When I hear someone make a negative comment about me it sometimes sticks and for some reason my chest will begin to hurt. A friend of mine said it was emotional shock. For a while the feeling went away, but then it got worse. Now the pain will range from my heart to my left arm, depending on how badly (depressed) I feel. In general, I want to know if I should be concerned or if it's just as my friend says: "emotional shock," that's just gotten worse.

1) I've recently just found out that my boyfriend of four years is bulimic... He hasn't told me, but I have put the puzzle pieces together after living with him for the past 18 months... I had even heard him purging in the bathroom while we were on vacation. I'm really struggling with this information and I don't know how to approach him about it... I'm guessing it has been going on for around six years now. How do I confront him about it??

2) I was wondering if bulimics lose weight rapidly, because I have a friend who I think may be bulimic, because she eats, but I think she may be throwing up her food. She has lost 25 pounds in the last month. She binges, and I would like to know how I can help her.

I'm not in college anymore, but students could benefit from this question, too. I'm single with a 'great' job (pays well, insurance, pension, etc.), a decent place to live, no debt... in short, life could be much worse. But the only thing lately that makes me happy is doing kind things anonymously for people. I'm rather wealthy but don't want a big TV or a fancy car. I'd rather spend a vacation at a local monastery meditating and performing service. I'd be committing economic suicide to quit my job, and so many are worse off, but 'success through hard work' doesn't make me happy. I'm sure a number of students must have these feelings already. What are your feelings about this, Alice?

As a 21 year old, I recognize that I'm far from being completely emotionally developed. But, I also recognize that I'm way behind others my age. I think I am too emotionally sensitive. Things people say or do really affect me. Whether I care about the person or not, I always have extreme emotional episodes after others express their feelings or opinions about me. If what they express is derogatory, I get very upset. If it's positive, I get very happy. And, I absolutely cannot deal with rejection. I want to be able to just ignore what others think and just deal with what I think. How can I achieve that goal?

1) How can you tell if you are psychologically depressed? How do you ask? What if you are only depressed sometimes? I am a first-year psychology student, I live in college, and I seem to be having plenty of mood swings lately. I used to be very bubbly and enthusiastic and happy and relaxed all the time, but lately, I've just been edgy and sad, and I cry a lot. What's going on? I've been at university now for nine months. I'm only seventeen, and I live away from home (and I'm happy about that). I still have fun sometimes, and I get involved a lot, but then something will happen and I just bomb. I feel helpless and useless and angry because I am unappreciated. It annoys my friends and that makes me feel even worse. What's going on?

2) How do I know if I am depressed and need help? For about a year now, I have been easily irritated, angry, I cry when something sad or happy happens, I have lost seven pounds (last year), sometimes I have a hard time sleeping at night. I go over everything I did wrong in a day, and I have a hard time trying to concentrate on reading. I have wanted to mention this to my doctor, but I am very shy about it. He says I am physically healthy. I have tried exercising, and taking warm baths to help me feel better. What is wrong with me?

I'm an anxious person. My clinical diagnosis is social anxiety disorder, but I have anxiety in many other situations and a couple of phobias to boot. I've seen therapists on and off for the past 20 years and have been on multiple SSRIs (I am off of anti-anxiety medications currently). I manage my anxiety with plenty of exercise, sleep, and relaxation exercises, but mostly I just accept that this is the way I am. My husband and I are starting a family soon, and my new worry is post-partum depression or anxiety. If I'm already moody, will the hormones and stresses of pregnancy drive me completely crazy? Does having a history of mental illness put me at a greater risk for developing a disorder like post-partum depression? Thanks for your help!