How is food addiction similar to drug addiction?

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!

1) I think I might have OCD. I worry about it a lot and I want to go to a doctor, but I am too afraid. Can you please tell me the symptoms of OCD. Thank you.

2) I think I might have OCD. Since I was about 12 or 13, I started thinking really strange thoughts. I always felt like there were eyes watching me. I know its irrational to think such a thing, and I know there aren't any, but I get this weird feeling there are. I have to cover my windows in dark colored papers and check for any holes in them regularly, so there isn't the tiniest hole for someone to peek through. I have shades as well, but I never feel like they're enough. I also have to regularly make sure my windows are locked, sometimes I'll lock and relock them a couple times until it feels like the lock worked. The same with my bedroom door, I will not sleep at night if my door is unlocked, and sometimes I relock it more than once, or even reclose my door more than once. It doesn't always feel like it properly shut the first time. I also have to turn any faces away from me. My stuffed animals can't look in my direction, and I wont hang pictures up in my room if it feels like it has eyes on it. I'm not scared of eyes necessarily, I know some people with beautiful eyes. I just can't take them staring at me. I also know they wont hurt me, either, but it feels as if somehow they will. I don't know how.

I'm really feeling like I might be going crazy. I'm stressed out beyond belief! Should I bring it up with my doctor? Should I get a therapist? Could this be OCD?

I was wondering if there is such a thing as attention addiction. I don't mean attention deficit disorder, I mean grown adults who crave attention and are addicted to getting positive or negative attention (like drama). Is there a true disorder where a supposedly mature adult can be addicted to drama and attention from other people to the point of doing weird behavioral things to get attention? And, if there’s a disorder, what are the signs and symptoms? Is a diagnosis required for the individual to attend therapy to help him/her stop?

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?

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?

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 am trying to find a therapist. I have to go in-network for my health insurance to cover it, so I have this long list of therapists, but I don't know anything about them. Do you have any suggestions as to how to go about choosing one and/or questions to ask? Is there a "Go Ask Alice!" answer I could read for this info? I found my last therapist through the recommendation of a colleague at work and another through my school's counseling service. Now I need to spread my wings and find a professional therapist on my own! Yikes!

Thanks for any help you can give me!!!!!!!!!!!

I'm a senior, and for the past three years, I've been using an antidepressant called Celexa to treat my chemical depression. Recently, I asked my doctor if I could switch to Wellbutrin, because it has lower sexual side effects. I feel much better emotionally on Wellbutrin, and I am experiencing much more sexual drive and pleasure these days. However, the stupid pill makes me very jittery — slightly nervous and very twitchy, you know, like a bunny's nose. What should I do? I'm feeling so much better on this drug, but I can't go through life feeling jittery all the time.

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!