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Tuesday, December 24, 2024

Minor Threat

Posted by fxckfeelings on May 31, 2012

The helplessness of trying to help troubled kids often brings out the fighting spirit in those who care the most. Unfortunately, without a clear enemy from which you can rescue your child, you often fight for goals that can’t happen, target other would-be helpers, and make a bad thing worse. Regardless of how helpless you feel, your goal isn’t to save troubled children from a monster or a mental illness; it’s to find out if there’s something you can do that will actually help while avoiding direct emotional conflict. Not fighting won’t relieve your helplessness, but it will let you work towards something better.
-http://www.fxckfeelings.com/ask-for-help/

My ex-wife, who is a therapist, is spooking me out about our son, whom she says she’s treating for a variety of serious problems. He’s now 10, and he’ll tell me one day, when I’ve got visitation, that he’s having suicidal thoughts, using grown-up phrases that make me think he’s just repeating something he got out of a book or from TV. Then she’ll keep him home from school and stop visitation for a couple weeks while she does “therapy” with him, at the end of which time she’ll declare that the problem is solved. A few weeks later, he won’t show up and she tells me she’s keeping him home for treatment because he’s having “panic attacks.” My kid needs help and I can’t believe her treatment is doing any good. Meanwhile, he’s not getting help from anyone else, especially not the staff of his school, who are eager to help but never see him enough (they’re already bending over backwards to keep him from repeating this year and are trying to avoid reporting him for truancy, given the number of school days he’s missed). My goal is to get my son the help he needs.

It’s hard not to unleash your wrath when your ex-wife’s insistence on playing doctor blocks the real doctor from getting through. Your own child is in trouble, your ex’s behavior is troubling, and you’re this close to tearing her a new one.

Remember, however, that nuclear wars between protective caregivers are costly and often harm the one you most want to rescue; by fighting against your ex-wife’s treatment, you’d just be increasing her blast range.

The first thing to do then is to consider the alternatives while taking comfort in the fact that there’s a great deal you can learn about your child’s problems, and a great deal you can do to help. But it’ll only work if you take things one at a time instead of taking your wife down. WAIT! There is more to read… read on »

Marriage Ow

Posted by fxckfeelings on May 7, 2012

Particularly when you’re expecting to raise kids, there are good reasons to commit yourself to caring for your partner through thick and thin, sickness and health. What you should recognize from the beginning, however, is that uncontrollable, bad things can happen that can make a partnership dangerous and destructive to one or more family members and then it’s your responsibility, as an individual, to do what’s necessary. Mental and neurologic illness can change personalities and create overwhelming burdens. Unrecognized character problems are equally uncontrollable and can have a similar impact. When you take your vows, keep this in mind and remember, many people who divorce are trying to choose the least of the evils that face them and haven’t forgotten the promises they made.
Dr. Lastname (Doctor only today– the writer half is under the weather)

When I was manic and crazy, I really fucked up my marriage. For 6 months, I was talking fast, flinging money around, drinking hard, sleeping with anyone I could catch, and generally acting like an asshole. The third time I went into the hospital, the doctors found a medication that worked and, since then, I’m back to my old self but my wife has decided it’s all over. She goes out without me whenever she can and acts like she’s angry whenever we’re together. I can understand her feelings, but she won’t accept my apology. For the last 6 months, I’ve shown her my old, reliable self, but I can’t win back her trust. The problem is my bad; I should be able to make it right.

We all want marital vows to overcome whatever bad things life throws at us, and so we promise to care for our partners through thick and thin, unconditionally.

What’s stupid about such promises, however, is that some of those bad things are the size of an asteroid and can wipe out any marriage, regardless of how strong the love and commitment, and feeling obliged to stick with vows that have no escape clauses can drive you crazy.

Yes, your wife should forgive you for having a manic episode: you couldn’t help it and the part you can help—taking your medication—you’re doing well. It takes courage to resume your life and face the people you know after the humiliation and chaos of acting like a crazy jerk.

The sad thing that can’t be helped isn’t your illness; it’s your wife’s reaction to it. I assume you and others have done all you can to educate her about it and you’ve had a good opportunity to show her what your values are and regain her confidence, now that you’re well again. If it hasn’t worked, it’s not because there’s something wrong with your approach: it’s probably because there’s something wrong with your wife’s character. She just doesn’t have the strength.

Look at her closely, and you’ll probably find she’s never had the strength, meaning that she’s never been able to keep a relationship going if it hurt her too much. That’s why it’s important, when looking for a partner, to find someone who’s shown an ability to stick by her friends and family regardless of hurt. It’s a quality that’s even more important than the fact that you love one another. Without it, you’re fucked. Now you know.

So don’t make yourself responsible for her reaction, as sad as it is. You didn’t cause your illness or give her the character she has. Don’t apologize. Don’t beg. Let her know you understand your illness put her through a very hard time, but that you’re confident that you’ve recovered and that you can again be a good partner. Maybe surviving this hard time has made you stronger and wiser. In any case, if she still wants the partnership, it’s hers; if not, you both need to move on.

You need someone strong who can still love you after a manic episode, and she needs someone lucky who doesn’t get sick.

STATEMENT:
“I feel like I destroyed my marriage and it’s my job to get it back, but I know I didn’t cause my illness, and I’m proud of the way I manage it. I can’t help it if my wife can’t tolerate it, but I know I need a wife who can.”

After her last hospitalization a year ago, my wife didn’t recover all that much, and she’s gradually become very different from the woman I married. Her psychiatrists tell me there’s no new treatment to try (she didn’t tolerate clozapine, which is the Hail Mary treatment for crazy thinking) and she’s probably not going to recover much more than she has now. She’s able to keep herself clean, but she still hears voices, looks befuddled, and thinks I’m spying on her for the FBI. She can do simple chores, but she’s very distractible. Most nights, she sleeps at her mother’s house because that’s where she’s most comfortable. I’ve got used to taking care of the kids on my own, and I can’t trust her with them when she’s around. I miss her terribly and I promised to stand by her in sickness and health, but I don’t know that I can stand this much longer. I feel bad about deserting her when she really can’t help it, but taking care of her and the kids is more than I can manage.

You sound like you’ve done all you can to help your wife recover from severe mental illness and it isn’t going to happen. Instead of blaming yourself or anyone else for her failed recovery, you’re facing it as a sad fact of life. What troubles you most is dealing with your marital vows to stick together through sickness and health.

Marital vows ignore the fact that some illnesses can destroy a family and present you with impossible choices. Most times, sticking together is manageable, better than the alternative, good for the kids, and the right thing to do. It’s not hard to imagine situations, however, when sticking with someone does no good for them, destroys your life, and is bad for the kids. No one likes to think of those things at a wedding, or ever.

Put aside your guilt long enough to ask yourself what she would expect of you if she were her old self and what you would expect of her if your positions were reversed. Assume that you both believe in standing by the one you love, but not if it does no good, or overwhelms the resources of the healthy partner, or endangers the kids and their future. Assess the impact she has on them and they on her. Take into account that she probably qualifies for social security/disability and may also be eligible for state services for the chronically mentally ill.

Don’t assume that the path that hurts most is the one that’s right. This is not a conflict between duty and pleasure or between selfless vows and selfishness. It’s a conflict between your responsibility to care for your wife and your assessment of the value of your sacrifice, the good it can do, and the harm it can cause to your other responsibilities.

Either way, it breaks your heart, but you have an administrative responsibility as the sole leader of the family and you need to do what will do the most good/least harm. Whatever you choose, respect yourself for bearing the burden of this choice.

STATEMENT:
“I feel like I can’t leave my marriage without breaking my vows and deserting my wife when she needs me most. I can’t help the fact that she’s no longer the same person and doesn’t get much from being married to me. I’ll try to weigh the competing ethical responsibilities and do the right thing, knowing there’s no way to do right without also causing harm.”

Missed Manners

Posted by fxckfeelings on April 9, 2012

One of the great mysteries in human thinking is why we think pointing out a rude person’s rude behavior will lead to improvement, instead of just elicit a (way more logical) rude response. So, instead of drawing a rude friend or co-worker’s attention to their bad-manners, decide whether your relationship, personal or professional, is worth sustaining in spite of their overbearing behavior. If it is, respond politely to whatever you think needs attention and refuse to talk about anything you think does not; you can be firm if you know what your own standards are, without having to defend or retaliate. If it’s not worth it, then feel free to sever ties (politely and with the utmost tact).
Dr. Lastname

I have a long time friend who has OCD about feet and cleanliness. Her OCD is so bad that whenever she sees someone’s bare foot touch the ground, they have to immediately wash their feet before entering her house. She recently accused me of having smelly feet when I’m in her car wearing clean socks and boots during winter. In addition, when I got a little irritated with her accusation she said, “I’m only helping you out because someday you will meet a man and he won’t like your smelly feet.” I don’t think I have smelly feet and have not gotten complaints from former boyfriends about it, nor have my other friends or co-workers complained about smelly feet. How do I tell her she’s being rude and that her OCD is getting out of control?

Wondering how to correct a friend’s rude behavior was the topic of many letters sent to the late, great Dear Abby. That said, I’m not sure she would like my answer.

Back in those days, calling friends and family on their rude behavior was the way civilized people policed the quality of social civility, like telling kids on the bus to give up their seat to an elderly person and expecting they would bow to public judgment (and not give you the finger).

The trouble is, unsolicited advice, no matter how tactful and well intentioned, is often a hard sell, even when presented to adults that aren’t naturally rude. WAIT! There is more to read… read on »

The Impersonals Section

Posted by fxckfeelings on April 5, 2012

When you’re close to someone, it’s hard not to take their actions personally, and the relationship becomes even harder if you do. If they draw back, you ask yourself what you did to make them stop caring and whether or not you deserve their punishment. In reality, however, their actions usually have less to do with you and everything to do with their personalities, for better or worse. It’s your job to protect yourself from undeserved rejections and let-downs, not pile on the punishment. There will still be suffering, but it’s not personally inflicted, and if you learn something from the whole deal, it’s not in vain.
Dr. Lastname

I can’t believe my girlfriend dumped me after 5 years without even saying good-bye. I loved her deeply and we lived together for one of those years and we were dating right up to the end. It’s true, I got high and really belligerent at a party just before she stopped talking to me. I threw up all over her, but that happened just twice in our relationship, and I put up with worse from her, including the fact that she hated to work, never had any money, and dumped any of our friends who happened to irritate her. When I recovered from that last party, she wouldn’t answer my calls. My goal is to figure out how people can say they love you and then suddenly blow you off without caring enough to write a note.

The language of love, which you’re speaking, isn’t just sweet coos—it’s also bitter whines about broken promises and sudden reversals of feeling.

Switch back to your native tongue then, because speaking love-ese will teach you nothing but how to justify your victimhood and prolong your misery. WAIT! There is more to read… read on »

Doom Diagnosis

Posted by fxckfeelings on March 15, 2012

People often think the worst kind of craziness leaves you dazed, confused, and mumbling to yourself on the subway, but the truth is that there’s another kind of craziness that’s even worse. With that kind of crazy, you’re still aware of the date, can name the President, and keep a bank account, but you feel broken by the deliberate malice of those you should be able to trust. It feels like a legitimate reaction to life and individual people rather than an illness, but illness it is, and people who have it and those who love them must accept it as such if they’re to get any kind of protection at all from its corrosive effect on relationships and hope. Otherwise, everyone involved will end up feeling as isolated and scared as the ailing, mumbling subway-dwellers.
Dr. Lastname

My psychiatrist recently told me he thought I was a borderline character disorder, which I know, from looking it up, means I’m an angry, destructive person who is probably not going to get better. What was also upsetting was the fact that the description of a borderline character disorder fit me, because I’ve always had trouble keeping relationships and I tend to cut myself and do other self-destructive things when I’m feeling low, which is most of the time. My goal is to feel better, and now I feel hopeless. The question is, am I really hopeless?

The fact that you’re asking that question, instead of hating the evil system of mental health clinicians for destroying your self-esteem by giving you a vicious label, shows that you’re not as hopeless as you think.

You have a good ability to see things positively and clearly, even when your feelings are entirely negative. That’s essential to managing the temperament and habits of a borderline personality (or almost any negative personality trait). That and admitting you have a problem in the first place. WAIT! There is more to read… read on »

Impossible Parents

Posted by fxckfeelings on February 27, 2012

There’s no doubt that the welfare of kids’ should come first when you think about the pros and cons of continuing a difficult parenting relationship; after all, kids are what what parenting partnerships are for, and your self-esteem will never be great if you know you didn’t do your best for your child. That said, it’s important to be realistic about whether your relationship will let you be the parent you want to be and what the optimal distance is for minimizing conflict and security threats to your child. No matter how you feel about love and intimacy, you made a kid, and now you have to make that kid come first.
Dr. Lastname

Recently, maybe 5 months ago, me and my ex broke up. I thought we were perfect together but I found out she had sex with 2 guys while we were strongly involved. I tried to be her friend, but it was hard, so things kind of went back to normal, even though I still couldn’t trust her and still don’t. We don’t go out anymore, but now I’ve found out that she’s pregnant with my child, although the doctor said it’s just a 50% chance that the baby lives. If the baby does live I want to be there for my child but I don’t want to be involved with the mother intimately in any way. If the baby doesn’t make it I don’t want to have anything to do with her anymore, period. How do I deal with the situation if the baby does live? I believe that a family should be a mother and father at home together, but I can’t love the mom, even if I want to be there through every step of my child’s life. If the baby doesn’t make it, then how do I get over her and the fact that she hurt me by sleeping with other guys as well as our baby not making it? Should we try to be friends, get back together, or cut all ties?

You’ve got great values, which, unfortunately, generate their own kind of unhappiness. You’re right to make providing a good stable home for your child your first priority, but you’re screwed with a mom like this.

Unfortunately, you probably can’t have the family you want without having a partner who’s fundamentally different from your ex-girlfriend; a different woman with a different personality and a different set of values (i.e., values more like yours).

So, unless your ex somehow recognizes her impulsivity and sincerely wants to become a better and better-controlled person (not for you, but for herself and the baby), she’s unlikely to become a stable partner for anyone. WAIT! There is more to read… read on »

Diagnosis: Denial

Posted by fxckfeelings on February 23, 2012

Mental illness, much like the devil, performs its greatest trick when it convinces the sufferer it doesn’t exist. That’s why some sick people don’t believe they’re sick, because they’re too sick to know, while others fall into denial rather than admit they don’t have control and can’t get it. If that includes you, don’t worry; you can force yourself to become objective as long as you’re willing to accept whatever unpleasant evidence you uncover. If it’s a matter of a deluded brain, however, you can’t recover without relying on the kindness and common sense of family and strangers to deliver you from evil.
Dr. Lastname

I believe what started out as typical empty nest syndrome has turned into complete paralysis. I’m literally stuck in my own nest! I know it’s strictly up to me to get myself launched, but I’ve lost all confidence in my ability to go/do/be well, anything. I think it’s more than simply “get a hobby.” I’ve come to the sad reality that my “friends” were really more like “bleacher/booster buddies” from all of my kid’s activities over the years, and now I find myself without any close friends, and no real interests. I was a stay at home mom (by choice) and had always planned to get back into the workforce once my kids got older, but MS sidelined those plans, and keeps me pretty challenged nowadays. I know I need to get myself back in the game, but my list of excuses as to why this is impossible only grows over time. I’m not always mobile, I’m not confident about how I look, and I just feel like I’m boring and have nothing to offer anyone. Since I’m already assuming nobody’s going to like me, maybe I should just go eat some worms…but of course that would require a trip out my nest, and…well, I guess you get the whole “woe is me” picture. I cannot figure out where to begin to ever break this cycle of negativity. Can you help me hatch a better plan than the useless one I’m currently sitting on?

Anyone can get into a rut, but multiple sclerosis makes it much, much harder to get yourself out. You might not realize this, but your empty nest is actually more of a sick bed.

MS not only makes you doubt your stamina and physical balance, it also frequently makes your emotions more intense, particularly the negative ones that tell you you’re useless and lacking in courage.

So, when your mind tells you that you have no friends and nothing to offer, that’s the MS and depression talking. Of course, it would be easier to tune it out if there were other voices to help you do so, but the negative thoughts keep you from seeking out new company, and so the rut deepens. 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 »

First Responder

Posted by fxckfeelings on November 7, 2011

Frequent readers of this site know that, when confronted by a crazy person, (or asshole ™), one should react the same way they would if they were getting charged by a Grizzly bear; don’t run, stay calm, and play dead. This is hard advice to follow when that crazy person is someone close to you whom you care about and normally count on to be sane, but if you take their symptoms personally and react to those symptoms with strong emotions, they’ll come at you harder than they would some stranger on the street/in the woods. With some people, the illness consists of surges of fear, anger, and despair that cast them and you in leading roles in a suicide-bomber psychodrama; with others, the fear is more centered in thoughts than feelings, which means less drama and less spite, but more crazy ideas that can’t be reasoned away. Either way, the challenge is to remember the difference between the person you love and the craziness going on, make no sudden movements, and wait for the attack to pass.
Dr. Lastname

When my wife is feeling fine, she’s a reasonable, hard-working, dedicated woman who believes in helping others, but then she gets into this grim, obsessed mood and knocks herself out and then gets mad about how people don’t respect or appreciate her and she just doesn’t care any more. Yesterday, she told the boss she didn’t care if he fired her, because she didn’t care. If he fired her, it would damage a career she really cares about and, besides, we need the money, but when I tried to tell her she needed to shut up, she told me she didn’t care about our marriage or about living any longer, particularly if I didn’t support her. What do I do to stop her from hurting herself?

As we’ve said before, there are a lot of people out there who either don’t believe in mental illness, or do believe it exists but don’t really understand what it is. The former usually believe in Xenu, the latter are baffled by “Hoarders.”

Either way, the easiest way to explain mental illness to those types is to describe the disease as a demon, and yes, it’s a sad fact that people are quicker to understand satanic possession over an actual illness, but such is the biz. WAIT! There is more to read… read on »

Brain Change

Posted by fxckfeelings on October 13, 2011

We mock dogs for chasing their own tails, but people do the same thing everyday in their own heads; that’s what obsessions are like for those who sometimes know what they’re doing and wish they could stop, and sometimes just wish they could catch that tail. Some people can’t make up their minds, some can’t unmake them, but nobody can control those who are in obsession’s grasp. You can only stay calm and avoid argument while they mentally run in circles, chasing their own butts.
Dr. Lastname

I have struggled and do struggle with mental illness. I am 29-years-old and live in my parent’s house with my 2-year-old. Although I have been in school and have worked a few jobs, I can’t seem to stay on one path once I’ve made a decision. I have a very difficult time making decisions, whether they are big decisions or small ones, and once I do finally make a decision I often drive myself crazy changing my mind a billion times. I break up with my boyfriend every few weeks because I’m doubting my decision of being with him, then I turn around and try to mend it because I’m doubting my decision about breaking up. I booked a trip and spent the whole two weeks prior wondering whether I should go, worrying about something bad possibly happening. I struggled right up until the morning of my flight, almost cancelling and not going to the airport 15 minutes before boarding time. This problem has contributed to ruining relationships in my life and I’m very tired of dealing with it. Why am I constantly plagued with indecisiveness and how can I cope?

Your were right the first time; what’s bothering you isn’t indecisiveness, it’s mental illness. That’s one of the many conclusions you don’t have to second guess.

It’s mental illness that makes you unthink everything you think; if it were indecisiveness, it would arise more from a wish to avoid decisions or uncertainty about what you want. Your problem seems more like a mental tic that obsesses you with doubts and alternatives every time you make a plan. WAIT! There is more to read… read on »

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