Posted by fxckfeelings on April 23, 2012
Whenever you’re about to do something you feel you need to do, you’ve got to wonder whether it’s good for you. As any overweight person can tell you, we often need what we can’t have or shouldn’t get too much of, and “needs” (i.e., frosting) have a way of winning out over logic. So whether your needs are driven by depression or dreams of a better marriage, don’t let them shape your goals until you’ve asked yourself where they’ll lead, what matters most, and what you need to do to manage them. After all, the difference between a need and a want is a slippery, frosting-covered slope.
–Dr. Lastname
I constantly feel the black dog shadowing me. Mostly I can function and I pay it a gentle nod on my daily musings but every now and again the feeling is so great I want to slide on into the abyss. I may allow myself to indulge for a day or so but am careful to put in place an exit plan before I do (I know this place can feel so good but not really be good). It often takes great effort to avoid this feeling and even more so to get out of it. Lately I’ve been wondering if my approach is purely avoidance on my part rather than management. Does it really matter if it’s working? Yet I feel that slowly the effectiveness is waning and I seem to have a feeling of despair more often. Is it poor anxiety management driving the depression?
Your letter focuses so much on your subjective, “black dog” feelings of depression that I don’t know whether you A, feel seduced by the idea of taking time off to indulge sad ruminations, B, are low enough that you’re planning your suicide, or C, crave scones from the same-named bakery Martha’s Vineyard.
If the answer is B and you believe you are capable of harming yourself, you need to get away from the computer and into an emergency room right away. Since your letter doesn’t read as totally helpless (or New England-based), however, I’m going to assume the answer is A.
Your feeling-focused ambiguity leaves me (and you) uncertain as to whether your depressive time-outs are becoming worse or dangerous, by impairing your ability to work and sustain relationships. The answer is to be found in your actions, not your feelings; think less black dog, more black and white. WAIT! There is more to read… read on »
Posted by fxckfeelings on April 2, 2012
When you’re overwhelmed with depressed or anxious feelings that don’t seem “justified” or connected to the usual events of your life, you first doubt whether you deserve to feel that bad, then doubt your sanity entirely. That’s because these intense, negative emotions tell you that you’re worthless and/or doomed when you’re not (at least, no more than anyone else), and most people assume their emotions must be at least a little right. In reality, symptoms pass and you’re never worthless or doomed as long as you can keep your perspective, so instead of jumping to dire conclusions when intensely negative feelings try to seize control of your brain, stand your ground.
–Dr. Lastname
I feel guilty for feeling like I might be depressed. I have no reason to feel sad (and that word makes me cringe because it doesn’t quite sum up the multitude of emotions that devastate me on a regular basis; desperate, useless, pathetic, oxygen thief, loser and plenty other perfectly good adjectives could cover it) and because I can’t justify it, I start to feel frustrated. I’m like an elastic band – one minute I’m the happiest person on earth and the next I’m scraping the bottom of the barrel, ready to drop where I stand and content to never get back up again. I’m twenty and so it might just be that I’m walking the boundary line between physical maturity and teenagerdom, where angst haunts us all. I’ve had difficulties with this kind of thing in the past—my dad died when I was nine and I developed anorexia shortly after and while I’ve since ‘recovered’ (I hate that word), I still have issues with the way my body looks. I tried to kill myself when I was thirteen for no other reason that I can remember other than I had a rope and a bunk bed and fuck it, why not? Obviously I failed and I’ve never tried it again, but now and then I’ll look up at my ceiling fan and think, “Why not?” And then I’ll feel silly and awkward. But then I’ll be driving down the freeway and think “one jerk of the wheel and I’m out”. Or I have a headache and I’m staring at a very large bottle of aspirin and it’ll be there, in the back of my head, whispering away. It’s not normal to feel like that, is it? Even if they are just passing thoughts, it shouldn’t be like this. Does everyone think like this?
When you find yourself with frequent feelings of self-loathing and an urge to end it all, the question isn’t whether other people think like this (not usually), or whether you should have to feel like this (should or not, you do, and that’s the way it is), or why you feel like this (life is indisputably unfair and some people carry inexplicable pain).
The question you should instead be asking yourself is whether you can find a reason to live, knowing that you often don’t really want to. WAIT! There is more to read… read on »
Posted by fxckfeelings on March 26, 2012
Cancer that doesn’t kill you can nevertheless leave you with permanent damage and fears, but if you feel it’s necessary to reverse that damage or stop the fear before life re-starts, you’re taking on a fight with cancer you can’t win. Instead, try to remember the values you care about that apply to anyone and don’t depend on mental state or performance—being kind, doing your work, balancing your commitments—and take pride in pursuing them regardless. Now that you’re lucky enough to have a life after cancer, don’t allow cancer to run it or ruin it.
–Dr. Lastname
I am a 55-year-old mother, grandmother and graphic designer who was so, so, so lucky to have survived lung cancer seven years ago! But somehow in the process it has frozen me and I seem to have forgotten how to live. I mean there are dim memories and quiet, inside voices that keep pointing out my life is passing me by but I am frozen from action and I don’t know why or how. A small voice keeps looping, “Let your light shine” but again, I don’t know how. I also have fairly active rheumatoid arthritis but it’s not a big deal in comparison to lung cancer. What it mostly has meant is that I haven’t worked full-time for a few years so money is extremely tight and I want many things; mostly to travel, to be able to help my family financially, get a small house of my own…I’ve always been told that I’m artistically very talented but in reality I produce nothing anymore. What is wrong with me? Can you give me any clues or even one small place to start from? I don’t want to be hopeless and I feel that I’m not. I do still have hope but I keep drawing a blank on how to begin.
Based on what you’ve said, I suspect that, like many artists, you never used to have a problem structuring your own time because your creativity always did it for you. Inspiration begets motivation begets organization, etc.
If that’s true, then what’s troubling you now may be that you’ve lost that capacity, either as a result of depression or chemotherapy or both. You can still be creative, you just can’t do something about it as easily as you used to. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 2, 2012
The fact that treatment is seldom as good as we want or need it to be isn’t so bad. If we can’t always make things better with treatment, and we’re willing to accept that fact, we’re no longer burdened with responsibility for figuring out answers and making things better in the first place. Our real job isn’t finding a perfect cure for what ails us, but figuring out whether treatment is better than no treatment. And if treatment only does so much, we can take credit for whatever we do to manage the hopeless mess that’s left for the rest of our not-so-bad lives.
–Dr. Lastname
My 15-year-old son needs treatment for his irritability. He gets unbelievably angry over small things, to the point that he ups and goes to his room. He agrees that things are basically OK and he’s sorry afterwards, but it happens at least once a week. We have a happy home and he has friends in school and gets good grades. I think it’s his mood that’s the problem and it causes him and our family a lot of pain. My goal is to figure out how to get him some help with psychotherapy and/or medication.
Just because someone’s in pain doesn’t mean he needs help. Pain is just part of the complete life package, along with joy, hunger, death, etc.
Of course, you’ve got less to lose and more to gain from treatment if his irritability has caused bruised knuckles, broken sheetrock, and a growing familiarity with your local police. Pain is a normal part of life, but serving life in prison isn’t.
What you’re saying, however, is that, aside from his verbal explosions, he remains in physical control, does self-motivated time-outs, retains good relationships, and has no trouble focusing on work and getting it done. No pill could improve upon that. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 23, 2012
For those of us in the helping professions who overestimate our ability to help, (off-hour phone) calls for help can become a big problem. Whether you’re soft and sympathetic or blunt and tough, there’s no problem you can’t make worse by taking too much responsibility for messes that are beyond your (or anyone’s) control. If, on the other hand, you know the limits of your powers, you can respond to calls pleasantly, do your job, and still help someone without hurting your own sanity.
–Dr. Lastname
While most mental health clinicians would feel guilty admitting this, I’ve been in the biz for long enough that I don’t give a shit and I need to vent. Most of the crisis calls I get from my psychotherapy practice are senseless and irritating; they’re from patients who feel bad because they forgot to take their medications, or drank too much or when they shouldn’t, or allowed their demons to wreak vengeance on their enemies, the nearer the better, self best of all. A few call me because they’re feeling suicidal (but won’t go to the hospital) and just want me to make them feel better, which is hard when it’s late and I’m tired, and often impossible just because I don’t have that kind of power. I try to be civil, but their calls leave me feeling helpless and wondering whether I’m doing any good. Discussing their responsibility for their behavior is useless, because it usually makes them mad or apologetic. My goal is to figure out what to do with crisis calls that are really a useless pain in the ass.
Many crisis calls you receive as a shrink do a good job of showing off a patient’s worst behavior. It’s like having partial custody of a colicky child.
It’s not that their distress isn’t real and severe—it is, almost always—it’s that it causes self-defeating behavior, like drinking or mouthing off or retreating from the world, which creates a jam that is extra hard to get out of.
Bad feelings cause bad behavior, bad listening skills and bad regrets about going into the therapy business instead of owning a Toyota dealership. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 9, 2012
Horrible thoughts and feelings are supposed to make you feel as if there’s something horribly wrong, and there is, but it’s not necessarily with you. Even when your brain is giving you strange signals and your mood is in the pits, you’re the same old person with the same old values. Judge yourself by what you do with symptoms of mental illness, not by the way they make you feel or think, and you will never have reason to doubt yourself or despair.
–Dr. Lastname
I was diagnosed with major depressive disorder and anorexia nervosa purging type a few years ago. Both of these issues had pretty much consumed my life during the years leading up to that diagnosis and have continued to be impairing ever since. I started cutting myself two years ago (it has become more frequent this past year), and I’ve had several panic attacks in the past several months. Fortunately, my overwhelming desire to commit suicide has subsided, although I still think of suicide and my death in general fairly often. In addition to my own issues, I have watched my mom slip into a state of psychosis during the past two years, triggered by the death of her father. She has become so depressed, delusional, and violent that my parents separated and sometimes I don’t even feel safe staying in the house with her—a few weeks ago my dad and I had to stop her from going through with a suicide attempt. The police were called, and I had to hold her arms down while she was clearly in a psychotic rage. At one point, she tried to stab my hand to make me let go. She was taken to a mental health facility where she stayed for a week, and now she’s furious at us for making her go there and hasn’t been much better since then. I feel like I never get anywhere with therapists because they just prescribe medicines that make me feel numb to any emotions or focus on my eating disorder so much that I never get to work through these other issues. I feel like my life is unraveling and it’s gotten so bad that, honestly, I don’t feel like I even want to fix it. My goal in telling you this is to figure out a way to help my mom and how to get through school while I’m dealing with this.
It may seem strange to hear this, for someone who suffers as much as you do from depression, anorexia, and the burdens of taking care of a very sick mother, but I think you’re doing an amazing job.
Yes, you’re chin-deep in shit, but you haven’t drowned, and that’s a remarkable accomplishment.
Your depression hasn’t made you hate people or blame them, and your anorexia hasn’t caused you to pretend you’re not sick, so you must have a solid hold on reality. There you are, with all your pain, finding the love to help your mother and the energy to go on with your studies. You’ve got good values and a big soul. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 5, 2012
Whether you take pride in controlling your health with the latest developments in modern medicine, ancient holistic treatments, or the dictums of Xenu, you’re making the same basic mistake in thinking that you control your health. Depression is especially insidious, because there’s no amount of will power or even therapy that can make for a perfect solution. So gather techniques wherever you may using whatever works to deal with what ails you, just remember that the goal isn’t finding a cure, but the best methods to help you cope.
–Dr. Lastname
I have suffered from anxiety and depression much of my life. My most recent (and most devastating) bout was a couple of years ago, when I worked with a therapist and managed to heave myself out of it without the use of antidepressants (which I had been on in the past and want to learn to live without.) Now I find myself slipping back in. My biggest issue seems to be that I put too much stock in what others think of me or might think of me (I’m really good at fabricating things people might be saying about me.) I also had a baby last year, which has prevented me from pursuing my career fully, so when I hear of the successes of others (or see them on Facebook) I get very anxious and feel that the universe is unjust. I want to be a good mom, and I want to be good at my job, but I feel I am failing at both and resenting others who are great at either. I was made fun of a lot when I was a kid and I think I still carry some of this baggage around, like whatever decision I make is the wrong one because I’m basically a loser. How can I focus on myself and my own life without worrying about what everyone else is up to or what they may think about me?
While you already have a good idea of what to do about your negative thinking, you still need to protect yourself from two bad ideas that you express here. Unfortunately, those two ideas are also your “goals.”
First, disavow yourself of the notions that you should be able to stop depression without using medication and that you should find a way to be less, for lack of a better word, insecure. In doing so, you won’t be giving up—you’ll be giving yourself some relief. 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 November 10, 2011
Depression puts a strain on relationships, as does any illness, but it also acts as a filter through which only the worthiest of friends emerge. After all, one of the great rewards of a good friendship is feeling helpful and supportive to a sick friend, and one of the reddest flags of a bad friendship is someone who isn’t capable of either. So when depression tells you that you’re a burden to your friends, remember that, like most of what depression says, it lies. You’re never a burden to a true friend, particularly when you’re struggling, so if someone can’t be a good friend to you when you need them the most, then good riddance.
–Dr. Lastname
I need to face the fact that I have trouble getting close to people. I recently had a close relationship with a guy I was crazy about, but I often get depressed and, when it happens, I get quiet, and he couldn’t stand it. I’m good at functioning when I’m depressed, it’s never stopped me from getting my work done, and I push myself to hang out with friends, but I can’t help the fact that I don’t have much to say and that I don’t really feel like laughing. I kept telling him it wasn’t personal, but he didn’t really believe me. My goal is to figure out how I can find a partner if I can’t really interact very well.
The biggest negative thought you can have when you break up with someone is to believe it’s because there’s something wrong with you, either because your boyfriend said it or because that’s what your brain is telling you.
Nobody says, “it isn’t you, it’s me,” and means it, so you shouldn’t, either.
Remember, it’s deep human nature to blame ourselves for crap that happens, be it a failed relationship or a failed baseball season. It’s your job, however, as your one and only chief protector, to put this assumption to a logical test. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 7, 2011
Frequent readers of this site know that, when confronted by a crazy person, (or asshole ™), one should react the same way they would if they were getting charged by a Grizzly bear; don’t run, stay calm, and play dead. This is hard advice to follow when that crazy person is someone close to you whom you care about and normally count on to be sane, but if you take their symptoms personally and react to those symptoms with strong emotions, they’ll come at you harder than they would some stranger on the street/in the woods. With some people, the illness consists of surges of fear, anger, and despair that cast them and you in leading roles in a suicide-bomber psychodrama; with others, the fear is more centered in thoughts than feelings, which means less drama and less spite, but more crazy ideas that can’t be reasoned away. Either way, the challenge is to remember the difference between the person you love and the craziness going on, make no sudden movements, and wait for the attack to pass.
–Dr. Lastname
When my wife is feeling fine, she’s a reasonable, hard-working, dedicated woman who believes in helping others, but then she gets into this grim, obsessed mood and knocks herself out and then gets mad about how people don’t respect or appreciate her and she just doesn’t care any more. Yesterday, she told the boss she didn’t care if he fired her, because she didn’t care. If he fired her, it would damage a career she really cares about and, besides, we need the money, but when I tried to tell her she needed to shut up, she told me she didn’t care about our marriage or about living any longer, particularly if I didn’t support her. What do I do to stop her from hurting herself?
As we’ve said before, there are a lot of people out there who either don’t believe in mental illness, or do believe it exists but don’t really understand what it is. The former usually believe in Xenu, the latter are baffled by “Hoarders.”
Either way, the easiest way to explain mental illness to those types is to describe the disease as a demon, and yes, it’s a sad fact that people are quicker to understand satanic possession over an actual illness, but such is the biz. WAIT! There is more to read… read on »
