Posted by fxckfeelings on September 17, 2012
Some very smart people are brilliant at expressing the way they feel and acting on those feelings tenaciously while remaining inept at putting those feelings into a broader perspective. For them, feelings are facts, allowing them to act first, ask questions never. If you happen to be such a person and these words aren’t meaningless, be aware that there are ways to learn a different, more value-driven way of thinking. If you happen to have been written off by such a person, know that it has nothing to do with you and everything to do with the impulses of an otherwise-smart person for whom feelings, not facts, are an infallible truth.
–Dr. Lastname
Growing up, I always had a feeling that the things that promised happiness to other people didn’t work out for me, I hated being alive, and I didn’t mind who knew it, even though my family always told me I was being too emotional and that I refused to admit or remember the moments of my childhood that were fun or happy (no idea what they’re talking about). Anyway, I grew up, found steady work and got married, but the marriage ended a couple years ago. I’ve tried medications for depression, and the 3 or 4 I’ve tried haven’t done anything but cause side effects. So my point is that I’ve had it. I really don’t see the point in staying alive when I feel miserable most of the time and nothing has worked out. I’m not feeling suicidal at the moment because I’ve been busy at work and that makes me feel useful, but I doubt that I’ll want to hold it together when the next layoff comes around and I have nothing to do. My shrink wants me to stay positive and fight my negative thinking but I think it’s more than negative thinking; it’s a negative reality and I’ve had enough of it. My goal is to challenge anyone, including you, to show me that life is worth living.
While depressed feelings can be very powerful in persuading you that there’s no point in living, feelings aren’t facts. Just because you’ve always felt like life isn’t worth living doesn’t mean that it’s true now or in the future.
When people say to “stay positive,” what they really mean is that you should look at the bigger picture, beyond whatever negativity you happen to be feeling, and identify long-term goals that are meaningful in terms of values (like doing good, supporting the people or causes you care about, or sharing love), not in terms of feelings or outcomes.
As long as your life reflects your values, like trying to be decent to others and doing a good day’s work, you can tell yourself that your efforts are worthwhile, regardless of how badly things are going at the moment…unless, of course, your brain is unable to see facts and feelings as two different things. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 30, 2012
If you listen to (other) experts, psychiatric treatment should always begin with objective evidence, which then determines a diagnosis, which directs us to proven, effective treatments. This expert, on the other hand, thinks that “evidence-based psychiatry” would be very nice if we happened to know lots more than we do, but it is one of life’s great ironies that the organ we know the least about is the home of knowledge itself, the brain. Until we can fully wrap our heads around our minds and how they work, scientific thinking in psychiatry is often wishful thinking. It can actually get in the way of making good, practical decisions and accepting the necessity of living with the unknown, be it a mystery illness or the grey mush in our skulls.
–Dr. Lastname
I’ve been very confused lately because of what’s going on inside me. My father did some bad things to me while I was growing up—things that I just began remembering a year or so ago (sorry, I can’t label it). Since then, other memories surfaced as well, but not many at all. Most of my memories of my childhood are snapshots that are just little moments in time, separated by years in between that I just don’t remember. Anyway, the thing that distresses me is that sometimes, but not all the time, I’ll feel like I have another part of me who is talking in my head. This came to my awareness mostly after the memories started coming up, although I feel like maybe it happened occasionally before. For instance, recently someone asked me a question, and a child’s voice answered in my head. I have other instances of similar things like that happening. One time it seemed like there were two parts conversing with each other and I was just observing the conversation, per se. That being said, I am educated enough about what happened to me and the consequences of it to know that I think I’m describing DID, but from what I’ve read, I don’t think I have it. I don’t switch to other personalities, and I don’t really lose time or anything like that…but I do know I’m not qualified to make that kind of assessment (and I know you can’t just by reading this letter). But my question does relate to that: is it possible to have the kinds of experiences I’ve described and not have DID? Since I’m pretty sure I don’t have it, I feel like I’m just some crazy, messed up person for no reason. It terrifies me to share this with anyone, but I don’t know what to do anymore, and it’s getting harder and harder to keep going.
Diagnosis in psychiatry is never precise and, when given too much attention, can do more harm than good. Until the day a mental illness diagnosis can be determined by peeing on a stick, all we can currently do is lump symptoms together and try to observe what happens to people who fall within an arbitrary category.
In the short run, knowing you’re not alone might be comforting, but it would tell you very little about what to expect from future symptoms or treatments. Worse, it would get you thinking of yourself as a diagnosis instead of as a person who’s trying to live life in spite of some disturbing, hard-to-understand symptoms.
As such a person, ask yourself what you most want to accomplish in this life, despite whatever’s going on in your head. For most people with traumatic childhoods, it’s always meaningful to be decent to others, whether they’re your kids, relatives, or friends. You know how easily people slip into abusiveness when they’re angry and how much it hurts, so you never take a good, supportive relationship for granted.
Most symptoms that impair the way you function won’t prevent you from being the person you want to be or doing what you really want to do, they’ll just slow you down and force you to work harder to think up alternative methods. A good coach helps you to accept your impairment without getting discouraged or demoralized.
So instead of looking for the ultimate shrink diagnostician, find a therapist who can act as a good coach, who isn’t too upset by symptoms, and is eager to see what you’re capable of, even when you’re distracted by traumatic memories, internal conversations or the sensations of observing yourself.
Consult a psychiatrist at least once or twice to get an overview of possible treatments, including medication. Of course, non-medical treatments almost always pose a lower risk, but many medications are relatively safe and require no more than a few weeks to try out. If your symptoms are sufficiently painful and/or disabling, and non-medical treatment is insufficient, then you owe it to yourself to check out every possibility.
Whatever symptoms you have, you want to do your best to manage them without letting them define your life. Keep up your diagnostic questions until you’re confident you’ve heard what the experts have to say, regardless of how unsatisfying that might be, and then forget about what caused your problems or how they might be categorized.
Your next step is to manage your burden and respect yourself for carrying it, even if the nature of that burden remains a mystery.
STATEMENT:
“My psychological symptoms spook me and leave me feeling distracted and distanced from myself, but they can’t take the meaning out of a good day’s work or a solid friendship. I may never figure out why I feel the way I do, or stop myself from feeling that way, but I can certainly lead my life according to my values regardless of the tricks my head likes to play on me.”
No one was more surprised than I when I suddenly got depressed about a year ago, because it’s not something that ever happened to me before. I lost energy, felt like crying, and got anxiety attacks. There was lots of pressure at work, but my job was safe, and I’ve never been prone to buckling under pressure. Now I could barely get to work and I didn’t give a damn about the projects that I was responsible for. My wife finally forced me to see a psychiatrist, I started to feel better on an antidepressant, and then my internist really surprised me by telling me my testosterone was low and I should try a trial of replacement therapy, which I did. Within 2 weeks I was back to normal and a few weeks later I stopped the antidepressant. So now I wonder whether I was really depressed or not or whether I should have tried antidepressant in the first place. My goal is to figure out my diagnosis so I’ll know what to expect.
Even on that rare occasion when a specific psychiatric diagnosis really matters, it doesn’t matter as much as you think. Yes, it was critical to your recovery that you and your doctors checked out testosterone deficiency as a possible cause of depression; the sudden, unexpected onset of your symptoms raised the odds of your having an unusual and potentially curable cause, which deserved an extensive workup of your hormone levels, vitamin levels, evidence of inflammation, etc., so congrats for making a good decision.
You also discovered that depressive symptoms may have many causes, making depression less of a diagnosis than a cluster of symptoms. So, much like aspirin, antidepressants can improve symptoms, no matter what the cause, if they work at all. (Unfortunately, no matter what the cause, antidepressant trials often fail [35% for each trial] and require lots of time [three to four weeks] before there are noticeable results.)
In addition to lucking out with both the diagnosis and the response to antidepressants, you learned a valuable lesson, which is that anyone can get depression. It wasn’t caused by bad psychological or medical hygiene, just bad luck. Getting depression often doesn’t have a deeper meaning other than that we live in a tough, unfair world where people often get sick for no reason, and sometimes that sickness makes your brain miserable.
Your own observations are the best guide to your prognosis. If you responded rapidly to getting testosterone replacement therapy, then you may be relatively unlikely to get depressive symptoms again (as long as you continue taking the testosterone, which you may need indefinitely). At some point, if you want to experiment with reducing the testosterone treatment, ask your physician about the odds and choose a good time for experimenting, when not too much else is going on in your life.
From what you know, there’s no reason to think that your prognosis—your expected luck—is worse than anyone else’s. You made good choices, which is an essential survival skill when you happen to live in a bad luck world.
STATEMENT:
“I’d love to take my mental health for granted the way I used to, and maybe I will, after enough time of not feeling depressed has passed, but there’s no escaping knowing how easy it is to get sick. I’m proud of having made good decisions and happy to have gotten lucky enough to almost balance the bad luck I had to get sick in the first place.”
Posted by fxckfeelings on August 6, 2012
Like all symptoms of mental illness, anxiety and suicidal feelings seem controllable since they’re related to thoughts and how we look at things, especially since they have the potential to be so destructive. In reality, their primary causes are powerful, mysterious and, whether rooted in past events or biology, are not curable or easily reversible by the best treatments, most loving families, and strongest willpower. What good treatment and a loving family can do, however, is give meaning to the courage it takes to ignore pain and dangerous impulses, giving one comfort, if not control.
–Dr. Lastname
How do you get rid of the pain from your child’s suicide? My son died four years ago, and our entire family is still devastated. We are all now living with depression, anger, and our own thoughts of suicide at times. We are all in therapy but it’s moving so slowly, it doesn’t feel like life is moving forward. After a tragedy like this, how do you get your purpose back?
While I can’t imagine anything much worse than having your child suicide, the key to surviving it is to understand how similar it is to having your child die of any other cause. No parents should have to bury their child, no matter how that child’s life ended.
Intuitively, suicide feels like a preventable cause of death, so it seems justified to review the many would-haves and could-haves leading up to it.
Mental health professionals sometimes make things worse by focusing on such possible “causes” as unacknowledged trauma, unshared feelings, or unrecognized calls for help, all of which mean blame. Blame then feeds the depression and anger you talk about, poisoning normal grief with feelings of guilt, regret, and failure. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 23, 2012
There’s nothing better at inducing helplessness than being molested as a child, but it’s easy to forget that helplessness is a feeling, not a measure of strength and character. If you’ve been traumatized in the past, don’t let the helplessness of this or any other overwhelming experience make you feel like an ineffective victim. Instead, learn to respect your existing effectiveness, regardless of how helpless you felt then or still feel now. You may always feel helpless, but your very survival is proof that you’re stronger than your emotions.
–Dr. Lastname
My life is pretty stable now, but I’ve had a lot of major problems this last year and, in the middle of my troubles, I started to remember being molested by a family friend when I was 14, just after I hit puberty and got breasts overnight. I’ve been struggling to get my daughter help for a major health problem, and then I got fired and had to find a new job, and then my mother started to slip into dementia. Now, I’ve got a new job, my daughter is getting good help, and my father is taking good care of my mother, but I can’t get over a rising feeling of helplessness. If it’s because I was molested, my goal is to get over it.
Before you can even try to recover from the helplessness of current crises, you have to get around the sneaky way it has of making you feel personally ineffective, in part by playing on your memories of the helplessness of being molested. After a while, you can feel like you’re drowning, which is about as helpless as it gets.
In other words, you want to move forward, but helpless feelings cause helpless beliefs by awakening helpless memories. Your mind gets stuck in the notion that you couldn’t do anything in the past, you’re not able to do anything now, then things will probably get worse, and you’ll be powerless to prevent it. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 12, 2012
When a bad habit gets between you and something you really want, it’s hard not to expect that good motivation, loads of therapy and deep insight into why you’re fucking up will give you the control you need. Unfortunately, bad habits don’t have easy solutions; they often have a life of their own and, short of administering a good ol’ lobotomy, the power of therapists often falls short. That’s when you need to accept that, for many of us, the best solution for bad habits isn’t a great therapist, but good management.
–Dr. Lastname
I don’t know why I’m always getting in my own way, but I’ve been a fuck-up since I was a kid in foster care (my parents were drug addicts who couldn’t take care of me). I’ve managed to hold the job that I really love, but I almost lost it after 5 happy, productive years because, for a 6 month period, I couldn’t get myself to show up on time. I’d get up on time, but then find some reason to arrive late, and I couldn’t stop myself until I was within an inch of being fired. I got it together to find a therapist, but I can’t get myself to take medication he prescribes, even though I think it could really help me. I also can’t get rid of my drug-addict girlfriend though I and all my friends think she’s a deadbeat user who does nothing for me. My therapist says I have a problem with self-esteem. My goal is to get control of my life.
It would be nice if the only thing standing between you and keeping your job safe, your home ex-girlfriend-free, and your sanity was depression, fatigue, or low self-esteem, but your problem is probably worse than that. It’s not a matter of what you have; it’s more who you are.
So if you think that a supportive therapist or a pick-me-up drug will do the job, you’re wasting your time and heading for more self-disappointment. You did a great job of diagnosing yourself from the get-go—you’re a fuck-up—and, while you’re not hopeless, you’re not going to get the help you need that easily. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 9, 2012
Depression and life’s miseries have an amazing way of working together to make you feel like a loser who doesn’t belong, has nothing to contribute, and should not get out of bed. That other people are happy just makes you wonder what you did wrong, when it’s just misfortune and depression doing their job really well. The fact is, however, that we create value in life by pursuing what we believe is most important, regardless of whether we get lucky along the way. That’s why you need to assess whether you’ve done your best to live up to your values, disregarding negative thoughts and the failures over which you had no control. Then pain and negative thinking can’t succeed in damaging you, which means you won’t damage yourself.
–Dr. Lastname
I’m not even sure where to begin so I’ll try and keep this as short and concise as possible. I come from a broken family– my mother was abusive and distant, and I became that way to the point where it was hard for me to feel genuine love for anyone because I never learned what love is. I got away from my family and had a string of bad relationships (where if I think about it, I am to blame really). I then met and almost immediately married my husband. He went along with it because he loved me, I pushed for it because I was insecure. I didn’t “feel” any real love for him but wanted him to validate my feelings because I believed then that that’s how love grows. For me back then, love = infatuation. I admit I’ve been messed up. I’ve beaten myself up enough. Anyway, our marriage has been rocky with a major indiscretion on my part and several minor ones (chatting/talking on the phone with strangers) on his part. He forgave me for my error and begged me to stay (this was 3 years ago). Only just a few months ago have I realized how fucked up I am and how I’ve let my “feelings” guide me to hell. I’m still trying to rewire myself and it’s hard work. Unfortunately I recently found out that my husband was still talking to random women for hours because “he’s lonely.” What scares me is that even though I am working on my issues, he still feels lonely and it’s likely he will hurt me again. I realize now that I do love him but I can’t always project it the right way or appear to be happy when really I’m feeling like shit. I keep thinking it’s all my fault that he feels lonely and that nothing I will ever do will help this. I’m really tired of dealing with my own crap and now realizing that he has his own set of issues that may or may not be related to me. I’m very confused. How do I stop obsessing over our faults and focus on the good? I don’t want to throw away everything I’ve accomplished because of my ‘moods’. Please help. How can I trust him again and more importantly, trust myself?
There are a lot of smart people out there with high standards, like yourself, who have brains that naturally favor negative thinking and family backgrounds that are full of sad events and broken relationships.
As such, it’s not your fault that your mind tends to put fault on you and call you broken. What’s worse, if you try to be more positive, your brain pushes back by calling your efforts to think happy thoughts a dismal failure (which, of course, they’re not). Brain 1, You 0.
So, instead of trying to focus less on your faults, aim higher by taking pride in your many remarkable accomplishments. After all, if you can’t think differently, you can nevertheless force yourself to think about different things. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 5, 2012
In the aftermath of being dumped, you have two possible courses of action (and vegetating in front of Netflix with Ben & Jerry’s is not active); you can either blindly pursue your hope for reconciliation, or figure out what went wrong and decide whether reconciliation is possible and a good idea. If you follow the second course, you may sometimes work it out, but you must also be willing to work out that you can’t work it out. Otherwise, you’re unlikely to avoid more heartbreak in the future (and gaining 10 pounds in the present)
–Dr. Lastname
I have recently fallen in love just to be broken up with. He said as he was dumping me, “I love you, I want to marry you, you’re my dream girl…but it’s not working out.” It doesn’t make any sense. I’m hurt, shocked, anxious and scared. He represented security to me and now I’m worried I won’t find it again, by myself or with anyone else. I need help working out how to create security and self-esteem without a man.
I assume, when you say this guy who dumped you “represented security to me,” that means emotionally, not financially. After all, you’re worried about pain, not poverty; you felt emotionally secure in being able to trust both your instincts and him. Now you feel something akin to free-fall.
While it’s a horrible shock to be blind-sided by someone you trust (as opposed to being hurt by something you saw coming all along), the good news is that you weren’t making a mistake against your better judgment. Unfortunately, that means you’ll be left with an extra-bad case of ambushed-heart PTSD. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 28, 2012
While it’s never good to act on angry feelings, their ability to distort one’s perspective also make them one of the hardest feelings to ignore; after all, love is a strong emotion, but you don’t often see a large, hugging mob. For most people, the real risk in anger isn’t punching, but picking on those closest to you. So when you feel the rage building against someone you love and you know it’s not for the right reasons, don’t feel guilty (or even more angry), just stick to your usual rules for being a good spouse or parent, acting civil, and doing your job. Usually, anger will pass, clarity will return, and hugs won’t be necessary.
–Dr. Lastname
I truly love so many things about my husband, but I’m not happy with myself. I’m overweight, I have hormonal imbalances that I’m addressing with my physician, and I’m sluggish and moody at times, almost feeling like a depressive state. Lately, however I’ve been trying to get healthy physically and mentally by using diet and exercise, as well as engaging in life more (a tennis tournament with family and friends, walking with my teenager, and training for a 15K I’m running in the fall). While my husband says he supports me, and even wants to do the same, his actions are the opposite—he buys junk food, he works hard during the day but then plants himself in front of the TV all night. I’m beginning to feel disgusted and even resentful about his behavior. I know he’s a wonderful man, but I don’t know why I’m becoming so intolerant of his behavior, or even if I have the right to be upset. He is the same man, I’m the one that’s changing, so why am I so pissed off all the time? I just don’t know how to get back to some kind of friendship where I enjoy him like I used to, and it scares me. I love him so much, but I even find myself cringing sometimes to his touch. I just don’t know what caused this kind of shift in my thinking.
Nothing feels more personal than anger, but often, the opposite is true; although we feel angry at someone or feel their anger directed at us, anger often starts with a mood rather than an issue, and then targets innocent bystanders simply because they’re there.
What’s worse is that anger often elicits more anger, thus finding a way to feed on itself. You focus your anger on your husband’s faults (his lack of self-discipline), while feeling angry at him for making you angry, and then getting angrier when he gets angry at you for being unfair.
The sad fact is that sometimes you can’t stop angry feelings, regardless of how undeserved they are, how much pain they cause, or how much you address your issues with friends, loved ones, and therapists. Anger often just happens, particularly when there are hormones and depression involved. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 25, 2012
When you can’t get through to someone, it’s easier to feel like a war party than a concerned party, driven to conquer that someone’s mind by any means necessary. Sometimes the only mind you need to conquer is your own, because you can accomplish most of what you want without needing the agreement of others. Other times you have to endure the helplessness of watching someone self-destruct, knowing an attack from you will only make it worse. Your job isn’t to communicate when communication is impossible; it’s to make the best of the fact you can’t and take your forces elsewhere.
–Dr. Lastname
I don’t know why I can’t get my husband to stand up to his mother when she tries to take over our baby. Everyone in his family agrees that she’s very difficult. She drops by whenever she wants, has me wake our baby if she’s sleeping, and stays after we’ve told her that we’ve got to be going. After she leaves, I tell him she’s awful, and he tells me I’m mean to deprive her of the happiness that she gets from her granddaughter. I feel she’s taken over our lives and I’m ready to leave my husband, which is what I know my mother-in-law wants, because she’s said she doesn’t think our marriage will last. Help me get through to my husband.
If you’ve read this site before, then my simple answer should be familiar; the bad news is, you probably can’t get through to your husband, but the good news is, there’s no reason to get through to him in the first place.
As the mother of a baby, you probably have lots of reasons to create rules without having to first persuade your husband to agree or prove that his mother is a jerk. That’s fine, because, though your husband probably knows she’s a pain, you’re expressing feelings he feels guilty about having, so he gets to take that guilt out on you.
So, while it would certainly be nice for the two of you to be on the same page, you have enough confirmation that his mother is impossible to entitle you to come up with your own plan for dealing with her. Coming up with good rules for protecting your peace and privacy is a lot easier than asking your husband to turn on his own mama. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 21, 2012
Bad luck is like a bad smell; sometimes, it just surrounds you, meaning that you’re doing everything right but, due to an uncontrollable curse, everything’s going wrong. Then there are the special few for whom bad luck is generated internally, meaning that your brain is permanently decision-intolerant, and trying to do the right thing usually goes wrong. Either way, you’re stuck with your stink, and you’re going to get blamed unless you and others are brave enough, and realistic enough, to accept the hard-to-tolerate helplessness of having no control. If you can do that, however, you’re ready to appreciate the beautiful things you’re doing with an ugly aroma, whatever dealt it.
–Dr. Lastname
Turning 50 next year, my beard is turning gray, still alone and most importantly, no fuck-buddy! I’m saying I’m on a self imposed ‘sabbatical,’ upgrading and learning new skills, but in reality, well – this economy! But seriously, no work AND anxiety (a left over from when I was assaulted), all-new discovery of depression (as a result of recent diagnosis of Hypothyroidism or a direct result of job loss, who knows?), loss of retaining and maintaining friendships/relationships led to well, being in the space of loneliness – a lonely extrovert is so oxymoronic, I can’t stand it! Currently trying to financially survive on a sure-footed, tight-roped budget thanks to one of the four insurances that did pan out…still, sore about playing by the rules and getting shafted big time anyways and yet, retaining focus on how to get up from the shutdowns and the rapid changes that occurred in a shorter-than-2-year period. My goal is to capture original harmony and yet live in the now, which includes living an even more healthy and play-safe lifestyle along with meaningful work, having an intimate inner circle of friends and have a honeybun(s) in my life. That’s the life I am cultivating – the only thing is how the fuck do I kick-start the process to get there? Can you help me?
Sadly, Dr. Lastname has never figured out the secret to happiness (or put too much value on it), and besides, the real secret of those secrets is mostly that the short-term happiness they bring will be followed by a long period of not-happiness, much like the one you’re struggling to get out of.
On the other hand, we have figured out the secret to pride, which is really what this is about; women may make you happy, but confidence and pride will get you women. So, in order to get laid, you have to think about why your misfortune has laid you so low. WAIT! There is more to read… read on »
