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Friday, November 29, 2024

Paranoid & Destroyed

Posted by fxckfeelings on March 29, 2010

For our 100th post, we address a problem that causes loads of people useless worry, and that is…useless worry. Just because horrible things may happen to you or someone you love (or because of someone you love), life shouldn’t end. Prepare yourself the best you can for whatever trouble you think you see coming, and then continue your regularly scheduled, useful life.
Dr. Lastname

Living with my mentally ill 30-year-old daughter is wearing me out. My wife and I can never leave her alone, but we also can’t take her with us because she gets uncomfortable when she’s around people she doesn’t know and says inappropriate things in a loud voice and has to get up and leave. The problem isn’t her, though, it’s my wife, who is so worried about what will happen if we put her in a half-way house with other sick people that she can’t think clearly about it. We’ve got some money, but if we paid for my daughter to have her own condo and a nurse to keep an eye on her, the money wouldn’t last long. Then again, if she continues to live with us, we won’t last long. My goal is to get my wife to see that we have to get her into a state-supported program, for her sake and ours.

You hope to get your wife to see that your mentally ill daughter needs to live independently, but if you were making any progress in that direction, you wouldn’t be writing.

Let’s assume then, at least for the moment, that your hopes are false and your wife can’t let go, and if she can’t let go, she’ll always be thinking of new ways to make your daughter feel more comfortable and better understood. Which makes your goal a more and more distant dream.

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Commit Fit

Posted by fxckfeelings on March 25, 2010

Much is made of how difficult commitment is. While some people actually have the opposite problem (and, if stereotype serves, a lot of those people are lesbians), commitment disorder doesn’t have an easy fix, not in the form of a pill, a breakthrough, or a Prince/ss Charming. If you don’t like commitment, the real question isn’t whether you could like being married, but whether you could like it more than being uncommitted and alone.
Dr. Lastname

I have a history of getting claustrophobic in relationships. Once I’ve been with a guy for a while, I start to worry that he’s not really the one, and that I’m missing my chance to be with the one by being with him, so I cut him loose and start all over again. I usually feel some regrets, but I don’t stay single for long, so those regrets don’t really last. This time, however, it’s different; I dumped my boyfriend a few months ago (after living together for two years), and now that I’m old enough to think seriously about starting a family, I’m worried I just lost a guy who would’ve been a great father and a good partner. Then again, I’m also worried that if I do get him back, I’ll just get restless and ditch him all over again. I always thought that, if I found the right person, my restlessness would go away. My goal is to get over my claustrophobia and get settled down.

Some people are born restless, and, while it would be nice if love and/or therapy could take away your ramblin’ urges when the time is right, it usually doesn’t work that way.

Being restless doesn’t have to mean that you’re immature, afraid of intimacy, or defective in any way. Restlessness has its good side; it keeps you moving into new adventures, and may be a survival trait if you’re a hunter, entrepreneur, or musician. It’s not good, however, when it comes to relationships.

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Everybody Flirts

Posted by fxckfeelings on March 22, 2010

Just because flirting can come naturally to almost anyone and anything from people to dogs to penguins, that doesn’t mean we’re all naturally gifted at flirtational arts. Some of us freeze around people we want to thaw, while others flirt indiscriminately, spanning the dogs to penguin gamut. If you’re flirt-impaired, however, that doesn’t mean you’re doomed to die alone. There are others ways to get to know someone (and we don’t mean sniffing your intended’s butt).
Dr. Lastname

I’m interested in a woman here at work, which automatically has two complications. First of all, we work together (although not directly, we’re just both teachers at the same elementary school). Second, despite being an educated guy in my 30s with hobbies and friends and all those good normal things, I am and have always been a completely incompetent flirt. I do not know how to be charming or cute, and I have no idea how I’ve gotten women interested in me in the past (and yes, I’m a math teacher). Do you have any flirting tips for the socially inept? My goal, simply, is to get the girl.

Thanks goodness flirting isn’t necessary, or many of us would never have gotten a first date, math teachers wouldn’t be able to propagate, and Poincaré would never have conjectured. Fortunately, there’s more than one kind of mating ritual for humans.

Ever if you were good at it, you’d find that flirting has its drawbacks. Because it’s fun and sexy, flirting tends to start something up before you really know where you want to go (see: the case that follows this one).

Particularly at work, getting attached and then getting to know someone is a risky way of dating that can turn a normally shitty day at the office into an endless trail of tears (and into good business for me).

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Confrontations, Complications

Posted by fxckfeelings on March 18, 2010

When you’re upset about someone’s behavior and a talk is unavoidable, it’s hard not to see the next step as an emotional showdown in which you’re armed with guilt, anger, and intimidation to persuade the other guy to do what you want. This technique works, too…if what you want is to get the other guy annoyed and unmotivated. Luckily, we’re here to provide a Confrontational Plan B.
Dr. Lastname

My husband has been coming down hard on our 15-year-old daughter because she recently got caught drinking at school, and it’s undeniable now that she has a problem. I’m worried, too, but not like my husband, maybe because I was a bit of a wild child myself in high school, or maybe just because I don’t think the problem is insurmountable since I got over my bad habits and turned out just fine. Besides, yelling at a kid often drives them into just the kind of trouble you’re trying to save them from. The problem is that when I try to calm my husband down by telling him that things are going to work out, it makes him even worse. He tells me I’m not taking the situation seriously, but I am and I’m just trying to help. My goal is to find out what I can say to my husband to make him feel better (without making him angrier).

It’s tempting to express anger and fear when kids misbehave; for whatever reason, parental instinct tells us that if reason doesn’t work, terror will.

On the other hand, there’s a reason “Scared Straight” had kids being barked at by tattooed prisoners, not suburban parents.

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Parenting Under/Overkill

Posted by fxckfeelings on March 15, 2010

Part of being a kid is testing your limits with your parents-how late can you stay up, how many times can you hit your sister, how frequently can you have keggers in the garage-but what’s discussed less frequently is how parents have to test their own limits with their kids. While you might not want to be too forceful with your kid, part of being a parent is making choices and enforcing them. On the other hand, you don’t have to be so pushy that you go from parent to endless nag. It’s a careful balance, but the family buck stops with you, so you’ve got to make the call. Besides, if you don’t get it right, then those keggers will be the least of your problems.
Dr. Lastname

My son was diagnosed with severe depression when he was a freshman in high school. I know it’s supposed to be a hereditary disease, but neither I nor my husband have any history of it; we both come from stiff-upper-lip backgrounds, and when our son attempted suicide, we were completely taken by surprise. He was also doing drugs, and we didn’t know it. He’s doing much better now, seeing a therapist weekly, but I still worry about his going off to college next year. He doesn’t share much with us, but I know he wants to do what’s “normal.” I don’t want to intrude on his relationship with his therapist or undermine his confidence or make him feel pressured, but we need to decide whether he’s ready to go. My goal is to make the right decision without hurting him in the process.

You can’t protect your son from of having an illness and all the trauma that goes with it, so for your own sake, and against all your instincts, don’t try.

On the other hand, if you try too hard to avoid all potentially painful issues with your son and stick to being stoic and reserved, you’ll be helping him avoid the hard choices he has to make, instead of doing your job.

Life is hard, precisely because it includes illness and drug abuse on top of the usual high stresses of being adolescent and finding a way to be independent. It’s a clusterfuck, and you’re the motherclusterfucker; you’re all in this together.

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Stress To Impress

Posted by fxckfeelings on March 11, 2010

Virtually all mammals resent being told what to do (don’t think your cat doesn’t understand you, he just doesn’t care what you think). Unfortunately, most of us with opposable thumbs have to earn a living and/or share a roof, which means learning to live with authority. You might not like your given overlord’s opinion, but, while both parents and bosses are often full of shit, your role remains the same; be respectful, mind your boundaries, and take their words just seriously enough so you don’t get fired. And, like any good, domesticated mammal, don’t pee on the floor.
Dr. Lastname

My father’s always been a heavy drinker (if he is an alcoholic, he’s “high functioning”), but I love him, and I’ve always tried to make him proud. When he’s really sloshed, however, he tends to go on a lot about how much he loves my older brother, who’s a lawyer, and how impressed he is with him, and how great that brother is, and on and on until everyone else around him feels awkward (and any siblings that are around are pissed). It really gets under my skin, particularly when we’ve been matching one another drink for drink, but then I just feel guilty for being angry at my father when, after all, I’m a grown up who should be too old for this kind of thing, and, really, he’s a nice guy. My goal is to get myself to be less sensitive to the fact that I’m not Dad’s favorite.

There’s good news and bad news here; you’re right not to let fly with your resentment, but you’re wrong to expect your hurt feelings to go away.

If you’re a sensitive person, then you can’t stop the hurt, but you can stop it from hurting yourself or others. The trick is to shut your mouth, because, that way, you don’t let anger out, or alcohol in.

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ADD 101

Posted by fxckfeelings on March 8, 2010

In my practice, I give patients with ADD a special appointment option. Instead of their taking responsibility for keeping a regularly scheduled appointment (which means they’re obliged to pay full freight, with no insurance support, if they don’t show up), I encourage them to line up for a walk-in appointment which may keep them waiting longer, but won’t cost them a cent if they forget to come. It’s not that I discriminate, I’m just trying to make the best of things. That, to me, exemplifies the best way to deal with Attention Deficit Disorder, both for my patients and as a third party; keep your expectations reasonable, your appetite for shit bottomless, and your shrink understanding.
Dr. Lastname

My roommate calls me the Ritalin vampire, because once my meds run out around 5, I become a different person (or really just a depressed, anxious mess). My mood drops so low so fast, and my nerves become so raw, that I have to drink just to get through the evening and get some sleep. It’s obviously driving my roommate crazy, but more than that, it’s messing up my life—I wake up hung-over, my boss is pissed, I feel sick all the time, so even when I’m not anxious and wired when I’m on my meds, I still feel like shit. My goal is to figure out how to get my ADD under control when the sun is down.

Most Ritalin users don’t have a terrible comedown with severe anxiety every time their meds wear off—what you have isn’t normal ADD, but ADD plus anxiety, plus, probably, alcohol dependence.

The medical term for your three-pronged disorder is a trifuckedta. Surprise, the prognosis ain’t so hot.

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Rehab Redux

Posted by fxckfeelings on March 4, 2010

We all have different standards for bad behavior; some people hate themselves for eating more than 1000 calories a day, while others don’t understand why you think it’s such a big deal that they drive drunk. While the opinions of those close to you are worth considering, the only true judge for what’s right and wrong is, surprise, you. Just as long as you weigh all the risks and benefits (and eat a cookie and/or call a taxi).
Dr. Lastname

Do you think sex addiction is a real disease that needs therapy, or is it a way to make a big deal out of nothing that helps cheaters and the people they cheat on feel better while people in your business get paid? I love my wife—we’ve been together for almost 20 years—but I don’t think anyone would say I have an disease because I grab a little extra action if the opportunity comes along. I don’t think she knows I’m not faithful, it doesn’t happen that often, and I don’t think it hurts our marriage at all. It’s not like I have a steady mistress; I just end up going home with women I meet when I’m traveling sometimes, because it’s nice to feel young and like I haven’t lost it, whatever it is. As far as I can tell, everyone wins, because I feel better and my wife is less annoyed by my constant begging for sex. So my goal is to figure out if the way I live my life, which seems to be A-OK, is actually reason to go into rehab.

To rehab, or not to rehab. That is the question.

You’re raising the timeless question, and obviously, we’re not going to tell you to let your feelings be your guide, or, for that matter, your daddy, your minister, your rehab counselor, or your parakeet, Ray.

As to the validity of sex addiction, it either doesn’t matter, or it depends on your definition of illness. I define illness as something wrong with your body that’s personal, important, and out-of-control, and it doesn’t matter whether it’s cellular or behavioral, neurological or psychiatric. Or kinky.

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Diagnose This, *sshole.

Posted by fxckfeelings on March 1, 2010

A lot has been made recently about how it seems like every child is being diagnosed with autism; celebrities like Jenny McCarthy, whose son is autistic, have led the charge to blame and outlaw vaccines in order to protect kids. In reality, as science progresses and our understanding of the autism spectrum deepens, the disease hasn’t expanded, just the diagnosis, i.e., there aren’t more autistic kids, just more kids being called autistic. While today’s cases aren’t autism-related, they both illustrate the myth of the power of diagnosis. Focusing too much on what your disease is does nothing to improve your health. Incidentally, Jenny McCarthy has revisited her take on vaccines—it turns out her son’s diagnosis was wrong.
Dr. Lastname

In the last ten years, I’ve heard voices in my head and most doctors describe my symptoms as psychosis, but nobody can tell me exactly what’s wrong, or find a medication that makes them go away, or really do anything but listen to me give them my laundry list of “how I’m crazy” and try to take the problem apart. In the meantime, I’m struggling to hold onto my job, my wife is struggling to put up with me, and my kids (now grown) just worry and get more distant. My disease stays the same, my life gets worse, my diagnosis goes nowhere. My goal is to figure out what is causing the symptoms, get a real diagnosis, and make real progress.

I wish the word diagnosis meant “we know what’s wrong and what to do,” but it often doesn’t, except in certain special cases. (Like, right now I feel safe diagnosing your reaction as disappointment.)

Very often, all a diagnosis means is that we recognize a group of symptoms that often travel together in the same social circle, and often get a little bit better when they’re treated with a particular group of medications. Tada.

That’s almost always true when the doctor making the diagnosis is a psychiatrist, because we know less about mental illnesses than almost every other kind of illness (and less about the brain then we do about any other part of the body).

We really should use some other word than “diagnosis,” but we don’t, because we love to think we know more than we do, which goes to prove that doctors are just as vulnerable to idiot false hopes as everyone else.

Some people put a premium on hope of any kind, but false hope is dangerous, because we pay for it with unrealistic expectations that lead to feelings of failure. You expect that, once you get the right diagnosis, you’ll get the right treatment, but I diagnose that assumption as bullshit.

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Big, Bad Business

Posted by fxckfeelings on February 22, 2010

Very few people leave their jobs everyday feeling great—it is called “work” for a reason, after all—but it’s extra difficult to accept when a boss or business partner leaves you feeling betrayed, used and screwed (unless you’re in the actual sex trade, where upon, it’s just another day at the office). Ultimately, even for sex workers, the job isn’t personal, and it’s not worth taking it that way.
Dr. Lastname

For a long time, I truly believed that my boss was my mentor, if not a father figure; he seemed to look out for me, take a special interest in my career, and generally groom me for promotion within his company. After I did well with responsibility, he’d come through with reasonable raises and he liked to tell people that he believes in promoting women. Recently, though, I’ve noticed that he does little more than flatter me now that he has me doing all the dirty jobs and he keeps all the interesting stuff for himself and two of his favorite “old boys.” He gets irritated whenever I suggest I could do more and likes to bask in the gratitude of his new favorite girl, a secretary with big tits and not much else. I’ve worked hard here over the years, and I don’t really want to find a new job, but I feel like I’ve been used and misled, and generally wasted my time under false pretenses. My goal is to get the recognition I deserve, even if it’s not from the mentor I thought I had.

Wanting recognition at work is a reasonable wish and, if it was just a problem of your learning how to speak up, dress up, and get rid of your braces, then more power to you.

Many people are familiar with the usual fairy stories, and have pushed themselves to be more assertive and reach their dreams. Not only hasn’t it worked, but it brought down crap on their heads to insure an unhappily ever after-style result.

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