Posted by fxckfeelings on October 4, 2010
We’re hardest on family because, unlike those we’re not bound to by blood, family is stuck with us forever. Then again, being stuck together often forces the released negativity to bounce back and forth, like light in a laser, until it gets strong enough to zap your perspective and make you feel like a loser. Getting out of that mindset requires looking outside of the family circle and unsticking yourself from your nearest, dearest and harshest.
–Dr. Lastname
I don’t consider myself a lazy person—I take care of the kids and sell some of my paintings—but my husband isn’t crazy about selling cars and would really like to stay home and take care of the kids himself, so he’s always making remarks about having to carry the harder load and asking me if I could find a way to make more money. I’ve tried to find better-paying work, but I’m dyslexic, and what I’m doing is probably about as good as it gets, given my skills and the flexibility I need for the kids. Anyway, he’s been nastier lately because car sales are down and it’s getting to me. My goal is to get him to stop putting me down.
You can’t stop someone from putting you down—haters gotta hate, as the kids say, even if the hater is your husband, and most husbands are haters, at one time or another.
On the other hand, just because someone you love is trying to put you down doesn’t mean you have to take their criticism to heart and sink, doomed unless you can get them to take it back and promise never to do it again.
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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 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 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 June 7, 2010
Most people panic if their mental health goes south, and if/when they find a doctor to help them recover, they assume that treatment is a mystery about which doctors know best. If you’re in that situation and disagree with your doctor’s decisions, don’t act like a helpless child challenging an all-knowing parent. Learn what you need to know to make well-informed decisions and stand by them, whether or not your doctor agrees. It’s the best way to cure yourself of panic, and it makes refuting your doctor’s advice a discussion between equals, not a pleading.
–Dr. Lastname
My psychiatrist thinks I should increase my medication, but it already makes me sleepy and has caused me to gain 10 lbs. If anything, I’d really feel better getting off it entirely, because I hate being dependent on it. For the time being, I know I need it, because I’ve barely recovered from my last depression, but even thinking about increasing the dose makes me feel depressed. I’ve seen this doctor throughout my entire illness and she’s been very good with me up to this point, but now that I don’t agree with her I don’t know what to do. I don’t want to have to take more medication.
It’s much easier to have an agreeable disagreement if you’re not pushing someone with your emotions; after all, lawyers use evidence, not tantrums, to win a case.
Still, it’s hard not to push with your emotions when the issue is personal and scary. Unfortunately, you don’t have a choice.
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Posted by fxckfeelings on April 26, 2010
Bad habits are rarely personal—your average nail-biter doesn’t have a cuticle vendetta—but when one half of a marriage gets into bad behavior, even if it has nothing to do with his/her spouse, it’s hard for the other half not to blame his/herself. Women want to discuss the bad habit, men quietly stew, and either way, something impersonal feels like an affront. There’s no escaping the pain when a partnership starts to break down, but you can find ways to talk about bad habits without implying that anyone has failed, or doesn’t care, or just plain bites.
–Dr. Lastname
My husband and I have two kids, we both work hard, and he always used to find time to play with the kids and spend time with me, but in the last few months, he’s buried himself in online poker in the evenings, and the kids see a lot less of him (I do, too, and it’s been a long time since we had sex). He tells me there’s nothing wrong and that he’s not betting with real cash, but I know what I see, so I’ve told him we need to talk, and that’s what’s really infuriating, because then he won’t talk at all. My goal is to figure out why he’s stopped caring about me and find a way to get through to him.
You’re assuming there’s something bothering your husband that you can figure out and communicate about, because that’s what would allow you to fix things; that it’s not the poker that’s really the problem (or the not being poked).
Before you sit him down and try to take him away from the e-poker table, ask yourself what happens if it doesn’t work, which it often doesn’t, and clearly, in your case, hasn’t.
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Posted by fxckfeelings on April 15, 2010
While Shut Up! Week began with us doing the up-shutting, it concludes with the more fun exercise of instructing others when they can utilize their own “shut up!” skills. After all, a friend might want to help you, or you might want to help a friend yourself, but sometimes the best thing you can do to help someone is get them to keep their mouth closed. And with that, Shut Up! week shuts down.
–Dr. Lastname
For years, I’ve talked to a friend of mine about my problems who’s also a counselor, and during that time, he’s urged me to seek professional help. I used to brush off that advice, mostly because this friend lives in another city and only ever really talks to me on the phone when I have problems, but in the last few months, I’ve begun to consider taking his advice. I don’t know what to say when I call to make the appointment, however, because I haven’t the faintest how to explain the unknown in my head (which is the main issue that frustrates me). I want to scream, but don’t know why or what. Do you have any advice as far as how to ask for help when I’m not sure what I’m really asking help for?
Remember, funny feelings in your head cause fear, which causes funny feelings, which cause fear, which create a spiral that will flush you down the toilet of needless worry. The first thing to do then is shut up and think about whether you need help.
If you’ve had funny feelings in your head for years, they’re not about to kill you; they’re not telling you to kill yourself or anyone else, and they’re not annoying you to death. WAIT! There is more to read… read on »
Posted by fxckfeelings on April 12, 2010
Discovery Channel always does well with its sharks, so this week, we’re going to try cases that are variations of the theme of “Shut up!” In many ways, sharks and “shut up” have the same effect on people, be they swimming in actual water or metaphorical self-pity; it’s painful and humbling, but if you come through your confrontation intact, you feel indestructable. Now, if you please, shut up and read.
–Dr. Lastname
I’m a 58-year-old gay man and it’s a long time since life has been any fun. I’ve been single for some time (with no real prospects of a relationship), my friends don’t seem to have time for me, and at the end of a hard day’s work running my own business, I’ve barely broken even and have nothing to look forward to but spending the evening alone. That’s when the depression closes in and I can’t stand living. I write all this because I know that I’m a miserable failure, and that facts, not depression or any other mental illness, are behind my reasoning. I mean, when I tell my few close friends how I feel, they tell me I’m being too hard on myself, but if you’re almost 60, alone, and a financial mess, doesn’t that mean you’re a loser? My goal is to be real about myself.
Sounds like your goal isn’t to be real about yourself, it’s to be mean to yourself because you’re in a bad mood. If you were to reread the above paragraph when your mood wasn’t so shitty, you’d see your treating “facts” with the same care as Bill O’Reilly.
So, to quote Bill, Shut up, I don’t want to hear it. You wouldn’t talk like that to a friend, or even probably your worst enemy, so don’t do it to yourself.
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Posted by fxckfeelings on March 8, 2010
In my practice, I give patients with ADD a special appointment option. Instead of their taking responsibility for keeping a regularly scheduled appointment (which means they’re obliged to pay full freight, with no insurance support, if they don’t show up), I encourage them to line up for a walk-in appointment which may keep them waiting longer, but won’t cost them a cent if they forget to come. It’s not that I discriminate, I’m just trying to make the best of things. That, to me, exemplifies the best way to deal with Attention Deficit Disorder, both for my patients and as a third party; keep your expectations reasonable, your appetite for shit bottomless, and your shrink understanding.
–Dr. Lastname
My roommate calls me the Ritalin vampire, because once my meds run out around 5, I become a different person (or really just a depressed, anxious mess). My mood drops so low so fast, and my nerves become so raw, that I have to drink just to get through the evening and get some sleep. It’s obviously driving my roommate crazy, but more than that, it’s messing up my life—I wake up hung-over, my boss is pissed, I feel sick all the time, so even when I’m not anxious and wired when I’m on my meds, I still feel like shit. My goal is to figure out how to get my ADD under control when the sun is down.
Most Ritalin users don’t have a terrible comedown with severe anxiety every time their meds wear off—what you have isn’t normal ADD, but ADD plus anxiety, plus, probably, alcohol dependence.
The medical term for your three-pronged disorder is a trifuckedta. Surprise, the prognosis ain’t so hot.
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Posted by fxckfeelings on February 15, 2010
As Valentine’s weekend comes to a close and the Holiday Death Triangle of Christmas-New Year’s-Valentine’s once again completes its cycle of horror, it’s time to reassess what makes relationships last. Sometimes Mr. Right doesn’t have a connection with you that makes you see fireworks, while a connection with Mrs. Wrong does make you see fireworks, but only after her left hook connects with your face (and your family disconnects from your life). Valentine’s Day might be about love, but there’s a reason why good relationships last for years and Valentine’s haunts our lives but once a year.
–Dr. Lastname
I’m in my mid-30s, about to have my first child with my husband of about a year. My husband is a solid guy—he’s steady, and very caring—but deep down, I know a big reason I married him is because I wasn’t getting any younger and wanted to start a family. I dated a guy in law school that I was really in love with, but he was a lot older, made it clear he never wanted kids, and was your basic passionate, unavailable nightmare. I admit, I’m hormonal, which means my husband’s been getting on my nerves a lot lately, which just makes me obsess more and more about how I’ve settled for a life without love. My goal is to figure out how to get through the next stage of my life and live with my decision.
Don’t get superficial and compare the Valentine’s Day smiles at the next bistro table to your current mood and nostalgic memories of past lovers. In my experience, finding the love of your life isn’t too difficult, but finding a good partner is a real pain in the ass.
By “good partner,” I don’t mean someone you’re crazy about, under any and all circumstances, forever and ever, amen. I mean someone who is strong, easy to live and work with, accepts you during your weaker and less likeable moments, communicates on your wavelength, and picks up the load when you can’t. As well as someone whom you can put up with most of the time.
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