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Tuesday, November 5, 2024

Disorder Form, Part 2

Posted by fxckfeelings on August 13, 2015

Finding equilibrium in your life is hard; as we discussed earlier this week, creating balance in a family of unbalanced people is nearly impossible. In other families, however, you can coach someone into a new, more positive direction. In doing so, you can help them create more security in their own lives, improving their balance and strengthening your bonds instead of risking them.
Dr. Lastname

I worry about my son because he’s had a hard time getting his life started since he graduated from college a few years ago. He’s very bright and was always a hard worker, but, right after he graduated, it took him a long time to get going and find a job, probably due to a combination of depression, anxiety, and no focus. In any case, he’s now working, but he needs a graduate degree if he wants to make a decent salary in his field and have any sort of financial security, and he never gets around to applying or even looking into possible local programs. He’s not touchy about being pushed, but I hate the idea of nagging him. My goal is to get him to see that he needs to do more if he really wants to be independent.

Helping kids get organized does not require nagging, just administration. Remember, a good boss doesn’t nag, just sets a clear direction for a good reason, assumes that’s what you want to do, and helps you get there. Take that approach as a parent, particularly when, as in your case, your son doesn’t get angry about being advised, encouraged, or incentivized. WAIT! There is more to read… read on »

Task Asker

Posted by fxckfeelings on June 25, 2015

Taking on responsibility is like drinking fine wine; the right amount will make you feel pleasant and, as of the latest study, improve your health, but the wrong amount will either leave you flat or flat on your face. Unfortunately, how much responsibility we decline or assume is too often a matter of thoughtless emotion and habit rather than reasoned consideration. So develop your own procedures for examining the responsibility that you should really claim. Your result will always reflect your best efforts if you drink/choose responsibilities, well, responsibly.
Dr. Lastname

My girlfriend is very nice to her father, who doesn’t like to let her out of his sight during her visits (which are every weekend, rain or shine). He’s always had weird mood swings though, going unpredictably from doting to totally paranoid, so she does her best never to rock his boat. I thought she’d be happy when I offered to come along—given that the visits take up most of her weekends, going with her would make it easier for us to see each other—and initially, she was excited for me to join her. As his mood started to change during that first visit, however, she became very controlling and nasty with me. She said she wanted to protect me and also make sure I didn’t upset him, but she was just plain rude, and I felt she needed to know how abusive she’d become, which then triggered a big fight. My goal is to see her father get some help, because if he can work out his issues, maybe she will have no reason to become so unpleasant.

It’s not unusual for people who bend over backwards with kindness to snap into rage; bend anything too far and it’s bound to snap eventually. Unfortunately, the person who gets snapped at isn’t always the person who was doing the pushing in the first place.

These types knock themselves out to be unselfish and meet the needs of others, but instead of getting thanks and cooperation, they get obstruction, demands and criticism, which, understandably, can make them a bit testy. Then they feel guilty for their nasty words, and have to try even harder to do the backwards-bending Pilates. If they didn’t snap, they end up twisted into a human Cinnabon. WAIT! There is more to read… read on »

Ministrations Cycle

Posted by fxckfeelings on April 20, 2015

People often assume that psychological problems require treatment, but they don’t stop to think about what treatment requires from the psychological problems/person with them, namely, a willingness to weigh choices, make decisions, and take action. Otherwise, people can get pushed into talking about problems they’re indifferent to or being overwhelmed by problems they’re actually familiar with. So ask yourself how treatable a problem/person is before urging them to get help. Remember, you can lead a person to therapy, but you can’t make them think.
Dr. Lastname

I wish my husband could be happier, but therapy doesn’t seem to be helping him. He hates his job, but he can’t bring himself to look for a new one or find ways to do more with his free time. I was hoping therapy would get him to decide what he wanted to do, so he could be more active and happy, and even though his therapist has given him some good advice, my husband is just as miserable. He says he enjoys speaking to the therapist, and I’ve told him and his therapist what I think the problem is, but there’s no change. My goal is to see my husband be happy and not be a victim of his work, and maybe decide whether he needs a different or better kind of therapy.

Unlike most other treatments out there for what ails you, therapy is a two-way street; you can get dragged to the dentist or hassled into seeing the hemorrhoid doctor and, even if you didn’t want to go, you can still walk away feeling better. If you only go to a therapist to please others, however, you’ll usually just be wasting your time.

That’s why, despite your good intentions to ease your husband’s unhappiness, don’t assume that therapy has much to offer unless he’s the one offering to go without being coaxed. That means he seems willing to weigh his alternatives and consider the impact of his choices, not let someone else choose for him. WAIT! There is more to read… read on »

Knowledge is Sour

Posted by fxckfeelings on April 2, 2015

When faced with a seemingly insurmountable issue—an illness, personality flaw, really ugly feet—most people think that getting to the bottom of that issue and finding an answer of some kind is their ultimate goal, when in reality, it’s just the beginning. Too often, they’re actually looking for someone to blame or focusing on one small problem and ignoring the big picture. So don’t let helplessness guide your assumptions, your searches, or your choices in footwear. Ask yourself what answers you’re really looking for and whether you actually know more or less than you think you do and, given that knowledge, whether anything other than life is really to blame.
Dr. Lastname

I can’t stand seeing how depressed my husband is, and no medication seems to help. Several things he tried were very promising at first but then pooped out or quickly caused side effects that made him even more miserable. I can’t get a straight answer from his doctors as to why they’re not working or whether his symptoms are from his illness or being over-medicated. No one seems to know what they’re doing, or what to try, or why the medication isn’t working, or when to stop when they’re not working…I feel really lost. My goal is to find some way to get his treatment on track.

When treatment doesn’t work, it’s natural to feel helpless and look for an explanation. Both fortunately and unfortunately, for most psychiatric problems, the answer is simple– treatment often doesn’t work.

Remember, the scientific meaning for “effective” is “better than nothing,” not “usually works.” And when “better than nothing” translates to “maybe less terrible than normal,” it’s easy to feel effectively screwed. WAIT! There is more to read… read on »

Faux-Win Situation

Posted by fxckfeelings on January 29, 2015

Strong emotions often push us to act without weighing consequences, simply because we feel helpless and need to take action; that’s why the world has so many unworn expensive shoes, memorial tattoos, and children born just before or after their parents’ divorce. In reality, we’re often screwed no matter how we choose to react, or we’re just panicking for no reason and no action is required in the first place. In any case, no matter the emotional forces, think first and act later, weighing your alternatives and acting only if you think it’s necessary. You might not feel any immediate relief, but in the long run, you won’t have anything (or anyone) to regret.
Dr. Lastname

My grown son has always been very difficult, but his last outburst was just too much. He caught me at a time when I was having a tough time and felt vulnerable, and I told him I thought he was being a selfish, self-centered little shit, so he told me never to talk to him again and hung up. Unfortunately, even if I shouldn’t have said those mean things out loud, I was right; he’s a jerk, so none of his friendships has lasted and his kids are very careful not to aggravate him. Even though I feel really guilty about it, I just can’t bring myself to pick up the phone or write him and try to patch things up. I know that if I don’t reach out to him, I won’t see those kids, but if I do, I’ll have to have a conversation with him, which is just going to be unpleasant and end badly. My goal is to figure out a way to repair our relationship so I won’t dread talking to him or feel bad about being such a heartless parent.

The good news is that you’re living evidence that Asshole™-ishness isn’t always genetic. The bad news is that you have still spawned an Asshole™.

As we’ve said before, Asshole™s can cause serious harm without any real provocation; they’re usually very needy, and their neediness causes them pain that they think is your fault, particularly if you’re a parent or other person who stirs up those feelings by virtue of your very existence.

Asshole™s truly believe you deserve punishment. What you deserve, besides a better son, is protection. WAIT! There is more to read… read on »

Focus Pocus

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 »

Heavy on the Fault

Posted by fxckfeelings on April 21, 2014

We’re all familiar with the ol’ break-up mantra, “it’s not you, it’s me,” which can also apply when you’re having repeated issues with a loved one. Sometimes, however, it’s worth considering whether it’s not you, but them; sure, sometimes there’s nothing wrong in a relationship other than the feelings they leave you with, but other people who look normal have subtle problems that can’t be changed. Instead of responding to your instincts about normality, weirdness, and responsibility, learn to accept your observations, discount your feelings, and think hard about where you think things need to go. Then you’re much more likely to come up with action or non-action plans that will best serve your needs, and turn them and you into a more functional “us.”
Dr. Lastname

My ten-year-old daughter is sloppy about her homework, but I don’t let her watch TV until she’s done it properly, so it’s past her bedtime so she never gets to watch her programs and she’s mad at me. At that point I’m mad at her, because I don’t like being the evil mother and she could easily do her homework in a fraction of the time if she was just a little more careful in the first place. Her teachers also say she blurts out answers before she thinks and makes herself look foolish. My goal is to get her to take care with her homework and get it done properly the first time, so we don’t have to struggle through the rest of the evening.

Both you and your daughter seem dedicated to getting through this homework situation, as evidenced by the fact that you’ve both made the ultimate sacrifice; you’ve given up your precious evening relaxation hours, and she’s given up prime time television.

What you need to ask yourself, however, is whether her sloppiness and foot-dragging are due to low motivation and stubbornness or a glitch in the way she learns new information, because your sacrifices—your time on the couch with wine, her “Vampire Diaries”—may be in vain if her brain doesn’t do homework well and she’s feeling like a failure. WAIT! There is more to read… read on »

Help Review

Posted by fxckfeelings on May 2, 2013

From Mama Rose to your average scary hockey dad, pushy parents who steamroll their kids into living out their own dreams are seen as monsters who seldom inspire real motivation. Pushing a relatively unmotivated kid into therapy instead of the spotlight might not make you feel like Dina Lohan, but the fact is, an enthusiasm gap between parent and child never bodes well. It doesn’t necessarily mean that your kid is an unmotivated, treatment-rejecting slacker, but it does mean that the intensely emotional intervention of a caring parent, whether offering treatment, discipline, or both, can make a child too reactive to others’ motivations to discover his or her own center and strength. When you want to help a difficult child, you must also learn to sell your child on the values of patience and self-restraint through example, waiting for your child to meet you halfway. Pushing a child to be mentally healthy is more valid than pushing her to be a superstar or pro-athlete, but if she don’t want it as much as you do, all you’re doing is pushing her away.
Dr. Lastname

My daughter’s therapist is extremely expensive (hundreds of dollars, and he doesn’t take our insurance), but my daughter said the sessions helped her with her depression when it seemed like no one and nothing else could, so my husband and I took out a loan and paid for weekly treatments, which started when she was in high school and continue over the phone now that she’s in college. At the end of last semester, however, she’d flunked out of a course and now says she needs more money for personal expenses, and my husband and I have reason to think she’s drinking and partying way too much. We’re furious and my husband doesn’t want to keep “throwing money away,” especially since it’s money we have to borrow, but I’m afraid that if we confront her or reduce support for her treatment she’ll get even worse, drop out of school, and never get her degree or her mental health in order. My goal is to figure my way out of an impossible dilemma.

Ironically, endlessly searching for ways to keep your daughter safe is, in itself, a fairly dangerous proposition; if you make yourself too responsible for her treatment, she won’t develop her own values and reasons for using it and accepting its limitations. You can lead the kid to therapy, but you can’t make her think.

Until she builds her own foundation for managing her illness and its treatment, your recovery plan remains shaky. It gets shakier the more it depends on your efforts and the availability of therapists who may or may not be there when you need them, no matter what their cost. WAIT! There is more to read… read on »

Catcher In The Lie

Posted by fxckfeelings on April 22, 2013

People who knowingly distort the truth seem to deserve more blame than those who truly believe what their mind makes up, but when you’re close to a liar, the issue isn’t who deserves more blame, but who is more dangerous to your welfare. Somebody who lies on purpose often does so out of a guilty conscience, while those who believe in their lies are more apt to see you as. the deceitful one who’s deserving of blame and punishment. So when lying is an issue, don’t waste time on how it makes you feel or whether the truth needs to be told. Instead, look at what happened when the liar was exposed in the past and do what’s necessary to protect yourself, even if it means leaving a liar behind, and as such, the truth unspoken.
Dr. Lastname

My husband has a porn problem– problem because he hides it, lies about it, and blames it on others (as in, “Oh, my friend sent me some virus and that’s what opened the browser window to the helpful find-a-local-hooker site”). He also has a deadline and personal responsibility problem– lots of promises to accomplish tasks at home, precious little success. I still find benefits from being married to him. He works hard and his income is very useful. He has been sober for twenty years now, and if he is screwing around on me he is doing it discretely. He is vital to the childcare and child transportation scheme. He can be pleasant to be with and supportive, and our sex life is good. And I am 50, fat and tired and figure I would face a life of lonely celibacy without him. I can generally cope with the down side of things, but I persist in feeling angry and disappointed when he once again lets me down, and every once in awhile I find myself believing that someday he’ll change. I’m worried that I may have my thumb on the scale when I weigh the pros and cons of sticking with him. I also worry that our kids might be better off without the toxic atmosphere when I am once again disappointed. I need help finding ways to cope with the inevitability of being let down, and the serenity prayer just ain’t doing it.

It’s hard not to experience being lied to as a personal betrayal of trust, whether the liar is close to you, like a husband, or a stranger, like a politician with an unfortunately phallic last name. The reason liars can take any form, however, is that as personal as the act feels, it’s often nothing but a bad habit.

After all, nose-pickers aren’t trying to gross you out, nervous whistlers aren’t trying to annoy the shit out of you, and alcoholics aren’t getting shitfaced just to make your life more difficult. You feel like you’re in the crosshairs, but you’re just collateral damage. WAIT! There is more to read… read on »

Yes We Plan

Posted by fxckfeelings on January 17, 2013

It’s often been said that if you want to make god laugh, make a plan, but this is not the case for people dealing with mental illness, mostly because of all the pain you have to accept before you even get to the plan-making stage. If you ignore that pain, you’re a dumb ostrich who will make an avoidant plan, but if you focus too much on it, you develop a ruminative plan and become your problem. So brace yourself for unavoidable pain, prepare to do two things at once, and plan away. Then your choices will take you as close as possible to where you want to be, and your plan, or at least your ability to make one, will make any higher power proud.
Dr. Lastname

I have a big problem getting myself to study. I do things late and then don’t get good grades, or I don’t get anything done, or I stop somewhere in the middle. I guess I have a problem with concentration and also with laziness. I’ve also done this thing since I was a little child where I turn on music, I sit on a couch or my bed and rock myself, hitting my back towards the backrest of the couch, sometimes it takes hours, sometimes it’s quite quick, like half an hour. I also have quite low self-esteem, not sure what is the reason…I am trying to overcome it somehow but it always gets to me again and I have to deal with it and then I have these days like I do not want to get up—I can’t think of a reason to, and I do not want to go anywhere and I am scared of everything. Sometimes I feel like people are watching me and criticizing me and I don’t want to go to the market because I don’t want to deal with anyone. Sometimes I eat a lot because I am in that crazy mood and I feel bad about it, not because I’ll gain weight (maybe a little bit) but especially because of my health… I criticize myself a lot. I write something or say something and in a while I hate it even if the first impression about it was really good. So… I might be a little bit screwed up I guess… I would be thankful for some opinion or advice what to do with all this.

You’ve certainly got a ton of problems, including trouble concentrating, studying, getting up in the morning, keeping your weight under control, dealing with paranoid thoughts, etc. (but hopefully not memory, because I’d have to think there are even more issues you forgot and left out).

The big question to ask yourself, however, is not what’s wrong with you and to count all the ways, but what you’ve done with your life in spite of these problems. WAIT! There is more to read… read on »

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