Posted by fxckfeelings on December 22, 2014
Freaking out is good for your health in the moment if you’re facing a lion, zombie, or Beyonce, but if the moment passes and the freak-out doesn’t, then you’ve got problems. Some people then freak out about freaking out and see nothing but dark clouds sweeping in, while others shut the world out entirely and create a darkness of their own. In either case, if you don’t want fear to run your life, learn to assess your real risks and actual strengths. Then you can face anything from scary thoughts to American royalty without freaking out too much and feeling like your life is over.
–Dr. Lastname
Over the last few years, my panic attacks have been getting worse and nothing seems to work. So far, I’ve been able to hold it together and do my job, but I often have to hide in the bathroom for short periods in order to catch my breath and talk myself off the ledge. Valium helps a bit, but I have to be careful not to take it regularly or I’ll get addicted, which I’m very frightened of happening because addiction runs in my family. Other medication hasn’t helped, nor have changes to my diet and exercise routine, so I’m getting scared and desperate. My goal is to find a psychiatrist who can help me before anxiety ruins my life.
When you’re prone to experiencing random episodes of intense, meaningless fear that make your heart race, your throat close up, and your brain tell you the world is ending, it’s hard to be optimistic. They don’t call them panic attacks because they make you freak out about how great your future will be.
On top of that, panic attacks have no cure and, as you get older, anxiety tends to get worse. So, while it’s not surprising if you see the light at the end of the tunnel as either a train, a laser cannon, or the fires of hell itself, you have good reason for hope. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 11, 2014
A doctor’s diagnosis may make a serious illness official, but talking about it with professionals and people you trust is what makes it real. That’s why admitting you’re seriously sick can be so hard; if you admit you’re ailing from something manageable but incurable, the illness might scare people away, but if you admit it and become obsessed, you might needlessly scare yourself. That’s why you have to consider carefully when it’s better to focus on your problem and make it public, and when it’s not. Talking about your problems might make them real, but not talking about them doesn’t make them disappear.
–Dr. Lastname
I’m perfectly healthy now, but I had a couple nervous breakdowns when I was eighteen and twenty, and I wonder whether I should tell my fiancée. I really don’t want to drive her away. I tried stopping my meds a month ago, to see if I’m really OK now, and I still feel great, so I wonder if I need to tell her about a problem that I may not have any more, now that I’m twenty-six and working full time in a profession. I exercise and eat right now, which I didn’t do then, and I’m really not a nut job. My goal is not to screw up a wonderful relationship by bringing up past events that may not matter any more.
It’s common for people who take medication for severe mental illness to decide they no longer need said meds once they start feeling better, and it’s not hard to understand why; it’s natural for someone who’s taking crazy pills to rationalize that sanity equals success.
After all, you wouldn’t keep wearing braces after your teeth got straight, or taking antibiotics after an infection cleared up. Especially if you felt your fiancée might leave you if she found out you once had a slight under-bite or athlete’s foot.
The difference, of course, is that medication is supposed to manage your symptoms, not make your brain better. That’s why stopping treatment can be so dangerous, because declarations of health can turn to hubris at a frightening speed. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 17, 2014
No matter what the talking heads say, a bleeding heart is not a partisan trait, nor is it always a negative one. You don’t even have to be a registered voter to be a good, caring person, and party affiliation doesn’t determine whether you’ll care too much and take responsibility for problems that you can’t really help. Learn how to assess your responsibilities realistically, whether you embrace or reject the problem at hand. Then, when a problem comes within range of your heart, you’ll be able to decide what to do without having to blindly follow any party line.
–Dr. Lastname
My girlfriend’s father is a widower in his mid-eighties who is still physically fit and able to drive. He is a difficult man, socially awkward and uneasy in company. He fills his days by going round thrift shops and yard sales buying old books and large quantities of stuff which he does not need or use. He used to sell it, but the dealers he supplied have died or long been retired so it just mounts up, particularly since his wife died. Now his house is a mess and a lot of living space is now uninhabitable. He cannot bathe or shower as the tubs are used to store stuff. My girlfriend feels guilty and stressed, but is too busy to do anything about it. I wonder whether I can move in with her if this is a family trait. I find this sort of lifestyle depressing and off putting. She is a kind and reliable person with many good qualities. My goal is to work out a coping strategy.
Caring about other people’s problems is a good trait if you can do something to help them, but otherwise it’s a good way to cause yourself trouble you don’t need. It’s just like hoarding, except with anxiety instead of expired food and dead cats.
Before taking on responsibility for an unsolvable problem, ask yourself whether that problem is likely to cause you trouble, or whether there’s anything that really needs to be done about it. Unless your girlfriend’s father wants to use your house as a storage unit, living with his hoarder status might not be too much for you to bear. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 3, 2014
Sometimes anxiety and depression are not illnesses, though they may feel like it; they’re part of every human’s normal alarm system, warning you that something painful or soon-to-be-dangerous needs your attention. When anxiety and depression randomly tell you that the world sucks, however, that’s when you cross the line from normal to unnecessary, requiring attention. Either way, never rush to discount what anxiety and depression have to tell you about the world, but never believe them until you’ve assessed the alarm and reached your own conclusion.
–Dr. Lastname
My anxiety has been better lately, but it kicked up last weekend after my roommate’s friends broke a window in our apartment while they were tossing around a football. My roommate’s a nice guy, but he doesn’t want to pay for the window because he says the landlord doesn’t take good care of our apartment in a bunch of other ways. Now I’m starting to worry about what will happen when the landlord sees the damage and whether it will come out of my security deposit, which seems unfair, since I wasn’t even here. Anyway, my goal is to figure out whether I should up my medication because the stress from this whole thing is really hard to take.
Anxiety, like tiredness or anger, isn’t inherently problematic; if we never felt these things, it would be a big problem, and a probable sign of drug use, lobotomy, or being dead.
The issue, of course, comes with feeling anxious too much, or tired all the time, or angry at trees for being lazy. The current anxiety you’re feeling is the regular kind; it’s your response to your roommate’s actions that need rethinking. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 30, 2014
War might be hell, but the decision whether or not to take on a fight can make you feel, at the very least, like you’re Satan’s upstairs neighbor. Sometimes you want to avoid taking necessary action in order to avoid (marital) bloodshed, and other times, even if you’re not in American government, you’re eager to take on a fight without realizing there’s no hope for real victory. In any case, never let anger or fear get in the way of your own analysis of the facts behind the conflict. Keeping the peace may mean that you have to stand up for an opposing point of view or just feel angry, but a little personal purgatory still beats the alternative.
–Dr. Lastname
My wife and I never argued about money until recently, when she retired and started spending large amounts on her new hobbies. We have more than enough to live on, thanks to the money I got when I sold my company, but I can’t help resenting the way she spends large sums without talking it over or checking to see how much we have left. If I share my resentment, she’ll feel I’m trying to control her, but I just want her to control her credit card. My goal is to get a handle on our finances without starting a fight that will just cause us both to feel bad and then probably prompt more spending.
Talking to your spouse about her spending is as difficult as talking about her drinking or eating, or even her skipping and gum-chewing. This is because, at the heart of it, trying to talk to someone about their actions sounds a lot like you’re trying to tell them what to do. And nobody outside of the military or the bowels of Craigslist’s sex ads wants to be told what to do, especially by the person who’s supposed to be on their side.
Because they feel like scoldings, discussions like this immediately create a quasi-parent/child dynamic, which is why things quickly devolve into eye-rolling, finger-pointing, name-calling. Ultimately, if you’re lucky, your shared tantrum will result in temporary cutbacks, resentment, and the beginning of a running, perhaps-infinite “I told you so” contest that no one will ever win.
So never communicate money worries until first reviewing your anticipated income, expenses, assets, and areas of control. Consult an accountant or a simple book or website on budgeting. Pretend you’re a corporate manager who must find out how much your department—not just this one employee—can spend next year without depleting your assets, and how much will be left after covering necessities.
Then compose a memo describing your conclusions, decisions about the spending you control, and recommendations about the spending you don’t. Edit out criticism, fear, or defensiveness; your job is to provide good information and solid decisions that reflect your values and your family’s shared need for a financial plan, not to make your wife happy.
Before sharing your report, prepare for unfair personal criticism by composing positive, fact-filled answers. If you’re accused of being a control freak, invite her to offer better solutions that don’t break the budget. Regret the fact that you can’t always agree on priorities, but don’t budge from the facts, and avoid getting emotional.
It’s too bad that you and your wife’s spending instincts are not as naturally compatible as they have been, but it’s not unusual to have disagreements when life enters a new phase. You may not be able to make her happy or end those disagreements, but you can come up with a budget you believe in, refuse to let the disagreement become personal, and stay positive about the future security you’re creating by endorsing spending limits, even when she doesn’t agree.
If you sit down to talk about the nuts and bolts of your finances, not to take apart her spending habits, you can have a real discussion that could result in a budget instead of a brawl.
STATEMENT:
“I hate for my wife to feel deprived or over-ruled, but I will not express fears or argue about spending until I’ve put together a budget and tried to engage her positively in defining what’s necessary and making tough decisions. We may not wind up agreeing, but I will keep our differences to a minimum and not express fear or personal criticism.”
When my son decided to leave for college, we all thought he’d have a great time because he’s gregarious, likeable, and well motivated. Unfortunately, he somehow got depressed almost immediately upon starting school, and the whole year was a struggle with grades that were OK, but a disappointment. Then, after coming home and immediately feeling like his old self, he decided he had the problem licked and would have no trouble going back. After returning to school and another two months of depression, however, he’s ready to call it quits and transfer to another college. I don’t like the idea of his quitting and wasting time, but I can’t talk him out of it. I’m angry, which just means he doesn’t listen to me. My goal is to give him advice he will listen to and save him from making a mistake.
Assuming you’re right about your son’s depression, and that he can’t help it, you have more reason to be proud of his efforts to make school work than you have to be ashamed of his desire to quit and come back home. After all, you don’t see him as fundamentally immature or dependent, just prone to an away-from-home depression that he can’t shake. That doesn’t mean that college has to be torturous for him, even if it can’t be an average experience.
Homesick-triggered depression doesn’t seem to have been studied objectively, but it happens to some very solid kids and is just one of those problems that usually gets better as we get older. It shouldn’t be surprising that some people have reflexes in their brains that keep them at home, at least when they’re younger, and some are born to go roving; genes are probably important and, in a Darwinian process, circumstances sometimes favor the survival of the stay-at-homes and sometimes the wanderers.
In any case, the fact that your son finds himself burdened and partially impaired by homesickness doesn’t mean he has failed or that he has to leave home, unless leaving home is really necessary, which it does not appear to be.
Instead of assuming that he needs to complete his studies at Homesickness U., ask him to consider the pros and cons of transferring to a local college by leading him through the risk/benefit analysis. Ask him to find out what transfers are possible and whether transferring will cost him any course credits or special opportunities.
Ignore his expression of disappointment and regret over how much better he could have done if he hadn’t gotten depressed; tell him that depression isn’t something you control and that it often happens in this situation. He’s been enrolled in Depression 101, a mandatory part of the Core Curriculum, and from your point of view, he’s done well with it.
Meanwhile, if it hasn’t happened already, ask you son whether therapy with a good, positive coach could help him fight the negative thoughts that depression puts in his head and whether, if it’s impairing his ability to learn, he should see a psychiatrist and try medication.
You’re sorry he had to go through this painful experience, but remind him and yourself that he went to college to learn, not necessarily to be happy, and you’re impressed that he’s learning a lot.
STATEMENT:
“I hate to see my son feel like a loser, but he’s done nothing to make himself depressed and he’s learning how to manage it. I’ll keep on coaching him through this experience.”
Posted by fxckfeelings on October 20, 2014
In this day and age, it’s almost impossible not to know what Attention Deficit Disorder is (or to not have a direct connection to someone who has it, or to not have an opinion on it, just because). On the other hand, very few people are aware of Attention Surfeit Disorder, which is when people habitually get so perfectly focused on the problems that grab them that they can’t see why anything else matters, even if it’s a looming disaster. Whether you can’t focus on any one thing or focus far too much on one thing exactly, be aware that our brains have different ways of focusing, and that each has its own strength and weakness. Then, whether you have a fun diagnosis or not, you’ll be better at managing your priorities instead of following whatever captures your attention.
–Dr. Lastname
I’m curious to your thoughts on subclinical anorexia. I was (voluntarily) hospitalized with anorexia nervosa last year. Since then I’ve managed to keep my weight out of the danger zone, but not up to where my physicians would like it. Honestly, I don’t see the point. Even at my lowest weight I completed an MPH at Hopkins (my third post-graduate degree), I’m in the “healthy” BMI range, technically, and I hold a full time job in addition to teaching science at a local University two nights a week. Who the hell cares if I don’t hit my target weight? My goal is to continue to achieve excellence without worrying too much about what doctors tell me about my weight.
When you focus too much on perfection in one particular aspect of your life, be it in terms of appearance or professional achievement, it’s like searching for a house based on the quality of the faucets; you become so fixated on the gleaming chrome that you don’t notice the lack of square footage, light, or even plumbing.
Obsessional, single-minded focus is always unhealthy when it gets you to disregard whatever else is truly important in your life, like your health and friendships. You tell yourself it’s good to work harder to make yourself better…while losing track of the fact that what you’re sacrificing is worth more than the excellence you’re driven to achieve. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 16, 2014
You know that the how/when/why of diagnosis is a loaded topic, not just because you’re either longing to find or determined to reject one, but because those of you who read this site with some regularity know how many letters we get on the subject. A diagnosis is a powerful thing, but, like your authors’ posts, it’s rarely the last word. As always, ask yourself what a diagnosis really means before giving it too much meaning, or too little. We won’t be shocked or disappointed, however, if you want to ask us about what it means, also.
–Dr. Lastname
I have severe mood swings which don’t help at all, because some days/weeks I will be normal anxious me, but then I can have periods where nothing scares me anymore, pretty much like I’m ‘on top’, and I’ll have so much confidence. But then I have periods which are the exact opposite, meaning that I’ll be constantly upset and feeling self hatred for the way I am. As a result of this, I researched Bipolar Disorder and I have nearly all of the symptoms, I also took some of the online tests, which I know are not completely accurate but I thought they would give me a brief outline. Each one said that I possibly have moderate to severe Bipolar Disorder. After thinking for a while, I spoke to my mum, but she shunned the idea. I later convinced her to do some research on it and let me know her opinions, which I think she had no intention to let me know her thoughts as I only got a reply one month later as a result of my frequent questioning. She said I am definitely not bipolar. I have now been put on the contraceptive pill to control my irregular periods and mood swings, however they have not altered my moods, nor has the Teen Multivitamins that my mum has been buying me to prove that it’s entirely just my hormones. My goal is to control my moods and lessen my anxiety.
Just as there are eight major levels for classifying biological organisms—from general “life” down to the precise “species”—there are several unofficial levels of diagnoses. The most general level might be by location (e.g., the brain) and the more specific would be by identifying the cause of the disease. Unlike with plants and animals or even more common diseases, however, scientists can’t classify your individual diagnosis beyond basic symptoms. In sum, not surprisingly, it’s hard to classify crazy.
If the characteristics of the bipolar “species” vary greatly, depending on the person experiencing bipolar illness, then the usefulness of the diagnosis is limited, and your own observations and evaluation become much more important. What matters most then is not whether you do or don’t have a certified bipolar diagnosis, but whether your mood swings interfere with your life. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 31, 2014
Some pressing problems are like mosquito bites or cravings for bags of Kit-Kats; the amount of urgency they inspire is inverse to the amount of attention they deserve. Other problems, like that angry rash on your arm or the spreading leak under the toilet, would be much easier to bear if you did not have to think or talk about them, but they’re the ones that often require careful discussion and negotiation. So don’t let your problems tell you when to talk or keep silent. Ask yourself what’s necessary, and, exactly like an adult who can deal with problems responsibly, you’ll often find yourself doing the opposite of what’s comfortable, and knowing you’re doing a good job.
Please Note: This is our last new post until 9/4, since we’re taking August to focus on finishing our book. We’ll refresh the front page with older posts while you get refreshed in the sun, and we’ll see you (and your sunburns) in September.
-Dr. Lastname
I have awful OCD symptoms that I can’t find the right treatment for. For years, I’ve had graphic, uncontrollable thoughts about killing the people I really care about (my parents, my husband), and even though I have no reason to harm the people I love, the thoughts are so persistent that I genuinely fear I’ll hurt one of them. I started psychotherapy in my twenties, and it’s always felt good to have someone I could tell about it so I felt less pressure and fear, but after all these years and communication (and a couple attempts at medication), nothing’s ever really changed. Now I’m in my forties and I’m happily married, but my husband rolls his eyes when I bring up the subject and try to relieve my fear by airing it out. My goal is to end these thoughts once and for all.
Not surprisingly, the best way to get control over obsessive thoughts isn’t to obsess over them. Airing these thoughts might provide temporary relief, but instead of releasing them, you’re empowering them; they’re like a plant, and you’re giving them the air and sunlight they need to grow and grow.
You’ve clearly tried everything, including medications, which sometimes reduce the intensity of obsessional thinking. If nothing has worked, however, then you probably also know that there isn’t a cure. That means it’s time to practice acceptance, as well as restraint. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 21, 2014
Despite what the Ramones (R.I.P.) once declared, most people do not want to be sedated, especially if it’s for reasons involving “going loco.” Some people can’t think about psychiatric hospital admission as other than a form of kidnapping, and others as a failure that should never have happened if they took proper care of themselves. In reality, it’s good to think about psychiatric admission as something that can happen again regardless of how well you take care of yourself, and will rarely happen for reasons that you won’t ultimately agree with. The more you accept the possibility of hospital commitment and consider your own views about what makes hospitalization necessary, the more skilled you’ll be at managing the situation if it occurs again, even if it’s something you’re never going to wanna do.
–Dr. Lastname
I’ve got depression that is usually controlled well by medication, but I had one bad episode three years ago when I got really down, couldn’t leave the house for a month, and was on track to starve myself to death. My parents were right to pull me out and take me to the hospital, but it was a horrible experience; there were some scary, sick people there, and staying there was traumatizing. Now my shrink wants me to put together a crisis plan that will tell my parents how to decide when they should take me to the hospital, if it ever becomes necessary again—a sort of “advance directive”—and I’m trying to figure out how to make sure that I don’t have to go back unless it’s really, really necessary. The last thing I want is to visit an emergency room where they like to lock people up, so I end up trapped in the nightmare ward again. My goal is to figure out how to minimize the possibility that I will get admitted again.
As traumatic as it felt to be admitted to a psychiatric hospital, you are familiar with the bigger trauma that you would have experienced if you weren’t admitted. The scary people you say in the psych ward were probably fairies and pussycats compared to the hellscape that your own home had become.
You know how painful your depression was, how it interrupted everything important in your life, including work, relationships and your ability to care for yourself, and how it endangered your health and your life. That’s the trauma it’s now your job to manage, and avoiding the job because you’d like to avoid the hospital is a foolish move. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 2, 2014
For people with mood disorders, one of the most dangerous moods is the one for love, because a steady relationship often seems like the reward for getting rid of mood swings or the free pass to feeling better about yourself. The problem, of course, is that it’s much easier to find the kind of love that will make your disorder worse than it is to find something that will last and survive real life problems, including your moods. So don’t hunt for love as a feel-good prize or cure. Instead, accept the fact that it’s a job that takes patience and discipline and, fortunately, can be done even when your mood sucks.
–Dr. Lastname
I used to enjoy being a party girl and having random hook-ups, but since I got sober a year ago, I gave all that up and my life is a lot better. I’m not having big mood swings, I’m working steadily, and I finally feel ready for a serious relationship with someone I really like and respect. Even though I’m sure I’m ready now and excited to find Mr. Right, I get really nervous around guys and never find ones that seem like good choices. My goal is to find a real relationship, because I’m great at meeting people and my mood is a lot steadier, and so I don’t understand why it’s not easier.
Doing a series of shorter road races might be the right way to train for a marathon, but having a series of brief, anonymous sexual encounters is not the best way to prepare for monogamy.
Even a runner knows that you don’t get the same kind of excitement from meters as you do from miles; a sprint is a quick thrill, a marathon can be a painful mess. That’s why, if you’re approaching the search for a longer-term romance with excitement in mind, you’re heading down the wrong path. WAIT! There is more to read… read on »
