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!

Last year I was Teetering on the Brink and this year I've fallen off of it. The teetering individual who was worried about how much she thought about food and her weight has turned into a very scared person who has fallen off the brink, with little on her mind but what she eats, when she eats it, and how she looks. I haven't had my period for almost a year and exercise compulsively until I can't anymore, when my legs simply hurt so bad and my knees won't hold me up. Worse, I seem to be losing bladder control — several times when I've been very tired, I've wet the bed at night or been unable to wait until I got to a bathroom. I can't live like this anymore and every morning I promise myself I'm going to change but then night rolls around and I've not changed a thing. Please tell me something that will help — I never knew desperation's face was this thin.

My best friend and I got into a fight. It's been a month and he won't speak to me. He says that he needs time, but that's the one thing I can't give him. I feel so hopeless and I've gone back to cutting after being clean for 11 months. I'm just so sad all the time and it just hurts — so much more than I know how to describe. And I know I shouldn't allow my happiness to be dependent on another person, but it is because he was the only one that actually cared. And I just don't know what to do. I can't bring myself to go to see psychological services and I tried calling hotlines, but I just can't go through with it. I'm trying to move on, but I just want the pain to stop. I miss him so much. And I apologized profusely, but he doesn't care. He doesn't care and I can't handle it. I'm just so upset and I just need help. I don't know what to do.

It's past Thanksgiving vacation and I am still not happy my first year at college. I don't feel like I have a solid routine and yet I feel like I'm in a rut. I have a few friends but they're not really people I want to spend my next four years with and I feel like the cliques have already been decided and I have trouble running up to people and introducing myself anyway. I'm bored all of the time and I sleep an ungodly amount of my life away, and all the literature says that I should be adjusted and having a swingin' time by now. And I'm not. I just want to take control of my life and make it, y'know, START, but I don't have the energy and I wouldn't know where to begin anyway.

My roommate attempted suicide and I found her in the bathroom. She wants to come back to school next semester but I don't think she is better even though she has recieved professional help. How can I ever trust her again and feel comfortable? I am scared constantly at being alone with her. What do I do? How can I tell her about my fears?

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 am a senior who will soon (hopefully) be graduating with a BA in Anthropology. During my freshman year, I chose my major because I thought it would be interesting to study. Now I realize how completely useless a degree in Liberal Arts is unless you also go to graduate school and get at least a Masters, if not a PhD. I don't want to go to school anymore!

While I enjoy my major and feel like I've learned a lot, sometimes I think I should have just majored in business, engineering, or some other "real" major that would have helped me get a job. I feel like the last few years have been completely for nothing, and find it very difficult to motivate myself to finish, or even start, any schoolwork during this last year. I'm beginning to not even care if I graduate at all.

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.

I am a recent college graduate relocating to a new city. I would like to seek counseling when there to work through a lot of these issues, but I frankly do not see how I would be able to afford it. Would you have any recommendation as to where I (or anyone in general who might have this problem) could locate free or low-cost counseling?

Also, while I understand many jobs include counseling as part of a health plan, this may or may not be an option for me (and others), so I would appreciate any alternatives to what you might suggest. Thank you for providing such a service to the Internet at large. You're really a godsend.

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.

My partner gets nervous every time I see my psychotherapist because she doesn't like the idea of me talking about our relationship. For her, it's anxiety-producing because she fears there are things I tell my therapist that I don't tell her. For me, it's anxiety-producing because I feel like my therapy sessions should be a safe and confidential space for me and because I feel like having that space has made our relationship better overall. How can I assuage her fears and anxieties without feeling like I have to, a) tell her everything I say in therapy, or b) lie and say that she doesn't come up?

I am a 22-year-old male grad student, now starting my second semester at in graduate school. I have been doing very well academically, but my studies and my work-study job leave me absolutely no time for a social life! I have not been on a date since I got here; though I meet a lot of interesting people, and am in the habit of collecting their phone numbers. However, I can never seem to find any time to spend with them. Sometimes this really depresses me. I have noticed that I have lately been smoking much more heavily than I used to.

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 can't tell if, or when therapy is working. What are reliable signs of effective therapy?

I have a problem with self-confidence. Whenever a person compliments me about something, in my head, I disagree with them. This has also affected my love life. When I am in a relationship, I can't help but to ask myself, why is this person interested in me? Well, that's all I wanted to say. Please help me by giving me advice.

Where can I stay if I can't go home during college breaks? I came from an abusive household. What are your suggestions? Are there places students can stay at a reasonable price?

I was adopted when I was two and a half years old, and I still have a lot of issues from it. I don't really like myself and at times; I feel like I don't know who I am. I never let myself become close to my adoptive family, and still feel uncomfortable and out of place around them. I don't have many friends. I isolate a lot and don't really trust people. I am always scared to make friends for fear that I won’t be accepted or liked. Growing up I often turned to drugs and alcohol to escape these feelings and to feel comfortable with myself. The problem now is that I am 22 and I have a two year old daughter. I feel like I need to get over this so I can be a good mother to her, and raise her to know and love herself. I feel lost, what can I do?

I have really small boobs. I know everybody says it doesn't matter, but I know to guys it does. I'm afraid if I'm doing something with a guy and he feels them, he'll laugh or something. It didn't happen last time, but it could with my new boyfriend. Is this just a confidence problem or something else?

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?

I've thought and thought about this, but can loneliness kill you? I've lived through my teenage years, twenties, three-quarters of my thirties, but am still hoping that just around the corner will be the one. If not — can loneliness kill you?

1) My partner says she does not care for the "doggie" position because it causes her pain. I, on the other hand like to experiment and want to try everything. I guess I want more than just vanilla and she says if vanilla is great, continue to go for it. I guess I'm trying to sort out facts first. First, I know that only about 8 percent of women engage in this position. I guess I want to try it occasionally because the position gives me sight sensory as well as feeling. Anyway, I tell her I'd do anything she wants, anything to satisfy her in exchange for having sex in this position. I guess it's an obsession which becomes more of an obsession when it is denied!

Back to what she says. First, is that the angle is painful. She says the position is against the normal "curve" of the penis as it would enter in missionary position. Now on to the emotional side. What happens is that she will eventually consent but then because I feel guilty I jackrabbit and I can't enjoy it! What can be done to stop the pain she says is there? Is some of it emotional?

2) I like to have sex 'doggy style' more often than I could at the moment because my wife complains that it is painful. Is that common?