Mental Help Net
Life Issues
Basic InformationLatest NewsQuestions and Answers
Trying to ForgetPlease Help Me..Was my therapist wrong or am I just freaking out?Boyfriend's skeletons and friends' opinionsHelping my almost 19 year old daughter face the real worldLove but Different ReligionsWhat is wrong with me? I Don't care anymore...Cannot support old friend in her affairWhat Is A 'Complex'?Friend's Downward SpiralOut Of Control FriendSeriously JealousAntisocial And UncommunicativeEmotional OrphanPossessive Ex-GirlfriendDelusional FriendDelusional FriendDirty NieceLying About IllnessAbsence of ClosenessHeart of DarknessSuicidal TeenHow Can I Help My Friend?Am I Happy?Cruel FriendAngry But Over-ControlledSingle, Stressed And GuiltyGetting Beyond ThisIt's Hard To Trust AgainReader Comment #1Obsessive LoveI'm Attracted To My TherapistNot Allowed To Contact My BoyfriendAm I Paranoid?I Love My TherapistLanguage Fluency EnvySecurity BlanketHer Only FriendHow To Become EmpathicDid He Or Didn't He?Making FriendsProcrastinationFreshman in LoveExternalizationMs. MiseryHaunted College StudentProfessional BoundariesPushy FriendAbsent TherapistObsessionSuicide Threat Relationships (a long one)TrustCompulsive LyingI Can't Tell a LieProcrastinationBlushingEnergy Draining FriendDrinking ProblemTerminal ProcrastinatorShy GuyToxic PeopleDepression and FriendshipHelp Yourself by Helping OthersPublic DisplayWhy Am I Running Away?How Can I Help My Friend?Wealth EnvyBeautiful DreamerMiss LonelyDual RelationshipSo-CalledIs She Playing Hard to Get?Falling for My MentorTeacher's Pet?ReunitedSomeone Else's LoveMy Sense of Humor...I'm a Homebody...Remember Me?Friend's New Fling
Blog EntriesVideosLinksBook Reviews
Therapist Search
Find a Therapist:
 (USA/CAN only)

Use our Advanced Search to locate a therapist outside of North America.

Related Topics

Sexuality & Sexual Problems
Family & Relationship Issues
Grief & Bereavement Issues
Death & Dying
Weight Loss
Relationship Problems

Ask Dr. DombeckAsk Dr. Dombeck:
Psychotherapy and Mental Health Questions

How Can I Help My Friend?

I have a friend who has had long term mental health problems. Low self esteem, depression, anxiety, social phobia and so on. Over the years I've tried to help, to give good advice or support; to encourage my friend either to stay on the medication or go back to the doctor and ask for something more satisfactory and so on. These days he's pretty stable although the self esteem problem is still around. He's started therapy, to try and treat the problem instead of just the symptoms, although one of the big problems is that in our rural area there is a large demand for mental health professionals and limited supply. You are lucky if you can get one appointment a month. To me, it seems like my friend doesn't seem that willing to do much work on himself - and recently I've realized that I am probably just compounding the problem. As someone he respects, I seem to have become an authority figure, and instead of using the tools available to him, he still seems to think he is a helpless victim and looks outside for answers (sometimes to me). It doesn't help that I have a somewhat bossy personality, also that I get a kick out of trying to help him so perhaps I've been spoon feeding him too much help and this has made him less inclined to try things out for himself. What I want to know about is the best way that I can help and support my friend without making the situation more unhealthy than it already is. I know if he wants to change things, he has to be ready to do this himself and learn the techniques to do this himself but it's very hard for me to hold back and not give him "helpful" nudges. Often I waver between wanting to tell him what I think he should do (I believe this is wrong! but so tempting!) and just challenging him to think differently but without pushing him down a particular path. I've been a 'therapist substitute' for a long time, with nothing more than psychology101 and the Internet as a guide... and I would absolutely hate to be holding my friend back from making some kind of progress. What kind of advice can you give for people in our position?



  • Dr. Dombeck responds to questions about psychotherapy and mental health problems, from the perspective of his training in clinical psychology.
  • Dr. Dombeck intends his responses to provide general educational information to the readership of this website; answers should not be understood to be specific advice intended for any particular individual(s).
  • Questions submitted to this column are not guaranteed to receive responses.
  • No correspondence takes place.
  • No ongoing relationship of any sort (including but not limited to any form of professional relationship) is implied or offered by Dr. Dombeck to people submitting questions.
  • Dr. Dombeck, Mental Help Net and CenterSite, LLC make no warranties, express or implied, about the information presented in this column. Dr. Dombeck and Mental Help Net disclaim any and all merchantability or warranty of fitness for a particular purpose or liability in connection with the use or misuse of this service.
  • Always consult with your psychotherapist, physician, or psychiatrist first before changing any aspect of your treatment regimen. Do not stop your medication or change the dose of your medication without first consulting with your physician.

Follow us on Twitter!

Find us on Facebook!

This website is certified by Health On the Net Foundation. Click to verify.This site complies with the HONcode standard for trustworthy health information:
verify here.

Powered by CenterSite.Net