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We text, email and flirt daily - but is it anything?

9/4/2026

 
The question:

I’m a 33-year–old woman, and I am smitten with a man. The problem is, he told mutual friends a month ago that he wasn’t interested in a relationship – but we email, text and flirt almost daily. We have so much in common and I feel challenged. Am I an idiot to let this go on – or will he come around?

The answer:

Being smitten with a man and engaging in flirtation with him in no way makes you an idiot! It is all part of being human and being attracted to someone. I think the subtext of your question however is more along the lines of “am I thinking our flirtation means more than he thinks it does”. This of course is a valid (and protective) question to ask yourself as it can potentially save you from feeling disappointed or hurt down the road.
 
I have one question for you – and be brutally honest when you answer it: what do you really expect from him and the relationship?
 
You say you have much in common and you feel challenged. I’m certainly not disputing that you may have things in common; clearly there is some level of friendship and attraction that is leading to almost daily contact.
 
But I wonder about your perception of feeling challenged by him. Ask yourself if you feeling challenged by him is simply an artifact of him being unavailable for a relationship.
 
You indicate that he has made it clear that he is not interested in a relationship. His behaviour seems to be inconsistent with what he has said, so I can appreciate this may be confusing. Did he indicate to mutual friends he doesn’t want to be in a relationship at all? That he doesn’t want a relationship with you specifically? Rather than trying to play a guessing game about where he is currently at based on hearsay from others, you may want to simply ask him directly.
 
You have frequent enough contact that you probably can safely interject this question at some point in your communications. Then, take what he says at face value. All too often women tend to hold onto beliefs or hopes that they can somehow change a man and make him want to settle down, even when the complete opposite has been verbalized. (Men do this as well – but in my experience women do this more frequently.)
 
Feeling “smitten” with him and hoping he will “come around” makes me think that you are already starting to feel invested emotionally in the hope that things will develop into something more than they have.
 
It’s okay to continue to email, text and flirt daily if you are able to do so while keeping yourself emotionally distant, and if you are okay with the relationship never developing into anything more than it currently is.
 
But, if you are secretly hoping that somehow he will change, I would suggest you curb the amount of contact and invest energy into someone who is wanting to pursue an actual relationship.

Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

My friend thinks her husband is cheating. I agree, but do I say so?

2/4/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:
 
My friend thinks her husband is cheating on her. They have been married for six years and have a child. From what she’s told me about their relationship, it seems like all the signs are pointing to infidelity: things have gone downhill fast and there is no intimacy. She’s asked me what my thoughts are. I think she would be better off without him, but how can I tell her the truth about my feelings? I don’t want to lie.
 
The answer:
 
Keep your opinions to yourself. And if you feel tempted to do otherwise, rewind and repeat that mantra to yourself.
 
Rarely, if ever, does any good come from providing candid opinions about others’ relationships – particularly when the stakes are high given that there is a marriage and a child involved.
 
I understand that your opinion is being sought and that, as a friend, you want to be truthful. However, brutal honesty is not always the best policy. You can still be forthright without necessarily revealing the entirety of your thoughts – this is not being dishonest.
 
You’re simply being a helpful friend by respecting both the relationship and acknowledging that ultimately your girlfriend has to arrive at a decision about what to do next. If any of us went through life fully verbalizing the “bubble above our head,” it’s likely most of our relationships would end.
 
The main consideration here is that you both have a suspicion, but no hard facts about whether or not he is cheating.
 
They are ultimately the only people who can come to a resolution about how their relationship should unfold. As a result, there is little to no value in sharing your opinions.
 
Your role therefore is twofold: to provide her support and help guide her toward making the best decision for herself and their child.
 
Listen to your friend’s concerns and ask her what is making her feel suspicious. Discuss with her the options she thinks she has – waiting and seeing how things transpire, starting a conversation with him, getting more information on her suspicions, etc. Let her know that you will support her however you can, but that you are not in her shoes and that it’s not your place to tell her what to do.
 
There are only two circumstances in which providing your candid thoughts would make sense: if you had objective, first-hand evidence that he was cheating, or if it was the early stages of a new relationship where the potential risks of providing your blunt opinion were low. Meddling in a marriage on limited information does not fit within either one of those situations.

My son's making a bad life choice. Can I interfere?

19/3/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:

Our son, who was an excellent student and athlete, suddenly dropped out of university and left his summer job in order to pursue a relationship with a woman. He says he is not interested in various possibilities, and that he needs to figure out what to do in life. What should we do?
 
The answer:

Watching a child of any age make decisions that you feel aren’t in their best interest is always difficult for a parent. It sounds as though you have understandable concerns that your son is giving up positive opportunities (education, athletics) that would help him build a stable future, in exchange for a relationship that may be temporary.
 
As your son is in university I will assume that he is a young adult – this is important because your influence on your child’s life is dependent upon a number of factors, one of which is age.
 
If he were underage, certainly your role and responsibility would be greater and a more assertive approach may be needed; conversely, if he were in his 30s or 40s, your role would (despite your best intentions or wishes) be quite different, and he likely would be less open to your opinion or advice.
 
I would suggest having a heart-to-heart conversation with your son. Let him know that you want to speak with him about some things that he may not necessarily agree with, but that feel very important to you to bring up.
 
Emphasize that you care for him, and that your only wish is that he have a stable and successful future. Tell him that first and foremost, it is important to you that your discussions do not create any conflict/divide in you and your wife’s relationship with him.
 
Convey your concern and worry that he may be making decisions that, at least from your perspective, would ensure a good future. Let him know that you appreciate that he is trying to figure out what he wants to do in life.
 
Also let him know that you understand that he cares for the woman he is with – this is very important as blaming or bad-mouthing her will only serve to further alienate him.
 
Ask about, and genuinely try to understand his perspective and what has led to his decisions. (It may be that he has thought through his decisions well, even though you may have a hard time understanding or agreeing with them.)
 
It sounds as though you feel his decision to abandon other pursuits is fully attributable to the woman he is with, but it may be that he was already considering making some changes, and that the relationship simply became a trigger.
 
Remain supportive, and stay focused on keeping an open and respectful relationship with your son.
 
At the end of the day, you need to trust his decision as he is an adult.
 
Try to keep the channels of communication open, and let him know that you are always there to provide parental advice when or if he needs it.
 
Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

Why do I still think about my dead ex-husband?

12/3/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:
 
I suppose this is a problem of old age, but I think constantly about my ex-husband, who has been dead for almost 40 years. Could this be from unresolved trauma? It was not a happy marriage.
 
The answer:
 
Regularly thinking about someone who was an important part of your life – good or bad – even years or decades after they have died is not unusual. Grief is a mysterious creature and the process can be so unpredictable, and so very individual.
 
Thoughts of someone who has died tend to be more frequent and intense when the death was of someone particularly close (a partner, a child). The grieving process is protracted when the death is untimely, unexpected or particularly traumatic or tragic. Having unresolved or complicated emotions from the relationship while the person was alive can also play a role, as you have alluded.
 
As a society, we are strangely ill-equipped to deal with death. I am often asked questions about how long it will take to “get over” a loss, or how one can deal with “unresolved issues” when it comes to their grieving. My experience – both personally in dealing with the death of my father, as well as professionally – is that we never really get over the death of someone that was an important part of our life. We simply learn to cope better over time.
 
Whether your thoughts are a problem depends on a few factors. First, when you say “constantly,” what do you mean? I have many patients who will describe thinking on a daily basis about their deceased loved one. A fleeting thought on most days, even decades later, is not necessarily unusual.
 
Consider the intensity of the emotions associated with thoughts of your ex-husband. Are they neutral thoughts that pop in and out of your head, and don’t interfere with your day-to-day activities? Or, do you find you get stuck in a ruminative state that causes a high degree of emotional stress?
 
There is no magic formula for how long it takes to cope well after a death. But most people will find that it can take from a few months to a few years to get back to their usual mood and activities, and have thoughts of their loved one without breaking down or becoming overly emotional.
 
Four decades later, you still sound disturbed by the quality or quantity of thoughts you are having about your ex-husband – so clearly something needs to change. Spend some time reflecting on what impact his death had.
 
Do you feel that there were unsaid things that you want to communicate to him that you never did? Do you have anger or regret at yourself for not doing things differently, such as leaving the marriage earlier? Are there elements of self-blame or shame for decisions you did or didn’t make? Have you made efforts to move on in your life, or is your past relationship still affecting current-day decisions?
 
Doing some soul-searching on the above can help you move forward. Start by writing down your thoughts in a journal; every time you get stuck on a thought, note what it is specifically that’s in your head, and what it means about your life now. This can be a very powerful exercise.
 
If you find this doesn’t make things better, joining a grief support group or seeking the help of a therapist may be of benefit.

Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

Queer Valentine's: Valentine's Day isn't Designed for Queer Couples

12/2/2026

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
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Valentine’s Day isn’t Designed for Queer Couples

Valentine’s Day is a consumer ‘holiday’ that we’re bombarded with starting in the middle of January – whether you like it or not. Not only are red, white and pink treats and branded presents at almost every store, but we are shown images of happy couples in advertisements everywhere. Not only is this challenging for those who are single around Valentines Day, but it can also be challenging for those who identify somewhere on the LGBTQ+ spectrum. Valentine’s Day isn’t designed for queer couples. 

Why isn’t Valentine’s Day Queer?

For many folks who identify as queer, Valentine’s Day is a reminder that their identity isn’t represented which can make them feel invisible or unimportant. It does this by reinforcing the idea that ‘ideal’ and happy relationships are heterosexual, monogamous, sexual and romantic. And really anyone who doesn’t fit into that ideal feels as though they’re failing somehow. 

Think about the things we are surrounded by this time of year. Jewelry commercials are almost always depicting cisgender heterosexual couples and upholding the traditional gender norm of ‘the man’ giving a beautiful and expensive gift to his female partner. We see the same ideas reflected in the products; such as “His & Hers” monogrammed items and cards specifically address to husband/wife or boyfriend/girlfriend. And if/when we attempt to participate in Valentine’s Day we are likely to be met by heternormative assumptions. For example, “oh your boyfriend will love this” when purchasing a gift. Or having a server at a restaurant assuming your gender or relationship status. 

Yes, queer representation and queer-focused products do exist, and this continues to improve – but the ones that are available are not easily accessible. And the images we are bombarded with are of straightness. 

Though being queer does not mean we have to reject Valentine’s Day as a whole. We all deserve to be able to celebrate our love no matter what it looks like. Many in the queer community are already good at subverting the norms, reclaiming and celebrating all types of love. 

So, how can you celebrate Valentine’s Day as a queer person? 

1. Have a movie night in with your loved one(s) or your close friends. 

Valentine’s Day does not have to be about romantic love, so spend the day with people that you care about and find some great queer-focused films to watch together. Consider this list as a great starting point. 

2. Buy (or make) a queer-friendly Valentine’s Day card.

It’s less likely that you’re going to walk into a Hallmark store and find a card that represents your identity so start thinking about it early. Give yourself to find some cool cards online (Etsy is a great place to start) or consider making your own.

3. Support queer businesses.

4. Go out with a group of queer couples (or as singles) to increase your visibility.

5. Consider making a Valentine’s donation to an LGBTQ+ organization rather than buying presents. If you’re in Vancouver consider one of the following options:
  • PFLAG 
  • Community-Based Research Centre (for Gay Men’s Health)
  • Dancing to Eagle Spirit Society
  • Rainbow Refugee
  • Qmunity 
  • AIDS Vancouver 

Remember that Valentine’s Day is just another day and regardless of how you feel about it, your relationship status, or your sexual orientation or gender identity you are valid and you will get through the day. Try to surround yourself with positive representations of queerness and queer love and remind yourself that love doesn’t have to look the way it’s advertised to you. Keep doing you!

For those who don’t identify as LGBTQ+ but also don’t love the way relationships are represented during Valentine’s Day or simply want to support your queer friends during this time of year what can you do?
 
How to be a queer ally during Valentine's Day

1. Don’t assume someone has plans for Valentine’s Day. Meaning, don’t ask what their plans are unless you explicitly know they plan to celebrate it. 

This not only helps to support queer folks who don’t want to celebrate Valentine’s Day but also those who are single and don’t want to be reminded they don’t have plans (or at least not traditional plans).

2. Don’t assume the gender of someone’s partner. (Really you should never assume someone’s gender.)

3. Don’t make assumptions about or judge how someone chooses to celebrate Valentine’s Day.

Remember – Valentine’s Day is ultimately about celebrating love – which at its heart involves connection and unconditional acceptance. Consider ways you can connect and unconditionally accept yourself and others around you this Valentine’s Day.

My sister is an attention-seeking hot head. How do I deal with her?

25/12/2025

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:
 
It’s clear to our entire family that my adult sister has big emotional issues, but she won’t recognize this fact. How do I deal with her mood swings in a loving way, but also not promote further outbursts that seem to only be brought on for attention?
 
The answer:
 
Speaking to anyone who is in denial about their personal issues is difficult in the best of times. But the challenges become particularly amplified when a relationship with an immediate family member is potentially at stake.
 
A sibling bond is unique and special in so many ways, given the shared experiences – after all, no one better understands parents and family issues better than someone who was raised in the same environment. Yet our sibling relationships are often the most complex as well, particularly when elements such as competition, jealousy or insecurity play a role.
 
You care about your sister and want to be supportive, yet seem to be struggling with being available as a support for her, but also establishing boundaries for what behaviours of hers you will tolerate.
 
The first thing you want to do is offer to provide support to your sister, if you haven’t already done this. (“I’m concerned about you, and want to help however I can.”) When communicating with her, ensure that she doesn’t feel ganged-up on by the family. Speaking to her one-on-one, without others there, is the most respectful way to approach this. Don’t be blaming or accusatory, and stick to the facts of what you observe, as well as the impact on you. (“I felt extremely hurt when you yelled at me last week for disagreeing with your opinion on what we should do for dinner.”) Ask her what you can do differently to help improve the relationship.
 
Ask yourself what your contribution to her outbursts may be. When there is a long history of problematic behaviour in a relationship, friends and family members often, without even realizing it, react in sarcastic or passive-aggressive ways, given their understandably pent-up frustration. Be mindful of patterns that trigger her. Are there certain topics that push her buttons which you can simply avoid (say, talking about careers or relationships)?
 
Identify your hard and fast boundaries in the relationship. For example, you may decide that you will no longer tolerate her yelling or using profanity in disagreements. Figure out what your response will be (for example, ending the visit). Verbalize what you are doing and why. (“I find myself getting very upset when you swear at me, and I’m choosing not to be around you if that’s how the conversation is going to go, so I am leaving.”) Then, consistently stick to this.
 
Often, emotional outbursts get reinforced because the family doesn’t implement consequences to the behaviour. Your establishment of clear and consistent boundaries may serve as a catalyst for her to change.
 
Finally, realize that the only actions you can control are those of your own. We are stuck with the family we have for the long haul, but remember that we can maintain love for them – without always having to like them.

Excerpted from Dr. Joti Samra’s “
Ask the Psychologist” weekly column in The Globe and Mail.

Family Holidays Following a Divorce

11/12/2025

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
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A divorce, particularly when children are involved, can be one of the hardest life experiences to deal with. Certain times of the year – holidays, birthdays, etc. – amplify the pain that comes along with not having the same once-intact family configuration. Parents typically make arrangements that determine which holidays or portions of holidays they will be able to spend with their children. This often leaves one parent alone and it can be challenging for that parent to not focus on the sadness and loneliness. The first few holidays following a divorce will be the most challenging as the family establishes a new normal around the occasion. So, let’s talk about how to manage family holidays following a divorce.

Missing the kids – and the sadness and loneliness that comes along with that – is not an emotion to shove away. Our emotions are a signal to our brain and body that we are experiencing something that impacts an important part of our life, and what we value. Those emotions validate how important the kids are, how important family is, and that we wish the situation were different. All too often we want to shove away our negative emotional states. But that rarely turns out well, as emotions often rear their heads later on. Our emotions also provide us with the motivation to take some kind of action, to do something differently.

So, how do parents manage holidays, especially when a divorce may mean spending them alone? 

How to Manage Family Holidays Following a Divorce
  1. The goal should not be to get over missing the children (as that’s a normal reaction from a loving parent) but rather to find a “new normal.” This won’t happen immediately, and having that expectation will only make the situation harder.
    So first: Accept that this will be a difficult year, but it will get better with time (it may sound clichéd, but time does always heal).
  2. Consider speaking with the other parent about a compromise regarding the holidays. Let them know the intent is not to renege on the agreement, but the sadness of not being able to see them is more challenging than anticipated. Maybe there is some flexibility on the time spent with the children. If not, there may be some alternatives, for example; speaking to them on the phone or via Skype, or choosing to celebrate another day entirely. Holidays, like Christmas, are really just an arbitrary day.
  3. Be proactive in planning how to spend time alone on the holiday. It may feel natural to withdraw and isolate, but that will just amplify the low mood. Even though it may not feel like it at all, there is tremendous value in being around people, especially those we love and care about, to help us through these first holidays. At the very least, make plans with other family and friends.

Editor’s Note: This post was originally published as part of a Globe and Mail “Ask the Psychologist” column authored by Dr. Samra, and has been edited and updated.

Should I stay with my girlfriend, or "sow my wild oats" first?

27/11/2025

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:
 
I’m a guy who loves his girlfriend, but that doesn’t mean I’m not attracted to other women. I’m in my 20s and making good money. Is it a bad idea to sow my wild oats now, before I’m fully committed?
 
The answer:
 
Umm … the fact that you are asking whether you should “sow your wild oats” – with your financial situation being one of the highlighted reasons why – tells me you need to do some serious thinking about what you want at this point in your life, and what you want to do about your relationship. Out of fairness to your girlfriend, this is something you should figure out sooner rather than later.
 
There’s no judgment here: How you approach dating, and whether you have regrets about not dating more people before becoming more committed, is something only you can answer. Some people can be immensely happy, fulfilled and have no regrets despite having only one partner in their life; others feel that the best thing they could have done was to get dating “out of their system” before they got married or started a family.
 
Don’t become overly distressed just at being attracted to someone. I see many people in my patient practice that are in loving, committed relationships, and who remain faithful to their partners, but find themselves attracted to others. These feelings are a natural part of being human; they often pass and usually mean nothing.
 
It’s not whether you are attracted to other people that’s a problem – it’s what you do based on the attraction. Ask yourself: Do you find yourself getting too caught up in the attraction? Do you start to fantasize about being with someone else on a regular basis? Do you have thoughts of wanting to cheat on your girlfriend? If so, these are strong signs that you are not ready to be settling down at this stage in your life.You say you love your girlfriend. Do you picture being with her long-term? Could you imagine yourself married to her, or having children with her? Does the thought of her in your foreseeable future create positive feelings (comfort, peace, security, happiness, joy)? Or do you find yourself feeling anxious or stifled when you imagine this?
 
And finally, how do you feel when you think about ending the relationship with your girlfriend? How do you feel when you envision her dating someone else? Keep in mind that dating life may not be what you imagined it to be, that you’d need to have a clear break in your relationship in fairness to your girlfriend. Realize that she will likely move on and may not be there if you were to decide to go back to her.
 
Ultimately you need to trust your gut feeling and go with what seems to be the right thing for you. If it is dating other people, end things with your girlfriend in a respectful way and move on. You’re better ending things now when you are still young, and before things get more serious.

Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

I'm 65 and I hate my boyfriend's platonic female friend. What do I do?

13/11/2025

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:
 
After being happily divorced for 35 years, I met a man my age (I’m 65) who is also divorced. We’ve been dating for almost 2 years now and I think I’m in love. The problem? He has a very good female friend that he’s known for decades. She’s also divorced and they have never been anything more than friends. Strangely, she has made it clear to him and to me that she hates the idea of me being in his life. She is very dependent on him to help her at home, which I don’t object to. But he does spend far too much time with her when he’s not helping with the chores. While I don’t suspect him of infidelity, I’m beginning to think he has more complex feelings for her than he’s let on. At this age, am I just being petty and suspicious?
 
The answer: Our emotional reactions serve as a temperature gauge of how we feel about circumstances in our lives. When they’re positive, our emotions help validate that things are as we wish them to be; when negative or distressing, they give us a sign that something important to us is being threatened in some capacity.
 
It’s important to pay attention to what you perceive to be potentially threatened, then (importantly) ask yourself: Is your reaction accurate and valid given the situation?
 
Jealousy is one of the most toxic emotions we can experience. It often has a very intense, almost obsessive flavour to it. Feelings of jealousy are most commonly triggered when we have the perception that we will lose someone or something that we are strongly attached to. Anxiety, fear and insecurity are often associated emotions.
 
It can be hard to shake jealousy, and once we are sucked into its vacuum, we tend to – often disproportionately – view behaviours of others as being evidence that supports our belief.
 
You certainly aren’t being petty: Your emotions relate to a relationship in your life that is clearly an important one.  Whether or not you are being suspicious depends on whether your interpretations (“She hates the idea of me being in his life,” or, “He has more complex feelings for her than he’s let on”) are accurate, or whether they are misinterpretations of an otherwise benign relationship.
 
You need to have an open and honest conversation with your partner. Approach the conversation in a non-accusatory manner. If you jump into it already thinking he is guilty of something inappropriate, you will shut down the lines of communication quickly.
 
Let him know that you trust him and don’t suspect he has been unfaithful. Ask him to describe his feelings for his friend (without making assumptions). Convey how you feel about the situation and listen. It may be that he has very little sense of how his relationship with his long-time friend has been affecting you.
 
Ultimately, the two of you need to come to some agreements. You need to have respect for a friendship that has been in his life for decades before you entered it, and he needs to set some parameters with his female friend that demonstrate respect for you. For example, he can tell her that he is unwilling to tolerate any negative or disparaging comments about your relationship.
 
Don’t forget that she has been in his life for a very long time. If he wanted a relationship with her, he likely would have long before you came into his life.

Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

My friend has anger issues. How can I get her to change?

6/11/2025

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:
 
I have a close friend I’ve known for 20 years who still can’t control her temper. Once or twice a year she completely loses it – yelling, screaming at me, an adult version of what you expect from a four-year-old’s tantrum. Later she’s ashamed and mortified. What can she do? What can I do?
 
The answer:
 
No matter how hard we wish, we simply do not have the ability to change other people. The only person we have control over is ourselves, and that alone can be difficult to do even in the best of times. So, there are only two things you can do: Monitor – and, more importantly, modify – your responses to your friend’s tantrums, and offer to support her if she wants to make changes.
 
One of two things usually explains the presence of longstanding, ingrained behaviours that have lasted decades; the most likely situation is that your friend’s intermittent outbursts are working for her. Ostensibly, they allow her to communicate her distress to those around her. Likely, her outbursts have the actual effect of modifying the behaviours of those in her environment. But unfortunately, the negative consequences (feeling shame, feeling mortified) haven’t been sufficient in motivating her to make changes to her behaviour.
 
Another less likely, but certainly tenable, possibility is that she truly has wanted to change, but hasn’t found the tools she needs to do it. By tools, I mean alternate strategies to manage and cope with trigger factors, and effective ways to communicate how she is feeling to others.
 
Tantrum-like behaviour, for children and adults alike, is really just communication behaviour. Psychological or substance-use factors can certainly contribute (a personality disorder, or alcohol or drug use), but essentially she is making a decision to act or react in a particular way.
 
Ask yourself: How do you respond to her behaviour? It sounds as though, at some level, you have tolerated her actions. What factors trigger her to react this way to you? What do you do (or not do) after she reacts this way? And, have you given her feedback about the impact on you?
 
What contribution do you make to the situation, if any? I do not ask this in a blaming way, but I want to ensure that you are not engaging in similarly inappropriate behaviour toward her.
 
Assuming that you do not play any significant role in her behaviour, you need to have a very blunt conversation with your friend. Let her know in no uncertain terms that the way she acts is unacceptable, and although you have tolerated it, you will not continue to do so. Let her know that you value her friendship and are prepared to help her develop skills that can better control her anger. Offer to help her understand what her triggers are, and seek professional help from a mental-health professional with expertise in anger-management skills.
 
The Anger Management Sourcebook, by Glenn Schiraldi and Melissa Kerr, offers cognitive-behavioural strategies that teach people to identify personal triggers of anger – and better cope with those feelings.

Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

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Dr. Joti Samra is a Founding Member of the CSA Technical Committee that developed the CSA National Standard for Psychological Health & Safety in the Workplace and informed the ISO standard
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