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Do you get along with co-workers and supervisors, or is there conflict that contributes to your leaving? If the problem seems to be largely interpersonal, some kind of therapy aimed at increasing social skills (or anger management, if that’s an issue) might be helpful.

You mention that counselors just befuddle you. I’m curious about the nature of your confusion — and also the extent and nature of your contact with professional therapists. Unfortunately, in these days of managed care and psychopharmacology, brief crisis intervention and medication are all-too-often passed off as psychotherapy. The truth is that it can take some time to develop a safe and trusting relationship with a therapist and explore and address the many factors that can contribute to a human being’s misery.

Above all, I hope you’ll consider trying therapy again until you find a psychologist or other therapist you trust, one with whom you can discuss the questions I mentioned above — and others — as well as your nighttime ruminations. You can certainly start off by telling him or her what you DIDN’T like, or what confused you, about your previous contact with counselors, and go on from there. If you find a therapist who feels like a good match and are truly honest with him or her and yourself, I suspect you can begin to identify and address whatever’s contributing to your problems. Good luck.

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