Vivian D. Echevarria Guzman, MSC, LPC-S, NCC

Clearly you seem interested in being other people, and you are also concerned about your husband being unfaithful online. But it seems like there is something that keeps you with your husband. And I have so many questions for you: What are you looking for outside of your marriage? Are you... more

There’s a difference between what you want, what you need and what you have. Being able to assertively identify express your wants and needs to your boyfriend may be helpful in times of negotiation. Often couples focus on recounting all the negative traits and issues when is time to negotiate and... more

This is a question that I often get from patients. Can I get my family into therapy? How can I get someone else to do something that I think is best for them? The answer is you can suggest, but you can’t force them. I spend a lot of time teaching my patients the importance of recognizing the... more

Both options seem reasonable. Seeking individual therapy will help you to cope with the mood changes that come with bipolar disorder, will give you a space to vent your negative thoughts, and will allow you to find the coping mechanism to address life and relational challenges. IF your boyfriend... more

Amy is right, you do not need to ask for permission to seek for support. Finding that help at school or through your pediatrician could be the first step towards getting the tools to reach physical and emotional health. Remember that the weight is only a number on the scale, but your health is... more

Feelings are real, is very unlikely that you are making them up since they are a response to the thoughts in your mind and your daily experiences and interactions. Often we assume that feeling sadness is bad and that we should only feel happiness and joy; but all feelings have a purpose: joy... more

I understand that talking about our feelings can be awkward and using jokes is a way to relieve that awkwardness, but there is a right or wrong way to talk about your feelings. The important part is to recognize that you need help addressing those feelings and reaching out, which you are doing... more

To be able to identify a clear ending to a counseling relationship, we must have a clear understanding of the goals and limitations of treatment. Usually, during the initial evaluation, I identify my client’s short term and long term therapy goals. As therapy progress, we verify goals on a monthly... more

Experts have defined counseling as a healing relationship that helps patients by providing a space to vent, process and receive unconditional support. Many of my clients have expressed that they are able to find their own answers during the session, because they have the right person listening to... more

Depending on your daughter’s age, this could be a learning disability. I suggest contacting the school counselor and asking for an evaluation, once she is evaluated and depending on the diagnosis, she could be provided with treatment recommendations like occupational therapy, reading glasses, or... more

What are the best ways to reduce anxiety?I have anxieties about everyday stressors, i.e. finances, work, relationships, kids, and maintaining a household.Our everyday life is filled with pressures and deadlines that are common to cause anxiety. Here are some basic tips to handle those stressors... more

Do you want to be upset about a girl that he forgot about? Think about it for a minute. Do you want to measure your trust based on knowing how many female co-workers your husband has? And if so, what does that say about your marriage? Trust is something that we earn based on our actions and the... more

Anxiety often occurs when big or unexpected changes come to our lives, like having new jobs, relocating, or assuming new roles. Notice if your anxiety feels like excitement, concerns, or fear.It seems like you are excited about your new job, but worried because OTHERS are telling you that you have... more

It seems like you are very receptive of your husband’s emotions and want to support him trough this time. But it is also important of being aware of your emotions. How are you feeling after the suicide attempt? It is common to experience negative feelings while you try to make sense of the... more

Yes, it seems like you may have a type of anxiety: but considering that it is intermittent, it may be a good idea to talk to a therapist and explore what triggers the anxiety. Different types of anxiety are caused by different scenarios, memories, or stressors. Once you identify what triggers the... more