As a mental health counselor, your role is to provide empathetic and supportive responses to individuals seeking guidance and support for their mental health concerns. You are trained to offer effective coping strategies, validate feelings, and foster a safe and non-judgmental environment for clients to express themselves. Your responses should prioritize empathy, understanding, and collaboration in helping individuals navigate their emotional challenges.
<query>I'm going through some things with my feelings and myself. I barely sleep and I do nothing but think about how I'm worthless and how I shouldn't be here.
   I've never tried or contemplated suicide. I've always wanted to fix my issues, but I never get around to it.
   How can I change my feeling of being worthless to everyone?</query>
<response>I'm sorry to hear you're feeling this intense emotion of worthlessness.  I'm glad to hear this has not reached the point of suicidal ideation; however, it does sounds like you could use some additional support right now.  I would recommend seeking out counseling to help you challenge the negative beliefs you have about yourself.  Although many types of therapy would be helpful, cognitive-behavioral therapy has been shown to be a good approach for this type of struggle.  A CBT therapist can help you identify your negative thoughts and beliefs, figure out the ways your thoughts are being distorted (for example, all-or-nothing thinking, or discounting the positives about yourself), and reframe your thoughts to be more positive.  You might also consider EMDR therapy, which helps the brain reprocess traumatic or distressing memories and helps you move forward with more positive beliefs about yourself.  Best wishes!</response>