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Tuesday, November 5, 2024

Misdirect Hit

Posted by fxckfeelings on January 10, 2013

Deciding whom to blame for a problem you can’t get a handle on is easy if you follow your instincts, but instincts should also tell you that a decision made based on intuition instead of thought is probably wrong. In reality, you need to look carefully at whether a person is doing his or her best with what’s actually controllable before deciding whether what’s missing is better discipline or better luck. Ignore your instincts, assess the uncontrollable and you’ll come up with helpful and constructive ideas by looking for facts, not blame.
Dr. Lastname

I’m in college, and my problem is that I have ADD and even when I’m on Ritalin, I get distracted very easily if something about a course is hard to understand. Then I wind up fucking around, doing other things, spending too much time with my boyfriend, and falling behind. After two or three weeks, it’s too hard to catch up and I don’t want anyone to know, so I stop going to class. A few weeks after that, there’s nothing to do but drop the course, which makes me feel like a loser. I had the same problem in high school, but I’ve never found a drug or dose that’s made the problem better. My goal is to find a better medication or a way to try harder so that I don’t get behind in the first place.

There’s no doubt ADD is your problem, but another problem lots of people with ADD develop over the years of experiencing learning as a painful, humiliating process is avoidance. It came from your ADD, but it’s its own problem, and not the kind they make pills for.

A lot of people with ADD get good at lying to themselves and others about what they’re failing to do and what the consequences are going to be. It started as a coping mechanism, but it’s developed into a pain in the ass. WAIT! There is more to read… read on »

Further Notes On Failures

Posted by fxckfeelings on June 18, 2012

Macho sports-types like to say that failure is not an option, and in a totally not-macho way, they’re absolutely right. After all, we all have different definitions of success, and while individual skill is a factor, so are luck, fate, and a mess of other circumstances that we can’t control and/or overcome completely. So if you can’t meet certain expectations or fix pressing problems, the good news is, failure is not an option; if you do your best with whatever it is you actually control, judging for yourself what that is, you can never lose.
Dr. Lastname

At this point in my life I’m not sure in which direction to turn. I am a 37-year-old female going through a divorce, had to move back home and just failed nursing school by just a few points in my final semester. I was so devastated about failing nursing school that I basically fell off the grid for a while. Many of my peers feel as though the school was unfair and are encouraging me to fight this, and I have hired attorneys who have sent letters to the school and are now talking about litigation. All of this is starting to become so overwhelming that I feel like I am starting to spin into a deep depression again. It is so hard to watch everyone around me succeed and pass me by in life. My question is this, should I go on with fighting the school and sink more time and energy into something I’m uncertain of? Or should I just throw in the towel and try something else. I am so conflicted and would love just a no nonsense straight answer without all the fluff. Any insight would be so appreciated.

People feel like failures when they fall behind the achievements of their over-achieving peers, but, by the age of 37, you’ve earned the right to define your progress, or lack of it, in your own terms, regardless of what your school thinks.

Of course you hate to watch your friends pass you by, but don’t ask yourself why you’re not keeping up with them. Instead, ask why you’re wasting time comparing yourself to them instead of asking yourself where you stand according to your own standards, and what you want to do next. WAIT! There is more to read… read on »

Life Hurts

Posted by fxckfeelings on February 2, 2012

The fact that treatment is seldom as good as we want or need it to be isn’t so bad. If we can’t always make things better with treatment, and we’re willing to accept that fact, we’re no longer burdened with responsibility for figuring out answers and making things better in the first place. Our real job isn’t finding a perfect cure for what ails us, but figuring out whether treatment is better than no treatment. And if treatment only does so much, we can take credit for whatever we do to manage the hopeless mess that’s left for the rest of our not-so-bad lives.
Dr. Lastname

My 15-year-old son needs treatment for his irritability. He gets unbelievably angry over small things, to the point that he ups and goes to his room. He agrees that things are basically OK and he’s sorry afterwards, but it happens at least once a week. We have a happy home and he has friends in school and gets good grades. I think it’s his mood that’s the problem and it causes him and our family a lot of pain. My goal is to figure out how to get him some help with psychotherapy and/or medication.

Just because someone’s in pain doesn’t mean he needs help. Pain is just part of the complete life package, along with joy, hunger, death, etc.

Of course, you’ve got less to lose and more to gain from treatment if his irritability has caused bruised knuckles, broken sheetrock, and a growing familiarity with your local police. Pain is a normal part of life, but serving life in prison isn’t.

What you’re saying, however, is that, aside from his verbal explosions, he remains in physical control, does self-motivated time-outs, retains good relationships, and has no trouble focusing on work and getting it done. No pill could improve upon that. WAIT! There is more to read… read on »

Shrinks Behaving Badly

Posted by fxckfeelings on January 23, 2012

For those of us in the helping professions who overestimate our ability to help, (off-hour phone) calls for help can become a big problem. Whether you’re soft and sympathetic or blunt and tough, there’s no problem you can’t make worse by taking too much responsibility for messes that are beyond your (or anyone’s) control. If, on the other hand, you know the limits of your powers, you can respond to calls pleasantly, do your job, and still help someone without hurting your own sanity.
Dr. Lastname

While most mental health clinicians would feel guilty admitting this, I’ve been in the biz for long enough that I don’t give a shit and I need to vent. Most of the crisis calls I get from my psychotherapy practice are senseless and irritating; they’re from patients who feel bad because they forgot to take their medications, or drank too much or when they shouldn’t, or allowed their demons to wreak vengeance on their enemies, the nearer the better, self best of all. A few call me because they’re feeling suicidal (but won’t go to the hospital) and just want me to make them feel better, which is hard when it’s late and I’m tired, and often impossible just because I don’t have that kind of power. I try to be civil, but their calls leave me feeling helpless and wondering whether I’m doing any good. Discussing their responsibility for their behavior is useless, because it usually makes them mad or apologetic. My goal is to figure out what to do with crisis calls that are really a useless pain in the ass.

Many crisis calls you receive as a shrink do a good job of showing off a patient’s worst behavior. It’s like having partial custody of a colicky child.

It’s not that their distress isn’t real and severe—it is, almost always—it’s that it causes self-defeating behavior, like drinking or mouthing off or retreating from the world, which creates a jam that is extra hard to get out of.

Bad feelings cause bad behavior, bad listening skills and bad regrets about going into the therapy business instead of owning a Toyota dealership. WAIT! There is more to read… read on »

Your Bad

Posted by fxckfeelings on August 8, 2011

Funny thing about fuck-ups—“fucking up,” despite being their specialty, is their least favorite topic of conversation, probably because they haven’t joined the honorable brotherhood of fuck-ups by choice. I know, life is supposed to be all about choices, but it’s actually about the choices you make about the things you have no choice about. Assume that most people don’t like to fuck up, figure out what their limitations are, and your conversations will become fuck-up-free.
Dr. Lastname

I can’t understand why my colleague has become such a sloppy teacher. She’s smart and well-trained and relates well to people, but it’s become common knowledge in our department that the kids don’t like her and complain that her classes are disorganized and have very little content. Maybe she’s decided that her part-time sales job is more important than teaching because it makes her more money. My goal, if she’s really decided that teaching isn’t important, is to avoid discussing the subject with her and talk about other things when we hang out. Does this make sense?

People always interpret one another’s inexplicable actions as if they’re the result of choice, rather than, well, inexplicable. The reason they call them stupid decisions is because intelligent forethought was never part of the equation.

It’s upsetting to see your friend and colleague do a bad job, so you assume she’s doing it because she chose to commit her time elsewhere, where the money is. Sadly, you’re probably inflating her grade. WAIT! There is more to read… read on »

Helping Head

Posted by fxckfeelings on June 16, 2011

It doesn’t seem mean or destructive to be convinced you or someone else needs help, but the trouble happens when there’s good reason to believe there is no help to be found, at least none of the kind you want. That’s when seeking can become as futile as the search for the Holy Grail, except nastier, sadder, and with more damage than a flesh wound. Giving up is often a significant act of kindness, and the first step to getting or giving a different, better kind of assistance, with or without nerdy references.
Dr. Lastname

I have a friend who has a history of being diagnosed with depression, self-mutilation and, recently, suicidal thoughts. She was forced to seek treatment with a counselor in HS (now 24-years-old) whom she said was no help, and now she says she won’t ever seek treatment again because it won’t help her. She acknowledges she has issues that need addressing, but she doesn’t believe in mental illness diagnoses, states she just needs to “deal” with it. However, all we talk about is how much she hates her life, hates feeling this way but isn’t willing to do anything about it. I’ve told her she’s an adult, and makes her own decisions and no one can force her to do anything, but I’ve been very honest with my concerns about her, and that she needs help. I don’t want to treat her with kid gloves or enable her but I also don’t know how much I can push her, since I know its her mental illness that’s clouding her view of the world/reality. How can I continue to be a good friend without beating my head into a wall and enabling her?

For many people, “help” and “cure” have become interchangeable words, as if good motivation and proper treatment will always make things better (tell that to the common cold).

Sadly, the help your friend needs, just like a cure for what ails her, may or may not exist, depending on her luck, the severity of her issues and whether she sees them as hers or just a reaction to other people. WAIT! There is more to read… read on »

Mind Lame

Posted by fxckfeelings on May 23, 2011

Ambition is a blessing and a curse; a curse for most of those people who possess it, but a huge blessing for my business, which flourishes off the self-hate of said overly-ambitious people who believe they could have been contenders (if it wasn’t for themselves). Actually, the usual reason you can’t have your dream is that your equipment isn’t what it should be, and the best way to restore your faith in yourself is to accept the fact that your brain, while not a blessing, isn’t exactly a curse, either, and requires a set of expectations all its own.
Dr. Lastname

I’m going back to school in the fall (for my master’s), and am really worried about the problem that plagued me in undergrad—academic OCD (which combines with general OCD, natch). Specifically, I over-cite EVERYTHING in my papers, because I have this terror of plagiarizing—to the point where my papers are hard to read, and the citing is ridiculous. I haven’t been out of undergrad very long, and I know I need to go back to school to achieve my career goals, but I’m DREADING the papers—any thoughts on how to prepare myself to deal with this very specific anxiety?

If you want an easy way to manage your over-citation compulsion (OCC), here it is; stop making too many citations! Stop it! Bad! Hope it works, and we don’t accept personal checks.

As always, the problem with looking for easy answers to your problem is that you’ll assume that all you need to do to get better is give yourself a kick in the pants or share your feelings with a therapist. It’s not true, and thinking like that will make you feel like a failure (and, if you’re lucky/buy answers like the one above, an idiot).

Long story short, your problem is here to stay (citation: this site, on a weekly basis) and, as long as you’ve got to write papers, managing it is going to be painful.

WAIT! There is more to read… read on »

Undue Attention

Posted by fxckfeelings on April 18, 2011

Attention span is much in demand these days, what with the expansion in time we spend in school, at work, and in front of computers, but like all mental traits, from anxiety to passivity, it contains its own strengths and weaknesses, whether yours is big or small. Whatever your attention level drives you to do, then, (or distracts you from doing), don’t take it too personal. It’s not a failing or disability, just a trait, and if you can accept and manage it, you can forget about what’s in demand.
Dr. Lastname

Whatever I’m really feeling, I’m a boundless ball of cheery energy when it comes to my job search. Give me a likely prospect (I’m an engineer) and, within a day, I’ve researched the company and can send out a cover letter that’s more like a consultation, containing answers for questions they didn’t even know they had. I’m confident I’m doing a good job, but it’s really painful when I put lots of work into a possible job application, get an interview or two, and then nothing. My goal is to have these failures not get to me as much as they do.

As usual, the problem isn’t whether things get to you too much—you can’t change your sensitivity—it’s what you do about it. Lots of people get enraged sometimes, but most manage to stew instead of punch. And so with sensitivity.

If the frustration gets you to give up, lose faith in yourself, and stop searching, then it’s a problem. WAIT! There is more to read… read on »

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