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### Instruction:
I'm feeling different towards my husband. I feel I am growing from the relationship. I have been with my husband for six years and married for almost five. I just don't feel that connection anymore. I feel nothing. I don't know why or if I'm just being irrational.
### Response:
| Lacey, I'm SO glad you wrote. Thousands of people are having this same feeling right now. I'm glad you're paying attention to it. When you first meet someone, there are all kinds of sparkly feelings and you both do and say lots of things to cement the attachment and create deep intimacy and connection. Then what happens is because we have that connection established, we instinctively cut back on those loving behaviours because we don't have to work hard to earn their love anymore. That sparkly feeling typically lasts a few years (long enough to procreate and keep the human race going), and then it wears off a bit, and you end up looking at each other thinking "how come I don't feel the same anymore?"Mostly (not always, and I'll get to that in a minute) all that this means is you've stopped doing all those loving things you used to do! It's as though you filled the car with gas, you've run out of gas now, and you're forgetting to put more in!The first clear solution to this feeling is to bring back more of your own loving behaviours that you've cut back on. Act lovingly, and you will likely regain those feelings. Talk to your partner about this. It's okay to say "do you remember we used to do X,Y and Z? Can we do that again? Can I get more of the foot rubs you used to give me?" Ask for what you want (instead of complaining). What are your 'love languages'? What are your partner's? Marriages need to be fed. It's that simple. Many things get in the way...children, jobs, but mostly complacency. Get active with your love!Okay, now, you might read this and think "that's not what's happening". That's a cue to talk to someone, like a therapist, about your feelings. People do grow and change and sometimes relationships don't fit anymore. But these are huge decisions, not to be made lightly. I wish you happiness. |
### 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 leave home to see family, he'll text me saying "whatever" and "leave me alone." But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore.
### Response:
| Hello, It doesn't feel good when it seems that your partner no longer cares or cares less for you, especially if your feelings have not changed. It can be scary, frustrating, and lonely. Have you tried talking to him about your concerns? I would suggest to start there. There may be several reasons for his actions, some of which may have nothing to do with how he feels for you. Learning about what is going on for him will likely answer your questions and, depending on his response, may cause some relief. When initiating conversations about subjects that are sensitive, there are a few things that you want to remember. Tell him how you are feeling and what you are experiencing, rather than blaming him or telling him what he is doing wrong. Avoid using extreme, black and white language (i.e. always and never). For example, you may say something such as, "I feel confused that we are rarely intimate and I'm wondering if you've also noticed this change" versus "You are never intimate with me anymore." Don't be afraid to ask him questions. You deserve to know what is going on, as his behavior is effecting your well being. I like to ask open-ended questions instead of yes and no questions. It allows for more clarity and deeper explanation. Lastly, ask yourself (and possibly him) what part you play in the recent changes. Does he feel that you've been distant? Does he need something from you? Let him know that you are willing to work things out as a team. If communication attempts fail, seeing a couple's therapist can be a great benefit. Having an objective party to coach you through this difficut time can give you the support that will create lasting changes in your relationship.Best of luck to you! |
### 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 leave home to see family, he'll text me saying "whatever" and "leave me alone." But when we're together, everything is okay. No fighting or anything. I love this man, but I just don't know what to do anymore.
### Response:
| Hello, It doesn't feel good when it seems that your partner no longer cares or cares less for you, especially if your feelings have not changed. It can be scary, frustrating, and lonely. Have you tried talking to him about your concerns? I would suggest to start there. There may be several reasons for his actions, some of which may have nothing to do with how he feels for you. Learning about what is going on for him will likely answer your questions and, depending on his response, may cause some relief. When initiating conversations about subjects that are sensitive, there are a few things that you want to remember. Tell him how you are feeling and what you are experiencing, rather than blaming him or telling him what he is doing wrong. Avoid using extreme, black and white language (i.e. always and never). For example, you may say something such as, "I feel confused that we are rarely intimate and I'm wondering if you've also noticed this change" versus "You are never intimate with me anymore." Don't be afraid to ask him questions. You deserve to know what is going on, as his behavior is effecting your well being. I like to ask open-ended questions instead of yes and no questions. It allows for more clarity and deeper explanation. Lastly, ask yourself (and possibly him) what part you play in the recent changes. Does he feel that you've been distant? Does he need something from you? Let him know that you are willing to work things out as a team. If communication attempts fail, seeing a couple's therapist can be a great benefit. Having an objective party to coach you through this difficut time can give you the support that will create lasting changes in your relationship.Best of luck to you! |
### Instruction:
After I told them, they yelled at me.
### Response:
| Hello, and thank you for your question. I am very sorry that this was your experience with your family. I truly wish I could give you some things to say to them that would change their reaction, but unfortunately I can't do that. Their acceptance of you is a journey, just like coming out is a journey for you. Sometimes families initially respond this way, but after time they become more accepting and even supportive. Unfortunately, there is no way to know for sure if that will happen. So, here are a few things I would suggest:Surround yourself with people and things that remind you that you really are okay as you are. That won't take the place of your family's acceptance, and I won't even pretend that it would, but it may help during those days when it hurts the most. And that is really important. Patience is not something that many of us are really good at, but this type of situation sometimes forces you to have some. When families first learn something like this, they may go through a period of shock. And then sometimes even grieving. They may even be worried if they are of a particular religion where being bisexual is forbidden. These things can take time for them to reconcile, so it may just take some patience. If it is safe for you, try to talk to them, but if it becomes painful or hurtful then you have the right to walk away. I do recommend setting up some personal boundaries for yourself, and perhaps learn some assertiveness skills if you feel you struggle with them. The reason I feel that this is important is that people sometimes take a lot of abuse from family members and friends in times like you're describing. They may want to be accepted so much that they put themselves in hurtful positions over and over again hoping that their families will come around. They may, or they may not. And if they don't, you deserve to live a life free of abuse and to feel confident and assured of who you are. To be surrounded by folks who remind you of that. If you start seeing this pattern and you are struggling, chatting with counselor may be a great idea. I am bias probably, but I think chatting with a counselor is ALWAYS a good idea. :) Hope this helps. Be well. Be you. Robin J. Landwehr, DBH, LPC, NCC |
### Instruction:
After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
### Response:
| 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 receiving psychiatric services is a time of high risk for suicide. It is very important, after hospitalization, to get follow-up care with a professional as soon as possible. If your husband has an established therapist, this is the time to call. It is also a good time to alert your support system of friends, family, clergy or others to let them know he is still struggling. This is good support for him AND you.It is important to think about means and opportunity to make another attempt. Means really do matter. So, if you have a firearm in the home, it is really important to remove it. You can't remove all things that a person may hurt themselves with, but some things are more lethal than others. Firearms are very lethal. I am not sure what means he used last time, but try to reduce the opportunity for him to access it again. This is where your support system can help out. People can take turns hanging out with him until you are sure the crisis is over.If you believe that an attempt is going to occur, talk to your husband about going back to the hospital. If he refuses, you will want to find out what your options are to have him go even if he doesn't want to. I know the thought of that really hurts, but it can save his life. Calling 9-1-1 is always a good option if you are not sure. Usually a suicide crisis, meaning they want to harm themselves right now, lasts a few minutes, hours or days. Sometimes when you get them through the crisis stage, they no longer want to commit suicide. But, as you are indicating, that feeling of wanting to commit suicide can come back again. So, it is always good to have a plan. If you want more information, call the National Suicide Prevention Lifeline. They will always answer: 1-800-273-8255. They can help you create a specific safety plan. I do hope things work out alright. Be well. Robin J. Landwehr, DBH, LPCC, NCC |
### Instruction:
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?
### Response:
| 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. |
### Instruction:
After I told them, they yelled at me.
### Response:
| Hello, and thank you for your question. I am very sorry that this was your experience with your family. I truly wish I could give you some things to say to them that would change their reaction, but unfortunately I can't do that. Their acceptance of you is a journey, just like coming out is a journey for you. Sometimes families initially respond this way, but after time they become more accepting and even supportive. Unfortunately, there is no way to know for sure if that will happen. So, here are a few things I would suggest:Surround yourself with people and things that remind you that you really are okay as you are. That won't take the place of your family's acceptance, and I won't even pretend that it would, but it may help during those days when it hurts the most. And that is really important. Patience is not something that many of us are really good at, but this type of situation sometimes forces you to have some. When families first learn something like this, they may go through a period of shock. And then sometimes even grieving. They may even be worried if they are of a particular religion where being bisexual is forbidden. These things can take time for them to reconcile, so it may just take some patience. If it is safe for you, try to talk to them, but if it becomes painful or hurtful then you have the right to walk away. I do recommend setting up some personal boundaries for yourself, and perhaps learn some assertiveness skills if you feel you struggle with them. The reason I feel that this is important is that people sometimes take a lot of abuse from family members and friends in times like you're describing. They may want to be accepted so much that they put themselves in hurtful positions over and over again hoping that their families will come around. They may, or they may not. And if they don't, you deserve to live a life free of abuse and to feel confident and assured of who you are. To be surrounded by folks who remind you of that. If you start seeing this pattern and you are struggling, chatting with counselor may be a great idea. I am bias probably, but I think chatting with a counselor is ALWAYS a good idea. :) Hope this helps. Be well. Be you. Robin J. Landwehr, DBH, LPC, NCC |
### Instruction:
I am a heterosexual male in my late 20s. I find myself wearing pantyhose, heels, skirts and other women's clothing in private. I am torn on how to feel about it. I enjoy it very much. I have had a pantyhose/stocking fascination and other kinky fetish interests since I was young. I have no history of sexual abuse growing up. I am currently single.
### Response:
| Hi there! It sounds like you have already started to answer
your own question by stating that you love cross dressing very much, and I am
glad you enjoy it! Cross dressing is something many people enjoy, and there is
no harm in it whatsoever. My question to you would be: What is making you feel torn
about it? There is unfortunately still a lot of negative stigma associated with
people who express their gender or sexuality in ways that differ from the
majority. (And sometimes certain sexual interests are actually very common or
even in the majority, but because people carry shame about being different when
it comes to gender and sexuality we assume we are all alone!)Being a sexual or gender minority or someone who
participates in kink or expresses their sexuality or gender identity in a
unique and personal way often means suffering from something called
"internalized oppression". We grow up being exposed to certain
assumptions and beliefs about what is "acceptable" behavior and even
face consequences sometimes if we don't "fit in" the way others tell
us to. Even if those assumptions are harmful and wrong, we still internalize
them and feel guilty about who we are. There is nothing wrong with us, but
feeling stigmatized and isolated can lead to feelings of shame, embarrassment,
or like something is "wrong" with us.But there is absolutely nothing wrong with you, so be proud
of who you are and what you enjoy. You can continue to simply enjoy it
privately, or maybe you'd eventually like to share it with a partner or maybe
even join a community with similar interests. I'll leave you with a quote from
comedian Eddie Izzard, who identifies as, in his own words, a "straight
transvestite": "They’re not women’s clothes. They’re my clothes. I
bought them!" Take care, and thanks for your question! |
### Instruction:
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?
### Response:
| 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. |
### Instruction:
After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
### Response:
| 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 receiving psychiatric services is a time of high risk for suicide. It is very important, after hospitalization, to get follow-up care with a professional as soon as possible. If your husband has an established therapist, this is the time to call. It is also a good time to alert your support system of friends, family, clergy or others to let them know he is still struggling. This is good support for him AND you.It is important to think about means and opportunity to make another attempt. Means really do matter. So, if you have a firearm in the home, it is really important to remove it. You can't remove all things that a person may hurt themselves with, but some things are more lethal than others. Firearms are very lethal. I am not sure what means he used last time, but try to reduce the opportunity for him to access it again. This is where your support system can help out. People can take turns hanging out with him until you are sure the crisis is over.If you believe that an attempt is going to occur, talk to your husband about going back to the hospital. If he refuses, you will want to find out what your options are to have him go even if he doesn't want to. I know the thought of that really hurts, but it can save his life. Calling 9-1-1 is always a good option if you are not sure. Usually a suicide crisis, meaning they want to harm themselves right now, lasts a few minutes, hours or days. Sometimes when you get them through the crisis stage, they no longer want to commit suicide. But, as you are indicating, that feeling of wanting to commit suicide can come back again. So, it is always good to have a plan. If you want more information, call the National Suicide Prevention Lifeline. They will always answer: 1-800-273-8255. They can help you create a specific safety plan. I do hope things work out alright. Be well. Robin J. Landwehr, DBH, LPCC, NCC |
### Instruction:
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?
### Response:
| 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. |
### Instruction:
After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.
### Response:
| 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 receiving psychiatric services is a time of high risk for suicide. It is very important, after hospitalization, to get follow-up care with a professional as soon as possible. If your husband has an established therapist, this is the time to call. It is also a good time to alert your support system of friends, family, clergy or others to let them know he is still struggling. This is good support for him AND you.It is important to think about means and opportunity to make another attempt. Means really do matter. So, if you have a firearm in the home, it is really important to remove it. You can't remove all things that a person may hurt themselves with, but some things are more lethal than others. Firearms are very lethal. I am not sure what means he used last time, but try to reduce the opportunity for him to access it again. This is where your support system can help out. People can take turns hanging out with him until you are sure the crisis is over.If you believe that an attempt is going to occur, talk to your husband about going back to the hospital. If he refuses, you will want to find out what your options are to have him go even if he doesn't want to. I know the thought of that really hurts, but it can save his life. Calling 9-1-1 is always a good option if you are not sure. Usually a suicide crisis, meaning they want to harm themselves right now, lasts a few minutes, hours or days. Sometimes when you get them through the crisis stage, they no longer want to commit suicide. But, as you are indicating, that feeling of wanting to commit suicide can come back again. So, it is always good to have a plan. If you want more information, call the National Suicide Prevention Lifeline. They will always answer: 1-800-273-8255. They can help you create a specific safety plan. I do hope things work out alright. Be well. Robin J. Landwehr, DBH, LPCC, NCC |
### Instruction:
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?
### Response:
| 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. |
### Instruction:
I snap easy and push people away. I need help before I push my boyfriend away.
### Response:
| Awareness is the first step. Now that you know that you snap and push people away, you can look into ways to control your anger. If you give yourself the time to analyze why you experience anger, you will discover that there are other feelings underneath; shame, frustration, disappointment, and fear are some of the feelings that we cover with anger when we are not ready to deal with them or don’t know how to express them. So next time you feel angry, even if you snap (with practice you will be able to identify them ahead of time), identify why you are angry, and try to express it out loud. A therapist can help you to learn assertive communication skill using examples drawn from your daily experiences.If you would like to engage in therapy, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478.¿Cómo puedo controlarme y a mi coraje?Exploto fácilmente y alejo a las personas. Necesito ayudo antes de hacer que mi novio se aleje.Tener conciencia de la situación es el primer paso. Ahora que sabes que explotas y alejas a las personas, puedes buscar maneras de controlar tu enojo. Si te das tiempo para analizar porque te da coraje, descubrirás que hay otras emociones escondidas, la vergüenza, la frustración, la decepción y el miedo son algunas de las emociones que cubrimos con coraje cuando no estamos listos para revelarlas, procesarlas o expresarlas. Así que la próxima vez que estés a punto de explotar, o cuando ya hayas explotado (con la practica uno aprende a identificarlas de antemano), identifica por que estas enojada e intenta expresarlo en voz alta. Un consejero te puede ayudar aprender técnicas de comunicación asertiva usando ejemplos de tu vida cotidiana.Si te gustaría hacer terapia, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478. |
### Instruction:
I snap easy and push people away. I need help before I push my boyfriend away.
### Response:
| Awareness is the first step. Now that you know that you snap and push people away, you can look into ways to control your anger. If you give yourself the time to analyze why you experience anger, you will discover that there are other feelings underneath; shame, frustration, disappointment, and fear are some of the feelings that we cover with anger when we are not ready to deal with them or don’t know how to express them. So next time you feel angry, even if you snap (with practice you will be able to identify them ahead of time), identify why you are angry, and try to express it out loud. A therapist can help you to learn assertive communication skill using examples drawn from your daily experiences.If you would like to engage in therapy, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478.¿Cómo puedo controlarme y a mi coraje?Exploto fácilmente y alejo a las personas. Necesito ayudo antes de hacer que mi novio se aleje.Tener conciencia de la situación es el primer paso. Ahora que sabes que explotas y alejas a las personas, puedes buscar maneras de controlar tu enojo. Si te das tiempo para analizar porque te da coraje, descubrirás que hay otras emociones escondidas, la vergüenza, la frustración, la decepción y el miedo son algunas de las emociones que cubrimos con coraje cuando no estamos listos para revelarlas, procesarlas o expresarlas. Así que la próxima vez que estés a punto de explotar, o cuando ya hayas explotado (con la practica uno aprende a identificarlas de antemano), identifica por que estas enojada e intenta expresarlo en voz alta. Un consejero te puede ayudar aprender técnicas de comunicación asertiva usando ejemplos de tu vida cotidiana.Si te gustaría hacer terapia, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478. |
### 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:
| Hello, and thank you for your question. Guilt is one of those things that nearly everyone has experienced at one time or another, and it can feel like a huge weight around your neck. Unfortunately, it is unlikely that we can give you some words of wisdom that will make it all go away. However, I will give you some ideas and hopefully this will help.One of the things that we know about guilt is that it doesn't usually do much to help us in the long-run. People may make changes for a short-term period of time because they feel guilty about something they did, but usually they will go back to their old behaviors if they don't have something else to help them change permanently, such as a new skill. So, guilt doesn't necessarily help us. In fact, as I write this someone out there is eating an entire key lime pie because they feel guilty about falling off their diet. Someone may be drinking alcohol because they feel guilty about drinking alcohol. For whatever reason, this is just a common thing that we do. Now accountability is different than guilt. Accountability can actually be constructive. When you hold yourself accountable you can admit that you have done something wrong. That it hurt others and you deeply regret it. That you are prepared to take steps to make sure it doesn't happen again. That you have done what you can to make amends, if necessary. That you are sorry. And then you move on. Why is moving on necessary? Well, for one thing, it doesn't usually help the people who you hurt. In fact, someone's guilty behavior may serve to remind the people who were hurt, over and over again, about what happened. Guilt is usually 100% about us, and not about those we hurt. Also, guilt can lead us to behave in ways that may even hurt people more. Having said all of that, guilt is a normal human emotion. Sometimes we experience it for a while and it goes away. Sometimes we need help to work through it. There are many self-help books about forgiving yourself. You can try Amazon to find some, or consider getting help from a counselor. Be well,Robin Landwehr, DBH, LPC, NCC |
### 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:
| Hello, and thank you for your question. Guilt is one of those things that nearly everyone has experienced at one time or another, and it can feel like a huge weight around your neck. Unfortunately, it is unlikely that we can give you some words of wisdom that will make it all go away. However, I will give you some ideas and hopefully this will help.One of the things that we know about guilt is that it doesn't usually do much to help us in the long-run. People may make changes for a short-term period of time because they feel guilty about something they did, but usually they will go back to their old behaviors if they don't have something else to help them change permanently, such as a new skill. So, guilt doesn't necessarily help us. In fact, as I write this someone out there is eating an entire key lime pie because they feel guilty about falling off their diet. Someone may be drinking alcohol because they feel guilty about drinking alcohol. For whatever reason, this is just a common thing that we do. Now accountability is different than guilt. Accountability can actually be constructive. When you hold yourself accountable you can admit that you have done something wrong. That it hurt others and you deeply regret it. That you are prepared to take steps to make sure it doesn't happen again. That you have done what you can to make amends, if necessary. That you are sorry. And then you move on. Why is moving on necessary? Well, for one thing, it doesn't usually help the people who you hurt. In fact, someone's guilty behavior may serve to remind the people who were hurt, over and over again, about what happened. Guilt is usually 100% about us, and not about those we hurt. Also, guilt can lead us to behave in ways that may even hurt people more. Having said all of that, guilt is a normal human emotion. Sometimes we experience it for a while and it goes away. Sometimes we need help to work through it. There are many self-help books about forgiving yourself. You can try Amazon to find some, or consider getting help from a counselor. Be well,Robin Landwehr, DBH, LPC, NCC |
### Instruction:
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?
### Response:
| Hi, Break ups can be very devastating and even traumatic. Recovering from one is a process that is unique for everyone person and will take time. It's important that you don't compare yourself to others. Each and every person will experience this grieving process differently. Here are a few tips to help with your recovery: 1. Make sure you surround yourself with people who love you and support you, friends and family. Even though you might feel like being alone, make an effort to be around them. 2. Although you might not feel like it, try to take care of yourself as much as possible: eat healthily, get regular sleep, & vigorous or gentle exercise (depending on your mood). The last thing that we want to do when we are physically sick (e.g. flu) is to take care of ourselves even thought that's what we need the most. But when we do get that chicken broth, sleep and vitamins we recover much faster and with less discomfort. That's exactly the same when it comes to emotional pain. Take care of yourself, keep yourself strong and healthy so you can recover faster. 3. As much as possible, put away reminders of the relationship. You might not be ready to throw things out, but try to put them away in a box in the storage or in a closet. And also block Social Media reminders. There is a lot of wisdom in the saying "Out of Sight, Out of Mind." 4. Once the initial shock and intensity of the break up wear off, try out something new. In a relationship, we often forget and give up on things that we always wanted to do or to try. Now it's time to bring out that dusty bucket list and start trying something new. 5. If possible, change your scenery by going away on vacation with a friend or even by yourself. Changing your surroundings can really help you change your thoughts, mindset and forget your ex even if just for a few hours. Even a weekend getaway with a couple of girlfriends can do wonders. 6. In addition, to help you make sense of your past relationship and what went wrong, I would highly recommend seeing a professional counsellor or therapist. |
### Instruction:
I'm obsessing about a terrible breakup. Everything is a constant reminder. How do I move on?
### Response:
| Hi, Break ups can be very devastating and even traumatic. Recovering from one is a process that is unique for everyone person and will take time. It's important that you don't compare yourself to others. Each and every person will experience this grieving process differently. Here are a few tips to help with your recovery: 1. Make sure you surround yourself with people who love you and support you, friends and family. Even though you might feel like being alone, make an effort to be around them. 2. Although you might not feel like it, try to take care of yourself as much as possible: eat healthily, get regular sleep, & vigorous or gentle exercise (depending on your mood). The last thing that we want to do when we are physically sick (e.g. flu) is to take care of ourselves even thought that's what we need the most. But when we do get that chicken broth, sleep and vitamins we recover much faster and with less discomfort. That's exactly the same when it comes to emotional pain. Take care of yourself, keep yourself strong and healthy so you can recover faster. 3. As much as possible, put away reminders of the relationship. You might not be ready to throw things out, but try to put them away in a box in the storage or in a closet. And also block Social Media reminders. There is a lot of wisdom in the saying "Out of Sight, Out of Mind." 4. Once the initial shock and intensity of the break up wear off, try out something new. In a relationship, we often forget and give up on things that we always wanted to do or to try. Now it's time to bring out that dusty bucket list and start trying something new. 5. If possible, change your scenery by going away on vacation with a friend or even by yourself. Changing your surroundings can really help you change your thoughts, mindset and forget your ex even if just for a few hours. Even a weekend getaway with a couple of girlfriends can do wonders. 6. In addition, to help you make sense of your past relationship and what went wrong, I would highly recommend seeing a professional counsellor or therapist. |
### Instruction:
I'm depressed often, and my mind goes a million miles a minute. Every once in a while, things are okay for a few days. After a bit, I start noticing that I am picking at my skin profusely. After roughly a week, the anxiety is back and still picking. Sometimes I find myself causing fights to have change.
### Response:
| Hello, and thank you for your question. I am very sorry that you are struggling. I have a few thoughts and perhaps some of my colleagues will add something else. Depression and anxiety can both be chronic conditions, as you have experienced. This means that they may always require treatment in order to have some kind of relief from them. Treatment could mean medication or some kind of counseling. Some people may take medication for the rest of their lives. Some people may go to counseling at times when the depression and anxiety worsens. As you mentioned, sometimes the symptoms improve for a little while, but they can also come back. When they do, it is important to talk to your medical provider if you are getting medication, and/or to go back to your counselor and talk to them about the symptoms that have returned. Skin picking and some other behaviors are not uncommon for people who are experiencing something like anxiety. Many people report that they do this when they feel anxious, and some say it calms them down. It is not really a surprise that you are constantly trying to change things and even starting fights to do so. These are ways to try to avoid, escape and distract yourself from the feelings of anxiety and depression. That is a very normal thing to do. Nobody likes these feelings, and so distraction is something we naturally try in order to get rid of them. The problem is that things like distraction and escape do not work as a long-term solution. In fact, they usually make things worse for many different reasons. Depression and anxiety can be treated, but it is likely something you will need some help with. I would recommend finding a counselor who has experience with anxiety and depression. Medication can be helpful, but I still recommend counseling. The reason for this is that the medication can help with symptoms, while the counseling can address the symptoms and provide you with very helpful skills. Be well,Robin J. Landwehr, DBH, LPCC, NCC |
### Instruction:
I'm depressed often, and my mind goes a million miles a minute. Every once in a while, things are okay for a few days. After a bit, I start noticing that I am picking at my skin profusely. After roughly a week, the anxiety is back and still picking. Sometimes I find myself causing fights to have change.
### Response:
| Hello, and thank you for your question. I am very sorry that you are struggling. I have a few thoughts and perhaps some of my colleagues will add something else. Depression and anxiety can both be chronic conditions, as you have experienced. This means that they may always require treatment in order to have some kind of relief from them. Treatment could mean medication or some kind of counseling. Some people may take medication for the rest of their lives. Some people may go to counseling at times when the depression and anxiety worsens. As you mentioned, sometimes the symptoms improve for a little while, but they can also come back. When they do, it is important to talk to your medical provider if you are getting medication, and/or to go back to your counselor and talk to them about the symptoms that have returned. Skin picking and some other behaviors are not uncommon for people who are experiencing something like anxiety. Many people report that they do this when they feel anxious, and some say it calms them down. It is not really a surprise that you are constantly trying to change things and even starting fights to do so. These are ways to try to avoid, escape and distract yourself from the feelings of anxiety and depression. That is a very normal thing to do. Nobody likes these feelings, and so distraction is something we naturally try in order to get rid of them. The problem is that things like distraction and escape do not work as a long-term solution. In fact, they usually make things worse for many different reasons. Depression and anxiety can be treated, but it is likely something you will need some help with. I would recommend finding a counselor who has experience with anxiety and depression. Medication can be helpful, but I still recommend counseling. The reason for this is that the medication can help with symptoms, while the counseling can address the symptoms and provide you with very helpful skills. Be well,Robin J. Landwehr, DBH, LPCC, NCC |
### Instruction:
I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?
### Response:
| Family support is very helpful when having these symptoms. I suggest looking for therapist within reach (school, through your insurance or the community, calling 2-1-1). Once you schedule a session, you can inform them and invite them to come in. I have found trough sceptic parents, that once they give it a chance they open up to the process of learning and healing. I also understand that parents may become overly concerned and overprotective when hearing about your symptoms, and that’s why is important to discuss them with a therapist, normalize them, understand why you experience them, and learn how they could help you. ¿Cómo les digo a mis padres que yo pienso que tengo problemas mentales?Estoy seguro que tengo depresión ansiedad. También escucho voces en mi cabeza. Tengo problemas para dormir también. Y he sido diagnosticado con déficit de atención y desorden obsesivo compulsivo. Me he auto flagelado y solía tener ideas suicidas. Como les dejo saber y les pido ayuda.El apoyo de la familia es muy útil cuando se experimentan los síntomas que mencionas. Te sugiero que busques un consejero (en la escuela, a través de tu plan médico, o en la comunidad, llamando al 2-1-1). Ya que tengas tu cita, invita a tus padres. He observado que aunque algunos padres son escépticos al principio, pero una vez le dan una oportunidad se abren al proceso de terapia y sus beneficios. También he observado que algunos padres se vuelven sobreprotectores cuando aprenden de los síntomas que sufren sus hijos, así que sería otro beneficio que aprendieran que pueden hacer para ayudarte y apoyarte. |
### Instruction:
I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?
### Response:
| Family support is very helpful when having these symptoms. I suggest looking for therapist within reach (school, through your insurance or the community, calling 2-1-1). Once you schedule a session, you can inform them and invite them to come in. I have found trough sceptic parents, that once they give it a chance they open up to the process of learning and healing. I also understand that parents may become overly concerned and overprotective when hearing about your symptoms, and that’s why is important to discuss them with a therapist, normalize them, understand why you experience them, and learn how they could help you. ¿Cómo les digo a mis padres que yo pienso que tengo problemas mentales?Estoy seguro que tengo depresión ansiedad. También escucho voces en mi cabeza. Tengo problemas para dormir también. Y he sido diagnosticado con déficit de atención y desorden obsesivo compulsivo. Me he auto flagelado y solía tener ideas suicidas. Como les dejo saber y les pido ayuda.El apoyo de la familia es muy útil cuando se experimentan los síntomas que mencionas. Te sugiero que busques un consejero (en la escuela, a través de tu plan médico, o en la comunidad, llamando al 2-1-1). Ya que tengas tu cita, invita a tus padres. He observado que aunque algunos padres son escépticos al principio, pero una vez le dan una oportunidad se abren al proceso de terapia y sus beneficios. También he observado que algunos padres se vuelven sobreprotectores cuando aprenden de los síntomas que sufren sus hijos, así que sería otro beneficio que aprendieran que pueden hacer para ayudarte y apoyarte. |
### Instruction:
Over the course of a few days, my wife was unsure about her feelings for me due to constant intimacy issues. After she thought things through, she came to the realization that she is no longer "in love" or attracted romantically to me. She instead has more of a platonic love and just cares for me as just "family." At that point, she said our marriage was over. Now over the course of the last few days, she has taken a "friendship" from a coworker. She insists there is nothing more than friends, but she has spent all her free time with him.
### Response:
| Hi Portland,This must feel like your world is turned upside down, for your wife to declare her confusion, followed closely by resignation, followed closely by a new "friend". I get how upsetting this is.If I was your therapist, I'd want to explore this a good deal, because there are several possibilities concerning what might be happening. Be careful not to jump to conclusions. Sometimes people have been slowly "falling out of love" for a long time, and often this is due to some (perhaps unnamed) unmet need in the marriage. She may have been coming to this point over a period of time, and has only finally said so. It's also possible that your wife is going through some temporary crisis...she's changing and personally unhappy and blaming the marriage for it. Only she can help herself through this (she could get the help of a therapist, but it's not your place to tell her to do this). Or, it's possible she's met this new "friend" and her attachment to him has clouded her view, or clarified something for her. Right now, it's important that you respect your wife's decision to separate, if she's asking for that. We can't trap people in a marriage. If she needs separation, or distance, then it's respectful to give her that.That doesn't mean that you have to give up on the marriage right now. I would seek the support of a therapist who can help you sort out what YOU want; whether it's to move on with your life, or wait patiently for a period of time. I can't predict what will happen here. But you can find out what the best path for you is. I wish you the best. |
### Instruction:
Over the course of a few days, my wife was unsure about her feelings for me due to constant intimacy issues. After she thought things through, she came to the realization that she is no longer "in love" or attracted romantically to me. She instead has more of a platonic love and just cares for me as just "family." At that point, she said our marriage was over. Now over the course of the last few days, she has taken a "friendship" from a coworker. She insists there is nothing more than friends, but she has spent all her free time with him.
### Response:
| Hi Portland,This must feel like your world is turned upside down, for your wife to declare her confusion, followed closely by resignation, followed closely by a new "friend". I get how upsetting this is.If I was your therapist, I'd want to explore this a good deal, because there are several possibilities concerning what might be happening. Be careful not to jump to conclusions. Sometimes people have been slowly "falling out of love" for a long time, and often this is due to some (perhaps unnamed) unmet need in the marriage. She may have been coming to this point over a period of time, and has only finally said so. It's also possible that your wife is going through some temporary crisis...she's changing and personally unhappy and blaming the marriage for it. Only she can help herself through this (she could get the help of a therapist, but it's not your place to tell her to do this). Or, it's possible she's met this new "friend" and her attachment to him has clouded her view, or clarified something for her. Right now, it's important that you respect your wife's decision to separate, if she's asking for that. We can't trap people in a marriage. If she needs separation, or distance, then it's respectful to give her that.That doesn't mean that you have to give up on the marriage right now. I would seek the support of a therapist who can help you sort out what YOU want; whether it's to move on with your life, or wait patiently for a period of time. I can't predict what will happen here. But you can find out what the best path for you is. I wish you the best. |
### Instruction:
Every winter I find myself getting sad because of the weather. How can I fight this?
### Response:
| About 3 million people in the United States suffer from seasonal affective disorder. Seasonal affective disorder or seasonal depression occurs during the same season every year. You might have feel feeling depressed the past two winters, but cheered up during the warmer months. Or you may have felt down during the summer.Everyone could get seasonal depression, but it tends to be much more common in :People who have families who have SADWomenIndividuals between 15 and 55 years oldIndividuals who live in an areas where winter daylight time is very shortNo mental health experts are exactly sure of what specifically causes SAD, but many think lack of sunlight is a big trigger. This lack of light could mess up your circadian rhythms or cause problems with serotonin which is the chemical that affects your mood.You might be wondering if you have seasonal depression or SAD. Here are the symptoms:Feeling grumpy, sad , nervous of having mood swingsAnhedonia or lack of pleasure in things you normally loveEating much more or less than usualGaining weightSleeping a lot more than you normally do, but still feeling sluggingDifficulty concentratingIt is so important to look at SAD in a holistic manner before getting diagnosed. In addition to therapy, it's crucial to see your doctor so she or he can run blood tests to rule out any other conditions that may be making you feel blue. One of these common ones is hypothyroidism or low thyroid. At Makin Wellness, we could do the mental heath assessment .TreatmentThere are multiple ways to help treat seasonal depression. Light therapy can be used, but counseling is one of the most effective ways of treating SAD. Cognitive behavioral therapy with a skilled therapist can help you learn more about seasonal depression , how to manage your symptoms and ways to prevent future episodes. Medication can also be prescribed and taken to help alleviate some or your symptoms. Antidepressants such as Zoloft, Effexor and Wellbutrin are most commonly prescribed for SAD. Be sure to talk with your doctor and therapist about any side effects from your medication. |
### Instruction:
I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.
### Response:
| One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine. Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day. These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts. Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy. If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process. You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo controlar mi ansiedad?Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal. Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte. Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar. También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico. |
### Instruction:
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?
### Response:
| Hi! I'm sorry you are having such a tough time with this situation. I have worked with a number of young adults in their 20's who have had to move back home after college , or even stay at home through the college years. Bottom line is that either way , it is so difficult when you are trying to discover who you are and what you want your life to be , to have to live at home. I have even heard much older adults clients say that when they visit their childhood home , they suddenly feel like a "kid" again . The old dynamics between adults and their parents and siblings can pop right up as if they have gone back in time and are no longer adults !I would suggest that you approach your mom and say something like "I am hoping we can talk about the best way for us to manage me living here. I really appreciate that you are giving me a place to live until I get on my feet , and I want to be respectful of you and our home ; at the same time , though, I feel like it's important for me to have more independence than when I was younger because I am growing up and trying to learn more about myself and become more autonomous. Can we talk about what might be fair rules that we can both live with ?" If she is receptive , maybe you can each write a separate list of what you think would be fair and reasonable and then compare lists and try to make compromises and come up with a list of "guidleines" that feel fair to you both . If this is too hard to do alone , perhaps you and your mom can meet with a therapist a few times who can help you to come up with some kind of "compromise contract." This is not an easy situation , but if you can approach your mom in a calm and "mature" way and suggest a planned, structured discussion that doesn't take place in the heat of the moment , your mom may be impressed by your maturity and even more receptive to working out some rules that you can both live with.Good luck !!Elissa Gross |
### Instruction:
I started having anxiety three months ago. I'm new to having anxiety, and it's making me depressed.
### Response:
| One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine. Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day. These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts. Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy. If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process. You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo controlar mi ansiedad?Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal. Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte. Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar. También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico. |
### Instruction:
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?
### Response:
| Hi! I'm sorry you are having such a tough time with this situation. I have worked with a number of young adults in their 20's who have had to move back home after college , or even stay at home through the college years. Bottom line is that either way , it is so difficult when you are trying to discover who you are and what you want your life to be , to have to live at home. I have even heard much older adults clients say that when they visit their childhood home , they suddenly feel like a "kid" again . The old dynamics between adults and their parents and siblings can pop right up as if they have gone back in time and are no longer adults !I would suggest that you approach your mom and say something like "I am hoping we can talk about the best way for us to manage me living here. I really appreciate that you are giving me a place to live until I get on my feet , and I want to be respectful of you and our home ; at the same time , though, I feel like it's important for me to have more independence than when I was younger because I am growing up and trying to learn more about myself and become more autonomous. Can we talk about what might be fair rules that we can both live with ?" If she is receptive , maybe you can each write a separate list of what you think would be fair and reasonable and then compare lists and try to make compromises and come up with a list of "guidleines" that feel fair to you both . If this is too hard to do alone , perhaps you and your mom can meet with a therapist a few times who can help you to come up with some kind of "compromise contract." This is not an easy situation , but if you can approach your mom in a calm and "mature" way and suggest a planned, structured discussion that doesn't take place in the heat of the moment , your mom may be impressed by your maturity and even more receptive to working out some rules that you can both live with.Good luck !!Elissa Gross |
### 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:
| It's very admirable that you are trying to stop smoking for the sake of your health and your child's health. The mental aspect of quitting a drug can and usually is the hardest part. First, it can be helpful to change the focus of your thinking so you are focusing on the healthy behaviors you will start/improve rather than only focusing on the behavior that you are trying to stop. The reason for this is that our brains hear the main topic of our thoughts. That is, when you tell yourself "quit smoking, quit smoking, quit smoking", your brain hears "smoking, smoking, smoking". So we need to put together a self-care plan that addresses your thinking, emotions, and behaviors (nutrition, physical activity, and other stress reducing activities). The idea is to have an effective plan in place to both prevent yourself from feeling intense stress (which increases cravings) and to have a well-placed plan for when the intense cravings inevitably present themselves. And lastly, and possibly the most important; You have to believe you deserve to be the healthiest version of yourself. Think about the times when you are most vulnerable to smoke (stressful situations, after meals, when drinking, social situations, etc.). The use of affirmations is also an important resource as what we say to ourselves effects our mood. Repeatedly telling yourself "i am healthy, "i am getting healthier, "my lungs are becoming clear and healthy" or other affirmations like this. Even if you don't believe them at first, continue saying them. This step is important to improve cognitive flexibility which trains your brain to be open to change. Think about activities that you like to do or that you would like to try and replace smoking with those activities. Any activity that can make you laugh (time with friends, watching comedies, etc.) will evoke a calming response because when we feel happy, we typically don't feel stressed out simultaneously. |
### Instruction:
My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.
### Response:
| Hi Louisiana,It's normal when trust has been broken in the past for fear and insecurities to come up from time to time. His reactions may not mean that he doesn't trust you, but rather that he gets scared that he's going to be hurt again. You're a bit vague about the past. You don't say whether you cheated or not. If you did, then you might try taking an approach where you a) take responsibility for your past actions, b) show an understanding of and compassion for his pain about that, c) do everything you can to demonstrate trust and show that he is your priority, and d) reassure him when he says he's scared or feeling insecure. I'm suggesting that part of healing is you having tolerance of his emotions and demonstrating that you're so confident you can be faithful that you can handle his moments of fear. This is what he and the marriage need in order to heal from the attachment injury.Part of the issue might be that when he brings it up, he's coming across as angry, accusing or suspicious, rather than scared and insecure. This often happens. A therapist can help both of you understand that fear is behind the anger, and it works best if he shows you his vulnerable emotions rather than the anger (which is also natural, but less helpful in those moments), and then you can more easily recognise the cue for you to reassure him. As much as you want to forget about it, he might need to talk about it sometimes, and that's normal. His needs are important. Also important, however, is your need for respect. If he approaches it in a disrespectful way, that's a separate problem. If it's brought up as a weapon, used to shut you down, or used to control or punish, those are unhealthy ways of dealing with past hurts. You can both offer compassion to him and use your sense of boundaries to protect yourself from being flogged with the past.A qualified therapist can help you sort through this trick territory. Best of luck. |
### Instruction:
My husband doesn’t trust me for some past we had. I know all marriages have their ups and downs, but sometimes, I feel I am getting tired of the same thing over and over: that I am messing around, which I am not.
### Response:
| Hi Louisiana,It's normal when trust has been broken in the past for fear and insecurities to come up from time to time. His reactions may not mean that he doesn't trust you, but rather that he gets scared that he's going to be hurt again. You're a bit vague about the past. You don't say whether you cheated or not. If you did, then you might try taking an approach where you a) take responsibility for your past actions, b) show an understanding of and compassion for his pain about that, c) do everything you can to demonstrate trust and show that he is your priority, and d) reassure him when he says he's scared or feeling insecure. I'm suggesting that part of healing is you having tolerance of his emotions and demonstrating that you're so confident you can be faithful that you can handle his moments of fear. This is what he and the marriage need in order to heal from the attachment injury.Part of the issue might be that when he brings it up, he's coming across as angry, accusing or suspicious, rather than scared and insecure. This often happens. A therapist can help both of you understand that fear is behind the anger, and it works best if he shows you his vulnerable emotions rather than the anger (which is also natural, but less helpful in those moments), and then you can more easily recognise the cue for you to reassure him. As much as you want to forget about it, he might need to talk about it sometimes, and that's normal. His needs are important. Also important, however, is your need for respect. If he approaches it in a disrespectful way, that's a separate problem. If it's brought up as a weapon, used to shut you down, or used to control or punish, those are unhealthy ways of dealing with past hurts. You can both offer compassion to him and use your sense of boundaries to protect yourself from being flogged with the past.A qualified therapist can help you sort through this trick territory. Best of luck. |
### Instruction:
I have a mother who is still running my life even though I'm almost 30 years old. I want to move out and live my own life, but it feels like as long as I do what my mom wants our relationship is okay. It's never okay if I don't do what she wants.
I don't know how to start making my own decisions and not worry about whether it's right in her eyes. Would it help for me to talk to someone about this?
### Response:
| ABSOLUTELY. Having someone who's outside the situation and, even more so, with knowledge and experience in human behavior and relationship dynamics such as a counselor can do wonders in helping us feel less alone in frustrating situations like the one you're currently stuck in with your mother. A professional can also assist you in finding some assertiveness techniques, communication strategies, and coping skills to help you find your voice and stand your ground in a way that feels most authentic to you.In a healthy parent-child dynamic, there comes a normal developmental shift when, as the child reaches each new stage of maturity and responsibility, the parent backs off to provide a more supportive role instead of directive role. We call this "redefining relationships." (We also do it with our friendships and colleagues here and there over time as needed). It's absolutely vital. Sounds like your mom may have missed that memo. Like many parents, she may feel your behavior and choices is a direct reflection of her. Or that her role as your mother allows her greater latitude than it should. Or like many other people in general, that her way is the ONLY way. Regardless, this is YOUR life. And as far as we know, it's not a dress rehearsal. You certainly don't want to wake up some 50 years from now regretful or resentful. That being said, there are certainly ways to show her love and respect while doing what makes you happy. I would encourage you to Google therapists near you whose bios resonate with you and what you're looking for and start on a the journey towards a new chapter of freedom and hopefully a deeper, more satisfying mother-daughter relationship for both of you.Warmest regards,Tamara Powell, LMHC |
### Instruction:
My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay.
### Response:
| You're probably not going to like my answer.Your question says a lot about what YOU want rather than what she wants or what may be best for her. Sometimes, what's best for a person is the hardest thing to do, and may be completely opposite of what YOU want.Addictions don't happen in a vacuum. If you've had any experience with addicts at all, then I'm sure you've heard the term "enabler". A lot of the times, when people think they're "helping", they're actually enabling the addict to continue their self-destructive behavior. Tough love and clear boundaries are needed in a lot of situations, but especially with addictions. Family and friends are often the biggest contributing factor to someone choosing to use/drink, continuing to do so, or relapsing back into it.You said she recently quit. You said she is depressed. She wants to move. When a person receives counseling for addictions, they are encouraged to make changes like this. They need to break the habit, and this means removing people from their lives at times. It means moving to new locations. Anything that may trigger a relapse needs to be identified and removed. Not only that, but the addict needs to do a lot of personal reflection to figure out WHY they use/drink in the first place, and not only break the physical addiction to it, but deal with whatever is the root cause that led them to use in the first place. She may need some time alone to figure out who she is as a person, time to make some decisions for herself and do what she needs to do to be healthy.Don't pressure her to stay. Let her have the freedom to do what she needs to do. If she stays, the decision needs to be hers and hers alone. It doesn't need to be made under pressure. That will only lead to resentment. Support her, but don't try to change her or make her do anything, especially for selfish reasons. Let her go. It sounds like she needs some time to focus on herself right now. It wouldn't be a bad idea for you to do the same. |
### Instruction:
My girlfriend just quit drinking and she became really depressed. She told me that she wants to move. What can I do to help her? I want her to stay.
### Response:
| You're probably not going to like my answer.Your question says a lot about what YOU want rather than what she wants or what may be best for her. Sometimes, what's best for a person is the hardest thing to do, and may be completely opposite of what YOU want.Addictions don't happen in a vacuum. If you've had any experience with addicts at all, then I'm sure you've heard the term "enabler". A lot of the times, when people think they're "helping", they're actually enabling the addict to continue their self-destructive behavior. Tough love and clear boundaries are needed in a lot of situations, but especially with addictions. Family and friends are often the biggest contributing factor to someone choosing to use/drink, continuing to do so, or relapsing back into it.You said she recently quit. You said she is depressed. She wants to move. When a person receives counseling for addictions, they are encouraged to make changes like this. They need to break the habit, and this means removing people from their lives at times. It means moving to new locations. Anything that may trigger a relapse needs to be identified and removed. Not only that, but the addict needs to do a lot of personal reflection to figure out WHY they use/drink in the first place, and not only break the physical addiction to it, but deal with whatever is the root cause that led them to use in the first place. She may need some time alone to figure out who she is as a person, time to make some decisions for herself and do what she needs to do to be healthy.Don't pressure her to stay. Let her have the freedom to do what she needs to do. If she stays, the decision needs to be hers and hers alone. It doesn't need to be made under pressure. That will only lead to resentment. Support her, but don't try to change her or make her do anything, especially for selfish reasons. Let her go. It sounds like she needs some time to focus on herself right now. It wouldn't be a bad idea for you to do the same. |
### Instruction:
I was born a girl, but I want to be a boy. Because of my religion I can't tell my family. I know they won't accept me. What do I do?
### Response:
| First of all, I want to say, I am so sorry you are not feeling accepted by your family. I know how isolating and lonely this can be. The most important step you can take right now is building a community of supportive people who do accept you. Creating your own sense of community is very powerful for helping you love yourself. If you can find a trans support or LGBTQ support group in your area, I recommend seeking that out right away through your local LGBTQ center or PFLAG. If you don’t have access to that, I recommend calling Trans Lifeline US: 877-565-8860 Canada: 877-330-6366 https://www.translifeline.org/. You can talk to other trans-identified people anonymously for support, calling them from wherever you feel safe. This is a great way to begin to connect with other people who have similar experiences to you. Next, think of this time in your life as your time to explore your gender identity, just for yourself. Make room to explore you gender identity in ways that are private and comfortable for you. Consider reading a book like: https://www.newharbinger.com/queer-and-transgender-resilience-workbook to explore who you are and build resilience. Also, consider learning about other religions that are accepting of LGBTQ folks for another perspective - there are many out there! Once you feel you have a strong support system outside of your family and a positive sense of self-love (which can take time, be patient, don’t rush it), then you can consider what action steps you want to take with your family. If you are still living with your family or financially depend on them, having other supports in place first is very important. It’s a very personal choice how you want to navigate your family relationships, talk it through in-depth with a trusted friend, other trans folks, or therapist to help you decide what’s right for you.And remember, there are tons of people out there who will love and accept you. We are rooting for you!In solidarity,-Lindsey |
### Instruction:
I feel like I would be more comfortable as a girl even though I still like girls. I think I'm like a girl stuck in a guy body. I imagine myself as a girl too. I think this more because my friends say that if I was a girl I would be a hot looking one. And I don't care about having boobs or anything. I just feel like the way that I do act will make more sense if I was a girl.
### Response:
| I understand that gender and/or sexual identity crises can be very difficult to navigate, although in today’s time I think we have made a lot of progress and it is becoming easier for individuals to find themselves and also find acceptance from society.I am unsure how old you are. If you are a child or teenager, this is a normal time to have identity questions and to be in a phase where you are trying to figure out who you are and what you want out of life. I hope that you have understanding and supportive friends and family that you can talk to and who will support you in how you feel and what you may decide to do. A lot of people, unfortunately, do not, and if this is the case then it makes it harder for you. Because then you may not feel safe exploring these feelings and decisions.I urge you not to try to make any permanent changes for quite some time. By this I mean a sex change. Anything permanent like surgery or hormone replacement to change your actual gender is something that does not need to be done lightly. Please find a therapist that can help you explore your feelings and your identity crisis. Of course there are things that you can do that are not permanent changes. Many people decide to dress like their gender of choice. Maybe experimenting in this way is something that you could do.See if you have a local chapter of PFLAG in your area. PFLAG stands for Parents, Families and Friends of Lesbians and Gays. They are able to help not only with those who identify as lesbian or gay, but also transgendered and asexual. I wish you all the best in your identity crisis. It would be very easy for you to sink into depression if you do not have good support and understanding from those around you during this time. Find a professional that can help, especially if you experience depression or any thoughts of harming yourself. |
### Instruction:
I've worked with this guy for about three years now, and I knew the first time I saw him that I was attracted. Over time, he became a very dear friend, and we talked about our relationship problems, family, dreams, and so on. There was always flirtation with us, and one day pretty recently, it progressed to making out. We agreed to keep it quiet, and we did, but in the back of my mind, I hoped it would become something more. It didn't, and three months later, I'm still not over it.
I'm trying so hard to maintain the friendship because that's what he wants. We're no longer in the same office, which I thought would help me get over these feelings, but we still talk about work, and he's constantly touching me, so I'm still very drawn to him. He's a hugger and such a sweet guy, so I find myself fantasizing all the time about what could have been and what could still be, but he's clearly not interested. He's younger than me and prefers model types, but I see him checking me out a lot, which gives me hope. How do I get him out of my system and still maintain the friendship?
### Response:
| It sounds like a tricky situation. If you want to maintain your friendship and continue to have regular contact with him, getting over him may not be possible. What makes it even trickier is that his actions (hugs and touching) may be misleading and are allowing you to believe that a romantic relationship is possible. Some ways in which we naturally get over others are when we fall in love with someone else or when we suddenly see the person we like in a more negative or unattractive light. If you truly want to force yourself to get over him, cutting contact or setting strict boundaries may be necessary. If you don't see him, over time you can begin to forget about him. If you set boundaries by discontinuing to allow the hugs and touches, you will not feel mislead or have the idea in your mind that he is being flirtatious or interested. It would be difficult to continue the relationship as is and expect your feelings to change. Thus, being proactive by talking to him about boundaries or cutting contact with him are two things you can do that will likely help you to get over him. Good luck! |
### Instruction:
When my boyfriend gets in a snit, he gives me the silent treatment for days. When I ask what is wrong, I get nothing: no reply, no phone call. If he does reply, it is something very sarcastic and hurtful. He never admits he is wrong and never apologizes.
### Response:
| As you say, if he does reply it is hurtful. But, if he doesn't reply, it sounds like it's just as hurtful (though more in my opinion in terms of the longer-range effects on the relationship). The behavior he is exhibiting would easily pass for "passive-aggression," as it is manipulative and controlling through passive withdrawal behaviors. And I can assure you that you are not alone in struggling with how to deal with it. So many do, and that's why it gets done so often, because it can. For example, if you push for connection, he stonewalls even more. You probably become more distressed.Frankly, if you and your boyfriend were sitting on my couch in therapy, I'd likely say that the behavior needs to stop in order for the relationship to continue, because of how severe it sounds (an hour of withdrawal because someone can't deal is reasonable, as everyone can shut down from time to time, but this feels extreme and is extremely hurtful to you.) I might even say to him that the behavior needs to stop if he ever wants to be in a healthy, loving, connected relationship. Because the amount that you describe him disconnecting severely hurts trust and security. One of the first "change events" in Emotionally-Focused Couples Therapy is for the person doing the withdrawing to be able to use words and communication to help the partner understand what they are experiencing, so the burden does fall more on him at the beginning. It becomes the partner's job to tolerate though whatever his experience is.There is no one "tried and true" solution to working with passive-aggression, but I would most advise limit-setting (like I would do in our session). In one way, shape, or form, in order for the behavior to stop, there has to be consequences to it. The more you tolerate it and allow him to come back to you when he's done with his silent tantrum, the more you encourage the behavior because he is getting what he wants. |
### Instruction:
I don't remember when the voices in my head started, but I remember Hearing them when I was little.
I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?
### Response:
| This isn't something you can do on your own. If you haven't already, you need to see a medical doctor ASAP to rule out medical causes for this. Many diseases, illnesses, and conditions can cause hallucinations. In the elderly, sometimes it's something as simple as a urinary tract infection. Some medicines may have that side effect as well.However, you say you've been hearing them since you were little. I have no idea how old you are now, but something that has been going on for many years does lead me to think it could be a type of schizophrenia. A psychiatrist could diagnose that after taking a complete look at your history, medical history, etc. There are medications that they can put you on that will help. One thing that I find encouraging is that you recognize you're hearing voices. This means you are not so far into a delusion as to believe it is real. A lot of people that hear or see things that aren't there are not able to have the awareness that these things are not real. They fully believe what they're hearing/seeing. It's completely real to them. Because you have the awareness that you do, I feel this is a very good sign that with treatment you can live a normal life (assuming you are not already receiving treatment for it. If you are and are still hearing the voices, please know that medications often need to be changed and adjusted, and the voices may never completely go away but medicines certainly help dull them a lot. Always talk to your doctor when it seems your symptoms are getting worse so that they can make the necessary medication adjustments for you).If at any time the voices are telling you to do something, please go to an ER as this is an emergency. Sometimes people hear voices telling them to harm themselves, harm someone else, or do other things that are against the law. Do not try to deal with something like that on your own. There are people who can help. |
### Instruction:
I've worked with this guy for about three years now, and I knew the first time I saw him that I was attracted. Over time, he became a very dear friend, and we talked about our relationship problems, family, dreams, and so on. There was always flirtation with us, and one day pretty recently, it progressed to making out. We agreed to keep it quiet, and we did, but in the back of my mind, I hoped it would become something more. It didn't, and three months later, I'm still not over it.
I'm trying so hard to maintain the friendship because that's what he wants. We're no longer in the same office, which I thought would help me get over these feelings, but we still talk about work, and he's constantly touching me, so I'm still very drawn to him. He's a hugger and such a sweet guy, so I find myself fantasizing all the time about what could have been and what could still be, but he's clearly not interested. He's younger than me and prefers model types, but I see him checking me out a lot, which gives me hope. How do I get him out of my system and still maintain the friendship?
### Response:
| It sounds like a tricky situation. If you want to maintain your friendship and continue to have regular contact with him, getting over him may not be possible. What makes it even trickier is that his actions (hugs and touching) may be misleading and are allowing you to believe that a romantic relationship is possible. Some ways in which we naturally get over others are when we fall in love with someone else or when we suddenly see the person we like in a more negative or unattractive light. If you truly want to force yourself to get over him, cutting contact or setting strict boundaries may be necessary. If you don't see him, over time you can begin to forget about him. If you set boundaries by discontinuing to allow the hugs and touches, you will not feel mislead or have the idea in your mind that he is being flirtatious or interested. It would be difficult to continue the relationship as is and expect your feelings to change. Thus, being proactive by talking to him about boundaries or cutting contact with him are two things you can do that will likely help you to get over him. Good luck! |
### Instruction:
I don't remember when the voices in my head started, but I remember Hearing them when I was little. I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?
### Response:
| This isn't something you can do on your own. If you haven't already, you need to see a medical doctor ASAP to rule out medical causes for this. Many diseases, illnesses, and conditions can cause hallucinations. In the elderly, sometimes it's something as simple as a urinary tract infection. Some medicines may have that side effect as well.However, you say you've been hearing them since you were little. I have no idea how old you are now, but something that has been going on for many years does lead me to think it could be a type of schizophrenia. A psychiatrist could diagnose that after taking a complete look at your history, medical history, etc. There are medications that they can put you on that will help. One thing that I find encouraging is that you recognize you're hearing voices. This means you are not so far into a delusion as to believe it is real. A lot of people that hear or see things that aren't there are not able to have the awareness that these things are not real. They fully believe what they're hearing/seeing. It's completely real to them. Because you have the awareness that you do, I feel this is a very good sign that with treatment you can live a normal life (assuming you are not already receiving treatment for it. If you are and are still hearing the voices, please know that medications often need to be changed and adjusted, and the voices may never completely go away but medicines certainly help dull them a lot. Always talk to your doctor when it seems your symptoms are getting worse so that they can make the necessary medication adjustments for you).If at any time the voices are telling you to do something, please go to an ER as this is an emergency. Sometimes people hear voices telling them to harm themselves, harm someone else, or do other things that are against the law. Do not try to deal with something like that on your own. There are people who can help. |
### Instruction:
When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
### Response:
| Oh dear - this is becoming all too common. I suggest you have some conversations with your girl to figure out where she is getting the "information" that she builds anxiety around. I see teens who have heard teachers, parents, coaches, etc push the "highly selective colleges" idea on kids way too much. Teens in particular are prone to black and white thinking, leading them to see one poor test performance, one off day, one not-great assignment as the make-or-break task on the path to successful adulthood. If that's the case with your daughter, she needs you to help modulate both the incoming information (there are nearly 5000 colleges in the US - she will get into one of them!) as well as her reaction to that information.As well, you and any other adults that are involved in parenting her need to discern fact from fiction. The recent scandal around celebrities "buying" their kids into college is an indicator of how far off track we, as a culture, have gotten in terms of education. A college education is certainly important, but we have allowed the marketing push to create so much stress and upset for our kids (and ourselves as parents) that they are actually less prepared to leave home and really engage in higher education than ever.You may want to include a therapist in these conversations if you get stuck, but start with a parent-child conversation. Help her figure out what is going on - if it is the "I have to get it right or I will have no future", calmly walk her through all the evidence that says that's just not true. As well, let her know that being anxious now is NOT preparing her for a bright adulthood - it's preparing her for an anxious future. She needs help figuring out how to balance her effort to attend to real and reasonable expectations, not over-inflated fear-based actions. |
### Instruction:
I have anger issues that have worsened over the years because I’ve never dealt with my emotions. My anger has never been expressed physically until the past year. My girlfriend has had to endure these episodes. I love her, and I think I’m about to lose her, if I already haven’t. I throw things at her when I’m angry, and sometimes I hit her. I may not hit her enough to cause harm, but I still physically lash out at her. I don’t want to lose her, and I don’t want the situation to worsen. I am a lesbian in my early 30s, and I have been dealing with anger since my childhood. I'm ready to change. I need help now. I'm about to explode.
### Response:
| Hi Baton Rouge,I'm glad you're reaching out. The first step here is that you are taking some responsibility for your behaviours. I do hear you minimizing your actions (you say you don't "hit her enough to cause harm"?), but you're headed in the right direction. I hope that in your pursuit of treatment you learn that the harm you're causing isn't just superficial bruising. The effects of using aggression and anger to control a person are deep and lasting wounds. Please seek treatment for yourself immediately.You say you love your girlfriend? Do you love her enough to leave the relationship while you address your issues? Are you brave enough to not lean on this relationship while you learn how to create a safe place for a partner?You have dangerous habits because you don't know how to manage your own emotional pain. You can unlearn this; and it doesn't mean you're a bad person. Sometimes, however, the relationship in which you have done the hurting is best ended, for both of your sakes, because too much damage has been done.I know you don't want to lose her, but you don't own her, and you don't have the right to trap her in this because you're afraid of being alone. Right now, she needs some space to figure out what's best for her and the freedom to make whatever decision she wants. This is potentially the first step to learning real respect; honouring her need for safety above your need for comfort. I wish you well. |
### Instruction:
I have anger issues that have worsened over the years because I’ve never dealt with my emotions. My anger has never been expressed physically until the past year. My girlfriend has had to endure these episodes. I love her, and I think I’m about to lose her, if I already haven’t. I throw things at her when I’m angry, and sometimes I hit her. I may not hit her enough to cause harm, but I still physically lash out at her. I don’t want to lose her, and I don’t want the situation to worsen. I am a lesbian in my early 30s, and I have been dealing with anger since my childhood. I'm ready to change. I need help now. I'm about to explode.
### Response:
| Hi Baton Rouge,I'm glad you're reaching out. The first step here is that you are taking some responsibility for your behaviours. I do hear you minimizing your actions (you say you don't "hit her enough to cause harm"?), but you're headed in the right direction. I hope that in your pursuit of treatment you learn that the harm you're causing isn't just superficial bruising. The effects of using aggression and anger to control a person are deep and lasting wounds. Please seek treatment for yourself immediately.You say you love your girlfriend? Do you love her enough to leave the relationship while you address your issues? Are you brave enough to not lean on this relationship while you learn how to create a safe place for a partner?You have dangerous habits because you don't know how to manage your own emotional pain. You can unlearn this; and it doesn't mean you're a bad person. Sometimes, however, the relationship in which you have done the hurting is best ended, for both of your sakes, because too much damage has been done.I know you don't want to lose her, but you don't own her, and you don't have the right to trap her in this because you're afraid of being alone. Right now, she needs some space to figure out what's best for her and the freedom to make whatever decision she wants. This is potentially the first step to learning real respect; honouring her need for safety above your need for comfort. I wish you well. |
### Instruction:
I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?
### Response:
| Fear is a part of life. In fact, our five main emotions are joy, fear, sadness, shame, and anger. We tend to spend a lot of time and energy running away from or trying to get rid of most of those emotions and the more we do that, the more we set ourselves up for failure and disappointment. As a result of viewing our human emotions as "bad" or "wrong," we often get caught up in a trap of thinking we have to overcome them or get rid of them before we can do what matters to us. In reality, you can do what is important to you while having your fears! My question for you is, what would you do if this fear was completely gone? What behaviors would you have if you were the ideal you? What skills, knowledge, or personal qualities would you develop? What kind of relationships would you have?I imagine your fear has kept you from achieving those goals because your mind tells you you can't do it until the fear is gone. I challenge you to do the following exercise:What is a goal you would like to achieve? Example: I would like to change careersWhat actions are necessary to complete this goal? Example: see a career counselor to determine my ideal career, go back to school/get a certification, network with others in my desired industryWhat thoughts, feelings, or urges might get in my way? Example: thoughts of "What if I fail? I'm not smart enough. I can't do it. I'm too busy to put energy into this." Feelings of fear, shame, excitement. Urges to distract myself through drinking or watch tv instead of taking action.It would be helpful to remind myself that: example: It is natural to have these thoughts, feelings, and urges but I can take action anyway. I deserve to have a fulfilling life.The smallest and easiest step I can take now: example: research career counselors in my area and write down their phone numbersThe time, day and date that I will take that first step, is: example: Tonight at 7pm At least think through these answers but it is most beneficial to write them down. I hope this helps! |
### Instruction:
When my daughter is stressed about a silly thing from school, she starts crying and freaking out. She is a bright student, always has a 4.0, but I am afraid she is stressing too much. I’m afraid it’s going to break her. I don't know if I should get her to a doctor or someone because this is not normal.
### Response:
| 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. ( |
### Instruction:
I have a mother who is still running my life even though I'm almost 30 years old. I want to move out and live my own life, but it feels like as long as I do what my mom wants our relationship is okay. It's never okay if I don't do what she wants. I don't know how to start making my own decisions and not worry about whether it's right in her eyes. Would it help for me to talk to someone about this?
### Response:
| ABSOLUTELY. Having someone who's outside the situation and, even more so, with knowledge and experience in human behavior and relationship dynamics such as a counselor can do wonders in helping us feel less alone in frustrating situations like the one you're currently stuck in with your mother. A professional can also assist you in finding some assertiveness techniques, communication strategies, and coping skills to help you find your voice and stand your ground in a way that feels most authentic to you.In a healthy parent-child dynamic, there comes a normal developmental shift when, as the child reaches each new stage of maturity and responsibility, the parent backs off to provide a more supportive role instead of directive role. We call this "redefining relationships." (We also do it with our friendships and colleagues here and there over time as needed). It's absolutely vital. Sounds like your mom may have missed that memo. Like many parents, she may feel your behavior and choices is a direct reflection of her. Or that her role as your mother allows her greater latitude than it should. Or like many other people in general, that her way is the ONLY way. Regardless, this is YOUR life. And as far as we know, it's not a dress rehearsal. You certainly don't want to wake up some 50 years from now regretful or resentful. That being said, there are certainly ways to show her love and respect while doing what makes you happy. I would encourage you to Google therapists near you whose bios resonate with you and what you're looking for and start on a the journey towards a new chapter of freedom and hopefully a deeper, more satisfying mother-daughter relationship for both of you.Warmest regards,Tamara Powell, LMHC |
### Instruction:
I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?
### Response:
| Fear is a part of life. In fact, our five main emotions are joy, fear, sadness, shame, and anger. We tend to spend a lot of time and energy running away from or trying to get rid of most of those emotions and the more we do that, the more we set ourselves up for failure and disappointment. As a result of viewing our human emotions as "bad" or "wrong," we often get caught up in a trap of thinking we have to overcome them or get rid of them before we can do what matters to us. In reality, you can do what is important to you while having your fears! My question for you is, what would you do if this fear was completely gone? What behaviors would you have if you were the ideal you? What skills, knowledge, or personal qualities would you develop? What kind of relationships would you have?I imagine your fear has kept you from achieving those goals because your mind tells you you can't do it until the fear is gone. I challenge you to do the following exercise:What is a goal you would like to achieve? Example: I would like to change careersWhat actions are necessary to complete this goal? Example: see a career counselor to determine my ideal career, go back to school/get a certification, network with others in my desired industryWhat thoughts, feelings, or urges might get in my way? Example: thoughts of "What if I fail? I'm not smart enough. I can't do it. I'm too busy to put energy into this." Feelings of fear, shame, excitement. Urges to distract myself through drinking or watch tv instead of taking action.It would be helpful to remind myself that: example: It is natural to have these thoughts, feelings, and urges but I can take action anyway. I deserve to have a fulfilling life.The smallest and easiest step I can take now: example: research career counselors in my area and write down their phone numbersThe time, day and date that I will take that first step, is: example: Tonight at 7pm At least think through these answers but it is most beneficial to write them down. I hope this helps! |
### Instruction:
My fiancé and I have been together for 3 years and our relationship has always been good. The only issue we had was that he felt like he wasn't getting enough sexual attention from me. I recently found out he cheated on me with another women. He says he wants his family back but I'm confused on what to do. Is it possible for us to get past the cheating, or should I just move on?
### Response:
| Infidelity is common. In a largest study conducted to date about 10-15% of women and 20-25% of men admitted to being unfaithful while in a monogamous relationship. You are not alone and you can get through this just like countless couples have done before you. First of all, you need to know that although there may be reasons for his behaviour (e.g., not feeling sexually satisfied) those are not excuses. He could have chosen to masturbate instead of cheating on you, right? Your partner needs to own his choices and if he is capable of doing it and is truly willing to work on the relationship with you to make it stronger, more transparent and more fulfilling for both of you, then there is hope. The question is : are you willing to put in all this extra work? Forgiveness is not easy and it may take a lot of time and effort for you to consciously choose to trust again. It won't just happen if you don't work on it. And yes, it's unfair that you are being asked to work on this, when he is the one who had been unfaithful. Even though it is hard, you need to be able to let go at some point of having all the power in the relationship, because right now you have it as the one who had been cheated on. You cannot hold on to being the victim forever because it will create an imbalance in your relationship making it less healthy in the long-run. All of this is hard work. Is he and this relationship worth it? Are you equally committed to making it work? If so, don't abandon this relationship just yet. Work on it together (ideally get a few sessions with an experienced couple counsellor) and see where that gets you. For additional specific ideas check out my tips for how to deal with infidelity in a relationship. Good luck! |
### Instruction:
I am in a high stress position for a tech company. I am being overworked and underpaid for my contributions and it is not only giving me anxiety, but also demoralizing.
What can I do to manage my stress?
### Response:
| I think it's important to tease more of this situation out to figure out what is at the root of the stress. It is emotionally dangerous to be at a job for a lengthy duration in which you feel overworked and underpaid. You will not perform well as you mention, and thus your self-esteem will continually take a hit without really any effort. So, I don't know that simply coping with your stress would be advisable as a first step.You don't speak about a lot of what the office dynamics are like, which can be a big indicator for me of what can be done to help you feel better (because we exist as a part of a relationship with everything, including people at our job.) I would encourage you to speak up about your contributions to your boss. Often, "overworked and underpaid" also includes the "my boss never notices me," and that can demoralizing. If we feel appreciated, that can go a long way. I've found that it is quite common for bosses to require some instruction for how to show each of their employees "appreciation" (and it goes deeper than "thank you" or taking you out to lunch - it's almost something felt as opposed to made explicit.)But sometimes appreciation isn't going to do the trick either. Because that overworked and underpaid actually has led you to feel "burnout." You have zero interest in doing the job in the way it is designed, so some real changes need to be implemented. The bottom line? Try not to just "suck it up" and do all of the "self care" work on your own. If your company isn't helping you to take care of yourself (I'm talking to you, boss that handles employee pay and/or work conditions!) then you also have to question if this is a company worth working for. While I don't know exactly what you do, it sounds like you have confidence in your contributions! So take that confidence to a tech company that will support you (and there are tech companies out there!) |
### Instruction:
I feel insecure in my life. I don't think my wife truly wants our relationship even though she says she does. I have turned to drinking to help relieve my repressed stress about this and other issues. I have had a drinking problem for a few years. I feel the reason I drink is not just because I like to, but because I have lately been on edge. I’ve been very oddly emotional when watching movies that I have been watching for years. I’m paranoid about driving on main roads. I’m very jumpy at the slightest noises.
### Response:
| Given the description you have posted here, it may be time to find someone to work with. First and foremost, look into working with someone who specializes in working with individuals with challenges surrounding drinking. This would need to be assessed first since if it has been ongoing, it may be making the situation worse and given the time it has been utilized as a coping mechanism, there is reason to believe that the structure of your brain may have been effected as has been demonstrated by current neurological research. There are however, ways to address this. As for coping mechanisms, the person you work with should also look at offering you alternatives such as the skills found within the Dialectic Behavior Therapy model (DBT) which has several useful tools to help address the underlying anxiety and difficulty managing emotional regulation. Mindfulness, another component of DBT should also prove to be useful in both becoming aware of your state of mind and emotional state to allow you to make different choices which has been supported by a growing body of evidence. There are also other tools designed to help repair damaged relationships. Well worth looking into.Seeking help is never easy and it is only human to be hesitant given some of the cultural views of working with therapist. This is a difficult place to be in and one that is not easy to move out of, but sitting on it is not going to help it go away. Think of it this way, if you broke your arm, would you just wrap it up and hope for the best? or seek out a professional to help you set the break and teach you how to mend the wound. The same applies here. Think of it as first aid for the mind. |
### Instruction:
I have experienced cycles of depression for the past four years, and it hits me harder every time it comes back. This past time, it was extremely debilitating, so I went on Wellbutrin. I could feel the effects of the medicine after the first week. A month and a half later, I decided that my depression was being caused by my own unwillingness to move forward and address my behaviors and thoughts that were keeping me in a place of despair. I became worried that the medicine was making me complacent and prohibiting me from working out what I needed to in my life to bring back true fulfillment. I stopped taking it a month ago and feel okay; a lot of the anxiety it was paired with has gone away. However, I still don't feel my sense of self has been completely regained, and I have days where I feel a zombie-like haze of having no interests or the ability to fully concentrate on anything. Is it better to continue letting time and good habits work out the remaining depression or should I go back on the medicine?
### Response:
| Deciding whether or not psychiatric medicine is a good option can be complicated, as you have noticed, and only a person who is licensed to prescribe can give you medical advice regarding medications. While there is sometimes relief from symptoms from medication, as you have pointed out, there are often negative side effects as well. While I can't give you advice on whether or not to continue medication, I would urge you to take an inventory of the positive and negative effects that you have noticed and educate yourself as much as possible about the short and long-term costs and benefits of psychiatric medication. If you can find a doctor, psychiatrist, or ARNP who is competent in mental health, it may also benefit you to consult with them.One thing that I am wondering about is, what is your support system like, in regards to your fight against depression? Are you seeing a therapist or attending any therapeutic or supportive group? While there are many things that one can do on their own to work through challenges such as depression, psychotherapy has been shown time and again in research to be highly effective and sometimes having a relationship with a caring, competent professional who understands depression and ways of helping can make a huge difference. |
### Instruction:
I feel insecure in my life. I don't think my wife truly wants our relationship even though she says she does. I have turned to drinking to help relieve my repressed stress about this and other issues. I have had a drinking problem for a few years. I feel the reason I drink is not just because I like to, but because I have lately been on edge. I’ve been very oddly emotional when watching movies that I have been watching for years. I’m paranoid about driving on main roads. I’m very jumpy at the slightest noises.
### Response:
| Given the description you have posted here, it may be time to find someone to work with. First and foremost, look into working with someone who specializes in working with individuals with challenges surrounding drinking. This would need to be assessed first since if it has been ongoing, it may be making the situation worse and given the time it has been utilized as a coping mechanism, there is reason to believe that the structure of your brain may have been effected as has been demonstrated by current neurological research. There are however, ways to address this. As for coping mechanisms, the person you work with should also look at offering you alternatives such as the skills found within the Dialectic Behavior Therapy model (DBT) which has several useful tools to help address the underlying anxiety and difficulty managing emotional regulation. Mindfulness, another component of DBT should also prove to be useful in both becoming aware of your state of mind and emotional state to allow you to make different choices which has been supported by a growing body of evidence. There are also other tools designed to help repair damaged relationships. Well worth looking into.Seeking help is never easy and it is only human to be hesitant given some of the cultural views of working with therapist. This is a difficult place to be in and one that is not easy to move out of, but sitting on it is not going to help it go away. Think of it this way, if you broke your arm, would you just wrap it up and hope for the best? or seek out a professional to help you set the break and teach you how to mend the wound. The same applies here. Think of it as first aid for the mind. |
### Instruction:
What makes a healthy marriage last?
### Response:
| This is a fantastic question. In one sentence, I would say the following:Recognize that while you and your partner probably have common interests and areas of commonality, you are separate people, each with different wants, wishes, and desires – if you consider a diagram of two overlapping circles, they may share perhaps a third of the circle with overlap to indicate commonality (could be more or less) and then there are parts of the circles that are not overlapping, indicating separate interestsAs for ways that may strengthen any relationship, even the great ones, this is what came to mind. There are certainly more specific unique answers or elements for different people as far as the details, but here are some general ideas:Try to have at least 15 minutes a week where you are spending time together and not problem-solvingRealize that listening to your partner does not mean that you are agreeing with them, it just means that you are saying that you hear where they are coming fromLearn to hold on to your own wants, wishes, and desires while also recognizing those of your partnerSet boundaries for what is and isn't acceptable behavior during an argument or difficult discussionDiscuss how having important discussions can be anxiety-producing and consider having an understanding that if one of you (or both of you) feels overwhelmed, you can take a timeout for a certain amount of time. For example, you may say "okay, I'm feeling really stressed about this right now. Let's discuss it in an hour." And at that time, go back to the discussionConsider what your partner's top three or four complaints about you may be. Check in with them and see how accurate you are. If you see validity in their responses, consider whether or not you may want to make changesDiscover what makes your partner feel loved, valued, appreciated, or specialRelationships are always in progress and constantly changing. Some anxiety around change is typical. Being able to effectively discuss the anxiety and actually listen to one another without being defensive, name calling, finger-pointing, or asking each other to change is a true gift.You may enjoy this quote: "Connection is the energy that is created between people when they feel seen, heard, and valued; when they can give and receive without judgment." ~Brene Brown |
### Instruction:
I have experienced cycles of depression for the past four years, and it hits me harder every time it comes back. This past time, it was extremely debilitating, so I went on Wellbutrin. I could feel the effects of the medicine after the first week. A month and a half later, I decided that my depression was being caused by my own unwillingness to move forward and address my behaviors and thoughts that were keeping me in a place of despair. I became worried that the medicine was making me complacent and prohibiting me from working out what I needed to in my life to bring back true fulfillment. I stopped taking it a month ago and feel okay; a lot of the anxiety it was paired with has gone away. However, I still don't feel my sense of self has been completely regained, and I have days where I feel a zombie-like haze of having no interests or the ability to fully concentrate on anything. Is it better to continue letting time and good habits work out the remaining depression or should I go back on the medicine?
### Response:
| Deciding whether or not psychiatric medicine is a good option can be complicated, as you have noticed, and only a person who is licensed to prescribe can give you medical advice regarding medications. While there is sometimes relief from symptoms from medication, as you have pointed out, there are often negative side effects as well. While I can't give you advice on whether or not to continue medication, I would urge you to take an inventory of the positive and negative effects that you have noticed and educate yourself as much as possible about the short and long-term costs and benefits of psychiatric medication. If you can find a doctor, psychiatrist, or ARNP who is competent in mental health, it may also benefit you to consult with them.One thing that I am wondering about is, what is your support system like, in regards to your fight against depression? Are you seeing a therapist or attending any therapeutic or supportive group? While there are many things that one can do on their own to work through challenges such as depression, psychotherapy has been shown time and again in research to be highly effective and sometimes having a relationship with a caring, competent professional who understands depression and ways of helping can make a huge difference. |
### Instruction:
What makes a healthy marriage last?
### Response:
| This is a fantastic question. In one sentence, I would say the following:Recognize that while you and your partner probably have common interests and areas of commonality, you are separate people, each with different wants, wishes, and desires – if you consider a diagram of two overlapping circles, they may share perhaps a third of the circle with overlap to indicate commonality (could be more or less) and then there are parts of the circles that are not overlapping, indicating separate interestsAs for ways that may strengthen any relationship, even the great ones, this is what came to mind. There are certainly more specific unique answers or elements for different people as far as the details, but here are some general ideas:Try to have at least 15 minutes a week where you are spending time together and not problem-solvingRealize that listening to your partner does not mean that you are agreeing with them, it just means that you are saying that you hear where they are coming fromLearn to hold on to your own wants, wishes, and desires while also recognizing those of your partnerSet boundaries for what is and isn't acceptable behavior during an argument or difficult discussionDiscuss how having important discussions can be anxiety-producing and consider having an understanding that if one of you (or both of you) feels overwhelmed, you can take a timeout for a certain amount of time. For example, you may say "okay, I'm feeling really stressed about this right now. Let's discuss it in an hour." And at that time, go back to the discussionConsider what your partner's top three or four complaints about you may be. Check in with them and see how accurate you are. If you see validity in their responses, consider whether or not you may want to make changesDiscover what makes your partner feel loved, valued, appreciated, or specialRelationships are always in progress and constantly changing. Some anxiety around change is typical. Being able to effectively discuss the anxiety and actually listen to one another without being defensive, name calling, finger-pointing, or asking each other to change is a true gift.You may enjoy this quote: "Connection is the energy that is created between people when they feel seen, heard, and valued; when they can give and receive without judgment." ~Brene Brown |
### Instruction:
I feel like I would be more comfortable as a girl even though I still like girls. I think I'm like a girl stuck in a guy body. I imagine myself as a girl too. I think this more because my friends say that if I was a girl I would be a hot looking one. And I don't care about having boobs or anything. I just feel like the way that I do act will make more sense if I was a girl.
### Response:
| I understand that gender and/or sexual identity crises can be very difficult to navigate, although in today’s time I think we have made a lot of progress and it is becoming easier for individuals to find themselves and also find acceptance from society.I am unsure how old you are. If you are a child or teenager, this is a normal time to have identity questions and to be in a phase where you are trying to figure out who you are and what you want out of life. I hope that you have understanding and supportive friends and family that you can talk to and who will support you in how you feel and what you may decide to do. A lot of people, unfortunately, do not, and if this is the case then it makes it harder for you. Because then you may not feel safe exploring these feelings and decisions.I urge you not to try to make any permanent changes for quite some time. By this I mean a sex change. Anything permanent like surgery or hormone replacement to change your actual gender is something that does not need to be done lightly. Please find a therapist that can help you explore your feelings and your identity crisis. Of course there are things that you can do that are not permanent changes. Many people decide to dress like their gender of choice. Maybe experimenting in this way is something that you could do.See if you have a local chapter of PFLAG in your area. PFLAG stands for Parents, Families and Friends of Lesbians and Gays. They are able to help not only with those who identify as lesbian or gay, but also transgendered and asexual. I wish you all the best in your identity crisis. It would be very easy for you to sink into depression if you do not have good support and understanding from those around you during this time. Find a professional that can help, especially if you experience depression or any thoughts of harming yourself. |
### Instruction:
Is this something I should be worried about? Should I do something about it?
### Response:
| It can be tricky to figure out if a child is truly satisfied with his lack of friendships. Parents can usually tell when their child is happy. But kids who are unhappy may be masking disappointment, perhaps acting out their feelings in an aggressive manner. Others may internalize symptoms, appearing sad or withdrawn. A parent may learn a great deal by asking the teachers questions such as whether the child works with others on group projects or if he eats lunch alone. A parent can also talk with the recess supervisor about what happens on the playground, and whether your child stays on the sidelines of play, unsure of how to join the group. Therespectfully is a difference between kids who are shy but happy and kids who feel isolated because they do not know how to make friends. Itis not necessarily that there is something wrong with that child, but they will in fact need help and suggestions for breaking into a peer group Ask a child if there is someone he would like to have over to play. If a mom or dad can make the play dates happen, or if they hit on an activity the child truly enjoys, the young person may begin to forge friendships on their own. I encourage well-meaning parents to choose words carefully. Use phrases like, "Hey, I noticed something," or "Let me help you be successful." By showing respect, parents should feel more comfortable nudging their children beyond their comfort zone.When to seek professional help. When does isolation raise a red flag for long-term issues? True personality disorders are not typically diagnosed until adulthood. Still, professional counseling should be considered if the anti-social behavior is causing the child significant distress, perhaps keeping him from functioning in everyday activities. Also, parents should pay attention to how the child's social behavior changes over time such as social anxiety. The vast majority of children who define "quality time" as time alone are perfectly happy, healthy and normal. If the child is able to nurture at least one friendship, exhibiting what experts call "social reciprocity," then parents can relax, and can cherish that child who enjoys the pleasure of his or her own company. |
### Instruction:
I have been falling into a deep depression where I can no function during the day and night. The only time I am at peace is when I’m asleep. If I am with friends, family, at work, and mainly alone, I cannot think straight. I no longer feel like myself.
### Response:
| It is common to go through a stage of adjustment after a breakup, which may include depression symptoms. I recommend practicing self-care: stressing on balancing your life with healthy eating, exercise, resting and looking at your spiritual life. These steps should assist you in giving your body and mind some balance. Practice cognitive reframing, this is training your brain to refocus, and stay on task. Meditation is a great tool to clear your mind during the day as well; there are multiple apps that help. If the problem persists a therapist could assist you in learning to focus and process those thoughts and feelings that cloud you mind.¿Cómo puedo manejar la depresión después de una separación?He estado cayendo en una depresión profunda que no me permite funcionar durante el día. El único memento en el que estoy en calma es cuando duermo. Si estoy con mis amigos, familia, en el trabajo o a solas, no puedo pensar claramente. Ya no me siento como yo.Es común pasar por un estado de ajuste después de una separación, y este ajuste puede incluir síntomas de depresión. Recomiendo que practiques auto compasión: esforzarte en balancear tu vida comiendo saludable, ejercitándote, descansando y analizando tu vida espiritual. Estos pasos te ayudarán a balancear tu mente y cuerpo. También puedes practicar reenfocar tus pensamientos para mantener tu mente clara. La meditación es una buena manera de practicar el enfoque mental, y existen muchas aplicaciones que te pueden ayudar. Si el problema persiste tu consejero te puede ayudar a aprender técnicas de enfoque a procesar pensamientos o sentimientos que te estén afectando. |
### Instruction:
I have been falling into a deep depression where I can no function during the day and night. The only time I am at peace is when I’m asleep. If I am with friends, family, at work, and mainly alone, I cannot think straight. I no longer feel like myself.
### Response:
| It is common to go through a stage of adjustment after a breakup, which may include depression symptoms. I recommend practicing self-care: stressing on balancing your life with healthy eating, exercise, resting and looking at your spiritual life. These steps should assist you in giving your body and mind some balance. Practice cognitive reframing, this is training your brain to refocus, and stay on task. Meditation is a great tool to clear your mind during the day as well; there are multiple apps that help. If the problem persists a therapist could assist you in learning to focus and process those thoughts and feelings that cloud you mind.¿Cómo puedo manejar la depresión después de una separación?He estado cayendo en una depresión profunda que no me permite funcionar durante el día. El único memento en el que estoy en calma es cuando duermo. Si estoy con mis amigos, familia, en el trabajo o a solas, no puedo pensar claramente. Ya no me siento como yo.Es común pasar por un estado de ajuste después de una separación, y este ajuste puede incluir síntomas de depresión. Recomiendo que practiques auto compasión: esforzarte en balancear tu vida comiendo saludable, ejercitándote, descansando y analizando tu vida espiritual. Estos pasos te ayudarán a balancear tu mente y cuerpo. También puedes practicar reenfocar tus pensamientos para mantener tu mente clara. La meditación es una buena manera de practicar el enfoque mental, y existen muchas aplicaciones que te pueden ayudar. Si el problema persiste tu consejero te puede ayudar a aprender técnicas de enfoque a procesar pensamientos o sentimientos que te estén afectando. |
### Instruction:
I am lazy. I am very aware of the problem and try to talk myself out of it all the time, but I never seem to shake the habits. I try to think of what it is doing to me and my future, but no matter what, I keep creating excuses for myself to continue the procrastination. All I'm ever left with is regrets and a low grade. I am at an all-time low in my life, and I'm not even that old. I've always been a straight-A student, but now I'm getting C's and F's, and it hurts me to know that I am way better than that. It's not even like the work is hard.
### Response:
| I am sorry to hear that you are going through such a tough time. It sounds to me like you are suffering from depression to some degree. Have you seen a therapist or talked to anyone about your problems? If not, I would advise that you do so sooner than later so that you can learn what is causing you to be unmotivated and causing difficulty with breaking the cycle that you are in. It is also a good idea to get a medical evaluation from your doctor to rule out any medical causes for your current condition. Most often, difficult situations that life throws at us, along with an inability to think positively, and break bad habits are what cause depression. Some things you can do immediately are seek help from a professional, schedule in time every day to engage in pleasurable (or once pleasurable) activities, exercise daily, and practice thinking more positively. Set a few daily goals for yourself and write them down each morning or the night before. Achieving your goals every day will give you a sense of accomplishment and can lead to feeling more optimistic and capable. Additionally, keep a journal to write down how you are feeling and what ideas you have to help feel better. Sometimes having these ideas written down make it more real and tangible. Know that depression is most often curable but takes work and a desire to change (which you clearly have). Once you start feeling better about yourself and your life, your grades should naturally begin to improve, as you will have more motivation and energy to focus on that particular area. Best of luck to you! |
### Instruction:
I am lazy. I am very aware of the problem and try to talk myself out of it all the time, but I never seem to shake the habits. I try to think of what it is doing to me and my future, but no matter what, I keep creating excuses for myself to continue the procrastination. All I'm ever left with is regrets and a low grade. I am at an all-time low in my life, and I'm not even that old. I've always been a straight-A student, but now I'm getting C's and F's, and it hurts me to know that I am way better than that. It's not even like the work is hard.
### Response:
| I am sorry to hear that you are going through such a tough time. It sounds to me like you are suffering from depression to some degree. Have you seen a therapist or talked to anyone about your problems? If not, I would advise that you do so sooner than later so that you can learn what is causing you to be unmotivated and causing difficulty with breaking the cycle that you are in. It is also a good idea to get a medical evaluation from your doctor to rule out any medical causes for your current condition. Most often, difficult situations that life throws at us, along with an inability to think positively, and break bad habits are what cause depression. Some things you can do immediately are seek help from a professional, schedule in time every day to engage in pleasurable (or once pleasurable) activities, exercise daily, and practice thinking more positively. Set a few daily goals for yourself and write them down each morning or the night before. Achieving your goals every day will give you a sense of accomplishment and can lead to feeling more optimistic and capable. Additionally, keep a journal to write down how you are feeling and what ideas you have to help feel better. Sometimes having these ideas written down make it more real and tangible. Know that depression is most often curable but takes work and a desire to change (which you clearly have). Once you start feeling better about yourself and your life, your grades should naturally begin to improve, as you will have more motivation and energy to focus on that particular area. Best of luck to you! |
### Instruction:
Is this something I should be worried about? Should I do something about it?
### Response:
| It can be tricky to figure out if a child is truly satisfied with his lack of friendships. Parents can usually tell when their child is happy. But kids who are unhappy may be masking disappointment, perhaps acting out their feelings in an aggressive manner. Others may internalize symptoms, appearing sad or withdrawn. A parent may learn a great deal by asking the teachers questions such as whether the child works with others on group projects or if he eats lunch alone. A parent can also talk with the recess supervisor about what happens on the playground, and whether your child stays on the sidelines of play, unsure of how to join the group. Therespectfully is a difference between kids who are shy but happy and kids who feel isolated because they do not know how to make friends. Itis not necessarily that there is something wrong with that child, but they will in fact need help and suggestions for breaking into a peer group Ask a child if there is someone he would like to have over to play. If a mom or dad can make the play dates happen, or if they hit on an activity the child truly enjoys, the young person may begin to forge friendships on their own. I encourage well-meaning parents to choose words carefully. Use phrases like, "Hey, I noticed something," or "Let me help you be successful." By showing respect, parents should feel more comfortable nudging their children beyond their comfort zone.When to seek professional help. When does isolation raise a red flag for long-term issues? True personality disorders are not typically diagnosed until adulthood. Still, professional counseling should be considered if the anti-social behavior is causing the child significant distress, perhaps keeping him from functioning in everyday activities. Also, parents should pay attention to how the child's social behavior changes over time such as social anxiety. The vast majority of children who define "quality time" as time alone are perfectly happy, healthy and normal. If the child is able to nurture at least one friendship, exhibiting what experts call "social reciprocity," then parents can relax, and can cherish that child who enjoys the pleasure of his or her own company. |
### Instruction:
My boyfriend of five years told me he cheated on me during our relationship after we broke up. We've since gotten back together and are trying to make it work. I don't know how to trust him now, but I really want to make it work, and it seems like he does too. But my trust issues are getting in the way and causing problems.
### Response:
| Hi Michigan,This is a common issue. How do you trust after you know someone is capable of hurting you? I totally get that it's hard, and I believe it's worth it if you truly love and want to be with someone. You can be stronger in the scarred places. I would suggest that you each have a separate job to do to rebuild this trust. It is definitely possible to rebuild it, because anything is possible if both people want it enough.Your boyfriend came clean to you...this is pretty crucial. He chose to honour your needs rather than keep the secret. You can use that as evidence in your "proof that he loves me" file. Work on that file...thicken it up. Having a thick "he does care about me and wouldn't hurt me again" file will help you. Other things that he can do to help you thicken that file (because after all, his behaviours caused this problem): answer all your questions, don't brush you off if you're feeling insecure, treat you as though you're a priority, avoid questionable contact with other women, have open communication, give you passwords to devices so there is transparency. He can help you to understand where those behaviours came from...why he cheated in the first places (although people aren't always good with those 'why' questions!)You can focus on telling yourself that people change, that he deserves a chance to show you he can be loyal (or at least you've decided to give him that chance), and that you want to be a trusting person. If you act like a trusting person, you will likely feel more like one. Don't go snooping, don't interrogate him. It's normal you might feel scared and try to tell him that when you do. Let him know what happens that leads to you feeling scared.This is a start for you. A good therapist can be helpful too! |
### Instruction:
The last of my emotions belong to my pets. Today my dad said he might get rid of them tomorrow. If that does happen I might dig hole in the ground with a paper that says "here lays my emotions. R.I.P." I practically have no emotions left and I came to the realization about this not being normal by comparing my reaction to certain situations to my family's. What's wrong with me?
### Response:
| It sounds to me like you have had a lot going on and now you are afraid you are going to lose the last things you care about, your pets. I do not know what all is going on in your family, and I cannot answer for your dad’s actions or his reasoning behind this.I would recommend that you focus on developing healthy coping skills. We cannot change what others do but we can change how what they do affects us. If you have all of your emotions and all of yourself tied up into one thing (like your pets) then when that thing is taken away it causes a lot of emotional distress. It is really good to have a wide variety of interests such as friends, hobbies, games, etc. Develop other things that you care about and are passionate about.Another reason for developing healthy coping skills to deal with whatever might be going on in your life is if you don’t have healthy ones, you may develop some very unhealthy ones. You have to cope somehow, right? Developing unhealthy ways of coping with life is only going to make life more difficult for you.I don’t know if this is what it is like for you at your house, but there are two kinds of household environments that can cause dysfunction in children. One is when you grow up in a very rigid stern household where all decisions are made for you and you feel like you have no control over anything. The other is a household where things were chaotic and you never knew what was going to happen next and had no stability. People need to have some stability in their lives and need to feel in control over some things in order to feel safe. Both of these environments can lead you to develop some unhealthy ways of coping with life. Please talk to a trusted adult about your feelings before it gets any worse. |
### Instruction:
My boyfriend of five years told me he cheated on me during our relationship after we broke up. We've since gotten back together and are trying to make it work. I don't know how to trust him now, but I really want to make it work, and it seems like he does too. But my trust issues are getting in the way and causing problems.
### Response:
| Hi Michigan,This is a common issue. How do you trust after you know someone is capable of hurting you? I totally get that it's hard, and I believe it's worth it if you truly love and want to be with someone. You can be stronger in the scarred places. I would suggest that you each have a separate job to do to rebuild this trust. It is definitely possible to rebuild it, because anything is possible if both people want it enough.Your boyfriend came clean to you...this is pretty crucial. He chose to honour your needs rather than keep the secret. You can use that as evidence in your "proof that he loves me" file. Work on that file...thicken it up. Having a thick "he does care about me and wouldn't hurt me again" file will help you. Other things that he can do to help you thicken that file (because after all, his behaviours caused this problem): answer all your questions, don't brush you off if you're feeling insecure, treat you as though you're a priority, avoid questionable contact with other women, have open communication, give you passwords to devices so there is transparency. He can help you to understand where those behaviours came from...why he cheated in the first places (although people aren't always good with those 'why' questions!)You can focus on telling yourself that people change, that he deserves a chance to show you he can be loyal (or at least you've decided to give him that chance), and that you want to be a trusting person. If you act like a trusting person, you will likely feel more like one. Don't go snooping, don't interrogate him. It's normal you might feel scared and try to tell him that when you do. Let him know what happens that leads to you feeling scared.This is a start for you. A good therapist can be helpful too! |
### Instruction:
I have been having a lot of nightmares where I am being killed in different ways. I either wake up in a panic or just crying and sweating. It has made me terrified of falling asleep and is now affecting my daily life too. Can I make the nightmares stop?
### Response:
| Hello, and thank you for your question. Sleep problems, including insomnia and even the nightmares that you are writing about, are really common for people and so many people suffer from them. Here are a few things to consider or to try: 1. Have you changed or started taking any new medication lately? Medications can certainly affect your sleep and some can even cause vivid or frightening dreams. If you are taking a new medication, talk to your provider about the nightmares, this may be the cause. 2. Stress can certainly increase our difficulty with sleep and can also begin to affect our dream states. The dreams may not make much sense, but then again even good dreams don't always make much sense. Ask yourself, do I have any new or renewed stressors in my life? Work, school, relationships, health.... all of these areas and many more are places where stress can hide out. If this is the case, talk with your provider or consider seeing a counselor who may be able to help. 3. Something to consider is that once we start to have anxiety or stress about something, we can begin to obsess about it. My guess is that going to bed for sleep is no longer a pleasant thing for you. Your stress and fear of what may happen when you sleep could start way before you actually go to bed. This could increase your chances of having another bad dream. Try relaxation techniques before going to bed. If you have YouTube, you can pull up "Guided Meditation for Sleep" exercises to help you relax. There are many different ones to choose from. You may also want to try deep breathing.4. There are self-help ideas for managing bad nightmares. If you Google search "Nightmare Rescripting" or "Nightmare Exposure" you may find some ideas and instructions on how to manage dreams. I hope these ideas help. Be well... Robin J. Landwehr, DBH, LPC, NCC |
### Instruction:
I’ve been on 0.5 mg of Xanax twice a day for the past month. It hasn't been helping me at all, but when I take 1 mg during a big anxiety attack, it calms me down. I was wondering how I can ask my psychologist to up the dose to 1 mg twice a day without her thinking I'm abusing them. I just have very big anxiety attacks. Should I stay on the 0.5mg and deal with the attacks or should I ask to up the dose? I'm afraid she will take me off them and put me on something else.
### Response:
| In general, Xanax is very short-acting. You mentioned that you are afraid that your medical provider will take you off of the Xanax and put you on something else. If the Xanax is not working well for you, I wonder if something else may work better. What is your reasoning there? Also, sometimes there are medications that you can take in addition to Xanax.In addition to talking with your medical provider about changing the medication, try to track your levels of anxiety on a scale of 1 to 10 throughout the day so you can get a pattern of what is happening. Also consider writing down what is happening before you have anxiety attacks. This may help your medical provider know what medication may be helpful to you or what changes could be made.As far as how to discuss this with your medical provider, I would suggest mentioning the symptom changes you are having (anxiety attacks that are not helped with 0.5mg of Xanax) and ask what they would suggest that might help. If your medical provider suggests taking you off of the Xanax, I would recommend talking about the reasons why you would prefer to stay on the Xanax and what your concerns are about coming off of it. You could also ask whether anything could be combined with Xanax.There are also many other anxiety medications. I have seen lots of people that take more than one medication to lessen anxiety that they are having.I would also consider talking with a therapist (unless the person who is prescribing a medication is also doing therapy with you). Getting more information about your anxiety and how it is affecting you may be greatly helpful to you. |
### Instruction:
I have been having a lot of nightmares where I am being killed in different ways. I either wake up in a panic or just crying and sweating. It has made me terrified of falling asleep and is now affecting my daily life too. Can I make the nightmares stop?
### Response:
| Hello, and thank you for your question. Sleep problems, including insomnia and even the nightmares that you are writing about, are really common for people and so many people suffer from them. Here are a few things to consider or to try: 1. Have you changed or started taking any new medication lately? Medications can certainly affect your sleep and some can even cause vivid or frightening dreams. If you are taking a new medication, talk to your provider about the nightmares, this may be the cause. 2. Stress can certainly increase our difficulty with sleep and can also begin to affect our dream states. The dreams may not make much sense, but then again even good dreams don't always make much sense. Ask yourself, do I have any new or renewed stressors in my life? Work, school, relationships, health.... all of these areas and many more are places where stress can hide out. If this is the case, talk with your provider or consider seeing a counselor who may be able to help. 3. Something to consider is that once we start to have anxiety or stress about something, we can begin to obsess about it. My guess is that going to bed for sleep is no longer a pleasant thing for you. Your stress and fear of what may happen when you sleep could start way before you actually go to bed. This could increase your chances of having another bad dream. Try relaxation techniques before going to bed. If you have YouTube, you can pull up "Guided Meditation for Sleep" exercises to help you relax. There are many different ones to choose from. You may also want to try deep breathing.4. There are self-help ideas for managing bad nightmares. If you Google search "Nightmare Rescripting" or "Nightmare Exposure" you may find some ideas and instructions on how to manage dreams. I hope these ideas help. Be well... Robin J. Landwehr, DBH, LPC, NCC |
### Instruction:
I’ve been on 0.5 mg of Xanax twice a day for the past month. It hasn't been helping me at all, but when I take 1 mg during a big anxiety attack, it calms me down. I was wondering how I can ask my psychologist to up the dose to 1 mg twice a day without her thinking I'm abusing them. I just have very big anxiety attacks. Should I stay on the 0.5mg and deal with the attacks or should I ask to up the dose? I'm afraid she will take me off them and put me on something else.
### Response:
| In general, Xanax is very short-acting. You mentioned that you are afraid that your medical provider will take you off of the Xanax and put you on something else. If the Xanax is not working well for you, I wonder if something else may work better. What is your reasoning there? Also, sometimes there are medications that you can take in addition to Xanax.In addition to talking with your medical provider about changing the medication, try to track your levels of anxiety on a scale of 1 to 10 throughout the day so you can get a pattern of what is happening. Also consider writing down what is happening before you have anxiety attacks. This may help your medical provider know what medication may be helpful to you or what changes could be made.As far as how to discuss this with your medical provider, I would suggest mentioning the symptom changes you are having (anxiety attacks that are not helped with 0.5mg of Xanax) and ask what they would suggest that might help. If your medical provider suggests taking you off of the Xanax, I would recommend talking about the reasons why you would prefer to stay on the Xanax and what your concerns are about coming off of it. You could also ask whether anything could be combined with Xanax.There are also many other anxiety medications. I have seen lots of people that take more than one medication to lessen anxiety that they are having.I would also consider talking with a therapist (unless the person who is prescribing a medication is also doing therapy with you). Getting more information about your anxiety and how it is affecting you may be greatly helpful to you. |
### Instruction:
We are the legal guardianship of our grandson. He has been acting out, and he wants to talk to his mom that has not talked to him since before last year. How are we to handle this?
### Response:
| Hi Boone, This depends a lot on his age and the situation. The younger the child is, in general, the more I would see this as your decision, not his. A child of any age should be listened to carefully about these matters, but just because a child has unresolved issues about a parent doesn't necessarily mean that having contact is a good solution. Some questions... Was the parent harmful to the child? Is the parent likely to be harmful to the child? How likely is it to be a positive experience? Do you have any contact with the parent? You may want to speak with the parent first to determine whether they are in a stable enough place to allow this to happen. I would start by asking the child more about what is on his mind. What does he want to get out of a visit with the parent? Is it to see them and know the parent is okay, to get an apology, to apologize for a perceived hurt, to have regular contact, to find out if they are loved...? What does he hope mom or dad might do or say in the visit? There are many possible goals this child might have in mind. This will give you a sense of what's missing for the child; what need are they trying to fill. Once you know the need, try to determine the likelihood of that need being met successfully through contact.Once you determine the risk of the child's need not being met, then you decide whether it makes sense. The older the child, the more able they are to determine this with you or for themselves. There are other options than a face-to-face. He can write to his mom or dad, text or email. It's likely that the child is looking for a sense that he is loved, wanted, worth some effort. When a child is separated from a parent, they tend to blame themselves. Whether he sees the parent or not, he will need extra love, attention and support than a child who has two loving, present parents. I wish him the best and I'm grateful for the love and support you continue to give your grandson. You're very special! |
### Instruction:
We are the legal guardianship of our grandson. He has been acting out, and he wants to talk to his mom that has not talked to him since before last year. How are we to handle this?
### Response:
| Hi Boone, This depends a lot on his age and the situation. The younger the child is, in general, the more I would see this as your decision, not his. A child of any age should be listened to carefully about these matters, but just because a child has unresolved issues about a parent doesn't necessarily mean that having contact is a good solution. Some questions... Was the parent harmful to the child? Is the parent likely to be harmful to the child? How likely is it to be a positive experience? Do you have any contact with the parent? You may want to speak with the parent first to determine whether they are in a stable enough place to allow this to happen. I would start by asking the child more about what is on his mind. What does he want to get out of a visit with the parent? Is it to see them and know the parent is okay, to get an apology, to apologize for a perceived hurt, to have regular contact, to find out if they are loved...? What does he hope mom or dad might do or say in the visit? There are many possible goals this child might have in mind. This will give you a sense of what's missing for the child; what need are they trying to fill. Once you know the need, try to determine the likelihood of that need being met successfully through contact.Once you determine the risk of the child's need not being met, then you decide whether it makes sense. The older the child, the more able they are to determine this with you or for themselves. There are other options than a face-to-face. He can write to his mom or dad, text or email. It's likely that the child is looking for a sense that he is loved, wanted, worth some effort. When a child is separated from a parent, they tend to blame themselves. Whether he sees the parent or not, he will need extra love, attention and support than a child who has two loving, present parents. I wish him the best and I'm grateful for the love and support you continue to give your grandson. You're very special! |
### Instruction:
My dad cheated on my mom for 13 years. I cannot stop obsessing over the fact that my boyfriend might be cheating on me even when I know he isn't. I have full access to his phone, social media, and e-mails. I never find anything, but I'm obsessed with constantly checking just in case. How do I stop this? It's driving a wedge between us.
### Response:
| Hi Greenville, I respect that you're owning your own overreactions, and that you want to give your boyfriend the respect he deserves. The truth is that some people cheat, and some don't, and our partners deserve the benefit of the doubt unless they show signs they can't be trusted.The answer here is in two different areas. Basically, if you want to feel differently (more trusting, in your case), you look at your thoughts, and your behaviours.Your thoughts are stuck... like tires in deep ruts in the road. These thoughts are only habits, they don't reflect the truth. Fear is probably whispering in your ear things like "everyone cheats", or " you're not enough for him". Once you figure out what fear is trying to tell you, picture those words in red next time they come up. Ask yourself what the evidence is that supports that thought (there won't be much...perhaps none), and what is the evidence that doesn't support it (I know lots of good men, I know I deserve love and loyalty, there is no sign of infidelity...). You're learning to refute the thoughts that are connected to the fear. That's the first half. Practise these thoughts.The rest of the work is in your behaviours. Act as though you trust him. Force yourself to not check or interrogate, and the less you check, the less obsessive and untrusting you will feel. Acting "as if" something if true strangely helps us believe it.It's possible to change the way we think, and this is turn changes the way we feel. Try this to start, and see a therapist for support and cognitive behavioural therapy if you want to dive more deeply into why this is happening and how to stop it. Good luck! |
### Instruction:
My dad cheated on my mom for 13 years. I cannot stop obsessing over the fact that my boyfriend might be cheating on me even when I know he isn't. I have full access to his phone, social media, and e-mails. I never find anything, but I'm obsessed with constantly checking just in case. How do I stop this? It's driving a wedge between us.
### Response:
| Hi Greenville, I respect that you're owning your own overreactions, and that you want to give your boyfriend the respect he deserves. The truth is that some people cheat, and some don't, and our partners deserve the benefit of the doubt unless they show signs they can't be trusted.The answer here is in two different areas. Basically, if you want to feel differently (more trusting, in your case), you look at your thoughts, and your behaviours.Your thoughts are stuck... like tires in deep ruts in the road. These thoughts are only habits, they don't reflect the truth. Fear is probably whispering in your ear things like "everyone cheats", or " you're not enough for him". Once you figure out what fear is trying to tell you, picture those words in red next time they come up. Ask yourself what the evidence is that supports that thought (there won't be much...perhaps none), and what is the evidence that doesn't support it (I know lots of good men, I know I deserve love and loyalty, there is no sign of infidelity...). You're learning to refute the thoughts that are connected to the fear. That's the first half. Practise these thoughts.The rest of the work is in your behaviours. Act as though you trust him. Force yourself to not check or interrogate, and the less you check, the less obsessive and untrusting you will feel. Acting "as if" something if true strangely helps us believe it.It's possible to change the way we think, and this is turn changes the way we feel. Try this to start, and see a therapist for support and cognitive behavioural therapy if you want to dive more deeply into why this is happening and how to stop it. Good luck! |
### Instruction:
When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people. I don't know what's wrong with me and why I feel this way. What should I do?
### Response:
| What you're experiencing is anxiety, it's actually quite common. Good news - you're not alone in this experience! That being said, it can be so frustrating and upsetting to have to contend with the anxious thoughts that come up in our heads, sometimes without any warning. Additionally, nighttime is a particularly vulnerable time for a lot of people wherein anxiety rears its' ugly head even more so. We aren't as distracted at night and our resources are more depleted so we can't fight back against these thoughts as effectively as usual. It can be helpful to externalize our anxiety, give it a name, like "Judy" or "Bill" for example (or perhaps something more sinister like Lord Garmadon??). The naming is all up to you, what comes to mind for you when you think of your anxiety, now what is a name that's fitting? The act of externalizing separates us from the anxiety a bit and makes it a little more tolerable. If you can think of your anxiety as just something else to handle rather than it being a part of your personality, this is usually helpful. Additionally, I recommend not avoiding the situations that make you feel this way. Our brains have to learn what is an actual threat and what is not. Right now, your brain thinks that crowds are a threat, if you can practice some deep breathing and stay in the crowd, you will start to teach (or rewire) your brain, letting it know that the crowd is not dangerous to you. Think of your brain as an overprotective parent. Your brain is overreacting in these situations to try and keep you safe. It just needs to learn that the situation is not a danger to begin with. |
### Instruction:
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?
### Response:
| Those kinds of thoughts can be quite difficult to handle, but if they are your own thoughts (and not voices you are hearing, which can be very different), they likely are not new to you. From what I've learned from clients I work with, often these thoughts have been quite useful for them over the course of their lives, that through criticizing oneself, it is a way of motivating oneself. However, in your case and in most of those clients, it has caught up to them and it's almost like they no longer need the motivation (that they can do just fine motivating themselves by themselves!)I think it's important to see these thoughts as the voice of the "inner critic." That inner critic was there for a long time, again, because "it" (I like to identify it as a thing inside of you) thought that you needed motivation in the form of criticism to stay on task with your life. But now that that kind of sentiment is no longer needed by you, it might be time to have a different kind of relationship with it. But it wants to be heard. It doesn't want to silenced (Or "stopped" in your words.) So instead of trying to ignore it, perhaps we can see all the ways you are worth something and internalize (take in, let those ways resonate with you, sit with them, think about them) so that the inner critic can see that it isn't quite correct in what it is saying. In essence, you are instead sitting with the thoughts or worthiness instead of worthlessness.If that is challenging, sometimes seeing someone who is objective, such as a therapist, can be helpful. They can help you see the ways in which you are strong, have resilience, as well as any positive attributes that might be hard to see in the face of this loud inner critic. And, above all, if you feel like this doesn't resonate for you, and that the voices might actually be voices, an evaluation should be sought to further tease out what sorts of symptoms you are experiencing. |
### Instruction:
It takes me a long time to fall asleep; I’d estimate about two hours. I often have nightmares, starting with being eaten by a monster, and I often wake up frightened and unable to breathe.
I believe I started losing sleep after breaking up with a girlfriend of 8 years. Also, my father’s business went bankrupt and my mother has a chronic condition. I was under a lot of stress, and life lost meaning.
After improving my life and developing a habit of running and exercise to release stress, my symptoms improved. However in the past couple months, I started losing sleep again and having nightmares without warning. How can I solve this issue?
### Response:
| First of all, exercise is always beneficial for your physical and emotional health. That's great that you have added this in your routine. Have you also considered altering your diet? Certain foods are linked with poor sleep. For example, alcohol, caffeine, nicotine and high fat content foods do not bode well with quality sleep, especially right before bed time. On the other hand, warm milk and foods high in carbohydrates have actually shown to positively impact sleep.Additionally, at bed time it's important to keep your room dim, cool and without distractions (i.e. TV, IPad, Phone). Stick to a sleep routine and avoid any activities close to bed time that demand a lot of attention and energy.As far as your nightmares, there could be many causes contributing to them. Certain foods (many of the ones mentioned) or medications could be the culprit. Doing a bit of research into the ones you are consuming may help you eliminate the offender. You may also benefit from talk therapy with a qualified therapist to discuss any underlying issues you are experiencing. Oftentimes, depression and anxiety can manifest themselves during sleep, causing nightmares. Finally, Yoga has shown to be very beneficial for quality sleep. There are many instructional videos available that can introduce you to the practice if you'd rather not join a class right away. Best of luck to you and I sincerely hope you are able to catch up on some well deserved Z's! |
### Instruction:
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.
### Response:
| 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". |
### Instruction:
I have anger issues that have worsened over the years because I’ve never dealt with my emotions. My anger has never been expressed physically until the past year. My girlfriend has had to endure these episodes. I love her, and I think I’m about to lose her, if I already haven’t. I throw things at her when I’m angry, and sometimes I hit her. I may not hit her enough to cause harm, but I still physically lash out at her. I don’t want to lose her, and I don’t want the situation to worsen. I am a lesbian in my early 30s, and I have been dealing with anger since my childhood. I'm ready to change. I need help now. I'm about to explode.
### Response:
| Good for you for recognizing that a change has to be made quickly. Regardless of whether or not your girlfriend leaves your relationship, taking control of your anger needs to happen sooner than later. If left unresolved, it will follow you into any relationship you have. Have you talked to a therapist? I would suggest you take that step first. A therapist will help you explore the source of your anger and teach you new, adaptive ways of dealing with your anger. Until you're able to get some professional help, I would advise that you start recognizing when your emotions are becoming escalated and take a time out before the anger turns into aggression. If you feel yourself becoming heated, excuse yourself from the situation, go to a quiet place or on a walk, and practice some deep breathing. Clear your mind of the problem and focus only on your breathing as you inhale slowly counting to four and exhale slowly counting to six. Don't get discouraged if it doesn't work right away. Deep breathing takes practice! Return to the situation or your girlfriend only once you have calmed down and are confident that you are not going to hurt anyone. You might also want to ask your girlfriend to remind you to take a break when she recognizes that your emotions are escalating. Know that with help and support, especially from a therapist, the issues you have can be resolved and new ways of coping can be learned. Good luck! |
### Instruction:
I have anger issues that have worsened over the years because I’ve never dealt with my emotions. My anger has never been expressed physically until the past year. My girlfriend has had to endure these episodes. I love her, and I think I’m about to lose her, if I already haven’t. I throw things at her when I’m angry, and sometimes I hit her. I may not hit her enough to cause harm, but I still physically lash out at her. I don’t want to lose her, and I don’t want the situation to worsen. I am a lesbian in my early 30s, and I have been dealing with anger since my childhood. I'm ready to change. I need help now. I'm about to explode.
### Response:
| Good for you for recognizing that a change has to be made quickly. Regardless of whether or not your girlfriend leaves your relationship, taking control of your anger needs to happen sooner than later. If left unresolved, it will follow you into any relationship you have. Have you talked to a therapist? I would suggest you take that step first. A therapist will help you explore the source of your anger and teach you new, adaptive ways of dealing with your anger. Until you're able to get some professional help, I would advise that you start recognizing when your emotions are becoming escalated and take a time out before the anger turns into aggression. If you feel yourself becoming heated, excuse yourself from the situation, go to a quiet place or on a walk, and practice some deep breathing. Clear your mind of the problem and focus only on your breathing as you inhale slowly counting to four and exhale slowly counting to six. Don't get discouraged if it doesn't work right away. Deep breathing takes practice! Return to the situation or your girlfriend only once you have calmed down and are confident that you are not going to hurt anyone. You might also want to ask your girlfriend to remind you to take a break when she recognizes that your emotions are escalating. Know that with help and support, especially from a therapist, the issues you have can be resolved and new ways of coping can be learned. Good luck! |
### Instruction:
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?
### Response:
| The world needs more people lately who have such a high degree of empathy which you describe in yourself!If it feels a little burdensome, then look to balance what is too much with its opposite. Since you're giving a lot of empathy, maybe you'd like receiving a lot of empathy.In the situation you describe, when you start empathizing with others, real or cartoon, ask yourself whether you've felt empathy coming in your direction lately.Often people give to others what they feel within themselves is missing.The emotional brain reasons that if I give you my support, say, then at least I will feel half of what being supported is like.Obviously the wish to receive more empathy cannot be fulfilled by you directly. Empathy is delivered by someone who is willing to offer it.Reflect on whether you are allowing those who are in your world, to know when you would like to receive their empathy.Is it possible you keep your feelings to yourself and present as though you are able to handle a great deal more than you'd like to handle without anyone's kindness to support you?Being open to others about your own inner thoughts and feelings is much more difficult than it sounds.It sounds easy to just tell someone how you feel.Sometimes the first step is the most difficult, of accessing how you feel.Start with knowing the amount of empathy you'd like from others and what stops you from asking.Also, about your diagnosis and the lack of studies and lists and formulas. Each person is unique, the instructions and guidelines don't necessarily mean very much. Often having a diagnosis makes a person feel weak, stigmatized, incompetent. Forget the diagnosis and concentrate on what you need to do differently in order to feel better.The answers are inside you, not inside a book or website. |
### Instruction:
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.
### Response:
| 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". |
### Instruction:
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?
### Response:
| The world needs more people lately who have such a high degree of empathy which you describe in yourself!If it feels a little burdensome, then look to balance what is too much with its opposite. Since you're giving a lot of empathy, maybe you'd like receiving a lot of empathy.In the situation you describe, when you start empathizing with others, real or cartoon, ask yourself whether you've felt empathy coming in your direction lately.Often people give to others what they feel within themselves is missing.The emotional brain reasons that if I give you my support, say, then at least I will feel half of what being supported is like.Obviously the wish to receive more empathy cannot be fulfilled by you directly. Empathy is delivered by someone who is willing to offer it.Reflect on whether you are allowing those who are in your world, to know when you would like to receive their empathy.Is it possible you keep your feelings to yourself and present as though you are able to handle a great deal more than you'd like to handle without anyone's kindness to support you?Being open to others about your own inner thoughts and feelings is much more difficult than it sounds.It sounds easy to just tell someone how you feel.Sometimes the first step is the most difficult, of accessing how you feel.Start with knowing the amount of empathy you'd like from others and what stops you from asking.Also, about your diagnosis and the lack of studies and lists and formulas. Each person is unique, the instructions and guidelines don't necessarily mean very much. Often having a diagnosis makes a person feel weak, stigmatized, incompetent. Forget the diagnosis and concentrate on what you need to do differently in order to feel better.The answers are inside you, not inside a book or website. |
### Instruction:
Does counseling really do anything that can help people?
### Response:
| Hi there! Thank you for your question. It's a great question and one that many people want to know the answer to. The short answer is, YES! Counseling can be very helpful to people struggling with many different things. There has been a lot of research conducted to prove that counseling is an effective way to help people with mental health concerns, life stressors, and many other issues. In addition, there are many people who would tell you that counseling made a positive, profound impact on their lives. Indeed, some would tell you that counseling saved their lives. Now, not everyone would tell you that counseling helped. But when you think about it, there are many medical treatments for a variety of healthcare issues that also do not help everyone. So, is counseling guaranteed? No. But, it is something that is worth trying if someone is suffering or is just wanting some perspective or support. Also, there is many different types of counseling. Different counselors have different styles and have different training for various issues. This means that you are likely to find someone who has a good style and expertise in an area that you want to work on. If you don't know where to go, I suggest contacting your state's counseling association. They can help. I think the real question that most people have is, how? How does it help? That question is a bit more complicated, because there are many different models of counseling/therapy that work in different ways. What I can tell you is that, regardless of the model of counseling, the relationship between counselor and client is the most important factor. I don't mean that the relationship has to be ooowy goowy... but it does have to be one where there is trust and openness. A counselor will spend time to make sure that you are working together as a team toward a common goal. If you go to counseling and you don't feel this is the case, tell your counselor. An ethical counselor will welcome your feedback. I hope this is helpful, please ask more questions! I hope some colleagues add some other thoughts, too. Be well,Robin J. Landwehr, DBH, LPCC, NCC |
### Instruction:
Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?
### Response:
| Scary thoughts can feel overwhelming at times as well as feeling quite real. I want to acknowledge how scary they can feel, but there is hope and new skills you can learn to work with these types of thoughts. The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particulate thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain," he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories, this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought. |
### Instruction:
Does counseling really do anything that can help people?
### Response:
| Hi there! Thank you for your question. It's a great question and one that many people want to know the answer to. The short answer is, YES! Counseling can be very helpful to people struggling with many different things. There has been a lot of research conducted to prove that counseling is an effective way to help people with mental health concerns, life stressors, and many other issues. In addition, there are many people who would tell you that counseling made a positive, profound impact on their lives. Indeed, some would tell you that counseling saved their lives. Now, not everyone would tell you that counseling helped. But when you think about it, there are many medical treatments for a variety of healthcare issues that also do not help everyone. So, is counseling guaranteed? No. But, it is something that is worth trying if someone is suffering or is just wanting some perspective or support. Also, there is many different types of counseling. Different counselors have different styles and have different training for various issues. This means that you are likely to find someone who has a good style and expertise in an area that you want to work on. If you don't know where to go, I suggest contacting your state's counseling association. They can help. I think the real question that most people have is, how? How does it help? That question is a bit more complicated, because there are many different models of counseling/therapy that work in different ways. What I can tell you is that, regardless of the model of counseling, the relationship between counselor and client is the most important factor. I don't mean that the relationship has to be ooowy goowy... but it does have to be one where there is trust and openness. A counselor will spend time to make sure that you are working together as a team toward a common goal. If you go to counseling and you don't feel this is the case, tell your counselor. An ethical counselor will welcome your feedback. I hope this is helpful, please ask more questions! I hope some colleagues add some other thoughts, too. Be well,Robin J. Landwehr, DBH, LPCC, NCC |
### Instruction:
It takes me a long time to fall asleep; I’d estimate about two hours. I often have nightmares, starting with being eaten by a monster, and I often wake up frightened and unable to breathe. I believe I started losing sleep after breaking up with a girlfriend of 8 years. Also, my father’s business went bankrupt and my mother has a chronic condition. I was under a lot of stress, and life lost meaning. After improving my life and developing a habit of running and exercise to release stress, my symptoms improved. However in the past couple months, I started losing sleep again and having nightmares without warning. How can I solve this issue?
### Response:
| First of all, exercise is always beneficial for your physical and emotional health. That's great that you have added this in your routine. Have you also considered altering your diet? Certain foods are linked with poor sleep. For example, alcohol, caffeine, nicotine and high fat content foods do not bode well with quality sleep, especially right before bed time. On the other hand, warm milk and foods high in carbohydrates have actually shown to positively impact sleep.Additionally, at bed time it's important to keep your room dim, cool and without distractions (i.e. TV, IPad, Phone). Stick to a sleep routine and avoid any activities close to bed time that demand a lot of attention and energy.As far as your nightmares, there could be many causes contributing to them. Certain foods (many of the ones mentioned) or medications could be the culprit. Doing a bit of research into the ones you are consuming may help you eliminate the offender. You may also benefit from talk therapy with a qualified therapist to discuss any underlying issues you are experiencing. Oftentimes, depression and anxiety can manifest themselves during sleep, causing nightmares. Finally, Yoga has shown to be very beneficial for quality sleep. There are many instructional videos available that can introduce you to the practice if you'd rather not join a class right away. Best of luck to you and I sincerely hope you are able to catch up on some well deserved Z's! |
### Instruction:
The last of my emotions belong to my pets. Today my dad said he might get rid of them tomorrow. If that does happen I might dig hole in the ground with a paper that says "here lays my emotions. R.I.P." I practically have no emotions left and I came to the realization about this not being normal by comparing my reaction to certain situations to my family's. What's wrong with me?
### Response:
| It sounds to me like you have had a lot going on and now you are afraid you are going to lose the last things you care about, your pets. I do not know what all is going on in your family, and I cannot answer for your dad’s actions or his reasoning behind this.I would recommend that you focus on developing healthy coping skills. We cannot change what others do but we can change how what they do affects us. If you have all of your emotions and all of yourself tied up into one thing (like your pets) then when that thing is taken away it causes a lot of emotional distress. It is really good to have a wide variety of interests such as friends, hobbies, games, etc. Develop other things that you care about and are passionate about.Another reason for developing healthy coping skills to deal with whatever might be going on in your life is if you don’t have healthy ones, you may develop some very unhealthy ones. You have to cope somehow, right? Developing unhealthy ways of coping with life is only going to make life more difficult for you.I don’t know if this is what it is like for you at your house, but there are two kinds of household environments that can cause dysfunction in children. One is when you grow up in a very rigid stern household where all decisions are made for you and you feel like you have no control over anything. The other is a household where things were chaotic and you never knew what was going to happen next and had no stability. People need to have some stability in their lives and need to feel in control over some things in order to feel safe. Both of these environments can lead you to develop some unhealthy ways of coping with life. Please talk to a trusted adult about your feelings before it gets any worse. |
### Instruction:
Often times I find myself thinking scary thoughts and sometimes I even scare myself into thinking that something bad is going to happen to me. Once it starts, the thought continues going through my head and I can't get it out. How can I stop these thoughts?
### Response:
| Scary thoughts can feel overwhelming at times as well as feeling quite real. I want to acknowledge how scary they can feel, but there is hope and new skills you can learn to work with these types of thoughts. The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particulate thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain," he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories, this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought. |
### 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:
| Quitting smoking can be difficult. It's also true that there is part that is sometimes a physical need and a part that is often connected to emotions in some way. From the way that you wrote this, it sounds like you may have been able to stop smoking physically, but still have cravings.One thing you can do is talk with your primary care physician or OB/GYN about whether there is anything that you can take to help with the cravings. Sometimes that can very helpful.As far as the more emotional or mental piece, these things come to mind:Sometimes a crucial part is looking at the habit of smoking and seeing what else you can do to keep your mind and hands busy. There are sometimes toys, like those available at Office Playground, that may help to keep you physically occupied.There can also be changes or additions to your routine because I imagine that smoking took up a great deal of your time. Maybe when you have the temptation to get up and go to have a cigarette, you could have several other things that you can get up and do instead. The list is endless, but a few examples could be doing some physical exercise (with the permission of your doctor) just for a couple minutes because that could help with the craving as well, completing a puzzle, learning a new activity that requires using your hands (painting or knitting, perhaps).Another piece of quitting smoking is often linked to anxiety or other emotional changes, perhaps irritability. Depending on what it is that you may be feeling, learning other strategies to use can be helpful as well.This can all be quite overwhelming and a very big life change. I would recommend that if things do not become easier for you, consider talking with a therapist. Then you could not only have some more strategies or ideas directly related to you, but you could have very direct support for what you are trying to do.I give you a lot of credit! |
### Instruction:
I’m facing severe depression and anxiety and I just feel like I’m going through a lot. This really distracts me and I cant get my mind off the things that are bothering me. How do I overcome this anxierty and depression?
### Response:
| Meditation may be able to assist you in lowering your anxiety and depressive symptoms. Meditation…Breaks Anxious Thought PatternsA common symptom of anxiety is having racing negative and obsessive thoughts that create a vicious cycle of worry within your mind. Meditation can reduce rumination and the break negative thought patterns by increasing your control over random unwanted thoughts and decreasing your tendency to worry by altering the way your brain responds to stress. For example, instead of following your negative thought down the rabbit hole, you learn to view your thoughts differently and recognize it for what it is – a thought – and let it go. Thank goodness to neuroplasticity and your brains endless capacity to change! Balances Brain ChemicalsAnxiety is brought on by various factors (personality type, emotional trauma, genes, prolonged exposure to stress…) and sometimes causes an imbalance of chemicals within the brain (GABA and serotonin). A meditation practice can assist in restoring the balance of neurotransmitters within the brain by increasing GABA (neurotransmitter connected to feeling happy and relaxed) and serotonin (another neurotransmitter connected to being happy) and decreasing cortisol (stress hormone).Builds A Healthier BrainBased on research and scans, individuals who have a regular meditation practice show dramatically larger amounts of gray matter, the volume of the hippocampus, thickness of the cortex, increased blood flow to the brain, improved neural connections between various parts of the brain and decreased size of the amygdala (controls autonomic responses associated with fear, arousal, and emotional stimulation). View full article here: https://www.therapybyshannon.com/blog-2/2019/4/16/meditate-to-lower-anxiety-levels |
### 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:
| Quitting smoking can be difficult. It's also true that there is part that is sometimes a physical need and a part that is often connected to emotions in some way. From the way that you wrote this, it sounds like you may have been able to stop smoking physically, but still have cravings.One thing you can do is talk with your primary care physician or OB/GYN about whether there is anything that you can take to help with the cravings. Sometimes that can very helpful.As far as the more emotional or mental piece, these things come to mind:Sometimes a crucial part is looking at the habit of smoking and seeing what else you can do to keep your mind and hands busy. There are sometimes toys, like those available at Office Playground, that may help to keep you physically occupied.There can also be changes or additions to your routine because I imagine that smoking took up a great deal of your time. Maybe when you have the temptation to get up and go to have a cigarette, you could have several other things that you can get up and do instead. The list is endless, but a few examples could be doing some physical exercise (with the permission of your doctor) just for a couple minutes because that could help with the craving as well, completing a puzzle, learning a new activity that requires using your hands (painting or knitting, perhaps).Another piece of quitting smoking is often linked to anxiety or other emotional changes, perhaps irritability. Depending on what it is that you may be feeling, learning other strategies to use can be helpful as well.This can all be quite overwhelming and a very big life change. I would recommend that if things do not become easier for you, consider talking with a therapist. Then you could not only have some more strategies or ideas directly related to you, but you could have very direct support for what you are trying to do.I give you a lot of credit! |
### 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:
| Hi. Good for you in planning ahead to do what's healthiest for your baby (and yourself). That's a great first step! It's also good that you are able to identify that it's not always a physical need that's driving the addiction.For the next steps, I would suggest trying to figure out when the psychological cravings for a cigarette occur. The psychological (or mental) cravings are usually based out of habit, such as having a cigarette after a meal. And if you're consciously trying to quit, you'll find the craving starts with simply thinking about having a cigarette, then usually moves on to thinking about how good it made you feel, etc., etc. Well, if I'm on a diet and I continue to let myself think about the ice cream sitting in the freezer, eventually I'll give in and eat it.You're going to have thoughts about smoking a cigarette. That's normal and, for the most part, out of your control. But you choose whether or not to CONTINUE thinking and dwelling about it after that initial thought. That's what you would have to work on changing. When you have that initial thought, acknowledge it ("Ok, I kind of want a cigarette now."), but then change the thoughts that typically follow. Distract yourself, think about something else, do something else, whatever it takes to get your mind off of that cigarette.I've suggested to clients before that they should plan these scenarios out ahead of time so they already know what they're going to do when the time comes. Write down when you usually have the craving for a cigarette and then write down new thoughts or things to do to get your mind off of it. Eventually, it will become easier and easier to brush off that initial thought until you no longer have it.Best of luck, and you have a really great motivator to quit - your baby! |
### Instruction:
I know I'm ruining my life with a lot of the decisions I make. I consistently tell myself I need to make some serious changes in my life, but I just can't seem to even though I really want to. Why can't I force myself to change?
### Response:
| Hello, and thank you for your question. Changing unwanted behavior is one of the hardest things a person can do. I agree with Sherry that being patient with yourself is important. Here are a few things I would suggest:1. Get clear on the behaviors you really want to change, and make sure they are behaviors that CAN be changed. Sometimes we will set a goal like, "I want to be more confident" but that is hard to measure and prove to yourself that you accomplished it. Saying you are going to accept a date or go on a job interview is something you can actually do, and something that you may consider to be demonstrating confidence. Whatever your change of behavior is, make sure it is something you can actually change. 2. If you are going to give up a behavior, decide what you are going to do in place of it. So, if you are going to stop showing up late for work, then you are deciding to be on time for work and demonstrating your value of being punctual. 3. If you are going to make changes, really nail down WHY you want to make them. What is it about making these changes that is important to you as a person? For example, if you have the goal of weight loss, the reason this is important to you as a person may be because you value self-care. Knowing WHY you want to make changes is both your motivation and your compass for getting there. 4. Once you know WHY you want to make these changes, I strongly suggest setting small goals. If you set too high of goals you may not accomplish them and just feel worse. So, make the goal small, realistic, and guided by the the things you want to be as a person. 5. As Sherry mentioned, finding a counselor is sometimes a good idea if you really feel stuck. Any counselor who does work with goal-setting and motivation can probably help. Be well,Robin Landwehr, DBH, LPCC |
### 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:
| Hi. Good for you in planning ahead to do what's healthiest for your baby (and yourself). That's a great first step! It's also good that you are able to identify that it's not always a physical need that's driving the addiction.For the next steps, I would suggest trying to figure out when the psychological cravings for a cigarette occur. The psychological (or mental) cravings are usually based out of habit, such as having a cigarette after a meal. And if you're consciously trying to quit, you'll find the craving starts with simply thinking about having a cigarette, then usually moves on to thinking about how good it made you feel, etc., etc. Well, if I'm on a diet and I continue to let myself think about the ice cream sitting in the freezer, eventually I'll give in and eat it.You're going to have thoughts about smoking a cigarette. That's normal and, for the most part, out of your control. But you choose whether or not to CONTINUE thinking and dwelling about it after that initial thought. That's what you would have to work on changing. When you have that initial thought, acknowledge it ("Ok, I kind of want a cigarette now."), but then change the thoughts that typically follow. Distract yourself, think about something else, do something else, whatever it takes to get your mind off of that cigarette.I've suggested to clients before that they should plan these scenarios out ahead of time so they already know what they're going to do when the time comes. Write down when you usually have the craving for a cigarette and then write down new thoughts or things to do to get your mind off of it. Eventually, it will become easier and easier to brush off that initial thought until you no longer have it.Best of luck, and you have a really great motivator to quit - your baby! |
### Instruction:
I know I'm ruining my life with a lot of the decisions I make. I consistently tell myself I need to make some serious changes in my life, but I just can't seem to even though I really want to. Why can't I force myself to change?
### Response:
| Hello, and thank you for your question. Changing unwanted behavior is one of the hardest things a person can do. I agree with Sherry that being patient with yourself is important. Here are a few things I would suggest:1. Get clear on the behaviors you really want to change, and make sure they are behaviors that CAN be changed. Sometimes we will set a goal like, "I want to be more confident" but that is hard to measure and prove to yourself that you accomplished it. Saying you are going to accept a date or go on a job interview is something you can actually do, and something that you may consider to be demonstrating confidence. Whatever your change of behavior is, make sure it is something you can actually change. 2. If you are going to give up a behavior, decide what you are going to do in place of it. So, if you are going to stop showing up late for work, then you are deciding to be on time for work and demonstrating your value of being punctual. 3. If you are going to make changes, really nail down WHY you want to make them. What is it about making these changes that is important to you as a person? For example, if you have the goal of weight loss, the reason this is important to you as a person may be because you value self-care. Knowing WHY you want to make changes is both your motivation and your compass for getting there. 4. Once you know WHY you want to make these changes, I strongly suggest setting small goals. If you set too high of goals you may not accomplish them and just feel worse. So, make the goal small, realistic, and guided by the the things you want to be as a person. 5. As Sherry mentioned, finding a counselor is sometimes a good idea if you really feel stuck. Any counselor who does work with goal-setting and motivation can probably help. Be well,Robin Landwehr, DBH, LPCC |
### Instruction:
I would like to be able to have more positive relationships in the present.
### Response:
| 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 to tackle anything life throws at us.There are personal barriers we all have to having healthy relationships; it's our "stuff", our "baggage" (not a steam trunk, right...you have a cute little Gucci bag!). You hint that people may have hurt you in the past. Maybe fear says "stay away...hold onto resentment or you will be hurt again!". Resentment, or simply focusing on the past is certainly a barrier to improving any relationship. Learning to forgive ourselves and others is so important. And remember...forgiveness isn't about saying something was okay; it only means "It happened, I can't change that, and I don't want to carry it (anger, hurt, resentment) around anymore, so I let it go." Or...sometimes fear tells us that people won't accept us; this keeps us isolated for sure! But really, all fear wants is power over us. Fear is a trickster! It tells us that if we let go of the past, we will be rejected or hurt. It says "I'm trying to protect you!", but what it REALLY wants is to paralyze and isolate us all so it can feel powerful. Once you pull the sheeps clothing off of fear, you can see that it doesn't help you at all!Once you see where your personal barriers are, and you start to refute those thoughts in your mind, you can begin to build new ideas about yourself and other people that are based on compassion instead of fear... Everyone deserves forgiveness and compassion.No one deserves to be judged by their worst moments.If I look in the rearview mirror, I can't move forward.We are all beautifully imperfect.I can't change the past, but I have the power to make the future good.I wish you the best on your journey! |
### Instruction:
I would like to be able to have more positive relationships in the present.
### Response:
| 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 to tackle anything life throws at us.There are personal barriers we all have to having healthy relationships; it's our "stuff", our "baggage" (not a steam trunk, right...you have a cute little Gucci bag!). You hint that people may have hurt you in the past. Maybe fear says "stay away...hold onto resentment or you will be hurt again!". Resentment, or simply focusing on the past is certainly a barrier to improving any relationship. Learning to forgive ourselves and others is so important. And remember...forgiveness isn't about saying something was okay; it only means "It happened, I can't change that, and I don't want to carry it (anger, hurt, resentment) around anymore, so I let it go." Or...sometimes fear tells us that people won't accept us; this keeps us isolated for sure! But really, all fear wants is power over us. Fear is a trickster! It tells us that if we let go of the past, we will be rejected or hurt. It says "I'm trying to protect you!", but what it REALLY wants is to paralyze and isolate us all so it can feel powerful. Once you pull the sheeps clothing off of fear, you can see that it doesn't help you at all!Once you see where your personal barriers are, and you start to refute those thoughts in your mind, you can begin to build new ideas about yourself and other people that are based on compassion instead of fear... Everyone deserves forgiveness and compassion.No one deserves to be judged by their worst moments.If I look in the rearview mirror, I can't move forward.We are all beautifully imperfect.I can't change the past, but I have the power to make the future good.I wish you the best on your journey! |
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