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Tuesday, March 19, 2024

5 Ways To Prevent Depressive Thoughts from Becoming Assumed Beliefs

Posted by fxckfeelings on April 30, 2020

As with addiction, admitting you’re depressed is merely the first step to management and recovery. After that comes the work of fighting your depressive thoughts so they no longer make you doubt yourself, your work, and your right to live. So if, as with our reader from earlier, your grief and/or depression are making your life impossible, here are five ways to prevent those depressive thoughts from becoming assumed beliefs.

1) Ignore Your Emotions

Depression is like having your own personal garbage internet messageboard in your head; it will tell you you’re bad at your job, have lost the respect of those you work with and for, and should just crawl in a hole and die. In truth, you’re probably doing a good job, given the way that you feel, so the first step is the most obvious one; learning to push back when your brain floods you with negative feedback. Just because you feel bad doesn’t mean you’re doing everything badly, so don’t let your sadness taint your impression of your performance, self, worth, etc.

2) Be Your Own Best Friend

One quick way to refute your internal negativity is to ask yourself whether you’d say something similar to someone you care about. Ask yourself what standards you would expect this friend to meet given their situation/illness, and what language and tone would be appropriate, both in terms of being kind and motivating. You’d probably conclude rather quickly that you would never been that harsh to a friend because it’d be far more hurtful than helpful, and if you wouldn’t say it to a friend you shouldn’t say it to yourself.

3) Find the Facts

The best way to combat the misinformation coming from your brain is through research into your illness, because knowing exactly how depression works, and how little you are to blame for being afflicted by it, will make the thoughts easier to ignore. You will find that illness happens and people often have very little ability to prevent it. And even when they know they didn’t cause it they find ways to blame themselves for not eating healthy or sleeping enough, even though the major causes of depression are usually bad genes or bad luck. You will also find that depression is common, can be triggered by grief, and that you can lose focus and motivation regardless of how well you take care of yourself or how motivated you are to do your work. Once you know that your illness isn’t your fault, it’s easier to take its insults less personally and be less ashamed for being afflicted.

4) Stand Up To Stigma

Even after admitting to yourself that you’re depressed, it can be hard to admit it to others, especially outside of your inner circle. On the one hand, you’re entitled to keep your personal information private. But if your depression is imparing your ability to do your job—if it makes you look angry or withdrawn, or less eager to volunteer to do your part, or harder to focus and do your job well—then calmly stating to your colleagues what you’re going through won’t just explain your poor job performance but will also probably make them more understanding, patient, and eager to help going forward. Don’t ask for help apologetically, as if you’ve messed up and need forgiveness. Instead, let people know you’re having a tough time with symptoms, but you’re still trying very hard to do a good job and take care of your problem.

5) Out of Hiding, Seek Help

Your depression may tell you that it’s not worth getting help, or that looking is too hard, or that you’ll just end up pumped full of drugs and even more miserable. But this, of course, is yet more bullshit. Fighting the negativity of depression is hard, but a cognitive therapist can help you identify and challenge those negative thoughts and prevent them from becoming accepted. Medication may also help, although it takes at least several weeks to work and often requires multiple trials before an effective one can be found. Mostly, finding outside help will give you the support to face your illness. It will give you an outside opinion to remind you that you’re not a bad person, that bad symptoms happen to sane people, and that you’re not alone. Respect your work ethic while you prepare to fight a serious illness and give yourself the support and treatment you need.

Morning Person

Posted by fxckfeelings on April 16, 2020

People worship self-esteem and confidence as if they signify success and are as much of a job requirement as being able to learn fast and use Excel. In reality, although skill and experience will certainly make you feel more confident, and while confidence is a useful trait, there are lots of random, uncontrollable conditions that can deflate your feelings of self-worth, like illness, depression, and loss, and they have a way of combining and reinforcing one another and making work, and life, impossible. So if you’ve built up real skill and experience and know you’re good at what you do, it shouldn’t matter if you feel terrible. Indeed, if you can feel lousy and still do a good enough job, you’re qualified to do almost anything.

-Dr. Lastname

It has been almost a year since I’ve lost my father. Aside from trying relentlessly to deal with the grief, I’ve also turned into a less confident, socially awkward person at the worst possible moment. I’m in my residency where confidence and interaction with people is highly scrutinized, along with the intelligence and capacity to handle extremely sick people. Stress is at an all time high, and I struggle everyday to remember how proud my dad was of me for achieving my goals. But now that I’m so close to completing my goals…I feel myself letting them slip through my fingers because I don’t have the will or energy to do the work. My goal is to learn how to get a grip and to not lose track of my life goals.


F*ck Love: One Shrink’s Sensible Advice for Finding a Lasting Relationship

If dealing with loss and stress weren’t depressing enough, you now have actual depression to make you feel even worse. A stupid/simply as it may sound, it’s really depressing to be depressed, particularly when it interferes with your energy, performance, and ability to achieve your bigger life goals.

Unfortunately, severe depression often affects those parts of your brain that control drive, concentration and social interaction, and grief is often indistinguishable from depression, so your father’s death has, in effect, triggered a disabling illness. Then your feelings of failure about your disability are causing more depression, which makes his absence feel even more painful, and it keeps feeding itself until your career, ability to get out of bed, and will to live are completely gone.

But don’t believe for a moment that your current disability is any more significant than one caused by a stroke or concussion. Your poor performance is not a measure of laziness or incompetence, simply of temporary brain dysfunction and bad luck. Depression will tell you otherwise because it is notorious for creating intensely negative self-judgments and ruminations, but depression is also a notorious liar. So it’s important for you to confront the vicious cycle of depressive symptoms, fake news of failure, and more depression.

With the help of a friend, coach, or therapist, get help in restoring your perspective. Then let others know about your illness and its symptoms. Your colleagues and supervisors will be relieved to know why you’re not performing as well as usual and they will expect that, with time, help, and recovery, you’ll eventually get back to yourself. Meanwhile, they should be willing to give you the same support as if you were recovering from any illness.

Friends will also be relieved to know why you’ve been antisocial lately. Just as depression makes you feel like a failure, they’ve been thinking that you no longer value them as friends; your taking depression personally leads them to take your depression personally. When you let them know what’s really happening, you also block that infectious distortion, let them know you care and allow them to be helpful.

As a doctor you know that illness just happens and that it can be disabling, so use your professional experience to accept your depression as just an illness like any other. Learn to fight the feelings of failure and set up procedures and a group of helpers that will speed your recovery.

Depression hurts and disables, but it can’t do nearly as much damage as the false thoughts it creates if you start to believe them. So remember who you are and use your experience to reject false thoughts. Eventually, they’ve been so trivial and inconsequential that you’ll be able to move on in your career and from the pain of your father’s death without depression getting in your way.

STATEMENT:

“I may be performing poorly, but I know I’m impaired by depression and grief. As a matter of fact, for someone who’s as impaired as I am, I’m doing an impressive job just showing up and trying hard to get a tough job done. I can feel nothing but self-criticism, but I have good reason to be proud. I need to take good care of myself and let others know what’s happening, so they can help me get through this tough time.”

In Sickness Nor Health

Posted by fxckfeelings on April 4, 2019

Having crushes turn into obsessional attachments may seem like a bizarre weakness or psychiatric symptom that only happens to people who lack pride, insight, or self-respect (or like the premise to an excellent musical sitcom). In reality, such obsessive behavior can happen to anyone, but once it gets going, no amount of pride, insight, and treatment can make it go away. Nevertheless, if you are unlucky enough to have the kind of crushes that can crush your spirit and self-esteem, there’s no reason to let them ruin your life or to make you despair about your ability to ever find a healthy attachment. It just means you have to learn how to manage your attraction and obsessive impulses, no matter how powerful your emotions or ability to carry a tune.
-Dr. Lastname
So I’ve tried over the last few years to be close friends with someone that I was once involved with briefly. Our friendship’s had its up and downs, but I was managing, although “managing” isn’t quite what I was after. At a certain point he developed cancer; it now looks like he’s in the clear, but I was there for him every step of the way, and during the whole ordeal we expressed our love for each other constantly, hugged, kissed, and spent time together. Problem is, we were supposed to be platonic, but I never quite got past wanting him, and I’ve had a therapist talk to me about having attachment issues in general. So this guy and I are still friends, but hell has opened up least week because I asked for a firm commitment to get together over the weekend, after which I became obsessed, acted out, was anxious… something of a tidy mess. I know what I need to do and it hurts bad, but I also think I’ve made more progress with him faster now than ever before, so I dimly hope he and I salvage something. I’ve been searching for books, advice of relationships to figure out how I might heal faster, let go completely if need be, and learn how not to repeat the same mistakes again. My goal is to find some task-oriented technique for overcoming my obsession, or for dealing with my attachment issues overall, because as much as I want to keep my connection to him, I worry that I’m being an idiot by refusing to give up on what I want him and I to have.

WAIT! There is more to read… read on »

Grief Respite

Posted by fxckfeelings on November 30, 2017

As C.S. Lewis once observed, grief feels a lot like fear—it’s just as unsettling, consuming, and uncontrollable—but it does also cause some fear, namely that the grief will never end. You can’t make it end, of course, no more than you can change the way it hurts or prevent loss from happening in the first place, but you can remember that the loss would not exist without love, and that there is meaning in loving relationships that is never lost, no matter if the person you loved is no longer there. And that meaning can sustain you through hard times, no matter how long they last, no matter how scared you feel.

-Dr. Lastname

I lost my beautiful, 23-year-old son this year in a horrific accident. I keep replaying this accident over and over again in my mind. I have two other biological children and a stepchild, but I still feel the loss of this son to an excruciating degree. I am continuing to grieve very heavily to the point that I feel disconnected. My goal is to find a way to ease my horrific grief and emotional pain.
WAIT! There is more to read… read on »

5 Ways to Fight Negative Thoughts Caused by Grief

Posted by fxckfeelings on November 26, 2017

One of the many ways that grief can prolong its stay in your brain is through flooding your mind with doubts and regrets, thus expanding the potential sources of pain and frustration. Then you’re not just preoccupied with mourning one loss but all the mistakes you made in relation to it, including your inability to quiet the thoughts and just move on. If, like our reader from earlier, you’re in a state of grief that you just can’t escape, here are five common negative thoughts from grief and the ways you can fight them, quiet them, and finally begin to let your mind and your heart move on.

1) “If only I’d [done that one thing that could have saved him].

After almost every huge disappointment in our lives, it’s human nature to imagine what could have been done to prevent disaster and spare pain. That’s why TV is filled with all manner of sportscasters, political pundits, and general opinion-havers, paid to fulfill viewers’ basic human need to understand whatever went wrong and figure out who’s to blame. When all else fails, we’ll blame ourselves rather then accept the overwhelming, uncontrollable power that bad luck has over our lives. So don’t be surprised if your thoughts dwell on everything you could have done, but don’t listen to them, either. Remind yourself of everything you did right, knowing that there’s only so much we can do to protect the ones we love, and that no amount of self-torture will change that.

2) “It’s just getting worse when it should be getting better.

Just as we crave reasonable, logical explanations for something as inexplicable as loss, we want to expect a predictable, healing result from something as undefined and arduous as grief. Lots of people believe that you’ll heal from loss if you’re strong and prepared to face your feelings, but most shrinks see more evidence of that’s being false than true. Grief hits different people in different ways, depending more on the usual way their personalities experience and deal with strong emotions rather than on what or how much they choose to share. Having supportive friends, a therapist, or a support group is helpful, but it’s no guarantee that you’ll feel better any time in the near future. So don’t hold yourself to some imaginary, unfair timetable for recovery, especially when doing so will just make such recovery more difficult. Instead, respect the way you get through your days that are burdened with grief and your ability to keep this uncontrollable pain from derailing your entire life.

3) “I’m in so much pain that it’s hurting everyone around me.”

In some cases, like if grief is making you mean or too reliant on drugs or alcohol, then you may be right, and controlling your behavior and preventing yourself from hurting others is your number one priority. But if it’s just that your grief is making you so sullen, quiet, and/or unlike your usual self that you feel like you’re infecting them with your sadness or driving everyone away, then stop burdening yourself with unnecessary responsibility for their feelings. Their feelings are just as uncontrollable as your own and it’s everyone’s responsibility to protect oneself from other people’s pain. If they can’t stand you when you’re in pain, they’re not true friends. If they’re your kids, bearing a loved one’s pain is something they need to learn how to do. Stay focused on managing your own pain while encouraging others to do what’s necessary for theirs, and don’t worry about bringing them down.

4) “I can’t stop thinking of all the things we never said, fights we never resolved, things we never did,” etc.

About the worst thing we can imagine in a close relationship is to have death interrupt it before certain issues or disagreements can be resolved; then you’ve not only lost someone, but you’ve lost the chance to make things right. In this situation, regret enters the picture and compounds your grief with guilt. We know, however, that there are usually good reasons for conflicted, intense feelings in close family relationships. We also know that there is often no way to resolve those feelings with words, which is why we show our love by staying connected and letting bad things pass with time, so even if you both ran out of time, there’s no reason to believe the love wasn’t always there. Don’t expect life to have the kind of tidy resolutions that movies and TV shows do; instead of obsessing over loose ends and lost opportunities, remember what held you together, how you survived the bad times and how much better your life was for the love you shared.

5) “There’s no getting over this pain.”

Not only is grief unpredictable, but it may also be eternal; to some degree, the pain of loss, especially the loss of a child, can linger forever. On the other hand, so do your memories of the one you lost, the impact he had on your life, and the love you shared. Just loving someone opens you up to a world of potential pain, but it’s also a brave, admirable act to improve and give meaning to your life and perhaps even make the world a better place. The sadness may never disappear, but neither will the meaning of your relationship or the positive influence it had on you and your world.

Words with Amends

Posted by fxckfeelings on April 20, 2017

If someone breaks up with you for what you perceive to be unfair or unfounded reasons, one of the ironic effects of of the unjust uncoupling is that you can become so filled with confusion, pain and resentment that you can become the very kind of negative person your ex accused you of being in the first place. While there’s no reason to like the negative person you’ve become, there’s every reason to fear the results of sharing your feelings with your ex, even if you’re desperate to share something with her to win her back. Finding something sweet, giving and positive to think about and say may then seem like a good, positive solution that could restore your self-esteem and do some good. If being with her makes you become such a bad version of yourself, however, there are reasons to think twice about offering to help your ex feel better and instead use a different approach that will make you the better person you used to be.

-Dr. Lastname

I have an ex-girlfriend that suffers from depression and also has Aspergers. When she broke up with me, she accused me of being a liar and becoming a different, uncaring person over the course of the relationship. I don’t think any of those accusations are true, or that she even believes them, and I haven’t been able to get over her. Even though she said harsh words to me, I do not think she meant them and it was just the depression and Aspergers talking, especially since she told me she’s been depressed her entire life. I know that this might sound selfish and dumb, but I want to write something that could express that to her and maybe help her in the future. I will admit that I still like her and that’s why I’m writing, but I also really want her to be happier overall. My goal is to be able to get her out of her misery and be able to have a better life. WAIT! There is more to read… read on »

5 Ways To Stay Positive While Going Through Hell

Posted by fxckfeelings on January 7, 2016

If life puts you through the ringer, as described by our reader from earlier this week, it can leave you feeling like every last ounce of hope and joy have been wrung out of you forever. Here are five ways to get through hell with some of your positivity intact.

1) Less Reaction, More Distraction

Keep busy—the more time you spend working, volunteering, cleaning the garage, etc., the less time you have to think, remember, or have any serious talks you aren’t ready for. You’re not running from your feelings or avoiding facing the truth; you’re just working hard to keep these things from taking over.

2) Busy Body, Busy Mind

Exercise isn’t just a distraction, it’s a sort of healthy meditation; it gives you a chance to focus, but it’s active enough so that you can’t just sit and sulk. Running on the treadmill while watching Bravo will give you distraction, fitness, and endorphins all at once.

3) Dare (Not) to Compare

While it’s natural to want to gage your progress, never compare yourself to others, be they non-hell dwellers or hell-ions like yourself, because there’s always someone who’s happier and luckier. Think instead about what you’re doing to cope with hell, including surviving the pain and unusual heat.

4) Count Out A Cure

Don’t expect relief to come until it comes; assuming that a good talk with an old friend or therapist, a long vacation, or just a new pair of jeans will provide all you need to ease your ache will probably disappoint and then discourage. One day, the pain will be bearable, but all you can do is wait and focus on other things in the meantime.

5) Shelf Self-Blame

Never ask yourself what you did wrong to wind up in a feelings hell, or berate yourself for all the mistakes you made; sometimes things hurt even when you did everything right and nothing wrong. Remind yourself about the good things you were doing when everything went bad and the good things you continue to do in spite of the way you feel. It’s hard to be a good person when pain doesn’t stop, but if that’s what you’re doing, be proud of the way you’re surviving life at its worst.

Hurt Response

Posted by fxckfeelings on January 5, 2016

When you lose someone you really care about, the despair can also cause you to lose your confidence; you sometimes feel you should be stronger, or should have cared less, or that you now lack the independence to recover. In reality, we have as much control over how we feel about or experience loss as we do over our loved ones. Some people wind up with much more pain than others, and much more than they deserve. What you can always do, however, is find meaning and value in the relationships you’ve cared about, and, in doing so, find reasons to believe in yourself and carry on.

-Dr. Lastname

In the past three years I have lost my father, my husband, my son, and had a bad breakup. I also am responsible for the care of my handicapped mother. The loss of my son and the breakup have both happened in the last three months. I feel overwhelmed and cannot pull myself out of it. It’s too much to go through all at once, and I can’t see any relief in sight. My goal is just to survive the excruciating period of my life.

WAIT! There is more to read… read on »

Strength and Fertility Test

Posted by fxckfeelings on November 24, 2015

If you’re cursed with obsessive yearnings for something that’s out of reach, it’s natural to feel ashamed, particularly when you feel blessed in other ways and sharing your feelings would cause pain to those you love. It’s then also natural to obsess over how much you’re obsessing, which obviously just makes things worse and hard to feel anything but cursed. Unfortunately, however, ruminations are ruminations because you don’t control them. What you can control, of course, are the decisions you make about those yearnings. If you do what’s right regardless of your yearnings, you should recognize the significance of your accomplishment, and if you need tips for managing those yearnings, we’ll provide them later this week.
-Dr. Lastname

My husband and I can’t have our own biological kids, due to my husband’s infertility. We have a healthy and strong marriage, so that’s not the problem, and I’m also not mad at him for not being able to get me pregnant. I wish I was, however, because I feel like that’s an easy fix (or at least I can find plenty of how to do that online). What I am searching for is how do I stop wanting to be pregnant. We have adopted and our child is wonderful, but it doesn’t stop me from wanting to carry a child of my own. As much as I have searched and asked, infertility advice is about dealing with in vitro or other fertility treatments or how to repair a marriage after infertility, not how to cope with this kind of loss, so I am searching for advice on how to move on. My goal is to figure out how do I accept my fate and stop wishing (desperately) for pregnancy. 
WAIT! There is more to read… read on »

Breaking Sad

Posted by fxckfeelings on July 9, 2015

People often have simple, easy expectations about complicated, difficult feelings; grief should resolve itself with time, and overwhelming guilt should be resolved by redeeming actions. Of course, grief doesn’t always disappear on schedule, if ever, and guilt shouldn’t become overwhelming unless you’ve actually done something wrong. So don’t grieve for persistent grieving and do feel guilty for over-reacting to guilt. Adjust your expectations, hold on to your values, and get used to the simple fact that painful feelings have a logic of their own.
Dr. Lastname

I lost my son ten years ago when he was hit by a drunk driver, but I still think about him every day, and sadness comes back periodically. I’ve always liked to stick with the things I liked—I’ve had the same job for many years, the same friends and hobbies, and I’m often reasonably happy—but he was my only kid, I never remarried after his father left us, and I just sometimes wonder whether I should still be thinking about him and feeling sad so frequently, even after all these years. My goal is to learn to accept his death in a healthy way so I don’t grieve forever.

Like rage and exhaustion, grieving is one of those feelings that you’re only “allowed” to experience for a limited amount of time; otherwise, everyone around you wants to kill you, and that’s only if your emotional-overdose doesn’t kill you first.

While rage and exhaustion really can burn you out, grieving over a death, even for ten years, isn’t necessarily unhealthy or unusual, and it certainly isn’t guaranteed to hasten your own demise.

In reality, people differ in the depth of their attachments and life doesn’t always offer second chances. So your experience with prolonged grief after losing your only son may be unavoidable, if uncomfortable, and, of course, sad.

After all, you’re the type of person who experiences strong, lasting attachments, so your relationship with your son would probably have been central to your life if he were still alive. Based on your long history with the same job and friends, it seems that you’re also the sort of person who values continuity and relationships over adventure, change, and new experience.

The pain of prolonged grieving could have become destructive if it caused you to lose interest in relationships or the values that shaped your life, but that isn’t the case. You’re living the life you want to lead; you just miss your son.

It’s hard to live with grief, so don’t make it worse by wondering why you can’t make it stop. Certain kinds of grief never end, but that’s what comes of loving, having children, and being fully committed to them. You wouldn’t want to be a different person; you’d just want life to less cruel to people like you.

So don’t question lasting sorrow. It’s a reflection of the loving relationship you had with your son, it hasn’t stopped you from leading a meaningful life, and it’s a key part of that meaning and of who you are. You have moved on in so many ways, even if your heart hasn’t.

Don’t feel bad about feeling bad; feel good about having a good relationship with your kid, even if he isn’t here anymore.

STATEMENT:
“When I find myself still grieving for my son after many years, I wonder if I’ve really moved on. I know, however, that I’ve made the most of what life has offered me even when it’s been unbearably painful, and grief hasn’t changed what I care about or have tried to achieve.”

I can’t stop feeling like I screwed up because an executive I hired a year ago feels I hired him under false pretenses. It’s true, his prospects changed recently when I relocated our company, but, when I hired him, I didn’t know that was going to happen. He doesn’t accept my explanation, however, and feels I’ve derailed his career, or at least uprooted his life. The situation reminds me of my mother, who always lamented how becoming a parent sidetracked her career, and I hate the idea of making anyone feel that way. My goal is to stop feeling guilty all the time.

As a manager, your job is to allocate responsibility fairly after considering a person’s job description and workload, and to avoid making anyone responsible simply because you need someone to blame. That might be emotionally satisfying, but it’s bad management. Especially if the person you’re mindlessly assigning blame to is yourself.

Don’t let yourself become responsible for an employee’s unhappiness, or even your mother’s unhappiness, without first stopping to examine the facts.

You suggest that you did nothing wrong, but you continue to blame yourself because he does. Forget about him then and consider your job description and what you could or couldn’t do about his career. Then ask yourself whether you treated him properly. If you met your own standards, then give yourself the right to disagree and to decline responsibility for ruining his life.

It’s hard to watch someone feel his life is ruined. Even though life sometimes takes a turn for the worse, however, it’s seldom helpful for anyone to see himself as a helpless victim who can do nothing to improve his situation but blame his problem on someone else. Taking on responsibility for other people’s problems doesn’t just hurt you; it also hurts them by giving them an excuse not to look for a solution.

So don’t take responsibility you don’t deserve and don’t listen to whining; you have a responsibility to protect yourself. Maybe you acquired the habit of feeling responsible for the sad lives of others as a child, but you’re an adult now, and a boss, and the blame stops with you.

STATEMENT:
“I feel terrible to hear someone say I’ve ruined their lives. I know, however, that I haven’t done anything wrong and that, if someone’s luck is bad, it’s their job to make the best of things without complaining. I will no longer accept undeserved blame or listen to unhealthy complaints.”

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