Posted by fxckfeelings on August 30, 2010
Someday, people with psychiatric problems will get safe, effective treatment without having to make difficult choices, and Thanksgiving dinner will come in a pill, and jetpacks will be available cheaply for every man, woman and child. For now, the state of the art is much better than it’s ever been, but it’s still primitive, and it certainly isn’t inexpensive. Until the silver bullet for curing mental illness is found, patients have to make innumerable tough decisions for themselves, weighing everything from side effects to costs. Or they can just bide their time until their jetpacks arrive to make everything better.
–Dr. Lastname
I decided recently to listen to my friends and family and see a psychiatrist about my depression, but I don’t know whether I’ve made the wrong decision, or whether I’ve just chosen the wrong doctor. Basically, I decided to get help because I feel helpless, but my doctor wants me to do a lot of the work myself and doesn’t really help that much. It’s not just he wants me to ask myself a lot of questions (and answer them—if I had the answers, would I really be paying him?—but also deal with my insurance company and read up on the medication he suggests (he tells me about them, sure, but he says I owe it to myself to read up on them on my own, and that doesn’t make sense to me since he’s a doctor, knows everything about the pills, and he could just tell me himself). My goal is to figure out whether therapy is worth it, or whether I’m just getting help from the wrong source.
I hate to sound like your psychiatrist, but ask yourself what you have a right to expect from treatment, given what you know about its limits and your resources for paying for it.
If you want, you can spin things positively by saying that you’ve heard about good new treatments that can really help and that you’ve got great insurance that you pay a ton of money for. Of course, you’d probably be full of shit.
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Posted by fxckfeelings on August 23, 2010
Family issues are the grist for any shrink’s mill, and while that’s good news for us, it’s bad news for almost anyone with a relative. After all, you can’t choose your family, but you also can’t choose how the people you marry—those you bring into your family—will or won’t gel with their new kin. Knowing that most of those mismatched relationships can’t be fixed might not be what you want to hear, but it’s the truth, and if you can accept it, you’ll still be unhappy, but at least you’ll save money on therapy bills.
–Dr. Lastname
My family, whom I’ve always been close to, has never liked my wife—they didn’t like her when we were dating, they did a shitty job of hiding how pissed they were when I said we were going to get married, and they still don’t like her now. I know she can seem pushy and anal-retentive, but she’s a good person and she’s been incredibly supportive of me. When we started dating, I’d just lost my job, but she stood by me and even helped me find work again. When we needed a new place to live, she took charge. I’ve tried to get my family to see her the way I do or, if they can’t, at least be polite, but they always manage to undermine her plans and mock her way of doing things, and it drives her nuts. I can’t keep forcing my family on her if things don’t get better, but I don’t want to stop seeing them. My goal is to get my family to change before they drive her, and me, away.
There’s a special kind of torture in trying to make peace in vain. If we all had Hillary Clinton’s job, we’d probably just give up and wear pantsuits, too.
At least your peace-making efforts are not doubly cursed with your wife’s accusing you of being unsupportive and not standing up for her…or maybe you’re not telling me the whole story because you’re forever protecting your wife’s back.
Either way, I assume that sharing your concerns with your family hasn’t worked. Indeed, telling them they’re hurting your wife’s feelings may feed their hope of changing or punishing her or driving her away, and then they’ll act worse. If so, it’s time to shut up and give up on trying to solve this problem and instead ask yourself how to make the best of it.
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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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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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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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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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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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Posted by fxckfeelings on June 28, 2010
Our deepest instincts tell us that there’s nothing more important than saving the lives of those we love; it’s like the mama bear instinct, except it extends to all those closest to us, and has less hair. Unfortunately, there’s no off switch to that drive, and most of the things that threaten our lives don’t respond to sacrifice, no matter how sincere, extreme, or persistent. That’s where nagging ends and plan B begins (and B doesn’t stand for bear).
–Dr. Lastname
I’ve been getting increasingly nervous about my aging parents, particularly because my mother, who’s a very vigorous near-90, likes to ignore the real risks of continuing to vacation in their old, 2 story, roughing-it country home. She loves to garden, take vigorous walks, build fires, and keep to the same routine she had when she was 40. I know I’m a nervous person—I’m a nurse, and I’ve had to deal with an injured leg since childhood—but I’m haunted about what could happen to her if she fell down and it’s no place for my dad, who’s very frail after a stroke. When I said something to her yesterday about how she should hold onto my father’s arm when he walks, she told me to mind my own business. I’m the only one of the kids who lives nearby, so their safety is my business. How do I get her to understand she needs to be more careful?
It’s understandable that you worry about your parents, but even if they were both freakishly healthy and lived in a hermetically sealed bubble, the sad fact is, they’re both going to die.
[Moment to process.]
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Posted by fxckfeelings on May 24, 2010
Parent/child conflicts can get particularly brutal when people are scared for and determined to save one another. Emotions run stronger, stakes are higher, and the gloves are never on. Instinctively, kids and parents fight for control and submission, and regard it as defeat to accept a new reality and get over it. The reason the instinct is so foolish is because control is impossible, so the battle becomes endless. Conflicts like these need to be handled with great care; they must call them kid gloves for a reason.
–Dr. Lastname
When my mother starting dating my soon-to-be-step-father, I was upset. It’s not just that my father had only died six months earlier, but that this guy was clearly a user and a nowhere near good enough for her. I’m in college, so at least I didn’t have to live under the same roof as this jerk, but I’ve already gone out of my way to avoid him and it’s really annoyed my mom that I haven’t tried to get along with him. Plus it means I’ve spent last time with her, and we used to be really close. When she told me they were going to get married, I freaked out, and now she’s says that if that’s how I feel then I’m not invited to the wedding. I think what my mom and I need is a face-off to get everything on the table and sort out this mess. My goal is to get my mom back.
You’ve got every reason to worry about your mother’s taste in men and its impact on your relationship; after all, her choice has the potential to cause you (and possibly her) great pain, at a time when you’re grieving your father’s death.
Unfortunately, however, all you can do is worry, and after that, you’re fucked. There’s nothing you can do to make things better and lots to make things worse.
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Posted by fxckfeelings on May 10, 2010
Everyone wants a feel-good, look-good family, but most of us relate to the more familiar feel-bad families on TV (which look good, and feel better by the end of the show). Still, there’s a difference between your average dysfunctional family unit and your genetic/step-parent clusterfuck. When your family situation is in truly bad shape, you’ve got to be tough enough to accept what you’ve got, then focus on making the best of those impossible relationships, outsider opinions be damned. Unlike those TV families, real problems don’t get solved after a half-hour, not everybody’s pretty, and you have to ignore your ratings with the audience.
–Dr. Lastname
I need to stay married because, while I work a pretty demanding job, my wife stays at home and watches our two kids, whom she adores. The problems are, however, (and there are many): she doesn’t work because of a migraine disorder that’s so debilitating that she’s on disability, and she takes too many non-prescription pain pills for those headaches, and, while they don’t make her a bad parent (I know the kids are safe), they often make her, in your words, a really needy, grumpy asshole and an impossible woman to be married to. I never know when she’s going to kick me out of the bedroom, scream at me in front of friends, or nod off after dinner. Needless to say, she won’t try marriage counseling or cutting back on the pills and thinks I’m bullying her if I suggest we have a problem. I can’t leave her, because it’d break the kids’ hearts, plus, like I said, she provides childcare, which is not something I could afford on my salary, and if I lost custody of the kids, I’d be in a worse hell than I am now. I know I can’t leave, but I don’t think I can live like this much longer. My goal is to find a better way to survive.
You’ve got good marital reasons for staying vs. leaving (the kids, the kids, the kids, and money, but also, the kids). There’s no escaping the fact, however, that her headache is infectious, and you’ve got it, too.
You’ve obviously built up a good, solid tolerance for living with your wife’s problems without fighting all the time, and your values and perspective are great. Which is why you probably already know that your goal is impossible.
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