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Friday, December 27, 2024

Sh*tty Counsel

Posted by fxckfeelings on December 27, 2012

Giving advice is like taking your pants off in front of someone; there better be some sort of invitation or context, or things are going to get weird. That doesn’t mean giving unsolicited advice isn’t the right thing to do, or that there isn’t a right way to do it; you just have to be prepared to control your emotions, particularly anger, fear, and helplessness, and only speak up when you think it’s necessary, if you wish to prevent harm or enmity. Using the proper procedures for advice giving, you can do right by the ones you wish to help, even if you can’t control or guarantee the results. If you can’t keep your negativity to yourself, however, or you know speaking up will do more harm than good, better to keep your proverbial pants on.
Dr. Lastname

Please Note: We’re off again on Monday for New Year’s Eve. Here’s to a great f*cking 2013!

I talked to my cousin about her son’s guns & isolation, and now she tells me her family is “devastated.” How can I remain at peace with myself? I feel strong at the moment but feel a vague fear that a slow degradation of my strength may occur over time. Her family has been self-devastated for a long time. She divorced years ago. The oldest, adult son has never worked a meaningful job and has developed an intense focus on guns over the past couple of years. He shoots small rodents in their suburban back yard, then cooks and eats them (he uses just a pellet gun for this but with a home-made silencer, which must be illegal). The other son was within one semester of a college degree when he began using heavy drugs. His parents invested a fortune in the best rehab available but the son dropped out with two weeks to go. Start big and quit is one of the family’s MOs—a deeply ingrained pattern. I have often thought they all need “tough love” but now that I’ve provided some, I seem to be a catalyst for further dysfunction. My conscience is clear but I feel sad at what I have set in motion (other sane people encouraged me to raise the warning so I did not operate in a vacuum). Of course, it was heavily influenced by the occasion of the CT school shooting.

When someone you care about appears to be stumbling into deep trouble and letting things get out-of-control, scary, and/or armed, it’s hard not to get scared shitless on their behalf and offer them a piece of your mind.

After all, if they can’t figure out where to draw the line, you figure you can be the one to show them, even though you can’t imagine how a parent could ever, ever allow dangerous behavior to go so far. You want to help your cousin by stopping her from doing something wrong, but telling her that is the wrongest way to go about it.

When someone in trouble doesn’t ask for your help, it’s usually because they’re already worried that they’ve done something wrong and are afraid you’ll think the same. If you confirm their fear of being judged, then they’ll devote their energy away from actually confronting the problem and towards defending themselves against their new problem, you.

You were certainly right to share your worries with her about her weird gun-toting, varmint-eating son, and right to voice your concerns about dangers she may be ignoring. What you shouldn’t do, however, is imply criticism with the words “tough love,” which usually imply that a parent’s over-permissiveness has created a spoiled brat. Even assuming it’s true—which may not be the case if her son is a paranoid schizophrenic—there’s nothing like knocking someone’s parenting to cause a negative, defensive reaction (and nothing like comparing their son to a mass murderer to lay them especially low).

Try starting over, if you can, by telling your cousin what you admire about her parenting and her kids’ good qualities. After all, the older child was obviously hard-working and capable until drug addiction stopped him cold, and, since you don’t describe the younger son as a brat, there’s reason to think he may have been doing well until something went wrong, as well. Tell her you’re sorry if she felt your were criticizing her or her boys, but you just want to be sure she’s safe and offer any help you can.

Then, if she’s receptive, ask her about her older son’s behavior in concrete, specific terms. Don’t ask why he’s changed—that implies that she should have an answer that she obviously doesn’t have and that may not exist—and don’t imply that he’s behaving badly, because you don’t know how much he controls himself. Just ask for the facts, particularly about whatever he’s said or done that’s dangerous or shows his brain isn’t working right. Ask about threats, punches, voices in the head, silence when she asks questions, lost hygiene, and ideas about the FBI or Virgin Mary (it’s funny how they fall into the same category in the psychotic mind).

Whatever facts you uncover, don’t let your fears prompt you to tell her what to do; instead, find out what options she’s tried. If she seems to be ignoring a threat, ask her to consider her reasons for not being more worried. If she seems to be discounting the possibility of mental illness, ask her to read up on the signs and symptoms and consider what to do if they seem to fit.

You can’t tell your cousin how to straighten out her fucked-up family—it would be nice if you could, and even nicer if there was a way she could actually do it—but you can remind her that there are many good parents who can’t stop their families from being fucked up, and many ways of being helpful to your fucked-up kids if you don’t feel like a failure.

Offering help when it isn’t asked for is always tricky, but if you make the tone of the conversation constructive instead of critical, she might not be able to change her family, but she may be able to change her approach. And if she doesn’t, or can’t, you’ll still know you did the right thing, and you did it the right way.

STATEMENT:
“I feel like my cousin’s son could go postal while she pretends there’s nothing wrong, but I know these things don’t happen because of bad parenting. I will try to make her feel respected before inviting her to share what she knows about her son. If I have an opportunity to advise her, I will encourage her to make rational decisions about what she knows rather than following her emotions. I will not let my helplessness force me to become impatient and critical.”

My 22-year-old daughter is a good kid and deserves to be treated as an adult, but she’s been living at home since graduating college because she needs to save money, and I can’t help but notice how many guys she dates and spends the night with. She often seems disappointed when they don’t call her again, and then seems too eager to respond when someone new asks her out. I know if I use words like “bad choices” or “low self-esteem” she’ll stop listening, and maybe I shouldn’t offer advice unless it’s invited, but I sure wish I could help steer her in a better direction.

There’s an obvious danger to giving unsolicited advice (see above), and don’t think the danger is much less when people pay a shrink for it. All you need do is imply they’re doing something morally wrong and you’ve either crushed their confidence or stirred them to crush yours. Unlike the woman above, however, your concern comes from observations, not suspicion, and it regards behavior that is far more within her own control. You know of what you speak, and as long as you speak carefully, a conversation is not impossible.

Fortunately, you can often engage people in willing discussions about their dating problems if you keep the discussion positive, refrain from showing negative emotion (no matter what you really feel) and focus on the kind of thinking you want someone to do, rather than actions you want them to take. So don’t show fear or disapproval, or do the psychobabble equivalent by talking about low self-esteem.

Instead, tell her you respect her achieving her degree, saving money, and taking on the search for a good relationship. Then let her know that, if she’s interested, you’ve got some good ideas for how she can search for a partner while protecting her heart.

It’s true, you may be unacquainted with online dating or be one of those lucky individuals who stumbled into a good partnership without first having had many bad dates and a first marriage. Nevertheless, you can draw on other life experiences, like hiring someone for a job or working out a business partnership.

In the non-emotional, business-like manner of a professional matchmaker, ask her what sort of person she’s looking for and what criteria she uses to screen out deadbeats, heartbreakers, and baggage-bearers. Find out how she gathers factual information about a person’s reliability, work, credit card debt, and dumped-girlfriend history so she can head off trouble before she starts to feel attached. Discuss methods for keeping her distance while doing research.

If she feels unattractive, remind her that making herself more beautiful may get her more candidates, but also requires more careful, tougher screening. Help her list her strengths, which you know well.

If you respect the privacy of her heart while offering to coach her on a head-hunt, you can talk frankly without making her feel threatened. Then she can benefit from your wisdom while you enjoy the pleasure of being her friend (and avoid the mess of accidentally become a grandma).

STATEMENT:
“I hate to see my daughter expose herself to rejection and self-doubt as she looks for love, but I know that criticism of her poor choices will add to her self-blame. She has good values, many strengths, and much to offer. By inviting her to think about search tactics and techniques, rather than about feelings of wanting, needing, and being dumped, I will make my love and experience available to her in a way that she can use.”

Just the Tact

Posted by fxckfeelings on December 20, 2012

When you believe in the value of a close family, it’s natural to take on the role of diplomat when a conflict between some of your nearest and dearest threatens to make you all distant and estranged. Unfortunately, there are some disagreements that can’t be resolved, be they by diplomat or total destruction, but that’s not reason to despair; there’s much you can do to be helpful and cement relationships that do work if you allow negative feelings to exist without blame, and respect the value of spending limited amounts of time with family you have to be with. After all, a good diplomat knows that peace isn’t found through open togetherness, but through respectful time apart.
Dr. Lastname

Please note: There will be no post on Monday due to Christmas Eve. Happy holidays to all (and if that doesn’t happen, you know how to reach us).

My sister and I have been raised by our single mother, and I have excellent relationships with both of them. Unfortunately, my sister and our mother’s relationship has always been difficult and it’s getting worse. My sister recently revealed that she had been sexually abused by one of my mother’s boyfriends, and inexplicably, I felt like I knew it all along. My mother was obviously distraught by the news, although I don’t know that my sister and her have had any deep discussions around that issue. My sister did briefly see a shrink but never went on a full therapy. In a nutshell, I think my sister has built a lot of resentment towards my mother and their disagreements/fights are becoming more and more bitter, to the extent that my mother is becoming less and less inclined to have a relationship with my sister. I’m tired of being in the middle of it all and have decided to let them deal with their issues themselves. I don’t like to see them unhappy but it seems to me that they refuse to take the necessary steps to heal their relationship. Am I right in deciding to stay out of it? Or is it my duty to keep trying to mend their relationship?

When two people you love are estranged, it feels like your only choice is to try to get them to reconcile or give up entirely—the “Parent Trap” trap. Fortunately, there’s a third option, although it’s not very Disney, and there’s no happy ending.

Your third choice happens once you accept the fact that their reconciliation is neither your responsibility nor under your control. You didn’t pull them apart, you can’t put them together, but you don’t need them to pull you apart, either. WAIT! There is more to read… read on »

The Hard Weigh

Posted by fxckfeelings on December 13, 2012

Given how little we control our own urges, it’s not surprising that we also have trouble controlling our reactions to them, but it is odd how often those reactions are totally wrong. Brains have a pretty good track record with instincts; get thirsty when hot, get sleep when tired, get away when near snakes, etc. When people get urges that are humiliating, however, even when they’re doing a good job of controlling them, they wrongly blame themselves, but when they get controlled by noble urges, even when they’re causing terrible harm, they give themselves a pass. So, however much you love or hate your urges, don’t give yourself a hard time about stigma or anti-stigma. Instead, remember your own moral priorities and ask yourself whether you’re doing the right thing with whatever urges, pretty or ugly, that you got, and to avoid snakes.
Dr. Lastname

I have yo yo’d with my weight for ever—I was 8 years old when I remember going on my first diet, and I had binged by lunch time. I have seen a psychologist regularly in the past and a psychiatrist more recently, and been diagnosed with a binge eating disorder as well as melancholic depression. I also have a history of being sexually abused when I was a child and required hospitalization once for an attempted suicide (prior to diagnosis) and have been on various anti-depressants. Last year I decided to press charges against my abuser and the investigation is still taking place. This was very big for me as previously I couldn’t speak about or put into words to anybody what had happened to me, but with the professional help over years, could make a police statement. I have managed to get into a healthy weight range many times in the past, but only when on a program like Jenny Craig or weight watchers, and I resent having to do these programs and can’t commit to them after I have done them once, but I can’t seem to stay in this healthy way of life on my own. I am either losing weight or putting weight on– my thought are always around food, what when and where I can eat next. I hide most of my eating from everyone including my husband. I feel like a drug addict and don’t know how to take control of my eating. I do really well in my career and other areas of my life, I just can’t flip this switch that turns me into a zombie when I want to eat. I read everything I can about these disorders, I talk about strategies with my mental health professional, but when the urge to eat takes over I go into a zone that I can’t switch myself out of. How can I stop this pattern?

Having an eating disorder is rough, but it’s even worse if you give yourself a disorder about your disorder, giving yourself a hard time for having a hard time. It’s especially unnecessary given the fact that it’s harder to find someone with complete control over unhealthy food impulses than it is to find a unicorn.

Almost everyone has trouble controlling eating habits, as evidenced, not just by the multi-billion dollar industry devoted to weight management (which, as you’ve discovered, is no silver bullet), but by the fact that very few people get permanent weight control without surgery. In reality, of course, as much as we try to control our weight, more often, it controls us. WAIT! There is more to read… read on »

Good Credit

Posted by fxckfeelings on December 6, 2012

If you want to get out of a personal or professional rut, don’t bother obsessing over why you’re there, why it’s there, and why you’re so terrible that all ruts everywhere are all your fault. Instead, force yourself to ignore the negative feelings you have about your performance and personality in favor of fair, balanced criticism. If you’re as objective, careful and compassionate in judging yourself as you would someone else, regardless of what you’d really like to tell yourself, you’ll become much more effective, not just at keeping yourself out of ruts, but keeping your sanity and self-respect. If everyone could do that, I’d be forced out of a job.
Dr. Lastname

I don’t know why I’m so stuck with my life. I’ve had good training and I’m good with people, but I’ve got a nothing job that barely pays the rent, where everyone is nice and likes me but I’m dying of boredom. I have the skills to work someplace else, I just can’t get myself moving on a job search because it seems scary and difficult and I’d probably mess things up. Meanwhile, I can’t get over missing the girl I was dating, though I knew she was a serial dumper when I started dating her so I had no reason to complain when she dumped me. But if she gave me a booty call tonight, I probably wouldn’t say no. I’m stupid and terrible and my goal is to figure out why.

There you are, as well equipped as anyone to venture forth in the world, but can’t let go of what you’ve got—mediocre job and girlfriend—and, worse yet, you tell yourself you’re sure to mess things up if you do. Scared if you do and scared if you don’t, so you stay put and discuss the fear.

Lots of people think that if they analyze why and how they hurt, they’ll start to feel better, but ruminating over why you’re hurt isn’t actually doing anything; it’s like putting your hand in a flame because you’re drawn to fire, then keeping it there until you can talk out why it’s so painful. Words are (literally) not a salve. WAIT! There is more to read… read on »

License to Ill Will

Posted by fxckfeelings on December 3, 2012

Because resentment can be so painful and ugly, people spend lots of time trying to get rid of it, usually by talking it out, trying to beat it out of themselves, or outdoing themselves in their efforts to become so rich and powerful that they’ll have nothing to resent in the first place. In reality, however, resentment tends to linger no matter what you say, do, or earn, and people do less harm when they accept that fact. So, while your heart may become stained with resentment, it can’t color your values or control your actions. Better to focus on managing your urge to kill someone than kill yourself trying to make that urge go away.
Dr. Lastname

I can’t stand resenting my brother day and night, but that’s what I’ll have to do if I don’t speak to him about his decision to claim our late father’s summer cottage, where we used to go when we were kids. He feels he’s entitled to it because he’s spent more time there over the years (since I went away for school and grad school, and he didn’t), but I moved back a while ago and I’m the one with kids, and I want them to enjoy that place as much as my brother and I did. He’s a rigid guy who never gives an inch and always gets his way, and the executor has already ruled on it, but I can’t stand the idea of living the rest of my life nursing resentment. I’ll feel much better letting him know how I feel, getting it out of my system, and showing him that I’m not afraid. My goal is to handle my feelings as effectively as possible.

It’s hard to nurse resentment against an unfair or unfeeling brother, especially now that he’s submitted what’s only the most recent chapter in his many-volume history of making you feel bullied or pushed aside. By having it out with him, you’re hoping to make this history, well, history, and begin fresh with new tales of him being better-behaved because he knows he can’t push your around.

Trouble is, the one thing that’s harder than nursing said resentment is expressing it to a brother who doesn’t accept criticism, and winding up with a family feud. Whatever resentment you get off your chest will come back doubled and re-doubled, so if anything ends, it will be his willingness to speak to you and your ability to set foot inside that cottage again. WAIT! There is more to read… read on »

The Natural Mystery

Posted by fxckfeelings on November 29, 2012

Whether traumatic or dynamic, having an early and/or intense sexual experience can make you worry that your ability to have solid adult relationships will be damaged. While sexual trauma can make intimacy scary, and sexual overstimulation can distract you from it, there are ways to move past your past. If you have a clear vision of partnership and the discipline to implement it, sexual feelings need never control your life. You may never stop them from causing pain and distraction, but they can never stop you from finding and being a good partner moving forward.
Dr. Lastname

I recently had a severe panic attack that lead me to believing I was molested as a young child. From what I know, I lost my virginity to a man in his 20s when I was 13 years old, or in 7th grade. After visiting with some old friends, I brought up an event which had happened when we were 13 years old that involved men in their late 20s or older, alcohol, and oral sex. She was horrified I brought it up, but to me, it was something that was part of my life, but after heading home that night, I began to think that maybe it wasn’t so normal for young girls to be having sex and that’s when my panic attack sunk in. For some background, I was “raised” by a 15-year-old mother who I believe loved me, but was at times, emotionally abusive and manipulative, and often times neglectful as she also had three other children after me. My father was also very young and inconsistent, I often went months without hearing from him and longer not seeing him. Anyways, eventually I lost my virginity to a man in his 20s which lead to years of promiscuity with much older men. My brother is now in his 20s and I try to gain perspective by mentally placing him next to what I perceive as a 13-14 year old, but I really can’t process the age difference. I don’t necessarily feel like a victim because I felt like such a willing participant, but lately, I’ve had this deep terrifying feeling that this sexual history goes back much further than I can remember. Although I can’t figure out what happened to me as a child, I do have these “flashbacks” that sometimes make no sense and I can’t seem to place them on a timeline, but my mind will immediately discard them and a sense of panic will set in. My goal is to come to terms with my history so I can start processing and begin to heal.

Being forced by a chance perspective to reexamine your basic assumptions about your childhood—whom you could trust, how safe you really were—can create a domino effect of doubt.

You’re now compelled to call your entire sexual history into question and wonder whether anxiety and flashbacks are side effects of the shock, or legitimate signals of unremembered sexual trauma. Between what you do remember and your lack of parental protection as a child, it could mean that you were sexually abused.

It’s never certain, however, that recalling such an experience in therapy can produce healing, and there’s a danger that delving into childhood trauma may make you feel more helpless and trap you in loops of negative thinking that keep the dominoes of doubt in perpetual free-fall. WAIT! There is more to read… read on »

Sigh, Anxiety

Posted by fxckfeelings on November 26, 2012

If you suffer from anxiety and depression, you know they’re like your own mental Statler and Waldorf, the two Muppet balcony hecklers, except less cute and more evil, spewing criticism that impairs your ability to feel confident and make decisions. Even when they don’t prevent you from achieving significant accomplishments, anxiety and/or depression make you believe you didn’t do as well as you should have. So, if you suffer from anxiety, learn how to tune out its constant negative chatter, or, even better, be proud of your ability to go on with the show.
Dr. Lastname

I’m 37 years old, nearly 38. I’m undecided on whether or not to have a child. My mother died 12 years ago and I’ve been in and out of depression ever since. I definitely have a lot to be grateful for, but a lot of times I feel like I just can’t go on—the sadness and loss are still unbearable. The other thing is that I have been dealing with very bad insomnia since my mom’s death, which also makes life very difficult. I haven’t had a lot of long-term relationships but I’m in one now and it’s been 2 years. The relationship is good and he is a good man, but I’ve never had that feeling of “knowing” if he’s the right person/life long partner. There’s always something missing for me and I suppose it’s from the loss of my mom, and the reason I usually end up breaking up with boyfriends. I don’t want to keep that pattern going as I’ll end up alone. Because of my age I feel like time is of the essence and I need to make a decision—on my relationship and having a baby. I have always thought that I would have a child and I am a loving/giving person and love kids, but it’s so hard to take care of myself sometimes, I wonder if it’s right for me to me to have one. My partner wants kids (he would be a wonderful father) and I told him I’m not ready yet, but will I ever be? My goal is to come to a decision and be at peace with it.

You’ve had more than your share of pain in life, so it’s understandable that the things that should make you feel happiness, like a good relationship, are buried by exhaustion and a lingering sense of pain and loss.

Your pain hasn’t distracted you, however, from the fact that certain things make life meaningful, even when the joy they inspire doesn’t register. Apparently, two of those things for you are raising kids and having a relationship, which matter to you despite knowing that you’ll sometimes be unable to function or feel anything other than misery.

If that’s what’s meaningful to you, don’t ask yourself whether motherhood or marriage will make you happy, whether your feelings will ever be normal, or whether you’ll always be able to function as a parent. Unfortunately, it’s not your lot in life to have normal expectations about feelings or function. That doesn’t mean, however, that you can’t achieve normal goals if you’re prepared to make realistic adjustments. WAIT! There is more to read… read on »

The Mismatch Game

Posted by fxckfeelings on November 19, 2012

Normally, whoever breaks a marriage vow has first dibs on feeling guilty, but divorce, like marriage itself, is often a team effort. Often, what actually drives you away from a committed relationship isn’t restlessness or lust, but a deep and unavoidable flaw in the relationship itself. Once you confirm that such a flaw exists, don’t blame yourself for having mixed feelings; although good reasons probably remain for staying as well as going, give yourself a valid choice instead of accepting the guilt and taking one for the team.
Dr. Lastname

Please Note: The next post will be next Monday, 11/26, since we’re taking time off for American Thanksgiving. We look forward to addressing your crises then.

I’ve made a mess of my marriage by cheating on my husband, and I know it. I wish I could stop, but sometimes I also wish I hadn’t let him talk me into marrying him—I tried to call it off, but he got suicidal, so I felt I had no choice. Still, it wasn’t an awful decision…he’s a good guy, we have great kids and a nice home. But I still find myself wanting to cheat, even though it causes him pain, I can’t seem to stop having occasional flings. These guys don’t really mean anything to me, but I’ve got to stop hurting my family. My goal is to stop.

You might not have a great marriage, but, like a sports team or boy band, a marriage is only as strong as its weakest member. That’s why trades exist, Justin Timberlake went solo, and the mirror is the first place to look if you’re searching for the source of your marital issues.

At this point, the burden of trying to be a good wife drives you into a bad habit that you’re ashamed of, so the worse you feel, the worse your bad habit gets. From a therapist’s point of view, it’s a gift that keeps on giving, but from your point of view, it’s a trap.

If you really want to break the cycle, your first job is clearing your head long enough to figure out whether you really want this marriage or not, challenging the idea that you’re at fault for its failure. WAIT! There is more to read… read on »

Spiritual Forsakening

Posted by fxckfeelings on November 12, 2012

The problem with drug addiction isn’t just the physical toll of chemical dependency (although that’s problematic, to say the least). On top of the negative effect drugs have on your body, there’s the corrosive effect addiction has on your morality and judgment, which means damage to both body and spirit. It’s addiction’s endless quest for feeling good, despite doing bad things to self and others, that turns you into a bad person. So don’t think that quitting is just a matter of quitting; it also requires getting stronger and caring more about who you are, so being good means more than feeling good ever could.
Dr. Lastname

My husband never credits me for the way I try to stay sober, he just focuses on the things I do wrong. He claims I trash his things when I’m drunk, and maybe I do, but I love him and I can’t stand the way he’s always angry at me, because his anger makes it very hard for me to get sober. He says I’m always lying but it’s just that I can’t stop myself from saying whatever will stop him from getting angry. My goal is to stop drinking, of course, and I do better when he’s away, but I don’t see how I can do it when he’s around and always angry.

As understandable as it is to care deeply about how your spouse feels about you, it’s dangerous to care more about such feelings than about what’s right or wrong in what you’re doing. In other words, while you may want him to be happy with you, trashing his things isn’t likely to get that result.

That behavior would cause most people to think, not that you’re a caring wife, but a terrible drunk who does bad things to your husband when you’re under the influence. At the same time, you’re more upset about the pain you feel from his anger than about the way your drinking hurts him or compromises your pride in yourself.

Lying and drinking are quick, irresistible reflexes for avoiding pain. Unfortunately, they often make life more painful, which leads to more lying and drinking. In the end, your drinking isn’t your biggest problem; it’s the way drinking has damaged your character. WAIT! There is more to read… read on »

End Of Transition

Posted by fxckfeelings on November 8, 2012

Although stopping long-term intensive psychotherapy can leave you in a state of mourning and fear, particularly if it occurs during tough times or against your wishes, it’s unrealistic to expect that returning to therapy will make everything right again. Instead, give yourself time to adjust to change and reassess your ability to stay functional and positive. Then, if you think it’s necessary, find a therapist who’s a good, supportive coach and use him or her for a different kind of therapy that keeps your head straight without stirring up your deeper feelings. If you’re certain that you have to be “in therapy” to get helpful support and are helpless without it, then the therapy you’re in is helping you a lot less than you think.
Dr. Lastname

In my early 20s I spent 4 years in therapy (which I think in and of itself says a whole lot about the not good place I was in my head). Therapy ended, not because I was ready, but because I moved. I am now 46, and in the years since I continued to work through a lot of things on my own, with my therapist’s voice in my head, if no longer in actual therapy sessions. In January my grandmother took a turn for the worse, with both health and cognition, and we had to place her in full nursing care. She has always been one of the most influential and positive forces in my life, so I had a hard time dealing with this. It sent me spiraling down into my 4th lifetime episode of depression. I’ve started back on Prozac, which I now realize I need to stay on for the rest of my life to try to prevent future recurrences, and I’ve spent the last 10 months in therapy with my former therapist via phone sessions as we now live 1,000 miles apart. I have finished working through a lot of stuff in that time, meaning I’ve changed my attitudes and perceptions and behaviors, which has changed my life, inner and outer. I wish I’d figured it out 25 years ago, during that first round of therapy, but better late than never. It’s been a hard year. My grandmother died 7 weeks ago. The grief hit me more than I ever imagined. I thought I’d prepared in those months when she was slowly dying, but I was wrong. What is the saying—Where there is no struggle, there is no strength? Good growth has come of the pain—I have returned to college, and I am training for my first full marathon in January. I am at a truly good place in my head and was ready to end therapy, so two weeks ago, with my therapist’s blessing, I had my last session. I knew, though, that ending therapy because I am truly ready is a celebration, but that it would also be a loss. It is currently hitting me harder than I imagined. How do I get through this and find a place of healthy acceptance of this transition?

While it’s unfortunate that stopping intensive psychotherapy after many years is hitting you hard, it’s not surprising. As you well know, loss is painful, be it the death of a loved one or the end of a source of support.

That said, your pain doesn’t mean your psychotherapy has been less complete than you thought or that you stopped it too soon, just that you can be a solid, resilient person and also be very sensitive to loss, both because of temperament and circumstances. WAIT! There is more to read… read on »

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