Do I have too many issues for counseling?

I have so many issues to address. I have a history of sexual abuse, I’m a breast cancer survivor and I am a lifetime insomniac.

I have a long history of depression and I’m beginning to have anxiety. I have low self esteem but I’ve been happily married for almost 35 years.

I’ve never had counseling about any of this. Do I have too many issues to address in counseling?

Heather Bradley
Heather Bradley
Helping you heal from trauma and live meaningful lives

It is never too late to get help and begin making significant changes and improvements in your life.  The right time is when you feel ready and open to change.  Sometimes when we have a history of trauma, like sexual abuse, the impact of that trauma can affect many areas of our lives as adults.  Working with a therapist who specializes in trauma is a great way to begin developing skills to manage present day life, learn to regulate your emotions and nervous system when you become triggered, and then in a safe environment have the opportunity to process past traumas so you can live your present life with more ease and joy.  People can and do recover from the impacts of trauma at any stage in their life.  It is never too late and you can feel better

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Sara Makin, M.S.Ed.,NCC
Sara Makin, M.S.Ed.,NCC
#1 Best Selling Author & Counselor

You have been through so much and it sounds like you have a lot of things that have complied over the years. Regardless of the struggles you have been through, you do not have too many issues for counseling. Many times when someone starts out their counseling and healing journey, there are multiple things they would like to address and work on. If you decide to start counseling, you and your therapist can decide collaboratively what you would like to process and work on first. Be sure to express to your counselor if any of the above experiences you've been through is causing a lot of distress , as many times the first things addressed are the ones that are presently affecting your life or you emotionally. 

Often times when we experience negative situations in our life , but do not address them, they bottle up inside us and can manifest in other ways, such as depression or even physical symptoms like IBS or neck pain.  Counseling can give these bottled up emotions and situations a release. Given the situation you shared, not only do I not think that you have too many issues for counseling, but believe that you will be a great candidate and can get a lot from it.

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Shakeeta Torres
Shakeeta Torres
Faith Based Mental Health Counselor

Absolutely not.  I strongly recommending working on one issue/need at a time.  In therapy you will set smart goals and objectives that will help you reach your goals.  I see you as a survivor and not a victim.  Best wishes to you.

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Wendy Mita
Wendy Mita
Worry less, live more!

Absolutely not!  In fact, most people have many issues,  A lot lot of the issues you are describing commonly go hand in hand ( in "therapy speak" we call it co-morbid conditions)

I would venture that most of the feelings you are struggling with stem from your early trauma.  You would benifit tremendously from counseling!  A good therapist will develope a treatment plan that addresses all of your needs. With help you could definitely live a happy life without all of your anxiety and depression getting in the way!

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Danielle Joel
Danielle Joel
Compassionate Mental Health Care

This is a great question! I personally don't believe that any client could ever have too many issues for counseling. In fact, that type of thinking may be stopping you from seeking counseling, so it may be hindering you from getting the help you need. In fact, all of what you described points to the importance of you seeking help in order to cope with the many challenges in your life. 

If you seek counseling, it will be important for you to understand that you may need to remain in counseling for a sustained period of time in order to work through each of these issues. All of these issues won't be able to be solved right away or in a brief period of time. Counseling will take commitment and hard work, but it is possible for you to recover and heal from all of the issues you described.

Many clients come into counseling with numerous issues rather than just one particular thing. Most of the time, the issues relate to and exacerbate each other. We call these "comorbid" conditions, which means that two or more mental health problems exist at one time. A lot of the times, when you start to work on one issue, the other issues get better as a result.

I encourage you to find a professional therapist that can help you learn how to cope with all of the mental health difficulties that you described. You deserve the help just as much as anyone else. 

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Adriana Dyurich
Adriana Dyurich
COUNSELING, WELLNESS, AND CONSULTING for for Moms, moms to be and their children

Not at all! Whatever issues you might have you can bring to the therapy room. Remember therapy is about YOU, not your therapist. You bring whatever you need to bring to the table. Keep in mind these issues are likely related. Remember you are a holistic being, more than just the sum of the parts. Just like any system, when you move something in one area, things start changing in other areas as well. Talk to your therapist to decide goals for counseling and establish priorities, and ENJOY THE RIDE! Growing, flourishing, and finally letting go of what hurts can be a beautiful and exciting process.

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Emily Sullivan
Emily Sullivan
Health & Wellness Counseling, Individual & Couples Psychotherapy
You absolutely do not have "too many issues" for counseling. Your reaching out to ask this question shows you have a resilient spirit. Also, your happy marriage can be a support and strength to you as you embark on a counseling journey. I would recommend that you find a counselor who specializes in trauma, sexual trauma and/or EMDR (a type of therapy that is proven to have a strong impact on healing from trauma). Good luck!
The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Gwendolyn Nelson-Terry
Gwendolyn Nelson-Terry
www.GwendolynNelsonTerry.com

I don't think you have too many issues for counseling.  If a client came to me for help with the same issues that you have listed here I would first want them to meet with their doctor to get a physical to rule out any biological causes to your depression, anxiety, and insomnia.  I would work with you on deciding which of these issues to tackle first.  I usually suggest starting with the issue that is easiest.  Reading through your symptoms I might choose anxiety to start with since you are in the early stages of it.  I like to give my client skills they can use right away, so I would focus on teaching you breathing exercises to manage the anxiety as well as cognitive restructuring so that when an anxious thought pops up you can talk yourself through it.  Once you felt that you had some control over the anxiety I'd start to work on some of your other concerns, but I would seek your input on what you felt like might be good to work on next.  My gut is that some of these issues would be resolved as you worked on others.  For example as you worked on your anxiety and began to process your trauma and as you began to work on self care and getting more sleep - your self esteem would probably improve.  I encourage you to meet with a therapist and ask them how they might be able to help you.  These are just some thoughts that came up for me on how I might help someone with the same or similar symptoms.

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.

The way it goes is that all your issues are connected. Once you work on one issue it will have a positive effect on all areas. Slowly each issue is addressed and actually less issues will need to be addressed directly since resolving one helps your overall wellness. So no, you do not have too many issues. Don’t give up. Get help now and see how your life can change for the better. 

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Emily Freeze, MPH, MA, LMFT
Emily Freeze, MPH, MA, LMFT
Specialist in Women's Mental Health

I think this is a very common question that people who have never been to counseling before have.  There is a lot of anxiety in going to counseling for the first time.  This is normal.  In answer to your  question, the answer is an absolute NO!  An important thing to remember about getting counseling is that it is a courageous first step towards hope and healing.  Getting help is like training to run a marathon, it is not a sprint.  You have shared a lot of issues that you are dealing with from your past, that are now negatively impacting your present, but I believe that in getting the right kind of help and support, none of them are impossible to overcome.  

Part of the therapeutic process is defining and prioritizing therapy goals.  In collaboration with you, as a client, a therapist is there to help you with this process in determining what you would like to work on first.  Not getting counseling, based on the history you have shared, has the potential to put you more at risk for mental and physical health issues.  You are already seeing this happen as you begin to experience new symptoms, namely your anxiety.  In therapy, you will gain understanding and insight, as well as learn skills and strategies to manage the symptoms you are experiencing.

In conclusion, I would encourage you to reach out to a licensed counselor who has experience in treating trauma, grief/loss and will address shame.  These are three areas that I have found that gets to  the core issues that are contributing to your depression and anxiety.   I believe you can get the help you need to find hope and healing.  Best of luck to you!

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Laura Cassity, LMSW, LMAC
Laura Cassity, LMSW, LMAC
Pathways to Healing & Recovery, LLC "Where your voice is heard"

Hello, I'm so glad you decided to take the first step in opening a conversation first. Deciding to go to therapy can sometimes be difficult for some, but with the right therapist, healing is possible and obtainable, even with what you've described. To answer your question, no you do not have too many issues to go to counseling.  You've been through a lot and have been strong and at times it's helpful to have someone else to help you through it. 

What I would say is to be sure and find a therapist who is experienced in sexual abuse and trauma overall. But you absolutely do not have too many issues for counseling. Please feel free to ask any other questions you may have regarding your situation and I hope you find the therapist you're looking for, there are many great ones out there. Many of the issues you're experiencing may be tied together from the trauma. 

Best Wishes. 

Laura Cassity, LMSW, LMAC 

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Tamara Powell
Tamara Powell
Anything But Ordinary!

Not at all my dear. 

Human beings are complex creatures, and in my opinion, our issues interconnect in a very nuanced web between our levels of being (for example, mind, body, and spirit). Everything you bring up affects all three. The truly beautiful thing about the human body is that when you begin to work on one, the others improve as well!

I would encourage you to seek out a counselor who's style and approach speaks to you and start with whichever issue feels most pressing to you. A skilled therapist will flow with you at your own pace and make recommendations to other professionals (e.g., physicians, holistic practitioners, EMDR specialists for trauma etc) as needed to complement the psychotherapy work you're doing with him or her to help you find the total healing you seek. 

I wish you well on your journey! 


The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.
Sherry Katz, LCSW
Sherry Katz, LCSW
Couples and Family Therapist, LCSW

Everyone has topics to discuss when they start therapy.   There is no correct number of topics.you

Sometimes people go to therapy for one specific area of their life.   

Not everyone has the time or interest to utilize therapy just when a significant topic arises in their life.

Since you are one person, no matter how many or few topics you would like to address in therapy, all the topics relate to you.

Possibly the result of your therapy will be more transformational than if you talked only on one topic.  

Lucky you, to be on the cusp of clearing and resolving many vulnerabilities at once.   You will feel brand new by the time you finish your therapy work!

The information above is intended as general information...  (more)The information above is intended as general information based on minimal information, and does not constitute health care advice. This information does not constitute communication with a counselor/therapist nor does it create a therapist-client relationship nor any of the privileges that relationship may provide. If you are currently feeling suicidal or are in crisis, call 911 or proceed to your local emergency room.

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