Question: My dad is doing some really bad drugs, and I'm not allowed to see him anymore because of what he can do to me or my siblings on this drug. It has affected me tremendously in my life. it's even caused me anger and stress.

Response: It seems like you are going trough stages of grief, since the inability to see your father causes you similar feelings as if you had lost him.  Perhaps you could send him letters expressing your feelings and hopes.  But do understand that if he is under the influence of drugs he might not be able to empathize with your feelings or react in the way that he would have done so in the past.  As the issue evolves find a therapist or counselor to help you work on letting go of that anger and stress, which may affect you negatively.  Find forgiveness so you can have a relationship with him in the future.


Question: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.

Response: Depending on your daughter's age, this could be a learning disability.  I suggest contacting the school counselor and asking for an evaluation, once she is evaluated and depending on the diagnosis, she could be provided with treatment recommendations like occupational therapy, reading glasses, or assistance in class. These and more accommodations are enforced under the 504 act. Consider if the observations that you have done are affecting her performance in school only, or also in other settings.  Observe her behavior and or her emotions and see if they change as well.  Discuss these with your daughter's counselor as well.


Question: In the last ten months, I've been kicked out, moved around three times, worked many jobs, stopped school to make money, had dad and mom get sick, was cheated on while pregnant, lost my baby, had relationship issues, and was betrayed. I can't get a job. I have no friends. I feel lonely and isolated. I've been dealing with all this by myself.

Response: One thing that may help is to focus on small things that you do have control over. If you can hold onto that sense of having control over what you wear or what you choose to eat or where you go during the day, this may help you be able to look at what is currently most important for you and consider different choices. For example, you say you can't get a job, but I wonder if you could work with and local agencies to help you find a job, like Career Link. You say you have no friends currently. Are there any previous friends that you can get back in contact with?You mentioned that you have no friends. Is there anyone in your life that you can talk with, even if it's not someone that you consider a closest friend?


Question: My daughter basically freaked out out of nowhere over me saying calm down when she dropped her phone. Within seconds, the situation escalated to her kicking me out on the curb, saying horrifically unspeakable things, and her calling the cops on me. She seems unable to stop herself at times.

Response: Bipolar disorder has a lot of different components. If this is a one-time event, it could be that your daughter had an intense moment of anger and the phrase of asking her to "calm down" may have made her feel as though you weren't understanding what she was saying. Bipolar disorder also includes feelings of depression. When this is coupled with intense anger and acting or speaking without thinking, these can be part of bipolar disorder, but that wouldn't be the whole picture of what bipolar disorder would look like. It may be helpful to track differences that you notice in your daughter's mood and any patterns related to the times of day or what seems to lead her to be upset. Patterns are very helpful in figuring out what is happening.


Question: I'm a teenager, and I created a sort of imaginary friend to help me cope with stressful situations or if I'm worried or upset. She "gives me advice" and comforts me and tells me it'll be okay. I've given her a name (Solace) and created a personality for her that's like a comforting motherly figure. I know it's just my own advice and my own thoughts, but it's just that I'm thinking of them through a voice other than my own. I do this because I know I never really listen to my own advice, and I thought it would be better if it was through someone else who knew my thought process in and out, through this imaginary friend. Is this normal? Could it develop into a separate personality with time if I continue a mentality that she is her own person?

Response: Since you are saying that you know that the thoughts are yours and your thinking of them in a different person's voice to make them easier for you to follow through on, it doesn't sound like it could develop into another personality.It may be helpful to also find other things that give you comfort and to practice telling yourself that it will be okay in your own voice. If you start to do that slowly, it may be more comfortable for you. If you're following following through with your own advice, it sounds like some part of you knows that you are making choices that you agree with.What else gives you comfort? Maybe there's a room that you like to be in when you are home or a certain outfit or color that makes you feel good. Focusing on these things may also be comforting to you.


Question: My ex-boyfriend and I have been back and forth for over a year now. He's in his late 20s, divorced for like five years now with two kids. He has a lot of narcissistic behaviors. He lies and cheats, but I love him. I've tried to date other people, but I always go back to him.

Response: There are a lot of pieces to the decision of whether to stay or leave. Can you have open conversations about your concerns? Is he able to listen to that? I'm not sure how you know for sure that he lies and cheats, but does he recognize these things as problems? Which part of you is bigger: the part of you that wants to stay or the part of you that wants to leave? Can you consider what you want, wish for, and desire while also considering the same for him? Can he do that for you?


Question: My mom and dad got divorced four years ago. I had to finish out the school year with my dad, and now they are deciding which place is best for me. I can't choose. How can I choose if I love both places?

Response: I don't know how old you are, but depending on that, you may be able to talk with them about spending some time in both places. Even parents who live in different states can do that sometimes. It's not as frequent as spending one week at one house and the next week and the other, but I know that it happens.If you can talk with both of your parents about how you would like to live in both places, maybe you can all work out some kind of agreement.


Question: I've tried working out and eating fruits and vegetables, but I always seem to eat the junk in the house.

Response: I know some people do better when they don't have as much junk food in the house. This is not as tempting then. Having said that, maybe you can reward yourself with different things, such as having dessert on certain days. If you are concerned about mostly eating habits, consider seeing a nutritionist. They can help you find the balance between what it is that you really want and your goals. I'm not sure how this links to happiness for you, but hopefully looking at your choices can lead you toward your goal of being healthier.


Question: I get really mad easily at my parents and family.

Response: Anger is not necessarily a bad thing. If you are angry and you can talk about your feelings, that would be very helpful. Anger usually comes along with something else, like feeling sad, worried, overwhelmed, confused, and many others. Consider looking at what you notice in addition to anger and you may have a different starting point. If you get along well with friends and don't get angry with them, look at the differences. Do you feel criticized by your parents or family? Misunderstood? There could be any number of things.I wonder if you start getting angry very slowly and it builds or if it happens quickly. Try to keep an eye on the patterns and see if you can stop and look at what else is going on as you start to get angry. Anger is a real emotion in itself. It almost always connects to something else as well.


Question: My daughter is in later elementary school. She can't color in the lines. Her words jumble together when she writes unless there are big spaces or she skips lines.

Response: It's hard to tell from the information that you were able to provide here, but talk with her elementary school a guidance counselor. Someone working with the school (usually a school psychologist) should be able to evaluate her to see if she needs extra help and to tell you more clearly what may be happening.


Question: I'm dating a guy I really love. We have our problems, but I could see myself with him long term. But there's this other guy who I've had feelings for for awhile now. He gives me butterflies when we talk, and my heart beats fast when I see he's texted me, which i never felt with my current boyfriend.

Response: There are different types of attraction.  You said that you've never felt this sort of feeling of your heart beating faster with your current boyfriend. Depending on how long you've been together and if you're looking at different ways of making a life together and getting to know each other on a deeper level, that's a different stage in a relationship and sometimes it feels different. Some people look at it as a difference between levels of passion and compassion, but there are many different terms to try to talk about it.Perhaps with this guy that you really love, you could talk about ways to keep things new and different in the relationship. Maybe you can leave notes for each other during the day or have a small surprise at random intervals (maybe an invitation to a picnic, for example).As for the other guy who makes your heart beat faster, what do you see in him? You said you really love the other guy, which is why I'm asking.What do you look for in the person who you want to be with long-term (whoever that is)?


Question: I'm starting to think that I might have depression. The thing is though, I'm not exactly sad. I can joke with my friends and stuff, but I've stopped caring about my work, and I've been starting to think that life is pointless. I really have no clue if I need help, or if I'm just tired or something.

Response: It is possible that you have depression, but you could also be experiencing some other changes that mean that you have feelings of being sad without actually being depressed. Your statement makes it sound like you've stopped caring about your work, but you're still going to work and doing your work. It almost sounds like you are dissatisfied with your work. Do you like what you do? When you said that life is pointless, what makes it that way? What is keeping you going? Is there something you can do each day that you can find meaning in?You mentioned that you are not sure if you need help or are just tired. It sounds like you could certainly benefit from talking with someone about more specifics.I'm curious about how long you have felt this way and if you are aware of anything that is contributing to it.


Question: I used to be the funny guy of the groupthe class clown, if you will. I used to laugh uncontrollably all the time and be able to be social without it feeling awkward. Now I can't laugh at all, and I'm dead inside.

Response: If you look back to when you feel as though you were the "funny guy," I wonder what is different now? It may be that responsibilities have changed or any number of other things.I don't know whether you're also saying that you feel sad or if you're saying that you feel as though you don't have any big changes in your feelings.A lot of us tend to be really busy, and sometimes we over schedule ourselves to the point that we don't have time to have positive time for ourselves. Sometimes even if we are spending time with friends, we're thinking about work and all of the other things we need to do.I wonder if it feels awkward when you're with friends that you trust in an environment that you are used to. Maybe if that is more comfortable for you, it can be a stepping stone to focusing on how you feel better in those moments.It sounds as if you may have had an experience (or more than one) where you felt misunderstood or criticized and now reacting to people feels awkward. If so, try going back to people you trust. Who do you have support from?


Question: I have friends, family, I live in a good home, I go to a nice high school, and I get pretty good grades, but I Don't know why I'm so unhappy. These friends are my best friends and theyre all amazing people, and yet I'm sad all the time and feel alone.

Response: I wonder if you have moments where you feel happy?You say you have amazing friends. I wonder if you get along with them and feel as though you can be yourself around them.Sometimes we put a lot of pressure on ourselves to do really well at everything all the time and this can be overwhelming sometimes. Where do you have support? I hope you can tell someone that you are feeling sad so that you can talk about your feelings.Sleeping can make a big difference as far as feeling sad as well. If you're not sleeping well at night, that could be a big part of feeling sad a lot.Perhaps you could try to find a person or two who makes you feel totally safe and comfortable and try to talk with them.


Question: My fianceee is always letting me know how I am a horrible/evil person, or I just Don't care enough when it's about her feeling or when she is having an off day.

Response: One thing you could try is to have a conversation when neither of you is upset so that you learn what makes each of you feel cared for and valued. It could be that you are showing caring in a way that doesn't quite match what she is really looking for in that moment. For example, having an in-depth conversation could be something that you want, but she may just want a hug in that moment. I don't know if you heard of Gary Chapman's book about love languages, but it may be helpful.


Question: I no longer carry expressions on my face, and my emotions are decreasing the more I have fights with my fianceee.

Response: Sometimes when we fight a lot with our partner, it becomes more uncomfortable to share emotions because it feels like it will lead to another flight or disagreement.You could try having a conversation when you're not fighting and starting it out by saying that you would like to discuss something important to you and see if your fianceee is open to that.Something else is that you could have an agreement that if one of you is having a really strong emotions in a difficult conversation and would like to break from the conversation, you could agree (ahead of time) that you'll say that you would like a "timeout" and will come back to discuss the issue in a certain amount of time (usually about an hour) and then try to resume the discussion. The reason this can work is it can give you a chance to calm down and then still go back to the discussion rather than not talking about it again. This only works if both of you agree to that before something starts, though.


Question: I stopped for a while, but I've started doing it again. it's like an addiction. The more I try to stop, the more I want to do it. I've tried doing some of the stuff they say to do like draw, but it does not work.

Response: I've heard people say that they cut themselves as a way to feel relief from different emotions. You're also right that when you try to focus on just not cutting, it becomes more difficult because it's what you are focused on. While that is still something to work on, it may also be helpful to find something else you can do instead. You said drawing doesn't work for you. Sometimes more physical activities, such as doing a few jumping jacks, can be helpful. If you don't exercise, it might be something to talk with your doctor about first.The more you can learn about what makes you want to cut, the easier it will be to find out what you could do to change that. Try talking to somebody about what you are feeling in addition to the urge to cut.


Question: When I'm sad and alone, I want to cut myself.

Response: Try doing something physical. If you haven't exercised before, it is a good idea to get your doctor's approval first, but this can be helpful.The more you can find out about when you want to cut, the easier it will be to figure out what else you can do. If you are feeling sad or angry or nervous, look at what is leading up to those feelings and talk to someone about that.You said you are alone. I would see if you can find someone that you can trust to talk with about what you are going through. This could be a parent, a friend, someone at school, a coworker, or any number of other people.


Question: She has chronic inflammatory demyelinating polyneuropathy, and I'm her caregiver. All she does is complain, hit me, call me names, and say things happened that didn't. When I tell her, she explodes. I didn't always hate her, but now every little thing she does irritates me, and I Don't have the means to live on my own.

Response: It sounds like you are hating some of the things that your mom does rather than hating her.Something you may be able to do is call the area agency on aging for the county where you live and ask for information about having other people help to care for your mom. I don't know how old your mom is, but if she is younger, they would probably have resources to other ways that you could have help. If you are both open to the possibility of someone else helping out, this may help with some of the difficulties between you if you are not spending quite as much time together. Do you think your mom is able to actually recognize how what she does and says affects you?From whom do you have support during all of this?


Question: She works with a man and always looks at guys that check her out.

Response: I wonder if you are having some of these thoughts related to something that has neither happened directly to you in your past or to someone that you care about. This can often change the way that we look at different situations. Try to look at what feelings, for you when you notice that someone is "checking her out," and perhaps when you have felt these feelings before.If you trust your girl enough to have an open conversation, perhaps you could ask her whether she is willing to talk about something that is important to you. Then you could talk about feelings that you're having.


Question: I get an uncontrollable swallowing that is repetitive and then somewhat out of body feeling that lasts no more than a minute or two. It usually happens in bed at night, but I occasionally experience this during the day. I have a benign brain tumor, but the doctor said it is not associated with this.

Response: I'm not entirely sure whether this relates to something in the mental health realm or if there is something else happening. I know you said that your doctor said it is not related to your physical condition, but have you tried speaking with your primary care physician? I've seen people with many different symptoms that end up being related to acid reflux or something of that nature. As far as the out of body experience, there are different stages of sleep, so if this is happening in the middle of the night and you are waking up from a dream, you may not be fully awake when it's going on. These are just some thoughts, but I think talking to your primary care physician would be a great place to start.


Question: I know I was molested as a child, but I have no memory of it.

Response: I'm not sure that I have the answer to your question, but I can tell you that it would be helpful to talk with a certified hypnotist. There are a list of them here: http://www.natboard.com/index_files/Page548.htm. You also may want to talk to someone who specializes in EMDR. This stands for Eye Movement Desensitization and Reprocessing and it is a specific trauma treatment. I am not trained in this particular method, but my understanding is that it does not require a lot of knowledge of the origin of the trauma before being started.


Question: I think i may suffer from depression, and it is affecting my life and sleep. I am on my parent's insurance, and they won't let me see a therapist because they don't believe in it.

Response: The answer here really depends upon your age and something called the "age of consent" in the state where you live. In Pennsylvania, anyone over the age of 14 can provide consent for their own treatment. As for billing purposes, try talking to some local agencies. If you are under 18, you may be able to have Medicaid out of medical necessity so that you can have treatment. If you are over 18, there may be some discounted rates at some agencies because of the situation you're in. Maybe your primary care physician will be able to refer you to some local agencies.If you are in school, you may be able to talk with a guidance counselor or someone at the school. This would not require using your insurance.


Question: I feel depressed even though I act like a happy with my family. I act like I'm happy so my son does not see me sad. I act like my life is a happy life, but I feel sad and depressed. I sometimes think of killing myself and that my family deserve someone better than me. I just cry and write in my book all these feelings.

Response: It sounds like you have several different things happening at the same time. I would encourage you to call and speak to a local therapist. If you are having thoughts of killing yourself in this moment, please call 800-273-8255 and talk to someone.While I follow that you would like your son to be unaware of what you are going through, that doesn't mean that you can't discuss your feelings with someone else. Who is it that you trust or could speak with about this? A therapist could be one person, but perhaps there is someone else in your life as well.One thing that may help is to find a bead or rock that is smooth and you can hold onto it while thinking of a specific memory where you were happy. This could be from as long ago as necessary as long as it is specific and you can place yourself back in that time when you are thinking about it. If you think about this time while holding onto the bead, the bead may remind you of a time when you felt happy. You could do the same thing for a time when you felt comfortable and safe.Have you recognized any patterns for what is leading you to be sad?Can you think of anything that makes you feel good, even if it only works for a few minutes?


Question: Any time my family and friends are in an altercation, I'm the one who steps in. I'm the one they call to fight for them. I do this even though I have a tough time trusting the people I'm fighting for. I'm only in my early 20s.

Response: You could be protective because of things that happened in your past or in the past of the people that you are protecting. A lot of us have natural instincts that we do not want other people to be in pain. For other people, conflict is just hard to watch and/or listen to.As for having a tough time trusting them, that could also relate to past events between you and these other people or it could relate to the conflict that you mentioned. It can be difficult to trust someone deeply when you don't know when the next big fight or argument is going to start.The next time you step in for someone, consider asking yourself what is making you do that? What are you feeling in the moment?


Question: Two years ago, I was separated from the military into my contract for medical issues. It has emotionally destroyed me. I now basically hate myself. It's embarrassing to be separated from the one place who takes anyone. My family has been in the armed forces, and it has always been my dream. I can't do this alone anymore, and now my family is even worried.

Response: It sounds like being separated from the armed forces is a major loss for you. It takes some time to work through the emotions related to this and it often takes longer if you are trying to work through it without a lot of support.Is there a task that you were doing during your military service that can in some way transfer into civilian life? I don't know what else your life involves, whether you have close friends or a romantic partner, a career, activities that you like to do, and many other things. You may be able to use some of the things that you still have today as a way to start moving forward in a different direction.Your military service will always be a part of you. Thank you for your service.


Question: She's in her early 20s, and she has a toddler.

Response: It may be helpful to first have a discussion about what you are expecting and put a timeframe on it that if she is not doing certain things by a certain date, she will have to leave. If you don't know where she can go, there is probably a list of shelters for the county that you live in.


Question: Nothing we've tried has worked so far.

Response: Sexual attraction is often discussed on a continuum. If you are saying that you are not attracted to your girlfriend, you could try changing what you do during sexual intimacy. You could also try slowly using nonsexual touch and discussing what you each like and would prefer to do more of compared to what is not as desirable. After doing this for nonsexual touching, it can also be used with sexual touching. Looking at more of what you like or would like to feel may be of help.


Question: Everything just makes me upset.

Response: Anger often comes with a lot of other emotions. Consider what else you may be feeling at the same time and keep track of your different mood changes. You may be able to notice patterns, such as being more frustrated when you don't sleep well. If you do feel as though you are mad all the time, can you think of any exceptions so you can see what is different in those times?


Question: Ever since I was little, I loved the idea of loving someone and spending my whole life with them. I treated everyone nice. For girls I liked, I would spend every second with them. It always ends the same way: I like you as a friend, or I love your attention but not you.

Response: Attention is often something that is both wanted and sometimes not wanted all the time. Maybe when you're in a relationship with someone you can discuss the amount of attention that you are both comfortable with and/or what you are both looking for as far as amount of connection.


Question: My father is in the hospital and was diagnosed with leukemia. I have been dealing with that all day. My husband keeps getting mad at me for things that I said.

Response: I don't know how long you have been married, but this might be a time to explain to your husband what you wish he could do for you in this moment. It could be that he is showing that he is getting mad at you because he is worried about you and it is just coming out wrong. Maybe he would be open to an honest discussion?


Question: My stepdad and I always mess around. I've noticed that whenever he playfully hits me, it's always my butt that he hits. He always comments on my outfits and always scans me head to toe when I walk into a room. I'm a teenager female, and I want to know if this is normal.

Response: It's hard to tell from the way you described it. Do you think he would be open to an honest discussion? It could be that his comments about your outfit are designed to make you feel good or to help them show how much he cares about you as his stepdaughter. As far as scanning you from head to toe, I can think of reasons that parents might do that. I also think that talking about it is probably very important so you really know what his intentions are. That way, it removes the guesswork and you have the opportunity to know what he is thinking and feeling and he can also know what your reactions are.


Question: She was diagnosed a type one diabetic two years ago and had a very tough time dealing with it. She has an attachment issue also; her mother just moved to a much nicer home, and she gets angry and demands to go back to her prior home. We do not understand what is going on, and it is driving us crazy.

Response: There are many possible answers here. It could be that she misses friends, that she felt safe in the other house (emotionally safe and comfortable), or dozens of other things. Will she talk about it when she's not mad? You mentioned that she has an attachment issue. It could also be that she was attached to the house. It's not the same as being attached to a person, but possessions and safe places certainly mean a lot.


Question: Sometimes, when I look at my pet cat, I think about how innocent he is and how somebody could hurt or kill him. It makes me sad because I love him, but I always think about how helpless he is. There've even been split-seconds where I felt almost tempted to kick him, followed by shame and guilt.

Response: A lot of different things could be happening here. Do you feel angry or sad or anxious when you think about how helpless he is? If you have not actually kicked him, then I would encourage you to look at feelings other than guilt, since you did not hurt him. What else is there?It would probably be very helpful to talk with a therapist about the specifics of this so that you can see what else is happening for you. It could be that you feel safe with your cat, so strong emotions come up because you feel safe.


Question: I don't have time to live or take care of myself at times. It's causing depression, stress, and anxiety. I don't know what to do.

Response: I'm not sure whether you are referring to having a lot of activities after school or that homework is overwhelming. Can you set aside a couple hours a week for yourself as a place to start?


Question: I was a victim of an incident. I've been made fun of and have been beating myself up for it because I don't feel anyone honestly believes me. There are so many other factors I deal with on a daily basis. I ignore my problems when I'm with my friends, but it's scary when I'm alone.

Response: I'm glad you have some time when you're not thinking about your trauma when you're with your friends.As far as feeling scared when you are alone, I'm not sure if you are referring to having flashbacks or thoughts on what happened to you or reminders in the environment around you or something else.One thing that might help is to find a bead or a rock that is smooth that you can hold onto or rub against your hand or fingers. Think of a time when you felt safe, comfortable, happy basically a positive and safe moment while holding onto the rock. Then, when you have scary thoughts, you can hold on to the rock and remember the happier place. Try to associate as many happy and safe moments with the rock as you can.


Question: I have three siblings. My mom loves them and not me. she'ss always yelling at me, but when it comes to my siblings, she talks to them. I'm always crying in my room.

Response: Have you ever tried talking with her about this when she's not angry? While I hear you saying that it feels like she doesn't love you, there could be a lot of other pieces to this. Have you ever told her about how much she means to you (when she's not angry)?


Question: Over the years, I have slowly lost everything: my jobs, my cars, my freedom, and my money. I am a stay-at-home mom who doesn't make any money, doesn't have a car, never goes out, and cleans all day long everyday.

Response: There are an infinite number of possibilities here. You included a lot of things that you don't have. Is there anyway that you can have some freedom for a few hours a week, at least? A lot of times stay at home moms have groups when they meet at different public places where their children can play together and they can talk together. I don't know how old your child or children is/are, but perhaps going back to work is something that can happen in the future.I wonder if you may consider who you have in your life who can support you. I don't know whether you have a spouse or parents or siblings who could help out with some different things. I wonder if you could consider where you would like to go if you had two or three hours that you could do whatever you wanted? If you can sort out some possible answers to that, maybe you can work together with friends or family to make it happen.Also, again depending on the age of your children, some parents can do things while the children are sleeping, even if you are in the same room. For example, if your children are sleeping for about two hours, maybe 30 minutes of that could be reserved for you and the rest could be for cleaning or other things you need to do.


Question: My girlfriend remains friends with ex boyfriends/lovers on Facebook who actively like and comment on posts. It causes me to get jealous because I'm afraid they might reconnect somehow. I've attempted to talk to her about it, but she avoids it and doesn't seem to worry about how I feel about it.

Response: Talking about it would probably be helpful if you're both in a place where you can decide when is best to talk about something that is important. It may also be helpful to ask if you could talk for two or three minutes to make a point and then have space for her to talk for the same amount of time. You can adjust the timing for what works for both of you. After one of you is talking, perhaps you could restate what you have heard the person say. This can lessen confusion.I know you say that she avoids it. It might be a good place to start talking about it to see what makes her avoid it. It could be that she thinks any discussion about them is going to lead to an argument or you saying that she can't talk to them. I don't know how you typically react when you are jealous, but if you can discuss talking about this in a way that you are both open to hearing what the other person is experiencing, that may be helpful as well.


Question: I'm not the same anymore, I don't know how to get back to who I am. I'm sad and confused and angry and tired. I don't sleep well.

Response: Being tired can really affect almost everyone's ability to work through things that make them sad, confused, or angry, among other emotions. If you're having difficulty sleeping, try to get into a habit of going to bed and waking up close to the same time every day. Also consider only using the bed for sleeping so your brain knows that it's time to sleep when you are in bed. If you are not sleeping while you are in bed, consider getting up and reading a book or doing something to make you tired before going back to bed. Hopefully you'll be able to establish a pattern.Sometimes sadness and other emotions make sleeping very difficult as well. Try keeping track of your moods to see what is leading up to the changes.If you're still struggling, consider talking with a therapist about the specifics and/or maybe talking with your primary care physician. There are natural sleep remedies that he or she may recommend for you.


Question: I'm in my early 20s, and I've been seeing my boyfriend for a year now. My boyfriend has always been the sweetest guy until recently. He has made comments such as you would look better as a Tumblr girl" or "you should start doing more squats." It's really hurtful.

Response: My first thought was that I wondered what changed recently. Is he open to having a discussion about this so you can ask questions such as that one?It's possible that he does not understand the degree to which it hurts you.Try asking if there is a time that would be good to have a discussion that is important. I don't know how well the two of you have communicated over the last year, but if you are concerned about this turning into an argument, you may consider asking him to just listen to your point of view and see if he is able to summarize it correctly. Then you can listen to his side of the concern.


Question: I try to do everything right just so we won't argue, and it doesn't help the only time he is calm is when he is drinking alcohol. I get anxiety over having fights with him.

Response: Because of the way that you say your boyfriend is only calm when he is drinking and you have concerns about flights, it would probably be most helpful for you to speak with a local therapist so you can have specific conversations about what happens during these fights.When you do "everything right," are you saying that you don't argue? It sounds a bit as though you are trying to read each other's mind without being able to communicate effectively. I recommend working on this with a therapist, though (even if you end up going without your boyfriend to sessions), so that you can talk about specific strategies and what you can do when he is not calm.


Question: I'm in my early 20s. My exs parents are friends with them and have told them bad things about me. I left my ex due to an abusive situation, and they are making me look like I was the bad one.

Response: Maybe you can talk with your partner about this first look at the different elements of a possible conversation in the future. If you are at a place where you are willing or able to disclose the reason that you left your ex, that could be one element of the discussion, but it doesn't have to be.I don't know how long we have been together with your current partner, but perhaps his or her parents would see you for who you are and make their own opinions over time. That may be a discussion to have with them as well.Hopefully your partner will be a good sounding board before these conversations.


Question: I'm in a relationship with my child's father. I'm a really jealous person. We Don't go out or do anything with other people because of me. To keep our relationship going, I know I have to stop being jealous, but I can't. How can I get over these issues?

Response: It may be important to look at this as getting through something rather than "getting over it." If you're aware of the reasons why you are jealous, I don't know if they relate to this relationship or a previous one, but you could remind yourself of the differences if your feelings of jealousy relate to something from your past.Also, it may be beneficial to have a conversation with your child's father if you are both open to having a discussion about this in a way that you summarize what each other is saying so you are sure that you are understanding each other, at least to some degree.Also, consider what you may want from your child's father to assist you with this. You cannot make him do anything to support you with this, but you can certainly ask.What is something you could start or stop doing to move you toward your goal?


Question: I'm depressed and recently went through a break up. it's like every guy I like only wants me for sex. I think I'm ugly, and sometimes I just want to die. I have a son, and I got really big when I was pregnant. I have stretch marks on my stomach.

Response: If you are currently feeling as if you want to die, please call 800-273-8255 and talk to someone.One way to work on not always thinking so negatively about yourself is to surround yourself with people who are more positive toward you. Do you have friends or family who are supportive?Can you find one part of you that you do not think is ugly?If your stretch marks are still bothering you, talk with a pharmacist or your primary care physician. Sometimes there are creams or lotions you can use to decrease stretch marks and they should be able to guide you in the right direction.You mentioned mostly physical things here. I wonder if you can find one small thing each day that is going right and build from there. Perhaps your son makes you smile?


Question: I'm feeling rejected and frustrated. This is not new. The first month we were together, sex was about every day. Then it slowed down to once a month right away. I love my husband, but I am struggling with this.

Response: Have you said anything to your husband about the way you're feeling?Start with this.Sex is after all, a two person enterprise.If he would like to talk about the way you're feeling, great and wonderful.  The two of you already are continuing to grow trust in your communication and relationship.If he doesn't want to talk about how you're feeling, then you're facing a different problemYour feelings are real and need to be handled.If you end up facing your feelings of frustration about your husband not wanting to have sex with you, on your own, then does your husband give you a truthful sounding reason as to why not?Ask what explains his disinterest in having sex with you.If he doesn't want to address this question, then you are a little further down the rung of trust and care about you.Depending on how satisfied you are with his answers, will guide you on how much dissatisfaction you can live with and why, longterm.


Question: I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?

Response: What stops you now from telling your parents the way you are feeling?Do you imagine asking them for therapy would be a surprise for them?If they're paying attention to you at all, then I imagine they'd feel relief to know you're aware of having some feelings within yourself of a problem.If you believe they'd have a negative reaction to you asking for help, this may very well be part of why you are having problems in the first place.What reaction did your parents have when you were diagnosed with the other conditions?I'd separate their willingness to help you from your sense of needing help.If they do not want to help with finding a therapist for you, then start by looking for services available for people in your age group whose parents also do not wish to be involved in their child's emotional and psychological health.


Question: I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender.

Response: It is ok to tell someone who is casually asking about your gender, what is written on your birth certificate. Measure the significance of your answer to the significance of the person who is asking you the question.In addition, you are stating the simple truth, so there's nothing wrong with stating what is on your birth certificate.Do you understand the reason of why people are asking about your gender?It is not a common question, so I wonder about the context in which this happens.The whole field of gender identity is extremely popular now.Popular usually means people are swept into a trend just because it is in the air, not because they've given the time and seriousness to thoughtfully consider if the trend has anything to do with them personally.Keep open minded to who you are, including if you are truly a different gender than the one you're born into.It is a very complicated question and lately people, especially teens, are answering it much more rapidly than seems possible to fully consider.


Question: I'm trying to make marriage work after a split. Before our split, he lied a lot and broke every promise to me. I don't think he cheated. Last month, I asked what women work with him, so he told me. Yesterday, I found out about a girl that he said he forgot about. Should I be upset?

Response: Are you upset, is the more pertinent question.Everyone has their own tolerance for lies and their unique reasons for being married.  Trust your own answers to the question you ask here.Also, think over the value of your marriage in your life and whether you are able to live with the unstable sense of trust that you have in your husband.Remember too, that if you are the only partner who is trying to make the marriage work, then your job is much harder than if your husband actively participated in making the marriage happier for the couple.


Question: I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.

Response: Everybody does something or a few things in their life which looking back, the person wishes they hadn't.The key to feeling better is to realize that as long as you learn something for the future from your mistake, then you will be doing all that any human being is capable of doing.Your mistake sounds genuine, not that you were deliberately trying to create a stir or harm yourself or anyone.Now that this student in your class pointed out your mistake, you will learn to notice the appearance of your swimwear.Put in context that feeling foolish for doing something embarrassing means that overall, you generally do most activity in your life, in non-foolish ways.The incident would only bother someone who generally is responsible.  The mistake is a contrast with what is usual behavior for you.I hope you'll enjoy swimsuit shopping and find a beautiful bargain!


Question: We have been together over a year. We spend time together every day no matter how busy. He started to be unusually fatigued and losing weight. He also began to be distant and sexually selfish. We had a argument, and he confided he has late stage stomach cancer. He wont treat it.

Response: I wonder if both you and your boyfriend could have a conversation about what you both want, wish for, and desire from one another right now. That doesn't necessarily mean that your partner will give everything that you ask for, but this is one of the ways that he can learn more about what would help you through this and you can learn how you could support him, since traditional medical treatment is not something he wants.You may also consider using some open-ended questions (not yes or no answers) to talk about what you're feeling about both about his cancer and about your relationship. Both of you may discuss different ways that you would like support from one another.I would also see if he was comfortable with you disclosing this to one or a few of your close friends (with him considering doing the same) so that you both have support that includes each other and also includes others because there may be days when you both have a negatively emotional day at the same time and would benefit from talking with someone else.It may also be a matter of conversation to discuss what makes you happy together and use those positive moments to help move through more difficult ones.


Question: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?

Response: Believing in God is a matter of faith.  There are many opinions out there for and against God's existence.  But the real question is not if God is real or not, but, do you want to have faith and decide that he exists?  This is a personal choice.  Reading scripture may help to learn more about those who struggle with believing, but again, you decide if you believe that scripture is true or not.   Praying and asking for a revelation or a confirmation may help as well, but again it is another act of faith.


Question: I'm feeling rejected and frustrated. This is not new. The first month we were together, sex was about every day. Then it slowed down to once a month right away. I love my husband, but I am struggling with this.

Response:
Every area in a relationship, including intimacy,
experiences a decline after the initial honeymoon period.  Couples have to work to maintain the spark.  Find a moment to talk to your husband about
your concerns, and suggest ways to rekindle your sexual life, be open to listen
to his concerns and demands as well.  But
Don't forget that sex the fun part of being with someone, play, flirt, joke and
keep looking for ways to continue falling for each other.


Question: I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender.

Response: I agree with Sherry, it is OK to give the answer that you feel most familiar with.  The most important part is not who people think you are, but that you know who you are.  Read about gender identity and fluidity.  Discovering the answer is a process, don't rush it to comply with others either way.  If you feel that this is a constant issue that keeps you awake and keeps you from enjoying your life, consider going to a therapist to discuss your feelings and concerns.


Question: I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?

Response: Family support is very helpful when having these symptoms.  I suggest looking for therapist within reach (school, through your insurance or the community, calling 2-1-1).  Once you schedule a session, you can inform them and invite them to come in.   I have found trough sceptic parents, that once they give it a chance they open up to the process of learning and healing.  I also understand that parents may become overly concerned and overprotective when hearing about your symptoms, and that's why is important to discuss them with a therapist, normalize them, understand why you experience them, and learn how they could help you.


Question: I have been falling into a deep depression where I can no function during the day and night. The only time I am at peace is when I'm asleep. If I am with friends, family, at work, and mainly alone, I cannot think straight. I no longer feel like myself.

Response: It is common to go through a stage of adjustment after a breakup, which may include depression symptoms. I recommend practicing self-care:  stressing on balancing your life with healthy eating, exercise, resting and looking at your spiritual life.  These steps should assist you in giving your body and mind some balance.  Practice cognitive reframing, this is training your brain to refocus, and stay on task.  Meditation is a great tool to clear your mind during the day as well; there are multiple apps that help. If the problem persists a therapist could assist you in learning to focus and process those thoughts and feelings that cloud you mind.


Question: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?

Response: Your question is actually thoughtful and reflects a true interest to know more about life.No one knows if god is a lie because "god" is a concept in which people either make up their own definition of this concept, or believe one of the concepts of what god is, handed down by religions.All the religions exclude the other god concepts, and expect loyalty to believing in their particular version of "god".Probably god is real in the sense that most people want to believe there is guided purpose to what goes on in life.This is as definite as what we can know about "god"."God" is not a lie because it is not a fact.  Beliefs aren't provable.


Question: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?

Response: It is not a stupid question, it is very basic. To help answer your question, let me begin with the premise that you will never have absolute proof. With that being said, one can look at different phenomena in nature and history and figure what is the statistical probability that they happened randomly. If one comes to the logical conclusion that many are quite improbable, then there must be a guiding force and plan.  May you be successful in your journey.


Question: I was a victim of an incident. I've been made fun of and have been beating myself up for it because I don't feel anyone honestly believes me. There are so many other factors I deal with on a daily basis. I ignore my problems when I'm with my friends, but it's scary when I'm alone.

Response: As you seemed to have learned, the impact will not just "go away". Treatment of trauma is like surgery, it requires a skillful clinician to help resolve it. While you are contemplating getting help, you can focus on calming techniques like meditation and yoga. They will aid you when you begin the therapeutic process.


Question: I'm in my late 20s. I have two jobs right now, I'm in school, and I feel like I just have a lot under my belt right now. I get stressed out really easily. I tend to worry and over-think. I'm just worried about money and everything.

Response: A good start is to pay attention to some basic issues: sleep, nutrition, exercise and socially supportive relationships. A great car on an empty tank will not get you very far.


Question: I'm trying to make marriage work after a split. Before our split, he lied a lot and broke every promise to me. I don't think he cheated. Last month, I asked what women work with him, so he told me. Yesterday, I found out about a girl that he said he forgot about. Should I be upset?

Response: Do you want to be upset about a girl that he forgot about?  Think about it for a minute.  Do you want to measure your trust based on knowing how many female co-workers your husband has?  And if so, what does that say about your marriage?  Trust is something that we earn based on our actions and the actions of people we interact with; it's also based on our ability to communicate and understand what we value and have in common.  If you are focused on every little detail around your relationship, it may turn into an unhealthy obsession and it may harm your relationship more.   If instead you focus on opening the lines of communication, let him know what you expect from him, and discuss how you could both build trust again, you may become closer and give your relationship the opportunity to grow.


Question: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?

Response: Thanks for posting.  This is a significant issue for many people and can make us feel helpless; among other emotions due to the uncertainty.  You said that, at times, you feel like everyone is lying. Ask yourself some of these questions.  What is it that makes you feel so strongly that they are lying?  Where is the concrete evidence that they are lying? How could I test my thoughts about this? What if things are not what they seem on the surface? Am I any lesser of a person as a result of this person's behavior or opinion?  Our beliefs about ourselves and the people and our world  and how we interpret information and experiences have a significant effect on how we feel and how we behave.  It is important to objectively challenge the beliefs that contribute to negative emotions.  You can start this process by answering some of the above questions.  We are unfortunately influenced by what and who we associate with.  As it pertains to if God is a lie; be honest with yourself and question your beliefs that tell you that God is or is not real.  It may be helpful for you to speak to a preacher or chaplain of some sort and they can help you with a lot of that.  Hope this helps at least a little bit.


Question: I can't seem to feel any emotion except anxiety, not even for myself.

Response: Thank you for posting.  I'm interested to hear some more information; such as, if you live by yourself or family, if you go to school/employed/unemployed, and what kind of things do you like to do with friends or by yourself.  Often times, when we are experiencing a strong emotion that we interpret as negative, we put most of our focus on that negative emotion and struggle to see that we do not always feel that specific emotion.  There are typically points in the day (even if it is for only in 1 minute intervals) when we do not feel that negative emotion.  When we overgeneralize, we use words like "always" or "never" and when we use those words and it may not be totally true, we feel the negative emotion based on an inaccuracy which is not fair to you.  Ask yourself some of these questions: Am I being realistic when I'm overgeneralizing things? Have I ever noticed a short period of time that I wasn't feeling anxious?  What do I notice when I am feeling anxious? What am I thinking about?  When was the last time I felt empathy?  What was different when I was able to feel empathy?  Hopefully this helps get you started.


Question: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?

Response: There are an infinite number of ways to look at this. Spirituality, religion, God, higher power, and many other parts of this discussion mean different things to different people. My question for you is what does "real" actually mean to you? Often, the concept of God has to do with what you believe in. If you ask 1000 different people, you'll probably get almost that many different answers.Consider talking with friends or family about this. I would suggest, though, that you have the discussion initially with people who you trust and who you feel are willing to listen to your questions and beliefs and perhaps offer an opinion without trying to make you believe as they do. You may also consider speaking with a pastor or another religious figure. The local Salvation Army may have a link to a religious or spiritual person that leads nondenominational church services. There may be able to help you to sort through this if your friends and family do not provide a comfortable environment for you related to this discussion.Just a word of caution. In my experience, ideas of religion and spirituality can be lead to very deep discussions with some people who are very strongly connected to what they believe. Some people do not easily separate their own beliefs from those of others. When initiating conversations about this, try first asking whether someone would be comfortable discussing religion or spirituality. A second question may be whether it is okay with this person you are talking to if you have different beliefs or opinions.As far as whether God is real or not, consider trusting yourself and what you learn, feel, and believe as you work through this process.


Question: I have known I was always different. This year, in December, I found out that I never felt female. I did research and have identified myself as male but don't know how to tell my dad.

Response: Hello, and thank you for your question. This is certainly a tough spot. I have a few thoughts and perhaps some colleagues will add some things. You may want to spend a few minutes calling to mind any conversations that you have had with your father about transgender issues, or if you have ever heard him talk about it. That may give you a small clue about how well he may accept this news from you. For example, if he has been watching the news lately, transgender rights is something that is being talked about a lot. Has he had an opinion? This won't tell you for sure if he would be okay with learning you are transgender, but at least you would know if there is hostility toward transgender people. To tell you the truth, the best way to tell your dad is whatever way feels right to you. There is no right or wrong way, best or worst. If you want to tell him when you are by yourself with him? That's perfect. Want to have a friend with you for support? Equally perfect. Whatever thing you need to do. And, of course, there is always the option of not telling him anything until you are comfortable doing so. Unfortunately, the response from your dad can't be predicted. Some parents are totally cool.... others not so much. This is one reason why having someone with your for support is sometimes a good idea. If things get heated, you have someone in your corner. There are therapists who specialize in affirmative therapy, and they may be very helpful to you in working out how you want to tell him. You can also Google some stories about how others came out.I refer many people to the www.letsqueerthingsup.com blog. It is a popular blog written by a trans man that I know. He writes on many topics related to trans issues. Hope some of these suggestions help. Be well... be you.. and good luck!


Question: Maybe this is a stupid question, but I sometimes don't know what's real or not. If feel at times like everyone's lying. How do I know if God is one of those lies?

Response: The way that I see it is that Humans have always been afraid of life and death, historically we have always tried to understand life, we try to organize it, categorize it, explore it, and we've built up this system, our system and societies system around us to help us define what life and (death) is, this system or way is not real but only a perception of our own value judgements, it is, no matter how you try to argue it, a false system of conditioning, humans have a finite mind and a finite mind cannot ever hope to understand an infinite mind of which a god would be. God has been developed over time as a security blanket for our child-like selves, the world is a beautifully brutal place and what is more reassuring than a master that will take care of us and show us the way. On Earth alone there are thousands of gods and even many more systems of thought, economics, societal structures and so on, it is almost as though it were a supermarket with so many choices, we have more choices in gods than we do flavors of ice cream at Baskin-Robbins, so then I ask you, "which one is real?, and "what is real?"


Question: I can't seem to feel any emotion except anxiety, not even for myself.

Response:
Empathy is the ability
to tap into our own experience to help us connect with others in order to be
aware of how they are experiencing life.
It is a skill that we learn with practice and refine as we become mature.
If you are feeling anxious, maybe you are able to understand better others who
are going trough anxiety.  But I wonder
if instead of feeling empathy, you may just want to find ways to reduce your
anxiety.  A good idea is to be very aware
of your anxiety triggers, and once you identify them explore other ways you
could react.


Question: I'm feeling rejected and frustrated. This is not new. The first month we were together, sex was about every day. Then it slowed down to once a month right away. I love my husband, but I am struggling with this.

Response: This could have many different origins. Have you tried asking him about it? Sometimes starting with asking whether he would be open to having an important discussion can be a good beginning. If that starts well, perhaps continuing with something like "I've noticed that we haven't been together intimately (or whatever phrasing works for you) as much lately. Can you tell me more about what it's like for you?"When asking questions like this, it usually helpful to not overuse (and perhaps try to avoid using) the word "why." That word tends to trigger really strong emotional reactions in people. Try starting with "what makes" Instead. For example, "what made you choose not to do that?"


Question: I was born a girl. I look like a boy. I sometimes feel like a different variation of gender. I don't know what to say if someone asks my gender. I just get really confused and usually say my birth gender.

Response: If you're feeling like your gender is different than the gender you are born with, and there are many different terms to help describe that. Gender is actually looked at on a spectrum. Transgender is just one of those terms, but looking at the information here may help: http://www.transequality.org/about-transgender. I'm not saying that you should use the term transgender to describe yourself because that may not accurately describe what you are experiencing, but I'm just trying to point you to some more resources.As for what to say to someone who asks your gender, that becomes a question with a lot of different parts. This is probably something that would be best talked out with someone else who you trust. I don't know whether that is your family, friends, and mental health professional, and member of the clergy, or someone else. There are many different things than you could say and they are all related to how much you already to share with other people about how you feel regarding your gender.Generally, I would suggest it would be important to become comfortable with how you feel yourself and possibly tell some people whom you really trust first. Also consider that once you tell someone something, it's not possible to undo it, so if you tell someone, they may tell someone else. Then there is also the matter of people having very different reactions related to different genders and not everyone will be supportive. I hope that you are able to surround yourself with some people who are willing to understand and work through this with you so that you have some ideas how to react if you come across someone who does not understand.Please remember that there is always someone to talk with.


Question: I am pretty sure I have depression and anxiety. I also have voices in my head. I have problems sleeping too. I've already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder. I have self-harmed in the last and used to be suicidal. How do I tell them this and ask for therapy?

Response: If you have already been diagnosed with attention-deficit disorder and obsessive-compulsive disorder, can you go back to the people who diagnosed you with those things?It may be that your parents would be open to you talking with someone because it sounds like you have done this in the past. I don't know whether you have a specific reason that you are thinking they may have some hesitation, but if you are comfortable saying that you would really like to talk to someone because you are feeling sad or anxious (or whichever of your concerns you feel comfortable revealing to them), that may be a way to start the process. As for how you tell them about the fact that you have harmed yourself in the past and used to be suicidal, a therapist may be able to work together with you to discuss the best way to tell them about that.I'm not sure if you have told anyone about what you have been experiencing, but if you have some support there, perhaps they would be able to give you feedback about ways to talk with your parents as well.You mentioned that sometimes you hear voices. This can happen for a variety of reasons, but if the voices that you hear are giving you directions and you feel as though you might follow them, that would be a time to ask for immediate help, before you follow through with what they are telling you, perhaps by calling 800-273-8255. They may be able to connect you with local resources and they can definitely talk with you in the moment that you call.


Question: I have been falling into a deep depression where I can no function during the day and night. The only time I am at peace is when I'm asleep. If I am with friends, family, at work, and mainly alone, I cannot think straight. I no longer feel like myself.

Response: I don't know how long ago your breakup was, but I would suggest that you reach out to friends or family that you trust and perhaps a local mental health clinician.I'm not sure what you mean when you say that you are not able to function during the day and night. If you are having trouble sleeping for more than a few nights, consider talking with your primary care physician. Not sleeping can really make changes in your emotions seem much larger.Can you find anything in your life that is the same as it was before the breakup? This may be a starting point for you. I wonder if you could think of and moment or two each day when you feel emotionally at peace while you are awake. Also consider looking at things that you can control, such as when you choose to wear, eat, and who you talk to about your deepest feelings.You mentioned that you have friends and family. I wonder if any of them are supportive to you.Please reach out and talk to someone about the details. I get the sense that you feel that you are alone in this, and having someone there to help you sort out what you're feeling sounds like it would be a gift to yourself.


Question: I can't seem to feel any emotion except anxiety, not even for myself.

Response: Empathy usually falls on a spectrum, meaning that some people show more than others. Empathy is the ability to look at the world through someone else's eyes or "walk a mile in their shoes." There could be some people in your life for whom empathy is easier to feel and those for whom you have no idea what they are experiencing.Empathy is not usually categorized as an emotion, but as something related to emotions. For example, you could have empathy about someone's anxiety.I'm not sure whether you are also referring to the idea that you don't have sympathy for yourself or others. That's a different concept, but also involves different degrees.When you say you don't have emotion except anxiety, I wonder if you are saying that you have anxiety all the time and it may be covering up other emotions? If you are experiencing a lot of anxiety, try to look at what it connects to and find something that changes your focus for a few minutes. This could be any number of activities, such as watching TV, cooking, reading a book, or many other options.If you are feeling as if you are just going through the motions and not having a lot of emotions about anything, if it's just been a few days, it may just be related to a current stress that will lessen in a few days. If it has been quite a while, consider tracking your mood and looking at when you do notice changes in your emotions. There may be some variations that you are not aware of.If you continue to feel anxious and as if you don't have as many emotions as you would like, consider talking with your primary care physician or a local therapist.


Question: I snap easy and push people away. I need help before I push my boyfriend away.

Response: Awareness is the first step.  Now that you know that you snap and push people away, you can look into ways to control your anger.  If you give yourself the time to analyze why you experience anger, you will discover that there are other feelings underneath;  shame, frustration, disappointment, and fear are some of the feelings that we cover with anger when we are not ready to deal with them or Don't know how to express them.  So next time you feel angry, even if you snap (with practice you will be able to identify them ahead of time), identify why you are angry, and try to express it out loud.  A therapist can help you to learn assertive communication skill using examples drawn from your daily experiences.


Question: For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

Response: Write down your nightmares and discuss them with an analyst or psychotherapist who specializes in dreams, as I do. If you are hearing voices while awake, see a doctor right away.  If the voices are strictly in your dreams, do call for therapy and talk to your caring others about what's happening.


Question: How can I get to a place where I can be content from day to day?

Response: It's important to take a look inside and see what's going on with you to cause you to have these feelings.  Please contact us in whatever way is most comfortable for you and we can get you set up with someone who will help you figure out this space in your life.


Question: For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

Response: It's important to take a look inside and find out why you are experiencing these feelings. It could anything and it will change your life to know what your particular issue or trigger is. Please contact us a call with the method that is most comfortable for you.


Question: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.

Response: Alot of our choices have to do with what we have been taught and partly our fear of trusting ourselves to do what is right. There is so much more going on within you than you realize. We can help you bring it to the surface. Please contact us when you can and in whatever way you can to discuss what's going on with you.


Question: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

Response: When you are at your lowest, you have an opportunity to learn not just about the people around you and who you can depend on, but also, so much about yourself and why you have come to the place that you have. Take this time to do some introspection and learn yourself. It will give you the power to recover from whatever it is that has broken you. We'd love to talk with you. Please contact us sometime.


Question: I love him, but he does not show me love. He talks badly about me to his friends.

Response: What you are describing is a state of abandonment like no other; a direct lack of respect. The challenge here is: you cannot control another person no matter how hard you try. The only person that you have control of is yourself. So then the question that this reality poses is: What are you willing to change? If you love yourself and know that you have tremendous value, if you can see what you bring to a relationship and that you deserve respect and love and tenderness, then you will get to a point where you will settle for nothing less than that. The change that might be necessary in yourself is to change the way you see yourself, the way you treat yourself and what you accept. Your husband also needs to change and that is something only he can do for himself but reaching out to get help as well. It would be helpful for you both to get help because there is damage on both parts. You have much more power than you realize and talking with someone can help you to hone that power and make a difference in your own life. Sometimes, the difference/change can be walking away from a bad situation or it can simply be changing your attitude and raising the bar. Sometimes our loved ones come with us on the elevation, and sometimes they get left behind.  You must do some deep introspection through therapy to get to the point where you can answer this question for yourself.


Question: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

Response: If your husband is changing his mind about whether or not he wants to stay in the relationship, I wonder if you both might benefit from seeing a therapist who specializes in couples. In my training working with couples, partners come into counseling with one of three goals in mind: strengthening the relationship, getting a divorce, or making a decision. The decision could be whether or not stay together or it could be any number of other things, such as what state to live in.When you ask whether you have to respect whatever decision he makes, respecting his decision does not mean that you have to agree with what he decides. While you do not have the power to change his decision, he also does not have the power to change yours or how you feel about it. Having said that, if he is changing his mind a lot, chances are that the only decision he has made is that he needs to make a decision. Weighing the options of an important decision (any type of important decision) can be anxiety-producing its own right.The fact that you said you were diagnosed with severe depression leads me to believe that you are already seeing a therapist. Perhaps he or she can assist you in navigating through this. I'm wondering how you feel when you are around your husband. I'm not sure whether you are saying that having him there is a source of comfort for you or that it leads you to feel more sad. Maybe it is a little bit of both.


Question: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

Response: Although the marriage vows say in sickness and health, each person has the right to choose to stay or to leave, depending on their ability to cope and handle marriage challenges.  I know is hard not to focus on him and his choice, but the more you put the focus of attention on him the least support you will receive. Focus on increasing self-care activities and building a support system around you.  A therapist can help you to work with depression symptoms, build up your self-esteem, and developing coping skills.  Also, invite him to a therapy session so he can clarify any questions and concerns regarding your diagnosis.


Question: For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

Response: Are you in the middle of extreme emotional pressure right now?Or, is someone with whom you're close, under stress or somehow suffering?Dreams and nightmares are when our feelings and pressures we feel, try working themselves out without logic and language.Even though the nightmares are horrible, they are one way your psyche is trying to come to terms w extraordinary difficulty in your life or someone's life whom you feel greatly attached.


Question: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.

Response: Maybe you'll feel less fear by understanding that whoever told you sex was dangerous, was wrong.If this message came from your upbringing, then it may a deeply embedded belief.Since the belief itself instructs to avoid risk, and overturning this belief requires taking the risk to believe the logic that reasonable safe sex measures are adequate protection, give yourself time to absorb this new understanding.Talk w your partner about your psychological difficulty bc their patience will help you.


Question: For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

Response: Voices and dreams could be suppressed feelings or thoughts that result from negative experiences.  Many times when people go to trough traumatic incidents or changes in their lives without being equipped to manage them and as a result they start having similar symptoms. It is helpful to find a therapist to talk to about those dreams and voices, once you get them out, you could analyze the concerns and fears that they reflect and normalize them, which will also be a good time to discuss their source, if any traumatic event has occurred in your life.  Also, I recommend to journal your dreams, especially if they keep you awake at night, and meditate after, so you could go back to sleep.


Question: I am becoming a Water Safety Instructor but I didn't have enough for a proper swimsuit. I was told by a boy in class that my top was displaying everything. I was very embarrassed.

Response: First I think we have to acknowledge that you are doing something amazing.  You are putting yourself out there and becoming a Water Safety Instructor.   We often times will focus on the negative and forget about the positive.  Next, you had an incident where someone pointed something out which may have caused embarrassment.  Whether or not it was malicious on his part I think the important thing to focus on is what is called "Common Humanity".  Common Humanity is one of the three elements of self-compassion.  Common humanity essentially recognizes that suffering and personal inadequacy is part of the shared human experience.  While you may have had this embarrassing moment at this time, that boy may have had an embarrassing moment another day.  We all have embarrassing moments.  When we recognize that we do not suffer in isolation then we are able to move past that suffering.  Additionally another element to self-compassion is self-kindness.  My question is why must you forgive yourself?  Rather, be kind to yourself for learning an amazing new talent.


Question: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.

Response:
I am wondering who is telling you that sex is dangerous.  Is this medical advice, or is this someones
opinion trying to scare you from having sex?
And if so, how old are you? Is it ok to have sex, do you want to have
sex?  It sounds like you want to make
your partner happy, and that you are taking care of protecting yourself and
your partner, but maybe you are forgetting to consider what do you really want.  Having sexual relations is a very personal decision;
you and your partner have to consent.  It
is also important to talk about the possible consequences and being responsible
for them as well.  But sex should be something
that you enjoy, not that you should be fearful of.  A therapist can help you to process those
negative thoughts and feelings that may impair you from enjoying your sexual
life.


Question: He said he would try and he never did. It's been nine months, and this is making me worse. Today, he said I have to respect whatever decision he makes. Is that true? Am I supposed to respect the decision to leave because he can't handle what I'm going through and leaves me here crying and worried every night? He's constantly changing his mind on if he wants to work it out.

Response: The fact that you mention that he is "constantly changing his mind on if he wants to work it out," suggests that Discernment Counseling might be a really good fit for you both. Discernment counseling is a protocol for partners where one or both aren't certain they want to remain in the relationship. It's a brief (1-5 sessions) and intentionally focused on helping partners talk through (primarily individually) their reasons for and against staying in the relationship - as well as confront their own contributions that lead to the relationship crisis. It's aimed at helping the couple reach a clear understanding of which path they are going to take, not asking anyone to change just yet, so it can be a lot less intimidating and more to the point than couples therapy.  You can look to find a local therapist providing this service here. That said, I agree with other respondents that if he is deciding to leave, seeking out support for yourself would be incredibly helpful. You may need to accept his decision, but you can certainly feel whatever emotions you have.  You are allowed to feel exactly how you feel, and it's likely you'll be sad, or angry or hurt or disappointed or scared, or any combination of any/all of those. Having someone there who can validate those emotions and help you to process the grief that naturally comes with the end of a relationship can be a huge help in finding a place of healing and regaining a sense of self, a sense of hope.


Question: I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.

Response: There's a quote I love that says, "Wherever you go, there you are" and the book by the same name by Jon Kabat-Zinn may be very helpful for you. The thing about changing things up when they get tough is that they often aren't the things that need changing. The awesome (and challenging) thing about it is that when you work on the internal aspects that may need attention, you can learn to find a sense of centeredness that comes with practicing mindfulness and asking yourself who you really are and want to be. Through this deeper work, you can actually be in the midst of chaos and still feel that calm and peace within yourself. If you look for support in this journey from a counselor or therapist, I'd recommend looking for someone offering Acceptance and Commitment Therapy (ACT) or Mindfulness-Based Cognitive Behavioral Therapy (MCBT). Also helpful may be the online program of Mindfulness Based Stress Reduction (MSBR) found here. There are in-person programs across the country, but this online self-guided version is free and a great resource!


Question: I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.

Response: Sometimes changes make sense. It may be helpful to talk to someone who you trust to get a sense of whether the changes that you are making are those that are considered adaptable or important changes that allow us all to grow. Another possibility is that you are changing things in an effort to get away from something that is uncomfortable or difficult. There are many other possibilities along this continuum.I would ask you to consider the following:What is leading you to want to change your job?What feelings are associated with this change? (Happy, sad, scared, anxious/nervous, confused, motivated, etc.)How is the job that you are looking to transfer to going to be better or different? Are the concerns that you have now going to travel with you?If you are hesitating to get another perspective (from trusted friends or family or some sort of career advisor in your area), where is the hesitation coming from?


Question: For the past four weeks, I've been having nightmares and hearing voices telling me of horrible things. They're not random voices, but rather, the voices of those I care about.

Response: I would recommend that you talk with a mental health professional near you about the details so you can have some really specific support for what you are going through.I don't know if you can understand when the voices are saying, but I wonder how you feel about what you are hearing? If the voices are just at night, is it possible that they are part of a nightmare or a dream? If you recall your nightmares, consider writing them down so that you can remember their content and work with a mental health professional to look for patterns.One thing that may help you while you are awake is to try to stay connected to the room you're in. For example, take time to notice your feet on the floor, hips in the chair, and shoulders against the back of the chair. You can also try mindfulness techniques, such as noticing what is around you or changing your breathing patterns. These ideas may help in the meantime prior to having more specific ideas from someone near you.Thanks for reaching out!


Question: I am so terrified of having sex anymore because I have been told over and over that sex is dangerous even though me and my partner used both forms of protection. My partner is not happy about this and simply wants more sex, and honestly, I want to give that to her.

Response: I would suggest possibly talking with a physician about all the different types of protection. They may be able to help you to know about all of the options that are available.It sounds like your partner is open to understanding your concerns. Perhaps until you have the chance to speak with someone about the effectiveness of different contraception and forms of protection, are either of you open to other forms of engaging in sexual intimacy (without penetration, but with use of vibrators, toys designed for sexual interactions, etc.)?


Question: I have cheated on my husband of five years roughly ten times. I pretend we aren't married at my work. Recently, he has caught on, but I lie to cover it. He use to talk to girls online, but I have caught myself constantly having a affair.

Response: It may be helpful to have this emotionally impactful conversation in the context of couples therapy.Whether or not you should get a divorce is not the first question that comes to mind for me, but more along the lines of do you want to be together and what kind of relationship do you want to create?For some people, polyamorous relationships (those involving more than two people) are acceptable. This does not work for everyone, but if each of you agree that that is okay, it may work for you and your husband. If it is something that you are both open to, it is often beneficial to have more than one discussion about the details of what is acceptable for each of you.If you want to be devoted only to each other, what does that lifestyle look like for each of you? What can you start or stop doing right now to move your relationship in that direction?Neither of you can make the other partner change. That does not mean you cannot talk about what each of your goals are together and support each other in working toward those goals you have for yourselves.Sometime having discussions like these is easier when there is a structure and/or someone in the room (like a therapist) who can help keep the conversation on topic and work on having each of you communicate in a way that expresses your wants, wishes, and desires in a way that is not blaming of your partner.If either of you wants a divorce, that could be part of the discussion. Divorce is not the only choice here, depending upon what each of you wants and is willing to accept, learn, and grow from as it relates to yourself and your partner.


Question: How can I get to a place where I can be content from day to day?

Response: One thing that comes to mind is making a list of some things that happen each day. It could be that there are things that are affecting how upset you are, but because so many other things are going on, you may not notice.Another idea to try is to keep a list for a month of one good thing that happened each day. This way, when you're having a rough day, you have a list to think of and take a look at.Are you eating and sleeping in ways that are typical for you (typically at least two meals per day and roughly 8 hours of sleep that night (may be different depending on your age)? These two ideas are closely related to changes in your mood.From where do you have support? Friends or family?Can you take 5 or 10 minutes per day to do something that you enjoy?If you think back to the last time that you felt "content," what was contributing to that?Another possibility is to try to be mindful of things that you do every day. For example, rather than eating a turkey sandwich as fast as possible on your lunch break, consider actually tasting it and enjoying it. Also consider giving yourself praise for doing something well. For example, when you finish your paperwork, take a moment to notice that and maybe reward yourself by checking your e-mail, reading five pages of a book, or something else that can be done quickly before you get back to your next task.


Question: I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.

Response: Something to remember about anxiety is that it's a useful and necessary response to stressors, and we all have a level of anxiety that falls somewhere on the spectrum from very slight to very overwhelming. Anxiety is our brain's way of prompting us to deal with the stress in our lives by getting us geared up for action. Some helpful ways of managing anxiety are actually very simple. The first I'd recommend is a calm breathing technique - breathe in for 4-5 seconds, and then out for 7-8 seconds. Try to repeat this for 3-5 minutes. Another suggestion is to pay closer attention in the moments you feel the physical symptoms of anxiety and see if you can describe - without judging - the sensations to yourself. Try to be very specific, such as "my palms are feeling very sweaty, and I can feel the slight tightness and fluttering in my belly of the butterflies." Then try to sit with these sensations without deciding if they are good or bad - just experiencing them as intentionally as possible.  Combining the calm breathing with this technique can also be very helpful. If you feel that these techniques don't help and your anxiety about everyday stressors are inhibiting you from being able to engage in life the way you want to, then I'd highly recommend going for an assessment or even just consultation with a professional. This professional can help you determine if therapy/counseling would be helpful for you to develop additional skills for managing those interfering anxiety symptoms.


Question: I have bipolar disorder, paranoid personality disorder, posttraumatic stress disorder, anxiety and obsessive-compulsive disorder. I last self-harmed a week ago. When I am stressed, overwhelmed, hurt, or angry, the urge to self-harm is all I can think of. I am trying to seek help.

Response: Seeking professional help does not mean that you will necessarily be admitted into an inpatient setting - though  to be honest, that can become an option if you feel unsafe or if you are unable to plan for safety. However, many clients who struggle with self-harm can find help in outpatient settings - particularly those which offer a treatment called Dialectical Behavioral Therapy (DBT). Looking for a DBT professional or group therapy setting may be particularly helpful, but a skilled professional can help you to figure out how to identify other options even when you are experiencing overwhelming emotions. Without knowing your location, I also recommend searching to find your local helpline or suicide prevention hotline. The volunteers on the other end of the line can be very helpful even if your intention is not suicide and they are likely also to be able to connect you with resources in your area. Calling into the helpline may also be a first step alternative to self-harming when you're feeling overwhelmed.


Question: I've been like this ever since I was in school; back then I transferred to another school. Now I'm thinking about changing my job.

Response: Many times when things become difficult to manage, is because we are getting out of our comfort zone, so we seek growth and change.  Coping with the difficulties does make you more resilient and helps you to build the confidence you need to solve problems in the future. Now I wonder:  are things getting tough in a way that you are not able to resolve them?  Do you need to move or change to save yourself or prevent any harm? If so, it is OK to know when to remove ourselves form situations that harm us more than helping us.   On the other hand, are the things getting tough because you need to learn a new skill?  If so, how can you learn them and is there someone who can help you overcome this challenge?  I help my clients to identify their strengths and areas where they can achieve growth, things like polishing up your resume and evaluate new job opportunities could help you discover a new you.


Question: I have suffered many things at home and school. We never went to the doctor to diagnose depression or anything like that, but I always feel like a part of my heart is missing. I try to fill it in with objects or, in this case, a woman.

Response: There are a lot of ways to look at this. It sounds as if there is a part of you that is looking for support. I wonder what it is that you feel when you're not in a relationship?Because of the way you asked the question, I'm getting the impression that you are referring to romantic relationships. I wonder if you have close friendships that could form a network to help with this when you are not romantically involved with someone. Even when you are in a relationship with a romantic partner, having friends is still an important element.I wonder if you could also notice what changes for you inside of yourself (as far as emotions) when you move from not being in a relationship to being in one.Perhaps you could take a look at what you value about yourself.In general, it is natural for people to want to be in relationships with others (in this case, relationship has many meanings and degrees). Most of us enjoy sharing elements of our days, thoughts, feelings, etc. with someone else who we trust and care about also hoping they care about us in return.


Question: A year ago, the love of my life left me and never looked back. Our son was two months old at the time and it broke my heart. I miss her so much and can't seem to get over being so heartbroken.

Response: I recognize that you say you are missing being with the love of your life. At the same time, I don't understand whether you are able to see your son. I'm curious as to the relationship dynamic between you and your son's mother.When you say that she "never looked back," I imagine you are conveying that getting back together is not something that she is interested in.I would suggest that you talk with a therapist and your local area so that you have the ability to discuss the loss of this person who you love so much. Most people think of grief related to the loss of someone who has died, But it also applies to people who have a significant loss, whether that is a relationship, a job, or any number of other things.In the meantime, try finding something about yourself that you value and can focus on.