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Tuesday, November 26, 2024

Take It Or Leave Her

Posted by fxckfeelings on April 11, 2011

If you watch basic cable, you’ve seen enough shows about bizarre health problems to know there’s someone out there for everyone, willing to put up with anything; from morbid obesity to tree hands to a lack of sex organs, there’s no physical trait so daunting that there isn’t someone out there (usually someone with low expectations) who can’t accept it. It’s always surprising, then, when people with lesser problems, like illness or bad habits, have trouble getting the same level of unconditional support. Of course, acceptance, as hard as it is, doesn’t mean being a doormat. That’s why the payoff of acceptance is becoming stronger, prouder, and more realistic, even if it never airs on basic cable.
Dr. Lastname

I like my wife, except when she doesn’t take her bipolar medications, which she hates, and then she becomes nasty, irritable, and overbearing. She makes my life miserable, and I worry about her impact on the kids. My goal is to protect the kids and get her to take her medication.

The best way to keep someone from taking their medication is to persistently ask them whether or not they’ve taken their medication.

That’s not to say that leaving the issue alone will insure she takes her meds, either. The point is, if she doesn’t want to take then, she won’t. The second part of the goal is a no-go.

The best you can do is tactfully encourage your wife to look for her own reasons to take medications. Having done that, you can predict whether it’s ever going to happen, and direct your life accordingly.

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Traumarama

Posted by fxckfeelings on March 21, 2011

If trauma leaves you with bad feelings, then of course you want to get over it. The problem is that, unfortunately, you were traumatized, not, say, irked. And trauma, by nature and/or definition, haunts you to one degree or another for an extended period of time and doesn’t necessarily pass. If you expect it to go away, like a slight ribbing would, you might get lucky. More probably, however, you will blame yourself for not being able to “get better” and make that trauma worse. If you wind up with trauma, then expect trauma, and learn to manage it. Being told to ignore it doesn’t mean making the memory go away; it means acting as if it wasn’t there. And if we’ve irked you, well, at least it’ll pass.
Dr. Lastname

I didn’t have any serious injuries after falling off some scaffolding, but I began to have nightmares and the thought of returning to work gave me anxiety attacks. So I took a medical leave, saw a therapist, and got some medication and now I’m much better, but I’m still far from 100% recovered and the thought of climbing a ladder still makes me feel like I’m going to have another attack. So I’m wondering whether to extend the leave until I feel better—I don’t know how long my disability insurance will cover this—or find something else to do, and it’s hard to make a decision when I don’t know whether I’m ever going to feel better. My goal is to feel well enough to make a decision.

Severe anxiety makes sissies of everyone. The primal part of your brain thinks it’s doing you a favor; it’s the part that says fire bad, sun hot, sex yay. Now it’s saying, ladders evil, followed by, run!

Meanwhile, anxiety attacks are so painful, the thing you’re most afraid of is having one again, the very thought of which makes you anxious, which feels like you’re about to have another. Your brain’s protecting you in a hellish spiral.

The scary thing you need to accept up front is that your anxiety, and your anxiety about anxiety, may never go away. If you think you’re supposed to make it go away, you’ll be more discouraged when you can’t; if you climb the ladder while telling yourself it will never happen again, you’re putting yourself into danger. That’s the kind of hope and optimism that will get you into trouble.

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Bipolar-curious

Posted by fxckfeelings on March 17, 2011

Being diagnosed with mental illness won’t necessarily screw up your life, and screwing up your life doesn’t mean you have mental illness. In any case, people are most effective at managing screw-ups and mental illness when they’re ready to face the worst case scenario, assuming they can do so without letting it reflect on the quality of their management. Consider the worst, hope for the best, and don’t let your fears distort your perception of reality. In other words, don’t panic or feel that you’ve failed when somebody acts “crazy” or you’ll end up driving yourself nuts.
Dr. Lastname

Are there varying degrees of bipolar? My son is 21 and just diagnosed in Sept 2010. He is a student, a swimmer with his university and a likeable, good-looking guy. He is medicated (lithium and Zyprexa) and is doing pretty well. He complains about concentration issues. I just feel sometimes like I need to be reassured that this is manageable and that there are positive stories of other people with bipolar. I hope and pray that he will lead a fulfilling life, marry and have a family. We are all just trying to adapt to this diagnosis.

Not only are there varying degrees of “bipolar,” there are probably various kinds as well, but we don’t know enough about what’s going on biologically to say. Like the Supreme Court once said of obscenity, you know it when you see it, but it takes many forms.

Basically, the word “bipolar” doesn’t have a lot of meaning other than as a description of someone who had an over-the-top episode of wild, excited, high-risk, inappropriately-undressed behavior that then, most probably, was calmed down by lithium.

Since we don’t have a biological definition of bipolar, we’re forced to use the word to describe the unluckiest cases, the ones who have the most severe symptoms that last the longest and come back the most often, simply because they’re the ones that are easiest to categorize.

There are probably lots of mild or brief cases that don’t get included in the definition, so the diagnosis seems to imply severe symptoms and a difficult future, when, actually, there are probably lots of mild cases. So yes, you’re right, he may not have it as bad as people think when they hear the word “bipolar” (which is to say, he will probably doing a lot better than Charlie Sheen).

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Thems The Brakes

Posted by fxckfeelings on March 3, 2011

Pride comes before the fall, and the fall is sometimes into a prolonged depression, which, to mix metaphors, can lead to a lengthy winter of discontent. No matter how much you deserve to be confident in a job well done at work, there are uncontrollable things that can put the brakes on your momentum or just stop you from doing excelling work. One of the major sources of stalling is the aforementioned depression. That’s when you either find a more solid source of pride or start seeing yourself as a failure, and you know what we advocate. Real excellence is accepting your best work when it’s not excellent, and real pride comes with healthy expectations and is fall-free.
Dr. Lastname

After 5 years of facing up to issues with PTSD after a sexual assault, depression, anxiety and feeling generally emotionally disconnected, I felt that I made progress. As a creative person, I was stuck in a job surrounded by other artists but not creating anything myself. I left my job last autumn and set myself up as a freelance artist and have been working hard at being pro-active. I have been ignoring the signs of depression since last November, maybe earlier. I am doing the bare minimum just to support myself but over the past month or so I have been sinking down further and further. I feel like a failure to be back at this place again. In the past I have taken anti-depressants but they cut all creative flow off and I just can’t do that again, it’s the only thing holding me together at the moment. I cried last night for the first time in 9 years at the sheer frustration of not moving forwards and not being the artist I want to be. I’ve kind of given up on the idea of having the things normal people do like family (have no contact with my own), so I do tend to define myself by my art. My goal is to be brave enough and good enough to create the work that I feel is inside me without sabotaging or running away.

One of the dangers of being an artist is that you may gain too much confidence in your control over creativity. Sometimes, you feel the muse. Most of the time, you feel the misery.

When you feel inspired, you define yourself by your art, despite the lack of control you have over it. Creative types are in the unique position where talent and productivity don’t necessarily go hand-in-hand. When the former outweighs the latter, problems ensue.

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Do-It-Yourself-Help

Posted by fxckfeelings on February 7, 2011

When in the midst of one of life’s many shit storms, it’s easy to forget that feeling helpless and feeling that things are out of your control aren’t the same thing. It’s probably true that you don’t have much control over what troubles you, but that doesn’t mean you’re totally powerless and doomed to total annihilation. Helplessness, after all, is just a feeling, and a dangerous one if it makes you give up, lose faith, or act like a jerk. So if you can take a step back and look at what you actually can do, even if it’s very little, those shitty storm clouds will begin to clear.
Dr. Lastname

I can’t stand myself since I lost my job—I know I hated my boss and I was looking forward to retiring in a year, but I liked the clients and was good at what I did—but getting fired was humiliating and unfair and now I don’t feel like doing anything or going out. I can’t make myself feel better and my medications aren’t working and my friends can’t cheer me up. My goal is to feel like my old self and do the kind of work I can now afford to do, since I don’t really need the money.

The job you lost is one you hated, you have enough money to live on, and you now have the freedom to do whatever you want…this is probably what you’ve already heard from your friends a million times.

What they don’t know is that thinking that way just makes you feel worse.

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What, Me Worry?

Posted by fxckfeelings on February 3, 2011

Just as it’s sometimes better to be feared than loved, it’s sometimes better to be afraid than completely at ease. Yes, anxiety may push up your blood pressure, pound your pulse and punish your insides to the point where it feels like pure punishment. On the other hand, anxiety will also help you run faster, be more aware, and work harder. All these survival skills go back to the cavemen, who couldn’t kick back and feel too good, lest they end up getting snatched up and tasting good to a predator. Even now that we’ve moved from caves to condos, everybody needs a healthy dose of stress to stay alive.
Dr. Lastname

I never used to be particularly anxious, but that’s because I could count on my wife to run the family, manage the finances, and take care of the kids while I focused on work. Then a month ago, after she announced she was having an affair and wasn’t sure that she wanted to stay together, I started to have anxiety attacks and a feeling of dread. It changed my entire outlook on my life, past, present, and future. My anxiety got worse when I started to look at our finances and discovered we’ve got loads of debt she never told me about. Now she tells me that the affair is over and she wants to make the marriage work, but the anxiety isn’t going away—this whole incident has opened up a Pandora’s box of worry that goes way beyond her cheating. My goal is to get back to the way I felt before and not wake up to this terrible feeling every morning.

If you believe every pharmaceutical ad you see on TV, you might think that anxiety is as deadly as cancer and machine guns combined.

There’s a great disconnect, however, between random anxiety attacks and the very real possibility that you might lose everything and go totally, tits-up broke.

When you let someone else do life’s worrying for you and then discover they’re not really competent, you’ve probably got a lot of past worrying to catch up on.

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Prudent Parents

Posted by fxckfeelings on January 24, 2011

As a general rule, the worst kind of advice is unsolicited, but when you’re a parent, it often feels like giving your two cents is your duty, even if no one asks for it. Of course, it’s hard to offer good advice to your children about touchy, questionable decisions they’ve already made. It’s amazing what you can say and get away with, however, if, instead of giving them a piece of your mind, you take the time to ask them questions about where their mind’s at without any negativity or judgment. Hopefully, you’ll come to a conclusion that makes sense to both of you, and you can save your two cents for a rainy day.
Dr. Lastname

I wish I could be sure that my daughter is getting the right treatment for my grandson. He’s 7-years-old and been diagnosed with Bipolar Disorder and his doctor started him on a drug called Abilify, which has some nasty side-effects. I’ve read on the internet that Abilify can be harmful to kids and I wish my daughter and her husband would think twice before allowing themselves to be talked into using it, but I don’t want to intrude into their decision. My goal is to make sure my grandson isn’t harmed.

Never ask someone if they’re sure they know what they’re doing, because if they weren’t sure, you wouldn’t need to ask in the first place.

If you do end up asking your daughter why she’s exposing her son to a dangerous medication, not only will she answer yes, but she’ll give you an annoyed earful as to how she’s doing the right thing, how you don’t know what you’re talking about, and how you should just mind your own business.

She might not know what she’s doing, but neither did you when you opened your mouth.

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No Therap-easy Answers

Posted by fxckfeelings on January 6, 2011

Names are often misleading; there are no arts or entertainment on the A&E channel, Greenland is mostly ice, and, most importantly, Therapy isn’t necessary therapeutic. Fact is, few therapies work completely or all the time, whatever kind of medical problem you have, and there are no guaranteed cures for psychiatric problems. That means there are no no-brainer decisions; all decisions require your brain, so you’re the one who must make all the tough calls. As such, you’re the one who must decide whether a therapy is therapeutic and whether, given its risks, it’s worth trying. The more responsibility you take, however, the more control you’ll experience over your choices, and the more respect you’ll command from others and yourself. If you want to see the mushy kind of therapy, you can watch it on A&E.
Dr. Lastname

Things have been much better since my husband began therapy—he’s much less explosive and sensitive lately—which is good, because I didn’t really think we could start a family the way he was acting before. He was traumatized as a kid, and it’s made him very suspicious and touchy. I think therapy is helping him to get to the root of his problems, and that, if things continue to go well, we could actually have kids, but I’m not sure when he’ll be well enough for the time to be right. My goal is to set a goal for us.

Your husband may be happy because his relationship with his therapist has filled a deep need, or because he’s excited about a breakthrough, or because the McRib is back.

Sooner or later, however, therapy or no, life won’t be so easy, particularly if you have kids and you run into the usual kinds of medical, economic and personal kinds of bad luck that happen to most of us.

That said, don’t use your husband’s apparent happiness or serenity to decide whether he and your partnership are ready for child-rearing; what you need to know is how well his serenity stands up to stress.

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Assume And Doom

Posted by fxckfeelings on October 18, 2010

To paraphrase Homer Simpson’s thoughts on alcohol; for the depression-prone especially, fear is the cause of, and result of, all of life’s problems. When you’re afraid, it seems like you’re losing control, and nothing will work unless you get it back, which will just dig you deeper. Life can and will always take away your control, so your job is to forget control and preserve your values using whatever you have, regardless of result. You may not be able to cure yourself of depression, alcoholism, or anything else that ails you, but you shouldn’t hide and give up. Remember, to further paraphrase Homer Simpson, the answers to life’s problems aren’t found through control, they’re found on the internet.
Dr. Lastname

I’ve been so depressed I can barely get out of bed, so at this point, I’m willing to try medication. The problem is, none of the pills I try seem to work for me, and some of them make me feel worse. One antidepressant made me dizzy, and another one my doctor recommended is said to cause weight gain, and another sometimes causes a severe rash. I’m desperate, but there’s got to be a way to feel better without a fucking rash. I need something that will work without doing me serious harm.

If you’re looking for an antidepressant that’s sure to help and has never caused harm, stop your search now. Like cold fusion, unicorns, and a good Joel Schumacher movie, such a pill doesn’t exist.

Refusing a medication because it makes you gain weight is like skipping chemotherapy because of possible hair loss. Expecting too much from antidepressants, or any medication, can paralyze you and prevent you from getting the actual help they might be able to provide.

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Med Dread

Posted by fxckfeelings on September 30, 2010

There’s something about the decision to take or not take medication that makes people very reactive to feelings, both theirs and others, instead of just weighing the important stuff, like the risks, their symptoms, etc. The only good way to make medication decisions is to think about what will happen to you without them and decide for yourself what will do you the most good. Until the day others can feel sick on your behalf, their reactions to your own carefully thought out medical choices shouldn’t come first.
Dr. Lastname

Given all my issues, I’m not doing so badly, although it’s true I have a $400/week speed habit. Even with that though, I’m doing well at a demanding, high-powered job, meeting all the overtime demands, and then, at quitting time, when I’ve gotten paid and don’t want to feel bored or alone, that’s where speed comes in. A few years ago, I had a crazy, manic mental breakdown and they started me on medication, which I’ve taken regularly, but I’ve been doing fine ever since, my mood is great, the speed hasn’t bothered me, so I don’t see why I can’t start cutting back on the meds. That’s my goal: to feel OK without meds.

Whether it’s bad for you to use speed or stop your bipolar medications depends a lot on what you believe you need for your future survival, assuming that you care about it.

Since I don’t think that’s a safe assumption, let’s assume you’ll at least consider caring about it after you read my response.

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