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 November 14, 2011
When you love someone who gets mentally ill and doesn’t recover, you may not only lose that part of their personality you loved the most, but also get stuck with a double dose of what you liked least. After all, it’s one thing to vow to be there in sickness and in health, but sickness and negativity and mania are usually more than most people bargain for. If your spouse’s mental illness makes your marriage unbearable, keep a lid on your negative feelings by respecting the burden life has put on both of you and refusing responsibility for putting things back the way they were. Once you can accept that sad reality, it’s time to figure out whether there’s room in your marriage for you, your spouse and the disease, or if your old vows no longer apply.
–Dr. Lastname
My wife suffers from non-medication responsive depression (we’ve done ECT’s, every med in the book, and she has a psychiatrist). She’s bitter and short to family; she goes off on the kids and then can turn around and be nice. I do all the work around the house, get the kids to activities, etc., and I’m wearing out. She comes home from work and just logs on her lap top and sits in front of the TV while I get dinner and clean up. She shows no affection towards me and I feel like a servant. When I complain or push her, she talks about killing herself and putting herself out of our misery (she’s been hospitalized several times) or just hurting herself (sometimes she cuts on her arms and legs). I’m getting to the point where I don’t like her anymore. She just seems to have given up. Nothing interests her, nothing tastes good…she gets no enjoyment from anything. What can I do? She’s in her forties, now, but she struggled with depression in her twenties and this current bout has been going on for 5 years. Her doctor and therapist are really committed to her, but it seems like she doesn’t care, like she enjoys being miserable. Sometimes I feel like I’m spiraling down with her, but I’m not going to give up. If I just stand by, she seems to just sink lower, but I can’t leave, because she’s said that the kids and I are the only reason she’s still alive.
If you’re like most married people, you become dependent on your spouse for a positive response, no matter how independent you are as an individual. You married her because you respect her opinion and take pleasure in her approval. You make her happy, everyone feels good. You see the problem here.
So it’s normal to feel bitterly disappointed and deflated when depression turns her into a grouchy, nasty, unappreciative, unaffectionate black hole who threatens suicide if you criticize her and never does her share.
It’s not just the lack of approval from her that’s bothering you, it’s the overabundance of disapproval, of you and everything else. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 6, 2011
The process most humans have for defining our sense of right and wrong develops with time; it starts with determining whether or not our parents are mad at us, goes to roommates, and then spouses (and after that, the law). One part of the process that should extend from cradle to grave (but often doesn’t) is consulting your conscience before you declare guilt or innocence. Sometimes it will protect you from false guilt; other times, it will tell you that, regardless of your rationalization, you’re guilty as hell (better to realize on your own without the law’s help).
–Dr. Lastname
I always suspected that I was attracted to women more than to men, but I liked my husband, and we’ve been good companions for the past 20 years. It hurt him deeply, however, that I wasn’t interested in him sexually and finally, when he pressured me to tell him what was wrong, I told him I thought I might be gay. Now he feels I lied to him, that our marriage has been meaningless, and he wants a divorce. Our life together is over and I feel totally to blame, like I’ve let down my husband and betrayed our marriage. What can I say to make amends?
There’s one important step people sometimes forget to take before making amends– asking yourself what you’ve done wrong.
Obviously, your husband is hurt and he thinks you’re to blame, but, as we’ve said many times, that’s the whole point of marriage—having someone to blame. Real sin requires knowing that you have something to hide, and that doesn’t seem to be the case. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 15, 2011
As diseases go, mental illness is a doozy to treat; some mentally ill people are too humiliated to ask for help, and others are too crazy to ask. If you want to help them (or yourself), keep in mind that it’s the illness, stupid, which distorts the attitude towards treatment. Use the same logic and moral values for mental health treatment decisions that you would use for other illnesses; there’s nothing humiliating about getting sick, no matter what a sick brain decides.
–Dr. Lastname
I have been wrestling with depression for years now and my maternal side of the family has a history of depression and suicide. I don’t feel that I can do this on my own anymore and need help. I don’t want to just take a medical cocktail of antidepressants. My question to you is how do I go about finding a therapist and/or doctor that will be most helpful to me.
The first step for getting treatment for your depression seems simple– don’t get depressed about treatment for depression. After all, depression’s just another form of pain unless it twists your thoughts into thinking that not getting rid of it is a kind of failure that marks a meaningless life.
As long as you realize depression is a persistent ailment, just like persistent back pain or diabetes, you’ll have an easy time making treatment decisions because you won’t regard using treatment as evidence of weakness. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 22, 2011
[Please Note: Sadly, we haven’t completely fixed up the site glitches, but there should be improvements by the end of the day. We apologize for the delay, but you can still send us your problems at [email protected], linked below.]
People like to think that trusting an inner voice—their gut, their instincts, the force, etc.—will always lead in the right direction. In actuality, instincts and body parts are better known for causing instant urges (a.k.a. “feelings”) that ignore logic and implant convictions that the sky is falling, love occurs at first sight, and advertising never lies. When it comes to major decisions, don’t trust your gut (which, as we’ve pointed out before, is literally full of shit). Find out facts and figure out the odds before doing something that scares you, titillates you, or gives you an enormous Visa bill.
–Dr. Lastname
My brother is a good doctor, and an especially good one given that he’s struggled with depression his whole life. When his own illness needs attention, however, he becomes a terrible patient. He doesn’t get depressed often, but when he does he obsesses about the possible side effects of each medication and so doesn’t take what’s recommended, takes half the prescribed dose, or insists on his doctor giving him something less harmful (and much less effective). The result is that he drives his doctor (and me) crazy and takes a lot longer to get better. When I tell him he’s over-reacting to his fears, he tells me “I’ve learned to listen to my body.” I know he’s a doctor, but I think his body’s lying. What can I do to help him when he’s sick?
It’s a sad fact of mental illness that it often prolongs itself by disabling a person’s ability to seek and select appropriate treatment. Like any smart disease, it knows from self-preservation (in all the ways your brother does not).
That means you can’t necessarily get through to your brother by reasoning or addressing his fears. In your brother’s case, it’s unlikely, not just because you and his doctors have tried and nothing works, but also because he is a doctor, and the side-effect of trying to treat a doctor is a giant pain in the ass.
Recognizing his response as inherently unreasonable and illness-driven, however, can build your confidence in your own opinion to the point where you don’t have to persuade or argue. If he insists on listening to his body, you can serve some truth to his brain. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 11, 2011
Whether or not it’s more blessed to give than to receive, both activities are loaded with lots of potential punishment, particularly if you feel unworthy and/or poor to begin with. If giving is necessary to make you feel worthy, you’ll end up a good-hearted sucker, and if being given to is the only thing preventing you from living in a trailer down by the river, you’ll end up in a black-hearted rage. There’s no need to feel bad about giving or receiving if you feel proud of who you are rather than how well you’re doing. A healthy perspective is the best blessing of all.
–Dr. Lastname
My friends tell me I’m too good to my ex-wife because I always take care of her when she’s in town by giving her a place to stay, feeding her, and tending to her medical needs. Even our kids say she uses everyone, promises everything, and gives back nothing, and, after many years of marriage and an equal number divorced, I know they’re right. I argue back that it’s not smart for me to antagonize her after she’s promised me half the estate she inherited from her dad, but they tell me that she never keeps her promises and she always figures out a way to blow her money on impressing new acquaintances and going on shopping sprees. My goal is to find ways to protect myself and maybe satisfy my friends’ concerns without fighting with my ex- and maybe losing her bequest.
God bless the giving people of the earth—kindergarten teachers, foster parents, 02% of psychiatrists—but I’ve said many times that, no matter how saintly their exterior, the givers’ biggest recipient of generosity is often their immediate feelings.
Let’s face it, giving feels good (partly because it offers peace of mind to the persistently guilty), and that means it’s bad, at least under some circumstances. Giving too much, like any source of good feelings, is dangerous to you and detrimental to the object of your charity. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 21, 2011
Talking to a partner about their cancer often leads people to become nervous and tentative. They may feel guilty for being the healthy party, or afraid to say the wrong thing and trigger painful feelings, and it’s that sort of distance that can lead to cancer of the relationship. If your partner has cancer, don’t freeze up; respect your usual shared goals, values, and reasons for making decisions, and treat him or her as your respected friend and not a cancer victim. Take the disease in stride, or the disease will take much, much more.
–Dr. Lastname
My boyfriend went through hell from chemotherapy, but I don’t know what to do with his depression and irritability. We’d been dating about a year and planning to get married when he found out he had a nasty kind of cancer and, since then, he’s been brave about chemo and going on with his life, which has meant working when he’s feeling OK, and our moving in together and being partners. Usually, we get along well, but lately he’s been depressed and telling me he knows he’s a burden, he can’t get much done, and he just wants to be alone. I want him to get help for his depression and stop the negative thinking but I don’t want to attack him or make him feel I don’t respect the fact that he has cancer.
One of the things you always hear from people in pain is that you, the lucky one, “just don’t understand.” It’s the rallying cry of the suffering, whether they’re coping with cancer, or just being between the ages of 10 and 18.
What sick people often fail to realize, at least at first, is that people who aren’t in their position understand things that they can’t; after all, you might have the good luck not know what it’s like to have cancer, but you know what your boyfriend’s like when he’s not depressed, and you know this isn’t it. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 30, 2011
Needs, like the opposite sex, politicians, and DVRs, fall in the category of “can’t live with ‘em, can’t live without ‘em.” If someone who once met your needs does so no longer, it’s hard not to feel jilted (even if you never really checked their reliability in the first place), and if someone claims you haven’t met their needs, it’s hard not to feel guilty and/or unjustly accused (even if you never considered the possibility that they’re simply needy to a fault). When the feelings of met or unmet needs threaten to carry you away, rely on the facts and reasonable expectations to counter the helplessness of needing something you’ll probably have to learn to live without.
–Dr. Lastname
Please Note: There will be no new post on Monday due to the American firework festivities. We’ll return to posting on Thursday, assuming we don’t blow our fingers off.
I never feel as though I ultimately have any power in a relationship beyond what’s given to me by the woman I’m with. The early stages always evolve easily, organically, the two of us meeting each other’s needs. I give a lot of myself and feel very happy and safe and good as she reciprocates. At some point, however, an imbalance always arises, and I find myself doubling-down on staying patient and compassionate while she’s acting less committed to meeting my needs. It leaves me feeling confused and betrayed, like I’m serving at her pleasure, and if I complain, then that’s it, it’s over. This happens again and again and I sense I’m missing a transitional skill set. I’m not going to stop being the type who invests a lot emotionally in a woman I want to be with. The question is, how do I transition out of that early, romantic stage into something that allows me to stay compassionate but preserves my self-respect as things invariably start to get complicated?
Questions like this are tricky, because at best they’re vague, and at worst, they’re a tad creepy, because they refer to girlfriends entirely in terms of their impact on your feelings, rather than the details of who they are and what they do in life.
Since we’re all about giving our readers the benefit of the doubt, we’ll assume that just pointing out that girlfriends are people doesn’t solve your problem. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 23, 2011
If treatments were always beneficial, and people were always rational, and life was always fair, it would be easy to figure out how much help a person needs. Unfortunately, treatments often poop out, and people often embrace or reject treatment for the wrong, often irrational, reasons, and life is just a cruel mess. So deciding how much real, imperfect treatment to use in real, imperfect situations requires courage, acceptance of your limitations (and those of treatment), and the conviction to tell the unfairness of the world to go fuck itself, you’re going to keep trying, anyway.
–Dr. Lastname
Although I’m usually a big fan and praise your blog endlessly, this recent post [“Helping Head,” 6/17/11] isn’t a “like.” Eating disorders are treatable to full remission. In fact, the pervasive idea out there that people just struggle endlessly and that treatment doesn’t really work is self-fulfilling and even dangerous. Please consider re-considering. There’s new science on this!
Without irony, I can say that treatment for eating disorders is effective. In other words, I agree with you, except that the word “effective” has a hook in it.
“Effective” is the word most favored by drug companies because it implies no guarantees, solutions or cures, just that the treatment in question produces results that are better than no treatment at all.
Unfortunately, it does not mean completely effective, or effective for everyone, all the time. (And it also may cause dry mouth, constipation, etc., etc.). WAIT! There is more to read… read on »
