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 26, 2009
We’re all familiar with the phrase “he’s just not that into you,” but as easy as the eponymous treatise is to purchase in airport bookstores, the notion is often harder to grasp. Here are a couple of cases where people can’t accept not being accepted.
–Dr. Lastname
I recently got engaged to a great man whom I’ve been dating for several years now. His family is great, but I often get mixed vibes from his parents— especially his mom. (For the record, I’m a nice girl who plays her role well, e.g. I bring flowers over on holidays and send thank-you notes.) When my fiancé brought this issue up to his mom (with my encouragement) around Christmas time, she said she felt terrible that I felt slighted, but, when I was over their home recently for Easter, “mom” was chatting up a storm with the other brother’s fiancée, and no matter how hard I tried to join in the conversation appropriately it just didn’t work. After my fiancé’s father made a comment about me being quiet, my fiancé told his parents that I had felt slighted again. Then his mom sent me a friendly email trying to make plans, but his dad was annoyed saying that he doesn’t see how I’m “neglected.” If they treat me like this now, what will happen if we have kids someday? Will they ignore them, too? My goal is to enjoy holidays with my in-laws without feeling like I need to get them to like me.
It would be nice to eliminate your need for approval, but it’s not going to happen. Since there’s no way that your future in-laws are going to change their natural preference in daughters-in-law, trying to change your feelings or theirs is a dangerous goal.
Some therapists would recommend individual or family therapy, but given your and fiancé’s excellent efforts to communicate with his parents and the unfortunate (but not uncommon) result, therapy is likely to do more harm than good. The more you suggest your in-laws acknowledge and change their uneven behavior, the more likely they are to become stiff, unaffectionate, and eventually critical, putting your fiancé in the middle and increasing everyone’s helplessness. Ouch.
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Posted by fxckfeelings on April 22, 2009
Admitting you have a drinking problem is the first of the 12 steps, but what if you aren’t really sure you have a problem, despite what people close to you say? Today’s cases show how seeking treatment for your addictions and seeking the approval of others are two things that don’t necessarily go hand in hand.
—Dr. Lastname
I’m a little frustrated with my job right now, so every night after work, I like to have a few beers with dinner to relax. Problem is, I’m a skinny Indian guy, so a few beers is enough to make me pretty tipsy (which means I get loud, maybe a little annoying, sloppy, whatever). My roommate has joked that it’s time for an intervention for my alcoholism, but he’s joked about it enough that I’m not sure he’s joking anymore. I’ve always thought an alcoholic is someone who drinks constantly, blacks out, can’t be trusted, and I’m none of those things. I mean, I go out to bars on weekends sometimes and drink ‘til tipsy (or further), but I don’t sneak beers at the office or anything, and I don’t think I need my nightly beer-o (beer trio), although I haven’t tried to go without it, because I really don’t want to. So my goal is to figure out what to do with my drinking problem, which I think is more my roommate’s problem than mine.
Your goal with drinking isn’t to avoid meeting someone’s definition of alcoholism: it’s to have a good time without screwing up your priorities. Sure, those priorities include keeping your job and fulfilling other important obligations—which you claim to have no problem with—but they also include keeping good friends and not limiting your friendship circle to those who like being tipsy, sloppy and annoying.
If you’re driving away good people who don’t enjoy alcohol as much as you do, i.e., if your roommate’s really saying that he likes you but would rather spend his evenings with someone who is quieter and less jolly, then you’ve got a problem that needs management whether you call it alcoholism or not. The longer you argue about whether your drinking is medically dangerous or gives your roommate the right to be critical, the longer you’re putting off the management job. Call it alcoholism or call it lice, either way, you drinking habits are messing up your life and need to be addressed.
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