Hi,

So I would like to know what you think, I have been lucky enough to see a therapist for three months in an organisation that provides free counselling. She has really helped me and I want to thank her with maybe a card and or a box of chocolates but I don't know if it is appropriate.
I think it is because the service was free so she has been giving her free time to help me and I have seen cards in her office, would a small box of chocolates at the end of our last session be appropriate ?

Thank you for your advice

Is it Possible? YES

So what is it that is possible? Right to the point. What I am saying is possible is that the deep amount of sadness and depression you are presently in can be changed. Not in 10 weeks but in 10 minutes. Sure , right, this person is way out of their mind and I am not going to keep reading is what your saying. STOP. Keep reading, I did not say eliminated in 10 minutes but changed. After the ten 10 minutes you are on a road to wellness and in that same day you will start to experience major changes throughout your body and mind. Yeah right. I would not write this if I have not experienced it myself for one full week.( referring to number 2, breathing and exercise )Do I know the pain of depression? To the deepest levels imaginable. Not only in the mind but the body. Imagine taking a 10 inch giant cutting knife to your chest everyday for a full month and for every second of the day you are seeing yourself killing yourself. Maybe you don't have to imagine but at least now know your reading thoughts of someone who knows your pain. Spending years in agony and torture with only one thing driving me. A higher cause or purpose higher then myself( which can be a loved one, animals included, helping people , etc) So all that I can do now is share what I have learned. Since we live in an age of instant information I will write down ten of the most important factors for change to take place.

1)Desire to take action to make the change and giving up any habit of fear and doubt. Meaning just give something a try and see what happens. You hear this a lot but it is absolutely true. Once you commit, something will happen that breaks a pattern or a state your in that you don't want to be in.
2) Using your body and breath to instantly make an impact on your present state( exercise, walk run, jumping jacks, weight lifting, push ups,etc) this can help with anxiety as well. What I am relearning is what a deeper impact the use of my body and breath then me trying to think myself out of something. Even completely changing my posture can cause something positive to happen. Cant walk or run? Try standing or sitting and lift your arms and move them like your rowing a boat.( both arms at the same time) Breath in through the mouth while pulling and breath out while your releasing. Try this at first for 7 to 10 times and see what happens. You will get energy. Throughout the body and mind. Do it again if you can or until you get to that state. If it doesn't happen after two attempts , stop,it will effect you within an hour. Breathing is key . Your a smoker? Try it anyway. It will be a great way to start valuing your breath. Need to relax? Breath in through the nostrils, hold a few seconds then exhale deeply. This I would not overdue , maybe two times, because you need to get used to it and it is very powerful. Take it from someone who doubted this for a long time but then tried it. It works. It gives you the charge your going to need to fight the bad condition your in. The rowing , breathing exercise can be done as much as you want. The nostril breathing takes some building up to. Stretching for a minute or two is excellent as well. Want to wake up and feel better instantly? Try some cold water and rub it over your face a few times, even try rubbing it over your upper body for a minute. Try warm water for relaxing. About exercise , if you have not done it for a long while, just do it for a very short time. Eventually you will be able to work up to more intensity. Remember BREATHE.
3) When your thinking is bad get into someone elses thoughts that are much better and positive and uplifting( book, music, you tube etc)
4) Its often said that fear is the main reason that holds people back from making a change or taking action. As true as it is, its doubt that holds us back just as much if not more. Please stop doubting and start trying.
5) Think of three options( you might think of more) that you have to break the...

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i am 23 year old and doing a job as a designer.
now a days my feelings is very dirty and i start doing fantasy about dirty things.
i can't explain what should i do now ?

Usually people who struggle with drug and alcohol abuse or other forms of addictive behaviors come from a background of abuse or neglect or have experienced some kind of trauma when they were younger. Being in these situations, a child and/or a young person can experience various painful feelings such as fear, helplessness, shame, guilt, sadness and eventually hopelessness. Becoming overwhelmed by these emotions and not having anybody to help them and validate their feelings may lead to them learning to run away and avoid such feelings to protect against pain or become consumed by those feelings and act upon them impulsively. Later in life, they may use substances or engage in addictive and destructive activities to numb those painful feelings. Despite their effort in avoiding these emotions, they are stored implicitly in a deeper level of the brain and will be triggered more often than they may have expected.

These emotions that have been stored in a less conscious part of the brain may not be accessible verbally, but can be found symbolically in images that the person creates. Therefore, the goal of art therapy is to access these hidden and avoided emotions that once had the purpose of protecting the individual, but either have been denied or exaggerated and lost its purpose to rediscover their adaptive qualities.

Images in an art therapy session can simply be composed of a few lines, colors or pictures from a magazine to more elaborate drawings, clay sculptures and other forms of creativity. These images will give an expert art therapist the opportunity to help the recovering person uncover meanings behind the symbolic images, discover more information about oneself than just talking and open many deep thoughts and emotions. Participants in art therapy don’t need to have any skills in art.

Talking about feelings can be very frightening and painful for a person who has been avoiding them for a long time. This person may not even be able to verbally express him/herself, but may be able to express thoughts and feelings about past and present events and situations non=verbally through lines, shapes and pictures. Creating them can become a new form of communication which is less threatening and safer for the recovering person.

Individuals struggling with addiction are usually very judgmental of themselves and are flooded with shame and guilt. Creating art can give them a tangible, concrete perception of their feelings and thoughts and give them the opportunity to observe themselves from a distance which can help them gain a new, less judgmental and more compassionate understanding of self.

Recovering individuals may engage in a simple art project whenever they feel overwhelmed or have an urge to take drugs/alcohol or engage in an addictive activity to distract and sooth themselves. Creating can give them a sense of control over the situation and a tool to accept and manage overwhelming feelings. Using their hands while using art materials such as colored pencils, markers, crayons, clay, paper and scissors can help them release some of their avoided feelings such as anger and lower its intensity, and to sooth and calm themselves when they are anxious.

In general, in art therapy sessions, the recovering person will be given permission and opportunity to experience and express those feelings that he/she has been running away from and avoiding for a long time in a safe and supporting atmosphere, with the presence of an empathic professional psychotherapist /art therapist who will help him/her understand and make sense of those painful feelings, acknowledge and accept them with compassion, reduce their intensity and tolerate them, and finally use them effectively to fulfill their needs and goals.

I'm in a long distance relationship for 8 months but we've known each other for 3 years. Recently my BF told me that he is confused about the relationship and he's not sure he wants to be in one. Everything was going very well. I would go visit him and he'd visit me. We talked everyday, texted all the time & Skype. He'd tell me he loved me all the time & that he missed me (when we were apart). Memorial Day weekend we went camping with friends of his and we had a good time. I came home and about 3 weeks after he went MIA. He was distant. Out of the blue on Wednesday he tells me he's not sure he wants a relationship or be in one. He still wants to talk. I started searching anxiety online and found there's a thing called relationship anxiety. He does suffer from anxiety. When I read the symptoms of this type of anxiety it fit him perfectly. My question is how do I handle the situation, how can I help him? Or should I let him be so he can decide wether or not he does want to be with me. I love this guy to death so I'm crushed about this. It's hard to let go.