What do you do if you feel suicidal and don't have anyone to tell?

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 look at my reflection time and time again, and I ask myself: "Is that me?" At some point during the past 3 years or so of my life (throughout which there has been no specific traumas I can name, recall, or otherwise), I have lost the ability to recognise my own reflection. Looking at recent photographs, I often have to take a few moments to recognise myself then. Older photographs are even harder to recognise, especially if I was unaware of the photo being taken. Do I suffer from some kind of neurological pattern-matching disorder? It reminds me of dissociative identity disorder, but I have no referential 'other identity(ies)' to work this from. Is this a common problem for 16-year-olds like myself, or am I going insane faster than I thought?

I have suffered from agoraphobia since the age of thirteen. I am now twenty. I have tried hypnotherapy counseling and psychologists and herbal tablets, but nothing seems to help me. Please, can you help a young, outgoing twenty-year-old who wants to start living!

Sometimes at night I'll have a dream, and then it'll happen! There's no knowing if or when it will happen, but if I have a realistic dream one night, it's bound to come true at one point or another. For example, in first grade, I dreamed that I was in a place I had never seen or been in my life. I didn't even know it existed. Then, in third grade, I walked into the room that I dreamed about in first grade. It was the computer lab of my new school. Or I could be walking down the street and meet someone I have only met in a dream, in the exact same scene as the dream. It is all very confusing, and I think it may be either some sort of precognition or a mental disorder. Could you please tell me why this happens?

I don't have what would qualify for legitimate reason to go to the campus counseling center. Is this service typically only for medical related problems? I just want to be able to talk to someone about some of my problems right now. I feel like I "know" the answer to all my questions (regarding time management, developing healthy eating and sleeping habits, confusion, signs of depression, life management, etc., etc.). However, I thought it would be helpful to talk to a professional that would help me talk through some of things I'm thinking about. Who can I see?

Thanks very much for being here, for all us angst-ridden students of the world. My problem is that my father died two years ago from a heart attack that he suffered on his way to work. It was very difficult to comprehend his death. It seemed to be so unfair and arbitrary. I was angry. Very angry for a long period of time. I am over that now. I learned that anger is easier, more expedient to deal with than the nitty gritty of emotions.

While I was in England, the leader of the British opposition party died of a fatal heart attack. The news has devastated me. I keep thinking of the awful things that I went through when the same thing happened to me. Will I ever get over this?

Could you comment on therapists who violate boundaries with their patients — sexual and non-sexual (i.e., emotional, personal, financial, professional) boundary violations? Do you know if there are any resources for people who have been exploited by therapists? Thanks.

I AM A LIAR... I lie to my friends, I lie to my family, I lie to people I don't even know, but most of all, I lie to myself. Sometimes I catch myself telling a story to someone and actually believing myself when I made the whole ordeal up. Do I have a problem? Am I a pathological liar? How can I reverse my lies and come clean without hurting the people I love?

I go to a college that offers free counseling to students. While I would like to take advantage of this, I feel that my pride is getting in the way of getting any help that I may need. I’m afraid of someone seeing me walk into the office, and someone seeing me in the waiting room of the office as well. (The door is left open). Any ideas on how I go about this? I'm also worried because a guy I know and work with, also works in there. He is the obnoxious, jock-type and going in there while he is working, is a concern of mine — also, if he sees that I have an appointment.

In the past I have self-mutilated and recently there has been a lot of added stress to my life. I've heard about wearing a rubber band on your wrist as an alternative. I was just curious are there any downsides to this method, as an example I have been doing this for a week now and I have gotten a bruise on my hand, it probably isn't from me snapping the rubber band but I was just wondering if there is anything I should know about this method? Thanks

I've always been something of a hypochondriac, although my friends and family know nothing about it. As a child, I would regularly convince myself that I had appendicitis. As a teenager, I worried about being pregnant despite never having had vaginal intercourse. As a college student, I worked in a hospice for late-stage AIDS patients. Although I never had contact with blood or semen, I convinced myself that I may have contracted HIV somehow by doing their laundry with some kind of minor cuts on my hands I never noticed, or because a patient drooled on my hands. I've been tested at least three times since then, but I still haven't gotten over it and am nervously preoccupied with the idea that I have infected the whole two people that I've ever slept with. At the moment, I'm also convinced I have cancer. I *know* I'm completely wrong about all of this... I know, I know. And get this: I'm in medical school now. It's only going to get worse. Help me!

Are there any techniques for controlling crying? I doubt that my problem requires clinical attention; however, it frequently manifests itself as a serious handicap. During conflicts (particularly with professional superiors or with significant others), I find myself unable to defend my position, which only makes the problem worse. Sympathy only tends to aggravate the crying and it is impossible to stop once it starts. I am a twenty-four-year-old graduate student, and I don't seem to be growing out of it. Any suggestions would be greatly appreciated.

I was wondering what types of SSRIs would work best for social anxiety and panic attacks so I can discuss with my general practitioner? I know different ones work better than others for this problem, but I'm not sure. I don't find that my current medication helps much. Thanks so much!

I suffer from overeating constantly and binge eating. I've gained a considerable amount of weight and have tried to get my eating under control as a result, but when I try to stick to a diet, all I think about is food. I can't stop thinking about food until I eat something; when I try to ignore it, the urge doesn't go away. It's hard to think about anything else, so I usually give in. I feel out of control, like food controls my life, and like I'll never get my weight down to a weight I'm comfortable with. I don't have health insurance, so I can't get psychotherapy. How can I get my eating under control? Do you know of any free accessible resources I can use like books or websites that would be helpful?

I think I have severe PMS. I get so angry at times that I want to throw things and hit. I have no patience with my kids. It only lasts a couple of weeks, but I am worried I might hurt my children. I always manage to stop myself and leave the room, but what happens if I can't stop myself next time?

Please help.

My girlfriend has recently started taking Paxil for anxiety that she has suffered from since she was young! Paxil works great for her anxiety; however, she has gone from being multi-orgasmic to being unable to orgasm at all! My question is, "is there an anti-anxiety treatment med or otherwise that doesn't have the sexual side effects?" Please help!!

I have a very strong aversion to certain food textures such as potato (mashed, chipped, roasted, etc.), that causes me to gag violently. I am 22 years old and have a BMI of 16 which I blame in part to my very unbalanced diet. I am constantly lethargic but am eating three good portion meals a day. I was wondering if there was a way to get over this sensitivity as I am eating cereal without milk every morning, plain pasta for lunch and a pizza for dinner every day, I am looking to be a lot healthier with my life.

I have been bulimic for six years now. I have tried so many times to quit, but I always fail. When I eat I feel guilty about it sooo much that it is impossible not to purge. I feel so helpless. My boyfriend walked in on me the other day, and the look on his face broke my heart. I REALLY want to recover, but I need help. And I have no idea where to go. I will be a starting college this September, but I don't want to wait that long. I want help now.

I spent 11 years in the service and multiple deployments to Iraq, Afghanistan, and other places where I saw combat. I wanted to retire from the military, but not in the manner that I did. I was medically retired last year and I know that I am having issues with readjusting to my new life, have post traumatic stress disorder, and traumatic brain injury from some blasts during my last deployment. My problem is that I do go to the VA and I am trying to get my life moving forward, but it seems they just keep giving me a handful of some pretty powerful pills and are not really doing much for me. I have been on and off several different sleeping, anti-depressant, anxiety, and a lot of other stuff that I don't really know about for almost a year now. Are there other resources available for disabled veterans to use other than the VA? If so how do I get in contact with them? And should I continue taking all this medication that makes me feel like a zombie?