Ever since I was in junior high, I have been pulling out my hair. I can remember not being able to pull my hair into a ponytail because the hair at the nape of my neck wouldn't reach. I still have this awful and shameful habit. I don't see it so much as just a habit, like the way one might bite one's nails, it's more like an obsession. I'll just sit and stare into space and pull clumps of hair out of my head. I remember having seen a program on T.V. which dealt with this habit as a medical problem that is curable with medication. Unlike the men and women represented on this program, I am not stripping myself bald — yet. I tend to consider it a form of self-punishment, perhaps. Just to give you some background information, I have a tendency towards bulimia (cycles of bulimia occur when my depression is at its worst) and am in general not a happy camper. What can you tell me about this?

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!

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!

I was date raped by a man who I was seeing. I had broken it off with him a month before, but got into a situation where he attacked me. The problem now is he is friends with many of my friends, and he works at a place I must go to frequently. I haven't told my friends because I don't want them to confront him. I haven't seen the man since he raped me and I am afraid to. I know my friends will want to see him, and I know I will eventually run into him. I guess my question is what do I do when I see him? I don't want to talk to him, but I am afraid he will try and talk to me. I am scared of my reaction and don't want to have a freak out in front of my friends (although I know that they would understand). How can I leave this situation behind and resume normal life, not being afraid of seeing him in my everyday life?

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?

1) I have been a student for two years now and still suffer from terrible anxiety when it comes to doing a presentation or speaking in class. When it comes to presenting in front of my classmates I become so nervous that I can barely speak. I perspire; there is minimal shaking; feel so embarrassed that it even makes me want to cry. Now I even feel physically ill. It has gotten to the point where I refused to do a presentation last semester and my grade was badly affected. I know everyone becomes anxious in such situations but I truly feel there is something else going on with me because I've had to do presentations before coming to school but never felt this terrible. Even speaking in class is a very hard struggle, and my grades depend on it!

2) I have an extreme problem with speaking in front of groups of people (especially speeches). I can't do them! My voice either doesn't say anything, or it shakes like I am going to cry or something. I know public speaking is like the most common fear, but mine is one I must confront. What kind of options do I have besides books? Any ideas?