Posted by fxckfeelings on February 11, 2013
For people who suffer from mental (or almost any serious) illness, finding the right course of treatment is a lot like dating; the goal is to find a match that’s steady, provides what you need (even if it provides some minor things you don’t), and gets along with/doesn’t burden your family. The risk of side effects—not side effects themselves, but their risk—is like the risk of wasting time with jerks, unavoidable for almost every treatment, and weighing those risks against the need for treatment and its benefits is what makes medical decision-making tough. Since you probably wouldn’t go for an arranged marriage (or even a matchmaker on Bravo), you shouldn’t assume your doctor is responsible for finding a safe, no-side-effect treatment while you sit back and wait. Nerve yourself to do the research, face the risks involved and then give yourself credit for the required courage, no matter how many medicinal Mr. Wrongs you face along the way.
–Dr. Lastname
I’m glad my wife was finally helped by her third antidepressant, because she’s now a lot less grumpy with me and the kids and she no longer seems touchy and unhappy all the time. The trouble now is that she’s less interested in sex that she was before, if that’s possible, and it leaves me feeling frustrated and ignored. It’s sad, because we used to have great sex and it always brought us together, and now we’re under greater stress than ever and she acts like sex is just more work. I don’t want to sound like her wanting to have sex is more important than her not being depressed, but I can’t pretend her total lack of interest isn’t hard to deal with. Surely there’s a better solution to her depression, so my goal is to help her find it.
I wish I could tell you that the treatments for depression are surefire and reliable, but they aren’t. This is due partly to the mysterious nature of the brain, but also because no doctor worth his or her salt will tell you that any treatment is 100% effective, 100% of the time. Even Athlete’s Foot can be tricky (and also decrease libido, at least for one’s spouse).
That said, finding the medication and/or therapy to relieve depression is especially tricky, so it’s important to remember that whenever you hear the words “this treatment has proven effective,” what they mean is “better, on average, than nothing.” So, unfortunately, there may be no treatment better than the one your wife is now taking, even though it’s the worst for her sex drive. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 7, 2013
As anyone who’s loved someone crazy or addicted knows—or really, anyone who’s watched any non-duck or -storage related programming on A&E—some addicted and/or mentally ill people take too much responsibility for the impact of their behavior on family, and others put too much responsibility on their family for saving them from themselves. In actuality, your job is never to act on your feelings of responsibility until you’ve first observed, and then accepted, what you actually control. The result may suck, and leave you feel totally helpless, but you need never be a slave of guilt when you’ve done what you can with what you’ve got (which is hopefully more than basic cable).
–Dr. Lastname
My wife (we’re gay) has Tourette’s syndrome, anger issues, and a tendency to drink more than she should. I have Bipolar disorder, and an obliviousness to other people’s feelings that is sometimes intentional, sometimes not. My wife and I dated for seven years before we got married, so it’s not like we didn’t know each other’s diagnoses and drama, but most for most of that time I was well-medicated, held down a full time job with benefits, and felt like I wasn’t being my real self. Last summer my anti-depressants kicked me into a full manic break. “God” told me to start collecting camping/survival gear and move in with friends in my home state to work on a civil rights campaign and spend time with my family. We won the campaign, and I got some cherished time with two relatives in their dying days, but I completely f*cked us financially, and ruined my wife’s trust in me. She is adamant that marriage is forever, whether we’re happy or not, and we are going to make it work. I love her, but I’m pretty sure I’m an Asshole, there’s no reason to believe this won’t happen again, and if she doesn’t get rid of me I will ruin her life, whether I want to or not. She wants stability and kids. I don’t think I can provide those things for her. My goal is to reconcile my wife’s expectations with the real limitations imposed by my case of crazy.
As we’ve often said, the best way to know for sure that you’re not an Asshole™ is the fact that you even considered the possibility that you’re an Asshole™. Assholes™ may feel injured, but, since they know it was someone else’s fault, they never feel guilty. Sadly, as a non-Asshole™, you’re forced to feel both.
So just because you’re mortified by what your last manic period did to your family finances doesn’t make you an Asshole™ or a dangerous marital partner, even though that’s the way you feel. It just makes you a good person struggling with a bad illness. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 28, 2013
Everyone will tell you that there are valuable lessons to learn from bad experiences, but unfortunately, there are some valueless lessons as well if you misinterpret your misfortune. For example, some people read too much into their painful experiences and become afraid to take new risks, while others learn almost nothing and have to retake the lesson/get screwed again and again. The answer is not to sample your crises like Goldilocks—trying to find a response that is not too much, not too little, but just right—but instead, to ground yourself in values that help you determine what risks are worth taking, what feelings are worth keeping to yourself, and what’s truly worth learning for the future.
–Dr. Lastname
The end of last year I was able to stop taking my anti-depressants after about 4 years. I feel good, my drinking is in control (though I do sometimes feel the old instinct that, when I’m stressed, a drink will help, though after one sip I know it won’t). I’m free of my fear of going outside my apartment or with groups of people. I did see a therapist, which helped me so much, though we never found out what triggered my depression, so I have a deep worry that it might come back. I know there is no point worrying about something that might never happen (I fully believe that its just a waste of time), but I doubt my relationship will survive another ride on the depression roller-coaster as it was nearly destroyed the first time. Also, my partner is concerned as I hope to have kids at some point and my partner has read that postpartum depression is worse if you have suffered depression before. The thought of being ill again terrifies me and I want to avoid that black hole anyway I can. Should I try to work out why I got depressed before? Is postpartum depression something I should be concerned about what the time comes? If I can somehow prepare myself then I’m hoping that if/when depression comes knocking again I might be able to put up a better fight.
After experiencing and surviving the pain and repercussions of a bad bout of depression, it’s normal to fear recurrence, but that fear is often worse than the thing itself; that’s certainly true with depression, as well as heights, spiders, and gays.
In fact, a PTSD-like syndrome of anxiety is common among people who’ve survived such painful and intense symptoms, so it’s important that you pay as much attention to managing the fear of depression as to treating the depression itself.
It’s understandable that you want to figure out a way to prevent recurrence, but reassuring yourself that everything is going to be alright is as misguided as parents’ insisting their kids they can grow up to be whatever they want; whether you’re hoping to rid yourself of depression or reach the major leagues despite being a one-armed girl, the odds aren’t good, so don’t make the mistake of reassuring/promising yourself that it won’t happen again.
In reality, as with all problems, real consolation comes not from putting the trauma out of mind completely, but from knowing that, whatever happens, you survived the first time and acquired a lot of weapons you’ll use to fight depression if and when it comes again.
Of course, fear will tell you that you and your relationship barely made it, but the fact is, you did make it, which is a great accomplishment. Now you’ve found treatments that work and, most importantly, you know that depression is just a bunch of symptoms, it’s not who you are; it wasn’t personal and you weren’t lazy, just unlucky and sick. Don’t get so freaked, then, by the harm a postpartum depression might do to your kids and/or marriage that you forget that child-rearing and maintaining relationships is always risky, and that you have developed good tools for managing that risk.
Yes, you have a chance of having a post-partum depression, but instead of terrifying yourself with thoughts of that possibility, investigate what you can do to decrease the risk. For one thing, you’ll find you can take antidepressants, even while pregnant; their risk of harming a fetus is low and outweighed by their ability to protect you (and the fetus) from its crushing symptoms.
And don’t fall prey to the notion that because medication has risks, it’s automatically unsafe to take, or that you’re weak or dependent to do so. It means you have an obligation, as with any danger, to weigh benefit against risk by sizing up the chance that your symptoms will come back and deciding whether treatment is worth it. So ask your doctors (and do your own research) to inform yourself about the odds of relapse. If they’re high, find out what the risks and benefits are of taking antidepressants as a preventive vitamin.
Instead of letting depression persuade you that you’ll ruin your family by making your partner and children miserable, treat it like any other disabling illness that tests most families, sooner or later, and teaches them how to survive hard times. Get your arsenal ready for fighting the negative thinking that depression both causes and is caused by.
Don’t let your experience make you a depression-phobic; remember how well you handled that depression, take a cue from the gays, and counter that fear with pride. We’d gladly see that parade.
STATEMENT:
“I can’t think about depression without feeling overwhelmed by fear. I know, however, that fear distorts my thoughts and that my experience with depression has made me much more knowledgeable and better equipped to manage it. I will prepare myself and take any reasonable risk that will allow me to stay as healthy and functional as possible, regardless of whether it recurs.”
I don’t see how I can go back to working in my family’s car business because my brother is such a dickhead. I’m broke and I need the work, and my father doesn’t mind if I work there, but my brother and I have never gotten along, and the last time we worked together he was so insulting, day after day, that I finally picked up a tire iron and we would have killed one another if they didn’t pull us apart. I promised to bury the hatchet and keep my mouth shut—as I said, I need the money—but I was back at the shop for barely four hours when he started up again and I had no choice but to punch him in the face. My goal is to teach my brother to leave me alone, so I can work at the family business when there’s no other work around.
Most of us have an instinct to push back when we’re pushed, particularly if the pusher is aggressive and insulting (and a blood relation). No words are necessary and we don’t have to be in a bad mood—all it takes to get triggered is getting cut off in traffic or a dirty look from a spouse. Maybe this instinct helps us protect ourselves from predators by showing them we’re too much trouble to dominate, but more often than not it just makes assholes, inmates, and/or corpses out of everyone.
Unlike the woman above, whose depression has taught her fear and pessimism, you don’t seem to have learned anything from your many fights. Like her, however, your response is based on feeling, not reason, so it’s both about learning from experience, as well as restraining your emotions.
Your brain is obviously wired to fight back, so if someone pushes, you feel obliged to return the favor, even if you aren’t necessarily looking for a fight in the first place. Trouble is, once that instinct gets hold of you, it gives you no choice but to fight, and the results in the real world usually suck for everyone who isn’t a Hollywood hero. Tough guys get arrested, sued, betrayed, beat up by other tough guys, and, like the rest of us, old and too weak to throw much of a punch.
So instead of just following your instinct towards fury, ask yourself whether you want to satisfy that instinct or control it. Sure, satisfying it feels better in the short run but, you guessed it, always ends badly. Controlling it is hard, takes lots of practice, and it’s what the authorities want you to do, which may make it harder for you to decide whether it’s what you want to do for yourself. Until you control that fighting instinct, however, there’s nothing anyone can say that will protect you from endless fights with your brother and others.
Wanting to control it is no guarantee that you can, and neither is therapy. If you decide to control it, you will probably need to work at building your control day by day, one day at a time, like AA, getting religion, or a gym membership. You can call it anger management, but you’d be better off calling it humiliation tolerance and/or finding goals that are more important than insult and injury (like making a living or being a good guy) and reminding yourself about them, hour by hour. The only thing you have to fight is the urge to fight, and the tire iron won’t do you any good.
STATEMENT:
“I can’t stand to feel pushed around and I take pride in being the guy who never starts fights but who knows how to finish them. I know, however, that fighting always ends badly in an unfair world and I have goals that are more important than what anyone says or does to me, particularly if they’re assholes. I am proud of myself for pursuing those goals regardless of how assholes make me feel.”
Posted by fxckfeelings on January 21, 2013
For all the lip service people give to the importance of truth, your average person is willing to work a lot harder to preserve a bullshit notion than admit what’s real, and that’s not just true for college quarterbacks. Depressed people prefer to listen to their rotten emotions telling them a hundred reasons why they’ve failed, no matter how many victories they’ve achieved, and people with bad habits can find a hundred reasons for thinking they had no choice, despite the many avoidable fuck-ups they’ve fucked up. That’s why thinking is better than just believing, so you can follow a simple moral procedure, add up what you’ve actually accomplished given what you do and don’t control, and give yourself good advice, fair judgment, and a break from all the hard work that defending bullshit requires.
–Dr. Lastname
In 2011, I was working two minimum wage jobs seven days a week, trying to cram in a social life while getting over a REALLY bad break up. Eventually, I gave up trying to fix it myself and started going to therapy once a week for 8 months. A year later, I got a better paying job, had free weekends, a new boyfriend, our own flat, an OK social life, BUT I sometimes still feel like it’s 2011 in an emotional sense. I still feel emotionally drained, exhausted, suffer low self-esteem and spend most days trying to not fight with my boyfriend over dishes. I then start feeling bad because I think I am not being grateful for the fact that my life did change for the “better.” I know I suffer from depression– have done since I was about 8 due to having a very abusive father, and long story short, I moved out when I was still in high school (about ten years ago). I thought therapy would help but it seems to have brought other problems to surface. Anyway, my question is, at what point should I stop trying to find happiness and just be happy and what does that even mean? Everyday is very different– one day I feel like buying a one way ticket to anywhere that will have me & leave everyone and everything I have behind, and then the next day I am dancing around the house feeling like I won the lottery. It’s starting to drive my boyfriend crazy but he tries to accept me as I am. So extreme are two days that I am not sure I know how I feel anymore about anything. My goal in 2013 is to stop getting upset/stressing about things that do not help my situation and to learn to relax more and enjoy just being. How do I achieve this seemingly easy task but which to me seems like a very very difficult algebra problem?
While many Christians ask themselves “What Would Jesus Do?,” we often ask our readers to ask themselves “What Would A Friend Say?” While Jesus’s imagined answers are often similar, it’s hard to imagine going out to a bar with Jesus after work and kvetching about your life, so “Friend” seems to work better.
That said, if you told a friend about your struggles—depression, irritability, past-trauma—they would tell you that they’re sorry you’re hurting, but that it’s worth taking time to appreciate all you’ve accomplished, despite what you’ve gone through. Like Jesus, they would not judge. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 17, 2013
It’s often been said that if you want to make god laugh, make a plan, but this is not the case for people dealing with mental illness, mostly because of all the pain you have to accept before you even get to the plan-making stage. If you ignore that pain, you’re a dumb ostrich who will make an avoidant plan, but if you focus too much on it, you develop a ruminative plan and become your problem. So brace yourself for unavoidable pain, prepare to do two things at once, and plan away. Then your choices will take you as close as possible to where you want to be, and your plan, or at least your ability to make one, will make any higher power proud.
–Dr. Lastname
I have a big problem getting myself to study. I do things late and then don’t get good grades, or I don’t get anything done, or I stop somewhere in the middle. I guess I have a problem with concentration and also with laziness. I’ve also done this thing since I was a little child where I turn on music, I sit on a couch or my bed and rock myself, hitting my back towards the backrest of the couch, sometimes it takes hours, sometimes it’s quite quick, like half an hour. I also have quite low self-esteem, not sure what is the reason…I am trying to overcome it somehow but it always gets to me again and I have to deal with it and then I have these days like I do not want to get up—I can’t think of a reason to, and I do not want to go anywhere and I am scared of everything. Sometimes I feel like people are watching me and criticizing me and I don’t want to go to the market because I don’t want to deal with anyone. Sometimes I eat a lot because I am in that crazy mood and I feel bad about it, not because I’ll gain weight (maybe a little bit) but especially because of my health… I criticize myself a lot. I write something or say something and in a while I hate it even if the first impression about it was really good. So… I might be a little bit screwed up I guess… I would be thankful for some opinion or advice what to do with all this.
You’ve certainly got a ton of problems, including trouble concentrating, studying, getting up in the morning, keeping your weight under control, dealing with paranoid thoughts, etc. (but hopefully not memory, because I’d have to think there are even more issues you forgot and left out).
The big question to ask yourself, however, is not what’s wrong with you and to count all the ways, but what you’ve done with your life in spite of these problems. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 10, 2013
Deciding whom to blame for a problem you can’t get a handle on is easy if you follow your instincts, but instincts should also tell you that a decision made based on intuition instead of thought is probably wrong. In reality, you need to look carefully at whether a person is doing his or her best with what’s actually controllable before deciding whether what’s missing is better discipline or better luck. Ignore your instincts, assess the uncontrollable and you’ll come up with helpful and constructive ideas by looking for facts, not blame.
–Dr. Lastname
I’m in college, and my problem is that I have ADD and even when I’m on Ritalin, I get distracted very easily if something about a course is hard to understand. Then I wind up fucking around, doing other things, spending too much time with my boyfriend, and falling behind. After two or three weeks, it’s too hard to catch up and I don’t want anyone to know, so I stop going to class. A few weeks after that, there’s nothing to do but drop the course, which makes me feel like a loser. I had the same problem in high school, but I’ve never found a drug or dose that’s made the problem better. My goal is to find a better medication or a way to try harder so that I don’t get behind in the first place.
There’s no doubt ADD is your problem, but another problem lots of people with ADD develop over the years of experiencing learning as a painful, humiliating process is avoidance. It came from your ADD, but it’s its own problem, and not the kind they make pills for.
A lot of people with ADD get good at lying to themselves and others about what they’re failing to do and what the consequences are going to be. It started as a coping mechanism, but it’s developed into a pain in the ass. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 27, 2012
Giving advice is like taking your pants off in front of someone; there better be some sort of invitation or context, or things are going to get weird. That doesn’t mean giving unsolicited advice isn’t the right thing to do, or that there isn’t a right way to do it; you just have to be prepared to control your emotions, particularly anger, fear, and helplessness, and only speak up when you think it’s necessary, if you wish to prevent harm or enmity. Using the proper procedures for advice giving, you can do right by the ones you wish to help, even if you can’t control or guarantee the results. If you can’t keep your negativity to yourself, however, or you know speaking up will do more harm than good, better to keep your proverbial pants on.
–Dr. Lastname
Please Note: We’re off again on Monday for New Year’s Eve. Here’s to a great f*cking 2013!
I talked to my cousin about her son’s guns & isolation, and now she tells me her family is “devastated.” How can I remain at peace with myself? I feel strong at the moment but feel a vague fear that a slow degradation of my strength may occur over time. Her family has been self-devastated for a long time. She divorced years ago. The oldest, adult son has never worked a meaningful job and has developed an intense focus on guns over the past couple of years. He shoots small rodents in their suburban back yard, then cooks and eats them (he uses just a pellet gun for this but with a home-made silencer, which must be illegal). The other son was within one semester of a college degree when he began using heavy drugs. His parents invested a fortune in the best rehab available but the son dropped out with two weeks to go. Start big and quit is one of the family’s MOs—a deeply ingrained pattern. I have often thought they all need “tough love” but now that I’ve provided some, I seem to be a catalyst for further dysfunction. My conscience is clear but I feel sad at what I have set in motion (other sane people encouraged me to raise the warning so I did not operate in a vacuum). Of course, it was heavily influenced by the occasion of the CT school shooting.
When someone you care about appears to be stumbling into deep trouble and letting things get out-of-control, scary, and/or armed, it’s hard not to get scared shitless on their behalf and offer them a piece of your mind.
After all, if they can’t figure out where to draw the line, you figure you can be the one to show them, even though you can’t imagine how a parent could ever, ever allow dangerous behavior to go so far. You want to help your cousin by stopping her from doing something wrong, but telling her that is the wrongest way to go about it.
When someone in trouble doesn’t ask for your help, it’s usually because they’re already worried that they’ve done something wrong and are afraid you’ll think the same. If you confirm their fear of being judged, then they’ll devote their energy away from actually confronting the problem and towards defending themselves against their new problem, you.
You were certainly right to share your worries with her about her weird gun-toting, varmint-eating son, and right to voice your concerns about dangers she may be ignoring. What you shouldn’t do, however, is imply criticism with the words “tough love,” which usually imply that a parent’s over-permissiveness has created a spoiled brat. Even assuming it’s true—which may not be the case if her son is a paranoid schizophrenic—there’s nothing like knocking someone’s parenting to cause a negative, defensive reaction (and nothing like comparing their son to a mass murderer to lay them especially low).
Try starting over, if you can, by telling your cousin what you admire about her parenting and her kids’ good qualities. After all, the older child was obviously hard-working and capable until drug addiction stopped him cold, and, since you don’t describe the younger son as a brat, there’s reason to think he may have been doing well until something went wrong, as well. Tell her you’re sorry if she felt your were criticizing her or her boys, but you just want to be sure she’s safe and offer any help you can.
Then, if she’s receptive, ask her about her older son’s behavior in concrete, specific terms. Don’t ask why he’s changed—that implies that she should have an answer that she obviously doesn’t have and that may not exist—and don’t imply that he’s behaving badly, because you don’t know how much he controls himself. Just ask for the facts, particularly about whatever he’s said or done that’s dangerous or shows his brain isn’t working right. Ask about threats, punches, voices in the head, silence when she asks questions, lost hygiene, and ideas about the FBI or Virgin Mary (it’s funny how they fall into the same category in the psychotic mind).
Whatever facts you uncover, don’t let your fears prompt you to tell her what to do; instead, find out what options she’s tried. If she seems to be ignoring a threat, ask her to consider her reasons for not being more worried. If she seems to be discounting the possibility of mental illness, ask her to read up on the signs and symptoms and consider what to do if they seem to fit.
You can’t tell your cousin how to straighten out her fucked-up family—it would be nice if you could, and even nicer if there was a way she could actually do it—but you can remind her that there are many good parents who can’t stop their families from being fucked up, and many ways of being helpful to your fucked-up kids if you don’t feel like a failure.
Offering help when it isn’t asked for is always tricky, but if you make the tone of the conversation constructive instead of critical, she might not be able to change her family, but she may be able to change her approach. And if she doesn’t, or can’t, you’ll still know you did the right thing, and you did it the right way.
STATEMENT:
“I feel like my cousin’s son could go postal while she pretends there’s nothing wrong, but I know these things don’t happen because of bad parenting. I will try to make her feel respected before inviting her to share what she knows about her son. If I have an opportunity to advise her, I will encourage her to make rational decisions about what she knows rather than following her emotions. I will not let my helplessness force me to become impatient and critical.”
My 22-year-old daughter is a good kid and deserves to be treated as an adult, but she’s been living at home since graduating college because she needs to save money, and I can’t help but notice how many guys she dates and spends the night with. She often seems disappointed when they don’t call her again, and then seems too eager to respond when someone new asks her out. I know if I use words like “bad choices” or “low self-esteem” she’ll stop listening, and maybe I shouldn’t offer advice unless it’s invited, but I sure wish I could help steer her in a better direction.
There’s an obvious danger to giving unsolicited advice (see above), and don’t think the danger is much less when people pay a shrink for it. All you need do is imply they’re doing something morally wrong and you’ve either crushed their confidence or stirred them to crush yours. Unlike the woman above, however, your concern comes from observations, not suspicion, and it regards behavior that is far more within her own control. You know of what you speak, and as long as you speak carefully, a conversation is not impossible.
Fortunately, you can often engage people in willing discussions about their dating problems if you keep the discussion positive, refrain from showing negative emotion (no matter what you really feel) and focus on the kind of thinking you want someone to do, rather than actions you want them to take. So don’t show fear or disapproval, or do the psychobabble equivalent by talking about low self-esteem.
Instead, tell her you respect her achieving her degree, saving money, and taking on the search for a good relationship. Then let her know that, if she’s interested, you’ve got some good ideas for how she can search for a partner while protecting her heart.
It’s true, you may be unacquainted with online dating or be one of those lucky individuals who stumbled into a good partnership without first having had many bad dates and a first marriage. Nevertheless, you can draw on other life experiences, like hiring someone for a job or working out a business partnership.
In the non-emotional, business-like manner of a professional matchmaker, ask her what sort of person she’s looking for and what criteria she uses to screen out deadbeats, heartbreakers, and baggage-bearers. Find out how she gathers factual information about a person’s reliability, work, credit card debt, and dumped-girlfriend history so she can head off trouble before she starts to feel attached. Discuss methods for keeping her distance while doing research.
If she feels unattractive, remind her that making herself more beautiful may get her more candidates, but also requires more careful, tougher screening. Help her list her strengths, which you know well.
If you respect the privacy of her heart while offering to coach her on a head-hunt, you can talk frankly without making her feel threatened. Then she can benefit from your wisdom while you enjoy the pleasure of being her friend (and avoid the mess of accidentally become a grandma).
STATEMENT:
“I hate to see my daughter expose herself to rejection and self-doubt as she looks for love, but I know that criticism of her poor choices will add to her self-blame. She has good values, many strengths, and much to offer. By inviting her to think about search tactics and techniques, rather than about feelings of wanting, needing, and being dumped, I will make my love and experience available to her in a way that she can use.”
Posted by fxckfeelings on December 13, 2012
Given how little we control our own urges, it’s not surprising that we also have trouble controlling our reactions to them, but it is odd how often those reactions are totally wrong. Brains have a pretty good track record with instincts; get thirsty when hot, get sleep when tired, get away when near snakes, etc. When people get urges that are humiliating, however, even when they’re doing a good job of controlling them, they wrongly blame themselves, but when they get controlled by noble urges, even when they’re causing terrible harm, they give themselves a pass. So, however much you love or hate your urges, don’t give yourself a hard time about stigma or anti-stigma. Instead, remember your own moral priorities and ask yourself whether you’re doing the right thing with whatever urges, pretty or ugly, that you got, and to avoid snakes.
–Dr. Lastname
I have yo yo’d with my weight for ever—I was 8 years old when I remember going on my first diet, and I had binged by lunch time. I have seen a psychologist regularly in the past and a psychiatrist more recently, and been diagnosed with a binge eating disorder as well as melancholic depression. I also have a history of being sexually abused when I was a child and required hospitalization once for an attempted suicide (prior to diagnosis) and have been on various anti-depressants. Last year I decided to press charges against my abuser and the investigation is still taking place. This was very big for me as previously I couldn’t speak about or put into words to anybody what had happened to me, but with the professional help over years, could make a police statement. I have managed to get into a healthy weight range many times in the past, but only when on a program like Jenny Craig or weight watchers, and I resent having to do these programs and can’t commit to them after I have done them once, but I can’t seem to stay in this healthy way of life on my own. I am either losing weight or putting weight on– my thought are always around food, what when and where I can eat next. I hide most of my eating from everyone including my husband. I feel like a drug addict and don’t know how to take control of my eating. I do really well in my career and other areas of my life, I just can’t flip this switch that turns me into a zombie when I want to eat. I read everything I can about these disorders, I talk about strategies with my mental health professional, but when the urge to eat takes over I go into a zone that I can’t switch myself out of. How can I stop this pattern?
Having an eating disorder is rough, but it’s even worse if you give yourself a disorder about your disorder, giving yourself a hard time for having a hard time. It’s especially unnecessary given the fact that it’s harder to find someone with complete control over unhealthy food impulses than it is to find a unicorn.
Almost everyone has trouble controlling eating habits, as evidenced, not just by the multi-billion dollar industry devoted to weight management (which, as you’ve discovered, is no silver bullet), but by the fact that very few people get permanent weight control without surgery. In reality, of course, as much as we try to control our weight, more often, it controls us. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 8, 2012
Although stopping long-term intensive psychotherapy can leave you in a state of mourning and fear, particularly if it occurs during tough times or against your wishes, it’s unrealistic to expect that returning to therapy will make everything right again. Instead, give yourself time to adjust to change and reassess your ability to stay functional and positive. Then, if you think it’s necessary, find a therapist who’s a good, supportive coach and use him or her for a different kind of therapy that keeps your head straight without stirring up your deeper feelings. If you’re certain that you have to be “in therapy” to get helpful support and are helpless without it, then the therapy you’re in is helping you a lot less than you think.
–Dr. Lastname
In my early 20s I spent 4 years in therapy (which I think in and of itself says a whole lot about the not good place I was in my head). Therapy ended, not because I was ready, but because I moved. I am now 46, and in the years since I continued to work through a lot of things on my own, with my therapist’s voice in my head, if no longer in actual therapy sessions. In January my grandmother took a turn for the worse, with both health and cognition, and we had to place her in full nursing care. She has always been one of the most influential and positive forces in my life, so I had a hard time dealing with this. It sent me spiraling down into my 4th lifetime episode of depression. I’ve started back on Prozac, which I now realize I need to stay on for the rest of my life to try to prevent future recurrences, and I’ve spent the last 10 months in therapy with my former therapist via phone sessions as we now live 1,000 miles apart. I have finished working through a lot of stuff in that time, meaning I’ve changed my attitudes and perceptions and behaviors, which has changed my life, inner and outer. I wish I’d figured it out 25 years ago, during that first round of therapy, but better late than never. It’s been a hard year. My grandmother died 7 weeks ago. The grief hit me more than I ever imagined. I thought I’d prepared in those months when she was slowly dying, but I was wrong. What is the saying—Where there is no struggle, there is no strength? Good growth has come of the pain—I have returned to college, and I am training for my first full marathon in January. I am at a truly good place in my head and was ready to end therapy, so two weeks ago, with my therapist’s blessing, I had my last session. I knew, though, that ending therapy because I am truly ready is a celebration, but that it would also be a loss. It is currently hitting me harder than I imagined. How do I get through this and find a place of healthy acceptance of this transition?
While it’s unfortunate that stopping intensive psychotherapy after many years is hitting you hard, it’s not surprising. As you well know, loss is painful, be it the death of a loved one or the end of a source of support.
That said, your pain doesn’t mean your psychotherapy has been less complete than you thought or that you stopped it too soon, just that you can be a solid, resilient person and also be very sensitive to loss, both because of temperament and circumstances. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 18, 2012
Assessing one’s self-esteem is like checking for Puxatony Phil’s shadow on Groundhog Day; while we have a long tradition of caring about its status, the results are fairly meaningless. After all, some people with strong characters don’t like themselves because they don’t measure up to high standards, and other people are madder at life’s unfairness than they are at themselves and underperform, not because they don’t like themselves, but because they care more about feeling good than getting strong. And of course, sometimes, it’s just cloudy. In general, it’s better to have a strong character, even if makes you kick yourself, than to see yourself as a deserving, entitled victim in order to break out of the rut of bad decisions and get out of Puxatony once and for all.
–Dr. Lastname
My 14-year-old son seems to care about his schoolwork but he’s unusually stubborn (the psychiatrist says he has Asperger’s syndrome) and he never does his schoolwork the way his teachers want him to. When they ask him to show his work in Math, he refuses, but he often gets the answers right anyway, just without any proof. When they ask him to do a draft of an essay, he just won’t do it, but then the final version he writes at the last minute is fairly reasonable. My son always feels guilty and angry, both for not being understood and not being able to do it correctly, and I’m worried that they’re not teaching him right, in a way that caters to his specific needs. My goal is to get them to give him better help.
You’ve been trying for many years to get your son to show his Math work and finish his preliminary drafts on time, and it just doesn’t happen. He’s had many teachers work with him and no one has found the answer. You’ve made an effort, and after showing your work, it’s fair to conclude “the answer” doesn’t exist.
In addition, telling teachers they need to improve is bound to make things worse since they already have the government telling them they’re responsible for their class’ performance, regardless of what those kids and their families are like. Holding them accountable for not getting results—the “show your work” of the teaching world—isn’t quite fair since you know it’s an impossible job.
Once you add your own personal “no child left behind” intervention, don’t be surprised if the teachers start to find fault with both you and your son in order to defray blame. Whatever happens next, it won’t involve praise or more positive results for anyone. WAIT! There is more to read… read on »
