Posted by fxckfeelings on May 13, 2010
Some people think self-improvement begins with first finding your faults and then hating the crap out of them and yourself. In reality, hating your faults is a perverse feel-good, like chewing on a canker sore. Attacking yourself, or even those close to you, just kicks someone when when they’re down and makes self-improvement that much more difficult. If you want to improve yourself, improve your tactics, because there are better ways to get better.
–Dr. Lastname
I’ve been a complete, stinking failure since I graduated from college. My job pays well, but I hate it with a passion because I’m treated like shit. Then again, I don’t have the skills to find anything better, though I’ve tried. My drinking has kept my girlfriend from moving in, and, since I’ve never loved anyone else, that means I’ve never had a relationship that works. I don’t really have friends because I’m too nervous to let anyone really know me and I work too hard to meet anyone (at that job that sucks). Now I wonder whether I’m being honest with you, or just whining and slinging bullshit. My goal is to be someone else.
It never ceases to amaze me how people who launch into the most brutal monologues of self-criticism would never allow their friends to talk such shit about themselves in their presence. The only thing they truly fail at is holding themselves to the same standards they hold others.
WAIT! There is more to read… read on »
Posted by fxckfeelings on May 10, 2010
Everyone wants a feel-good, look-good family, but most of us relate to the more familiar feel-bad families on TV (which look good, and feel better by the end of the show). Still, there’s a difference between your average dysfunctional family unit and your genetic/step-parent clusterfuck. When your family situation is in truly bad shape, you’ve got to be tough enough to accept what you’ve got, then focus on making the best of those impossible relationships, outsider opinions be damned. Unlike those TV families, real problems don’t get solved after a half-hour, not everybody’s pretty, and you have to ignore your ratings with the audience.
–Dr. Lastname
I need to stay married because, while I work a pretty demanding job, my wife stays at home and watches our two kids, whom she adores. The problems are, however, (and there are many): she doesn’t work because of a migraine disorder that’s so debilitating that she’s on disability, and she takes too many non-prescription pain pills for those headaches, and, while they don’t make her a bad parent (I know the kids are safe), they often make her, in your words, a really needy, grumpy asshole and an impossible woman to be married to. I never know when she’s going to kick me out of the bedroom, scream at me in front of friends, or nod off after dinner. Needless to say, she won’t try marriage counseling or cutting back on the pills and thinks I’m bullying her if I suggest we have a problem. I can’t leave her, because it’d break the kids’ hearts, plus, like I said, she provides childcare, which is not something I could afford on my salary, and if I lost custody of the kids, I’d be in a worse hell than I am now. I know I can’t leave, but I don’t think I can live like this much longer. My goal is to find a better way to survive.
You’ve got good marital reasons for staying vs. leaving (the kids, the kids, the kids, and money, but also, the kids). There’s no escaping the fact, however, that her headache is infectious, and you’ve got it, too.
You’ve obviously built up a good, solid tolerance for living with your wife’s problems without fighting all the time, and your values and perspective are great. Which is why you probably already know that your goal is impossible.
WAIT! There is more to read… read on »
Posted by fxckfeelings on May 3, 2010
Poor, well-meaning, dedicated therapists and the patients who love/destroy them. After all, it’s enticing to let someone persuade you that you’re their guardian angel and the only therapist that can help. It’s a fun ride for everyone, at least until you realize that you’re responsible for something you don’t control, and they’re even less responsible than before for dealing with reality as it is. While this is a shrink-based site, we are the first to admit that therapists are not perfect people, especially when they get in in their heads that they actually are.
–Dr. Lastname
I have a 30-year-old patient whom I’ve been seeing in weekly psychotherapy for 6 months and he had a terrible history of sexual and physical abuse and years in state care. Amazingly, despite all his trauma and several prior failed treatments, he settled into a trusting relationship with me. He tells me I’m the first person he’s bonded with, and he’s been able to stop using cocaine, and, for the first time, sees some hope for himself. The problem is that he just got a new job, and I’m not covered by his new insurance plan. He wrote me a letter telling me how much he feels his recovery depends on continuing the treatment we’ve started and I feel professionally obliged to put his welfare ahead of my financial needs, but I’d like to get paid. My goal is to do right by my patient, and not trigger the feelings of abandonment that underlie much of his negative behavior, but I’m not sure how long I can afford to see him for nothing.
There are many therapists who believe the best thing you can do for a troubled patient like this is to “be there,” providing the steady acceptance and secure relationship that they need for healing. I’m not one of them.
The sad fact is that the healing power of currently available treatments is vastly over-rated and a good example of false hope and the harm it can cause.
WAIT! There is more to read… read on »
Posted by fxckfeelings on April 26, 2010
Bad habits are rarely personal—your average nail-biter doesn’t have a cuticle vendetta—but when one half of a marriage gets into bad behavior, even if it has nothing to do with his/her spouse, it’s hard for the other half not to blame his/herself. Women want to discuss the bad habit, men quietly stew, and either way, something impersonal feels like an affront. There’s no escaping the pain when a partnership starts to break down, but you can find ways to talk about bad habits without implying that anyone has failed, or doesn’t care, or just plain bites.
–Dr. Lastname
My husband and I have two kids, we both work hard, and he always used to find time to play with the kids and spend time with me, but in the last few months, he’s buried himself in online poker in the evenings, and the kids see a lot less of him (I do, too, and it’s been a long time since we had sex). He tells me there’s nothing wrong and that he’s not betting with real cash, but I know what I see, so I’ve told him we need to talk, and that’s what’s really infuriating, because then he won’t talk at all. My goal is to figure out why he’s stopped caring about me and find a way to get through to him.
You’re assuming there’s something bothering your husband that you can figure out and communicate about, because that’s what would allow you to fix things; that it’s not the poker that’s really the problem (or the not being poked).
Before you sit him down and try to take him away from the e-poker table, ask yourself what happens if it doesn’t work, which it often doesn’t, and clearly, in your case, hasn’t.
WAIT! There is more to read… read on »
Posted by fxckfeelings on March 18, 2010
When you’re upset about someone’s behavior and a talk is unavoidable, it’s hard not to see the next step as an emotional showdown in which you’re armed with guilt, anger, and intimidation to persuade the other guy to do what you want. This technique works, too…if what you want is to get the other guy annoyed and unmotivated. Luckily, we’re here to provide a Confrontational Plan B.
–Dr. Lastname
My husband has been coming down hard on our 15-year-old daughter because she recently got caught drinking at school, and it’s undeniable now that she has a problem. I’m worried, too, but not like my husband, maybe because I was a bit of a wild child myself in high school, or maybe just because I don’t think the problem is insurmountable since I got over my bad habits and turned out just fine. Besides, yelling at a kid often drives them into just the kind of trouble you’re trying to save them from. The problem is that when I try to calm my husband down by telling him that things are going to work out, it makes him even worse. He tells me I’m not taking the situation seriously, but I am and I’m just trying to help. My goal is to find out what I can say to my husband to make him feel better (without making him angrier).
It’s tempting to express anger and fear when kids misbehave; for whatever reason, parental instinct tells us that if reason doesn’t work, terror will.
On the other hand, there’s a reason “Scared Straight” had kids being barked at by tattooed prisoners, not suburban parents.
WAIT! There is more to read… read on »
Posted by fxckfeelings on March 15, 2010
Part of being a kid is testing your limits with your parents-how late can you stay up, how many times can you hit your sister, how frequently can you have keggers in the garage-but what’s discussed less frequently is how parents have to test their own limits with their kids. While you might not want to be too forceful with your kid, part of being a parent is making choices and enforcing them. On the other hand, you don’t have to be so pushy that you go from parent to endless nag. It’s a careful balance, but the family buck stops with you, so you’ve got to make the call. Besides, if you don’t get it right, then those keggers will be the least of your problems.
–Dr. Lastname
My son was diagnosed with severe depression when he was a freshman in high school. I know it’s supposed to be a hereditary disease, but neither I nor my husband have any history of it; we both come from stiff-upper-lip backgrounds, and when our son attempted suicide, we were completely taken by surprise. He was also doing drugs, and we didn’t know it. He’s doing much better now, seeing a therapist weekly, but I still worry about his going off to college next year. He doesn’t share much with us, but I know he wants to do what’s “normal.” I don’t want to intrude on his relationship with his therapist or undermine his confidence or make him feel pressured, but we need to decide whether he’s ready to go. My goal is to make the right decision without hurting him in the process.
You can’t protect your son from of having an illness and all the trauma that goes with it, so for your own sake, and against all your instincts, don’t try.
On the other hand, if you try too hard to avoid all potentially painful issues with your son and stick to being stoic and reserved, you’ll be helping him avoid the hard choices he has to make, instead of doing your job.
Life is hard, precisely because it includes illness and drug abuse on top of the usual high stresses of being adolescent and finding a way to be independent. It’s a clusterfuck, and you’re the motherclusterfucker; you’re all in this together.
WAIT! There is more to read… read on »
Posted by fxckfeelings on March 11, 2010
Virtually all mammals resent being told what to do (don’t think your cat doesn’t understand you, he just doesn’t care what you think). Unfortunately, most of us with opposable thumbs have to earn a living and/or share a roof, which means learning to live with authority. You might not like your given overlord’s opinion, but, while both parents and bosses are often full of shit, your role remains the same; be respectful, mind your boundaries, and take their words just seriously enough so you don’t get fired. And, like any good, domesticated mammal, don’t pee on the floor.
–Dr. Lastname
My father’s always been a heavy drinker (if he is an alcoholic, he’s “high functioning”), but I love him, and I’ve always tried to make him proud. When he’s really sloshed, however, he tends to go on a lot about how much he loves my older brother, who’s a lawyer, and how impressed he is with him, and how great that brother is, and on and on until everyone else around him feels awkward (and any siblings that are around are pissed). It really gets under my skin, particularly when we’ve been matching one another drink for drink, but then I just feel guilty for being angry at my father when, after all, I’m a grown up who should be too old for this kind of thing, and, really, he’s a nice guy. My goal is to get myself to be less sensitive to the fact that I’m not Dad’s favorite.
There’s good news and bad news here; you’re right not to let fly with your resentment, but you’re wrong to expect your hurt feelings to go away.
If you’re a sensitive person, then you can’t stop the hurt, but you can stop it from hurting yourself or others. The trick is to shut your mouth, because, that way, you don’t let anger out, or alcohol in.
WAIT! There is more to read… read on »
Posted by fxckfeelings on March 8, 2010
In my practice, I give patients with ADD a special appointment option. Instead of their taking responsibility for keeping a regularly scheduled appointment (which means they’re obliged to pay full freight, with no insurance support, if they don’t show up), I encourage them to line up for a walk-in appointment which may keep them waiting longer, but won’t cost them a cent if they forget to come. It’s not that I discriminate, I’m just trying to make the best of things. That, to me, exemplifies the best way to deal with Attention Deficit Disorder, both for my patients and as a third party; keep your expectations reasonable, your appetite for shit bottomless, and your shrink understanding.
–Dr. Lastname
My roommate calls me the Ritalin vampire, because once my meds run out around 5, I become a different person (or really just a depressed, anxious mess). My mood drops so low so fast, and my nerves become so raw, that I have to drink just to get through the evening and get some sleep. It’s obviously driving my roommate crazy, but more than that, it’s messing up my life—I wake up hung-over, my boss is pissed, I feel sick all the time, so even when I’m not anxious and wired when I’m on my meds, I still feel like shit. My goal is to figure out how to get my ADD under control when the sun is down.
Most Ritalin users don’t have a terrible comedown with severe anxiety every time their meds wear off—what you have isn’t normal ADD, but ADD plus anxiety, plus, probably, alcohol dependence.
The medical term for your three-pronged disorder is a trifuckedta. Surprise, the prognosis ain’t so hot.
WAIT! There is more to read… read on »
Posted by fxckfeelings on March 4, 2010
We all have different standards for bad behavior; some people hate themselves for eating more than 1000 calories a day, while others don’t understand why you think it’s such a big deal that they drive drunk. While the opinions of those close to you are worth considering, the only true judge for what’s right and wrong is, surprise, you. Just as long as you weigh all the risks and benefits (and eat a cookie and/or call a taxi).
–Dr. Lastname
Do you think sex addiction is a real disease that needs therapy, or is it a way to make a big deal out of nothing that helps cheaters and the people they cheat on feel better while people in your business get paid? I love my wife—we’ve been together for almost 20 years—but I don’t think anyone would say I have an disease because I grab a little extra action if the opportunity comes along. I don’t think she knows I’m not faithful, it doesn’t happen that often, and I don’t think it hurts our marriage at all. It’s not like I have a steady mistress; I just end up going home with women I meet when I’m traveling sometimes, because it’s nice to feel young and like I haven’t lost it, whatever it is. As far as I can tell, everyone wins, because I feel better and my wife is less annoyed by my constant begging for sex. So my goal is to figure out if the way I live my life, which seems to be A-OK, is actually reason to go into rehab.
To rehab, or not to rehab. That is the question.
You’re raising the timeless question, and obviously, we’re not going to tell you to let your feelings be your guide, or, for that matter, your daddy, your minister, your rehab counselor, or your parakeet, Ray.
As to the validity of sex addiction, it either doesn’t matter, or it depends on your definition of illness. I define illness as something wrong with your body that’s personal, important, and out-of-control, and it doesn’t matter whether it’s cellular or behavioral, neurological or psychiatric. Or kinky.
WAIT! There is more to read… read on »
Posted by fxckfeelings on February 18, 2010
If about half of all marriages end in divorce, then, say, a tenth of marriages end in nothing short of open warfare. In a marital battle, some people fight by keeping the verbal (and legal) bombs flying, others hide face down in a fox hole, but both of those tactics only serve to make the war intensify. A better battle plan is to give up on any control of your opponent’s forces (or feelings) and, without too many words or too little action/open fire or fatalities, figure out what you think is right and calmly begin peace talks on those terms.
–Dr. Lastname
My husband always saw himself as the righteous protector of our daughter and, after our divorce, he got into the habit of dragging me into court to force me to pay for some super-costly treatment or schooling that was always no more than a little bit better than what was available for free, but he’d look like a hero to our daughter and the court and the social worker, and I’d look like a miserly shit, and I’d complain bitterly, which just got everyone more on his side, and I was screwed. My daughter bought the bullshit, which meant she and her father shared a tight bond based on hating me, the Scrooge. But I thought the court assaults would stop when she turned 18, until yesterday, when I learned he’s suing me, once again, this time to pay for our daughter’s college tuition, even though she never asked me, she’s over 18, and, with her history of alcohol abuse (and no attempt to get sober), paying for her to go to college without going to rehab first is a waste of money. I think they’re both just scraping the barrel for reasons to drag me into court and I’m getting flashbacks about being raped by the judge. I don’t have any illusion about all of us getting along, but I think it’s fair to want this craziness to stop.
Like it or not, it’s your ex’s legal right to haul you into court at his whim, force you to hire a lawyer, and make you look like a creep. As a reward, you get to give him a good chunk of your savings to pay for something you don’t believe in, to someone who’s out to ruin your life.
Say what you will about justice, but most of the time, it isn’t very fair.
There’s no way you can avoid feeling helpless and outraged, and there’s no shower long or hot enough to make the violated feeling walk away. If, however, your goal is to stop this from happening again by repeatedly venting your outrage, you’ll actually make it worse. WAIT! There is more to read… read on »