hello, and thank you for reaching out to ask for help. Surely this is a very confusing time for you! If you have never had these feelings and desires it could certainty shake everything you thought you knew about yourself. My guess is that you becoming sick around the time that this started is likely a coincidence...
### Instruction: I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my ...
Teenage years are rough for anyone, and this is a time for self-discovery and experimentation. Having older parents can certainly pose challenges. Most kids feel like their parents don't understand them, but yours are older than the average parents of teenagers. They're from a completely different generation than you a...
### Instruction: I've never been able to talk with my parents. My parents are in their sixties while I am a teenager. I love both of them but not their personalities. I feel that they do not take me seriously whenever I talk about a serious event in my life. If my dad doesn’t believe me, then my mom goes along with my ...
Teenage years are rough for anyone, and this is a time for self-discovery and experimentation. Having older parents can certainly pose challenges. Most kids feel like their parents don't understand them, but yours are older than the average parents of teenagers. They're from a completely different generation than you a...
### Instruction: I’ve been in a long distance relationship with my girlfriend for just over a year. This past week she admitted to me that she has feelings for another guy. She says it’s “just a crush” but I don't know how to cope with it. How should I deal with this? ### Response:
Long distance relationships are very difficult to maintain, not just for the lack of communication, but also because of the lack of intimacy that comes along with it. Even if you have spectacular communication while in a long-distance relationship, it is difficult to maintain intimacy because you are lacking in the phy...
### Instruction: 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? ...
I am so sorry to hear you are going through this. Divorce can be so disruptive in a child's life.I'd really need a lot more information about your situation before I'd feel comfortable offering any advice or suggestions. There are so many variables, and not knowing the whole story, any advice could possibly make your s...
### Instruction: 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? ...
I am so sorry to hear you are going through this. Divorce can be so disruptive in a child's life.I'd really need a lot more information about your situation before I'd feel comfortable offering any advice or suggestions. There are so many variables, and not knowing the whole story, any advice could possibly make your s...
### Instruction: What can I do to stop grieving my mother’s death? When I am awake I just cry every day. I don't have anyone to talk to. I need help; I am still cry over her. Will I ever stop crying? It’s been 3 years. ### Response:
I am sorry that you lost your mother. That is a really hard thing for someone to go through.There is really no set time for grief to be over, but I agree that if it has been three years and you are still crying every day then this is past the time for normal grief. I do not know how old you are and if you are in schoo...
### Instruction: Or how to send him somewhere that can help him, something like The Baker Act. ### Response:
More information would be needed for me to accurately answer this question, such as your age, whether you live with your dad or not, and what other family members live in the household. Something like this, alcoholism, is a whole family disease. In other words, family members often unknowingly contribute to the alcohol...
### Instruction: I've been hurt by a man for five years. He doesn't involve me with the family or kids. Everyone in the family is against me. There is a Mass today for a family member, and he never asked me to go. I'm to sit home alone now and Christmas too. He expects me to sit alone while he enjoys being with the fam...
Hi Florida,I get the sense that, aside from this relationship, you're quite isolated in general. It's sad that you're feeling excluded at Christmastime and family events. While I would suggest that you don't really know what he or his family are thinking or feeling (you assume they're against you, and that he doesn't c...
### Instruction: I've been hurt by a man for five years. He doesn't involve me with the family or kids. Everyone in the family is against me. There is a Mass today for a family member, and he never asked me to go. I'm to sit home alone now and Christmas too. He expects me to sit alone while he enjoys being with the fam...
Hi Florida,I get the sense that, aside from this relationship, you're quite isolated in general. It's sad that you're feeling excluded at Christmastime and family events. While I would suggest that you don't really know what he or his family are thinking or feeling (you assume they're against you, and that he doesn't c...
### Instruction: 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. I...
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 ...
### Instruction: I was anxious to go to middle school. I was afraid of what people might say about me, so when school started, I wasn't acting like myself. I was quiet, which I'm usually not. I didn't talk to anybody and didn't have any friends. Then a few years later, my grandma died. I really became depressed and sto...
I agree; you need more care and support. No one deserves to feel alone, or like they hate themselves. We're all wonderful, imperfect, complicated people and we're at our best when we're all helping each other. I'm glad you wrote this question, because a lot of people have this feeling sometimes. I can tell that you're ...
### Instruction: 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...
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 ...
### Instruction: I was anxious to go to middle school. I was afraid of what people might say about me, so when school started, I wasn't acting like myself. I was quiet, which I'm usually not. I didn't talk to anybody and didn't have any friends. Then a few years later, my grandma died. I really became depressed and sto...
I agree; you need more care and support. No one deserves to feel alone, or like they hate themselves. We're all wonderful, imperfect, complicated people and we're at our best when we're all helping each other. I'm glad you wrote this question, because a lot of people have this feeling sometimes. I can tell that you're ...
### Instruction: I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk. In the past, I have even cheated on my boyfriend while I was under the influence of alcohol. But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a nig...
Hello, I commend you for your courage in taking a look at the role alcohol has in your life. It sounds like you're concerned about what happens when you drink too much and I suspect you already know the answer to your question about whether you have a problem or not. I imagine you would like to stop feeling guilty and ...
### Instruction: A friend of mine taking psychology advised I go to my doctor to check if I have major depressive disorder. I'm afraid of the consequences of doing so. If I do become diagnosed with major depressive disorder, won’t that go on my records? I will never be able to become a counselor along with a list of ot...
I admire your courage for stating your view about anti-depressants.  Questioning mainstream thinking and being in touch with your own views, are signs of strength and clarity in a person.As a therapist, I always tell my patients to avoid anti-depressants.Their effectiveness is in suppressing a person's mood and feeling...
### Instruction: Recently my boyfriend broke up with me because of my bad language. But he thinks I'm a total b***h. I know I'm bipolar and can be selfish. He called me today and says he can't go through with the breakup. I was broken and didn't want a breakup to begin with, but I know I'm horrible at times and can't h...
Both options seem reasonable.  Seeking individual therapy will help you to cope with the mood changes that come with bipolar disorder, will give you a space to vent your negative thoughts, and will allow you to find the coping mechanism to address life and relational challenges.  IF your boyfriend is interested in atte...
### Instruction: A friend of mine taking psychology advised I go to my doctor to check if I have major depressive disorder. I'm afraid of the consequences of doing so. If I do become diagnosed with major depressive disorder, won’t that go on my records? I will never be able to become a counselor along with a list of ot...
I admire your courage for stating your view about anti-depressants.  Questioning mainstream thinking and being in touch with your own views, are signs of strength and clarity in a person.As a therapist, I always tell my patients to avoid anti-depressants.Their effectiveness is in suppressing a person's mood and feeling...
### Instruction: 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 loo...
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...
### Instruction: 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 bei...
You have several things going on here. The sleep should be addressed with a primary care physician to rule out any physical issues. Sleep is the big reset and allows us to function in the day. What happens during a depression is that our thoughts race and it is as though our “brain won’t shut off.” Medication can help ...
### Instruction: My mother-in-law is mentally ill. She has been for most of her life. She cuts herself. She has been in and out of psychiatric hospitals for about 40 years. She has voices in her head that tell her to cut herself. She has had multiple shock therapy treatments, and she’s on enough medication to take down...
Hi Fontana,Thanks for providing all the details needed in order to respond to your question. It seems very clear to me that "no" would be the appropriate response. I like your healthy boundaries, and I'll help you explore possible ways to respond to her. First, she hasn't asked yet, and you don't know that she will. Ri...
### Instruction: My mother-in-law is mentally ill. She has been for most of her life. She cuts herself. She has been in and out of psychiatric hospitals for about 40 years. She has voices in her head that tell her to cut herself. She has had multiple shock therapy treatments, and she’s on enough medication to take down...
Hi Fontana,Thanks for providing all the details needed in order to respond to your question. It seems very clear to me that "no" would be the appropriate response. I like your healthy boundaries, and I'll help you explore possible ways to respond to her. First, she hasn't asked yet, and you don't know that she will. Ri...
### Instruction: I'm in my early 20s, and I've been seeing my boyfriend for a year now. My boyfriend has always been the sweetest guy until recently. He has made comments such as “you would look better as a Tumblr girl" or "you should start doing more squats." It's really hurtful. ### Response:
Hello, and thank you for your question. I am very sorry that you are experiencing this. To be honest, this kind of behavior is really emotionally abusive, and you likely know that already. The unfortunate truth is, there is very little we can actually do to change another adult's behavior if they are not interested in ...
### Instruction: I'm in my early 20s, and I've been seeing my boyfriend for a year now. My boyfriend has always been the sweetest guy until recently. He has made comments such as “you would look better as a Tumblr girl" or "you should start doing more squats." It's really hurtful. ### Response:
Hello, and thank you for your question. I am very sorry that you are experiencing this. To be honest, this kind of behavior is really emotionally abusive, and you likely know that already. The unfortunate truth is, there is very little we can actually do to change another adult's behavior if they are not interested in ...
### Instruction: I'm a female in my mid 20s. Lately I tend to over drink and I've become a very angry drunk. In the past, I have even cheated on my boyfriend while I was under the influence of alcohol. But now, even if I don't do anything wrong and don't embarrass myself, I still feel really guilty after a night ...
Hello, I commend you for your courage in taking a look at the role alcohol has in your life. It sounds like you're concerned about what happens when you drink too much and I suspect you already know the answer to your question about whether you have a problem or not. I imagine you would like to stop feeling guilty and ...
### Instruction: I'm an early 20 something year-old virgin, and my boyfriend is in his early 20s with kids. He's cheated on me twice: once in the beginning and then four months ago. He wasn't use to dating a virgin and broke up with me three times because he wasn't sure. We both work at the same job (where we met) and ...
Sorry to hear about all the stress in the relationship.You're on the right track by knowing and sticking with your own standards of what qualifies as acceptable behavior by your boyfriend.Since he was the one who broke your trust, he is one in the position of earning back your trust.This is always a basic formula for c...
### Instruction: I'm an early 20 something year-old virgin, and my boyfriend is in his early 20s with kids. He's cheated on me twice: once in the beginning and then four months ago. He wasn't use to dating a virgin and broke up with me three times because he wasn't sure. We both work at the same job (where we met) and ...
Sorry to hear about all the stress in the relationship.You're on the right track by knowing and sticking with your own standards of what qualifies as acceptable behavior by your boyfriend.Since he was the one who broke your trust, he is one in the position of earning back your trust.This is always a basic formula for c...
### Instruction: I'm concerned about my boyfriend. I suffer from anxiety, but I always have this feeling he wants to hurt me because he told me he was interested in BDSM intercourse. We haven't tried it, but I've had this feeling he always wants to. ### Response:
Hello! Thank you for your question. There are few things that people find more personal than their sexual relationships. When we feel connected to our partner, sex can be best thing since sliced bread. However, if we feel disconnected in some way, sex can feel degrading and even painful. I don’t know the specifics...
### Instruction: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any t...
Hello. Adults who come from abusive home histories (physical, emotional, or even psychological), may take a long time to heal from that abuse. We carry our past with us everywhere we go, and it is up to us to find resolutions to past hurts. This is often easier said than done, but it is possible. From the perspective o...
### Instruction: 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 af...
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...
### Instruction: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any t...
Hello. Adults who come from abusive home histories (physical, emotional, or even psychological), may take a long time to heal from that abuse. We carry our past with us everywhere we go, and it is up to us to find resolutions to past hurts. This is often easier said than done, but it is possible. From the perspective o...
### Instruction: 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. ### Response:
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...
### Instruction: What can I do to stop grieving my mother’s death? When I am awake I just cry every day. I don't have anyone to talk to. I need help; I am still cry over her. Will I ever stop crying? It’s been 3 years. ### Response:
I am sorry that you lost your mother. That is a really hard thing for someone to go through.There is really no set time for grief to be over, but I agree that if it has been three years and you are still crying every day then this is past the time for normal grief. I do not know how old you are and if you are in school...
### Instruction: I've hit my head on walls and floors ever since I was young. I sometimes still do it but I don't exactly know why, I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it. How can I help mys...
Hello. I have to wonder from a behavioral perspective if what you are doing is useful for you. In other words, does it serve a purpose in some way when you find yourself doing it. Yes, this could well be an expression of anxiety, or maybe some type of coping skill you have developed over the years to deal with stressfu...
### Instruction: I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental. I cannot help myself from thinking about smoking. What can I do to get rid of this addiction? ### Response:
Breaking any habit is no easy feat.   Cutting down or cutting out cigarettes is very challenging, and there aren't any one size fits all solutions.  Fortunately, there are a lot of tricks and tools that you can use to stop smoking.  1. Many habits that we have are paired habits. If we do one thing, then we will do the ...
### Instruction: I got sick really bad and was throwing up for three days and nights. I thought I was going to die. Then about a week later, I started having this desire to be female. I never had this desire before. All I can think about is being a woman. I don't get pleasure from my penis anymore either. Women are att...
Hello, and thank you for reaching out to ask for help. Surely this is a very confusing time for you! If you have never had these feelings and desires it could certainty shake everything you thought you knew about yourself. My guess is that you becoming sick around the time that this started is likely a coincidence, bu...
### Instruction: I'm planning to have baby, so I have to quit smoking - but it's hard. Sometimes it's not a physical need, it's mental. I cannot help myself from thinking about smoking. What can I do to get rid of this addiction? ### Response:
Breaking any habit is no easy feat.   Cutting down or cutting out cigarettes is very challenging, and there aren't any one size fits all solutions.  Fortunately, there are a lot of tricks and tools that you can use to stop smoking.  1. Many habits that we have are paired habits. If we do one thing, then we will do the ...
### Instruction: I have been with my husband for almost 7 years. We got engaged a little after 5 years of being together. I had always been clear that I wanted to get married and I sadly would drop hints about how i wanted him to propose. When he did propose it was during a random vacation that I had planned. I was ha...
It's hard to let go of the dreams you had regarding your wedding and engagement. This was something that you and most women think about for years, so it's understandable to be disappointed. But please be aware that it is rare that any wedding is perfect. You may envy your friends' weddings but more than likely they had...
### Instruction: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out. How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since...
Thanks for asking this question. I think the most important part of what you mentioned was that you do it because it makes you happy. For that reason, I would encourage you to keep doing what makes you happy.As far as telling girls or keeping it a secret, I don't really think that it's necessarily one or the other, at ...
### Instruction: Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me. He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard. I want to end this relationship, but...
Hello, and thank you for your question. Boy, ending relationships is tough, isn't it? Sometimes it's tough even when we are 100% sure that it is the right thing to do!I am going to give you some of my thoughts, and hopefully some colleagues will add some others. One of the things that I want to point out is that "letti...
### Instruction: 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. ### Response:
Hi Ohio, I totally get how it can be more difficult to forgive ourselves than to forgive others. My guess is that you tend to come down too hard on yourself a lot. That's a huge barrier to happiness that you can work to reduce. I'll get you started.You feel shame in a debilitating way that is probably way out of propor...
### Instruction: 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. ### Response:
Hi Ohio, I totally get how it can be more difficult to forgive ourselves than to forgive others. My guess is that you tend to come down too hard on yourself a lot. That's a huge barrier to happiness that you can work to reduce. I'll get you started.You feel shame in a debilitating way that is probably way out of propor...
### Instruction: My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life. ### Response:
One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus...
### Instruction: My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life. ### Response:
One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus...
### Instruction: I've hit my head on walls and floors ever since I was young. I sometimes still do it but I don't exactly know why, I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it. How can I help myself...
Hello. I have to wonder from a behavioral perspective if what you are doing is useful for you. In other words, does it serve a purpose in some way when you find yourself doing it. Yes, this could well be an expression of anxiety, or maybe some type of coping skill you have developed over the years to deal with stressfu...
### Instruction: I crossdress and like to be feminine but I am attracted to women, but yet that seems to bother girls I date or ask out. How can I approach them about it? should I hold back and keep it a secret, or should I just be up-front about it. I wonder if i should stop or if I should continue to do it since i...
Thanks for asking this question. I think the most important part of what you mentioned was that you do it because it makes you happy. For that reason, I would encourage you to keep doing what makes you happy.As far as telling girls or keeping it a secret, I don't really think that it's necessarily one or the other, at ...
### Instruction: I’ve known my boyfriend for several years. We were friends for a long time. In 2013 we started a relationship, and he even asked me to move in with him since I lived out of state. I planned to move in with him in 2014 after I finished school and he found a job. However, during this time we had a few ar...
There are plenty of red flags that you have been presented with:Several breakups Not holding up his end of the bargain regarding workLack of empathy for your miscarriageLying about his involvement with another womanPhysical violence, which is of most concern. This seems to be a very unhealthy relationship. In my experi...
### Instruction: Ive been in an on an off relationship with a this man for almost 3 years. Even though I care about him, he continues to hurt me. He and his wife were separated when we met. Now he's going through a really difficult divorce from her and is taking it really hard. I want to end this relationship, but I...
Hello, and thank you for your question. Boy, ending relationships is tough, isn't it? Sometimes it's tough even when we are 100% sure that it is the right thing to do!I am going to give you some of my thoughts, and hopefully some colleagues will add some others. One of the things that I want to point out is that "letti...
### Instruction: I've only been married three months. Every week, we argue about something, and it seems to be getting worse. ### Response:
At the begin g of marriages, we expect to be living on an eternal honeymoon, but the reality can be different.  This is a process of adaptation, even if you had known your better half for a long time, during the first months and years of marriage you go through a process of settling in your new roles and confront new c...
### Instruction: I've only been married three months. Every week, we argue about something, and it seems to be getting worse. ### Response:
At the begin g of marriages, we expect to be living on an eternal honeymoon, but the reality can be different.  This is a process of adaptation, even if you had known your better half for a long time, during the first months and years of marriage you go through a process of settling in your new roles and confront new c...
### Instruction: I have been with my husband for almost 7 years. We got engaged a little after 5 years of being together. I had always been clear that I wanted to get married and I sadly would drop hints about how i wanted him to propose. When he did propose it was during a random vacation that I had planned. I was ha...
It's hard to let go of the dreams you had regarding your wedding and engagement. This was something that you and most women think about for years, so it's understandable to be disappointed. But please be aware that it is rare that any wedding is perfect. You may envy your friends' weddings but more than likely they had...
### Instruction: How does a counselor decide when to end counseling sessions or to terminate working with a client? ### Response:
There are different reasons why a counselor may seek to terminate with a client and these will each have different processes by which the counselor will come to that decision. Here are a few examples. The counselor may determine that the client's needs are outside what the counselor is competent to be able to work with...
### Instruction: How does a counselor decide when to end counseling sessions or to terminate working with a client? ### Response:
There are different reasons why a counselor may seek to terminate with a client and these will each have different processes by which the counselor will come to that decision. Here are a few examples. The counselor may determine that the client's needs are outside what the counselor is competent to be able to work with...
### Instruction: How does a counselor decide when to end counseling sessions or to terminate working with a client? ### Response:
There are different reasons why a counselor may seek to terminate with a client and these will each have different processes by which the counselor will come to that decision. Here are a few examples. The counselor may determine that the client's needs are outside what the counselor is competent to be able to work with...
### Instruction: I’ve known my boyfriend for several years. We were friends for a long time. In 2013 we started a relationship, and he even asked me to move in with him since I lived out of state. I planned to move in with him in 2014 after I finished school and he found a job. However, during this time we had a few ar...
There are plenty of red flags that you have been presented with:Several breakups Not holding up his end of the bargain regarding workLack of empathy for your miscarriageLying about his involvement with another womanPhysical violence, which is of most concern. This seems to be a very unhealthy relationship. In my experi...
### Instruction: Ever since my ex-boyfriend and I broke up, I can't seem to get close to anyone else. I know I'm completely over him, but I just can't break down my walls and let someone new into my life. ### Response:
Hi Bend, You're scared, right? That makes sense. Each time we have a break-up we are a bit more in touch with how much is at stake in this whole love and relationship business. We are falling in love and letting someone close to our hearts and there's a vulnerability in that; we can get hurt. Who you partner with long-...
### Instruction: I'm dating this guy, Peter. My friend Jennifer used to date him a while ago, and she's fine with us dating. My ex-boyfriend, Paul, broke up with Jennifer, and she's devastated about it. Peter and I are going through a rough patch in our relationship. All of a sudden, Paul is in "love" with me, and he w...
Hello. The dynamics of having a romantic relationship with someone is not always clear. Sometimes we jump from one relationship to another without giving ourselves a chance to adjust and grieve for the one we had to leave behind. When you find yourself in a situation where a previous partner is coming back into your li...
### Instruction: Ever since my ex-boyfriend and I broke up, I can't seem to get close to anyone else. I know I'm completely over him, but I just can't break down my walls and let someone new into my life. ### Response:
Hi Bend, You're scared, right? That makes sense. Each time we have a break-up we are a bit more in touch with how much is at stake in this whole love and relationship business. We are falling in love and letting someone close to our hearts and there's a vulnerability in that; we can get hurt. Who you partner with long-...
### Instruction: I'm dating this guy, Peter. My friend Jennifer used to date him a while ago, and she's fine with us dating. My ex-boyfriend, Paul, broke up with Jennifer, and she's devastated about it. Peter and I are going through a rough patch in our relationship. All of a sudden, Paul is in "love" with me, and he w...
Hello. The dynamics of having a romantic relationship with someone is not always clear. Sometimes we jump from one relationship to another without giving ourselves a chance to adjust and grieve for the one we had to leave behind. When you find yourself in a situation where a previous partner is coming back into your li...
### Instruction: I love him, but he doesn’t show me love. He talks badly about me to his friends. ### Response:
Hello, and thank you for your question. Loving someone who doesn’t respect or treat you well can be enormously difficult and painful. Many people who find themselves in an emotionally hurtful relationship say that it was wonderful when it first started, but that over time their partner’s behaviors changed and they...
### Instruction: 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...
It is very hard to want a loving relationship, and either see or imagine all around you, the great times other couples are having. Extra hard is that other people's comments may start giving you the sense that you are letting them down to not have a relationship!All the fantasies that develop from viewing Facebook phot...
### Instruction: I'm concerned about my boyfriend. I suffer from anxiety, but I always have this feeling he wants to hurt me because he told me he was interested in BDSM intercourse. We haven't tried it, but I've had this feeling he always wants to. ### Response:
Hello! Thank you for your question. There are few things that people find more personal than their sexual relationships. When we feel connected to our partner, sex can be best thing since sliced bread. However, if we feel disconnected in some way, sex can feel degrading and even painful. I don’t know the specifics abo...
### Instruction: 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...
It is very hard to want a loving relationship, and either see or imagine all around you, the great times other couples are having. Extra hard is that other people's comments may start giving you the sense that you are letting them down to not have a relationship!All the fantasies that develop from viewing Facebook phot...
### Instruction: 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. ### Response:
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 h...
### Instruction: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore. ### Response:
It is understandable that it's very hard for you to hear daily complaints from your mother regarding the caregiving of your niece. You cannot change your mother's feelings and responsibilities, which could create feelings of frustration and helplessness. It must be equally hard for your mother to assume full responsibi...
### Instruction: My mother takes care of niece whom my sister abandoned. She calls me every day complaining, but I don't want to hear it anymore. ### Response:
It is understandable that it's very hard for you to hear daily complaints from your mother regarding the caregiving of your niece. You cannot change your mother's feelings and responsibilities, which could create feelings of frustration and helplessness. It must be equally hard for your mother to assume full responsibi...
### Instruction: I have been with a guy for 4 years, he's a great guy and we also have a son together. The problem is that I'm in love with a guy that I've been talking to for about 2 years but I've never met him in person. Honestly I'm bored with the relationship I have with the first guy and he makes want to go afte...
Hi there. Wow, this sounds like a sticky situation; however, I’m here to help guide you through this decision. First and foremost, you must ask yourself, if you ever loved your sons’ father or was it a situation to where you two got pregnant and stayed together for the child. It’s very common to stay with your partner ...
### Instruction: When I get around a particular person or when I go home, I'm just sad or irritated. The feeling comes and goes all day every day. I don't know what wrong. I'm not sure if I'm just making up symptoms and problems in my head or if there is something actually wrong. ### Response:
Feelings are real, is very unlikely that you are making them up since they are a response to the thoughts in your mind and your daily experiences and interactions. Often we assume that feeling sadness is bad and that we should only feel happiness and joy; but all feelings have a purpose: joy, sadness, anger, frustratio...
### Instruction: I'm a teenager, and while I’ve never been to any kind of therapist, I noticed I experience several anxiety symptoms. I frequently find myself not going out and following my parent around the house. I can't go into stores (grocery stores specifically) on my own, and when I do, I have to be on the phone ...
With the way you described your anxiety, it sounds like you have different types of anxiety. I'm not sure whether you have anxiety of public places, large crowds, being alone  (sometimes called separation anxiety), or some combination thereof.One thing that would be helpful would be to track your anxiety and see how an...
### Instruction: Does counseling really do anything that can help people? ### Response:
A lot of things affect how helpful counseling is for each person, including at least these things, but often many others:The therapeutic alliance (this refers to the bond, connection, or trust between the client and the counselor)What the person is coming in to work onHow motivated the person is to work on what it is t...
### Instruction: I'm a teenager, and while I’ve never been to any kind of therapist, I noticed I experience several anxiety symptoms. I frequently find myself not going out and following my parent around the house. I can't go into stores (grocery stores specifically) on my own, and when I do, I have to be on the phone ...
With the way you described your anxiety, it sounds like you have different types of anxiety. I'm not sure whether you have anxiety of public places, large crowds, being alone  (sometimes called separation anxiety), or some combination thereof.One thing that would be helpful would be to track your anxiety and see how an...
### Instruction: Does counseling really do anything that can help people? ### Response:
A lot of things affect how helpful counseling is for each person, including at least these things, but often many others:The therapeutic alliance (this refers to the bond, connection, or trust between the client and the counselor)What the person is coming in to work onHow motivated the person is to work on what it is t...
### Instruction: 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? ### Response:
Thanks for writing. There are many different house of things that may be helpful here. I can give you some general ideas, but if some of these things don't get you to where you would like to go, consider seeing a therapist who specializes in couples:Remember that you can only guarantee change in yourself. You can ask h...