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Sunday, September 22, 2024

Rage Advice

Posted by fxckfeelings on November 11, 2010

Anger is commonly taken as a sign of imbalance, sickness, and a personal failure to find peace. Anyone who’s ever had their lunch money stolen, been married (or divorced), or just driven in downtown Boston, however, knows that the above notion is bullshit; anger is what it is, and is often unavoidable. As with most of life’s near-uncontrollable impulses, it’s what you do with it, or what you let it do to you, that counts.
Dr. Lastname

I was diagnosed with Parkinsons five years ago, and cannot for the life of me figure out how to get beyond being PISSED OFF about it. No, I don’t want to find a new hobby, interest or job. I was perfectly happy with my “pre-Parkinsons” hobbies, interests and job…thankyouverymuch. Don’t get me wrong, I’m not sitting around throwing what anyone would consider a pity party; in fact, I have people frequently tell me how amazed they are at how well I’ve adjusted to my “new life”. I’m doing all those “plan B” hobbies, interests and jobs that any self-respecting chronically diseased person should attempt to do. But, the bottom line is that I HATE all this plan B bullsh*t! So far, all the talk therapy, antidepressants, Zen type activities and straight up “get a grip” self talk have proven no match for my anger. Quality of life is much more important to me than quantity, so I’m in serious need of a plan C that includes quality improvement. Any suggestions on how I can get the hell out of my own way long enough to ever device a plan C?

Anyone who writes as eloquently and vigorously as you do has a curse as well as a gift: high expectations for a life that meets your standards for fun, creativity, and excellence.

While your gifts make you a more interesting person, there’s a special hell reserved for those with special gifts who develop them well…and then run into a brick wall.

Other people think you’ve still got lots going for you, and they’re right to some degree. What you know, however, is how far short you, and life, fall below expectations. It feels like a personal failure and total fuck-up, which, to every degree, is wrong.

In addition, neurological illness can have a direct effect on the parts of your brain that control rage and pleasure. You can be doing all the right things—and are, from the sound of it—and still feel explosively miserable, not because you’re reacting to illness, but because of your illness.

So, it’s no surprise that Parkinsons has left you madder’n hell, and I don’t see why you should expect that to change. You were happy when you were firing on all cylinders; now you can’t, and you’re not, and you’re not the kind of person to get over it, at least not completely.

That said, ask yourself what else makes your life meaningful other than doing the things you love to do and being happy. What seems to matter to you is doing the most with what you’ve got and, I would guess, helping others and being a good friend to those you care about.

You’ve probably thought of this, but I bet you’d be of particular help to other people with neurological illness who struggle with anger. In the beginning, it might help you to know that you aren’t alone and that there are good, respectable people who feel the same way and can’t help it.

As time went on, you’d also come to appreciate how hard it is for someone to do the good, constructive things you’ve done, particularly when the anger won’t let up. Then other people would take hope from seeing what you’ve done. It might not be as good as one of your “plan A” hobbies– it’s probably better.

You might even find yourself specializing in helping those who are really, really angry. Hey, a lot of us get into this business for similar reasons, and that’s why we get as much out of it as our patients do.

So don’t “get a grip,” get a posse. And then maybe, if it appeals to you, a practice.

STATEMENT:
“I wish I could achieve a little serenity about my chronic illness, but I can’t, so I’ll try to be serene about my rage instead. I’ll try to continue to do good in this world, even if I can never feel good, and take pride in the way I fuckin’ bear this fuckin’ burden.”

I hate my wife so much it’s hard to live with her or remember what a good marriage we used to have. In the old days, she was wonderful at throwing parties and having fun and buying me beautiful presents, and we traveled everywhere. Then, after an unfortunate financial wipe-out, she became a miser and a nag. She doesn’t mind living on less; she does volunteer work and is happy with her hobbies. I, on the other hand, feel like life has become miserable and I’ve lost my best friend and she doesn’t understand or care how I feel. I’ve also cut back on spending and I work pretty hard; and, shortly after this crisis, I discovered I’m bipolar and I’ve learned how to manage my mood swings pretty well, but there are times I can’t stop myself from snarling at her and wishing she was dead. I hate feeling this way.

Anger is a kind of agony, unless you have some hope of smiting your tormentor or achieving some kind of relief/release, in which case you have a lust that is usually stronger than lust (and no fear of the criminal justice system).

The trouble is, anger is everywhere and unavoidable unless you’ve been lobotomized; irritability is a common symptom of mood swings, both highs and lows, and that’s excluding the many uncontrollably irritating things that can happen to you.

So it’s no wonder that the main reason many people see shrinks is to get over their rage. In the words of the preacher in The Big Chill, “I’m angry and I don’t know what to do with my anger.” I don’t know what to do with it, either, but I don’t mind being paid to think about it.

Between your bipolar mood swings, and your need for excitement (which is part of having bipolar mood swings), you’re bound to feel angry, particularly if you have to rein yourself in. You’re the object of a double reining: from an exhausted bank account and mood stabilizers. In other words, you’re double fucked.

Then again, remember the main reason most of us get married– to have someone to blame. As such, it’s very hard for you not to hate your wife, which brings up another positive observation: your hate hasn’t stopped you from doing many good things, like working hard, trimming your budget, and sticking with your wife. You’re suffering and whining, but doing (most of) the right things.

If you think you’re supposed to be happy, given your temperament and budget, then think again. If, however, you know you’re cursed, then you can really appreciate the unexpected strength you’ve shown. You haven’t let your anger push you into drugs, sloth, or running away.

So take it up one more level. Respect what you’ve done, and use your self-respect to bottle up your anger a little more, and treat your wife better. You may well recover some of that good old chemistry if you can trim the nasty behavior (and accept a trimmed down budget).

STATEMENT:
“I miss the good old spending days and feel hopeless and angry when I have to think of living on a budget and never spree-ing again. I wish my rage would ease up; but that doesn’t seem to be in the cards. So I’m proud that I’ve stuck with my values, no matter how bitter I feel, in most areas of my life; and I wish I could stick with them in the one relationship that is most important to me and that, unfortunately, has absorbed the brunt of the anger I can’t express elsewhere.”

Job Justice

Posted by fxckfeelings on October 28, 2010

As life and many sitcoms have taught us, the people we work with are like family; they can drive you crazy if you listen to them too much, make you forget that your self-respect should never depend on what others think of you (including mom, dad, and the Boss), and make unreasonable demands you can’t refuse. Just as you can’t change your mom, dad, or family cat Count Fluffington, you’re not going to change the Boss, so don’t try. Learn to tune out your office relatives and focus on your own standards. Remember, it’s only a job, and maybe your professional in-laws will take you in.
Dr. Lastname

Work has been hard for the last couple years because times have been tough and the main way that managers prove themselves and avoid being fired is by committing their teams to unrealistic goals and then getting us to overwork while blaming anyone who objects. They see it as surviving tough competition. Meanwhile, the best people have left and the rest of us feel like we’re overly loyal and/or unmarketable losers. Anyway, the rising complaints caused management to bring in a group of psychologists/consultants to make the workplace happier and improve communication. The trouble is, they’re not asking the right questions and they don’t want to hear what we’re telling them. My goal is to get the boss to see that they’re ineffective.

You might think the consulting psychologists are incompetent, but if they actually could resolve the issues you’ve described, they wouldn’t be consultants, they’d be messiahs.

Yes, the consulting psychologists were hired to make things better and management is probably sincere in believing that. Consultants who tell the whole truth in a situation like this, however, usually find themselves, like employees who do likewise, without a job. Be warned.

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Assume And Doom

Posted by fxckfeelings on October 18, 2010

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

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

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

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

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It’s Not Them, It’s You

Posted by fxckfeelings on September 20, 2010

Since breaking up always feels, well, shitty, people often wonder what they’ve done wrong, should have done differently, what’s wrong with them, etc. Odds are, the person dumping you does think there’s something wrong with you that will never change, but usually, the quality they find wrong in you is probably just wrong for them. People don’t change, that’s true, but that doesn’t mean you’re doomed to let your faults run out of control. So cheer up, dumpees– you might not be right for that certain someone, but that doesn’t mean you’re wrong in general.
Dr. Lastname

I had to break up with my boyfriend recently, even though we always thought we’d get married and start a family together, because I got matched in another city for the best residency program for my specialty. He felt that moving out of state would lose him the chance to make partner at one of the most prestigious law firms here, where he’s been working for the past 4 years, so he couldn’t leave. He’s a good guy and we were both serious about commitment and our careers and now I feel like, if I couldn’t make it work with him, my soul mate, then there’s no hope and no point in starting over. My goal is to figure out whether it’s worth trying again.

When it comes to falling in love with someone who shares your interests, it’s exciting to find someone who’s just as ambitious and hard-driving as you are. I’m sure you two put the power in “power couple.”

History teaches us, however, that two powerful go-getters don’t always make the best match. Just ask Hillary.

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Problematic Perspective

Posted by fxckfeelings on September 2, 2010

Being a negative pessimist doesn’t necessarily mean you’re chronically depressed, and being a blind optimist doesn’t exactly mean you’re a flakey idiot. However, if you do find yourself unable to see a silver lining, or have to deal with someone too blissed out to ever see storm clouds, it can be problematic. Instead of trying to change yourself or someone else, you’d be better off learning to accept whatever you get in your glass, whether it’s half-empty or half-full.
Dr. Lastname

What I would like to share with you, and in turn, hear you share your thoughts about, is chronic unhappiness. Is there ever an end to depression and its shadow? Is there a way to “get over it’? My goal is to be able to live beyond depression and to actually grow from it. Sure, I hate those books where people claim to be grateful to their depression… but I hate it mainly because I resent their ability to feel that way! What do you think?

There’s no way to “get over” problems you have no control of in the first place and, no matter what form it comes in (shitty in-law, brain tumor, Hurricane Earl, etc). Chronic unhappiness is high on that “uncontrollable” list.

So now you have to ask yourself what it means to “get over” an uncontrollable problem. Usually, it means you’ve asked yourself to do the impossible and thus given yourself a chronic headache to top off your chronic unhappiness.

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Therapy Ain’t Free

Posted by fxckfeelings on August 30, 2010

Someday, people with psychiatric problems will get safe, effective treatment without having to make difficult choices, and Thanksgiving dinner will come in a pill, and jetpacks will be available cheaply for every man, woman and child. For now, the state of the art is much better than it’s ever been, but it’s still primitive, and it certainly isn’t inexpensive. Until the silver bullet for curing mental illness is found, patients have to make innumerable tough decisions for themselves, weighing everything from side effects to costs. Or they can just bide their time until their jetpacks arrive to make everything better.
Dr. Lastname

I decided recently to listen to my friends and family and see a psychiatrist about my depression, but I don’t know whether I’ve made the wrong decision, or whether I’ve just chosen the wrong doctor. Basically, I decided to get help because I feel helpless, but my doctor wants me to do a lot of the work myself and doesn’t really help that much. It’s not just he wants me to ask myself a lot of questions (and answer them—if I had the answers, would I really be paying him?—but also deal with my insurance company and read up on the medication he suggests (he tells me about them, sure, but he says I owe it to myself to read up on them on my own, and that doesn’t make sense to me since he’s a doctor, knows everything about the pills, and he could just tell me himself). My goal is to figure out whether therapy is worth it, or whether I’m just getting help from the wrong source.

I hate to sound like your psychiatrist, but ask yourself what you have a right to expect from treatment, given what you know about its limits and your resources for paying for it.

If you want, you can spin things positively by saying that you’ve heard about good new treatments that can really help and that you’ve got great insurance that you pay a ton of money for. Of course, you’d probably be full of shit.

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Caring Isn’t Sharing

Posted by fxckfeelings on August 12, 2010

In this “Intervention”-happy society, we tend to believe that bluntly confronting friends about their problems is the ultimate solution. In reality, if you really want to warn a friend about worrisome behavior, it’s better to discuss risk without expressing worried feelings/”your behavior affects me in the following ways.” Worried feelings say you think people don’t know what they’re doing and you do, whereas discussing risk says you’re interested in how they value the cards in their hand and what they’re going to do with the losers. Don’t worry that your calm demeanor will fail to get across the depth of your concern. An in-your-face approach often fails to do much of anything.
Dr. Lastname

I’ve done some research, and I think my girlfriend is bipolar. She gets into these very good moods for no particular reason, and when she’s in this mood she can’t stop talking and seems high and silly (and that’s when she sometimes drinks too much). When she’s like that, she’s more obnoxious-funny than really funny, but she thinks she’s a riot. I’m not crazy about her up times, but what I really dread is the crash that follows; it’s hell for her and everyone around her. I know she sees a shrink, so I told her what I was worried about, but she acted like I was insulting her and then she said she was sorry, maybe I was right, but she likes feeling happy and doesn’t see anything wrong with it and why should it bother me. My goal isn’t to take away her joy, but I wonder if it’s bad for her to be bipolar and, if so, what she should do about it.

You’re right to worry about your girlfriend’s highs, but getting through to her may not be easy. Manic people aren’t exactly perceptive, unless by perceptive, you mean frighteningly giddy and overwhelming obnoxious.

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Medication Hesitation

Posted by fxckfeelings on August 9, 2010

Whether it’s wishful thinking, fear, or a powerful sales pitch from the church of Scientology, we have lots of emotional reasons for shutting down our logical minds when we have to make medication decisions about psychiatric illness. The good news is that, while those decisions should be made carefully, they’re not rocket science. The bad news is that it requires more courage than brains (or Thetans) to be a good manager of your own health.
Dr. Lastname

I recently started going to a doctor for my depression. She thinks I should take pills, I’ve seen lots of articles about how antidepressants don’t work and the main reason they’re prescribed is because of the huge investment that big pharmaceutical companies have made in producing and marketing them. It makes sense to me that there are better natural, holistic solutions that get played down by the medical establishment because they can’t make money for anyone and threaten the profits made by those companies. My goal is to find treatments that work best, not the treatments that server the corporate interests.

The problem with most criticism of current drug treatments is its hopefulness; it implies that there are good, effective, cheap and low-side-effect treatments for depression (that are being suppressed). If only principal clause of that statement were true.

Sure, a magic bullet, holistic or otherwise, would be great (there are lots of other unsolved and incurable problems I can work on, so I’m not worried by the hit my business will take).

The truth is, however, that current treatments are time-consuming, weak, often costly, sometimes risky, and not guaranteed to work

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Acception To The Rule

Posted by fxckfeelings on August 5, 2010

We’ve talked many times on this site about how controlling other people is essentially impossible (at least in the long run, but you’d be surprised how obedient people are short-term when you have cake). That’s why pushing for someone else’s acceptance isn’t just hopeless, but when we put that need ahead of our own convictions and priorities, it’s downright dangerous. People in AA are taught right off the bat to accept what they can’t change, which is a valuable lesson to anyone, with or without booze (or cake).
Dr. Lastname

My husband worries a lot about my drinking and depression but, to my mind, I don’t think my drinking is a problem and I don’t think I’d be depressed if I wasn’t worried that he’d leave me. For the sake of our marriage, I’ve agreed to stop drinking for a while and go to AA, but I really feel that my drinking wasn’t causing me any problems and that I’m doing this to make him happy, which makes me feel weak and angry. I want to get him to accept me the way I am before I can’t take it anymore.

You’re in a tough spot, because partnership really can’t work without acceptance, and acceptance is not something you can control. The more you force acceptance, the harder it is to achieve. Accept that, buddy.

If you try too hard to get his acceptance, you’ll hide whatever you think he won’t accept, which means putting your drinking in the closet and going to the mall instead of AA meetings.

On his end, if he tries too hard to make the relationship work, he’ll pretend you’re not really drinking or that you’re going to change, which also means no real acceptance.

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Fear Factor

Posted by fxckfeelings on July 29, 2010

Fear isn’t all bad (e.g., fearing snakes goes a long way towards keeping you from poison venom). On the other hand, fear itself is stressful and painful, so our first instinct is to avoid it, no matter what…which is, of course, when things start getting really frightening. No matter how much we want to protect ourselves or those we love, it’s not gonna happen, so we have to accept the unavoidable scariness of life (and anacondas). It won’t necessarily calm you down, but it will give you the strength to do what matters, fear or no.
Dr. Lastname

My wife and I liked to party when we first met (nothing too crazy, we just went out a lot), but we just had our first kid, so we now spend a lot more time at home. My wife used to be a fun, bubbly person, and she still sort of is, but ever since the baby was born she’s been really stressed out, worrying that something bad will happen and the baby will die. Not stuff she could possibly prevent, just a random act that would kill our child, and the stress is so bad she is haunted by visions of our son in a casket. I think she’s dealing with this stress by drinking a bunch of wine with dinner and getting a little more than tipsy. I’ve told her to relax about stuff she can’t prevent, but she says she can’t help it, and I don’t like that she’s drinking too much, and where that’s going to go. I want to see my wife get some treatment that will relieve her stress so she can stop drinking too much.

You might wonder how wanting to help someone could be bad, and it’s because, as goals go, it’s often one you can’t reach. If you don’t accept that fact before making your plans, you’ll make things worse.

Here, for instance, there’s a good chance she’s too busy drinking and/or avoiding her problem to heed your good advice and, at least at first, she may not be able to stop herself (and if she could stop herself, you probably wouldn’t be writing me in the first place).

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