subscribe to the RSS Feed

Saturday, December 28, 2024

Diagnosis: Muddled

Posted by fxckfeelings on February 6, 2012

Mental pain is like the check-engine light on your car; it tells you something’s wrong, but doesn’t specify what, so it could be anything from an impending engine fire to a stupid broken check-engine light. So, when communication is painful, don’t assume you need a new communicator, and when you don’t like the image in your mirror, you may not need a make-over. You’ll always do better at figuring out what your problems are really about, and what to do for them, if you ignore the painful messenger and refuse to let it make your diagnosis for you.
Dr. Lastname

I wish my boyfriend wasn’t so critical about the money I spend on clothes. Couples therapy helped me understand that growing up poor left him with deep insecurity about money (he still doesn’t make much compared to me, though he’s a hard worker). What therapy hasn’t done, however, is stop him from giving me a hard time about every sweater I buy, even though I’ve got good savings, no debt, and a total willingness to carry more than my share of expenses. If we get married, I’m sure his criticism will get worse and I don’t think I can stand it. My goal is to get him to back off, so we can have a life together.

The potentially bad side of couples’ therapy, as readers of this blog know, is that it can encourage a person’s tendency to take unlimited responsibility for getting through to their spouse. Like food, booze, or anything you enjoy, communication should be enjoyed in moderation.

After all, you’re supposed get a break from that responsibility once you’re sure you’ve done the right thing, but couples’ therapy can make you into a share-aholic who can never rest until togetherness has been restored. 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 »

Symptomatic Meaning

Posted by fxckfeelings on January 9, 2012

Horrible thoughts and feelings are supposed to make you feel as if there’s something horribly wrong, and there is, but it’s not necessarily with you. Even when your brain is giving you strange signals and your mood is in the pits, you’re the same old person with the same old values. Judge yourself by what you do with symptoms of mental illness, not by the way they make you feel or think, and you will never have reason to doubt yourself or despair.
Dr. Lastname

I was diagnosed with major depressive disorder and anorexia nervosa purging type a few years ago. Both of these issues had pretty much consumed my life during the years leading up to that diagnosis and have continued to be impairing ever since. I started cutting myself two years ago (it has become more frequent this past year), and I’ve had several panic attacks in the past several months. Fortunately, my overwhelming desire to commit suicide has subsided, although I still think of suicide and my death in general fairly often. In addition to my own issues, I have watched my mom slip into a state of psychosis during the past two years, triggered by the death of her father. She has become so depressed, delusional, and violent that my parents separated and sometimes I don’t even feel safe staying in the house with her—a few weeks ago my dad and I had to stop her from going through with a suicide attempt. The police were called, and I had to hold her arms down while she was clearly in a psychotic rage. At one point, she tried to stab my hand to make me let go. She was taken to a mental health facility where she stayed for a week, and now she’s furious at us for making her go there and hasn’t been much better since then. I feel like I never get anywhere with therapists because they just prescribe medicines that make me feel numb to any emotions or focus on my eating disorder so much that I never get to work through these other issues. I feel like my life is unraveling and it’s gotten so bad that, honestly, I don’t feel like I even want to fix it. My goal in telling you this is to figure out a way to help my mom and how to get through school while I’m dealing with this.

It may seem strange to hear this, for someone who suffers as much as you do from depression, anorexia, and the burdens of taking care of a very sick mother, but I think you’re doing an amazing job.

Yes, you’re chin-deep in shit, but you haven’t drowned, and that’s a remarkable accomplishment.

Your depression hasn’t made you hate people or blame them, and your anorexia hasn’t caused you to pretend you’re not sick, so you must have a solid hold on reality. There you are, with all your pain, finding the love to help your mother and the energy to go on with your studies. You’ve got good values and a big soul. WAIT! There is more to read… read on »

Upper Management

Posted by fxckfeelings on January 5, 2012

Whether you take pride in controlling your health with the latest developments in modern medicine, ancient holistic treatments, or the dictums of Xenu, you’re making the same basic mistake in thinking that you control your health. Depression is especially insidious, because there’s no amount of will power or even therapy that can make for a perfect solution. So gather techniques wherever you may using whatever works to deal with what ails you, just remember that the goal isn’t finding a cure, but the best methods to help you cope.
Dr. Lastname

I have suffered from anxiety and depression much of my life. My most recent (and most devastating) bout was a couple of years ago, when I worked with a therapist and managed to heave myself out of it without the use of antidepressants (which I had been on in the past and want to learn to live without.) Now I find myself slipping back in. My biggest issue seems to be that I put too much stock in what others think of me or might think of me (I’m really good at fabricating things people might be saying about me.) I also had a baby last year, which has prevented me from pursuing my career fully, so when I hear of the successes of others (or see them on Facebook) I get very anxious and feel that the universe is unjust. I want to be a good mom, and I want to be good at my job, but I feel I am failing at both and resenting others who are great at either. I was made fun of a lot when I was a kid and I think I still carry some of this baggage around, like whatever decision I make is the wrong one because I’m basically a loser. How can I focus on myself and my own life without worrying about what everyone else is up to or what they may think about me?

While you already have a good idea of what to do about your negative thinking, you still need to protect yourself from two bad ideas that you express here. Unfortunately, those two ideas are also your “goals.”

First, disavow yourself of the notions that you should be able to stop depression without using medication and that you should find a way to be less, for lack of a better word, insecure. In doing so, you won’t be giving up—you’ll be giving yourself some relief. WAIT! There is more to read… read on »

The Kids Aren’t All Right

Posted by fxckfeelings on December 19, 2011

When grown kids need permanent parental support, it’s hard for those parents to feel like they’ve succeeded. Every parent worries that they’re not doing enough for their kids, but for those who have adult kids with problems, that worry is amplified by anxiety and guilt. They can take over management, however, by assessing their responsibilities rationally and keeping their worries in check. It’s not healthy to care for and protect your children too much, but the only parents that fail are the ones that don’t care enough.
Dr. Lastname

Helping my daughter pay the rent on a bigger apartment seems to have lifted her out of her depression and she’s much more active at her job, but she’s still not making enough money and I’m running out of cash. If I tell her that she has to take a roommate, I’m afraid she’ll just crawl under the covers again and we’ll be back where we started. It shouldn’t be that hard for her to make enough money, but it is. I’m mad and I’m stuck. My goal is to get her to make more money and/or understand that I can’t keep supporting her like this.

While you may think you’re giving your daughter money out of love, you’re actually doing it out of fear. That’s trouble, because when you give money out of fear, you’re usually being mugged.

Fear makes you forget long-term risks, like what you’ll do after you run out of money and the consequences for you, her, and other people who depend on you. Your love is infinite, but your finances aren’t. WAIT! There is more to read… read on »

Irreconcilable Diseases

Posted by fxckfeelings on November 14, 2011

When you love someone who gets mentally ill and doesn’t recover, you may not only lose that part of their personality you loved the most, but also get stuck with a double dose of what you liked least. After all, it’s one thing to vow to be there in sickness and in health, but sickness and negativity and mania are usually more than most people bargain for. If your spouse’s mental illness makes your marriage unbearable, keep a lid on your negative feelings by respecting the burden life has put on both of you and refusing responsibility for putting things back the way they were. Once you can accept that sad reality, it’s time to figure out whether there’s room in your marriage for you, your spouse and the disease, or if your old vows no longer apply.
Dr. Lastname

My wife suffers from non-medication responsive depression (we’ve done ECT’s, every med in the book, and she has a psychiatrist). She’s bitter and short to family; she goes off on the kids and then can turn around and be nice. I do all the work around the house, get the kids to activities, etc., and I’m wearing out. She comes home from work and just logs on her lap top and sits in front of the TV while I get dinner and clean up. She shows no affection towards me and I feel like a servant. When I complain or push her, she talks about killing herself and putting herself out of our misery (she’s been hospitalized several times) or just hurting herself (sometimes she cuts on her arms and legs). I’m getting to the point where I don’t like her anymore. She just seems to have given up. Nothing interests her, nothing tastes good…she gets no enjoyment from anything. What can I do? She’s in her forties, now, but she struggled with depression in her twenties and this current bout has been going on for 5 years. Her doctor and therapist are really committed to her, but it seems like she doesn’t care, like she enjoys being miserable. Sometimes I feel like I’m spiraling down with her, but I’m not going to give up. If I just stand by, she seems to just sink lower, but I can’t leave, because she’s said that the kids and I are the only reason she’s still alive.

If you’re like most married people, you become dependent on your spouse for a positive response, no matter how independent you are as an individual. You married her because you respect her opinion and take pleasure in her approval. You make her happy, everyone feels good. You see the problem here.

So it’s normal to feel bitterly disappointed and deflated when depression turns her into a grouchy, nasty, unappreciative, unaffectionate black hole who threatens suicide if you criticize her and never does her share.

It’s not just the lack of approval from her that’s bothering you, it’s the overabundance of disapproval, of you and everything else. WAIT! There is more to read… read on »

Friend Finder

Posted by fxckfeelings on November 10, 2011

Depression puts a strain on relationships, as does any illness, but it also acts as a filter through which only the worthiest of friends emerge. After all, one of the great rewards of a good friendship is feeling helpful and supportive to a sick friend, and one of the reddest flags of a bad friendship is someone who isn’t capable of either. So when depression tells you that you’re a burden to your friends, remember that, like most of what depression says, it lies. You’re never a burden to a true friend, particularly when you’re struggling, so if someone can’t be a good friend to you when you need them the most, then good riddance.
Dr. Lastname

I need to face the fact that I have trouble getting close to people. I recently had a close relationship with a guy I was crazy about, but I often get depressed and, when it happens, I get quiet, and he couldn’t stand it. I’m good at functioning when I’m depressed, it’s never stopped me from getting my work done, and I push myself to hang out with friends, but I can’t help the fact that I don’t have much to say and that I don’t really feel like laughing. I kept telling him it wasn’t personal, but he didn’t really believe me. My goal is to figure out how I can find a partner if I can’t really interact very well.

The biggest negative thought you can have when you break up with someone is to believe it’s because there’s something wrong with you, either because your boyfriend said it or because that’s what your brain is telling you.

Nobody says, “it isn’t you, it’s me,” and means it, so you shouldn’t, either.

Remember, it’s deep human nature to blame ourselves for crap that happens, be it a failed relationship or a failed baseball season. It’s your job, however, as your one and only chief protector, to put this assumption to a logical test. WAIT! There is more to read… read on »

Low Fidelity

Posted by fxckfeelings on October 24, 2011

We’ve talked before about the myth of “help;” how applying the mantra “you need help” to everyone and anyone with problems isn’t always the right thing, whether you’re on the giving or receiving end of this recommendation. After all, just because someone begs you to get help doesn’t mean that you need it, and just because someone begs you for help doesn’t mean it will do them any good or be worth it. Forget feelings of disloyalty, use your own judgment, and remember, most of the time, the most helpful response to people who want you to be involved in help-giving or help-taking is to let them know when help isn’t the answer.
Dr. Lastname

I’m a 22-year-old who is coming out of a pretty rough emotional patch. I got into a bad habit of leaning on a male friend, being a complete needy, co-dependent mess with a guy who is a pretty heavy drinker and, you guessed it, a needy, co-dependent mess. Well. Now I’ve sobered up and tried to develop some space between us, and he’s not taking it well. He drunk-dials me at least once a week, and leaves these crazy, rambling, needy voicemails. (I moved away a while back, and he keeps pushing me to make plans to meet up.) I basically want to cut him out of my life altogether, because I really think he’s bad for me. But he was there for me—albeit in a f*cked up way—when I was a mess. Does dropping him make me a bitch?

There are two sides to every sin; for example, murder is evil while manslaughter is just really unfortunate. The same is true for good deeds, and fidelity, while less deadly (hopefully), works much the same way.

There’s a bad kind of fidelity based on feelings and a good one based on what you think is right. The bad one is a gut-level sense of obligation you feel towards anyone you’ve shared a bed or bread or booze with, who cries out to you in need and expects you to respond. 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 »

Love’s Slaves

Posted by fxckfeelings on September 22, 2011

No matter how many times we say that no love is so powerful that it should render one powerless, we keep getting emails about broken hearts, broken promises, and the resulting broken lives. When love pushes you to fuck up your life and/or someone else’s, it’s your choice to either fight to stay in control or say, well, love is all you want, so whatever happens must be worthwhile. You might be in love, but you’re not without choices. And if/when you make the wrong choice, you can always choose to write us.
Dr. Lastname

When my son was born 30 years ago, I met two other moms and we became friends. Although with partners, we shared the same interests and our kids got along well, and we spent the next years as very good friends doing lots of things together and with the children-one of those friends even married my brother (one son and three years later, they divorced). At the same time, I met a new partner (I was now separated from my son’s father), and we spent the next 27 years having a very on-off relationship. It’s difficult to sum up all those years but I think I can say that I probably cried through most of it! I should have left, I didn’t, he wasn’t committed, I was, I wanted a family life, he didn’t. I’m not perfect and I didn’t always behave well. Five years ago he had a son by another, not partner, woman and when that didn’t work out he and I got together again. Then last year, I invited my friend/ex sister-in-law to lunch with us, and they got together. The shock was immense … and it’s not so much the loss of either but this terrible feeling that I have been used as a sort of dating service by my friend and I just can’t get rid of this feeling of betrayal. It’s now a year on and I haven’t seen them since, and the emotional hurt is a lot less– I have done lots of new things, made new friends, and life is rosier, but I have this constant anxiety that this friend is going to take someone else from me – my sister? my other brother? and, worst of all, I have this strange fear that it will be my son. I would like to be happy for my ex and my friend, but I can’t. I protect myself by staying away but I have this huge sense of loss that I have lost this whole part of my life. I need to let go of this underlying anxiety that I am going to lose someone to her again.

When it comes to kids, we expect parents not to expose them to unnecessary rejections and losses from adults they’ll get attached to, who will then go away. When it comes to how parents protect their own hearts, however, the same standards don’t seem to apply, even though, as your experience shows, they really should.

Yes, I understand, you’ve loved a guy for 27 years, but it was always off-and-on, causing you intermittent heartache and wasting your opportunity for something better. You wouldn’t have needed a shrink, psychic, or your average plumber to predict a sad end to all you invested in him and his family.

That doesn’t mean your love was meaningless or less than real. It was powerful, at least for you. Like a good mother, however, your job is to protect yourself from real attachments that can’t work, and you haven’t done that. WAIT! There is more to read… read on »

Site Meter