How do I support a friend in crisis when we’re long distance?

I have this friend that is in a really tough place right now, especially because of quarantine and social isolation. Recently she has been heavily considering killing herself, she’s been having panic attacks, mental breakdowns, trouble with family, and also having terrible sleep paralysis causing her to not want to sleep unless she’s extremely tired. She has even tried to kill herself a few months ago by trying to overdose, and me and her usually talk every day and now she’s been responding less and less and it’s starting to worry me... At this point I just don’t know how to help her anymore than I have tried, if it weren’t for this quarantine I would just want to hug her to help keep her feeling safe. What do I do to try and help this friend of mine and keep her alive? Cause she just doesn’t think things will ever get any better, I really like this girl and I don’t want to lose her yet... once again, how do I help her out?


How to help a friend who’s struggling with alcohol?

1) I have two friends who I think are drinking too much. I don't know what to do. They are very defensive should anyone say anything to them about their excessive habit, and a lot of our friends are giving up on them. This has become a daily thing and their schoolwork and friendships are all suffering. They are both 21; one recently broke up with his girlfriend of several years and the other has been single for a while and he hates it. I know that has a lot to do with it. Please suggest some non-intrusive ways to help them. I'm really at a loss.

2) Last year, I became very good friends with a guy on my floor. He was a little out of the ordinary in the way he dressed, as well as in some of his opinions and habits. I had the feeling that he did drink more than he should, and he also did pot. I did not worry too much about it because it appeared to be more of a lifestyle choice than an addiction, and it did not cause him major troubles.

Unfortunately, he started to have academic problems. He did not do his work, missed classes, and eventually exams as well. I still did not relate these things to his alcohol and drug habits, and I hoped that once he got over the adjustment everyone needed to make in freshman year, he would be fine. Well, he wasn't. He did not come back to school this fall, and when I called him, I learned that he had gone through a lot that summer. He was diagnosed with depression and a cocaine addiction, put on Prozac, and sent to therapy. At that point, I thought that he was on the right track because he was also going to get a job and planning to take classes at a nearby college.

However, when he came to visit me a month later, he had already had two beers before he even came here and got more and more drunk as the evening progressed. I would not let him drive home, but he ignored my warnings and left anyway. I was very disturbed because a friend of his had just been in a drunk driving accident. I was very mad at him, told him clearly that I will always be his friend but prefer not to talk to him or see him if he showed up drunk again. He did not call for a while and neither did I. When he called me yesterday and I told him that I thought he should do something about his alcohol problem, he kept repeating his excuses, that he drinks because he is Irish, that he doesn't care if he dies early as long as he had fun in life, etc. On the other hand, he can't find a job and seems to be very depressed. I want to help him, but I don't know how. Any ideas?


How many friends should you have as an adult?

At around 25-30 years old, how many close friends would you need to have in order to live a healthy and happy life? Currently I have 4 reliable people I can depend on. I lost a few close friends along the way, I had 6 in total, should I try to get them back somehow, or just make new ones?


Is neck and back cracking all it's cracked up to be?

1) I read the information on your website about knuckle cracking, and I was wondering if it applies to cracking backs and necks. I know that people often have their backs cracked by friends, etc. because it feels good and seems to relieve tension. Also, when my neck feels tight, I often turn it from side to side until it cracks and feels better. I've heard that chiropractors do some version of this, and call it "realignment." Is this safe? Is there a right or a wrong way to crack a back or neck? Is cracking your back/neck actually therapeutic in some way?

2) As a college student, I sometimes spend long hours reading books or looking at computer screens, and often my neck gets stiff. Like many of my joints that get stiff, sometimes I crack my neck, like I would crack my knees or fingers when they feel stiff. I often wind up doing this several times a day.

My question is, could I do irreparable damage to my spinal system if I continue using this method to soothe a stiff neck? Could I wind up a paraplegic if I continue to crack my neck? Leak spinal fluid, etc.?


When are colds contagious?

When is a person with a cold contagious? A couple of friends, who are put off when I keep my distance from their sneezing and coughing, insist one is only contagious a week or so before symptoms appear. In the back of my memory is the idea that one remains contagious until a few days *after* primary symptoms disappear. I'm not usually so concerned about this, but I'm coping with a couple of other annoying health problems and want to try to avoid adding a cold or flu, to boot. I do the usual things news shows recommend — eat well, wash hands frequently. But when should one avoid others who have colds, or when should one stay isolated at home when one has a cold (or flu)?


How can I approach my friend about her constant competitiveness?

My "best friend" of almost 4 years now has always been competitive, but it's never been something we've discussed. Every time I'm wearing something trendy or saying something new, she will do the same thing. When we used to run in aerobics class, she would constantly try to beat my scores. I confronted her about that, but she never seems to learn — she still copies me and competes with everything from grades to guys. If I address the problems I've had in the past, I will look stupid because usually I would be the type to bring it up, but my life was too hectic at the time. Should I really "waste" time talking to her about her competitiveness? Or, is there a way to hint at it or persuade her to do something original?


What are the symptoms of a heart attack?

1) I've heard that the symptoms for heart attack differ for men and women. Could you please send me info on these differences? Also could you give me some possible diagnosis for a feeling of heaviness in the chest?

2) Is it possible to have a heart attack without knowing you're having a heart attack?


Is stress causing my chest pain?

1) For the past year now, I have been getting sharp chest pains. Sometimes it feels like I am about to have a heart attack. I find it painful to breathe for the couple of seconds that it happens. The sharp pains occur mostly in the lung/heart area. However, I have also felt them in the lower chest area as well. I don't know what is causing this.

Also, it occurs most frequently during the school year. I should also note that during the school year, I tend to eat greasy fatty foods. However, I had my cholesterol level checked (95) which is low. These pains come any time of day, while I am sleeping, walking, sitting, etc. I am 21-year-old female, if that helps.

By the way, I have a doctor's appointment back home later this month. But I want to have an idea why this happening. Others mentioned to me things about stress, something about a dog's heart, and I was even thinking that it might be cancer.

2) I've recently been experiencing chest pains in the sternum area. Although I don't believe it is related to heart trouble, I think the pain is originating from the bones or muscles attached to the sternum. I have seen doctors but most are clueless as to where the pain may be specifically originating. An interesting side is that during times of stress, the pain is more severe and concentrated at specific points along the sternum. One hypothesis is that the pain may be related to an injured sterno-manubrial joint. If indeed this is the case, what therapy is available to a poor, uninsured student? My mental health is being affected since my once pumped-up, rock hard body is slowly atrophying since I can't lift weights without extreme pain. I'm depressed because the size of my chest is now smaller. What do I do? What's wrong with me?


Is it harmful to sleep on my side?

Is sleeping on our left side in any way harmful for the heart (or anything else)? Some people tell me we shouldn't do it and others tell me it's actually better than sleeping on our right side. What's the truth?

Thanks!