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'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'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 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!