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!

Whenever I am in a very stressful situation such as an approaching big deadline, my body gets unusually tired and sleepy regardless of how much rest I get. I sleep well but it never seems to be enough. Why do I get so sleepy and what can I do to prevent this change when stressful situations approach?

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?