Posted by fxckfeelings on May 2, 2013
From Mama Rose to your average scary hockey dad, pushy parents who steamroll their kids into living out their own dreams are seen as monsters who seldom inspire real motivation. Pushing a relatively unmotivated kid into therapy instead of the spotlight might not make you feel like Dina Lohan, but the fact is, an enthusiasm gap between parent and child never bodes well. It doesn’t necessarily mean that your kid is an unmotivated, treatment-rejecting slacker, but it does mean that the intensely emotional intervention of a caring parent, whether offering treatment, discipline, or both, can make a child too reactive to others’ motivations to discover his or her own center and strength. When you want to help a difficult child, you must also learn to sell your child on the values of patience and self-restraint through example, waiting for your child to meet you halfway. Pushing a child to be mentally healthy is more valid than pushing her to be a superstar or pro-athlete, but if she don’t want it as much as you do, all you’re doing is pushing her away.
–Dr. Lastname
My daughter’s therapist is extremely expensive (hundreds of dollars, and he doesn’t take our insurance), but my daughter said the sessions helped her with her depression when it seemed like no one and nothing else could, so my husband and I took out a loan and paid for weekly treatments, which started when she was in high school and continue over the phone now that she’s in college. At the end of last semester, however, she’d flunked out of a course and now says she needs more money for personal expenses, and my husband and I have reason to think she’s drinking and partying way too much. We’re furious and my husband doesn’t want to keep “throwing money away,” especially since it’s money we have to borrow, but I’m afraid that if we confront her or reduce support for her treatment she’ll get even worse, drop out of school, and never get her degree or her mental health in order. My goal is to figure my way out of an impossible dilemma.
Ironically, endlessly searching for ways to keep your daughter safe is, in itself, a fairly dangerous proposition; if you make yourself too responsible for her treatment, she won’t develop her own values and reasons for using it and accepting its limitations. You can lead the kid to therapy, but you can’t make her think.
Until she builds her own foundation for managing her illness and its treatment, your recovery plan remains shaky. It gets shakier the more it depends on your efforts and the availability of therapists who may or may not be there when you need them, no matter what their cost. WAIT! There is more to read… read on »
Posted by fxckfeelings on April 18, 2013
Whether it’s mental illness, high blood pressure, or Bieber Fever, finding out that you or a loved one has a chronic, incurable condition stirs up feelings that you must learn to manage if they aren’t to manage you. Instead of attempting to change what you can’t or fleeing into comforting activities with bad hangovers, gather your courage and learn about actual risks and the limits of treatment. If you do that and avoid panic, self-medication, and/or dubious musical choices, you’ll become effective at helping yourself while staying focused on your life rather than your disease.
–Dr. Lastname
I met the greatest girl six months ago—she’s smart, hard-working, and we share the same values, so it’s not just an infatuation based on her looks or laugh or whatever. As I was getting to know her, I was thinking she’s the sort of person I would want to have a family with. Then, a couple of weeks ago, I got the feeling that she was getting a little…weird? She wasn’t sleeping, and was working obsessively on random stuff like color-coding the bookshelves, couldn’t stay focused, even while driving, which was pretty scary. Then last week, she started to talk fast/non-stop and text our friends about how great our sex was. The next thing I knew she was in the hospital, where I now understand she’s been once before, and her parents tell me she’s bipolar. I’m really not discouraged about her having a mental illness freak-out, I just want to find a way to help and also not let this get in the way of our relationship.
We tag every post on this side with “acceptance,” and that’s because it’s central, not just to dealing with life’s problems and getting to use the iTunes store, but in terms of long-term relationships. Acceptance isn’t easy for most, but it’s clear you have full faith in your girlfriend, in sickness and in health.
The downside to such natural, positive acceptance, however, is the lack of screening process for the life you wish to share with her; if you’re looking for a partner, you also have to ask whether her illness will allow her to do the job. Your relationship is rooted in something real, but so is her illness. WAIT! There is more to read… read on »
Posted by fxckfeelings on March 14, 2013
Most of us feel driven to help someone who’s in pain, whether they want it or not, but as sitcoms, Jodie Foucault books, and alcoholics have tried to teach us over and over again, stepping in to relieve or prevent suffering isn’t always a good idea. The sad reality is that lots of pain can’t be helped, and the sufferer is the only one who can make the tough decisions required to manage that pain effectively. Helping, then, is often less a matter of providing relief and more of encouraging people to ignore pain that they can’t change and take credit for the good things they do about it. The outcome isn’t as dramatic as it is when you attempt to rescue someone, but it’s often a lot more meaningful for everyone involved.
–Dr. Lastname
I’m a resident advisor in a college dorm (it’s free room and board, and I’m a psych grad student, so it’s training of sorts), but I’m stuck because I don’t know how to help one of the kids on my floor. He’s severely depressed and it’s complicated by the fact that his parents, who are Middle Eastern, don’t believe in mental illness and think he’s supposed to just get over it, so they won’t pay for treatment and would probably accuse him of shaming the family if they knew he got it. For a couple years, he was cutting his arms while keeping it a secret and not letting it affect his grades. Lately he says he’s stopped cutting but often thinks of suicide and sometimes gets into a strange, spacey state of mind where he’s caught himself standing on balconies and thinking about jumping. He’s a good kid and he denies being traumatized (I think he might be in the closet, and with his parents, I understand why he’s afraid to come out), but he obviously needs help. My goal is to find him the help he needs.
Before trying to help someone who’s suicidal and restricted by his own beliefs from getting help, you’ve got to remind yourself that your powers are sharply limited, and that, even under the best circumstances—if you had a practice and he was a willing patient—his case would be a challenge. This is the stuff they don’t teach you in school, or you’d switch your degree to finance.
You can coach him on his options, but the alternatives are all painful and there’s no guarantee of relief, so don’t expect to make him feel better; what you can do, however, is help him see his choices as meaningful and positive. In other words, if the desire to heal others is what’s driving your degree, it’s time to begin your coursework for Life is Unfair 101. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 14, 2013
To paraphrase Keyser Soze in “The Usual Suspects,” the greatest trick mental illness pulls is convincing the sick person it doesn’t exist. Either through making you feel perpetually insecure or unbelievably happy and confident, mental illness’ true gift is preventing you from knowing you have an illness and thus blocking you or the people who love you from helping you. Acknowledging you’re unwell may be hard news to face, but it gives you two valuable gifts; the opportunity to manage your illness, and the ability to spare yourself responsibility for the feelings and thoughts your illness can cause. You may never exorcise your illness entirely, but you can learn to identify it before it limps away with your life.
–Dr. Lastname
I wonder if I could have OCD and if I should consider getting evaluated. I spend a lot of time going over social interactions and thinking about what I should have done differently. Often I get very silly fears about having hurt my friends’ feelings and need to apologize or get reassurance that things are OK, or asking my friends/husband for reassurance about things I may have done to upset/hurt someone else. I am constantly questioning my own perceptions and have a very, very difficult time making even minor decisions (like whether to save or throw out leftovers). My husband claims that I shower 3x longer than most people and thinks I avoid showers for that reason. I am very slow and meticulous at almost everything I do (gardening) and wish I was different. I don’t have any unusual fear of germs though I do work in a lab and sterile technique is a big part of my job. There have been times when a 1-2 hour task took me 3 hours because I was behaving so irrationally about sterilizing the instruments (and I knew this). Sometimes though I think maybe I want to have OCD because otherwise there could be something even worse wrong with me.
Your obsessive worries probably have a positive side, in that they make you very, very good at your work using sterile technique in a lab, but make you very, very miserable in the process.
While the fact that you hold down an exacting job and have friends and a husband to pester with worrisome questions means that your constant worries haven’t stopped you from doing what’s important, unfortunately, that support team hasn’t stopped your constant worries or the worrying about worrying. So, while being obsessive isn’t all bad and hasn’t impaired your life too much, it doesn’t make you feel too good, either. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 11, 2013
For people who suffer from mental (or almost any serious) illness, finding the right course of treatment is a lot like dating; the goal is to find a match that’s steady, provides what you need (even if it provides some minor things you don’t), and gets along with/doesn’t burden your family. The risk of side effects—not side effects themselves, but their risk—is like the risk of wasting time with jerks, unavoidable for almost every treatment, and weighing those risks against the need for treatment and its benefits is what makes medical decision-making tough. Since you probably wouldn’t go for an arranged marriage (or even a matchmaker on Bravo), you shouldn’t assume your doctor is responsible for finding a safe, no-side-effect treatment while you sit back and wait. Nerve yourself to do the research, face the risks involved and then give yourself credit for the required courage, no matter how many medicinal Mr. Wrongs you face along the way.
–Dr. Lastname
I’m glad my wife was finally helped by her third antidepressant, because she’s now a lot less grumpy with me and the kids and she no longer seems touchy and unhappy all the time. The trouble now is that she’s less interested in sex that she was before, if that’s possible, and it leaves me feeling frustrated and ignored. It’s sad, because we used to have great sex and it always brought us together, and now we’re under greater stress than ever and she acts like sex is just more work. I don’t want to sound like her wanting to have sex is more important than her not being depressed, but I can’t pretend her total lack of interest isn’t hard to deal with. Surely there’s a better solution to her depression, so my goal is to help her find it.
I wish I could tell you that the treatments for depression are surefire and reliable, but they aren’t. This is due partly to the mysterious nature of the brain, but also because no doctor worth his or her salt will tell you that any treatment is 100% effective, 100% of the time. Even Athlete’s Foot can be tricky (and also decrease libido, at least for one’s spouse).
That said, finding the medication and/or therapy to relieve depression is especially tricky, so it’s important to remember that whenever you hear the words “this treatment has proven effective,” what they mean is “better, on average, than nothing.” So, unfortunately, there may be no treatment better than the one your wife is now taking, even though it’s the worst for her sex drive. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 7, 2013
As anyone who’s loved someone crazy or addicted knows—or really, anyone who’s watched any non-duck or -storage related programming on A&E—some addicted and/or mentally ill people take too much responsibility for the impact of their behavior on family, and others put too much responsibility on their family for saving them from themselves. In actuality, your job is never to act on your feelings of responsibility until you’ve first observed, and then accepted, what you actually control. The result may suck, and leave you feel totally helpless, but you need never be a slave of guilt when you’ve done what you can with what you’ve got (which is hopefully more than basic cable).
–Dr. Lastname
My wife (we’re gay) has Tourette’s syndrome, anger issues, and a tendency to drink more than she should. I have Bipolar disorder, and an obliviousness to other people’s feelings that is sometimes intentional, sometimes not. My wife and I dated for seven years before we got married, so it’s not like we didn’t know each other’s diagnoses and drama, but most for most of that time I was well-medicated, held down a full time job with benefits, and felt like I wasn’t being my real self. Last summer my anti-depressants kicked me into a full manic break. “God” told me to start collecting camping/survival gear and move in with friends in my home state to work on a civil rights campaign and spend time with my family. We won the campaign, and I got some cherished time with two relatives in their dying days, but I completely f*cked us financially, and ruined my wife’s trust in me. She is adamant that marriage is forever, whether we’re happy or not, and we are going to make it work. I love her, but I’m pretty sure I’m an Asshole, there’s no reason to believe this won’t happen again, and if she doesn’t get rid of me I will ruin her life, whether I want to or not. She wants stability and kids. I don’t think I can provide those things for her. My goal is to reconcile my wife’s expectations with the real limitations imposed by my case of crazy.
As we’ve often said, the best way to know for sure that you’re not an Asshole™ is the fact that you even considered the possibility that you’re an Asshole™. Assholes™ may feel injured, but, since they know it was someone else’s fault, they never feel guilty. Sadly, as a non-Asshole™, you’re forced to feel both.
So just because you’re mortified by what your last manic period did to your family finances doesn’t make you an Asshole™ or a dangerous marital partner, even though that’s the way you feel. It just makes you a good person struggling with a bad illness. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 28, 2013
Everyone will tell you that there are valuable lessons to learn from bad experiences, but unfortunately, there are some valueless lessons as well if you misinterpret your misfortune. For example, some people read too much into their painful experiences and become afraid to take new risks, while others learn almost nothing and have to retake the lesson/get screwed again and again. The answer is not to sample your crises like Goldilocks—trying to find a response that is not too much, not too little, but just right—but instead, to ground yourself in values that help you determine what risks are worth taking, what feelings are worth keeping to yourself, and what’s truly worth learning for the future.
–Dr. Lastname
The end of last year I was able to stop taking my anti-depressants after about 4 years. I feel good, my drinking is in control (though I do sometimes feel the old instinct that, when I’m stressed, a drink will help, though after one sip I know it won’t). I’m free of my fear of going outside my apartment or with groups of people. I did see a therapist, which helped me so much, though we never found out what triggered my depression, so I have a deep worry that it might come back. I know there is no point worrying about something that might never happen (I fully believe that its just a waste of time), but I doubt my relationship will survive another ride on the depression roller-coaster as it was nearly destroyed the first time. Also, my partner is concerned as I hope to have kids at some point and my partner has read that postpartum depression is worse if you have suffered depression before. The thought of being ill again terrifies me and I want to avoid that black hole anyway I can. Should I try to work out why I got depressed before? Is postpartum depression something I should be concerned about what the time comes? If I can somehow prepare myself then I’m hoping that if/when depression comes knocking again I might be able to put up a better fight.
After experiencing and surviving the pain and repercussions of a bad bout of depression, it’s normal to fear recurrence, but that fear is often worse than the thing itself; that’s certainly true with depression, as well as heights, spiders, and gays.
In fact, a PTSD-like syndrome of anxiety is common among people who’ve survived such painful and intense symptoms, so it’s important that you pay as much attention to managing the fear of depression as to treating the depression itself.
It’s understandable that you want to figure out a way to prevent recurrence, but reassuring yourself that everything is going to be alright is as misguided as parents’ insisting their kids they can grow up to be whatever they want; whether you’re hoping to rid yourself of depression or reach the major leagues despite being a one-armed girl, the odds aren’t good, so don’t make the mistake of reassuring/promising yourself that it won’t happen again.
In reality, as with all problems, real consolation comes not from putting the trauma out of mind completely, but from knowing that, whatever happens, you survived the first time and acquired a lot of weapons you’ll use to fight depression if and when it comes again.
Of course, fear will tell you that you and your relationship barely made it, but the fact is, you did make it, which is a great accomplishment. Now you’ve found treatments that work and, most importantly, you know that depression is just a bunch of symptoms, it’s not who you are; it wasn’t personal and you weren’t lazy, just unlucky and sick. Don’t get so freaked, then, by the harm a postpartum depression might do to your kids and/or marriage that you forget that child-rearing and maintaining relationships is always risky, and that you have developed good tools for managing that risk.
Yes, you have a chance of having a post-partum depression, but instead of terrifying yourself with thoughts of that possibility, investigate what you can do to decrease the risk. For one thing, you’ll find you can take antidepressants, even while pregnant; their risk of harming a fetus is low and outweighed by their ability to protect you (and the fetus) from its crushing symptoms.
And don’t fall prey to the notion that because medication has risks, it’s automatically unsafe to take, or that you’re weak or dependent to do so. It means you have an obligation, as with any danger, to weigh benefit against risk by sizing up the chance that your symptoms will come back and deciding whether treatment is worth it. So ask your doctors (and do your own research) to inform yourself about the odds of relapse. If they’re high, find out what the risks and benefits are of taking antidepressants as a preventive vitamin.
Instead of letting depression persuade you that you’ll ruin your family by making your partner and children miserable, treat it like any other disabling illness that tests most families, sooner or later, and teaches them how to survive hard times. Get your arsenal ready for fighting the negative thinking that depression both causes and is caused by.
Don’t let your experience make you a depression-phobic; remember how well you handled that depression, take a cue from the gays, and counter that fear with pride. We’d gladly see that parade.
STATEMENT:
“I can’t think about depression without feeling overwhelmed by fear. I know, however, that fear distorts my thoughts and that my experience with depression has made me much more knowledgeable and better equipped to manage it. I will prepare myself and take any reasonable risk that will allow me to stay as healthy and functional as possible, regardless of whether it recurs.”
I don’t see how I can go back to working in my family’s car business because my brother is such a dickhead. I’m broke and I need the work, and my father doesn’t mind if I work there, but my brother and I have never gotten along, and the last time we worked together he was so insulting, day after day, that I finally picked up a tire iron and we would have killed one another if they didn’t pull us apart. I promised to bury the hatchet and keep my mouth shut—as I said, I need the money—but I was back at the shop for barely four hours when he started up again and I had no choice but to punch him in the face. My goal is to teach my brother to leave me alone, so I can work at the family business when there’s no other work around.
Most of us have an instinct to push back when we’re pushed, particularly if the pusher is aggressive and insulting (and a blood relation). No words are necessary and we don’t have to be in a bad mood—all it takes to get triggered is getting cut off in traffic or a dirty look from a spouse. Maybe this instinct helps us protect ourselves from predators by showing them we’re too much trouble to dominate, but more often than not it just makes assholes, inmates, and/or corpses out of everyone.
Unlike the woman above, whose depression has taught her fear and pessimism, you don’t seem to have learned anything from your many fights. Like her, however, your response is based on feeling, not reason, so it’s both about learning from experience, as well as restraining your emotions.
Your brain is obviously wired to fight back, so if someone pushes, you feel obliged to return the favor, even if you aren’t necessarily looking for a fight in the first place. Trouble is, once that instinct gets hold of you, it gives you no choice but to fight, and the results in the real world usually suck for everyone who isn’t a Hollywood hero. Tough guys get arrested, sued, betrayed, beat up by other tough guys, and, like the rest of us, old and too weak to throw much of a punch.
So instead of just following your instinct towards fury, ask yourself whether you want to satisfy that instinct or control it. Sure, satisfying it feels better in the short run but, you guessed it, always ends badly. Controlling it is hard, takes lots of practice, and it’s what the authorities want you to do, which may make it harder for you to decide whether it’s what you want to do for yourself. Until you control that fighting instinct, however, there’s nothing anyone can say that will protect you from endless fights with your brother and others.
Wanting to control it is no guarantee that you can, and neither is therapy. If you decide to control it, you will probably need to work at building your control day by day, one day at a time, like AA, getting religion, or a gym membership. You can call it anger management, but you’d be better off calling it humiliation tolerance and/or finding goals that are more important than insult and injury (like making a living or being a good guy) and reminding yourself about them, hour by hour. The only thing you have to fight is the urge to fight, and the tire iron won’t do you any good.
STATEMENT:
“I can’t stand to feel pushed around and I take pride in being the guy who never starts fights but who knows how to finish them. I know, however, that fighting always ends badly in an unfair world and I have goals that are more important than what anyone says or does to me, particularly if they’re assholes. I am proud of myself for pursuing those goals regardless of how assholes make me feel.”
Posted by fxckfeelings on January 17, 2013
It’s often been said that if you want to make god laugh, make a plan, but this is not the case for people dealing with mental illness, mostly because of all the pain you have to accept before you even get to the plan-making stage. If you ignore that pain, you’re a dumb ostrich who will make an avoidant plan, but if you focus too much on it, you develop a ruminative plan and become your problem. So brace yourself for unavoidable pain, prepare to do two things at once, and plan away. Then your choices will take you as close as possible to where you want to be, and your plan, or at least your ability to make one, will make any higher power proud.
–Dr. Lastname
I have a big problem getting myself to study. I do things late and then don’t get good grades, or I don’t get anything done, or I stop somewhere in the middle. I guess I have a problem with concentration and also with laziness. I’ve also done this thing since I was a little child where I turn on music, I sit on a couch or my bed and rock myself, hitting my back towards the backrest of the couch, sometimes it takes hours, sometimes it’s quite quick, like half an hour. I also have quite low self-esteem, not sure what is the reason…I am trying to overcome it somehow but it always gets to me again and I have to deal with it and then I have these days like I do not want to get up—I can’t think of a reason to, and I do not want to go anywhere and I am scared of everything. Sometimes I feel like people are watching me and criticizing me and I don’t want to go to the market because I don’t want to deal with anyone. Sometimes I eat a lot because I am in that crazy mood and I feel bad about it, not because I’ll gain weight (maybe a little bit) but especially because of my health… I criticize myself a lot. I write something or say something and in a while I hate it even if the first impression about it was really good. So… I might be a little bit screwed up I guess… I would be thankful for some opinion or advice what to do with all this.
You’ve certainly got a ton of problems, including trouble concentrating, studying, getting up in the morning, keeping your weight under control, dealing with paranoid thoughts, etc. (but hopefully not memory, because I’d have to think there are even more issues you forgot and left out).
The big question to ask yourself, however, is not what’s wrong with you and to count all the ways, but what you’ve done with your life in spite of these problems. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 10, 2013
Deciding whom to blame for a problem you can’t get a handle on is easy if you follow your instincts, but instincts should also tell you that a decision made based on intuition instead of thought is probably wrong. In reality, you need to look carefully at whether a person is doing his or her best with what’s actually controllable before deciding whether what’s missing is better discipline or better luck. Ignore your instincts, assess the uncontrollable and you’ll come up with helpful and constructive ideas by looking for facts, not blame.
–Dr. Lastname
I’m in college, and my problem is that I have ADD and even when I’m on Ritalin, I get distracted very easily if something about a course is hard to understand. Then I wind up fucking around, doing other things, spending too much time with my boyfriend, and falling behind. After two or three weeks, it’s too hard to catch up and I don’t want anyone to know, so I stop going to class. A few weeks after that, there’s nothing to do but drop the course, which makes me feel like a loser. I had the same problem in high school, but I’ve never found a drug or dose that’s made the problem better. My goal is to find a better medication or a way to try harder so that I don’t get behind in the first place.
There’s no doubt ADD is your problem, but another problem lots of people with ADD develop over the years of experiencing learning as a painful, humiliating process is avoidance. It came from your ADD, but it’s its own problem, and not the kind they make pills for.
A lot of people with ADD get good at lying to themselves and others about what they’re failing to do and what the consequences are going to be. It started as a coping mechanism, but it’s developed into a pain in the ass. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 3, 2013
Any number of sources, from teachers to parents to inspirational posters featuring wolves, teach us that we should be able to achieve our goals by working harder and feel great when those goals are achieved. Unfortunately, mental illness often trumps these expectations by making it impossible to do certain kinds of work or enjoy the non-working hours that should bring happiness. So, if you’ve got good evidence that mental illness has altered your capacities, despite good treatment, it’s time to change your teachers/parents/wolves’ assumptions about high performance and happiness and identify the other things that matter more.
–Dr. Lastname
My daughter suffers from bipolar disorder, and while I admire her determination to finish college and want to support her confidence, I know that she hasn’t been able to read more than a chapter or two since her illness started 10 years ago. She does fine on courses that don’t require much reading, as long she takes one at a time. Otherwise, she melts down– she can’t do the work, withdraws, stops attending classes, and looks more symptomatic for a month or so until she recovers. My goal is to build her confidence and help her overcome the stigma of having mental illness.
People often think that the measure of recovery after a disabling illness is how much normal function you get back, but when you’re dealing with an incurable illness, “normal” and “recovery” are defined differently.
Pushing yourself harder to meet the old standard under your new set of circumstances is an effective way of meeting your goals, but only if those goals involve making yourself feel like a loser for not being able to accomplish something that’s practically impossible.
True recovery means doing your best to live up to your values, regardless of how well your equipment is working; performance is the means, not the end. WAIT! There is more to read… read on »
