Posted by fxckfeelings on July 14, 2014
You lose a lot of important things as you get older—hearing, memory, life—but you also lose the ability to give a crap about things that really don’t matter. That’s why, if you’ve suffered from insecurity, either about work performance or the amount of commitment in relationships, being old can give you a more solid perspective and new management opportunities. So, if you’re old enough to have lots of experience, don’t get too worried by old fears. Rely on your own perspective to tell you what you need to do, regardless of what others think and your anxiety tells you. Just don’t rely on your ability to read small print.
–Dr. Lastname
I’m in a very specific line of consulting work—lots of research, long hours—that I’m very good at and enjoy doing, but I also wind up driving myself crazy with anxiety about doing the job just right. I formally retired a few years ago after many years in the business, when I was 55 and didn’t need the money, but I took a contract a few months ago because the specific assignment interested me. After all these years, however, I’m still having panic attacks, tightness in my chest, and shortness of breath. I even had to dig out the valium. I’m just obsessed with doing a perfect job, even though I know this stuff cold and my clients love me. My goal is to figure out what’s wrong with me and stop making myself sick.
Anxiety often causes symptoms that feel like sickness or even a heart attack (chest pain, tightness in your chest, shortness of breath, sweating), but that doesn’t mean that, like those other illnesses, it also shortens your life. A heart attack can kill you; a panic attack just makes you feel like you’re going to die.
So, while it’s natural to think that you’re making yourself sick every time you allow yourself to get anxious, anxiety isn’t deadly, or even totally detrimental; in regular doses, it helps you by making you worry about survival, making a living, and avoiding danger. Anxiety’s a lot like wine; a small amount everyday is helpful, a large amount everyday can make you feel helpless. WAIT! There is more to read… read on »
Posted by fxckfeelings on May 8, 2014
When you can’t stop fucking up, it doesn’t always make a difference whether you acknowledge your fuckuppery or not. Wanting to stop yourself gives you incentive to change and that, plus lots of time, work, and management of all kinds may do the trick, but there are no guarantees. Knowing you’re right/having no clue you’re actually fucking up gives you no incentive to change, so there’s no need for anyone around you to try to help since you are who you are. In either case, accept what you can’t change, whether it’s obvious from the beginning or becomes evident through failed efforts. You don’t have to be down on yourself or someone else just because of an un-shake-able fuck-up status.
–Dr. Lastname
I get into terrible moods where I can’t stop myself from saying nasty things to my mother and sometimes throwing things across the room, so I agreed to see a shrink. She tells me I have a mood disorder and maybe an anxiety disorder, and I’ve had a bunch of sessions, but so far nothing stops my anger and when it kicks up I can’t stop myself from being horrible to everyone around me. Some mornings I can’t get to school, but I usually get there and get enough work done to be passing. Since my behavior is OK at school though, I wonder why I can’t control myself at home. I don’t want medication that will turn me into a zombie, but I don’t want to be a monster, either. I hate being this way. My goal is not to be a jerk.
After you give someone a load of verbal garbage or even a lingering smack to the face, it sounds pretty lame to say, “My bad mood made me do it.” If every cranky person became violent, your average rush hour would be a bloodbath.
The truth, however, is that, for some people, a bad mood can push unbelievably hard. For instance, the most obnoxious and provocative people out there aren’t political pundits or drunken tailgaters, but some of the crazy-manic patients in your local hospital.
That said, after medication starts working and the episode ends, so does their cruelty, but that’s the nature of moods and madness. WAIT! There is more to read… read on »
Posted by fxckfeelings on March 27, 2014
Anxiety and depression can act like funhouse mirrors, distorting your thoughts and making it hard to perceive the benefits and obligations of social relationships. Some people can’t say no to social responsibility, no matter how unreasonable, and some people can’t say yes to it, even when it’s minimal. Regardless of the distortions that make you over- or under-embrace your social pleasures and responsibilities, use objective methods to figure out how much is good for you and how much is necessary. Then you can build a social life and discharge responsibilities without burning out or drying up, and substitute the funhouse for actual fun.
–Dr. Lastname
My elder brother was diagnosed with MS when he was in his 30s, and now he’s in a nursing home and a wheelchair. He’s given me his health care proxy and told me he was relying on me, calling me five times a day and giving me a hard time if I don’t answer, so now my anxiety has gone through the roof. He’s always been a spoiled brat and now it’s worse. His health care is actually pretty good, and there are people and activities in the nursing home to keep him occupied, but he expects me to drive 100 miles to visit whenever he asks. I’ve always been the one everyone turns to for help, but now I go around with a knot in my stomach and desperately need to take more medication, even though I know it’s addictive and likely to make me fall. My goal is to find some way to relieve my anxiety that doesn’t kill me.
If you’re an anxious person, then there’s no substance in the world—pill, liquid, magic bean—that can make you suddenly be a not-anxious person. Especially if you continue to do things that feed your anxiety, like say yes to anyone who needs your help because you’re too anxious to say no.
Sadly, the things that currently give you immediate relief are A, making others happy, and B, medications, both of which have side effects. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 12, 2013
While most people with mood disorders don’t technically “hear voices,” they sometimes experience something much scarier; their own internal monologue lying to them. Whether your mental illness is convincing you you’re worthless or the king of the world, don’t follow your corrupted instincts when it comes to managing medications and drawing up safety plans. Instead, study the facts, learn from your own experience, and plan the odds, rather than letting your confidence play you and make you crazier than you really are.
–Dr. Lastname
I am a doctoral candidate preparing to defend and graduate in May. I am so terrified of what comes next (giant black hole; there be dragons) that I am undermining my progress and succumbing to despair. This is tied to my utter lack of ambition. I don’t know how to dream Real Things. All this worry and fear and lethargy leaves me feeling exhausted. And I am so worried and so frustrated with (what I perceive to be) my laziness, my incompetency that I become angry at the smallest things. How can I learn to get work done and to build a life? How can I learn to do it just because it must be done? How can I distinguish between real and false selfishness (it feels selfish to build a life just for me)?
The business of many doctoral candidates is to find a meaning in many random, painstakingly-researched, frustrating phenomena that ties them together and gives you a new idea you can dwell on for several hundred pages. Congratulations, you’re very good at it; too good at it, as you’ve turned your talents on your own troubles.
It’s certainly possible that your fear of any and all future jobs, combined with terminal laziness, incompetence, and an inability to distinguish between real and false selfishness have paralyzed you and filled you with self-loathing. More likely, however, is that your self-doubt has written a thesis outline tying together your many layers of failure. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 14, 2013
Whenever someone’s bad behavior forces you to set limits, it’s like slapping a hysterical person in the face; you can’t know in advance whether they’ll thank you or hate you forever. In either case, if you do it only when necessary, nicely, and with respect, you’ll know you’ve done a good service, whether it’s appreciated or not. In the short run, you’ve offered them a target for their resentments about the world and it’ll sting them as much as it stings you, but in the long run, you’ve given them a chance to learn and grow.
–Dr. Lastname
My eighteen-year-old son is very bright and imaginative and, when he’s sweet, I feel we have a special relationship. Periodically, however, he gets frustrated with things and gets very, very nasty with me. He bullies me into doing things for him and I try to be flexible, but then if I don’t do exactly what he wants he throws a big scene and threatens to break the furniture or crash the car. After the last incident, I threw him out of the house and he went to live with his father for a few days. Now I’ve got him back, but I know it’s going to happen again sooner or later and I don’t know how to explain to him that I can’t give him everything he wants without provoking an irrational freak-out.
When you have a kid who throws dangerous freak-outs, don’t make it your top priority to avoid provoking him; a child’s tantrums are a pain to deal with at any age, but trying to permanently tiptoe around a moody teenager is just as futile and damaging as always coddling a cranky toddler. They keep having tantrums while you get progressively more insane.
Of course, you don’t want to give him a hard time, but the behavior/temper problem is his, not yours, and not only will you drive yourself crazy, you’ll fail to give him the kind of help he needs most, which is a clear set of rules that can help him manage the poorly hinged part of his personality. Tantrums may be eternal, but so are time-outs, even if they take a different form. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 19, 2013
In the self-help-iverse, “limits” is often a dirty word, because we should all aspire to reach the loftiest heights or depths of intimacy. In reality, limits are crucial when setting both personal and interpersonal goals, but they’re especially vital when you’ve got a partly functional, mentally ill family member to take care of. In that situation, you will probably feel like doing anything to get him/her into treatment, including persuasion, confrontation, and threats of expulsion. In reality, your influence over the course of a mental illness is often, well, limited, treatment or no, and trying too hard to make it better can make it worse and drive you crazy. Instead of getting over-absorbed in efforts to help, get help yourself in figuring out the limits of what’s possible and respecting your other priorities, including safety, security, and the nurturing of others. Refusing to acknowledge limits is a lot easier/more damaging that learning to respect and use them to your advantage.
–Dr. Lastname
I’m married to a wonderful, unique individual, a free spirit who lived in a van for several years avoiding the world. After we married, we had a difficult couple of years, but then my work took off, and I got pregnant. My husband, already a night owl, turned into an irritable, stressed out insomniac who oscillates between manic episodes of ultra productivity, to sleeping for marathon amounts of time, missing appointments, being late for work, generally letting everyone down. He seems so resentful of me—everything I say he takes to the utmost extreme. We have been in talk therapy for three months, which has been pretty useless. The therapist has recommended my husband see a general doctor and a shrink about the insomnia. On a long road trip he started hallucinating and driving off the road. Sometimes he admits there’s a problem, other times he doesn’t. This morning, after another night of no sleeping, he screamed at me, collapsed on the floor and then crawled into the closet and passed out. I have asked him to leave our house until he seeks help, but he also refuses to leave. If I don’t pay the bills, he will be unable to. I reached out to his family and they keep saying it’s a marital tiff. He’s a wonderful man who is deeply troubled right now and in huge denial. I think he has some serious mental health issues which have been brought up by the huge responsibility of being a father which need addressing. How can I best help him?
You know that your husband’s dangerous behavior is out of his hands and in his mind. Unfortunately, there are lots of medical and mental health problems for which no one, including this mental health professional, has the answers, and this may be one of them.
The danger of trying to help him if it’s just not possible is that you’ll exhaust yourself and, worse yet, put yourself and your baby at risk from his symptoms. His illness may not be his fault, but that doesn’t make it your only responsibility, either. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 15, 2013
If Shakespeare was right and a rose by any other name would smell as sweet, then a mental illness, no matter how it’s diagnosed, will always mean you feel sort of nuts. If you want to know what’s wrong with you, receiving a diagnosis feels very important, even if it sometimes leaves you yearning for something better, or resenting being labeled in the first place. The truth is that many diagnoses do little more than satisfy the irrational human need to exert magical control by naming whatever is painful and scary. So, when faced with symptoms that frighten you, don’t pay too much attention to the diagnosis; instead, find out what it says about your chance of getting better and the possible benefit and risks of treatment. Remember, it’s easier to deal with the unknown—and keep smelling the roses—when you don’t pretend to know more than you do.
–Dr. Lastname
I have a quick question but a lasting problem. I went to the doctor recently to talk about my roller-coaster emotions. She told me that I was manic-depressive with bipolar tendencies. I just want to ask you, since you went to Harvard, what the fuck does this mean?
Sadly, even with my Harvard-ified shrink expertise, I can’t tell you what the meaning of having a “manic depressive” or “bipolar” diagnosis is, because that’s for you to determine, not your shrink, this shrink, or anyone else. That’s because the diagnosis doesn’t add much meaning to what you already know about yourself and your roller-coaster moods.
So if your lows are crushing or your highs make you act like a nut, then you have good reason to get help in managing your mood, but the decision is up to you. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 19, 2013
It’s easy to know and describe what it’s like to be physically out of sorts—usually, Nyquil or a triage kit are in order—but when you’re losing it mentally, things get a lot more complicated. In some cases, it’s uncomfortable and can’t go away soon enough, while for others, it’s great and not something they even see as a problem. Good or bad, however, it’s easier to identify and understand, at least to the person experiencing it, if you remind yourself that a state of mind is only a state of mind. So whether or not you can change it, or believe it’s worth changing, it’s always worth remembering that there are more important things. Your job is to make the most of your state of mind, even if you can never fully make sense of it, without letting your brain run your life (and body) off the rails.
–Dr. Lastname
I don’t know how to begin…It’s really strange because I’ve never felt like talking to a psychiatrist, but now that I’m trying to, I realize how much I may need one. I’ve been trying to find one of my, of what I realize now, many fucked up aspects to talk about. Why do we bottle things up? Why do we make the bad things the deepest parts of our lives? Happy moments are like listening to the Beatles, short and like being on acid or running through a meadow…or both. But melancholy sits inside like Joni Mitchell or Jeff Buckley, if you let it. I guess my point is that I am terrified that I am going to have Virginia Woolf or Sylvia Plath’s life. Almost everyone in my family has mental issues. My brother tried to kill himself this year, my grandparents are the lovable nut-bags, my father had anger issues during my childhood… and I got the diagnosis from my doctor this year that I am depressive with bipolar tendencies. It’s terrifying to get a name for the way you are. I have so many. I wish it was duchess sunshine awesome, but you know… I guess what I came here for was to say that I don’t know how to express my emotions, should I bottle them up? Or should I just let myself go? My goal is to be a little clearer.
We don’t have the power to diagnose people over the internet, but when we get letters from people fretting over psychiatric diagnoses we usually feel comfortable diagnosing those diagnoses.
So, assuming you do have the familial tendency to be depressed, have mood swings, and, presumably, be creative, you don’t have to have a fucked-up life, nor do you have to stifle your creativity.
What you will have to do, however, is work at keeping your perspective when you’re hurting with depression and everything seems to suck while not letting your diagnosis frighten or shock you. After all, a doctor has merely put a label on what was always there, meaning you now know there are techniques that can help you deal with what’s been ailing you. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 18, 2013
Saying that being depressed just means being sad is like saying that having cancer means feeling nauseous; depression involves a lot more than misery, including anxiety, self-doubt, exhaustion, physical pain, and even nausea, depending on the individual. Some people are always at least a little depressed because they’re never satisfied with themselves, and others have severe symptoms but only briefly after special disappointments. In either case, until depression gets it’s own chemo-like treatment, people can seldom cure their symptoms. They can, however, learn to think more positively about their lives while not confusing the pain of symptoms with failure or character defects, or the pain of life with depression in general.
–Dr. Lastname
I have a very demanding and high pressure job, part of which is done in public, so when I make a mistake, I can’t stop thinking about it or beating myself up. I always think the worst, even for the minor stuff, but I don’t understand why. I accept mistakes in others, why can’t I accept them in myself? I am not arrogant or self-important; just the opposite, I often think I’m the dumbest, most inept person in the room. I’ve had some success but I always attribute that to external forces, not anything I’ve done. This is starting to really affect my life. I cry a lot. I don’t know what to do. Please help.
The fact that you got such a demanding and high pressure/profile job probably means that you have what it takes to get it done, but part of what helped you get it and do it well is being ultra-conscientious, which means worrying, self-criticism, and now, probably, depression. Circle of life, meet circle of strife.
The good side of worry and anxiety is that they drive you to work harder and look out for mistakes. Worriers succeed, not to keep my industry alive, but because worry-genes help people survive and multiply. The negative side of these genes, however, is that they set you up for negative thinking and depression. Anxiety and depression are just two sides of the same miserable coin. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 13, 2013
Parents can be responsible for making sure their kids are clothed, bathed, and fed, and even the bathing part is a stretch if your kid is a teenaged boy. After that, almost everything is out of a parent’s hands, especially behavior. Under normal circumstances, there’s lots you can do to help a kid control his bad behavior, assuming you stay positive, provide him with effective limits, and encourage him to endure whatever internal demons and nasty frustrations are flipping him out. Under abnormal circumstances, however, you may well do everything, accomplish nothing, and find it’s better redirecting your energies to where they’ll do more good, even if it’s just making sure they have some soap.
–Dr. Lastname
My twelve-year-old daughter can be difficult with her father and she’s not always respectful to her teachers, but she’s basically a good kid and I can count on her to do her homework and be reasonably nice to her sibs. Lately, however, I’ve been getting more complaints than usual and I’ve noticed that she looks pretty irritable and unhappy most of the time. I don’t want to come down too hard on her, but I don’t want to ignore the fact that I’m responsible for how she behaves and she hasn’t been particularly nice to people. My goal is to figure out how to take her problem seriously without making her feel I’m too critical.
When you feel responsible for your child’s behavior—or your dog’s, or even just your own weight or success—then you feel obliged to get it under control. Unfortunately, responsibility and control do not go hand-in-hand; if your kid is spoiled, needs a talking-to, and has the ability to learn from it, then a conversation might work. Otherwise, think again, because you’re trying to control what even she cannot.
In this case, you’re suggesting that your daughter already knows what she should be doing but that something is bringing out the worst in her. A serious talk about her behavior may help her stop, but there’s a danger, particularly if you sound too angry or moralistic, of worsening her mood, provoking self-hate, and stimulating defiance or self-harm. You both want the same thing, but frustration will make it even more impossible. WAIT! There is more to read… read on »
