Question: Every time I speak, he says I anger him. Also, when hes mad at something, like work, he gets angry at me. I feel like were so distant from each other now. We used to laugh all the time, and I feel like he lets too much negativity in. What should I do? We've been married for two years but together for seven.

Response: Hi, Newark. It sounds to me like your husband is going through something, and I think you understand that. You might feel very helpless, sad, and disrespected at the same time. He's changed. It's unfair for him to blame you for his emotions. His mood issues are about him, not you, and he's either not recognising that or not taking responsibility for it. Are you respecting yourself here by drawing appropriate boundaries? You can let him know when you feel disrespected, and what's not okay with you.He may be experiencing depression, which often shows up as irritability in men. It could be that he's not telling you something, or he's unaware of his emotional processes. You can try a "I'm really worried about you. You don't seem happy and I don't know how to help you. Some things are happening that aren't okay with me. Will you see a therapist?" approach. Perhaps you could go with him the first time?  It's about a combination of compassion, self-respect and seeking professional help, I believe. I wish you well.


Question: For the last year, my adolescent son and daughter have been driving me nuts with fighting. I'm at my wits end. How can I get them to stop and get along?

Response: That is a good question. Unfortunately there is no generic answer with this one. Kids fight for different reasons - wanting attention, wanting respect, feeling jealous, wanting space and to be left alone, or a whole bunch of other reasons. Regardless of the underlying motivations for fighting, most conflicts result from misunderstandings and assumptions about the motivations of others and one of the best ways to start figuring out what is going on is to sit them down and have some conversations with them. These conversations should be centred on getting a better understanding of why they are angry with each other and really understanding them. It is important that they each know that you are committed to understanding their experience rather than simply sitting them down and lecturing them about what they are doing wrong. The more they are able to understand each other and feel understood the more likely they will be cooperative and considerate of each other. One exercise for doing this that can be very helpful is "active listening" where one person speaks and the other person reflects back what they heard the other person say and then checks for understanding. This is hard to do but it often illuminates where the misunderstandings and assumptions are. If this doesn't work it may be time to get a family therapist or counsellor involved who can help facilitate dialogue and resolve conflict.


Question: I use to be so happy. No matter what, I always was happy. I got into a relationship with this guy. I love him so much. Were both teenagers. The week after his birthday, my mom made me stop talking to him. It broke me. He came to my house and talked to her, and she let us date again but not see each other. He comes up to my school every day and it tears me apart that I have to lie to her.

Response: I understand that this can be difficult when you care about someone. Have you had a discussion with your mom as to why she does not want you and this boy to see each other, and what her concerns are? It sounds as though you and your mom may be able to use some help with communicating, and compromising. It is understandable that you do not to feel comfortable having  to lie to your mom. It  would be helpful if she could understand that you having to lie to he is getting in the way of you being able to go to her with any issue and  feel she will hopefully understand or try to understand where you are coming from.  Have either one of you been in family therapy? This may be something you may want to suggest to your mom to help you both understand where each one is coming from. If your mood is sad, and your feeling worse, it is important that you reach out to an adult, parent, person at school whom you trust to share your feelings and help you feel understood and work through your problems.


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

Response: It seems that you have been very disconnected from each other which naturally  could contribute to symptoms of saddness and even depression. Obviously something has shifted which you do not understand. Therefore,  perhaps you should consider attending Couples therapy to help work through your concerns and feelings?  It would also be beneficial to assess if in fact any depression or other underlying issue is going on. Communication is so important in any relationship and the manner in which we express ourselves to our partner can either invite curiosity and emotional connection, or shut down connection. IMAGO dialoguing is a helpful tool for couples for communication as it teaches  validating and empathic listening to better heal disconnection.


Question: I find myself crying over every little thing, like dropping a glass of water. Today, I got out of the shower and noticed that I had forgotten a shirt. I instantly started to cry. When I made it to my room, I began to shake a little, cry more, and I begged for it to stop.

Response: It is very typical for pregnant moms to feel completely emotionally and extremely teary eyed, so not to worry. Biologically speaking, your body generates an influx of hormones, that affects you neurotransmitters (chemical messages to the brain) that takes you on an emotional rollercoaster, but that's a good thing for the baby. Everyone reponds differently to these changes in mood, ranging from being anxious to being depressed. However it is mostly heightened in the first and third trimester. There is no guide as to how to handle these emotions, but engaging in various sensory activities like walking, yoga, swimming, listening to music may alleviate your mood. Embrace the emotions that go along with pregnancy and know that it is within the norm.


Question: My long-distance girlfriend is in a sorority, and it's changing her. I feel like I'm becoming less important to her and it hurts. She just wants me to support the sorority, but it's so hard. I try every day to show her she's the most important thing to me, but she can't even stay relatively sober at a fraternity party for me so that I won't worry about her doing anything regretful. We love each other, but we're in a rough patch.

Response: You may already be doing as much as possible for your relationship.Each of you are 50% of the relationship.Is the 50% which your GF contributes to your relationship, based on the same understanding of the couple's problem, as you have?Maybe a good starting place for the two of you to talk about is defining what problem the two of you have as a couple.This way, each of you will be able to know if you have similar values and definitions of your reasons for being together.Depending on what you each expect from your partnership, you each will clearly know whether, and then how, to accommodate the other person.These discussions stir a lot of emotions in each person, so that sometimes staying clear minded becomes very difficult.  You both will likely feel like talking about these matters more than one time.Consider utilizing a professional, credentialed and licensed therapist who would help the two of you stay on track with examine your emotional connections in a fair and safe way.Good luck with understanding and appreciating your relationship!


Question: My husband always works. He does work from home, but his hours are from morning until night, and he neglects his family. If I have anything I want to do, I have to find a babysitter, but he does what he wants. He rarely comes to bed when I do, and we never have date nights.

Response: I'm glad you're aware to expect more satisfaction from being part of a couple, than you currently describe yourself as having.Are you and your husband able to talk about any or all of what you've written here?His answers would be a starting point for knowing how he understands his share of your relationship and whether and how he would like making any changes.If the two of you feel too much tension in the relationship to bring up any of the topics you write about here, then ask yourself the reason for this.Very commonly, people are afraid to ask questions of their partner, even when feeling unhappy and that they'd like changes to the relationship.Often, people are fearful of harsh criticism by the partner and worry that by simply stating the reasons for feeling unhappy, will mean hearing judgments against them, spoken by the partner.It is always a good idea to utilize the services of a professional, credentialed and licensed therapist, if after trying to start a conversation on the topics you bring up here, does not go well or very far.For all of us, the emotions in our intimate relationships are deep and powerful.  They are not easy to handle, especially under tension and frustration.Sending lots of good wishes for future happiness!


Question: Whenever I don't tell my friends or anyone what I did or stuff that's not really important, I feel terrible, like There's a hole in my stomach. It only goes away when I hurt myself.

Response: Sorry to hear of your situation.Possibly you are overlooking that your own Self is someone worth talking to as well.None of us are ever really alone because we are always with ourselves.Self-talk is a major part of what guides our decisions and how we make sense of relationships and situations.    Even after telling people the stories or activities, hearing their comments, it is always within ourselves that we decide if the way we were received by these others, the comments we heard back, feel right and accurate to our lives.I hope the feeling of a hole in your stomach would decrease by enjoying your Self.    I am guessing that hurting yourself makes the stomach hole feel less bad because the physical pain you create in yourself distracts you from feeling it.Enjoying your Self by talking kindly, loving, and having inner dialogue may very well decrease the feeling of a hole, altogether.Sending lots of good luck!


Question: My husband always works. He does work from home, but his hours are from morning until night, and he neglects his family. If I have anything I want to do, I have to find a babysitter, but he does what he wants. He rarely comes to bed when I do, and we never have date nights.

Response: Hi Ohio, The crazy things about situations like this is that, almost guaranteed, while your husband is out working and away from home, he feels he's doing it all for you and the kids; he believes he's loving you. He might feel like he's carrying his family on his shoulders. Your 'love language' is different...you'd rather spend time with him or talk to him...you want to feel like he's a bigger part of the family and feel connected to him. I absolutely understand that, and I support you asking for that.He might very well miss that feeling of connectedness too, but he's likely also feeling the weight of financial responsibility. A lot of men (and women) don't talk about this but they feel it. Sometimes they feel like they can't win either way; there's pressure to earn and pressure to be home. He has needs too; he probably wants more appreciation and less blame. I urge you to talk to him about how you feel, find out how he's feeling, and use a professional to assist you if your communication styles aren't great. Right now you WANT to spend time with him and that tells me that you have a good chance of addressing this problem successfully.


Question: Whenever I don't tell my friends or anyone what I did or stuff that's not really important, I feel terrible, like There's a hole in my stomach. It only goes away when I hurt myself.

Response: Hi Kansas, I feel strongly that the help of a professional therapist is important here. Feelings are never wrong, but it can help to understand where they come from and talk to someone who can teach you healthy ways to cope. Self-harm is not the answer to managing those emotions you feel in your stomach. Although I'm glad you said something here, a professional would need to spend some time with you and get a deep understanding of your life in order to help you sort all these reactions out effectively. I hope you reach out to someone soon.


Question: I'm in a long-distance relationship with my ideal man, but I'm not as attracted to him as I should be. Everything else is perfect about him, but I find myself lusting over more attractive men. The next step is marriage, but I want to marry someone who I can wake up to and fall in love with all over again. However, I also don't want to throw away a great relationship over what might just be lust. Am I asking for too much in the "perfect guy"? Is there such a thing? Am I truly in love?

Response: The basic guideline for relationship satisfaction, is to know what you can and cannot live with and without.  And, since you are considering marriage, for how long do you imagine yourself being satisfied living with and without certain qualities of your partner.There is a hard wired dynamic between two people that defines the basic structure of the relationship.While life is filled with surprises and can change in an instant, the basic way in which the partners of a couple, connect.Do you understand why you are not attracted to your partner?   Whatever the reason, now is a good time to state this about yourself.  He may be quite willing and interested in developing new ways of sexually stimulating you.  Maybe he is just as shy about talking about this topic as you are.  On some level he must know that he doesn't satisfy you.  He may be relieved to hear you bring up the topic!As always, remember that if discussing a relationship matter feel hard to start, consider utilizing therapy services with a professional, credentialed and licensed therapist.


Question: I have no real friends. I have a girlfriend who irritates me but loves me to death. I push her away and pushes me away. Were going through a breakup, and I have nobody.

Response: Having time all to yourself may be necessary so you have time to reflect on your own identity and values, become more clear on what matters most to you, and with this increased self-understanding, be able to attract people who will feel like satisfying friends.Having a relationship with someone whom you push away and are pushed away, with someone who is irritating, seems to have limited benefit for each of you.Maybe you are together from fear of being alone, and being alone is exactly what you may now need in your life in order to draw more favorable people to you.


Question: Back in high school, my friend and I used to masturbate around each other. I hate even talking about it now because it's so weird. We didn't even realize how messed up it was at the time. One time, it escalated and we ended up doing it for each other. It wasn't supposed to be a gay thing, but it sure sounds like it now that I talk about it. I pushed this away until it recently came up in my head again. I'm having a lot of trouble.

Response: Writing about your high school masturbation times with your friend, is itself a form of acknowledging the full picture of who you are.   You are doing well to reflect on your actions in the truthful way you are doing.Also positive is that you have perspective, that at your age and social maturity, you were innocently doing something that in adult terms, would be considered in a negative way.Maybe through your more mature mind's eye of today, you can feel some compassion and understanding for your high school self.  This way your sense of self-judgment may start to dissolve a little bit more.


Question: Everyone around me is much smarter and flaunts it. Everyone around me is skinny, and here I am trying to throw up so I'm not fat. Everything I do is wrong, and I can't seem to do anything right! No one else at school seems to feel the way I do! Is this normal teenage girls feelings? I don't think these feelings are normal.

Response: There are some struggles that are less "obvious" than others, an eating disorder being one of them. From just your personal experience alone you might realize how easy it may seem to keep such a secret from those around you. In the same way, there are many people who struggle secretly with this problem and not many people know or even notice. So you are definitely not alone. Low self-esteem or lack of confidence in some areas are issues that EVERY teen, in fact EVERY person, has experienced at some point. These feelings are "normal." It sounds, though, as if these feelings of insecurity and inadequacy have begun to consume your every day thoughts and behaviors bringing you to where you are today - comparing yourself to others, purging, and feeling extreme guilt. Sometimes it's best if we seek outside help, instead of trying to tackle problems on our own. Breaking habits that come along with an eating disorder really requires the help of a doctor, nutritionist, and a therapist who can help change your perspective from the inside out! Hope this helps!


Question: I'm in a long-distance relationship with my ideal man, but I'm not as attracted to him as I should be. Everything else is perfect about him, but I find myself lusting over more attractive men. The next step is marriage, but I want to marry someone who I can wake up to and fall in love with all over again. However, I also don't want to throw away a great relationship over what might just be lust. Am I asking for too much in the "perfect guy"? Is there such a thing? Am I truly in love?

Response: Attraction is important but sometimes over-rated. I'm curious about your comment that you are not as attracted as you "should be" - What is your measuring stick is for what you are supposed to feel in terms of attraction in a relationship? Do you want to be sexually intimate? Do you enjoy having sex with him? Are you satisfied with your sexual relationship when you are with him? The fact that there is lust for other more attractive men does not necessarily mean anything. There will always be attractive men and more attractive men than your partner and these attractive men will be even more appealing when you are in a long-distance relationship far from the arms of your partner. Loving someone does not mean that you stop being a sexual being who no longer notices and desires attractive men. Attraction results from a number of factors beyond appearance - including the degree to which you feel emotionally open, safe, and connected and how in tune you are with each other's bodies. It sounds like you think very highly of this man "everything else is perfect about him". Maybe it is worth spending some more time together in the same place if that is possible before deciding on marriage or that you are not truly in love.


Question: I just wanted to get to know one so I can hear about their college experience and the courses they took. I also wanted to know if they enjoy their job and how long they were in school.

Response: It's a great idea for you to reach out to find a psychologist to talk to if this is a field you might be interested in pursuing. Regarding the length of schooling, it generally takes 4 years of college and an additional 4 to 7 years of graduate school to earn a doctorate degree to become a psychologist. There are also other similar professions, including counseling that don't require a doctorate degree. Licensed counselors generally completed 4 years of college and an additional 2 years of graduate school. If you are thinking about a career in psychology, the local APA chapter would be a good place to start to find a local psychologist to talk to. Here's a link to the NJ APA chapter:https://www.psychologynj.org/


Question: I have an eating disorder of binging. I've had gastric sleeve surgery. I need help with issues of abuse as a child, addiction, and abusive men. I have been in therapy for five months and get no feedback from my therapist.

Response: It can be really frustrating to feel like your counselor is not providing you with the help you need.My recommendation in a situation like this would be to let your counselor know how you feel. Specifically tell Your counselor that you don't seem to be getting the amount of feedback you would like.If this doesn't help, then you might want to look for another counselor who will be a better fit for you.


Question: I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking to get him something special with my country's name on it, and I remembered that he likes wine. My country is known for that. Is it appropriate to give him wine as a gift after Christmas?

Response: This is a great question. In general it is not appropriate for counselors to accept gifts from their clients. There are some exceptions to this general rule - including a recognition that there may be a valid cultural aspect to this type of gift giving.It might be best to simply offer your counselor a holiday card as an expression of your feelings. You could also talk to your counselor about the gift and ask if him it if would be appropriate.In the end, I know he would most appreciate just knowing how much the counseling meant to you.


Question: My wife is trying to leave. She agreed to come back and give me a little time. Even said she hopes I can do it. We buried our first born in Jan 13 years ago. She never got past it. So every year around this time, she gets emotional and says she doesn't think she loves me, but then we go back to normal. This time, another guy came in and showed her attention. I'll forgive the cheating if she'll come home.

Response: I'm sorry that you lost your first born child.  Death of a child always leaves a permanent reminder to the parents of a very painful time in their lives.The good news is your awareness that you and your wife are not connected in a satisfying way.There are many possible areas to examine in your relationship as partners and as parents.If what you write here are your observations and theories about your wife's outlook and conclusions, then the first step is to directly have conversations together on the topics you write here.What needs clarifying is what her reasons are for wanting to leave the marriage.Often, a crisis such as a child's death, motivates someone to look deeply into other intimate relationships.  Keep in mind that looking deeply doesn't necessarily mean leaving the marriage.Also, be aware of your own frustrations and marital discontent.  Be ready to talk about your feelings and uncertainties.There is no such thing as one happy partner in a marriage and one unhappy partner.   Each person is part of a system and can only be as satisfied as their partner.The conversations that open relationship hurts and disappointments, hold a lot of emotion.  They are difficult to keep on track.Best recommendation is to find a couples therapist who will be neutral to each of you as individuals, and help both of you examine the true health of the relationship.


Question: 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!


Question: Whether it's to a guy or girl, I always feel insecure talking, and I am afraid of embarrassing myself and not being good enough. Even when I am walking, I worry about my appearance and facial expression and such.

Response: Hi. I'm glad you wrote, because I think a lot of people have this same issue (to different degrees) and we don't talk about it much. You have some social anxiety that is a bit beyond what the average person might feel. Most people have some amount of worry about what others might think of them, and this probably prevents us from making complete fools of ourselves so that's a good thing. But your "alarm system" is out of whack and you are spending too much time worrying about how you come across. As you age you understand this more, and it's true...that other people really aren't thinking about you much or monitoring you at all; they're too busy having the same thoughts you're having! Am I good enough? Do people like me, judge me...think I'm weird? We're all concerned about how we come across far more than how others come across. Like many people, you lack compassion for yourself, acceptance of yourself and confidence in yourself. My gut says that these things came from somewhere in your past. Our sensitivities usually come from (as well as genetics) a specific time in our life when we experienced or felt something that was overwhelming and we end up with an alarm system that overreacts at times. Without more details, it's difficult to go further here. I recommend you see a therapist who does cognitive behavioural therapy, which can help you understand the roots of your fears and learn how to manage them more successfully.


Question: I have an eating disorder of binging. I've had gastric sleeve surgery. I need help with issues of abuse as a child, addiction, and abusive men. I have been in therapy for five months and get no feedback from my therapist.

Response: Hi Anaheim,Relationships with therapists have some things in common with other relationships; they work best if there is dialogue about what your hopes, thoughts, emotions and needs are. Are you letting your therapist know what your goals are? It's okay to say "I'd really like us to focus on this piece", or "I'm looking for specific direction about how to manage this part". Your therapist is wise if they ask questions that determine what your needs are, but they can't read your mind. Not every therapist will be a good fit for you. I know I'm not a good fit for everyone I meet. We have different styles; some are more  passive and focus on listening. This might be the type of therapist you have. For some people this is what they want, but maybe it's not for you. Maybe you want someone who digs at you more, asks more questions, gives you strategies, lets you know what they think... someone more active. If this is the case, it doesn't mean s/he's a bad therapist...it's just not what you're looking for. Sometimes people think they can't end sessions with their therapist; they might be worried about hurt feelings. But, in the end, you don't owe your therapist anything if you feel it's not working or it's not a good match. Just move on and try someone new. Maybe ask them questions first about their style, even. Best of luck!


Question: My fiancee doesn't think I trust him because I was cheated on before. However, he hides his phone and has been texting his ex-girlfriend, who he has two kids with. What should I do?

Response: Oh Chino, I only have half the picture here so I will be cautious. There's a chicken and an egg, and I don't know which came first. One thing I see clearly is that your fiance will always have to have communications with his ex, because they have children. Can you accept that? When suspicion and insecurity come along, your job is to look at the big picture and the real picture. Is there any real evidence that he is cheating? Remember that texting his ex is not evidence alone if the communications are about the kids. Has he earned your trust? If so, then it's not fair to punish him for the betrayals of others. He's not your ex. Reassure your heart that you are his priority if the larger evidence supports that. At the same time, you can let him know what your triggers are. For example, hiding his phone doesn't send you a good message, right? See, this is the chicken and the egg...is he hiding the phone because you've been overreacting when he gets a text?  So let him know you won't blow up about him getting a text if he doesn't conceal or password his phone. Transparency helps build trust. You have sensitivities, and it helps you a lot if he's aware of them and willing to try not to do things that trigger fear. Let him know when you get scared, and hopefully he'll give you the openness and security you need in order to trust him and act as if you trust him.  :)


Question: I am an international student, and it is my first semester in graduate school in the United States. I faced a cultural shock, and I was so depressed when I arrived here. My counselor in the university was my savior. He helped me a great deal. Now I am going back to my country for a vacation. I was thinking to get him something special with my country's name on it, and I remembered that he likes wine. My country is known for that. Is it appropriate to give him wine as a gift after Christmas?

Response: Hi, Different therapists are guided by the ethical guidelines of their own associations or colleges when it comes to receiving gifts, so this may differ a bit from therapist to therapist. It's important to me that I be sensitive to cultural norms, and to my client's needs. In Canada, and the US, it is customary for people to sometimes express gratitude with a small gift, and I have from time to time received small tokens of appreciation because I believe it would be rude to refuse this. It is never necessary to give a therapist a gift, but if you wish to express your gratitude in this way, I don't think it's inappropriate.


Question: A friend of mine taking psychology advised I go to my doctor to check if I have major depressive disorder. I'm afraid of the consequences of doing so. If I do become diagnosed with major depressive disorder, won't that go on my records? I will never be able to become a counselor along with a list of other things I may be prohibited from. I'm also afraid of taking any anti-depressants. This year, my doctor gave me some for a "dislocated hip." I had a severe reaction and passed out moments after taking them. Everyone I know who has taken anti-depressants says it's a bad idea all around and you're better getting treatment without them. I'm concerned they might take me to a clinic and force me to take medication because I am unable to make decisions on my own. I'm not really suicidal, but I am not really taking care of myself either. Someone also told me they still use electroshock therapy. I'm not keen on that. I'm wondering if I am better off just getting self-help and working things out on my own. it's just that I've been an emotional mess since I was in elementary school. I've graduated now and tried to stay positive and be happy, but I cannot deny I still am not good.

Response: I admire your courage for stating your view about anti-depressants.  Questioning mainstream thinking and being in touch with your own views, are signs of strength and clarity in a person.As a therapist, I always tell my patients to avoid anti-depressants.Their effectiveness is in suppressing a person's mood and feelings.  If someone does not know how they are feeling, then they will have more difficulty in understanding themselves, their uncertainties and hesitations, and overall, how they relate to others and what they expect from others.Anti-depressants mask how someone feels.In a crisis, temporarily taking anti-depressants may be helpful.  If someone is so overwhelmed that they are not functioning, then  suppressing unhappy feelings so that the person can get through a day, may be of benefit for a short while.Basically, respect and follow your own opinion about anti-depressants.   Your view is shared by many.   It is a minority opinion, and very valid. If you would like to shop for a therapist, ask the person on the phone, what their opinions are about anti-depressants.Ideally, you will eventually find a therapist who thinks in a way which is similar to you, or at least similar enough that you will have a sense that you are able to trust working with them on whatever you define as problematic.I hope you will have an easy and productive therapist search!


Question: I was mentored by this guy for a few years spiritually. It was okay at times, but other times, it was just weird. I try not to think about it too much, but a lot of manipulation and lying happened, yet no one else really believed me when I told them. It's like he's two different people, and no one else really sees that side of him. I was blamed for a lot of our troubles, and now we don't really talk much. I'm worried because he's in a trusted position of leadership and no one suspects anything. They just think I'm attacking his character. How do I know for sure?

Response: You may intuitively be sensing what many professionals in the social sciences and psychology have already understood.Just Google "psychopaths and leadership" and many articles come up about boardroom politics and that psychopaths are very successful in these roles.Theoretically, is it terrible that corporate leadership qualities match those of psychopaths?  Well, yes.  And, I consider your question as a mark of your sensitive awareness toward other people.  Being able to recognize social dynamics, is a strength that you have.Psychopaths know how to be charming and to twist words so that others believe that their own interest is the same as the psychopath's.I agree with you about not being able to change people's minds who are attached to this person's interactions.The only way you can introduce a change in the relationship system of a psychopath is that if you are aware of illegal or law breaking activity, and you have evidence of this, that you contact relevant authorities.No one is allowed to break laws, including psychopaths.


Question: When I see something I Don't like, I go off like a ticking time bomb. I go from 0 to 100 really quickly.

Response: Sometimes we react to situations immediately, without thinking of the consequences of our actions. Typically by not reacting right away, we are better able to gather our thoughts, see the situation more clearly and from other perspectives, and respond more calmly. One of the strategies that almost always helps is deep breathing. When faced with a stressful situation, you can give yourself a time out by removing yourself from the stress and spend 5 minutes taking deep breaths (breathe in slowly counting to 4 and breathe out even slower counting to 6), while focusing and thinking only about your breathing. After doing so, think of the various ways you can respond to the situation and choose the one most appropriate. Good luck!


Question: I just got out of a two year relationship. I broke up with my boyfriend because he wasn't showing any affection at all. He was talking to other women and lying about it. It pushed me away and hurt me, but I'm still in love with him. A couple days after our breakup, he was talking to someone new. He told me he wasn't sure if he loved me. I cried for several days, lost my appetite, and couldn't sleep. Our whole relationship was only us. We didn't have friends. It was me and him against the world. We didn't talk to anyone else because we only wanted to talk to each other. We hung out constantly and Skyped to sleep every single night. Then, when I cut myself, we talked on Skype. He cried and told me "I'm still in love with you, I never stopped loving you," and I cried tears of joy. I asked multiple times if he loved me and asked to make sure he wasn't just saying that because of me being so depressed. He promised and assured me he loved me. He came over after that, and we had sex because he wanted to. He went the home that night and told me he didn't love me, and he lied because he was scared. He told me I wasn't attractive, I wasnt beautiful to him, and that I changed. He also told me he was 100% sure he'd never love me again. I'm still in love with him. Why do I love him? How do I stop? Just knowing that someone else is with him hurts me. That I wasn't good enough and that I'm no longer beautiful hurts me. I think I need a therapist, but don't know if I should.

Response: I am very sorry for the pain you are suffering. Losing the most significant person in your life is extremely painful and breakups are often equated to a death. There will certainly be a grieving process that you go through and time passing will allow the hurt to subside. With that being said, seeing a therapist is highly recommended as it sounds like continuous support may be necessary for healing to take place. Anytime sadness causes thoughts of suicide or self harm, it is important to get help immediately. A therapist can help you by validating your feelings and what you are going through, while also working with you to move through the grieving process, adopt new hobbies, social outlets, and goals for your future. While starting over and trying out new ways of being may seem like a daunting task, it will only make things easier and give you a sense of hope and purpose for your future. With the new year right around the corner, this could be viewed as a good time and opportunity to get reaquainted with yourself and set goals related to living a more fullfilling life. Hang in there. With a support system in place and a healthy mindset, things can only get easier. Best of luck to you!


Question: I am always arguing with my father. He gets stressed over work and health and talks to me in a tone of voice that seems very demanding and seems more like yelling. I get upset often at this. Am I too sensitive? He always says I am overreacting but never seems to understand that he is hurting my feelings. No matter how often I try to tell him this, he never listens.

Response: Thanks for the question. Regardless of whether or not you are sensitive, it is okay to want better communication with those who are important to you. When we feel that we are being talked down to or being ridiculed, it is difficult to not take it personally. It sounds like you have taken the first and necessary step in resolving this by bringing up the issue to him. Is it possible that the delivery of your message is causing him to feel blamed or defensive? Try communicating with him during a time when you are not upset and when it is out of context. Begin your statements with "I" as opposed to "you." For example, you can tell him, "I feel angry when you raise your voice at me" instead of "You always yell at me." Also, avoid using black and white terms such as never and always. Additionally, offer sugggestions as to ways that he can better communicate with you. Maybe he just doesn't know how to. Lastly, when delivering a message, I like to use the sandwich method by starting off the discussion with something postive and ending it with something postive. For example, you may say something to the effect of:"Dad, I enjoy the discussions we share and really value your opinion. There are times that I feel angry when you talk to me aggressively. Perhaps you can try talking to me using a calmer tone when I bring up heated topics. Let's try and work on this together. I will try to be less sensitive and I am asking that you be more calm."I hope you find this useful!


Question: I'm in a long-distance relationship with my ideal man, but I'm not as attracted to him as I should be. Everything else is perfect about him, but I find myself lusting over more attractive men. The next step is marriage, but I want to marry someone who I can wake up to and fall in love with all over again. However, I also don't want to throw away a great relationship over what might just be lust. Am I asking for too much in the "perfect guy"? Is there such a thing? Am I truly in love?

Response: Hi Montgomery, Your first sentence says it all. He might be an amazing person, but there's something missing for you. I'm curious...you say this is a long distance relationship. Did you make a connection through social media or email first? Maybe a dating website? I'm just wondering if this is the case. These modern ways of meeting people are awesome because we can be exposed to a wide variety of people who we never would meet in the grocery store or a friend's party. There are complications, though, and one of the drawbacks is you can feel very connected to someone and care about them a great deal before you ever meet them in person. Then, when you finally meet them and there isn't that spark of magnetic physical attraction, you're in a bit of a difficult spot because you've already established that you're drawn to each other in other ways; you're already connected. It can be very awkward then to say "Now that I meet you, it doesn't feel the way it should for me". In the future, I suggest meeting up in person early on, to answer that crucial question "Are we physically attracted to each other?". Clearly, this is not only important for you, but it is for most of us.My guess is that you feel you owe this man your affection and commitment even though you're not really all that into him (lusting after other men is a sign of that), because you like absolutely everything else about him. But honesty is crucial here, both with yourself and this man. Just because you don't find yourself attracted to him doesn't mean that you're a bad person, or that he's not attractive. Someone else might drool over him and I think he deserves someone who does just that. You can have both love and lust. For most people, only one of them isn't enough.


Question: My husband does not 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.


Question: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.

Response: You may feel hopeless but YOU are not hopeless. Addictions of any sort are difficult to overcome, especially when they serve to bury pain and suffering that one is experiencing. It is not impossible to overcome alcohol or drug use/abuse/dependence on your own, but you will likely find much greater success with the help of a therapist or other support system such as rehabilitation or Alcoholics Anonymous. I suggest doing a bit of research to see what type of help is available and feasible for you in your area and go from there. Know that recovery takes time, willingness, and effort. Don't give up and remember that you are not hopeless. You can make the choice to change your habits and learn new ways of healthy coping. Best of luck to you!


Question: My husband does not 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: It is incredibly frustrating to not be trusted when you know you are doing nothing wrong. If the lack of trust on your husband's end has to do with something you did in the past, then be patient and give it time. Once trust is broken it takes time and effort to gain it back. Try seeing the situation from your husband's perspective, as often times looking at situations from different angles, gives us new understanding and insight. Remember that you can't change how he feels, but you can help him to regain the trust by asking him what he needs and responding to his needs as best you can. Seeing a couple's counselor is never a bad idea and it would also be beneficial for you and or/your husband to seek out individual therapy. There may be other unknown factors that you are unaware of that are contributing to the trust issues and inability to resolve them. Hope everything works out for you!


Question: I don't know what to say. I have never really known who I am.

Response: What exactly is it that you are looking for? Different people define themselves in different ways. For example, one person may define himself by his values and morals while another identifies herself by her personality and characteristics. Still, another person may define himself by his interests and hobbies. Learning who you are as a person can take time and life experience. At the same time, who you are may change according to what experiences you have had and how you have dealt with them or felt about them. Try viewing the journey of finding yourself as exciting and ongoing. Allow yourself to feel emotions and learn how they relate to the experiences you have. This may help you to know more about what you value, what you like and dislike, and what you want for yourself in life. Best of luck to you!


Question: My husband does not 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: I'm sorry to hear about the trust issues in your relationship. Trust, as you clearly know, is essential to healthy relationships. Past indiscretions or dishonesty can damage this trust and make it really hard to confidence that these things will not happen again despite reassurances. We tend to be very sensitive to betrayal and risks to our relationship security. Rebuilding trust takes time and effort for both parties. On your end, you may need to provide more reassurance and more concrete evidence that you are trustworthy, gestures of transparency (e.g. - giving him more information about where you are going and who you will be with, letting him know when you get texts or emails from people that might give him pause or trigger insecurities), and more patience and empathy for his fears. On his end, he may need to learn to be with his insecurities and fears and ask for reassurance about your love and commitment in ways that do not lead to criticizing you, attempting to control you, or limiting your freedom. If you are not able to come to agreements about how to put his fears to rest without it negatively impacting your life, I would suggest getting some professional help from a marriage counsellor or couples therapist.


Question: I have bipolar II disorder, I'm addicted to alcohol and weed, and I'm hopeless. I keep drinking even though it's harming myself and others.

Response: What an important question. I'm hearing your hopelessness and fear about the damage of your substance use and it sounds like you have reason for concern. While there can be negative stigma about using substances, for the most part substance use is an attempt to cope with emotional distress in the absence of sufficient coping strategies. We all look for comfort when we are in pain and this may be the way that you are getting comfort - even though it is also hurting you. In order to stop using alcohol and weed you will need a lot of support and you will need to learn other ways of getting comfort when you are in pain or struggling with bipolar related symptoms. There is nothing to be ashamed of and we all need help when we are struggling. I would encourage you to reach out for support in any way that you can. Have you talked with your health care providers about your concerns or friends or family members? Here are some links of resources in Whistler that may be helpful:http://www.vch.ca/locations-and-services/find-health-services/?program_id=11035http://redbookonline.bc211.ca/service/9509054_9509054/whistler_mental_health_and_addictionshttp://mywcss.org/programs/counselling-assistance/http://redbookonline.bc211.ca/organization/9489472/alcoholics_anonymous_aa___squamishwhistler


Question:
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!


Question: My husband does not 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: The good news in the way you're feeling is recognizing that your husband's trust of your actions, makes a difference to you.The typical therapy formula for restoring trust between two people after some sort of betrayal, is for the one who has broken the trust, to earn it back.Restoring trust requires both persons to actively involve themselves in this process.The person who tires earning back trust, must know what standards for this, of the one who was betrayed.The person who feels betrayed must willingly be open minded to accepting the efforts of the one who tries earning back their trust.As simple as this formula sounds, the actual process of restoring trust raises a lot of emotion on both sides, therefore causing difficulty in keeping discussions in this area, on track.The best way of success in restoring trust between partners, is utilizing a couples therapist who would be able to guide your conversations back on track, and also open emotions for discussion when relevant to restoring trust.Good luck in establishing new terms with your partner!


Question:
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: How frustrating to want a relationship with someone who does not feel similarly!The person who needs to be at the top of your list of those whose interest you consider, is yourself.Most often, staying engaged in dialogue, affection, sex, with someone who has different reasons than you have, for doing so, creates longing, frustration and sadness.Since the guy has told you he would like limiting his involvement with you, more than likely you will be protecting yourself from disappointed wishes, by taking his words seriously.Since you've made your interest in him clear, it sound like he's taking advantage of what you're willing to offer him.As long as he's not reciprocating with the involvement you'd like, why continue being available to him?The one area that is open to you in a positive way, is to understand which qualities of this guy you find attractive.By understanding more about your own interests about a potential partner, the stronger you will be able to step away from those who would like you for their reasons, which have nothing or very little in common  with yours.Good luck with defining the qualities of a partner with who you will feel fulfilled by sharing yourself.


Question: I need to speak to someone about sexual addiction and binge eating immediately.

Response: Depending on your area and location, there may be therapists who provide services on a sliding scale. Additionally, churches will often times offer counseling for free or for a small fee. I suggest doing a simple Google search and contact therapists in your area. It never hurts to ask for a reduced fee and even if he or she is unable to provide the service, they may be able to refer you to someone who can.


Question: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. it's mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole "If you love them, let them go," but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can't break up with her. I'm literally trapped.

Response: Hi Fort Worth,  I applaud your awareness and insight into the relationship.  Most of us come into relationships carrying old baggage and although you can't change her,  what you can do, is change yourself.  We can usually begin to understand ourselves better in the context of our own upbringings.  That is where we learn what a relationship looks like and it is often not the best teacher.  I wonder about your jealously, insecurity, feeling trapped and a lack of trust.  Has that ever showed up anywhere before?  It has more to do with you and less to do with her.   Your relationship with her is tapping into unresolved issues within yourself.  That is really where you want to focus. Once you understand it and resolve it, you will no longer need to ask anyone else what to do, because you will know.  You are young and just getting started in the relationship world and the healthier you are, the better you will know what healthy looks like.   Know yourself, understand yourself and love yourself.  The rest will take care of itself.  Finding a Therapist can be a big help in this process.  You are asking the question, so I suspect you are ready to look at the man in the mirror.  I believe in you and am wishing you all the best.


Question: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. it's mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole "If you love them, let them go," but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can't break up with her. I'm literally trapped.

Response: Are you possibly mixing up an impulse to nurture and protect someone, such as by offering housing, and your own need to feel loved and appreciated as a romantic partner?Maybe your feeling of jealousy is really your awareness of a reasonable need to be loved by a partner.Even though you are quite detailed in your description of your partner, one piece which is missing, is whether you feel you are loved by her.Maybe too, what she considers your insecurity, is really her unwillgness to love you.It's always easier to put distance between two people by insulting them.I hope this gives you a few new ways to look at your situation.A few therapy sessions, either by yourself or together w your gf, would give you more chance to know more deeply what it is you are facing.


Question: My boyfriend and I have not had sex in a couple of weeks. He had to have a cyst removed on his testicles. I have been wanting to have sex with him for a while now, and it drives me crazy not to be able to make love to him. I'm scared to touch him and get close to him because I'm afraid that I will hurt him.

Response: Are you talking with your boyfriend about his doctor advises on starting to have sex again?Being able to talk together about topics that involve both of you, will establish a new type of intimacy on an emotional level.Also, there are many ways of making love.  If your bf's cyst hasn't yet healed, then another way of both increasing your emotional intimacy and learning different love making suggestions, is to read about these together with him.I hope the two of you enjoy learning new ways of sexually taking care of one another, while developing more emotional closeness in the process.


Question: I'm applying to private high schools. I'm playing basketball on my school team currently, and I love it. I also play on a team that I've hated since the beginning, and I finally want to quit before the season gets started. However, my parents say I can play on either both teams or neither. I think it's unfair because it's up to me if I want to play for a certain team. I was planning on playing basketball for the high school I get into, but if that means continuing to play for the team I hate, then I wouldn't want to play in high school. Now I don't know what to do! My parents are threatening to send me off to a different home if I don't play. I just want to run away.

Response: The situation in your family seems to place unnecessary pressure on you.Are you and your parents able to talk together about their reason for their standard?Are your parents willing to listen to your reasons to not play on the team you hate?If yes, then maybe some type of compromise is possible for all of you to negotiate.If none of the above is possible, then you may want to get specific and direct advice from a professional, such as the school guidance counselor or psychologist, whom you'd trust and feel safe in talking.I hope you and your parents will find an answer that all of you are happy to accept.


Question: I had to go to the emergency room today to get an X-ray of my spine. My boyfriend didn't want to sit there and wait with me. Instead, he wanted to go do things for his friends while I waited. When I was done, he was twenty minutes late in picking me up. He doesn't understand why I'm mad, and we keep bickering at each other over the smallest things. He thinks I don't have a reason to be mad, but I believe that I do.

Response: It is extremely frustrating when our significant other doesn't understand our points of view. Often times, arguments are not the best opportunities to try and make a point, as strong emotions can get in the way of understanding others' perspectives. Try having a discussion with him about what is bothering you during a time when neither if you are upset or arguing. Communicate how you feel without placing blame and without yelling. Addionally, give him ideas of what he can do differently so that he understands what your expectations are. Lastly, consider seeing a couple's therapist who can assist with teaching more effective communication techniques. Best of luck.


Question: I'm a male in my 20s. My girlfriend is in her late 30s. She's great. She's funny and smart, she has a big heart, and we have an excellent sex life. She recently moved in with me partially because she wanted to and partially because she had no place to go. We fight a lot. it's mostly my fault, I must admit. She doesn't like my insecurity and lack of trust I have for her. I have trust issues. Also, I can't fathom why a woman like her is with me, so I'm always dreading when a better dude will come along. I don't think she's happy. She's very submissive and she loves me very much, but also the fact that she has nowhere to go must be influencing her decision to stay. I love her so much, but my jealousy is not likely to diminish. I never believed in the whole "If you love them, let them go," but I do now. I really want her to be happy. Should I end it with her? She has no place to go so I feel like I can't break up with her. I'm literally trapped.

Response: It sounds like there are assumptions being made regarding how she feels about you and why she is with you. I would not suggest breaking up with her without first attempting to resolve your own issues. You may not only regret your decision, but might find that the exact same problem arises in future relationships. I would recommend seeing a therapist who can help you figure out what is at the root of all of this. By learning about your own insecurities and where they come from, you can expect to discover new ways of responding and relating to others, which will likely impact your relationship in a positive manner.


Question:
I am in high school and have been facing anxiety issues lately. Whenever I get close to being in a relationship, some kind of anxiety takes over and keeps me from the relationship. This anxiety causes me depression at times and even makes me want to vomit. While a semi-relationship should be joyous, for me, it's an emotional nightmare I can't get to the bottom of. I've had this before and had to leave the semi-relationship to avoid throwing up every time I made contact with my crush. What could be the reason behind this? Is it massive nerve problems? Is it a fear of a bad relationship?

While I'm not quite ready to be in one anyway, I want to get to the bottom of this for a brighter future in which I can be in one. I Don't take medications and have no desire to, I have read forums, and I've talked about the issue with my sister who has faced similar problems.

Response: Hi Helena,I felt a bit sad when I read this. This is a new term for me... "semi-relationship". What does it mean? I know that today's culture for young people is more of a "hook-up" culture than a dating one. Maybe that means that you develop connections to people but you keep yourself from hoping for a full relationship because no one is doing that anymore. That makes me feel sad. I hear a lot of young women (I'm not sure you're female, but that's my guess) say that they struggle with hook-ups because they can't let themselves hope for a phone call after a hook-up. Research tells us that, after a hook-up, college age women tend to feel used and unworthy, and men tend to feel guilty. I think this scenario works better for men than women, but many of both genders are left unsatisfied in the end.This is only one possible explanation for your anxiety...that your gut knows that it wants to feel fully coupled with someone but you struggle with whether it's okay to want or expect that.Maybe take a moment and listen to anxiety. Anxiety tends to try to convince us that something's wrong with us or something bad's going to happen. Anxiety sometimes prefers to stay vague (it's more difficult to refute it then), but you can try to clarify it's whisperings by asking yourself these questions: What am I afraid of? What is the worst thing that might happen here? Then what might happen, and what would be the worst part of that? Keep going until you find the very worst thing that might happen? Might someone not want you...might you feel rejected...or feel not good enough...you might get hurt?Then when you find that core fear, you can look at your life and I bet you'd find a place where that idea or fear originated. A big moment (or many smaller ones) when you actually DID feel or get rejected or abandoned or hurt. In the end, it's a feeling you're trying to avoid (not life or relationship), and anxiety is trying to help you avoid it by making you overcautious. But this doesn't work for you! Good! With the help of a qualified therapist, you can learn to talk back to anxiety and move forward in life and love with calm. confidence.


Question: I had to go to the emergency room today to get an X-ray of my spine. My boyfriend didn't want to sit there and wait with me. Instead, he wanted to go do things for his friends while I waited. When I was done, he was twenty minutes late in picking me up. He doesn't understand why I'm mad, and we keep bickering at each other over the smallest things. He thinks I don't have a reason to be mad, but I believe that I do.

Response: Hi Moore, Underneath all your anger is a lot of hurt. The hurt is there because you are being disrespected. Your boyfriend (unless you've only told me a small, disproportionate part of the bigger picture) doesn't tend to treat you like you're important and he dismisses your emotions. This is happening because this is the level of ability (disability?) he has right now in a relationship. You can expect more of this behaviour (because that's who he is; it has nothing to do with you), and I hope you think carefully about whether it's working for you to be in this. You could try telling him that you are hurt, because people tend to listen more to hurt than to anger, but my guess is with him it might not make a difference. I hope you talk to someone who knows and supports you about how you're feeling in this relationship.


Question: I just got married with my husband. I have four kids of my own, and he accepts me with my kids. I am thankful he loves my kids even though theyre not his. Now we are having problems in our relationship because of my past. I know all marriages have problems, but sometimes I feel it's not going to work out if There's no trust. it's hard for me to let go because I love him, but I am getting tired.

Response: Hi Louisiana,You say that the problems are with your "past", but my hunch is the problems are about his insecurity and his personal barriers to trust (unless you've recently revealed details of a sordid past?). You don't mention ever having hurt the trust in the relationship.Trust is the first stage in a relationship. Moving forward before they develop trust is a common mistake couples make, and now you two have involved children in a relationship that's missing a crucial element. But you didn't see this coming, did you? That's because only as we become emotionally intimate do our deeper fears and insecurities come to the surface. I give you credit for wanting it to work, and I believe you would benefit from the support of a therapist in working through the kinks related to trust. Good luck!


Question: I use to be so happy. No matter what, I always was happy. I got into a relationship with this guy. I love him so much. Were both teenagers. The week after his birthday, my mom made me stop talking to him. It broke me. He came to my house and talked to her, and she let us date again but not see each other. He comes up to my school every day and it tears me apart that I have to lie to her.

Response: Hi Los Angeles, I can tell you have a moral backbone because it's hurting you to lie to your mom. I always say that a little bit of guilt is healthy because it teaches us who we want to be. Listen to that voice. You don't have to lie to your mom to get what you want.Now, you don't say how old you are, so part of my answer is going to be a bit vague. There's a big difference between being thirteen and your mom telling you what to do and being nineteen and your mom telling you what to do. The thing is that moms and dads start out making all your decisions for you when you're small, and they're supposed to, very gradually, give that control over to you. Different parents do this at different speeds, but in general you have to earn that freedom and trust...it's not just gonna be handed over to you. You might not like this part...your parent has the right to make the rules. My guess is there's a reason why mom is holding you back. Even if it doesn't make sense to you, breaking her rules isn't going to get you what you want...which is freedom, right? I guarantee you that mom wants you to eventually earn freedom...but she's not supposed to give it to you until you're ready because her first job is to keep you safe. I like that your mom has limits for you. Too many parents are sort of looking the other way, busy with their own thing. Whether you know it or not, you need protection like all kids do (appropriate for your age, of course).It sounds like what you want to say to your mom is "I want to make my own decisions about who I spend time with". That's a normal wish, and I encourage you to say that to her. Depending on your age and whether you've earned it, she might listen. So, you're sending her that message that you want to send, but you're doing it in a sneaky way, and that's not going to go well when she finds out. It's called "passive aggressive" when you say something with a sneaky behaviour rather than with words. It's not a very healthy way of sending a message, because people feel disrespected. My guess is that your best bet is to be honest with mom, stop the sneaking around and come up with a detailed plan of how you're going to earn your freedom...eventually. She might listen to that.


Question:
It takes me a long time to fall asleep; Id 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 fathers 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:
you're noticing that as you lie down to go to sleep, there
is quite a bit going on, which may be anxiety related. It sounds like the
dreams and difficulty sleeping are reminiscent of previous experiences you had
around the time of your break up, the difficulty with your fathers business,
and your mother's health issues. These connections to past events may be
important insights to continue exploring in addition to finding out more about
what your dreams may be trying to tell you. There is no exact science to
dreams, but many people find it fruitful to explore the content as it relates to
significant themes in their lives. I think that exploring these issues further with
a therapist could help you resolve whatever is causing you the stress, trouble sleeping, and frightening dreams.


Question: I'm supposed to stay here the rest of my academic life, but I've never liked it here, not even before I came. I've never felt like I belong, I've missed my country every second in the past four months, and I'm just miserable. I'm gaining weight, doing nothing, and crying for hours straight. Is it time to go back home or is it just culture shock?

Response: It sounds like you are feeling very unsure and out of place and the prospect of continuing to feel as you do now for the remainder of schooling seems daunting. Without getting to know more about you and your experiences here and at home, it is hard to say what you should do, however, I think exploring these things with a competent therapist may help you to discover the answer.


Question:
Hello, I have a cousin in my family who has been making me feel belittled, insecure, and frustrated during her stay here in the city. I know she comes from a place of love, but she has always been short-fused and highly temperamental if something doesn't work out the way she planned it. I have tried my best to coordinate plans with her, but she always ends up frustrated about the lack of communication I seem to have on my part and then makes condescending comments about my character that include: inconsiderate, negative, oblivious, and self consumed.

I have tried to talk to her openly about this, but it always comes back as an attack on my character and I have never heard these comments from anyone else before. I have been thinking a lot about her comments and whether I truly am an inconsiderate person who is not thoughtful, spatially aware of surroundings/people, or positive, but in the end, I am feeling awfully hurt about how this has affected our relationship.

What can I do?

Response: It sounds like you are feeling pretty criticized by your cousin and at the same time you are wondering whether or not there is some truth in what she is saying. It also sounds like you would like to see if you can find a new way to relate to your cousin, so that your relationship can be more satisfying. If you can find a competent therapist to work with, there may be a great deal of opportunity to learn more about how you relate to people in the world and to learn strategies to show up in your relationship with your cousin in a way that feels right to you.


Question:
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 you have mixed feelings and motivations - which is understandable. On the one hand you want to get over him, on the other you are still holding out hope for something more. It will be really hard to let go of him and create friend boundaries so long as there is a part of you holding on to the idea of something more. If you are being really honest with yourself you might need to acknowledge that you are not really striving to get him out of your system - that you have not really given up hope of having a relationship with him. If you are whole-heartedly committed to moving past the sexual and romantic parts of your relationship and just having a friendship than refraining from all the touching would be a good place to start. It is hard to "just be friends" when all your sex and bonding hormones are coursing through your veins.


Question: How do I make myself happy without the people who made me happy? Now that theyre gone, I feel sad. it's been two months now but I seem to be unable to stay okay and independent.

Response: It sounds like you have been feeling pretty down, since the loss of a relationship, and you're wondering how to be happy by yourself. Intimacy is a very natural human desire and at the same time learning to enjoy ourselves, even when we are alone, can strengthen our ability to lead a satisfying life in and out of relationship. Working with a therapist, you may be able to gain insight into how you show up in your relationships with yourself and others and discover more fulfilling ways to do so.


Question: I'm unemployed just relocated. I can't get approved for a place to live because of past mistakes which follow me to this day. I'm depressed and on the verge of loosing my partner because I'm overwhelmed and have trouble functioning on a daily basis. I see no light at the end of this tunnel and need some help. I see no point in this chaos infested joke some call life.

Response: It sounds like you are feeling like things are hopeless and out of control and you're not sure what to do about it. If you can find a competent therapist to work with, together you may be able to come up with some strategies for alleviating the overwhelming distress that you are experiencing and gain some insight into what may be contributing to these challenges. Additionally, a therapist may be able to support you in getting back on your feet in regards to work, a place to live, and showing up with your partner in a way that will be more satisfying to you.


Question: That phrase makes me crazy. It happens anytime I point out something to my husband that he needs to change, such as looking up from his iPad long enough for me to tell him the grandbaby almost pulled the shelf unit over or explaining to him that I got all the things he needs to bake a pie. Another example is when he opens the front door, the dog runs out if he doesn't pick him up. Over and over again, he lets the dog run out, and I am afraid he will get hit by a car.

Response: I empathize with your feeling "crazy" hearing your husband yell "enough" in response to you wanting to make a point to him.When the immediate situation has calmed down,  have you ever told him that this upsets you?  Is it possible he simply is not aware that you feel upset by how he talks to you?Keep in mind too that what you believe your husband must change, may not agree with his opinion on what he needs to change.A helpful starting place for the two of you to discuss once the immediate situation has calmed down, is what you each feel would have been a reasonable way of handling the situation that just happened.By learning more about how the other person thinks and feels, it will be easier to know what to expect form each other.Even if you disagree about what is best, knowing that there are differences between you may make living with them easier to accept, or at least not be surprised and startled by them.Sending good luck to both of you!


Question: My boyfriend moved in with me a few months ago. I love him, but his dog is wrecking my house. Every day we get home, there is a huge mess on the floor, and several things will be ripped up (including the couch). He's slowly eating all of the doors, and there will be food and poop everywhere. Even though I come home during all of my breaks to take him out, he still poops and pees in the house every chance. I can't financially afford to have the dog wrecking my house. I've tried talking to my boyfriend about the dog to try and come up with a solution, but it never ends well. The dog is the only thing we fight about because I want him out of the house and my boyfriend doesn't want to see him go. it's not the dog fault though; I understand that. The dog is only a year old, and he isn't a bad dog. He's just too big of a dog for where he is; he should be a farm dog instead of a town dog. I don't hate the dog, but I just can't afford to continue having my house torn to pieces.

Response: Every living creature needs time and support to adjust to a new situation.The dog is in a new place without the ability to understand the reason.  This may explain what sounds like the dog's agitation.  Have you spoken with your boyfriend on his opinion on how to address the dog behavior problems?Finding an answer together would be a good way of making your relationship stronger.  A lot of being a couple who live together is talking, listening and deciding together on how to handle major situations.If it is affordable, then a dog behaviorist may be of great help.  The person would guide you in working with the dog to become calmer.


Question: It has been going on more often lately, but not all the time. It has been starting to affect my driving, among other things.

Response: It's important to make an appointment with a neurologist and ophthalmologist ASAP for evaluation. There are medical conditions that can create this effect.


Question: I'm a teenager, and I struggle with going out and talking to people. I feel awful about leaving home. I know I can't afford a therapist so I don't know what my problem is, but I think I might have social anxiety.

Response: If you are noticing that anxiety tends to be triggered around interactions with others, then you may have social anxiety. Working with a therapist, you may be able to gain insight into the nature of the anxiety, develop tools for coping with it, and take steps that may alleviate it over time, so that you can enjoy your interactions with others. If you are short on money, there still may be options for you to be able to see a therapist. Check with your insurance provider about your behavioral health coverage. If you have medicaid/apple care, there are some private practice therapists who accept this form of insurance, as well as community clinics which do. If you are not insured, some therapists and clinics will work on a sliding fee scale, and accept either low fee or may even work with you pro-bono (for free).


Question: People who are parental figures in my life have, in the past, hurt me, and some continue to do so. It makes me feel like I'm not good enough for my husband or the life he provides me. I have had jobs, but I am going through a lot of my past garbage and trying to figure out when it all went wrong. Any time I bring these things up, I am expected to be over the issue. These are people that you can't just cut out, but I have never received apologies for so much of my pain. I don't know what to do any more. I don't know who I am anymore.

Response: It sounds like you have been thinking about how past hurts have influenced you, and when you try to talk about these hurts with people in your life, you are feeling invalidated. It also sounds like current conflicts are continuing to leave you feeling hurt and devalued. In working with a therapist, you may be able to get some clarity about your past, who you are, and what kinds of boundaries you want in your relationships, so that you can lead a life that is more satisfying to you.


Question: That phrase makes me crazy. It happens anytime I point out something to my husband that he needs to change, such as looking up from his iPad long enough for me to tell him the grandbaby almost pulled the shelf unit over or explaining to him that I got all the things he needs to bake a pie. Another example is when he opens the front door, the dog runs out if he doesn't pick him up. Over and over again, he lets the dog run out, and I am afraid he will get hit by a car.

Response: It's hard to say what is okay and what is not okay, as it depends on what you and your husband feel is appropriate in your relationship. If you are feeling like you need to walk on eggshells or that you can't speak your mind and say how you feel, then that sounds like a problem. I would recommend having an open discussion with your husband about communication between the two of you in general. Do this during a time when there is little or no conflict and emotions are not heightened. Let him know how you feel and give him specific ideas of how you would like him to respond instead of saying, "enough." Additionally, try and see his perspective and understand why he shuts you down. Perhaps, he feels like he is being told what to do constantly or that he gets little positive feedback from you. An open dialogue about how to discuss issues going forward will likely help. Seeing a couple's therapist will also greatly assist with teaching better communication skills and seeing if there are underlying issues that need resolution. Best of luck to you guys.


Question:
My fianceee suffers from severe anxiety and depression. She has had it most of her life. Her anxiety in public places is the worst. It gets to points where she can't breathe or move. Sometimes, she won't even go to the restroom, so she will hold in her pee until her stomach hurts or she pees herself. She curls up in corners at the mall and has panic attacks. She won't eat or drink in public. If she isn't having a panic attack or crying, she's clinging to me and avoiding everything and everyone. Her depression flares up out of nowhere and causes her to become very suicidal and self-harming. She get really sick from anxiety and scared to the point that I can't even get her to eat, drink, leave the bed, or go outside. She always tells me how she grew up around so much fighting and fear that it makes her scared of loud sounds, yelling, conflict, and even talking to strangers in public. She will refuse to go to a store unless I am with her to talk to the cashier for her. She is so scared that I can't even get her to drive. She doesn't want to get her license because she's scared of trying to drive.

Some people have recommended medication, but I believe it's just going to cover up her illness and not solve it. I don't want my fianceee pumped with drugs. I believe a psychiatric service dog would be the best bet for her. When we first met my poodle, it would calm her down a lot. She took the dog out every time we went out, and she seemed much calmer and happier. She slowly would eat, and the dog seemed to make her feel a lot better. I am worried and want to help her without medication.

Response: It sounds like you have been a positive support for your fiancee. There is no doubt that this situation is a great challenge for the both of you. While it may feel like you are responsible for her health and happiness, it is important that you understand that you, on your own, won't be able to resolve her mental health issues. Based on what you have explained, it sounds like she needs to get a medical and/or psychiatric evaluation. Whether or not she decides to take medication is her (and your) decision, but keeping an open mind about treatment options is important. I suggest that she see a therapist on her own in order to better understand and cope with her anxiety and depression, especially given her suicidal thoughts. You would also likely benefit from therapy, individual or couple's therapy, in order to address how you are feeling and best learn how to support her and your relationship. I wish the very best for both of you and hope that things will improve sooner than later.


Question: My husband and I got into a huge dispute. He said he wanted a divorce, and I left. I still come home a lot and see my kids, and he has not filed yet even though he still said he is. What does that mean for our marriage?

Response: In any relationship, including marriage, each partner will be better able to do their part, by understanding their own interests and wishes.Concentrate more on what you'd like from your marriage.  This will naturally raise the questions and criteria of what to talk with your husband about and what to ask of him.Think over whether you wish to divorce or not.Since he hasn't taken any action, then for the moment, you can assume he is not sure of what he wants.Once you feel a little more clear on your opinion about your marriage, including feeling uncertain if you'd like it to end or continue, then you will be able to tell your husband the suggestions you have for resolving the dispute matter and emotions.Try to re-direct your speculations about, "what does he want", "I wonder what he's thinking", back to answering these very reasonable questions, about yourself.This will strengthen your own purpose in clarifying where to start and guide a discussion with him.Good luck!


Question: I don't know what to say. I have never really known who I am.

Response: Therapy may be an effective way for you to get a stronger sense of who you are. A competent therapist will work to create a safe and curious therapeutic relationship in which you can explore your identity. There are also many different exercises which you can do in and out of therapy which you may find helpful in this area as well.


Question:
I feel that I need to end my present relationship. He lives three hours away and likes the reassurance of having someone to talk to multiple times per day and seeing me once or twice a month. I want someone who is more present and more of a life companion.
Lately, he has had a very busy work schedule and I have only seen him a few times in the last 6 weeks. I told him that I can't continue in this way because I constantly feel frustrated and angry and that he is not making the relationship enough of a priority. I also feel it is keeping me from possibly finding the relationship I want.
We have been together 7 years. The problem is that I panic and experience anxiety and depression thinking of him with someone else and then thinking I will never meet someone I like. We have gone through this cycle already 4-5 times and I feel it is unhealthy to stay in it, but my aversion to the anxiety and depression I experience upon separation always leads me to reconcile.

Response: It sounds like you have some insight into the cycle that you describe with your current relationship and at the same time you are still feeling stuck. It also sounds like the distressing feelings that you experience, when you imagine what will happen for you and your current partner, are pretty overwhelming. A competent therapist may be able to help you work through these difficult thoughts and feelings and find a resolution to this cycle that will feel right to you.


Question: I have a lot of issues going on right now. First of all, I have a lot of trouble sleeping at times, while other nights I sleep too much and still feel quite tired. I'm also noticing increased irritability and experiencing anxiety attacks that last for hours. Is there something wrong with me and if so what should I do?

Response: It sounds like you are noticing yourself becoming overwhelmed with anxiety, feeling more irritable, and struggling to sleep consistently. There are many possibilities, in regards to what may be contributing to these things you are noticing, and a competent therapist may be able to help. In therapy, you may be able to gain insight into these experiences as well as develop strategies for coping with and eventually alleviating anxiety, irritability, and inconsistent sleep.


Question: I am really worried about one of my friends because I think he has major depression. He disagrees with me on that. He is shut off when it comes to talking to people and telling them how he really feels. He told me he feels empty inside and the only emotions he feels are anger and sadness. I suggested to him to get help and talk to his mom about it but he refuses.

Response: First of all, I can tell that you really care about your friend and I think it's great that you are reaching out with your concern. It's hard to determine whether your friend would meet the criteria for an official diagnosis of depression without working with him, however, whether he does or not, therapy may be beneficial for him in working through these difficult feelings and relational challenges. Unfortunately, you can't make your friend get help. He will ultimately need to make that decision for himself, however, you can talk to him about your concerns and your hopes that he will reach out for help.


Question: I think about death all the time because I feel so alone. I want someone to love and someone to love me.

Response: Hi Ohio,I'm so glad you reached out. I urge you to talk to someone close to you, today, about your feelings, and to also seek professional help for your serious thoughts and feelings. We want you to be safe, and your depression is treatable.Loneliness is so painful, and when we feel lonely, this can lead to fears that we are not worthy of love or that the world is just a cold and lonely place. Neither are truths; only thoughts. Once we have fears like this though, we start to pull away from people, the fears keep us isolated, which makes the thoughts worse, and the cycle continues. We all have a place in this world. We all have value, we all deserve love, and there are safe, wonderful people out there waiting to meet you and care for you. Can you take a moment right now to become more in touch with three things? First, who in your life, if they were sitting beside you right now, would say "wait a minute...I love you!" What is the evidence that you are already cared about? Then ask yourself "what is the evidence that I am lovable?" What qualities do you have that make you a good friend or person? The third question is "what tells you the world is a good place?" What evidence do you see that there are people out there who care about others? Please reach out to someone today as you ask yourself those questions. I wish you the best.