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	<title>Ask the Therapist &#187; Psychology</title>
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	<description>Ask our resident Psych Central therapists.</description>
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		<item>
		<title>Toxic Friend</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/19/toxic-friend/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/19/toxic-friend/#comments</comments>
		<pubDate>Sun, 19 May 2013 10:00:22 +0000</pubDate>
		<dc:creator>Daniel J. Tomasulo, PhD, TEP, MFA, MAPP</dc:creator>
				<category><![CDATA[Anger Management]]></category>
		<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Personality]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[Relationships]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Choices]]></category>
		<category><![CDATA[Decade]]></category>
		<category><![CDATA[Dh]]></category>
		<category><![CDATA[Dish]]></category>
		<category><![CDATA[Free Lectures]]></category>
		<category><![CDATA[Group Volunteer]]></category>
		<category><![CDATA[Job]]></category>
		<category><![CDATA[Joining A Group]]></category>
		<category><![CDATA[Mistake]]></category>
		<category><![CDATA[New Friends]]></category>
		<category><![CDATA[Patience]]></category>
		<category><![CDATA[Peace]]></category>
		<category><![CDATA[Self Confidence]]></category>
		<category><![CDATA[Truth]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25916</guid>
		<description><![CDATA[Hi, one of my friends that I have is becoming very toxic to me and I don&#8217;t know what to do. She and I met over a decade ago when we worked in the same place. She is on the one hand, tries to be nice, loyal, helpful if I have a difficult situation, knows [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>Hi, one of my friends that I have is becoming very toxic to me and I don&#8217;t know what to do.<br />
She and I met over a decade ago when we worked in the same place.<br />
She is on the one hand, tries to be nice, loyal, helpful if I have a difficult situation, knows me well, etc. but on the other hand, she is a very bitter, critical and harsh person- and lately doing it to me as well. </p>
<p>I can&#8217;t blame her, she is all alone except for her dh and her father (she doesn&#8217;t get along w/ her father). She has no children and no job, and has a hard life. However, every time I talk to her, she criticizes me, or the way I do thing, or she is the only one who knows how to do xyz, everyone else is stupid etc. As it is, I have low self confidence and this is very hard for me to take. For example-  she&#8217;ll ask me how I make a certain dish, and when I tell her-she says in an amazed voice- &#8216;that&#8217;s how u make it. ugh&#8217;. (mind you, everyone says I&#8217;m a great cook.) And of course if she gives me advice or says I made a mistake, she says she tells me the truth to be helpful, because she cares- but she is so tactless, its almost nasty.<br />
I don&#8217;t want to cut her off totally- firstly bec I feel bad for her, and also bec. then I will have no friends. So how can I become more immune to her comments?</p></blockquote>
<p>A:  It is time for new friends.  While I don’t recommend a complete cutoff I do think that everything you&#8217;ve said indicates you need to find more people to connect with.  Try taking a class, joining a group, volunteering, attending free lectures, etc.  In other words, start increasing your contact and connection with other people so you have more choices.  Once you have options it will be easier to deal with your friend.</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>I Believe That My Girlfriend Raped Me</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/18/i-believe-that-my-girlfriend-raped-me/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/18/i-believe-that-my-girlfriend-raped-me/#comments</comments>
		<pubDate>Sat, 18 May 2013 10:00:15 +0000</pubDate>
		<dc:creator>Daniel J. Tomasulo, PhD, TEP, MFA, MAPP</dc:creator>
				<category><![CDATA[Abuse]]></category>
		<category><![CDATA[Anger Management]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[PTSD]]></category>
		<category><![CDATA[Relationships]]></category>
		<category><![CDATA[Sex]]></category>
		<category><![CDATA[Trauma]]></category>
		<category><![CDATA[Black Hole]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Boundaries]]></category>
		<category><![CDATA[Counseling Center]]></category>
		<category><![CDATA[Counselor]]></category>
		<category><![CDATA[Depressed Moods]]></category>
		<category><![CDATA[Girlfriend]]></category>
		<category><![CDATA[Kissing]]></category>
		<category><![CDATA[Patience]]></category>
		<category><![CDATA[Peace]]></category>
		<category><![CDATA[Penis]]></category>
		<category><![CDATA[Rape]]></category>
		<category><![CDATA[Raped]]></category>
		<category><![CDATA[Respect]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25914</guid>
		<description><![CDATA[Today while we were both in respective dark depressed moods, my girlfriend jumped on me and started kissing me very forcefully. I told her I really did not want to and pushed her aside. I got up and she came up to me, pulled down my pants and started groping for my penis. I pushed [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>Today while we were both in respective dark depressed moods, my girlfriend jumped on me and started kissing me very forcefully. I told her I really did not want to and pushed her aside. I got up and she came up to me, pulled down my pants and started groping for my penis. I pushed her away but she kept forcing and forcing herself on me. I clearly repeated &#8216;no&#8217; many times. Eventually I got away, as it was difficult because I didn&#8217;t want to hurt her, and she pushed me on the bed and grabbed my penis and forcing it in her mouth. I tried to push her away but I didn&#8217;t want to hurt her, even though she was hurting me. Eventually I felt as though it was pointless to resist and just let her. I was not aroused at all but still ejaculated (is that really possible?). I since feel so invaded, hurt, angry and most of all, it made me feel even more depressed. Like I&#8217;m sinking into this black hole. I feel robbed of something but we have been dating for over 4 years and I&#8217;m a man. Should I feel like this? Do I have a right to feel like this?</p></blockquote>
<p>A:  You certainly have a right to feel like this and this is an important issue you are bringing forward. Not having your girlfriend respect your refusal is extremely serious.  Your boundaries were not respected, you were clear and clearly ignored.  This doesn’t sound romantic, exciting, or sexy.  It sound degrading and controlling:  two characteristics you do not want to have in your partner. Since you are in college I would go to the counseling center and tell them what happened – <em>not</em> as a couple, but as someone who has survived a rape.  For more information you may want to check out this <a href="http://www.psychologytoday.com/blog/media-spotlight/201210/when-men-are-raped">article</a>.</p>
<p>Don’t wait.  The longer you take to begin talking about this, the more uncomfortable it will become.  You have taken a good first step here.  Now it is time to follow it up with a counselor at your school.</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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		<item>
		<title>Dealing with My Partner&#8217;s Depression</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/17/dealing-with-my-partners-depression/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/17/dealing-with-my-partners-depression/#comments</comments>
		<pubDate>Fri, 17 May 2013 10:30:32 +0000</pubDate>
		<dc:creator>Daniel J. Tomasulo, PhD, TEP, MFA, MAPP</dc:creator>
				<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Personality]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[Relationships]]></category>
		<category><![CDATA[Self-esteem]]></category>
		<category><![CDATA[Work]]></category>
		<category><![CDATA[3 Years]]></category>
		<category><![CDATA[Asia]]></category>
		<category><![CDATA[Best Friends]]></category>
		<category><![CDATA[Committing Suicide]]></category>
		<category><![CDATA[Current Boyfriend]]></category>
		<category><![CDATA[Foster Families]]></category>
		<category><![CDATA[Heart Attack]]></category>
		<category><![CDATA[Living On The Streets]]></category>
		<category><![CDATA[Minor Depression]]></category>
		<category><![CDATA[Money]]></category>
		<category><![CDATA[Montreal]]></category>
		<category><![CDATA[Motivation]]></category>
		<category><![CDATA[Music Tour]]></category>
		<category><![CDATA[Partner]]></category>
		<category><![CDATA[Play Music]]></category>
		<category><![CDATA[Relationship]]></category>
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		<category><![CDATA[Sudden Change]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25911</guid>
		<description><![CDATA[My current boyfriend and I have been dating for about 3 1/2 years and living together for about 3 years. We are in a band together and rely on this for most of our income. Since I&#8217;ve known him, he has dealt with minor depression. I believe it is due to having a hard childhood, [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>My current boyfriend and I have been dating for about 3 1/2 years and living together for about 3 years. We are in a band together and rely on this for most of our income. Since I&#8217;ve known him, he has dealt with minor depression. I believe it is due to having a hard childhood, constantly being passed around in foster families that treated him badly.  He has always been able to deal it rationally though, until the past 6 months.  </p>
<p>Last year we went traveling through Asia, but the trip was cut short because a member of my family had a heart attack.  He chose to rush home with me, although I didn&#8217;t ask him to. After staying to help my family for a few months, we took a break because of all of the drama &#038; sudden change. I went traveling for a month and he moved to Montreal. We had a good break and things felt fresh again so I joined him in Montreal.  Things with our relationship seemed better and even things with the band were working out great, but his depression had gotten much much worse. He started seeing a therapist when I was gone, but it doesn&#8217;t seem to be helping.  He skips school, closes off, loses all motivation and even talks about committing suicide because he has nothing to look forward too (even though we have plans to travel, play music, tour, built a house and have a family). </p>
<p>The problem is that we live together, are best friends, play music together and are building a career together as a band.  When he falls into depression, which is almost everyday, I have to take over and keep working at making the money and getting things done. I feel like I can never have a day off because I am always trying to pick him up and encourage him. It is beginning to take a toll on me and I am becoming snappy and impatient with him, which makes it even worse.  I find myself telling him what to do and trying to offer solutions, which is wrong, but if I don&#8217;t we&#8217;ll end up living on the streets.  </p>
<p>I love him so much.  I want to believe in him, but he has given me no reason to lately.  The only thing that keeps me hanging on are: the rare beautiful and loving moments we share on a rare occasion, the beautiful music we make together and my hope for the future.</p>
<p>He always says: &#8220;please don&#8217;t give up on me&#8221;&#8230;I don&#8217;t want to, but I fear I am beginning to.  My mother married a depressed man who treated me and her pretty badly as a child&#8230;I cannot let this happen to me, nor my future children.  </p>
<p>Maybe there is something I could be doing better to help him.  Please help me.</p></blockquote>
<p>A: Your last 2 lines are the most telling of your whole question:  You put his need first, then yours.  Your desire to help comes from a very loving place, but it has already taken a toll.  In the kind of relationship you are describing it seems clear that you are drawn to his potential, not his reality.  Those rare, beautiful moments on rare occasions are just that – rare.  If this is not enough to sustain you, which it doesn’t sound like it is, then you have to make some hard decisions.  </p>
<p>The four things that are necessary ingredients for a good relationship are proximity, similar interests, mutual attraction and reciprocity.  It sounds like you have the first three, but is there real reciprocity?  It doesn’t sound like it.  It sounds like you give much more into the relationship than he does.  It sounds unbalanced.  I would find a couples counselor near you (see the find help tab at the top of the page) and discuss your situation together.  The counselor can give you guidance on whether the relationship is worth saving, or the best way to disentangle yourself.</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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		<item>
		<title>Fear of Former Colleagues</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/13/fear-of-former-colleagues/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/13/fear-of-former-colleagues/#comments</comments>
		<pubDate>Mon, 13 May 2013 10:00:11 +0000</pubDate>
		<dc:creator>Kristina Randle, Ph.D., LCSW</dc:creator>
				<category><![CDATA[Abuse]]></category>
		<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[PTSD]]></category>
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		<category><![CDATA[Aftermath]]></category>
		<category><![CDATA[Boss]]></category>
		<category><![CDATA[Colleague]]></category>
		<category><![CDATA[Conferences]]></category>
		<category><![CDATA[Fear]]></category>
		<category><![CDATA[Fears]]></category>
		<category><![CDATA[Former Colleagues]]></category>
		<category><![CDATA[Gossiper]]></category>
		<category><![CDATA[Hard Time]]></category>
		<category><![CDATA[Intense Fear]]></category>
		<category><![CDATA[Janice Harper]]></category>
		<category><![CDATA[Legitimacy]]></category>
		<category><![CDATA[Medication]]></category>
		<category><![CDATA[Mental Health Professional]]></category>
		<category><![CDATA[Mobbing In The Workplace]]></category>
		<category><![CDATA[Psychological Treatment]]></category>
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		<category><![CDATA[Running]]></category>
		<category><![CDATA[Stress Levels]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25695</guid>
		<description><![CDATA[I recently attended a conference and ran into a former colleague who was very cruel to me. I was a victim of mobbing at a previous job. I am petrified that this woman talked to my current colleague and she has sabotaged my job. I get extremely anxious every time I must attend workshops or [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I recently attended a conference and ran into a former colleague who was very cruel to me. I was a victim of mobbing at a previous job. I am petrified that this woman talked to my current colleague and she has sabotaged my job. I get extremely anxious every time I must attend workshops or conferences for this reason. My former boss was a big gossiper and has essentially ruined my reputation in my field. Even if I don&#8217;t run into former colleagues I am petrified that someone will recognize me or my name and ask me where I used to work. It has been so crippling. Now I am suffering PTSD and am very anxious and having a hard time sleeping due to running into this former colleague. What can I do to get rid of the anxiety? How can I lose the fear? What should I attempt to believe in order to feel more confident?</p></blockquote>
<p>A. You should consider seeking psychological treatment for your PTSD and anxiety. These symptoms seem to be significantly impairing your life. A mental health professional could teach you how to eliminate your anxiety and fears and become more confident. You might also benefit from medication, which could also significantly decrease your anxiety and stress levels.</p>
<p>Generally speaking, forcing yourself to believe in the reality of a situation could assist you in eliminating your anxiety. For instance, you seem to have a great deal of anxiety but is this anxiety warranted? You&#8217;re concerned that your current job will be compromised by former colleagues but how likely is it that this will occur? Perhaps your anxiety stems from the aftermath of what happened in your previous job but in reality, there may not be any real threat to your current job. In that instance, a therapist would attempt to determine the legitimacy of your anxiety and if it is excessive or unnecessary, assist you in alleviating it. </p>
<p>You may want to read the work of Dr. Janice Harper. She has been studying the concept of mobbing in the workplace and has written a book on the subject. She explains how the process of mobbing is essentially bullying. Others have written about the subject as well.</p>
<p>It may take some time to fully overcome the trauma you sustained. Thankfully you were able to remove yourself from that situation but you seem to be struggling. Counseling could greatly expedite the process of healing and overcoming your fears. 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>How to Find Help?</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/12/how-to-find-help-2/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/12/how-to-find-help-2/#comments</comments>
		<pubDate>Sun, 12 May 2013 10:30:34 +0000</pubDate>
		<dc:creator>Kristina Randle, Ph.D., LCSW</dc:creator>
				<category><![CDATA[Anxiety]]></category>
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		<category><![CDATA[Willingness]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25685</guid>
		<description><![CDATA[I know something is wrong with me, I know I need help but I don&#8217;t know where to start. Do I call my family doctor to get a referral for somewhere? Do I call a therapist directly? What do I do? A. Your question about where to start the process of receiving psychological help, is [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I know something is wrong with me, I know I need help but I don&#8217;t know where to start. Do I call my family doctor to get a referral for somewhere? Do I call a therapist directly? What do I do?</p></blockquote>
<p>A. Your question about where to start the process of receiving psychological help, is a good one. I&#8217;m sure there are many people who have the same question. </p>
<p>There are a couple of places to start. You could visit your family doctor and ask for a referral. Another approach is to call your insurance company and ask for a referral. Some people have found it useful to call their local health department and ask what mental health services are available in their communities. If you do not have health insurance, then call the local community mental health center and ask what services are available to you.</p>
<p>You may want to consult Psych Central&#8217;s &#8220;find help&#8221; tab that provides an extensive list of mental health professionals. You can search for therapists by city, zip code, and so on. Psychology Today also has a similar therapist directory. </p>
<p>It&#8217;s best to choose four or five therapists to interview over the phone. Detail the problem that you would like help with. Ask if they&#8217;ve helped other people with similar problems and inquire about the outcomes of those cases. Ask if they think they can help you and what method they would use to do so. Choose a therapist with whom you connect with or with whom you feel the most comfortable and then visit this therapist in person. Continue that process until you find a therapist  with whom you like and feel the most comfortable. I admire your willingness to seek help. I hope you&#8217;re able to find the help that you desire. Please take care.</p>
<p>Dr. Kristina Randle <a href="http://kristinarandle.com/blog/"><br />
Mental Health &amp; Criminal Justice Blog<br />
</a></p>
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		<title>Am I Difficult to Love or Like?</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/12/am-i-difficult-to-love-or-like/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/12/am-i-difficult-to-love-or-like/#comments</comments>
		<pubDate>Sun, 12 May 2013 10:00:58 +0000</pubDate>
		<dc:creator>Daniel J. Tomasulo, PhD, TEP, MFA, MAPP</dc:creator>
				<category><![CDATA[Anger Management]]></category>
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		<category><![CDATA[Bipolar]]></category>
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		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25862</guid>
		<description><![CDATA[I was diagnosed Bipolar II in 2007. My family and friends have had a hard time accepting this and most of my friends stopped talking to me and said I was faking it for attention and my mother told a family member that I could be different if I wanted to. I try so hard [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I was diagnosed Bipolar II in 2007.  My family and friends have had a hard time accepting this and most of my friends stopped talking to me and said I was faking it for attention and my mother told a family member that I could be different if I wanted to. I try so hard to be &#8220;normal&#8221; but sometimes it&#8217;s hard for me not to be overly anxious or very talkative.</p>
<p>When I&#8217;m around my family, I feel like they don&#8217;t like me very much and I don&#8217;t know if they love me anymore. Before my diagnosis and my &#8220;break down&#8221;, things were fine but after, things changed drastically. Even the way they speak to me has changed. There are times I feel anxious and I talk a lot and I try not to but my sister will admonish me in front of the entire family and tell me to calm down and stop cutting people off (my family is very boisterous and everyone speaks at the same time but she singles me out, even though every one is doing the same thing). My brother will shake his head and walk out on me and my father calls me a drama queen.  I don&#8217;t know what to do anymore. I try to ignore it while I&#8217;m there because I don&#8217;t want to make a scene and ruin the evening but it makes me so sad and then later on, when I&#8217;ve had time to reflect, I get so angry and I want to cut them all out of my life. Last time I was there, I had such an awful time that once I got home, I had such an emotional melt down that affected me for hours just from the stress of the family get together. I don&#8217;t know what to do anymore and my family is one of those families that feels justified in their actions so no family therapy, no rational sit downs to tell them how I feel because they&#8217;ll turn it around on me and call me a &#8220;drama queen&#8221;.  I know not all of this is because I&#8217;m bipolar II.  I can usually recognize when I&#8217;m having issues but I get this treatment even on good days when I&#8217;m fine and quiet. Maybe it is me?  Maybe I just don&#8217;t see it? I don&#8217;t know anymore but whatever the reason, being with my family makes me more miserable than any other time.  Thanks for listening.</p></blockquote>
<p>A: I am sorry you are having so much trouble with your family and friend relations.  It was unclear from your email if you are in therapy and if you are being prescribed medicine for the bipolar II.  If you are not in therapy and have not had a medication consultation I would strongly recommend finding a therapist and a psychiatrist who has experience in treating this condition.  Being in the care of people who are trained to help can be an important step in coping with this.</p>
<p>On the good news side it sounds like you have some internal sense of when an episode is happening.  This can give you options in dealing with your responses.  I believe the strongest vehicle for learning what these options are is through group therapy.  The find help tab at the top of this page can bring you to a person in your area that may be able to help.  Often your local community mental health facility has an outpatient program where groups are available.  In a group you will learn how to deal with your internal activation as well as how to come with feedback and confrontation from others.  It can be a powerful source of support as you find your way.</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>Problems with Choosing a Major and a College</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/11/problems-with-choosing-a-major-and-a-college/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/11/problems-with-choosing-a-major-and-a-college/#comments</comments>
		<pubDate>Sat, 11 May 2013 10:00:27 +0000</pubDate>
		<dc:creator>Daniel J. Tomasulo, PhD, TEP, MFA, MAPP</dc:creator>
				<category><![CDATA[General]]></category>
		<category><![CDATA[Personality]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[School]]></category>
		<category><![CDATA[Apple]]></category>
		<category><![CDATA[Clue]]></category>
		<category><![CDATA[Co Founder]]></category>
		<category><![CDATA[College Freshman]]></category>
		<category><![CDATA[College Students]]></category>
		<category><![CDATA[Commencement Speech]]></category>
		<category><![CDATA[Graduates]]></category>
		<category><![CDATA[Inspiration]]></category>
		<category><![CDATA[Life Career]]></category>
		<category><![CDATA[Majors]]></category>
		<category><![CDATA[Medical Field]]></category>
		<category><![CDATA[Patience]]></category>
		<category><![CDATA[Period Of Time]]></category>
		<category><![CDATA[Possibilities]]></category>
		<category><![CDATA[School Doesn]]></category>
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		<category><![CDATA[Stanford University]]></category>
		<category><![CDATA[Steve Jobs]]></category>
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		<category><![CDATA[Waste Money]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25818</guid>
		<description><![CDATA[I am currently a college freshman studying in the medical field and looking to transfer out. I have realized that the medical field is not for me but I have no clue what I want to do. I&#8217;m transferring to a different school as undecided however I don&#8217;t want to be undecided and waste money [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I am currently a college freshman studying in the medical field and looking to transfer out.  I have realized that the medical field is not for me but I have no clue what I want to do.  I&#8217;m transferring to a different school as undecided however I don&#8217;t want to be undecided and waste money not knowing what I want to do.  I am completely stuck because I am afraid if I take a year off I&#8217;ll never go back.  I&#8217;m thinking about a major that this school doesn&#8217;t even have and I don&#8217;t want to transfer again after I transfer here.  I have no clue where to start on deciding my major and I feel like I am completely unprepared to decide my life career right now.  I am lost and I have absolutely no idea what I should do for now and it is stressing me out and effecting the schoolwork I have to do as my mind just shuts down from the stress and I give up. </p>
<p>A:  Almost 70 percent of college students change their majors once they get into college.  Your search is normal and your concern is right in line with your current search for a career.  What I am trying to say is that it is very normal—and necessary—to go through a period of time where you do not know what direction to go in.  The reason is simple.  You don’t actually have enough good information to make the decision.  That is why college is a time to sample many possibilities, and then focus.</p>
<p>My strong suggestion to you right now is to start identifying what you don’t want and start sampling what you do.  If you would like a bit of inspiration here is Steve Jobs&#8217;s (co-founder of Apple) <a href="http://www.youtube.com/watch?v=VHWUCX6osgM">commencement speech </a>to the graduates of Stanford University in 2005.</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></blockquote>
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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>
		<category><![CDATA[Mood Swings]]></category>
		<category><![CDATA[Psychiatrist]]></category>
		<category><![CDATA[Risky Habits]]></category>
		<category><![CDATA[Sad Moments]]></category>
		<category><![CDATA[Self Harm]]></category>
		<category><![CDATA[Social Forums]]></category>
		<category><![CDATA[Suicidal Thoughts]]></category>
		<category><![CDATA[Typical Signs]]></category>
		<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>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>
		<category><![CDATA[Teen Issues]]></category>
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		<category><![CDATA[Amp]]></category>
		<category><![CDATA[Blog]]></category>
		<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>
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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>
		<category><![CDATA[Family]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Medical issues]]></category>
		<category><![CDATA[Parenting & Children]]></category>
		<category><![CDATA[Personality]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[Self-esteem]]></category>
		<category><![CDATA[Therapy]]></category>
		<category><![CDATA[Asperger]]></category>
		<category><![CDATA[Autism]]></category>
		<category><![CDATA[Brother]]></category>
		<category><![CDATA[Dad]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[Eccentricities]]></category>
		<category><![CDATA[Jokes]]></category>
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		<category><![CDATA[Sessions]]></category>

		<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>
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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>
		<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[Family]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Personality]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[Relationships]]></category>
		<category><![CDATA[Self-esteem]]></category>
		<category><![CDATA[Abusive Relationship]]></category>
		<category><![CDATA[Angry Men]]></category>
		<category><![CDATA[Blog]]></category>
		<category><![CDATA[Domestic Relationships]]></category>
		<category><![CDATA[Email]]></category>
		<category><![CDATA[Girlfriend]]></category>
		<category><![CDATA[Girlfriends]]></category>
		<category><![CDATA[Jealousy]]></category>
		<category><![CDATA[Long Time]]></category>
		<category><![CDATA[Management Issues]]></category>
		<category><![CDATA[Patience]]></category>
		<category><![CDATA[Peace]]></category>
		<category><![CDATA[Promises]]></category>
		<category><![CDATA[Silly Reasons]]></category>

		<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>
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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[Sex]]></category>
		<category><![CDATA[Cardiac Disease]]></category>
		<category><![CDATA[Cholesterol]]></category>
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		<category><![CDATA[Erectile Dysfuction]]></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>Criminal Past</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/05/02/criminal-past/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/05/02/criminal-past/#comments</comments>
		<pubDate>Thu, 02 May 2013 10:00:27 +0000</pubDate>
		<dc:creator>Daniel J. Tomasulo, PhD, TEP, MFA, MAPP</dc:creator>
				<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Illegal drugs/alcohol abuse]]></category>
		<category><![CDATA[Personality]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[Relationships]]></category>
		<category><![CDATA[Therapy]]></category>
		<category><![CDATA[Acquaintance]]></category>
		<category><![CDATA[Bravery]]></category>
		<category><![CDATA[Confluence]]></category>
		<category><![CDATA[Counselor]]></category>
		<category><![CDATA[Courage]]></category>
		<category><![CDATA[Dance Of Intimacy]]></category>
		<category><![CDATA[Emotions]]></category>
		<category><![CDATA[Gravity]]></category>
		<category><![CDATA[Hostage Situation]]></category>
		<category><![CDATA[Insecurity]]></category>
		<category><![CDATA[Many Things]]></category>
		<category><![CDATA[Patience]]></category>
		<category><![CDATA[Peace]]></category>
		<category><![CDATA[Personal Identity]]></category>
		<category><![CDATA[Relationship]]></category>
		<category><![CDATA[Scares]]></category>
		<category><![CDATA[Soul Mate]]></category>
		<category><![CDATA[Struggle]]></category>
		<category><![CDATA[Tumor]]></category>
		<category><![CDATA[Type Of Music]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25726</guid>
		<description><![CDATA[I started a criminal life early, spending most of my 20&#8242;s behind bars. I never learned how to be somebody or even be in a relationship sober or that did not feel like a hostage situation. Years later(present), I came across an acquaintance of mine that came to see me in the hospital when I [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I started a criminal life early, spending most of my 20&#8242;s behind bars. I never learned how to be somebody or even be in a relationship sober or that did not feel like a hostage situation. Years later(present), I came across an acquaintance of mine that came to see me in the hospital when I had a tumor removed, and well we have been spending some time together. We have kissed and I couldn&#8217;t believe that he kisses just the way I like. He listens to my type of music, we have the same believes and outlook on many things in general. It seems that he is my soul mate. I want to get closer and be with him a lot but I am insecure about my body because of scares and how gravity has taken over my body. I see myself playing stupid junior high games and I get jealous or made when he does not call or text. How can I grow out of this insecurity?</p></blockquote>
<p>A: I deeply admire your courage for speaking about your past and getting focused on the present. I think it takes a good deal of bravery to honor your struggle. In this relationship there are three major influences. The first is the fact that you are feeling so many positive and engaging emotions that they may in and of themselves overwhelm you. Second, this is a new relationship and it doesn’t sound like you have had a sober relationship in your life. This could be quite unsettling and undermine you as you learn the dance of intimacy. Finally, this comes at a time when you are struggling for your personal identity; who you are, and what your contribution is going to be in the world. The confluence of these factors make for a difficult time. </p>
<p>As you mentioned in your profile along with this letter that you are in college I would highly recommend you find a counselor on campus and talk to him or her about your concerns. This will be the fastest and easiest way to get some help.</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>Hallucinations, Mania and OCD</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/04/25/hallucinations-mania-and-ocd/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/04/25/hallucinations-mania-and-ocd/#comments</comments>
		<pubDate>Thu, 25 Apr 2013 10:00:00 +0000</pubDate>
		<dc:creator>Kristina Randle, Ph.D., LCSW</dc:creator>
				<category><![CDATA[Bipolar]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[OCD]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[Psychosis]]></category>
		<category><![CDATA[Auditory Hallucinations]]></category>
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		<category><![CDATA[Faces]]></category>
		<category><![CDATA[Freak]]></category>
		<category><![CDATA[Goat]]></category>
		<category><![CDATA[Hallucinations]]></category>
		<category><![CDATA[Horns]]></category>
		<category><![CDATA[Manic Episodes]]></category>
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		<category><![CDATA[Midst]]></category>
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		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25395</guid>
		<description><![CDATA[I see and hears things that none else can see, mainly demonic faces everywhere that looks like a zombie looking alien with huge goat looking horns, the other things i see could be black shadows that fly so quick past me or someone else with me that it looks like a black bird thats flew [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I see and hears things that none else can see, mainly demonic faces everywhere that looks like a zombie looking alien with huge goat looking horns, the other things i see could be black shadows that fly so quick past me or someone else with me that it looks like a black bird thats flew past, or even see things that im afraid of like when i seen millions of spiders all over the floor but was told nothing was there. i hear voices that tell me i should cut myself or try to kill myself and the voice sounds evil,not human, i sometimes also hear like as though the telly or radio is going off but nothings on at the time. there are times i end up having really high moods where i end up going out shopping spending £100s in a day on just stuff to use for all my ideas i have in my thoughts, when i think of lots of ideas i cant concentrate when others try talking to me, and i end up shouting at them aggressively just to be quiet while i think. according to my friends or family i dont make sense to them or think of too much and talk too fast for them to know exactly what ideas im talking about. I have told my doctor all of this and a counsellor but none of them seem to believe a word i say as though they just think im a freak or making the whole thing up, what should i do? as its getting worse every week.</p></blockquote>
<p>A. Your symptoms are unusual. What you are seeing and hearing is distressing to you. Your symptoms seem indicative of an ongoing, untreated psychosis. You are also experiencing mood swings and having difficulty controlling your behavior. If you are currently in the midst of a psychotic episode, then it makes sense that you would have difficulty controlling your mood and behavior.</p>
<p>Psychotic episodes require immediate treatment. They typically do not get better on their own. Medication could significantly reduce or eliminate your symptoms. </p>
<p>I understand that you have told your doctor and counselor about the symptoms but it&#8217;s unclear why they have not taken action. If they continue to ignore your symptoms, then you must find a different set of mental health professionals who can help. </p>
<p>I am also concerned about the voices telling you to harm yourself. This is a common experience among people who hear voices. If you feel that you might harm yourself or someone else, then it&#8217;s imperative to go to an emergency room immediately. The hospital can protect you and ensure that you receive the proper treatment. They can also assist you in finding a treatment team who will take your concerns seriously. You must do what it takes to get the proper help. 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>Wife Unsure if She Loves Me</title>
		<link>http://psychcentral.com/ask-the-therapist/2013/04/24/wife-unsure-if-she-loves-me/</link>
		<comments>http://psychcentral.com/ask-the-therapist/2013/04/24/wife-unsure-if-she-loves-me/#comments</comments>
		<pubDate>Wed, 24 Apr 2013 10:00:13 +0000</pubDate>
		<dc:creator>Daniel J. Tomasulo, PhD, TEP, MFA, MAPP</dc:creator>
				<category><![CDATA[Anxiety]]></category>
		<category><![CDATA[Family]]></category>
		<category><![CDATA[General]]></category>
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		<category><![CDATA[Amazing Children]]></category>
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		<category><![CDATA[Counseling]]></category>
		<category><![CDATA[Couple Therapy]]></category>
		<category><![CDATA[Couples]]></category>
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		<category><![CDATA[Marriage]]></category>
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		<category><![CDATA[Time Appointment]]></category>
		<category><![CDATA[Viable Options]]></category>

		<guid isPermaLink="false">http://psychcentral.com/ask-the-therapist/?p=25337</guid>
		<description><![CDATA[I have been married for 10.5 years now and we have 2 amazing children. About three years ago my wife approached me and said that she was basically done with the relationship unless I changed things. I feel that I have changed those things and she still is very up and down about how she [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>I have been married for 10.5 years now and we have 2 amazing children.  About three years ago my wife approached me and said that she was basically done with the relationship unless I changed things.  I feel that I have changed those things and she still is very up and down about how she feels about me.  I am absolutely lost as to what to do.  I still love her very dearly and want us to continue on, she wants to try separation to see if she can handle doing it all alone and to see if she appreciates me more. I have suggested counseling again but she seems unwilling with that as well.  What do I do when I want to keep moving on and working on it but she is not?  She tells me that her biggest issue is that she doesn&#8217;t think that she is putting me first, which in some ways I agree with, but I understand the type of person that she is and that is not her.  She gets so focused on the task that nothing else is going on around her.  What do I do to save my marriage? </p>
<p>A: I can appreciate the struggle to save your marriage. This can be a very difficult time for couples to work through, yet I believe the information for each other is the case. Although you wife has made it clear that she does not want to go to couples therapy, I believe there are some viable options that are worth pursuing. If she is indeed looking for a separation then the mechanics of that may be best understood through a one-time appointment with a marriage counselor. This can help with the details of keeping yourselves separate while taking care of some of the functional matters such as paying the bills. </p>
<p>A one-time meeting with a marriage counselor sometimes allows the couple to sort through their issues with a third party present. When I make this proposal to my individual clients it is couched in the idea that it is for only one session; that you&#8217;re going just to get things out on the table and squared away. This often becomes an attractive option because it is an ongoing therapy and yet has an opportunity to open up that possibility or simply take care of the mechanics of the separation.</p>
<p>The second suggestion is to look for a couples weekend designed for an intense encounter for the two of you. These workshops are often held on a regular basis and typically have trainers who have good credentials if the workshop has been running for a while. Go online, find workshops that are in your area and gather some information about what may be involved in these workshops. Often couples that cannot withstand ongoing therapy may be greatly helped by an intense workshop.</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></blockquote>
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