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	<title>Ask the Therapist &#187; General</title>
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	<description>Ask our resident Psych Central therapists.</description>
	<lastBuildDate>Fri, 10 May 2013 10:30:25 +0000</lastBuildDate>
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		<item>
		<title>Scared I&#8217;m Going to Lose Myself In Psychosis</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/10/scared-im-going-to-lose-myself-in-psychosis/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/10/scared-im-going-to-lose-myself-in-psychosis/#comments</comments>
		<pubDate>Fri, 10 May 2013 10:30:25 +0000</pubDate>
		<dc:creator>Kristina Randle, Ph.D., LCSW</dc:creator>
				<category><![CDATA[General]]></category>
		<category><![CDATA[Medical issues]]></category>
		<category><![CDATA[Medication related questions]]></category>
		<category><![CDATA[Psychosis]]></category>
		<category><![CDATA[Amp]]></category>
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		<category><![CDATA[Criminal Justice]]></category>
		<category><![CDATA[Dozens]]></category>
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		<category><![CDATA[Hard Time]]></category>
		<category><![CDATA[Medication]]></category>
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		<category><![CDATA[Midst]]></category>
		<category><![CDATA[Point Of No Return]]></category>
		<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[Pregnant]]></category>
		<category><![CDATA[Psychological Health]]></category>
		<category><![CDATA[Psychotic Episode]]></category>
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		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25682</guid>
		<description><![CDATA[I off my meds cause I want to get pregnant. Its been 2 months since I went off my meds. Me and my husband have been wanting to get pregnant for a while now. I really dont want to take any meds while pregnant. I was taking respridone but it stopped my period. Now ive [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I off my meds cause I want to get pregnant.  Its been 2 months since I went off my meds. Me and my husband have been wanting to get pregnant for a while now. I really dont want to take any meds while pregnant. I was taking respridone but it stopped my period. Now ive taken dozens of different meds and the only one that worked was respradone. Anyways my psychosis is getting really bad. i have auditory and visual hallucinations and I&#8217;m having a hard time telling what&#8217;s real and what not real. I&#8217;ve never been off my meds for this long. I guess what I&#8217;m asking is can you lose yourself so much and not be able to get back to your normal self? Is there a point of no return?</p></blockquote>
<p>A. Medication can prevent, decrease significantly or eliminate symptoms of psychosis. There is some research that suggests that stopping one&#8217;s medication abruptly can trigger a psychotic episode. That may be what&#8217;s happened to you. You should not have stopped taking your medication without informing your prescribing doctor. The fact that your symptoms have returned is evidence of the danger in stopping your medication, without informing your doctor.</p>
<p>I would strongly advise you to contact your prescribing physician and report your symptoms. It&#8217;s important that your symptoms are stabilized. I understand that you want to become pregnant but you should have made these plans with the assistance of your physician, who could have advised you about how to do it safely. Doing so without the help of your physician is dangerous to your psychological health and for the health of your baby, should you become pregnant. </p>
<p>Please contact your doctor immediately so that he or she can stabilize your symptoms. When your symptoms are stabilized, then you can begin pregnancy planning. You&#8217;d be ill advised to continue attempting to become pregnant in the midst of a psychotic episode. Please seek help immediately.</p>
<p>Dr. Kristina Randle<br />
<a href="http://kristinarandle.com/blog/">Mental Health &amp; Criminal Justice Blog</a></p>
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		<item>
		<title>Difficult-to-Handle 6-Year-Old</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/10/difficult-to-handle-6-year-old/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/10/difficult-to-handle-6-year-old/#comments</comments>
		<pubDate>Fri, 10 May 2013 10:00:46 +0000</pubDate>
		<dc:creator>Dr. Marie Hartwell-Walker</dc:creator>
				<category><![CDATA[Abuse]]></category>
		<category><![CDATA[Family]]></category>
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		<category><![CDATA[Sainte Marie]]></category>
		<category><![CDATA[Sudden Change]]></category>
		<category><![CDATA[Tantrum]]></category>
		<category><![CDATA[Tantrums]]></category>
		<category><![CDATA[Wit]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25624</guid>
		<description><![CDATA[My 6-year-old daughter has become so contrary! Every answer to every question, (when there is an answer) is negative. She has huge tantrums at school when she feels she has been slighted in any way and becomes violent when reprimanded. She has been kicked out of two extracurricular activities due to her extreme behavior and [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>My 6-year-old daughter has become so contrary!  Every answer to every question, (when there is an answer) is negative.  She has huge tantrums at school when she feels she has been slighted in any way and becomes violent when reprimanded.  She has been kicked out of two extracurricular activities due to her extreme behavior and is becoming isolated from her peers.  I just don&#8217;t know what to do anymore.  She has never been abused or neglected, and I have been as consistent as possible but it&#8217;s like she doesn&#8217;t care what happens to her at all.  I am very worried about her.  What is going on?  How can I help her?</p></blockquote>
<p>A: Thank you for writing. You are right to be worried. When there is a sudden change in behavior, it usually indicates that something is very wrong, either medically or psychologically.</p>
<p>It&#8217;s always important to check out the possibility of an undiagnosed medical problem so the first thing to do is to make appointment with the pediatrician.  Another possibility is that she has been hurt by someone and is scared to tell you about it or doesn&#8217;t know how.  You know she hasn&#8217;t been abused or neglected by you but are you sure that she hasn&#8217;t been hurt by someone else? </p>
<p>Rather than scold, correct or punish your daughter, I think you need to have a quiet and heartfelt talk with her. Explain that you are very, very worried about the change in the way she is acting. Tell her that sometimes when people don&#8217;t know what to say, they act out their problem. Is she angry about something? Afraid? Sad?</p>
<p>One useful question to ask is this: &#8220;How would things be different if you couldn&#8217;t have a tantrum?&#8221; Sometimes the answer to that question gives us insight into what is bothering a kid.</p>
<p>The key in this is to be as calm, caring, and supportive as you know how to be &#8212; no matter what she says. She is only 6. You are 35. You can keep your head even if she can&#8217;t keep hers. If she is negative, simply stay with her and ask what else she has to say. Reassure her that you love her and that you want to help. </p>
<p>Once you have more information, you may be able to figure out how to be more helpful to her. If not, I suggest you find a family therapist. You and her father, if he is in the picture, need to learn new ways to support, encourage, and help your daughter.   It&#8217;s important to lay down a good foundation now so that the rest of her childhood and teen years are not filled with strife and stress.</p>
<p>I wish you well.<br />
Dr. Marie</p>
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		<title>Emotionally Detached</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/09/detachment-of-emotion/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/09/detachment-of-emotion/#comments</comments>
		<pubDate>Thu, 09 May 2013 10:30:27 +0000</pubDate>
		<dc:creator>Kristina Randle, Ph.D., LCSW</dc:creator>
				<category><![CDATA[General]]></category>
		<category><![CDATA[Grief & Loss]]></category>
		<category><![CDATA[Parenting & Children]]></category>
		<category><![CDATA[Relationships]]></category>
		<category><![CDATA[Breakups]]></category>
		<category><![CDATA[Close Relationships]]></category>
		<category><![CDATA[Compassion]]></category>
		<category><![CDATA[Critical Condition]]></category>
		<category><![CDATA[Detachment]]></category>
		<category><![CDATA[Friends]]></category>
		<category><![CDATA[Heart]]></category>
		<category><![CDATA[Hello]]></category>
		<category><![CDATA[Lack Of Emotion]]></category>
		<category><![CDATA[Odd Parents]]></category>
		<category><![CDATA[Outsider]]></category>
		<category><![CDATA[Parents And Their Children]]></category>
		<category><![CDATA[Regard]]></category>
		<category><![CDATA[Rejection]]></category>
		<category><![CDATA[Relationship]]></category>
		<category><![CDATA[Stomach Pains]]></category>
		<category><![CDATA[Stress]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25679</guid>
		<description><![CDATA[Hello! Between age 21-25 I went through 3 very bad relationships ended in rejection, on the last one I had to be hospitalized, I couldn`t eat for days huge stomach pains from stress but I recovered and moved on. I noticed now in my 30+ I have no feeling of compassion, my friends say I [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>Hello! Between age 21-25 I went through 3 very bad relationships ended in rejection, on the last one I had to be hospitalized, I couldn`t eat for days huge stomach pains from stress but I recovered and moved on. I noticed now in my 30+ I have no feeling of compassion, my friends say I have no heart. If somebody dies I don`t feel anything I have to pretend that I care. Even my own father end up in hospital in critical condition and deep down I felt nothing. My body can`t produce any sense of emotion about anything. I don`t care, I do`n bother anybody but people around are affected and say I need to see somebody. Is this serious?</p></blockquote>
<p>A. You described yourself as someone who does not feel emotion. Friends are also concerned about what they perceive to be your lack of emotion. In one instance, your father was in the hospital and you said you felt nothing. If I had the opportunity to interview you, I would want to know more about your relationship with your father. If you and he were not close and you did not love your father, then I would not see your reaction as odd. Parents and their children do not always have close relationships. It may seem odd to the outsider that you felt nothing for your father when he was critically ill but if you and he were never close, then your reaction makes sense. It&#8217;s difficult to feel emotion for someone with whom you are not close.</p>
<p>With regard to what your friends say, it would been helpful to have had specific examples of why they think you lack emotion. It would&#8217;ve also have been helpful to have had more details about the times in which someone dies and you feel no emotion. If the person who died was not someone with whom you were close, again it would not be unusual for you to feel no emotion.</p>
<p>One thing that we can say with certainty is that there was a time when you could feel emotion. In fact, you felt very strong emotion. The breakups you experienced were emotionally difficult. If you are indeed stunted in your ability to feel emotion, then it may have been in response to the devastating effects of those earlier breakups. Lacking emotion, or having an inability to feel emotion, may be an unconscious defense mechanism that protects you from having to feel strong, negative emotions.</p>
<p>My recommendation would be to have an evaluation by a mental health professional. The purpose of the evaluation would be to determine if your perceived lack of emotion is accurate. It may be but I do not have enough information to make that determination. It&#8217;s worth having an evaluation to know if this problem is serious. It is abnormal to not feel emotion and there are treatments that could assist you in correcting this problem. Please take care. </p>
<p>Dr. Kristina Randle<br />
<a href="http://kristinarandle.com/blog/">Mental Health &amp; Criminal Justice Blog</a></p>
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		<title>Am I Borderline?</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/09/am-i-borderline/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/09/am-i-borderline/#comments</comments>
		<pubDate>Thu, 09 May 2013 10:00:42 +0000</pubDate>
		<dc:creator>Daniel J. Tomasulo, PhD, TEP, MFA, MAPP</dc:creator>
				<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[Bipolar]]></category>
		<category><![CDATA[Borderline]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[Dissociative Identity Disorder (DID)]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[Psychosis]]></category>
		<category><![CDATA[Schizophrenia]]></category>
		<category><![CDATA[Accurate Diagnosis]]></category>
		<category><![CDATA[Alcohol Drugs]]></category>
		<category><![CDATA[Bipolar Disorder]]></category>
		<category><![CDATA[Borderline Personality Disorder]]></category>
		<category><![CDATA[Chronic Feelings]]></category>
		<category><![CDATA[Depression Anxiety]]></category>
		<category><![CDATA[Email Query]]></category>
		<category><![CDATA[Emptiness]]></category>
		<category><![CDATA[Fear Of Abandonment]]></category>
		<category><![CDATA[Happy Moments]]></category>
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		<category><![CDATA[Wikipedia]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25816</guid>
		<description><![CDATA[I might be suffering from Borderline Personality Disorder, but I don&#8217;t know. It might be Bipolar Disorder as well. I have a lot of mood swings, that can last a week at least, and sometimes a month. My moods varies between depression/anxiety with extreme suicidal thoughts and self-harm tendencies and &#8220;normal&#8221; episodes when I&#8217;m mildly [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I might be suffering from Borderline Personality Disorder, but I don&#8217;t know. It might be Bipolar Disorder as well. I have a lot of mood swings, that can last a week at least, and sometimes a month. My moods varies between depression/anxiety with extreme suicidal thoughts and self-harm tendencies and &#8220;normal&#8221; episodes when I&#8217;m mildly happy and enthusiastic, but some other days I can be normal, not really depressed nor euphoric or something, but it generally doesn&#8217;t last much. The other day I may wake up depressed as well as enthusiastic and full of hope. It&#8217;s not stable at all.<br />
You may say that I have the typical signs of a Bipolar Disorder, but my mood swings doesn&#8217;t last much you know, I mean today I&#8217;m happy the next day I&#8217;m sad and life goes on. My happy moments are usually alternated by sad moments when I feel like crap or when I&#8217;m extremely irritable and nervous. They say that Bipolar disorder usually works through episodes that last from 6 months to a year, literally, and that&#8217;s what makes me quite suspicious. </p>
<p>I looked through Wikipedia and social forums for Borderline personality disorder and it appears to be that I have many symptoms of the illness, including fear of abandonment, chronic feelings of emptiness, impulsivity, risky habits (alcohol, drugs, cigarettes, sex, wasting money) rage and anger.<br />
I also have dissociative syndrome where I don&#8217;t know who I am anymore, I feel as if I&#8217;m getting out of my body, I sometimes feel very distant, too. Like a ghost. Like I&#8217;m not sure if I&#8217;m actually HERE or not, ALIVE or not. It&#8217;s really stressful. I also confuse my dreams with reality and have paranoid tendencies.</p></blockquote>
<p>A:  Of course it would not be possible to make an accurate diagnosis via an email query, but I am glad that you are taking the time to ask about your well-being.  I can understand the concern and think getting a professional—a psychiatrist or psychologist –to help you sort through the symptoms would be a very good idea.  The find help tab at the top can be of help in locating someone in your area.</p>
<p>But I would also want you to be aware of your strengths.  You have listed the symptoms that trouble you and the possible diagnoses, but what are the strengths you have that have given you the resilience to cope and to seek answers to help you heal?  While you are looking for a label for the condition I would also invite you to look at your strengths.  Here is a link to the <a href="http://www.viacharacter.org/www/">VIA character strengths survey</a> which is free and can help you identify these features in your life.</p>
<p>Wishing you patience and peace,<br />
<a her="http://www.Dare2BeHappy.com"><em>Dr. Dan</em></a><br />
<a href="http://psychcentral.com/blog/archives/author/danielt/"><em>Proof Positive Blog @ PsychCentral</em></a></p>
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		<title>Fear of Intimacy</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/08/fear-of-intimacy/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/08/fear-of-intimacy/#comments</comments>
		<pubDate>Wed, 08 May 2013 10:30:20 +0000</pubDate>
		<dc:creator>Kristina Randle, Ph.D., LCSW</dc:creator>
				<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[Depression]]></category>
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		<category><![CDATA[Depression And Anxiety]]></category>
		<category><![CDATA[Depression Anxiety]]></category>
		<category><![CDATA[Emotional Intimacy]]></category>
		<category><![CDATA[Fear Of Intimacy]]></category>
		<category><![CDATA[Fears]]></category>
		<category><![CDATA[Layperson]]></category>
		<category><![CDATA[Mental Health Professionals]]></category>
		<category><![CDATA[Overcome Fear]]></category>
		<category><![CDATA[Periods]]></category>
		<category><![CDATA[Psychological Conditions]]></category>
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		<category><![CDATA[Self Diagnosis]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25676</guid>
		<description><![CDATA[Every so often, i dont know why, but i get extremely sad and everything i hate about myself, everything i worry about and all my fears and thoughts I surface themselves and I can&#8217;t get them out of my brain. Recently, I was in this state of mind and I realized I have been hurting [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>Every so often, i dont know why, but i get extremely sad and everything i hate about myself, everything i worry about and all my fears and thoughts I surface themselves and I can&#8217;t get them out of my brain. Recently, I was in this state of mind and I realized I have been hurting everyone I&#8217;ve ever cared about in my life, after googling a few things, I came across &#8220;Fear of emotional Intimacy&#8221; articles and such. I took the FIS test and scored a 150..which i guess is not very good. And never in my life had anything made more sense than this fear, it fits my past and current actions and thoughts exactly&#8230; and i know for a fact that this is one of the things I may be suffering from, if not the only thing. My question is, how do I overcome this fear and how do I know if this is something that I may need therapy for.</p></blockquote>
<p>A. It is possible that you do have a fear of intimacy, especially after having had read about it and the description resonated with you. However, allow for the possibility that you may have incorrectly diagnosed yourself. You took a test that confirmed a fear of intimacy but how valid is the test? I would caution you against self-diagnosis. It&#8217;s possible that you are wrong.</p>
<p>In your letter, you described having periods of depression and anxiety. You did not detail why you thought you had a fear of intimacy. All I can conclude from your letter is that you may be experiencing depression and anxiety.</p>
<p>Self-diagnosis is problematic. The layperson is not trained to evaluate psychological conditions. Mental health professionals receive years of advanced training to learn these skills. It&#8217;s also important to carefully and critically evaluate the materials you are reading on the Internet. It&#8217;s good practice to bring these materials with you should you decide to be evaluated by a mental health professional. The mental health professional could evaluate these materials as well as your symptoms and determine if you have a psychological problem. </p>
<p>If you continue to have periods of depression and anxiety, then you should be evaluated by a mental health professional. Undergoing an evaluation will help to determine whether or not you have a fear of intimacy or anxiety or depression. Should the evaluation uncover psychological problems, your therapist will develop a treatment plan to assist you in eliminating your symptoms. Please take care.</p>
<p>Dr. Kristina Randle<br />
<a href="http://kristinarandle.com/blog/">Mental Health &amp; Criminal Justice Blog</a></p>
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		<title>Alone, Aggravated and Sad</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/08/alone-aggravated-and-sad/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/08/alone-aggravated-and-sad/#comments</comments>
		<pubDate>Wed, 08 May 2013 10:30:07 +0000</pubDate>
		<dc:creator>Dr. Marie Hartwell-Walker</dc:creator>
				<category><![CDATA[Depression]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Therapy]]></category>
		<category><![CDATA[Appointment]]></category>
		<category><![CDATA[Best Friend]]></category>
		<category><![CDATA[Better Off Dead]]></category>
		<category><![CDATA[Cares]]></category>
		<category><![CDATA[College Freshman]]></category>
		<category><![CDATA[Friend Don]]></category>
		<category><![CDATA[Friends]]></category>
		<category><![CDATA[Helping Others]]></category>
		<category><![CDATA[Long Time]]></category>
		<category><![CDATA[Mental Health Counselor]]></category>
		<category><![CDATA[Mission Trip]]></category>
		<category><![CDATA[Nicaragua]]></category>
		<category><![CDATA[Occupation]]></category>
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		<category><![CDATA[Roommate]]></category>
		<category><![CDATA[Sad]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25622</guid>
		<description><![CDATA[I was diagnosed with depression in December of last year. Its started to get worse after my mission trip from Nicaragua. Ever since I came back, I get aggravated easily, my roommate and my best friend don&#8217;t ever invite me to things and never seem to care that I am around. I feel so alone [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I was diagnosed with depression in December of last year. Its started to get worse after my mission trip from Nicaragua. Ever since I came back, I get aggravated easily, my roommate and my best friend don&#8217;t ever invite me to things and never seem to care that I am around.</p>
<p>I feel so alone most of the time, and I feel like no one cares and think maybe I am better off dead. My best friend even told me she wishes I could be the happier me, the less angry one. I don&#8217;t know what is wrong and I mean she is a psychology major here, but she obviously doesn&#8217;t understand and I know she is tired of me telling her what is wrong. She says she cares, but I find that to be lies as she doesn&#8217;t care to even have dinner with me.</p></blockquote>
<p>A:  I&#8217;m so sorry you are feeling so down. It sounds like you are wearing out your friends and feeling generally helpless and alone. </p>
<p>You say that this started to get much worse after your mission trip. I hope the agency or church that sent you prepared you for re-entry into regular American life. Sometimes it&#8217;s very hard for people who have been doing work where they have been selflessly helping others for a long time to readjust when they return.  You may have depleted yourself more than you realize. It&#8217;s not at all unusual for people to get depressed or unmotivated when they come back. People who have not had that kind of experience often don&#8217;t understand it or its effects on someone.</p>
<p>The first thing to do would be to contact the sending agency to see if they have any supports for people who have been on mission. If not, I suggest you make an appointment with a mental health counselor. You need help debriefing your experience and restoring yourself.  An experienced counselor can help you with that.</p>
<p>I wish you well.<br />
Dr. Marie</p>
]]></content:encoded>
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		<title>I Imagine Killing People</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/07/i-imagine-killing-people/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/07/i-imagine-killing-people/#comments</comments>
		<pubDate>Tue, 07 May 2013 10:30:44 +0000</pubDate>
		<dc:creator>Kristina Randle, Ph.D., LCSW</dc:creator>
				<category><![CDATA[Anger Management]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Parenting & Children]]></category>
		<category><![CDATA[Psychology]]></category>
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		<category><![CDATA[Suicide]]></category>
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		<category><![CDATA[Counseling]]></category>
		<category><![CDATA[Criminal Justice]]></category>
		<category><![CDATA[Dangerous Aspect]]></category>
		<category><![CDATA[Extreme Detail]]></category>
		<category><![CDATA[Fantasies]]></category>
		<category><![CDATA[Fantasy]]></category>
		<category><![CDATA[Imagine]]></category>
		<category><![CDATA[Killing People]]></category>
		<category><![CDATA[Mental Health Treatment]]></category>
		<category><![CDATA[Parents]]></category>
		<category><![CDATA[School Administrators]]></category>
		<category><![CDATA[Violence]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25610</guid>
		<description><![CDATA[I fantasize about killing people in extreme detail. My most recent &#8220;fantasy&#8221; (I don&#8217;t prefer saying fantasize because I feel that people assume I like it.) was of me going to school with a gun and a camera and I would go to my home room class and close and lock the door behind me. [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I fantasize about killing people in extreme detail. My most recent &#8220;fantasy&#8221; (I don&#8217;t prefer saying fantasize because I feel that people assume I like it.) was of me going to school with a gun and a camera and I would go to my home room class and close and lock the door behind me. I have everyone get into a corner and ask them what they think their problems are (I am recording from this point on). When they get done telling me I go through and tell them their problems. I kill them one by one and then point the camera at myself. I go about talking about my own problems and then kill myself. I don&#8217;t feel that I would ever do this I&#8217;m just wondering if this much detail is normal.</p></blockquote>
<p>A. Your fantasies are abnormal and potentially dangerous. The most dangerous aspect of fantasies is that they allow the preplanning of an event. At this time, you have not carried out this plan but it is concerning that you are preoccupied with such violence. I would highly recommend that you report these fantasies to your parents or the school administrators so that you could receive the proper mental health treatment. </p>
<p>Having a fantasy is not illegal. You have done nothing wrong but your fantasy is indicative of the fact that something is troubling you. Often, people who fantasize about harming others feel out of control or powerless. Their fantasies often involve a situation in which they are in complete power. These fantasies might be a way to compensate for a perceived lack of power.</p>
<p>By telling your parents or school administrators, they can assist you in gaining access to mental health treatment. Counseling would allow you to uncover what is wrong and why you would want to hurt people. It can also help you to correct your thinking and feel better about yourself and your abilities. Please do not ignore my advice. Seek help immediately. Please take care.</p>
<p>Dr. Kristina Randle<br />
<a href="http://kristinarandle.com/blog/">Mental Health &amp; Criminal Justice Blog</a></p>
]]></content:encoded>
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		<title>Asperger’s?</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/07/aspergers/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/07/aspergers/#comments</comments>
		<pubDate>Tue, 07 May 2013 10:00:29 +0000</pubDate>
		<dc:creator>Daniel J. Tomasulo, PhD, TEP, MFA, MAPP</dc:creator>
				<category><![CDATA[Anxiety]]></category>
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		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25809</guid>
		<description><![CDATA[I have always felt different than everyone else. I had never had real friends or anything besides my family (that is, my dad, my brother, and my mom); it&#8217;s not that I am myself with them; it&#8217;s more like they accept me with all of my eccentricities. I love math and I am currently participating [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I have always felt different than everyone else. I had never had real friends or anything besides my family (that is, my dad, my brother, and my mom); it&#8217;s not that I am myself with them; it&#8217;s more like they accept me with all of my eccentricities. I love math and I am currently participating in the Math Olympiad; thanks to it I knew about Aperger. There was a girl in there that was the only one I talked to, but unlike me, she could talk to everyone. One day (it happened two years ago) my father told me that the other girl father’s approached him and asked him if I had Aperger, because he saw me clumsy and antisocial and I remembered him of his daughter (that’s how we discovered that the other girl have Asperger). My father had never heard about this syndrome, so he investigated and told my family about what had happened and the symptoms and everyone began to make jokes about how I have Asperger and how I was even worse than the other girl, that last till this day. I try to ignore the jokes and pretend that I don’t care, but I am always wondering why they do this; if they actually think I have Asperger, and if they do why they had never been interested in trying to find out for sure. I don’t tell them anything because I am not sure if I want to be diagnosed. In a way I think I will feel better if I knew I have Asperger because then there will be a lot of other persons suffering the same thing, and I will feel less alone, but on the other hand, I don’t like been labeled and it would be useless anyway since I don’t think I will accept therapy. I am currently going with a psychologist (I had had three sessions) because of depression and anxiety but one of the things that she also treats is autism, so I been thinking about telling her so maybe she could send me to a professional or something, but I don’t want to sound as if I wanted to have Asperger. Is being diagnosed going to help me feel better? And should I tell my family first about my concerns?</p></blockquote>
<p>A:  I am very glad you are asking the question and writing us here.  I think the best place to start now is with your psychologist because your family has not been as helpful as you would have hoped.  Talk to the psychologist.  She will be able to give your more information about what Asperger’s is, give your some idea of what treatments are available for it, and most important, give you a sense of the range of indicators that are part of making a diagnosis.  She is the safest person for you to talk to about it right now.</p>
<p>Wishing you patience and peace,<br />
<a her="http://www.Dare2BeHappy.com"><em>Dr. Dan</em></a><br />
<a href="http://psychcentral.com/blog/archives/author/danielt/"><em>Proof Positive Blog @ PsychCentral</em></a></p>
]]></content:encoded>
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		<title>I Just Don&#8217;t Care</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/06/i-just-dont-care/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/06/i-just-dont-care/#comments</comments>
		<pubDate>Mon, 06 May 2013 10:30:06 +0000</pubDate>
		<dc:creator>Kristina Randle, Ph.D., LCSW</dc:creator>
				<category><![CDATA[Anxiety]]></category>
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		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25605</guid>
		<description><![CDATA[It&#8217;s not like I&#8217;m depressed or anything, I&#8217;m not suicidal or self-harming, thats why I haven&#8217;t really sought out any help until now. I&#8217;m not sad in any way. I&#8217;m usually either really happy, or neutral. I used to do well in school. I&#8217;d try to ace all my courses, but recently I just really [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>It&#8217;s not like I&#8217;m depressed or anything, I&#8217;m not suicidal or self-harming, thats why I haven&#8217;t really sought out any help until now. I&#8217;m not sad in any way. I&#8217;m usually either really happy, or neutral. I used to do well in school. I&#8217;d try to ace all my courses, but recently I just really stopped caring. I feel almost like I&#8217;ve experienced everything but dying. I&#8217;ve been in most cliques at school, I&#8217;ve had major and minor surgeries, and I have a lot of medical conditions (that I was forced by my parent to visit the doctor and take care of). I still ,obviously, haven&#8217;t experienced everything though. I hardly pay attention to the actions I carry out and how they affect others , the way they react doesn&#8217;t bother me. Even though I should care about how they feel,I can&#8217;t and I realize it&#8217;s hurting my family and the people I&#8217;m around and I wish I could care. When my grandfather died a few months ago, I couldn&#8217;t even cry. I attended to my grandmother, but I didn&#8217;t feel like I lost anything; even though I was close with him. Late February, I adopted a pet, hoping it would pave the way to caring, it doesn&#8217;t feel like I&#8217;m cherishing the time with it though. It just feels like a responsibility that I must attend to regardless if I want to or not. I have no idea if theres something wrong with me, I just don&#8217;t want to live the rest of my life in this grey void. I&#8217;m not looking for a diagnosis, just advice.</p></blockquote>
<p>A. You may be having a normal reaction to difficult life events. </p>
<p>You had both major and minor surgeries, &#8220;a lot&#8221; of medical conditions and recently lost your grandfather. These are all major life events and all seem to have occurred in close temporal proximity. Virtually anyone would struggle with these issues. </p>
<p>Your medical problems and surgeries could be affecting your mood. Your medical problems may require you to take certain medications, which may also be affecting the way you feel. Virtually all medications have side effects which could produce changes in your thinking and behavior and feelings.</p>
<p>Losing your grandfather may also be affecting your mood. Sadness after the death of a loved one is normal. </p>
<p>Medical problems, surgeries and losing a close family relative will undoubtedly have an effect on your mood and behavior. Therefore, it&#8217;s possible that these events are the reason why you are feeling the way you do. </p>
<p>It&#8217;s highly unlikely that you will &#8220;live the rest of your life in this grey void.&#8221; You&#8217;re experiencing a difficult time in your life but you will not always feel this way. I would encourage you to share your feelings with your parents. Ask if there&#8217;s anything they can do to help. They may offer advice or perhaps suggest counseling. During this difficult time, be open with your feelings and make it your goal to gain as much support as possible. The more support you have, the better you will feel. Please take care.</p>
<p>Dr. Kristina Randle<br />
<a href="http://kristinarandle.com/blog/">Mental Health &amp; Criminal Justice Blog</a></p>
]]></content:encoded>
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		<title>Abusive Relationship</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/06/abusive-relationship/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/06/abusive-relationship/#comments</comments>
		<pubDate>Mon, 06 May 2013 10:00:54 +0000</pubDate>
		<dc:creator>Daniel J. Tomasulo, PhD, TEP, MFA, MAPP</dc:creator>
				<category><![CDATA[Abuse]]></category>
		<category><![CDATA[Anger Management]]></category>
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		<category><![CDATA[Abusive Relationship]]></category>
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		<category><![CDATA[Domestic Relationships]]></category>
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		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25807</guid>
		<description><![CDATA[My boyfriend has an anger issue n I have been the victim for a long time. We both live together and he finds silly reasons to get angry on me or hit me even. He is mean in every way he can be but when I say I will him he apologizes and gives me [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>My boyfriend has an anger issue n I have been the victim for a long time. We both live together and he finds silly reasons to get angry on me or hit me even. He is mean in every way he can be but when I say I will him he apologizes and gives me fake promises. It’s really getting hard for me to take it but I cannot leave him as I feel pity on him, as he has no other family. I need help to cure his problem.</p></blockquote>
<p>A: Thank you for being so courageous as to write us here at Psych Central. Many times when I get an email with a question there are two sides to consider and it is rare that I make direct suggestions someone should do to change.  Your email prompts a very different response.  You need to find a way to get out of the relationship as soon as possible.</p>
<p>I have considerable experience in working with angry men in domestic relationships.  They are typically not motivated for change, promise they will treat their girlfriends better, but never do, and often escalate until there is a serious medical or legal problem.  You deserve more than to be in a relationship out of pity, and he will not learn how unacceptable his behavior is until he loses someone he says he cares about.  In other words, you staying allows him to remain unchallenged with his problem.  It is time to go.</p>
<p>But do not go without support.  Anger management issues with men often involve issues of control and jealousy.  In your country you may want to get support from your family and church about how to go about getting out of the relationship.  In general the men do not change until something drastic happens – like their girlfriend leaves them.</p>
<p>Wishing you patience and peace,<br />
<a her="http://www.Dare2BeHappy.com"><em>Dr. Dan</em></a><br />
<a href="http://psychcentral.com/blog/archives/author/danielt/"><em>Proof Positive Blog @ PsychCentral</em></a></p>
]]></content:encoded>
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		<title>Mother is Deteriorating and I Need Help</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/05/mother-is-deteriorating-and-need-help/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/05/mother-is-deteriorating-and-need-help/#comments</comments>
		<pubDate>Sun, 05 May 2013 10:30:50 +0000</pubDate>
		<dc:creator>Kristina Randle, Ph.D., LCSW</dc:creator>
				<category><![CDATA[Family]]></category>
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		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25601</guid>
		<description><![CDATA[Hello my name is luke, my mother is going down hill fast including anti social and chucking items away and not eating she has been diagnosed with schizophrenia and other things in life and it is getting to the point where i&#8217;m ripping my hair out from stress.I woke up this morning to find the [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>Hello my name is luke, my mother is going down hill fast including anti social and chucking items away and not eating she has been diagnosed with schizophrenia and other things in life and it is getting to the point where i&#8217;m ripping my hair out from stress.I woke up this morning to find the coffee table has been chucked away all my stuff from the lounge room is gone I brought her a new bed and she doesn&#8217;t want to sleep in it she sleeps on the lounge from about 10pm to 1pm no movement she doesn&#8217;t go out or do anything she won&#8217;t help her self or let anyone help her. i&#8217;m 20 looking after my mother and the house I have no life. I can&#8217;t have a girlfriend and if I have friends over she gets angry at them.  what should I do? Move out and let her be by herself? or put her back in mental hospital???</p></blockquote>
<p>A. While I understand your frustration, I would advise against moving out and &#8220;letting her be by herself.&#8221;  I also don&#8217;t think putting her &#8220;back in the mental hospital&#8221; is advisable or even possible unless there is evidence that she is in grave danger because of her behavior or illness. </p>
<p>You mentioned that she wasn&#8217;t sleeping and eating, two signs which may be indicative of a psychotic episode. The fact that she&#8217;s not eating may mean that she does need to be in the hospital to protect her safety. If that is the case, then it is imperative that you call emergency services or do what is necessary to ensure that she is evaluated at a hospital.</p>
<p>Your mother needs more help than you or any other family member can offer. That seems clear. </p>
<p>If this is not an emergency situation, then contact the local community mental health center, the local hospital, her doctor if she has one, or any other psychiatric or medical professional who you think could refer you to the proper services. There may be home health care services that could assist in your mother&#8217;s care. There may be residential living facilities or group homes in which she could be better cared for by a trained, professional staff. Your goal at this point should be to find the best possible treatment for your mother. </p>
<p>Also consider contacting other family members who may be able to assist you. I hope that you&#8217;re able to find the proper assistance for your mother. She is clearly not well and you shouldn&#8217;t be managing this problem alone. Utilize the assistance of others if possible. I sympathize with your situation. Caring for a family member with a serious mental illness can be an overwhelming task and few lay people realize this. You almost have to live through it to know what it is like. I know that you did not exaggerate when you said you &#8220;have no life&#8221; of your own. </p>
<p>Hopefully, your mother will improve. You should see a counselor to help you through this process and period in your life.  Please take care.</p>
<p>Dr. Kristina Randle<br />
<a href="http://kristinarandle.com/blog/">Mental Health &amp; Criminal Justice Blog</a></p>
]]></content:encoded>
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		<title>Parents Upset We Had Sex</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/05/parents-upset-we-had-sex/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/05/parents-upset-we-had-sex/#comments</comments>
		<pubDate>Sun, 05 May 2013 10:00:30 +0000</pubDate>
		<dc:creator>Dr. Marie Hartwell-Walker</dc:creator>
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		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25530</guid>
		<description><![CDATA[I know most people think this is stupid but I am really serious with my girlfriend and we have alot of fun together an we are so In love. we r in high school but next year we graduate and we want to move in together. the problem is her parents are ridiculous. they are [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p> I know most people think this is stupid but I am really serious with my girlfriend and we have alot of fun together an we are so In love. we r in high school but next year we graduate and we want to move in together. the problem is her parents are ridiculous. they are terrible human beings. we had sex and they got mad at her even tho we were completely safe and we have been together a long time now. they want her to break up with me even tho we have Both improved each others life so much and they threaten to make her transfer schools and she is so scared. her parents don\&#8217;t treat her well mine aren\&#8217;t the greatest but I\&#8217;m worried about her. once her mom even told her that she hates her and that made me so angry. her brother who graduated a while ago really enjoys us as a couple and has no idea about the situation with his mom. he does know we had sex but is totally fine. I know most people think that my problem is stupid and say it&#8217;s just a high school relationships but it&#8217;s not. I feel something with her and she\&#8217;s the only thing that makes me truly happy and we are scared and confused. if u could help me It would mean alot.  I know u can\&#8217;t solve this problem but I just need support I need someone to tell me our life gets better thank you</p></blockquote>
<p>A: Being protective of their daughter doesn&#8217;t make her parents terrible people. On the other hand, it&#8217;s not okay for a mom to tell her daughter that she hates her. It sounds like everyone is upset and may be saying things they regret.</p>
<p>I know it may seem romantic to be in an &#8220;us against them&#8221; relationship but that seldom works out. Romeo and Juliet were teens whose parents disapproved and we all know how that turned out!</p>
<p>If you want to help settle things down, you need to find a way to forge a respectful relationship with your girlfriend&#8217;s parents. That means getting to know them as people and finding ways for them to get to know you. Her parents don&#8217;t know about the wonderful qualities that your girlfriend sees. They only see a guy who wants sex with their daughter.</p>
<p> It might help if you and your girlfriend talked with them about how you&#8217;ve improved each other&#8217;s lives and what you hope for in the future. Show her folks that you are a substantial person. That means doing well in school, maybe having a responsible job or doing some volunteer work, and working toward goals for a good life. They may never agree that it&#8217;s okay to have sex outside of marriage but they may be able to accept you being in her life if they see you as a responsible and mature young adult.</p>
<p>I wish you well.<br />
Dr. Marie</p>
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		<title>Reasons for Erectile Dysfunction</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/04/reasons-for-erectile-dysfunction/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/04/reasons-for-erectile-dysfunction/#comments</comments>
		<pubDate>Sat, 04 May 2013 10:30:04 +0000</pubDate>
		<dc:creator>Dr. Marie Hartwell-Walker</dc:creator>
				<category><![CDATA[General]]></category>
		<category><![CDATA[Medical issues]]></category>
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		<category><![CDATA[Erectile Dysfuction]]></category>
		<category><![CDATA[Erectile Dysfunction]]></category>
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		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25350</guid>
		<description><![CDATA[i have been married for 4 yrs and from the first time we had sex he has had problems getting and or maintaining an erection. he has always maintained that it is not me but i am at a loss for what it could be behind this issue. i was hoping that you could offer [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p> i have been married for 4 yrs and from the first time we had sex he has had problems getting and or maintaining an erection. he has always maintained that it is not me but i am at a loss for what it could be behind this issue. i was hoping that you could offer some insight on possible reasons maybe ideas on underlying issues that could cause this type of long term issues .</p></blockquote>
<p>A: I&#8217;m worried that the ads for ED that drug companies have been putting on television for the last few years have led people to believe that all it takes is their pill to solve this problem. It&#8217;s not that simple. One explanation does not fit all. Before deciding on treatment or worrying about who or what is to blame, it&#8217;s important to do a systematic analysis.</p>
<p>First, I hope your husband has seen a doctor. Most of the time there is a physical cause, not a psychological one. Some possible medical issues include low testosterone, high blood pressure, atherosclerosis, high cholesterol, obesity, metabolic disorder, diabetes and cardiac disease &#8212; to name only a few. </p>
<p>Only after he has been medically cleared should we move to considering a psychological problem. An evaluation by a qualified mental health provider can then be helpful. Psychological problems include stress, depression, former trauma and relationship issues that aren&#8217;t being dealt with.</p>
<p>I hope you will encourage your husband to get the assessments he needs. Once he understands the cause of the problem, he&#8217;ll be able to decide on treatment so you can both enjoy the tender intimacy you crave.</p>
<p>I wish you well.<br />
Dr, Marie</p>
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		<title>Weird Behaviors And Emotional Hypersensitivity</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/04/weird-behaviors-and-emotional-hypersensitivity/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/04/weird-behaviors-and-emotional-hypersensitivity/#comments</comments>
		<pubDate>Sat, 04 May 2013 10:00:57 +0000</pubDate>
		<dc:creator>Kristina Randle, Ph.D., LCSW</dc:creator>
				<category><![CDATA[Anxiety]]></category>
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		<category><![CDATA[Cracking Joints]]></category>
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		<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Emotional Attachment]]></category>
		<category><![CDATA[Fantasies]]></category>
		<category><![CDATA[Hypersensitivity]]></category>
		<category><![CDATA[Medical Interviews]]></category>
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		<category><![CDATA[Norm]]></category>
		<category><![CDATA[Paranoid Schizophrenia]]></category>
		<category><![CDATA[Self Pity]]></category>
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		<category><![CDATA[Submissive Partner]]></category>
		<category><![CDATA[Ups]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25598</guid>
		<description><![CDATA[I had the diagnosis of paranoid schizophrenia with depressive affects and I am still on medications, but I am seeking help to stop my weird behaviors as well as emotional hypersensitivity. I like being requested to go for counseling/ therapy/ medical interviews/ check-ups/ pressured into sex (I will even daydream about the process), I am [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I had the diagnosis of paranoid schizophrenia with depressive affects and I am still on medications, but I am seeking help to stop my weird behaviors as well as emotional hypersensitivity. I like being requested to go for counseling/ therapy/ medical interviews/ check-ups/ pressured into sex (I will even daydream about the process), I am an obsessive knuckle and joint cracker for no reason (whether in public or private), I get anxious or excited easily, I self-pity sometimes and enjoy it, and I always weep when I am alone after being criticized (should I try not to). Am I lonely and why? (Does that mean I need more emotional attachment and should seek marriage) Hope to get some input and advice from you. Thank you very much.</p></blockquote>
<p>A. Perhaps some of your behaviors could be considered &#8220;weird&#8221; but some would not. You like being requested to attend treatment and being pressured into sex. What exactly do you mean by &#8220;being requested?&#8221; It may be that when someone requests that you attend treatment, you interpret it as them caring about you.</p>
<p>You also characterized your desire to &#8220;be pressured into sex&#8221; as being &#8220;weird.&#8221; Sometimes people have fantasies about being the submissive partner during sexual relations and this fantasy is relatively common. If I were interviewing you in person, I would ask you to explain in more detail what you meant by &#8220;being pressured.&#8221; Without that information I cannot characterize your behavior as being &#8220;weird&#8221; or not.</p>
<p>Obsessively cracking your knuckles and joints, being anxious and easily excited and crying alone after being criticized, may be indicative of anxiety. I would need to know how often these issues arise and in what situations, to determine if they are outside the norm. For instance, what do you mean by obsessively? Every day, all day? Only when interacting with certain people?</p>
<p>Without being able to gather more information about the aforementioned issues, it is difficult to provide an accurate  assessment of the problem. I would recommend talking about this with your mental health professionals to determine if there is a problem. Only a mental health professional who interviews you in person could answer your specific questions and determine whether or not there is a problem. Please take care.</p>
<p>Dr. Kristina Randle<br />
<a href="http://kristinarandle.com/blog/">Mental Health &amp; Criminal Justice Blog</a></p>
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		<title>Lying about Dating Married Man</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/03/lying-about-dating-married-man/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/03/lying-about-dating-married-man/#comments</comments>
		<pubDate>Fri, 03 May 2013 10:30:32 +0000</pubDate>
		<dc:creator>Dr. Marie Hartwell-Walker</dc:creator>
				<category><![CDATA[Family]]></category>
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		<category><![CDATA[Dating]]></category>
		<category><![CDATA[Dating A Married Man]]></category>
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		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25528</guid>
		<description><![CDATA[I have been seeing a married man for almost 2 months now. We work together and have been friends for two years. He and his wife are no longer happy together, but neither of them want to be alone. We recently have gotten very serious and he has decided that he is going to move [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p> I have been seeing a married man for almost 2 months now. We work together and have been friends for two years. He and his wife are no longer happy together, but neither of them want to be alone. We recently have gotten very serious and he has decided that he is going to move out of his home and into an apartment. During this time we want to try to see if our relationship is really love or simply lust. I understand that by doing this I am hurting his wife and I don&#8217;t want to hurt anyone, it&#8217;s not who I am, but I&#8217;ve never felt this way about someone before.</p>
<p> Not only do I feel bad about the fact he is married and cheating but I also feel awful lying to my family about the situation. I know it is my private life but I hate lying to my family. I don&#8217;t think I will stop seeing him even if advised to. The real issue I&#8217;m having a hard time with is lying to my family. Is if ok to lie to my family about my situation or not? Please help me I&#8217;m so confused and anxious.</p></blockquote>
<p>A: There&#8217;s a difference between lying and keeping your personal life private. But I don&#8217;t think that&#8217;s the real question here. The reason you are feeling so anxious about sharing your relationship with your family is that you know in your heart that this situation isn&#8217;t going to end up anything but bad.  You are with a guy who is cheating! You know that there is something wrong with a guy who will cheat rather than deal with his marriage honorably. That means seeking some counseling or separating cleanly, not sliding into a relationship on the sly with a younger woman. Further, you are violating your own values. You say you aren&#8217;t the kind of person to hurt someone else but you are doing exactly that. </p>
<p>An important part of being an adult is being able to make good choices in spite of our feelings. Little kids go after what they want because they feel like it or because it feels good. Adults are able to delay gratification in order to meet longer-term goals. </p>
<p>If this guy truly loves you, he&#8217;ll resolve things with his wife and do some personal work to learn from a breakup before he asks you to move in with him. If you love yourself, you will take a huge step back. Are you really willing to betray your own values in order to be with a man who isn&#8217;t man enough to deal with things in a mature way? Think about it.</p>
<p>I wish you well.<br />
Dr. Marie</p>
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