Books by Dr. M

Getting to Know the Real You: 50 Fun Quizzes Just for Girls, by Harriet S. Mosatche, PhD
Getting to Know the Real You: 50 Fun Quizzes Just for Girls

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— January 22, 2017 —

I'm feeling very confused. I am struggling with the possibility of being transgender. I've always hated feminine clothes and items, and I have always been better friends with boys. I'm still attracted to boys, but I feel like subconsciously I want to be a boy, as I have fantasized/thought about being a boy several times. I even asked my friends who are also female if they also felt that way—and sometimes wanted to be a boy—but they all just looked at me strange. I don't want to change my physical appearance (my genitals) to be that of a boy's, but I feel like I would be comfortable and confident in myself if I were allowed a chest binder and to be called by he/him pronouns. I am very confused. Can you please help? I know my mom would not want to talk about this with me. She'd probably be ashamed of me.

— Conflicted, 13


Dear Conflicted,

First, I want to sincerely thank you for reaching out, as I cannot emphasize enough the importance of taking away the stigma of this topic and having open conversations about gender Identity. It’s a complex, difficult subject to discuss for many people who are struggling with it. Confusion in this area often stems from looking at gender as consisting of two categories based on biological sex. So, when a person’s gender identity does not align with their physiology, it may cause distress, self-doubt, and in many cases, depression. Contrary to popular belief, there are many different types of gender identities, such as transgender, bi-gender, non-gendered, third gender, and gender fluid, to name a few. If you have not already done so, I urge you to do some more research on the terminology that you will face on your path of self-discovery. Gender is not clear-cut and not only determined by how you self-identify, but also how you choose to present your gender identity to others. This is a gradual process that I do not recommend you go through alone, as it requires tons of support, including from family and possibly a therapist who specializes in gender identity. There are also plenty of resources online that can give you further information about questions you may have, such as Ted Talks, support hotlines, and online support groups. You might want to look at A guidance counselor or school psychologist may better help you navigate how to go about finding these resources and telling your mom if you feel uncomfortable doing so by yourself. While I cannot predict how your mother will react, accept that she will likely be going through an adjustment process as well and needs support, too. This may not necessarily mean she is ashamed of you but may simply mean she needs time to understand you. I hope you feel proud of yourself for recognizing your needs and taking this initiative to meet them.

— Kim


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— January 8, 2017 —

Since I began high school, I noticed that this one girl said that she likes me. But I cannot get myself to tell her how I feel, let alone talk to her. How can I improve my social skills with girls to be able to talk to her? Her best friend is always telling me that she has a huge crush on me as well. Thanks.

— Joel, 17


Dear Joel,

Talking to someone you like romantically is rarely an easy task, especially in high school. I have had many clients. (teens and adults) come into my office with similar concerns about how to communicate effectively. Social skills often do not come naturally and usually take a lot of practice. Try the following: practice without being hard on yourself if the outcome does not work out in your favor. It’s not the end of the world if one conversation does not go well. In therapy, I often role-play with my clients to see where they get stuck in the conversation, and this is something you can do with your friends or a family member. Sometimes they stop breathing deeply, which can lead to tension or in more intense cases, hyperventilation—preventing themselves from thinking clearly. Sometimes their attention shifts from the person in front of them to internal negative thoughts like, "I'm looking so dumb right now. Did I say the right thing? What if she doesn't like me?" Avoid this negative thinking, especially if the thoughts may not be true. In your case, you already know this girl likes you, which means she thinks there are positive qualities about you that are attractive. Simply being yourself has gotten you far, and regularly recognizing those positive characteristics that outweigh the negative thoughts is important.

Nobody said you had to profess your love to this girl right away. Talk to her as if you were talking to one of your friends, and maybe even begin with casually texting. Your emotion towards her (and any girl) is the only thing preventing you from seeing her as just another human being. After spending time together, the chemistry may or may not be what you expected on either end. The right person will accept and forgive your quirks and mistakes.

You might also consider group counseling, which is a great way to practice socializing with both females and males who have similar problems while getting perspectives from peers in a safe atmosphere. In sum, don't forget: Breathe, be yourself, practice, and don't be afraid to use the support around you.

— Kim


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— December 24, 2016 —

My boyfriend and I have been going for ten llloooooooooonnng months. Recently I've found myself getting irritated with him all the time. He's very clingy, and even though I've talked to him about it, he won't give me space. He liked me for a lot longer than I have liked him and every time he thinks I'm even slightly annoyed with him he feels the need to call me and talk about our feelings. I have been considering breaking up with him for awhile now because I'm just not happy with him any more, but I don't want to regret it later or hurt him because he is very sensitive.

— Carrie, 16


Dear Carrie,

Before you decide to break up with your boyfriend, think about how you feel. Staying with him because you don’t want to hurt him or because he’s very sensitive are not good reasons for continuing a relationship. After 10 months, a relationship is bound to change, but if the two of you want different things and are basically incompatible, breaking up now may be better for you (and for him) than just going through the motions of a relationship for an even longer time. Before you make a decision, find a time to talk together about what you both want from a relationship and whether you can agree on a cooperative plan that really works. It sounds as if your boyfriend wants to stay with you no matter what, so you are the one who has to choose the path—staying or leaving. There will be some pain either way—no matter what the result.

signed, Dr. M.
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— December 10, 2016 —

A while ago my family and I moved back from living in Australia. We had moved there for my dad’s job and we stayed for about 7 years so I made some really good friends growing up there. I had moved away from my original home—the UK—when I was about 5, so I did have other friends from my school. However, since we returned to the UK I have felt like I can't connect with all my friends now even though I met most of them when I was quite young. There just feels like a big gap in our relationships as I haven't grown up alongside them like they have with each other. I just wish with everything that I could go back to Australia because I feel like everybody there understands me more. But I can't. I won’t be going back till I finish school because we don't have the money. Also, my friends have all gone off to different high schools and it has been about more than a year since I got back and only now do I realise how much I miss them. But they don't miss me anywhere near as much as I miss them because to them, I’m only one person who has left. To me, I left them all. And the hardest thing is, knowing that I'm never going to see them again. I think I feel homesick even though I am at home now. How do I get through this? I know that this isn't the most important question that you've read, and you probably won't answer or even read this for that matter, but it was worth a shot. Thank you for reading anyway

— Homesick, 13


Dear Homesick,

Every question is important, and I am glad to get a chance to offer advice to you. Your analysis of your situation is very insightful and mature. You moved back to the UK at a difficult time—the beginning of your adolescence when friends are particularly important. Although you had made friends in the UK, you left there at such a young age that the ones who have really gotten to know you are the people you had to leave behind in Australia. Try to be patient as you rebuild some of your friendships with your “old” acquaintances, but also be open to developing new relationships with peers you will now have an opportunity to get to know. Try school clubs or community organizations to find people who share your interests. Since your friends from Australia continue to be important to you, use technology, such as FaceTime, Skype, and email to keep in touch. While a visit to Australia is not possible right now, you may well find a way to see them again at some point in the future or they may be able to visit you in the UK.

signed, Dr. M.
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— November 26, 2016 —

I have multiple questions for you that all really connect to one thing. So, I've always been a shy, quiet girl, and I'm pretty sure that I'll always be that way. I've started noticing that my shyness has gotten worse than it used to be. For example, some changes I have noticed include: being afraid to go to church (my church has a LOT of people), being afraid of crowds, being afraid of socializing. I always feel like I'm being watched or stared at, even when I'm in a room by myself. I’m afraid of speaking in class, I hesitate to talk to others, being called on in class, working in groups in school (I never know what to say or do, and then afterwards I feel bad for not helping), saying others' names (it's always been that way). I never seem to know what to say to anyone, even a friend, in other words I can't start a conversation at ALL. I get nervous when I see someone I know in public, and then I'll even feel embarrassed. I always feel myself blush, talking on the phone, and I especially hate answering people who ask me "how my day at school was", etc. I never really tell my parents how my day was. For example, I'll leave things out about my day. I have a hard time wording things especially, and I will always say "um" or "uh" between sentences. I always dwell on the future also. For example, I might post something on social media and once it's already posted, I feel embarrassed about what people might think about it and remove it soon afterwards. Now, to me, this whole situation seems like a problem that I would like to get fixed soon, but what I'm nervous about is telling my parents. I could be telling them about a problem I have, or how I might feel about something, or going out in public. This one time, I was afraid to go to church because the amount of people there terrifies me, and I always feel like people are staring. So, I told my mom, and she just told me to "Stop being silly” in a serious tone. Or, if I start crying, my mom seems very frustrated with me for doing so. This is why I'm so afraid of telling people about the things I have on my mind, because they might think that it's silly too. But I would like to be able to tell them about these issues, and I want them to understand me, and I want to get help for it. I just don't know what to tell them or, for that matter, if these problems are serious things that need to be taken care of. I just don't know where to start or what to even do. If you can help me, that would be wonderful. Thank you so much. :)

— Mysterious Anonymous Being, 14


Dear Mysterious Anonymous Being,

I agree with your own feeling about the situation—that this is a problem you should try to get help for. If it were just being afraid of talking in class or having trouble starting a conversation, I would say it's something you could try to fix on your own, and I'd have plenty of advice from my own experience formerly being very shy. But add to that being afraid of crowds and not feeling comfortable even talking to your friends and family, and it sounds more like social anxiety disorder, which is often treated very successfully with cognitive behavioral therapy.

I think the reason your parents don't take your concerns seriously is because they only see one thing at a time, and they don't see the full scope of what's going on. They might also think that if they tell your that your fear is unfounded, that will be enough to make it go away. One thing you could do to help your parents understand what's going on and why you need to seek help is to show them your question and our response here, so they can see how much this problem is affecting your life and get confirmation from someone else that it's something you need outside help to fix. If you feel too nervous to start that conversation with your parents, try writing everything down in a letter. That way you can spend as much time as you want figuring out exactly what you want to say and how you want to say it. And you can either read the letter to your parents or give them the letter and do something else to help with your nerves while they read it.

If your parents still don’t take your concerns seriously, talk to a guidance counselor, psychologist, or social worker at school. Many people feel social anxiety, and you should know that there are professionals who can help you so you will feel more comfortable, and even begin to enjoy, social situations.

signed, Liz
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— November 13, 2016 —

This is actually a more serious question that I can't find an answer to with the power of Google. Now I'm not 100%, but am pretty sure I have Moderate Depression. Any normal person would go and get it diagnosed, but I am too scared to tell my parents. They just don't understand me. Every single thing that I have wanted in the past has been turned down by them. I've spent most of my summer crying because nothing has been going my way. They don't understand my dreams (become a YouTube star) or anything like that, and I know that when I tell them I have depression that they will not understand and think I'm lying. Now I've never really lied to them either, so it makes no sense for them not to trust me. I guess what I'm trying to ask here is how can I break it to them that I have depression? Also, how do I get them to trust me?

— Misunderstood Misfit, 17


Hello Misunderstood Misfit,

Most of our parents do not understand us at 17 because times have changed profoundly since they were teens. For example, social media and YouTube didn't exist in their day; therefore, they probably wouldn't be supportive of the idea of becoming a YouTube star. However, since times have indeed changed, we know that this is entirely possible. It seems as though you want to be able to express yourself to your parents; therefore, I suggest you have a conversation with them and explain exactly how you feel as you did in your message to Your true feelings can never be scripted. It's important to give them a chance to rectify the situation even though you feel as though you can predict the outcome. You may be pleasantly surprised with their response since your parents may not have a clue as to how you are feeling. If you don't feel this is working, then you can always reach out to another adult you respect and trust for additional support, perhaps a teacher, doctor, or school counselor. You may well be able to become a successful YouTube star if you work hard, as nothing worth having is likely to come easy.

— Velben


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— October 29, 2016 —

I've been thinking recently about what I want to do with my life because I'm in my senior year of high school, and I need to start thinking about it so I can apply to colleges. Whenever I think, "Hey I might actually really enjoy doing this thing for the rest of my life,” there is always somebody or something that has to put that idea down. This causes confusion and a million questions to run through my head on whether or not I actually want to do this or if it is worth going through so many years of schooling just to get to the point where I can actually do it. I basically have two options as of now that I've been leaning towards, but as usual there are people in my life that are causing me to second guess myself and my choices. As of last year, I've been thinking that maybe I would enjoy working as a vet. I mean they make pretty good money and they get to work with animals all day which is my cup of tea. However, whenever I told someone about this the first thing they said was not "Oh wow I think you would be really good at that.” No it's "You know they have to perform surgery right?" I understand why they ask me, but I'm not kidding when I say literally everybody I told asked me this. So this caused some confusion not to mention that when I went to the doctor’s the other day for a physical, this doctor went on and on about how I shouldn't work with animals because they make no money and so on, and so on, so that added to the “what the heck am I going to do?" Recently I've been thinking that maybe I should go to school for nursing. There are so many different options for jobs as a nurse and I think that I would really enjoy being a labor & delivery nurse or a midwife. Maybe I will even try a career as a OB/GYN (but that's A LOT of schooling). So basically what I'm asking is what should I do. If you have any advice on different jobs that may be available that I may not even know exist that would be greatly appreciated. Any advice on picking colleges and how to start looking would also help me a lot. Thank you.

— Alli, 17


Dear Alli,

Before we get into the details of medicine and college, I want you to remind yourself of this: other people will come into your life and tell you what to do—but you alone have to deal with the consequences.

That said, I think what you must do is do research, and tons of it. Talk to doctors—vets, OB/GYNs and others—about their experiences. Ask your school college advisors for information on colleges, and use websites. Remember also that one person's opinions on their job or a specific college doesn't really mean much; you need to talk to as many people as you can.

Moreover, you need to set aside time to think about what you want. You like animals, so naturally being a veterinarian makes sense. But, are you "good" at biology? Medicine? If not, think of other careers you can have. This applies to nursing, too.

Also note that your undergraduate major does not define your entire future. I changed my major in college, and honestly almost everyone does. This leads me to my final point: in terms of a specific college you would like to apply to, first consider what fits you best. Is a small or large school right for you? Urban or rural? You get the point. But, since you don't necessarily know what you want to do, it might make sense to prioritize schools that have well-rounded options so you’ll be able to consider a lot of different possibilities.

signed, Anil


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— October 14, 2016 —

Between the ages of 14 to 17, I missed the good part of three years of attending school due to illness (chronic fatigue). I attended a health school for two years, but missed out one entire year of education when I was too ill. I missed out on a lot of social interactions because it became too hard to keep in touch with friends and I missed out on a lot of the "growing up" phase. Well, I got entirely better towards the end of last year and have returned to a public school this year where the difference between my maturity and my friends has been highlighted. I was already falling behind my friends without all of this because I am one of the youngest in my year group and most of my friends have turned 18. The small group of friends I have now are all attending parties, occasionally, drinking alcohol regularly, know what it's like to be drunk and some are even starting to try drugs. I haven't ever attended a teenage party, I don't even want to drink alcohol, never been drunk and I haven't done drugs (and won't). They're all off to university next year too or traveling while I am stuck for another year at school (I missed so much school that I need to do another half year to qualify for university courses). I just feel so different from everyone else my age and I'm worried that I'm letting myself down and embarrassing myself by not doing these things that are so common. So what do I do? I know this question is long, but thank you if you read it and I could really do with some advice.

— Not Grown up Enough, 17


Dear Not Grown up Enough,

I'm happy to read that you are better now, but you cannot blame yourself for anything in this situation. You being sick is something that was completely beyond your control so do not beat yourself up about it. There will always be some people ahead of you and others behind you. Just because you are a little behind doesn't mean you can't make the most of school now that you're feeling well. There are people who will party and there are people who prefer to stay home. Now you have a chance to do both. Your friends may be going to college but that doesn't mean they're not your friends anymore, and you can still see them. Don't let going to college a little later than a couple of friends bring you down. And now that you’re back in school, you will also have an opportunity to make new friends. You will be in a university before you know it, and you’ll be figuring out what you want to do as the next steps in your life. We never stop growing up, so you have lots of time to experience everything you want.

signed, Emily


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— October 5, 2016 —

Hi, I am very concerned about my weight. I am thirteen, am 5 foot 3 inches, and I weigh 90.4 pounds. I am not anorexic or bulimic. All of my family is very thin and slender. My parents say I am thin because of my genetics. I am a pretty active person, and I work out occasionally, not for my weight, but because I love the feeling of it. My parents encourage me to do so. My friends tell me to stop working out, because when you work out, you lose weight. I don't think it's true, but if it is, I'll stop. I am criticized by my friends, and am constantly being told I am too skinny. I am trying to gain weight, but no matter what I eat I never gain anything. Some days I just don't feel beautiful. I know people are being fat shamed, but there are people including me who are being skinny shamed. I hate that I am skinny, and that I don't fit in. Help me please!

— Cassandra, 13


Dear Cassandra,

As long as you are eating in a healthy way, try not to focus on what your friends are telling you. Working out on a regular basis is an important way to stay fit and feel good, both physically and emotionally. Just to be sure that your weight and nutritional status are within the normal range, check with your family physician. Come up with a response to the people who are shaming you about your appearance—maybe telling them that you know how to take care of yourself and don’t need their advice. They may be envious that it’s so easy for you to stay slim, but that’s not an excuse for them to criticize you.

signed, Dr. M.


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— September 18, 2016 —

I am a girl of 13 and having some trouble with my friends at school. I started high school (I live in Australia) at the start of the year, and made some great bonds with a large group of girls. It was all great until a month or so ago. Somehow, I became best friends with some of the boys in my class, too. I obviously tried to spend an equal amount of time with each group. When I hung out with the girls, the boys understood, but when I hung out with the boys, I could tell the girls weren't too happy. They're very nice people, so they didn't say anything, but they sort of exchanged looks, and when I sat with my male friends, they would always try and interfere. The biggest problem is that I like one of the boys in the group (let's call him Ben), and one of my female friends said that she thinks I'm hanging out with the boys just because Ben is there. What do I do to make everyone happy? Do I have to choose one group over the other? Please help me.

— Clueless, 13


Dear Clueless,

You shouldn’t have to choose one group over another. And it’s okay if part of the reason you are hanging out with the group of boys is because you like Ben. Instead of trying to make everyone happy all the time, which is probably impossible, think about what makes you feel good. If you like spending time with that group of girls, then continue to do so, and make sure you let them know how much you enjoy hanging out with them. But you can certainly also spend time with the group of boys you’ve gotten friendly with. One strategy you might try is to set up an activity—perhaps something music or sports-related—that both groups of friends could appreciate. That would allow the two groups to get to know each other and maybe even encourage the development of new friendships.

signed, Dr. M.


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— September 5, 2016 —

Hello! So I just started high school sports this summer as a freshman and at the beginning, I was loving it! I love my sport (field hockey) and the year before I had loved my team and playing the game! But right now, a few weeks in, I am no longer looking forward to every practice and am struggling with not only my skills, but my ability to connect with other players on the team. The other freshmen who I was friends with last year seem to be improving without me. I am considering quitting, but I feel obligated to continue playing because it was such a rewarding experience last year. But I don't know what to do. Advice?

— El, 14


Dear El,

Because your experience last year was so rewarding, give field hockey and your team a bit more time before you give up on it. If you’re falling behind in strengthening your skills, ask your coach for tips and extra practice time, and maybe even find someone on the team willing to work out with you.You could also try to get to know the other players off the field—maybe by inviting one or a few of them to hang out doing something fun when practice is not scheduled.

signed, Dr. M.


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— August 20, 2016 —

Hi I've been dating this guy for 2 years and we are going strong. However as he is two years older than me and is starting college, I don't know whether we can keep our relationship. A year ago we broke up because he was cheating on me and I'm worried that he will cheat on me again when I'm not with him at college. I tried talking to him about it but he hit me and gave me a black eye. Afterwards he said he was sorry and I should just forget about it. Please help me. What should I do?

— Emma. 16


Dear Emma,

I'll say this briefly and directly: break up with him. Your boyfriend is not mature at all; you tried—as an adult—to talk to him about your legitimate concerns, and in response he hits you? Hitting you so hard that you have a black eye is wrong, illegal, and abusive. I can't say if he'd cheat on you again, but I'm certain that he does not respect you as a human, let alone as his girlfriend.

signed, Anil


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— August 6, 2016 —

My boyfriend just told me he was sexually abused when he was younger. He is 16 and I am 15. I don't know how to respond to that or how to ask him my questions. Please help me know what to do and how to help him. He's only told me and one other person who is no longer in his life. I am at a loss for how to proceed.

— CJ, 15


Dear CJ,

You must be a very trustworthy and caring person for your boyfriend to share such a sensitive and disturbing part of his past with you. Make sure he knows that you appreciate his honesty, and give him an opportunity to tell you as much as he’d like about what happened. Sharing his story lets you know how important you are to him and allows you to understand him better. However you respond, emphasize that what happened to him was definitely not his fault, and that you truly care about him. He may be trying to figure out whether he should be reporting the abuse to his parents or others so that action can be taken against his abuser. Continue to support your boyfriend as he grapples with making decisions about next steps for him.

signed, Dr. M.


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— July 22, 2016 —

Hello, how are you? Good? Me too, but I have a question to ask you. I am a girl, going into 8 grade, and I have Aspergers Syndrome. I want to go to another school that is 20 - 30 minutes away from where I live where they can teach "my" kind. I can't take it anymore, every day I am teased and bullied! I hate it, people won't let me be me, my friends are being mean too. I have a tough and shrewd personality, well, I'm trying to be tougher so I don't cry. I've tried many advice sites (no answer) or kids’ advice places. All I want is to be accepted. Please help me. I don't know what to do! I’m stuck. I hope this makes sense. I appreciate your help and time for reading this.

— Midna, 13


Dear Midna,

Your letter made perfect sense to me. If you have an opportunity for a fresh start in a new school with other students who share some of your challenges, that would be great. But if you don’t get that chance, consider other ways to use your “tough and shrewd” personality to react to the bullying in a manner that allows others to understand who you are and to get them to stop teasing you. While it’s important to be authentic, you also could work on figuring out what you can do to get along better with your friends. If one of them is more understanding than the others, ask her to give you feedback about your behavior and whether you can communicate in a more effective way. Think about sharing what it means to have Aspergers. You might also work on making new friends, people who would be more understanding and accepting.

signed, Dr. M.


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— July 8, 2016 —

Okay, well I don't really know how to start this but probably since around 5 years ago I have had depression and anxiety attacks. This all started because my sister tried to kill herself. I was only 9 when it happened and I have been scared to lose her every since. My whole family battles with depression as well. Sometimes I wouldn't see my mom for weeks because she would be sleeping and she just wouldn't come out of her room. My dad had a breakdown about this and that resulted in him drinking. He has been drinking his whole life pretty much. Anyway I'm having a really hard time getting along with my parents. I always feel like crying or I'm angry and then I'm sad. My anxiety attacks are getting worse and I feel like it's making me less popular at school because I'm scared to talk to people. I've never told my parents about being depressed, actually I have told nobody in my family. I have a really hard time telling people how I feel and it sucks because I'm sick and tired of feeling like this. I just really need advice on how to get along with my parents and how I can stop feeling like this. I've literally tried so many things for my depression and it works for a while and then it comes back and it worse then before.

— Hannah, 14


Dear Hannah,

It sounds like you are really suffering and feel plenty burdened by what is going on at home. The best advice I or anyone else can give to you, is to go get yourself some counseling. You need someone to help you bear some of the pain you are feeling and to help think with you about how to “get along” with your parents as well as how to manage your anxiety and depression.

Find a social service agency in your community or a trusted teacher or school administrator who can help you identify counselors who are experienced in working with adolescents with issues similar to yours. Depression combined with anxiety can be pretty debilitating, but while it might seem overwhelming at first to see a professional therapist, taking that step can be extremely helpful.

— Mrs. B.


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