My current girlfriend is still getting over an abusive relationship that she was involved in two years ago. The abuse included repeated rape throughout the two-and-half-year-long relationship. She has never been able to enjoy sex and cannot bring herself to do it again. Despite her feelings for me, she cannot relax enough during sex for it not to hurt her. I have not forced her into having sex she cannot enjoy. We have been together for nearly a year now and the problem does not seem to be getting better for her. She has nightmares and is uncomfortable and afraid in many day-to-day situations. She is worried that going to a counselor will mean she will be in counseling for the rest of her life to get over this. This has become such a hindrance to us being happy that I sometimes wonder if it is best to stay with her to try to help her through this, or whether I am out of my league.

1) I have a close friend who has a number of rather difficult issues. One of the most important is a long history of abuse (largely psychological) from her mother during her childhood. (She is now 19.) It is incredibly difficult to talk to her about any of these things. I would like her to see Psych Services, but I am worried about the fact that there are only a limited number of sessions available — that is actually one of the reasons she has offered to me as to why it would be a waste of time to go. Unfortunately, the only medical coverage she has is through her mother's medical insurance, she has no real money outside of her parent's control — it would be extremely difficult for her to pay for counseling, in other words, without alerting her parents. What can she do? What can I do?

2) I am actually asking for a friend of mine since this situation is getting worse, and I don't know how to help. The problem is that my friend is very depressed, and has very, very low self-esteem. While sometimes able to be cheerful and "happy," he claims to rarely feel that way and mostly just hates himself. He has mentioned suicide, although I think this is more an expression of the extreme self-hatred he feels than anything. I comfort him and often tell him how wonderful he is — what a good person, good qualities, etc., but I suspect he does not believe me at all. This has been going on for a long time now, and I think it stems from a somewhat unhappy childhood and adolescence. I don't know how to help him and I don't know what to do. I feel like being strong for him is just not enough, and I can't quite convince him that counseling may do some good. It seems to me that, recently, he has been feeling even worse about himself, to the point where nothing will comfort him. He cannot afford counseling, and he has no health insurance. Is there anything you can suggest for me to tell him or suggest to him? Any help will be greatly appreciated, because I just don't how to help him. Thank you so much.