Posted by fxckfeelings on February 14, 2013
To paraphrase Keyser Soze in “The Usual Suspects,” the greatest trick mental illness pulls is convincing the sick person it doesn’t exist. Either through making you feel perpetually insecure or unbelievably happy and confident, mental illness’ true gift is preventing you from knowing you have an illness and thus blocking you or the people who love you from helping you. Acknowledging you’re unwell may be hard news to face, but it gives you two valuable gifts; the opportunity to manage your illness, and the ability to spare yourself responsibility for the feelings and thoughts your illness can cause. You may never exorcise your illness entirely, but you can learn to identify it before it limps away with your life.
–Dr. Lastname
I wonder if I could have OCD and if I should consider getting evaluated. I spend a lot of time going over social interactions and thinking about what I should have done differently. Often I get very silly fears about having hurt my friends’ feelings and need to apologize or get reassurance that things are OK, or asking my friends/husband for reassurance about things I may have done to upset/hurt someone else. I am constantly questioning my own perceptions and have a very, very difficult time making even minor decisions (like whether to save or throw out leftovers). My husband claims that I shower 3x longer than most people and thinks I avoid showers for that reason. I am very slow and meticulous at almost everything I do (gardening) and wish I was different. I don’t have any unusual fear of germs though I do work in a lab and sterile technique is a big part of my job. There have been times when a 1-2 hour task took me 3 hours because I was behaving so irrationally about sterilizing the instruments (and I knew this). Sometimes though I think maybe I want to have OCD because otherwise there could be something even worse wrong with me.
Your obsessive worries probably have a positive side, in that they make you very, very good at your work using sterile technique in a lab, but make you very, very miserable in the process.
While the fact that you hold down an exacting job and have friends and a husband to pester with worrisome questions means that your constant worries haven’t stopped you from doing what’s important, unfortunately, that support team hasn’t stopped your constant worries or the worrying about worrying. So, while being obsessive isn’t all bad and hasn’t impaired your life too much, it doesn’t make you feel too good, either. WAIT! There is more to read… read on »
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 February 4, 2013
Even though we now live in an age when communication is technically easier than ever, there are still plenty of people who have trouble interpreting other people’s words; their phone might get a clear signal, but their brain does not. Some people read too much into what others think of them while others are oblivious, but no matter how you tend to misinterpret your fellow man, don’t trust your feelings-skewed understanding until you’ve first looked at the evidence and given time and experience a chance to tell you whether you’re making the right call or dropping it.
–Dr. Lastname
My problem is a lack of trust and a great deal of insecurities. I am suspicious of my boyfriend and of my friends. I feel like everyone had ulterior motives, and I can’t help that being the first thing that springs to mind if someone is too busy to see me, or even if they ask me to do something with them (my thoughts – maybe they feel sorry for me). I feel sorry for myself, when I have no great reason too. My life isn’t so bad. This might not sound like much but to be tormented with it everyday… It feels like much. My goal is to trust and have more confidence in myself and in others.
It’s a mistake to lump mistrustful feelings together with mistrustful actions when you describe yourself as a mistrustful person; lots of people describe themselves as having bad tempers, but not all of them allow those tempers to land them in jail.
As such, if you mistrust your boyfriend enough to dump him for no reason or force him to list the reasons he loves you every day, then you’ve got a serious problem. Not serious enough to be criminal, but serious enough to be screwed.
If, on the other hand, you have mistrustful feelings but have nevertheless found yourself a trustworthy boyfriend and sustained a relationship that works for both of you, then you’ve got a painful syndrome that you’re managing very well; you’re not mistrustful, then, you simply feel mistrust. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 31, 2013
Unless you’re living in a Nora Ephron movie, breaking up is a painful ordeal, often for the dumper as much as the dumpee; while initiating the break doesn’t have same level of shock and betrayal as being broken, there’s often tons of guilt and paralysis, and everybody ends up spending lots of money on fatty foods, impulse electronics, and shrink bills. While there’s no painless way to break someone’s heart, wallowing in guilt never makes things better, so instead of trying to change feelings that won’t change or punishing yourself for having them, learn from your experience and do what’s necessary. You can’t control your heart but you can make the best of what it does to you and, sadly sometimes, to the people who love you, even if you can’t love them back. It’s what Nora would want.
–Dr. Lastname
Just over a year into my relationship with my current boyfriend, and a week after we had moved in together, I met a man at a month long intensive personal growth course. I was clear with him that I was in a relationship (as he was clearly interested and single), but the feelings developed over the month, especially with the work we were doing together in the class. It was very hard to say goodbye. It’s been exactly a year since that time and I have not for one day stopped thinking about him and the friendship/closeness/attraction that was there. I’m still with my boyfriend and have had doubts about him ever since. I know it’s really affected our relationship. I’m a person who’s always working on myself and trying to be better, growing and changing, where he is not so much. I’m trying to get him to be more open with his feelings, but I feel like I’ll be trying my whole life. I can’t help but wonder if I’m with the right person and have to stop myself every single day from contacting the other man. I don’t know if I’m just a crazy person with fantasies about a better relationship, or if I need to take a risk and move on (even though I’m terrified) – if not for the other man but for someone who is more sensitive to my need to share deep feelings regularly. I should also mention that my boyfriend wants to have kids and we need to make a decision as soon as possible as right now I am just stalling. This dilemma has me up at night and I think about it constantly. I wish I could just trust my gut feelings but I am so confused.
If you feel a prospective husband must be someone who’s also into self-improvement and feeling-sharing, then you’re right to worry. On the other hand, after some additional experience with feeling-sharing self-improvers, odds are you’ll realize your standards are a little wrong.
You don’t have to spend as much time around the feelings-ful and improvement-driven as I have to realize they make up a high risk group of people who are exciting to get to know and talk to—much more so than most people, including your partner—but then become changeable and unreliable in the long run. 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 24, 2013
The search for sex and love is almost always put in a competitive context—it’s a game, a hunt, or some “Hunger Games”-like combination of the two—but unlike other competitions, there aren’t many reliable measurements of your dating success. Sure, it always feels like you can tell how you’re doing by whether you feel sought after or dumped, but those feelings really have nothing to do with success; feeling sought after can be arbitrary, distracting, and over-stimulating, and feeling dumped when you’ve merely been dismissed can make you lose your confidence and will to keep looking. So instead of paying too much attention to how dating makes you feel, keep your eye on the real trophy—contacting a large pool of candidates and using solid search criteria to screen out the out-of-control, the unacceptable, and the time-wasters. If you stay focused and work hard, you’ve got a fighting chance to win, especially if you know how to actually keep score.
–Dr. Lastname
I rarely meet men who are interesting, make me laugh and when I kiss them find I have a sexual chemistry with. So when this happened and he took my number, said he wanted to meet up again and texted me the next day (I replied and we had a bit of text banter), I thought, great. Only thing is, he never arranged a date (having said he was a traditional guy), and I just don’t get it. I’m trying to think that I wouldn’t want to be with a man like that anyway but why text the next day if you don’t want to see me? To validate himself by getting confirmation that I like him? I know I shouldn’t analyze this but I find it weird and annoying. How do I let it go and move on?
If you considered how doubly rare it is to find a guy who both triggers the right chemistry and is a decent human being, accepting the long odds would make for a shorter sting. Getting brushed off by a potential partner in the game of love is as personal as a quarterback getting sacked in a game of football, and just as routine.
Since most women have ended up with a copy of “He’s Just Not That Into You,” either because they had a long lay-over, or because their secret Santa phoned it in, most ladies are familiar with the notion of not-quite-connections.
The problem with the title/thesis of that book, however, is that it makes the problem seem personal, when it isn’t. Most of us just aren’t that in to most people, and guys, with their sexual preoccupations, are even less so. 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 14, 2013
When people judge success or failure by the ensuing level of happiness, good guys blame themselves for things they don’t control and bad guys blame everyone else for their own mistakes. Instead of putting your accomplishments on a feelings-based scale, think carefully about what you really can and should control, given your values. That way, no matter if you’re a good guy dealing with bad luck or a jerk who assumes he’s a victim, you can at least feel happy about doing what’s right.
–Dr. Lastname
I wish there was something I could do for my older son (now about 30), but he’s never been happy and I’ve gradually got used to the idea that maybe he never will be, although I’m not sure I’ll ever not feel bad about it. He’s got a job and takes care of himself but, unlike his younger brother, he doesn’t have a girlfriend or a job that he likes. My own belief, and I’ve lived by it myself, is that everyone should at least find work that they like, and then it’s not hard to be happy, but he doesn’t seem close to finding work he likes, and he doesn’t seem to be trying. So I doubt there’s anything I can do to help him, but I thought I’d ask you anyway, because, as his mother, I’ll never feel I’ve succeeded until he finds happiness.
There’s nothing that warms a mother’s heart more than to see her kid smile, but you should also know, by the many good, well-parented, miserable adults in this world, that a good upbringing can’t stop someone from being downbeat.
Your son’s tendency towards misery is not more your fault that it is his; it’s a tough world, genetics has no mercy, and bad things happen. Don’t make those bad things worse then by making him responsible for his inability to get happy and causing you both to feel like losers.
It’s common to believe that one can be happy if they find work that they like, but, like taking good care of yourself, eating right, having regular bowel movements, and most other common sense keys to happiness, that belief is largely bullshit. 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 »
