Posted by fxckfeelings on March 17, 2011
Being diagnosed with mental illness won’t necessarily screw up your life, and screwing up your life doesn’t mean you have mental illness. In any case, people are most effective at managing screw-ups and mental illness when they’re ready to face the worst case scenario, assuming they can do so without letting it reflect on the quality of their management. Consider the worst, hope for the best, and don’t let your fears distort your perception of reality. In other words, don’t panic or feel that you’ve failed when somebody acts “crazy” or you’ll end up driving yourself nuts.
–Dr. Lastname
Are there varying degrees of bipolar? My son is 21 and just diagnosed in Sept 2010. He is a student, a swimmer with his university and a likeable, good-looking guy. He is medicated (lithium and Zyprexa) and is doing pretty well. He complains about concentration issues. I just feel sometimes like I need to be reassured that this is manageable and that there are positive stories of other people with bipolar. I hope and pray that he will lead a fulfilling life, marry and have a family. We are all just trying to adapt to this diagnosis.
Not only are there varying degrees of “bipolar,” there are probably various kinds as well, but we don’t know enough about what’s going on biologically to say. Like the Supreme Court once said of obscenity, you know it when you see it, but it takes many forms.
Basically, the word “bipolar” doesn’t have a lot of meaning other than as a description of someone who had an over-the-top episode of wild, excited, high-risk, inappropriately-undressed behavior that then, most probably, was calmed down by lithium.
Since we don’t have a biological definition of bipolar, we’re forced to use the word to describe the unluckiest cases, the ones who have the most severe symptoms that last the longest and come back the most often, simply because they’re the ones that are easiest to categorize.
There are probably lots of mild or brief cases that don’t get included in the definition, so the diagnosis seems to imply severe symptoms and a difficult future, when, actually, there are probably lots of mild cases. So yes, you’re right, he may not have it as bad as people think when they hear the word “bipolar” (which is to say, he will probably doing a lot better than Charlie Sheen).
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Posted by fxckfeelings on March 14, 2011
When someone expects a lot from you, it’s supposed to be a sign of respect; they think you’re capable enough to achieve great things. A lot of the time, however, it’s just a reflection of their false hopes and laziness, because they want you to be able to do everything they can’t do, the generally impossible, the dishes, and everything in between. If you accept their overly-optimistic assumptions, you’ll also share their frustration, guilt, and maybe blame. Don’t start helping before giving careful thought to what’s really possible. Then figure out a positive way to share the bad news…in the most respectful way possible.
–Dr. Lastname
It was just starting to look like my 25-year-old son had found some happiness and confidence when, bang, he had a bad motorcycle accident, broke his leg, lost his contract job because he couldn’t do it, and slipped back into the depression that has dogged him (and the rest of the family) since he was a teenager. He’s a good kid who managed to finish college in spite of dropping out a couple times because of depression, and now, to see him lying around the house, declaring that he’s just another “failure to launch,” is breaking my heart. My goal is to help him feel better about himself and life.
We’ve talked a lot recently about how some people have difficulty getting motivated after a long depression, but when you are depressed, you actually have tremendous motivation…to see your world as being shit.
Depression gives you the power and motivation to refuse to see it any other way. Even when depression isn’t in the cards, it’s hard to convince someone who’s feeling down that they’re wrong.
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Posted by fxckfeelings on March 10, 2011
Families are forever, just like diamonds and herpes, so it’s natural to want to change family relationships when they’re excruciating or failing apart. Everyone assumes that our best tools are communication and understanding; for some reason, we hold to this belief, even as repeated efforts to communicate and understand have made relationships worse. Whether a relationship is supposed to last for years or not, learn to accept it as it is. Then your plans will become more effective, but, like diamonds and herpes still, that relationship will remain hard, and there will be flare-ups.
–Dr. Lastname
My father asked me to write this letter for both of us. I was forced to move into my father’s one-room apartment and live with him after I lost my job and ran out of money (I’m 40). I’m grateful he took me in, and I’m trying to make enough money to get out on my own again. In the meantime, we’re stuck with one another, and we can’t stop fighting. I want him to understand the fact that I can’t help having a terrible temper, being very distractible, and not having the energy to clean things up because I’ve been diagnosed with depression and ADD. He wants me to understand that it’s hard to put up with my being a slob and never cleaning up and that he can’t help getting furious. We both want to put an end to the hostility.
Asking for understanding from your father is a really bad way to try to reduce hostilities, and a really good way to increase them. And no, it’s not opposite day.
Sure, he’s your dad, but let’s dispose of the notion that parent-child relationships are always supposed to be perfect, and can and must be fixed if they’re broken. Just because you share blood doesn’t mean you should share an apartment or that you can expect to get along, if you do.
As for “fixing” your relationship…well, if your father was fixed, you wouldn’t be here, and that would be the best solution to your conflict. Otherwise, you’re his son, but that doesn’t mean you should be able to get along.
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Posted by fxckfeelings on March 3, 2011
Pride comes before the fall, and the fall is sometimes into a prolonged depression, which, to mix metaphors, can lead to a lengthy winter of discontent. No matter how much you deserve to be confident in a job well done at work, there are uncontrollable things that can put the brakes on your momentum or just stop you from doing excelling work. One of the major sources of stalling is the aforementioned depression. That’s when you either find a more solid source of pride or start seeing yourself as a failure, and you know what we advocate. Real excellence is accepting your best work when it’s not excellent, and real pride comes with healthy expectations and is fall-free.
–Dr. Lastname
After 5 years of facing up to issues with PTSD after a sexual assault, depression, anxiety and feeling generally emotionally disconnected, I felt that I made progress. As a creative person, I was stuck in a job surrounded by other artists but not creating anything myself. I left my job last autumn and set myself up as a freelance artist and have been working hard at being pro-active. I have been ignoring the signs of depression since last November, maybe earlier. I am doing the bare minimum just to support myself but over the past month or so I have been sinking down further and further. I feel like a failure to be back at this place again. In the past I have taken anti-depressants but they cut all creative flow off and I just can’t do that again, it’s the only thing holding me together at the moment. I cried last night for the first time in 9 years at the sheer frustration of not moving forwards and not being the artist I want to be. I’ve kind of given up on the idea of having the things normal people do like family (have no contact with my own), so I do tend to define myself by my art. My goal is to be brave enough and good enough to create the work that I feel is inside me without sabotaging or running away.
One of the dangers of being an artist is that you may gain too much confidence in your control over creativity. Sometimes, you feel the muse. Most of the time, you feel the misery.
When you feel inspired, you define yourself by your art, despite the lack of control you have over it. Creative types are in the unique position where talent and productivity don’t necessarily go hand-in-hand. When the former outweighs the latter, problems ensue.
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Posted by fxckfeelings on February 28, 2011
Dealing with jerks is difficult, but being related to jerks is torture, especially when they’re the kind of jerk (genus: ASSHOLE) who thinks everyone else is a jerk but them. Luckily, no matter how closely related you are, you don’t have to share their beliefs or give them what they want. Still, you’re stuck with them, because, while maintaining a relationship sucks, the alternative is usually worse, so learn how to make the relationship no worse than it has to be. Keep your feelings to yourself, figure out your own standard of conduct, and hope the jerk gene dies with them.
–Dr. Lastname
I’ve read my son’s Facebook and email (he left the stuff on the computer screen last time he visited), and he tells his friends he had a terrible childhood, and his parents are assholes. As his dad, my attitude is: Fuck him and his shit. Breaks my heart, but I paid over $100k for his school, and I’m not rich by any measure. His mother thinks we should be working to find out why we have this split. This is new since he went to college (now graduated and gainfully employed)– he’s an only child, now 25. I’d not have paid for his school if I knew what a sociopath he would become. He seems to want two separate lives, one we’re allowed to know about, and one we’re not, with the latter being where we are horrible folks and he was a poor abused kid that made his way up through some undefined poverty and difficulty. His mother and I are going to be divorced soon if we can’t resolve this. I want nothing to do with the ungrateful asshole, and she thinks I am a terrible father for not understanding he has a mental illness. He doesn’t acknowledge any problem, refuses to speak to us if there is any “drama.” In fact he wouldn’t return a call for three months. This is the only issue my wife and I have, but it is consuming us and we’re arguing continuously.
Before you get carried away reacting to your son’s blame, ingratitude, and nastiness, think of the goal you set for yourself when you decided to have a kid (assuming it wasn’t an incidental goal after “getting laid”).
Unless you’re foolish enough to believe in a father’s power to make his kid turn out right by bringing him up right, you know that bringing up kids is a crapshoot. (That’s why you should always hedge your bets by having more than one).
The only goal you can possibly set for yourself and your wife as parents is to do a good job and hope for the best. Like all parents, you probably had big dreams for him, and hey, so did Mama and Papa Gaddafi.
So you’re not alone in finding out that the kid you loved and nurtured sees you as an abuser. It’s life at its most unfair, but whether or not your spawn turns out to be a jerk just isn’t under your control.
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Posted by fxckfeelings on February 21, 2011
If you’re a hard-working woman who fails to achieve her ambitions, you probably want to eliminate whatever gets in your way, whether it’s sexism or an obstacle within your personality (all while being stereotyped as a shoulder-pad-wearing, stiletto-wielding, backstabbing she-beast). Don’t forget, however, that the most common obstacle isn’t evil co-workers or ill-fitting suits, but the irritating fact that life is hard and unfair, meaning it’s completely out of your perfectionistic control and power to eliminate. That’s why you can never let your definition of success depend on luck or outcomes, or judge yourself by how far you get. Instead, base your evaluation on what you do with whatever you’ve got, including bad luck, stereotypes, and fashion.
–Dr. Lastname
I am writing about my wife, who’s in her 50s. She is a very successful surgeon (one in a handful women head of dept. in her country), but she’s been very unhappy at work and I am writing you a), for advice on how I can help her and b), to ask if there is something I overlooked. She is unhappy since she has now twice been sidelined and been made to leave jobs where she worked very hard and believed she made a positive difference. In the first case, her department (one she build from scratch to become the largest in the region) was merged with another to meet international norms, but she was passed over to head the new, merged unit and was asked to accept half her salary (she refused and won a settlement in a lawsuit). In the second case she ran a department for a few years, then management decided to hire a new head as her senior and restrict her duties to exclude her specialties and personal preferences. She decided to stay, but even though she’s working hard, and numbers and patient reports say she is doing a good job, she not only does not receive recognition she craves, but sees her career and job threatened again. She cannot do her job halfheartedly, but she doesn’t have a sunny temperament and is hard on herself. Our children have moved away, and she and I work so hard we really only see each other on weekends, so there’s so much to put her happiness in peril. How can I help her? Why did she get demoted? Would fixing her work fix things or make them better?
Of course you’d like to spare your surgeon wife the unhappiness that goes with perfectionism and power politics. You love her, you want to see her happy, and you wish you could remove the pain the way she’d slice off a tumor.
Before I get to all the questions you’ve posed, however, you need to ask yourself one important thing—why or how you think sparing her such pain is possible.
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Posted by fxckfeelings on February 7, 2011
When in the midst of one of life’s many shit storms, it’s easy to forget that feeling helpless and feeling that things are out of your control aren’t the same thing. It’s probably true that you don’t have much control over what troubles you, but that doesn’t mean you’re totally powerless and doomed to total annihilation. Helplessness, after all, is just a feeling, and a dangerous one if it makes you give up, lose faith, or act like a jerk. So if you can take a step back and look at what you actually can do, even if it’s very little, those shitty storm clouds will begin to clear.
–Dr. Lastname
I can’t stand myself since I lost my job—I know I hated my boss and I was looking forward to retiring in a year, but I liked the clients and was good at what I did—but getting fired was humiliating and unfair and now I don’t feel like doing anything or going out. I can’t make myself feel better and my medications aren’t working and my friends can’t cheer me up. My goal is to feel like my old self and do the kind of work I can now afford to do, since I don’t really need the money.
The job you lost is one you hated, you have enough money to live on, and you now have the freedom to do whatever you want…this is probably what you’ve already heard from your friends a million times.
What they don’t know is that thinking that way just makes you feel worse.
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Posted by fxckfeelings on January 24, 2011
As a general rule, the worst kind of advice is unsolicited, but when you’re a parent, it often feels like giving your two cents is your duty, even if no one asks for it. Of course, it’s hard to offer good advice to your children about touchy, questionable decisions they’ve already made. It’s amazing what you can say and get away with, however, if, instead of giving them a piece of your mind, you take the time to ask them questions about where their mind’s at without any negativity or judgment. Hopefully, you’ll come to a conclusion that makes sense to both of you, and you can save your two cents for a rainy day.
–Dr. Lastname
I wish I could be sure that my daughter is getting the right treatment for my grandson. He’s 7-years-old and been diagnosed with Bipolar Disorder and his doctor started him on a drug called Abilify, which has some nasty side-effects. I’ve read on the internet that Abilify can be harmful to kids and I wish my daughter and her husband would think twice before allowing themselves to be talked into using it, but I don’t want to intrude into their decision. My goal is to make sure my grandson isn’t harmed.
Never ask someone if they’re sure they know what they’re doing, because if they weren’t sure, you wouldn’t need to ask in the first place.
If you do end up asking your daughter why she’s exposing her son to a dangerous medication, not only will she answer yes, but she’ll give you an annoyed earful as to how she’s doing the right thing, how you don’t know what you’re talking about, and how you should just mind your own business.
She might not know what she’s doing, but neither did you when you opened your mouth.
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Posted by fxckfeelings on January 13, 2011
When faced with scary health issues, from strange lumps to bad thoughts, people often avoid treatments that hurt, particularly after long-standing symptoms have sapped their hope, fed self-hate, or fostered bad habits. They deny anything’s wrong, or they insist that resistance is futile, but either way, if you criticize them for not helping themselves, they will readily agree, hate themselves more, and burrow deeper into their holes and further away from treatment. Before they can find the way out, they need to reconnect with their real strength. Only by recognizing their actual achievements and their past and potential courage, can they face what ails them. The pain may continue, but not its power to intimidate and paralyze.
–Dr. Lastname
Please Note: In responding to suicidal goals, as in the case below, we do not presume to offer emotional support. If you’re at risk of hurting yourself, you should, of course, go to an emergency room, discuss your state of mind with a professional, and decide how much support you need in order to remain safe. In most of the cases we encounter, however, our correspondents are not simply suicidal; they are familiar with treatment and have come to believe that it won’t help. Often, we must agree that their feelings are unlikely to change in the near future. What we try to demonstrate, however, is that negative feelings create falsely negative and hopeless beliefs and that there are ways to recover your strength and perspective, even when the pain won’t let up.
I’m considering suicide. My life is a joke. I am in my late 30s and female and I have never had a relationship with a man. Several men have used me for sex and at least 2 of them begged me not to tell any of their friends they’d had sex with me. I’ve never been loved, been held, been listened to, been cherished. I’ve just been used like a toilet. On the outside I’m pretty. I can hold a conversation and I have a reasonable number of friends. But I hate myself and I don’t feel good enough. I was abandoned by both parents and I was raped for the first time when I was about 2-years-old. It’s like men I meet can smell the self-hate on me and they treat me accordingly. I do not have even one person in my life who cares about me or who I could trust. My friends are there to go for drinks or dinner with me if they can find nothing better to do but they are not there to be supportive ever, in any way. What is the point of me continuing to live?
It’s horrible to feel that you don’t belong to the human race, except for your ability to satisfy the needs and cravings of jerks.
Remember, however, that those feelings almost always beget more falsely negative beliefs, particularly about relationships. Whether or not you’ve done anything wrong, you feel infinitely rejectable, comfortable in the company of jerks, and anxious around people you respect, since you know they will reject you for your anxiety and fundamental worthlessness.
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Posted by fxckfeelings on January 6, 2011
Names are often misleading; there are no arts or entertainment on the A&E channel, Greenland is mostly ice, and, most importantly, Therapy isn’t necessary therapeutic. Fact is, few therapies work completely or all the time, whatever kind of medical problem you have, and there are no guaranteed cures for psychiatric problems. That means there are no no-brainer decisions; all decisions require your brain, so you’re the one who must make all the tough calls. As such, you’re the one who must decide whether a therapy is therapeutic and whether, given its risks, it’s worth trying. The more responsibility you take, however, the more control you’ll experience over your choices, and the more respect you’ll command from others and yourself. If you want to see the mushy kind of therapy, you can watch it on A&E.
–Dr. Lastname
Things have been much better since my husband began therapy—he’s much less explosive and sensitive lately—which is good, because I didn’t really think we could start a family the way he was acting before. He was traumatized as a kid, and it’s made him very suspicious and touchy. I think therapy is helping him to get to the root of his problems, and that, if things continue to go well, we could actually have kids, but I’m not sure when he’ll be well enough for the time to be right. My goal is to set a goal for us.
Your husband may be happy because his relationship with his therapist has filled a deep need, or because he’s excited about a breakthrough, or because the McRib is back.
Sooner or later, however, therapy or no, life won’t be so easy, particularly if you have kids and you run into the usual kinds of medical, economic and personal kinds of bad luck that happen to most of us.
That said, don’t use your husband’s apparent happiness or serenity to decide whether he and your partnership are ready for child-rearing; what you need to know is how well his serenity stands up to stress.
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