I've thought and thought about this, but can loneliness kill you? I've lived through my teenage years, twenties, three-quarters of my thirties, but am still hoping that just around the corner will be the one. If not — can loneliness kill you?

I'm not in college anymore, but students could benefit from this question, too. I'm single with a 'great' job (pays well, insurance, pension, etc.), a decent place to live, no debt... in short, life could be much worse. But the only thing lately that makes me happy is doing kind things anonymously for people. I'm rather wealthy but don't want a big TV or a fancy car. I'd rather spend a vacation at a local monastery meditating and performing service. I'd be committing economic suicide to quit my job, and so many are worse off, but 'success through hard work' doesn't make me happy. I'm sure a number of students must have these feelings already. What are your feelings about this, Alice?

I need some information about panic attacks. My partner moved with me to NY and, at the time of moving, experienced several attacks of extreme fear.

This has paralyzed her to the extent that she no longer goes to work, her career is on hold, and she requires help traveling, if she travels at all. As well as being incredibly distressing for her, it's not helping our relationship either.

My question relates to my role in helping her recover from this. At present I frequently "overlook" the problem by going everywhere with her and being as supportive as possible. Am I an "enabler"? Should I make her "tough it out," or will she just get better?

Recently I've begun experiencing attacks of phobia and anxiety much more than I ever have before. I am aware of most of the problems in my life causing these feelings and am working on fixing the problem from the inside out, but am worried that my life will suffer if I can't get these feelings squared away soon. I often wake up nauseous and am unfit to go to work for several hours, and my eating habits have also been suffering.

My question: would taking an anti-phobic or anti-anxiety (not anti-depressant) medication fabricate calm to such an extent that I wouldn't be able to feel and deal with the causes of my stress head on? I'm looking for something to keep me functioning while I work through this, not in finding a chemical solution that I end up dependent on for my happiness and well-being.

Thanks in advance.

Every time I have an orgasm (alone or with a partner) I have intense feelings of guilt. I was not brought up in a religious household and was never told to "wait until marriage". I've been in long term relationships with all my sexual partners so it's not like I feel guilty for sleeping around. It's getting to the point where I'm not enjoying sex anymore because I dread the feelings I have after an orgasm. Is this normal?

I have a problem that is really uncomfortable for me to deal with, but I'm embarrassed to ask anyone if they have had the same experience. Whenever I take an exam, I sometimes ejaculate in my underwear. I think it may be some sort of stress reaction. Once it's over, I feel very calm and can continue on. Is something wrong, and how common is this? What should I do?

I'm going to cut right to the chase. I eat soap. It makes me feel good, especially when I'm stressed. Well, I don't sit there eating whole bars at a time, but I do take little chunks off to nibble sometimes. Only bar soap though, the all natural ones (I like the taste).

Am I going to have long term side effects from doing this? Please answer back, I don't see a lot of research on this, even though I've heard of quite a few other people that do this. Is it necessary for me to talk to a professional about this?

It seems kind of silly, I was just wondering.

I'm a first year college student. Since the holidays I started experiencing a very strong horrible feeling; so horrible I preferred to die than to keep on feeling it (the suicidal thoughts come and go still, but it's not as strong as in the beginning). It's very puzzling though because I don't have a reason to feel like this, not one that I know of at least.

I thought of going to a psychologist, or psychiatrist, but I don't have money to do so, and I thought that maybe I should try curing myself first. Is there any way to try to fight depression by myself? Also, if I don't have a reason to feel depressed, what reasons could there be for what's happening to me? I read in other things you wrote to people that depression may be also caused by chemical imbalances in the brain. How do I know if that's happening to me?

I find that I get a feeling that I do not know how to explain; it is sort of a sad, discouraged feeling, when I see a black man with a white woman. I am a black female adolescent (20 y/o). I am not a racist. Also, I know of many people both black and white who are not racists but feel the same way. I am not angry at interracial couples when I see them together or anything of that sort. How can I be at ease when I see them, besides that it is not my business? I want to know what possible underlying causes can make people feel this way. How do I unlearn this habit?

1) How can you tell if you are psychologically depressed? How do you ask? What if you are only depressed sometimes? I am a first-year psychology student, I live in college, and I seem to be having plenty of mood swings lately. I used to be very bubbly and enthusiastic and happy and relaxed all the time, but lately, I've just been edgy and sad, and I cry a lot. What's going on? I've been at university now for nine months. I'm only seventeen, and I live away from home (and I'm happy about that). I still have fun sometimes, and I get involved a lot, but then something will happen and I just bomb. I feel helpless and useless and angry because I am unappreciated. It annoys my friends and that makes me feel even worse. What's going on?

2) How do I know if I am depressed and need help? For about a year now, I have been easily irritated, angry, I cry when something sad or happy happens, I have lost seven pounds (last year), sometimes I have a hard time sleeping at night. I go over everything I did wrong in a day, and I have a hard time trying to concentrate on reading. I have wanted to mention this to my doctor, but I am very shy about it. He says I am physically healthy. I have tried exercising, and taking warm baths to help me feel better. What is wrong with me?

I'm rapidly approaching the end of my studies as a graduate student in the school of the arts. The other day I looked at how much I owed in loans and I am freaking out. And now I think going to grad school was the worst thing I've ever done. I'm so scared right now.

I really hope you can help me. I'm 21 years old and never had any problems with eating. At 18, I sunk into a very deep depression and since then my eating has not been the same. It started slowly, where I would just skip a meal every now and then, but now I sometimes choose to go for days without eating and it's not because I want to lose weight, even though I have lost quite a bit, I just feel like I can't change anything in my life. I love my friends and I always have a great time with them, but at the same time, I find it so much easier to not eat when with them. That's what I can't understand. Why, if I feel happy around my friends, do I still choose not to eat? I went for almost a week without eating when I was away with them. For some bizarre reason, I feel better about my life when I stick to my decision to not do something, but at the same time, I want to stop, but I'm afraid I'll get really depressed. It doesn't really hurt me, but my friends harass me and I can't help them to understand when I don't even understand. Why am I doing this??

How much more stressful is college on a non-traditional student, and what are some good ways to deal with college stress at 30?

What can I do to get some support after an act of violence happened on-campus at my school (or off-campus, but to a student here)? I feel a little lost right now...

I've never been very good at managing my time, getting homework done, or staying organized. Yet, I learned to work around this and get things done rather successfully. However, recently, I haven't been able to do ANYTHING. I can't get school work done. It's starting to impact my grades. I think this might be a result of a stressful junior year combined with a stressful summer job. I worked 50 hours a week at an understaffed Boys and Girls Club. There might be something about taking care of children — many with serious family/home issues — that really drained me. I only had about a week of summer vacation where I wasn't either working or at home with pneumonia. I went from a rough summer into a difficult senior year. Now, I feel like I need a break to collect myself, but I know I won't get that break until I graduate. What can I do? I don't think I need new organizational strategies, I've picked those up over the years, but then again if I knew what I needed I guess I wouldn't be asking!

Does exercise really reduce stress? I recently took a new job that is very high stress, and I need a release. My friend says I should take up mountain biking, that it will reduce my stress (and keep me from gaining weight at this desk job). Thanks for the great site.

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.

1) This is more of a coping question. I am a first-year who applied for a single room over the summer and was denied. I figured that everything would be okay nevertheless. I tried to look at the situation as a character-builder. Well, that is not the case. My roommate is very depressed. I talked to the RA on my floor, but she didn't take any action, except to talk with her. Unfortunately, my roommate is so ashamed of what's happening that she denied the facts, and the RA believed her. No one except me has realized yet that she is sleeping most of the day and all of the night, and that it is indeed a real problem. I have expressed my concern to her and encouraged her to go to counseling services. She went a couple of times and then started canceling appointments left and right. I have worried about her, but I have no backup whatsoever, so there is really nothing I can do to help at this point. We get along relatively well otherwise.

Right now, the concern I have is that her depression is pulling me down, too. I literally have not been alone anywhere for more than two to three minutes in weeks. I wanted a single because it's a requirement that I spend some time by myself, and I'm going crazy these days. The lights are always out in the room, and I've noticed that I'm sleeping more than usual myself as the situation has progressed. Also, I am having to deal with some personal issues of my own this semester, and I simply don't have the energy to take care of someone else who desperately wishes that I would do so. Any ideas would be greatly appreciated.

2) I know that when a friend is depressed, it's important to reach out, discuss the issue, and be there for the person as much as possible. But that's quite hard to do when I myself have a history with depression — I feel as if her emotions are taking me back to a place that I don't want to go. I really empathize with my friend and feel her pain, but at the same time know that I'd be useless to both of us if I'm in the troughs too. How can I help without sacrificing my always precarious emotional equilibrium?

Recently I've been thinking a lot about ways to relieve my stress and other mental problems such as OCD and ADD and I have been hearing that meditation, yoga, tai-chi, etc. can possilby help with these problems that I have been suffering with all my life, but I am very confused as to which one would be the best for me.

Also, if I find out which one would work the best for me, how would I go about finding someone that could teach me these things? Or is a book a good way to go? If a book is a good way to go would you suggest one of those "The Complete Idiot's Guide to..." books?

I recently went to my doctor because I've been unable to lose weight. I've been on a successful diet, accompanied with a reasonable exercise plan, but I've seen no real results. A series of tests were run — I've got optimum blood pressure, low cholesterol, and I am not diabetic. But, when my cortisol levels were checked — they were very high. The doctor suspected there was a possibility that I might have Cushings' Syndrome — but another test was run and that came up negative.

I was doing research on the internet, and I found that there was a link between excessive cortisol and depression. I was diagnosed with clinical depression when I was 12 (I am now 21). And I am currently untreated. What is the link between cortisol levels and depression? Are excessive cortisol levels a physical manifestation of depression? Or does an excess of cortisol for some other reason cause depression? Does an excessive amount of cortisol cause weight gain, or in my case prohibit weight loss? And if there is a connection — will treatment for my clinical depression (in the form of prescription pills) help me?

I've been unable to find answers anywhere, or at least a good source to tell me to stop worrying — any help would be appreciated.

I compete in an individual sport. The problem is that on the day of a major competition, I have really bad indigestion. Sometimes, I have to run to the bathroom every half hour for a bowel movement! Besides being annoying, disgusting, and a little embarrassing, this interrupts my competition and adds unneeded stress. Why is this happening and what can I do to prevent it?

1) I think I might have OCD. I worry about it a lot and I want to go to a doctor, but I am too afraid. Can you please tell me the symptoms of OCD. Thank you.

2) I think I might have OCD. Since I was about 12 or 13, I started thinking really strange thoughts. I always felt like there were eyes watching me. I know its irrational to think such a thing, and I know there aren't any, but I get this weird feeling there are. I have to cover my windows in dark colored papers and check for any holes in them regularly, so there isn't the tiniest hole for someone to peek through. I have shades as well, but I never feel like they're enough. I also have to regularly make sure my windows are locked, sometimes I'll lock and relock them a couple times until it feels like the lock worked. The same with my bedroom door, I will not sleep at night if my door is unlocked, and sometimes I relock it more than once, or even reclose my door more than once. It doesn't always feel like it properly shut the first time. I also have to turn any faces away from me. My stuffed animals can't look in my direction, and I wont hang pictures up in my room if it feels like it has eyes on it. I'm not scared of eyes necessarily, I know some people with beautiful eyes. I just can't take them staring at me. I also know they wont hurt me, either, but it feels as if somehow they will. I don't know how.

I'm really feeling like I might be going crazy. I'm stressed out beyond belief! Should I bring it up with my doctor? Should I get a therapist? Could this be OCD?

Ever since I was in junior high, I have been pulling out my hair. I can remember not being able to pull my hair into a ponytail because the hair at the nape of my neck wouldn't reach. I still have this awful and shameful habit. I don't see it so much as just a habit, like the way one might bite one's nails, it's more like an obsession. I'll just sit and stare into space and pull clumps of hair out of my head. I remember having seen a program on T.V. which dealt with this habit as a medical problem that is curable with medication. Unlike the men and women represented on this program, I am not stripping myself bald — yet. I tend to consider it a form of self-punishment, perhaps. Just to give you some background information, I have a tendency towards bulimia (cycles of bulimia occur when my depression is at its worst) and am in general not a happy camper. What can you tell me about this?

Whenever I am physically intimate with a girl or even if I suspect eminent intimacy, I begin to tremble uncontrollably. This makes me feel quite awkward and self-conscious. Also this is the only time it happens. Is this a treatable disorder? Is there perhaps some sort of quick fix solution such as getting slightly inebriated before such an encounter?

I think I just had my breaking point. I don't know how much more stress I can take. I tried to check out stress-reduction workshops, but the next one is next semester. I don't really want to see a psychiatrist. I don't know what to do. Basically, I think a lot of my stress is because it is just so difficult for me to focus or concentrate on anything. My thoughts are running everywhere. I try, I really do. I even moved into a single for it. I feel so incompetent. I don't give a damn about making friends. I'm always feeling lonely. And worst of all, there is always something that makes me so worried, panicked, to the point of just wanting to die to relieve me of it. I have chest pains when I sleep sometimes. Whenever I do anything away from my desk during my designated "study time," I feel so guilty. Since transferring here this semester, I have never felt confident, relaxed, or satisfied about anything. Everything annoys me. I annoy me. This letter probably sounds really unorganized, but I can't organize my thoughts. I went to see a Broadway play and loved it, but just really hated myself for seeing it when there was so much work I had to do. I've decided I don't want to live like this anymore. I'm tired of not being able to breathe and get chest pains when I get stressed. Please help me.

What can you tell me about test-taking and mental block issues?

I am a graduate student, doing very well in my coursework and research. However, I feel extreme anxiety in doing anything, e.g., starting a problem set, writing a program, etc. I wonder, what are the common causes of anxiety and what I may be suffering from. I would like to be calm and relaxed and not anxious and stressed. I know about meditations, etc., but what I would really like is some psychological insight.

I'm having a tough time adjusting to college. I miss family, friends, and home. On top of that, I feel like I am failing socially. Any ideas to get me out of this funk?

I've been "plagued" with this problem for at least a year now, and it seems to be getting progressively worse. I feel like I have lost the ability to communicate with people. Sure, I can make small talk about the weather and stuff like that, but I feel like I've lost my openness and humor with people. I figure I am changing and learning new things about myself, but this is getting ridiculous because it is affecting my social life drastically.

Whenever I get into a conversation with someone, either on the phone or in person, I become flustered. I have a problem with eye contact and I become very hot and sometimes I turn red in the face. Worst of all, my mind seems to be blank all the time and I can't get past small talk (even with my friends). I put a lot of pressure on myself when it comes to maintaining eye contact and continuing a conversation, but this pressure seems to fluster me more. I also seem to notice long pauses in conversation which I interpret as moments of awkwardness.

I realize that I have nothing to prove to anyone, but this problem still persists. I used to be very social before and now I am not. So what must I do to get by this? I figure, I'll just deal with it and it will go away, but it's been going on for too long. What must I do?

I had an abortion almost a year ago and I have pretty much recovered emotionally from it, but every so often, I have "relapses," I become very upset for an hour or so and withdraw from the world. I in no way regret my decision — I did what I had to do — but it still upsets me. What advice do you have for me that will help me to get entirely over the abortion?

I'm a graduate student who is still trying to cope with shyness. I have extreme difficulty talking to people — even to people I see and work with everyday. I know making friends takes time and patience, but I seem to be at a loss as to how to develop acquaintances too. I've always been antisocial, but I never wanted to be. Who does, right? But I just don't know how not to be.

I'm studying a profession that requires a lot of personal communication; so, it's making me nervous and depressed whenever I can't overcome my introvertedness. But it's not my career that worries me the most. I sense my emotional well-being deteriorating every time I feel myself lost around others. Is there anything I can do to overcome shyness? I've been reading articles about the antidepressant drug Prozac and its success on passive people — should I consider it? Or are there places I can go for therapy? Thanks.

My partner gets nervous every time I see my psychotherapist because she doesn't like the idea of me talking about our relationship. For her, it's anxiety-producing because she fears there are things I tell my therapist that I don't tell her. For me, it's anxiety-producing because I feel like my therapy sessions should be a safe and confidential space for me and because I feel like having that space has made our relationship better overall. How can I assuage her fears and anxieties without feeling like I have to, a) tell her everything I say in therapy, or b) lie and say that she doesn't come up?

I have this problem with my studies. I feel that I need to work 24 hours a day in order just to keep up. I have been getting panic attacks and outbreaks of eczema because I am so stressed out. Can you advise me of any relaxation techniques that will allow me to unwind after a hard day?

I commute into the city every work day and usually take the same trains each day. Some time ago another man made a pass at me which I ignored. He persisted and made several other passes over the course of time. At one point, he looked rather pointedly at my empty ring finger. The next phase of events involved his pointing me out to other men he was with and asking about me. The next phase involved his becoming very agitated whenever he saw me, pacing back and forth. When another man began to accompany him on the platform, I initially thought my worries were over and that he had found somebody. Later, he began making passes again, sometimes with his companion joining him. I'm fairly introverted so the easiest thing for me to do has been to ignore everything. I'm also not homophobic. I know that most of the men that I know would never have tolerated his actions and I feel that he has taken advantage of my tolerance. I think he may also be misinterpreting my reaction!!

Sometimes I feel that I am locked into some mutually destructive game with him. Needless to say, this has all been rather stressful for me and I would like the situation to end. I've tried changing trains, but this is difficult for me because of my schedule. I'm interested in your reaction to the situation and any solutions you propose.

I'm the peacemaker among my friends, the introverted listener. But lately I find myself dealing with my friends and their problems more than ever. The problems drift from abuse in their homes, relationship problems, suicide, and MORE! It seems like I'm walking around with the weight of the world on my shoulders — literally, and its making me dive headfirst into depression. Don't get me wrong, I like being trusted and thought wise for advice I give, but sometimes I know I'm just being used, and all I need to do is listen. But I also feel helpless towards many of the situations, example, drug abuse or violence in their homes. They're expecting my help most of the time! I can't suggest counselors, because it's un-thought of here, my friends usually have been to more than their fair share in their years, and it flat out doesn't work. Our school counselors are bogus, teachers really don't listen, and I'm a small girl who can't necessarily take on the world!! On top of trying to help friends of mine (close and not-to-close) I've got my own problems too! It's insane.

I want to become a male but I'm trapped in a female's body. I recently saw "Boys Don't Cry" and everything Teena felt I felt. Becoming a male would make me truly happy but I'm hopeless and desperate for a first step to take. I only cross dress in privacy and around my close confidants. My mother would die if she found out. Lately I have been feeling suicidal over my complete and dire unhappiness and uneasiness. PLEASE HELP ME!

A loved one of mine had a double mastectomy due to a rapid growing breast cancer, chemotherapy, and radiation. She is in her early 30s. She is a year out from treatment/surgery and suffers daily with aches and pains. She also has lymphedema in her right arm, which doesn't help with her discomfort. She feels pain in her joints, sometimes her back, she gets headaches, she is often fatigued, and she feels sick a lot. She's forgotten what it feels like to have her body feel good. Is this normal? She definitely has depression due to this and often thinks she will get cancer back somewhere else. It's been two years since her diagnosis and she has not felt a day of no pain and or sickness. I want to give her some good feedback, some light at the end of the tunnel so to speak (without using that phrase) to help her get through it. The doctors aren't too helpful. Mostly they want her to take more pills, which are becoming the size of a meal. She refuses to take the pills that are anti hormonal. I don't blame her; she can't handle the menopausal symptoms they give her on top of everything else. She is active and often just pretends to feel ok for others sake. She also eats well with a low salt diet to help the fluid in her arm. Should there, or will there be relief after undergoing so much stress on ones body?

Please help! My fiancé is leaving to go serve his country in Iraq for a year and I am beside myself with worry. It's gotten to the point where I can't sleep or even concentrate on anything. My doctor tried to make me get on antidepressants, but I'm not depressed, just stressed and worried. Any suggestions on medications or at home techniques I can try to make myself relax and not think about it?

I don't have what would qualify for legitimate reason to go to the campus counseling center. Is this service typically only for medical related problems? I just want to be able to talk to someone about some of my problems right now. I feel like I "know" the answer to all my questions (regarding time management, developing healthy eating and sleeping habits, confusion, signs of depression, life management, etc., etc.). However, I thought it would be helpful to talk to a professional that would help me talk through some of things I'm thinking about. Who can I see?

1) I have been a student for two years now and still suffer from terrible anxiety when it comes to doing a presentation or speaking in class. When it comes to presenting in front of my classmates I become so nervous that I can barely speak. I perspire; there is minimal shaking; feel so embarrassed that it even makes me want to cry. Now I even feel physically ill. It has gotten to the point where I refused to do a presentation last semester and my grade was badly affected. I know everyone becomes anxious in such situations but I truly feel there is something else going on with me because I've had to do presentations before coming to school but never felt this terrible. Even speaking in class is a very hard struggle, and my grades depend on it!

2) I have an extreme problem with speaking in front of groups of people (especially speeches). I can't do them! My voice either doesn't say anything, or it shakes like I am going to cry or something. I know public speaking is like the most common fear, but mine is one I must confront. What kind of options do I have besides books? Any ideas?

I am a New Yorker who is in college at the moment. Several of my friends from school are living and working in the city this summer, and I love having them around. Whenever I make plans with them, though, I feel a great pressure to make sure they have a good time. As the person who knows New York best (the subway, good restaurants, etc.), I feel like it is my responsibility to make plans and decisions when we go out, and I feel inordinately guilty or embarrassed if the plans ever go awry (e.g., if I mistake the address of a bar, if a restaurant turns out to be unexpectedly expensive, or even if the local subway line unexpectedly switches to the express — things that are often totally out of my control). I know this is silly; my friends can clearly take care of themselves, and I know they don't depend on me for fun. But the pressure that I create for myself is detracting from my own enjoyment. How can I stop holding myself to these absurd expectations and just enjoy myself?

I have terrible anxiety about writing papers. Because of this, I put them off, need to ask for extensions, and then have more anxiety about completing the assignment. In addition, when I start writing, I find it difficult to keep going, especially because I hit what may seem to others as small roadblocks, like uncertainty about citation format. I don’t experience nearly as much stress about other types of work (e.g., studying for and taking exams). What can I do to get over or at least cope reasonably with this fear?

Do you have some advice for someone suffering from low self-esteem? Some things that I struggle with: comparison of myself to others ("She is so "together!" Why am I not like that? What is lacking in me that makes her better?"), lack of faith in my abilities ("I'll never be as good as him at that — I might as well not try."), lots of self-criticizing ("Why did I sign up for this class — I should have known I couldn't handle it."), always saying yes to people or feeling like I've said the wrong thing... you get the idea. I've been feeling pretty unmotivated lately too, and I think this just adds to the problem. Can you give some advice, dear Alice?