{"formatVersion":"1.1","id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/mark-dombeck","path":"/people/mark-dombeck","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/mark-dombeck","title":"Mark Vigil Dombeck, Ph.D.","family":"People profile","description":"Mark Vigil Dombeck, Ph.D. is a trauma-informed psychologist with over 30 years of experience helping people navigate mental health challenges.","language":"en-US","access":{"audience":"custom-shared-preview","indexable":true},"provenance":{"sourceUrl":"https://www.mentalhealth.com/people/mark-dombeck","wordpressId":"7832","contentCompleteness":"complete","dateScope":"original-source"},"authors":[],"dates":{"datePublished":"2024-06-07T17:55:51Z","dateModified":"2026-08-11T09:26:56Z"},"content":{"html":"

Mark Vigil Dombeck, Ph.D.

Doctor

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Mark Dombeck, Ph.D. is a trauma-informed psychologist with over 30 years of experience helping people navigate mental health challenges.

Mark Vigil Dombeck, Ph.D. is a trauma-informed psychologist with over 30 years of clinical experience. He specializes in adult neurodiversity, couples therapy, and the treatment of trauma and dissociation.

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As a medical writer, Dombeck has published extensively on health policy, advocacy, sexuality, relationships, and emotional well-being. His work combines clinical precision with an accessible style that helps diverse audiences navigate complex psychological issues.

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In addition to his writing, Dombeck engages directly with the public through MentalHealth.com Answers (formerly MentalHelp.net), where he provides compassionate, evidence-based guidance. His goal is to help individuals better understand their challenges and move toward meaningful growth with clarity and confidence.

Education

UC San Diego
Doctor of Philosophy (PhD), Clinical Psychology
1989 - 1995

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University at Albany
Bachelor of Science (BSc), Psychology
1985 - 1989

Local Communities

References

  1. Mark Vigil Dombeck, Ph.D. Private Practice Website.

Contributions

Showing 5 of 86 contributions

","text":"Home People Mark Vigil Dombeck Mark Vigil Dombeck, Ph.D. Doctor Mark Dombeck, Ph.D. is a trauma-informed psychologist with over 30 years of experience helping people navigate mental health challenges. About Contributions Mark Vigil Dombeck, Ph.D. is a trauma-informed psychologist with over 30 years of clinical experience. He specializes in adult neurodiversity, couples therapy, and the treatment of trauma and dissociation. As a medical writer, Dombeck has published extensively on health policy, advocacy, sexuality, relationships, and emotional well-being. His work combines clinical precision with an accessible style that helps diverse audiences navigate complex psychological issues. In addition to his writing, Dombeck engages directly with the public through MentalHealth.com Answers (formerly MentalHelp.net ), where he provides compassionate, evidence-based guidance. His goal is to help individuals better understand their challenges and move toward meaningful growth with clarity and confidence. Education UC San Diego Doctor of Philosophy (PhD), Clinical Psychology 1989 - 1995 University at Albany Bachelor of Science (BSc), Psychology 1985 - 1989 Local Communities Oakland, CA Topic Communities Trauma & PTSD Relationships References Mark Vigil Dombeck, Ph.D. Private Practice Website. Contributions All Answers Library Perspective Authored Why do I have these terrifying thoughts? A young man describes evening mood changes and frightening intrusive thoughts about harming himself or others that conflict with his values. Authored Can my partner stop watching porn? A reader has discovered a partner’s frequent pornography use, including material they believe may involve minors, and is uncertain about continuing the… Authored How do I cope when life feels hopeless? A young parent describes severe anxiety, anger, exhaustion, and daily crying amid stress and financial barriers to care. Authored How can my best friend heal from harassment? A reader describes a friend’s persistent frightening images and fear after sexual harassment at school. Authored How can I help my friend without making things worse? A reader has long offered advice to a friend with depression, anxiety, and low self-esteem, but worries that the friendship now encourages dependence. Authored How can I help my socially awkward son? A parent describes an academically accomplished adult son who wants close relationships but struggles with confidence and unwritten social expectations. Authored Is my low stress tolerance a sign of mental illness? A young adult becomes overwhelmed by multitasking, noise, changes in routine, and everyday obligations. Authored Why do some mothers sleep with their sons? A reader is concerned about a mother sharing a bed with her adult and younger sons, while stating that they do not believe sexual activity is occurring. Authored Why do I feel like I’m losing my personality wholeness? A reader reports six months of concentration problems, unwanted memories, a changed sense of identity, and fear in public places. Authored How do I deal with someone who is a liar and a kleptomaniac? A reader describes repeated lying and stealing that have damaged friendships and led to arrest. Authored How should I handle my husband’s request for anal play? A woman experiences guilt and conflict between religious beliefs and her husband’s preferences in their consensual sexual relationship. Authored How are dissociation, DID, and Post-traumatic stress disorder (PTSD) connected? A person newly in therapy for Post-traumatic stress disorder (PTSD) wonders whether changes in their voice, posture, and conversation while dissociated mean they have DID. Authored How can I cope with regular suicidal thoughts? A working parent describes increasingly persistent suicidal thoughts while struggling to manage home responsibilities. Authored How are Post-traumatic stress disorder (PTSD) and night terrors connected? A person diagnosed with Post-traumatic stress disorder (PTSD) and major depression asks about frequent nighttime terrors and ways to settle them. Authored How do I deal with a psychotic ex-boyfriend? A woman remains in contact with an ex-partner who has a history of threats, violence, substance use, and continuing delusional accusations despite treatment. Authored How can psychopaths manipulate people if they lack empathy? A person asks how someone thought to have psychopathic traits can anticipate and manipulate others’ emotions while seeming to lack empathy. Authored What is pathological lying? A parent describes an adult son’s longstanding lying, anger when challenged, excessive spending, and relationship problems. Authored What is paranoid depression? A person is concerned about a relative with depression who has become suspicious of doctors and stopped medication and appointments. Authored What are the first steps to overcoming paranoia? A person describes a brother’s worsening belief that unseen people are targeting him with noises and energy waves. Authored How can I cope with obsessive thoughts about life and existentialism? A person under prolonged stress describes frightening thoughts about existence and language, episodes of disorientation, and fear around sleep while taking… Authored How do I deal with a narcissistic stepfather? A university student left home after being physically mistreated by a stepfather and remains frightened by his continuing attempts at contact. Authored How can I help my younger brother who has spells of rage? A sister is concerned about her 20-year-old brother’s longstanding episodes of rage, recent property damage, substance use, and the safety of his girlfriend… Authored What should I do if I feel like my therapist doesn’t like me? A person worries that their therapist is bored and cannot genuinely care about them despite verbal reassurance. Authored What is the point of life? A student reports worsening depression despite antidepressants and counseling, feeling bullied and uncared for, and thoughts of suicide. Authored Will depression affect my chances of getting security clearance? A government contractor receiving treatment to prevent a recurrence of depression is worried that the condition will lead to denial of a required security… Authored Why can’t I get gross images out of my head? A fifty-two-year-old woman experiences persistent anxiety and revulsion after seeing or hearing disturbing descriptions. Authored What options remain after last-resort medications? A reader has severe recurring depression, suicidal thoughts, job loss and difficulty paying for medication or psychiatric care. Authored What should I do if I’m terrified I’ll do something sexually inappropriate? A sixteen-year-old with anxiety and depression fears she might touch someone inappropriately despite having no wish to do so. Authored How can I protect myself from stalking and regain control? A woman reports persistent unwanted visits and religiously focused harassment despite police intervention and an arrest. Authored How can you solve and fix your problems quickly? A reader asks how to monitor mental health without becoming excessively worried about possible disorders. Authored What should I do if I always feel like someone is watching me? A 19-year-old describes years of feeling watched or followed, internal conversations, and perceptions of people in shadows. Authored Why don’t I know who my true self is? A 19-year-old worries that his identity changes to match fictional characters or the people around him. Authored Why do I become so hostile toward myself? An 18-year-old reports episodes of intense self-directed anger and self-injury but has hidden them out of shame. Authored What should I do to stop my stepson from molesting my kids? A parent describes serious harm to young children by an older stepsibling and disagreement with their spouse about keeping the children apart. Authored How do I stop being such an attention seeker? A reader asks whether someone can change behavior that draws attention through deception or self-injury. Authored What causes someone to mentally check-out? A reader describes a family member mentally checking out during stressful situations and later having little memory of what occurred. Authored How can I cope with the unbearable loss of my husband? A reader grieving a husband after more than 40 years together describes profound despair, loneliness, and thoughts of ending their life. Authored What meds can treat depression without weight gain? A person believes they have a mood disorder but hesitates to seek treatment because they fear lithium-related weight gain. Authored Is it normal to feel nothing when you have Post-traumatic stress disorder (PTSD)? After discovering a partner's death by suicide, a person reports emotional numbness and impulsive behavior that feel unlike their earlier self. Authored Can a psychologist tell his patient that he is attracted to her? A reader asks whether a psychologist should disclose romantic attraction when a patient also feels attracted. Authored Can I contact my mothers doctor? A family is worried about a mother’s mood, eating, and behavior despite her composed public appearance. Authored Why has grief made me numb? After several family deaths and another relative’s terminal illness, a reader feels emotionally numb despite continuing to help. Authored Is my wife's counting a sign of a disorder? A husband describes his wife’s near-constant counting, accompanied by headaches and depressed mood. Authored How do I stop needing so much attention? A woman recognizes a persistent need for attention that leads to arguments, repeated messages, and harmful coping. Authored How do I cope after losing both parents and battling Post-traumatic stress disorder (PTSD)? A reader lost both parents within two years and describes traumatic caregiving memories, a Post-traumatic stress disorder (PTSD) diagnosis, and persistent suicidal thoughts. Authored How can I encourage my husband to take more responsibility? A reader wants to share household decisions and finances with a husband who struggles with responsibility and receives treatment for panic disorder. Authored Why do I black out after just a few drinks? A reader describes increasingly serious alcohol-related blackouts and destructive behavior, despite not identifying as having a drinking problem. Authored How can I better support my histrionic mother? An adult child is helping elderly parents while a father has terminal cancer and worries about a mother’s future care and vulnerability. Authored Why am I so fragile? A reader feels close to tears after even mildly rude or condescending comments and is finding work increasingly difficult. Authored Family History and the Risk of Addiction Discover how genetic and family factors influence addiction risk and how awareness and early prevention can help manage it. Authored What is your theoretical perspective? A graduate psychology student asks Dr. Dombeck which theoretical perspective informs his work. Authored Suspended from College for Expressing Suicidal Thoughts College student expelled for expressing suicidal thoughts, discouraging help-seeking and risking preventable tragedies. Authored Understanding the Diagnosis of Seung-Hui Cho Learn about the process of diagnosing mental illness using the DSM. This article covers the different axes used to record clinical disorders, and personality… Authored Why People Are Criticizing James Kim Explore the tragic story of James Kim, who left his stranded car in search of help, resulting in his death. Authored How Prozac Works in the Brain Researchers at Cold Spring Harbor Laboratory have discovered how Prozac works in detail. Authored Cell Phone Radiation Slows Reactions and Sharpens Memory Cell phone radiation affects brain activity, slowing reaction time but improving memory. Caution needed when using phones while driving or operating machinery. Authored Does a therapist have to report self-injury as suicidal? A reader with a history of self-injury wants therapy but fears that disclosure could lead to hospitalization despite no current suicidal plans. Authored What are some effective coping skills for dealing with paranoia? A reader in therapy for paranoia worries that neighbors are deliberately sending smoke into their home, while part of them doubts that interpretation. Authored Why did my fiancée leave me over past porn use? A reader is grieving after a fiancée left because she discovered a lie about past pornography use. Authored Nature, Nurture and Psychopathy Psychopaths lack empathy and manipulate others. Causes of psychopathy are debated, with nature and nurture both playing a role. Authored How can I help a grieving sister who is angry with me? After helping with a brother-in-law’s funeral, a reader feels hurt by a grieving sister’s coldness and wonders whether they should have done more. Authored Why can’t I tell a lie? An adult who lost both parents in a childhood car accident connects the tragedy to a lie about medication. Authored How can I help my grieving mother? A daughter living with bipolar II disorder and Obsessive-compulsive disorder (OCD) feels increasingly depleted while supporting her recently widowed mother. Authored What should I do if intrusive humiliating memories won’t go away? A reader repeatedly recalls embarrassing experiences after ordinary daily reminders and feels the old shame again. Authored Why am I so indecisive? A reader describes lifelong difficulty making both everyday and major decisions, alongside anxiety. Authored What should I do if I can’t express myself? A person experiencing depression and suicidal feelings hesitates to try therapy because they struggle to express themselves verbally. Authored What should I do if I’m overemotional? A 21-year-old has improved their anger control but now cries with happiness and fears losing loved ones. Authored Why do I feel like I’m going crazy? A 26-year-old describes anger, panic, changing energy, health fears, and fear of medication after childhood trauma and past substance use. Authored What should I do if my OCPD husband can’t tolerate my flaws? A newly married woman describes her husband’s difficulty tolerating her habits and his increasing distance after they moved in together. Authored What should I do if my husband won’t take his medicine? A reader is worried that a husband has stopped prescribed immunosuppressant medication after a liver transplant. Authored How can I help my girlfriend orgasm after 2 ½ years together? A reader wants to support a girlfriend who has never experienced orgasm despite efforts together and on her own. Authored What’s the difference between mental illness and insanity? A reader asks how the terms mental illness and insanity differ. The question seeks a general distinction rather than an assessment of a particular person. Authored Why am I so shy and scared of rejection? A 21-year-old man wants a romantic relationship but fears rejection so intensely that he never expresses his interest. Authored What should I do if my schizophrenic sister refuses treatment? A sibling is worried about a sister diagnosed with schizophrenia who has stopped treatment and is raising three children while experiencing paranoia and… Authored What is neuroticism? A reader asks whether neuroticism is a personality disorder. The question seeks a distinction between a commonly used personality term and a clinical diagnosis. Authored What is a complex? A reader asks what a psychological complex means and how it develops. They also want to understand how fears such as abandonment can shape behavior in ways… Authored What signs can help me understand if I experienced sexual abuse? A woman struggles with intimacy, frightening dreams and a history of eating difficulties but has no memory of childhood sexual abuse. Authored How do I deal with an unexpressive partner? A reader loves a partner who rarely expresses emotion and wonders whether childhood abuse and abandonment contributed to his reserve. Authored What is transvestic fetishism? A woman discovers that her boyfriend sometimes wears feminine clothing for sexual arousal and asks what the behavior means. Authored Does a therapist have the right to contact my employer? A former therapy client asks whether a psychologist may contact their employer after receiving an email describing suicidal intent and a specific plan. Authored Exorcism as a Step Toward Recovery Learn about the difference between exorcism and psychotherapy for spiritual and mental issues, and how to determine if a problem is spiritual or mental. Authored How do you help a parent with mental illness? An adult child describes a father’s sudden impulsive behavior, estrangement, and refusal of treatment after years of managed depression. Authored Are bipolar sufferers abusive? A reader asks whether a parent’s bipolar disorder explains emotional and physical abuse. Authored How do I help a bipolar friend who has lost touch with reality? A reader is concerned about a friend’s fixed beliefs involving children and a doctor’s family. Authored What is my bathroom-related phobia called? A reader experiences intense distress around bathrooms and related sounds or smells, even in private settings. Authored Treating Post-traumatic stress disorder (PTSD) With Beta-Blockers Discover the potential use of Propranolol, a beta-blocker drug, in treating Post-traumatic stress disorder (PTSD). Show all contributions Showing 5 of 86 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A young man describes evening mood changes and frightening intrusive thoughts about harming himself or others that conflict with his values."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/gay-porn","label":"Authored Can my partner stop watching porn? A reader has discovered a partner’s frequent pornography use, including material they believe may involve minors, and is uncertain about continuing the…"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/heal-your-emotional-disrepair-learn-how-to-rebuild-yourself","label":"Authored How do I cope when life feels hopeless? A young parent describes severe anxiety, anger, exhaustion, and daily crying amid stress and financial barriers to care."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/healing-from-harassment-tips-advice-for-recovery","label":"Authored How can my best friend heal from harassment? A reader describes a friend’s persistent frightening images and fear after sexual harassment at school."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/help-your-friend-advice-to-make-a-difference","label":"Authored How can I help my friend without making things worse? A reader has long offered advice to a friend with depression, anxiety, and low self-esteem, but worries that the friendship now encourages dependence."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/highly-intelligent-but-socially-handicapped-the-psychology-of-the-nerd","label":"Authored How can I help my socially awkward son? A parent describes an academically accomplished adult son who wants close relationships but struggles with confidence and unwritten social expectations."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/a-very-low-threshold-for-stress-tolerance","label":"Authored Is my low stress tolerance a sign of mental illness? A young adult becomes overwhelmed by multitasking, noise, changes in routine, and everyday obligations."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/mothers-who-sleep-with-their-sons","label":"Authored Why do some mothers sleep with their sons? A reader is concerned about a mother sharing a bed with her adult and younger sons, while stating that they do not believe sexual activity is occurring."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/losing-personality-wholness","label":"Authored Why do I feel like I’m losing my personality wholeness? A reader reports six months of concentration problems, unwanted memories, a changed sense of identity, and fear in public places."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/liar-and-kleptomaniac","label":"Authored How do I deal with someone who is a liar and a kleptomaniac? A reader describes repeated lying and stealing that have damaged friendships and led to arrest."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/religious-wife-is-conflicted-over-husbands-desire-for-anal-play","label":"Authored How should I handle my husband’s request for anal play? A woman experiences guilt and conflict between religious beliefs and her husband’s preferences in their consensual sexual relationship."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/relationship-between-dissociation-did-and-ptsd","label":"Authored How are dissociation, DID, and Post-traumatic stress disorder (PTSD) connected? A person newly in therapy for Post-traumatic stress disorder (PTSD) wonders whether changes in their voice, posture, and conversation while dissociated mean they have DID."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/regular-thoughts-of-killing-myself","label":"Authored How can I cope with regular suicidal thoughts? A working parent describes increasingly persistent suicidal thoughts while struggling to manage home responsibilities."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/ptsd-and-night-terrors","label":"Authored How are Post-traumatic stress disorder (PTSD) and night terrors connected? A person diagnosed with Post-traumatic stress disorder (PTSD) and major depression asks about frequent nighttime terrors and ways to settle them."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/psychotic-ex-boyfriend","label":"Authored How do I deal with a psychotic ex-boyfriend? A woman remains in contact with an ex-partner who has a history of threats, violence, substance use, and continuing delusional accusations despite treatment."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/please-explain-how-it-is-that-psychopaths-can-manipulate-people-if-they-have-no-empathy","label":"Authored How can psychopaths manipulate people if they lack empathy? A person asks how someone thought to have psychopathic traits can anticipate and manipulate others’ emotions while seeming to lack empathy."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/pathological-lying","label":"Authored What is pathological lying? A parent describes an adult son’s longstanding lying, anger when challenged, excessive spending, and relationship problems."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/paranoid-depression","label":"Authored What is paranoid depression? A person is concerned about a relative with depression who has become suspicious of doctors and stopped medication and appointments."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/overcome-paranoia-how-to-get-started","label":"Authored What are the first steps to overcoming paranoia? A person describes a brother’s worsening belief that unseen people are targeting him with noises and energy waves."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/obsessive-strange-thoughts-about-life-and-existentialism","label":"Authored How can I cope with obsessive thoughts about life and existentialism? A person under prolonged stress describes frightening thoughts about existence and language, episodes of disorientation, and fear around sleep while taking…"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/narcissistic-stepfather","label":"Authored How do I deal with a narcissistic stepfather? A university student left home after being physically mistreated by a stepfather and remains frightened by his continuing attempts at contact."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/my-younger-brother-is-having-spells-of-rage","label":"Authored How can I help my younger brother who has spells of rage? A sister is concerned about her 20-year-old brother’s longstanding episodes of rage, recent property damage, substance use, and the safety of his girlfriend…"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/my-therapist-doesnt-like-me","label":"Authored What should I do if I feel like my therapist doesn’t like me? A person worries that their therapist is bored and cannot genuinely care about them despite verbal reassurance."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/what-is-the-point-of-life","label":"Authored What is the point of life? A student reports worsening depression despite antidepressants and counseling, feeling bullied and uncared for, and thoughts of suicide."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/security-clearance-and-depression","label":"Authored Will depression affect my chances of getting security clearance? A government contractor receiving treatment to prevent a recurrence of depression is worried that the condition will lead to denial of a required security…"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/why-cant-i-get-gross-images-out-of-my-head","label":"Authored Why can’t I get gross images out of my head? A fifty-two-year-old woman experiences persistent anxiety and revulsion after seeing or hearing disturbing descriptions."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/what-treatments-are-available-after-you-ve-tried-the-medicines-of-last-resort","label":"Authored What options remain after last-resort medications? A reader has severe recurring depression, suicidal thoughts, job loss and difficulty paying for medication or psychiatric care."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/terrified-i-ll-do-something-sexually-inappropriate","label":"Authored What should I do if I’m terrified I’ll do something sexually inappropriate? A sixteen-year-old with anxiety and depression fears she might touch someone inappropriately despite having no wish to do so."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/stalking-learn-how-to-protect-yourself-regain-control","label":"Authored How can I protect myself from stalking and regain control? A woman reports persistent unwanted visits and religiously focused harassment despite police intervention and an arrest."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/solve-your-problems-quickly-4-ways-to-identify-fix-them","label":"Authored How can you solve and fix your problems quickly? A reader asks how to monitor mental health without becoming excessively worried about possible disorders."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/i-have-always-believed-someone-was-watching-me","label":"Authored What should I do if I always feel like someone is watching me? A 19-year-old describes years of feeling watched or followed, internal conversations, and perceptions of people in shadows."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/i-dont-know-who-my-true-self-is","label":"Authored Why don’t I know who my true self is? A 19-year-old worries that his identity changes to match fictional characters or the people around him."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/i-become-very-hostile-towards-myself","label":"Authored Why do I become so hostile toward myself? An 18-year-old reports episodes of intense self-directed anger and self-injury but has hidden them out of shame."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/how-do-i-keep-my-conduct-disordered-step-son-from-molesting-my-children","label":"Authored What should I do to stop my stepson from molesting my kids? A parent describes serious harm to young children by an older stepsibling and disagreement with their spouse about keeping the children apart."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/is-it-possible-to-stop-being-an-attention-seeker","label":"Authored How do I stop being such an attention seeker? A reader asks whether someone can change behavior that draws attention through deception or self-injury."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/checking-out","label":"Authored What causes someone to mentally check-out? A reader describes a family member mentally checking out during stressful situations and later having little memory of what occurred."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/how-can-i-cope-with-what-seems-unbearable-pain-of-loss-upon-death-of-my-husband","label":"Authored How can I cope with the unbearable loss of my husband? A reader grieving a husband after more than 40 years together describes profound despair, loneliness, and thoughts of ending their life."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/i-refuse-how-to-overcome-your-inner-resistance-to-change","label":"Authored What meds can treat depression without weight gain? A person believes they have a mood disorder but hesitates to seek treatment because they fear lithium-related weight gain."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/i-have-ptsd-and-i-feel-nothing","label":"Authored Is it normal to feel nothing when you have Post-traumatic stress disorder (PTSD)? After discovering a partner's death by suicide, a person reports emotional numbness and impulsive behavior that feel unlike their earlier self."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/can-a-psychologist-tell-his-patient-that-he-is-attracted-to-her","label":"Authored Can a psychologist tell his patient that he is attracted to her? A reader asks whether a psychologist should disclose romantic attraction when a patient also feels attracted."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/can-we-contact-my-mothers-doctor","label":"Authored Can I contact my mothers doctor? A family is worried about a mother’s mood, eating, and behavior despite her composed public appearance."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/complicated-grief-has-left-me-feeling-numb","label":"Authored Why has grief made me numb? After several family deaths and another relative’s terminal illness, a reader feels emotionally numb despite continuing to help."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/constant-counting-disorder","label":"Authored Is my wife's counting a sign of a disorder? A husband describes his wife’s near-constant counting, accompanied by headaches and depressed mood."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/craving-attention","label":"Authored How do I stop needing so much attention? A woman recognizes a persistent need for attention that leads to arguments, repeated messages, and harmful coping."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/death-of-both-parents","label":"Authored How do I cope after losing both parents and battling Post-traumatic stress disorder (PTSD)? A reader lost both parents within two years and describes traumatic caregiving memories, a Post-traumatic stress disorder (PTSD) diagnosis, and persistent suicidal thoughts."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/dependent-husband","label":"Authored How can I encourage my husband to take more responsibility? A reader wants to share household decisions and finances with a husband who struggles with responsibility and receives treatment for panic disorder."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/drinking-and-blacking-out","label":"Authored Why do I black out after just a few drinks? A reader describes increasingly serious alcohol-related blackouts and destructive behavior, despite not identifying as having a drinking problem."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/elderly-histrionic-mother","label":"Authored How can I better support my histrionic mother? An adult child is helping elderly parents while a father has terminal cancer and worries about a mother’s future care and vulnerability."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/feeling-fragile","label":"Authored Why am I so fragile? A reader feels close to tears after even mildly rude or condescending comments and is finding work increasingly difficult."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/does-addiction-run-in-the-family-genes-and-home-influences","label":"Authored Family History and the Risk of Addiction Discover how genetic and family factors influence addiction risk and how awareness and early prevention can help manage it."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/what-is-your-theoretical-perspective","label":"Authored What is your theoretical perspective? A graduate psychology student asks Dr. Dombeck which theoretical perspective informs his work."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/blog/suspended-from-college-for-expressing-suicidal-ideation-a-reaction-to-an-npr-radio-story","label":"Authored Suspended from College for Expressing Suicidal Thoughts College student expelled for expressing suicidal thoughts, discouraging help-seeking and risking preventable tragedies."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/blog/diagnosing-seung-hui-cho","label":"Authored Understanding the Diagnosis of Seung-Hui Cho Learn about the process of diagnosing mental illness using the DSM. This article covers the different axes used to record clinical disorders, and personality…"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/blog/why-are-people-criticizing-james-kim","label":"Authored Why People Are Criticizing James Kim Explore the tragic story of James Kim, who left his stranded car in search of help, resulting in his death."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/blog/how-prozac-gets-its-groove-on","label":"Authored How Prozac Works in the Brain Researchers at Cold Spring Harbor Laboratory have discovered how Prozac works in detail."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/blog/cell-phone-radiation-slows-reaction-time-improves-memory","label":"Authored Cell Phone Radiation Slows Reactions and Sharpens Memory Cell phone radiation affects brain activity, slowing reaction time but improving memory. Caution needed when using phones while driving or operating machinery."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/does-a-therapist-have-to-report-me-as-suicidal-if-i-tell-her-i-self-injure","label":"Authored Does a therapist have to report self-injury as suicidal? A reader with a history of self-injury wants therapy but fears that disclosure could lead to hospitalization despite no current suicidal plans."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/what-are-some-coping-skills-for-paranoia","label":"Authored What are some effective coping skills for dealing with paranoia? A reader in therapy for paranoia worries that neighbors are deliberately sending smoke into their home, while part of them doubts that interpretation."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/my-fianc-e-left-me-because-of-my-past-porn-use","label":"Authored Why did my fiancée leave me over past porn use? A reader is grieving after a fiancée left because she discovered a lie about past pornography use."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/nature-nurture-and-psychopathy","label":"Authored Nature, Nurture and Psychopathy Psychopaths lack empathy and manipulate others. Causes of psychopathy are debated, with nature and nurture both playing a role."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/how-can-i-help-a-grieving-sister-who-is-angry-with-me","label":"Authored How can I help a grieving sister who is angry with me? After helping with a brother-in-law’s funeral, a reader feels hurt by a grieving sister’s coldness and wonders whether they should have done more."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/i-cant-tell-a-lie","label":"Authored Why can’t I tell a lie? An adult who lost both parents in a childhood car accident connects the tragedy to a lie about medication."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/how-to-help-my-grieving-mother","label":"Authored How can I help my grieving mother? A daughter living with bipolar II disorder and Obsessive-compulsive disorder (OCD) feels increasingly depleted while supporting her recently widowed mother."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/intrusive-humiliating-memories","label":"Authored What should I do if intrusive humiliating memories won’t go away? A reader repeatedly recalls embarrassing experiences after ordinary daily reminders and feels the old shame again."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/indecisive","label":"Authored Why am I so indecisive? A reader describes lifelong difficulty making both everyday and major decisions, alongside anxiety."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/inability-to-express-myself","label":"Authored What should I do if I can’t express myself? A person experiencing depression and suicidal feelings hesitates to try therapy because they struggle to express themselves verbally."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/im-overemotional-whats-wrong-with-me","label":"Authored What should I do if I’m overemotional? A 21-year-old has improved their anger control but now cries with happiness and fears losing loved ones."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/im-going-crazy","label":"Authored Why do I feel like I’m going crazy? A 26-year-old describes anger, panic, changing energy, health fears, and fear of medication after childhood trauma and past substance use."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/my-ocpd-husband-cant-tolerate-my-flaws","label":"Authored What should I do if my OCPD husband can’t tolerate my flaws? A newly married woman describes her husband’s difficulty tolerating her habits and his increasing distance after they moved in together."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/my-husband-wont-take-his-medicine","label":"Authored What should I do if my husband won’t take his medicine? A reader is worried that a husband has stopped prescribed immunosuppressant medication after a liver transplant."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/my-girlfriend-and-i-have-been-having-intercourse-for-over-2-1-2-years-and-she-has-yet-to-orgasm","label":"Authored How can I help my girlfriend orgasm after 2 ½ years together? A reader wants to support a girlfriend who has never experienced orgasm despite efforts together and on her own."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/mental-illness-vs-insanity","label":"Authored What’s the difference between mental illness and insanity? A reader asks how the terms mental illness and insanity differ. The question seeks a general distinction rather than an assessment of a particular person."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/never-had-a-relationship","label":"Authored Why am I so shy and scared of rejection? A 21-year-old man wants a romantic relationship but fears rejection so intensely that he never expresses his interest."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/my-schizophrenic-sister-refuses-treatment","label":"Authored What should I do if my schizophrenic sister refuses treatment? A sibling is worried about a sister diagnosed with schizophrenia who has stopped treatment and is raising three children while experiencing paranoia and…"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/what-is-neuroticism","label":"Authored What is neuroticism? A reader asks whether neuroticism is a personality disorder. The question seeks a distinction between a commonly used personality term and a clinical diagnosis."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/what-is-a-complex","label":"Authored What is a complex? A reader asks what a psychological complex means and how it develops. They also want to understand how fears such as abandonment can shape behavior in ways…"},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/was-i-sexually-abused","label":"Authored What signs can help me understand if I experienced sexual abuse? A woman struggles with intimacy, frightening dreams and a history of eating difficulties but has no memory of childhood sexual abuse."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/unexpressive-partner","label":"Authored How do I deal with an unexpressive partner? A reader loves a partner who rarely expresses emotion and wonders whether childhood abuse and abandonment contributed to his reserve."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/transvestic-fetishism","label":"Authored What is transvestic fetishism? A woman discovers that her boyfriend sometimes wears feminine clothing for sexual arousal and asks what the behavior means."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/therapist-rights-to-contact-employer","label":"Authored Does a therapist have the right to contact my employer? A former therapy client asks whether a psychologist may contact their employer after receiving an email describing suicidal intent and a specific plan."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/exorcism-when-is-it-appropriate","label":"Authored Exorcism as a Step Toward Recovery Learn about the difference between exorcism and psychotherapy for spiritual and mental issues, and how to determine if a problem is spiritual or mental."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/dealing-with-a-family-members-complete-personality-change","label":"Authored How do you help a parent with mental illness? An adult child describes a father’s sudden impulsive behavior, estrangement, and refusal of treatment after years of managed depression."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/are-bipolars-abusive","label":"Authored Are bipolar sufferers abusive? A reader asks whether a parent’s bipolar disorder explains emotional and physical abuse."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/advice-for-delusional-friend","label":"Authored How do I help a bipolar friend who has lost touch with reality? A reader is concerned about a friend’s fixed beliefs involving children and a doctor’s family."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/answers/bathroom-phobia","label":"Authored What is my bathroom-related phobia called? A reader experiences intense distress around bathrooms and related sounds or smells, even in private settings."},{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/treating-ptsd-with-beta-blockers","label":"Authored Treating Post-traumatic stress disorder (PTSD) With Beta-Blockers Discover the potential use of Propranolol, a beta-blocker drug, in treating Post-traumatic stress disorder (PTSD)."}],"seo":{"title":"Mark Vigil Dombeck, Ph.D. — Writer, Medical | MentalHealth.com","description":"Mark Vigil Dombeck, Ph.D. is a trauma-informed psychologist with over 30 years of experience helping people navigate mental health challenges.","canonical":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/mark-dombeck","robots":"index,follow","socialImage":{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/social-tiles-20261006-dots/people.png","width":1200,"height":630,"alt":"MentalHealth.com — 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