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?

What is your opinion about hypnosis? Is it dangerous? Does it really work? I have a few issues about my personality that I would like to work on and the more I read about hypnosis, the more I think this is what I need. It almost sounds like magic to me. Would this kind of therapy help me with my many problems such as: self-confidence, communication problems, control of my emotions, sexual intercourse pain, etc.? As you see, I have quite a few things to work on and I really hope that hypnosis will help me. However, I wanted to get your opinion about it before I go ahead and do it. Thank you very much for your wise advice.

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.

I'm an anxious person. My clinical diagnosis is social anxiety disorder, but I have anxiety in many other situations and a couple of phobias to boot. I've seen therapists on and off for the past 20 years and have been on multiple SSRIs (I am off of anti-anxiety medications currently). I manage my anxiety with plenty of exercise, sleep, and relaxation exercises, but mostly I just accept that this is the way I am. My husband and I are starting a family soon, and my new worry is post-partum depression or anxiety. If I'm already moody, will the hormones and stresses of pregnancy drive me completely crazy? Does having a history of mental illness put me at a greater risk for developing a disorder like post-partum depression? Thanks for your help!

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.

My father has schizophrenia. My great grandmother was manic-depressive. What are the genetic risks of my child being schizophrenic if I have one? Are there any tests that can be done either before becoming pregnant or prenatally to determine probability? Has a gene been found linked to schizophrenia?

I really want to try pot because I am SICK of being uptight and careful all the time. I have been depressed and anxious for several years and I just want to feel SOMETHING different. But I've had a couple of panic attacks (both related to medication) and they were the most frightening things I've ever experienced. I'm scared that pot would do the same thing to me. What do you think? I know you can't encourage me to smoke pot but I would very much appreciate an honest answer, which I know you always give. (I know that smoking pot is not the best thing to do when you have depression and anxiety, but it would only be once, and I would be with friends. By the way, I'm not currently on medication as I find it useless. But I'm not trying to self-medicate. I just want to remember what it's like to experience an emotion that is not depression or anxiety). Thank you very much.

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?

Can Reye's syndrome cause chemical imbalances later in life? My mother had it as a teenager and has really bad mood swings and possible hypochondria and my aunt and I are trying to figure out if having Reye's syndrome could be the cause for some of it.

I became quite the hermit after high school graduation, and noticed myself being a terrible internet junkie who spends hours online.

I realized this was making me feel really irritable after about a year of it, so I started visiting old and new friends last week, and plan to do so this week as well. I'm trying to limit myself on the internet to one hour a day or avoiding it completely.

I'm a young fellah, very able bodied, and I know this. I want to know more of what's out there. I need ideas of how to keep myself moving and build up enough momentum to get out of the small rut. You only live once, right?

I am a freshman in college and I also happen to be anorexic. I have been to the medical services on campus and I am going to be attending the eating disorders group at my university. I also have been seeing an individual therapist for three years, but my weight is pretty bad right now. The doctor who has been keeping tabs on me says that I am very close to my “critical weight.” My therapist and I have discussed hospitalization ad-nauseam, but he's really not in favor of it, saying that hardly anything can be accomplished in a one month stay (which is basically all insurance companies allow for nowadays). He also said that the whole system is like a “revolving door” because people typically go back to their “old” behaviors one to two days after their discharge. However, I feel like the hospital might be the best place for me right now. My parents also are kind-of against the hospital. I really don't know what to do because my gut feelings so contradict my parents and partially my therapist. Also, what is the relapse rate of anorexics after they are released from the hospital? Is there any info on that?

My girlfriend and I have been dating long distance for about seven months. I have found out through keen observation and affirmation from an old roommate of hers that she is a rape victim. For the last three months or so she has been going through a lot of changes with job acquisition, living conditions, and I don't know what else. In this time, communication between us has grown to an insignificant level (in my opinion). It seems as though she is putting her job, spiritual drive, personal life, etc before me. Almost to the point that she doesn't want to include me. I think this has something to do with the rape issue and her ability to trust people. I think she may be unable to believe that I could love her unconditionally.

I have been thinking my situation over and don't know what to do. I love her with all my heart but I am receiving virtually nothing from this relationship right now. Do I hold on to her and give her the space to come to grips with her life and hope that I will be in the big picture later on, or do I end it on the condition that she needs time for herself to decide if I am an important part of her future life? Please respond because I'm crawling out of my skin.

I've been going to therapy for some time now for general anxiety and obsessive tendencies, since about October last year. My question is do people always want to go to therapy or is normal sometimes to feel like "ugh, I don't feel like going/care to go tomorrow" like if it's more a burden or a... "Nuisance" than anything else. I can confidently say it's been helping me! But why do I feel like that sometimes? Is it normal? Shouldn't I know that I need it. That it's good for me?

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

I spent 11 years in the service and multiple deployments to Iraq, Afghanistan, and other places where I saw combat. I wanted to retire from the military, but not in the manner that I did. I was medically retired last year and I know that I am having issues with readjusting to my new life, have post traumatic stress disorder, and traumatic brain injury from some blasts during my last deployment. My problem is that I do go to the VA and I am trying to get my life moving forward, but it seems they just keep giving me a handful of some pretty powerful pills and are not really doing much for me. I have been on and off several different sleeping, anti-depressant, anxiety, and a lot of other stuff that I don't really know about for almost a year now. Are there other resources available for disabled veterans to use other than the VA? If so how do I get in contact with them? And should I continue taking all this medication that makes me feel like a zombie?

I suffer from overeating constantly and binge eating. I've gained a considerable amount of weight and have tried to get my eating under control as a result, but when I try to stick to a diet, all I think about is food. I can't stop thinking about food until I eat something; when I try to ignore it, the urge doesn't go away. It's hard to think about anything else, so I usually give in. I feel out of control, like food controls my life, and like I'll never get my weight down to a weight I'm comfortable with. I don't have health insurance, so I can't get psychotherapy. How can I get my eating under control? Do you know of any free accessible resources I can use like books or websites that would be helpful?

My roommate attempted suicide and I found her in the bathroom. She wants to come back to school next semester but I don't think she is better even though she has recieved professional help. How can I ever trust her again and feel comfortable? I am scared constantly at being alone with her. What do I do? How can I tell her about my fears?

I have a huge crush on one of my coworkers. I am single but he is not, so I have never made any passes or encouraged myself to flirt with him. Five months ago, as I was the last one to leave from work (so I thought), I ran into him. I was surprised that he was still there. To make a long story short, he tried to assault me. I got away. I'm experiencing terrible confusion. I am still attracted to him! I can't stop thinking about him and whenever he ignores me (and he does...constantly), I feel like I'm going to go crazy!

I can't tell anyone; no one will believe me. They would say that I provoked him and that I wanted it to happen. I can't give up the job. I need the income to get through college! Why do I feel this way? What happened to me? Why would he do something like this if he has a girlfriend?

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.

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!

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?

I'm a senior, and for the past three years, I've been using an antidepressant called Celexa to treat my chemical depression. Recently, I asked my doctor if I could switch to Wellbutrin, because it has lower sexual side effects. I feel much better emotionally on Wellbutrin, and I am experiencing much more sexual drive and pleasure these days. However, the stupid pill makes me very jittery — slightly nervous and very twitchy, you know, like a bunny's nose. What should I do? I'm feeling so much better on this drug, but I can't go through life feeling jittery all the time.

Is a therapist ever allowed to use/share my information without my knowing (for publications, case studies, etc.), provided he/she conceals my identity or otherwise makes me "untraceable"? I'm worried about becoming "material."

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've heard about an eating disorder in men sometimes called megarexia. It is supposed to occur in bodybuilders or men who avidly workout. I heard it is an obsession with gaining weight or muscle. Can you tell me more about it?

Thank you for everything, and it is being appreciated by thousands. I have read all your advice to others and have learned a lot. However, I have a problem that I do not know how to handle. It started when I decided to turn myself around from being bisexual to straight (nobody knew what I was, except my best friend, who is also bisexual). I now have a big hole inside me that is being filled by the dark things of life (such as hatred). I had good qualities, such as a great personality, being open-minded, and I would rather go through life without it than turn back to the "bad" habits (please do not get me wrong, I will never judge gays for I have been close to being one). Please help me to fill the hole with life, to get back or improve on my qualities, and to gain the knowledge to approach and attract someone of the opposite sex. And one last thing, do you think it is wise to let my future girlfriend know what I used to be?

My best friend has a weight complex. She constantly asks me if I think she's fat and even asks my boyfriend what he thinks of her weight. She isn't overweight and I just wish she would stop worrying about it all the time. Is there anything I can do to convince her she isn't fat?

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?

I was wondering if there is such a thing as attention addiction. I don't mean attention deficit disorder, I mean grown adults who crave attention and are addicted to getting positive or negative attention (like drama). Is there a true disorder where a supposedly mature adult can be addicted to drama and attention from other people to the point of doing weird behavioral things to get attention? And, if there’s a disorder, what are the signs and symptoms? Is a diagnosis required for the individual to attend therapy to help him/her stop?

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?

I'm thinking about seeking therapy for my anxiety and I was wondering if you could talk about the different types of therapists out there. I know the difference between psychologists and psychiatrists is a psychologist didn't go through med-school and so can't prescribe drugs, but what about cognitive-behavior therapists versus... well, whatever else is out there?

Thanks!

I am a male survivor of childhood (homo)sexual abuse and incest. I have recently stopped my horribly abusive alcohol and drug habits and am having to deal more with my issues now that I'm not using "painkillers." I'm worried that if I don't do something soon, I might be miserable for the rest of my life and may never be able to have a relationship or even sex. I am very hurt by the fact that there are no resources on campus for male survivors. All the groups are for women, as if male survivors don't exist. Anyways, please refer me to any resources you are aware of in NYC. Thanks.

My best friend is in an abusive relationship! And he knows this! He married his wife about a year ago, when she was 19 and he was 21. And since then, she's verbally abused him, hit him, and even broke down their door once to get to him when he had locked himself in his room. But he refuses to do anything about it, since he "loves her so much." I hate seeing him like this. I'm worried about him. He's been physically hurt by her a lot. And while he can hold his own without getting seriously injured, it's painful to see. He calls me a lot, feeling upset about what she's done... I'm so worried about him.

He's told me he knows she's abusive, and that he wants to take her to marriage counseling... but I know that won't help. I don't want to sound biased, but she's very close minded and I know she won't listen to any counselor. But he "loves her so much" and "doesn't believe in divorce". What can I do to help him?

How can students get support after a suicide on campus?

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?

What do you do if you feel suicidal and don't have anyone to tell?

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 look at my reflection time and time again, and I ask myself: "Is that me?" At some point during the past 3 years or so of my life (throughout which there has been no specific traumas I can name, recall, or otherwise), I have lost the ability to recognise my own reflection. Looking at recent photographs, I often have to take a few moments to recognise myself then. Older photographs are even harder to recognise, especially if I was unaware of the photo being taken. Do I suffer from some kind of neurological pattern-matching disorder? It reminds me of dissociative identity disorder, but I have no referential 'other identity(ies)' to work this from. Is this a common problem for 16-year-olds like myself, or am I going insane faster than I thought?

I have suffered from agoraphobia since the age of thirteen. I am now twenty. I have tried hypnotherapy counseling and psychologists and herbal tablets, but nothing seems to help me. Please, can you help a young, outgoing twenty-year-old who wants to start living!

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've been seeing this guy off and on for a few months. We're not a couple, but we're definitely more than just friends. (College is making it a bit difficult for us to actually be a couple.) But that's beside the point.

We were having a very serious discussion the other night, as he and I have already been through quite a bit. And all of a sudden he said that he was raped by one of his friends when he first started college. He's never told anyone that, except for a therapist that he saw for a while after that.

I've had female friends that have been raped (very few, thank god), and it just seems wrong to deal with him on the same level as I deal with my female friends. One, the relationship is different. Two, he's a guy, not a girl. There are obviously different sympathies that I need to give. The only problem is, I don't know how to show him that I am sympathetic towards him, that I am here for him no matter what.

Do you have any advice about how I go about this. I really want to be here for him, whether we remain friends, or become something more. Thank you for anything in advance.

I was raped by my best friend a few years ago. I was a virgin then, and still, years later, I can't seem to "go all the way" with anyone. How can I stop freaking out and messing up relationships?

Sometimes at night I'll have a dream, and then it'll happen! There's no knowing if or when it will happen, but if I have a realistic dream one night, it's bound to come true at one point or another. For example, in first grade, I dreamed that I was in a place I had never seen or been in my life. I didn't even know it existed. Then, in third grade, I walked into the room that I dreamed about in first grade. It was the computer lab of my new school. Or I could be walking down the street and meet someone I have only met in a dream, in the exact same scene as the dream. It is all very confusing, and I think it may be either some sort of precognition or a mental disorder. Could you please tell me why this happens?

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 frequently drift into talking to myself when alone or even when walking on the street. Is this healthy? I find that so long as I don't talk for a long time, it leaves a good effect on me. However, sometimes it's just a sub-conscious way of wasting time. Should I actively try to stop myself from this self-talking, or should I let myself "be natural"? I am twenty-four!