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Show The v Doctor's Dag Question: notice that quite a few of your columns recommend that people get counseling for this problem or that. I would think that getting help is not so easy for some people as you make it sound. Do you feel that counseling is some kind of panacea, or do you think that most health problems are basically psychosomatic?" Answer: Wow! I didn't realize that a recommendation for counseling was that controversial. In reviewing my recent columns, though, I find that I made that recommendation only in instances where it seemed to me that there was an emotional factor underlying the physical symptom which might respond to some counseling, thus helping the individual gain a better understanding of himself and his feelings. Since most of my correspondence at this point emanates from college and university bv DR. PETER KLEM. M.D. settings. I assume that most schools have a counseling service set up for their students. These services usually attract a fairly high caliber of professional counselors, since college students are considered to be a bright, enjoyable group of people to work with, and there is considerable competition for these jobs. I can appreciate that some people have difficulty with the idea of sharing their innermost thoughts and feelings with a perfect stranger. Many people fear that they will be labeled "crazy," or that their conversations will not be held in confidence. Yet the percentage of people who are manifestly out of touch with reality (my definition of "crazy") is actually quite small, and reputable professionals are bound by their ethics to keep records confidential, John Ehrlichman and the White House "plumbers" notwithstanding. In almost every cave, tne relief that tomes from having shaied a problem and divtoveiing some for any initial answers (nmptnsau that might tome from confiding trepidation in a counselor. "Why not just talk things oer with at lose friend?" you might ask. This is certainly a d practice, and most of us can recall instances when good friends were a mainstay in limes of crisis or emergency. However, friends sometimes have the annoying habit of feeling that they are compelled to give specific advice, to make decisions which the person should make for himself, or tochide us for problems that they rrilcssr.ci;. sometimes resulting hi physical symptoms like shakiness, r palpitations or sweating, that generally interferes w ith a person's ability to func tion effectively. Troublesome relationships, Apparently uncontrollable urges to depend on drugs (alcohol, tranquilizers, street drugs) or to perform antisocial acts (shoplifting, "flashing"). time-honore- Difficulty maintaining friends or socializing with the opposite sex. In all these instances, counseling may Ixnelu ial pine Ol course. I don't believe that mosi health U :iisaie psychological. If a person has a jx'rsistent phvsical svmptom. he needs a thorough physical checkup before he can conclude that the problem is emotional. Even then, he should not despair that the problem is "all in his head." i.e.. nonexistent. The mind and the body are inextricably linked, and symptoms are a consider trivial. A professional counselor is trained to listen uncritically, then offer glimpses or insights which an individual may not have considered. When should you consult a professional tounselor? Here are some of the more common problems people seek help for: Depression, which is a jxrvasive sense of unhappiness lasting longer than a few days, often accompanied by poor appetite, trouble sleeping and suicidal feelings. Anxiety, which is a feeling of nervousness $1 OFF $1 with seemingly no way out. warning that something is amiss. Fortunately, there is help available in these situations. $1 OFF OFF MR. LUBE -- will help you get your truck or car ready for the holidays. 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