Posted by fxckfeelings on October 21, 2010
When life spins out of control, so does morale. When it feels like you’re living in a flaming, crowded theater, it’s more normal to issue dire warnings, cast blame, and look for desperate solutions. If, however, after reviewing your options realistically, you can assure yourself that you’ve done whatever it is you could do, you can retain your pride and helps others retain theirs. That won’t give you control, but it will decrease the panic and put the fires out.
–Dr. Lastname
My 25-year-old daughter barely talks to me because I’m the one who reminds her that she’s bipolar. She gets mad at me whenever I bring it up, but I’ve got to say something, because someone needs to tell her to take her medication and stay away from her drinking buddies. She’s such a good kid, and it’s awful to watch her lose control and then have everyone take advantage of her. The trouble is, I know how bad the prognosis is for her illness, and after four hospital admissions and no job held for more than a month, I fear for her. My goal is to help her and have a better relationship with her.
If you want to express negative emotions about your kid’s mental illness, tell your shrink, hairdresser, crossing-guard, whomever. Anyone but the kid herself.
Mental illness is scary and depressing, but for the parent of a mentally ill child, make like your home is on the range: never should be heard a discouraging word. Expressing negative emotions almost always makes things worse.
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Posted by fxckfeelings on September 30, 2010
There’s something about the decision to take or not take medication that makes people very reactive to feelings, both theirs and others, instead of just weighing the important stuff, like the risks, their symptoms, etc. The only good way to make medication decisions is to think about what will happen to you without them and decide for yourself what will do you the most good. Until the day others can feel sick on your behalf, their reactions to your own carefully thought out medical choices shouldn’t come first.
–Dr. Lastname
Given all my issues, I’m not doing so badly, although it’s true I have a $400/week speed habit. Even with that though, I’m doing well at a demanding, high-powered job, meeting all the overtime demands, and then, at quitting time, when I’ve gotten paid and don’t want to feel bored or alone, that’s where speed comes in. A few years ago, I had a crazy, manic mental breakdown and they started me on medication, which I’ve taken regularly, but I’ve been doing fine ever since, my mood is great, the speed hasn’t bothered me, so I don’t see why I can’t start cutting back on the meds. That’s my goal: to feel OK without meds.
Whether it’s bad for you to use speed or stop your bipolar medications depends a lot on what you believe you need for your future survival, assuming that you care about it.
Since I don’t think that’s a safe assumption, let’s assume you’ll at least consider caring about it after you read my response.
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Posted by fxckfeelings on September 16, 2010
Everything about having a kid, from the “birth plan” to the child’s name to the choice to procreate itself, is fraught and complicated. If you choose to have a kid, you feel responsible for making the experience perfect, and if you choose not to, you’ve failed to take a responsibility that many people believe you should. So, if you’re feeling guilt or regret, learn what triggers that guilt-reflex and how to disregard it when your own moral judgment clears you of wrong-doing. And if you could avoid naming your child any derivation of Aiden, all the better.
–Dr. Lastname
My younger brother and his wife just had a baby. While I’m thrilled for them and love my baby nephew to death, it’s been harder for me than I thought it would be. While I’m in my early 30s and don’t have any children of my own (but I do have a great husband), I’m not jealous. Actually, I feel guilty for not being jealous, or not holding my nephew and wishing I had a child of my own. I don’t understand why I don’t want kids, but I really don’t. When I married my husband, he felt the same way, but now he’s started talking about starting a family and I feel awful that I can’t get on the same page, or just can’t be normal and want a baby as much as I think I should. I want a second dog way more than I want a baby, and that I feel that way makes me feel terrible. My goal is to figure out what’s wrong with me and why I can’t be a mom.
If you and your husband agreed in advance to live in the country and he later decided he preferred Manhattan, you probably wouldn’t feel guilty about thwarting his desires by keeping him in the sticks, even if it made him unhappy.
So, while you wouldn’t like to deprive him of his dream, you wouldn’t feel guilty about it, either. Ask yourself then why having children should be such a different issue.
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Posted by fxckfeelings on September 9, 2010
It’s hard not to judge yourself by how people say you’re doing, particularly when those people are family or family-equivalent; a family or relationship can turn anyone into a version of Ed Koch. We assume that peace of mind begins with being forgiven and accepted, but that’s bullshit (or dogshit if you’d like to keep the Koch analogy going). Just because you love people doesn’t mean that they can stop themselves from giving you shit you don’t deserve or not giving you attention you do, and never being able to see what they’re doing. So be prepared to pursue your own investigation and consult your own conscience before seeking peace, reconciliation, and another term as a well-liked human being.
–Dr. Lastname
I can’t get my ex to forgive me, even though I had good reason for doing the things he’s mad about. He’s the one who said we should just be friends (no sex) after we’d been living together for years, which was OK with me, but then when he found out, by accident, that I had a discreet fling (I like sex), he flipped out and told all our friends I’d betrayed him, and walked out. I can’t get him to see I care or that he really has no grounds to be pissed, and it’s an awful way to end things. I now know what his parents meant when they told me years ago he was difficult. My goal is to get him and others to see that I wasn’t a slut and that our relationship wasn’t a farce.
Even before the existence of cable news, gossip websites, and Stephen Colbert, opinion has come more from feelings than facts.
Your hyper-emotional ex sees the past through the “veil of truthiness,” so determining the meaning of what happened is something you’ll have to do on your own.
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Posted by fxckfeelings on August 12, 2010
In this “Intervention”-happy society, we tend to believe that bluntly confronting friends about their problems is the ultimate solution. In reality, if you really want to warn a friend about worrisome behavior, it’s better to discuss risk without expressing worried feelings/”your behavior affects me in the following ways.” Worried feelings say you think people don’t know what they’re doing and you do, whereas discussing risk says you’re interested in how they value the cards in their hand and what they’re going to do with the losers. Don’t worry that your calm demeanor will fail to get across the depth of your concern. An in-your-face approach often fails to do much of anything.
–Dr. Lastname
I’ve done some research, and I think my girlfriend is bipolar. She gets into these very good moods for no particular reason, and when she’s in this mood she can’t stop talking and seems high and silly (and that’s when she sometimes drinks too much). When she’s like that, she’s more obnoxious-funny than really funny, but she thinks she’s a riot. I’m not crazy about her up times, but what I really dread is the crash that follows; it’s hell for her and everyone around her. I know she sees a shrink, so I told her what I was worried about, but she acted like I was insulting her and then she said she was sorry, maybe I was right, but she likes feeling happy and doesn’t see anything wrong with it and why should it bother me. My goal isn’t to take away her joy, but I wonder if it’s bad for her to be bipolar and, if so, what she should do about it.
You’re right to worry about your girlfriend’s highs, but getting through to her may not be easy. Manic people aren’t exactly perceptive, unless by perceptive, you mean frighteningly giddy and overwhelming obnoxious.
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Posted by fxckfeelings on August 5, 2010
We’ve talked many times on this site about how controlling other people is essentially impossible (at least in the long run, but you’d be surprised how obedient people are short-term when you have cake). That’s why pushing for someone else’s acceptance isn’t just hopeless, but when we put that need ahead of our own convictions and priorities, it’s downright dangerous. People in AA are taught right off the bat to accept what they can’t change, which is a valuable lesson to anyone, with or without booze (or cake).
–Dr. Lastname
My husband worries a lot about my drinking and depression but, to my mind, I don’t think my drinking is a problem and I don’t think I’d be depressed if I wasn’t worried that he’d leave me. For the sake of our marriage, I’ve agreed to stop drinking for a while and go to AA, but I really feel that my drinking wasn’t causing me any problems and that I’m doing this to make him happy, which makes me feel weak and angry. I want to get him to accept me the way I am before I can’t take it anymore.
You’re in a tough spot, because partnership really can’t work without acceptance, and acceptance is not something you can control. The more you force acceptance, the harder it is to achieve. Accept that, buddy.
If you try too hard to get his acceptance, you’ll hide whatever you think he won’t accept, which means putting your drinking in the closet and going to the mall instead of AA meetings.
On his end, if he tries too hard to make the relationship work, he’ll pretend you’re not really drinking or that you’re going to change, which also means no real acceptance.
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Posted by fxckfeelings on June 14, 2010
While most people have multifaceted personalities (or should), there are an unlucky group whose personalities aren’t so much nuanced as they are binary; fewer shades of grey, more Jeckyll and Hyde. If you’re dealing with someone who’s double sided, or trying to hide a part of yourself from the world, it can feel like a never ending battle to reconcile and/or expose both halves. Occasionally, it’s worth exposing your secret side to end your own torment. Other times, it’s better to let people keep their Mr. Hydes to themselves if it means keeping their drama out of your own life.
–Dr. Lastname
Most people thing my mom is really fun, if a little flaky and emo, but they don’t see how crazy and mean she gets when there’s no one around but my brother and me (my parents are divorced). When she’s in a bad mood, she tells us we’ve been mean to her, and reminds us of things we’ve said that hurt her, and tells us how bad we are until we’ve apologized, and then she forgets it ever happened. There’s one cousin who’s seen what she gets like and I rely on him to remind me that it’s OK, she’s crazy, but the other day he seemed charmed by her and then, when I complained, he told me I had to get over her and not be so angry, and now I feel totally unsupported. My goal is to get someone to understand what’s going on.
Nothing gets people more stirred up than dramatically pitched false accusations and punishments by a powerful, inescapable, totally two-faced authority, like your mama.
The good news is that, while you’ve got the makings of a perfect soap opera, it sounds like you’re not getting swept away by it.
The trouble with soap operas, of course, is that they trap the good guys into endless rounds of angry, hurt reactions to crazy bad guys. In the process, they take up huge amounts of time and energy for tears and talk, talk, talk before, finally, there’s a glimmer of comfort and validation…before the cycle starts all over again.
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Posted by fxckfeelings on June 7, 2010
Most people panic if their mental health goes south, and if/when they find a doctor to help them recover, they assume that treatment is a mystery about which doctors know best. If you’re in that situation and disagree with your doctor’s decisions, don’t act like a helpless child challenging an all-knowing parent. Learn what you need to know to make well-informed decisions and stand by them, whether or not your doctor agrees. It’s the best way to cure yourself of panic, and it makes refuting your doctor’s advice a discussion between equals, not a pleading.
–Dr. Lastname
My psychiatrist thinks I should increase my medication, but it already makes me sleepy and has caused me to gain 10 lbs. If anything, I’d really feel better getting off it entirely, because I hate being dependent on it. For the time being, I know I need it, because I’ve barely recovered from my last depression, but even thinking about increasing the dose makes me feel depressed. I’ve seen this doctor throughout my entire illness and she’s been very good with me up to this point, but now that I don’t agree with her I don’t know what to do. I don’t want to have to take more medication.
It’s much easier to have an agreeable disagreement if you’re not pushing someone with your emotions; after all, lawyers use evidence, not tantrums, to win a case.
Still, it’s hard not to push with your emotions when the issue is personal and scary. Unfortunately, you don’t have a choice.
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Posted by fxckfeelings on May 31, 2010
Most good people find themselves doing the same old bad things over and over. For some of us, said bad habits don’t go beyond excessive chocolate or videogame usage, but for others, “bad things” result in horrible consequences. Understanding why people are like that seldom helps, but recognizing when people are like that (whether it’s you or the other guy) can be very helpful if you accept the fact that the problem won’t go away and take responsibility for managing it as it is. You can’t change urges, but you can sure try to change results.
–Dr. Lastname
I love my work, my kids, and my wife, but I have bipolar mood swings (and I’ve taken medication for years) that lead me to do things that get me into trouble. Recently, in spite of the medication, I felt a surge of energy and started to stay up late, sneak into my studio and paint. I’ve also started to drink again. I don’t want to change meds or let people know what’s happening because I want to keep my options open. I love the highs and the freedom, and I hate being told what to do, but I’ve got a demanding day job that doesn’t involve painting, and a wife who doesn’t like it, to say the least, when I’m not honest. So my goal is to get myself under control before people catch on to what’s really happening.
There are few fathers and husbands who can’t identify with the goal of wanting to feel special, have time to themselves, and avoid humiliating comments about eating, drinking, toileting or sleeping habits from their next of kin.
The fraction of these fathers who are dealing with mental illness and addiction to alcohol don’t want to be asked if they’ve been taking their medication or started drinking.
So, if your goal is to avoid immediate disrespect and hang on to your secret Van Gogh identity a little longer, then keep doing just what you’re doing.
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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.
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