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?

I am a New Yorker who is in college at the moment. Several of my friends from school are living and working in the city this summer, and I love having them around. Whenever I make plans with them, though, I feel a great pressure to make sure they have a good time. As the person who knows New York best (the subway, good restaurants, etc.), I feel like it is my responsibility to make plans and decisions when we go out, and I feel inordinately guilty or embarrassed if the plans ever go awry (e.g., if I mistake the address of a bar, if a restaurant turns out to be unexpectedly expensive, or even if the local subway line unexpectedly switches to the express — things that are often totally out of my control). I know this is silly; my friends can clearly take care of themselves, and I know they don't depend on me for fun. But the pressure that I create for myself is detracting from my own enjoyment. How can I stop holding myself to these absurd expectations and just enjoy myself?

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?

I am scared to seek counseling. The papers are on my desk for me to turn in to the counseling center. But, something is holding me back; I'm not sure what. Do you have any suggestion as to how I can make the final step? There is something about getting past that initial first step that scares me to the point of nausea.

I have terrible anxiety about writing papers. Because of this, I put them off, need to ask for extensions, and then have more anxiety about completing the assignment. In addition, when I start writing, I find it difficult to keep going, especially because I hit what may seem to others as small roadblocks, like uncertainty about citation format. I don’t experience nearly as much stress about other types of work (e.g., studying for and taking exams). What can I do to get over or at least cope reasonably with this fear?

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.

Do you have some advice for someone suffering from low self-esteem? Some things that I struggle with: comparison of myself to others ("She is so "together!" Why am I not like that? What is lacking in me that makes her better?"), lack of faith in my abilities ("I'll never be as good as him at that — I might as well not try."), lots of self-criticizing ("Why did I sign up for this class — I should have known I couldn't handle it."), always saying yes to people or feeling like I've said the wrong thing... you get the idea. I've been feeling pretty unmotivated lately too, and I think this just adds to the problem. Can you give some advice, dear Alice?

I am an eighteen-year-old male and I have had an embarrassing problem my entire life. My nipples are rather large and round. I'm not fat, and the rest of my body looks normal, but my nipples protrude and look very strange. I have spent much time doing every chest exercise imaginable, and although my chest muscles seem to grow, my nipples just get pushed out further. This has been a source of insecurity for me for a very long time. I am ashamed to take off my shirt in front of others. I really think that my nipples are the only thing keeping me from having a nice body. Is there anything that can be done to correct this problem?

I'm currently coming into my second year at a famous but huge university in a big, crowded city. My first year had its ups and downs, but I made a couple friends. The problem is, I commute, and I'm finding it hard socially. I've been depressed for the past year, thinking I'm regressing because I'm not meeting as many people as a normal student would. How does one go from meeting someone in class to hanging out with them on weekends? I feel like I am mostly the one initiating, so I feel like I'm imposing. In addition, the university is rigorous, so I don't always have the time to join the clubs. Any tips on how to make a lot of friends from classes even though I am not dorming?

I recently found out that I am being deployed. I am so concerned with it every minute of the day that I find myself becoming depressed and overwhelmed. What are some good ways to manage these anxieties?

I have sensitive hearing. This is a major problem when I am trying to go to sleep. I find myself singling out every noise. Currently, I live in an apartment close to a major ventilation system. I can hear a very low frequency sound coming from it. It wouldn't bother me except for the fact that it is a random, consistent noise. Think of a ticking clock that doesn't tick at an exact rate, but ticks once, twice, maybe three times every second.

However, my roommate cannot hear this sound and my girlfriend can only hear it if she really strains to. Myself, I can hear it over music, TV, running water, etc...

I am beginning to envy people with hearing disorders. I am at the point I'd be happy to be deaf.

My question is: Is there a way to decrease my hearing ability at least in the lower frequency range?

Thank you.

I am a freshman who has just moved into the "social dorm." It's only been a few days, but I already feel like my place in the social strata is being cemented — I'm somewhat overweight, and although I can be very talkative and can force myself to make the effort to meet people despite being nervous, I feel like I'm already being classed as one of the straight-edge less popular types. I don't mind that I'm not the type who makes 500 friends instantly; I'm still managing to make a few good acquaintances/potential friends.

The problem is that the people I make friends with aren't really the party types, and while I'm not a huge party person either, I still want to get to go to some and have the whole "college experience." How is it that other people are "in the know" about parties and stuff like, as soon as they get here? What are the qualities that make them seem to bond so instantly? How do I get myself invited to at least some of these events?? I don't want to crash the parties and show up alone...

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?

What is the difference between grief and major depression? A few months ago, my boyfriend died in a car accident. Lately, I have been very depressed, but I am not sure if it is just part of the normal grief process or if it is depression.

The mother of one of my best friends from high school was diagnosed with liver cancer a few months ago. She is quite ill and in a lot of pain. She's been in and out of the hospital lately and things don't look so good. My own father was diagnosed with prostate cancer a year and a half ago, but he is really doing quite well (with medication, treatment, etc.). My friend's mother will probably be dead within six months to a year, so I'm not going through an immediate crisis.

My question is: What things should (and shouldn't) I be saying to, and doing for, my friend? I try so hard to be there for her but I really don't know what she's going through. She is very matter-of-fact about the fact that her mom is going to die. But I'm sure there's something I could be doing, isn't there? I hate feeling like I'm actually making her feel worse! Could you give me some idea of what she might be going through right now and how I could help? Even if it's a method for taking her mind off it occasionally (if that's a good idea).

The last week or so I've been having anxiety attacks or at least that's what I think they are. I've been tossing and turning at night. We have just moved, which isn't unusual. My husband's job moves us around a lot. I've never had this problem before and I'm starting to get worried. Should I see a doctor?

I have just entered into my first real relationship with a guy that I really like. The problem is, he's incredibly bright. So much so that it intimidates me a little. He doesn't brag or make me feel unintelligent (and I know I'm not), it's just a part of who he is. He cares a lot about me, but I want to feel that our relationship is more than physical. I've always valued intelligence, and I really enjoy being with this guy, but there is an aspect of him that I'm not able to be a part of. Thanks for your help.

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!!!!!!!!!!!

How can I become more optimistic?

Recently, I've noticed that my one or two of my friends have taken to cutting themselves. I'm concerned for them... but I've done the same thing in the past and they know it. How do I confront them without sounding like a hypocrite?

I have Vitiligo on my penis and on other parts of my body, but it's really starting to mess with my head with girls when they first see my penis. I mean, there's nothing wrong with it, it just has loss of pigmentation. What should I do?