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Sunday, November 17, 2024

Cancer Answers

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 »

A Bleak Chorus

Posted by fxckfeelings on July 11, 2011

Some people feel compelled to solve other people’s problems by telling them what they did wrong, figuring that shame and the power of truth will get them to correct their mistakes. The truth is, the only thing shame motivates most people to do is sulk and make even stupider decisions. Instead, admit that most problems don’t actually have solutions, then be positive about the options that do exist. If you insist on piling on harsh truth, the real shame will be that you didn’t take our advice.
Dr. Lastname

I can’t figure out how to keep my daughter from falling into a depression. She’s a fine young woman (she’s 30) and was doing well until she got laid off, through no fault of her own. What worries me is that, whenever she doesn’t have school or a job to do, she gets into a funk, has trouble getting out of bed, starts to wonder whether she has skills that anyone will want, gives up her job search, and becomes depressed and immobilized. She got some treatment once, but it didn’t help much. What got her going in the past is that she’d eventually move to a new place and start over, and that worked. My goal is to help her avoid the meltdown and the need to re-locate every time her job fails.

Before trying to help a depressed person, remember—avoid sounding critical at all costs. They might deserve it, but they’re already dealing with an incredibly harsh, vocal critic who happens to live in their heads.

Don’t accidentally give advice that adds to that chorus, because you’ll just confirm what she already thinks of herself and make matters worse.

The usual way to develop a positive line is to concede the negative; tell her you think she’s prone to self-criticism and depression, because she is. Just don’t tell her to “get help.” WAIT! There is more to read… read on »

Spousal Support

Posted by fxckfeelings on June 27, 2011

Sharing career decisions with your spouse may expose you to unwanted advice and criticism, but it can also remind you that you’re not in this world just to work; for instance, if Whitey Bulger consulted (one of his many) girlfriends about his on-the-job pressures, they might have helped him keep his murder count down (or they might have wound up dead themselves). In any case, what your spouse knows, potentially, is that it’s not healthy to build your self-confidence on your ability to work yourself like a criminal, and your urges to be a good worker can have wider costs, be they for your family or your freedom.
Dr. Lastname

I usually like my job, which is running the major gifts department of the development office of a medium sized-college, but lately I’ve been ready to tell the Board of Trustees where to get off. For the past 4 years we’ve had a reduced budget, like everyone else, and so I’ve tried to do more and volunteered to freeze my own salary, and the Board was appreciative. This past 6 months, however, I’ve been extra stressed by the fact that my assistant has been a no-show, for reasons of illness that I know are somewhat exaggerated, and the Board has been a lot more sympathetic about his problem than about the additional work that I and the rest of my team have had to do. My husband and I are not financially independent—we’ve got 2 kids in college—but I’ve had it. I’m ready to share my feelings with the Board Chairman. That’s my goal.

Gandhi is largely remembered as a selfless leader who starved and suffered for his people. It’s possible though that there is one person who remembered him quite differently, and that person, as we’ve stated before, is Mrs. Gandhi.

That’s because, by taking a vow of poverty, Gandhi signed up his wife and kids for a life of poverty, like it or not, even after he died (and whether or not he did this while shtupping a German weight-lifter is besides the point). He was a noble man, but a shitty husband and father.

WAIT! There is more to read… read on »

The Cure Thing

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 »

Disrespect Misdirect

Posted by fxckfeelings on June 20, 2011

Common wisdom says to react to disrespect by “standing up for yourself,” but the phrase “common wisdom” itself is usually an oxymoron. After all, no matter how personal it feels to be slighted, most victims of disrespect aren’t chosen for personal reasons, but because they happen to be the closest person to someone who’s wired to act like a jerk. If you push for an apology, bouquet, animal sacrifice, whatever, the problem that caused it won’t go away. Take time to know what you want from a relationship and why you’re there, and disrespect will matter less. What will matter more is the value of your own conduct, which, while not putting a premium on whether you stand up for yourself, does mean holding your head high.
Dr. Lastname

Well, I’ve been with my boyfriend for 5 years, and during our third year I got into his Facebook account and saw that he’d cheated on me by talking online with girls saying he loved them. I walked away for about 4 months. He tried everything to get me back and after he showed me he changed I thought I should give it one last chance since he is my first everything. I’m trying to move past this but I feel there is something inside me that wants to explode every time I am with him. What advice can you give me to forget this incident or should I not forget?

You’ve given this guy one more chance because he’s your “first everything,” which is understandable. At this point, however, he’s also your first lesson in how character, unlike love, is forever.

He didn’t do this to hurt or disrespect you, because that would imply he thought his actions through before taking them. Instead, he acted on his very flawed set of instincts, which is what brings his character into question. WAIT! There is more to read… read on »

Helping Head

Posted by fxckfeelings on June 16, 2011

It doesn’t seem mean or destructive to be convinced you or someone else needs help, but the trouble happens when there’s good reason to believe there is no help to be found, at least none of the kind you want. That’s when seeking can become as futile as the search for the Holy Grail, except nastier, sadder, and with more damage than a flesh wound. Giving up is often a significant act of kindness, and the first step to getting or giving a different, better kind of assistance, with or without nerdy references.
Dr. Lastname

I have a friend who has a history of being diagnosed with depression, self-mutilation and, recently, suicidal thoughts. She was forced to seek treatment with a counselor in HS (now 24-years-old) whom she said was no help, and now she says she won’t ever seek treatment again because it won’t help her. She acknowledges she has issues that need addressing, but she doesn’t believe in mental illness diagnoses, states she just needs to “deal” with it. However, all we talk about is how much she hates her life, hates feeling this way but isn’t willing to do anything about it. I’ve told her she’s an adult, and makes her own decisions and no one can force her to do anything, but I’ve been very honest with my concerns about her, and that she needs help. I don’t want to treat her with kid gloves or enable her but I also don’t know how much I can push her, since I know its her mental illness that’s clouding her view of the world/reality. How can I continue to be a good friend without beating my head into a wall and enabling her?

For many people, “help” and “cure” have become interchangeable words, as if good motivation and proper treatment will always make things better (tell that to the common cold).

Sadly, the help your friend needs, just like a cure for what ails her, may or may not exist, depending on her luck, the severity of her issues and whether she sees them as hers or just a reaction to other people. WAIT! There is more to read… read on »

The Ugh Couple

Posted by fxckfeelings on June 13, 2011

Very often, love gives you tough decisions and charming clichés. For example, better an old man’s darling than a young man’s fool. Or, to make one up, better a fascinating man’s lover than a dull man’s one-and-only. These days, the dilemmas apply equally to men and women, but the answer is the same. Accept the facts of age, character and biology before making your decision, remember that love doesn’t change people, you can’t get all that want, and clichés exist for a reason.
Dr. Lastname

Is infidelity a sign of some problem in a relationship or just a natural and inevitable part of relationships? I feel it as a betrayal and my partner feels it has nothing to do with us and has no effect on our relationship. Is it possible to have a relationship between two people who feel differently about this issue?

There’s not much point in having a partner if you can’t count on him (and we’ll assume it’s a him); what doesn’t work for cops doesn’t work for civilians, either. First, however, you gotta figure out what you want to count on him for.

There are partners—admittedly, they’re rare—who have compulsively wandering weenuses but are reliable when it comes to covering the kids, the bank account, and your back. They won’t keep secrets from you, other than the tales of their penis’s travels.

It may be humiliating to be married to a guy like that, but the lifestyle and dinner table conversation may be worth it, particularly if he’s rich and famous. It’s fun to be king, and fun to hang out with him (at least until the press catches on to his shenanigans).

At least you know, from what they do, that it’s not personal. Your partner, for instance, is telling you that he is who he is, not that you’re not lovable. For you, relationships include monogamy, and for him, they don’t, no matter whom he’s partnering with.

So, as usual, the person you really need to consult is yourself. You want to know whether your heart can stand the strain, not to mention the ability of the rest of your body to fend off STDs. WAIT! There is more to read… read on »

Bad Romance

Posted by fxckfeelings on June 9, 2011

Nuclear meltdowns may poison the air and water for miles around, but, in terms of actual damage done, love is probably the greater environmental hazard because it affects more people, gives no warning, and can’t be doused by heavy water. We should give kids courses on “duck and cover” before exposing them to the seduction of dreamy romances, but until then, there are some ways to avoid the fall out. It’s not easy building a hazmat suit, but there are ways to do it if you still have possession of your personality after the exposure is over.
Dr. Lastname

A year and a half ago, my ex-fiancé died suddenly from a heart attack. He was 38. We had broken up a year earlier, and it was a very messy break-up. He called my boss at work and told her I was trying to have her fired so I could steal her job, I walked away from most of my personal belongings when I moved out, and I walked away from my savings because we had a joint bank account. I went to the funeral and found out that while we were planning our wedding he was pursuing on-line long-distance relationships as well as inappropriate relationships with women in our city. A letter from one of the long-distance women was read out at the funeral. I can’t move past this. I have been dating a man for about 3 months now and he’s wonderful. I have a really hard time thinking positively, and every time we have an argument I think ‘worst case scenario’—that he will leave me. How can I think more positively?

First, begin with the idea that love is dangerous and some people are more vulnerable than others. We’ve called love a virus before, and sadly, your emotional immune system is impaired.

People love to say it’s important to “follow your heart,” but for people like you, that can be deadly; after all, those same people might say that “love is blind,” and when you’re helpless to love, following your blinded heart can lead you right off a cliff. WAIT! There is more to read… read on »

Friends With Bullsh*t

Posted by fxckfeelings on June 2, 2011

Oh, people—can’t live with them smothering you, can’t live without them at least giving you the time of day. Unfortunately, nobody, including you, can give everybody the amount of attention they desire or deserve, so somebody’s bound to feel stung. If you treat your friendship like a precious resource, giving to those who can make the best use of it and withholding when the difference it makes is negative or none, then you’ll know you’re doing a good job, even if those pesky people don’t agree.
Dr. Lastname

My best friend drives me crazy and doesn’t give me room to breathe. She calls every night and wants to talk for at least half an hour, even when there’s nothing to talk about, but we’re adults, not high school kids. I work full-time and get home late, so she doesn’t expect us to get together during the week, but if I don’t want to see her on Saturday or Sunday she wants to know what I’m doing and acts hurt if I could have been doing it with her. We’re both over 40 and don’t get asked out much, but I’d like to develop a wider group of friends. Instead, I feel like I’m always on the defensive. The more irritated I get, the more careful I have to be about what I say, which just makes me sound more defensive. I’m trapped. My goal is to be myself with her.

Even though your friend sounds like the emotional Ike Turner, I’m sure she isn’t all bad; she might be good at offering support, or fun to hang out with, or talented with a guitar.

On the other hand, your friend is clingy by nature, over 21 and, if she hasn’t responded to comments about her clinginess so far, incapable of getting it. Remember, no matter how much she sounds like a jealous spouse, you and your friend aren’t married. It’s OK to ask yourself how much time you want to spend together, not just what’s best for Ike.

WAIT! There is more to read… read on »

Allure of a Cure

Posted by fxckfeelings on May 30, 2011

When people are in pain and can’t find a good treatment, they often feel like filing a protest—it’s the adult, less-trivial version of a child pitching a tantrum when their situation becomes too unfair. One way to rebel is to embrace a treatment that feels good but does harm, another is to avoid a treatment that feels bad but might help in the long run. As with a red-faced toddler, you can’t help such a person by supporting their expectations, you can only remind them that life is, in fact, unfair, and that they’d better deal with it as it is, or you’ll have to reassess your relationship/take a time out.
Dr. Lastname

My wife is a good woman, and she loves our son, but she has a trauma history and when she gets anxious, she gets very negative and loses hope in us, herself, and our future. Antidepressants helped some, but less than we hoped. Two years ago, before our son was born, her psychiatrist showed her that negative thinking was half the problem and urged her to get DBT, a kind of cognitive behavioral therapy that would help her develop positive thinking habits. She didn’t follow through but seemed to be doing well until the other day, when I discovered she’s been drinking secretly since she delivered. She says alcohol is the only drug that helps relieve her anxiety, which has been overwhelming. My goal is to find something else that will help her.

Everyone is entitled to anxiety-relief, a fair life, and a healthy body. Along with that entitlement comes the guarantee that everybody (except for a few lucky jerks) has to pay the price.

At this point, her motto is, to paraphrase the New Hampshire license plate, “live free (from anxiety) or drink.” If it were up to you, she wouldn’t feel this way, but it’s not, and you’ve got to tell her that neither freedom nor booze is an option.

WAIT! There is more to read… read on »

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