Posted by fxckfeelings on May 31, 2012
The helplessness of trying to help troubled kids often brings out the fighting spirit in those who care the most. Unfortunately, without a clear enemy from which you can rescue your child, you often fight for goals that can’t happen, target other would-be helpers, and make a bad thing worse. Regardless of how helpless you feel, your goal isn’t to save troubled children from a monster or a mental illness; it’s to find out if there’s something you can do that will actually help while avoiding direct emotional conflict. Not fighting won’t relieve your helplessness, but it will let you work towards something better.
-http://www.fxckfeelings.com/ask-for-help/
My ex-wife, who is a therapist, is spooking me out about our son, whom she says she’s treating for a variety of serious problems. He’s now 10, and he’ll tell me one day, when I’ve got visitation, that he’s having suicidal thoughts, using grown-up phrases that make me think he’s just repeating something he got out of a book or from TV. Then she’ll keep him home from school and stop visitation for a couple weeks while she does “therapy” with him, at the end of which time she’ll declare that the problem is solved. A few weeks later, he won’t show up and she tells me she’s keeping him home for treatment because he’s having “panic attacks.” My kid needs help and I can’t believe her treatment is doing any good. Meanwhile, he’s not getting help from anyone else, especially not the staff of his school, who are eager to help but never see him enough (they’re already bending over backwards to keep him from repeating this year and are trying to avoid reporting him for truancy, given the number of school days he’s missed). My goal is to get my son the help he needs.
It’s hard not to unleash your wrath when your ex-wife’s insistence on playing doctor blocks the real doctor from getting through. Your own child is in trouble, your ex’s behavior is troubling, and you’re this close to tearing her a new one.
Remember, however, that nuclear wars between protective caregivers are costly and often harm the one you most want to rescue; by fighting against your ex-wife’s treatment, you’d just be increasing her blast range.
The first thing to do then is to consider the alternatives while taking comfort in the fact that there’s a great deal you can learn about your child’s problems, and a great deal you can do to help. But it’ll only work if you take things one at a time instead of taking your wife down. WAIT! There is more to read… read on »
Posted by fxckfeelings on May 7, 2012
Particularly when you’re expecting to raise kids, there are good reasons to commit yourself to caring for your partner through thick and thin, sickness and health. What you should recognize from the beginning, however, is that uncontrollable, bad things can happen that can make a partnership dangerous and destructive to one or more family members and then it’s your responsibility, as an individual, to do what’s necessary. Mental and neurologic illness can change personalities and create overwhelming burdens. Unrecognized character problems are equally uncontrollable and can have a similar impact. When you take your vows, keep this in mind and remember, many people who divorce are trying to choose the least of the evils that face them and haven’t forgotten the promises they made.
–Dr. Lastname (Doctor only today– the writer half is under the weather)
When I was manic and crazy, I really fucked up my marriage. For 6 months, I was talking fast, flinging money around, drinking hard, sleeping with anyone I could catch, and generally acting like an asshole. The third time I went into the hospital, the doctors found a medication that worked and, since then, I’m back to my old self but my wife has decided it’s all over. She goes out without me whenever she can and acts like she’s angry whenever we’re together. I can understand her feelings, but she won’t accept my apology. For the last 6 months, I’ve shown her my old, reliable self, but I can’t win back her trust. The problem is my bad; I should be able to make it right.
We all want marital vows to overcome whatever bad things life throws at us, and so we promise to care for our partners through thick and thin, unconditionally.
What’s stupid about such promises, however, is that some of those bad things are the size of an asteroid and can wipe out any marriage, regardless of how strong the love and commitment, and feeling obliged to stick with vows that have no escape clauses can drive you crazy.
Yes, your wife should forgive you for having a manic episode: you couldn’t help it and the part you can help—taking your medication—you’re doing well. It takes courage to resume your life and face the people you know after the humiliation and chaos of acting like a crazy jerk.
The sad thing that can’t be helped isn’t your illness; it’s your wife’s reaction to it. I assume you and others have done all you can to educate her about it and you’ve had a good opportunity to show her what your values are and regain her confidence, now that you’re well again. If it hasn’t worked, it’s not because there’s something wrong with your approach: it’s probably because there’s something wrong with your wife’s character. She just doesn’t have the strength.
Look at her closely, and you’ll probably find she’s never had the strength, meaning that she’s never been able to keep a relationship going if it hurt her too much. That’s why it’s important, when looking for a partner, to find someone who’s shown an ability to stick by her friends and family regardless of hurt. It’s a quality that’s even more important than the fact that you love one another. Without it, you’re fucked. Now you know.
So don’t make yourself responsible for her reaction, as sad as it is. You didn’t cause your illness or give her the character she has. Don’t apologize. Don’t beg. Let her know you understand your illness put her through a very hard time, but that you’re confident that you’ve recovered and that you can again be a good partner. Maybe surviving this hard time has made you stronger and wiser. In any case, if she still wants the partnership, it’s hers; if not, you both need to move on.
You need someone strong who can still love you after a manic episode, and she needs someone lucky who doesn’t get sick.
STATEMENT:
“I feel like I destroyed my marriage and it’s my job to get it back, but I know I didn’t cause my illness, and I’m proud of the way I manage it. I can’t help it if my wife can’t tolerate it, but I know I need a wife who can.”
After her last hospitalization a year ago, my wife didn’t recover all that much, and she’s gradually become very different from the woman I married. Her psychiatrists tell me there’s no new treatment to try (she didn’t tolerate clozapine, which is the Hail Mary treatment for crazy thinking) and she’s probably not going to recover much more than she has now. She’s able to keep herself clean, but she still hears voices, looks befuddled, and thinks I’m spying on her for the FBI. She can do simple chores, but she’s very distractible. Most nights, she sleeps at her mother’s house because that’s where she’s most comfortable. I’ve got used to taking care of the kids on my own, and I can’t trust her with them when she’s around. I miss her terribly and I promised to stand by her in sickness and health, but I don’t know that I can stand this much longer. I feel bad about deserting her when she really can’t help it, but taking care of her and the kids is more than I can manage.
You sound like you’ve done all you can to help your wife recover from severe mental illness and it isn’t going to happen. Instead of blaming yourself or anyone else for her failed recovery, you’re facing it as a sad fact of life. What troubles you most is dealing with your marital vows to stick together through sickness and health.
Marital vows ignore the fact that some illnesses can destroy a family and present you with impossible choices. Most times, sticking together is manageable, better than the alternative, good for the kids, and the right thing to do. It’s not hard to imagine situations, however, when sticking with someone does no good for them, destroys your life, and is bad for the kids. No one likes to think of those things at a wedding, or ever.
Put aside your guilt long enough to ask yourself what she would expect of you if she were her old self and what you would expect of her if your positions were reversed. Assume that you both believe in standing by the one you love, but not if it does no good, or overwhelms the resources of the healthy partner, or endangers the kids and their future. Assess the impact she has on them and they on her. Take into account that she probably qualifies for social security/disability and may also be eligible for state services for the chronically mentally ill.
Don’t assume that the path that hurts most is the one that’s right. This is not a conflict between duty and pleasure or between selfless vows and selfishness. It’s a conflict between your responsibility to care for your wife and your assessment of the value of your sacrifice, the good it can do, and the harm it can cause to your other responsibilities.
Either way, it breaks your heart, but you have an administrative responsibility as the sole leader of the family and you need to do what will do the most good/least harm. Whatever you choose, respect yourself for bearing the burden of this choice.
STATEMENT:
“I feel like I can’t leave my marriage without breaking my vows and deserting my wife when she needs me most. I can’t help the fact that she’s no longer the same person and doesn’t get much from being married to me. I’ll try to weigh the competing ethical responsibilities and do the right thing, knowing there’s no way to do right without also causing harm.”
Posted by fxckfeelings on April 23, 2012
Whenever you’re about to do something you feel you need to do, you’ve got to wonder whether it’s good for you. As any overweight person can tell you, we often need what we can’t have or shouldn’t get too much of, and “needs” (i.e., frosting) have a way of winning out over logic. So whether your needs are driven by depression or dreams of a better marriage, don’t let them shape your goals until you’ve asked yourself where they’ll lead, what matters most, and what you need to do to manage them. After all, the difference between a need and a want is a slippery, frosting-covered slope.
–Dr. Lastname
I constantly feel the black dog shadowing me. Mostly I can function and I pay it a gentle nod on my daily musings but every now and again the feeling is so great I want to slide on into the abyss. I may allow myself to indulge for a day or so but am careful to put in place an exit plan before I do (I know this place can feel so good but not really be good). It often takes great effort to avoid this feeling and even more so to get out of it. Lately I’ve been wondering if my approach is purely avoidance on my part rather than management. Does it really matter if it’s working? Yet I feel that slowly the effectiveness is waning and I seem to have a feeling of despair more often. Is it poor anxiety management driving the depression?
Your letter focuses so much on your subjective, “black dog” feelings of depression that I don’t know whether you A, feel seduced by the idea of taking time off to indulge sad ruminations, B, are low enough that you’re planning your suicide, or C, crave scones from the same-named bakery Martha’s Vineyard.
If the answer is B and you believe you are capable of harming yourself, you need to get away from the computer and into an emergency room right away. Since your letter doesn’t read as totally helpless (or New England-based), however, I’m going to assume the answer is A.
Your feeling-focused ambiguity leaves me (and you) uncertain as to whether your depressive time-outs are becoming worse or dangerous, by impairing your ability to work and sustain relationships. The answer is to be found in your actions, not your feelings; think less black dog, more black and white. WAIT! There is more to read… read on »
Posted by fxckfeelings on April 16, 2012
When what you’d like to change about yourself is a predominant feeling, like anxiety or depression, you end up in a double bind; you’re stressed that you feel stressed, you’re angry that you feel angry, and, especially if you’re depressed, you find yourself wanting a feeling-free existence. Since changing your personality isn’t possible, you need to settle for symptom management rather than total relief. Ultimately, certain feelings are hard to bear and feelings about feelings make them worse, but keeping feelings in check is possible, and something you can feel good about.
–Dr. Lastname
I know I have a pretty good life, but I seem to always be stressed, which seems largely self-inflicted due to my high standards for myself at work and home. I tend to overdo it trying to meet my self-imposed goals and feel stressed a lot trying to achieve, and upset when I don’t meet this standard. For example, I freak out if my work isn’t done on time, and if I don’t get all my chores done by the end of the weekend. I generally freak out if anything is in my inbox for more than a few days. My goal is to chill out and enjoy life more, instead of stressing out over impossible deadlines, and to more effectively prioritize what actually needs to be done ASAP vs. things that can wait.
There are many analogies made using the gazelles around the watering hole, but as tragic as that one weak gazelle’s fate is, at least, before he died, he wasn’t suffering from stress.
Sub a watering hole for a water cooler, and you see why stress has its advantages; to the degree that stress and high standards push you to work harder and do a better job, they help you survive. Gurus on TV tell you about the advantages of relaxation, but gazelles will tell you otherwise. WAIT! There is more to read… read on »
Posted by fxckfeelings on April 2, 2012
When you’re overwhelmed with depressed or anxious feelings that don’t seem “justified” or connected to the usual events of your life, you first doubt whether you deserve to feel that bad, then doubt your sanity entirely. That’s because these intense, negative emotions tell you that you’re worthless and/or doomed when you’re not (at least, no more than anyone else), and most people assume their emotions must be at least a little right. In reality, symptoms pass and you’re never worthless or doomed as long as you can keep your perspective, so instead of jumping to dire conclusions when intensely negative feelings try to seize control of your brain, stand your ground.
–Dr. Lastname
I feel guilty for feeling like I might be depressed. I have no reason to feel sad (and that word makes me cringe because it doesn’t quite sum up the multitude of emotions that devastate me on a regular basis; desperate, useless, pathetic, oxygen thief, loser and plenty other perfectly good adjectives could cover it) and because I can’t justify it, I start to feel frustrated. I’m like an elastic band – one minute I’m the happiest person on earth and the next I’m scraping the bottom of the barrel, ready to drop where I stand and content to never get back up again. I’m twenty and so it might just be that I’m walking the boundary line between physical maturity and teenagerdom, where angst haunts us all. I’ve had difficulties with this kind of thing in the past—my dad died when I was nine and I developed anorexia shortly after and while I’ve since ‘recovered’ (I hate that word), I still have issues with the way my body looks. I tried to kill myself when I was thirteen for no other reason that I can remember other than I had a rope and a bunk bed and fuck it, why not? Obviously I failed and I’ve never tried it again, but now and then I’ll look up at my ceiling fan and think, “Why not?” And then I’ll feel silly and awkward. But then I’ll be driving down the freeway and think “one jerk of the wheel and I’m out”. Or I have a headache and I’m staring at a very large bottle of aspirin and it’ll be there, in the back of my head, whispering away. It’s not normal to feel like that, is it? Even if they are just passing thoughts, it shouldn’t be like this. Does everyone think like this?
When you find yourself with frequent feelings of self-loathing and an urge to end it all, the question isn’t whether other people think like this (not usually), or whether you should have to feel like this (should or not, you do, and that’s the way it is), or why you feel like this (life is indisputably unfair and some people carry inexplicable pain).
The question you should instead be asking yourself is whether you can find a reason to live, knowing that you often don’t really want to. WAIT! There is more to read… read on »
Posted by fxckfeelings on March 15, 2012
People often think the worst kind of craziness leaves you dazed, confused, and mumbling to yourself on the subway, but the truth is that there’s another kind of craziness that’s even worse. With that kind of crazy, you’re still aware of the date, can name the President, and keep a bank account, but you feel broken by the deliberate malice of those you should be able to trust. It feels like a legitimate reaction to life and individual people rather than an illness, but illness it is, and people who have it and those who love them must accept it as such if they’re to get any kind of protection at all from its corrosive effect on relationships and hope. Otherwise, everyone involved will end up feeling as isolated and scared as the ailing, mumbling subway-dwellers.
–Dr. Lastname
My psychiatrist recently told me he thought I was a borderline character disorder, which I know, from looking it up, means I’m an angry, destructive person who is probably not going to get better. What was also upsetting was the fact that the description of a borderline character disorder fit me, because I’ve always had trouble keeping relationships and I tend to cut myself and do other self-destructive things when I’m feeling low, which is most of the time. My goal is to feel better, and now I feel hopeless. The question is, am I really hopeless?
The fact that you’re asking that question, instead of hating the evil system of mental health clinicians for destroying your self-esteem by giving you a vicious label, shows that you’re not as hopeless as you think.
You have a good ability to see things positively and clearly, even when your feelings are entirely negative. That’s essential to managing the temperament and habits of a borderline personality (or almost any negative personality trait). That and admitting you have a problem in the first place. WAIT! There is more to read… read on »
Posted by fxckfeelings on March 12, 2012
The problem with most of our methods for rating ourselves is their reliance on feelings; the pleasure of doing things perfectly, or the satisfaction of beating the other guy and pleasing your parents or the pain of being disrespected by the community because of who your parents are. Naturally, these feelings are often false, since we tend to feel good for the wrong reasons or can’t feel good because of reasons we don’t control. So, instead of letting emotions dictate when you’ve succeeded or failed, consult your values and judge yourself the way you’d judge anyone else. You can’t make feelings of failure go away, but when they try to lead you to negative conclusions, you don’t have to follow.
–Dr. Lastname
Compared to my father, I’ve failed to achieve much in life. He inherited a lot of money, doubled it, and was well respected as a banker and business consultant. Sure, he was also a jerk who was unbelievably nasty with everyone at home, but that’s another story. He still made sure I got a great education and went to business school, which he never did. I was fantastically lucky with my wife and kids and I worked hard, but I never came close to his success. Forty years later, I’ve barely got enough money to retire and I can’t help my grandchildren with graduate school. People think of me as a nice guy but not as an impressive businessman and I leave no great fortune to the next generation. How do I live with the fact that I’ve failed?
Somewhere in the human brain, somewhere near the mammal brain and the lizard brain, is the lesser-known marine brain. It’s the part that makes us, like fish in a school, define how we’re doing by where everyone else is.
There’s no shame in it, but there’s no reason to listen to it, either.
In the more advanced parts of your brain you’ll find your values, and they’re worth reviewing first, not just in order to be a good person, but to develop standards that protect you from being too fishy and comparing yourself to friends and family. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 23, 2012
Mental illness, much like the devil, performs its greatest trick when it convinces the sufferer it doesn’t exist. That’s why some sick people don’t believe they’re sick, because they’re too sick to know, while others fall into denial rather than admit they don’t have control and can’t get it. If that includes you, don’t worry; you can force yourself to become objective as long as you’re willing to accept whatever unpleasant evidence you uncover. If it’s a matter of a deluded brain, however, you can’t recover without relying on the kindness and common sense of family and strangers to deliver you from evil.
–Dr. Lastname
I believe what started out as typical empty nest syndrome has turned into complete paralysis. I’m literally stuck in my own nest! I know it’s strictly up to me to get myself launched, but I’ve lost all confidence in my ability to go/do/be well, anything. I think it’s more than simply “get a hobby.” I’ve come to the sad reality that my “friends” were really more like “bleacher/booster buddies” from all of my kid’s activities over the years, and now I find myself without any close friends, and no real interests. I was a stay at home mom (by choice) and had always planned to get back into the workforce once my kids got older, but MS sidelined those plans, and keeps me pretty challenged nowadays. I know I need to get myself back in the game, but my list of excuses as to why this is impossible only grows over time. I’m not always mobile, I’m not confident about how I look, and I just feel like I’m boring and have nothing to offer anyone. Since I’m already assuming nobody’s going to like me, maybe I should just go eat some worms…but of course that would require a trip out my nest, and…well, I guess you get the whole “woe is me” picture. I cannot figure out where to begin to ever break this cycle of negativity. Can you help me hatch a better plan than the useless one I’m currently sitting on?
Anyone can get into a rut, but multiple sclerosis makes it much, much harder to get yourself out. You might not realize this, but your empty nest is actually more of a sick bed.
MS not only makes you doubt your stamina and physical balance, it also frequently makes your emotions more intense, particularly the negative ones that tell you you’re useless and lacking in courage.
So, when your mind tells you that you have no friends and nothing to offer, that’s the MS and depression talking. Of course, it would be easier to tune it out if there were other voices to help you do so, but the negative thoughts keep you from seeking out new company, and so the rut deepens. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 16, 2012
More often than not, being nice isn’t. It can get you focused on doing good for other not-quite-so-nice people who will never be able to return the favor, or on cleaning up impossible messes, instead of focusing on the larger, more important goals that go beyond good gestures towards common sense. Be nice if you must, but remember that you have other goals, one of which is knowing when you have to be cruel to be kind.
–Dr. Lastname
I can’t stop thinking about my wife’s lack of support. I’ve supported her in everything she wanted to do, whether it was getting a professional degree or going away for a week to study photography, but now I’m the one who wants to go back to school part-time to get a special ed certificate, and she’s hemming and hawing about how we don’t have the money. I’ve done the budget, and we can get by while I’m in school, and the degree will pay off, but she’s very cool to the idea. I want her to see how unreasonable she’s being and how unfair this is after all I’ve done for her.
There’s nothing wrong with being a giving, loving partner, as long as you don’t expect the world to treat you fairly. And the world includes your wife.
Few people are nice and giving all the time. Even worse, no matter how nice you are to those around you, there are lots of people who don’t give a shit about your generosity, are teflon when it comes to good will, and are never going to be nice, period. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 2, 2012
The fact that treatment is seldom as good as we want or need it to be isn’t so bad. If we can’t always make things better with treatment, and we’re willing to accept that fact, we’re no longer burdened with responsibility for figuring out answers and making things better in the first place. Our real job isn’t finding a perfect cure for what ails us, but figuring out whether treatment is better than no treatment. And if treatment only does so much, we can take credit for whatever we do to manage the hopeless mess that’s left for the rest of our not-so-bad lives.
–Dr. Lastname
My 15-year-old son needs treatment for his irritability. He gets unbelievably angry over small things, to the point that he ups and goes to his room. He agrees that things are basically OK and he’s sorry afterwards, but it happens at least once a week. We have a happy home and he has friends in school and gets good grades. I think it’s his mood that’s the problem and it causes him and our family a lot of pain. My goal is to figure out how to get him some help with psychotherapy and/or medication.
Just because someone’s in pain doesn’t mean he needs help. Pain is just part of the complete life package, along with joy, hunger, death, etc.
Of course, you’ve got less to lose and more to gain from treatment if his irritability has caused bruised knuckles, broken sheetrock, and a growing familiarity with your local police. Pain is a normal part of life, but serving life in prison isn’t.
What you’re saying, however, is that, aside from his verbal explosions, he remains in physical control, does self-motivated time-outs, retains good relationships, and has no trouble focusing on work and getting it done. No pill could improve upon that. WAIT! There is more to read… read on »
