Is it important to have a primary health care provider?

I've been hearing a lot about having one health care provider follow my medical history, but I'm fairly healthy and don't have a chronic disease. I've been switching from my local doctors when I'm home to the on-campus docs. Is it really that important, given that I'm a healthy individual?


Can I talk about my relationship in therapy without my girlfriend getting uncomfortable?

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?


What should I do if someone close to me disclosed they were raped?

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.


How can I handle all my friends dumping their problems on me?

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.


Is it normal to talk to yourself?

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!


What are my rights as a patient?

On a recent gynecological visit, I requested an HIV test. The doctor, a woman, responded with the question, "Why, too many New York nights?" I was shocked by her response, but, because I felt intimidated by her, I disregarded her remark. After I told her that I had never been tested and thought it was time, she looked at me and said, "I think you're okay." Needless to say, I did not get tested by her.

During my exam, a Pap smear, she put on her rubber gloves and then realized that she couldn't find an instrument. So she rummaged through the drawer, went to the door and turned the knob, requested something from the nurse, closed the door, and proceeded with the exam. She never changed her gloves. I was appalled, but never said anything. I don't know why, but she totally intimidated me — one of those women who seem to have all, brains, beauty family, wealth, etc.

My question to you is, do I report this woman? If so, to whom? It happened several months ago and it was outside of NY state. I appreciate any reply. Thank you.