Mental Health Conditions and Treatment Options

Dear Alice,

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.

Dear Alice,

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?

Hi Alice,

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!

Dear Alice,

I'm thinking about seeking therapy for my anxiety and I was wondering if you could talk about the different types of therapists out there. I know the difference between psychologists and psychiatrists is a psychologist didn't go through med-school and so can't prescribe drugs, but what about cognitive-behavior therapists versus... well, whatever else is out there?

Thanks!
Thinkin' about Therapy

Dear Alice,

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.

— PMS?

Dear Alice,

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!!

Dear Alice,

Sometimes I feel like I don't want to live anymore. I know in my heart that I would never kill myself. Sometimes I just feel unhappy. I am at college and would like to speak to someone, but I am scared that they would make me go to the hospital. I don't want to do that, but I just need to talk. Do you think if I mentioned this, they would hospitalize me?

Alice,

For a long time, I have managed to persevere through some really messed up situations with family, friends, and life without seeing a counselor. It is not that I hold a negative opinion of counseling; it is that I can't afford it. I've hung tough; I'm a little proud of that. I've survived.

Dear Alice,

What is "gaming addiction"? Is it a real thing? I can play some games, like World of Warcraft or League of Legends, for a whole day, and I've sunk 150+ hours into RPGs. How many hours in front of a screen are too many?