Posted by fxckfeelings on May 3, 2012
Just because spending time with a certain someone is always a positive experience doesn’t mean that certain someone is actually a special candidate for meeting your needs. Whether you’re looking for a spouse or a shrink, many of the same rules apply; no matter how much you enjoy and trust that person, it’s your job to know what you want out of the relationship, what limits must be set in order to get there, and how much availability you require (and, with therapists, what lessons you can take from the relationship that can help you when availability is impossible). Defining the practical conditions that are necessary for the relationship that you want, and standing by them, are what make a certain someone not just special, but a smart investment.
–Dr. Lastname
I have experienced 2 bad marriages and the death of my only child at age 28 (one year ago). I’m now trying to rebuild my life and am in a relationship with a man who has experienced shit (horrible divorce) and raising his youngest child, a teenager. Unfortunately, he has trouble balancing family, work and dating, and I don’t know how to handle this during my grief time and uncertainty—I fluctuate between feeling my worries are unreasonable and justified. His ex wife screwed him kid-wise and money-wise, so he is bitter in lots of ways. On the other hand, I was equally screwed by my ex but pushed on and made my own way, so I don’t entirely sympathize with his resentment. I also understand that, because of his divorce, he hasn’t had a life with his kids and wants to establish a relationship with his son, but he also wants one with me, and I don’t think he knows how to balance these two goals. We’re both adults with good jobs who’ve experienced the same problems, but I’m not sure why we can’t get it together, and I want this to work.
As the survivor of an unbearable loss and the non-help of a deadbeat ex, you have a right to ignore other people’s resentment and bitterness. As such, you’re ready to move on and find a better relationship, and because your sorrows give you perspective, you know when someone else isn’t ready.
You obviously value your partner’s love for his kids, and see evidence of his fidelity in his long attachment to a crazy wife. You’re right, however, to have concerns about the flip side of this picture, which is his potential inability to control his over-responsiveness to whoever seems to need him more. WAIT! There is more to read… read on »
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 15, 2012
People often think the worst kind of craziness leaves you dazed, confused, and mumbling to yourself on the subway, but the truth is that there’s another kind of craziness that’s even worse. With that kind of crazy, you’re still aware of the date, can name the President, and keep a bank account, but you feel broken by the deliberate malice of those you should be able to trust. It feels like a legitimate reaction to life and individual people rather than an illness, but illness it is, and people who have it and those who love them must accept it as such if they’re to get any kind of protection at all from its corrosive effect on relationships and hope. Otherwise, everyone involved will end up feeling as isolated and scared as the ailing, mumbling subway-dwellers.
–Dr. Lastname
My psychiatrist recently told me he thought I was a borderline character disorder, which I know, from looking it up, means I’m an angry, destructive person who is probably not going to get better. What was also upsetting was the fact that the description of a borderline character disorder fit me, because I’ve always had trouble keeping relationships and I tend to cut myself and do other self-destructive things when I’m feeling low, which is most of the time. My goal is to feel better, and now I feel hopeless. The question is, am I really hopeless?
The fact that you’re asking that question, instead of hating the evil system of mental health clinicians for destroying your self-esteem by giving you a vicious label, shows that you’re not as hopeless as you think.
You have a good ability to see things positively and clearly, even when your feelings are entirely negative. That’s essential to managing the temperament and habits of a borderline personality (or almost any negative personality trait). That and admitting you have a problem in the first place. WAIT! There is more to read… read on »
Posted by fxckfeelings on March 8, 2012
On the pie chart of what goes into a healthy relationship, sex should never be the biggest slice; that’s putting the most emphasis on the one element of a relationship over which people have the least control. Besides, the fact that it can ignite all your circuits or trigger vast yearnings doesn’t mean it will find you, or make you, a good long-term partner. If your partner is loyal, caring, and reliable, then how frequently you get a piece shouldn’t take the biggest piece of the pie.
–Dr. Lastname
My 34-year-old husband is a wonderful, sexy, kind, sensitive, clever man. Fourteen years ago, however, he had a severe meth addiction that got him in jail. After ten years sober, he started drinking a few years ago, but, having worked in the addiction field, I don’t think the drinking is an issue at all, though I do think the meth has really screwed with this head. What he does have an issue with is intimacy and sex. We have a wonderful relationship so we’ve talked extensively about the problems we have—erectile dysfunction. He says that the meth fucked with his head sexually, and that it made it very difficult for him to have “normal,” i.e., non-aggressive sex. Before me, he found sex fine with women he was not emotionally connected with, but as soon as feelings came in, the sex became more difficult. Early in our relationship, sex wasn’t an issue, but as soon as we got engaged, and then married—it became very difficult. He’s warm and loving, and doesn’t want to be ‘aggressive’ with me, which means he can rarely get it up. We kiss and touch a lot, but it’s getting harder and harder to deal with; I feel rejected, he doesn’t feel like a good husband or a ‘real’ man, though I tell him every day how much I love him. When we do manage to have sex, it’s beautiful, but he rarely comes, and is rarely hard all the way through, and it’s infrequent. I definitely think it’s a psychological issue, and so does he. He talks about feeling massive anxiety and pressure that he will lose me, and this makes the problem worse. It seems this combination of our (new) marriage, his lousy job, and his past is putting a huge psychological pressure on him. I’m not sure what to do—do we go to therapy together? Him alone? What kind of therapist? How do I deal with this? I’ve been endlessly patient, I’ve snapped and lost my temper, I’ve reassured him, I’ve cried. I love him so much and I want to help him and us, and also make sure that I deal with it right.
The trouble with trying to fix sexuality by understanding its psychological underpinnings is that it turns an inability to perform into a personal failure. As we always say, figuring why something’s wrong isn’t the same as figuring out how to make it right.
Sex aside, you get along well with your husband, who seems like a hardworking guy with the strength of character to stick with a job he doesn’t like and stay off drugs. You feel respect and affection for one another. So far, so good.
In other words, you have a good marriage, even if he doesn’t have a lot of orgasms. Your relationship has the important stuff, so don’t give sex any more importance than necessary. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 23, 2012
Mental illness, much like the devil, performs its greatest trick when it convinces the sufferer it doesn’t exist. That’s why some sick people don’t believe they’re sick, because they’re too sick to know, while others fall into denial rather than admit they don’t have control and can’t get it. If that includes you, don’t worry; you can force yourself to become objective as long as you’re willing to accept whatever unpleasant evidence you uncover. If it’s a matter of a deluded brain, however, you can’t recover without relying on the kindness and common sense of family and strangers to deliver you from evil.
–Dr. Lastname
I believe what started out as typical empty nest syndrome has turned into complete paralysis. I’m literally stuck in my own nest! I know it’s strictly up to me to get myself launched, but I’ve lost all confidence in my ability to go/do/be well, anything. I think it’s more than simply “get a hobby.” I’ve come to the sad reality that my “friends” were really more like “bleacher/booster buddies” from all of my kid’s activities over the years, and now I find myself without any close friends, and no real interests. I was a stay at home mom (by choice) and had always planned to get back into the workforce once my kids got older, but MS sidelined those plans, and keeps me pretty challenged nowadays. I know I need to get myself back in the game, but my list of excuses as to why this is impossible only grows over time. I’m not always mobile, I’m not confident about how I look, and I just feel like I’m boring and have nothing to offer anyone. Since I’m already assuming nobody’s going to like me, maybe I should just go eat some worms…but of course that would require a trip out my nest, and…well, I guess you get the whole “woe is me” picture. I cannot figure out where to begin to ever break this cycle of negativity. Can you help me hatch a better plan than the useless one I’m currently sitting on?
Anyone can get into a rut, but multiple sclerosis makes it much, much harder to get yourself out. You might not realize this, but your empty nest is actually more of a sick bed.
MS not only makes you doubt your stamina and physical balance, it also frequently makes your emotions more intense, particularly the negative ones that tell you you’re useless and lacking in courage.
So, when your mind tells you that you have no friends and nothing to offer, that’s the MS and depression talking. Of course, it would be easier to tune it out if there were other voices to help you do so, but the negative thoughts keep you from seeking out new company, and so the rut deepens. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 16, 2012
More often than not, being nice isn’t. It can get you focused on doing good for other not-quite-so-nice people who will never be able to return the favor, or on cleaning up impossible messes, instead of focusing on the larger, more important goals that go beyond good gestures towards common sense. Be nice if you must, but remember that you have other goals, one of which is knowing when you have to be cruel to be kind.
–Dr. Lastname
I can’t stop thinking about my wife’s lack of support. I’ve supported her in everything she wanted to do, whether it was getting a professional degree or going away for a week to study photography, but now I’m the one who wants to go back to school part-time to get a special ed certificate, and she’s hemming and hawing about how we don’t have the money. I’ve done the budget, and we can get by while I’m in school, and the degree will pay off, but she’s very cool to the idea. I want her to see how unreasonable she’s being and how unfair this is after all I’ve done for her.
There’s nothing wrong with being a giving, loving partner, as long as you don’t expect the world to treat you fairly. And the world includes your wife.
Few people are nice and giving all the time. Even worse, no matter how nice you are to those around you, there are lots of people who don’t give a shit about your generosity, are teflon when it comes to good will, and are never going to be nice, period. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 6, 2012
Mental pain is like the check-engine light on your car; it tells you something’s wrong, but doesn’t specify what, so it could be anything from an impending engine fire to a stupid broken check-engine light. So, when communication is painful, don’t assume you need a new communicator, and when you don’t like the image in your mirror, you may not need a make-over. You’ll always do better at figuring out what your problems are really about, and what to do for them, if you ignore the painful messenger and refuse to let it make your diagnosis for you.
–Dr. Lastname
I wish my boyfriend wasn’t so critical about the money I spend on clothes. Couples therapy helped me understand that growing up poor left him with deep insecurity about money (he still doesn’t make much compared to me, though he’s a hard worker). What therapy hasn’t done, however, is stop him from giving me a hard time about every sweater I buy, even though I’ve got good savings, no debt, and a total willingness to carry more than my share of expenses. If we get married, I’m sure his criticism will get worse and I don’t think I can stand it. My goal is to get him to back off, so we can have a life together.
The potentially bad side of couples’ therapy, as readers of this blog know, is that it can encourage a person’s tendency to take unlimited responsibility for getting through to their spouse. Like food, booze, or anything you enjoy, communication should be enjoyed in moderation.
After all, you’re supposed get a break from that responsibility once you’re sure you’ve done the right thing, but couples’ therapy can make you into a share-aholic who can never rest until togetherness has been restored. 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 »
