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Hello, and thank you for your question. First, I want to tell you how sorry I am for the experience you had with your parents. That is a grief and trauma that is certainly hard to imagine. Trauma and grief can affect us in many ways, and certainly deeply personal things like our sex lives. It may be difficult for others to make the connection, but it is there. So, for example, if stress and trauma make you feel like you are not interested in sex, a partner may take it as a personal rejection rather than response to stress, trauma or grief. If your husband will agree to it, couple's counseling may be your best bet. A counselor can help you with your communication and may be able to provide some education to your husband about trauma and how it can have an impact on intimacy. If he doesn't agree to go, it may be worth it to go on your own. You still have a lot you are dealing with yourself. And sometimes our personally therapy can influence others, so it may be a good idea. It is important to remember that even though you are married you have the right to make decisions about your body, and that includes when you want to have sex with it. I hope this is helpful, and some of my colleagues may have ideas, also. Be well.Robin J. Landwehr, DBH, LPC, NCC


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Both of my parents committed suicide together, and I was the one who found them. I suffer from overwhelming depression, which is having an extreme effect on me and my husband’s sex lives. He does not understand at all and is always making me feel so uncomfortable about sex.


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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.


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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.


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Everyone has some level of anxiety - it's what helps us respond to stressors in our lives and clues us into the fact that we need to respond to something going on. However, if you're feeling overwhelmed by racing thoughts, feeling like you spend a lot of energy worrying about something specific or even pretty much anything at all, and you're starting to find that it's getting in your way when it comes to living your life the way you want, then I'd suggest seeing a counselor or therapist for an assessment for anxiety. Your other concerns, though, seem pretty "normal" for someone who is in a relationship with a partner who has children. As a married stepmother, I've been there, and as a therapist, I can tell you that the boundaries and communication skills you have in your relationships need to be healthy for you to feel healthy. Finding some support from a group of others whose partners have children might be really helpful - being able to hear from others that you aren't alone in feeling like this can really lighten the load, and they might have some good ideas for handling certain situations. Another option is to find a counselor or therapist who has experience working with step/blended family dynamics - because even if you're not officially married, those dynamics come into play whenever there are kids from another relationship involved. You may even consider couples counseling so that both of you can learn to talk about your relationship needs and concerns in a way that will encourage connection and strengthen your sense of partnership.


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I stress over everything. If I don't have enough "quality time" with my boyfriend, I start to feel resentment towards him. He has three children, and they are great kids, but I find we don't have much time together. I break down easily and find myself depressed.


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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.


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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.


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It is common to go through a stage of adjustment after a breakup, which may include depression symptoms. I recommend practicing self-care:  stressing on balancing your life with healthy eating, exercise, resting and looking at your spiritual life.  These steps should assist you in giving your body and mind some balance.  Practice cognitive reframing, this is training your brain to refocus, and stay on task.  Meditation is a great tool to clear your mind during the day as well; there are multiple apps that help. If the problem persists a therapist could assist you in learning to focus and process those thoughts and feelings that cloud you mind.¿Cómo puedo manejar la depresión después de una separación?He estado cayendo en una depresión profunda que no me permite funcionar durante el día. El único memento en el que estoy en calma es cuando duermo.  Si estoy con mis amigos, familia, en el trabajo o a solas, no puedo pensar claramente. Ya no me siento como yo.Es común pasar por un estado de ajuste después de una separación, y este ajuste puede incluir síntomas de depresión.  Recomiendo que practiques auto compasión: esforzarte en balancear tu vida comiendo saludable, ejercitándote, descansando y analizando tu vida espiritual.  Estos pasos te ayudarán a balancear tu mente y cuerpo.  También puedes practicar reenfocar tus pensamientos para mantener tu mente clara. La meditación es una buena manera de practicar el enfoque mental, y existen muchas aplicaciones que te pueden ayudar.  Si el problema persiste tu consejero te puede ayudar a aprender técnicas de enfoque a procesar pensamientos  o sentimientos que te estén afectando.


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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.


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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?


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Family support is very helpful when having these symptoms.  I suggest looking for therapist within reach (school, through your insurance or the community, calling 2-1-1).  Once you schedule a session, you can inform them and invite them to come in.   I have found trough sceptic parents, that once they give it a chance they open up to the process of learning and healing.  I also understand that parents may become overly concerned and overprotective when hearing about your symptoms, and that’s why is important to discuss them with a therapist, normalize them, understand why you experience them, and learn how they could help you. ¿Cómo les digo a mis padres que yo pienso que tengo problemas mentales?Estoy seguro que tengo depresión  ansiedad.  También escucho voces en mi cabeza.  Tengo problemas para dormir también.  Y he sido diagnosticado con déficit de atención y desorden obsesivo compulsivo.  Me he auto flagelado y solía tener ideas suicidas.  Como les dejo saber y les pido ayuda.El apoyo de la familia es muy útil cuando se experimentan los síntomas que mencionas.  Te sugiero que busques un consejero (en la escuela, a través de tu plan médico, o en la comunidad, llamando al 2-1-1).  Ya que tengas tu cita, invita a tus padres.  He observado que aunque algunos padres son escépticos al principio, pero una vez le dan una oportunidad se abren al proceso de terapia y sus beneficios. También he observado que algunos padres se vuelven sobreprotectores cuando aprenden de los síntomas que sufren sus hijos, así que sería otro beneficio que aprendieran que pueden hacer para ayudarte y apoyarte.


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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.


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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?


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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.


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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.


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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.


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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.


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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.


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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?


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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.


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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.


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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.


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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?


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I feel depressed even though I act like a happy with my family. I act like I’m happy so my son doesn’t 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.


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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.


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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.


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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.


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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.


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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 doesn’t work.


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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.


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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 they’re all amazing people, and yet I'm sad all the time and feel alone.


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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?


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I used to be the funny guy of the group—the 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.


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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.


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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.


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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?


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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.


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Philadelphia, there is help out there. For your daughter's sake, start somewhere. Feelings are only that; your worst fears about who you are are only based on a few moments that haven't gone well. Depression is so treatable, but you have to seek treatment from a professional.Here's a quick exercise for you to do that can show you how therapy might work... fear is telling you the worst possible story of your life, right? So... if there was an opposite story...the very best story that someone could tell about you and your life...what would that be? Who would be telling it? Someone who loves you? Someone who was around you when you were that outgoing person? Someone who's been watching your life from the start? God? Write that best story. I dare you to give it as much credibility as the worst one. Therapy is often about helping people reject their "worst stories". I invite you to start exploring with a qualified therapist whatever barriers stand between you and your best life. I hope you reach out soon. :)


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I've been feeling worthless, unaccomplished, and so frustrated. I want to break things, hit myself, run away, kick, scream, and cry. I just want to be happy and outgoing again. I want to be able to take care of my daughter and live comfortably.


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It sounds like you are feeling pretty overwhelmed and stuck between wanting to improve your work situation and worrying that you won't be able to. It is possible that the paralysis, uncertainty, and self-doubt that you describe are contributing to your difficulty in getting  and maintaining a satisfying job as employers generally like to see that a potential employee is confident and can think on his or her feet. With a competent therapist, you may be able to get more understanding of the roots of these feelings and learn how to move forward in your search for a better work life in a way that leaves you feeling confident and capable.


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I keep feeling paralyzed and unsure during interviews. Previous jobs have fired me for lack of performance, and five employers have rejected me after extensive personality tests and interviews. I'm afraid of continuing because my depression is getting worse. I'm already humiliated working for temp agencies and doubt my self-worth as a provider for my family.


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It seems like you may be experiencing depression symptoms, they could be the triggered by unexpected life changes, or building up throughout time.The important part is that you have identified them and wanting to change them.  The first step is to establish a self-care routine that will help you to feel centered and motivated: go for walks, or make any physical activity that you enjoy ( be kind to yourself, anything helps at this point), eat balanced, add whole grains and fibers to your diet, make a point to rest at night and avoid naps, practice a hobby that you love, or look for a new one that you are curious about. You mentioned that you feel unsettled in your soul: explore your spirituality, meditate about what makes your soul at peace, and find ways to practice that or surround yourself by those activities.If you find it difficult to begin, talk to your therapist to identify roadblocks and ways to find motivation. Suicidal and homicidal thoughts are common but serious depression symptoms, discuss them with your therapist, contact your doctor or psychiatrist, and call 9-1-1 if its and emergency.Once you feel stable, you can focus on exploring the source of the problem and see if you need to make changes or learn coping skills that will help you manage it.  It will also be a good time to explore your spirituality and your purpose in life, that may help you to feel better with yourself and then happier around others.¿Cómo puedo volver a ser la persona que realmente soy?Siento que mi mente no está bien.  My espíritu está intranquilo.  No me siento feliz con las decisiones que tomo, lo cual me hace infeliz con los demás. Me siento como un fracaso la mayoría del tiempo.  Siento que ya no soy bueno para nada. Siento que soy menos que los demás.Al parecer estas experimentando síntomas de depresión, la cual puede ser causada por cambios recientes en tu vida o estarse acumulando a través del tiempo.Lo importante en este momento es que tú reconoces los síntomas y estas buscando cambiar la situación.  El primer paso sería trabajar en restablecer una rutina de cuidado personal que te ayude a sentirte emocionalmente estable y motivado: Sal a caminar o hacer alguna actividad física(ten compasión contigo mismo, cualquier cosa funciona para comenzar), comienza a comer balanceado, especialmente granos y fibras integrales, , procura descansar en las noches y evita las siestas, y practica algún tipo de actividad que hayas disfrutado en el pasado o que te de curiosidad.  Mencionaste que tu espíritu esta intranquilo, explora tu espiritualidad, y que te ayudaría a encontrar la paz, busca la manera de hacer esa práctica una rutina.Si te cuesta mucho trabajo iniciar estas actividades, será bueno buscar a un consejero para que te ayude a identificar formas de estar motivado o obstáculos que te estén deteniendo.  Es común tener pensamientos que atentan en contra de tu vida o la de otros, discútelos con tu terapeuta, con tu medico primario o psiquiatra, y llama al 9-1-1 si es una emergencia.  Ya que consigas estabilidad, puedes comenzar a trabajar o explorar la causa del problema y ver si hay cambios mayores que debes hacer o destrezas que debes aprender para manejar el mismo. También es un buen momento para explorar tu espiritualidad mas profundamente y tu propósito en la vida, cuando encontramos un propósito y como ejercerlo, tendemos a ser más felices con nosotros mismos y con los demás.


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I feel like I am not at a good state of mind. I'm very unsettled in my soul. I'm not happy with myself or the decisions I make, which makes me not happy with anyone else. I feel like a failure most of my days. I don't feel like I'm good at anything anymore. I feel like less of a person.


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You are not alone, many people fear opening up to family members about the topic of depression or mental illness. There are many different reason why some may fear telling their parents. The most common thoughts I hear in my office are: " My parents won't understand me", I may cause more problems to the family", "I am worried that something bad may happen if I tell them". If possible express your current concerns and worries to your parents. You can start the conversation with your parents by saying "I have not been feeling like myself lately, and I may want to see a counselor". I think you are doing the right thing by going on this website and asking for help. Just a helpful tip: positive self-talk can be beneficial before having difficult conversations with others. For example, tell yourself something positive before talking to your parents such as "I feel confident in myself, and I am doing this to overcome my fear of talking to my parents" can help to decrease the anxiety you are feeling leading up to the conversation. I would recommend if you are feeling depressed or down it would be beneficial to seek counseling to understand your current thoughts and behaviors. Best of luck and hope you decide to start counseling.


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I am not sure if I am depressed. I don't know how to bring it up to my parents, and that makes me miserable.


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Depending on your relationship with your parents, inviting them to have a conversation might be a good first step.  If they consent then you can have the opportunity to discuss your concerns with them.  Inviting someone to a conversation and getting their agreement is a great first step. I would then make sure your location of the discussion is conducive to the conversation and once all that is considered it might be beneficial that you make a list of your concerns prior to the meeting.  this can help keep you on point.


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I am so sorry you are struggling!  I do think it's a good idea to share your feelings with your parents and perhaps get some help connecting with a counselor or therapist if you feel that might help.  There are lots of ways to tell them, depending on your relationship.  Maybe saying "I wanted to tell you guys something.. sometimes I worry that I might be depressed." Or, some folks will write a letter, or even send a text.  The most important thing is that you tell someone you trust so you don't feel so miserable. I hope this helps.  Best of luck.


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It sounds like you are feeling pretty stuck, lonely, and hopeless; like you have a desire to be more connected to people and to find purpose in life, but are not sure what to do. I am glad to hear that you have at least one friend and I think it is great that you are reaching out for more connection. If you can, working with a therapist who is competent in treating depression may be a huge benefit to you and help you to regain a sense of meaning, motivation, and connection. Additionally, anything you can do to give yourself a little break from the feeling of pointlessness and any ruminating thoughts you may be having may be of help. I know it may sound pointless in the moment, and you may feel a great deal of inertia in doing so, but you may find that if you force yourself to do something small that is pleasurable, like taking a walk for example, there's a good chance you will be glad that you did so after the fact. Thank you for reaching out.


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I have absolutely nothing to do with my life but lay in bed on my phone or hangout with my one friend. I don't have a job, my family doesn't include me in anything, and I don't have many friends. I have nothing to do besides go on my phone. I miss talking to people in person instead of online. I don't even talk to my family in person even from the other room.


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Anxiety and Depression are challenging experiences to live with and to manage on a daily basis. I would say that both are challenges to overcome but solutions to living healthy and well exist. Step 1: Talk about it. With friends, family, partners, counselors, and other trusted people in your life. Step 2: Create a plan with a counselor to learn new skills that help you recognize and manage your symptoms. Step 3: Don't give up. Working on yourself can be difficult and hard at the beginning. Stick with it and you will be able to find exercises, tools, and resources that help you live well.


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My motivation has gone away. It's hard to get out of bed. I really don't know what to do anymore. I'm miserable. My anxiety and depression have taken over my life.


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It is challenging to maintain motivation at all times, anxiety and depression can set in which can make interacting with others a  struggle, it can lead us to do things that make us not feel good and we become isolated.  This ends up feeding into a cycle that maintains the anxiety/depression loop  and can be really challenging to step out of it.  You are in a place of awareness and this is the first step in making changes that can help you feel better.  It is really one step at a time, a concrete plan, with self-compassion to build the solid ground you need to come out of this. http://www.empoweryou2.com


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One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts.  Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy.  If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process.  You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo manejar mi ansiedad y depresión para sentirme normal otra vez?Mi motivación se ha ido. Es difícil salir de la cama.  No sé qué hacer.  Soy Miserable.  Mi ansiedad y depresión han tomado el control de mi vida.Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal.  Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte.  Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar.  También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico.


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What happens in your life on Wednesdays that you feel like crying?   Crying is natural.  Crying on Wednesdays may also be natural if some type of regular event or situation comes up for you then that you don't like, feel oppressed by and have no way of avoiding.Maybe you would qualify for a diagnosis for depression.This matters less than what you will do with a diagnosis.  Very often people feel some type of relief from hearing a professional tell them what they "have".Don't let yourself get talked into taking pills because now you "have something".  Pills change your mood.Only you can change your life.The diagnosis matters so the therapist gets paid from insurance.It is a good sign that you know whether you feel true emotions or fake ones.  This is a clear sign of knowing about yourself.Your mind feeling like a "maze" is a little too vague to know if you mean there are too many thoughts at once so that you have difficulty knowing which ones to examine first, or if "maze" means you don't know what your thoughts are and  feel lost for this reason.Depression which is addressed by a person can become quite liberating because you will remove what bothers you so much in your life that it weighs you down and depresses you.


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I sleep a lot. Music changes my mood. I cry every Wednesday. My mind is like a maze that even I get lost in. I don't usually feel my true emotions, but instead, I get fake mirrored ones.


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First, let me say that you are a survivor and a warrior. Managing 1 child by yourself is difficult, but twins is a whole different ballgame. Anxiety can affect us at any time anywhere. This is the challenge, especially when we have so many things to manage each day. There are several methods and practices that help manage and even reduce symptoms of anxiety. It will depend on what works best for you. Talk with friends, a counselor, or a loved one who can offer you support and feedback as you navigate this process of learning what works for you. When all else fails; make sure you are in a safe place, pause for a deep, cleansing breath in, a long exhale out, and ask yourself, "What do I want in this moment?" Now you can begin again.


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I have twin toddlers. I experienced a death of loved one prior to giving birth. I had a horrible break up with the father. People told him he was using me for money. My ex-boyfriend had extreme meltdowns every day for three years. I’m always alone with no friends.


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This may be happening because you and the others are not connected to each other on a level which reaches your emotions.Loneliness may show the absence of feeling a variety of emotions when you are among others.How many friends you have doesn't affect whether you and someone else feel emotionally engaged with one another.Consider if you feel like concentrating your friendship on more intensively sharing your feelings with a few of your friends.This may lead to fewer friends who are also more meaningful to you and your feeling a decrease of loneliness.


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One of the first steps is to manage anxiety and depression symptoms are to establish a good self-care routine.  Start with the most basic things: Eating balanced meals, sleeping at from 6-8 hours and exercise at least 30 minutes a day.  These will help you to regulate the chemical imbalance that affects your mood, plus exercising gives you time to vent and be distracted from your thoughts.  Once basic self-care is established, I suggest that is a good time to start exploring the source of these feelings, and address them trough therapy.  If you have difficulty initiating self-care routine talk to your therapist about what motivates you and pushes you to do things, you might find the key during the process.  You could also contact your physician or a psychiatrist to discuss medication options if it’s too challenging to begin basic self-care.¿Cómo puedo controlar mi ansiedad?Uno de los primeros pasos para manejar la ansiedad y la depresión es establecer una buena rutina de cuidado personal.  Comienza con las cosas más básicas: Comer comidas balanceadas, dormir de 6-8 horas en la noche, y ejercitarte por lo menos 30 minutos al día. Esto te ayudara a regular el desbalance químico que afecta tu estado de ánimo, además de que te da tiempo para desahogarte y distraerte.  Ya que la rutina de cuidado eta establecida, es un buen momento para comenzar a explorar la fuente de tus sentimientos negativos, y explóralos a través de terapia. Si se dificulta comenzar a crear una rutina puedes consultar con tu terapista para identificar motivaciones que te impulsen a comenzar.  También puedes contactar a tu medico primario o psiquiatra para discutir medicamentos que te pueden ayudar a manejar estos síntomas e iniciar cuidado básico.


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I agree with Cory. Acceptance and Commitment Therapy (ACT) does seem to help a lot of people who struggle with anxiety. It's not the only type of therapy that can help, but it seems to help people in a way that is more natural and realistic. As Cory mentioned, anxiety is something that is part of life, so therapies that indicate we can get rid of it are questionable. Our natural inclination when we have anxiety is to STOP any and all things that may cause it or provoke it. We do this because we think it will help, but it actually doesn't. Anxiety usually has us rehashing the past or rehearsing the future while ignoring the present. ACT helps folks who have those kinds of tendencies. Be well..Robin J. Landwehr, DBH, LPC, NCC


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As a past sufferer of anxiety myself, I have learned that it is a natural part of life, it is a natural part of us, the longer we try to run from it the more it entangles us in its clutches, if we deny certain parts of ourselves we will become depressed or even oppressed, the only way to deal with anxiety is to embrace it and accept it, and in fighting the fight without fighting we will eventually win, I would encourage you to look into Acceptance and Commitment Therapy, your answer I think lies in that area of research. Hope this helps,C


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Hello, and thank you for your question. It certainly sounds like you don't like how things are going. Here are a few thoughts and ideas:1. If you haven't seen a primary care provider in a while, you may want to. There are health conditions that can affect your mood and energy levels, even at your age. It doesn't hurt to get checked out. If they find the cause, they may be able to treat it and improve the symptoms. In addition, most primary care providers are trained to be able to manage medication for patients who have mild, moderate, and sometimes severe depression. So, don't be surprised if your primary care doctor offers to put you on an anti-depressant if they diagnose you with depression. Medication is not the only way to treat depression, but sometimes it is necessary depending on different factors.2. You may want to consider counseling, since it is another effective way to treat depression. A counselor will help you explore the factors that may be leading to depressive symptoms in the first place. This could include thoughts, behaviors, beliefs, life experiences, and other things. 3. Finally, to answer your question about whether these feelings are "normal." These symptoms could be the sign of an underlying general health or mental health condition. It is important to remember that even if these symptoms are "abnormal" it doesn't mean that YOU are. Millions of people struggle with depression. So remember, the symptoms are the problem, not YOU. Hope this helps. Be well.Robin J. Landwehr, DBH, LPC, NCC


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I have no friends, no hobbies, and no interest in anything. I get annoyed with everything and everyone. I am always tired, i can sleep 8 hrs or 12 hrs and im still tired. I don't know what to do. Is this normal?


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It has been said that depression is often the result of a blocked goal.  Often people struggle with both anxiety and depression but have difficulty determining which is the most important issue. For some, depression is the result of frequently blocked goals and when their predominant issues are evaluated, they discover that they are anxious (worried) about a lot of areas in their life but seem to find no relief.  When there is no relief and there have been numerous attempts (either in their mind or in practical application) to resolve the anxiety, depression is often the result.  In this type of case, depression is not the main or underlying issue. The anxiety is the underlying issue.  Having "a lot on my mind" sounds like anxiety. Unresolved anxiety can lead to feelings of depression which are often associated with "emptiness."  In the question above, I would want to evaluate all of the issues surrounding having "a lot on my mind" and determine where these might be coming from. Has there been ongoing rejection from peers? From family? If so, why does this seem to be happening?  Isolation is often a protective measure that one implements to avoid further pain. Where does that need to protect originate?  Are there unmet needs from childhood? Are there traumatic life events that have created a need to self-protect as a defense mechanism? We can feel "alone" even when in a crow of people or at a party.  This has nothing, in this case, to do with being around people. It has more to do with how we view ourselves.  If there is a prevailing message or script that has been internalized that says, "You are worth nothing" or "You don't deserve the company of others" then being around people will not alleviate the problem but only exacerbate it. I would want to evaluate how one feels about themselves and what negative messages one has received and has repeated to oneself over time. The Developmental Needs Meeting Strategy is a therapy aimed at addressing unmet childhood needs. If there is specific trauma that is associated with socializing with people, then EMDR can be very helpful in desensitizing and reprocessing the trauma.  Looking at whether this individual's issue with emptiness is straight depression or whether it is depression as a result of unresolved anxiety is key to determining a treatment strategy.


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I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?


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There are many possible issues to consider as depression  social anxieties, even medical illness.  For some, even grief creates a sense of isolation, pains from relationship break up.  Also, obsessive thinking can be debilitating.  Seeking at least one trusted friend or family member can be a start towards increased personal support.  Some persons may simply feel connected by spending time with someone as this, even if not talking directly on issues, just being around another is positive.  Obviously there is more to explore on this question, given minimal information from two sentences.


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There is a difference in someone agreeing to try something and agreeing to continue to do it. Have you ever been willing to try something and then decided you did not like it? A type of food? A sport? A new restaurant? A type of dance? So this does not mean that things have changed between you. It does mean that the two of you may need to spend some time to find out what you both like. Instead of looking at it as a rejection, look at it as a challenge, an adventure that the two of you can go on as explorers together. Some couples have even found it helpful to each write down ten things they would like the other person to try and then each person can pick three things from the other person's list to add into their life together when they chose to over the next few weeks.


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If the symptoms are to the extent that they are affecting your ability to function, you may want to consider seeking treatment. PTSD, anxiety, and depression all typically respond well to treatment if provided by a trained clinician. Common types of treatment for PTSD that you may want to look into include Cognitive Processing Therapy or EMDR. The nice things about Cognitive Processing Therapy is that it is time limited and only lasts 17 sessions typically.


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I understand that at times it’s difficult to share with our parents what we have been trough, due to fear of judgment or punishment; but I have noticed that keeping our experiences secret, intensifies them.  And Post Traumatic Stress Disorder can haunt us for a long time if we do not learn to process the memories that cause those symptoms.  If you have been victim of a traumatic event that you are not prepared to share with your parents, it’s important that you seek help with a counselor, therapist or psychologist.  Trauma Focused Cognitive Behavioral Therapy is a great technique to cope with physical symptoms, you could also use Narrative therapy, Creative Therapy or Journaling as a way to express memories and process them with your therapist.  A psychiatrist can also prescribe medication to manage the symptoms, but is very important that you address the trauma so you can heal and go back to live your life.   Many organizations like the United Way (2-1-1 in many states) offer resources and referrals to put you in touch with mental health providers, you could also talk to your school counselor, doctor or church to find referral that could help. Tip: You don’t have to tell you story to each person you ask for help, you can just start by asking for a counselor referral. ¿Cómo puedo superar el Desorden de Estrés Post Traumático sin que mis padres se enteren?Comprendo que muchas veces puede ser difícil compartir nuestras experiencias con nuestros padres, muchas veces por miedo a que nos juzguen o castiguen; pero he observado cómo mantener un secreto, lo vuelve más fuerte y difícil de manejar.   El Desorden de Estrés Post Traumático puede ser una condición que nos persigue por mucho tiempo si no aprendemos a procesar las memorias que causan esos síntomas.  Si has sido víctima de un trauma que tal vez no estás listo(a) para compartir con tus padres, es importante que busques la ayuda de algún consejero profesional, terapista o sicólogo.  La Terapia Cognitiva Conductual enfocada en el Trauma, es una técnica que te ayudara a manejar muchos de los síntomas, también puedes utilizar diarios o Terapia Narrativa o creativa, para expresar memorias y procesarlas luego en terapia.  Un Psiquiatra también te puede proveer medicamentos que ayudan a manejar los síntomas del Estrés Post Traumático, pero es importante que atiendas el problema inicial para poder sanar por completo y volver a tomar las riendas de tu vida.   Muchas organizaciones como los Fondos Unidos (2-1-1 en muchos estados) tiene recursos que proveen referidos a consejeros o profesionales de la salud mental.  También puedes preguntarle a tu consejero escolar, doctor o en la iglesia.  
Sugerencia: No tienes que contarle a todos tu problema, solo pide que te recomienden a un consejero o terapista.


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I've had posttraumatic stress disorder for years without my parents ever finding out. I want to overcome it, but it’s so vivid, it’s like it’s happening again. I'm scared and paranoid. I have depression, which I have been struggling with since a young age.


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What is the reason you wouldn't want your parents to know you are trying to find your way through PTSD?Would they believe that you've been traumatized?And, do you feel that your parents had a hand in creating your trauma?There is no need to tell your parents you have PTSD unless you feel that doing so will help you.   Maybe you intuitively realize that they don't want to understand or know about this.How did you come to the conclusion that you have PTSD?If you are working with a therapist, and a minor, then  the laws of your State dictate what information your parents can ask your therapist about you.If you are a grown person and working with a therapist,  you have complete legally protected privacy of what you talk about with your therapist.In any case, a good starting point is to know exactly your own reason for wishing to keep your psychological situation hidden from your parents.


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Post traumatic stress disorder (PTSD) is a very complex issue.  It is the root cause of many other issues including depression, anxiety and anger to name a few.  Re-experiencing the event is a telltale symptom of PTSD.  One of the best things you can do for yourself is to find someone who specializes in this area to help you work through the symptoms associated with this disorder as well as directly addressing the event/events that initially caused the symptoms.  There are various treatment methods available to helping professionals that are successful in treating this disorder.  In the meantime there is a book called "The Body Keeps the Score", it is informative and may be helpful for you on your journey.  It is my hope that you are not dealing with this alone.   Best wishes!


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Unfortunately, ptsd is not something that can be cured.  Ptsd can be managed through therapy.  Mindfulness can assist in redirecting thoughts and gaining further control over paranoia. Therapy is confidential and there are different ways you can obtain treatment.  Mental health professional have availability to provide therapy online,  on the phone or in person.


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It's never to late to get help with grief.  Get help as soon as possible before you are feeling the same way 5 years from now.  You will always miss your Dad but getting help with coping with his loss will make life easier to live.


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My dad passed away when I was a teenager. I never got any help, and five years later, I feel like I can't handle it anymore.


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What your are experience is normal for most women.  We usually forget about self and totally focus on our children putting our personal wants and needs aside.  So to answer your question of how do you get to know yourself I usually do a 6 session course with my client by having them answer questions such as the following in the first session:  What do I love? (other than your children)  What are my own needs and desires?  What 3 things have I accomplished in my life that I'm most proud of?  What are 5 strengths or qualities I have?  What is one event that had a major impact on my life?  How have that event affected my life today?   For their homework assignment after the 1st session, they are asked to write a letter to self tell self what they love, cherish, appreciate and even admire about themselves.  Most women feel awkward at first, but I remind them that the truth is that only to the extent that you are able to love and value yourself, you are to love and support others.


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I am a single mother. As a child, I was molested by my mother's boyfriend. I never knew my father. I started having children at 18 right after high school. After having children, I completely lost myself and gave all of my focus on my children. Now my children are getting older, but I still don't know myself. I've had several attempts at relationships, and they all fail. I stopped caring about a lot after my children's father left me. I fell into a spiral and got depressed.


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I really love that you're taking responsibility for your pessimism here. There's a modern parable about two young brothers. One child is in a room full of every toy you could imagine, and he's miserable; the other is in a room full of horse manure, and he's flinging it around with joy. So then someone comes and asks the first boy why he's so miserable, because he has so much. He says that he's missing the one toy that he really wants. Then the brother is asked why he's so happy in a room full of manure, and he says "With all this sh-t, there's gotta be a pony in here somewhere!"Happiness is a state of mind, and I hear you saying that you used to be happy, so maybe this means you believe it's possible. That's a wonderful start.Research on depression shows us that it is very linked to pessimism. You say "I always see the worst end of things". That's pessimism. Life is like an elephant. If all you see is roughness, backup and walk around; the view will change. The key to optimism is to build your ability to see the bad things in life as 1. temporary (this will pass. I know how to fix friendships), 2. Specific (not involving the whole of your life), and 3. not your fault (tons of people fail road tests). On the flip side, it helps if we can see good things as 1. more permanent, 2. bleeding into other areas of our lives, and 3. something YOU created. Not taking credit for good things and blaming yourself for the bad ones is typical especially of women. The feelings you are having are temporary; you're in a slump and it's a good time to sit down and look at how you can make the picture look different. I think you know how; but you lack energy right now. If tackling this on your own isn't enough, a therapist can help you take that step back to look at the big picture and help you rebuild your natural resilience and capacity for joy. I wish you the best.


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I always see the worst end of things. My boyfriend and I aren't talking, and I swear he's leaving me. I keep failing my road test, and I see my future crumble. I have no desire for friends. I pushed my best friend away after Christmas, and I have no desire to fix it or make new friends. My aunt died, and I cry all the time, even if I burn my lunch.


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I agree; you need more care and support. No one deserves to feel alone, or like they hate themselves. We're all wonderful, imperfect, complicated people and we're at our best when we're all helping each other. I'm glad you wrote this question, because a lot of people have this feeling sometimes. I can tell that you're smart, because you seem to sense that the two things you wrote about are connected...you "not being yourself", and then how you felt when your grandma died. When Grandma died, you needed and deserved extra love and support, but the people around you didn't seem to give it to you, maybe. My hunch is that they wanted to, but that they didn't know how much you needed it, or what you needed exactly. The older you get, the more you will have to take charge of letting people know what you need. Maybe this is one of the suckier parts of being mature, but that's how it works. When you started middle school, it sounds like you changed; you got more quiet, right? That must have felt weird, to not be acting like yourself. It sounds like fear tricked you into thinking people wouldn't like you. Fear can be silly. So then, fear got you to not show yourself, and when we don't show ourselves, people can't see who we are; they don't know us as well and then they don't know what we need and they can't care for us as well either. Fear of not being liked isolated you from the people who love you. It does that to a lot of us. So, where you're at right now is because of what fear did to you, and also because when Grandma died you were already isolated so people couldn't see your pain and know that you needed support. There's a simple solution, but you'd have to be brave enough to look fear in the face and say "Get off my back!". "You're not helping me by telling me lies." Can you be brave enough to go back to your old, louder, self? If you talk to the people closest to you...tell them what you think and how you feel, then they'll be able to give you the care that you want and deserve. I wish you well as you try this!


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I was anxious to go to middle school. I was afraid of what people might say about me, so when school started, I wasn't acting like myself. I was quiet, which I'm usually not. I didn't talk to anybody and didn't have any friends. Then a few years later, my grandma died. I really became depressed and stop going to school for a little. I hated myself and still do. I just need help. I need someone to care for me. I need someone to show that they care.


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Hi Tennessee, There is nothing wrong with you. There are many good reasons why you didn't say no. You didn't say no because you were caught off guard and unprepared; there is no place in life that teaches girls or boys how to manage it when someone crashes a sexual boundary. You also live in a culture where girls are encouraged to be cooperative and not upset people, and to put the needs of other people first. You instinctively want people to like you, and people can be very coercive sexually. You said it yourself; you "gave in". He wore you down.There's nothing wrong with you. It wasn't your job to say no. Women aren't the gatekeepers of male sexual urges. It was his job to get your consent first. He pressured you into it. A good therapist would help you to dig deep and uncover all these barriers to saying no and more. If you said no, what might happen then? What might that mean about you? What are you avoiding feeling? Unloved, unwanted, cold? What would you have to believe in order to be confident enough to say no? That you didn't have to do anything you don't want to do? That you're special, or that sexuality is special? Would you need a better understanding of what sexual assault is? I love that you want to do some work here to strengthen your sexual boundaries, and I urge a widespread conversation about what consent it. Men and women of all ages could use more of this training.


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I was in a situation with a guy. He’s my brother’s friend and kind of like a brother to me. He invited me over to hang out, and then came on to me. I was instantly terrified to say no, and I gave in. I don't know what's wrong with me. I can't figure out why I'm afraid to say no. This is giving me a lot of guilt and depression.


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It's sounds like you are feeling pretty overwhelmed with intrusive thoughts and are feeling very criticized by others as well. I think it is great that you are reaching out and I can tell that you want this to change. Working with a competent therapist may be a good option for getting some more clarity about what is going on, developing ways to cope, and eventually getting relief from these overwhelming experiences.


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People have been calling me names, and I have had enough of it. I cannot stand it anymore I'm done. I have told someone this, and that is why I am writing this. The thoughts are awful.


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Are there any times or moments in which you feel other than "empty"?  Start with knowing the context of when you feel something other than empty.If there is no recent example, then in your mind, go back in time to think of when you felt something other than empty.  Recall what you liked about this time, whether you were by yourself or with others, what type of activity you were involved at the time of non-emptiness.How did you come to your conclusion that your life purpose is to reproduce and die?  If this is what your parents, siblings and extended family believe, it is possible that you have a broader view of yourself and haven't yet uncovered a way of defining your own philosophy of living.Give yourself the time to browse around online, or in person social meet ups, on your interests.  It is possible you will discover entire new areas of life and ways of considering life, that are brand new to you and which connect to your true self.This is one way of respecting your individuality, which of itself, may decrease your sense of emptiness.


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My life is completely normal, yet I feel empty inside. I feel as if I already know why I'm alive: to reproduce and die.


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Maybe you have depression.The name of your condition matters much less than the descriptions you wrote of how you feel.Since you've observed how you sometimes interact with people and realize you aren't happy with the result, you've a very solid starting point for reflecting on your deeper wishes in relating to others.Start with asking reasons of yourself about the puzzling aspects of how you're engaging with others.Theorizing as to "why" you feel that pushing people away is "easier", and easier than what?Googling the keywords of how you feel, may open a starting point for ideas on knowing yourself and what you wish for.


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I'm almost never happy. Half of the time, I don't feel anything. I find it easy to make myself feel nothing. I know I push people away because it’s easier. I just want answers. I'm sick of feeling this way. It’s ruining my relationships with people.


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Hi Loyal, This is a common question. I suggest that you not diagnose yourself (only a physician can do that), but the symptoms you mention are certainly common signs of depression; rarely happy, emotional numbness, hopelessness, isolation. Depression is very common. Research suggests that one in three people may experience it in their lifetime and at any one point, ten percent of adults may be experiencing it.  Most therapists are very good at spotting the signs and treating accordingly, although only a physician can prescribe medication.The great news is that depression is treatable. Some people experiencing depression may benefit from medication (often to lift the heaviness of the illness enough so that one can focus on psychotherapy), and therapies such as cognitive behavioural therapy and behavioural activation therapy have demonstrated a clear ability to reduce symptoms of depression. Even if medication helps, seeing a therapist to look at the roots of your depression and to build coping skills is very important. A qualified therapist will help you look at the barriers to happiness in your specific case and suggest a course of treatment. You are not alone, and you don't have to suffer. Keep asking questions and you will find your answers!


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You may be pressuring yourself to be the one person who fixes the relationship.  This is impossible because the relationship belongs to both of you.Has he told you whether he feels about himself that how he interacts with you, is contributing to problems in the couple?Is he willing to understand what you're asking of him, without shutting down with whatever he is feeling when he feels blamed?Your feelings of distrust are the natural outcome of not being properly heard and understood.  He's not willing to listen to you, so of course you're frustrated and this frustration comes out in all sorts of uneasy feelings.Willingness to hear each other in a non-defensive way, sometimes requires a couples therapist's assistance.Ask your husband if he's willing to understand, not judge you.  Be willing yourself to do the same.If after trying and getting nowhere, you'll know when to stop trying on your own as a couple and to find a specifically trained couples therapists.Warning, not all therapists are trained to do couples therapy.  Ask the therapist if they've had specialized training in couples therapy.Otherwise, having a referee type therapy session of, "what do you think", "what do you think?", isn't going to do anything except frustrate both of you further.Good luck!


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My husband and I are in a terrible place. Part of me wants to fix it, but then I'm caught up with not knowing how and not being able to communicate my feelings to him because he always feels I'm blaming him. Sometimes I am because the feelings of distrust are so strong. I feel they must be coming from something he's doing, but sometimes I know I'm being irrational. Still, that doesn't stop the anxiety. The other half of the time, I just want to walk away, but I feel like that will only be a temporary fix.


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Since you realize that hearing voices in your head is not usual for you, then definitely there is a problematic situation happening within your awareness of who you are.if you recently started taking a new drug or increased dosage of one you already were taking, and the voices started shortly after, then yes, it is possible medication created your problem.Start by telling whoever gave you the presecription, about the problem you're having."Crazy" has some flexibility as to whether someone is this way or not.Certainly a very positive sign that you're not crazy, is that you're self-aware of a problem within yourself. And, you're responsible toward yourself and making effort to address this problem.Crazy people usually don't do responsible behaviors.


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They don't go away, and I feel like I'm going crazy. Does that ever stop? Can it be a symptom of medication?


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This can certainly be a side effect of some medications. If the voices are so powerful that you can not sleep or they are constantly present, you shouldn't wait any time, but go and see your doctor straight away.


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Hi Boise, I'm sorry that you've lost this love. The fact that you were planning marriage and a future tells me that you meant something very special to each other at that time. It's different now...you're not together anymore, but you can't accept this, right? Good for you for identifying that this situation is damaging your life. You've been grieving for longer than you were together. Oh, but really you've not been grieving...you're stuck still loving her instead of moving forward. Unrequited love is a recipe for eternal heartache. Let's look at some possible blocks to moving forward.It could be that there's something unfinished for you. Maybe you felt hurt and you didn't have the chance to say so, or you felt you hurt her and you didn't have the chance to make it right. Maybe there's a burning question you need to ask or something else you need to say. Maybe you want to tell her you've never stopped loving her, and see if she feels the same way. If this is the case, you have two choices, right? You can reach out and say what you need to say, or you can stop ruminating on that question and let it go. If you reach out, there's no guarantee it will go well or that she'll even respond. Maybe write her a letter and don't send it (or send it...it might be worth the risk). Use the next paragraph to help you decide. Do you know how she feels? How did it end? Did she end it? Was it ended just because of the distance, or are there more differences between you that didn't work? Sometimes people are so in love that they can't clearly see that the other person isn't in love with them anymore. Use the information you have about what she wants for her life...can you honour what she says she needs? If she's asked for distance, you would do well to honour that.A key to moving forward: look at your thoughts and where they're getting stuck. Write it down. What bad thing can happen if you let it go? Or "If I move forward, that will mean..."  Keep going...what would be the worst part of that?  This kind of exploring can help you identify your stuck place.It is possible that you've turned this ending into some kind of negative meaning about you or your future. As in "If this person doesn't love me, then I'm unlovable", or "No one will ever love me as much as she did". So your need to cling to her in your heart is your way of rejecting that negative message about yourself or the future. Can you find another way to reject that message? Try saying these things to yourself:I know she loved me. There is evidence of that.I was a good partner. There is evidence of that.It's part of life to fall in love and then have to move forward...I can do this and learn from it.Many people like me...that's how I know I'm lovable.It's normal to feel sad. I'm grieving a lost love.I want to move forward and not stare in the rearview mirror.I know more love awaits me if I can get fear out of the way.If this person loved me, others can too, (but not if I'm clinging to some old memory)These are the kinds of things a therapist would explore with you. I wish you well!


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A girl and I were madly in love. We dated for over a year and were even talking about marriage and future plans together. She moved away for school, and we attempted a long distance relationship. We eventually broke up. It's been a year now, and I still haven't lost my feelings for her. I still love her the same way I did. I've suffered from depression ever since the breakup and have been unable to connect with anyone else. It's damaging me and my life.


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Hi Campbell River, You say you have anger but you don't mention how it shows. Or maybe it doesn't. Are you aggressive with your girlfriend? Since you mention depression, I wonder if you're bottling it all up somewhere instead of letting it show at all. If this is the case, I admire your ability to not lash out at someone who's hurting you. However, if they are totally  unexpressed, anger turn inward and shift into depression. When she yells at you, what do you do? Is this the moment that you feel the most angry? I wouldn't be surprised; anger is a normal response to someone yelling at you. Something about anger...it's often there to cover up our more vulnerable emotions. Under the anger I wonder if you feel worthless, powerless, scared, unloved. Part of the trick to reducing anger is identifying those other emotions and expressing them. You say you don't know how to deal with life, and I think maybe you mean you don't know how to deal with emotions. Lots of people don't! This is confusing for most of us. What am I feeling? Why is it so strong? I'm afraid to express it for fear of hurting someone (or falling apart, or feeling alone...). How do I know what to express and what to be quiet about? These are all great questions to ask yourself, and a qualified therapist can help you sort it all out and support you in your growth. I wish you well!


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I've got so much anger. I don't know how to control myself. My girlfriend screams at me all the time, and sometime I don't know how to deal with life. I'm very depressed and angry. I feel lost.


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Not having support from your family for such a significant problem, is a problem itself.How about your friends, are any of them nurturing or treat you kindly when you bring up that you've got this problem?Are any of your friends willing to accommodate the fact that right now you've got panic attacks from driving and being a passenger?Maybe being and feeling accepted while you're in this current phase of your life, would help diminish the panic attacks.If no support is coming to you, then a next step would be to evaluate the relationships in your life and to develop standards and expectations of others, especially that they are considerate of your great need at this time.Its possible you are bearing the emotional burden of a lot more people in your life than yourself.If no one wants to show they care about this situation, then release yourself from trying to please and satisfy everyone's wish that you be better, while they ignore your need for their support.Be realistic in what you're able to give back to people who want to be blind to your emotional need.Thinking this way will at first raise your anxiety level from fear of losing everyone.  Eventually, you'll stabilize within yourself and know that all you're asking for is some support for having a tough time. Hopefully, the others will be more responsive to you.If they don't you still know that you're being reasonable for what you'd like.


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I've been having this ongoing problem for most of my life now. I am a young adult, and right now, driving and even being a passenger gives me terrible panic attacks and anxiety. I can't ride in the backseat or the front seat with the safety belt on. I have to lean the seat back a bit because the pressure on my back terrifies me. I miss so many opportunities to go places with friends and family because of my fears of having a panic attack. My family offers little to no support. They think it's fake or "all in my head." It makes me feel guilty and at times depressed to the point where I'd rather never wake up anymore. I am not self-harming, I just feel meaningless. This constant fear has taken over my thoughts and my life. I was such a happy person. I want my life back. I want to travel with my friends and family again, but I don't know how. I've almost given up hope on getting better and just accepting the fact that I'll live with this anxiety forever.


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Good question. There are resources out there - people to talk to. I'd try going to this link and calling the free 24/7 hotline: http://www.suicidepreventionlifeline.org/


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I am broke, but I am sure I have been depressed for the past couple of years. I have always had anxiety. I just need someone to talk to right now. I don't have any friends or family I can talk to. I'm on the verge of just giving up.


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I'm not sure that you don't feel emotion or that you are frightened of the depth of your emotions. From what you write, the context of your growing up years had people telling you to not feel.  Little kids and babies don't remember whether or not they had emotions since birth.  This is information someone told you or was part of your family system.Possibly your family was afraid of their emotions or of you knowing yours.Similarly, your comparison of being human means being monster like, is not an obvious connection.  Besides, monsters are an idea, they aren't real.  They embody what someone considers the worst qualities of themselves or the human species.  Again, I wonder whether you've taken on stories you heard growing up about how unacceptable and bad you are.A way to start learning your emotions is to start in simple, basic ways to ask yourself what you are feeling in the situations that you believe emotions would belong.If on the first bright sunny and warm day of the year, you remind yourself to notice what you're feeling in response to this, you'll be taking one step toward awareness of your emotions.If someone buys you a birthday present, be aware of how you feel.  Keep adding awareness to situations and see if this builds an ease with feeling emotions.


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I don't know how to have emotions. I never had any from my birth. Being human, I think of myself as a monster. I enjoy pain. I cut myself for my climax during sex. I think most of the time, I lie, even when sometimes it would have been easy just to tell the truth. I was in rehabilitation for four year. I have made love with both men and women, but it made no impact in my emotions. The books that I enjoy reading H.P. Lovecraft and Edgar Allen Poe. I go hunting every Saturday. I feel powerful. I don't enjoy the killing of the creature, but the hunt of it and to eat and drink the flesh and blood of the creature.


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Your instinct to help your daughter, is natural.How you proceed depends a lot on whether she recognizes she has a psychological and emotional problem, or if only you see this from observing her.Also, her age matters a lot in what way would be most likely to succeed in addressing the problems you describe.If you and your daughter have different opinions as to whether or not she has problems, and she is above the legal age of when you have authority over her life, then you can only suggest to her that therapy may benefit her.If your daughter is in your legal control, then you can locate a counselor nearby, discuss your situation with that person, and depending on the outcome, you'd be within your parenting right to take your daughter to a counselor.Starting therapy without willingness to do so, is risky.  The person may feel resentful enough to not participate.   And, sometimes the counselor is skillful enough to find a path to your daughter, or any patient's self-interest and engage them in therapy.Family counseling, regardless of your daughter's age, is another way to bring your concerns to your daughter's attention, in a therapy environment in which a counselor would be able to help distinguish the seriousness of your daughter's psychological problem, from simply a difference in viewpoints between you and your daughter, in how to handle certain situations.Also, if you believe your daughter is a threat to herself, then instead of this slower route, get in touch with the emergency psychological assessment service in your town, for a more immediate response.


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Congrats on the birth of your son!Was your mom's request for you to leave her house, one which she asked awhile ago or was this her greeting when you walked in the door?My question is whether your mom had some changed circumstance in her life, whether she and you discussed living arrangements prior to your son's birth, or whether nothing was talked about, you assumed you'd be living with her, she assumed you wouldn't, and the two of you didn't speak to one another about any of this.Depending on the answers, there may be clues as to handling future expectations of others, especially your mom.From what you write, the women's home is supportive of your basic daily living needs.   It is good news that the people who run this home know and offer community resources.In your interactions with the staff of the women's home, ask all the questions necessary so you'll have a clear understanding of the apartment lease, anything at all that is on your mind about becoming employed and finding childcare.The point is to have all the major steps you're about to start, addressed.This way, you'll be minimizing the possibility of any sudden bad news by the women's home, told to you.Sending lots of good luck!


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I just had a newborn. When I brought him home, my mom told me to leave. Now I'm in a women's home. I don't see my boyfriend that often because he works. The women's place is helping me find an apartment so I can go back to work and get child care.


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Deciding whether or not psychiatric medicine is a good option can be complicated, as you have noticed, and only a person who is licensed to prescribe can give you medical advice regarding medications. While there is sometimes relief from symptoms from medication, as you have pointed out, there are often negative side effects as well. While I can't give you advice on whether or not to continue medication, I would urge you to take an inventory of the positive and negative effects that you have noticed and educate yourself as much as possible about the short and long-term costs and benefits of psychiatric medication. If you can find a doctor, psychiatrist, or ARNP who is competent in mental health, it may also benefit you to consult with them.One thing that I am wondering about is, what is your support system like, in regards to your fight against depression? Are you seeing a therapist or attending any therapeutic or supportive group? While there are many things that one can do on their own to work through challenges such as depression, psychotherapy has been shown time and again in research to be highly effective and sometimes having a relationship with a caring, competent professional who understands depression and ways of helping can make a huge difference.


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I have experienced cycles of depression for the past four years, and it hits me harder every time it comes back. This past time, it was extremely debilitating, so I went on Wellbutrin. I could feel the effects of the medicine after the first week. A month and a half later, I decided that my depression was being caused by my own unwillingness to move forward and address my behaviors and thoughts that were keeping me in a place of despair. I became worried that the medicine was making me complacent and prohibiting me from working out what I needed to in my life to bring back true fulfillment. I stopped taking it a month ago and feel okay; a lot of the anxiety it was paired with has gone away. However, I still don't feel my sense of self has been completely regained, and I have days where I feel a zombie-like haze of having no interests or the ability to fully concentrate on anything. Is it better to continue letting time and good habits work out the remaining depression or should I go back on the medicine?


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As silly as it may sound, making sure that we are getting the right amount of *restful* sleep is very important when we are feeling low.  The reason for this is the lack of proper sleep significantly affects our ability to problem solve and critically evaluate our situation and can lead to a domino effect in our thinking.  I know you feel that you may be losing your friendships, but what are the facts that have led to this belief? Really ask yourself, "are they facts?" or are they your perspective on events.  In regards to your coping behaviours at night, it sounds very isolating and also very silenced.  As opposed to the sad music, why not try all music, allowing yourself to experience the wide breadth of emotions that are circling within you.  One of the other recommendations I would make would be to try and journal about some of those thoughts and fears in order to release them in a positively cathartic way. Some of the behaviours that you have mentioned are a bit more significant, though and I would recommend speaking with someone directly in the near future.


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At school, it feels like I've lost all my friends, and I've been really weird with my sleeping patterns. I used to cut myself, and I really want to again, but I change in the locker rooms because I don’t want anybody to see. I get ticked off easy and overreact. At night, I’m very depressed and listen to sad music and all that sort of stuff. Please help me. I just want to be happy again, and I feel like I’m starting to fake a smile at school.


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Feeling alone and/or isolated is almost always associated with being depressed. As humans, we need connection and interaction with others in order to feel satisfied. Given that you are frequently thinking about death, I highly recommend that you see a mental health professional as soon as possible to help assess your immediate needs and address any underlying issues that may be contributing to your feelings of loneliness and depression. The good news is that with proper, consistent treatment and commitment to change, things can really turn around for you. A therapist can work with you on building enjoyable activities into your daily routine, change maladaptive thought patterns that contribute to your sadness, and help with exploring what has gotten you to where you are. By learning about where your sadness originates, engaging in preferred activities, and changing your thought patterns, you should begin feeling relief from the burden of depression. What will likely result, is further opportunity to find social outlets and an increased ability to connect with others. Don't give up. Create some short terms goals that you can likely achieve and make your treatment a priority and a focus. You have already taken the first step in getting better by writing to this site. Keep on this path and believe in yourself. Best of luck to you!


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


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


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


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My fiancée suffers from severe anxiety and depression. She has had it most of her life. Her anxiety in public places is the worst. It gets to points where she can't breathe or move. Sometimes, she won't even go to the restroom, so she will hold in her pee until her stomach hurts or she pees herself. She curls up in corners at the mall and has panic attacks. She won't eat or drink in public. If she isn't having a panic attack or crying, she's clinging to me and avoiding everything and everyone. Her depression flares up out of nowhere and causes her to become very suicidal and self-harming. She get really sick from anxiety and scared to the point that I can't even get her to eat, drink, leave the bed, or go outside. She always tells me how she grew up around so much fighting and fear that it makes her scared of loud sounds, yelling, conflict, and even talking to strangers in public. She will refuse to go to a store unless I am with her to talk to the cashier for her. She is so scared that I can't even get her to drive. She doesn't want to get her license because she's scared of trying to drive.
   Some people have recommended medication, but I believe it's just going to cover up her illness and not solve it. I don't want my fiancée pumped with drugs. I believe a psychiatric service dog would be the best bet for her. When we first met my poodle, it would calm her down a lot. She took the dog out every time we went out, and she seemed much calmer and happier. She slowly would eat, and the dog seemed to make her feel a lot better. I am worried and want to help her without medication.


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


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


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


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


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


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I am in high school and have been facing anxiety issues lately. Whenever I get close to being in a relationship, some kind of anxiety takes over and keeps me from the relationship. This anxiety causes me depression at times and even makes me want to vomit. While a semi-relationship should be joyous, for me, it’s an emotional nightmare I can’t get to the bottom of. I’ve had this before and had to leave the semi-relationship to avoid throwing up every time I made contact with my crush. What could be the reason behind this? Is it massive nerve problems? Is it a fear of a bad relationship?
   While I’m not quite ready to be in one anyway, I want to get to the bottom of this for a brighter future in which I can be in one. I don’t take medications and have no desire to, I have read forums, and I’ve talked about the issue with my sister who has faced similar problems.


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


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


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


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


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


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


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If you are someone who usually has a job, pays or contributes to household bills, and generally manages your own daily life, then here are some suggestions.Start with small changes in your life so that you will feel successful in developing little areas of personal happiness.Since the people whom you currently are in your life "aren't helping much", consider branching out your life so that you are with those with whom you do feel help you.Follow your natural interests.  If you like reading, look online for a local book club.   If you like watching birds, look up a bird watching group.Social isolation increases the intensity of negative feelings.Also, the way healthcare is set up in the US, psychiatrists spend 15 minutes asking a person questions and then giving them a pill script.    There is almost no human interest in the person.If you'd like feeling better as a person, then find people.   Relying only on our mental health system will keep you feeling low and unsteady.If your life is a little more sheltered and you are in a group home setting or your basic needs are taken care of by someone or some organization, then similar advice is still valid.Find and participate in whatever human settings which appeal to you and are available on a somewhat regular basis.


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I've been hospitalized twice. Once was last month for psychiatric help. I'm on medicine, but I'm struggling with fighting the negative thoughts, irrational fears, and loneliness. The people around me aren't helping much.


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It's hard to accept the end of a marriage when it's not your choice; you feel powerless, abandoned and unwanted. Your wife has the right to decide not to be in a marriage with you, and a therapist can help you accept and move through this change that has broken your heart and left you lost. You don't indicate why you haven't seen your child, and you may want to consult with a lawyer about the laws in your area and how to gain access to your baby. Therapists don't intervene in these ways. The marriage may be ending, but your role as a loving father is only beginning.  You can focus on giving your child the gift of two parents who respect each other.


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I'm going through a divorce with my wife of three years, who I've known since the 4th grade and been involved with for seven years! We just had a baby seven months ago and never got along with my mother, who I've lived with for years. I am now back with my mother because I have nowhere to go with this divorce looming. I'm heart broken because I fell into a depression, I haven't seen my child in a while, I'm having good and bad dreams, and I feel hated. Can you help? Can you intervene? Can I speak with someone?


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The ADHD and manic depressive episodes are terms other people told you that you have.You don't have to accept these words to describe who you are.A lot of mental health in our country is about telling people what's wrong with them and giving pills for these so called conditions, instead of helping a person know more about themselves in order to make good decisions.You can be happy because nothing from the outside, such as the names people have used to tell you who you are, can interfere with your own wish to be happy.Others can slow you down because of the self-doubt and hurt feelings.  No one can take happiness from you, only they can make it harder to find and hold onto.Anger management only works temporarily because it is a surface approach.Think of the reason you are angry.  This will be better to know so you will be able to address it.Then you will not have anger to manage.


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I have been diagnosed with ADHD and experienced manic depression episodes. I have problems with anger management. Apparently, I also have an ODD, bipolar and split personality. How can I be truly happy?


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Congratulations on leaving your marriage!It is ok and natural to feel sadness, loss, uncertainty in direction, hurt, resulting from ending the marriage.Possibly what you consider "pity" is a combination of these feelings.Be kind and caring toward who you are since you just put yourself through a major separation and need time to clear out the old emotions that connected you to your ex.There is very, very little chance of him helping you since he lacks compassion and empathy.More likely any help he gave would be in order to manipulate you.Maybe for now your server job is ok do you have more time to concentrate on taking care of your emotions.You were a manager once, you can be a manager again when you feel ready for doing so.Good luck!


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I was married to a narcissist sociopath for 10 years. During that time I was a general manager. I used to help him financially and in other ways when we were together. But things began to change. He emotionally and sexually drained me. I lost my spirit. I used to be a very happy person but now I am a loner. I left him and moved to another state. Currently, I'm working as a server which makes me believe less in myself. I feel pity for myself a lot but don't know what to do. When I have money problems, he does not help me. He actually enjoys seeing me have a hard time in my life. I need help.


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Are you a teen?  This is a really hard problem for more teens (and adults) than let on.  When I was about 15, I remember asking my parent's friend, Herman, whether life gets any easier when you get older.  He said the problems are actually harder, but you gain the ability to deal with them better.  I've been an adult a long time now, and that is so true. If you need someone to talk to, consider a teacher or a school guidance counselor or someone you respect, maybe in church.  If they're good and they don't know how to help you, they may know how to get you to someone who can.  Also, the idea of not being "good enough" is a common psychological event.  In CBT it's called a "core belief," but I call it a "core lie" in my book, Living Yes, a Handbook for Being Human.  If you are serious about changing yourself, read about it  at www.LivingYes.org and pick up a copy there or on Amazon.  I hope this was helpful.  The future is filled with possibility if we don't prejudge it!  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)


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I always feel like I'm not good enough and it literally is so hard living. I don't know how to talk to my parents about it.


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A PTSD diagnosis requires an event which occurred at least 6 months prior to the symptoms.   Depression is a common symptom of PTSD, but depression can come from many other sources as well.  In the end, diagnoses are systems of behavioral labels.  If you believe that one label (PTSD) is worse than another (Depression), you are creating a false hierarchy.   Consider consulting a CBT therapist, such as the fine clinicians listed in AcademyofCT.org.  You may also want to look at my book, Living Yes, for many ideas about challenging your thinking and improving you mood. www.LivingYes.org. I hope you feel better soon.  ~Mark  (www.MarkMorrisLCSW.com and www.LivingYes.org)


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I have manic depression and last summer was very very bad. I have recurring nightmares and I avoid anything that will give me a similar feeling as I did that summer.


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In general, the answer is no. Depression can not not generally cause PTSD. Your question does make a lot of sense, though. Depression is a common symptom of PTSD. A counselor in your area should be able to help you what's going on - either feelings of depression, PTSD, or both.


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Did you take the medication the way the psychiatrist prescribed it?  Did you follow up with her/him to report how it was going?  Different medications work differently with different people.   It's not always the first one that helps.  And some of the medications take some time to have an effect.  Give the doctor the chance to help you. I suggest you find a certified CBT therapist to help you examine your thinking.  www.AcademyofCT.org has listings of the finest CBT clinicians.  In the meantime, do some "anxiety fasting" by taking a few minutes to do something nice for yourself right now.  I hope you feel better soon.  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)


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My doctor thinks that seeing a psychiatrist will help with my depression and anxiety. Now my anxiety is worse, what do I do? Writing on here has taken every bit of strength I have left.


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Probably.  I always tell the new parents I work with (and this is just as true for dads as it is for moms) that if you are feeling off, seek help.  Postpartum Support International (www.postpartum.net) is a great place to start finding resources and locating support.


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Frequently when working with clients, I utilize the A-B-C model developed by Albert Ellis, the founder of Rational Emotive Behavior Theory. The theory basically states that you can not control an event but you can control your reaction to the emotions associated with said event. For instance here is an example:A (Action or Event): You need to talk to someone and that person is not calling you back.B (Behavior or Response): You begin to tell yourself that this person is too busy for me or I am not important to this person.C (Consequence): You feel depressed.If you look at the model, B has a direct effect on C. The thought is if you change your reaction to A, then C will have a better consequence, such as:A: stays the same.B (this is what you change): This person must be busy, they will call me back when they get a chance or I can call someone else to lean on for support until this person is available.C: Decreased feelings of depression & overall functioning improves.This is just an example but if you actively work to replace the negative thought patterns that effect your behavior, studies show that your overall outlook and mood will improve. If this model resonates with you, I recommend "Feeling better, getting better, staying better" by Alber Ellis. In addition, looking for support groups in your area are a great source of support when you are feeling abandoned or alone.


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My last relationships have ended horribly. They just up and abandoned me. One of them I have never gotten closure with over it, leaving me emotionally wrecked. I know something's wrong with me but I don't know how to even start trying to better myself.
 I get into these depressed like states whenever anyone I care about is too busy to be with me. I know that I shouldn't act like that because people are genuinely busy, but I feel like they're doing it just because they don't want to be around me.


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I'm sorry to hear that you are feeling as if you're in a slump. First of all, nothing is wrong with you. Many people report similar symptoms. Have you ever talked with a physician regarding your symptoms? Two extreme emotions such as feeling extremely happy and then feeling extremely low for a length of time may indicate a mood disorder. I think it would be best to talk with your doctor or a therapist to help pinpoint the issue causing them.It's possible that it could just be certain stressors in your life that are causing the two extremities but you definitely want to rule out any mental health issues. If it is in fact mental health related there are many medications or therapy choices that can help. Thanks for reaching out! I hope that you will feel back on track soon!


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I don't know what's wrong with me. At times I can be really happy, excited, I'll talk fast, and I want to do things. But lately I've been staying up way later and sleeping too much. I don't hang out with friends, I don't really have them. I feel nothing, worthless. I want to do nothing, I have no interest in anything.    All I usually do is stay in my room. I want to be happy, I want to be nice. What's wrong with me?


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The best way to handle depression and anxiety is with a combination of appropriate medication given to you by a medical doctor, and therapy to help you understand the thoughts, feelings, and behaviors that are causing the depression and anxiety in the first place and then to replace these with more positive thoughts and behaviors. This is not something that anyone should just “white knuckle” and try to get through on their own with no help. Cognitive Behavioral Therapy is a technique that has been proven helpful for depression and anxiety. This takes a therapist trained in CBT. There are some things in life that you cannot change and must learn to accept. A lot of people spend time trying to change things that they have no control over. This may be the behavior of someone else in your life or it could be a situation that you cannot change, such as the recent death of a loved one, a lost relationship, or an accident or illness which has left you handicapped. In cases like this, what can change is your attitude and thoughts about the situation that you now find yourself in. One thing that is inevitable about life is that stuff happens and it is not always pleasant. Some people take these unpleasant occurrences very hard and it throws them into a deep depression. Other people seem to be able to handle life’s ups and downs and bounce back. They do this with having positive coping skills in their life. Learning new coping skills is something your therapist can help you with.A lot of people are so focused on trying to change the things in their life that they cannot change and are ignoring the things that they can change. There are things that you can do. Here is a quote for you to consider. “You are getting almost everything that you are getting based on the choices that you have made. You will continue to get the same thing out of life until you make some changes.” Another quote I like is “You will find a way or you will find an excuse.” Don’t ever say that you have no choice. Everyone has a choice. You might not particularly like any of the choices that you are facing, but you do have choices. Not happy in a relationship? You can leave it. Hate your job? Get a new one. If it matters to you, you will find a way. Don’t sit there complaining about everything but not doing anything different or better.Take care of yourself. Exercise is very important not only for your physical health, but for your mental health as well. Eating right and exercising will help you feel better about yourself. Also, find a meditation that works for you. There are progressive muscle relaxation exercises, visual and mental meditations, and many many more. Start making some positive changes in your life today! You can do it!


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I've have lived for sometime with depression but things have gotten a lot better, but why is it so hard to get over anxiety and social isolation?


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First of all, if you’re sick and in pain, have you seen your doctor? If you have a chronic illness and pain, this can often lead to depression and is very common. You’ve taken the first step to dealing with it. You can talk to your doctor, even if your depression isn’t related to your health. He or she can either look at prescribing you an antidepressant or can refer you to a psychologist or psychiatrist.If that’s not really an option for you, there are also helplines (local or national) or support groups where people dealing with similar issues can talk to each other. If you can't find any in your area (newspapers usually publish this information), there are online support groups as well.


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I'm in a state of depression right now. Who can I talk to? I've been sick in a lot of pain and crying. Don't know where to turn.


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Hi there. Thank you reaching out for help. It takes a lot of courage for someone that is being abused to reach out for help. I want you to know that I am here to help you in any way that I can. First and foremost, you did not mention whether or not you had children yourself by this man. I’m going to assume there are. So, the most important thing right at this moment is asking yourself, if you and your children are safe? Is the boyfriend currently living in the home or is he coming and going? If he is coming and going or currently living in the home, my suggestion for you to is to pack a bag for you and your children and go somewhere safe (i.e. family members home, friend or a shelter temporarily). I cannot stress this enough. Although, some people tend to minimize their abusers behavior (i.e. they only do it when they are drinking, they only do it when they are mad), it’s those individuals that find themselves or their children in a serious situation. So, you can never take abuse (physical or mental) lightly because you never know what is going through that persons mind at that particular time. It’s always better to be safe than sorry. Secondly, it will not be safe, helpful or productive to attempt to talk to the abuser about your relationship. Abusers often times try and manipulate you into staying by apologizing or attempting to justify their behaviors. This is the time you would want to go see a magistrate in order to get a protective order for you and your children.It’s unfortunate that your significant other was involved with another women causing pregnancy; however, that is no longer your concern. Your concern at this point is keeping yourself and your children safe. I would also suggest counseling for you and your children in order to work through these issues. I hope this was helpful and please stay safe and take care of yourself.


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I've been married for 3 years and I have two kids. During my 3-years married, my husband cheated on me twice. The second time really got to me and at my lowest I hurt him back. We aren't communicating as well as I would like. What do I do?


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What you are experiencing is totally normal and these emotions mean you are human! Humans are social creatures who were created to be in connection with others, but sometimes our life experiences or genetics can make that more difficult for some of us. It is possible that these reactions are based on negative reactions you have had with others in the past, maybe your family, or other traumatic interactions with others. It is also possible that they are caused by an underlying condition such as anxiety or depression, which may cause you to be more uncomfortable around others or annoyed by others. Some people are also more bothered by crowded spaces, loud interactions, and the actions of others. Of course you prefer animals (me too!), they provide unconditional love and support, do not judge you, and do not require you to have conversations with them. The fact that you have conversations in your head at night tells me that although you say you do not like people, you are craving some social connection. What is probably the case is that you were never really taught how to interact and have those conversations. The good news is that there is nothing wrong with you, you just need a little help learning how to have these conversations and taking some healthy risks to initiate conversations and that is something that I help many of my clients with in therapy.


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When I'm in large crowds I get angry and I just can't deal with people. I don't really like other people (I prefer animals) they make me nervous and scared.
   I lay awake at night thinking and having conversations in my head and i almost always end up making myself feel terrible and crying, I have more conversions in my head than I do with actual people.    I don't know what's wrong with me and why I feel this way. What should I do?


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I am very sorry to hear that you are going through this!
While animals can be a wonderful way to experience emotional support, you may
want to consider opening up to a Life Coach or therapist to discuss some of
your concerns. You are not alone, and many people are experiencing very similar
anxieties. A Life Coach or professional therapist could help to guide you
through these emotions and refer you to additional professional help if needed.
It sounds as though you want to address some of these issues by first asking
the question. Finding additional support from a trained professional whom you
feel comfortable with could be the best way to get the help that you need. I
wish you the best of luck on your journey!


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You are a unique individual exhibiting some of the traits of a specific type of temperament. Through temperament counseling you can come to know, accept, and manage your God-given temperament to become all that God intended. There is nothing wrong with you -- God loves you as you are and wants to help you balance your temperament needs.


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The thing I picked up immediately in what you're asking is how you don't like other people because "they make me nervous and scared." If someone said that to me in a therapy session, I'd want to understand this much more with them, and what this "nervous and scared" experience is all about: perhaps starting with the question, "what's the earliest memory you have of feeling uncomfortable around people." The idea would be to try to understand all of what it means for you to be around people, and the history of the experience, without labeling it wrong or passing judgment on it.From there what might come is that certain people, and their character traits, might be harder to be around for you because of experiences that you've had with similar situations in your life. Or, it could certainly be something completely different. It would be most important to understand it much more deeply considering the amount of distress it causes you, and in doing so we could begin to see it as "normal for me."


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What you're experiencing is anxiety, it's actually quite common. Good news - you're not alone in this experience! That being said, it can be so frustrating and upsetting to have to contend with the anxious thoughts that come up in our heads, sometimes without any warning. Additionally, nighttime is a particularly vulnerable time for a lot of people wherein anxiety rears its' ugly head even more so. We aren't as distracted at night and our resources are more depleted so we can't fight back against these thoughts as effectively as usual. It can be helpful to externalize our anxiety, give it a name, like "Judy" or "Bill" for example (or perhaps something more sinister like Lord Garmadon??). The naming is all up to you, what comes to mind for you when you think of your anxiety, now what is a name that's fitting? The act of externalizing separates us from the anxiety a bit and makes it a little more tolerable. If you can think of your anxiety as just something else to handle rather than it being a part of your personality, this is usually helpful. Additionally, I recommend not avoiding the situations that make you feel this way. Our brains have to learn what is an actual threat and what is not. Right now, your brain thinks that crowds are a threat, if you can practice some deep breathing and stay in the crowd, you will start to teach (or rewire) your brain, letting it know that the crowd is not dangerous to you. Think of your brain as an overprotective parent. Your brain is overreacting in these situations to try and keep you safe. It just needs to learn that the situation is not a danger to begin with.


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I think you have a lot of insight into what’s going on - being able to pinpoint the issue you’re facing and describe the responses it evokes. It sounds like you may be dealing with social anxiety and it may be beneficial to talk to a professional counselor about this. A therapist can help you develop tools (or coping strategies) for dealing with these situations. From what you’ve shared, you might benefit from animal assisted therapy. Equine therapy is a great approach, or even just working with a therapist who uses animal assisted therapy integrated with a traditional approach to counseling.


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Reaching out to talk about these issues is an important first step. Finding professional services might be recommended if these issues are happening more and more. A few things to note...Anger is an important secondary feeling to be aware of- it keeps us safe, allows us to stand up for ourselves or others....but it also harbors a myriad of disadvantages. But its secondary. It's more necessary to understand the primary emotions behind the anger- worry, confusion, frustration, fear, loneliness, etc...Anxiety has a lot to do with worrying about the future, especially things that we might not be able to control. If we focus our worry on negative things- mistakes, failures, or messups then we will inherently tell ourselves negative things about ourselves.  People tend to dwell on the negatives without embracing, or as t least recognizing, the positives.


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It's totally normal to feel overwhelmed and uncomfortable in large crowds, or large family gatherings. You may worry about not fitting in, or having anything to say. It is important to have a friend or two. Try to find someone with similar interests. Maybe you can do things that don't involve a lot of face to face contact, like going to see a movie, play or sporting event. Many people are perfectly happy doing things in small groups. If you have ongoing conversations in your head, it is usually due to worry about being judged, and wanting to do or say the exact right thing, as mentioned above. Finding someone to talk to, either a supportive friend or therapist, would allow you to get some of those thoughts our of your head, and realize that you are more accepted than you think. Good luck!


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Since you're aware of your sensitivity to being among large groups of people, then continue to satisfy this and stay away from crowds as much as reasonably possible.It is also fine to prefer the companionship of animals, as long as it is not to the exclusion of relationships with people.Recognizing this feature about yourself is another example of self-understanding.The only point to consider is the reason you avoid talking with other people.If its because of bad or stressful encounters, betrayals or some type of violation, then having this relationship pattern remain in your mind, may introduce new problems such as loneliness from lack of close friends.What you should do is honestly understand whether you avoid people from fear of being hurt or exploited in some way or because you genuinely prefer solitude.If you have the right combination of people/solitude/animals, then great!If not, then consider the confidential office of a therapist for new understanding of yourself and your social interests.


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Thanks for sharing your concern!  I think you'd be surprised if you knew how many people feel the same way.  Being in crowds can provoke anxiety (one of the symptoms of anxiety is irritability or anger, like you described).  For some people, that's just because of their personality (if you tend to be more introverted, being around lot of people is really draining).  For others, it can point to a diagnosis of social anxiety.I'd recommend starting by writing down your self-talk.  It sounds like you are telling yourself a lot of negative messages (as you mentioned, having imaginary conversations and assuming people are judging you).  Write down the thoughts that are leading to you feeling terrible and crying.  Maybe that's:  I'm stupid, Everyone else is having a good time so I should be too, There's something wrong with me.  Just writing these down is an important starting point because it allows you to be objective to your thoughts.  When you see them on paper, you can start to identify the lies and reframe them.  Next to your negative thoughts, write some positives:  I have something to offer, I'm okay the way I am, It's okay to prefer 1:1 relationships, etc.  Hopefully even as you read some of those suggestions, you feel a little lighter and more okay with yourself.  Take care!


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So amazing that you are aware of your social anxiety and distress with others you are in relationships with. You have taken the first step toward a journey of healing! Secondly, make an appointment with a therapist who specializes in neurofeedback and biofeedback treatment. A test is needed to determine which areas of your brain are ‘on’ and which areas of your brain are ‘off’. Then it will be focused treatment which will speed your healing.


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You might be surprised how normal you are. Anxiety is incredibly common and while your particular type of existential anxiety might be unique to you - it is very difficult for most people to really comprehend what happens after we die - regardless of the religious or philosophical belief systems we hold. It is the ultimate unknown and some philosophers and psychologists believe that at the root of our day-to-day anxieties is the fear of death or fear of the unknown.  Just as it can be really hard to comprehend the ending of life it can also be hard to comprehend an eternal existence. What these both have in common is that we are imaging a future that is ultimately unknowable and this unknown can provoke a lot of anxiety. Mindfulness based practices like meditation - maybe there is something like this in your religious tradition - can be very helpful in making peace with the unknown in the present moment. The more we can learn to live in the moment - the less we get hung up on anticipating outcomes for our lives that may never come true. Mindfulness practices can help you ground, be where you are , relax and regulate your nervous system so that you are able sleep and recuperate, and train your attention to focus on living the life you want to live now - rather than worrying about what happens after you die. Having said all that - it can be profoundly helpful to speak with someone about your anxiety - especially when you feel haunted by it, worry that you are crazy and can't get to sleep. There are lots of good therapists out there who can help you with your anxiety.


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Sometimes I can't stop thinking about life after death. I was raised in a religion that teaches that we will live on forever either in hell or in heaven.  When I think of living forever (even if it is in heaven which should be good), I feel overwhelmed. I don't like the thought of living forever and ever and ever. Sometimes I just can't get the thought out of my mind and the thoughts lead to panic and anxiety.  Am I crazy? I don't think these thoughts are normal.


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Hi California, What you're experiencing is indeed anxiety; it's very common. Through research we know a lot of things about how to reduce anxiety. I'll get you started and it's a great idea to connect with a therapist who can build on these ideas and get to know you well.It's natural to have random thoughts that unsettle us. Our brains are complex, wonderful things. Fearful and anxious thoughts are a part of this picture; their purpose is to prepare us for the future and to help us make sense of the past and learn from it. But what happens sometimes is that our alarm systems get out of whack and get set off too easily. We often spend TOO MUCH time worrying about things that happened or might happen. When these thoughts take away from our enjoyment of life, it becomes a problem. So, while fear and anxiety try to protect us, they also seek power and will take any power they can get.In general, fear and anxiety try to tell us one or both of two things: that something is wrong with us, or that something bad will happen (or that something bad will happen because there's something wrong with us). They will use anything they can as evidence to convince you. For example... "That person looked at you funny. You're strange looking". Well there are dozens of possible explanations for the look on that person's face, and it's unlikely it had anything to do with you. For you personally, your thoughts are about the afterlife...about living forever. What does fear tell you will be uncomfortable about living forever? What would the worst part be? A therapist would help you dig deep to find the core of what you fear. It might be that you have no control over who you are or where you go. It might be that you fear going to hell because you're "bad". Search for that deepest fear.I invite you then to picture that thought as a glass of water on a shelf. It's a heavy glass, and if you held it in your hands for a while and stared at it, it would get in the way; you'd be uncomfortable and unable to focus on your life. That's what's happening now. I suggest that the problem is not so much the thought you're having; we all have random silly thoughts that usually aren't true. The problem is how long you're holding it in your hand. You could have that thought (pick up that glass) a hundred times a day and, as long as you put it right back on the shelf, it's not a problem. The trick is to get it back on that shelf.Right now, you're using distraction to do this. You're trying to focus on other things around you, but I think the glass is still in your hand. It's not enough; you're looking for more tools to get that glass back on the shelf.  And the key is in your thoughts. Once you find out what fear is trying to tell you, then you can "talk back to" fear. So, as an example, if fear is saying to you "you have no control over anything", then you can work to accept the pieces you don't have control over, learn to tolerate that feeling, and claim back the pieces you CAN control. You CAN control the extent to which you let fear take you over. With a therapist you can learn to "refute" fears' ideas. You can learn to look for concrete evidence of fear's lies and gain back control over your thoughts. I wish you the best!


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Good questions! The paradox of thinking about forever is that you can become more motivated to live only in the present. Thinking about forever can certainly be overwhelming, it's a lot to think about, What can you do about your future? Be present - learn and relax, knowing that you are doing everything you can right here, right now. There is a book by Eckhart Tolle - The Power of Now - that you might be interested in. Enjoy your journey!


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Your life here matters and being present in it so you feel joy in yourself and your surroundings is important in creating your sense of ease and balance. No one can predict, for sure, what happens after death because consciousness transcends boundaries and limits we tend to impose on it. That said, if reincarnation exists or if there is a heaven or hell your consciousness of it will most likely be free of discomfort or pain as you experience it now. Meditating or doing self-hypnosis for anxiety can help alleviate your thoughts and sense of fear and living the a life of kindness and balance will assure that your future will be happy for you regardless of the unknown.


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Religious questioning is a complex and often philosophical topic, and these types of questions, especially around heaven, hell, and an afterlife can bring up a host of difficult & confusing feelings. What I want to focus on is the fear & anxiety you seem to be feeling that are deeply connected to your questions. Scary thoughts, negative thoughts, obsessive thoughts sometimes feel like they're out of control and there is nothing we can do to stop them, but I want to offer two techniques that might assist with your panic & anxiety. The first step in working with scary or negative thoughts is to acknowledge that they are just thoughts and we can choose to follow the scary thought streams or work with cutting them off or ignoring them. I also realize that might seem really hard to do, but here's a good way to think about the brain and how thought patterns work. Thoughts arise in the mind all the time, our brain is a thought machine. Many thoughts drift by like clouds and we don't pay any attention while other thoughts arise and they trigger us in a particulate way, i.e., scary, angry, happy, sad, and when those thoughts arise we can chose to pay more attention to the thought which can lead us down that particular thought stream that will lead to fear and anxiety. So, how do we work or stop those scary thought streams? One new skill to implement comes from the work of Rick Hansen, he wrote the book Buddha's Brain," he teaches that we need to give more energy and attention to the positive thoughts or positive memories we hold in our mind and pay less attention to the negative thoughts. Hansen asks us to imagine the brain this way, the brain is like Velcro with negative thoughts and like teflon when it comes to positive thoughts. There are reasons that our brain works this way, but I don't have time to go into all of that in this response. So, it's just important to remember we have to work at positive thinking, actually pausing throughout the day to focus on positive feelings and memories,  this will help the mind reinforce positive thought streams and help reduce negative thought streams over time. If a scary thought arises try to replace it with a happy experience for at least a couple of moments, and see if that helps reduce the negative charge connected with that scary thought. I would also suggest when you're having the thoughts about death take a moment to notice how you're breathing. Often when we are feeling anxiety we are doing shallowing chest breathing rather than taking in a full, deep breath or what is called belly breathing. If you take a moment to focus on your breathing and allow a couple of full breaths, bringing in the breath so the belly rises and then the belly natural falls as you exhale, just noticing the breath and practicing breathing can slow down the anxiety cycle as it begins.


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You need to find an outlet. Someone to talk to. Your dad or someone who loves your mother as well is someone ideal. But anyone could help. Just look to someone for help. If you can't find anyone who you think will listen, talk to your mom. It can help greatly just to get the words out. Tell her how you feel about her passing, but then also about everything else. Talk to her about your day. Tell her about happy things. I don't know if you're a religious person, or where you believe she is now, but no matter what you can talk to her.


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Many people generate intense anxiety with obsessive thinking.  While the nature of your obsession about the afterlife and eternity appear very powerful and unique to you, the pattern of obsessing about one thing/area is common.  I suggest that you consider counseling to help you with your anxiety.  If you are so inclined, there are also medications which may bring relief.  Obviously, I can't diagnose you from one paragraph, so it would be wise to visit an experienced mental health professional (either a counselor or an MD in your area) to help you with disengaging from your self-destructive thoughts.  CBT, Cognitive Behavioral Therapy, is a very effective counseling approach for obsessive thinking.  If you'd like a see a top notch CBT therapist, visit www.AcademyofCT.org.  And of course I suggest you pick up my book, LIVING YES, A HANDBOOK FOR BEING HUMAN, which includes CBT concepts and many more tools which will help with obsession and anxiety.As for believing yourself "insane" (or "crazy") this is not a mental health term but a legal one (or a slang).  So as long as you don't commit a crime, no professional can legitimately call you insane or crazy!Take it slow!  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)


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Tell your partner about this so that ideally the person has a chance to be supportive and reassuring, as well as listen to your specific worries and fears.Initiate this type of discussion at a time which is removed from the time you’re about to have sex.This way you and your partner both have a chance to realize the two of you are having a discussion,  not a prelude to sex.If you meant in your question that you feel anxious about having sex w a random partner, then maybe you are less interested in hookup sex than you imagined.


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I first wonder what your anxiety or fear connects to. I don't know whether it is about sex itself or about ideas of worthiness or feeling desirable.There is also a difference between having self-doubt about the actual physicality of having sex (performance-related) or having doubts about whether you want to have sex with a particular person.Having sex can lead to feelings of great vulnerability. If your partner is someone you trust, consider discussing what it is that comes up for you around the issue of sex. This is the certain things that your partner would be willing to do that and the ease your discomfort, like staying with you for some time before and after sexual interactions.Another idea to consider is spending time with your partner and using nonsexual touch for each other (perhaps first you to him and then him to you) and communicating very clearly about what you like and do not like. Some people like to be spoken to during physical touch and other people do not. All of this can be part of your discussions. When you feel comfortable with that, you could move into sexual touch in this manner and actually look at what you do and do not like. You may also consider discussing things that are totally off-limits for you all the time and things for which you would like warning or awareness before they happen. There are really a number of different ways to work on becoming more comfortable if you trust your partner and if your concern is about sex itself.If this feels pretty structured, it is initially. Generally, the idea is to learn more about each other and yourselves and then the process becomes much more natural.If the concern relates more to self-esteem related sex, consider asking your partner to list several things that he or she likes about you. Even if you don't necessarily see yourself in the same light, consider that this is how your partner sees you, so these are some of the things that make you attractive to them (perhaps both in sexual ways and in a wider discussion of the relationship).If this is difficult for you to sort out on your own, consider seeing a therapist with experience working with couples or relationships.


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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!


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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.


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Is there a certain problem you feel about living the way you describe?As long as you feel satisfied with how your life is unfolding then you’re making wise decisions.If you feel tension or that somehow doing as you describe is wrong, then the first step is to identify the way you feel your methodology described above has a role in working against your best interest.Basically, define what is problematic in order to address it.


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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.If you would like to engage in counseling, I am licensed in Texas and Puerto Rico, you can contact me at 787-466-5478. Cada vez que las cosas se ponen difíciles, hago cambios en mi vida.He sido así desde que estaba en la escuela; antes me transfería de escuela.  Ahora pienso cambiar de trabajo.Muchas veces cuando las situaciones se tornan en difíciles de manejar, es porque nos sacan de nuestra zona de comodidad, con el propósito de buscar el cambio y el crecimiento.  Manejar las dificultades si te vuelve más resistente, y desarrolla tu autoestima para que puedas resolver problemas en el futuro.    Ahora, te pregunto: ¿se están poniendo las cosas difíciles al punto que no puedes manejarlas?  ¿Necesitas removerte de la situación para evitar que te hagan daño? Si es así, entonces está bien reconocer cuando nos debemos remover de una situación dañina que nos daña más de lo que nos permite crecer. O por el otro lado, ¿Se están poniendo las cosas difíciles porque necesitas a prender una nueva destreza?   Si es así, ¿cómo puedes aprender esa destreza y quien te puede ayudar?Ayudo a mis clientes a identificar sus fortalezas y áreas de crecimiento, el actualizar y pulir tu resume junto con explorar opciones de empleo, te puede llevar a descubrir nuevos talentos en ti.Si te gustaría hacer una cita, soy Consejera Profesional Licenciada en Texas y en Puerto Rico, llama al 787-466-5478.


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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?


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I recommend that you make a list of all the reasons you should change your life and all of the reasons you shouldn't change your life. Can the problem you are in be fixed? Is there others you can lean on for support? Are there other people you know who have been through a similar experience and are willing to share their story with you? It is important to rely on your support network to help you get multiple points of view. If you believe you need additional help, I suggest seeing a professional.


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No, it makes sense :)Consider today how social media has impacted the mind and heart of man;Is it not so extraordinarily easy to make one appear stellar on social media today?  Heh heh, I've long since joked that the definition of a party is:  "A series of photos to lie with."When I peel back the awareness of others' "judgment", what I find is excitement of wanting to express themselves too...It's funny how America is one of the few lands on the planet where folks are able to mess up and try it again; on most other places, if you mess up, there is such deep shame in it, that it may lead to one taking one's life;


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Stop caring about what you imagine people are thinking about you!Really this is the simple and complicated answer to feel better about your situation.Maybe someone is judging you, maybe someone isn't judging you.Until the person tells you directly what they don't like about you, there's nothing you can do.It is okay that the fear doesn't make sense, most fears don't make sense.


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What are the best ways to reduce anxiety?I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.Our everyday life is filled with pressures and deadlines that are common to cause anxiety.   Here are some basic tips to handle those stressors.·         Learn thought stopping techniques: There are multiple ways to teach your brain to refocus.  If you allow your brain to focus on the source of anxiety, the anxiety will be in charge.  But you can learn to put those anxiety-provoking thoughts on a parking lot, and focus on pleasurable thoughts, or the activity that you need to complete on the time being.·         Plan, organize, delegate:  Create a schedule to manage demands, organize priorities, and delegate or share responsibilities.   Work as a team with your family, so you can share the load.   Prioritize actives, shores, and expenses. Focus on the urgent, necessary, and spread apart the not so urgent.·         Identify triggers:  Once you understand what causes your anxiety, you can learn to channel process and refocus your thoughts.  You can also learn coping strategies to manage the problem or give up the desire to control it if needed.·         Learn coping skills:  Having a balanced lifestyle helps tremendously to reduce and manage anxiety symptoms.  Looking at your eating, sleeping, physical activities, spirituality and leisure time is key to find that balance.If you find yourself struggling with anxiety, you can contact a Counselor or mental health provider.  I provide teletherapy for Texas residents and psychotherapy in Puerto Rico, you can reach me at 787-466-5478 for appointments.¿Cuáles son las mejores maneras de reducir la ansiedad?Tengo ansiedad por preocupaciones diarias, como las finanzas, relaciones, niños y mantener mi casa.Nuestra vida está llena de retos y presiones que comúnmente nos causan ansiedad.  Aquí unos consejos básicos para manejar esas preocupaciones.·         Aprende como detener tus pensamientos: Hay múltiples maneras de enseñarle a tu cerebro a reenfocarse.  Si permites que tu cerebro se enfoque en la fuente de ansiedad, entonces la ansiedad se apoderará de ti.  Pero puedes aprender a poner a un lado esos pensamientos que causan ansiedad, y enfocarte en pensamientos positivos, placenteros o simplemente enfocarte en la actividad que estás haciendo. ·         Planifica, organiza, delega: Crea una agenda para manejar las demandas diarias, organizar prioridades y delegar o compartir responsabilidades.   Trabaja en equipo con tu familia, de manera que puedas compartir la carga.  Organiza las actividades, gastos y tareas por prioridad.  Enfócate en lo urgente y necesario y distribuye lo que no es tan vital. ·         Identifica la fuente:  Ya que comprendes donde o qué inicia la ansiedad, puedes aprender a canalizarla, procesarla o reenfocar tus pensamientos. También puedes aprender a manejar la fuente de ansiedad, resolver el problema, o aceptar que no lo puedes controlar, si ese fuera el caso. ·         Aprende mecanismos de defensa: Tener un estilo de vida balanceado ayuda tremendamente a manejar síntomas de ansiedad.  Observar tus patrones de alimentación, descanso, ejercicio, espiritualidad y tiempo de ocio es clave para encontrar el balance. Si notas que continuas batallando con la ansiedad puedes contactar a un consejero profesional de salud mental.   Proveo teleterapia a residentes de Texas y Consejería en Puerto Rico, me puedes contactar al 787-466-5478 para hacer una cita.


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


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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.


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Anxieties are an adrenal problem;Clean them out with a proper detox, using the food built for mankind, and a herbal protocol;Maybe throw in some fasting here and there to kick the kidneys into high gear and get the adrenals pumping...Every loss is a gain, so losing a car means you no longer hold responsibility to keep and maintain it...If you're really up for it, some contemplation (that is keep one thought *lightly* on your mind allllllll day; that is just focus upon it from time to time, "Man, I notice that the sky is really blue today... and the air is really crisp today..."); after 3-5 days of contemplation, see what you notice...


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Anxiety is overwhelming insecurity.Try to think of why you'd feel insecure or have very little confidence in your ability to complete or be in relationships.Is it possible you were very heavily criticized when you were young and growing up?Very often kids who are not encouraged to try new activities, have fun in relating to others, learn to not trust themselves to handle these fundamental parts of life.Also, if you grew up in an alcoholic or abusive family, whether the the abuse was toward you or between your parents, it is possible these scenes made you a very insecure foundation on which to trust your yourself and other people.Examine the basics of your growing up years and what may explain why you feel insecure.To improve, be patient with yourself about. making mistakes and simply try in simple, small, and direct ways to do the actions you fear and in which you also would like to participate.


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Which one gives you the most anxiety? List from top to bottom which one gives you the greatest anxiety and ask the question how come? From there, we can figure out the underlying factors of your anxiety.


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Since it is clear that people react differently to the same stressors, we know that the stressors are not causing the anxiety, our thoughts about the stressors are. Often, cognitive distortions are the problem. Some common cognitive distortions include catastrophizing (predicting the worst), future telling, black and white thinking (if it's not perfect, it's terrible), mind-reading (I just know he is angry at me) and can't-standitis (I can't stand this situation). There are more, but the list is long, and if some of these are resonating with you, I would advise looking up CBT (cognitive behavioral therapy) tips, worksheets, booklets etc. on line, or contact a local CBT therapist. Another helpful piece of info on anxiety, is that it is prone to something called "symptom stress" - being anxious about anxiety. If we could hear this symptom stress it might sound like, "Oh no I'm getting nervous about this, I'm getting uptight, I look nervous, what if I have a panic attack!" followed by  more cognitive distortions such as "I can't stand being anxious!" and "this is horrible!" The antidote to this is acceptance.  Kind of like not stopping the waves but learning to surf instead (Jon Kabat-Zinn). If you happen to feel anxious, say to yourself - this is just a reaction I'm having that is unpleasant, but not horrible. I can tolerate and survive some anxiety, I can breathe deeply, and I'll be OK because panic attacks never killed anyone. I can stand this and it is temporary. You get the idea.We can increase our awareness of anxiety-provoking self-talk, and counteract it with calming and reassuring self-talk. We have the ability to think about our thinking, decide which thoughts are healthy and which are unhealthy, and choose which to focus on. We brainwash ourselves with our thinking, and according to self-perception theory, " we learn what we believe when we hear ourselves speak," so we may as well be a calming, reassuring presence in our own minds. :)


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It sounds like you are on the right track. Recognizing these nagging thoughts of self- doubt as "imposter syndrome" is a huge step in the right direction.  From what you have written here, it appears that you are able to challenge your own thoughts and provide yourself with evidence that counteracts the imposter syndrome.   Continuing to remind yourself of what you have accomplished and looking at the facts at hand can help diminish doubt.  Remember, many successful people battled imposter syndrome on the way to the top (and still manage it).  It might be helpful to read some of their stories so that you don't feel alone.  "The Cut" has a great article on "25 Famous Women on Imposter-Syndrome and Self-Doubt".   Business Insider has a great article about men and the imposter syndrome too.  Remember, if you jumped through all of the hoops to get into school and get published-- you belong.


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I'm dealing with imposter syndrome in graduate school. I know that by all accounts I am a phenomenal graduate student, and that I am well-published. I am well liked by students and faculty alike. And yet I cannot shake the feeling that I'm going to be found out as a fraud.    How can I get over this feeling?


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First step is to remove the label of your behavior as a syndrome and instead understand the reasons for it."Imposter syndrome" sounds like a name someone made up to write a book and have lots of people buy it bc it gives the feeling they know themselves by calling themselves this name.Instead, consider your own unique qualities including your fears of being recognized as adding value to people's lives.If you were told growing up that you're worthless, or if your chosen career goes against family advice and expectations, or if you simply are a shy person, then these would be the starting points to understand your reluctance to believe in yourself.The more you understand yourself and trust the truths you find as to who you are, the less you will feel fraudulent.Good luck in your career work!


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It would be very helpful to identify with you eventual pattern where the imposter syndrome is more or less present. Are there specific situations where you've noticed the feelings of "I'm going to be found out as a fraud" becoming more strong? It seems that shaking this feeling is very important to you. In my opinion, before shaking that feeling, we need to get closer to it and understand its roots. If you would like to get closer to the feeling, you might consider asking yourself questions such: "What is the trigger for this feeling? How does it feel in the body? What is the thought process I engage with after noticing this feeling? All the best. Rossana Mag.


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"Imposter Syndrome" is a basic effect is a dishonest cause.Basically, there is a fundamental lack of honesty in some important parts of your life (my guess would be relationships) that has led to this sense of dread and guilt.I wonder where the dishonesty be...


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I'm sorry you're feeling this way. You've probably read articles already about impostor syndrome, but still didn't get the answers you were looking for; you probably know that lots of people feel this way, that it happens to lots of successful people in professional settings. Not helping, right?Think about people who succeed at big tasks: an Olympic athlete has a defined goal that they need to meet: cross the finish line, say, faster than anyone else. That success is remarked upon, and - until someone does the event better than they did - they are 'the best.' Grad school, however, is not so great at discrete goals and celebrations of success. You got a good grade on an assignment, but what about the next one? You and 6 other people in your class probably got the same grade, so does that make you a success or average? It falls to you, then, to identify ways you are sure you've succeeded. If your grades and peer admiration aren't hallmarks of success enough, perhaps pull your measuring tool inward: measure your achievements against your own progress- ie: I got a 93 on my last assignment, I got a 97 this time! You might find those feelings fading soon~


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Hello. First, I am so sorry you are experiencing these feelings. They can be intense, I will do my best to offer some suggestions or thoughts that I hope will be helpful to you. There could be a number of things occurring. Therapy is a delicate, private decision and I would first like to commend you for the fact that you are not giving up, that you are working to figure this out, and make this work, it sounds like you are engaged and motivated to receive support from a professional, your continued  dedication and motivation will take you far. I would first start by asking if you have discussed this with your therapist, if you feel comfortable enough telling your therapist what is going on, maybe inform the therapist that  that you feel nervous and shaky. I am a firm believer in open communication between the client and therapist as this builds a healthy therapeutic relationship that yields positive outcomes, if this can be obtained and well received. This is YOUR time for healing and therapy should be a safe, supportive environment to not only process but to seek support and guidance from a professional who can help you move past the barriers. If you feel you are comfortable and able to speak to your therapist, that would be my first suggestion, is to tell he or she how you are feeling. If they know then they can help determine the potential cause and allow you to process and move forward. If this is left un resolved it will be hard for you to move forward. If you are not comfortable discussing this with your therapist, this may be something to take into consideration and worthy of thinking about: why you are not comfortable speaking to the therapist. I understand this is difficult. If I may offer one more suggestion, breathing exercises are very beneficial. Remind yourself what you are working to achieve, close your eyes in a safe moment and breathe in and out slowly, in slowly through your nose and out through your mouth with pursed lips. Breathe in for approximately 5-10 seconds, then let it out slowly. Be sure and do this when you are in private, and feel safe environment. When you begin, I suggest putting your hand on your stomach, over your belly button to feel yourself actually taking in those deep breaths. I know it may sound kind of silly but they really work and are incredibly helpful. We often forget to breathe, especially when we  are feeling anxious. You are supported here and try taking yourself through the above thought process and breathing and practice the breathing several times a day. I hope this shaky and uneasy feeling eases. Wishing you the very best!Laura Cassity, LMSW, LMAC


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I've gone to a couple therapy sessions so far and still everytime I walk in I get nervous and shaky. Is this normal? Should I still be feeling like this?


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It can be uncomfortable talking to someone about your life in the great detail that is normally necessary for counseling to be beneficial. Since you're already going to counseling, congratulations on taking that big, first, stress-inducing step. Hopefully by now you are starting to feel a little more comfortable with your therapist. It can be helpful to address this big "elephant in the room" and talk to your therapist about this. I do my best to help people feel comfortable when they come to counseling, but regardless of how hard we try, sometimes it is just a little hard to get accustomed to. The good news is, the more you keep at it, the more "normal" it will become.


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If you have only been to a couple of sessions, it makes sense that you might still feel apprehensive at first. Therapy is hard work! You may be talking about some things that you never talked to anyone about before. Opening up to stranger can be scary. After you feel comfortable with your counselor, and trust has built up and you feel understood in session, you should feel more relaxed. I would encourage you to talk to your counselor about feeling a little shaky. Sharing what the process is like for you is important in your work. If you still feel unsure about sharing after several sessions, it is important to take a look at that and try to understand where that may be coming from. For example, are you and the therapist not a good fit? But, again if you are just starting out in working together, feeling a little bit nervous makes perfect sense, and I encourage you to give it a bit more time and to talk to your therapist about how you are feeling.


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Hi there, Thank you for your question. It's absolutely ok to feel nervous going to therapy. I have experienced anxiety going to see my own therapist. There can be a few reasons why you might feel this way. First, it is always unnerving to see a person who is a stranger and to share intimate things with that stranger. You mentioned it has only been a couple of sessions. Your anxiety might subside as you continue to see your therapist and grow more comfortable with him/her. Another reason why you might feel particularly nervous is perhaps you are not comfortable sharing things. As children, we might have bad experiences opening up to others. Someone might bully or ridicule us, and that experience can stay with us for a long time, making it extra scary to share our intimate feelings and thoughts with others. If this the case, as you continue with your sessions and have positive interactions with your therapists, this anxiety will subside with time and you will re-learn that it is safe to share. And the last thought why you might feel the shakes is perhaps you know that you need to talk about some past experiences or memories that are uncomfortable and difficult. Regardless of the reason, it might help you to bring up your nervousness in your session and share how you feel with your therapist. Having an open dialogue about your anxiety with your therapist can help you resolve some of that anxiety and built greater trust with your therapist.


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Thank you for your question. It's completely normal and natural to feel nervous before a therapy session. Many people report having felt this way. I can't say enough regarding the amount of courage it takes to reach out and attend a therapy session. For many people, it can take weeks, months, or even years of contemplating whether to see a therapist or not before actually contacting one and attending the first session. It takes courage to want to work through any struggles you may be having or personal growth you aspire toward. In your question, you mentioned that you've "gone several times and are still feeling nervous and shaky." If you feel comfortable with your therapist and it's a good fit for you, I would suggest talking about this with your therapist. You don't have to struggle each time you have your appointment. Together, you and your therapist can work toward helping you have a different experience.


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Sure, why not!It's nerve-wracking to go to a man or woman you've never met before and who is a total stranger, that you are paying to take an interest in your life.  You're likely feeling an internal truth about the sessions, the man or woman with you, and the man or woman sitting across from you.  I'd listen to those feelings.Wouldn't it not be best to go to those around you that do provide comfort and aid, first?  Wouldn't it be better to attend to those of faith around you who have love to offer, first?  Wouldn't it be better to go to your family and loved ones, first? :)Might try that; see if your nervousness evaporates...


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What you are experiencing is extremely normal. Opening up to someone you don't know from a can of paint can elicit some uncomfortable feelings and make you feel shaky. With time and building trust with your therapist, you will eventually start feeling less apprehensive before sessions. Consider bringing this up to your therapist as you both can process this experience together and figure out ways of coping with this anxiety before you come into the therapy room.


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It’s very normal to be nervous going into therapy. You are being vulnerable and honest, which is always scary, no matter how many times you do it. The best part about therapy is that the more you go, the more confident you are in your ability to work through those difficult feelings, and while you still may sometimes get nervous, you will have confidence too!


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It depends on your definition of "normal"!:) I would say that the average client I see feels some level of nervous energy when they come into their sessions, and especially at the beginning. I think that with clients who I work with that have difficult times in relationships, maybe being able to trust people is tougher for them given their life experiences, the expectation would be that they have a harder time moving through those nerves and feeling more at peace in sessions.In my opinion, a competent therapist could help you explore where these nerves are actually coming from (talking about yourself, relating to another, something else?) I encourage all of my clients to bring up whatever emotions are coming up for them in the moment, as it's helpful to the client to recognize the "present moment" emotion and then being able to process, learn from, and move through to a more peaceful place, if that is what is being sought.


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Therapy can feel very weird to begin with - think about it, how often do we go and tell a relative stranger our deepest, darkest thoughts in the rest of our life? So I think its reasonable to expect a certain level of nerves as you get used to your therapist and to the whole process of talking about yourself and vulnerable topics. That said, its definitely worth bringing to the attention of your therapist (if you haven't already) to see if there is anything that they can do, or that the two of you can explore together, that might make the process feel less intimidating to you.


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It takes a lot of courage to go to therapy.  I have gone myself as a Counselor and know what that feeling is like. This is normal but hopefully you have become more comfortable with your therapist. This might be something to bring up to your Therapist and openly discuss (scary to do but its ok) this may even relieve some of your anxiety.  If it continues, you may want to consider trying another therapist as this one may not be the best fit for you.


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Therapy does not work overnight, oftentimes it is a lifelong struggle, the therapists job is not to "cure" you or to remove something but rather to make you strong enough to live your life with your own peculiarities and struggles, remember we are human and constantly fallible. Another important thing to note is that although you go to therapy, that is just a room, most of the magic and work takes place in your real life outside of that room.


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Yes, feeling nervous for the first few or several sessions of therapy, is completely normal.Therapy is an unusual way to have a conversation with someone.   The person is an expert in recognizing and understanding dynamics of human interactions.   For some people the fear is that the therapist knows more about you than you do yourself.In general terms hopefully your therapist has worked with many other people who've faced problems similar to yours.In this sense the therapist has a general idea of the basic dynamics you most likely are handling.No therapist could possibly know your particular details and your particular areas of upset or in what ways you feel unsure of yourself.Once you start to trust both your own right to tell your particular story and start to also feel that your therapist is listening attentively and cares what you tell the person, your nervousness will start to disappear all on its own.Good luck in getting the most from your therapy sessions!


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It is absolutely normal to be nervous about therapy.  Many people take years to make the decision to start counseling and although it is a safe place to explore feelings, it may be the first time you are facing certain issues.  It takes courage to face issues head on.  Being nervous is part of the process.  The fact that you are continuing to go to therapy sessions despite feeling nervous demonstrates your strength.  Keep it up!


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Yes, it is completely normal to feel anxious about therapy. Therapy often explores topics and feelings that are uncomfortable. The ultimate goal of therapy is to feel better but the process itself can be uncomfortable.


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For some people it's absolutely normal to feel nervous about coming to therapy.   It's sometimes hard to share our emotions and feelings with someone --- no matter how warm and caring the therapist is.     Are you comfortable with your therapist?  Is it a good relational fit?      Maybe this is a good thing to discuss with your specific therapist at the beginning of your next session --- maybe they can help you find some strategies or tools to make it easier?


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Well, it's generally okay to feel anxious or nervous about going into therapy, particularly in the beginning because the process of being open about what you are going through, much less to someone who you don't know well, can be anxiety-producing. It's also common to feel anxious when you are discussing something that is important, difficult to discuss, or you are making changes that are very difficult for you.The most important thing I can tell you, though, is to discuss with your therapist this idea that you feel nervous and shaky. Some anxiety can actually help to motivate or lead you toward change. There are also level of anxiety that can be counterproductive, so it's a good thing to discuss. Personally, I can tell you that I would want my clients to tell me about anxiety they feel 100% of the time. That opens the dialog to discuss whether it is the level of anxiety that they want to sit with and learn about in discovering more about themselves and their experiences and/or whether they would like to do something to lessen the feeling of anxiety.Thanks for writing here. If it caused anxiety for you to do so, I hope that feeling is diminishing for you, at least related to writing here.


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of  I would love to know a little bit more about what's going on in your life but I will attempt an answer.Yes, you could still be shaky and nervous going to therapy. This therapy thing your doing is sometimes scary. First, because your opening up things that you might have never wanted to. Second, your still building a relationship with this therapist person. You may never get over that. The therapist really can't be your "friend". They are there to push the buttons that you might not want pushed and help you heal.  That in itself is scary and can make you anxious. Third, you really never know where this therapy thing will go. Yes, there are goals. But sometimes side roads need to be taken and sometimes that is scary.Know this you are in the right place. You are taking steps to change.


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It is absolutely a typical response.  Many of my clients are nervous the first couple of times we meet.  This is essentially a stranger with whom you are sharing your feelings.


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It's normal to feel a little anxiety--after all it's an important encounter for you.  My suggestion is to discuss this with your therapist, let him/her know how you're feeling, especially if you feel as though your level of anxiety is impacting the quality and benefit of your sessions.  You might try some relaxation techniques prior to starting the session, deep breathing, progressive relaxation, core muscle dis-engagement--If you're not familiar with these techniques ask your therapist or write back.


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Hello there.  You ask about being nervous and shaky walking in to your therapy session and want to know if its normal? ...  I realize there a few ways to look at this.  I presume you weren't anticipating feeling this way; and probably hoped to feel the opposite..  Well, my initial response is yes, sure, it can be within reason to feel this way.  Have you been in therapy before? Is this somewhat new? That could be part of the reason. But either way; new or not, I think when are entering into a meeting that holds potential evaluation of deep things about you and your heart and soul, it can cause anyone to tremble. The soul can be anticipating some things could be shaken up here, and it can feel scary to look at these things and then change.  Looking deep at our life can feel daunting and scary; so your response just might be regards to potential growth trying to happen.   OR, is there something about the therapist you don't feel confident about?  This too might be in play as a reason for your feelings...  Maybe you lack confidence in that therapist ?  Have you let your therapist know how you feel?  That would be good to explore...I would like to encourage you to look at these ideas.  Hope it helps.   Let me knowKindly,keithkeithcounseling.com


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"Normal" can be an insidious word to use because it can undermine your sense of worth.  It implies there's one particular way you should be behaving and can leave you feeling crappy and "abnormal" if you're not behaving according to that prescribed standard.  Instead, what I'd recommend is to pay attention to your emotional experiences when you're attending therapy.  Explore your feelings and thoughts without judgement and try to reflect and understand what's going on that's causing you anxiety.  Once you figure out the underlying meaning of the anxiety, you can figure out a way to handle it and action steps to take to diminish it.


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Everyone has different experiences going to therapy. Being nervous can be a typical emotion one might feel. Emotions are our body's way of telling us important information about ourselves. I would suggest talking openly in your sessions about this. That way you can process your thoughts and feelings with the guidance of your counselor. There are probably underlining emotions (fears or insecurities) that are being stirred up during your therapy sessions. Your counselor might suggest individual counseling depending on what you learn about your anxiety. In individual therapy you would have time to deal with your own stressors. As you address your issues, then you will have tools and skills that will be useful in addressing the couple relationship.


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I would be more concerned with how is this being addressed in therapy. Therapy can be a rewarding process, however often times we do not pay much attention to the messages being sent to our bodies. I believe in somatic therapy which deals with our mind & body connection. I would think it may not be a question of normal or abnormal however if it is impacting you then you must pay attention to that. It would be helpful to explore the feelings you're having  with your therapist. It may be something that needs addressing to help alleviate those feelings or have a better understanding of why they are showing up when it is time for therapy.


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It is totally normal - you have a lot riding on this and you're invested! Think about why you feel so shaky - is it something about the therapist or their style? If so, it would be a good idea to talk with them about it so you feel more at ease. In any case bringing up your feelings about therapy in therapy is totally appropriate and even necessary. Good luck!


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Sounds like a lot is going on right now at such a young age. I'd start with discussing with mom your concerns and ideal situation. I'm unsure what prevents you from staying there, but whoever you are staying with, it should be brought to their attention. In regards to your anxiety attacks, deep breathing is always a benefits. I have a link you can use to help to do this online if you are interested. In addition, finding ways you usually cope with anxiety and what's worked before can help and if it isn't, exploring new way to calm you down can be beneficial. This is something you can speak with your therapist about going forward when they are available.In regards to feeling suicidal: I would call suicide prevention hotline (You can google them) if you truly feel the ideation is getting worse. They are professional agents who can speak with you about your ideation and help you through the process. Hope this helps.


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I'm 17 and I'm sick and tired of going back and forth. I'd like to stay at my mother's house. This problem has really affected me. I've had anxiety attacks and suicidal thoughts and self-harm in the past.    Currently I'm going through anxiety and my thearapist is not available. How do I handle this?


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At age 17, I think you are old enough to decide which parent you want to stay with full-time. I would gently and lovingly tell your father that you've decided to stay with your mother. You can offer to visit him regularly, if you'd like. Parents often have a hard time letting go and, especially in divorce situations, your dad might feel as though he's "lost the battle" if you go live with your mom. He might also feel he's lost you. If your dad is unrelenting and the situation unbearable, you can ask a judge to modify the custody agreement.


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OK first things first. We have to think of your safety and take care of those thoughts of hurting yourself.Yes, this is a major problem for you and can cause anxiety and depression. You have the right to be sick and tired. Kids often are pawns in this marital problems that their parents have. I'm sorry that this is happening to you.I am not sure of your rights in the state you live in but as far as I know you as a 17 year old you have the right to stay where you want. So your'e going through an anxiety episode and your therapist is not available.  If I'm the therapist we would have already set up a plan so that if you are in this situation you would know what to do. In the worst case scenario you would be able to contact me.But I would have given you several exercises to help reduce your anxiety.Staying with your mom should be your choice. I know you probably don't want to hurt anyone's feelings but there are ways to ease the tension. Maybe with your permission and their agreement, we all could meet together for a session or two to ease your tensions and get over and through this hassle.


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Have you told either of your parents that the current house rotation of where you stay, bothers you?Since each parent has an interest to be together with you, I imagine that to some degree, each cares how you feel.If these conversations are not getting your problem solved, then maybe your therapist can have a family session with your parents together and depending on the outcome, with you and each parent.


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I am so sorry to hear you are going through this. Divorce can be so disruptive in a child's life.I'd really need a lot more information about your situation before I'd feel comfortable offering any advice or suggestions. There are so many variables, and not knowing the whole story, any advice could possibly make your situation worse.I do see some positives, though. One, you say you have a therapist. That's great! I hope you're able to talk to them about this soon. Still, they can't give you legal advice, and a lot of this situation may be dictated by the law. What your therapist can help with, though, is dealing with whatever situation you have to follow by law. If you can't change the situation, you at least need to learn how to cope with it better. Two, you're 17. When you're 18, you're legally an adult and will not be bound by any custody rules or visitation plans in place. Honestly, teenagers usually have a lot of say with the courts in custody arrangements. Since you didn't specify more on the situation, I have no idea what your specific situation is. Were your parents ever married? Are they separated or divorced? Was there ever a court hearing for custody? Not all couples have an official court order arrangement. All families are different, too. Was there abuse between your parents? Towards you by one of them? Does either of them have addiction issues, major health or mental health issues, or anything like that? You mentioned that you want to live with your mom, but didn't say why. Are you afraid to tell your dad you want to stay with your mom? Is mom the lenient and fun parent while dad is the more strict one, or is there something else going on? This isn't a decision that should be placed entirely on you, and it also isn't a decision that anyone else needs to make on your behalf without your input. But advice on what to do needs to come from the people who know more about your situation so they can help recommend the best thing for you. Whatever you do, hang in there! 18 will be here before you know it. Focus on that. Freedom. College. Plan for your future that YOU control, and focus on making it the best it can be. Do not let the anxiety and depression cloud your thoughts and make you do something irreversible.


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Anxiety can absolutely make you think you heard something about you. When we are on high alert, we tend to look for threats and often the greatest threats we experience on a daily basis are social in nature.  To some extent this is normal, for example, when people experience late onset deafness, they often will worry people are talking about them (and usually not good things) because our brains tend to jump to that. Of course, I'm not saying you are going deaf or anything, just giving an example. Counseling can help you work through this anxiety. It may also be helpful to reach out to a counselor to rule out if there may be other things going on. Sometimes things like paranoia can blend in with anxiety, which is a very distressing experience. But both are absolutely treatable. Wishing you the best!


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When I'm around people, I sometimes think someone has made a comment to me or asked me to do something. I will be focusing on something else and then randomly think I hear something about me. I never know if it was actually said.


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It sounds like you are having difficulty knowing if people are saying things to you, or if you only thought someone was talking to you, and this is anxiety producing. It's understandable that it could be confusing and/or a bit scary to be unsure if people are speaking to you or not. It's hard to say exactly what is going on from just this description, but if you can work with a competent therapist, you may be able to get more insight into what is happening, get clarity about your social interactions, and develop some ways to deal with the anxiety.


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That is awful! I am sure you are ready to start getting some rest. It's normal for us to wake a few times in the night, however, when we are dealing with high anxiety or stress, those times can turn into being up most night. Given that you are having these repeated dreams, I am wondering what might be going on in your life either now  or in the past that could be triggering stress or maybe memories. It can help to draw the dream out in the morning or even to look for metaphor. In the long run, seeking counseling can help you sort all that outIn the meantime, self-soothing strategies may help you in the night when you wake and can't get back to sleep. This can be anything with your senses----getting a snack like tea and focusing on that taste, smelling something pleasant, listening to some relaxing music, looking through a magazine, taking a shower. Anything you can think of that might help you relax. If it involves needing to get up, that's okay! Getting out of bed can actually help you get out of that mind space and helps you associate your bed with relaxation/sleep vs anxiety making it more likely you will fall asleep once  you lay down.


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I have these dreams of men, and they always seem to try to hurt me. It's gotten so bad that I first wake at 4:30, then 4:45, and finally stay awake by 6:00. I'm always the last one to fall asleep and the first to wake. I hate falling asleep. The longest I've went without sleep is three days.


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The good news about your dreams is that your fears are right at the surface of your mind so you can study them and release some of the harm from the terrifying experiences you had which created these bad memories in the first place.The bad news is the feelings themselves are sickening.Probably a therapist would be very helpful for guiding you to unfold these uneasy feelings and their source.This type of deep work is easier with emotional support from someone.  A therapist can give you this plus is knowledgeable about dynamics of someone having been emotionally harmed by another.Or, read a lot online and find out which articles resonate with your emotions.Luckily people are willing to express personal stories of recuperating a sense of peace and safety after being violated by someone.


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Relationships at any amount of distance can be so hard! It makes sense that you are encountering more anxiety than usual given that major change in your relationship. And you're right that being separated from our partners can heighten our insecurities and worries about not only our relationship security but about our partner's interest. Have you talked with your boyfriend about this struggle you're feeling? It can be hard to have this kind of conversation without triggering a sense of blame and subsequent defensiveness in our partners, but it really is possible. If you have any concerns about being able to do this, then a session or two with a local counselor or therapist might be really helpful - and it really can be just about finding the way to share what you're feeling.As far as coping with anxiety, there are a lot of options but I highly recommend an app called Self-Help for Anxiety Management. There's so much good information in this app to help you learn to pay attention to what kinds of thoughts are helpful or unhelpful, and there are also lots of activities for calming down and decreasing the intensity of that anxiety. The best part is, it's free!


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I have been with my boyfriend for more than a year. He recently got a new job and travels a lot. I’m not used to him being gone all the time. I feel as though he has forgotten about me because he does not talk with me as much and doesn’t keep me up to date on everything that he does throughout the day, which he used to.
 I feel lost, sad and unwanted. This is really a tough new challenge. I just want to break up with him, but I love him so much. I don’t know why he is acting this way lately. I believe I have separation anxiety. Is there anything that I can do to help me cope with this while he is out of town?


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In a way, yes, you have separation anxiety. It's normal in a relationship for us to slow down a bit with the attachment behaviours that establish and deepen love and connection. So, just because your boyfriend isn't talking as much or keeping you up-to-date doesn't necessarily mean what you fear it means...that he's forgotten about you or loves you less. It could mean quite the opposite...that he's focused on being successful in his new job and impressing you. He may think he's loving you more, but you feel loved less. You have two jobs to do here. The first is to manage your anxiety by "talking back" to the thoughts it puts into your head. It sounds like "It's normal to be insecure, but I have tons of evidence that he loves me and that I mean the world to him..." Find that evidence that helps you refute what anxiety is trying to claim. The second part of your job is to let him know what you need. You need more affection and connection during this period when he's away (more texts, phone calls, information). It's okay to want that, and I am sure he will be relieved to know exactly what he can do to help you feel secure and calm when he's away.


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First step is to tell your boyfriend the reasons you feel upset.This way he has a chance to answer your questions as to why he doesn't keep in touch.His responses will guide your next steps.There is a difference between his unavailability due to a heavy workload or because he has less interest in the relationship.In order to work with his current behavior you first need to find out why it is happening.


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Consider talking with your boyfriend about times that you may be able to talk together while he is away. This way, you have an idea when you'll be able to contact him. Does he recognize the feelings that you have while he is away? How do you feel when you are together with him and he is home?I'm also curious as to how the level of your anxiety (on a scale of 1 to 10, perhaps) changes during the parts of his trips. Maybe there are certain parts that are more or less related to anxiety for you. Perhaps you have less anxiety while working or involved in a specific activity, for example, spending time with friends.When you are both in the same area (when your boyfriend is not traveling), do you do some things independently with friends? Do you know what leads to your anxiety when he is away? I don't know whether it is a general feeling of wanting him to come back or anxiety that something specific will happen to you or him.Do you ever recall feeling this way in your past? If so, what was happening then?What do you have that makes you feel very safe and comfortable?Consider working with a mental health professional in the area. Perhaps it would be helpful for the two of you to meet with a therapist who specializes in couples to see what kind of relationship you want to have and what you can each do to contribute to that relationship. There could be things that you could both start or stop doing to help your relationship move in the direction where you would like it to go. As an example, perhaps you would like a text before your boyfriend goes to bed, no matter what time zone or time of day it is. Perhaps he would prefer a good morning text or call/voicemail from you.


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From your writing, you have already atoned for what you describe as "cowardly".Recognizing your action and trying to directly correct it, realizing your action was improper and demonstrating the willingness to take right action, are all examples of making things right.Since the actual driver is unavailable to consult as to their wishes on what they expect and feel would correct the matter, you did the next best thing and considered the situation from the driver point of view.


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I panicked over a minor parking lot mistake. It was totally my fault, but due to another insurance issue, I left a note with an illegible phone number. Guilty over this, I got an envelope containing several hundred dollars. Unfortunately, by the time I returned, the other driver had seen my ersatz note and drove away. Since I cannot make this up to that individual, how do I atone for my cowardly act? I have been trying to do random acts of kindness in hopes that karma will somehow even out.


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Thanks for sharing as it shows your humanity and that you have a sensitive conscience. In your example here I'd encourage you to always think, "safety first"; and never offer a stranger at the accident scene "...several hundred dollars". Why? Because it could go badly against you (i.e. extortion, robbed, or would this be considered a bribe).   To the point, I'm reminded of Steps Eight and Nine in many 12-step programs regarding making amends. In your specific example since the injured unidentified party departed, and by your own admission you've been doing random acts of kindness, it seems to me you've acted in reasonable good faith fashion to make amends. Well done.   I'm not a karma expert but as a therapist I would invite you to explore the deeper story behind your use of the words "cowardly", "guilty", and what it does for you to engage in "random acts of kindness". What a fascinating journey this could be for you. Best wishes.


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Anxiety is usually a sign of a current problem to which familiar emotional patterns of feeling similarly upset, attach themselves.Try to understand more about who you are, what you like, feel uneasy about, especially your deeper emotions of being emotionally harmed or injured by meaningful people.Anxiety is best addressed indirectly by understanding and kindly accepting previous hurt and fears from long ago.Once you feel at ease with dynamics of past situations then the current anxiety will decrease.  This is because you will have adjusted and found new ways of handling otherwise frightening and overwhelming interactions and involvements with others.


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I've been having horrible anxiety for the last week. I can't sleep. I get a sense of doom, and it's hard to breathe. I feel like nothing I do makes it better.


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Maybe you need more time to reflect and organize your thoughts.Try to figure out what would make you feel more relaxed about talking to your dad or stepmom.Also its possible you simply don't feel safe around either of them and so intuitively realize you're better off not talking with them about a delicate matter.Depending on whether you trust talking to dad and stepmom, you may simply wish to excuse yourself from speaking about yourself.There's no good reason to be heartfelt with people whom you don't feel are willing to accept or understand who you are.


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When I get talked to by my dad or stepmom, or if I'm in trouble, I will begin to cry and not say what's wrong with me. When my dad or stepmom ask what is wrong, I never know the answers or the words to put together what is actually wrong with me.


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Anxiety can cause such a feeling of discomfort in our bodies that it can seem unbearable. The concern that I can hear in what you have written is that the thought of having some anxiety has now left you uncomfortable with any anxiety at all - and that can become a problem, indeed. As opposed to thinking about your anxiety as something much bigger than you, it could be helpful to start breaking it down. What are the things specifically that cause you anxiety about this new job? Is it being away from your family? If so, why? Once you start breaking down what causes you to feel anxiety into smaller "mouthfuls", then we are far better able to understand what has led to discomfort and start to problem solve the issue.


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I just took a job that requires me to travel far away from home. My family and I really need this job.
   People keep telling me I have "anxiety" and I'm terrified of having an anxiety attack on the road. This is all new to me. What can I do?


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First, congratulations on your new job.  Apparently your employers think highly of you, since they hired you!You say that "people keep telling" you that you have "anxiety" - how do they know?  Have you told others you are sometimes upset or nervous?  Have you been treated for anxiety?  Or is that a perception that others have that you haven't been able to counter?It's a new job, and it requires you to do new things, in new places, with new people.  Being nervous is not just normal, it may actually help you be on your toes and do a good job.  Unless YOU think you have anxiety, do not let others predict your future.If you believe you are anxious, get in to see a therapist and address it.  Anxiety is very treatable, and you don't have to suffer with it - but you do have to acknowledge it and work towards health.However....If, in  your experience, this is more a nervous energy than an anxiety issue, there are things you can do to address it:  Make sure you take good care of yourself, especially in the first month or two of the new job.  That means eating well, getting adequate rest, moving your body (walking, swimming, dancing, etc) every day, and staying in touch with friends and family who are positive and supportive.Below is an article I wrote that might give you more tips too.A quick way to combat stressDo you ever feel like your brain is"bouncy" and won't settle down? Your brain, that magnificent machine, is notmuch different than the brain that kept your ancestors alive in dangeroussituations.  Today, though you may notneed to worry about a mountain lion having you for dinner, other stresses areperceived and processed just you’re the physical dangers your ancestors faced.That means a looming deadline or a fight withyour partner creates the same "fight/flight/freeze" response thatsaved your ancestor way back in the day. If you "burned off" that adrenaline and cortisol cocktail byrunning or fighting off a predator, you would feel the relief and exhaustionbut you would have also metabolized the stress chemicals that are meant to keepyou alive. However, when there is no physical response tothe stressor your body is "all wound up with no place to go".  Over time this creates not only the"bouncy brain" feeling of distractibility and distress, but canmanifest itself in physical ailments.It’s impossible to avoid stress forever, butsometimes you just need a way to relieve the pressures of life for a moment.Here's a quick way to settle your brain into a feeling of rest instead ofdistress:Put one hand on your chest at collarbone leveland one on your belly just under your naval. Now, take a slow deep breath filling your abdomen with air, just likeyou would fill a glass with water...from the bottom up.  When you are full of air, pause for just amoment and really feel the fullness. Then slowly exhale, just like you would pour water out, from the topdown.  Pause again at "empty"and feel the relief of space.  Repeat for5-10 cycles.If you find yourself feeling stressed anddistressed too often, and you are a California resident, let’s talk!  Book a complimentary 15 minute video consulthere: abalancedapproach.com


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Its understandable to have anxiety when transitioning to a new job/career or any other major life change. Doing some mindfulness activities such as deep breathing exercises, grounding, or mindfulness meditation can help center and calm yourself in moments of anxiety when being away from your family.It may also be helpful to make a list of your concerns or fears about being away from your family. What are you afraid will happen while you are away? Once you've identified those fears you can challenge them and determine whether they are based on fact or your emotions.


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Hi, It is really good that you are working so hard to take care of your family. Anxiety can be so challenging, especially when new challenges have come up. It would be good to work through some of these issues you are experiencing, and examine your self care and support processes.


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Congratulations on your new job. Chances are, you accepted this opportunity knowing that sometimes, you feel heightened levels of anxiety while traveling (or at least, people are telling you this is true) Rather than working towards how to stop it from happening, it might make more sense to prepare for if it does: often, when we know how we might deal with a situation, the situation doesn't manifest. On a more broad scope, though, tools to minimize anxious feelings abound: there are apps (headspace or happify for example) therapy helps, and tools like yoga and meditation can help reduce anxious feelings too. Safe travels~


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Anxiety or panic attacks can be very frightening.  Here are a few "tools" you can use that will help in the short term:  Keeping your mind occupied by listening to books on tape may help;  Counting backwards from 100 in 7's; Naming cities that begin with each letter of the alphabet; Keeping some ice or an ice pack in a cooler beside you, which you may take out and hold in your hand or to your face; Soothing self-talk such as "This is uncomfortable, but I can handle it" or "I've been through this before and can make it through again".  I recommend that you seek out a Therapist to help you with some long-term solutions to the anxiety.  Additionally, learning to breathe into the abdomen and practicing this daily is another long-term solution.  Yoga and meditation would be great!


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Bravo, on your success in securing a job and also for being proactive with your need. Starting a new job can be scary and having to travel away from your home and family can make it even more anxiety provoking. Do allow yourself to be anxious about this new journey, we can be hard on ourselves, think if it was a friend that was turning to you for help, what solutions would you have offered them, but also continue to seek to secure right support as well. Talking to your physician is always a good place to start; your physician can tell you if there are organic influences causing your anxiety that may be out of your control. Additionally, talking to close or compassionate family and friends is always good. It is important that you turn to supportive people at the time of emotional need, talking about our challenges can help break the cycle of anxiety at least momentarily. Remember, to further your success, it requires a healthy self, if you have supportive relationships relying on and turning to people who can be there without judgment is great. Healthy lifestyle like eating right, sleeping enough, and regular exercise also never fails to help improve overall emotional health. Additional self-care measures such as repeated relaxation practices can help you become more familiar with your nervous systems reactivity and you can implement strategies to ease anxiety in various situations as it demands. The more resources the better you will be equipped to manage challenges and concerns at the time notice.  You can find a lot from the internet too, use your best judgment as what may not be appropriate for you there are some wonderful apps on most smartphones that can help you learn and practice grounding strategies to ease anxiety. If you have access to a therapy you find more specific strategies that would best fit your needs. Good luck, wish you a happy journey and much success.


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First of all, congratulations on your new role! Transitions can be challenging, and it sounds like you are experiencing a lot of change.  This would be difficult for many people, and it seems that you have an added layer of challenge.  I recommend visiting a therapist to determine the root cause of your anxiety and working to unravel those causes piece by piece. I know seeing a therapist can be challenging when traveling, and online counseling could be a good solution. In the meantime, here are a few of my favorite anxiety stopping strategies.  1. Grounding Exercises: When you feel your anxiety increasing, take a deep breath and begin things in your room (or where ever you are) that have things in common. For example, name all of the blue things that you can see.  You can also do non-visual grounding exercises like naming all of the hte sports teams you can think of or all of the state capitals.  This will get your mind off of your anxiety and connect you to space.  2. The pretzel: This is a seated pose that will stop any anxiety attack in its tracks.  Start in a seated position and cross your dominate leg over your nondominant leg. Then, stretch your arms out in front of you with the back of your hands facing one another.  Cross your arms in front of each other so that your palms are touching.  Flip your arms into your body.  You will end with your elbows by your side and your hands crossed under your chin.  Close your eyes and take long breaths in through your nose and out through your mouth.  This calming pose will help you get through even the toughest of panic episodes. 3. Bilateral stimulation and visualization: Start in a seated position with your hands placed on your knees. Tap each knee in an alternating pattern. Close your eyes and begin visualizing a peaceful setting. The combination of bilateral stimulation and visualization will help calm your body and mind.  I could go on and on, but these techniques should get you started.  These techniques should help you manage anxiety in a pinch.  Best of luck!


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It is ok to have anxiety.   Please don't be anxious about being anxious.If you feel anxiety coming over you, then pull off the road to a safe place.   Concentrate on centering yourself and to breath slowly.   Take some sips of water.  Sit still.     The anxiety should pass in about twenty minutes.If it does not pass, then continue calming yourself until you feel safe enough to drive to your hotel.     You can always explain to your supervisor that you were taking care of a medical problem, because anxiety is a medical problem.


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Anxiety often occurs when big or unexpected changes come to our lives, like having new jobs, relocating, or assuming new roles. Notice if your anxiety feels like excitement, concerns, or fear.It seems like you are excited about your new job, but worried because OTHERS are telling you that you have anxiety.   Let's notice how other‘s input is affecting your thoughts and maybe causing more anxiety that you may really have.   If you are indeed experiencing anxiety, that does not mean that you will have panic attacks.   But if you are experiencing panic attacks, or suffer them at some point, you could learn how to reduce them either with therapy or medication.You can learn how to process it depending what triggers it and channel it, in a useful way.  For example, you could plan a schedule around your new job and be meticulous about it because you are worried about how your new job may affect your routine, or, you could feel overwhelmed with your schedule, focus on the feeling, but not do anything about it.  Notice the difference?  The key is in recognizing if you are anxious about something that you can change or have control over it, and take action if you do, and recognizing when you cannot control things and be OK with not being in control.I teach clients how to use meditation and cognitive reframing techniques to help calm anxiety symptoms.  If you are interested in engaging in counseling or teletherapy you may contact me at 787-466-5478.I wish you success on your new journey!Estoy preocupada por mi nuevo trabajoLa gente me dice que tengo ansiedad y estoy aterrorizada de tener un ataque de pánico en la carretera.  Esto es nuevo par a mí. ¿Que puedo hacer?La ansiedad ocurre comúnmente cuando llegan cambios grandes o inesperados en nuestras vidas, como tener un nuevo empleo, mudarse o asumir nuevos roles.Al parecer estás emocionada por tu nuevo trabajo, pero preocupada por que OTROS te dicen que tienes ansiedad.  Notemos como la opinión de otros esta influenciando tus pensamientos y tal vez te puede estar causando más ansiedad de lo que realmente tienes.  Si realmente estas pasando por un periodo de ansiedad, no es necesario que vayas a experimentar ataques de pánico.  Pero si ya los haz experimentado puedes utilizar terapia o medicamentos para controlarlos.Nota si tu ansiedad se siente emocionante, preocupada o temerosa.  Puedes aprender a procesar estos sentimientos dependiendo que pensamiento los causen y canalizar la ansiedad de manera productiva.  Por ejemplo: te puedes enfocar en organizar una agenda porque te preocupa como tu nuevo empleo afectara tu rutina diaria.  O te puedes sentir agobio respecto a cómo tu trabajo afecta tu rutina, y no hace nada más que preocuparte constantemente.  ¿Notas la diferencia?  La clave está en saber cuándo te preocupas  por algo que puedes cambiar, y tomar acción; vs. cuando te preocupas  por algo que no puedes cambiar y aceptar que no lo puedes cambiar.Le enseño a mis pacientes a  usar técnicas de meditación y re enfoque cognitivo para manejar síntomas de ansiedad  y desorden de pánico.  Si te interesa una cita de consejería o tele-terapia me puedes contactar al 787-466-5478. ¡Mucho éxito en tu nueva jornada!


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There are lots of things you can do, but first: Congratulations on your new job!  Commuting long distances can be stressful, but there are some things you can do.First, make sure that your seating arrangement in your car is comfortable. If you are driving long distances on a regular basis, you want to make sure that your body is in a comfortable position. Second, select some music or podcasts that work for you, rather than against you. Soothing music is good, as well as inspirational podcasts. Alternatively, listening to books can be a great way to spend the time, improve your mood, and find inspiration. Third, make sure that you have plenty of time for your commute. If the drive normally takes you 30 minutes, plan on 45 (or if it's 45 minutes, plan on an hour). This way you won't be rushed, can take your time, can focus on your driving, and if traffic is a bit backed up, you've got plenty of time to reach your destination.Finally, if you do find yourself being anxious in a way that impedes your driving, pull over to the side of the road, take some deep breaths, and sit with your feelings. Take a deep drink of water. Consider jotting your feelings down in a journal. If its safe, get out of the car and walk around a bit, stretching you muscles and breathing in the air.But most of all, be kind to yourself. I wish you much success in your new job.


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Hello.  What you are experiencing is entirely reasonable for someone that is still trying to adjust to a new life and also leave behind a long term relationship.  It sounds like you lost touch with who you were as a person and need to start exploring that side of you again.  Spend time doing things that you have been putting off, or did not do because you were involved.  Take the time to become one with yourself before you get into another serious relationship.  Regaining self-confidence on yourself will help you with all other areas of life.  It is time to make you a priority and to start focusing on your mental and physical well being.  Get connected with your community and find things you would want to do that give you purpose and lift you.  Before too long you will be in your way to being content and in total control of your mind and at peace.  Best of luck. Mirella~


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I recently broke up with my boyfriend After being together for over 4 years. I truly believe I did the right thing, but omehow being single now has made me very needy and unsure of myself.
    I am seeing someone casually and I am losing my mind with anxiety about how he feels about me and this need for validation.
   How can I learn to be content and at peace with myself regardless of my career, relationship status, etc?


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Moving on from a long term relationship can be difficult.  Sometimes we can lose a sense of who we are because in a way we have become defined by the relationship itself.  So, when we begin to move on and see other people, our sense of identity may be obscured.  The tendency is to seek out validation to give us a feeling of worthiness.   That it's ok to move on and be happy.   This is a relatively normal reaction.  It's important to treat yourself with kindness and compassion through this time in your life.  Mindful self-compassion can be a great way to begin the process of getting that sense of who you are back and what you want in a relationship.  I think its important to look back, learn what you can from the previous relationship, and become a better person for it in the future.  At the same time, taking the necessary time to nuture yourself on a mind, body, and spirit level. Self-compassion allows you to turn inward and except all facets of who you are.  It improves your capacity for love, vulnerability, emotional openness, social interconnectedness, and self-respect.  My philosophy is holistic, collaborative, and accepting.  The cornerstone of my treatment philosophy is mindfulness and other evidenced based integrative modalities.  I work as your ally to help you cultivate abundant self-compassion in your life, so that you can have the types of relationships you want.


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A break up, even one that you initiated, may deserve some time and space to allow it to be complete.There's a few ideas I'll throw out there and you can choose if they stick.  One is to re-invest in the friendships you have by setting up regular coffee get-togethers for example.  Two, get out in nature.  It's hard to ignore how grand and patient nature is, and it sometimes takes the pressure off what we should be and instead allows us to be.  And the last one I'll throw out there is to invest your time and energy in a project or achievement you've wanted to do for a while, but that perhaps you didn't have the time to.  Something related to a hobby such as sports or music, or related to your career.  Something that is 'for' you.  Life knocks us off balance at times, and that's ok.  Self-questioning during these times can be a healthy endeavor.  Should you follow any of the advice on this website, continue to be kind to yourself about what you're feeling, and curious about why you're feeling that way.


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Possibly you haven't completed your phase of mourning the recently passed relationship and lifestyle which surrounded it.Relationship breakups mean a person's entire life goes through an adjustment since the relationship impacted all areas of your life.Give yourself some patience to restore yourself from the old relationship. When you feel whole again then more than likely you will lose some of the anxiety wondering what your new casual partner feels about you.And instead of wondering,  you may simply decide to ask the person your question!


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Despite your anxiety you are highly attuned to your sense of well being and skillful in articulating the details of when anxiety takes over.Sometimes people who anxious in specific realtime situations are helped by talking themselves through the anxiety.Maybe you'd be able to distract yourself from the grocery store anxiety by telling yourself you're anxious and that you'll be ok, its only a grocery store.The longer term way to dissolve anxiety is through self-acceptance, self-love, self-belief, basically all the areas of trusting yourself to handle situations.Anxiety is a fear of being overwhelmed by a circumstance or condition which ends badly for you.Often the person can very well handle the situation about which they're anxious.   The problem is not trusting themselves enough to rely on their self knowledge.


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I'm a teenager, and while I’ve never been to any kind of therapist, I noticed I experience several anxiety symptoms. I frequently find myself not going out and following my parent around the house. I can't go into stores (grocery stores specifically) on my own, and when I do, I have to be on the phone with my dad the whole time. I also forget things a lot.


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With the way you described your anxiety, it sounds like you have different types of anxiety. I'm not sure whether you have anxiety of public places, large crowds, being alone  (sometimes called separation anxiety), or some combination thereof.One thing that would be helpful would be to track your anxiety and see how anxious you are (on a scale of 1 to 10) in different situations. Also, if you know what leads up to your anxiety, it would be good to know this as well so you can look for patterns.As for forgetting things, you could be anxious because you are forgetting things or you could be forgetting things because you are anxious. When you are having anxiety, certain parts of your brain are overactive because you are in a kind of protective mode. It's also possible that forgetting things and anxiety are not related.Something else to try would be to notice where you feel your anxiety in your body and put your hand there is a way of giving yourself comfort.Another thing about anxiety is that having anxiety can lead to more worry about having more anxiety. One thing that helps for some people is to go to the regular primary care doctor to make sure that there are no physical problems (just for the regular physical) so they know that there are no physical problems and that the anxiety will lessen in a few minutes.Also, if you are able to notice your feet on the floor or your hips in the chair, this is helping you to be mindful of your body and connecting you to your surroundings. During this in combination with naming your emotions can be soothing as well. For example, in the grocery store, if you are feeling anxious, you could say to yourself "I'm anxious right now and I'm okay" while gently shifting your weight from one foot to the other. No one around you would notice what you were doing and the motion may be soothing to you.Anxiety can have a lot of different causes and things that trigger it. If it is difficult for you to work it out on your own (which is very common), consider talking with a local therapist so you can have more specific ideas.Also consider making a list of people who you trust and what it is about them that makes you feel comfortable.


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Wow, congratulations on being in a masters program. You are in a unique place. So few have reached that level. You should give yourself a pat on the back.Confidence is not something that comes naturally. But can and does come with practice.Having gone through two masters programs I can sympathize with your your dilemma. So how is the stress affecting you?Is it serious enough to stop you from presenting or is it just "butterflies"?There are many ways of dealing with the anxiety and stress. Much depends on how serious the stress is.So here are a few ideas:1. Practice in front of a mirror.Sounds strange but the practice helps.2. Ask some friends to listen to your presentations. Not so much for their input as to just get used to presenting.3. Focus on the material you are presenting. The subject matter is what you want to get across. Step away from your nerves and get into the facts you want to present. Let the material you present be the focus. 4. Remember everyone else is just as nervous as you. Share your fears with some of your classmates and gain support from them. Focus on a friendly face during the presentation. Be a support to them in return.5. "Fake it, till you make it". Yes it sounds blunt. But sometimes that's what it takes. Even if you feel like it, you won't die.So much more can be discussed with a competent counselor. Take the time to let a professional help you work through this.Again you have come a long way to be in a graduate program. Congratulations you have done great work so far. It's just one step at a time, take the steps.


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I am a really shy person. I'm currently in a graduate program which requires lots of presentations, but they always make me feel stressed out and less confident. How can I get more confident?


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A good way to start is the language or "self talk" that is happening inside your mind.  Looking at your question, when it is said that the presentations "make me feel stress" you are giving the responsibility of the stress to the presentations and taking that away from your self.  The presentations cannot give or take away your stress, that's something only you can do and you can do it!   What language can you change in your self talk?  For example, are you saying "I can't speak in front of an audience! I'll fail?"  That sounds a lot different than "I studied my butt off and if I practice speaking out loud, I can ace this presentation!"  Although this is a short answer, I do believe that counseling will help you overcome these stressful feelings and bring out your inner confidence.


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First of all, way to go in stretching yourself out of your comfort zone! You are sure to grow through all of this practice presenting to your peers, and that in itself will help to grow your confidence over time. In the meantime, do whatever you can to help yourself feel prepared for each presentation. Do your work ahead of time so that you feel well-informed on your topic, and then spend the days leading up to your presentation practicing. Do your presentation in the mirror, while you are driving (if it won't distract you from the road), and practice in front of a friend. On the day of the presentation, eat a balanced meal, get a pep talk from a supportive friend, use deep breathing to keep your body calm, and remind yourself that you are prepared. You got this!


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Have you tried rehearsing to yourself or a trusted friend what you will present to the class?   The more confident you feel in a safe space, the more chance there will be of making the same presentation to a larger group.Giving presentations is not necessarily a difficulty with communication.   It has more to do with performance than expressing yourself clearly.Practice, practice, and practice, until you see yourself improve in how you present.Also, keep in mind that whatever anxiety you may feel about making a mistake, the audience is almost alway much more forgiving than the person who feels anxious.Anxiety heightens fear, so whatever concerns you have, check if they are growing from anxiety instead of a realistic assessment of your abilities or audience receptivity.Good luck!


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Oh, crying in therapy is very normal! I have a stack of kleenex boxes in my office. Cry away, therapist are very used to it:) First time being in therapy is scary, but you'll soon know if you are a good match.


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I start counseling/therapy in a few days (I'm freaking out) but my main fear is that I'll cry and embarrass myself, is it something to worry about?


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People do cry in therapy sometimes, but it's not at all necessary to cry in order for most kinds of therapy to be helpful. When you start counseling you don't yet know your counselor very well, so it's normal to keep your feelings in check until you feel comfortable and a bit more relaxed with your counselor and with the situation. Sometimes, though, there are emotions that have been waiting and waiting to finally find someone who will listen with a kind ear. If you feel safe right away in the situation with your counselor, you might just cry in spite of your fears about it. Your therapist is used to people expressing how they feel and will keep strict confidentiality, so even though it's embarrassing, finally experiencing someone truly listening with empathy and kindness may just be worth it. It's okay too to let your counselor know right at the beginning that you're kind of freaked out about getting too emotional in front of another person.


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Crying is a natural process when you talk about upsetting things especially in therapy when you are opening up and being so vulnerable. I suggest that you consider how you would feel/respond to someone that was confiding to you and they began to cry. If you felt concerned, supportive and empathetic then you know exactly how us therapists feel when our clients are emotional in sessions. I suggest that you think of times where you have cried and how you felt at that time in public and what would have helped to make you feel less uncomfortable during your tears. I think of crying like any other natural reaction of our body such as sneezing, laughing, coughing. You can't help but do those things and most people won't really judge negatively if you do it in public. Similarly, crying is our body's reaction when we are emotional whether it is tears of joy, from a hilarious joke or from being upset. If you are very uncomfortable about crying but willing to start therapy perhaps you can ask the therapist if you can turn your chair around if you begin crying. This way you are not facing them and can self soothe without worrying about how you physically look at that time.I wish you luck and you should be proud of yourself for starting therapy and I wish you a wonderful journey on this important path that you are embarking on.


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It is not uncommon to be a bit nervous meeting your therapist (or another person) for the first time. Your therapist understands that calling and getting an appointment was a big step for you and will do their best to put you at ease. Providing a safe environment for our clients includes not judging them and being comfortable with the information and emotions that they share with us. It is ok to cry and to trust that the therapist will honor this as part of your process.


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Yes, if crying is how you are expressing an emotion, then not only would it be normal, but hopefully encouraged, because it's an important part of therapy to have a safe space to express your emotions. We might encourage you to put words to the tears as well, to help you expand on your experience and begin to make more sense of it.As a therapist, our job is help you open up and feel comfortable enough doing so. I sincerely hope no therapist would ever shame you for whatever experience you are having in the room.


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It is is absolutely normal to cry in therapy. I can understand wanting to keep everything together and put your best foot forward with everyone you come into contact with, but it can be such a powerful experience to cry with somebody that can hear you and accept you. It's so brave of you to go and share yourself with your counselor! I hope you will keep being brave as you begin healing.


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When talking about difficult issues, it is very normal to cry. Crying is a natural way for us to cope with the sadness that we experience in life. When confronting some of these things in a counseling session, tears just seem to come naturally. Every Counselor should be well equipped to handle that level of emotion, and you would be far from the first to cry when talking with a Counselor.


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Hi there !  As someone who has practiced as a clinical psychologist for 25 years , I would say that crying is NOTHING TO WORRY ABOUT AT ALL ! Almost every single person I have worked with has cried at one point or another.  Starting therapy takes a lot of courage; when you work with a therapist ,once you feel safe ,  you talk about a lot of very private and potentially emotional things that you may have never discussed with anyone before.  I have seen  people cry with sadness , cry with relief at releasing painful things they have held onto for a long time, cry because they feel so relieved that they finally feel heard.   I myself have sometimes cried with clients because some things they talk about are so profoundly moving.   I can assure you that most , if not all , therapists expect clients to cry  and there is nothing to be embarrassed about.   Crying can be very cathartic and can allow us to release a lot of painful feelings we have been stuffing down.   Crying is  often a sign that you are really working things through and getting in touch with feelings that you need to get in touch with in order to heal .So , to summarize , don't worry at all about crying! It will probably feel uncomfortable  at first , but I promise you , you will not be judged for crying in therapy.   And it will be less embarrassing once it happens a time or two and you are assured that your therapist will be there for you and won't judge you !Good luck !!


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Lots of people do cry in session, but your therapist won't be uneasy with this.  Crying is a natural response and it also releases toxins, so some might say it's necessary!  Remember that you can be in charge of what you talk about in your session and if there's something that feels too uncomfortable, just say, "I'm not ready to talk about that."  Your counselor wants  you to feel at ease and will probably not push you right away to a very uncomfortable place.  As you get to know your therapist, you will feel more relaxed and even not worry so much about how you appear to them.  It's normal to be anxious going into a new situation especially when you might not feel in control of uncomfortable emotions.  Don't give up, go and put your best effort in! Hope that helps, Allison


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Many people cry during their therapy sessions. Actually most people cry in their therapist's office. I tell my clients that it's safe to cry in my office and crying isn't a sign of weakness. It's a normal human response to pain. People actually do more harm to themselves by trying not to cry than by crying. Crying is very cleansing and an important part of the healing process for many people.


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Please feel free to cry during therapy if you suddenly feel painful emotions arising when you describe some of your unsatisfying and unfulfilling relationships and situations.Crying when realizing the emotional hurt and unfairness between you and someone, clears you for new ways of handling interactions.As a therapist, I always have a box of tissues on the table next to the couch where people who utilize my therapy, sit.I hope you will soon discover that once your tears unlock your awareness of harmful relationships in your life, you will quickly see the freedom to establish new and happier patterns of relating.Have a good therapy!


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Please do not worry about crying. People cry, laugh, rage, rant, and talk during counseling sessions. Part of the therapy process is to look at your feelings, and to feel what you are actually feeling (instead of what you think you should feel). So if you need to cry, that's ok. If you feel embarrassed because you cried, or if you feel anxious that you might cry, well those feelings are ok as well. Your counselor can help you manage your feelings so that you can attain your goals, and your counseling session is the perfect place for that.


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Social Anxiety is scary. You don’t feel safe in relationships and prefer to isolate yourself from the outside world. Is it something you can talk to your parents about? A school counselor could help you. The counselor could possibly order an evaluation to determine how to help.Build your self confidence - Start slow with your family and identify a subject you are familiar with and add to a general conversation. It’s important to start finding things in common with others. You don’t need to carry the conversations, just add a phrase or two. Have an exit strategy if you get too uncomfortable. Keep notes of what worked and what didn’t work so you’ll be prepared for your next opportunity. Carpe Diem!


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I feel too scared to meet people I don't know - even relatives. I don't ever raise my hand or talk in school. I feel like no one understands. How can I handle this?


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It certainly sounds like you have some anxiety. Before deciding whether it was social anxiety or a more general type of anxiety, I would wonder what it is that you think will result from you raising your hand or talking to someone you don't know. Here is some information on social anxiety: https://socialanxietyinstitute.org/what-is-social-anxietyI would recommend talking to a local mental health professional. It sounds like your anxiety is affecting your daily life and there are lots of strategies that may help to lessen that.Thanks for being brave to post here.


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Congratulations on your courage to ask this question!This shows you are willing to engage with other people, just not in all situations, especially the in person ones.Start by "meeting" yourself.Reflect as thoroughly as possible as to what you imagine will be the outcome of meeting others or of speaking up during a class.Some people are afraid of being criticized or judged by other people, or do this to themselves inwardly.  If you are judging or criticizing yourself to be less worthy of having opinions or views or of being who you are, than others, then the thought of actually placing yourself in this situation, would feel intolerable.One way to move out from this position of feeling less than others, is to recognize that these feelings are inside of you.Then it is possible to know at least on an intellectual level that it is not true that any one person is superior to another.All the people whom you are afraid to meet, also have their own insecurities.We are all equal in worth and in having blindspots about ourselves.Also, it is possible that you are naturally shy and may be expecting more from yourself than is reasonable, in terms of a standard about meeting others.You may have a few fears of being judged unfairly, you may also simply not enjoy being around people very much.Be aware to not push yourself beyond your natural limits.  Overcoming fears of being judged is different than forcing yourself to do what is against your basic nature.


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In our practice, many people we see have unwanted thoughts of doing harm to children - physically or sexually. As you said, these are intrusive and unwanted thoughts - not genuine desires to harm them. This is a form of OCD we often call Harm or Pedophilic OCD. What you are describing here as "paranoia" sounds similar to this, and is so demoralizing because you are dealing both with the distress of these unwanted thoughts and feelings, as well as the fear and uncertainty about your own character as a good person.If this is really what is going on (further assessment by the right professional would determine this), the current gold standard approach to addressing OCD is Exposure with Response Prevention - in this case, confronting the feared situations, thoughts or images on purpose, rather than avoiding them, until they lose the fear and shame associated with them.


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I'm a male in my early 20s. Lately, my paranoia about being around kids is causing me too breathe heavy and sweat a lot. I then start to act weird because I'm trying to fight my paranoia. This leads to people starring at me because they don't know that I'm suffering from panic attacks and paranoia. They just notice me acting scared around kids and they think I'm a threat because of it.    I'm not a pervert or predator. I would never hurt a kid. I like kids and don't know why I'm so scared to be around them.    I don't understand why I feel like this. Am I a bad person? How do I make this stop?


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Your question is written in a very sincere tone.   This, together with the fact of searching for self-understanding, sound more like someone who is unsure and puzzled, not someone who is "bad".What was your own childhood like?The sensations you describe feeling sometimes occur in people who are reminded of very deep hurts from during their own childhood.Is it possible what you're feeling is from being reminded of great distress you lived through when you were at a similar age as the kids around whom you feel this sudden and great paranoia and fear?


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It is possible your question reflects some insecurity about whether or not either or you would like this relationship to continue.Otherwise, the answer to your question would appear naturally.  If you genuinely feel close enough to this person to sleep with him, then who texts whom first, wouldn't really matter too much.Try to understand within yourself whether you feel truly interested in this person as much as you would like to feel toward someone.


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I've known him for about six years. We've dated off and on. I hadn't seen him in close to three years but recently started seeing him again. I really want this to last this time. I stayed the night. Do I text, call, or make contact first, the same day of the morning I left his house?


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I don't see why you can't call, text, or make contact first. It would be up to him to reply when he can and wants to, but I don't know why you couldn't initiate contact.One thing to consider as you get to know each other better is having conversations about conversations. For example, you could say "I'd like to call or text you more often, but I'm concerned about _____ (listing what you are most worried about)." Then he can discuss his reaction and you can have a dialogue about it.


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Hi! I'm Amelia. Oh, that is so frustrating! Have you ever heard of social anxiety? Sounds like you may be suffering from it. Here is a link to a quiz... https://www.psycom.net/social-anxiety-test/.Besides being a therapist, I am a Mom to 10 kids. A couple of my kids are very uncomfortable with crowds and become very anxious. Find yourself a therapist who can assess you and spend time with you to address these issues and to help you learn tools to help you navigate these emotions.I am wishing you the best!


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Example would be homecoming? I was at my high school's home football game on Friday, and I left because I felt uncomfortable with all the people there and I just wanted to be by myself. Why is that?


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Maybe the problem is learning to trust yourself to not be afraid other people!Reflect on what you believe would increase your trust of believing your own judgement on whom to trust.If you've had any type of violation during your growing up years or witnessed someone in your family be violated, emotionally, physically or through some terrible accident or incident, then you may hesitate to believe other people are safe and not to be feared.Give yourself plenty of time and reassurance that as long as you are making sincere effort to increase you comfort around other people, eventually you will succeed.


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I am a female and in my early teens. I don't want to feel afraid of people. When I meet someone, I know that they are okay, but I still feel afraid.


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There's a lot of layers there to your situation, and I'm focusing on two layers that may be contributing to your feelings of discomfort around others.  One layer is the daunting news that your son has autism.  Many parents can feel overwhelmed and distraught with this diagnosis.  The vast array of treatments available is daunting in and of itself at times to wrap one's head around.  Taking time to reflect or seek out therapy regarding how this diagnosis has impacted you may be helpful.  Some parents feel their individual identity gets lost in the diagnosis because they have dropped everything to help their child, and others may experience guilt.  If either of these or other feelings come to the forefront for you, it may be worth working through them with a therapist.  A support group list is available through www.autismspeaks.org and may help connect you with others raising children with autism.A second layer is the abusive relationship you were involved in.  The trauma you experienced in this relationship may have a very meaningful impact on your ability to trust and to be intimate with others.  Engaging with a therapist can help facilitate the healing process, as well as paving the way for more comfortable and trusting relationships.


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My son was diagnosed with autism a few years ago and I stopped working so that I could take care of him. I also was dealing with an abusive relationship (mentally, physically, and emotionally). Now I live like a recluse and I always feel nervous around people.
   How can I feel more comfortable around other people?


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It might be helpful to have a good understanding of the "why" in terms of feeling nervous around people, or the difficulty in developing more comfort. If your discomfort is somehow related to your son's diagnosis or your lack of employment, or an abusive relationship you were in and maybe embarrassed about, that is important to understand, and get clarity around. When we can understand on a deep level what is happening for us (i.e., where does fear come into this, and what's it about) we can give ourselves empathy. Everyone struggles in some aspect, so to not necessarily think of yourself as pathological is a first step. Sometimes being around people can trigger an anxiety related to being "good enough" that goes back a ways in our history. If any of the above is true, it would need acknowledgement and care from you, as opposed to shaming that experience (in the hopes it would just go away), because this experience is very real for you.


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I'd wonder first if you were still in the same home and neighborhood where you raised your son and experienced the abuse? In many ways, we react to our environments - and if you're still surrounded by neighbors who didn't reach out when they heard your ex yelling or offer assistance and resources when your son acted differently than his peers, it might make sense that you're more timid around folks. It might also be worth thinking about where your bar is set: do you want to be as comfortable around people as you were before your recent circumstances? Or find your new normal, and connect only with people who raise you up and bolster your self-esteem? You have the right to be both cautious (if you're still surrounded by the same folks and environment) and discerning - only connecting with people who will be supportive. All the best~


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It sounds like you have taken on a caretaker role for a while as well as experienced some pretty severe interpersonal trauma.  It makes sense that you would feel nervous around people.  Working through the trauma of an abusive relationship in itself can be a difficult process.  And then to add on the caretaker part can make things even more difficult.  First off, you may want to seek support to work through what you have experienced.  Many cities offer support with survivors of domestic violence and there is a hotline to help with this 888-724-7240 as well as online resources.  Processing the isolation of this relationship as well as working with your son can help to overcome the anxiety related to others.  Accessing autism support networks may be of support as well.  Other parents that will understand your experiences are a good and tend to be safer place to start in attempting to connect to others.Very importantly, go slow and be kind to yourself as you begin to adapt to a new life of allowing others to care for you as you so clearly have for others.


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I would look at  getting engaged with a support network of individuals who may also have autistic children.  They will understand some of the things that you are experiencing at home and you may also find someone who feels that same way as you. If you have not sought professional counseling for the abusive relationship I would seek out a therapist who can help you process through it so you do not repeat similar choices in your next relationship.


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Probably a good portion of living like a recluse was necessary so you had time to rest and recuperate from so much major adjustment in your life.Have you told some of the people in your life about the many changes you've been through?   It is possible people sense something different about you and aren't sure whether to ask or not ask questions.Also, understand what type of qualities you'd like to offer and receive in a friendship.   Given that raising a kid who has autism takes a lot of energy and time, the way you socialize will change.Start with one person whom you're pretty sure would welcome you and whom you would gain by bringing them into your life.As a result of how this interaction goes, how you decide to spend your time together, what you'll discuss, you will know more about yourself and what you require to feel good around other people.Then, you can consider if you're ready to add others into your world.


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It is possible that you could have or be developing an anxiety disorder. There isn't really enough information provided here to suggest a particular disorder, but it might be worth meeting with a counselor or therapist to do a formal assessment. Some of the questions they might ask could be what other kinds of physical symptoms you experience, how frequently these physical symptoms happen, what's going on for you when they tend to happen, and how frequently/intensely you find yourself worrying in general. Anxiety itself is a really natural thing - it's just when it starts interfering with your ability to "do life" the way you want that we start to consider potential disorders. It might be that for the most part, the anxiety you feel is normal and you simply have some triggers that intensify it more than usual. Working on your own or with the support of a counselor/therapist to both address those triggers at the root and also to develop ways of managing the actual anxiety symptoms. This two-fold approach can be really helpful for not letting anxiety keep you from engaging in life the way you'd like.


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Sometimes, I'm fine and can go out or meet people, but other days, my heart races and words physically cannot come out of my mouth. I've always thought it was normal and I was just nervous, but the other day, it took me almost 30 minutes of sitting in my car to find the courage to enter Target by myself.


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These types of symptoms can be very disruptive to life!  Anxiety often presents in two key ways:  1) physical symptoms such as: racing heart rate, sweaty palms, dry mouth, shaking or trembling or nausea - often these physical sypmtoms are categorized as a Panic Attack.  2) mentally anxiety presents itself as worry.  Worry that spirals out of control, worry that dirsupts your life and concentration.  Worry that keeps from being present in your life.  Anxiety when it begins to spiral out of control either with disruptive mental or physical symptoms, needs to be addressed formally.  I urge you to see a counselor and/or a psychiatrist soon to begin to address these issues.  Good Luck, Sitka Stueve, LSCSW


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Feelings of anxiety can be scary and sometimes we're not aware of the triggers that lead up to moments of anxiety, i. e., heart racing, sweaty palms, sweating, shortness of breath. It's important to realize that in moments of anxiety our body & mind are experiencing a reaction from our primal or reptilian brain that is signaling the flight or fight response within us, which kicks the hypothalamus into action flooding our body with chemicals, like adrenaline or cortisol.  So, one way to work with anxiety is to find out what the triggers are that lead to anxiety, such as fear, stress. negative thought patterns, not enough food or sleep. Keeping a daily journal can help you track the patterns and triggers and once you identify the triggers you can ameliorate them by learning new skills & techniques and by reducing stress and getting enough sleep. One quick way to reduce anxiety is by taking deeper breathes, sometimes this is called belly breathing. When you breath in make sure your belly rises and expands and as you breath out the belly deflates. Many of us do shallow breathing up in our chest which does not allow for a full breath, and getting a full breath is so important as a tool to help relax us in times of stress & anxiety .


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I would suggest keeping a log of those days when you are having a hard time. Items to write would be what were you doing before you felt this way, did you eat and what, what time of day is it, how much sleep did you get that night, etc... This can help you identify any triggers. Further assessment can be made by a health care professional. It does sound like you are experiencing some symptoms of anxiety.


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Yes, it seems like you may have a type of anxiety: but considering that it is intermittent, it may be a good idea to talk to a therapist and explore what triggers the anxiety.  Different types of anxiety are caused by different scenarios, memories, or stressors.   Once you identify what triggers the anxiety, you may be able to identify the coping mechanism that will help you handle your symptoms.¿Tengo algún tipo de ansiedad?A veces estoy bien, puedo salir a reunirme con personas, pero otros días, mi corazón se acelera y las palabras no salen de mi boca.   Siempre pensé que era normal y que solo estaba nervioso, pero el otro día, me tomo casi 30 minutos encontrar el valor para salir del carro y entrar a Target.Si parece que tienes un tipo de ansiedad, y considerando que es intermitente, puede ser útil hablar con un consejero para explorar su causa.   Hay diferentes tupos de ansiedad que son causados por diferentes estímulos, memorias y escenarios. Ya que logres identificar que causa tu ansiedad, entonces podrás aprender mecanismos de defensa que te ayuden a controlar la ansiedad.


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Though I don't know for sure, it sounds like anxiety to me. I think it would be helpful if you work with a therapist who specializes in anxiety disorders.


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Your, sitting in your car for 30 minutes, story sounds so sad and frustrating.Yes, you're describing classic symptoms of anxiety.Anxiety itself is the indirect result of repeatedly being in positions of feeling helpless or frightened.Are you able to recall from your growing up years of feeling insecure?You may not have felt loved and nurtured as much as you needed.Some people develop anxiety from missing enough love.  They feel lacking in ability to take care of themselves, similar to the lack of being sufficiently taken care of when younger.Try understanding if you felt neglected emotionally.If "yes", then start the slow process of emotionally rewarding and acknowledging yourself.Progress will be slow.Eventually you'll stabilize the way you feel toward yourself.This will gradually result in decreased anxiety.


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First, be aware that each end every one of us has anxiety at some point. That certainly seems to fit what you're describing here, but that doesn't mean you have an anxiety disorder, necessarily. That's where there is a difference. Anyone who has a hard time with public speaking or feels uncomfortable in large crowds, for example, is experiencing anxiety.It sounds like it would be helpful to look at the differences between the days when you are more comfortable on the days that you are not. If you notice your anxiety is keeping you from doing things that you need or want to do, it may be helpful to talk with and mental health professional.I wonder also whether your appetite and sleeping patterns are the same or similar to how they were before you experienced this anxiety, when your anxiety started, and whether you feel more comfortable when someone you trust is there with you.If you have an idea of times or situations in which you feel anxious, consider carrying a small smooth rock or another object that makes you feel calm and centered. Perhaps you can keep it in your pocket and remember specific comfortable times while you have it in your hand.


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Hello, and thank you for your question. First, I want you to know that you are certainly not alone on this issue. Everyone, at some point in time, has a fear of public embarrassment. But for many people, this fear can become so awful that it begins to have a real negative impact on their quality of life.  They will try to avoid any situation that they even THINK will cause them embarrassment or anxiety. Escaping a possible embarrassing moment by avoiding or isolating may cause some relief at first, but then many times the avoidance will eventually lead to loneliness, isolation, and even despair. By avoiding, we can also miss out on things that make us feel alive and bring enjoyment. There are many self-help books that offer advice on this issue. You can do an internet search, and I recommend reading the reviews of the book. That is  great way to find out if others have found the book helpful. Another option is to seek a counselor to help you with this fear. I would recommend a counselor who specializes in helping people who have anxiety or social anxiety. Acceptance and Commitment Therapy is  a good choice for helping with anxiety, but there are many others. The truth is that anxiety and fear of embarrassing ourselves is not something that any of us will ever "get over", but we can learn to respond to those feelings differently. A colleague may offer some other advice, as well.. Be wellRobin Landwehr, DBH, LPC, NCC


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A lot of times, I avoid situations where I am to meet new people because I have a fear of embarrassing myself. I often avoid large groups of people, like parties, because I think they all constantly judge me.


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Why not accept and tolerate that you naturally are a shy person who doesn't like large groups?This is not necessarily something to get over if it is part of who you are.People have the capacity to judge others regardless of whether the group is large or small.If you aren't afraid of being judged in small groups then study the factors which allow you to feel safe in small groups. Possibly you can generalize your findings to large group venues.If you try the and aren't successful, then likely you simply aren't naturally someone who cares for large group settings.Not everything a person doesn't like is a symptom of something is wrong w the person!


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Would you worry less if you and your partner had a plan as to when you will be together as a couple?Long distance relationships are not for everybody.   Some people need the daily or frequent interaction to feel secure.The question is not so much how to deal with anxiety that your partner is cheating on you than whether your own emotional and relationship requirements are satisfied with a long distance relationship.Anyway, cheating has nothing to do with distance since married people cheat while living together for years under the same roof!


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My partner lives in Canada while I live in the US. We visit each other, but we go months in between visits. I have anxiety, and I'm always anxious about him cheating or still having feelings for an ex that he dated for three years. He doesn't understand my anxiety. How do I stop myself from worrying so much?


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Maybe you are afraid to let go of your problems for a few hours.Although you didn't write this, usually what keeps people awake or prevents them from falling asleep are worries about certain situations in their lives.If this describes you then. maybe talk with yourself to convince you that you are entitled to a good night's sleep.Really we all are and feeling rested from the day and life's tensions will better you to handle whatever the particular matters are.Also, maybe you will be more enthusiastic to go to bed if you have a comfy mattress and nice pillows!  Make your bed an inviting place because this will tempt you to enjoy relaxing enough to go to sleep!


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Sorry to read of your suffering.Is it actually permitted that people are able to take support animals to school?I see your point of the animal helping you.  I just also see the point that some people have allergies to animal hair or dander, or may feel distracted by an animal in the classroom.You may end up feeling worse, if when you bring your support animal to school, that it disturbs people or interferes with the routines of the class.For your anxiety, I suggest some loving kindness toward yourself.  Be patient with yourself and that you have anxiety.  If you're able to accept that some situations create great discomfort for you, maybe you'll tolerate these difficult situation.Embrace your anxiety as part of you, basically, rather than trying to banish it, which because it actually is part of you, is impossible to achieve.In a way, I'm suggesting you become your own "support animal".  Love yourself, be kind to yourself, and see if you feel a little less stressed in school.


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I have severe anxiety and have tried everything. Everything makes it worst.The only thing that helps is my emotional support animal.


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One approach is to be more accepting of yourself as someone who has fears.It is much easier to manage a problem when you're not fighting yourself for having a problem.Once you are willing to accept this quality within yourself you may start to feel a little more relaxed about handling the fears when they arise.One answer is to examine the facts about the fears.   Ask yourself fact based questions as to how you would handle the worse case scenario of your fears.Feeling prepared, whether or not the circumstance is highly unlikely to happen, may increase your peace of mind with living the great fears within your mind.


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I'm just an extremely paranoid person. I constantly feel as though I am in some sort of danger, like as though I live in a horror movie with no resolution. It worsens at night. It gets to the point I'm scared in my own home more so than anything. I have no access to the help I need so I'm desperate.


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Your question is a good one!The best way to decrease the fear would be to talk with your fiancee about it.   Eventually she'll find out, and better to talk about it when there is less pressure than to be in the midst of a situation which frightens you.Also, she may feel similar to you, who knows?Discussing a topic which relates directly to your relationship is a good way to increase emotional intimacy.  And emotional intimacy has a lot to do with feeling at ease with physical intimacy.


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I don't know if I'm normal. I'm really scared to touch a girl. I'm a young adult and a virgin. My fiancée and I want to have sex soon, and this might mess everything up because she wants a baby soon as well.


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The short answer I could give is that we don't know why it's happening. The longer answer could come from deeper exploration as to your fears, or anxieties, that you experience maybe just thinking of going outside. But any sort of exploration about this almost HAS to begin with an agreement within you (and all of your feelings), that's it's not something to be ashamed of. If we are ashamed of any of our behaviors, then we lose the ability to sit with them and see where they are coming from. This could be something that can be worked through in therapy, and specifically with a therapist who specializes in anxiety and more specifically, agoraphobia.


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The first step to answer your question is to reflect on what is going on in your life overall.  If you're in the midst of severe stress, whether within your relationship or effort to establish a relationship, upheaval in family dynamics, some type of significant loss like a job or someone with whom you feel closely attached, then you may simply be creating the solitude which is necessary to better understand and absorb the meaning of these changes.I assume you mean you are by yourself when you are indoors.What you write sounds like you're not happy with this recent urge rather than that you and someone or others are having great and fun times together.One way to encourage yourself to go back outdoors is to connect w a friend or search for an interest within you to develop.This way with either of these, you'd feel a little bit of motivation to join and get more involved with either of these.


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Maybe because you have great emotional pain stored inside you of which you are not aware exists.Sometimes people who feel greatly hurt by others or who feel unloved by others, imagine if they do the opposite of love, which is to kill, that they will get the recognition and acknowledgement from others which they wish would come to them in a loving way.This is my theory, it is not necessarily a definitive description of your inner dynamic.Most important is to keep an open mind to self-discovery on your feelings, including the ones which are uneasy, such as killing, to consider.


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I am a peaceful person, but I often find myself having thoughts about killing people. Eventhough I like the thoughts at the time, they make me cry. Why do I feel like this?


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Hello, and thank you for your question. Clearly this is something that has you very concerned. Sometimes thoughts are just thoughts, and they are pretty harmless. Many people have thoughts of killing someone, but they would never actually do it. They really don't even want to do it, they are just having a thought. Other times, thoughts are a sign of something more serious, and we should receive help when they start to worry us. I would recommend meeting with a counselor to discuss these thoughts. It is usually a safe environment where you can get advice with little judgement. Now, If you begin to start thinking about killing someone specific and making a plan to do it in reality- you should call for help immediately. By help, I mean 9-11, or a family member or friend. You would want to get help before doing something to harm yourself and others. Again, none of this is to judge, but rather to encourage you to get the help you're seeking. Either way, when we become concerned about some aspect of our behavior, seeking counseling is usually a good choice. Be well, Robin J. Landwehr, DBH, LPCC, NCC


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One way to understand panic attacks is as a sign of feeling insecure or lacking confidence in a certain area or characteristic of yourself.The insecurity can sometimes feel overwhelming and this starts the sense of panic. One way to build your sense of security within yourself is to have a simple life and a slow paced life.   When there are many activities or involvements to pay attention, then it is easy to not give full attention to all of them.  This may trigger a sense of insecurity since in fact you may not have had sufficient time to study and know your own opinion about all of what your life is immersed in.A simpler life of fewer activities allows more time to know and understand your own inner feelings and reactions.To know more about yourself may help build your confidence and security in your ability to know and live what goes on in your life!


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One of the first things I would suggest is to see if you can keep track of what is leading you to feel anxious. If you shake all the time, consider talking with your primary care physician. Sometimes that can be a hormonal imbalance or another chemical imbalance (such as thyroid).One of the most difficult things about anxiety is that having anxiety (particularly panic attacks) can lead to anxiety about having more panic attacks. Also remember that panic attacks are typically part of your brain's protective response to what it considers to be some sort of threat. You may have heard of the fight or flight response. When you have an anxiety attack, your body is preparing you to react to something that isn't actually a threat, so it's almost as if you're fight or flight response is overactive. Here is an image that may be helpful: http://psychology.tools/fight-or-flight-response.htmlThere are many different things you can do. You can practice breathing, mindfulness, meditation, or yoga techniques. If you decide to try some breathing techniques, try breathing in for a count of five, holding for a count of five, breathing out for a count of five, and repeating five times.Also remember that it is easier to learn these techniques when you're not having a panic attack. At that point, it can be really difficult to use methods to not panic. Also remember that panic attacks typically last 5 to 10 minutes. Using techniques to slow your breathing or become focused on the room around you is probably most helpful when you first start to feel anxious.Here are some other techniques that may help to decrease anxiety: http://psychcentral.com/lib/9-ways-to-reduce-anxiety-right-here-right-now/As you figure out what is leading up to your anxiety, also consider asking yourself what is making that certain issue a big concern for you. Another important question could be when you have felt that way before.


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Does it help to put a name to the experience you are having? Where you first said, "I've been upset for no reason and feeling anxious," you then say that you are "feeling burnt out," which gives a little more context to what may have once felt like "no reason." Perhaps you are feeling burnt out! That is a big deal, and please try not to take it lightly! When we get burnt out, I have found that it's from one of two things: either we are not doing what we want, or we are doing too much (either of something we want or something we don't, doesn't really matter once we get into doing too much.)If either of those rings true for your experience, try as much as possible to sit with the experience and get a better sense of where the burn out is coming from. I wrote about burnout for a newsletter and it is on my website. I don't want to do shameless promotion, but I thought it could also add to helping you: https://davidkleintherapy.com/my-experiences-with-burnout/I hope that you can also see that it's not an abnormal experience.


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I haven't been feeling like myself lately. I've been upset for no reason and feeling anxious. I'm feeling burnt out. What can help me feel better?


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There's no such possibility that you're upset for "no reason"!The reason is not obvious, not that you are feeling upset in response to nothing at all.What can help you feel better is to be kind and gentle with yourself because this sort of approach will more likely relax your mood and mindset enough for the tension and anxiety you feel, to dissipate somewhat.Try to understand whether certain situations or interactions remind you or feel similar to ones which distressed you before.This may be the reason for your anxiety.It is good news that you know the difference between your usual sense of yourself and that you've been away from this feeling.Give yourself a little credit for understanding yourself.   Giving credit adds confidence and confidence will help you find the reasons and new ways to handle your anxiety.


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Fears are not that difficult to deal with, first you need to train yourself to relax using some relaxation strategy, once you are able to employ that in your daily life, you then need to start facing your fear, for instance I'll use an example of a man who has a fear of driving over a bridge. We would build a hierarchy of fears, that is a list of fears ranging from least to most, for example the man may want to start by looking at a picture of a bridge while employing his relation technique, then he may want to see a real bridge from a distance while employing that same relaxation technique, then moving closer to the bridge, then maybe standing on a bridge, all the while moving closer to his fear while relaxing, until you come to most fearful proposition which is crossing that bridge, or you can also engage in flooding which is for example, if you were scared of an elevator, go into an elevator until you are not panicking anymore, in the movie Batman Begins, Bruce Wayne who has a great fear of bats, goes into this cave and allows himself to be surrounded by bats until he is no longer fearful of them. Secondly, look at your fears, do they even need to be worked on, some fears are healthy, for example if i was a therapist in New York City and someone came to me and said "I'm scared of snakes", I would probably say that is OK because there are very little snakes left in ManhattanHope that helps C


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I have a fear of something and I want to face that fear to overcome it, but I don't know how. What can I do?


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Your fear may have deeper roots within your sense of who you are, than you realize.   Fears are sometimes irrational so that logic doesn't get rid of them.Think about whether you felt secure and confident as a child.  Also, did any major bad events happen to you with other people or situations when you were growing up?Often these overwhelming situations of childhood stay with us as fears of situations in our adult lives.  If the root of the problem w the fear is from long ago, then probably a therapist who can ask you questions which help you remember upsetting childhood circumstances, may help you to dissolve the current fear.Another possibility is CBT, cognitive behavior therapy which teaches people short term mantras to do something which is safe, say being a passenger in a commercial airplane, which feels frightening to a person.CBT is short term and results are limited to specific fears.  It is a much quicker approach than self-understanding.


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Fear is a part of life. In fact, our five main emotions are joy, fear, sadness, shame, and anger. We tend to spend a lot of time and energy running away from or trying to get rid of most of those emotions and the more we do that, the more we set ourselves up for failure and disappointment. As a result of viewing our human emotions as "bad" or "wrong," we often get caught up in a trap of thinking we have to overcome them or get rid of them before we can do what matters to us. In reality, you can do what is important to you while having your fears! My question for you is, what would you do if this fear was completely gone? What behaviors would you have if you were the ideal you? What skills, knowledge, or personal qualities would you develop? What kind of relationships would you have?I imagine your fear has kept you from achieving those goals because your mind tells you you can't do it until the fear is gone. I challenge you to do the following exercise:What is a goal you would like to achieve? Example: I would like to change careersWhat actions are necessary to complete this goal? Example: see a career counselor to determine my ideal career, go back to school/get a certification, network with others in my desired industryWhat thoughts, feelings, or urges might get in my way? Example: thoughts of "What if I fail? I'm not smart enough. I can't do it. I'm too busy to put energy into this." Feelings of fear, shame, excitement. Urges to distract myself through drinking or watch tv instead of taking action.It would be helpful to remind myself that: example: It is natural to have these thoughts, feelings, and urges but I can take action anyway. I deserve to have a fulfilling life.The smallest and easiest step I can take now: example: research career counselors in my area and write down their phone numbersThe time, day and date that I will take that first step, is: example: Tonight at 7pm At least think through these answers but it is most beneficial to write them down. I hope this helps!


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This answer could be very different depending on the fear, the degree of it, and what it connects to.I wonder the following:On a scale of 1 to 10, how upset, anxious, or scared to you get when you think about overcoming this? If it's more than a 5/10, I would definitely recommend talking with a therapist in your area.A lot of fears that we have come from something that at one time was self-protective and important. Do you know where your fear started? If you think it is still protecting you or helping you in some way, talk with someone (like a therapist) about it.If it is something that you know is irrational (for example, fear of being hurt by static cling from winter clothing), is there some part of that that you are not afraid of?I really encourage you to consider whether your fear has a lot of emotions connected to it or if it ties from something in your past that was very emotional for you at the time. If it does, consider working with a therapist to establish emotional safety before taking away the fear or anxiety that may actually be helpful to you.Also, the fact that you notice that you are afraid of something and you don't want to be afraid of it anymore is a big step in the forward direction.


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Biologically, fear is designed to protect us from harm. Fear is not always a bad thing, and in fact can be quite healthy and appropriate depending on the situation. A phobia, however, is different. You used the term "fear" rather than "phobia". A phobia is an irrational fear - meaning it is not rational for you to fear that thing. If your situation is a phobia, exposure therapy can help. This consists of gradually exposing yourself a little at a time to the thing you are afraid of. Some people with phobias find that the irrational fear interferes with their life and they do need to overcome it. Someone who is afraid to drive over bridges may go to great lengths to avoid routes that have bridges. People who are afraid of elevators may always use the stairs instead, which may not always be feasible. If overcoming a phobia will improve the quality of your life, then by all means, seek professional help to overcome it.Everyone has fears, or things that make them nervous. Public speaking, asking a person out, fear of failure. Examine what your fear is and try to determine the reason for the fear. When you can get to the root cause of the fear, you can deal with that issue. A lot of times, it is a self-esteem issue. You may be able to peel back the layers of the fear and find out what's causing it and deal with the real issue. Some fears are caused by trauma. Someone with PTSD is going to have an exaggerated fear response and will find themselves being kicked into "fight or flight" mode over things that someone without the trauma experience wouldn't notice or react to. In cases like this, exposure therapy would be the wrong approach and could actually make things worse. If there is a possibility that a past trauma is the cause of your fear, I strongly urge you to seek a therapist - not just any therapist, but one who is trained to work with trauma and abuse victims.


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Hello, and thank you for your question. Overcoming fears is something that everyone struggles with at one time or another. Sometimes we come across something that scares us, we push through it and suddenly we aren't afraid anymore. But sometimes it can seem like our fears just take over and we cannot overcome them. There are some options:1. You can go to a counselor and receive some type of treatment. What kind of treatment would depend on the type of fears you are experiencing. For example, if you have a general phobia about something, they may use various techniques to help you manage it.  2. There are different websites and even some self-help books that you can use to try to overcome your fears. When it comes to overcoming certain fears or phobias, exposure therapy well-studied and proven to work. A therapist would help you with this, but some websites give instructions for how to do it yourself. I am not sure how well it works when you try it by yourself, but here is a link to a website that does offer some tools. http://psychology.tools/anxiety.htmlSome colleagues may offer you some other types of advice. Be well.Robin J. Landwehr, DBH, LPCC, NCC


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How is your life going overall?Since you hear voices since you were young I wonder whether you mean the thoughts each of us has about what to do, our opinions, including self-criticism and praise.I try to understand how severe a problem these voices are if you've managed to get to a point in life of awareness about the voices.Usually when mental health people hear about voices the immediate thought is you need drugs bc you are psychotic.Since this is going on for a number of years, I wonder if the problem is something different.


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I don't remember when the voices in my head started, but I remember Hearing them when I was little.    I know it's not normal to hear voices that aren't your own. I fight the voices and I want them to stop. They've been here so long and I want them gone. How can I make the voices stop?


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You are right. It is not normal to hear voices that aren't your own but the fact is some people do. In my experience, medication seem to help. It is also important to understand when you hear voices the most - meaning it is important to understand what the triggers are. It is also important to understand when the voices are the least - meaning what helps you deal with the voices better. My clients have reported that their triggers are being in social gathering or around strangers or for some even the TV. Trying to identify your triggers is helpful for some people. Clients have also reported that listening to music, watching TV, being with friend or family helps them deal with their voices. Every individual is different and you need to figure out what works for you and what triggers your voices. My suggestion is to see a therapist / health care provider and then go from there.I hope this helps.


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First, let me express my support and compassion for what you're going through. Hearing voices can be incredibly difficult and can feel like you can't get a moment's peace, even in the privacy of your own mind. And not everyone will necessarily understand what you're dealing with, so I imagine you may also be feeling isolated or somehow different. Atta girl/boy on reaching out for help! Many people find benefit to taking medications, such as risperdal, seroquel, and so on. These should be prescribed by a nurse practitioner or psychiatrist -- I do not recommend a primary care doctor venture into this area, as a general rule. Discuss the options thoroughly and insist on a good rapport with your prescriber, if you decide to go this route. Some people are having results with a talk-therapist to develop coping strategies. There is a new and somewhat less conventional approach to challenging voices with a professional to assist you, rather than to suppress the voices, which medication will do. There is peer-run organization and a general approach that attempts to live with voices in a different way.  You can read about it in Living With Voices by Marius Romme. I have heard interviews but have not read the book(s) and can't speak to its efficacy. No matter what steps you decide to try, managing your stress, sleep, exercise, healthy food is essential -- in other words, just the daily care and feeding of yourself should be included in all of your efforts and bears surprising benefits to your brain and emotional health. Best wishes to you,Karen Keys, LMHC, CASAC


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This isn't something you can do on your own. If you haven't already, you need to see a medical doctor ASAP to rule out medical causes for this. Many diseases, illnesses, and conditions can cause hallucinations. In the elderly, sometimes it's something as simple as a urinary tract infection. Some medicines may have that side effect as well.However, you say you've been hearing them since you were little. I have no idea how old you are now, but something that has been going on for many years does lead me to think it could be a type of schizophrenia. A psychiatrist could diagnose that after taking a complete look at your history, medical history, etc. There are medications that they can put you on that will help. One thing that I find encouraging is that you recognize you're hearing voices. This means you are not so far into a delusion as to believe it is real. A lot of people that hear or see things that aren't there are not able to have the awareness that these things are not real. They fully believe what they're hearing/seeing. It's completely real to them. Because you have the awareness that you do, I feel this is a very good sign that with treatment you can live a normal life (assuming you are not already receiving treatment for it. If you are and are still hearing the voices, please know that medications often need to be changed and adjusted, and the voices may never completely go away but medicines certainly help dull them a lot. Always talk to your doctor when it seems your symptoms are getting worse so that they can make the necessary medication adjustments for you).If at any time the voices are telling you to do something, please go to an ER as this is an emergency. Sometimes people hear voices telling them to harm themselves, harm someone else, or do other things that are against the law. Do not try to deal with something like that on your own. There are people who can help.


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Give yourself a lot of empathy and care for having had a rough childhood and realizing that life can be better than how you were treated when growing up.Be patient with yourself too bc lasting change takes time. Alternatives to hitting your head require constant gentle reminders to do these new behaviors, or if you've discovered a satisfying alternative in one moment, time is required for you to repeat this alternative until it feels natural.Anxiety usually means someone did not feel well understood growing up and was rushed to comply with the wishes of others who were a regular part of their lives.Anxiety lessens as the person starts to know and accept their wishes and needs as valid.  Allow yourself to learn who you truly are in the spirit of accepting whatever you discover about yourself.The behaviors will naturally change with your new understanding and self acceptance.Good luck and enjoy this self discovery project!


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I've hit my head on walls and floors ever since I was young. I sometimes still do it but I don't exactly know why,    I have anxiety and I had a rough childhood but now I'll start to hit my head and sometimes not realize it but I don't know how to stop or even why I'm doing it.    How can I help myself to change my behavior?


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Hello. I have to wonder from a behavioral perspective if what you are doing is useful for you. In other words, does it serve a purpose in some way when you find yourself doing it. Yes, this could well be an expression of anxiety, or maybe some type of coping skill you have developed over the years to deal with stressful situations. Yet it sounds like you have developed a sort of knee-jerk behavioral conditioning that causes you to do this behavior during specific (or perhaps even non-specific) circumstances. Do you think it is a self-soothing behavior? Do you feel good after you have done it? The behavior itself is likely causing some form of slow physical damage, so I would recommend you have yourself checked by a doctor, to rule out any injury. If none exists, this obviously doesn't excuse the behavior, it just says that for the moment luck is on your side.When we do any behavior of any kind, it is good to ask if what we are doing has merit or value. Is the behavior helping us to solve our problem, or is it merely creating yet another problem by doing the behavior in the first place. In the same way that a person might drink excessively because they are stressed and need to cope with some unresolved issue, when they are done drinking the original problem will still likely be there, but now they are intoxicated. No closer to solving the issue. When we deal with things like anxiety or depression, we need to do things that work on dealing with the symptoms, but also get to the root issue that created those feelings and find effective solutions. So the things we do to cope with life events need to not be ones that cause us harm, but rather support us as we move forward and work to deal with what life throws at us.Sometimes seeking support from a friend or a counselor is a good idea. Being given the opportunity to express your feelings about what is going on around you and getting feedback and insight from others is much more effective than actions of self-harm, wouldn't you agree? So I would encourage you to find a counselor or a trusted friend who can help you find positive behaviors you can take to deal with your feelings, as you also work to find the answers to the day to day issues of living a life filled with promise and opportunity.Reach out if you need help...there will likely be a hand there waiting for you.


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The best way to handle anxiety of this level is with a combination of appropriate medication given to you by a medical doctor, and therapy to help you understand the thoughts, feelings, and behaviors that are causing the anxiety. This is not something that anyone should just “white knuckle” and try to get through on their own with no help. Cognitive Behavioral Therapy is a technique that has been proven helpful for depression and anxiety. This takes a therapist trained in CBT. You will learn to recognize when and why you perform the behavior of hitting your head, help you deal with the underlying cause of this, and replace the behavior with a more positive behavior. You'll learn coping skills.You mention having a rough childhood. Anyone who has experienced trauma like this, especially long-term ongoing trauma from abuse of any kind, definitely does not need "exposure therapy", which is what is recommended for phobias. You need a therapist trained specifically in trauma informed therapy.You are on the right path by recognizing there is an issue and what it is. Good luck with your healing journey!


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I am sorry that you had this experience. Therapy should be a healthy positive experience off g growth. You have the right to look for certain high qualities in a therapist and finding the right one. Each therapist is bound by a code of ethics and clients should have high expectations. You are trusting them to guide, support and help you achieve the absolute best outcome and success. You should never be or feel judged, and you should feel comfortable and feel as though your therapy process is moving along with YOUR GOALS IN MIND. Speaking as a therapist, I encourage my clients to always let me know how they feel, even if they disagree with me, they also have the right to inform me if something I'm doing simply is not working for them, communication is critical in maintaining a healthy therapeutic alliance/ therapeutic relationship. I'm able to offer ways of thinking and strategies to my clients they may not have thought of. Its important to listen to my clients. It's also critical for clients to feel they can share in a environment that feels safe, non judgmental and confidential.Remember, you are the driver in your healing process, you should be the one in control because you know what your life struggles are. Speaking as a therapist, I'm here to guide my clients toward achieving their goals, encouraging and empowering my clients in what is meaningful to them to achieve. You should feel comfortable speaking your thoughts, my advice would look one who open hearing toy feel, even it's regarding them a therapist. That they are open to feedback.With all of that being said, it will take time to trust again but remember, ask questions and communicate with the next therapist  share  your experience and how it made you feel and that trust and being spoken  in a respectful , non judgemental and non condnscending way is critical for you. Be honest clearly state your expectations from start.  I offer free 50 minute first sessions for clients. The reason. I do this is because I feel that clients deserve opportunity observe the environment, ask me questions and have the opportunity to determine their level of comfort and decide if it's a good fit. Other therapists sometimes offer the similar, try finding one willing to offer a  consultation as that could give you the opportunity to feel things out and set forth expectations.The article below is an excellent article about what to look for in a therapist. It is worth your time reading because you are WORTH FINDING THE BEST HELP AVAILABLE! This article was written based on both evidence from research and clinical experience. I would strongly encourage anyone searching for help to read this and even use it as your guide. I hope this was helpful.https://www.psychologytoday.com/blog/insight-therapy/201603/10-ways-spot-good-therapistLaura Cassity, LMSW, LMAC


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I have several issues that I need to work through. However, I am afraid of and do not trust therapists after a horrible experience. I'm dealing with grief and guilt over losing my sons due to drug use. I have a very complicated traumatic relationship issue that is causing me severe anxiety and fear.


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Your fear is somewhat reasonable.  No one wants to be raped and I imagine everyone is afraid of what being raped would feel like.Do you mean that this fear is on your mind more often than you would like?If this is the case, then try understanding the reason behind your fear.Is it because you personally know or know of someone who was raped?  One general direction of what would help is to regain confidence in your decisions of keeping yourself safe.  The more you trust yourself to avoid social situations with lots of drinking, isolated physical surroundings, and being in isolated locations with someone with whom you're not very familiar, probably your fear will decrease.The other general direction to understand is if in your family history, people have been violated severely, either emotionally, mentally, or physically.In families in which people have suffered severe violations of themselves, often the emotional patterning of expecting to be hurt by others, plants itself very deeply and transmits to the younger generation.Its possible then, that you are suffering from fears established in other family members who have not yet been able to fully understand and accept their own suffering.The good news is that individual therapy, with a credentialed and licensed therapist, is ideal for a safe place to open and clear this type of emotional burden.


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Why are you afraid of rape? Because it is a problem in the United States! The National Sexual Violence Resource Center reports that one in five women (0r 20%) will be raped (http://www.nsvrc.org/sites/default/files/publications_nsvrc_factsheet_media-packet_statistics-about-sexual-violence_0.pdf) and that 80% of women know their assailant. Given these statistics, it is perfectly logical to be afraid. However, there are things you can do to reduce the risk of rape, such as being aware of your surroundings, and limiting the use of drugs or alcohol.The Enhanced Access, Knowledge, Act program for college-aged women has been shown to reduce the risk of rape by more than 50%. (http://www.blueprintsprograms.com/factsheet/eaaa-enhanced-assess-acknowledge-act-sexual-assault-resistance-education) You may want to see if a program like this is available in your area. Another great app for when you need to walk somewhere alone, is the Companion App (http://www.companionapp.io). Friends or family can track your progress from one point to another via the GPS in your phone.In addition, talking with a counselor about your fears would also be a good idea. Sometimes fears are rational and reasonable. Sometimes they are over-reactions and unreasonable. When then are over-reactions and unreasonable, they can have a negative impact on your life. In this case, a counselor could help you understand why your fears are unreasonable, and how you can stop them from negatively impacting your life.


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I am so sorry to hear that you are struggling.  It sounds like you've had a traumatic experience that has impacted your life in many ways.  Without knowing much about your history, I wonder if the trauma you suffered has lead to the anxiety, anger, and memory problems you are dealing with, in addition to PTSD.  I would encourage you to look for a trauma therapist who offers a sliding scale or pro bono services.  There may also be community mental health services in your area that offer free therapy if you are eligible for grant.


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I have attention-deficit/hyperactivity disorder, posttraumatic stress disorder, anxiety, anger, and memory problems. I can't work. I have no income. I'm on medicine, but I feel worthless. I want to be normal.


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Hi Houston, Okay, something's definitely going on, right? My gut is to start with your family physician, because you have some physical symptoms. While it seems anxiety is a likely problem here, your doctor will hopefully know your history and can help you decide if you need some medical tests or some therapy. Without knowing more, that's all I can say at this point. Best of luck.


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I never feel like myself. I can’t even think straight anymore. I start stuttering and I can’t remember anything. I always get nervous and usually talk myself down but recently end up fighting with, what feels like, someone else. I don’t know why I feel this way, but I hate it.


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What you are describing sounds like it may be a form of dissociation. Dissociation is our mind's way of disconnecting us from aspects of our experience in an attempt to protect us in overwhelming situations. It also sounds like you are noticing anxiety in certain situations. In working with a competent therapist, you may be able to gain insight into these experiences, learn skills for coping with anxiety and reconnecting with yourself, and alleviate these symptoms over time.


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Hello,I am wondering if you might be experiencing some form of dissociation.  People who dissociate might feel like the world around them is unreal and unfamiliar, or that they are not really in their bodies and that they are observing themselves from outside of their bodies.  Dissociation can also mean that there are parts of you that have "split off" and sometimes parts are can feel like they are at odds with each other or are locked in conflict.  Sometimes dissociation happens after someone experiences a trauma.  Therapy can help you to understand what is going on and help you to integrate your experiences and ultimately heal.I am a therapist in Houston who specializes in dissociation.  On my website I have information specific to dissociation that might be helpful to you. Sarah


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Hello, and thank you for your question. You may be right, your physical symptoms of getting sick to your stomach may very well be your nerves or anxiety. That is totally normal and understandable given your circumstances. Another thing that is not unusual is that you feel better when you sit and rock. That is actually a fairly common way that many people comfort themselves in times of high stress. If you are concerned that there is an actual physical illness causing these symptoms, you may want to visit your primary care provider. They may tell you that they don't see anything physically wrong with you, and at that point you may want to visit a counselor about the symptoms and your relationship experience. A visit with a counselor may be a good idea either way. I work as a counselor in primary care, and I promise you that many people have very real physical symptoms when they have gone through abuse. Unexplainable stomach and headaches are very common. Sometimes, with counseling, those physical symptoms actually stop. Be well, and I hope you feel better soon.Robin J. Landwehr, DBH, LPCC, NCC


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I had to put a restraining order against my ex-fiancé. He was served last night. He was mentally and verbally abusive towards me. I thought it was my nerves, but every time I stand up, I get sick. If I sit and rock, I'm fine.


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I don't know how old you are, but in Pennsylvania, if you are over 14, you can have therapy without your parents' consent. If you are young enough to use their insurance, that could be complicated, but depending on the state, there may be ways to work around that as well. If transportation is a problem, call a local mental health agency and see if they can connect you with assistance.In the meantime, try searching for a phone helpline in the county where you live. They may be able to help you figure out where you can get help.Another idea is that if you are in school, your guidance counselor may be able to provide links to where you can go for help. He or she may also be able to give you more specific ideas to help with your panic attacks.I know you said your mom refuses to offer help, which included seeing a doctor, but I wonder if she trusts the doctors that is your primary care physician (also called a family doctor) who you see when you have a minor medical ailment that may need medication. That doctor may be able to help you as well.Some of the information here may be helpful to you because it explains some of what anxiety is and there are some quizzes there that may give you information to discuss with a doctor or therapist when you get connected with one. http://www.webmd.com/anxiety-panic/guide/mental-health-anxiety-disorders This may give you other information to speak with your mom about. Remember that I'm not asking you to actually diagnose yourself with one of these things, but just offering some basic information that may help you be able to talk about what is going on.If you are having a panic attack or having a moment of anxiety, try focusing on different things in the room around you. It may help to shift your focus briefly outside of what you are feeling and that may lessen the feeling a bit. Also remember that sometimes anxiety leads to more anxiety about having a panic attack in the future. Remember that they usually and after a few minutes.It would also be helpful for you to keep track of what leads up to your anxiety.Best wishes to you and keep trying until you get connected to someone.


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I've been dealing with this for years. My mom thinks I'm overly emotional and refuses to offer any help, like therapy or seeing a doctor. She's seen me when I'm having a panic attack and just said I was faking for attention or that I'm a hypochondriac. I just want to get better.


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How old are you?Are you old enough in your State to have therapy without your mother's consent?Your mom's attitude toward you may be one significant reason on why you feels so much tension in the first place.Don't let her opinions and beliefs get in the way of what you know about yourself.Are you in school and does that school have a guidance counselor?Would you talk with that person about your difficult getting your mom to retain helping services for you?Keep looking for local resources which will support you either directly or indirectly by advocating for your right to receive mental health care.


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Do you think you're abusing xanax?It is a highly addictive drug so maybe one reason you feel compelled to take more is bc you already are addicted.Drugs don't do anything helpful in solving life's problems.   Once the effect wears off, the stressful situation is once again waiting for you to address it.Think over your reason for not directly asking your psychologist about upping your dose.Also, do you ever talk about your life problems with this psychologist or only your need for drugs?    The more gradual path to a better life is to not need drugs in the first place. This consists of your willingness to face the matters that are creating such terrible feelings inside you.


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I’ve been on 0.5 mg of Xanax twice a day for the past month. It hasn't been helping me at all, but when I take 1 mg during a big anxiety attack, it calms me down. I was wondering how I can ask my psychologist to up the dose to 1 mg twice a day without her thinking I'm abusing them. I just have very big anxiety attacks. Should I stay on the 0.5mg and deal with the attacks or should I ask to up the dose? I'm afraid she will take me off them and put me on something else.


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Staying on the lower dose may give you more room to learn strategies for coping with your anxiety.  Medications are so helpful, and needed at times, but it's also important to have a variety of tools you use to manage your responses to stress.  If you are not already seeing a therapist, consider finding one who can help you learn some effective strategies, like replacing self-defeating thoughts with ones that work better for you, or mindfulness, relaxation, or other tools to keep your anxiety in the manageable range!


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In general, Xanax is very short-acting. You mentioned that you are afraid that your medical provider will take you off of the Xanax and put you on something else. If the Xanax is not working well for you, I wonder if something else may work better. What is your reasoning there? Also, sometimes there are medications that you can take in addition to Xanax.In addition to talking with your medical provider about changing the medication, try to track your levels of anxiety on a scale of 1 to 10 throughout the day so you can get a pattern of what is happening. Also consider writing down what is happening before you have anxiety attacks. This may help your medical provider know what medication may be helpful to you or what changes could be made.As far as how to discuss this with your medical provider, I would suggest mentioning the symptom changes you are having (anxiety attacks that are not helped with 0.5mg of Xanax) and ask what they would suggest that might help. If your medical provider suggests taking you off of the Xanax, I would recommend talking about the reasons why you would prefer to stay on the Xanax and what your concerns are about coming off of it. You could also ask whether anything could be combined with Xanax.There are also many other anxiety medications. I have seen lots of people that take more than one medication to lessen anxiety that they are having.I would also consider talking with a therapist (unless the person who is prescribing a medication is also doing therapy with you). Getting more information about your anxiety and how it is affecting you may be greatly helpful to you.


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Hello, and thank you for your question. While counselors work closely with medical providers, and sometimes have discussions about medications with people, we rarely make recommendations about how much or what type of medication a person should be taking. This is because prescribing and advising on medication is out of our scope of practice. The only exception would be if a counselor is also a physician, nurse practitioner, physician's assistant, etc. Having said that, I certainly understand that anxiety is a real serious problem that many folks struggle with. If you are currently not in therapy to help you with these panic attacks, you should consider it. Medications can be helpful for anxiety, and medications like Xanax may help for immediate relief, but they do nothing to deal with the root of anxiety and may not help with anxiety long-term. Therapists who have experience in exposure therapies would be good people to start with. Exposure therapy has good outcomes for people with anxiety disorders and panic attacks. If you are interested in speaking with your provider about the Xanax, I think explaining it the way you did on here is just fine. The provider will then decide if they feel comfortable increasing your medication. Please remember that medical providers are not trying to give people a hard time. Medications like Xanax really are highly addictive. The more you take, the more you may feel you need. The more often you may feel you need to use it. Depending on the frequency and amount of use, some people suffer serious withdrawal symptoms when they do not take the medication. It is a good idea to talk to medical provider about all of those things so that you can partner on right course of action to manage this anxiety. I certainly hope that you get some relief.... I know anxiety is awful.Robin J. Landwehr, DBH, LPC, NCC


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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.)?


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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.


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I am wondering who is telling you that sex is dangerous.  Is this medical advice, or is this someone’s
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. ¿Cómo puedo superar mi miedo de un
embarazo no deseado y poder tener sexo otra vez?Estoy
aterrorizado de tener sexo porque me han dicho una y otra vez que el sexo es
peligroso, inclusive cuando yo y mi pareja usamos dos métodos de protección.  Mi pareja no está contenta y simplemente
quiere más sexo, y honestamente, yo quiero darle lo que ella quiere.Me pregunto quién
te está diciendo que el sexo es peligroso. 
¿Esto es aviso medico, o es alguien intentando asustarte para que no
tengas relaciones?  ¿Y si es así, que
edad tienes?  ¿Es apropiado que tengas
sexo a tu edad?  ¿Quieres tener sexo? Me
parece que estas enfocado en hacer feliz a tu pareja, y te estás protegiendo y protegiéndola,
pero tal vez están olvidando analizar que tu quieres realmente.  Recuerda que tener una relación sexual es una
decisión personal, en la que tú y tu pareja deben de estar de acuerdo.   También es importante hablar de las posibles
consecuencias de tener relaciones, como un embarazo, y discutir sus opciones e
intenciones, si eso ocurriera.  Ya que
han tenido comunicación al respecto, el sexo debe ser algo que disfruten,  no que temen. 
Un terapista te puede ayudar a procesar esos pensamientos negativos y
los sentimientos que te pudieran impedir disfrutar de tu vida sexual.


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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.


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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.


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When we feel overwhelmed by life situations, it is important to understand where the feeling is coming from.  Once we understand the source, it is important to normalize the situations that got us there and find balance in our lives.First, car accidents are common, and since they are accidents they are not a reflection of us.   When we have an accident we feel anxious, worried, and may have some trauma after the accidents.  If you have been experiencing anxiety since the car accident, talk to your doctor or therapist about it.  Second, a lot of people fail classes, tasks, deadlines, etc. but they don’t give up on their goal.  We have to remember that failing is part of the learning process, and having the courage to try again is what gives us determination and character.  Remind yourself what motivated you to leave your job, and the courage and determination that took to do so, then channel that energy back into school.  Third, when we have problems in our relationships, is helpful to look for ways to improve communication, discuss our concerns and how we want to resolve them, but it may be that the relationship needs to end if there isn’t enough interest in one of the parts or if there’s verbal or emotional abuse.  Consider talking to your boyfriend and set some boundaries regarding appropriate communication.At all times:  focus on being kind to yourself and improving your self-esteem: increase self-care activities, do more things that you enjoy, meditate in what gives you peace and make an effort to have more of that in your life.   At the end, you are the one in control of your life, and you determine who you become.¿Qué puedo hacer cuando siento que mi vida está fuera de control?Estuve en un accidente de auto, y fue pérdida total.  Deje mi trabajo de 9 años para completar un grado a tiempo completo.  Falle una clase, y mi novio piensa que soy estúpida, el quiere dejarme.  No tengo a donde ir y siento que lo estoy perdiendo todo.Cuando nos sentimos agobiados es importante reconocer donde estamos parados y entender de donde vienen esas emociones.  Ya que entendemos la fuente de agobio, es importante normalizar las situaciones que lo causaron, y volver a encontrar el balance en nuestra vida.Primero, los accidentes de auto son comunes, y por ser accidentes no son un reflejo de nosotros o nuestras destrezas.  Cuando experimentamos accidentes no s sentimos ansiosos, preocupados, y puede que experimentemos algún trauma.  Si sientes ansiedad, extrema preocupación habla con tu doctor o terapista al respecto.  Segundo, muchas personas fallan clases, tareas, fechas de entrega, pero no se rinden.  Tenemos que recordar que fallar es parte del proceso de aprendizaje, y tener el valor de intentarlo de nuevo, es lo que nos da determinación y carácter.   Recuerda que te impulsó a dejar tu trabajo y canaliza esa energía en la escuela.  Tercero,  cuando tenemos problemas en las relaciones, es importante comunicar nuestras preocupaciones y diferencias, pero puede ser que la relación termine si no hay interés mutuo o si hay algún tipo de abuso.   Considera hablar con tu novio y establecer límites respecto a la comunicación apropiada.En todo momento: enfócate en cuidarte a ti misma y mejorar tu autoestima, aumenta las actividades que te ayudan a sentirte bien, medita sobre lo que te paz y pasa más tiempo practicando esas actividades.


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I was in a car accident and totaled my car. I gave up my job of nine years to pursue school full-time to better myself. I failed a class, and my boyfriend that I live with thinks I’m stupid and wants to break up with me. I have nowhere to go, and I feel like I’m losing everything.


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Being able to know you feel anxiety and write about it, is the first step to addressing and handling it!Generally, anxiety is deep fear of not being able to handle what comes up in life.  Somehow the person was insufficiently nurtured and so felt  insecure when very young.Usually the person had to fend on at least a psychological and emotional level for themselves before reaching an age when doing so would have been reasonable.Their inner feeling of overwhelmed from when very young, hasn't faced the reality that the grown person is now capable, even if this takes some practice. Try asking yourself what you are afraid of and theorize how you would handle these situations as a grown person.Also, sometimes anxiety comes from feeling lonely.  This loneliness is reminiscent of the loneliness that the grown person now, felt when being left to take care of situations as a child which were too difficult and complex for any child to address.


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Does anyone notice that you get sick and cry on track meet days?Have you told anyone?From what you write, as much as you would like to please your school and dad, something within you doesn't quite want to fully follow through.Step one in life always is to know what you want and what your limits are.   It already is difficult to avoid listening to your body.Try understanding what is difficult in telling your father that you'd like doing as he wishes, only are not able to do so because you are emotionally and physically distraught on the days you have track.After finishing the season for this year with your school's track team, then expect to concentrate on taking care of your own need to not do track.Hopefully your father will understand and care about your problem.   If he does not and track is more important than your well being, then you have a different problem entirely.


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I am on the track and softball team. My school is small, so I play all four sports it offers. I feel obligated to do track because I'm not a horrible runner, and my dad wants me to. The catch is is that the days before a track meet and the morning of, I get sick and cry.


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It sounds like you are no longer committed to track emotionally.  It can be hard to talk to your dad about this, but he may think you love track and may not know you are getting so upset the days of meets.  An idea would be to first write a letter to your dad to see what feelings come out and then preparing to speak with him.  I think he will appreciate your honesty and maybe this conversation will bring you relief and also time to find something you really will enjoy.


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Change can be uncomfortable, but sometimes those uncomfortable moments are the opportunity for us to be the person we feel we really are.  It sounds like you like to spend the time in your head anticipating the worst, why not be in the present and encourage yourself that you can talk to people and it will be okay.  By telling yourself it will not be okay, or that it will go wrong you are hurting your confidence to do what you want.  Give yourself some credit for being awesome and tell yourself you can build new friendships...it may be the motivation you need to move past this fear.


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I'm socially awkward. I've always want to be popular. I've had the opportunity to be popular, but every time I get i,t I'm too scared. All I have to do is talk the popular people. They're really nice to me, but I'm too scared of change. I really want to work up the courage to lose my fear.


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It sounds like you are feeling pretty overwhelmed with worry about being continuously monitored, with no privacy even in your own mind, and as if people are constantly saying things about you in whispers on in the media. It's hard to say from a post online what is at the root of this experience, but you may be able to get insight into that, as well as develop ways of coping with the distress of feeling this way, with the help of a good therapist. There is no pill or technique that can guarantee that this experience will go away, though it might, however, there are things that you can do so that you can understand it better and so that it does not have such an impact on your ability to lead a satisfy life.


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I often get the feeling that I'm being watched, like video cameras are hidden wherever I am, even at home. I feel like people can see all that I do and are reading my thoughts. Things I read or hear on the radio seem to be about (or meant for) me, and people are talking about me when they whisper.


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Thinking about what others think of us is a natural tendency. Human beings are social creatures and rely on feedback from the outside world of people, places, and things to let us know more about ourselves. We also have an inner voice, dialogue, conscience, etc. that helps us to determine the path for us. Often, when someone is worried about the external feedback, and focuses on this as the sole source of information, it can create a dependency that can become problematic. Balance is key to so many things in life. Your own voice is powerful and has strength to provide you the enjoyment you seek. Don't discount it and rely only on the voices of others.


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I have a bad habit of thinking and worrying about what others may think of me. I really want to stop it and enjoy things.


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you can learn lots of skills/techniques to feel more confident in what you need to do that will decrease your anxious response for sure! :) And  you can also learn how to work with your personality that may not like the attention. You may find that "talking" to others through the internet is more comfortable and you are great at it, or that you love one on one talking but aren't really made for group talking. There is a place in this world for you either way! Public speaking skills can be practiced in speech class, or toastmaster group, they will give you practice in a safe environment where the cool kids or cutest boy aren't ready to laugh at you.  What topics are you interested in and what groups can you do a little speaking up? Maybe in your small group at church try and raise you hand to share your opinion, or maybe your Girl Scout troop? Look around for a peer and one adult who you like to hear speak out, ask them to share with you 2 things that help them feel comfortable speaking in public. Check out some Ted Talks and see how they share in groups. Social anxiety is a difficult concern and picking apart what is your awesome personality and what needs skill building and mindfulness/anxiety  help are important steps. Good luck!


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I feel really uncomfortable when I have people's attention. It makes me not want to talk in public or answer questions in class. Can I get over this social anxiety?


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Since anxiety usually about anticipating a bad result, or fear of being judged negatively, as though having failed some sort of test, consider what would give you the feeling of anticipating a good result from talking to an audience?Maybe, for example, if you prepared and rehearsed your talk more than what you typically would, you'd feel more secure in speaking  in front of an audience.Once you sort through your particular reason as to the source of your discomfort, it may feel more manageable.Yes, social anxiety can change.  You may naturally prefer smaller groups than an audience.And, it is possible to decrease anxiety in what may always be somewhat uncomfortable for you.


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Hello, and thank you for your question. Sleep problems, including insomnia and even the nightmares that you are writing about, are really common for people and so many people suffer from them. Here are a few things to consider or to try: 1. Have you changed or started taking any new medication lately? Medications can certainly affect your sleep and some can even cause vivid or frightening dreams. If you are taking a new medication, talk to your provider about the nightmares, this may be the cause. 2. Stress can certainly increase our difficulty with sleep and can also begin to affect our dream states. The dreams may not make much sense, but then again even good dreams don't always make much sense. Ask yourself, do I have any new or renewed stressors in my life? Work, school, relationships, health.... all of these areas and many more are places where stress can hide out. If this is the case, talk with your provider or consider seeing a counselor who may be able to help. 3. Something to consider is that once we start to have anxiety or stress about something, we can begin to obsess about it. My guess is that going to bed for sleep is no longer a pleasant thing for you. Your stress and fear of what may happen when you sleep could start way before you actually go to bed. This could increase your chances of having another bad dream. Try relaxation techniques before going to bed. If you have YouTube, you can pull up "Guided Meditation for Sleep" exercises to help you relax. There are many different ones to choose from. You may also want to try deep breathing.4. There are self-help ideas for managing bad nightmares. If you Google search "Nightmare Rescripting" or "Nightmare Exposure" you may find some ideas and instructions on how to manage dreams. I hope these ideas help. Be well... Robin J. Landwehr, DBH, LPC, NCC


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I have been having a lot of nightmares where I am being killed in different ways. I either wake up in a panic or just crying and sweating. It has made me terrified of falling asleep and is now affecting my daily life too. Can I make the nightmares stop?


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Have you spoken to him about your fears? Perhaps you can explain this feeling to him and let him know what might lead to feeling more secure.  Also, it is important to trust your intuition!  Perhaps there are good reasons to feel concerned. It may not be paranoia - it may be based in reality!


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My boyfriend and I have been dating for almost a year. We go to different schools, and we don't see each other that often. I just feel very paranoid that there's someone else or that he could be hiding something from me.


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Paranoid is a mental disorder word.  That is a strong word I think to use in this situation.  Honestly the bottom like is either you don't trust him for some reason or you are insecure with yourself.  Which is it?  Do some soul searching to help you figure which one it is.   Work on either discussing why you don't trust him and work on building that trust ....or why you feel you are not good enough and work on that.


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Hello! Thank you for your question. There are few things
that people find more personal than their sexual relationships. When we feel
connected to our partner, sex can be best thing since sliced bread. However, if
we feel disconnected in some way, sex can feel degrading and even painful. 
I don’t know the specifics about your relationship or how
comfortable you are in talking to your boyfriend, but this is one of those
situations where communicating your fears is a good idea. The only exception to
that would be if you believe he is actually a threat to you in some way. If you
believe that, then you should do whatever you think is safe. It sounds like
there is a part of you that is already afraid of him, and if that is the case
then remaining safe is your top priority. 
Assuming you are able to share with him your feelings,
telling him what you are and are not interested in sexually is very appropriate
and sexually healthy. Sex is something that is supposed to be enjoyable for
all parties. All parties should feel respected and able to say “no” to
absolutely anything they are not comfortable with. 
I call the respectful agreement between sexual partners, “sex
trust.” Sex Trust means your partner respects your boundaries. It means they
won’t degrade you sexually with hurtful words, forced sex, or forcing or
coercing sex in ways someone is not interested in having.  Your personal safety and mental well-being is
what is most important. 
Now, if there is a part of you that is curious about BDSM
and may be interested in participating in it, there are many websites that you
can explore to learn information. I will warn you, some websites and articles
are better or worse than others, but you may at least feel more informed. 
Many people engage in BDSM and have happy relationships, but
again, it completely depends on what each person in the relationship wants. It is
also important to know that BDSM is not just one thing and people practice it
differently based on comfort. If it is something you are uncomfortable with,
then you shouldn’t feel obligated to do it.
 
I hope this was helpful. Be well.
 
Robin J. Landwehr, DBH, LPC, NCC


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I'm concerned about my boyfriend. I suffer from anxiety, but I always have this feeling he wants to hurt me because he told me he was interested in BDSM intercourse. We haven't tried it, but I've had this feeling he always wants to.


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This is a very common question in my practice. Panic attacks typically emerge from an underlying issue (ex. Depression, low self-esteem, fears). To decrease your anxiety symptoms it’s recommended to seek treatment with a therapist who specializes in working with anxiety disorders and most importantly one with whom you feel comfortable with.In my practice I educate clients about their anxiety and discuss building a framework with helpful tools for decreasing anxiety:1. Starting a daily mindfulness practice. For example: listening to guided meditation; engaging in deep breathing exercises; yoga practice; or other positive calming activities.2. Understand your negative and positive thoughts. Many times we tend to focus on the potential for bad things to happen. Increase positive self-talk when feeling down or when anxious. For example: "I don't need to worry, I am calm and relaxed". 3. Exposure to fearful or anxious situations. This can be accomplished under the care of a mental health professional. Many times we shy away from things that make us feel uncomfortable or insecure. This may led to an increase in isolating behaviors resulting in difficulty in performing things we were once able to do. For example: leaving the house; presenting in front of others; going to social events; and having conversations with people. However, the more we expose ourselves and practice the use of our positive coping skills (ex. deep breathing) the chances of anxiety will decrease. I hope this was helpful. Keep in mind, a therapist can help with guiding you through self relaxation and improvement.


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I get so much anxiety, and I don’t know why. I feel like I can’t do anything by myself because I’m scared of the outcomes.


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The other two post answers to your question are very good and I don't feel the need to repeat what has already been said quite well, but I will offer one other option I have been able to utilize quite successfully with those dealing with panic attacks.  Chain analysis is a fantastic way for your to map out the situation starting with the prompting event, the chain of events ((links) that lead up to the behavior - in this case a panic attack, and then what the consequences were.  See the illustration below:This is very useful in that it lays everything out for you to see so that it becomes possible to alter one of the links leading up to the unwanted behavior (panic attack), allows you to come up with strategies for similar situations (prompting events) and allows you to understand how you are reinforcing the behavior when it does occur (consequences).  Finally - it would also allow you to identify any particular vulnerabilities, such as not enough sleep, poor nutrition, trauma history or having a cold the time it occurred.  Working with someone who utilizes a behavioral approach, such as DBT or behavioral analysis, you can find solutions that replace one of the links and therefore breaks the chain of events.


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Anxiety is simply your system communicating to you that you are in danger. The issue that I see in most of my clients is that they try to reason with this anxiety. You do not reason with sensory states in the body. If your system tells your in danger (your stomache feels like it is knots, your heart is beating out of your chest,) validate by just being present with it. Take your breath to it. Breath in and out of that space. Say ok, I am in danger. I always tell my clients, "a crying baby wants to be held, not told to shut up." Listen to your system, validate it like you do a child and see what happens.


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The are two ways that such anxiety can be dealt with. One is an attempt to replace maladaptive thinking by examining the distorted thinking and resetting the fight-or-flight response with more reasonable, accurate ones. As an example "I'm scared of spiders." But if you change the thinking from being scared to "I'm bigger than the spider," it allows the mind to reach a calmer state of mind. Mindfulness-based therapy can also help  focus on the bodily sensations that arise when you feel anxious. Instead of avoiding or withdrawing from these feelings, remain present and fully experience the symptoms of anxiety. Instead of avoiding distressing thoughts, open up to them in an effort to realize and acknowledge that they are not literally true.Although it may seem counter-intuitive, fully realizing the experience of anxiety enables the release of over identification with negative thoughts. You can practice responding to disruptive thoughts, and letting these thoughts go.By remaining present in the body, you'll learn that the anxiety being experienced is merely a reaction to perceived threats. By positively responding to threatening events instead of being reactive you can overcome an erroneous fight-or-flight response.


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Based on the information provided, this is an issue with boundaries.   Sounds like your uncle goes to your mom and possibly your mother takes the issues to you.  I do not like to assume so I will direct you to information regarding families dealing with enmeshment and triangulation.  Enmeshment is the concept of diffused boundaries in families and other personal relationships.  Triangulation is two individuals relaying information to a third party what cannot be said directly to each other.  From someone who has dealt with both these issues on a personal level, being informed about family dynamics is beneficial and can help you develop healthy boundaries for yourself within your family structure.  You may need assistance with developing healthy boundaries.  Although it is possible, it is not easy to change the way you have been operating for any extended amount of time.  Hope this help!


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I started dating my fiancé two years ago. My first cousin is married to my fiancé’s sister. There has always been a communication issue between my uncle and aunt and my cousin and his wife. My uncle goes to my mom instead of talking to my cousin, and it upsets my mom.


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When you're upset about something, the first question you can ask yourself is "Whose problem is this?" It is amazing how many problems will disappear right at that point, because you realize the problem isn't even yours. You can't fix everything in your family. You are starting a new family of your own, and it's time to create a protective bubble around your family unit that keeps other people's issues away. I tell myself "Not my pig, not my farm, not my problem." When you stop trying to take care of other people's problems, they are more likely to step up and deal with it themselves. :)


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Basically, your response is the fight, flight or freeze reaction
which is hard wired into the human nervous system, specifically, the autonomic nervous system (called the autonomic response).  This system
is responsible for regulating the heart, digestion, respiratory rate
as well as other aspects which match the symptoms you describe.  It is largely an unconscious function, but
with training it can be managed such as a public speaking course in which you
prepare and even have some exposure to smaller experiences to help you prepare
and cope for larger presentations.  One of the greatest applications of
addressing this response is the NASA program which exposes the astronauts to situations
they will encounter while in space which will trigger the response so that when
it does happen (not if but when) that they are able to move through the
challenge with success.  You can learn
more about his by going to TED Talks “What I learned about going blind in space” It is
a truly inspiring look at what you are experiencing as well as how to deal with
it. 
With that being said, finding a program
like a Dale Carnegie Public Speaking program can help.  Working with a counselor who can help you
utilize visualization of an upcoming speech has been shown to help and you can
always talk to your doctor to see what options might be available there as
well. Good luck!


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Whenever I have to speak in public or be in big crowds, I freak out. I get light-headed, sweaty, and I have trouble breathing.


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As you do it more, it should get better or at less with less anxiety.  Anxiety is normal for most when speaking in public.  I hear this from even the best of facilitators who have been doing it for years.  I even experienced that when I first became a counselor and had to lead classes.  I asked myself why were I so anxious?  I admit at that time I didn't have confidence in myself.  The more I prepared and practiced, the more my confidence level increased.  Yours will too...


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There is no scientifically established formula for understanding dreams, that I know about, however, many people get a great deal of value from exploring what their dreams mean. It is believed by many that our dreams contain metaphors that represent meaningful patterns in our lives and relationships and if we pay attention to them we can learn important things about ourselves. One thing you might try, to see if you can get more insight into the dream and possibly begin remembering things, is to take note of whatever you do remember, any details about your experience, such as when do you wake up from the dream, how do you feel, both emotionally and physically, what are you thinking about when you wake up, is there any pattern in terms of what happens to you in your waking life around the time you have this dream... If you can keep a journal or a recording device to speak into by your bed, you can try to record whatever you do remember and notice as soon as you wake up. People seem to have more difficulty remembering dreams, the more time they let go by before attempting to record the dream, or if you go back to sleep before recording what you remember.


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I am a teenage girl. I've been seeing the same dream once in a while since I was very young. The problem is that I don't remember anything about this dream. I still know that it's the same one, and then I wake up in a panic, and I cry really loud without knowing the reason. Why do I see the same dream, why can I not remember it, and what should I do to remember it?


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I would suggest that you look up the word codependency and it's characteristics.  See if you relate to those characteristics.  I have a feeling  you have suffered some form of loss in your life that you have not dealt with properly.  For some reason you are depending on your boyfriend to fill that loss.  Considering working with a counseling to work through your emotions and resolve any lingering issues.


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I’ve been with my boyfriend for a year and a half. He loves me a lot, and I love him. It hurts to be apart from him for so long. It hurts all over, and then I feel like it won't last.


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Sounds like you are struggling with your own negative thoughts.  As you stated, everything was great then you started having low self-esteem thoughts and thinking.  What is contributing to these negative thoughts?  His actions or your past experiences with unhealthy relationships would be my question..


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I started seeing this guy that I met at a mutual friend’s place. He recently broke up with his ex-girlfriend and started seeing me. Everything was great in the beginning, then I started having low self-esteem thoughts and thinking he was hanging with his ex-girlfriend again. It’s all I think about. I am still seeing him, but things have changed because I am at a loss for words. I get stuck in my own thoughts. I like and care for him a lot. He just makes me nervous and gives me the butterflies.


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Individual and/or group therapy can be a powerful antidote for social anxiety. Often in therapy, the things that tend to get in the way of our securing satisfying and lasting personal relationships will appear in some way in the therapy relationship and a competent therapist will be able to help you work through this anxiety, in a sensitive way, and eventually encourage you to seek out the personal relationships that you want. In group therapy, you have an opportunity to have a relationship not only with the therapist, but several other people who are all in the group in order to give and receive mutual support to one another.


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I have not had a friend since I was 19. I don't go anywhere, and I have no job, all because I'm afraid of people.


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Given the description you have posted here, it may be time to find someone to work with.  First and foremost, look into working with someone who specializes in working with individuals with challenges surrounding drinking. This would need to be assessed first since if it has been ongoing, it may be making the situation worse and given the time it has been utilized as a coping mechanism, there is reason to believe that the structure of your brain may have been effected as has been demonstrated by current neurological research.  There are however, ways to address this.  As for coping mechanisms, the person you work with should also look at offering you alternatives such as the skills found within the Dialectic Behavior Therapy model (DBT) which has several useful tools to help address the underlying anxiety and difficulty managing emotional regulation.  Mindfulness, another component of DBT should also prove to be useful in both becoming aware of your state of mind and emotional state to allow you to make different choices which has been supported by a growing body of evidence.  There are also other tools designed to help repair damaged relationships.  Well worth looking into.Seeking help is never easy and it is only human to be hesitant given some of the cultural views of working with therapist.  This is a difficult place to be in and one that is not easy to move out of, but sitting on it is not going to help it go away.  Think of it this way, if you broke your arm, would you just wrap it up and hope for the best? or seek out a professional to help you set the break and teach you how to mend the wound.  The same applies here.  Think of it as first aid for the mind.


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I feel insecure in my life. I don't think my wife truly wants our relationship even though she says she does. I have turned to drinking to help relieve my repressed stress about this and other issues. I have had a drinking problem for a few years. I feel the reason I drink is not just because I like to, but because I have lately been on edge. I’ve been very oddly emotional when watching movies that I have been watching for years. I’m paranoid about driving on main roads. I’m very jumpy at the slightest noises.


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Sorry hearing about the big amount of stress which you are feeling at this time.Since a lot of your stress is directed to uncertainty of whether your wife is happy being with you, would you consider continuing the conversation with her about your understanding of her answer to you?Your observation that she says one thing and behaves in a different way, is meaningful.Bringing your point to her attention would at the very least demonstrate her interest in showing and explaining her viewpoint about you.Basically, you'd be expecting her to care about you and how she handles herself with this question, may clarify what you're trying to find out.The good news about your relationship with alcohol, is that you realize you're overdoing it.From what you write, the emotional pain and helplessness you feel currently, seem too much to know about all at once.One possibility is to accept your feelings of hurt and insecurity.  This is the first step of working with them.   If they start feeling overwhelming, then maybe too, you can distract yourself for a while from the intensity by engaging in an activity that is not self-harming.After all, you are the most important person in your life, so keep yourself safe and healthy!


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I think you have identified something important here. It's not unusual to experience feelings that don't seem to match up with what your rational mind recognizes. In this case, it sounds like a part of you recognizes that the people around you do not find you "annoying and bothersome." Despite knowing that people like you, it seems that there's still a part of you that feels like you're a bother.Finding a local counselor who can work with you to process those feelings might be just the help you need.


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I think I'm annoying and bothersome, but my girlfriend says I'm just fine. I don't think so, I think I'm stressing everyone else out


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"Where you put your attention is where you will go". I forget who said this first, but it's very powerful. If all you think about and talk about is how annoying you think you might be, that will get annoying. Your intense self reflection is lovely; it will help you monitor yourself so that you're not affecting others negatively, but your alarm is going off too easily here and you risk having the opposite effect.You don't have to be perfect. She's with you, so she probably likes you as you are. She seems to put far less emphasis on your possibly annoying traits. We all have faults and if that's what we focus on, that's all we will see. My hunch is that your most annoying trait might be your negative self-talk. How ironic is that?There's another irony here...your goal is to be a better partner...but when you are self-critical, your focus is on you, not her. Every moment that fear grabs ahold of you is a moment that you're not being present in the actual relationship; you're gazing at your imagined faults. Fear steals your ability to focus on your loving partner. Maybe take a moment to image how she sees you...all of you. Put yourself in her shoes to see the entire you...how are you loving...thoughtful...a good partner? Confidence is a very attractive quality!


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I'm glad to hear you have friends and that your friends say they like you.Trust your own sense of who you are which tells you that something feels uneasy within yourself.Is the friend who says you're "just fine", very familiar with who you are?"Friend" is a broad category.She may not know you as fully as you know yourself.Basically, it is possible to be "fine" and have some inner stress.Follow your own thoughts and observations to more fully learn about yourself in ways your friend may not notice or be aware.


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Interesting:  How much of your issue is your own self-judging and how much of your perception is real?There are many ways to stop judging and self-judging using Cognitive Theory (CBT).  You could find a (CBT) counselor/ therapist to help you reduce your judgments.  In addition, I've written extensively about this in my book, LIVING YES, A HANDBOOK FOR BEING HUMAN (www.LivingYes.org).  I recommend you visit the webpage and pick up a copy.As to your own perception:  You seem okay being who you are, and your girlfriend agrees.  Instead, you appear to be upset by your own guess at what others may be thinking. That's a trap that stresses a lot of folks out.  Consider this:  Many happy people don't mind what others think of them.  And consider this:  Many heroic characters in literature and movies are unlikeable.  ("Colombo" is annoying and bothersome, but we love him.  So is Johnny's Depp's Jack Sparrow and many of the roles played by George Clooney, Sandra Bullock, and Jack Nicholson.)  Would it be okay with you to be an "antihero" in your own life?  If you don't want to be an antihero, you have the power to be the person you want.  Your behaviors and thoughts are completely under your control.  What other people think of you is not under your control.  You are completely in the driver's seat here.  The choices are all yours.  Enjoy who you are, and use your will power to make yourself who you want to be!  ~Mark  (www.MarkMorrisLCSW.com and www.LivingYes.org)


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Paranoid people don't realize they are paranoid.  They believe their actions to be reasonable responses to potential threats.From what you write, you are aware that your actions may be understood as extreme.Instead of trying to fit your behavior into a negative psychological category, try seeing each of the behaviors you list here, as your own uniqueness.This way you will become more tolerant of what very well be your natural tendencies.If you are someone who needs a lot of time in quiet, then not liking loud noises doesn't make you paranoid, it is simply the way of who you are.One possible way of feeling better is if you would accept the answers you've developed so far for yourself.  They may be a little unusual compared to what we consider mainstream.  From what you describe, you already are dealing with what you call "paranoia".


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I'm a little paranoid. My mind does get the best of me. One night, I put chairs under all of my door knobs because I thought someone might break in. I also think a lot, which is probably the reason for the paranoia. I can't stand loud noises, like the sound of cars going by. The grocery store is too noisy, and I feel like people are looking at me.


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It sounds like a couple of things are going on here; you are noticing yourself feeling judged by the people around you and that you are avoiding social activities and in addition to this you have intrusive thoughts that you are being judged, even when alone. It sounds like these thoughts are pretty distressing and you are wondering what is happening to you. Many people who come to therapy experience intrusive and distressing thoughts of various kinds, which often influence their behavior in ways that they may not like, such as leading them to isolate. In therapy, you may be able to gain insight into the nature of your distress as well as learn ways to cope and eventually alleviate this distress so that you can have satisfaction and security in your life and relationships.


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When I go to school, I feel like everyone is judging me, even my friends. I get overwhelmed which these thoughts and sometimes cannot get out of what I call a deep hole of thoughts. I barely go to any of our school dances because of all of the people. Not even when I am completely alone do these thoughts go away. I still feel like people can see me and are judging me.


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Hi Meriden, it's natural that after a serious scare like that you would have some anxiety and fear. This fear is helpful to some extent, because it will assist you in taking care of yourself and not taking unnecessary risks with your health. You can say "thanks very much" to fear for trying to protect you, and then you can take steps to reduce it. Right now, fear is working overtime and stealing your quality of life. You can work to put it into perspective.I invite you to imagine that your job is to convince fear that you don't need it screaming in your ear constantly in order to be as safe as you can be. Imagine that fear is in front of you. It's saying "hey, you need me! If I wasn't keeping you alert, you would be very ill". Fear doesn't trust you to take care of yourself. What is the evidence you are caring for yourself and doing everything you can to prevent a recurrence? What is the evidence that this won't likely happen again (it was specifically connected to the stress of labour, right?). What is the evidence from your doctor that this is unlikely to recur? What is the evidence that you are healing? What is the evidence that you are very aware of the danger and will respond quickly if there is a recurrence? What is the evidence that worrying about it will hurt you, not help you? How many hours of your life do you want to hand over to fear?Fear is trying to keep you safe, but you can turn the volume down by talking to yourself about all these things. I wish you well.


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Recently, I had a close call after delivering my second child (blood clot followed by internal bleeding and several blood transfusions). It was a close call. I am currently undergoing medical treatment because of the event, and I am constantly afraid the whole ordeal will happen again. I have never really had anxiety in the past, but I find now that it consumes my every day and night. With two beautiful children to raise, I am most terrified of not being able to raise and protect them.


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Since you wrote that you noticed a change in your throwing away urge when you changed with which parent you lived, would you feel that throwing away things is connected to wanting to be done with certain areas of influence with either parent?Play in your mind with the metaphor of "throwing away" and whatever associations you feel toward this.  Are you feeling alarmed or freed, by throwing away things?  I'm only suggesting these, not telling you that they apply necessarily.Anxiety comes up when people feel helpless to manage a meaningful part of their lives.  So pay attention whether your stuff represents difficult scenarios or phases of your growing up years.   Possibly you are trying to rid yourself of painful feelings which were part of your early years' relationship with either parent.Basically, sounds as though you are trying to establish a clearer sense of who you are and the throwing away part is a means of discovering who you are, once all the clutter is released.


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I constantly have this urge to throw away all my stuff. It’s constantly on my mind and makes me feel anxious. I don’t sleep because I’m thinking about something I can get rid of. I don’t know why I do it. I started years ago when I lived with my dad then I stopped when I moved in with my mom. Years later, it has started again.


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Keller, it sounds like you're living this relationship in your mind, instead of in the real world. You can get answers to your questions by talking to him...getting to know him will answer all the curiosities you have. You're asking the questions in your head instead of being in the friendship. So what is it that gets in the way of actually asking the questions and getting to know him? Fear of rejection? Fear of something else? If you have fear that keeps you from having fulfilling friendships, I recommend a therapist to help you work through that. I wish you well. :)


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I met a guy a while ago, and I can't stop thinking about him. I feel like I love him, but I don't think I know him. What if he is not who I think he is? I cry sometimes thinking someone is going to be with him or that he has a girlfriend. I don't know, am I too obsessive? Every time we talk though, it's like magic. He makes me feel amazing, but what if I'm mistaken?


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How is your boyfriend responding to your discomfort around him?Has he told you that he's noticed changes in you?The good news about a relationship is that you can talk about matters with the other person.  Doing so can only help clarify feelings and what either of you expect from the relationship.  Given that the two of you recently moved in together, it is natural for new dynamics, feelings and expectations to arise.  It just adds to the reasonableness of talking with each other about how living together feels to each of you.Psychiatrists earn their living by diagnosing people and telling them to take pills.  Very often, just being told the person has a "condition" makes them feel fragile and less capable than they actually are.Anxiety and panic attacks do mean that there is a great deal of emotion and situation needing to be addressed.It is the normal sign of having to address many or deep matters.   Be patient and give yourself time to learn the details of your relationship and whatever the career particulars are that are bothering you.   You're apparently self-aware since you're the one describing your own problematic situations.  Keep the label of being "disordered", aside.  Psychiatry labels do more good for psychiatrists than they do for people who are trying to live their lives.


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I've been experiencing a lot of anxiety and panic attacks lately. I was recently diagnosed by my psychiatrist with obsessive-compulsive disorder. Lately, I've been questioning everything from my career to my relationship. My boyfriend and I just moved in a few months ago. All of a sudden, I don't feel as comfortable around him as I used to, although I can't seem to find a reason as to why I feel this way.


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Hi New Jersey,You talk about two very big changes in your life that have happened lately; the diagnosis/anxiety, and the moving in together. That's a lot!I love how you recognise that you been 'questioning everything'. I think anxiety's got its toe in the door and it's pushing you around, wanting some power over you. Fear and anxiety try to convince us that we need protection and that it's best to either pull away or fight. But letting anxiety control how you see your relationship isn't the answer here. I think you know that already.You must have moved in with him for a reason, and it's appropriate now to simply trust that, to ask him for some patience, and to focus on learning to manage the anxiety rather than questioning this decision to move in. Fear is getting in the way of you trusting yourself and your decision. You can figure the anxiety piece out while living with your boyfriend.When you're in a bit of a crisis is not the right time to make a major change. I suggest you use a therapist who works with cognitive behavioural therapy to learn to manage the anxiety, and then the relationship will likely seem more clear.


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Hi Biddeford,This is a super goal. Feeling powerless is something parents are wise to get used to; there's a creature in the home whose job it is to find and use their power in the family and in the world. Of course your toddler defies you, and that's healthy. I worry more about the overly compliant ones. She is wanting to know what the rules are, and all you have to do is show her clearly where the lines are. I'll give you some tips.First, remind yourself that it's her job to learn what the rules are, and where her power is. Don't be so surprised when she wants it her way. If we go through our days being ready and prepared for these beautiful creatures to have minds of their own, we're less caught off guard when it happens. Avoid situations that invite power struggles. Any time you tell your daughter "do this now", you set up a power struggle. The good thing is that she's young enough you can pick her up; now is the time to teach her that mom's (or dad's) word means something. So, if you say "let's get you dressed", then be prepared to pick her up right away and show her that when you say something will happen, you can make it happen. And I'm talking about gently picking her up here...not roughly. Pick your battles; only give instructions when you have the power to make it happen.Give her choices, so she can see her power. Instead of opening her drawer and asking what she wants to wear, give her two choices. Here's an example...she's on the ipad and you say ipad time is over. She says "no". You can say "ipad time is over. If you put it down, you can play later. If I have to take it away, you don't play it later." The choice is hers. Then follow through."When...then" statements are really helpful. Your child asks for something. Instead of saying no, try "as soon as the toys are picked up, we can have a snack". You're simply a pleasant parent who wants the same thing they do...but they have to earn it. Staying calm yourself is the key, because then at least you will feel in control of yourself, which is the ultimate goal. Use self-talk to calm yourself. Remind yourself her behaviour is normal and healthy. Breathe through a moment in which you would have reacted, and it will be over by the time the breath is done. You can give yourself time to think before you make parenting decisions. Time is a useful tool not enough parents use. Good luck!


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My toddler defies everything I say and doesn’t see me as authoritative, so she says no about everything. I'd like to hear some ways I can work on not needing to feel so much in control all the time.


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That's a good question. I would say learn to pick your battles. What types of behavior/situations can you let go of? If you allow yourself to worry about the various areas in life that you cannot control, you will find yourself stressed out and unable to manage everything. Know that toddlerhood comes with lots of "no's," tantrums, non-compliance, and a growing need for independence. When your toddler does something that you don't approve of, remain calm, explain to him/her the appropriate way to act, and model it for him/her. Remember to give your toddler praise when he/she does something good or acceptable. Be consistent and follow through with your instructions. Finally, know that you are not alone. Parenting comes with its set of challenges but all you can do is your very best. Good luck to you!


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Trust that you are a good mother and that you love your child.Trust and love are their own authority and come from a different inner place than the urge to be obeyed.Trust and love are effective guidance and usually feel happier and lighter too!


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I'm sorry for your suffering.There are therapy programs which help people to gradually feel more at ease so that daily living does not feel so frightening.Once you feel stronger and more secure from such a behavioral program, you'll be able to sleep more peacefully and leave the house whenever necessary to do your regular life.Then, you will be able to open and clear the deep emotional hurt that always occurs from being violated by a trusted friend.Sending good wishes in your work!


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I was violently raped by another women who was my friend of 13 years. I’m having bad flashbacks. I’m scared to sleep because I see it in my dreams. I don't leave the house because I have panic attacks.


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Hi Winters, I'm so glad you wrote, because I think there are a lot of young women experiencing the exact same thing. You feel self-loathing for both being a virgin, and for being sexually active. Young women have always gotten crazy mixed messages about what they're supposed to be. They feel pressure to be pure, and they also feel pressure to be the vixen and please men sexually. But you can't be both, so you can't ever win if you buy into all that horse manure (excuse my language). This current hook-up culture puts added pressure on girls to expect nothing more than random sexual encounters that leave you feeling empty and used; perhaps desirable in that moment but mostly worthless. The stupid part is that research tells us that young men are also impacted negatively by this cultural norm that values sex and not relationship; they feel guilt, and loneliness.  I urge you to talk to other girls and women about your feelings. My hope and prayer is that they will echo my words here.Your value and power cannot ever be found in whether a man wants you, whether you turn his eye, or how he treats you. Your sexuality is a beautiful part of who you are, and it is to be celebrated. I love that you want to celebrate it with someone who cares. Who you are is so very much more than your sexuality. You sound like you have a lot of things going for you. Try to see all of those things when you think of yourself.There are many more virgins out there, and many are afraid, like you, that they don't fit in. We are all different, and you don't have to be anything but who you want to be; who you are. You don't have to have any kind of sex until you're ready, and that makes you brave and smart, not weird.You're tall and beautiful, and guys may be intimidated by that. It may take time for you to meet the right guy, but he's out there. The question is: How do you want to spend your time until he crosses your path? I hope you talk to someone soon and find out that your feelings are normal. I wish you the best.


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I have lately been having lots of anxiety and self-loathing about the fact that I am a young adult virgin girl who has never had a boyfriend before. It seems like everyone my age has already had boyfriends by now or are not virgins anymore, and I just had my first kiss five months ago. I’m worried that, at this rate, I won’t have a boyfriend for a very long time. The problem is that I want to lose my virginity to my first boyfriend who cares about me, but at the same time, I don't want to be waiting forever in order to experience sex. I have already given in to bad temptations by hooking up with random strangers on social media sites and having oral sex with them. Luckily, they were nice guys, but none of them wanted a relationship with me. I feel dirty by doing this, but I feel pressured to do this things in order to seem normal.
   Most people are surprised when they find out that I am a virgin or never had a boyfriend because people think I am really good looking. I am tall, I play lots of sports, and I get excellent grades in school. I am in my first year of university right now, and no guys have approached me to go out on a date or showed any interest. It bothers me. Most of the people in my family have been in relationships at my age already. I feel like I will be single forever sometimes.


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I think that every person who has been single for any extended period of time has felt the same worries - myself included. Since relationships are so important to us we fear not having them and being single. It is similar to fearing that we won't ever get a good job when we have been out of work for awhile or fearing that we won't be healthy when we have been sick. We fear these things because they are so important - not because these fears are realistic or true! There is immense pressure put on young single people from peers and media to conform to ideas of what is normal and to meet expectations in terms of sexual experience, dating, etc. While some people may judge an adult who is a virgin - others will respect your choices and feel even more attracted to you because of your choices. Experimenting with sex, so long as you are being safe and respectful is also completely okay and normal. Since expectations vary and we can't be happy if we are always comparing ourselves to other people, we need to ultimately trust that being who we are and building a loving relationship with ourselves is the key to meeting someone who will cherish us for all the ways that we are special and unique, virgin or not. When we are able to really accept ourselves and trust in our loveableness (not a real word but you get what I mean!) then meeting someone special is simply a matter of time and effort - putting ourselves out in the world in situations where we are likely to meet other single people looking for relationships. When you are most afraid of being alone - remember that this fear is simply a reminder of how much you value relationships. Use that passion about wanting relationships to build the best relationship you can with yourself and then one day soon some lucky person will stumble into your life and benefit immensely from your passion and your ability to be authentically who you are rather than pretending to be "normal" or whatever that is anyway. Hope this helps!


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It is very hard to want a loving relationship, and either see or imagine all around you, the great times other couples are having. Extra hard is that other people's comments may start giving you the sense that you are letting them down to not have a relationship!All the fantasies that develop from viewing Facebook photos and imagining everyone or most people in ideal relationships, just augments any frustration of not being part of this group.Your post sounds like you're being true to yourself and honoring who you are really, by developing clear standards of what you'd expect from a relationship.For the longterm, whatever develops in your relationship life, you will always be able to look back and know you had self-integrity. By being your natural self, you're being attractive.   Probably very unlikely that a young woman who would like a relationship, will never have one.Maybe the young men in your school are not yet emotionally mature enough to know how to see and appreciate you.Even though it may be hard, have patience with bringing in someone who is good for you.  And, continue your keen insight of yourself because it is guiding you to be the best in all areas of living.Sending good luck in all areas!


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I think one of the first questions that springs to mind for me is, "what's the rush?"  Just because other people in your circle have had experiences that you are still warming up to does not mean that there's something wrong or something to be ashamed of.  If anything, I want to commend you on the self-respect you have in wanting to wait and share this most intimate of experiences with someone that will feel the same way about it.  One of the most common distortions in our thinking is when we try to directly compare ourselves to others; while these people and even those in your family share a level of closeness to you they are not exactly like you - they don't see or feel things in the exact same way as you nor do they share the exact same perspective. It's important to be making choices for you and for your own desires and life goals.  Once you stop comparing your happiness, you may find that you are already experiencing it and allow more of your guard to fall down.


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One of the greatest ways that we can promote ourselves s by learning how to assert ourselves.  Despite what most people think of when they hear the word assertive, assertive communication is one of the best ways to manage interpersonal conflict as well as maintain personal boundaries.  Once we become comfortable with acknowledging our boundaries, there is usually a follow-up whereby we realize that we have the right to those boundaries.  In effect, assertiveness communication becomes it's own self-motivating force in managing positive self-esteem. You may want to invest in a workbook that can help you to develop these skills on your own, or work directly with a therapist to develop them in a safe situation.   One of the Workbooks that I have found to be very helpful is, "The Assertiveness Workbook: How to Express your Ideas and Stand Up for Yourself at Work and in Relationships" by Randy J Paterson.


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For my whole life, I’ve been very unconfident, insecure, and self-questioning. I'm super quiet because I'm scared of what people will think of me. I avoid all social situations as it causes me great anxiety. It is how both of my parents have always been, and I feel like I'm doomed to that life also. It makes it super hard for me at work as the other employees try to use me and walk all over me because I’m too nice. It causes me depression and brings me down. I’m in my early twenties, and I really need to create a better life for myself. I've been like this for so long, so how do I change?


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Hi there. I have to commend you on reaching out to get some answers on why you are feeling the way that you are feeling. A lot of people secretly go about their lives every day feeling this way because they are too afraid of what the answer might be.First off, what stressors do you have in your life right now? Financial, relationship and unemployment are all common stressors for people. They can often make it difficult for us to sleep at night due to the constant racing thoughts and wonders of how you will deal with it all. Secondly, do you have a history of depression or does depression run in your family? Some of the symptoms listed here in this question (i.e. trouble sleeping, constant fatigue, too much sleep, anger & anxiety) are all common symptoms of depression. Often times, these symptoms can be overlooked and mistaken for "just being tired." Furthermore, it's important to ask yourself, if you are feeling worthless, problems with concentration and recurrent thoughts of death. If you are having these symptoms, please seek help IMMEDIATELY. Lastly, considering your stated symptoms I would recommend reaching out to your Doctor for further consult. It's always better to be safe and the earlier you catch the symptoms the faster you will get to feeling better! do Some helpful tips for the your Doctor would be to monitor your sleep habits (i.e. how much or little are you sleeping), make a list of your triggers for your anger outbursts as well as your triggers for your anxiety attacks. I hope this was helpful and the best of luck to you.


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


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It sounds as if you may be experiencing a bout of anxiety and/or depression. Sleeping difficulties, irritability and anxiety attacks all are correlated with these mood disorders. And it’s actually quite common for someone to deal encounter this during their lifetime. Also, keep in mind that just because you are experiencing this now does not mean that you will be dealing with it the rest of your life. Many times, it can be a single episode and if treatment is received, you can help prevent any recurrent episodes.However, you may want to first talk with your primary physician to rule out any medical issues that could be causing these problems. There may be a reason for the sudden onset of these symptoms that can be addressed quickly. On the other hand, if it is determined that you are experiencing anxiety and/or depression without a medical reason, there are two methods that are very helpful in your treatment:#1 Talk therapy with a certified therapistHe/She will be able to address the concerns you’re experiencing and discovering if there is an underlying issue that may be causing it.#2 MedicationThere are many medications that can assist you with the feelings that you are experiencing. Your doctor will be able to help you find the right one that works for you. If one doesn’t work, keep trying. There are many different options to address your specific needs.Also, a combination of these two options is extremely beneficial!Thank you for your question. I sincerely hope that you feel better soon!


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


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


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


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Sounds like your panic is less about loosing the relationship you are in (which by the way doesn't sound like it's meeting YOUR need for connection) and more about being alone. Being with him is serving you, even if the relationship is less than ideal, from being alone. Being alone can be scary. You'd have to face yourself. You'd have to learn to love and care for and cherish yourself. All important skills and tasks in maturing and growing up, but scary none the less. What if...What if you gave yourself permission to be in a relationship with YOU?


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


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


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


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


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


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While anxiety can come about for many reasons, trauma is definitely one of the factors that makes anxiety a possibility both immediately following a traumatic event and later in life. When we have experienced such scary violations of our bodies - we may experience residual effects of fear for many years to come. This is normal, natural and in many ways helpful - at least initially. This fear is in some way a sign that your body/mind is taking good care of you - trying to keep you on your toes in order to protect you from anything terrible happening to you again. However, as it sounds like you know, anxiety feels awful and there are certainly ways of learning to reduce anxiety. In order to get the tools you need to manage anxiety and also understand where it comes from and how it works in your life, I would encourage you to seek professional help and check out anxiety resources online.


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I was raped repeatedly when I was younger. I told my parents and action was taken, but now that I’m an adult, I suffer from extreme anxiety.


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Hi. Even though (thankfully) your parents responded well to you telling them, and you received treatment, it's possible, and very normal for sexual abuse trauma to affect you in different ways as you age and develop. Please see a therapist, who can help you find the root of the anxiety.


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It's not unusual for traumatic experiences that happened when we were younger to stay with us when we get older.  Traumatic experiences can become embedded in our bodies, as well as in our emotions.  If the issue doesn't get a chance to get resolved within, then external action doesn't necessarily take care of the problem.  Seek out a qualified trauma therapist so you can start to deal with the issues you're grappling with.


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Would you feel more secure in conversations if instead of talking soon after meeting someone or entering a social situation, you simply listened attentively to the other people?This way you'd have a more secure idea of what topics the group likes talking about and whether you like talking about these topics as well.Maybe you simply are in groups or situations in which you don't care for the people or focus.Start by trusting your own evaluation of your true interest in being among the groups in which you are.Maybe you simply need new and different groups.


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I find myself being very outgoing most of the time, but there are some times when I don't know what to say. I don't even want to talk at all. It's like, I search for the right thing to say and nothing ever comes out. I don't know if I'm outgoing only to fill the void of not knowing what to say. I don’t know if people like that about me. I'm very self-conscious and always think people are talking about me, so it makes me have a cold shoulder and not want to talk.


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Overwhelming fear, social anxiety and depression are especially painful because they make behaving constructively a challenge.  But there are also lots of examples of folks who have successfully worked their way through this.  So there is hope!   In addition to the suggestion to visit your doctor (who may prescribe a medication to help you relax), there are many social service agencies who provide free counseling or take medicaid.  A good CBT therapist will help you look at your thinking so that you may see how you are distorting your thoughts.  Behavior is also important.  Despite how you may feel: it is helpful to go out, to do things that relax you (maybe a yoga class or a meditation class?).  Exercise. Diet. Eat well. Think back on the things that you used to do that helped in the past, and force yourself to do these things again.  I know that this seems hard, but it beats the alternative, doesn't it?  Of course, I recommend you pick up a copy of my book, Living Yes, which will help you look at these and other ideas to help you out.  I hope you get unstuck soon!  ~Mark (www.MarkMorrisLCSW.com and www.LivingYes.org)


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This is preventing me from getting a job. I have bad relationship with my bipolar mother. I am living with her but it stresses me out so much to be around her that I have locked myself in my room. I have no friends or other family to help me. I have no money for therapy, but I think I need therapy before I can secure a job.


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A good first step would be to make an appointment with your primary care provider & discuss your concerns.  They would have resources available to help in your particular situation.


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Thank you for reaching out! That is a great question! As an American, I can truly say that I spend way too much time on the go! It is a proven fact that Americans live in a fast paced environment compared to Europe! I often ask myself, what if I only had one day left on this Earth? What would I do? Well, that is an easy question. I would spend it with my family! Easier said than done when we are living in a tomorrow kind of World, right? Its hard to focus on the now when we are so consumed in what tomorrow shall bring.Time management is a very important factor when learning to "live life to the fullest"! In fact, this is a required course in undergraduate college now. Everyone manages their time differently and it is up to you to decide how you would like to do this. Personally, for myself I like to keep a calendar with a to-do list. I always place my most important tasks at the top of the list. That way, if I do not get through the list, I am not stressing over the little things. When planning your day, it is important you schedule work, eat and play. A much as it is hard not to work after getting off work, it must be done. There is discipline involved in this process. If you have trouble with this, then maybe seeking out some accountability such as including a coworker to make sure you do not bring work home once your shift is over or your spouse/partner reminding you that this is a time for play and not work.These are just some ideas that I am throwing out there. Again, everyone has their own style on time management. I hope this was helpful for you. Please don't hesitate to reach out for anything further!


