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Monday, November 18, 2024

Medication Hesitation

Posted by fxckfeelings on August 9, 2010

Whether it’s wishful thinking, fear, or a powerful sales pitch from the church of Scientology, we have lots of emotional reasons for shutting down our logical minds when we have to make medication decisions about psychiatric illness. The good news is that, while those decisions should be made carefully, they’re not rocket science. The bad news is that it requires more courage than brains (or Thetans) to be a good manager of your own health.
Dr. Lastname

I recently started going to a doctor for my depression. She thinks I should take pills, I’ve seen lots of articles about how antidepressants don’t work and the main reason they’re prescribed is because of the huge investment that big pharmaceutical companies have made in producing and marketing them. It makes sense to me that there are better natural, holistic solutions that get played down by the medical establishment because they can’t make money for anyone and threaten the profits made by those companies. My goal is to find treatments that work best, not the treatments that server the corporate interests.

The problem with most criticism of current drug treatments is its hopefulness; it implies that there are good, effective, cheap and low-side-effect treatments for depression (that are being suppressed). If only principal clause of that statement were true.

Sure, a magic bullet, holistic or otherwise, would be great (there are lots of other unsolved and incurable problems I can work on, so I’m not worried by the hit my business will take).

The truth is, however, that current treatments are time-consuming, weak, often costly, sometimes risky, and not guaranteed to work

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Acception To The Rule

Posted by fxckfeelings on August 5, 2010

We’ve talked many times on this site about how controlling other people is essentially impossible (at least in the long run, but you’d be surprised how obedient people are short-term when you have cake). That’s why pushing for someone else’s acceptance isn’t just hopeless, but when we put that need ahead of our own convictions and priorities, it’s downright dangerous. People in AA are taught right off the bat to accept what they can’t change, which is a valuable lesson to anyone, with or without booze (or cake).
Dr. Lastname

My husband worries a lot about my drinking and depression but, to my mind, I don’t think my drinking is a problem and I don’t think I’d be depressed if I wasn’t worried that he’d leave me. For the sake of our marriage, I’ve agreed to stop drinking for a while and go to AA, but I really feel that my drinking wasn’t causing me any problems and that I’m doing this to make him happy, which makes me feel weak and angry. I want to get him to accept me the way I am before I can’t take it anymore.

You’re in a tough spot, because partnership really can’t work without acceptance, and acceptance is not something you can control. The more you force acceptance, the harder it is to achieve. Accept that, buddy.

If you try too hard to get his acceptance, you’ll hide whatever you think he won’t accept, which means putting your drinking in the closet and going to the mall instead of AA meetings.

On his end, if he tries too hard to make the relationship work, he’ll pretend you’re not really drinking or that you’re going to change, which also means no real acceptance.

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Fear Factor

Posted by fxckfeelings on July 29, 2010

Fear isn’t all bad (e.g., fearing snakes goes a long way towards keeping you from poison venom). On the other hand, fear itself is stressful and painful, so our first instinct is to avoid it, no matter what…which is, of course, when things start getting really frightening. No matter how much we want to protect ourselves or those we love, it’s not gonna happen, so we have to accept the unavoidable scariness of life (and anacondas). It won’t necessarily calm you down, but it will give you the strength to do what matters, fear or no.
Dr. Lastname

My wife and I liked to party when we first met (nothing too crazy, we just went out a lot), but we just had our first kid, so we now spend a lot more time at home. My wife used to be a fun, bubbly person, and she still sort of is, but ever since the baby was born she’s been really stressed out, worrying that something bad will happen and the baby will die. Not stuff she could possibly prevent, just a random act that would kill our child, and the stress is so bad she is haunted by visions of our son in a casket. I think she’s dealing with this stress by drinking a bunch of wine with dinner and getting a little more than tipsy. I’ve told her to relax about stuff she can’t prevent, but she says she can’t help it, and I don’t like that she’s drinking too much, and where that’s going to go. I want to see my wife get some treatment that will relieve her stress so she can stop drinking too much.

You might wonder how wanting to help someone could be bad, and it’s because, as goals go, it’s often one you can’t reach. If you don’t accept that fact before making your plans, you’ll make things worse.

Here, for instance, there’s a good chance she’s too busy drinking and/or avoiding her problem to heed your good advice and, at least at first, she may not be able to stop herself (and if she could stop herself, you probably wouldn’t be writing me in the first place).

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More To Ignore

Posted by fxckfeelings on July 22, 2010

Ignoring problems is supposed to be bad for you; the only thing we love more in this society than money and fried foods is unbridled confrontation. Sometimes, however, not paying attention to life’s annoyances is the best option for dealing with the nasty little tricks your mind likes to play with you. Until life’s problems go away—which they won’t—you can train your self to stop paying attention to them (and the over-reactive voices in your head). Instead, focus on other important things, like getting paid and eating onion rings.
-Dr. Lastname

My biggest frustration on a daily basis is having someone ask me a question and then either get angry in response to the answer or the fact that a decision has already been made and then ignore the answer they asked for. My wife will ask “do you mind if I do/go/be “x,” and if I answer “yes I mind” then she’s angry and usually proceeds with what she’d already scheduled anyway. Just today my sister asked if the coffee I was holding was warm enough. I said yes, and she then proceeded to take the cup from my hand and run to the microwave with it. OK, so maybe her intentions were good…but why the hell did she ask me, when my answer didn’t matter? Because this seems to happen to me ALL the time, by MANY different people, I’m getting to the point that I don’t even want to be around other people. Should I just shut up and quit even answering questions, or start answering with what I know they want to hear? Giving honest answers is clearly NOT working for me. Can you shed some light on what I’m doing wrong here? And more importantly, what do I do about it?

Nobody likes to feel ignored—at least by people we like and particularly by the ones we love—but some people are particularly sensitive to it.

They feel it as a kind of peace-destroying personal injury that injects them with a festering dislike of their fellow human beings. This leads to a desire to learn wilderness skills or get a solo gig on a space station.

You’re the kind of person whom being ignored gets to, and if I asked you to change, you couldn’t help but ignore my request, even if you tried not to.

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Knee-Jerk Hurt

Posted by fxckfeelings on July 12, 2010

Not everyone is good at showing those they love how much they love them. In fact, some people are so disorganized they can’t help but blow off the ones they love, which is something, surprise, those loved ones hate and tend to take personally. You can try rewarding or punishing your beloved flake in order to set them straight, but you’d be acting in vain. For the loved-yet-jilted, it’s important to remember that the love is still there, even if the organization isn’t.
Dr. Lastname

My son’s a good kid, very smart, and he does pretty well in school, although they’ve diagnosed him as having attention deficit disorder. Anyway, he’s so busy I rarely get to see him, so I thought we should spend more time together, and I made a deal that I’d give him some extra money for video games if he’d put aside some time for the two of us, and he agreed very willingly, but then he kept on forgetting about our scheduled times and blowing me off. Now, I feel I can’t give him the money without giving him the message that it’s OK to be irresponsible and disrespectful. Frankly, I’m hurt. My goal is to get him to be a good kid.

People often assume that hurtful actions by others are a personal affront. In fact, often when people get shat on, it’s totally thoughtless—they’ve been blown off because everything gets blown off, and nobody’s special. Feel better?

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Ugly Hate Machine

Posted by fxckfeelings on July 8, 2010

Hate makes us feel particularly alive; Sox fans may hate the Yankees (and the Rays, for the matter), but that rivalry is a big part of what keeps those fans coming back. At the same time, however, indulging in hate excessively is dangerous, because it pushes us to wreak destruction. Once hate takes over, levity leaves; you’re not for one team, you’re just against another. You can’t stop feeling hate, but you can learn to manage it. Otherwise, the season’s as good as over.
Dr. Lastname

I hate life. What is the most reliable and painless way to commit suicide?

You hate life, and I hate the kind of dangerous, self-lacerating whining that makes a painful life seem meaningless, when it isn’t.

Hating life is an understandable feeling, whether the problem is a hateful life or your own, reflexive intolerance of life’s general hatefulness. There’s no doubt that life is sometimes hateful, some people’s lives are more hateful than most, and some good people are more sensitive to its hatefulness.

There’s more than enough hate to go around, and you can’t help how you feel.

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Reaction Retraction

Posted by fxckfeelings on July 1, 2010

When a relationship fails, you can either accept that you can’t really accept them, or accept that, no matter what you do, they can’t accept you. After all that acceptance, you think it would be easy to not let that person aggravate you, but the temptation to speak your mind will stick around as long as the other person does. Your last bit of acceptance is that you need to keep your mouth shut until you make up your own mind about how to go forward, then accept your decision and politely speak your peace. No exceptions.
Dr. Lastname

My husband quit drinking four years ago. I supported his decision to get sober, but I’m disappointed with the result. He used to be a fun goofball, but now he’s a dull grump, and I don’t like his company (and he doesn’t seem to like mine, either). We’ve started to go our separate ways but he’s not interested in talking about it. My goal is to restore the chemistry of our marriage and the good parts of his character without driving him back to drink.

Having fun with your husband is not your top measure of a partner. If you want fun, go out and have a drink.

Acceptance, rather than fun or passion, is the most essential requirement for a long-term relationship, and now you know it. Oh, first marriages have so much to teach you.

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Emotional Rescue

Posted by fxckfeelings on June 24, 2010

For those over-endowed with emotion, reacting without thought is dangerous, whether the extra burst of feeeeeeling comes from present love or past trauma. Flying off the handle isn’t good for anybody, so take time before booking your flight to remember that you’ve got better goals than to open your mouth and make yourself more miserable.
Dr. Lastname

My ex and I had a drama-filled relationship and a rough break-up. Drama because I was drinking, which meant I was sometimes out of my mind, and rough because I got my shit together and tried to make it right with her but she dumped me anyway. The problem is that we work for the same boss, and now that we’re not together anymore, but I’m sober and sane, I’m wondering how to act towards her. Be friendly and normal? Are hugs in bounds? I can’t just ignore her, and I don’t want to, but things are strange. I want to show her that I’m cool, not nuts, and want things between us to be normal (whatever that means).

Be you an alcoholic or a Mormon, you have zero chance of instantly re-establishing friendship with someone you’ve just broken up with. Like cold fusion or a 2010 World Cup game without vuvuzelas, it’s never going to happen.

Since you are an ex-drinker, however, you should know that self-control is something you can never count on, particularly when your feelings for an ex-love are intense and her actions unpredictable.

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Meeting People Isn’t Easy

Posted by fxckfeelings on June 21, 2010

Much is made in both the personal and professional worlds about the value of communication. Speaking your mind to your loved ones isn’t necessarily the best way to work out family problems, and speaking easily at networking isn’t the best or only way to get ahead at work. Abstaining from communication is often the best choice, because on this site, we value shutting the fuck up.
Dr. Lastname

I’m not crazy about my grown-up step-kids, but they’re not bad people, they just tend to be disappointed in me for some reason or other and then complain to my wife, who then tries to smooth out our relationship by telling me about their issues and urging me to talk with them, maybe with a therapist. She’s very nice about it, but every time I try to speak up about what actually happened or clear up a misunderstanding, I sound like I’m calling the kids unrealistic and self-centered (which they are) and it makes things worse. My wife doesn’t blame anyone, but it distresses her that I and her kids don’t get along better and I hate to see her unhappy. So how can I improve things with my step-kids when we really don’t see eye to eye?

Your poor step-headaches. They’re unhappy and assume that mom should play diplomat.

Instead of justifying their complaints with “I’m just being honest” they should really say, “I’m just being an enormous jerk.”

This is a good example of honest sharing by people who are honestly unhappy with you but haven’t given much thought to whether there’s anything you can do about it (other than by being someone else). They haven’t even considered whether making them feel better is your responsibility.

Unlike them, don’t assume it’s your responsibility to return the favor with an equal amount of honest sharing—not unless you want to give your wife a headache and enjoy a long, dirty bout of Greco-Roman mud wrestling.

If, as you say, the step-sort-of-adults want you to be someone you aren’t, and it isn’t a matter of your bad behavior, then you can’t make them happy or reach a better understanding by improving communications. If only you were behaving badly, you could make things better by improving, but you’re not, so you can’t, and you’re fucked.

Whether her kids complain to you or her, your job isn’t to work things out (unless you believe it’s really possible); it’s to live up to your own standards for being a respectful step-dad and keeping conflict to a minimum.

If you can’t make things right for your wife, you can respect her wish to improve family relationships while minimizing your exposure to criticism. The technique is simple, but requires you to shut up about your real feelings and give up on the idea that your wife can understand your predicament.

So let the step-kids complain all they want. If these were actually your kids, you would’ve imparted an important lesson to them early on: when it comes to sharing feelings, honesty is not always the best policy.

STATEMENT:
Here’s the formula. “I know your kids are not entirely happy with me and I’ve given careful thought to the problems they’ve shared with you. I intend to let them know I’ve heard their concerns and, to the degree that I can, I’ll make things better. If, as I suspect, some of their distress arises from differences in our personalities, we can’t expect it to go away or be resolved by discussion, but we can certainly learn to accept one another, avoid negative interactions, and make the best of your wonderful relationship with your children, which I am determined to support in any way possible.”

I know I’m good at what I do (let’s just call it finance), but I get held back because I’m terrible at networking and socializing in general. So much of my business is about going out and making connections, and I find talking to strangers, especially ones I’d like to work with or for, to be the most painful and awkward experience in the world. I get incredibly self-conscious, feel like I’m talking too much or too little, get distracted and antsy, and just want to go home or back to work. I also don’t drink anymore—I was never a drunk really, but I thought it held me back in college—so that makes my awkwardness even worse. If I don’t learn how to shmooze, however, I’m never going to get ahead. My goal is to get over my awkwardness.

Don’t hate your own awkwardness. People who have a heightened sense of shame about their social behavior become more awkward, which makes them more ashamed, and you’re spiraling into social phobia. It’s like stuttering; the more you think about it, the worse it gets.

It’s true that, when you’re in school, social awkwardness seems to condemn you to being a nerd loser who never gets laid. Fortunately, nerds have their revenge, and they get it, not by becoming socially gifted, but by entering a world that also rewards skills, reliability, and experience, and this boosts their confidence as they get older.

While networking is a big part of the business world (as you know, most business school tuition should include a bar tab), it’s not the only way to get ahead. You could get your job to pay for further business courses, or try to talk to/impress your boss one-on-one in a small talk, anecdote-free environment.

If small talk is necessary, you don’t have to be talented to learn how to do it; you just need to be humble enough to stumble through exercises that others could do easily. Again, accepting your disability makes it easier to manage it.

In the meantime, when you do find yourself at networking functions, don’t get tied up trying to be the cool guy you aren’t. Try for more one-on-one conversations, sip your Diet Coke, and enjoy a night out with your awkward self.

STATEMENT:
Here’s a statement to chart your course of self-improvement. “I value my achievements and values but recognize that I could use better people skills. There’s no point in criticizing myself for being ungifted in this area. I’m proud that I’m willing to work on my weakness if and when I think it’s necessary.”

Great Expectations

Posted by fxckfeelings on June 3, 2010

Very often, what we hate about someone we know well has everything to do with our immediate needs and frustrations, and nothing to do with their ability to be good friends or partners. Instead of sweating the little things, work out your own definition of what it means to be good to someone else. Then you’ll be able to protect good relationships from bad feelings, and protect yourself from bad relationships (that make you feel good).
Dr. Lastname

I believe in being a good friend and a great brother, and because of that, I remember everyone’s birthdays, anniversaries, etc, so it really pisses me off when no one remembers mine. I always seem to give more than I get, and I don’t think it’s too much to ask since I’m able to keep track of those things. I have no choice when it comes to family, but I wonder if I’ve been choosing the wrong friends. I like being a giver, but I don’t like being resentful and letting them know that I’m upset doesn’t seem to do any good. My goal is to find better friends.

Don’t confuse being a giving person with being a good person. Being good is supposed to be selfless, but giving is a self-serving pleasure, and that should tell you that it’s easy to overdo and/or do for the wrong reasons.

You might think I’m wrong, and insist you’re giving because you enjoy it and want to make the world a better place. If so, you best put on a bib, because you’re talking a lot of shit.

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