Shut Up! Week, Part 2

Posted by fxckfeelings on April 15, 2010

While Shut Up! Week began with us doing the up-shutting, it concludes with the more fun exercise of instructing others when they can utilize their own “shut up!” skills. After all, a friend might want to help you, or you might want to help a friend yourself, but sometimes the best thing you can do to help someone is get them to keep their mouth closed. And with that, Shut Up! week shuts down.
–Dr. Lastname

For years, I’ve talked to a friend of mine about my problems who’s also a counselor, and during that time, he’s urged me to seek professional help. I used to brush off that advice, mostly because this friend lives in another city and only ever really talks to me on the phone when I have problems, but in the last few months, I’ve begun to consider taking his advice. I don’t know what to say when I call to make the appointment, however, because I haven’t the faintest how to explain the unknown in my head (which is the main issue that frustrates me). I want to scream, but don’t know why or what. Do you have any advice as far as how to ask for help when I’m not sure what I’m really asking help for?

Remember, funny feelings in your head cause fear, which causes funny feelings, which cause fear, which create a spiral that will flush you down the toilet of needless worry. The first thing to do then is shut up and think about whether you need help.

If you’ve had funny feelings in your head for years, they’re not about to kill you; they’re not telling you to kill yourself or anyone else, and they’re not annoying you to death. Plus, they’re obviously not getting in the way of at least one long-term friendship.

So, taking all that into account, you have time to use your usual problem-solving methods to determine whether or not your weird head sensations are a big deal. You can try exercising and going on vacation, to see if you get better.

The big question isn’t what you say when you ask the shrink for help, but what you say after forming your own decision about why help is necessary. After all, you can’t shut up your worrying friends until you know your own mind.

There are several criteria for deciding when to seek help that apply to most situations, like if your problem gets in the way of making a living or being a good guy, or if your problem causes too much pain.

Assume, of course, that you haven’t been able to solve the problem without help, and throw in one special-knowledge exception: get help if the problem might be a sign of an illness that you might cure and/or prevent if you had expert advice. Then come to your own conclusion about whether you need help and then stand by it.

If you don’t need help, don’t bother to tell your friend to shut up. Let him/her know, if you need to talk about the problem, that you’re satisfied with your own way of managing it, and he’ll probably shut up on his/her own.

On the other hand, if you decide you do need help, shut up about your helplessness. Tell your doctor what the matter is and why you think it’s necessary to talk about it. Then the advice you get will be more focused and less patronizing, so you’ll actualy want to shut and listen to it.

STATEMENT:
“My symptoms are subjective and I don’t know anyone else who has them, but they hurt and distract me a great deal, so I want expert advice on what I can do about them that I haven’t already tried. I don’t care if the experts explain them away or tell me they’re in my head. That just means no one has an answer, and I have the answer I need (though the answer I want would include a cure). Then I know it’s not cancer, I’ve done my best, and it’s time to accept pain and move on with my life.”

After graduating from college last spring, my son moved to a new city for graduate school. The problem is that his psychiatrist, the one he credits with saving him from severe depression and turning his life around, did not make the move with him, and my son doesn’t want to talk to anyone else. The fix so far has been phone sessions, but this doctor is not covered by my son’s meager student insurance, so his father and I have been footing the bill, and that bill is staggeringly enormous. We love our son and want him to be well, but between our own expenses and the money we’re putting towards his graduate education, our goal is to get him to look for a new, local doctor without making him relapse.

Severe depression is scary and hard to control, so it’s not unusual that recovering survivors cling tightly to whatever may have made the bad symptoms go away, including anything from the lucky underwear they had on when the cloud lifted to, of course, their shrink, particularly if he or she is nice to talk to.

On the other hand, it’s also hard for parents to stress a kid who’s gone through depression, because it’s not just the kid that fears a relapse. That’s why you don’t want to tell your son and the therapist that it’s time for them to shut up.

Your goal, however, isn’t to protect him from stress or make him feel good, but to teach him how to deal with depression effectively, and superstitiously clinging to good luck charms isn’t the way to do it.

Instead, encourage him to make the most of his resources by bravely figuring out what he really needs, and what he can do without. Treat him as the agent of his recovery, the expert of his own experience, and the client who seeks useful ideas from many sources, including new therapists, all while debunking the therapeutic impact of nurturing/”special” relationships.

Yes, suggesting change will raise his fears and your own, but it’s your job to do that while offering him reasons for beating the fear and methods for managing it. Also, of course, don’t act frightened; sure, you can admit to fear and talk about fear, but not show fear, or else everyone will be so afraid as to soil their lucky underwear.

You’re there to convince him that facing fear will pay off; it’s for his own benefit in the long wrong, not just so you can make it easier to pay off your bills.

STATEMENT:
“Of course you need a doctor to help you manage depression, but our resources are needed for your education, so we can’t waste a cent. Find a doctor who is covered by your insurance. Don’t use that person for comfort and understanding unless it’s necessary; remember, we’re your friends and you have a dog and we’re all free. Ask yourself what you learned from your old doctor that helped you manage your negative thoughts and/or symptoms more effectively and look for someone who has similar ideas. Also, if you want to learn more about coping with depression, join a group of strong depression survivors. If you want to learn how to correct negative thinking, read a book and take a course. Use your doctor to get what you can’t get elsewhere. Whether we’re managing depression or diabetes, that’s how we can keep the costs of treatment under control.”