Posted by fxckfeelings on January 23, 2012
For those of us in the helping professions who overestimate our ability to help, (off-hour phone) calls for help can become a big problem. Whether you’re soft and sympathetic or blunt and tough, there’s no problem you can’t make worse by taking too much responsibility for messes that are beyond your (or anyone’s) control. If, on the other hand, you know the limits of your powers, you can respond to calls pleasantly, do your job, and still help someone without hurting your own sanity.
–Dr. Lastname
While most mental health clinicians would feel guilty admitting this, I’ve been in the biz for long enough that I don’t give a shit and I need to vent. Most of the crisis calls I get from my psychotherapy practice are senseless and irritating; they’re from patients who feel bad because they forgot to take their medications, or drank too much or when they shouldn’t, or allowed their demons to wreak vengeance on their enemies, the nearer the better, self best of all. A few call me because they’re feeling suicidal (but won’t go to the hospital) and just want me to make them feel better, which is hard when it’s late and I’m tired, and often impossible just because I don’t have that kind of power. I try to be civil, but their calls leave me feeling helpless and wondering whether I’m doing any good. Discussing their responsibility for their behavior is useless, because it usually makes them mad or apologetic. My goal is to figure out what to do with crisis calls that are really a useless pain in the ass.
Many crisis calls you receive as a shrink do a good job of showing off a patient’s worst behavior. It’s like having partial custody of a colicky child.
It’s not that their distress isn’t real and severe—it is, almost always—it’s that it causes self-defeating behavior, like drinking or mouthing off or retreating from the world, which creates a jam that is extra hard to get out of.
Bad feelings cause bad behavior, bad listening skills and bad regrets about going into the therapy business instead of owning a Toyota dealership. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 19, 2012
Sometimes, when you most need friendship, neediness messes it up. Maybe it’s a need for the wrong kind of person or for the wrong kinds of intimacy that are very satisfying in the short run and explode later. Ultimately, friendship isn’t the answer to your needs, but managing your needs will give you a good friendship.
–Dr. Lastname
I have always had a problem with keeping friendships because of moving too much, anxiety, and some other reasons. Almost every friend that has come into my life seems to be very needy and I tend to become anti-social when this happens. My current best friend has showed many signs of being very clingy and a bit controlling; she buys me things when she knows I am busy just so she can hang out with me, she calls me frequently even though she knows I dislike talking on the phone, she is demanding and apologetic at the same time. I am confused on what to do because she is always there for me and I can’t always be there for her. Lately, I have been having so much negative feelings about her that I don’t want to work on the relationship and this is exactly my problem—I lose people because I let my feelings get in the way. Maybe I am not finding the right people to hang out with? I mean we have so much in common, but that might be the problem because we both have severe anxiety and what we hate about life seems to be all we talk about, so it’s just negative energy most of the time. I will admit I am selfish and should be more thankful that I have someone that understands me and is there for me, but I guess I am too unhappy in my life and unhappy with myself to be appreciative of the goodness in others. It’s something I would like to work on, but I don’t even know where to begin.
Whatever draws people into relationships– neediness, sex, an encyclopedic knowledge of “Law & Order”—it isn’t necessarily good for you. When you’re operating on instinct, you stop thinking.
It sounds like you’ve got a good idea of what’s good for you, and it’s a friendship that discourages whining and encourages breathing room and independence. Nevertheless, you give in to the pull of your instinctive need for needy, whiny friends.
Once you give in, you’re stuck. You like the close attention and some of the intimacy, but you also don’t like the high demands and expectations, so you want to pull away. That leaves you guilty, lonely, and more in need of a needy friend. The shitty friendship cycle remains unbroken. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 12, 2012
People say that the most important factor in relationships is timing or chemistry, but you can’t have a relationship to begin with without luck, and you can’t be a loser in love if you don’t take your bad luck personally. A good match is hard to find and a not-good-enough match is hard to leave, but as long as you do a good job searching and, when necessary, leaving, you’ll never be a loser, regardless of whether you get “lucky.”
-Dr. Lastname
I am in the fourth year of a partnership with a great guy—smart, athletic, caring, fair, trustworthy, all of it—but I am bored out of my mind. Although he loves outdoor activities like biking and skiing by day, his only hobby in the evenings is watching TV. I am a musician, artist, craftsperson, not an outdoor whiz, and I feel like I am completely uninspired in this situation. I have talked with him about at least not watching TV every night, and we try for a while, but it always ends up back where we started, with him watching TV, and me in another room reading or doing something somewhat productive, or just giving in and watching with him (I hate TV, wish we didn’t have one). I want to do things together but he is not interested in any of the things that I am interested in. Maybe this is just the most a person can hope for in life and I’m spoiled for wanting more than loyalty and love from someone, but I feel guilty all the time for hiding these thoughts from him. Maybe he would be better off without me, too, you know? Maybe I should let him go so he can find a girl who is really IN LOVE with him.
How much you love someone depends, in part, on the effect of partnership on the necessities of your life, as well as your interests. In your case, however, you don’t seem to see partnership as necessary for the necessities, so the difference between what you two want may be be more than television.
If you’ve been struggling to make ends meet and/or raise kids and someone enters your life who’s decent and willing to share the load, you’re probably going to wind up loving him, even if you don’t love everything you do together.
On the other hand, if you’re a fairly self-sufficient person who doesn’t need a partner in order to have a decent standard of living and raise kids, then there’s no reason to live with anyone who doesn’t ring your bells or leave the couch. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 9, 2012
Horrible thoughts and feelings are supposed to make you feel as if there’s something horribly wrong, and there is, but it’s not necessarily with you. Even when your brain is giving you strange signals and your mood is in the pits, you’re the same old person with the same old values. Judge yourself by what you do with symptoms of mental illness, not by the way they make you feel or think, and you will never have reason to doubt yourself or despair.
–Dr. Lastname
I was diagnosed with major depressive disorder and anorexia nervosa purging type a few years ago. Both of these issues had pretty much consumed my life during the years leading up to that diagnosis and have continued to be impairing ever since. I started cutting myself two years ago (it has become more frequent this past year), and I’ve had several panic attacks in the past several months. Fortunately, my overwhelming desire to commit suicide has subsided, although I still think of suicide and my death in general fairly often. In addition to my own issues, I have watched my mom slip into a state of psychosis during the past two years, triggered by the death of her father. She has become so depressed, delusional, and violent that my parents separated and sometimes I don’t even feel safe staying in the house with her—a few weeks ago my dad and I had to stop her from going through with a suicide attempt. The police were called, and I had to hold her arms down while she was clearly in a psychotic rage. At one point, she tried to stab my hand to make me let go. She was taken to a mental health facility where she stayed for a week, and now she’s furious at us for making her go there and hasn’t been much better since then. I feel like I never get anywhere with therapists because they just prescribe medicines that make me feel numb to any emotions or focus on my eating disorder so much that I never get to work through these other issues. I feel like my life is unraveling and it’s gotten so bad that, honestly, I don’t feel like I even want to fix it. My goal in telling you this is to figure out a way to help my mom and how to get through school while I’m dealing with this.
It may seem strange to hear this, for someone who suffers as much as you do from depression, anorexia, and the burdens of taking care of a very sick mother, but I think you’re doing an amazing job.
Yes, you’re chin-deep in shit, but you haven’t drowned, and that’s a remarkable accomplishment.
Your depression hasn’t made you hate people or blame them, and your anorexia hasn’t caused you to pretend you’re not sick, so you must have a solid hold on reality. There you are, with all your pain, finding the love to help your mother and the energy to go on with your studies. You’ve got good values and a big soul. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 5, 2012
Whether you take pride in controlling your health with the latest developments in modern medicine, ancient holistic treatments, or the dictums of Xenu, you’re making the same basic mistake in thinking that you control your health. Depression is especially insidious, because there’s no amount of will power or even therapy that can make for a perfect solution. So gather techniques wherever you may using whatever works to deal with what ails you, just remember that the goal isn’t finding a cure, but the best methods to help you cope.
–Dr. Lastname
I have suffered from anxiety and depression much of my life. My most recent (and most devastating) bout was a couple of years ago, when I worked with a therapist and managed to heave myself out of it without the use of antidepressants (which I had been on in the past and want to learn to live without.) Now I find myself slipping back in. My biggest issue seems to be that I put too much stock in what others think of me or might think of me (I’m really good at fabricating things people might be saying about me.) I also had a baby last year, which has prevented me from pursuing my career fully, so when I hear of the successes of others (or see them on Facebook) I get very anxious and feel that the universe is unjust. I want to be a good mom, and I want to be good at my job, but I feel I am failing at both and resenting others who are great at either. I was made fun of a lot when I was a kid and I think I still carry some of this baggage around, like whatever decision I make is the wrong one because I’m basically a loser. How can I focus on myself and my own life without worrying about what everyone else is up to or what they may think about me?
While you already have a good idea of what to do about your negative thinking, you still need to protect yourself from two bad ideas that you express here. Unfortunately, those two ideas are also your “goals.”
First, disavow yourself of the notions that you should be able to stop depression without using medication and that you should find a way to be less, for lack of a better word, insecure. In doing so, you won’t be giving up—you’ll be giving yourself some relief. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 22, 2011
Grief often stirs up regrets and needs, which can then weigh down your sadness with feelings of failure and make you sink further into general misery. You can’t stop having those feelings, but don’t give them equal time or heft. Grieving is about valuing what’s lost and carrying it forward, not holding onto everything until you sink. Do your grieving, and don’t let other feelings deter you or lower the value of your past or current relationships. Instead, choose to let the happy memories and important lessons push you forward in life.
–Dr. Lastname
Please Note: Our next post will be a week from today. Happy holidays, everyone! As always, we look forward to hearing from you if/when they aren’t.
I’m having a hard time since the death of my father. I was expecting the grief to be rough, but I thought I’d reached the acceptance stage and was starting to feel better. Then I noticed that my two sisters were able to talk and share memories much more easily with one another than they could with me, and suddenly I felt more alone than ever before. My wife is supportive, but I don’t want her to feel I don’t love her by telling her I feel alone. My goal is to get over this grief.
You probably were starting to recover from losing your father, but that’s when you experienced another loss—a broken connection with the people who should be the most understanding.
When you grieve the loss of parents with your siblings, a major source of comfort is knowing that, whatever your differences, you’re the only ones who remember the world of your family home and share the experience of growing up there. With that missing, you’ve got a double source of grief. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 19, 2011
When grown kids need permanent parental support, it’s hard for those parents to feel like they’ve succeeded. Every parent worries that they’re not doing enough for their kids, but for those who have adult kids with problems, that worry is amplified by anxiety and guilt. They can take over management, however, by assessing their responsibilities rationally and keeping their worries in check. It’s not healthy to care for and protect your children too much, but the only parents that fail are the ones that don’t care enough.
–Dr. Lastname
Helping my daughter pay the rent on a bigger apartment seems to have lifted her out of her depression and she’s much more active at her job, but she’s still not making enough money and I’m running out of cash. If I tell her that she has to take a roommate, I’m afraid she’ll just crawl under the covers again and we’ll be back where we started. It shouldn’t be that hard for her to make enough money, but it is. I’m mad and I’m stuck. My goal is to get her to make more money and/or understand that I can’t keep supporting her like this.
While you may think you’re giving your daughter money out of love, you’re actually doing it out of fear. That’s trouble, because when you give money out of fear, you’re usually being mugged.
Fear makes you forget long-term risks, like what you’ll do after you run out of money and the consequences for you, her, and other people who depend on you. Your love is infinite, but your finances aren’t. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 15, 2011
Feeling you’ve made a mistake is usually an instinctive reflex that has nothing to do with sober judgment and/or actual responsibility and a lot to do with guilt. You feel you’ve made a mistake when things turn out badly, or your efforts fail, or you’re still in pain, so you feel obliged to give yourself a good kick…which usually makes things worse. It’s not that we’re incapable of examining blame and responsibility rationally, it’s that self-flagellation gets rid of guilt faster than self-reflection keeps us from accepting a guilty verdict.
–Dr. Lastname
I have been struggling with performance anxiety for years. It was particularly difficult during university, where I saw three psychologists, including a campus counselor, who, while supportive, weren’t helpful. It got much better though when I was able to take control of a treatment group I was facilitating, where I could design the program and run it the way I wanted to. I enjoyed being the therapist who helps others, and the experience gave me confidence. Still, the anxiety has not been extinguished in all situations—when teaching and presenting at conferences, the anxiety in these two areas is just as high as it was previously. I have been managing this for a long time and I do not feel motivated to continue to place myself in situations where my anxiety is raised again so high that I experience nausea, stomach pains, dry mouth, etc., not to mention the exhaustion I feel after the anxious-provoking event has finished. I do have some mild/moderate social anxiety—I don’t like socializing in big groups unless I know the people, and this prevents me from making new social contacts and networking for my profession. I am well versed in exposure therapies and ACT and have used these to get me to the point I am at now, and I continue to use them. However, I don’t think my anxiety will ever improve beyond where it is now and I am too exhausted to continue to try. I guess I’m stuck and don’t know if I should try to find a specialist to help me to continue to force myself to network, push myself to present at conferences, and become an academic psychologist or move into working as a clinical psychologist in a private practice, where I would work more on my own and I would be happier and more relaxed but also know that I am avoiding the events that are anxiety-provoking.
Maybe being in the mental health business makes you feel more responsible for controlling symptoms of anxiety and becoming a role model for good mental health. It’s ironic, given that most people in our field are the worst role models for mental health. If we were totally sane, we’d just go into dermatology and rake it in.
If you are driven to perfection, it’s causing you to forget that certain symptoms, like anxiety, tend to be incurable, and that, if you’ve reached the point where you can’t make them better, it’s because you’ve done an amazing job of managing them and pushing yourself to the limit of what you can bear. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 12, 2011
Ideals often screw up priorities, because it’s much more attractive to go after something beautiful that you really, really want rather than take on whatever is do-able and necessary. It’s not a matter of killing your dreams, just being smart about them; the only antidote to faulty ideals is to exercise your common sense regularly, thinking about what’s likely to work, given your resources, rather than what you’d want the most in a fair, ideal world. You don’t need us to tell you that the world is not ideal, so beware reaching for the stars and falling on your face when the top shelf will do.
–Dr. Lastname
So I’m a 20-something girl who has been faced with a couple big problems in a short period of time, the first being that I am in my last semester of nursing school and I failed. This has been a very long hard stressful experience, and being faced with failure is devastating. I have to wait till September to try to get back into the program and that’s my last chance, so I’m having a hard time accepting that my very laid-out plan for my life is now in jeopardy. Also I am being faced with health issues, with myself and with my family, and finally, I have been in a mind-fuck of a relationship for three years with a person that shows me five different faces. I know all the ways he’s done me wrong but I cannot walk away because I have yet to conquer him, even tough I’m trying to accept the fact I cannot change him and need to stop being a doormat. In summary, I have obvious control issues, over-analyze everything, have anger that is uncontrollable if I don’t get what I want, and really need help to fix it.
Priorities are like dominos, and if you put the wrong one first, you lose your goals one by one. So, while this may look like a chaotic clusterfuck of issues, you probably already know that it’s actually a chain reaction caused by putting school behind this five-faced jerk.
After all, the main source of your strength is your desire to get stronger, pick up skills, and make a living, while the main source of weakness is, as usual for most people, your need for something/someone you can’t have.
Fortunately, you’re smart enough to recognize your effort to change your boyfriend is a compulsion that you just can’t stop, and you have the willpower and determination in your character to take on and pursue difficult goals.
Unfortunately, you’ve focused this strength on changing your boyfriend, thus throwing said smarts and willpower down the shitter. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 8, 2011
When people you love act like jerks, you can’t help feeling responsible for doing the impossible and setting things straight (if it was possible, you wouldn’t be writing me). So whether you’re driven by worry or guilt-trips, stop making yourself responsible for easing their pain. Use your own ideas about right, wrong, and actual impossibilities to protect yourself and others as much as you can, and go about your business with a clear conscience while they go about being impossible and clearing the room.
–Dr. Lastname
My brother is really an upbeat, cheerful, friendly guy, but he turns into a viper whenever someone tells him what to do, even when it’s sure to get him into lots of trouble, and afterwards he’s convinced he’s been calm and diplomatic. When he and his wife got divorced, he was so argumentative with the judge that he lost custody of his kid. When his boss asked him to do something stupid, my brother fired off emails to Human Resources declaring he was being unfairly attacked. The funny thing is, he doesn’t mind when I tell him he’s being stupid, and the next time something happens he’s sure he’s done better; but he hasn’t. He’s not nearly as difficult as he seems to be, so my goal is to keep him out of trouble.
God bless the antagonists, for they know not what bile they speak.
Whenever someone is particularly quick to resist being pushed, we assume there’s an emotional reason for his actions, and that understanding why will help him to control himself, or help us shut him up and make him more tolerable.
Truth is, we often can’t explain or control oppositional behavior, which suggests there’s a basic force of nature driving some people to be reflexively, unthinkingly oppositional. WAIT! There is more to read… read on »
