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Friday, April 19, 2024

Faux-Win Situation

Posted by fxckfeelings on January 29, 2015

Strong emotions often push us to act without weighing consequences, simply because we feel helpless and need to take action; that’s why the world has so many unworn expensive shoes, memorial tattoos, and children born just before or after their parents’ divorce. In reality, we’re often screwed no matter how we choose to react, or we’re just panicking for no reason and no action is required in the first place. In any case, no matter the emotional forces, think first and act later, weighing your alternatives and acting only if you think it’s necessary. You might not feel any immediate relief, but in the long run, you won’t have anything (or anyone) to regret.
Dr. Lastname

My grown son has always been very difficult, but his last outburst was just too much. He caught me at a time when I was having a tough time and felt vulnerable, and I told him I thought he was being a selfish, self-centered little shit, so he told me never to talk to him again and hung up. Unfortunately, even if I shouldn’t have said those mean things out loud, I was right; he’s a jerk, so none of his friendships has lasted and his kids are very careful not to aggravate him. Even though I feel really guilty about it, I just can’t bring myself to pick up the phone or write him and try to patch things up. I know that if I don’t reach out to him, I won’t see those kids, but if I do, I’ll have to have a conversation with him, which is just going to be unpleasant and end badly. My goal is to figure out a way to repair our relationship so I won’t dread talking to him or feel bad about being such a heartless parent.

The good news is that you’re living evidence that Asshole™-ishness isn’t always genetic. The bad news is that you have still spawned an Asshole™.

As we’ve said before, Asshole™s can cause serious harm without any real provocation; they’re usually very needy, and their neediness causes them pain that they think is your fault, particularly if you’re a parent or other person who stirs up those feelings by virtue of your very existence.

Asshole™s truly believe you deserve punishment. What you deserve, besides a better son, is protection. WAIT! There is more to read… read on »

Proof of Strife

Posted by fxckfeelings on January 19, 2015

Strong feelings, like sports victories and financial losses, often seem inherently important and noteworthy, but, in reality, they mean very little taken out of context. Sometimes you feel something strongly just because you’re especially touchy (or don’t feel that much because you’re comfortable and momentarily undisturbed), so, as with an extra-inning win for a team that’s already been eliminated or a million dollar loss to a billionaire, it’s a small blip in the bigger picture. Don’t then jump to conclusions about your strong feelings, or their absence, until you’ve considered what you’re after and what you consider most important. Then you’ll know whether your feelings are a big deal or a bunch of nothing.
Dr. Lastname

Let me preface this by saying that I am seeing a psychiatrist and on two medications, yet I continue to struggle with depression, as well as multiple sclerosis (MS). My problem though involves my husband, who has been my rock. When I met him, he was a hunk. We created two gorgeous children thanks to his gene pool; I often think that if I didn’t carry them people wouldn’t believe they were mine! He is a stand-up guy who comes from a great loving family, does the laundry, buys the groceries and cooks when I can’t— he even makes the coffee every the morning. I absolutely love my husband, but…am I still in love with him? I know that he’s great, and the sex isn’t bad, but I’ve just lost that loving feeling, as the saying goes. My goal, I guess, is to get that loving feeling back.

Many feelings—loving, hating, hurting, etc.—are sometimes experienced more intensely by people with MS because of subtle changes in the brain. It can act like a magnifying glass, blowing up your every emotion and, in some cases, leaving a burn.

In your case, your love for your husband hasn’t intensified, but your need to feel in love with your husband, and awareness that you aren’t as intensely in love as you once were, have become overpowering. And having strong feelings about weak feelings can feel like a strong force striking your brain.

Luckily, there’s no reason you can or should change your feelings. What you should do, however, is question their importance when compared with your values, sense of the alternatives, and the possible influence of your illness. WAIT! There is more to read… read on »

Knowing Pro

Posted by fxckfeelings on January 5, 2015

We’ve written many times about the way mental health professionals especially tend to be either demonized or canonized; nobody expects their dentist to fix their lives or thinks their accountant is a monster and a fraud when s/he’s not perfect, but these are the expectations for those who deal in problems that are frightening and poorly understood, like mental illness. People would like to think therapists can provide control, but they’d also like to think the problem will go away by itself if you return to your usual routine. If you can accept the fact that some problems can’t be solved, however, and that the influence of professionals is always limited, you’ll be ready to learn everything you need to know and become your own expert on tough problems, imperfect professionals, and, if you’ve got the time, your own taxes.
Dr. Lastname

My fifteen-year-old son does poorly in school whenever he gets depressed, which is fairly often, but his current school’s counseling staff is totally worthless—they haven’t just failed to help him, but so many students that their ineptitude is an open secret amongst parents and teachers—so I’m worried that they won’t do much for him once the depression starts and his grades slip. My goal is to figure out what to do to get his school to provide the counseling services he (and other kids) deserve.

If counseling were a reliably good treatment for depression and was available exclusively through schools, then you’d have a worthwhile fight on your hands. The movie version would win awards and you’d get your face on a dollar coin.

Unfortunately for your Oscar dreams, but fortunately for your son, the stakes for your battle aren’t nearly that high.

In reality, the help that almost all counseling provides is limited, and may have less to offer now that you and your son are knowledgeable about depression and can talk to one another about it. Your school’s counseling staff may be especially weak, but their legendary ineptitude need not get in your son’s way. WAIT! There is more to read… read on »

He Dread, She Dread

Posted by fxckfeelings on December 22, 2014

Freaking out is good for your health in the moment if you’re facing a lion, zombie, or Beyonce, but if the moment passes and the freak-out doesn’t, then you’ve got problems. Some people then freak out about freaking out and see nothing but dark clouds sweeping in, while others shut the world out entirely and create a darkness of their own. In either case, if you don’t want fear to run your life, learn to assess your real risks and actual strengths. Then you can face anything from scary thoughts to American royalty without freaking out too much and feeling like your life is over.
Dr. Lastname

Over the last few years, my panic attacks have been getting worse and nothing seems to work. So far, I’ve been able to hold it together and do my job, but I often have to hide in the bathroom for short periods in order to catch my breath and talk myself off the ledge. Valium helps a bit, but I have to be careful not to take it regularly or I’ll get addicted, which I’m very frightened of happening because addiction runs in my family. Other medication hasn’t helped, nor have changes to my diet and exercise routine, so I’m getting scared and desperate. My goal is to find a psychiatrist who can help me before anxiety ruins my life.

When you’re prone to experiencing random episodes of intense, meaningless fear that make your heart race, your throat close up, and your brain tell you the world is ending, it’s hard to be optimistic. They don’t call them panic attacks because they make you freak out about how great your future will be.

On top of that, panic attacks have no cure and, as you get older, anxiety tends to get worse. So, while it’s not surprising if you see the light at the end of the tunnel as either a train, a laser cannon, or the fires of hell itself, you have good reason for hope. WAIT! There is more to read… read on »

The Fault Setting

Posted by fxckfeelings on November 17, 2014

No matter what the talking heads say, a bleeding heart is not a partisan trait, nor is it always a negative one. You don’t even have to be a registered voter to be a good, caring person, and party affiliation doesn’t determine whether you’ll care too much and take responsibility for problems that you can’t really help. Learn how to assess your responsibilities realistically, whether you embrace or reject the problem at hand. Then, when a problem comes within range of your heart, you’ll be able to decide what to do without having to blindly follow any party line.
Dr. Lastname

My girlfriend’s father is a widower in his mid-eighties who is still physically fit and able to drive. He is a difficult man, socially awkward and uneasy in company. He fills his days by going round thrift shops and yard sales buying old books and large quantities of stuff which he does not need or use. He used to sell it, but the dealers he supplied have died or long been retired so it just mounts up, particularly since his wife died. Now his house is a mess and a lot of living space is now uninhabitable. He cannot bathe or shower as the tubs are used to store stuff. My girlfriend feels guilty and stressed, but is too busy to do anything about it. I wonder whether I can move in with her if this is a family trait. I find this sort of lifestyle depressing and off putting. She is a kind and reliable person with many good qualities. My goal is to work out a coping strategy.

Caring about other people’s problems is a good trait if you can do something to help them, but otherwise it’s a good way to cause yourself trouble you don’t need. It’s just like hoarding, except with anxiety instead of expired food and dead cats.

Before taking on responsibility for an unsolvable problem, ask yourself whether that problem is likely to cause you trouble, or whether there’s anything that really needs to be done about it. Unless your girlfriend’s father wants to use your house as a storage unit, living with his hoarder status might not be too much for you to bear. WAIT! There is more to read… read on »

Fie, Anxiety!

Posted by fxckfeelings on November 3, 2014

Sometimes anxiety and depression are not illnesses, though they may feel like it; they’re part of every human’s normal alarm system, warning you that something painful or soon-to-be-dangerous needs your attention. When anxiety and depression randomly tell you that the world sucks, however, that’s when you cross the line from normal to unnecessary, requiring attention. Either way, never rush to discount what anxiety and depression have to tell you about the world, but never believe them until you’ve assessed the alarm and reached your own conclusion.
Dr. Lastname

My anxiety has been better lately, but it kicked up last weekend after my roommate’s friends broke a window in our apartment while they were tossing around a football. My roommate’s a nice guy, but he doesn’t want to pay for the window because he says the landlord doesn’t take good care of our apartment in a bunch of other ways. Now I’m starting to worry about what will happen when the landlord sees the damage and whether it will come out of my security deposit, which seems unfair, since I wasn’t even here. Anyway, my goal is to figure out whether I should up my medication because the stress from this whole thing is really hard to take.

Anxiety, like tiredness or anger, isn’t inherently problematic; if we never felt these things, it would be a big problem, and a probable sign of drug use, lobotomy, or being dead.

The issue, of course, comes with feeling anxious too much, or tired all the time, or angry at trees for being lazy. The current anxiety you’re feeling is the regular kind; it’s your response to your roommate’s actions that need rethinking. WAIT! There is more to read… read on »

Label Ready

Posted by fxckfeelings on October 16, 2014

You know that the how/when/why of diagnosis is a loaded topic, not just because you’re either longing to find or determined to reject one, but because those of you who read this site with some regularity know how many letters we get on the subject. A diagnosis is a powerful thing, but, like your authors’ posts, it’s rarely the last word. As always, ask yourself what a diagnosis really means before giving it too much meaning, or too little. We won’t be shocked or disappointed, however, if you want to ask us about what it means, also.
Dr. Lastname

I have severe mood swings which don’t help at all, because some days/weeks I will be normal anxious me, but then I can have periods where nothing scares me anymore, pretty much like I’m ‘on top’, and I’ll have so much confidence. But then I have periods which are the exact opposite, meaning that I’ll be constantly upset and feeling self hatred for the way I am. As a result of this, I researched Bipolar Disorder and I have nearly all of the symptoms, I also took some of the online tests, which I know are not completely accurate but I thought they would give me a brief outline. Each one said that I possibly have moderate to severe Bipolar Disorder. After thinking for a while, I spoke to my mum, but she shunned the idea. I later convinced her to do some research on it and let me know her opinions, which I think she had no intention to let me know her thoughts as I only got a reply one month later as a result of my frequent questioning. She said I am definitely not bipolar. I have now been put on the contraceptive pill to control my irregular periods and mood swings, however they have not altered my moods, nor has the Teen Multivitamins that my mum has been buying me to prove that it’s entirely just my hormones. My goal is to control my moods and lessen my anxiety.

Just as there are eight major levels for classifying biological organisms—from general “life” down to the precise “species”—there are several unofficial levels of diagnoses. The most general level might be by location (e.g., the brain) and the more specific would be by identifying the cause of the disease. Unlike with plants and animals or even more common diseases, however, scientists can’t classify your individual diagnosis beyond basic symptoms. In sum, not surprisingly, it’s hard to classify crazy.

If the characteristics of the bipolar “species” vary greatly, depending on the person experiencing bipolar illness, then the usefulness of the diagnosis is limited, and your own observations and evaluation become much more important. What matters most then is not whether you do or don’t have a certified bipolar diagnosis, but whether your mood swings interfere with your life. WAIT! There is more to read… read on »

Panic Boon

Posted by fxckfeelings on September 25, 2014

While fear usually inspires a fight or flight response, there’s also an equally unappealing third choice, “freeze,” which is when you’re too scared to move, explore your options, or even hold on to a shred of hope. In any case, once fear makes you forget your strengths and opportunities, it becomes far more dangerous than whatever you’re actually afraid of. Instead, use fear to make you think harder instead of more imaginatively about any and all forms of impending doom and you’ll usually find an effective way to handle your problem and take the fourth option in the face of fear, “calmly figuring shit out.”
Dr. Lastname

I like my job as a hairdresser, but getting a career wasn’t easy; I had to overcome a drinking problem and a life-long learning disability that forced me to take the certification test several times before I was dry and focused enough to pass. I recently had to have oral surgery that landed me on a short course of painkillers, but when I got off I couldn’t stop shaking or crying because I became fixated on the possibility the drugs will lead me back to booze. My husband is supportive, but he doesn’t make enough money to support our family on his own, and I can’t imagine going back to work while having anxiety attacks every day. I need a way to control these attacks or I don’t know what’s going to happen to me or my family.

You may think that your brief, warranted use of a controlled substance is what’s filled you with anxiety, but it’s actually the uncontrollable fear unleashed by that experience that’s flooded you with an unwarranted, seemingly-unending amount of negative thoughts and panic.

You proved long ago that you have the strength to fight addiction and build a normal life, but anxiety is destroying the confidence you deserve. And if you keep being afraid of what you can’t control, you risk letting your life spin even further into chaos. WAIT! There is more to read… read on »

Mind Your Voice

Posted by fxckfeelings on July 31, 2014

Some pressing problems are like mosquito bites or cravings for bags of Kit-Kats; the amount of urgency they inspire is inverse to the amount of attention they deserve. Other problems, like that angry rash on your arm or the spreading leak under the toilet, would be much easier to bear if you did not have to think or talk about them, but they’re the ones that often require careful discussion and negotiation. So don’t let your problems tell you when to talk or keep silent. Ask yourself what’s necessary, and, exactly like an adult who can deal with problems responsibly, you’ll often find yourself doing the opposite of what’s comfortable, and knowing you’re doing a good job.

Please Note: This is our last new post until 9/4, since we’re taking August to focus on finishing our book. We’ll refresh the front page with older posts while you get refreshed in the sun, and we’ll see you (and your sunburns) in September.

-Dr. Lastname

I have awful OCD symptoms that I can’t find the right treatment for. For years, I’ve had graphic, uncontrollable thoughts about killing the people I really care about (my parents, my husband), and even though I have no reason to harm the people I love, the thoughts are so persistent that I genuinely fear I’ll hurt one of them. I started psychotherapy in my twenties, and it’s always felt good to have someone I could tell about it so I felt less pressure and fear, but after all these years and communication (and a couple attempts at medication), nothing’s ever really changed. Now I’m in my forties and I’m happily married, but my husband rolls his eyes when I bring up the subject and try to relieve my fear by airing it out. My goal is to end these thoughts once and for all.

Not surprisingly, the best way to get control over obsessive thoughts isn’t to obsess over them. Airing these thoughts might provide temporary relief, but instead of releasing them, you’re empowering them; they’re like a plant, and you’re giving them the air and sunlight they need to grow and grow.

You’ve clearly tried everything, including medications, which sometimes reduce the intensity of obsessional thinking. If nothing has worked, however, then you probably also know that there isn’t a cure. That means it’s time to practice acceptance, as well as restraint. WAIT! There is more to read… read on »

Psyched Ward

Posted by fxckfeelings on July 21, 2014

Despite what the Ramones (R.I.P.) once declared, most people do not want to be sedated, especially if it’s for reasons involving “going loco.” Some people can’t think about psychiatric hospital admission as other than a form of kidnapping, and others as a failure that should never have happened if they took proper care of themselves. In reality, it’s good to think about psychiatric admission as something that can happen again regardless of how well you take care of yourself, and will rarely happen for reasons that you won’t ultimately agree with. The more you accept the possibility of hospital commitment and consider your own views about what makes hospitalization necessary, the more skilled you’ll be at managing the situation if it occurs again, even if it’s something you’re never going to wanna do.
Dr. Lastname

I’ve got depression that is usually controlled well by medication, but I had one bad episode three years ago when I got really down, couldn’t leave the house for a month, and was on track to starve myself to death. My parents were right to pull me out and take me to the hospital, but it was a horrible experience; there were some scary, sick people there, and staying there was traumatizing. Now my shrink wants me to put together a crisis plan that will tell my parents how to decide when they should take me to the hospital, if it ever becomes necessary again—a sort of “advance directive”—and I’m trying to figure out how to make sure that I don’t have to go back unless it’s really, really necessary. The last thing I want is to visit an emergency room where they like to lock people up, so I end up trapped in the nightmare ward again. My goal is to figure out how to minimize the possibility that I will get admitted again.

As traumatic as it felt to be admitted to a psychiatric hospital, you are familiar with the bigger trauma that you would have experienced if you weren’t admitted. The scary people you say in the psych ward were probably fairies and pussycats compared to the hellscape that your own home had become.

You know how painful your depression was, how it interrupted everything important in your life, including work, relationships and your ability to care for yourself, and how it endangered your health and your life. That’s the trauma it’s now your job to manage, and avoiding the job because you’d like to avoid the hospital is a foolish move. WAIT! There is more to read… read on »

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