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Sunday, January 12, 2025

Wrong Wrath

Posted by fxckfeelings on October 1, 2012

Most humans instinctively avoid conflict—in the face of hostility, our reflex is to stay out of it, hit the deck, or make a run for it, except when we’re dealing with family, when it’s much harder to escape. That’s when we feel obliged to wheel, deal, and peace-make until the situation becomes bearable. Unfortunately, if the source of conflict can’t be quelled or appeased, trying to make peace usually makes things worse. So, until you can figure out whether you’re responsible for breaking or making the peace, give up on finding a resolution and go back to staying both out of it and true to doing what’s right.
Dr. Lastname

I understand why my grown son wants to rest up at my place for a week before letting his mother know that he has returned home after working abroad for a couple of years—my ex-wife is sticky, needy and manipulative, which is why she’s my ex—but I’m afraid she’ll blame me for keeping our son away from her, even though it’s his choice. So my goal is to figure out how to get my son to stop feeding his mother’s paranoia about me, which will get her complaining to our other kids, who will blame me. I wish I could get this conflict to stop.

Before worrying about your ex’s tendency to blame you for things that aren’t your responsibility, ask yourself what, as a matter of principle, you think your son’s responsibilities are.

If your son’s mother wasn’t so eager to cast blame, you would probably say that he should keep her informed as a matter of showing respect and letting her know that he cares. He doesn’t owe her an explanation for which parent he chooses to see first (when your parents are divorced, you can’t stay with both), but after two years away, waiting to contact his mother for a week would be hurtful to her or any parent, even those who don’t dispense guilt with glee. WAIT! There is more to read… read on »

Fate of the Union

Posted by fxckfeelings on September 27, 2012

People often like the idea of change—they diet for it, dream of it, vote for it, etc.—but in reality, change is actually pretty scary, unpleasant, and hard to do, which is why people often resist it when given the chance. This is most often true in marriage, where habits get built from deep needs and feelings, and don’t always reflect the way you’d like yourself to be, be that desire to be faithful or just single. If you’re willing to build up your strength and do the work, you can win the battle for control over your decisions and make those changes reality.
Dr. Lastname

Since I’m someone who tends to get both restless and depressed, I have a habit of cheating on my husband more often than I should…I love him and our family and don’t want to break it up, but there’s a certain excitement to having an affair that satisfies my restlessness. They also make me feel alive and admired, which helps with my depression. My husband said he’d leave if I didn’t get into couples counseling, so I did, but I still can’t seem to stop the affairs and he always winds up finding out. Anyway, my goal is to feel less depressed so I won’t have to have affairs and I can keep my marriage.

Like many people with a feel-good, do-bad habit, you want to stop the habit without feeling additional pain, and it’s just not possible. Unfortunately, you can’t have your cake (your marriage) and eat it too (other men, pardoning the unintentionally dirty use of “eat it”).

Sure, stopping the affairs would ease your guilt, your fear of being found out, and your uncertainty about where you stand with your family. On the other hand, habits like this are hard to stop and killing the thrill would leave you at the mercy of your depression. Then again, so would losing your marriage. WAIT! There is more to read… read on »

Damaged Control

Posted by fxckfeelings on September 24, 2012

Coping with the mental illness of a family member can be agonizing, and when you can’t stop destructive behavior, it feels like defeat. Trying to defeat the symptoms of mental illness, however, is like trying to win a war on weight-gain or terror—difficult, endless, and resulting in gains that are easily lost. If you learn to accept setbacks as part of the process, rather than attack them as tests of your love and will, you’ll do more to sustain morale, including yours and your family’s. Take pride in your willingness to endure a difficult, painful, and sometimes frightening relationship; you won’t win or lose a war, but you’ll gain peace.
Dr. Lastname

I’ve got an adult daughter whom I know is mentally ill—she thinks people are plotting against her, including her very nice husband—and, for the last few years, without my own husband’s help, I’ve desperately tried to persuade her to get treatment before her marriage fell apart and she got arrested for doing something violent and stupid. The harder I tried, however, the more she suspected I was part of the conspiracy. There was a ray of hope 6 months ago when she had a screaming fit one night and got locked up in a mental hospital, but the medication made no difference, and she came out more certain than ever that her husband was her worst enemy, so she left him. My husband says I’m part of the problem because I never take my daughter’s side, but my goal is to restore her to sanity, and I know my husband is in fantasyland if he thinks she’s sane and has a “side” based in reality. I’m getting nowhere, though, and my own marriage is under pressure. What do I do now?

Unfortunately, while there is no surefire cure for paranoia, pushing a paranoid person to get help is a reliable way to make it worse. After all, if somebody thinks the world is against them, disagreeing with that person only confirms their delusions. Call it the paranoia-dox.

If your daughter’s paranoia can’t be helped—and it seems you’ve tried very hard to help her—then I’m sorry, but your husband has the right idea, even if it’s for the wrong reason. By not challenging her feelings of being victimized, your husband avoids the paranoia-dox, which makes it an approach worth trying. WAIT! There is more to read… read on »

Guilty Patsy

Posted by fxckfeelings on September 20, 2012

As feelings go, guilt has as much to do with crime as love has to do with partnership; both are strong feelings that can get triggered by instant, mysterious neurologic responses, regardless of our individual beliefs about right, wrong, and what’s good for us. So, just as you shouldn’t decide someone is your soul-mate after two drinks, don’t immediately assume it’s your job to atone and/or feel better if someone’s look or tone of voice triggers feelings of guilt. Learn to tolerate that guilt until you’ve had a chance to consult your beliefs and judge for yourself. Otherwise you’ll find yourself trapped in a doomed committed relationship, whether it’s one of romance or repentance.
Dr. Lastname

While I usually spend weekends visiting my father at his beach house in the summer, I stayed away this year because he told me he wanted to have a private talk with me, which historically means giving me a lecture on how much I’ve disappointed him. I’ve put up with it in the past, but I’m sick of hearing it and fighting with him, so avoiding him just seemed smarter. I think it was a good idea to stay away, but now, whenever I call him to check in and be pleasant, he acts as if he’s too injured and disappointed to continue the conversation for more than a minute or two, which makes me feel guilty. I want to explain to him that I can’t see him because I want to avoid a negative conversation. My goal is to stop feeling so bad about doing a good thing.

Every guilt trip requires a traveling companion, and that doesn’t include the person who sent you off on your journey of remorse with a scornful “bon voyage.”

You’re actually accompanied by an internal collaborator, a side of your personality that kicks in reflexively, obediently, and without question to zap you with instant guilt for the sin of failing to make someone happy, regardless of said someone’s jerky behavior, or your being innocent.

Most of us have such a collaborator living in our brains, and some of those collaborators are easily triggered by a dirty look from anyone, be they parents or strangers. Companions like these aren’t so much guilt-trippers as guilt jet-setters, and it takes a constant effort to keep them, and you, feeling grounded and at home with your own decisions. WAIT! There is more to read… read on »

The Feel Deal

Posted by fxckfeelings on September 17, 2012

Some very smart people are brilliant at expressing the way they feel and acting on those feelings tenaciously while remaining inept at putting those feelings into a broader perspective. For them, feelings are facts, allowing them to act first, ask questions never. If you happen to be such a person and these words aren’t meaningless, be aware that there are ways to learn a different, more value-driven way of thinking. If you happen to have been written off by such a person, know that it has nothing to do with you and everything to do with the impulses of an otherwise-smart person for whom feelings, not facts, are an infallible truth.
Dr. Lastname

Growing up, I always had a feeling that the things that promised happiness to other people didn’t work out for me, I hated being alive, and I didn’t mind who knew it, even though my family always told me I was being too emotional and that I refused to admit or remember the moments of my childhood that were fun or happy (no idea what they’re talking about). Anyway, I grew up, found steady work and got married, but the marriage ended a couple years ago. I’ve tried medications for depression, and the 3 or 4 I’ve tried haven’t done anything but cause side effects. So my point is that I’ve had it. I really don’t see the point in staying alive when I feel miserable most of the time and nothing has worked out. I’m not feeling suicidal at the moment because I’ve been busy at work and that makes me feel useful, but I doubt that I’ll want to hold it together when the next layoff comes around and I have nothing to do. My shrink wants me to stay positive and fight my negative thinking but I think it’s more than negative thinking; it’s a negative reality and I’ve had enough of it. My goal is to challenge anyone, including you, to show me that life is worth living.

While depressed feelings can be very powerful in persuading you that there’s no point in living, feelings aren’t facts. Just because you’ve always felt like life isn’t worth living doesn’t mean that it’s true now or in the future.

When people say to “stay positive,” what they really mean is that you should look at the bigger picture, beyond whatever negativity you happen to be feeling, and identify long-term goals that are meaningful in terms of values (like doing good, supporting the people or causes you care about, or sharing love), not in terms of feelings or outcomes.

As long as your life reflects your values, like trying to be decent to others and doing a good day’s work, you can tell yourself that your efforts are worthwhile, regardless of how badly things are going at the moment…unless, of course, your brain is unable to see facts and feelings as two different things. WAIT! There is more to read… read on »

Parentshould

Posted by fxckfeelings on September 13, 2012

If your parents or in-laws make you feel helpless, even though you’re now a parent yourself, it’s seldom useful to examine how or why they do it since knowledge seldom changes your feelings, except to make them more powerful. Instead, get the courage to pull the parenting card yourself and develop polite rules for stopping bad behavior and keeping things friendly. You’ll be surprised at how quickly your feelings will change if you act as a boss when that’s what you really are. And if they don’t like it, they can go to their rooms, with or without supper.
Dr. Lastname

I’ve always had a love-hate relationship with my father…I think he’s a decent guy and I owe him for everything he gave me as a kid, but his anger has been a problem my whole life. He and my mother divorced when I was pretty young so I only saw him on holidays and some weekends, but even after that, at least once per visit he’d get so frustrated with me that he’d go into rages that left me genuinely terrified (he never went too far physically or verbally, but I’d still get really shaken, and once it was over, he never mentioned it again). I made it worse as I got older, because I’d yell back, which pushed him even further. Now I’m the mother of 2 young kids, I’d like them to spend some time with him (and so would he), but I want to protect them from the possible fear/trauma that I had to experience, even if it wasn’t criminal, per se. So how do I keep a lid on the fireworks without keeping him out of my life?

You’re right to regard big loud parent-child blowouts as tough on kids (and anything else around, including other people, pets, plates, etc.), and you’re wise enough to look for alternatives that don’t involve too much suffering by you or your kids, assuming the worst-case Dadageddon.

Remember, however, that you’re the mother, which means you make the rules of engagement. When you were a kid, you probably bristled under your father’s scary authority, but after all these years, you’re free at last. You’re the adult now and the parent, so you’re not just the boss of you, but your brood as well. WAIT! There is more to read… read on »

Bitch, Please

Posted by fxckfeelings on September 10, 2012

If you feel persistently mistreated by your spouse, sharing your emotions is often ineffective; while your feelings meant the world to him at the start of your relationship, like a car, they lose value with every mile that gets put on. Unless your partner sees the light—which, as a partnership gets older, becomes less and less likely—telling one another how you really feel usually leads to nothing but a victim-off that’ll make you both wish you’d never started dating in the first place. Before opening your mouth, learn how to do your own damage assessment, spot the choices over which you have independent control, and put together a plan for making the best of what you’ve got. Who knows, maybe if you do what you think is right about your half of things, you’ll get more miles out of your relationship without having to trade it in.
Dr. Lastname

I have been with my man for seven years, but as time goes on, he is getting more financially controlling and disrespectful. I usually let it slide, but I’m sick of feeling like a pushover. How do I stand up for myself? I need help bringing out “the bitch inside.”

Even when you’ve got good reason to feel badly treated by your partner, releasing “the bitch inside” will just give him a good excuse to dismiss your issues as trivial and over-emotional. In other words, no matter how justified your anger, acting like an angry bitch will only succeed in getting you treated like one.

Yes, you may get him to sit up, listen, and mend his ways, but that’s unusual, particularly with long-term partners with whom a long history can serve to justify whatever they’re doing. The more he annoys you, the more successful he feels.

While unleashing the bitch is tempting, that kind of reaction usually just causes guys to duck, retaliate, and ultimately respond with their own list of complaints. Better, then, to keep your inner bitch in strict lockdown until you figure out how bad your problem is and what you can actually do about it. WAIT! There is more to read… read on »

Live Free Or Diagnosis

Posted by fxckfeelings on August 30, 2012

If you listen to (other) experts, psychiatric treatment should always begin with objective evidence, which then determines a diagnosis, which directs us to proven, effective treatments. This expert, on the other hand, thinks that “evidence-based psychiatry” would be very nice if we happened to know lots more than we do, but it is one of life’s great ironies that the organ we know the least about is the home of knowledge itself, the brain. Until we can fully wrap our heads around our minds and how they work, scientific thinking in psychiatry is often wishful thinking. It can actually get in the way of making good, practical decisions and accepting the necessity of living with the unknown, be it a mystery illness or the grey mush in our skulls.
Dr. Lastname

I’ve been very confused lately because of what’s going on inside me. My father did some bad things to me while I was growing up—things that I just began remembering a year or so ago (sorry, I can’t label it). Since then, other memories surfaced as well, but not many at all. Most of my memories of my childhood are snapshots that are just little moments in time, separated by years in between that I just don’t remember. Anyway, the thing that distresses me is that sometimes, but not all the time, I’ll feel like I have another part of me who is talking in my head. This came to my awareness mostly after the memories started coming up, although I feel like maybe it happened occasionally before. For instance, recently someone asked me a question, and a child’s voice answered in my head. I have other instances of similar things like that happening. One time it seemed like there were two parts conversing with each other and I was just observing the conversation, per se. That being said, I am educated enough about what happened to me and the consequences of it to know that I think I’m describing DID, but from what I’ve read, I don’t think I have it. I don’t switch to other personalities, and I don’t really lose time or anything like that…but I do know I’m not qualified to make that kind of assessment (and I know you can’t just by reading this letter). But my question does relate to that: is it possible to have the kinds of experiences I’ve described and not have DID? Since I’m pretty sure I don’t have it, I feel like I’m just some crazy, messed up person for no reason. It terrifies me to share this with anyone, but I don’t know what to do anymore, and it’s getting harder and harder to keep going.

Diagnosis in psychiatry is never precise and, when given too much attention, can do more harm than good. Until the day a mental illness diagnosis can be determined by peeing on a stick, all we can currently do is lump symptoms together and try to observe what happens to people who fall within an arbitrary category.

In the short run, knowing you’re not alone might be comforting, but it would tell you very little about what to expect from future symptoms or treatments. Worse, it would get you thinking of yourself as a diagnosis instead of as a person who’s trying to live life in spite of some disturbing, hard-to-understand symptoms.

As such a person, ask yourself what you most want to accomplish in this life, despite whatever’s going on in your head. For most people with traumatic childhoods, it’s always meaningful to be decent to others, whether they’re your kids, relatives, or friends. You know how easily people slip into abusiveness when they’re angry and how much it hurts, so you never take a good, supportive relationship for granted.

Most symptoms that impair the way you function won’t prevent you from being the person you want to be or doing what you really want to do, they’ll just slow you down and force you to work harder to think up alternative methods. A good coach helps you to accept your impairment without getting discouraged or demoralized.

So instead of looking for the ultimate shrink diagnostician, find a therapist who can act as a good coach, who isn’t too upset by symptoms, and is eager to see what you’re capable of, even when you’re distracted by traumatic memories, internal conversations or the sensations of observing yourself.

Consult a psychiatrist at least once or twice to get an overview of possible treatments, including medication. Of course, non-medical treatments almost always pose a lower risk, but many medications are relatively safe and require no more than a few weeks to try out. If your symptoms are sufficiently painful and/or disabling, and non-medical treatment is insufficient, then you owe it to yourself to check out every possibility.

Whatever symptoms you have, you want to do your best to manage them without letting them define your life. Keep up your diagnostic questions until you’re confident you’ve heard what the experts have to say, regardless of how unsatisfying that might be, and then forget about what caused your problems or how they might be categorized.

Your next step is to manage your burden and respect yourself for carrying it, even if the nature of that burden remains a mystery.

STATEMENT:
“My psychological symptoms spook me and leave me feeling distracted and distanced from myself, but they can’t take the meaning out of a good day’s work or a solid friendship. I may never figure out why I feel the way I do, or stop myself from feeling that way, but I can certainly lead my life according to my values regardless of the tricks my head likes to play on me.”

No one was more surprised than I when I suddenly got depressed about a year ago, because it’s not something that ever happened to me before. I lost energy, felt like crying, and got anxiety attacks. There was lots of pressure at work, but my job was safe, and I’ve never been prone to buckling under pressure. Now I could barely get to work and I didn’t give a damn about the projects that I was responsible for. My wife finally forced me to see a psychiatrist, I started to feel better on an antidepressant, and then my internist really surprised me by telling me my testosterone was low and I should try a trial of replacement therapy, which I did. Within 2 weeks I was back to normal and a few weeks later I stopped the antidepressant. So now I wonder whether I was really depressed or not or whether I should have tried antidepressant in the first place. My goal is to figure out my diagnosis so I’ll know what to expect.

Even on that rare occasion when a specific psychiatric diagnosis really matters, it doesn’t matter as much as you think. Yes, it was critical to your recovery that you and your doctors checked out testosterone deficiency as a possible cause of depression; the sudden, unexpected onset of your symptoms raised the odds of your having an unusual and potentially curable cause, which deserved an extensive workup of your hormone levels, vitamin levels, evidence of inflammation, etc., so congrats for making a good decision.

You also discovered that depressive symptoms may have many causes, making depression less of a diagnosis than a cluster of symptoms. So, much like aspirin, antidepressants can improve symptoms, no matter what the cause, if they work at all. (Unfortunately, no matter what the cause, antidepressant trials often fail [35% for each trial] and require lots of time [three to four weeks] before there are noticeable results.)

In addition to lucking out with both the diagnosis and the response to antidepressants, you learned a valuable lesson, which is that anyone can get depression. It wasn’t caused by bad psychological or medical hygiene, just bad luck. Getting depression often doesn’t have a deeper meaning other than that we live in a tough, unfair world where people often get sick for no reason, and sometimes that sickness makes your brain miserable.

Your own observations are the best guide to your prognosis. If you responded rapidly to getting testosterone replacement therapy, then you may be relatively unlikely to get depressive symptoms again (as long as you continue taking the testosterone, which you may need indefinitely). At some point, if you want to experiment with reducing the testosterone treatment, ask your physician about the odds and choose a good time for experimenting, when not too much else is going on in your life.

From what you know, there’s no reason to think that your prognosis—your expected luck—is worse than anyone else’s. You made good choices, which is an essential survival skill when you happen to live in a bad luck world.

STATEMENT:
“I’d love to take my mental health for granted the way I used to, and maybe I will, after enough time of not feeling depressed has passed, but there’s no escaping knowing how easy it is to get sick. I’m proud of having made good decisions and happy to have gotten lucky enough to almost balance the bad luck I had to get sick in the first place.”

Sh*te Wedding

Posted by fxckfeelings on August 27, 2012

Weddings and funerals are supposed to produce scripted emotional results, but life simply pushes too much muddy water under the bridge for human ceremonies to work out the way they’re supposed to, i.e., with great joy or catharsis, as opposed to resulting in a couple getting married or the survivors of a loved one being consoled. So when you’ve got a major change-of-life ceremony coming up that can’t perform the way it should, don’t feel like it, or you, has failed. As long as you see the greater purpose of the ceremony, there’s a way to not just get it over with, but make it accomplish something worthwhile.
Dr. Lastname

When my husband left 3 years ago it came as a shock although we had been unhappy for a long time and both had affairs before (his secret, mine open). He insisted to me and our adult children that there was no one else, and was uncertain about divorce. He carried on spending a lot of time with the family, then told us he had recently started seeing a female former co-worker, but that it was not important. He then spent six months leading us all to believe that he wanted to save the marriage and taking me out on dinner dates, but he also took a holiday with the other woman, and said lots of things that failed to add up. Two years ago everything changed when the other woman confronted him at the family home and made a horrible scene and swore at me and our son. She was furious about all his lying to her and told us they had been involved for years, then they brawled in front of me and he ran away. Things are now amicable between us even though he is still involved with this person, but we are still not divorced and our kids have chosen not to meet her. Our daughter is to be married soon and I do not wish to receive this other woman at the wedding on account of her awful behavior to me and my son (I have not seen her since that day and she never apologized). Do I miss out on having my new partner attend or do I swallow my pride and invite her? It’s my daughter’s day and I want it to go well but feel humiliated at the prospect of having to be pleasant to this person. My goal is to behave with dignity and retain the moral high ground without sacrificing my principles.

Before asking yourself whether you would feel humiliated if your husband’s volatile girlfriend were invited to your daughter’s wedding, ask yourself what the goal of your daughter’s wedding is supposed to be (aside from a legal ceremony with cake).

Despite the numerous television shows, films, and monthly magazines that tell you otherwise, the primary goal of weddings isn’t to make the bride, or any one person, happy, because that goal becomes dangerous in a hurry, whether you’re talking about a wedding or life in general.

There’s too much about weddings that you can’t control, including the weather, having enough cake, and risking forced meetings between sworn enemies (see above) who have access to free alcohol and folding, potentially airborne chairs. WAIT! There is more to read… read on »

Cheat Code

Posted by fxckfeelings on August 23, 2012

We never advocate trying to change or control someone else, but imposing standards on how someone behaves with you isn’t necessarily trying to control that person, just the behavior that occurs in your immediate vicinity. If that person is someone you love, you hope they can change their behavior for the sake of a better life and closer relationship/even tighter vicinity. As long as you accept your powerlessness over that change, however, you can enforce your standards without rancor, bitterness, or guilt, while hopefully giving them an opportunity to decide to control their behavior on their own.
Dr. Lastname

A few months ago, after I caught my boyfriend in a series of lies and secretive communications/meetings with several old girlfriends, he agreed to cut off communication with all but two of them whom he considers close friends. I know that this guy absolutely despises authority, so I will not “demand” that he cut off communication to women that he had slept with just before meeting me, women that he had very inappropriate texts and emails with until I caught him, but he told me, with those two women, he will now keep his communication with them “clean.” I say, if he couldn’t stop himself before, he is likely a compulsive (something?) and he’d do himself a huge favor by simply cutting ties. He has sworn to me that he has been physically faithful, but I think that what he did constitutes emotional affairs, and that safeguards should be put in place to make sure it doesn’t happen again. By the way, when he was seeing these girls before me, he WAS physically cheating on every single one of them. So there definitely is a compulsive behavior he needs to get under control…

Intellectually, you’re right to assume that your boyfriend’s past behavior shows that he’s a liar and cheat and that, regardless of his sincerity now, the only way to guarantee he’ll change these behaviors is breaking his texting fingers.

What’s missing in your account is that you haven’t asked yourself what he could possibly do that would make you think he has this problem under control, and what he can do and what he can say are two very different things.

Don’t accept weak, bullshit answers like “I’ll go into therapy” or “I’ll cut back to two friends,” because they don’t acknowledged the likelihood that he’ll do it again, which is the part of his problem that most concerns you. Instead, they allow you to hope that things will get better and forget about the open-door policy of his pants. WAIT! There is more to read… read on »

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