Posted by fxckfeelings on December 23, 2013
As emotions go, guilt is often the most devious; it’s very good at tricking us into believing we’ve done something wrong, when we know we haven’t. It’s so slick that you can feel guilty for not feeling guilty in the first place. That’s why guilt is a terrible barometer for whether or not you’ve made a good or bad decision; sometimes the right choice makes you feel wrong and the wrong one righteous, at least in the short run. If you think of values and consequences, however, as well as needs, you’ll usually come up with a choice you won’t feel guilty about being proud of.
–Dr. Lastname
Please Note: We’re taking Thursday off, so please have a great Boxing Day without us.
I’m a medical doctor—I graduated three years ago and did extremely well in my school. But then I broke up with my boyfriend, and for a while, I hated myself very much for it. Coupled to it was the death of one of my closest relatives. I turned lethargic, did not want to function, never talked to anyone and was alone. Finally I managed to get into a job not at all related with medicine, but for the past few months, I have been experiencing severe guilt about my decision. At the same time I don’t feel active or ready enough to put in the hard work necessary to go back to medicine. At least this feeling is welcome as I am finally feeling something. I have stopped trusting any guy and don’t want a relationship, but I’m consumed by this feeling of guilt. Unfortunately I also have a bit of narcissism, I feel that I m more intelligent than most of the people I meet, and so did not visit any counselor either. I just want to know if you have any suggestions on how to conquer my guilt and lethargy.
Even with support from a very nice therapist, all the insight in the world, and/or a job in the medical profession, guilt and lethargy often hang around as long as they want. You could find cures for cancer, bad boyfriends, and even depression, but still feel guilty that it took you so long, guilt is that insidious.
The way to conquer those symptoms is to prevent them from affecting your beliefs about yourself and the world. Up until now, it seems the symptoms have been brainwashing you into feeling like a hateful, worthless failure instead of a smart medical school graduate with an unlucky personal life. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 12, 2013
While most people with mood disorders don’t technically “hear voices,” they sometimes experience something much scarier; their own internal monologue lying to them. Whether your mental illness is convincing you you’re worthless or the king of the world, don’t follow your corrupted instincts when it comes to managing medications and drawing up safety plans. Instead, study the facts, learn from your own experience, and plan the odds, rather than letting your confidence play you and make you crazier than you really are.
–Dr. Lastname
I am a doctoral candidate preparing to defend and graduate in May. I am so terrified of what comes next (giant black hole; there be dragons) that I am undermining my progress and succumbing to despair. This is tied to my utter lack of ambition. I don’t know how to dream Real Things. All this worry and fear and lethargy leaves me feeling exhausted. And I am so worried and so frustrated with (what I perceive to be) my laziness, my incompetency that I become angry at the smallest things. How can I learn to get work done and to build a life? How can I learn to do it just because it must be done? How can I distinguish between real and false selfishness (it feels selfish to build a life just for me)?
The business of many doctoral candidates is to find a meaning in many random, painstakingly-researched, frustrating phenomena that ties them together and gives you a new idea you can dwell on for several hundred pages. Congratulations, you’re very good at it; too good at it, as you’ve turned your talents on your own troubles.
It’s certainly possible that your fear of any and all future jobs, combined with terminal laziness, incompetence, and an inability to distinguish between real and false selfishness have paralyzed you and filled you with self-loathing. More likely, however, is that your self-doubt has written a thesis outline tying together your many layers of failure. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 25, 2013
If you truly want to believe in the old saying, “There’s someone for everyone,” you have to add the caveat, “assuming that many of those people aren’t exactly right for each other.” Some people think they’ve found “the one,” but then can’t see their partner’s faults because of the wishful optimism of love. Others sour on their spouses because of the tired pessimism of long-married irritability So if it comes time to make a tough decision about a marriage, be sure to ask yourself what continuing your partnership is likely to do to your finances, parenting, and security given what’s happened so far and what you now know about the character of your significant other. Once you figure out whether your someone is actually Mr. Wrong or Mrs. Will-Suffice, you’ll have a much better idea of whether you should hire a therapist to help you get along or a lawyer to preserve your assets.
–Dr. Lastname
Please Note: There will be no new post on Thursday due to American Thanksgiving. As always, we are grateful for our families and your misery. We’ll be back next week.
I’m living a nightmare and feel totally helpless. I thought my wife had overcome the drug habit she was struggling with before we got married (otherwise I wouldn’t have married her). Normally, she’s the sweetest person in the world. Recently, she went back being the evil witch I remember her being when she was on drugs, blaming me for everything and threatening to take me to court for abusing her. When I asked whether she was on drugs again, she said I was a crazy asshole. Two hours later she said she was sorry, that I was right, but she felt ashamed of using drugs and was taking it out on me. She said treatment just didn’t work for her. My goal is to get her to get help so she goes back to being the amazing woman I love.
There’s a reason that “addict” is a term you live with forever. That’s not to say it has to be a horrible stigma—college graduate and Torontonian also qualify as life-long labels—but no matter how much you wish addiction would be behind you or someone you love for good, it’s always there.
You thought your wife had overcome her drug habit because you loved her sweet, kind side and wanted to think ugly, addict side wasn’t real. She’s not a bad person, but she has a bad side and a bad disease that she doesn’t seem ready or willing to deal with. Even when she’s being kind, her evil side is always going to be there, and she’s doing nothing to stop it. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 10, 2013
There’s no perfect way to deal with someone close to you when, due to depression, discouragement, and/or plain laziness, they become too dependent on you for support; whether your strategy is to give loving comfort or a tough kick in the pants, their attitude tends to defeat them and their would-be helpers. If you wish to help someone who is under-engaged in life, whether your motivation is love or self-survival, don’t wait for the underactive to feel rejuvenated. Instead, create a regimen and reward progress with gifts, food, and/or good ol’ verbal encouragement. Then, if they still don’t do their share, decide on the support you think is right to provide, knowing that change is not an option, but cutting them off is.
–Dr. Lastname
My younger son is 23 and living at home. He dropped out of university and has drifted since, working abroad for a while, now doing an office job on a temp contract for the past year. When not at work he sleeps in and is lackadaisical in direction. I am going through a divorce from his father and working very hard in a low-paying job. I am also having to support my daughter through the collapse of her marriage. My son wants to quit his job which he dislikes and sees as a dead end and use the time to pursue a career. His earnings are paying for some of his bills and he hasn’t saved much although I charge very little rent. I fear his half-hearted approach will soon return and resent coming home from a tough shift at work to find him still in bed. My goal is to be supportive without feeling used and resentful. I am worried about him but nagging wears me out and I have problems of my own.
Whatever career your son hopes to pursue, let’s hope it’s not one that requires basic skills of observation; you’re obviously stretched out, so if he thinks he can rely on you when he doesn’t have income, he’s not just oblivious to your situation, but his own.
Even if he doesn’t realize it, you know that his business plan is heavy on dreams and light on discipline. Instead of expressing anger, skepticism, or disappointment, however, ask him whether he sees himself as having a problem with avoidance. Shame may have made him lie about his difficulties and pretend that he’s done more than he has. If he can acknowledge the problem, you can offer him coaching, advice, and incentives for building good habits. You may not be able to help support him financially, but you’ve got emotional support in spades. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 19, 2013
In the self-help-iverse, “limits” is often a dirty word, because we should all aspire to reach the loftiest heights or depths of intimacy. In reality, limits are crucial when setting both personal and interpersonal goals, but they’re especially vital when you’ve got a partly functional, mentally ill family member to take care of. In that situation, you will probably feel like doing anything to get him/her into treatment, including persuasion, confrontation, and threats of expulsion. In reality, your influence over the course of a mental illness is often, well, limited, treatment or no, and trying too hard to make it better can make it worse and drive you crazy. Instead of getting over-absorbed in efforts to help, get help yourself in figuring out the limits of what’s possible and respecting your other priorities, including safety, security, and the nurturing of others. Refusing to acknowledge limits is a lot easier/more damaging that learning to respect and use them to your advantage.
–Dr. Lastname
I’m married to a wonderful, unique individual, a free spirit who lived in a van for several years avoiding the world. After we married, we had a difficult couple of years, but then my work took off, and I got pregnant. My husband, already a night owl, turned into an irritable, stressed out insomniac who oscillates between manic episodes of ultra productivity, to sleeping for marathon amounts of time, missing appointments, being late for work, generally letting everyone down. He seems so resentful of me—everything I say he takes to the utmost extreme. We have been in talk therapy for three months, which has been pretty useless. The therapist has recommended my husband see a general doctor and a shrink about the insomnia. On a long road trip he started hallucinating and driving off the road. Sometimes he admits there’s a problem, other times he doesn’t. This morning, after another night of no sleeping, he screamed at me, collapsed on the floor and then crawled into the closet and passed out. I have asked him to leave our house until he seeks help, but he also refuses to leave. If I don’t pay the bills, he will be unable to. I reached out to his family and they keep saying it’s a marital tiff. He’s a wonderful man who is deeply troubled right now and in huge denial. I think he has some serious mental health issues which have been brought up by the huge responsibility of being a father which need addressing. How can I best help him?
You know that your husband’s dangerous behavior is out of his hands and in his mind. Unfortunately, there are lots of medical and mental health problems for which no one, including this mental health professional, has the answers, and this may be one of them.
The danger of trying to help him if it’s just not possible is that you’ll exhaust yourself and, worse yet, put yourself and your baby at risk from his symptoms. His illness may not be his fault, but that doesn’t make it your only responsibility, either. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 29, 2013
Whether you believe in a particular psychotherapy or find the very prospect of head-shrinkery scary, don’t let the emotions that draw you towards or away from the therapist’s couch drive your treatment decisions. Develop your own fact-based procedures for deciding whether you’re fucked-up enough to need therapy and, if so, whether there’s a treatment that isn’t too risky and has a good enough track record. Maybe we’d all like the experts to figure that out and make such decisions for us, but we’re better off picking the brains of experts and then making treatment decisions, pro or con, for ourselves.
–Dr. Lastname
Please note: We’re taking next week off for a long-deserved summer vacation, but look forward to hearing about your back-to-school/work misery when we return.
How long is too long to be in therapy? I have been in therapy for four years now, and it has helped enormously. I went into therapy initially because of a trauma situation, but I don’t want to stop, even though I’ve long worked through that trauma, because I still think I can benefit. Still, now that I reached the four-year mark, I’m wondering, how long is too long?
If you’ve read this blog, you’re probably aware of our belief that the most important goal of mental health treatment is seldom to relieve all your pain; that’s usually an impossible pursuit, or one that just shifts the pain from your head to your wallet and your friends, who are sick of hearing about what you learned in therapy.
The better goal of therapy is to use it to figure out how to prevent that pain from interfering with the way you think about, and lead, your life, and lucky for you (and us), your question reflects this healthy priority. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 19, 2013
It’s easy to know and describe what it’s like to be physically out of sorts—usually, Nyquil or a triage kit are in order—but when you’re losing it mentally, things get a lot more complicated. In some cases, it’s uncomfortable and can’t go away soon enough, while for others, it’s great and not something they even see as a problem. Good or bad, however, it’s easier to identify and understand, at least to the person experiencing it, if you remind yourself that a state of mind is only a state of mind. So whether or not you can change it, or believe it’s worth changing, it’s always worth remembering that there are more important things. Your job is to make the most of your state of mind, even if you can never fully make sense of it, without letting your brain run your life (and body) off the rails.
–Dr. Lastname
I don’t know how to begin…It’s really strange because I’ve never felt like talking to a psychiatrist, but now that I’m trying to, I realize how much I may need one. I’ve been trying to find one of my, of what I realize now, many fucked up aspects to talk about. Why do we bottle things up? Why do we make the bad things the deepest parts of our lives? Happy moments are like listening to the Beatles, short and like being on acid or running through a meadow…or both. But melancholy sits inside like Joni Mitchell or Jeff Buckley, if you let it. I guess my point is that I am terrified that I am going to have Virginia Woolf or Sylvia Plath’s life. Almost everyone in my family has mental issues. My brother tried to kill himself this year, my grandparents are the lovable nut-bags, my father had anger issues during my childhood… and I got the diagnosis from my doctor this year that I am depressive with bipolar tendencies. It’s terrifying to get a name for the way you are. I have so many. I wish it was duchess sunshine awesome, but you know… I guess what I came here for was to say that I don’t know how to express my emotions, should I bottle them up? Or should I just let myself go? My goal is to be a little clearer.
We don’t have the power to diagnose people over the internet, but when we get letters from people fretting over psychiatric diagnoses we usually feel comfortable diagnosing those diagnoses.
So, assuming you do have the familial tendency to be depressed, have mood swings, and, presumably, be creative, you don’t have to have a fucked-up life, nor do you have to stifle your creativity.
What you will have to do, however, is work at keeping your perspective when you’re hurting with depression and everything seems to suck while not letting your diagnosis frighten or shock you. After all, a doctor has merely put a label on what was always there, meaning you now know there are techniques that can help you deal with what’s been ailing you. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 15, 2013
As feelings go, envy is an amazing two-fer—by hating others for having what you want and yourself for wanting it, you accomplish twice the useless negativity in half the time. Luckily, we’re here to remind you that feeling envious and like a loser seldom has anything to do with being a loser, just that you’re down on yourself for failing to perform, or are flooded with memories of all the times you came up short. So don’t let envious loser feelings have very real, negative effect on relationships, beginning with the one you have with yourself. Until someone finds a cure for that evil/efficient feeling—and better performance isn’t usually the answer—you need to remember what you value, other than high performance, so that your feelings of being a loser can never persuade you that you are one.
–Dr. Lastname
I’m going through one of my regular bouts of deep unhappiness, and there is a common cause to each bout—I am useless at everything. The problem is made worse because I have a partner who is so talented and brilliant at everything that I want to be talented and brilliant at. We do the same work (same company) and his feedback from clients is fantastic. He has a huge and positive impact on people generally. He also likes to write and is better at that than me. So I feel rather pathetic and that I have no strengths or skills or talents. It’s always been this way (since my teens—I am now verging on middle age!) only now I have a mirror reflecting back all the things I want to be and yet lack. I’m not sure how to get beyond this enduring sense of being a rather worthless human being.
Envy is a tough feeling to live with, particularly for those who are both particularly envious and ambitions. For them envy is like carbs; if it isn’t turned into fuel, pushing them forward, it clings to them and weighs them down.
Given that few envious people actually get to surround themselves with people who have less than they do, those not propelled by envy feel as trapped as someone in skinny jeans at Thanksgiving dinner, seldom able to escape or satisfy their misery-making feelings. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 12, 2013
Almost everyone—man, woman, and certainly fundamentalist Mormon—regards marriage as a happy ending and valuable goal in itself. It’s no wonder then that we’re reluctant to ask ourselves whether marriage is actually a good fit for everyone’s character, or whether some marriages are doomed despite lots of love and motivation on both sides. So beware of the sentimentalism of love when it applies to the unsentimental institution of wedlock. Instead, tally up the facts that come from actual behavior to determine whether marriage suits what one person needs and another person has to offer. If you’re looking to add a sister-wife, we can’t help you.
–Dr. Lastname
Now that I’m 35, I wish I could finally find a way to explain to my family that I really don’t want to get married, but they won’t hear it and think I just don’t want to grow up. It’s true that, for many years, I was out of control with drinking, drugs, and big lows, and I can understand that they don’t believe I know what’s good for me. But I’ve been sober now for five years, I take my work seriously, medication has stabilized my moods, and I’ve dated some nice girls I really care about who I enjoyed spending time with. At a certain point, however, I always start to wish they’d go home so I could do what I wanted to do, like reading or watching Netflix. I’ve remained friends with most of my exes, but I’d rather spend time alone in my own place, controlling my own time, and, while I love kids, I don’t want to raise any. So my goal is to figure out a way to get my relatives to accept my decision and stop nagging me.
It’s particularly hard to believe in the value of your own major choices if you’ve had trouble with substance abuse or mood swings, and even harder to get anyone else to believe in your major choices, especially when you make the choice to stay single and childless. Evidently, your history of addiction and mental illness is a good reason to second-guess your choices, but not your ability to raise a human.
Now that the worst of that addiction is in the past, you know that one of the great benefits of getting sober and taking time about your decisions is that you can actually come to believe in their rightness. In your case, you’ve got good evidence that there’s nothing wrong with your preferences; your emotions haven’t been controlling you, nor is a lack of good prospective partners influencing your personal choices. To paraphrase a wise, fictional Friday night football coach, you have a clear head and a full heart, so you can choose and not lose. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 1, 2013
Self-confidence, like humility, is least often felt by those who deserve it most—call it the Trump theory of confidence conservation, with the baselessly-smug balancing out the needlessly self-doubting. Instead of paying attention to feelings of self-assurance, decide whether you or others have done their best, given what’s available. If so, try to act on that judgment, regardless of how you feel or how much confidence you encounter. Then you’ll do right by yourself and feel good about it, but not Donald-good, if you know what’s good for you.
–Dr. Lastname
I don’t know what to make of my wife’s efforts to find a job. When we married two years ago, she had a good job and enough money to take care of herself, but then she was put on probation—it didn’t bother her—and, since getting fired, she doesn’t seem to be trying hard to find new work. She knocks herself out to help me with errands, but then she always eats out for lunch and spends her time shopping with money she doesn’t really have. She doesn’t look worried, but I can’t get a straight story out of her about her budget or savings, and I’m beginning to worry what will happen when the money runs out. That includes my money, because I can’t afford to support the two of us indefinitely, particularly with her level of spending. I don’t want to undermine her confidence, which she obviously has lots of, or to mess up a loving relationship, but I’m afraid of what will happen if I say nothing. So what should I say?
Some people have an unshakeable confidence in themselves but shouldn’t, and for them, there is little solace. Everybody worries about people with low self-esteem, but for those with excessive self-esteem, the world is a cold place. On the other hand, they have so much faith in themselves, they don’t care.
Those with excessive self-esteem don’t necessarily suffer from too much pride or big egos, or deny some truth they don’t want to face. They just don’t see how fucked up they are because they believe they’re completely capable, and it prevents them from doing anything about their problems. WAIT! There is more to read… read on »
