Posted by fxckfeelings on June 16, 2011
It doesn’t seem mean or destructive to be convinced you or someone else needs help, but the trouble happens when there’s good reason to believe there is no help to be found, at least none of the kind you want. That’s when seeking can become as futile as the search for the Holy Grail, except nastier, sadder, and with more damage than a flesh wound. Giving up is often a significant act of kindness, and the first step to getting or giving a different, better kind of assistance, with or without nerdy references.
–Dr. Lastname
I have a friend who has a history of being diagnosed with depression, self-mutilation and, recently, suicidal thoughts. She was forced to seek treatment with a counselor in HS (now 24-years-old) whom she said was no help, and now she says she won’t ever seek treatment again because it won’t help her. She acknowledges she has issues that need addressing, but she doesn’t believe in mental illness diagnoses, states she just needs to “deal” with it. However, all we talk about is how much she hates her life, hates feeling this way but isn’t willing to do anything about it. I’ve told her she’s an adult, and makes her own decisions and no one can force her to do anything, but I’ve been very honest with my concerns about her, and that she needs help. I don’t want to treat her with kid gloves or enable her but I also don’t know how much I can push her, since I know its her mental illness that’s clouding her view of the world/reality. How can I continue to be a good friend without beating my head into a wall and enabling her?
For many people, “help” and “cure” have become interchangeable words, as if good motivation and proper treatment will always make things better (tell that to the common cold).
Sadly, the help your friend needs, just like a cure for what ails her, may or may not exist, depending on her luck, the severity of her issues and whether she sees them as hers or just a reaction to other people. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 6, 2011
The reason that high school movies will never go out of style is that a large part of our compass of self-definition, the one that tells us whether we’re doing a good job and adjusting satisfactorily, is magnetically driven by the people we see, socialize, and suffer with every day. Thankfully, real life comes with graduation, and, if you’re lucky, the ability to escape the judgment of peers and make your own evaluations. If you really miss high school that much, skip the critical contemporaries and go straight to John Hughes.
–Dr. Lastname
I’m feeling a little lost. For most of my life, I’ve been an excellent student. I made As and Bs with minimal effort. Seriously, I’d just show up to class, take a few notes, and get an A. I didn’t really have to try. It just happened. The past two years, however, it seems like I’ve been sinking further and further into a hole that’s gotten so deep, I can’t even see where I fell in. I have difficulty motivating myself to get out of bed 90% of the time. When I used to be able to pen an excellent paper in a few hours’ time, I find myself now staring at a blank Word document with nothing but a header for weeks. My GPA has plummeted from fantastic (not stellar, but it would’ve done well enough) to abysmal. The only thing keeping me from dropping out of college entirely is the fact that I know I’d have nothing else at all to live for. My family already thinks I’m a failure, because I haven’t graduated yet. The past two years has put me painfully behind schedule. I’m thoroughly unhappy, and I honestly don’t know how the hell to stop it. I need help figuring out what the hell I need to do to get out of this hole.
Pretend you’ve just been told you have a fatal disease. Suddenly, your GPA and the opinions it inspires in your family and friends probably matter a lot less, no?
When you’re in workplaces, families and/or schools, they seem to be the whole universe and your place in them seems to define who you are. The best thing about being cast out, or even just moving on, is that you gain an opportunity to define your worth more independently, in terms of your values and efforts, instead of what people thought of your performance.
Right now, your grades and your family are telling you you’re a failure, but they don’t deserve to have the last word. You have obstacles you can’t control, and you have good qualities not currently recognized in your limited universe.
It’s time to reassess not just what’s wrong, but how it’s wrong, for whom, and how much is really in your power.
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Posted by fxckfeelings on May 23, 2011
Ambition is a blessing and a curse; a curse for most of those people who possess it, but a huge blessing for my business, which flourishes off the self-hate of said overly-ambitious people who believe they could have been contenders (if it wasn’t for themselves). Actually, the usual reason you can’t have your dream is that your equipment isn’t what it should be, and the best way to restore your faith in yourself is to accept the fact that your brain, while not a blessing, isn’t exactly a curse, either, and requires a set of expectations all its own.
–Dr. Lastname
I’m going back to school in the fall (for my master’s), and am really worried about the problem that plagued me in undergrad—academic OCD (which combines with general OCD, natch). Specifically, I over-cite EVERYTHING in my papers, because I have this terror of plagiarizing—to the point where my papers are hard to read, and the citing is ridiculous. I haven’t been out of undergrad very long, and I know I need to go back to school to achieve my career goals, but I’m DREADING the papers—any thoughts on how to prepare myself to deal with this very specific anxiety?
If you want an easy way to manage your over-citation compulsion (OCC), here it is; stop making too many citations! Stop it! Bad! Hope it works, and we don’t accept personal checks.
As always, the problem with looking for easy answers to your problem is that you’ll assume that all you need to do to get better is give yourself a kick in the pants or share your feelings with a therapist. It’s not true, and thinking like that will make you feel like a failure (and, if you’re lucky/buy answers like the one above, an idiot).
Long story short, your problem is here to stay (citation: this site, on a weekly basis) and, as long as you’ve got to write papers, managing it is going to be painful.
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Posted by fxckfeelings on May 9, 2011
Parents get a lot of blame when something goes wrong in their kids’ lives, and a fair share of it is heaped on by those in my industry. The lion’s share, however, comes from parents themselves, and that feeling of responsibility, no matter who assigns it, is great at making things worse. The truth is that parents have little control over their kids’ weaknesses or the fact that life is sometimes hard and painful beyond their powers of protection. Accept this sad truth, and you’ll become a much more effective parent and much less blaming of your spouse and your kid, whether Freud’s disciples admit it or not.
–Dr. Lastname
I still can’t understand why my 15-year-old daughter would purposely overdose. I understand she’s always been an emotional kid and that she hasn’t been happy lately, but my husband and I love her. We’ve always told her we want to hear about any problem she wants to share with us, and she knows it would kill us to lose her. Still, she seems to have no remorse for what her suicide might have done to herself or the rest of the family. My goal is to understand how she could do it and teach her a sense of responsibility so it won’t happen again.
In many ways, a suicide attempt is like a natural disaster; you shouldn’t bother asking why it happened, or what if you had done things differently. Whether you blame global warming or God’s wrath, it won’t change the fact that it happened or that there is at least some chance that it will happen again.
The moment you think you understand the reason, you’ll think you know what she did wrong, or, at least, what she should have done better, and that will just make her feel more like a loser, and more like doing it again. Or you’ll think you know what you or your husband did wrong, which will make you feel like losers and blame one another, and make her feel like doing it again.
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Posted by fxckfeelings on May 5, 2011
People like to turn to an authority when they’re helpless, and if that helplessness only applied to 911-like situations, there would be no problem. For problems that don’t involve theft or fire but sadness and family, however, authority is useless; sure, doctors like me can give advice, but until medical schools start borrowing from Hogwarts’ curriculum, the best resources you have are your own. The sooner you realize that, the sooner you’ll learn to draw on your own authority to come up with the best possible management plan and execute it with confidence. You are your own best first responder.
–Dr. Lastname
I need to find a doctor who will tell my daughter she needs to take her medication. She’s always had a problem with depression, and she did well in high school when she took antidepressants. Now, however, she’s 24 and very reactive to however she’s feeling, whether it’s not getting out of bed, or not working, or feeling dizzy and deciding it’s the medication and stopping it. My husband and I can’t get her to stick with anything, and she won’t listen to us in any case, so our goal is to get you, or some professional, to tell her what she needs to do.
Whenever parents want a doctor to tell their kid what to do, you can be pretty sure they’ve lost faith in themselves and overestimated the power of communication/a medical degree.
And no, it doesn’t matter how old the kid is or how many Harvard degrees the doctor has; the doctor doesn’t have more power than the parents, no matter how powerless the parents feel.
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Posted by fxckfeelings on April 28, 2011
Fear and rage are great motivators for bad decisions, especially when it comes to one’s choice of words. Fear can clamp your jaw shut when you need to address the masses, and rage can keep the invective flowing, even if the target is one person you don’t want to drive away. Don’t expect a good relationship, or a good therapist, to make the bad feelings and poor control of your (big) mouth disappear. Managing those feelings will never be happy, easy, or painless, but the strongest motivator should be the need to keep your job, your relationship, or just your sanity.
–Dr. Lastname
I had to speak in front of a crowd recently and thought I would have a heart attack. I have to go to court regularly as part of my job and each time it seems to get worse. I shake and stutter. Seems to be sort of an authority or judgment thing, since it only happens under certain circumstances. I can speak to a crowd of folks I know, and do it well. I don’t want to have to get another job at my age (>50), it was hard enough to get this one. Any suggestions? (No insurance!)
My first suggestion is to move to Massachusetts, Vermont, or Canada. If that insurance comment isn’t a joke, then not having insurance, especially when you’re over fifty, is cause enough for a coronary.
Seriously, it’s quite probable that a major cause of your shaking and stuttering is that you’re unconsciously aware/terrified of the many ways your body can, and is about to, break down and wear out. That’s way more scary than socialism and death panels combined.
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Posted by fxckfeelings on April 11, 2011
If you watch basic cable, you’ve seen enough shows about bizarre health problems to know there’s someone out there for everyone, willing to put up with anything; from morbid obesity to tree hands to a lack of sex organs, there’s no physical trait so daunting that there isn’t someone out there (usually someone with low expectations) who can’t accept it. It’s always surprising, then, when people with lesser problems, like illness or bad habits, have trouble getting the same level of unconditional support. Of course, acceptance, as hard as it is, doesn’t mean being a doormat. That’s why the payoff of acceptance is becoming stronger, prouder, and more realistic, even if it never airs on basic cable.
–Dr. Lastname
I like my wife, except when she doesn’t take her bipolar medications, which she hates, and then she becomes nasty, irritable, and overbearing. She makes my life miserable, and I worry about her impact on the kids. My goal is to protect the kids and get her to take her medication.
The best way to keep someone from taking their medication is to persistently ask them whether or not they’ve taken their medication.
That’s not to say that leaving the issue alone will insure she takes her meds, either. The point is, if she doesn’t want to take then, she won’t. The second part of the goal is a no-go.
The best you can do is tactfully encourage your wife to look for her own reasons to take medications. Having done that, you can predict whether it’s ever going to happen, and direct your life accordingly.
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Posted by fxckfeelings on March 28, 2011
Despite being one of the most intense emotions in the world, love is not something you should take personally. You’re wired for it, in the deepest parts of your brain, just like penguins and meerkats. Even in the wild kingdom, the resulting attachments seem extra intense, unhappy, and/or joyful. If you need to share your tortured feelings, go ahead, but at some point, shut up and figure out how to manage the hurt. Re-stimulating the love-fixation centers in your brain by venting your feelings won’t help you control them, and, instead of mating for life, you’ll end up moaning alone in the emotional wilderness.
–Dr. Lastname
I am in love with a man who is married and has 2 children. He left his wife and family and wanted to live with me, but then I had a miscarriage and then felt I could not live with him. He has since gone back to his wife and I feel so awful.
What gets lost when you feel awful about a love gone wrong is that love often goes wrong. You didn’t beat the odds, but most people don’t. And most people weren’t as up against it as you were.
What you need to do now is remember that you had goals of your own before you fell in love. It’s your job to think about where love is likely to go, even when you’re crazed by it, so you’ll be prepared for moments like this.
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Posted by fxckfeelings on March 17, 2011
Being diagnosed with mental illness won’t necessarily screw up your life, and screwing up your life doesn’t mean you have mental illness. In any case, people are most effective at managing screw-ups and mental illness when they’re ready to face the worst case scenario, assuming they can do so without letting it reflect on the quality of their management. Consider the worst, hope for the best, and don’t let your fears distort your perception of reality. In other words, don’t panic or feel that you’ve failed when somebody acts “crazy” or you’ll end up driving yourself nuts.
–Dr. Lastname
Are there varying degrees of bipolar? My son is 21 and just diagnosed in Sept 2010. He is a student, a swimmer with his university and a likeable, good-looking guy. He is medicated (lithium and Zyprexa) and is doing pretty well. He complains about concentration issues. I just feel sometimes like I need to be reassured that this is manageable and that there are positive stories of other people with bipolar. I hope and pray that he will lead a fulfilling life, marry and have a family. We are all just trying to adapt to this diagnosis.
Not only are there varying degrees of “bipolar,” there are probably various kinds as well, but we don’t know enough about what’s going on biologically to say. Like the Supreme Court once said of obscenity, you know it when you see it, but it takes many forms.
Basically, the word “bipolar” doesn’t have a lot of meaning other than as a description of someone who had an over-the-top episode of wild, excited, high-risk, inappropriately-undressed behavior that then, most probably, was calmed down by lithium.
Since we don’t have a biological definition of bipolar, we’re forced to use the word to describe the unluckiest cases, the ones who have the most severe symptoms that last the longest and come back the most often, simply because they’re the ones that are easiest to categorize.
There are probably lots of mild or brief cases that don’t get included in the definition, so the diagnosis seems to imply severe symptoms and a difficult future, when, actually, there are probably lots of mild cases. So yes, you’re right, he may not have it as bad as people think when they hear the word “bipolar” (which is to say, he will probably doing a lot better than Charlie Sheen).
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Posted by fxckfeelings on February 21, 2011
If you’re a hard-working woman who fails to achieve her ambitions, you probably want to eliminate whatever gets in your way, whether it’s sexism or an obstacle within your personality (all while being stereotyped as a shoulder-pad-wearing, stiletto-wielding, backstabbing she-beast). Don’t forget, however, that the most common obstacle isn’t evil co-workers or ill-fitting suits, but the irritating fact that life is hard and unfair, meaning it’s completely out of your perfectionistic control and power to eliminate. That’s why you can never let your definition of success depend on luck or outcomes, or judge yourself by how far you get. Instead, base your evaluation on what you do with whatever you’ve got, including bad luck, stereotypes, and fashion.
–Dr. Lastname
I am writing about my wife, who’s in her 50s. She is a very successful surgeon (one in a handful women head of dept. in her country), but she’s been very unhappy at work and I am writing you a), for advice on how I can help her and b), to ask if there is something I overlooked. She is unhappy since she has now twice been sidelined and been made to leave jobs where she worked very hard and believed she made a positive difference. In the first case, her department (one she build from scratch to become the largest in the region) was merged with another to meet international norms, but she was passed over to head the new, merged unit and was asked to accept half her salary (she refused and won a settlement in a lawsuit). In the second case she ran a department for a few years, then management decided to hire a new head as her senior and restrict her duties to exclude her specialties and personal preferences. She decided to stay, but even though she’s working hard, and numbers and patient reports say she is doing a good job, she not only does not receive recognition she craves, but sees her career and job threatened again. She cannot do her job halfheartedly, but she doesn’t have a sunny temperament and is hard on herself. Our children have moved away, and she and I work so hard we really only see each other on weekends, so there’s so much to put her happiness in peril. How can I help her? Why did she get demoted? Would fixing her work fix things or make them better?
Of course you’d like to spare your surgeon wife the unhappiness that goes with perfectionism and power politics. You love her, you want to see her happy, and you wish you could remove the pain the way she’d slice off a tumor.
Before I get to all the questions you’ve posed, however, you need to ask yourself one important thing—why or how you think sparing her such pain is possible.
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