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Monday, November 18, 2024

Diagnosis Focus

Posted by fxckfeelings on August 19, 2013

It’s easy to know and describe what it’s like to be physically out of sorts—usually, Nyquil or a triage kit are in order—but when you’re losing it mentally, things get a lot more complicated. In some cases, it’s uncomfortable and can’t go away soon enough, while for others, it’s great and not something they even see as a problem. Good or bad, however, it’s easier to identify and understand, at least to the person experiencing it, if you remind yourself that a state of mind is only a state of mind. So whether or not you can change it, or believe it’s worth changing, it’s always worth remembering that there are more important things. Your job is to make the most of your state of mind, even if you can never fully make sense of it, without letting your brain run your life (and body) off the rails.
Dr. Lastname

I don’t know how to begin…It’s really strange because I’ve never felt like talking to a psychiatrist, but now that I’m trying to, I realize how much I may need one. I’ve been trying to find one of my, of what I realize now, many fucked up aspects to talk about. Why do we bottle things up? Why do we make the bad things the deepest parts of our lives? Happy moments are like listening to the Beatles, short and like being on acid or running through a meadow…or both. But melancholy sits inside like Joni Mitchell or Jeff Buckley, if you let it. I guess my point is that I am terrified that I am going to have Virginia Woolf or Sylvia Plath’s life. Almost everyone in my family has mental issues. My brother tried to kill himself this year, my grandparents are the lovable nut-bags, my father had anger issues during my childhood… and I got the diagnosis from my doctor this year that I am depressive with bipolar tendencies. It’s terrifying to get a name for the way you are. I have so many. I wish it was duchess sunshine awesome, but you know… I guess what I came here for was to say that I don’t know how to express my emotions, should I bottle them up? Or should I just let myself go? My goal is to be a little clearer.

We don’t have the power to diagnose people over the internet, but when we get letters from people fretting over psychiatric diagnoses we usually feel comfortable diagnosing those diagnoses.

So, assuming you do have the familial tendency to be depressed, have mood swings, and, presumably, be creative, you don’t have to have a fucked-up life, nor do you have to stifle your creativity.

What you will have to do, however, is work at keeping your perspective when you’re hurting with depression and everything seems to suck while not letting your diagnosis frighten or shock you. After all, a doctor has merely put a label on what was always there, meaning you now know there are techniques that can help you deal with what’s been ailing you. WAIT! There is more to read… read on »

Nay, Jealousy

Posted by fxckfeelings on August 15, 2013

As feelings go, envy is an amazing two-fer—by hating others for having what you want and yourself for wanting it, you accomplish twice the useless negativity in half the time. Luckily, we’re here to remind you that feeling envious and like a loser seldom has anything to do with being a loser, just that you’re down on yourself for failing to perform, or are flooded with memories of all the times you came up short. So don’t let envious loser feelings have very real, negative effect on relationships, beginning with the one you have with yourself. Until someone finds a cure for that evil/efficient feeling—and better performance isn’t usually the answer—you need to remember what you value, other than high performance, so that your feelings of being a loser can never persuade you that you are one.
Dr. Lastname

I’m going through one of my regular bouts of deep unhappiness, and there is a common cause to each bout—I am useless at everything. The problem is made worse because I have a partner who is so talented and brilliant at everything that I want to be talented and brilliant at. We do the same work (same company) and his feedback from clients is fantastic. He has a huge and positive impact on people generally. He also likes to write and is better at that than me. So I feel rather pathetic and that I have no strengths or skills or talents. It’s always been this way (since my teens—I am now verging on middle age!) only now I have a mirror reflecting back all the things I want to be and yet lack. I’m not sure how to get beyond this enduring sense of being a rather worthless human being.

Envy is a tough feeling to live with, particularly for those who are both particularly envious and ambitions. For them envy is like carbs; if it isn’t turned into fuel, pushing them forward, it clings to them and weighs them down.

Given that few envious people actually get to surround themselves with people who have less than they do, those not propelled by envy feel as trapped as someone in skinny jeans at Thanksgiving dinner, seldom able to escape or satisfy their misery-making feelings. WAIT! There is more to read… read on »

Caring is Wearing

Posted by fxckfeelings on August 5, 2013

When someone attacks you because they’re hurt, you have no choice but to enter an emotional battle dome. If you care too much, you’ll feel cornered, attack them back, and you’re an asshole for being mean. On the other hand, if you back off, they’ll feel more hurt, and you’re an asshole for not caring enough. Either way, if you attempt retaliation, the situation will become “two angry people enter, only one sulks away.” Instead, develop your own rules for doing right by your friends and responding to grievances. Then, even if they can’t stop feeling hurt, you can do what’s right without acting more like the jerk they think you are, and leave the battle dome unscathed.
Dr. Lastname

My wife and I get along very well most of the time, which is a good thing, because we run a business together. Typically, however, when we have fights, it’s not easy for either one of us to get over them. Recently, I said something she thought was demeaning, and she blew up at me in front of our friends. A day or so later I thought it over and apologized, because she was right, but she said that wasn’t enough and that she just about had enough of me. Then that reminded me of all the times she had acted like an asshole and I put up with it, but I don’t want to start the fight up again by reminding her of all those times and, at the same time, I hate that she’s huffy and threatening to leave. I was big enough to apologize, so she should be, too. My goal is to have a better marriage and not fight so much, which I think means getting her to play fair.

In a traditional shakedown, you’re offered your money or your life. In a partnership, however, the threat isn’t delivered in a dark alley but a well-lit bedroom, and it’s a lot more fraught; you’re offered the choice between your marriage or your pride.

It certainly would be better, if you’re sensitive to criticism, to have married someone who doesn’t hold grudges and isn’t too sensitive, but that’s obviously not what happened. Thankfully, your wife has other good qualities that have kept you together for many years and allowed you to be good business partners. Putting your marriage before her win, however, isn’t one of them. WAIT! There is more to read… read on »

Hope Springs Infernal

Posted by fxckfeelings on July 25, 2013

The phrase, “when the going gets tough, the tough get going,” is a bit unclear; after all, in a tough situation, you can either buckle down and get more focused or just give up and get going outta there. Trying harder or just giving up both give us a sense of control, but no matter where the tough go, either choice can easily make things worse. So when life becomes difficult, first assess the odds that more work will yield more positive results. Then, if there’s no way out of a tough spot, respect yourself for what it takes to eat shit and stay put. And no matter what, always make careful use of your clichés.
Dr. Lastname

I know my adult daughter is a terrible avoider and procrastinator—she struggled all throughout school, and only graduated from college with a lot of help—but she made great progress a year ago after we developed a schedule and daily to-do list, and she was very good about using me as her coach. After her last lay-off, however, she lost steam and started looking depressed—she stopped getting up on time, keeping up with her calls, getting exercise, going through her mail, etc. She’s not totally incapacitated and we still talk every day, but she’s vague about what she’s actually accomplished. I’m thinking we should start over and develop a new system for evaluating what she needs to do and tracking whether she’s done it. When I talk with her about starting a new system, however, she gives me more vague answers, which leaves me frustrated and very, very worried. I’ve got to find some way to push her or she’ll never get going and then it will become more and more difficult for her to resume her career. She’s almost 30, and I can’t push her forever.

Throughout time, humans have developed useless-yet-comforting rituals to ease us through hopeless situations; from ducking and covering through a nuclear blast to stocking up on duct tape during an orange alert, there’s nothing like an empty ritual to distract you from the fact that, ultimately, you’re totally fucked.

As such, the good news is, you’ve done everything right by your daughter to help her manage procrastination by drawing up a schedule and to-do list and offering to track them with her. The bad news is that all those positive steps sometimes lead nowhere, and trying to figure out a new system at such a time might be about a useful as hiding under a desk to avoid a mushroom cloud. WAIT! There is more to read… read on »

Control Peak

Posted by fxckfeelings on July 22, 2013

If you’ve ever driven in bad weather and started to lose control of your car, you know that your instincts, for better or worse, are to panic and let the wheel spin where it may or grip the wheel with white knuckles and try to overpower nature itself. Sadly, a lot of people react the same way when tragedy sets their own lives skidding off course, and no matter how much you understand their pain, you can’t stop them when they begin to slide. If that happens, however, to someone you share a life with, you may be able to straighten them out by following through on your own priorities and assuring them that your way, and your support, will help them retake their place at the wheel.
Dr. Lastname

I know he can’t help it, but my husband has become a control freak and I can’t stand it. It started when our daughter was born with cystic fibrosis. She’s has been in an out of the hospital her whole life and the stress for us as parents is often overwhelming. My husband does an amazing job of keeping us organized and getting our daughter to her appointments—he was going to be a stay-at-home dad even before she got sick—but he’s also become overbearing and picky about everything we do, especially everything I do, which isn’t the way he was when we first married. I hate to criticize him when I know what’s driving him crazy and our first priority is sticking together, but I find I’m angry at him all the time and sad that we can never be close. Just because I’m not as obsessive as he is about our daughter doesn’t mean I don’t care. What can I do?

Let’s assume, for the moment, that you’ve gone through your best attempts to get your husband to see that he has become too controlling; you’ve tried to find him an ear, show him respect, and done everything short of shaking him really hard, all to no avail. In his campaign to control everything, he can’t control himself.

While getting physical is always a bad idea, so is trying to get persuasive. Instead, use your modest powers to draw the line and give him a hard time if he crosses it. This is the only way to find out whether he’s can learn to hold back for the sake of your marriage, or whether you need to put your marriage on hold. WAIT! There is more to read… read on »

Coerced Depression

Posted by fxckfeelings on July 18, 2013

Saying that being depressed just means being sad is like saying that having cancer means feeling nauseous; depression involves a lot more than misery, including anxiety, self-doubt, exhaustion, physical pain, and even nausea, depending on the individual. Some people are always at least a little depressed because they’re never satisfied with themselves, and others have severe symptoms but only briefly after special disappointments. In either case, until depression gets it’s own chemo-like treatment, people can seldom cure their symptoms. They can, however, learn to think more positively about their lives while not confusing the pain of symptoms with failure or character defects, or the pain of life with depression in general.
Dr. Lastname

I have a very demanding and high pressure job, part of which is done in public, so when I make a mistake, I can’t stop thinking about it or beating myself up. I always think the worst, even for the minor stuff, but I don’t understand why. I accept mistakes in others, why can’t I accept them in myself? I am not arrogant or self-important; just the opposite, I often think I’m the dumbest, most inept person in the room. I’ve had some success but I always attribute that to external forces, not anything I’ve done. This is starting to really affect my life. I cry a lot. I don’t know what to do. Please help.

The fact that you got such a demanding and high pressure/profile job probably means that you have what it takes to get it done, but part of what helped you get it and do it well is being ultra-conscientious, which means worrying, self-criticism, and now, probably, depression. Circle of life, meet circle of strife.

The good side of worry and anxiety is that they drive you to work harder and look out for mistakes. Worriers succeed, not to keep my industry alive, but because worry-genes help people survive and multiply. The negative side of these genes, however, is that they set you up for negative thinking and depression. Anxiety and depression are just two sides of the same miserable coin. WAIT! There is more to read… read on »

The End Is Why?

Posted by fxckfeelings on July 15, 2013

Love and hate aren’t opposites, they’re siblings, which is why there’s a level of hatred you can only feel for someone you’re involved with, and at your rage-iest moments, it’s often hard to figure out whether your relationship is healthy. It’s especially difficult at those times since you may be too distracted by love, hate, rage, passion, etc. to define the specific requirements that matter most to a partnership or you may be too spooked by a close relationship to ever feel comfortable. In either case, a little hate in a relationship is healthy; it’s being too indifferent, either to make the effort to assess what you need or learn how to assert yourself with your partner, that spells trouble.
Dr. Lastname

I’m really stuck on my relationship. The first year was great, then we moved in and I’ve been in this space of questioning it ever since. I’ve never lived with anyone and have only had one other long-term relationship so have little to compare it to. I have come to realize over the past year through counseling that my thoughts about relationships have been mostly fantasies, thinking that it’s easy and fulfilling all the time. This one has required me to do a lot of ‘work’ overcoming this, compromising, changing my views, and pushing myself to bring up difficult conversations. We are great friends and have similar values, which I think is what holds us together. However on a day-to-day basis we argue quit a bit, have different preferences on lifestyle (he likes to be out all the time, I am a home body), and sometimes have different views on romantic relationships. I understand that differences are inevitable but what I am really having trouble with is determining if I should continue to work on these issues and accept that relationships have never been easy for me, or if he’s not the right match. I could keep looking and find myself in the same boat with another man a few years later. Or, I could be realistic, know that it’s not like it is in the movies and settle down and start a family, which is ultimately what I want. What is your view on this?

To paraphrase Tolstoy, all successful relationships are alike; every unhappy relationship is unhappy in its own way. The signs pointing to a partner’s worthiness are fairly obvious—if they’re responsible, share your values and your friends, all factors you’re taking into account—but the small things that can doom a relationship are often more unique.

You’re on the right track about advancing a close relationship by living together to discover how you and your boyfriend gel in very realistic, specific ways, but you need to be even more specific now about the significant differences that remain between you and your partner, particularly if, as you say, you want to start a family. WAIT! There is more to read… read on »

Assessment, Development

Posted by fxckfeelings on July 11, 2013

While “crisis management” is fairly well-known (at least if you’re Paula Deen), we see our field as pre-crisis management, because, more often than not, it’s easier to predict a personal disaster than a natural one. Sometimes people enter into a perfectly predictable crisis because acknowledging the warning signs would ruin the romance, and other times they see the signs but keep on going anyway because planning ahead takes too much work and maybe involves math. In either case, as long as you don’t blame yourself too much and accept the fact that caution will often force you to stop when you’d really like to go forward, there’s nothing that can stop you from learning, doing better, and managing yourself before a crisis can take hold.
Dr. Lastname

I recently relocated to a new state for better opportunities and to salvage my marriage. In the midst of everything I grew extremely fond of a co-worker and eventually fell in love, and during my new relationship, my husband moved out and we separated. Shortly after, the other man explained that his ex kept contacting him saying she was pregnant and that it could be his (they broke up three months before we met). She is married as well so she wasn’t sure who the father was. Anyway, the baby was born a few weeks ago and paternity has been established that it is his. Since he found out it is his we see each other less and less. He explains that he doesn’t want to be with her and loves me, but to see the baby, I can’t be around. I believe that if he truly loved me he would go about this the legal way, set up visitation and we can resume our relationship. I love him a great deal, but really don’t know how to handle this situation. All of my friends say jump ship and that it’s nothing but drama, I am having a hard time doing so. I really need some no nonsense, direct and honest advice.

When you fall in love with someone, you’re often eager to accept their explanations for the odd decisions they’ve made in their lives; money can’t buy love, but love can afford you a lot of forgiveness. Especially when you’ve made some odd decisions yourself.

Now that the honeymoon (and divorce, and new honeymoon) is over, it’s time you reviewed the facts, dug up more if possible, and asked yourself whether your boyfriend has ever managed commitment before, particularly when he had to do a little multitasking at the same time. WAIT! There is more to read… read on »

The Replacements

Posted by fxckfeelings on June 27, 2013

We all have an inner-cyborg, at least in terms of having certain missions, usually involving kids and jobs, that must be carried out by any means necessary. As such, if someone or something threatens the mission, our instinct is to terminate that threat even though fighting it can sometimes put the whole mission into peril. Before entering defense mode, ask your rational, human mind what you’re doing it for and what about this process you control. Then, if and when it’s threatened, you’ll know when you’re better off accepting change and when it’s worthwhile to stand against it. You’ll also be sure that you’re a fraking human after all.
Dr. Lastname

I am going through divorce after a long and painful marriage to a man who lied and let me down many times but was a good father to our children. We have a baby granddaughter whom we both adore. My soon to be ex has a partner who he deceived me with for years and who showed great contempt for my feelings. Our adult children only met her quite recently which I suggested in the interests of us all moving on and I have been polite to her for their sake. I have a new partner whom they like and who is kind and trustworthy. He has grandchildren of his own but this woman is childless and of menopausal age. My daughter has told me that her father has asked to take the one year old girl on a lengthy car trip to meet the extended family of this woman. She was defensive and awkward so I let it go but I feel hurt at the disloyalty. She is welcome to my weak and dishonest ex but I feel usurped. My goal is to behave well in what feels like a takeover bid.

Some people try by finding a certain spouse, or a cruel mentor, or even a drinking problem, but there really is no replacement for one’s actual mother, no matter how much you feel like your ex’s new partner is trying to become a mother to your children.

Your children will never feel about anyone the way they feel about you, and your influence will grow in proportion to your wisdom, not the guilt you can generate through disapproval. Paranoia is a mother, but it still doesn’t hold a candle to your actual motherhood. WAIT! There is more to read… read on »

Parental Advisory

Posted by fxckfeelings on June 13, 2013

Parents can be responsible for making sure their kids are clothed, bathed, and fed, and even the bathing part is a stretch if your kid is a teenaged boy. After that, almost everything is out of a parent’s hands, especially behavior. Under normal circumstances, there’s lots you can do to help a kid control his bad behavior, assuming you stay positive, provide him with effective limits, and encourage him to endure whatever internal demons and nasty frustrations are flipping him out. Under abnormal circumstances, however, you may well do everything, accomplish nothing, and find it’s better redirecting your energies to where they’ll do more good, even if it’s just making sure they have some soap.
Dr. Lastname

My twelve-year-old daughter can be difficult with her father and she’s not always respectful to her teachers, but she’s basically a good kid and I can count on her to do her homework and be reasonably nice to her sibs. Lately, however, I’ve been getting more complaints than usual and I’ve noticed that she looks pretty irritable and unhappy most of the time. I don’t want to come down too hard on her, but I don’t want to ignore the fact that I’m responsible for how she behaves and she hasn’t been particularly nice to people. My goal is to figure out how to take her problem seriously without making her feel I’m too critical.

When you feel responsible for your child’s behavior—or your dog’s, or even just your own weight or success—then you feel obliged to get it under control. Unfortunately, responsibility and control do not go hand-in-hand; if your kid is spoiled, needs a talking-to, and has the ability to learn from it, then a conversation might work. Otherwise, think again, because you’re trying to control what even she cannot.

In this case, you’re suggesting that your daughter already knows what she should be doing but that something is bringing out the worst in her. A serious talk about her behavior may help her stop, but there’s a danger, particularly if you sound too angry or moralistic, of worsening her mood, provoking self-hate, and stimulating defiance or self-harm. You both want the same thing, but frustration will make it even more impossible. WAIT! There is more to read… read on »

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