Why do I pull my hair out as a form of self punishment?

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?


Are there resources for male survivors of childhood sexual abuse and incest?

I am a male survivor of childhood (homo)sexual abuse and incest. I have recently stopped my horribly abusive alcohol and drug habits and am having to deal more with my issues now that I'm not using "painkillers." I'm worried that if I don't do something soon, I might be miserable for the rest of my life and may never be able to have a relationship or even sex. I am very hurt by the fact that there are no resources on campus for male survivors. All the groups are for women, as if male survivors don't exist. Anyways, please refer me to any resources you are aware of in NYC. Thanks.


How can I help my friend who's in an abusive relationship?

My best friend is in an abusive relationship! And he knows this! He married his wife about a year ago, when she was 19 and he was 21. And since then, she's verbally abused him, hit him, and even broke down their door once to get to him when he had locked himself in his room. But he refuses to do anything about it, since he "loves her so much." I hate seeing him like this. I'm worried about him. He's been physically hurt by her a lot. And while he can hold his own without getting seriously injured, it's painful to see. He calls me a lot, feeling upset about what she's done... I'm so worried about him.

He's told me he knows she's abusive, and that he wants to take her to marriage counseling... but I know that won't help. I don't want to sound biased, but she's very close minded and I know she won't listen to any counselor. But he "loves her so much" and "doesn't believe in divorce". What can I do to help him?


Can I talk about my relationship in therapy without my girlfriend getting uncomfortable?

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?


How do marijuana and Prozac interact?

I have two friends who were recently diagnosed with depression. They were both prescribed Prozac by their respective doctors. Both of them are heavy marijuana users and both failed to mention that to their doctors. One has been on Prozac for two months and the other for six weeks. I have noticed that their behavior has become strange: mood swings, paranoia, oversleeping, fatigue. They continue taking their Prozac (20 mg a day) and continue smoking pot. I am afraid that there might be some negative interaction between the substances, one being an antidepressant and the other a depressant. Can you provide some insight?


What should I do if someone close to me disclosed they were raped?

I've been seeing this guy off and on for a few months. We're not a couple, but we're definitely more than just friends. (College is making it a bit difficult for us to actually be a couple.) But that's beside the point.

We were having a very serious discussion the other night, as he and I have already been through quite a bit. And all of a sudden he said that he was raped by one of his friends when he first started college. He's never told anyone that, except for a therapist that he saw for a while after that.

I've had female friends that have been raped (very few, thank god), and it just seems wrong to deal with him on the same level as I deal with my female friends. One, the relationship is different. Two, he's a guy, not a girl. There are obviously different sympathies that I need to give. The only problem is, I don't know how to show him that I am sympathetic towards him, that I am here for him no matter what.

Do you have any advice about how I go about this. I really want to be here for him, whether we remain friends, or become something more. Thank you for anything in advance.