Posted by fxckfeelings on July 1, 2009
Human nature tells us that the best way to solve a problem is to get to the root of the issue, but some problems, like mental illness, have no simple cause and no solution to speak of. In today’s cases, two people need to rethink their approach to mental illness; when you stop looking for someone to blame or a silver bullet cure, you can get to the real business of learning to cope with the reality of the present.
–Dr. Lastname
I think one of my sister’s kids might be mentally ill—he’s 9 and very intense and unhappy—but my sister doesn’t see it, and I don’t know how/if to get her to pick up on it. It should be fairly obvious to her since we saw the same symptoms in our mother, who wasn’t diagnosed as bipolar until we were kids and she had a chance to put on quite a show. I guess my sister doesn’t really understand that our mother wasn’t just a mean drama-queen but actually sick, maybe because she was younger when Mom went to the hospital and doesn’t really remember, or maybe because she’s in denial, or maybe both of those things combined with the fact she and her husband are space cadets that are such hands-off parents they don’t even notice that one of their own children is clearly suicidal. My goal is to get my sister out of the clouds and get my nephew some help, because if something happens to that kid, I don’t blame genetics, I blame her.
As any teacher well tell you, the danger of bestowing your idea of help on another parent’s child is that you have very little control over how parents react, because no parent wants to hear that something is wrong with their child. And their default response lies somewhere between defensive anger and general freaking out.
The freaking out also comes from the fact that it’s hard to keep the urgency and alarm out of your voice, no matter how diplomatic you think you are, and feelings trigger feelings. Suddenly you’re in a perfect storm of hysteria, but hey, no good deed goes unpunished.
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Posted by fxckfeelings on June 14, 2009
Nobody enjoys the break-up process, but there are ways, as either the dumped or the dumpee, to make that process even worse. Between a woman who thinks she’s permaturely ending things to a man who can’t let go, these two cases show how breaking-up is not just hard to do, but easy to fuck up royally.
–Dr. Lastname
I just broke up with my boyfriend, and even though I thought I was doing the right thing in the long run, I think I’m now making a habit of ending relationships before they get too serious. This time I ended things because, after a year together, I had to face the fact that I wasn’t as excited about him as I should be, and certainly not as excited about him as he was about me (and never was—this wasn’t an issue of the spark being gone, but never really being there in the first place). I left the guy before him because he and his mother were very close—maybe too close, in that his mother seemed to boss him around—and that mother lived hundreds of miles away, which meant he’d want to move hundred miles away eventually, and I really didn’t (let alone raise a family there so close to his crazy mother). I’m not that old, but I’m definitely in the marriage window, and while I think I’m just being realistic when I make these decisions, I worry that I’m just panicking in the face of actually settling down. I hate how much I’ve hurt my exes by what I’ve done, my goal is, I don’t want to do it again.
It’s understandable to feel bad when you’ve made someone else feel bad, but feelings aren’t that important when you’re looking at the bottom line. Before you start criticizing yourself for the painful outcome of these two relationships, considering the obstacles that make it difficult to find a good partner.
Ultimately, your goal isn’t to avoid painful breakups; it’s to deal with prospective partners honestly while you try to find a good match, knowing that it’s entirely possible to begin a relationship with someone you like and respect and then discover problems that would doom a long-term future.
That’s what you can’t control here: the unsolvability of two of those problems and the need to break the relationship sooner rather than later, regardless of the pain you might cause.
We both know couples who broke up because one of them is over-responsive to another priority in their lives, like a mother or job or college basketball. So when you’re considering settling down with someone, you need to ask yourself how this guy is likely to respond if the demands of our family conflict with his other loyalties.
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Posted by fxckfeelings on June 8, 2009
These two cases are based on feedback we got from our sibling-related post a week ago. Thanks to the anonymous readers who took the time to write in, and we hope these respond to your concerns.
–Dr. Lastname
Last week, someone wrote in asking how to react to his younger brother’s claim that their father had molested him, and you told the older brother, essentially, to tell his younger brother to move on. I find myself in a similar position to that younger brother—my step-father molested me for years—but A, there is no doubt as to my claims, I assure you, and B, I have yet to tell my family (my step-father just died). If and when I do tell my family, if they react the way you instructed that guy to react, I’d be pretty furious, and frankly, I can’t believe you’d give anyone that advice. It’s taken me years to come to terms with what happened, and I couldn’t tell anyone what happened, let alone my family, until several years after the abuse stopped/I got away. I don’t think I’m wrong in expecting my family to support me, and besides, isn’t advising the older brother to tell his abused sibling just to “move on” just a way of excusing the father’s behavior for the sake of the family reputation while letting his younger brother suffer yet more humiliation? I’m not writing in for advice—my goal is to get you to admit your advice was deeply flawed.
One very tough part of disclosing long-ago sexual abuse is that you have so little control over how members of your family, or anyone, will react. In some families, you will be embraced by people who believe in you, validate your experience, and are grateful that you spoke out. Your courage in doing so will be well rewarded.
But in many families, there are people who can’t believe the abuse happened or who aren’t strong enough to face what they know (even though they’ve otherwise proven themselves to be very loving and supportive while you were growing up.). Your courage will not be rewarded, or even appreciated in the slightest.
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Posted by fxckfeelings on May 27, 2009
Protecting one’s children is a powerful instinct, but it’s important not to become so blinded by that instinct that you can’t see if your protection is doing more harm than good. The two kids in these cases are particularly vulnerable, but their parents might be so committed to fighting for their kids that they can’t see how they’re actually declaring a larger, futile war.
–Dr. Lastname
My son is in 5th grade, and my wife and I were recently called into a meeting with the vice principal to discuss my son’s behavior. We were told that he routinely disrupts class, talks back to teachers, throws balls over the wall at recess, and, overall, “refuses to behave.” His school work is terrible, I admit that, and she says that this is because it’s nearly impossible to teach him since he won’t focus or really do anything but act up. Her recommendation was meeting with a school-appointed psychiatrist, and that that doctor would likely prescribe medication for ADHD. My wife is OK with that plan, but I think the situation is crazy, not my kid. He’s 10 years old, of course he’s acting like a brat, and I’m sick of people throwing drugs at every child that doesn’t sit still. I don’t want my son turned into some Ritalin zombie. My goal is to get him to get him in line with his school without putting him on pills.
You’re the parent, the tough decisions are always your responsibility, and the decision whether or not to medicate your kid is a hard one. What you and any right-thinking teacher or doctor would prefer, first and foremost, is a non-medical way of helping your son control his behavior.
While the common perception (yours included) is that shrinks like myself are eager to put people on the pharmaceutical bandwagon, that simply isn’t an infallible truth. Medication is never entirely safe, and is certainly less safe than most non-medical interventions, like behavioral treatments. Just because doctors can prescribe medication doesn’t mean it’s always our go-to answer.
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Posted by fxckfeelings on May 17, 2009
When everything in life seems to be going wrong, somebody’s bound to assure you, “at least you’ve got your health.” The problem is, no matter how much yoga we do and kale we choke down, we can never really control how healthy we are. Here are two cases of people who, in one way or another, are worrying themselves sick.
–Dr. Lastname
My husband and I just got pregnant, and while our parents are overjoyed, husband and his family keep ribbing me about my birth plan, and it’s starting to piss me off. Mainly, they think I’m stupid or something because I want a homebirth, and while my husband supports my decision—which I came to after reading some books, talking to friends, etc.—he’s made it clear that he thinks a conventional delivery would be smarter (and his mother now calls me “flower child” to my face, which isn’t funny, just weird). Conventional medicine isn’t always right, especially when it comes to taking into account the psychic scars that come from delivering a child in a sterile environment where s/he isn’t allowed to bond with his/her mother immediately, etc, etc. I just want to make sure that I have that our child is healthy and happy from his/her first second, and I hate that my husband thinks that this is a joke. My goal is to get him on board to put our baby’s health first and his stupid preconceptions second.
The scary thing about getting pregnant is knowing how much of your future happiness depends on having a healthy baby, and how powerless you are to guarantee that future. Of course, you do the usual—good nutrition, medical screening, no alcohol—but, in the end, there’s a natural process at work that goes wrong a certain percentage of the time regardless of prayer, diligence, organic this or holistic that. That’s life in its rawest form.
Our usual human reaction to such mortal helplessness is to invent and believe in various methods of control–some of which are incompatible with others–and then wage war with those who got it wrong, all of which splits the family and intensifies blame when something goes wrong. Welcome to why parenting is so hard.
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Posted by fxckfeelings on May 7, 2009
Since Monday was about anxiety, it makes sense that Thursday should be about the peanut butter to anxiety’s jelly– depression! In these two cases, depression has created urgent circumstances, not just for someone in pain, but for a sympathetic bystander. And, as often happens, the negative beliefs caused by depression are much more dangerous than depression itself.
–Dr. Lastname
Someone I’m close to called and e-mailed me a few times last night about killing himself, and this isn’t the first-time this has happened. The last time I got him to call a hotline and get help, and he agreed to go to therapy, but for whatever reason, it didn’t take, and now we’re back to square one. I’d like to believe that this time is another false alarm—that the fact he tells me he’s going to kill himself means that he wants me to talk me out of it—but how can I ever be sure? When he called last night, he asked me if I wanted to kill myself with him, I said no, but then he hung up before I could ask him where he was. Without a location for him, I didn’t feel like I could call the police, but I did call his parents (they couldn’t reach/find him, either). I don’t know what else to do, and frankly, I’m terrified. Please help me do whatever I can to keep him alive.
It’s dangerous to try to save the life of a suicide bomber, and that’s what certain very angry suicidal people are. It’s dangerous for them as well as for you, because the fact of your caring may give them a witness, a target for their anger, and a sense of meaning to their death.
If you don’t respond to his calls, he may take perverse satisfaction in letting you know he died because you failed him. If you do respond, he may tell you that you’re the only person keeping him alive.
Along the way, he tries to talk you into joining him. Whatever. He puts a terrible responsibility on you for his tortured life, and things go downhill from there.
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Posted by fxckfeelings on May 3, 2009
To most, freedom from fear seems like a reasonable goal; after all, ridding yourself of all anxiety would reduce your blood pressure, whiten your teeth, get rid of your gut, etc. Never mind that the possibility of a fear-free existence is sold to us by everyone from alarm companies to boutique medical practices. The problem is that fear, like happiness or anger, is, you guessed it, out of our control. Here are a couple cases where wanting to control fear clouds the real goal at hand; living in the face of ever present danger.
–Dr. Lastname
I didn’t used to be an anxious person, but I haven’t felt right since I got mugged a few months ago (I was jumped, robbed, and beaten pretty bad, and yes, amazingly, they caught the guys). I’m afraid to go out after dark and I wake up with nightmares, which is bad, but somewhat manageable and at least makes sense. What I’m really having trouble with are the less-than-occasional anxiety attacks with dizziness, shortness of breath, nausea, the works, and they’re completely incapacitating. It’s not just unhealthy, it’s making my life impossible. I should be able to stop them if I can get to the bottom of this trauma, right? I’ve lost my peace of mind and I want to get it back.
You don’t recover from trauma by recovering your peace of mind because, first, it’s often impossible and, second, it may be undesirable, at least if you define peace of mind as the absence of fear and anxiety. Simply put, life is dangerous. While you might not see your brain’s fearful reaction to your trauma as positive, it’s just adjusting by putting you on permanent alert for the next attack.
In doing so, it’s preserving you and passing on your genes to the next generation, which is more likely to have the same guard-against-attack thermostat. So don’t feel it’s wrong to be post-traumatically anxious; the anxiety may tire you out, but it’s also there to make you hyper-alert to the next threat, whether it comes by day or night.
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Posted by fxckfeelings on April 15, 2009
Today’s cases are a double helping of people who feel like they’ve ruined their lives; one curses a bad choice, the other a character flaw, but both have made the bigger mistake of not being able to evaluate what failure actually means. It’s not that their lives can be 100% fixed, but they’re not 100% broken, either.
-Dr. Lastname
When I was in my teens, I decided to become a priest, because I really believed the priesthood would make my life complete. I fully immersed myself in the church, lost touch with all my friends, and spent the next ten years studying at the seminary, training in the religious life. The more I learned, however, the more I began to question the church’s teaching, and this made a lot of my peers and superiors anxious and annoyed. Eventually, I became disillusioned and finally decided to leave, but I had no idea what I was truly giving up. My oldest friends have educated themselves, found partners, and settled down, while I’m back living with my parents, having acquired no marketable skills and alienated myself from all my friends in the priesthood. You don’t need to lose God to feel like you’ve missed out on life late in the game. I feel I’ve failed myself. My goal is to fix this mess I’ve made of my life.
If your goal in becoming a priest was to be happy, then I can see why you regard yourself as a failure, because, in spite of a huge effort lasting many years, you quit the priesthood and are as unhappy as you’ve ever been, so congrats, the results of this critical decision couldn’t possibly be more negative or disappointing. On the bright side, there are better reasons for wanting to be a priest that have nothing to do with being happy or getting good results. Perhaps you wanted to be a priest because you believe in making the world a better place by helping others and making sacrifices, and, if that’s the case, how can you possibly be a failure?
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Posted by fxckfeelings on April 12, 2009
If last week started with 101 cases, this week begins with a few from the 201 level; the first two are follow-ups to Thursday’s post about how to deal with crazy people, and the last case, about therapy itself, might seem a little too inside baseball at first glance, but it’s really about basic ways to evaluate whether or not therapy is worth it for you. Especially if you’re not actually crazy.
Thanks for the letters, and please keep them coming. Also, thanks to everyone for the nice tweets, and we’d respond personally more frequently were we not somewhat twittertarded. Alas.
-Dr. Lastname
Follow-up to the crazy neighbor dilemma: If the sane party chooses to move, how will they be able to sell their house without lying about why they are moving? Will anyone buy their house if they say there is a vindictive crazy man next door who may fixate on your family? What are your thoughts?
While this query might have been submitted with a short, direct response in mind, I’m treating it as a full case as it brings up an interesting issue; what’s your goal if someone has you squeezed into a totally inescapable corner, like the crazy neighbor who terrorizes you if you stay in your home and prevents you from selling it and leaving?
You might think your goal is escape, but in reality, that’s more of a wish; sometimes you’re fucked, you can’t escape, and feeling you should will increase your helplessness and self-blame and make you do something stupid. Simply put, your goal is to accept that you’re fucked and keep trying to escape. Remember, this is not useful, solution-oriented advice– it’s advice about what to do when there are no solutions, which is what life’s toughest situations are all about. And those are the kind of situations that drive someone to pay lots of money to talk to someone like me.
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