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Friday, November 15, 2024

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 »

No Pro

Posted by fxckfeelings on October 13, 2014

In a culture that proudly sells medications created by grade school teachers, financial advice by religious figures, and recipes by celebrity wives, being an expert, or just seeking advice from one, is, in many people’s “expert” opinion, stupid. While we are sometimes more knowledgeable than supposed experts, we sometimes really, really aren’t, but you can’t know whom to trust if you get too influenced by feelings of self-doubt or omniscience. Instead, ask yourself whether you have the information you need in order to make good decisions, and whether, when it comes to that information, someone else knows more than you. If you can be objective about your decision-making ability, you’re much more likely to accept your strengths and weaknesses and take them into account; become an expert on your own problem and you can confidently find the help you need, no matter what the source.
Dr. Lastname

My wife has been disabled since her second nervous breakdown; I thought she was a free spirit when I met her, but early in our marriage, we both realized that something was wrong, and she was diagnosed bipolar. Now that I’m writing my will, I realize I should probably take account of her condition; she’s been doing well for the past year, but another breakdown is always a possibility. If I knew better what to expect for her, I’d know whether I need to protect her from misusing the money, or just make sure the money is put towards making sure she has what she needs when I’m not around, like a roof and even a nurse. My goal is to find an expert who can tell me what to expect from her illness and how I cam make sure that she’s taken care of.

There are plenty of instances where people choose to follow their instincts over professional advice, and, whether it involves not vaccinating kids, not hiring a licensed electrician, or not getting that oral surgery, the results are not often pretty (but plenty painful and dangerous).

When it comes to knowing what to expect from your wife’s relapsing mental illness, however, you and your wife are the top experts in this unique field.

The two of you know better than anyone what her illness has been like in the past; how frequently it recurs, how much disability it causes, and how much it affects her judgment and her ability to manage money. Unless your doctor is also a psychic, her powers to predict your wife’s future are nowhere as strong as yours. WAIT! There is more to read… read on »

Social Insecurity

Posted by fxckfeelings on October 6, 2014

Much is made of the inextricable link between trust and love, but the assumption seems to be that you can’t love someone else unless you can trust them (to listen, keep it in their pants, rescue you from a sinking ship, etc.). Just as important, however, is the ability to trust yourself and your own judgment when entering into a relationship; if you have too little confidence, you can sabotage your relationships, and if you have too much, you’ll make commitments that won’t last and will hurt like hell when they break down. Learn to trust yourself by gathering facts, observing carefully, and using common sense to judge your friendships and make smart decisions. Then, regardless of over or under-confidence, you’ll be able to love someone you trust and have trust in whom you love.
Dr. Lastname

I am in a good relationship and have been now for a while (around 9 months). But none of my relationships seem to last more than a couple of years (I’m now in my 40s), and I worry that some of them I have sabotaged myself. I am at a point in this relationship where we have acknowledged that we love each other and have started making plans months into the future (nothing like moving in together, but definitely trips and such), and suddenly, I have this fear I’m going to lose him. But not just lose him—lose him to someone, and that someone is my friend. I had a friend when I was younger that flirted with my boyfriends, and even though nothing ever happened, it bothered me that she never understood these boundaries, didn’t have a sense of loyalty towards me, and used her looks and sexuality to get attention from those that should be considered off limits. Now I have a newer friend who is younger than me—she’s very pretty, smart, and single, and she has a tendency to try to connect with my boyfriend in ways that I am unable to by finding the gaps and honing in and I don’t like it. I am acting as though they have already run away together, or have a secret relationship. Is my own insecurity causing me to worry about this? My goal is to alleviate these fears of betrayal.

Having fun friends with fickle boundaries may damage your calm, but you do yourself more damage by letting them distract you from the real issues surrounding your boyfriend and your future together. Instead of worrying about whether your gal pals have good intentions, focus on doing the necessary homework to find out whether your boyfriend is a good match.

Assuming you’re not able to stop yourself from being insecure about your friends and boyfriends, use your insecurity to assess your boyfriend’s trustworthiness. Maybe you can also use it to get better at screening friends in the future, but for now, believe it or not, your best weapon against your paranoia is paranoia itself.

Instead of trying to feel better by talking about your fears and asking for reassurance, use them to review your boyfriend’s history with women and your girlfriend’s history as a femme fatale. Your anxiety will drive you to ask the right questions, and, with any luck, the right answers will allow you to tell that anxiety to shut up. 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 »

Character Factor

Posted by fxckfeelings on June 26, 2014

Character attacks, like drive-by shootings and lottery winnings, never seem to go to the right people; sensitive innocents are often used as pawns (and attacked, and tortured) in battles between those close to them, and clueless and insensitive idiots refuse to accept any criticism as valid. Whatever emotional hurt you experience, dish out, or deny, your moral judgment of the behavior being criticized counts most in the end. Hurt fades quickly if you see no wrong in what you’ve done, and if you see wrong in the actions of others, what you do to avoid them is more important than calling them out and getting to their feelings, certainly if you have something of a drive-by nature in mind.
Dr. Lastname

I feel ashamed that my weaknesses are opening my son to a vicious attack by his ex-wife’s lawyer. She’s a monster and her lawyer is trying to make my husband and I look like we’re incompetent and even dangerous grandparents when it comes to caring for their kids. His ex-wife’s lawyer told the judge that, because I’ve been hospitalized for mania and alcoholism, I shouldn’t be allowed to care for my grandchildren, and then demanded my medical records. I can’t defend myself, because it’s true, even though I’ve been sober and doing well for the past year and have never endangered those kids. My goal is not to let my illness jeopardize my son’s custody of his kids or prevent me from helping him care for them.

If there’s anything positive you can take from the experience of being attacked in court for having mania and alcoholism, it might be that, as a grandparent, you’ve been given the chance to feel like a kid again; specifically, like a child being attacked in the schoolyard for something you can’t help but are sensitive about. Everyone laughs, it hurts, and the bully gets a win.

Since you are an adult, however, and not a nervous little kid, you can recognize that, just because you’re ashamed of something, and someone attacks you about it, doesn’t mean you’ve done something wrong. Unfortunately, bullies often grow up to be Assholes™, and some of those Assholes™ trick nice men into marrying them (or just get law degrees). WAIT! There is more to read… read on »

Monogo-mania

Posted by fxckfeelings on June 2, 2014

For people with mood disorders, one of the most dangerous moods is the one for love, because a steady relationship often seems like the reward for getting rid of mood swings or the free pass to feeling better about yourself. The problem, of course, is that it’s much easier to find the kind of love that will make your disorder worse than it is to find something that will last and survive real life problems, including your moods. So don’t hunt for love as a feel-good prize or cure. Instead, accept the fact that it’s a job that takes patience and discipline and, fortunately, can be done even when your mood sucks.
Dr. Lastname

I used to enjoy being a party girl and having random hook-ups, but since I got sober a year ago, I gave all that up and my life is a lot better. I’m not having big mood swings, I’m working steadily, and I finally feel ready for a serious relationship with someone I really like and respect. Even though I’m sure I’m ready now and excited to find Mr. Right, I get really nervous around guys and never find ones that seem like good choices. My goal is to find a real relationship, because I’m great at meeting people and my mood is a lot steadier, and so I don’t understand why it’s not easier.

Doing a series of shorter road races might be the right way to train for a marathon, but having a series of brief, anonymous sexual encounters is not the best way to prepare for monogamy.

Even a runner knows that you don’t get the same kind of excitement from meters as you do from miles; a sprint is a quick thrill, a marathon can be a painful mess. That’s why, if you’re approaching the search for a longer-term romance with excitement in mind, you’re heading down the wrong path. WAIT! There is more to read… read on »

Earning Desire

Posted by fxckfeelings on May 15, 2014

Whether it’s wealth, wine, or just white meat chicken, life’s perks are harder to enjoy when they have a dubious source. This is especially true with money that comes from someone else’s generosity, so it’s natural to promote financial independence, either by giving criticism or praise, especially if that generous someone is you. Unfortunately, being financially dependent is a lot like being a caged hen—it’s often beyond your control—so your attempts to promote it may cause or worsen feelings of failure. Instead of trying to change financial dependence when you can’t, ask yourself what people can do to manage it most effectively. Then you’ll be ready to respect what people do with financial dependence, even if it takes a long time for the dependent party to ripen/become free-range.
Dr. Lastname

I can’t stand the sad way things have turned out for my daughter, and my life is no better. She had kids, got depressed, lost her marriage and most custody, and lives a marginal life because she can’t get it together to find work. I help her out as much as I can, but I’m not as good with kids as my late wife was, plus the grandkids have special needs. The result is that my daughter doesn’t have a decent place of her own, the grandkids have all kinds of unsolved problems, and I’m going broke. I feel we’ve all failed to do the only thing that matters, which is to help our kids, and I remind my daughter how badly I think things have turned out, and how much she needs to change if things are ever going to get any better, but it doesn’t seem to make a difference. My goal is to find a way to turn this disaster around.

Depression is a terrible disease that can sap your energy and scramble your brain’s ability to get organized, so it can have a devastating effect on a person’s ability to be a parent or hold a job. While medications, talk therapy, and other treatments don’t necessarily help, too-tough love can actually make things worse.

Through the filter of a depressive mind, your “come to Jesus” talks may be interpreted as “go make a living, loser” lectures.

If she is making an effort—and, since you’ve been trying to help and push her for many years, it’s a safe assumption that she is—focusing on failure isn’t fair, disrespects your contributions, and may interfere with good planning. Nobody wants her to pull herself up by her bootstraps more than she does, but her depression’s opposing pull seems to be stronger. WAIT! There is more to read… read on »

Junk Mood

Posted by fxckfeelings on May 8, 2014

When you can’t stop fucking up, it doesn’t always make a difference whether you acknowledge your fuckuppery or not. Wanting to stop yourself gives you incentive to change and that, plus lots of time, work, and management of all kinds may do the trick, but there are no guarantees. Knowing you’re right/having no clue you’re actually fucking up gives you no incentive to change, so there’s no need for anyone around you to try to help since you are who you are. In either case, accept what you can’t change, whether it’s obvious from the beginning or becomes evident through failed efforts. You don’t have to be down on yourself or someone else just because of an un-shake-able fuck-up status.
Dr. Lastname

I get into terrible moods where I can’t stop myself from saying nasty things to my mother and sometimes throwing things across the room, so I agreed to see a shrink. She tells me I have a mood disorder and maybe an anxiety disorder, and I’ve had a bunch of sessions, but so far nothing stops my anger and when it kicks up I can’t stop myself from being horrible to everyone around me. Some mornings I can’t get to school, but I usually get there and get enough work done to be passing. Since my behavior is OK at school though, I wonder why I can’t control myself at home. I don’t want medication that will turn me into a zombie, but I don’t want to be a monster, either. I hate being this way. My goal is not to be a jerk.

After you give someone a load of verbal garbage or even a lingering smack to the face, it sounds pretty lame to say, “My bad mood made me do it.” If every cranky person became violent, your average rush hour would be a bloodbath.

The truth, however, is that, for some people, a bad mood can push unbelievably hard. For instance, the most obnoxious and provocative people out there aren’t political pundits or drunken tailgaters, but some of the crazy-manic patients in your local hospital.

That said, after medication starts working and the episode ends, so does their cruelty, but that’s the nature of moods and madness. WAIT! There is more to read… read on »

Mock the Line

Posted by fxckfeelings on March 31, 2014

Sometimes those who are responsible for nurturing others don’t know how to crack the whip, and those who are responsible for whipping people into shape don’t know to drop the whip because they’ve cracked a little themselves. In any case, before you wield any weapon or argument, know where your responsibilities end and others’ begin. Once you know those boundaries, you’ll have no guilt about expecting others to do their job or letting yourself off the hook for jobs that aren’t yours, and find that you’ve whipped your priorities into shape.
Dr. Lastname

I know my husband can’t help being mentally ill with depression and I think it’s important for family to stick together, particularly for the kids, but the latest crap he and my son are pulling is driving me crazy. While my husband was driving my son to work (my husband never works, which is another story), they get into a terrible fight over nothing (not unusual, they both have bad tempers). My son then grabs the wheel, so my husband, convinced our son was trying to kill him, has our son arrested without telling me. Now, remember, my son is the one who is working and doesn’t get into trouble, and my husband is the guy who does nothing but see his doctor and sit on the couch watching TV, but if I tell him he’s caused us a lot of trouble and expense that we can’t deal with and that he should have spoken to me first before going to the police, he’ll tell me I don’t know how to set limits on our son, and I just don’t want to hear it. I’m ready to kill both of them, particularly my husband, but before I do that I have to figure out whether my son will need a lawyer and how we’re going to afford it. My goal is to figure out how to survive with such a crazy, fucked-up family.

There’s a sort of physics to marriage; with every aggressive, crazy (or morbidly obese, or nasty) partner there is an equally sane, passive (or stick thin, or sweet) partner. While congrats are in order for being the sane one, the passive part means you seem too willing to accept helplessness than to consider your options.

No, you can’t change your husband or persuade him to work, think or consult you before he acts, or control his temper, but you have the power that accrues to functional, responsible people over time. If you learn to use it, the laws of science won’t be disrupted, and nobody will have to call the law itself. WAIT! There is more to read… read on »

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