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How can I help my partner when she has a panic attack?

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?


If someone's sexually adventurous, does that mean they're more likely to cheat?

If my wife is sexually adventurous, does it mean she's more likely to cheat? My wife is slowly opening up to me about how sexually adventurous she wants to be (I'm talking bondage-type stuff), and I'm afraid that maybe she might cheat in the future if her "appetite" isn't met. I haven't voiced any of these concerns, I've been completely supportive of it and actually would be completely ok with doing all of it. I just worry that maybe the adventure-ness might be a sign of promiscuity?


Is anal sex okay if I'm in remission from Crohn’s?

I have had Crohn's disease for 16 years and am in remission right now. Recently my boyfriend and I have been toying with the idea of anal sex, but I'm concerned about it given my health issues. I have a lot of thickening of the terminal ileum walls and worry that the "trauma" of anal sex could set off a flare up and be painful because of the narrowing. Any thoughts? I'm way too embarrassed to discuss this with my male doctor. Thanks!


Why can't I stay erect?

1) It seems that I can't maintain an erection for more than a couple of minutes during intercourse. In fact, sometimes it doesn't seem to want to get up and play at all. The girlfriend is really starting to take this personally, but I know it's not her fault. Help! Are there any vitamins, diets, etc. that may help?

2) To put it very simply, I am having trouble having erections for a while now. I used to be able to. I can't have them at all, during intimate encounters or during masturbation. I get a little "hard" but cannot get completely hard. Could you please help me? Thank you!!


What can I do to stop spending time online?

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?


Can being hospitalized for anorexia be helpful for recovery?

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?


How can my long-distance girlfriend and I improve communication?

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.


Is it normal to not always feel like going to therapy?

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 can I adjust to civilian life after years of military service?

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?


Why am I still attracted to someone who assaulted me?

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?


What can I do if my new relationship is affected by my partner's former abuse?

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 about burnout?

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!


How can I help my friend who struggles with mental health and can't afford professional support?

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.


How do I feel more comfortable with a new sex partner?

First, I'd like to thank you for this service! It's been so informative to read the advice you've given others. I'm a female grad student and have just gotten into a relationship for the first time. I have a few questions regarding oral sex: my boyfriend loves to suck my nipples and I feel great when he's doing it, but after a while, my nipples start to feel tender and actually hurt sometimes... is this normal? He's not rough when he's doing it, so I'm not sure why this happens.

Also, when my boyfriend "goes down" on me, I worry about what he thinks of my smell and taste. He says he likes it, but I can't be sure... is there some way of finding out if my scent is normal? Can he pass any infections (to my vagina) from his saliva? (He has had only 1 one-night stand affair and he used a condom that time).

Also, I masturbate him (I stroke his penis) until he "comes," but I'm afraid of tasting his "come." He hasn't asked me to, but I think he would like it if I did... how can I overcome this inhibition? Are there any risks for me? I appreciate any help/advice... Thanks a lot!


How can I support a friend with mental health concerns when I’m struggling myself?

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?


How can I have more pleasurable sex when my partner's penis is too large?

I have encountered a problem I never expected; my boyfriend is quite simply very large. I am unable to perform oral sex except for the first couple of inches due to the girth, and vaginal sex is not totally satisfying for him because he is too long and cannot fully penetrate without causing me significant pain. I've seen my doctor, and am reassured that there is physically nothing wrong with me — no infections or scarring, but am finding it difficult to come up with a solution. Any suggestions?


Is there a connection between soy products and male impotence?

I once read an article stating the soy products (espcially soy milk) can lead to impotence within males if taken to a high degree. I go through random bouts in my life where I cut out cow milk completely and drink just soy milk for long periods of time (not because I'm lactose intolerant but for argued health benefits). I'm just wondering whether drinking strictly soy milk every day (at least 3 10-oz. glasses for me) is overkill.


What's the difference between fluid during arousal and discharge?

This might sound like a gross question, but I do need an answer! When my partner performs oral sex on me, I'm not sure if my vagina is moist because I'm wet or because I have vaginal discharge... which is what? Isn't it normal for a woman's vagina to be somewhat moist, and to have a little discharge? When a woman gets wet, how can she tell? And know the difference between that and discharge?

Also, my partner and I haven't tried intercourse yet (I am a virgin)... I've read your previous answer to a man who said his penis might be too big for his partner; I am worried that I'm too small/tight for my partner. It doesn't look easy for him to even enter, and I don't know how I can make my opening wider to accommodate him (how much foreplay, how long?). How much pain does the woman feel? Thanks a lot!!


Why was my first time so painful?

1) I have never had sex, but I have tried now twice with my boyfriend, and it has been incredibly painful. It felt like there was a barrier inside me, and the second time I bled. I feel like I am relaxed, and my boyfriend is very gentle and slow, but it still really hurts — more than I think it should. I am able to use tampons — I'm not that small — but I don't know what the problem is. Is it supposed to hurt this much? Could there be something wrong?

2) I'm a virgin, and the first time my boyfriend inserted his fingers in my vagina, it hurt a lot, and I got sore down there. I didn't reach an orgasm, but faked it so he would stop. I didn't enjoy it at all and I was wondering... is this going to happen when I have sex? Is it going to be as disappointing?


What can I do if I'm experiencing an aversion to sex with my long-term partner?

I've been with my boyfriend for just over 4 years. Our sex life has always been the strong thread in our relationship, even when we've had trouble in other areas. We both feel we are the best sexual matches we've ever had. But over the past 8 months things have slowly degraded on my end. He is still as excited as ever, but I just don't feel like it. When we try, I actually feel physically protective, as if blocking my body from a stranger, especially my breasts. It's like a physical compulsion to protect, but neither of us have a history of abuse in our relationship or outside of it, and his approach is loving and open. When he's clothed and we're not about to have sex I love holding him, being held by him, standing next to him, touching him, etc. I'm not physically repulsed by his body: I recognize that he's a ridiculously attractive man! I had some advice that I shouldn't force myself to have sex if I don't want to, but I've also heard the opposite: that I should stop thinking and just push through my body's shutdown. Most of the times when I do force myself I end up enjoying it, but that doesn't take away this "repulsion" feeling at the start. The worst thing is that he feels rejected and dissatisfied and keeps asking what he can do to turn me on. What to do?


Why am I depressed as I navigate my sexuality?

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?


Why am I foaming after sex?

Today my partner and I were having sex and he "released" himself inside me. After sex, he began using a dildo on me until I was satisfied. Well, after going in and out of me real hard and fast, a foam-like substance began to appear. The foam was exactly like hair mousse. I am not on any type of birth control (he has a vasectomy), and I was recently tested for STDs a couple of months ago and everything was fine. Could you please tell me what this may have been from!


Can lowered testosterone levels in women reduce sex drive?

Do you have any information on the effects of low testosterone concerning sexual desire in women? After I got pregnant, I have had a significant drop in sexual desire and think it could be related to low testosterone. Any info on the subject? By the way, this problem had nothing to do with stress, marital problems, or the baby. Everything in my life is great except I lost my sexual desire and want to get it back. THANKS.


Are there resources for male survivors of childhood sexual abuse and incest?

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.


How can I help my friend who's in an abusive relationship?

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?


What should I do if I'm a conservative Christian and I'm considering sex before marriage?

I'm a Christian, very conservative in upbringing, and I'm having difficulties in discussing sex in an open and casual manner. I told my male friends that sex should be done within the parameters of marriage. But they told me that I should have a first sexual experience so as to satisfy my wife or maybe a girlfriend (I don't have one yet). Should I follow their opinion regarding this? Should I first know the sexual dynamics of sexual intercourse before doing it with her?

I would appreciate your kind response.

Thank you.