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Wednesday, November 6, 2024

Guided By Voices

Posted by fxckfeelings on October 19, 2009

The old saying is, “opinions are like assholes– everybody’s got one.” The sentiment here at fxckfeelings.com is more along the lines of, “assholes make up a lot of the population,” so you need to deal with other people’s unsolicited input without letting it grind you down. Many opinions are ignorable and interchangable, like many of the assholes in the universe. Other opinions, however, are worth considering, because not everyone is an asshole, and you might have something you need to learn.
Dr. Lastname

I’ve always gotten some attitude at work because I’m a woman (some people seem to act like that’s the only reason I’ve gotten as far as I have), but recently, due to the economy, I’ve been dealing with a lot more disrespect. Frankly, the opposite should be true, and I should be getting loads of appreciation for doing twice the work I used to after so many lay-offs. Instead, people think that it’s not fair that I get to keep my job, and while the sexist stuff was annoying, this recent turn of events has made things almost unbearable. I’m sick of not being appreciated for my talent and hard work and instead having to deal with everyone’s bullshit and bitterness instead. My goal is to get treated appropriately for a job well done, simple as that.

While appreciation certainly makes the job easier—it makes most things in life easier—it doesn’t cut it as a goal, if only because need for appreciation makes you easy prey to anyone who gives you lots of appreciation, twice as much work, and no more pay. I can’t abide your goal to be a sucker.

Appreciation also makes you reactive to other people’s feelings, instead of to your own reasons for being there, so don’t quit a job because everyone at work is critical, and don’t stay because they tell you you’re marvelous.

Remember what you’re working for: money, not love. Unless you’re a bad prostitute.

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Life, Death, Whatever

Posted by fxckfeelings on October 15, 2009

Accepting that we are all fucked by life is a basic tenet of the f*ckfeelings.com philosophy; there’s a certain zen to it, as we encourage not just being one with the universe and its glory but also with its amber waves of pain. For people who suffer from depression, pain makes an obvious attempt to define your life goal as “I’ve got to stop this.” But killing pain, as desirable as it is, will always compound your troubles if you make it your goal. Your goal is your goal and pain is pain and never the twain should meet.
Dr. Lastname

I have been struggling with depression for most of my adult life, and I do mean struggling. No matter how many times I find myself going through months at a time of feeling hopeless, angry, and miserable, I know it’s a treatable illness—a chemical imbalance— nd that there must be a way to control it. Over the past twenty years, I’ve been through a handful of shrinks and at least a dozen medications, because no matter how bad it gets, I’ve refused to give up looking for the treatment that will allow me to fulfill the promise of my otherwise lucky life. The problem is that, twenty years into this battle, and I’m still not winning. Treatment works for a while, and just when it seems like things are finally working out for me and I’m in the clear, everything falls apart again. My goal is to figure out how—with what treatment, medication, game plan—to get control of this disease and live a normal life, because I’m stronger than this, and I refuse to let depression get the last laugh.

Hold up—did I miss the morning’s headlines that declared depression a curable illness? Up until yesterday, it wasn’t, and when you think about it, the list of truly curable diseases is an adorably short one. Really, unless you’ve got athlete’s foot, you’re probably shit out of luck.

That said, it doesn’t mean you should shoot yourself unless you’re similarly upset by the incurability of hypertension, diabetes, osteoporosis, high cholesterol, and all the other illnesses that most of us get, sooner or later. Even athlete’s foot isn’t worth it.

The issue here is that if you think that beating an illness means getting rid of it, you’ve lost before you’ve begun to fight. And if that illness is depression, then losing means getting more depressed, which means becoming a bigger loser, ad infinitum.

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Trauma Queen

Posted by fxckfeelings on September 17, 2009

Trauma becomes a part of who you are—the more you fight it, the more you punish yourself—so don’t struggle against the scars, physical or mental, that’s life’s given you. Many people have the notion that therapy can cure psychological trauma, but, in reality, trying to “cure” trauma is like trying to win a war on terror: you can’t defeat an emotional response, you can just keep living in spite of it.
Dr. Lastname

Up until 2003, I lived in Brooklyn and worked in Tribeca, so, as you can imagine, 9/11 was a big, scary deal for me. I went to therapy for a while—both for the PTSD and the grief over a couple of friends at Cantor/Fitzgerald who died—and while I think I’m doing much better than I was, I still get shaky when I see footage or pictures from that day. Problem is, 8 years have passed, I now live in Chicago, so there’s not a lot of sympathy for my sensitivity. In fact, last week, when the topic came up at work and I expressed my discomfort, one of my co-workers accused me of being totally over dramatic, and I then became the subject of some light ribbing. And I know they have a point sort of, but I also know that it was really fucking scary. So my goal is to figure out what I should do, be it get more therapy or more resistance to my co-workers’ bullshit, in order to move past my trauma.

Trying to block or control your trauma-reactive sensitivity is a bad idea; after awhile, you simply can’t control it, and trying to do so makes it worse. The number of treatments that aim to reduce your symptoms after traumatic events should warn you that success is partial, and control impossible.

And, of course, there are all those natural treatments for blocking pain—alcohol, weed, sugary baked goods, and other high-side-effect mental painkillers that work beautifully, however briefly—while also destroying your life.

In the short run, some treatments are helpful…but they’re not cures. Now you’ve had treatment, it’s 8 years later, you’ve moved away and tried to move on, so whatever sensitivity you’ve got at this point, you’re not going to get rid of.

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Judging the Judges: A Special Comment

Posted by fxckfeelings on September 14, 2009

The not-MD here: Now that an actual health care bill is almost upon us, I thought this would be a good opportunity to ask my writing partner, as an actual health care provider, for his take on how we can improve health insurance.

We don’t like to get political, and everyone’s entitled to their own views (at least I think so—he’d probably tell you you’re just wrong), but this is not an entry about politics; at its core, the health care debate is about health care, and as a doctor, not a Democrat or Republican, this is his medical point of view. We’ll return to normal cases on Thursday.
Dr. Lastname

One thing you learn as a parent is that there’s never enough time, money, or resources to provide perfect safety and security for your family. Worse, if you hold yourself responsible for providing it, you’ll go nuts the first time something goes badly wrong and you can’t control it. You’ll blow everything on something that can’t be helped, feel like a failure, and have nothing left, financially or emotionally, for those who need you.

As such, compromising on how you spend your resources is as much a part of good parenting as is nurturing, although it often makes you feel terrible. So it is with health care systems.

Democrats sometimes emphasize the nurturing part of this process, our shared humanitarian desire to provide more care, while Republicans sometimes emphasize the tougher part of this process, our desire to make sure that treatments work and are well delivered. But at the heart of good management there is always an unavoidable need to make good compromises, and that’s what I think needs more attention and reform. Not fewer denials from the insurance companies, but denials that are more fair and decided upon more ethically.

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Luck Is A Curse

Posted by fxckfeelings on August 10, 2009

Some people find themselves suddenly, inexplicably cursed by a life of hardship and pain, while others cruise through a blessed existence of acclaim and luck. Truth is, of course, that the person in pain isn’t doomed to constant misery, and lucks brings its own peculiar, unavoidable hardship; thankfully, everyone of us, in one way or another, is fucked. It’s where we go from there that makes the difference.
Dr. Lastname

Just a few years ago, in my early 20s, I was a fun, outgoing law student at a top tier school, on the cusp of beginning a promising career in a competitive field that I loved. But then, out of no where, my health fell apart. Without getting into it, I was diagnosed with a rare, chronic disease that causes me so much pain and fatigue that even the simplest tasks have become arduous. I had to drop out of school, move back home, and learn to deal, not just with the physical pain of everyday life, but with feelings of failure and being a complete loser. All my old friends are moving upwards and onwards, like I was once set to do, and all I can do is take it slow and try to cope with this new, brutal reality. Plus, because my disease is rare and not physically obvious (I look healthy), several friends and even family members have decided that I’m not sick, but that I just buckled under the competitive pressure of my law career or that I’m just lazy, and am using a fake disease as an excuse. They say things like, “my joints hurt, but I go to work everyday,” and I just want to curl up and die. Between my own disappointment and their cruel judgment, I’ve withdrawn from social interaction almost completely for a year now. My goal is to not completely isolate myself from the world and maybe even start to enjoy some social interaction again despite feeling self-conscious and experiencing such dismissive attitudes from others.

It’s good that you want to get out of your self-imposed solitary confinement—living like that’s unhealthy, even for people who are physically healthy to begin with—but attaching the enjoyment of social interaction onto your goal is not so hot, especially when you’re suffering from a disease that seems to make enjoying anything nearly impossible and gives prospective friends a case of the repulsive willies.

Problem is, despite your best efforts, enjoyment is out of your control, and if you make a big effort to extend yourself socially and run into crap, you’ll feel like a stupid failure and personally rejected, when, really, it’s your standards that are the problem. Yours and everyone else’s.

A better goal is to work at not taking your pain and isolation personally while working out rational standards for what it means to cope with them.

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My Therapist, Myself

Posted by fxckfeelings on August 3, 2009

Like almost every useful treatment, medical or otherwise, psychotherapy can be dangerous, particularly when you rely on your (say it with me now) feelings to decide whether or not to continue. Ironically, feeling good is one of the worst reasons to stay with therapy, and feeling crappy is one of the worst reasons to end it.
Dr. Lastname

My therapist is about to depart on vacation for one month, and I’m feeling f*cking nervous and tense about it. I’d like to know what I can do to make the best of this break in therapy and come back refreshed and ready to start work again when my therapist returns, and also how to keep the unpleasant feelings of missing her to a minimum.

Congratulations! While your question seems like a short-and-sweet query (or maybe a chance to cheat on the classic back-to-school essay, “What I did on my therapist’s summer vacation”) it’s actually a perfect example of the dangers of focusing too much on feelings when you’re undergoing psychotherapy. A+

Look, there’s nothing wrong with enjoying therapy, experiencing emotional relief or a feeling of personal growth, or liking or missing your therapist. Just remember—you’re paying for this and should never forget what you’re getting it for. Or you’ll be sorry.

If you rely on your feelings to tell you whether to continue therapy, you may never have reason to stop. You may continue to like your therapist, find the subject interesting, learn something new, and feel the treatment supports you in a way nothing and no one else does.

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The Sanford Wives

Posted by fxckfeelings on July 6, 2009

In honor of our nation’s birth, we’re doing our patriotic duty this long weekend and helping out one of our elected leaders (at least until he’s forced to resign); this man may no longer be a hopeful for the White House, but he’s already the commander-in-chief of feelings. We also reach out to his wife, who probably is less in need of a shrink than a good divorce lawyer.
Happy 4th!
Dr. Lastname

I’ve always had a God-given gift for communicating with people and have tried to use my gifts to lead people in a moral direction. In recent years, after achieving success as a lawyer, and marrying a truly remarkable woman, I felt a calling to run for office and, with her help as campaign manager, I was elected to office. I wasn’t afraid to take unpopular positions if I felt I was doing the right thing, because I trust my passion; that’s what connects me with people. About a year ago, I felt an unbelievable sense of connection with a beautiful, foreign woman. I’ve never felt so close to anyone, and it seemed unfair to either one of us not to share our love. But instead of having a beautiful experience to share and then put behind us, I became obsessed. It distanced me from my wife, who sensed that something was wrong, and it distracted me from work. I had to lie, and I hate lying. Finally, and with great relief, I confessed the truth. But I still can’t stop thinking and talking about her and now my marriage and political life are a mess. In the past, passion has brought me all my success and I need passion in my life. Now, I want to recapture that passion in a way that revives my marriage, interest in my job, and relationship with the public.

To successful politicians, who often have your style and personality, intense feelings often seem like the core of their being, and what makes them special. Such feelings give the gift of easy communication, charisma, material success, votes, and a certain je ne sais what the ladies love (and, sometimes, the dudes—here’s to you, Larry Craig, for having more charisma in your feet than most of us have in our entire bodies).

Sooner or later, however, your skills work their mojo, you achieve your goals, and life settles down to boring conversations with family and the same old guys at work (even if many are relatively famous), and at that point, if passion has become your elixir of life, you may feel like you’ve lost your oxygen and slid into meaningless mediocrity. The spark, as you might call it, is gone.

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Managing Mental Illness

Posted by fxckfeelings on July 1, 2009

Human nature tells us that the best way to solve a problem is to get to the root of the issue, but some problems, like mental illness, have no simple cause and no solution to speak of. In today’s cases, two people need to rethink their approach to mental illness; when you stop looking for someone to blame or a silver bullet cure, you can get to the real business of learning to cope with the reality of the present.
Dr. Lastname

I think one of my sister’s kids might be mentally ill—he’s 9 and very intense and unhappy—but my sister doesn’t see it, and I don’t know how/if to get her to pick up on it. It should be fairly obvious to her since we saw the same symptoms in our mother, who wasn’t diagnosed as bipolar until we were kids and she had a chance to put on quite a show. I guess my sister doesn’t really understand that our mother wasn’t just a mean drama-queen but actually sick, maybe because she was younger when Mom went to the hospital and doesn’t really remember, or maybe because she’s in denial, or maybe both of those things combined with the fact she and her husband are space cadets that are such hands-off parents they don’t even notice that one of their own children is clearly suicidal. My goal is to get my sister out of the clouds and get my nephew some help, because if something happens to that kid, I don’t blame genetics, I blame her.

As any teacher well tell you, the danger of bestowing your idea of help on another parent’s child is that you have very little control over how parents react, because no parent wants to hear that something is wrong with their child. And their default response lies somewhere between defensive anger and general freaking out.

The freaking out also comes from the fact that it’s hard to keep the urgency and alarm out of your voice, no matter how diplomatic you think you are, and feelings trigger feelings. Suddenly you’re in a perfect storm of hysteria, but hey, no good deed goes unpunished.

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Good Grief

Posted by fxckfeelings on June 28, 2009

A lot of readers, either with amusement or anger, like to challenge the “fuck feelings” mentality; surely, they respond, not everyone’s just a big baby, and there must be some legitimacy to some feelings, given the right circumstances. Those readers might try to use these two cases—the feelings within, and/or the situations that have spawned them—to find the exception to the rule. But if you really think we assign some feelings more value than others, then you misunderstand the rule entirely.
Dr. Lastname

I know this site has fun with people who whine because the truth hurts, but I want to know whether you can apply that philosophy in situations like mine. My son died in a car accident a year ago—he was just a little guy, bad weather…total freak accident. One day he was fine, the next day, he was gone. My wife was driving, and while I know it wasn’t her fault, I’ve pulled away from her, and she doesn’t really talk to me, either. It’s possible that I’m drinking too much, because I am drinking to numb the pain. Would you honestly tell someone in my position, “fuck feelings”? What would you tell me? I know this is short, but my goal isn’t complicated. I just want to get over the pain of my grief.

From your first question, it seems you think this site confuses whining with real pain, which isn’t our intended message. Pain is what it is—all questions posed on this site involve real pain—and grief over the loss of a child happens to be the worst. At least, we can’t imagine anything worse.

But pain becomes dangerous when you expect to control it, because you then hope for things that simply aren’t going to happen and avoid dealing with what you’ve got, which is a life that can dump terrible suffering on you, for no reason, at a moment’s notice.

Here, your pain is telling you that you need to drink, there’s no point in not numbing the pain of your loss, there’s nothing left in your marriage because your wife isn’t talking to you, you were unable to protect your son, you’ll have nothing to give other kids, and things are just going to get worse. You pain is real, but what its telling you is fucking bullshit.

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Not Healthy, Not Happy

Posted by fxckfeelings on May 17, 2009

When everything in life seems to be going wrong, somebody’s bound to assure you, “at least you’ve got your health.” The problem is, no matter how much yoga we do and kale we choke down, we can never really control how healthy we are. Here are two cases of people who, in one way or another, are worrying themselves sick.
Dr. Lastname

My husband and I just got pregnant, and while our parents are overjoyed, husband and his family keep ribbing me about my birth plan, and it’s starting to piss me off. Mainly, they think I’m stupid or something because I want a homebirth, and while my husband supports my decision—which I came to after reading some books, talking to friends, etc.—he’s made it clear that he thinks a conventional delivery would be smarter (and his mother now calls me “flower child” to my face, which isn’t funny, just weird). Conventional medicine isn’t always right, especially when it comes to taking into account the psychic scars that come from delivering a child in a sterile environment where s/he isn’t allowed to bond with his/her mother immediately, etc, etc. I just want to make sure that I have that our child is healthy and happy from his/her first second, and I hate that my husband thinks that this is a joke. My goal is to get him on board to put our baby’s health first and his stupid preconceptions second.

The scary thing about getting pregnant is knowing how much of your future happiness depends on having a healthy baby, and how powerless you are to guarantee that future. Of course, you do the usual—good nutrition, medical screening, no alcohol—but, in the end, there’s a natural process at work that goes wrong a certain percentage of the time regardless of prayer, diligence, organic this or holistic that. That’s life in its rawest form.

Our usual human reaction to such mortal helplessness is to invent and believe in various methods of control–some of which are incompatible with others–and then wage war with those who got it wrong, all of which splits the family and intensifies blame when something goes wrong. Welcome to why parenting is so hard.

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