Posted by fxckfeelings on February 16, 2015
Some medical issues can be resolved quickly, but most of the serious ones aren’t that easy; for every temporary infection and sprain, there’s the eternity of diabetes and, of course, mental illness. Just because your crazy isn’t going away, however, doesn’t mean you can’t try to figure out how to lead a sane life anyway. And if you can get your crazy under control, you have to stay vigilant in order to keep it that way. So don’t try for control that is perfect or permanent; that’s as farfetched as a cure. Prepare to take one drug and one symptom at a time until you know what you have to deal with and what works best for the long run. Even if you can never cure the pain, you don’t have to let it be an overwhelming pain in the ass.
–Dr. Lastname
I’m not depressed any more, but going to the hospital and taking medication didn’t change the fact that my wife looks at me in a different way than she used to, and she spends more time at the gym, where there’s a handsome trainer who knows her name. She says I’m crazy and paranoid because this guy’s gay and just being friendly and, after twenty years of raising the kids, she’s too tired to mess around anyway, but I know what I see. And there have been signs in the way she seems happier and sweatier when she gets home from working out and her sweat smells more manly than feminine. My goal is to get someone to see that it’s more than coincidence, and that I have good reason to feel she can’t be trusted, and I’m not just nuts.
The paradox of feeling paranoid is that validating your fearful suspicions is what you both crave and dread the most. If you’re right, then you’re not crazy, but neither are your worst fears; your sanity may be intact, but your world would be destroyed.
Having those fears invalidated isn’t so hot, either, because it means that you can trust the world around you, but your own brain is suspect. So if proving and disproving your suspicions will always end badly, learn how to give less weight to those nagging thoughts in the first place. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 22, 2015
If there was an ancient koan about self-destructive people, it would probably question whether the constant screw-ups are caused by making crazy decisions, or failing to make good ones (and maybe a leaf and stream would be involved). Unfortunately, some actively self-destructive people are the way they are, and some passive failures just can’t be who they should be. So, if you’re perplexed by someone who can’t do right or can’t avoid doing wrong, don’t assume you can help or that they can help themselves. Take a careful look at their ability to accept help and do better before deciding whether help is possible, blame deserved, and certain riddles (and people) would best be left alone.
–Dr. Lastname
My sister has always had a lot of struggles in her life, starting from when she came out at a young age and lost our mother soon after. My dad has given her a lot of support financially over the years and continues to do so, even though she’s got a partner (male) and a baby whom we all adore and look after any chance we get. Here is where the rest of the family and I are starting to get concerned; ever since my niece was born, my sister smokes pot daily with the baby right beside her, and recently she’s been making some rash decisions: breaking up with her partner who loves her and supports her; dating a woman with a history of being unstable and bringing her to their house; and planning to move out although she has no job/income. The whole situation is starting to take its toll on my aging dad (who is very involved in the care of her child) as well as the rest of the family, and if anyone tries to broach our concerns with her she explodes into a rage. Ultimately I think the root of the problem is the pot addiction (maybe combined with the anti-depressants), her unwillingness to quit smoking, and the fact that our nephew is affected. We are all at a loss as to what to do and how to approach it for fear of alienating her and thus our nephew, but we need to set some boundaries around our support for her. Or, do we stay out and let her live her life, meanwhile watching how it affects our nephew and divides the family? Our goal is to figure out how to offer help without getting cut off and heartbroken.
Unfortunately, you’re right in assuming that your sister will probably respond negatively to any limits you place on her. In short, if you imply that she’s fucking up her life, she’ll say fuck you, but with you and your family cut off, your niece will be extra fucked over.
The key to not making things worse as you try to help is remembering that some people are just like that and can’t be rescued. You can be sure that your sister’s messing up her life because she’s designed to do just that; she’s a human wrecking ball, but nobody’s at the controls. WAIT! There is more to read… read on »
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 »
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 »
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 »
Posted by fxckfeelings on December 11, 2014
A doctor’s diagnosis may make a serious illness official, but talking about it with professionals and people you trust is what makes it real. That’s why admitting you’re seriously sick can be so hard; if you admit you’re ailing from something manageable but incurable, the illness might scare people away, but if you admit it and become obsessed, you might needlessly scare yourself. That’s why you have to consider carefully when it’s better to focus on your problem and make it public, and when it’s not. Talking about your problems might make them real, but not talking about them doesn’t make them disappear.
–Dr. Lastname
I’m perfectly healthy now, but I had a couple nervous breakdowns when I was eighteen and twenty, and I wonder whether I should tell my fiancée. I really don’t want to drive her away. I tried stopping my meds a month ago, to see if I’m really OK now, and I still feel great, so I wonder if I need to tell her about a problem that I may not have any more, now that I’m twenty-six and working full time in a profession. I exercise and eat right now, which I didn’t do then, and I’m really not a nut job. My goal is not to screw up a wonderful relationship by bringing up past events that may not matter any more.
It’s common for people who take medication for severe mental illness to decide they no longer need said meds once they start feeling better, and it’s not hard to understand why; it’s natural for someone who’s taking crazy pills to rationalize that sanity equals success.
After all, you wouldn’t keep wearing braces after your teeth got straight, or taking antibiotics after an infection cleared up. Especially if you felt your fiancée might leave you if she found out you once had a slight under-bite or athlete’s foot.
The difference, of course, is that medication is supposed to manage your symptoms, not make your brain better. That’s why stopping treatment can be so dangerous, because declarations of health can turn to hubris at a frightening speed. WAIT! There is more to read… read on »
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 »
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 »
Posted by fxckfeelings on October 30, 2014
War might be hell, but the decision whether or not to take on a fight can make you feel, at the very least, like you’re Satan’s upstairs neighbor. Sometimes you want to avoid taking necessary action in order to avoid (marital) bloodshed, and other times, even if you’re not in American government, you’re eager to take on a fight without realizing there’s no hope for real victory. In any case, never let anger or fear get in the way of your own analysis of the facts behind the conflict. Keeping the peace may mean that you have to stand up for an opposing point of view or just feel angry, but a little personal purgatory still beats the alternative.
–Dr. Lastname
My wife and I never argued about money until recently, when she retired and started spending large amounts on her new hobbies. We have more than enough to live on, thanks to the money I got when I sold my company, but I can’t help resenting the way she spends large sums without talking it over or checking to see how much we have left. If I share my resentment, she’ll feel I’m trying to control her, but I just want her to control her credit card. My goal is to get a handle on our finances without starting a fight that will just cause us both to feel bad and then probably prompt more spending.
Talking to your spouse about her spending is as difficult as talking about her drinking or eating, or even her skipping and gum-chewing. This is because, at the heart of it, trying to talk to someone about their actions sounds a lot like you’re trying to tell them what to do. And nobody outside of the military or the bowels of Craigslist’s sex ads wants to be told what to do, especially by the person who’s supposed to be on their side.
Because they feel like scoldings, discussions like this immediately create a quasi-parent/child dynamic, which is why things quickly devolve into eye-rolling, finger-pointing, name-calling. Ultimately, if you’re lucky, your shared tantrum will result in temporary cutbacks, resentment, and the beginning of a running, perhaps-infinite “I told you so” contest that no one will ever win.
So never communicate money worries until first reviewing your anticipated income, expenses, assets, and areas of control. Consult an accountant or a simple book or website on budgeting. Pretend you’re a corporate manager who must find out how much your department—not just this one employee—can spend next year without depleting your assets, and how much will be left after covering necessities.
Then compose a memo describing your conclusions, decisions about the spending you control, and recommendations about the spending you don’t. Edit out criticism, fear, or defensiveness; your job is to provide good information and solid decisions that reflect your values and your family’s shared need for a financial plan, not to make your wife happy.
Before sharing your report, prepare for unfair personal criticism by composing positive, fact-filled answers. If you’re accused of being a control freak, invite her to offer better solutions that don’t break the budget. Regret the fact that you can’t always agree on priorities, but don’t budge from the facts, and avoid getting emotional.
It’s too bad that you and your wife’s spending instincts are not as naturally compatible as they have been, but it’s not unusual to have disagreements when life enters a new phase. You may not be able to make her happy or end those disagreements, but you can come up with a budget you believe in, refuse to let the disagreement become personal, and stay positive about the future security you’re creating by endorsing spending limits, even when she doesn’t agree.
If you sit down to talk about the nuts and bolts of your finances, not to take apart her spending habits, you can have a real discussion that could result in a budget instead of a brawl.
STATEMENT:
“I hate for my wife to feel deprived or over-ruled, but I will not express fears or argue about spending until I’ve put together a budget and tried to engage her positively in defining what’s necessary and making tough decisions. We may not wind up agreeing, but I will keep our differences to a minimum and not express fear or personal criticism.”
When my son decided to leave for college, we all thought he’d have a great time because he’s gregarious, likeable, and well motivated. Unfortunately, he somehow got depressed almost immediately upon starting school, and the whole year was a struggle with grades that were OK, but a disappointment. Then, after coming home and immediately feeling like his old self, he decided he had the problem licked and would have no trouble going back. After returning to school and another two months of depression, however, he’s ready to call it quits and transfer to another college. I don’t like the idea of his quitting and wasting time, but I can’t talk him out of it. I’m angry, which just means he doesn’t listen to me. My goal is to give him advice he will listen to and save him from making a mistake.
Assuming you’re right about your son’s depression, and that he can’t help it, you have more reason to be proud of his efforts to make school work than you have to be ashamed of his desire to quit and come back home. After all, you don’t see him as fundamentally immature or dependent, just prone to an away-from-home depression that he can’t shake. That doesn’t mean that college has to be torturous for him, even if it can’t be an average experience.
Homesick-triggered depression doesn’t seem to have been studied objectively, but it happens to some very solid kids and is just one of those problems that usually gets better as we get older. It shouldn’t be surprising that some people have reflexes in their brains that keep them at home, at least when they’re younger, and some are born to go roving; genes are probably important and, in a Darwinian process, circumstances sometimes favor the survival of the stay-at-homes and sometimes the wanderers.
In any case, the fact that your son finds himself burdened and partially impaired by homesickness doesn’t mean he has failed or that he has to leave home, unless leaving home is really necessary, which it does not appear to be.
Instead of assuming that he needs to complete his studies at Homesickness U., ask him to consider the pros and cons of transferring to a local college by leading him through the risk/benefit analysis. Ask him to find out what transfers are possible and whether transferring will cost him any course credits or special opportunities.
Ignore his expression of disappointment and regret over how much better he could have done if he hadn’t gotten depressed; tell him that depression isn’t something you control and that it often happens in this situation. He’s been enrolled in Depression 101, a mandatory part of the Core Curriculum, and from your point of view, he’s done well with it.
Meanwhile, if it hasn’t happened already, ask you son whether therapy with a good, positive coach could help him fight the negative thoughts that depression puts in his head and whether, if it’s impairing his ability to learn, he should see a psychiatrist and try medication.
You’re sorry he had to go through this painful experience, but remind him and yourself that he went to college to learn, not necessarily to be happy, and you’re impressed that he’s learning a lot.
STATEMENT:
“I hate to see my son feel like a loser, but he’s done nothing to make himself depressed and he’s learning how to manage it. I’ll keep on coaching him through this experience.”
Posted by fxckfeelings on October 20, 2014
In this day and age, it’s almost impossible not to know what Attention Deficit Disorder is (or to not have a direct connection to someone who has it, or to not have an opinion on it, just because). On the other hand, very few people are aware of Attention Surfeit Disorder, which is when people habitually get so perfectly focused on the problems that grab them that they can’t see why anything else matters, even if it’s a looming disaster. Whether you can’t focus on any one thing or focus far too much on one thing exactly, be aware that our brains have different ways of focusing, and that each has its own strength and weakness. Then, whether you have a fun diagnosis or not, you’ll be better at managing your priorities instead of following whatever captures your attention.
–Dr. Lastname
I’m curious to your thoughts on subclinical anorexia. I was (voluntarily) hospitalized with anorexia nervosa last year. Since then I’ve managed to keep my weight out of the danger zone, but not up to where my physicians would like it. Honestly, I don’t see the point. Even at my lowest weight I completed an MPH at Hopkins (my third post-graduate degree), I’m in the “healthy” BMI range, technically, and I hold a full time job in addition to teaching science at a local University two nights a week. Who the hell cares if I don’t hit my target weight? My goal is to continue to achieve excellence without worrying too much about what doctors tell me about my weight.
When you focus too much on perfection in one particular aspect of your life, be it in terms of appearance or professional achievement, it’s like searching for a house based on the quality of the faucets; you become so fixated on the gleaming chrome that you don’t notice the lack of square footage, light, or even plumbing.
Obsessional, single-minded focus is always unhealthy when it gets you to disregard whatever else is truly important in your life, like your health and friendships. You tell yourself it’s good to work harder to make yourself better…while losing track of the fact that what you’re sacrificing is worth more than the excellence you’re driven to achieve. WAIT! There is more to read… read on »
