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Thursday, March 28, 2024

Battle Mortale

Posted by fxckfeelings on April 1, 2013

Since we now live in a mostly-online world where everything is a loss/”fail” or victory/”for the win,” it’s normal to regard death as the ultimate fail since we’d give almost anything to prevent it from happening to ourselves and those we love (although if it happens to our worst enemies, it’s a win situation, even if most of us wouldn’t even admit that in Youtube comments). In reality, we disrespect our humanity by considering ourselves defeatable by something we don’t control, and what we do with ourselves and our family and friends when someone is dying or otherwise afflicted is what makes us great/gives us p0wnage of mortality, at least for a little while.
Dr. Lastname

After 15 years of homelessness, prison, jails, rehabs, psych meds, medication management, horrific poly substance abuse, and occasional hopeful stints of sobriety, our son overdosed two months ago. He was 30 years old.

All the years of fear, guilt and depravity notwithstanding, his father and I miss him terribly. I won’t go into the efforts (financial, emotional, time) to get/keep him sober that consumed our entire family for the last decade. Lets just say our son’s use of his drug of choice, heroin, has been the 24/7 of our lives. I could write a book about police cars in the driveway, family sessions I’ve sat through with green rehab “counselors” who appeared to be clinging tenuously to not using themselves, and the finer points of being frisked by zealous prison guards.

Some days, like today, all I can remember is what a horrible slog it’s been. Other days I remember my son’s big, kind heart when he was himself, his ability to read a room, and the way he only talked when he had something to say.

I’ve examined our family life over and over, and I had pretty much come to grips with the past, and the present. The future was plainly jails, institutions, or death. I knew all this, and had many sleepless nights to steel myself for the inevitable.

Of course when the inevitable arrives, it is a total sledgehammer to the heart and mind. The worst part is this: his father and I had kicked him out of our home (again) where he was living (again) because he was shooting Xanax. He actually got the Rx for Xanax from the same doctor that prescribed his Suboxone (why heroin addicts should not be prescribed Benzodiazopines is another post). Later that night he died of an overdose from a lethal mix of Xanax and heroin.

So, he is dead, after we pushed him out in an argument. No goodbyes, no “I love you,” just unkind and hurtful words.

In a way I feel this was our son’s final selfish act, leaving me a lifetime of guilt and replaying that night he left over and over in my mind. I feel I’ll go crazy if it doesn’t stop. I don’t want to live this way for the rest of my natural life.

[Please note: We usually edit submissions for length and clarity, but we felt this was so well-written that it should be left almost entirely intact. If the author ever follows through on her threat to write a book, we would read it.]

The usual way we judge ourselves as parents is by the way we help our kids survive and grow, even if we can’t make them happy. That standard is usually fair, unless your child suffers from a disease that nobody and nothing control, from doctors and medication, to the child or the parents who feel responsibility for his/her survival.

The toughest thing in the world then is to judge yourself properly when you still can’t stop your son from dying, unhappily, in the midst of drug abuse and conflict. It’s a mix of every kind of hell, because you feel you’ve failed, that he failed, and that the universe has failed everyone involved.

Unfortunately, we live in a world where nice kids get addicted to horrible drugs, nice parents can’t save them, and part of the illness of addiction is that the kids fuck up again and again, and you can’t keep them at home when they do. WAIT! There is more to read… read on »

Yes We Plan

Posted by fxckfeelings on January 17, 2013

It’s often been said that if you want to make god laugh, make a plan, but this is not the case for people dealing with mental illness, mostly because of all the pain you have to accept before you even get to the plan-making stage. If you ignore that pain, you’re a dumb ostrich who will make an avoidant plan, but if you focus too much on it, you develop a ruminative plan and become your problem. So brace yourself for unavoidable pain, prepare to do two things at once, and plan away. Then your choices will take you as close as possible to where you want to be, and your plan, or at least your ability to make one, will make any higher power proud.
Dr. Lastname

I have a big problem getting myself to study. I do things late and then don’t get good grades, or I don’t get anything done, or I stop somewhere in the middle. I guess I have a problem with concentration and also with laziness. I’ve also done this thing since I was a little child where I turn on music, I sit on a couch or my bed and rock myself, hitting my back towards the backrest of the couch, sometimes it takes hours, sometimes it’s quite quick, like half an hour. I also have quite low self-esteem, not sure what is the reason…I am trying to overcome it somehow but it always gets to me again and I have to deal with it and then I have these days like I do not want to get up—I can’t think of a reason to, and I do not want to go anywhere and I am scared of everything. Sometimes I feel like people are watching me and criticizing me and I don’t want to go to the market because I don’t want to deal with anyone. Sometimes I eat a lot because I am in that crazy mood and I feel bad about it, not because I’ll gain weight (maybe a little bit) but especially because of my health… I criticize myself a lot. I write something or say something and in a while I hate it even if the first impression about it was really good. So… I might be a little bit screwed up I guess… I would be thankful for some opinion or advice what to do with all this.

You’ve certainly got a ton of problems, including trouble concentrating, studying, getting up in the morning, keeping your weight under control, dealing with paranoid thoughts, etc. (but hopefully not memory, because I’d have to think there are even more issues you forgot and left out).

The big question to ask yourself, however, is not what’s wrong with you and to count all the ways, but what you’ve done with your life in spite of these problems. WAIT! There is more to read… read on »

The Hard Weigh

Posted by fxckfeelings on December 13, 2012

Given how little we control our own urges, it’s not surprising that we also have trouble controlling our reactions to them, but it is odd how often those reactions are totally wrong. Brains have a pretty good track record with instincts; get thirsty when hot, get sleep when tired, get away when near snakes, etc. When people get urges that are humiliating, however, even when they’re doing a good job of controlling them, they wrongly blame themselves, but when they get controlled by noble urges, even when they’re causing terrible harm, they give themselves a pass. So, however much you love or hate your urges, don’t give yourself a hard time about stigma or anti-stigma. Instead, remember your own moral priorities and ask yourself whether you’re doing the right thing with whatever urges, pretty or ugly, that you got, and to avoid snakes.
Dr. Lastname

I have yo yo’d with my weight for ever—I was 8 years old when I remember going on my first diet, and I had binged by lunch time. I have seen a psychologist regularly in the past and a psychiatrist more recently, and been diagnosed with a binge eating disorder as well as melancholic depression. I also have a history of being sexually abused when I was a child and required hospitalization once for an attempted suicide (prior to diagnosis) and have been on various anti-depressants. Last year I decided to press charges against my abuser and the investigation is still taking place. This was very big for me as previously I couldn’t speak about or put into words to anybody what had happened to me, but with the professional help over years, could make a police statement. I have managed to get into a healthy weight range many times in the past, but only when on a program like Jenny Craig or weight watchers, and I resent having to do these programs and can’t commit to them after I have done them once, but I can’t seem to stay in this healthy way of life on my own. I am either losing weight or putting weight on– my thought are always around food, what when and where I can eat next. I hide most of my eating from everyone including my husband. I feel like a drug addict and don’t know how to take control of my eating. I do really well in my career and other areas of my life, I just can’t flip this switch that turns me into a zombie when I want to eat. I read everything I can about these disorders, I talk about strategies with my mental health professional, but when the urge to eat takes over I go into a zone that I can’t switch myself out of. How can I stop this pattern?

Having an eating disorder is rough, but it’s even worse if you give yourself a disorder about your disorder, giving yourself a hard time for having a hard time. It’s especially unnecessary given the fact that it’s harder to find someone with complete control over unhealthy food impulses than it is to find a unicorn.

Almost everyone has trouble controlling eating habits, as evidenced, not just by the multi-billion dollar industry devoted to weight management (which, as you’ve discovered, is no silver bullet), but by the fact that very few people get permanent weight control without surgery. In reality, of course, as much as we try to control our weight, more often, it controls us. WAIT! There is more to read… read on »

The Natural Mystery

Posted by fxckfeelings on November 29, 2012

Whether traumatic or dynamic, having an early and/or intense sexual experience can make you worry that your ability to have solid adult relationships will be damaged. While sexual trauma can make intimacy scary, and sexual overstimulation can distract you from it, there are ways to move past your past. If you have a clear vision of partnership and the discipline to implement it, sexual feelings need never control your life. You may never stop them from causing pain and distraction, but they can never stop you from finding and being a good partner moving forward.
Dr. Lastname

I recently had a severe panic attack that lead me to believing I was molested as a young child. From what I know, I lost my virginity to a man in his 20s when I was 13 years old, or in 7th grade. After visiting with some old friends, I brought up an event which had happened when we were 13 years old that involved men in their late 20s or older, alcohol, and oral sex. She was horrified I brought it up, but to me, it was something that was part of my life, but after heading home that night, I began to think that maybe it wasn’t so normal for young girls to be having sex and that’s when my panic attack sunk in. For some background, I was “raised” by a 15-year-old mother who I believe loved me, but was at times, emotionally abusive and manipulative, and often times neglectful as she also had three other children after me. My father was also very young and inconsistent, I often went months without hearing from him and longer not seeing him. Anyways, eventually I lost my virginity to a man in his 20s which lead to years of promiscuity with much older men. My brother is now in his 20s and I try to gain perspective by mentally placing him next to what I perceive as a 13-14 year old, but I really can’t process the age difference. I don’t necessarily feel like a victim because I felt like such a willing participant, but lately, I’ve had this deep terrifying feeling that this sexual history goes back much further than I can remember. Although I can’t figure out what happened to me as a child, I do have these “flashbacks” that sometimes make no sense and I can’t seem to place them on a timeline, but my mind will immediately discard them and a sense of panic will set in. My goal is to come to terms with my history so I can start processing and begin to heal.

Being forced by a chance perspective to reexamine your basic assumptions about your childhood—whom you could trust, how safe you really were—can create a domino effect of doubt.

You’re now compelled to call your entire sexual history into question and wonder whether anxiety and flashbacks are side effects of the shock, or legitimate signals of unremembered sexual trauma. Between what you do remember and your lack of parental protection as a child, it could mean that you were sexually abused.

It’s never certain, however, that recalling such an experience in therapy can produce healing, and there’s a danger that delving into childhood trauma may make you feel more helpless and trap you in loops of negative thinking that keep the dominoes of doubt in perpetual free-fall. WAIT! There is more to read… read on »

Sigh, Anxiety

Posted by fxckfeelings on November 26, 2012

If you suffer from anxiety and depression, you know they’re like your own mental Statler and Waldorf, the two Muppet balcony hecklers, except less cute and more evil, spewing criticism that impairs your ability to feel confident and make decisions. Even when they don’t prevent you from achieving significant accomplishments, anxiety and/or depression make you believe you didn’t do as well as you should have. So, if you suffer from anxiety, learn how to tune out its constant negative chatter, or, even better, be proud of your ability to go on with the show.
Dr. Lastname

I’m 37 years old, nearly 38. I’m undecided on whether or not to have a child. My mother died 12 years ago and I’ve been in and out of depression ever since. I definitely have a lot to be grateful for, but a lot of times I feel like I just can’t go on—the sadness and loss are still unbearable. The other thing is that I have been dealing with very bad insomnia since my mom’s death, which also makes life very difficult. I haven’t had a lot of long-term relationships but I’m in one now and it’s been 2 years. The relationship is good and he is a good man, but I’ve never had that feeling of “knowing” if he’s the right person/life long partner. There’s always something missing for me and I suppose it’s from the loss of my mom, and the reason I usually end up breaking up with boyfriends. I don’t want to keep that pattern going as I’ll end up alone. Because of my age I feel like time is of the essence and I need to make a decision—on my relationship and having a baby. I have always thought that I would have a child and I am a loving/giving person and love kids, but it’s so hard to take care of myself sometimes, I wonder if it’s right for me to me to have one. My partner wants kids (he would be a wonderful father) and I told him I’m not ready yet, but will I ever be? My goal is to come to a decision and be at peace with it.

You’ve had more than your share of pain in life, so it’s understandable that the things that should make you feel happiness, like a good relationship, are buried by exhaustion and a lingering sense of pain and loss.

Your pain hasn’t distracted you, however, from the fact that certain things make life meaningful, even when the joy they inspire doesn’t register. Apparently, two of those things for you are raising kids and having a relationship, which matter to you despite knowing that you’ll sometimes be unable to function or feel anything other than misery.

If that’s what’s meaningful to you, don’t ask yourself whether motherhood or marriage will make you happy, whether your feelings will ever be normal, or whether you’ll always be able to function as a parent. Unfortunately, it’s not your lot in life to have normal expectations about feelings or function. That doesn’t mean, however, that you can’t achieve normal goals if you’re prepared to make realistic adjustments. WAIT! There is more to read… read on »

End Of Transition

Posted by fxckfeelings on November 8, 2012

Although stopping long-term intensive psychotherapy can leave you in a state of mourning and fear, particularly if it occurs during tough times or against your wishes, it’s unrealistic to expect that returning to therapy will make everything right again. Instead, give yourself time to adjust to change and reassess your ability to stay functional and positive. Then, if you think it’s necessary, find a therapist who’s a good, supportive coach and use him or her for a different kind of therapy that keeps your head straight without stirring up your deeper feelings. If you’re certain that you have to be “in therapy” to get helpful support and are helpless without it, then the therapy you’re in is helping you a lot less than you think.
Dr. Lastname

In my early 20s I spent 4 years in therapy (which I think in and of itself says a whole lot about the not good place I was in my head). Therapy ended, not because I was ready, but because I moved. I am now 46, and in the years since I continued to work through a lot of things on my own, with my therapist’s voice in my head, if no longer in actual therapy sessions. In January my grandmother took a turn for the worse, with both health and cognition, and we had to place her in full nursing care. She has always been one of the most influential and positive forces in my life, so I had a hard time dealing with this. It sent me spiraling down into my 4th lifetime episode of depression. I’ve started back on Prozac, which I now realize I need to stay on for the rest of my life to try to prevent future recurrences, and I’ve spent the last 10 months in therapy with my former therapist via phone sessions as we now live 1,000 miles apart. I have finished working through a lot of stuff in that time, meaning I’ve changed my attitudes and perceptions and behaviors, which has changed my life, inner and outer. I wish I’d figured it out 25 years ago, during that first round of therapy, but better late than never. It’s been a hard year. My grandmother died 7 weeks ago. The grief hit me more than I ever imagined. I thought I’d prepared in those months when she was slowly dying, but I was wrong. What is the saying—Where there is no struggle, there is no strength? Good growth has come of the pain—I have returned to college, and I am training for my first full marathon in January. I am at a truly good place in my head and was ready to end therapy, so two weeks ago, with my therapist’s blessing, I had my last session. I knew, though, that ending therapy because I am truly ready is a celebration, but that it would also be a loss. It is currently hitting me harder than I imagined. How do I get through this and find a place of healthy acceptance of this transition?

While it’s unfortunate that stopping intensive psychotherapy after many years is hitting you hard, it’s not surprising. As you well know, loss is painful, be it the death of a loved one or the end of a source of support.

That said, your pain doesn’t mean your psychotherapy has been less complete than you thought or that you stopped it too soon, just that you can be a solid, resilient person and also be very sensitive to loss, both because of temperament and circumstances. WAIT! There is more to read… read on »

The Giving Fee

Posted by fxckfeelings on October 11, 2012

Most people feel it’s their duty to help a loved one in need, but that instinct gets problematic when said loved one does not instinctively react with appreciation, or even satisfaction. When that happens, it’s natural to get mad, stop giving, and then feel vaguely responsible for their subsequent misery (especially when they keep blaming you for it). In your mind and theirs, to give or not to give seems like an inevitable choice, but not if giving something actually helps nothing; if you stay focused on giving what you believe is truly helpful, rather than on what they ask for, you can give the people you care about what they actually need without going broke or being forced to be critical or to betray your basic, positive commitment. At that point, regardless of whether they feel hurt, deprived, or grateful, you can be confident you’re doing right by them, your instincts, and your bank account.
Dr. Lastname

My friends tell me I’m an enabler because I continue to take care of my wife even though she’s got a bad oxy habit, refuses help, and uses my support to stay high. I understand what they’re saying, but they don’t understand what would happen if I put her out on the street. She doesn’t care what happens to her—she’ll go without eating, ignore the kids, have sex with dealers—anything to keep her supply going. I got her to treatment a few times, and even had her court-committed to a 90-day program, but she never really committed to it. If I confront her, she flips out. My friends say my kindness is killing her and preventing her from “hitting bottom,” which is the only way she’ll ever get motivated to recover. Meanwhile, I’m afraid of her becoming totally dependent on her dealers and winding up with HIV or dead in the street. My goal is to find the best way to help her.

While you and your friends are both right in fearing for your wife’s life, you’ve all got it wrong if you think that love, gentle or tough, will work to help her, or do anything but backfire.

As your friends say, she can misuse your support to stay addicted longer and harder, possibly killing herself. As you say, if you throw her out or confront her, she may well destroy herself to spite you and/or prove that there’s no bottom that doesn’t have a sub-basement.

It’s understandable that you’d make it your goal to help her, but your efforts have only been successful in proving it can’t be done). Instead, work to avoid hurting her and protecting yourself while preserving her access to help. WAIT! There is more to read… read on »

Old Flame War

Posted by fxckfeelings on September 6, 2012

Delving into past relationships always has an Indiana Jones element to it; no matter how pure your archaeological intentions, there’s always risk, conflict, and the potential for melting your face off. You don’t know whose feelings are going to get stirred up by your adventures—yours or your partner’s—and whether you’ll be able to manage them. Without exploring, however, you often can’t tell how the relationship you’ve got will stand up to the risk of danger. So learn to do historical detective work by staying focused on what you need to know, rather than on the intense feelings you may encounter. You’re not looking for thrills, romance, or monkey brains—just the facts.
Dr. Lastname

I am in my 50s, separated, and in a relationship. Out of curiosity, and because it’s easy to do so nowadays, I googled the names of some ex boyfriends from way back when. I found that one is living in a city less than an hour away and running his own company—we had a brief but intense romance in our late teens and he wanted to marry me but I still had feelings for another. When my job took me abroad we kissed goodbye sadly and kept in touch for a while but things petered out and we both moved on. I would like to send him a friendly email just to reminisce and find out how his life went without seeming like a crazy stalker or opening a can of worms. Is it ever wise to go delving into the past now it is so easy and anonymous to do so? My goal is to enjoy one of the benefits of cyberspace without creeping anyone out or being disloyal.

There is a real risk here of being creepy—not to your ex by sending him a friendly email, but to your current partner, to whom you could literally be a creep if your curiosity about an old relationship jeopardizes your current one.

Your first obligation is not to revive a relationship if you believe it’s destructive, i.e., if your connection didn’t just peter out, but ended so badly due to his behavior that said connection was severed with a chainsaw and then burned to cinders.

From what you write, however, you have confidence in your ability to express yourself appropriately and you regard your old relationship as basically positive. What’s harder to know is whether reconnecting to this old boyfriend will trigger uncontrollable feelings in you, him, and/or your current boyfriend that will either damage what you’ve got or cause you to break promises you’d wanted to keep. WAIT! There is more to read… read on »

Live Free Or Diagnosis

Posted by fxckfeelings on August 30, 2012

If you listen to (other) experts, psychiatric treatment should always begin with objective evidence, which then determines a diagnosis, which directs us to proven, effective treatments. This expert, on the other hand, thinks that “evidence-based psychiatry” would be very nice if we happened to know lots more than we do, but it is one of life’s great ironies that the organ we know the least about is the home of knowledge itself, the brain. Until we can fully wrap our heads around our minds and how they work, scientific thinking in psychiatry is often wishful thinking. It can actually get in the way of making good, practical decisions and accepting the necessity of living with the unknown, be it a mystery illness or the grey mush in our skulls.
Dr. Lastname

I’ve been very confused lately because of what’s going on inside me. My father did some bad things to me while I was growing up—things that I just began remembering a year or so ago (sorry, I can’t label it). Since then, other memories surfaced as well, but not many at all. Most of my memories of my childhood are snapshots that are just little moments in time, separated by years in between that I just don’t remember. Anyway, the thing that distresses me is that sometimes, but not all the time, I’ll feel like I have another part of me who is talking in my head. This came to my awareness mostly after the memories started coming up, although I feel like maybe it happened occasionally before. For instance, recently someone asked me a question, and a child’s voice answered in my head. I have other instances of similar things like that happening. One time it seemed like there were two parts conversing with each other and I was just observing the conversation, per se. That being said, I am educated enough about what happened to me and the consequences of it to know that I think I’m describing DID, but from what I’ve read, I don’t think I have it. I don’t switch to other personalities, and I don’t really lose time or anything like that…but I do know I’m not qualified to make that kind of assessment (and I know you can’t just by reading this letter). But my question does relate to that: is it possible to have the kinds of experiences I’ve described and not have DID? Since I’m pretty sure I don’t have it, I feel like I’m just some crazy, messed up person for no reason. It terrifies me to share this with anyone, but I don’t know what to do anymore, and it’s getting harder and harder to keep going.

Diagnosis in psychiatry is never precise and, when given too much attention, can do more harm than good. Until the day a mental illness diagnosis can be determined by peeing on a stick, all we can currently do is lump symptoms together and try to observe what happens to people who fall within an arbitrary category.

In the short run, knowing you’re not alone might be comforting, but it would tell you very little about what to expect from future symptoms or treatments. Worse, it would get you thinking of yourself as a diagnosis instead of as a person who’s trying to live life in spite of some disturbing, hard-to-understand symptoms.

As such a person, ask yourself what you most want to accomplish in this life, despite whatever’s going on in your head. For most people with traumatic childhoods, it’s always meaningful to be decent to others, whether they’re your kids, relatives, or friends. You know how easily people slip into abusiveness when they’re angry and how much it hurts, so you never take a good, supportive relationship for granted.

Most symptoms that impair the way you function won’t prevent you from being the person you want to be or doing what you really want to do, they’ll just slow you down and force you to work harder to think up alternative methods. A good coach helps you to accept your impairment without getting discouraged or demoralized.

So instead of looking for the ultimate shrink diagnostician, find a therapist who can act as a good coach, who isn’t too upset by symptoms, and is eager to see what you’re capable of, even when you’re distracted by traumatic memories, internal conversations or the sensations of observing yourself.

Consult a psychiatrist at least once or twice to get an overview of possible treatments, including medication. Of course, non-medical treatments almost always pose a lower risk, but many medications are relatively safe and require no more than a few weeks to try out. If your symptoms are sufficiently painful and/or disabling, and non-medical treatment is insufficient, then you owe it to yourself to check out every possibility.

Whatever symptoms you have, you want to do your best to manage them without letting them define your life. Keep up your diagnostic questions until you’re confident you’ve heard what the experts have to say, regardless of how unsatisfying that might be, and then forget about what caused your problems or how they might be categorized.

Your next step is to manage your burden and respect yourself for carrying it, even if the nature of that burden remains a mystery.

STATEMENT:
“My psychological symptoms spook me and leave me feeling distracted and distanced from myself, but they can’t take the meaning out of a good day’s work or a solid friendship. I may never figure out why I feel the way I do, or stop myself from feeling that way, but I can certainly lead my life according to my values regardless of the tricks my head likes to play on me.”

No one was more surprised than I when I suddenly got depressed about a year ago, because it’s not something that ever happened to me before. I lost energy, felt like crying, and got anxiety attacks. There was lots of pressure at work, but my job was safe, and I’ve never been prone to buckling under pressure. Now I could barely get to work and I didn’t give a damn about the projects that I was responsible for. My wife finally forced me to see a psychiatrist, I started to feel better on an antidepressant, and then my internist really surprised me by telling me my testosterone was low and I should try a trial of replacement therapy, which I did. Within 2 weeks I was back to normal and a few weeks later I stopped the antidepressant. So now I wonder whether I was really depressed or not or whether I should have tried antidepressant in the first place. My goal is to figure out my diagnosis so I’ll know what to expect.

Even on that rare occasion when a specific psychiatric diagnosis really matters, it doesn’t matter as much as you think. Yes, it was critical to your recovery that you and your doctors checked out testosterone deficiency as a possible cause of depression; the sudden, unexpected onset of your symptoms raised the odds of your having an unusual and potentially curable cause, which deserved an extensive workup of your hormone levels, vitamin levels, evidence of inflammation, etc., so congrats for making a good decision.

You also discovered that depressive symptoms may have many causes, making depression less of a diagnosis than a cluster of symptoms. So, much like aspirin, antidepressants can improve symptoms, no matter what the cause, if they work at all. (Unfortunately, no matter what the cause, antidepressant trials often fail [35% for each trial] and require lots of time [three to four weeks] before there are noticeable results.)

In addition to lucking out with both the diagnosis and the response to antidepressants, you learned a valuable lesson, which is that anyone can get depression. It wasn’t caused by bad psychological or medical hygiene, just bad luck. Getting depression often doesn’t have a deeper meaning other than that we live in a tough, unfair world where people often get sick for no reason, and sometimes that sickness makes your brain miserable.

Your own observations are the best guide to your prognosis. If you responded rapidly to getting testosterone replacement therapy, then you may be relatively unlikely to get depressive symptoms again (as long as you continue taking the testosterone, which you may need indefinitely). At some point, if you want to experiment with reducing the testosterone treatment, ask your physician about the odds and choose a good time for experimenting, when not too much else is going on in your life.

From what you know, there’s no reason to think that your prognosis—your expected luck—is worse than anyone else’s. You made good choices, which is an essential survival skill when you happen to live in a bad luck world.

STATEMENT:
“I’d love to take my mental health for granted the way I used to, and maybe I will, after enough time of not feeling depressed has passed, but there’s no escaping knowing how easy it is to get sick. I’m proud of having made good decisions and happy to have gotten lucky enough to almost balance the bad luck I had to get sick in the first place.”

Sh*te Wedding

Posted by fxckfeelings on August 27, 2012

Weddings and funerals are supposed to produce scripted emotional results, but life simply pushes too much muddy water under the bridge for human ceremonies to work out the way they’re supposed to, i.e., with great joy or catharsis, as opposed to resulting in a couple getting married or the survivors of a loved one being consoled. So when you’ve got a major change-of-life ceremony coming up that can’t perform the way it should, don’t feel like it, or you, has failed. As long as you see the greater purpose of the ceremony, there’s a way to not just get it over with, but make it accomplish something worthwhile.
Dr. Lastname

When my husband left 3 years ago it came as a shock although we had been unhappy for a long time and both had affairs before (his secret, mine open). He insisted to me and our adult children that there was no one else, and was uncertain about divorce. He carried on spending a lot of time with the family, then told us he had recently started seeing a female former co-worker, but that it was not important. He then spent six months leading us all to believe that he wanted to save the marriage and taking me out on dinner dates, but he also took a holiday with the other woman, and said lots of things that failed to add up. Two years ago everything changed when the other woman confronted him at the family home and made a horrible scene and swore at me and our son. She was furious about all his lying to her and told us they had been involved for years, then they brawled in front of me and he ran away. Things are now amicable between us even though he is still involved with this person, but we are still not divorced and our kids have chosen not to meet her. Our daughter is to be married soon and I do not wish to receive this other woman at the wedding on account of her awful behavior to me and my son (I have not seen her since that day and she never apologized). Do I miss out on having my new partner attend or do I swallow my pride and invite her? It’s my daughter’s day and I want it to go well but feel humiliated at the prospect of having to be pleasant to this person. My goal is to behave with dignity and retain the moral high ground without sacrificing my principles.

Before asking yourself whether you would feel humiliated if your husband’s volatile girlfriend were invited to your daughter’s wedding, ask yourself what the goal of your daughter’s wedding is supposed to be (aside from a legal ceremony with cake).

Despite the numerous television shows, films, and monthly magazines that tell you otherwise, the primary goal of weddings isn’t to make the bride, or any one person, happy, because that goal becomes dangerous in a hurry, whether you’re talking about a wedding or life in general.

There’s too much about weddings that you can’t control, including the weather, having enough cake, and risking forced meetings between sworn enemies (see above) who have access to free alcohol and folding, potentially airborne chairs. WAIT! There is more to read… read on »

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