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Sunday, September 22, 2024

Helping Head

Posted by fxckfeelings on June 16, 2011

It doesn’t seem mean or destructive to be convinced you or someone else needs help, but the trouble happens when there’s good reason to believe there is no help to be found, at least none of the kind you want. That’s when seeking can become as futile as the search for the Holy Grail, except nastier, sadder, and with more damage than a flesh wound. Giving up is often a significant act of kindness, and the first step to getting or giving a different, better kind of assistance, with or without nerdy references.
Dr. Lastname

I have a friend who has a history of being diagnosed with depression, self-mutilation and, recently, suicidal thoughts. She was forced to seek treatment with a counselor in HS (now 24-years-old) whom she said was no help, and now she says she won’t ever seek treatment again because it won’t help her. She acknowledges she has issues that need addressing, but she doesn’t believe in mental illness diagnoses, states she just needs to “deal” with it. However, all we talk about is how much she hates her life, hates feeling this way but isn’t willing to do anything about it. I’ve told her she’s an adult, and makes her own decisions and no one can force her to do anything, but I’ve been very honest with my concerns about her, and that she needs help. I don’t want to treat her with kid gloves or enable her but I also don’t know how much I can push her, since I know its her mental illness that’s clouding her view of the world/reality. How can I continue to be a good friend without beating my head into a wall and enabling her?

For many people, “help” and “cure” have become interchangeable words, as if good motivation and proper treatment will always make things better (tell that to the common cold).

Sadly, the help your friend needs, just like a cure for what ails her, may or may not exist, depending on her luck, the severity of her issues and whether she sees them as hers or just a reaction to other people. WAIT! There is more to read… read on »

Friends With Bullsh*t

Posted by fxckfeelings on June 2, 2011

Oh, people—can’t live with them smothering you, can’t live without them at least giving you the time of day. Unfortunately, nobody, including you, can give everybody the amount of attention they desire or deserve, so somebody’s bound to feel stung. If you treat your friendship like a precious resource, giving to those who can make the best use of it and withholding when the difference it makes is negative or none, then you’ll know you’re doing a good job, even if those pesky people don’t agree.
Dr. Lastname

My best friend drives me crazy and doesn’t give me room to breathe. She calls every night and wants to talk for at least half an hour, even when there’s nothing to talk about, but we’re adults, not high school kids. I work full-time and get home late, so she doesn’t expect us to get together during the week, but if I don’t want to see her on Saturday or Sunday she wants to know what I’m doing and acts hurt if I could have been doing it with her. We’re both over 40 and don’t get asked out much, but I’d like to develop a wider group of friends. Instead, I feel like I’m always on the defensive. The more irritated I get, the more careful I have to be about what I say, which just makes me sound more defensive. I’m trapped. My goal is to be myself with her.

Even though your friend sounds like the emotional Ike Turner, I’m sure she isn’t all bad; she might be good at offering support, or fun to hang out with, or talented with a guitar.

On the other hand, your friend is clingy by nature, over 21 and, if she hasn’t responded to comments about her clinginess so far, incapable of getting it. Remember, no matter how much she sounds like a jealous spouse, you and your friend aren’t married. It’s OK to ask yourself how much time you want to spend together, not just what’s best for Ike.

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Allure of a Cure

Posted by fxckfeelings on May 30, 2011

When people are in pain and can’t find a good treatment, they often feel like filing a protest—it’s the adult, less-trivial version of a child pitching a tantrum when their situation becomes too unfair. One way to rebel is to embrace a treatment that feels good but does harm, another is to avoid a treatment that feels bad but might help in the long run. As with a red-faced toddler, you can’t help such a person by supporting their expectations, you can only remind them that life is, in fact, unfair, and that they’d better deal with it as it is, or you’ll have to reassess your relationship/take a time out.
Dr. Lastname

My wife is a good woman, and she loves our son, but she has a trauma history and when she gets anxious, she gets very negative and loses hope in us, herself, and our future. Antidepressants helped some, but less than we hoped. Two years ago, before our son was born, her psychiatrist showed her that negative thinking was half the problem and urged her to get DBT, a kind of cognitive behavioral therapy that would help her develop positive thinking habits. She didn’t follow through but seemed to be doing well until the other day, when I discovered she’s been drinking secretly since she delivered. She says alcohol is the only drug that helps relieve her anxiety, which has been overwhelming. My goal is to find something else that will help her.

Everyone is entitled to anxiety-relief, a fair life, and a healthy body. Along with that entitlement comes the guarantee that everybody (except for a few lucky jerks) has to pay the price.

At this point, her motto is, to paraphrase the New Hampshire license plate, “live free (from anxiety) or drink.” If it were up to you, she wouldn’t feel this way, but it’s not, and you’ve got to tell her that neither freedom nor booze is an option.

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Self-Helpless

Posted by fxckfeelings on May 19, 2011

Lot of people can’t control their own behavior 100% of the time and no one can control anyone else’s behavior, but there’s a big difference between biting your nails and sleeping all day, or between dodging someone’s road rage and watching them starve themselves to death. No matter how bad the behavior or how helpless it makes you feel, knowing that you’re not responsible for a solution can give you the courage to do some good and respect yourself and other control-impaired people, regardless of what happens or how bad it is.
Dr. Lastname

So you say “fxck feelings” and act on what I can change. How do I sit through a feeling and get to the other side of it without resorting to destructive habits (eating/not getting out of bed/no proper sleep because if I go to bed I will think and feel and remember as I’m falling asleep of all those things that I don’t want to keep remembering and that make me sad) that compound those feelings instead of dull/diffuse them? My goal is to live (emphasis on the word “live”) through a feeling until it goes away or at least becomes akin to white noise, instead of distracting myself away from a feeling with destructive behavior/habits to avoid it until I’ve made it ten times worse.

In one of her short stories, author Lorrie Moore describes two explorers captured by an angry tribe of natives in the jungle. The explorers are offered the chose of “death or Roo Roo,” and the first man choses Roo Roo, which turns out to be lethal torture. The second man then opts for death, so he is killed…by Roo Roo.

What you’re dealing with is a death-or-Roo Roo situation.

You either let depressive sleep impulses drive you to destructive habits that feel better in the short run and hurt you more in the end, or you suck it up until it’s not so bad (or you get distracted by something worse) and even then it’s not great. Alas, it’s a jungle out there.

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The Pursuit of Parents

Posted by fxckfeelings on May 9, 2011

Parents get a lot of blame when something goes wrong in their kids’ lives, and a fair share of it is heaped on by those in my industry. The lion’s share, however, comes from parents themselves, and that feeling of responsibility, no matter who assigns it, is great at making things worse. The truth is that parents have little control over their kids’ weaknesses or the fact that life is sometimes hard and painful beyond their powers of protection. Accept this sad truth, and you’ll become a much more effective parent and much less blaming of your spouse and your kid, whether Freud’s disciples admit it or not.
Dr. Lastname

I still can’t understand why my 15-year-old daughter would purposely overdose. I understand she’s always been an emotional kid and that she hasn’t been happy lately, but my husband and I love her. We’ve always told her we want to hear about any problem she wants to share with us, and she knows it would kill us to lose her. Still, she seems to have no remorse for what her suicide might have done to herself or the rest of the family. My goal is to understand how she could do it and teach her a sense of responsibility so it won’t happen again.

In many ways, a suicide attempt is like a natural disaster; you shouldn’t bother asking why it happened, or what if you had done things differently. Whether you blame global warming or God’s wrath, it won’t change the fact that it happened or that there is at least some chance that it will happen again.

The moment you think you understand the reason, you’ll think you know what she did wrong, or, at least, what she should have done better, and that will just make her feel more like a loser, and more like doing it again. Or you’ll think you know what you or your husband did wrong, which will make you feel like losers and blame one another, and make her feel like doing it again.

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Love, Not Actually

Posted by fxckfeelings on May 2, 2011

As feelings go, love isn’t so problematic—you feel good, you act nicer to others, and if all goes well, it is truly “all you need.” Unfortunately, if you’re not careful, love can easily triggers negative thoughts and actions that lead to a whole heap of trouble and turn love from something fuzzy into “a battlefield.” If you can remember who you are and what you believe in, however, you can take risks on love without losing your sanity, and find something more compatible with reality than pop songs.
Dr. Lastname

You’ve probably had a disgusting amount of questions like the ones I’m about to put towards you, and that’s another thing that annoys me—I’m a cliché. 17 months ago my boyfriend broke up with me, explaining that he was too young to be in a serious relationship. I know this is perfectly logical but I have never been able to get over it, even though I do understand his point of view. I am still very much in love with him. I know perfectly well that realistically no one really marries their first love, that realistically it wasn’t even a proper adult relationship but I feel as raw today as I did the day it happened. I’ve been diagnosed with severe depression and anxiety. I have regular nightmares about him. Last Easter I attempted suicide yet it failed. I’ve been sent to counseling, but I didn’t like it. I dropped out of university as I was too distracted and there is nothing I can throw myself into to make me forget it. The idea of him with someone else would kill me. I keep thinking to myself, I’m only 21 and I shouldn’t take this so personally and seriously but I do and I have no idea why. I know I need to wise up but I can’t.

Some say love’s like a drug, but we think it’s more like a (sometimes) innocuous mental illness; it doesn’t make you “crazy”—at least not necessarily—but it does give you weird thoughts, sometimes long after the relationship is over.

While those thoughts are hard to stop and easy to believe in, at least they’re not true. Like anxiety and depression, love has a weird way of keeping itself alive by changing the way you think and act, until it changes your beliefs. That’s when you’re in trouble.

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Trust and Consequences

Posted by fxckfeelings on April 21, 2011

Love without trust is always a painful, combustible combination. If your partner does something to lose your trust, s/he’s got to get lost, no matter how much love remains, and you’ve got to learn your lesson and move on. If you can’t trust someone whose behavior is OK because your trusting feelings just won’t come, then maybe the pain is worse, because there’s nothing to learn and nothing to do. In either case, when the trust goes, acknowledge that you’re not going to get what you want and need to settle for the best possible disaster before everything blows up in your face.
Dr. Lastname

My partner cheated on me while I was pregnant with our baby, and kept ME the secret. He told lies about me and told people that we were no longer together so that he could openly date the other woman. I’m struggling to stop thinking about it all, and the whole ordeal has triggered a particularly intense bout of depression and self-harm. I have hundreds of questions I feel I need answers to, but my partner is 100% unwilling to discuss the matter, seeing it as “dragging up the past”. My goal is to be able to get through the day without memories of the betrayal and the gossip that surrounded it intruding on my life.

When a guy hides his relationship with you when you’re pregnant, you don’t have hundreds of questions that need answers; you’ve got a few simple, sad, unpleasant answers that need to be accepted.

After all, you’re not doing a PhD in trying to understand him. That’s a waste of time and, like most inquiries into the sad “whys” of this universe, a sneaky way of avoiding acceptance.

You could see it as him not being that into you, but the reality is that he’s not into anyone, at all, except for himself. At this point, the only important question is one you have to ask yourself, and it’s figuring out what’s the right thing for you to do, regardless of what your should-be-ex might think.

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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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