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Wednesday, November 6, 2024

Crazy Scared

Posted by fxckfeelings on April 1, 2010

We began this week with people paralyzed by fear of the unknown. We now end it with people who get stuck, not due to fear of the unknown, but rather fear of the untenable; their lives are blocked by the effects, or even just the possibility, of mental illness. Everyone’s lives, even for the few of us who are sane, are fraught with danger, so there’s no point in letting any illness ruin you, at least not without a fight.
Dr. Lastname

I know that my depression is one of the main obstacles keeping me from getting a new job; I got laid off three months ago, and even though my meds had stopped working way before that, I had enough discipline to push through. Now I don’t have a workplace to go to, I have trouble getting motivated enough to do anything, so between my inability to get out of bed and the fact I look like a mess, interviews aren’t happening. My wife is pissed because I’m not motivated to get new work and I won’t go back to see the psychiatrist, but I don’t see the point in trying this new prescription, because it’s my fourth medication so far, and I don’t understand why the first medication I took, which worked the best, stopped working, and why none of the others since has done the job. I don’t see why I should waste my time getting treatment if it isn’t going to work, but my wife thinks I’m being complacent and lazy. My goal is to find some way to get better or at least get her off my back.

You’re reinforcing something I’ve been telling my children their whole lives; life is unfair.

It was unfair for them when I wouldn’t by them a Happy Meal or the latest Nintendo game, even when they deserved it, and it’s unfair for you now that you’ve lost your job and can’t find the right meds. Unfair is unfair, as they say (or at least as I say).

The trouble is, it isn’t a fair world for anyone, young or old, and you won’t survive if you can’t take your lumps and keep on going.

WAIT! There is more to read… read on »

Parenting Under/Overkill

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.

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ADD 101

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.

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Rehab Redux

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.

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Diagnose This, *sshole.

Posted by fxckfeelings on March 1, 2010

A lot has been made recently about how it seems like every child is being diagnosed with autism; celebrities like Jenny McCarthy, whose son is autistic, have led the charge to blame and outlaw vaccines in order to protect kids. In reality, as science progresses and our understanding of the autism spectrum deepens, the disease hasn’t expanded, just the diagnosis, i.e., there aren’t more autistic kids, just more kids being called autistic. While today’s cases aren’t autism-related, they both illustrate the myth of the power of diagnosis. Focusing too much on what your disease is does nothing to improve your health. Incidentally, Jenny McCarthy has revisited her take on vaccines—it turns out her son’s diagnosis was wrong.
Dr. Lastname

In the last ten years, I’ve heard voices in my head and most doctors describe my symptoms as psychosis, but nobody can tell me exactly what’s wrong, or find a medication that makes them go away, or really do anything but listen to me give them my laundry list of “how I’m crazy” and try to take the problem apart. In the meantime, I’m struggling to hold onto my job, my wife is struggling to put up with me, and my kids (now grown) just worry and get more distant. My disease stays the same, my life gets worse, my diagnosis goes nowhere. My goal is to figure out what is causing the symptoms, get a real diagnosis, and make real progress.

I wish the word diagnosis meant “we know what’s wrong and what to do,” but it often doesn’t, except in certain special cases. (Like, right now I feel safe diagnosing your reaction as disappointment.)

Very often, all a diagnosis means is that we recognize a group of symptoms that often travel together in the same social circle, and often get a little bit better when they’re treated with a particular group of medications. Tada.

That’s almost always true when the doctor making the diagnosis is a psychiatrist, because we know less about mental illnesses than almost every other kind of illness (and less about the brain then we do about any other part of the body).

We really should use some other word than “diagnosis,” but we don’t, because we love to think we know more than we do, which goes to prove that doctors are just as vulnerable to idiot false hopes as everyone else.

Some people put a premium on hope of any kind, but false hope is dangerous, because we pay for it with unrealistic expectations that lead to feelings of failure. You expect that, once you get the right diagnosis, you’ll get the right treatment, but I diagnose that assumption as bullshit.

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Big, Bad Business

Posted by fxckfeelings on February 22, 2010

Very few people leave their jobs everyday feeling great—it is called “work” for a reason, after all—but it’s extra difficult to accept when a boss or business partner leaves you feeling betrayed, used and screwed (unless you’re in the actual sex trade, where upon, it’s just another day at the office). Ultimately, even for sex workers, the job isn’t personal, and it’s not worth taking it that way.
Dr. Lastname

For a long time, I truly believed that my boss was my mentor, if not a father figure; he seemed to look out for me, take a special interest in my career, and generally groom me for promotion within his company. After I did well with responsibility, he’d come through with reasonable raises and he liked to tell people that he believes in promoting women. Recently, though, I’ve noticed that he does little more than flatter me now that he has me doing all the dirty jobs and he keeps all the interesting stuff for himself and two of his favorite “old boys.” He gets irritated whenever I suggest I could do more and likes to bask in the gratitude of his new favorite girl, a secretary with big tits and not much else. I’ve worked hard here over the years, and I don’t really want to find a new job, but I feel like I’ve been used and misled, and generally wasted my time under false pretenses. My goal is to get the recognition I deserve, even if it’s not from the mentor I thought I had.

Wanting recognition at work is a reasonable wish and, if it was just a problem of your learning how to speak up, dress up, and get rid of your braces, then more power to you.

Many people are familiar with the usual fairy stories, and have pushed themselves to be more assertive and reach their dreams. Not only hasn’t it worked, but it brought down crap on their heads to insure an unhappily ever after-style result.

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Man Vs. Wife

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 »

Valentine Override

Posted by fxckfeelings on February 15, 2010

As Valentine’s weekend comes to a close and the Holiday Death Triangle of Christmas-New Year’s-Valentine’s once again completes its cycle of horror, it’s time to reassess what makes relationships last. Sometimes Mr. Right doesn’t have a connection with you that makes you see fireworks, while a connection with Mrs. Wrong does make you see fireworks, but only after her left hook connects with your face (and your family disconnects from your life). Valentine’s Day might be about love, but there’s a reason why good relationships last for years and Valentine’s haunts our lives but once a year.
Dr. Lastname

I’m in my mid-30s, about to have my first child with my husband of about a year. My husband is a solid guy—he’s steady, and very caring—but deep down, I know a big reason I married him is because I wasn’t getting any younger and wanted to start a family. I dated a guy in law school that I was really in love with, but he was a lot older, made it clear he never wanted kids, and was your basic passionate, unavailable nightmare. I admit, I’m hormonal, which means my husband’s been getting on my nerves a lot lately, which just makes me obsess more and more about how I’ve settled for a life without love. My goal is to figure out how to get through the next stage of my life and live with my decision.

Don’t get superficial and compare the Valentine’s Day smiles at the next bistro table to your current mood and nostalgic memories of past lovers. In my experience, finding the love of your life isn’t too difficult, but finding a good partner is a real pain in the ass.

By “good partner,” I don’t mean someone you’re crazy about, under any and all circumstances, forever and ever, amen. I mean someone who is strong, easy to live and work with, accepts you during your weaker and less likeable moments, communicates on your wavelength, and picks up the load when you can’t. As well as someone whom you can put up with most of the time.

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Who Dat?

Posted by fxckfeelings on February 8, 2010

It’s tough not to feel like chopped liver when your partner is more afraid of someone else’s reaction than yours. Odds are, if that’s what you feel, it often doesn’t reflect on how much they love you, but how much they fear someone else, and pushing them too hard will make the fear worse. Instead of countering their fear with your own need, try to show them that they don’t need to be afraid if they’ve done what’s right.
Dr. Lastname

My girlfriend and I work together, so, in the interest of not causing too much of a stir, we’re keeping our relationship quiet. I’m OK with that, at least in terms of our jobs, but she also hasn’t told her ex-husband about me yet, after a year of our being together, and keeping our relationship a secret for his sake is not something I’m OK with. She’s not afraid of hurting him—he’s remarried—but of unleashing his wrath, because he’s a bully who revels in punishing her whenever she makes any progress towards moving on in her life. They have a son together, and she’s afraid that, if her ex finds out about us, he’ll go on a rampage to get full custody. He’s very emotional and can easily afford a good lawyer and so far he’s always been able to get the court’s sympathy. It’s not like I want to parade our relationship around in everyone’s faces, but there’s only so much secrecy that I can stand and I feel it puts a limit on our future and makes it impossible for her to make decisions or be held accountable for them. My goal is to get my girlfriend to stand up to her ex so I can know where I stand and we can build a life together.

One of the worst and often unexpected obstacles that get in the way of this kind of second partnership is the other person’s boundaries, or lack of them, with her/his first family. Negotiating those boundaries can make check-points in warzones seem like a breeze.

You start out respecting her unselfishness and love for her son, and feel a need to protect her from bullying and unfair treatment, so you put up with the secrets. Eventually, however, you discover that, if she can’t stand up to her former husband’s bullying, you’re always playing second fiddle to her fear of rocking the SS Ex-Monster.

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Family Frauds

Posted by fxckfeelings on February 4, 2010

If someone’s related to you, there’s no guarantee they’re going to be honest with you, or even honest about you to anyone else. You can try to get them to own up to their problems with anger, eloquence, and/or the help of the court system, but the smarter choice is to stop pushing them towards the truth and hold onto the facts yourself. As long as you’re calm and factual, people can draw whatever conclusions they want and your relatives can stick to their version, but your part in the family affair is settled.
Dr. Lastname

I’m fine now (I’m 14), but I’m trying to figure out how to deal with a crazy father who physically abused me until a couple of years ago—that’s when my mother finally figured out what was happening and had me come live with her. The trouble is, I guess you could say my father doesn’t see reality the way other people do and he never remembers hitting me. In his mind, when he’d hit me, it was because I was trying to destroy him, so what he tells the judge is that he loves me and that my mother is a raging alcoholic who has brainwashed me to hate him (my mother stopped drinking after the divorce, years ago) and he really believes what he says. My goal is to get him to stay away from me and convince others that his version of reality isn’t real.

Kids aren’t the only ones who have trouble accepting the fact that we often can’t protect ourselves from scary crazy boogeymen, particularly when the craziness isn’t obvious, and the boogeymen are family.

We’ve said it here before: certain crazy people are not obviously crazy and are particularly good at persuading other people to see them as injured victims because they truly, truly believe they are, no matter what really happened. It’s a kind of sickness for which no one has the cure, and nobody feels sicker than the victims in the wake of these sickos, who don’t necessarily feel sick at all.

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