Posted by fxckfeelings on August 3, 2009
Like almost every useful treatment, medical or otherwise, psychotherapy can be dangerous, particularly when you rely on your (say it with me now) feelings to decide whether or not to continue. Ironically, feeling good is one of the worst reasons to stay with therapy, and feeling crappy is one of the worst reasons to end it.
–Dr. Lastname
My therapist is about to depart on vacation for one month, and I’m feeling f*cking nervous and tense about it. I’d like to know what I can do to make the best of this break in therapy and come back refreshed and ready to start work again when my therapist returns, and also how to keep the unpleasant feelings of missing her to a minimum.
Congratulations! While your question seems like a short-and-sweet query (or maybe a chance to cheat on the classic back-to-school essay, “What I did on my therapist’s summer vacation”) it’s actually a perfect example of the dangers of focusing too much on feelings when you’re undergoing psychotherapy. A+
Look, there’s nothing wrong with enjoying therapy, experiencing emotional relief or a feeling of personal growth, or liking or missing your therapist. Just remember—you’re paying for this and should never forget what you’re getting it for. Or you’ll be sorry.
If you rely on your feelings to tell you whether to continue therapy, you may never have reason to stop. You may continue to like your therapist, find the subject interesting, learn something new, and feel the treatment supports you in a way nothing and no one else does.
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Posted by fxckfeelings on July 30, 2009
When women are hooked on the wrong kind of love, they often want advice for the wrong reasons, which explains why sometimes good advice is worse than no advice at all. Oddly, giving romantic advice to friends is sort of like dating itself; if it doesn’t stick after a few attempts, then stop wasting your time.
–Dr. Lastname
I’ve given my closest girlfriend the same advice a million times, and a million times, she’s passively ignored me, so I’ll say straight away that my goal is to give advice she’ll actually listen to. The problem she always comes to me with is this (and in her mind, it isn’t a problem, at least at first): said friend is in a band, and because of that, she’s always on the road, and in her travels she meets these guys (either randomly for one night or for a few weeks at a time if they’re touring with her band, that kind of thing), and every so often she falls for one of these guys and wants to find a way to have a real relationship with him, even though it’s logistically impossible in the long term due to the fact they live in one place and she lives in another (never mind that they’re usually too young, too drunk, too full of themselves, etc). I tell her those things, but she insists her feelings (which is what made me think I should write you!) can’t be ignored, that guy-of-the-moment gives her butterflies and she can’t remember being this excited about anyone. It’s only a matter of time before things go horribly wrong (he stops returning her texts/calls, starts being a jerk to her, take your pick), and then she’s sad, tells me she should have listened to me, and wonders why she’s so dumb about guys. I, too, wonder, but I’m sure you’ve got it all figured out.
Instead of asking yourself what’s wrong with your advice because it hasn’t got through to her after a million times, ask yourself whether there’s any hope of her hearing your advice. Ever. And not because she has tinnitus.
Because the sad thing is, when it comes to the thrill of romance, some people are addicted to those “butterflies” and want to embrace that sensation, no matter how many times they’ve been burned. They love love, whether it’s real or phony, and regardless of how long it takes them to recover, or what else they lose while recuperating. Love is blind, your friend is deaf and dumb.
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Posted by fxckfeelings on July 20, 2009
Lots of men may be drawn to long legs and big boobs, but there’s nothing sexier to most guys than a severely unstable female. You can marry these women or try to help them, as the people in these cases have tried to do, but when it comes to semi-sane drama queens, there’s only one good bit of advice: run for your life.
–Dr. Lastname
My mother was crazy (bipolar or schizo, it was never clear), and as her youngest, I was the one who took care of her and eventually found a way to get her into the hospital where the state took care of her until she died. I was a crazy kid, but not technically crazy like my mom—I drank too much, got high a lot (too much), crashed a car or two. I met a girl who was crazier even than me, she got pregnant, and so we got clean together to start our family. I’ve stayed clean, but the mother of my kids—now my ex-wife—didn’t. She held it together when she was pregnant all four times, but otherwise, she’d fall off, and now that she and I are finally through, I’ve got the kids and she’s got a nasty drug problem which she funds through alimony, boyfriends, and money she wins from taking me to court for one bullshit reason or another. As for the kids, one has gone through rehab, one is a mom at 18, one’s on tons of medication, and one was killed earlier this year when he was driving drunk. This is a long way of asking a simple question: what the fuck is wrong with me, after the way I was raised, that I can’t stay away from crazy women? Now I’ve passed this curse on to my kids, and now one of them has died because he was unlucky enough to be born to a former-drug addict and a current psychotic crack whore. My goal is to get crazy out of my life for good.
It doesn’t take a Harvard degree (or two) or even a passing familiarity with Sigmund Freud to know that you tend to feel attracted by people who are like your parents, whether you like your parents or not, whether your parents were certifiable or not.
If you expect that feeling to go away, and meanwhile keep dating the people you feel like dating, you’ll keep on getting into trouble, because, surprise, that feeling doesn’t usually go away. And don’t expect therapy to take it away, either.
Like it or not, that feeling—that attraction—is stronger than whatever most therapists have to offer, so if your goal is to stop wanting crazy, forget it. You’re crazy for thinking you can help yourself. (That sounds like it might make a good country-and-western lament).
You’re right to think about the kids, but wrong to think about what your crazy-loving has done to them. The past is past and remorse will do no more than get in your way now. Instead, you should be thinking about how to help them handle their own crazy-loving urges.
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Posted by fxckfeelings on July 1, 2009
Human nature tells us that the best way to solve a problem is to get to the root of the issue, but some problems, like mental illness, have no simple cause and no solution to speak of. In today’s cases, two people need to rethink their approach to mental illness; when you stop looking for someone to blame or a silver bullet cure, you can get to the real business of learning to cope with the reality of the present.
–Dr. Lastname
I think one of my sister’s kids might be mentally ill—he’s 9 and very intense and unhappy—but my sister doesn’t see it, and I don’t know how/if to get her to pick up on it. It should be fairly obvious to her since we saw the same symptoms in our mother, who wasn’t diagnosed as bipolar until we were kids and she had a chance to put on quite a show. I guess my sister doesn’t really understand that our mother wasn’t just a mean drama-queen but actually sick, maybe because she was younger when Mom went to the hospital and doesn’t really remember, or maybe because she’s in denial, or maybe both of those things combined with the fact she and her husband are space cadets that are such hands-off parents they don’t even notice that one of their own children is clearly suicidal. My goal is to get my sister out of the clouds and get my nephew some help, because if something happens to that kid, I don’t blame genetics, I blame her.
As any teacher well tell you, the danger of bestowing your idea of help on another parent’s child is that you have very little control over how parents react, because no parent wants to hear that something is wrong with their child. And their default response lies somewhere between defensive anger and general freaking out.
The freaking out also comes from the fact that it’s hard to keep the urgency and alarm out of your voice, no matter how diplomatic you think you are, and feelings trigger feelings. Suddenly you’re in a perfect storm of hysteria, but hey, no good deed goes unpunished.
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Posted by fxckfeelings on June 22, 2009
Academics are often perfectionists, which means their own faults are always subject to scrutiny, no matter how futile the pursuit. These two professors are scholars of their own inadequacies, but they don’t know how necessary it is to accept and make use of their faults instead of trying to revise themselves to death.
–Dr. Lastname
I’m an English professor, and I split my year between 2 schools in 2 different cities. I’ve been a heavy drinker since my 20s, but last fall, with the encouragement of friends and family, I finally decided to get sober. My family was wonderful, I found a very supportive AA group and, and with their help, I stopped drinking and kept it together for several months. But I’ve always been a very needy and insecure person, and I couldn’t believe I’d get the same kind of help from my friends and an AA group in the second city. The idea of leaving my safety net behind filled me with dread, and, a couple of weeks before my annual move, I fell off the wagon. The truth is, I have a good support system in the second city too, and my family is behind me, but I let them down. Now, I’ve moved to the second city, I’m connected with a good support group here, and I haven’t had a drink in 3 days, but I feel like such a loser because I can never believe in myself. My goal is to be less needy and insecure, but I don’t think I’ll ever get there.
Being less needy and insecure aren’t good goals because, like most things having to do with your emotions, you don’t control them. As you’ve seen, wishing to make them different can be so frustrating, it can drive you to drink. Now you’re still needy, and you need a drink. Not good.
Don’t believe all you hear about the evils of feeling needy and insecure. Some people say that those feelings cause all sorts of problems, and that it’s the job of therapy to make them better. That’s crap.
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Posted by fxckfeelings on June 8, 2009
These two cases are based on feedback we got from our sibling-related post a week ago. Thanks to the anonymous readers who took the time to write in, and we hope these respond to your concerns.
–Dr. Lastname
Last week, someone wrote in asking how to react to his younger brother’s claim that their father had molested him, and you told the older brother, essentially, to tell his younger brother to move on. I find myself in a similar position to that younger brother—my step-father molested me for years—but A, there is no doubt as to my claims, I assure you, and B, I have yet to tell my family (my step-father just died). If and when I do tell my family, if they react the way you instructed that guy to react, I’d be pretty furious, and frankly, I can’t believe you’d give anyone that advice. It’s taken me years to come to terms with what happened, and I couldn’t tell anyone what happened, let alone my family, until several years after the abuse stopped/I got away. I don’t think I’m wrong in expecting my family to support me, and besides, isn’t advising the older brother to tell his abused sibling just to “move on” just a way of excusing the father’s behavior for the sake of the family reputation while letting his younger brother suffer yet more humiliation? I’m not writing in for advice—my goal is to get you to admit your advice was deeply flawed.
One very tough part of disclosing long-ago sexual abuse is that you have so little control over how members of your family, or anyone, will react. In some families, you will be embraced by people who believe in you, validate your experience, and are grateful that you spoke out. Your courage in doing so will be well rewarded.
But in many families, there are people who can’t believe the abuse happened or who aren’t strong enough to face what they know (even though they’ve otherwise proven themselves to be very loving and supportive while you were growing up.). Your courage will not be rewarded, or even appreciated in the slightest.
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Posted by fxckfeelings on May 31, 2009
The concept of being one’s “brother’s keeper” has never been a very good one; from the Bible to the Clinton boys, older siblings taking responsibility for their youngers has rarely had good results. In these two cases, older siblings feel obliged to get their little brother/sister back on track, but being related to someone by blood doesn’t make them any easier to control. You can’t “keep” your siblings, but you can keep trying to do the right thing.
–Dr. Lastname
I’m one of seven kids, standard big Irish family, fairly standard/normal childhood, everybody seems to get along. My youngest brother, however, has always been a quiet kid (and I’m the oldest, so he’s much younger than me), and while he’s not the black sheep exactly, he’s always been a little bit different and maybe something of a misfit in general. One of my uncles died recently, and at the wake, my brother took me and all of our siblings aside to tell us that he’s been going to therapy and has recently recovered memories of being molested by our late father. Now, I’d never describe my dad as being a warm or lovable guy, but he wasn’t a monster– never raised a hand to me or anyone else in the house that I saw, and certainly never tried to touch me in a sexual way (or any of the other kids as far as I know). And, like I said, I’m not that close with my younger brother because I was in high school when he was born, so basically, to put it nicely, I just don’t think he’s remembering things right. None of the other siblings do, either, but ever since he made his little announcement, he’s been pushing us to support him and getting angry when we try to calm him down/kindly and tell him he should back off. Since I’m the oldest, my other brothers and sisters are looking to me to handle the situation, but I really have no idea what I can say to make this go away. My goal is to figure out what the hell is going on and get him to stop.
You might not know your brother that well, but I’ve dealt with his type many times: certain people go through life feeling different, cut off, ultra-sensitive, and constantly unhappy. They are troubled as much by not knowing why they’re suffering as by the suffering itself.
In their isolation and misery, they are constantly wondering what went wrong, if they did it to themselves, and what they should be doing about it. If they can believe that someone bad did something horrible to mess up their minds, whether it happened or not, it makes sense of their suffering and gives them something concrete to do about it.
Sure, something bad may have happened to them, or their reaction to constant suffering may have exposed them to additional harm at the hands of people they would otherwise have stayed away from. The sad thing is that no one has a solution to their suffering: not friends, not therapists, not older brothers.
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Posted by fxckfeelings on May 27, 2009
Protecting one’s children is a powerful instinct, but it’s important not to become so blinded by that instinct that you can’t see if your protection is doing more harm than good. The two kids in these cases are particularly vulnerable, but their parents might be so committed to fighting for their kids that they can’t see how they’re actually declaring a larger, futile war.
–Dr. Lastname
My son is in 5th grade, and my wife and I were recently called into a meeting with the vice principal to discuss my son’s behavior. We were told that he routinely disrupts class, talks back to teachers, throws balls over the wall at recess, and, overall, “refuses to behave.” His school work is terrible, I admit that, and she says that this is because it’s nearly impossible to teach him since he won’t focus or really do anything but act up. Her recommendation was meeting with a school-appointed psychiatrist, and that that doctor would likely prescribe medication for ADHD. My wife is OK with that plan, but I think the situation is crazy, not my kid. He’s 10 years old, of course he’s acting like a brat, and I’m sick of people throwing drugs at every child that doesn’t sit still. I don’t want my son turned into some Ritalin zombie. My goal is to get him to get him in line with his school without putting him on pills.
You’re the parent, the tough decisions are always your responsibility, and the decision whether or not to medicate your kid is a hard one. What you and any right-thinking teacher or doctor would prefer, first and foremost, is a non-medical way of helping your son control his behavior.
While the common perception (yours included) is that shrinks like myself are eager to put people on the pharmaceutical bandwagon, that simply isn’t an infallible truth. Medication is never entirely safe, and is certainly less safe than most non-medical interventions, like behavioral treatments. Just because doctors can prescribe medication doesn’t mean it’s always our go-to answer.
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Posted by fxckfeelings on May 14, 2009
Everybody has one little thing about themselves they wish they could change, but more dangerous is the one little thing about someone *else* you wish you could change, either because you want to help them or help yourself. Here are two cases that prove that change truly does come from within…your own mind.
-Dr. Lastname
(And for those still hell-bent on wanting to change, you can always submit your own problems here).
I’ve been with my husband for 4 years now, and in that time, I’ve gotten less and less tolerant of his casual attitude towards keeping appointments and being on time. He doesn’t just not show up—he’ll always call with a reason he’s late, or at least make some joke that used to charm me enough not to get annoyed—but still, he knows it’s irritating, and I’m starting to think it’s indicative of something bigger, like, maybe he doesn’t love me enough to follow through on his promises. (And I know he does this to everyone, but he shouldn’t be doing this to his wife, and I know they’re mostly little promises, but shouldn’t those be the easiest to fulfill?) Just talking about this, I feel like I’m losing my mind, which means there’s nothing about his flakiness that doesn’t drive me crazy. Maybe, because it’s not cute anymore, I worry that nothing about him will be cute anymore? Do you think going to couples therapy would help? We should be starting a family by now, but should I be with a guy who can’t keep a simple schedule? Because my goal is to stay married and stop being annoyed.
First of all, don’t let yourself believe that your husband could stop being late if he loved you more. If you do that, you’ll attack him for devaluing your relationship, he’ll feel the relationship is devalued by your failure to accept him, he’ll act worse, and the devaluing will start to come true.
It’s much less dangerous, if more painful, to accept the sad facts that he can’t stop being late and you aren’t going to change him. Then you’re also free to respect his love and all the positive qualities you chose him for.
It’s tempting to drag him into couples therapy, let fly with your grievance, and hope the therapist can get him to change. Alas, therapists have no more power than you do to accomplish such change. The result will be much like a loud, chair-rattling fart: an explosion of hot air providing immediate relief for the one feeling the pressure, followed by a bad smell that everyone is helpless to dissipate. A good therapist will stop you before you start and ask you whether you really want to do this.
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Posted by fxckfeelings on May 7, 2009
Since Monday was about anxiety, it makes sense that Thursday should be about the peanut butter to anxiety’s jelly– depression! In these two cases, depression has created urgent circumstances, not just for someone in pain, but for a sympathetic bystander. And, as often happens, the negative beliefs caused by depression are much more dangerous than depression itself.
–Dr. Lastname
Someone I’m close to called and e-mailed me a few times last night about killing himself, and this isn’t the first-time this has happened. The last time I got him to call a hotline and get help, and he agreed to go to therapy, but for whatever reason, it didn’t take, and now we’re back to square one. I’d like to believe that this time is another false alarm—that the fact he tells me he’s going to kill himself means that he wants me to talk me out of it—but how can I ever be sure? When he called last night, he asked me if I wanted to kill myself with him, I said no, but then he hung up before I could ask him where he was. Without a location for him, I didn’t feel like I could call the police, but I did call his parents (they couldn’t reach/find him, either). I don’t know what else to do, and frankly, I’m terrified. Please help me do whatever I can to keep him alive.
It’s dangerous to try to save the life of a suicide bomber, and that’s what certain very angry suicidal people are. It’s dangerous for them as well as for you, because the fact of your caring may give them a witness, a target for their anger, and a sense of meaning to their death.
If you don’t respond to his calls, he may take perverse satisfaction in letting you know he died because you failed him. If you do respond, he may tell you that you’re the only person keeping him alive.
Along the way, he tries to talk you into joining him. Whatever. He puts a terrible responsibility on you for his tortured life, and things go downhill from there.
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