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Thursday, November 14, 2024

Symptomatic Meaning

Posted by fxckfeelings on January 9, 2012

Horrible thoughts and feelings are supposed to make you feel as if there’s something horribly wrong, and there is, but it’s not necessarily with you. Even when your brain is giving you strange signals and your mood is in the pits, you’re the same old person with the same old values. Judge yourself by what you do with symptoms of mental illness, not by the way they make you feel or think, and you will never have reason to doubt yourself or despair.
Dr. Lastname

I was diagnosed with major depressive disorder and anorexia nervosa purging type a few years ago. Both of these issues had pretty much consumed my life during the years leading up to that diagnosis and have continued to be impairing ever since. I started cutting myself two years ago (it has become more frequent this past year), and I’ve had several panic attacks in the past several months. Fortunately, my overwhelming desire to commit suicide has subsided, although I still think of suicide and my death in general fairly often. In addition to my own issues, I have watched my mom slip into a state of psychosis during the past two years, triggered by the death of her father. She has become so depressed, delusional, and violent that my parents separated and sometimes I don’t even feel safe staying in the house with her—a few weeks ago my dad and I had to stop her from going through with a suicide attempt. The police were called, and I had to hold her arms down while she was clearly in a psychotic rage. At one point, she tried to stab my hand to make me let go. She was taken to a mental health facility where she stayed for a week, and now she’s furious at us for making her go there and hasn’t been much better since then. I feel like I never get anywhere with therapists because they just prescribe medicines that make me feel numb to any emotions or focus on my eating disorder so much that I never get to work through these other issues. I feel like my life is unraveling and it’s gotten so bad that, honestly, I don’t feel like I even want to fix it. My goal in telling you this is to figure out a way to help my mom and how to get through school while I’m dealing with this.

It may seem strange to hear this, for someone who suffers as much as you do from depression, anorexia, and the burdens of taking care of a very sick mother, but I think you’re doing an amazing job.

Yes, you’re chin-deep in shit, but you haven’t drowned, and that’s a remarkable accomplishment.

Your depression hasn’t made you hate people or blame them, and your anorexia hasn’t caused you to pretend you’re not sick, so you must have a solid hold on reality. There you are, with all your pain, finding the love to help your mother and the energy to go on with your studies. You’ve got good values and a big soul. WAIT! There is more to read… read on »

The Kids Aren’t All Right

Posted by fxckfeelings on December 19, 2011

When grown kids need permanent parental support, it’s hard for those parents to feel like they’ve succeeded. Every parent worries that they’re not doing enough for their kids, but for those who have adult kids with problems, that worry is amplified by anxiety and guilt. They can take over management, however, by assessing their responsibilities rationally and keeping their worries in check. It’s not healthy to care for and protect your children too much, but the only parents that fail are the ones that don’t care enough.
Dr. Lastname

Helping my daughter pay the rent on a bigger apartment seems to have lifted her out of her depression and she’s much more active at her job, but she’s still not making enough money and I’m running out of cash. If I tell her that she has to take a roommate, I’m afraid she’ll just crawl under the covers again and we’ll be back where we started. It shouldn’t be that hard for her to make enough money, but it is. I’m mad and I’m stuck. My goal is to get her to make more money and/or understand that I can’t keep supporting her like this.

While you may think you’re giving your daughter money out of love, you’re actually doing it out of fear. That’s trouble, because when you give money out of fear, you’re usually being mugged.

Fear makes you forget long-term risks, like what you’ll do after you run out of money and the consequences for you, her, and other people who depend on you. Your love is infinite, but your finances aren’t. WAIT! There is more to read… read on »

Guilted Cage

Posted by fxckfeelings on December 15, 2011

Feeling you’ve made a mistake is usually an instinctive reflex that has nothing to do with sober judgment and/or actual responsibility and a lot to do with guilt. You feel you’ve made a mistake when things turn out badly, or your efforts fail, or you’re still in pain, so you feel obliged to give yourself a good kick…which usually makes things worse. It’s not that we’re incapable of examining blame and responsibility rationally, it’s that self-flagellation gets rid of guilt faster than self-reflection keeps us from accepting a guilty verdict.
Dr. Lastname

I have been struggling with performance anxiety for years. It was particularly difficult during university, where I saw three psychologists, including a campus counselor, who, while supportive, weren’t helpful. It got much better though when I was able to take control of a treatment group I was facilitating, where I could design the program and run it the way I wanted to. I enjoyed being the therapist who helps others, and the experience gave me confidence. Still, the anxiety has not been extinguished in all situations—when teaching and presenting at conferences, the anxiety in these two areas is just as high as it was previously. I have been managing this for a long time and I do not feel motivated to continue to place myself in situations where my anxiety is raised again so high that I experience nausea, stomach pains, dry mouth, etc., not to mention the exhaustion I feel after the anxious-provoking event has finished. I do have some mild/moderate social anxiety—I don’t like socializing in big groups unless I know the people, and this prevents me from making new social contacts and networking for my profession. I am well versed in exposure therapies and ACT and have used these to get me to the point I am at now, and I continue to use them. However, I don’t think my anxiety will ever improve beyond where it is now and I am too exhausted to continue to try. I guess I’m stuck and don’t know if I should try to find a specialist to help me to continue to force myself to network, push myself to present at conferences, and become an academic psychologist or move into working as a clinical psychologist in a private practice, where I would work more on my own and I would be happier and more relaxed but also know that I am avoiding the events that are anxiety-provoking.

Maybe being in the mental health business makes you feel more responsible for controlling symptoms of anxiety and becoming a role model for good mental health. It’s ironic, given that most people in our field are the worst role models for mental health. If we were totally sane, we’d just go into dermatology and rake it in.

If you are driven to perfection, it’s causing you to forget that certain symptoms, like anxiety, tend to be incurable, and that, if you’ve reached the point where you can’t make them better, it’s because you’ve done an amazing job of managing them and pushing yourself to the limit of what you can bear. WAIT! There is more to read… read on »

Relative Silence

Posted by fxckfeelings on December 8, 2011

When people you love act like jerks, you can’t help feeling responsible for doing the impossible and setting things straight (if it was possible, you wouldn’t be writing me). So whether you’re driven by worry or guilt-trips, stop making yourself responsible for easing their pain. Use your own ideas about right, wrong, and actual impossibilities to protect yourself and others as much as you can, and go about your business with a clear conscience while they go about being impossible and clearing the room.
Dr. Lastname

My brother is really an upbeat, cheerful, friendly guy, but he turns into a viper whenever someone tells him what to do, even when it’s sure to get him into lots of trouble, and afterwards he’s convinced he’s been calm and diplomatic. When he and his wife got divorced, he was so argumentative with the judge that he lost custody of his kid. When his boss asked him to do something stupid, my brother fired off emails to Human Resources declaring he was being unfairly attacked. The funny thing is, he doesn’t mind when I tell him he’s being stupid, and the next time something happens he’s sure he’s done better; but he hasn’t. He’s not nearly as difficult as he seems to be, so my goal is to keep him out of trouble.

God bless the antagonists, for they know not what bile they speak.

Whenever someone is particularly quick to resist being pushed, we assume there’s an emotional reason for his actions, and that understanding why will help him to control himself, or help us shut him up and make him more tolerable.

Truth is, we often can’t explain or control oppositional behavior, which suggests there’s a basic force of nature driving some people to be reflexively, unthinkingly oppositional. WAIT! There is more to read… read on »

Lazy or Crazy

Posted by fxckfeelings on November 21, 2011

Most of us are sensitive about the stuff we don’t get done, particularly if we’re perfectionistic, prone to procrastination. If there isn’t an internal voice bombarding you with nagging, critical comments, there’s usually a parent/parent surrogate telling you to get off your ass and stop being such a lazy loser. By the way, if you don’t hear these motivational/critical messages internally or externally, you’re either unbelievably relaxed and confident, or you’re dead. Either way, you’re not someone who’s going to read a site like this. In any case, judging your performance reflexively is dangerous; it prevents you from protecting yourself against abuse and/or taking positive steps when you’re in a rut. The voices might always be there, but you should listen according to your own judgment.
Dr. Lastname

Please Note: The next new post will be 11/28, after American Thanksgiving.

My husband and I get along better since I left with our daughter to start a new job in a nearby town, and he is usually polite when he comes for his weekend visits (he sleeps on the couch). He’s a devoted father, but sometimes, when he’s in a bad mood, he gets as nasty as ever and calls me a loser and a wimp who can’t keep things clean or make much money, and I’m back with the old feeling of not being able to do anything right. I suppose I should shut the fuck up, because anything I say just sets him off and gets our daughter upset. My goal is to keep my feelings to myself and keep the peace.

It’s hard to tell nasty criticism from the valid kind if you already tend to get down on yourself for not getting much done. Then again, it’s hard to get much done when you have a kid and an ex-husband who’s always criticizing you.

What you seem to be taking issue with is how unfair your ex’s judgments are, as if you’re agreeing with him that you’re a loser, but you wish he’d be less harsh. The real problem, however, is that, without carefully applying your own standards, you’re allowing yourself to take his judgments seriously in the first place. WAIT! There is more to read… read on »

Low Fidelity

Posted by fxckfeelings on October 24, 2011

We’ve talked before about the myth of “help;” how applying the mantra “you need help” to everyone and anyone with problems isn’t always the right thing, whether you’re on the giving or receiving end of this recommendation. After all, just because someone begs you to get help doesn’t mean that you need it, and just because someone begs you for help doesn’t mean it will do them any good or be worth it. Forget feelings of disloyalty, use your own judgment, and remember, most of the time, the most helpful response to people who want you to be involved in help-giving or help-taking is to let them know when help isn’t the answer.
Dr. Lastname

I’m a 22-year-old who is coming out of a pretty rough emotional patch. I got into a bad habit of leaning on a male friend, being a complete needy, co-dependent mess with a guy who is a pretty heavy drinker and, you guessed it, a needy, co-dependent mess. Well. Now I’ve sobered up and tried to develop some space between us, and he’s not taking it well. He drunk-dials me at least once a week, and leaves these crazy, rambling, needy voicemails. (I moved away a while back, and he keeps pushing me to make plans to meet up.) I basically want to cut him out of my life altogether, because I really think he’s bad for me. But he was there for me—albeit in a f*cked up way—when I was a mess. Does dropping him make me a bitch?

There are two sides to every sin; for example, murder is evil while manslaughter is just really unfortunate. The same is true for good deeds, and fidelity, while less deadly (hopefully), works much the same way.

There’s a bad kind of fidelity based on feelings and a good one based on what you think is right. The bad one is a gut-level sense of obligation you feel towards anyone you’ve shared a bed or bread or booze with, who cries out to you in need and expects you to respond. WAIT! There is more to read… read on »

Guilted Lovers

Posted by fxckfeelings on October 6, 2011

The process most humans have for defining our sense of right and wrong develops with time; it starts with determining whether or not our parents are mad at us, goes to roommates, and then spouses (and after that, the law). One part of the process that should extend from cradle to grave (but often doesn’t) is consulting your conscience before you declare guilt or innocence. Sometimes it will protect you from false guilt; other times, it will tell you that, regardless of your rationalization, you’re guilty as hell (better to realize on your own without the law’s help).
Dr. Lastname

I always suspected that I was attracted to women more than to men, but I liked my husband, and we’ve been good companions for the past 20 years. It hurt him deeply, however, that I wasn’t interested in him sexually and finally, when he pressured me to tell him what was wrong, I told him I thought I might be gay. Now he feels I lied to him, that our marriage has been meaningless, and he wants a divorce. Our life together is over and I feel totally to blame, like I’ve let down my husband and betrayed our marriage. What can I say to make amends?

There’s one important step people sometimes forget to take before making amends– asking yourself what you’ve done wrong.

Obviously, your husband is hurt and he thinks you’re to blame, but, as we’ve said many times, that’s the whole point of marriage—having someone to blame. Real sin requires knowing that you have something to hide, and that doesn’t seem to be the case. WAIT! There is more to read… read on »

Bear None

Posted by fxckfeelings on October 3, 2011

When people are overbearing, the natural response is to overreact, either by submitting entirely to their will or coming back with the same level of aggression. While our instincts tell us to “fight or flight,” we have to overcome our core lizard brain, take a step back, and figure out our own plan and our own moral and ethical priorities. Then we can state opinions, invite rational discussion, and evolve past conflict altogether.
Dr. Lastname

I appreciate my husband, I really do; he’s a hard-working, reliable partner and father. The problem is, he’s also a reliable pain in the ass. He’s so controlling about whether the kids are polite, or the living room is clean, or the food tastes good…he’s always giving us dirty looks or telling us how we should act, and then does everything himself, anyway, so it will turn out the way he wants. If I criticize him, he acts like an underappreciated martyr and won’t talk to us until I apologize, but I hate apologizing; it doesn’t fool him, and it makes me feel unfairly humiliated, dishonest, and angry. How do I manage his overbearing behavior without wanting to kill him?

In many ways, telling someone you’re sorry is more taxing than telling someone you love them. An apology might get you some peace and reduces tension in the family, but, unlike expressing love, it’s all give and no take. And in this case, you’re saying sorry when you really don’t give a shit.

So, on the one hand, you’re showing him you appreciate his hard work and understand his intentions are good (even if they drive him to be a jerk, thus avoiding a pointless fight, which is good for everyone involved.

The negative side, however, is that you force yourself to lie, reinforce his feeling of being a righteous martyr, and perpetuate the controlling behavior that drives everyone crazy in the first place. Essentially, the more you tell him “I’m sorry,” the sorrier you’re going to be in the long run. WAIT! There is more to read… read on »

Value Pack

Posted by fxckfeelings on September 26, 2011

When someone behaves badly and doesn’t see it, it may be because they’re driven by values that can’t be contradicted, not by you, other priorities, or other values. It may also be because they don’t have any values other than their immediate needs, but either way, you’re looking at a hell of a relationship hurdle. In any case, don’t assume that agreement in principle is necessary for someone to change bad behavior. Sometimes it’s enough that you believe it’s bad and insist on change, very clearly, as a condition for continuing your relationship. Other times, they won’t budge, and as much as you value their company, your values have to come first.
Dr. Lastname

My girlfriend is a good person, and we get along well, except when her ex-husband and spoiled son come into the picture. She’s the bread-winner, so her ex is always sending her bills for extra expenses and he messes with the visitation schedule whenever he wishes (their son lives with him because she’s often traveling on business). What seems to get to my girlfriend is when her ex shows signs of having a new live-in partner, and he’s nastier with her when he thinks I’m around. With her son, my girlfriend’s biggest fear is that he’ll get mad and not want to visit, so she gives him whatever he asks for. The whole situation creeps me out and puts me on the periphery. When I push her to set limits, she reacts as if I’m burdening her with one more demand. My goal is to make our relationship work.

The most devotedly pleasing girl in the world isn’t going to do you much good if she can’t carve out enough space and time for your relationship. After all, her devotion and drive to please have a waiting list.

If there’s a problem, as there is here, it’s often not a measure of how much she loves you, but of how well she can respond to other demands in her life. Without priorities or limits, she’s not going to please anyone. WAIT! There is more to read… read on »

The Help

Posted by fxckfeelings on September 15, 2011

As diseases go, mental illness is a doozy to treat; some mentally ill people are too humiliated to ask for help, and others are too crazy to ask. If you want to help them (or yourself), keep in mind that it’s the illness, stupid, which distorts the attitude towards treatment. Use the same logic and moral values for mental health treatment decisions that you would use for other illnesses; there’s nothing humiliating about getting sick, no matter what a sick brain decides.
Dr. Lastname

I have been wrestling with depression for years now and my maternal side of the family has a history of depression and suicide. I don’t feel that I can do this on my own anymore and need help. I don’t want to just take a medical cocktail of antidepressants. My question to you is how do I go about finding a therapist and/or doctor that will be most helpful to me.

The first step for getting treatment for your depression seems simple– don’t get depressed about treatment for depression. After all, depression’s just another form of pain unless it twists your thoughts into thinking that not getting rid of it is a kind of failure that marks a meaningless life.

As long as you realize depression is a persistent ailment, just like persistent back pain or diabetes, you’ll have an easy time making treatment decisions because you won’t regard using treatment as evidence of weakness. WAIT! There is more to read… read on »

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