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CLOSED to anymore questions feel free to read answers by Paola, a therapist of 7cups Online Therapy

soulsings October 7th, 2021

Hi everyone!
Welcome to the second in a series of monthly events called "The Therapist's Office". This is an AMA thread dedicated to your questions about therapy and how you might benefit in coping with particular challenges you face in your life. The therapist’s answers to your questions will follow some time within a week after the thread is started, in this case by the 15th of October. To subscribe, so you can follow this thread and the therapist's answers, either post a question in this thread and/or hit the subscribe button in the upper right to get alerts when new posts are made to this thread.

We welcome your questions, but what type of questions should I ask? We welcome questions about therapy and coping skills for particular mental health challenges you face.

This month's therapist answering questions is Paola Giordani,MA, therapist of 7 Cups online therapy program. To learn more about them check out their profile.

Please avoid asking the therapist for specific advice like "should I date this guy after meeting him online?" You may ask the therapist for coping options with the particular mental health challenges you face and they can share options that you may want to consider, but this is not an advice column. It is more like a place to learn about how online therapy at 7 Cups could help you deal with life and the many challenges it presents.

If you have any customer service-related questions please email mailto:support@7cups.com as they cannot be answered in this thread. Finally, please avoid questions about medication and drugs as these are best suited to be answered by your physician, and anything not normally discussed in 7 Cups forums.

If you have a question about this thread, please feel free to PM me https://www.7cups.com/@soulsings

I am subscribed to this thread and eager to hear your questions and the therapist's answers.

soulsings


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amiablePeace77 October 7th, 2021

Hello Paola,

Thank you for allowing us to ask questions to you here.

How can one deal better with situations causing anxiety because of not getting needed important answers/information?

2 replies
PaolaGiordaniMA October 8th, 2021

@amiablePeace77 Thank you, and you are very much welcome! It's a very interesting question. Generally people use information to calm their anxiety, so when information is not available or when there are no answers, anxiety tends to spike. When this happens, it's important to make peace with the fact that the information is unavailable, which is something we cannot control. Also, understanding the cause for the lack of information/answers can help with controlling anxiety. Many times in our lives we'd like to control things and situations, but unfortunately we can't always do that. A lot of people cope with anxiety doing yoga, meditation or mindfulness exercises, those can be a lot of help too.

1 reply
amiablePeace77 October 11th, 2021

@PaolaGiordaniMA

Thank you for your reply. I meditate and find it very helpful, need to get back to a regular yoga practise.

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BreadBed October 8th, 2021

Two questions, what is your opinion on self-diagnosis?

And is it weird that I sometimes want to cause problems for myself or go back to old problems I had? Either because I'm extremely bored with my life or because I feel like I'm not suffering enough to vent about the pain I have as it is

2 replies
PaolaGiordaniMA October 8th, 2021

@BreadBed Thank you very much for such an interesting question. Self-diagnosis can be the first step towards an improvement in mental health, although I do tend to discourage it because I believe that it is important to have someone professionally trained and licensed to do the diagnosis. That way, the person can get the exact kind of help needed. Regarding to whether it's weird or not to want to go back to old problems, it is my belief that there can be better ways of improving boredom that also allow you to grow. From my perspective, it would be really good to see if you can benefit from therapy so that you can achieve different goals and growths in your life.

1 reply
BreadBed October 9th, 2021

@PaolaGiordaniMA Thank you for answering!

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Mika512 October 8th, 2021

I find it so hard to express myself, especially publicly. I feel ashamed, doubt the validity of what I said, feel embarrassed, and beat myself up for even opening up my mouth. I hate this! It's so hard to authentically show up. I'm so worried about how others will see me and start to crave their acceptance. What is going on?

2 replies
PaolaGiordaniMA October 8th, 2021

@Mika512 hank you for the question, it is more common than we know to have fear of speaking in public and to worry about how people will see us. It is considered a form of anxiety that can range from slight nervousness to paralyzing fear and panic. Many people with this fear avoid public speaking situations altogether, or they suffer through them with shaking hands and a quavering voice. It could also be that you have a different kind of anxiety that addresses more to social situations than public speaking, but the good news for both situations is that they can be successfully treated. Cognitive behavioral therapy is a skills-based approach that can be a successful treatment for reducing this fear.

1 reply
Mika512 October 9th, 2021

Thank you! I never considered social anxiety, but that is it! I appreciate your time.

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justme1400 October 8th, 2021

I always have flashbacks whenever I experience something that is similar to the past. I was physically abused and whenever I have those flashbacks, I can't control my tears and just start crying so badly. I also shake because of nervousness and I don't know how to cope with it, whenever I have those.

1 reply
PaolaGiordaniMA October 8th, 2021

@justme1400 I am sorry to hear that you are going through this, it is very hard to feel this way specially since you can't control it or don't know what is going on. It might be that you have a certain condition that would need to be addressed by a trained and licensed professional. Flashbacks and shaking, all what you describe, seem to be pointing towards a condition that can be treated with success; I encourage you to find a therapist to help you heal this.

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KareemX October 8th, 2021

Hi Paola,


Thank you for taking the time to answer these questions.


My question is about the function or point of therapy. It has been suggested to me, however, I am not convinced of its merits. When I read the lines about 'what is therapy?' or 'what can therapy achieve?' it seems to be more or less the same generic no informative answer pasted allover the Internet.


I would like to know how can therapy benefit me when really, I know more about me than anyone else. On top of this I have access to the same books, papers and journals as any therapist and so can most likely come to very similar conclusions on my own?


Kareem

1 reply
PaolaGiordaniMA October 8th, 2021

@KareemX A very interesting question, Kareem, thank you. The meaning and scope of therapy is something that is very complicated to explain on an internet post. It's not just about thoughts and conclusions, it is about how the inner world of the person is working, how they feel and why the feel that way. A trained and licensed therapist can see things that a person cannot see in themselves and can help understand situations and feeling from different perspectives and points of view. Therapy is a process where the person and the therapist work together to understand the inner world of the person in its complexity thus providing the person a greater comprehension of themselves and it allows also to heal from hurtful experiences.

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FrozenGhost October 8th, 2021

Hello Paola,

I'm posting this again because your suggestion was "group therapy". My original post follows (To refresh your memory) You called it very "detailed" and it is, but I left out one important detail. I cannot do group therapy. I cannot do therapy of any kind. I can only discuss personal things like this anonymously. So I was hoping you'd have some strategies to suggest that do not involve therapy. Strategies other than the ones I've already tried. Many thanks.

Original post below:

I struggle with self esteem and social anxiety. I've tried many things to address these issues. For the self esteem, I've tried exercise and getting in shape, making lists of things I like about me, positive affirmations, volunteering. For the social anxiety, I've tried putting myself out there with things like volunteering and taking classes in a bunch of different hobbies. I've tried deep breathing, positive thinking, mindfulness, meditation, online CBT exercises, journaling.

In case you are going to tell me "these things take time", you should know that I've been doing them for years already. I've also explored the causes and know why I am this way, but that knowledge has not helped me manage or cope. None of it has helped me improve my self esteem of to be manage my social anxiety enough to form friendships with other people. I'm 50 years old and I've never had a friend, never been in a relationship or even on a date because of my struggles.

My questions is, what strategies other than the ones I have already tried would a therapist suggest to me to help with self esteem and social anxiety.

3 replies
PaolaGiordaniMA October 8th, 2021

@FrozenGhost Thank you for clearing that up for me. Here are some strategies that might help with self esteem issues:

1. Identify and challenge your negative beliefs: first you need to identify the negative beliefs you have about yourself and then challenge them. Take notice of your thought about yourself, see how you talk to yourself. For example, you might find yourself thinking: "I'm not clever enough". When you do, look for evidence that contradicts those kinds of statements and write them down so you can remind yourself that they are not true.

2. Identify the positive about you. Make a list about the positive things about yourself, when you feel low or down, you can look back at these things to remind yourself.

Regarding social anxiety: list the different situations that cause the most discomfort, the ones you feel utterly unable to face which might include: interviewing for a new job, meeting with people, introducing yourself to people.When you begin to feel overwhelmed by anxious thoughts, try challenging those thoughts and replacing them ¡with more helpful ones through a technique called realistic thinking. You can try this by asking yourself some basic questions about the scenario that’s worrying you and providing honest, balanced answers.

And, I wouldn't give up on group therapy. I know you said you cannot do it, but the point of that therapy is exactly that: to help you and others with social anxiety and it is specifically tailored for people that feel the same way you do.

2 replies
FrozenGhost October 8th, 2021

Thank you Paola, it was very kind of you to answer my follow up question. Sadly, you give me 2 strategies I'd already tried, the challenging negative thoughts (the online CBT exercises I did) and making lists of what I like about myself, the positives.

Thanks anyway thought, bye


adventurousBranch3786 October 9th, 2021

@PaolaGiordaniMA There was a time in my life when I couldn't lift my head to look at people or talk with people. I was seeing a therapist individually who suggested group therapy. It was hard but it was helpful to me. It's kind of like practicing being around people in a small setting with a therapist there to help you. (It costs less too).

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Ro1172 October 8th, 2021

I appreciate you doing things like this first of all. It's hard for some people to get to therapists so making it freely accessable even for 1 question is very helpful.


What I want to ask is this: when you've already sought help and know coping mechanisms for your issues but occasionally still suffer from them, would you say there's a next step, and if so what would it be? For example I've made peace with a lot of emotional issues but I still have problems with certain situations triggering me to self-injure, but it's only a worst case coping mechanism. It's impossible for me to rid myself of every stressor in life, so the source issue will never go away. I know other coping strategies but only sometimes are they effective enough. Is there anything else I could do to combat the problem, or is it just a case of continuation to cope?


Thank you in advance for any response.

2 replies
Ro1172 October 8th, 2021

I should add I've been to therapy twice and both instances came to a natural close as we weren't really making any more progress

PaolaGiordaniMA October 8th, 2021

@Ro1172 Thank you, it's a very interesting question because as you say, we cannot eliminate every stressor in our lives. First of all, I'd suggest to find ways to work on your stress management. But if that is not the case, here are some other coping mechanisms that seem to work well: holding ice cubes in your hands, keeping a rubber band on your wrist — you can snap it against your wrist whenever you feel you need to, drawing red lines on your body, where you would otherwise self-harm, using exercise to release pressure and stress, writing, drawing or scribbling on paper with a red pen, doing meditation, such as practising relaxation or breathing technique, focusing your attention on something simple for some time — this may help your negative thoughts pass, talking with someone you trust. Sometimes you need to switch coping mechanisms and find out which one works best for a particular situation.

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gregariousPear3934 October 9th, 2021

Hi Paola! Thank you so much for doing this it's so cool.

So, I've been going to counseling but I'm having a lot of trouble opening up. I start feeling like my struggles are small things I should be over by now. I also sometimes regret sharing so much after a session- I almost start feeling like I should be keeping this all to myself and not getting any help because I should handle it on my own and others need her time more.

Do you have any suggestions to not feel like a burden on my counselor and to feel comfortable confiding in her about deeper issues?

2 replies
PaolaGiordaniMA October 9th, 2021

@gregariousPear3934 You are very welcome, thank you for posting a question. Therapy is a very personal process, very intimate and can sometimes feel overwhelming to share all the experiences and feelings. Don't regret opening up, a therapist is trained and understands all struggles, big or small and never judges a person. Nobody has to fix their issues on their own, company and help is very important. You most certainly are not a burden to your therapist. We, as therapists, enjoy the work we do and want to help the people that search us out. Would you be willing to tell her this and see why and how you are feeling this way? I'm pretty sure you'd get some important insight on this and that will allow you to feel much better with her (and probably in other relationships too). It' really hard, I know, but maybe you can try sharing this feeling so that you can work through it.

1 reply
gregariousPear3934 October 9th, 2021

Thank you, I think I will bring it up. It would probably be a great help to hear her thoughts on this.

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versatileCircle4710 October 9th, 2021

heyy

before we start, I'd like to clear Sume stuff up, I'm 16 and my parents are really conservative regarding mental health and issues and strict too.

that being said,

I've not had that happy and good teen life and tho it's really stupid compared to other people, it has affected me tremendously. all my friendships in the past have ended on bad terms or rather spontaneously and my ex "best friends" have said some really harmful things.

then in my first "boyfriend" also ended things by saying some things that haunt me till today like "you will never be loved, mark my words, you are not capable of it" and some other things which are not appropriate to say here. my second boyfriend played a big role in making me insecure on things that I was never insecure of.

then my parents and my sister are the biggest hypocrites in the world and I can't stand them. my father has never hit me but mother and sister sometimes do, but the usually just verbally degrade me.

and tbh there are many more things but all in all, it wasn't all rainbows and sunshine as many people think of me.

I've been suffering from depression and anxiety for over 3-4 years now but I could never go to therepy for it. but these few months are getting really bad and hard for me.

so, do you have any advice for me?

anything is appreciated.

thank you..

have a great day



1 reply
PaolaGiordaniMA October 9th, 2021

@versatileCircle4710 Hello, thank you for sharing with me. You seem to be having a complicated time right now. I am sorry that your family feels this way about therapy, but maybe talking to a listener on 7Cups could help a bit. Adolescence is a hard time in and of itself, and with all the things you have going on, it really must be complicated. Journaling could also be of help, writing things down, expressing thoughts and feelings on paper about the events in our lives can help us to move on and forward.

1 reply
versatileCircle4710 October 12th, 2021

thank you for the advice! I'll try it out

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aquaChestnut2238 October 9th, 2021

Hey Paola!


Thank you for doing this.

I'm in my mid 20s. I'm currently trying to prepare for an important exam, but I can't focus on my studies for more than 10 minutes. I've always been this way. I have serious trouble concentrating on things. I have memory issues too. I'm fidgety, always restless. Right now it's causing me a lot of distress. My friends suggested that I should seek out therapy and talk to them about ADHD. But I can't afford therapy right now. I took some online tests (Ugh yes, I did) just to get an idea. I know those tests shouldn't be trusted, but they said I might have ADHD. I just want to know where I can find additional resources or help figuring this thing out, since I can't go to a therapist. Even a website where I can find more info would be appreciated. Thanks again!

2 replies
PaolaGiordaniMA October 9th, 2021

@aquaChestnut2238 Hi! Thank you for posting your question. Your friends might be right, but it would be important to get a confirmed diagnosis by a professional. While this seems complicated right now, maybe you could check out this site https://chadd.org/for-adults/overview/ which supports a variety of resources for ADDH. I really do hope this can be of help to you.

1 reply
aquaChestnut2238 October 10th, 2021

Thank you so much!

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