Do I need counseling?

General symptoms:

  • Constant worry
  • Irritability
  • Tension
  • Headache
  • Feeling in a dreamlike state
  • Fearful feelings
  • Fear of losing control
  • Jumpiness
  • Restlessness
  • Sweating
  • Dizziness/lightheadedness
  • Keyed up/on edge
  • Agitation
  • Nervousness
  • Trouble concentrating
  • Insomnia/trouble sleeping
  • Decrease in sex drive
  • Trouble making decisions
  • Sad/depressed/down in the dumps
  • Lack of/loss of interest in things
  • Helpless feelings
  • Fatigue - lack of energy
  • Weakness
  • Increase or decrease in appetite
  • Increase or decrease in weight
  • Frequent crying or weeping
  • Frequent thoughts of death or suicide
  • Worthless feelings
  • Excessive feelings of guilt
  • Hopeless feelings
  • Feeling life is not worth living
  • Sleeping too much
  • Frequent negative thinking
  • Memory problems
  • Fear of doing something uncontrollable
  • Fear of dying
  • Chills
  • Seeing or hearing things that are not real
  • Fear of going crazy
  • Fever
  • Repetitive, senseless thoughts
  • Repetitive, senseless behaviors
  • Fainting or feeling faint
  • Tremors, trembling or shakiness
  • Seizures
  • Easy bruising
  • Skin rash
  • Violent behavior

Other signs, events, or situations which can indicate a need for you to contact us:

  • Explosive outbursts, such as angry, statements, profanities, gestures, etc.
  • Talk of suicidal or homicidal threats or urges
  • Inexplicable changes in behavior and/or mood
  • Dramatic weight loss or gain not due to dieting or organic causes
  • Eating disorder symptoms
  • Frequently falling asleep in class or chronically tired and listless
  • Unusual physical symptoms such as recurrent headaches or aches and pains which have no known organic basis
  • A history of being emotionally, physically, or sexually abusive
  • An inability to draw boundaries in relationships
  • A pattern of poor mate selection that nearly always results in you or the other person being hurt
  • Prolonged feelings of grief that interfere with normal functioning
  • Recurrent and disabling test anxiety which appears to be related to self-confidence and low self-esteem
  • Argumentativeness or combativeness or profound timidity
  • Feelings of being overwhelmed and uncertainty over what to do about it
  • Excessive procrastination
  • Deterioration of personal hygiene
  • Continuous talk of despair
  • Recurrent substance abuse
  • Phobic or avoidance behavior
  • Chronic panic symptoms
  • An ongoing, disruptive conflict with parents, spouse or lovers
  • Domestic violence
  • Sexual harassment
  • Sexual orientation issues
  • Issues with sexual functioning
  • A history of a need for psychotropic psychiatric medication
    (Today we have a number of excellent medications, with fewer side effects, that can control your symptoms and allow you to function. Unfortunately, there aren't and probably never will be any that can solve the problems which often underlie and generate these symptoms. If you have a need for or are taking medication, counseling combined with the appropriate medication is the most expedient long-term solution to your personal issues.)

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