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!

Your advice to "Surround yourself with positive, healthy people" is good. But this is part of my insecurities. It seems that everyone will want to surround themselves with positive, healthy people; but if I'm not healthy mentally, why should people want to be around me? I fear I'm excluded because, even when I try to hide my insecurities, they still show and people don't want to be around a "downer." Any advice on this aspect?

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!

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.

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.