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Saturday, November 16, 2024

Shrinks Behaving Badly

Posted by fxckfeelings on January 23, 2012

For those of us in the helping professions who overestimate our ability to help, (off-hour phone) calls for help can become a big problem. Whether you’re soft and sympathetic or blunt and tough, there’s no problem you can’t make worse by taking too much responsibility for messes that are beyond your (or anyone’s) control. If, on the other hand, you know the limits of your powers, you can respond to calls pleasantly, do your job, and still help someone without hurting your own sanity.
Dr. Lastname

While most mental health clinicians would feel guilty admitting this, I’ve been in the biz for long enough that I don’t give a shit and I need to vent. Most of the crisis calls I get from my psychotherapy practice are senseless and irritating; they’re from patients who feel bad because they forgot to take their medications, or drank too much or when they shouldn’t, or allowed their demons to wreak vengeance on their enemies, the nearer the better, self best of all. A few call me because they’re feeling suicidal (but won’t go to the hospital) and just want me to make them feel better, which is hard when it’s late and I’m tired, and often impossible just because I don’t have that kind of power. I try to be civil, but their calls leave me feeling helpless and wondering whether I’m doing any good. Discussing their responsibility for their behavior is useless, because it usually makes them mad or apologetic. My goal is to figure out what to do with crisis calls that are really a useless pain in the ass.

Many crisis calls you receive as a shrink do a good job of showing off a patient’s worst behavior. It’s like having partial custody of a colicky child.

It’s not that their distress isn’t real and severe—it is, almost always—it’s that it causes self-defeating behavior, like drinking or mouthing off or retreating from the world, which creates a jam that is extra hard to get out of.

Bad feelings cause bad behavior, bad listening skills and bad regrets about going into the therapy business instead of owning a Toyota dealership. 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 »

Fair (Family) Compromise

Posted by fxckfeelings on December 5, 2011

People often think of their workplace as a family, but what’s more true and less acknowledged is that a family is a workplace, albeit one in which you have a deeper investment and more casual Fridays. In any family, money is love and love is money, and you can’t disagree about money without its getting personal, so don’t let it. Maybe you can’t stop the hurt when you feel short-changed by someone you love, but you can keep it from spreading by keeping your feelings to yourself and remembering your most important priorities before you negotiate. You’ve got too much to lose to endanger your job security.
Dr. Lastname

I trust that my sister will be a fair executrix for my father’s will, but I often feel out of the communication loop because she’s closer to my other sister, and I’m often the last to know about her decisions. When I’ve shared my feelings about this in the past, she’s just gotten testy. Recently, I wondered why his will had not put in a special bequest for my daughter, because he’d once expressed that intention, so I asked my sister whether she could get hold of an earlier will and see whether the bequest had been there before and then taken out. She blew up at me about how I didn’t trust her, and couldn’t see why it was such a big deal. My goal is to get her to see that my request was legitimate and to keep me informed.

Nothing has more potential to damage a family dynamic—not a long car trip, adultery, a coming out here or there—like a dispute over a will.

If somebody feels screwed, cheated, or in any way shortchanged, blood ties will get bloody.

Luckily, you trust your sister, so that eliminates the most common source of conflict. Unfortunately, you’re now creating conflict in an extremely fragile situation where it doesn’t need to exist. WAIT! There is more to read… read on »

Break-up Borderline

Posted by fxckfeelings on December 1, 2011

When what you yearn for in a partner and what’s good for you are not the same, it’s tempting to trust your feelings and try to bring reality into line in the face of any obstacle, especially reality. Eventually, however, you will tire yourself out and/or end up seeing a shrink who will tell you you were doing nothing wrong except for not facing facts and giving up. On the other hand, if you trust your ability to judge what’s good for you, and impose your judgment on your feelings, you’ll do better and come closer to your dreams. So when your Pollyanna instincts tell you about the transformative nature of love, remember the cost involved (beyond the shrink’s fee).
Dr. Lastname

I thought I’d always be able to trust my wife, even though I’ve never been able to trust anyone else before. I’m just like that, always nervous and suspicious, even when people are reasonably nice. My wife is an unusually nice and nurturing person, but when I found out she was doing some compulsive shopping and she lied about it, I flipped out and I can’t recover. The more she tries to reassure me, the more I don’t trust her. She’s just about had it with me and I want to recover our old intimacy before our marriage breaks up.

It’s really remarkable that you assume that your wife isn’t necessarily bad, just because she’s triggered your suspicions. It’s also remarkable that she’s the first person you’ve trusted, but why focus on the negative.

Most people who suffer from severe suspicion are pretty sure that it’s the other person’s bad actions that have caused a loss of trust, but you aren’t falling for that trap.

You’re open to the idea that your wife isn’t that bad, even though her actions have shattered your peace of mind. But you’re also a little too accepting that one white lie and the sadness that lie has caused you can lead to your divorce.

It’s a bummer, but this sounds less like therapy-inducing “trust issues” and more like a severe case of “the honeymoon is over.” In other words, if you expect to get back that old trusting feeling, given the demon of suspicion that has always haunted you, you’re probably wrong.

Plus, trying to get it back will just make both of you feel more angry and responsible for the pain you’re in. False hope is more dangerous for your marriage than your wife’s covert shopping habits.

Rely instead on your good common sense and do a fact-based investigation of your wife’s trustworthiness as a partner; don’t listen to your feelings before you collect, and review, the facts. Begin by defining the crimes that you consider deal-breakers, like compulsive shopping that empties your accounts or major drug use or lying about other close relationships. Imagine advising a friend about the kinds of bad spousal behavior that can turn marriage into a dangerous, depression-inducing burden without hope of redemption.

Then weigh your wife’s behavior against these standards. If her shopping doesn’t represent a major drain and her lying doesn’t apply to most difficult topics, then it may not represent a major threat. From what you say, that’s a possibility, but it’s for you to decide.

If it’s true that she’s not so bad, however, then you’ve got a tough job ahead of you that will actually increase your pain, not make it better, but thems the breaks. If you decide your marriage is worth hanging on to, then you’ve got to stop breaking it up while seeking a relief you’re never going to feel.

Once you stifle your paranoia and decide this is your problem to manage, you open new doors for yourself. You can talk to a therapist about ways of thinking positively despite your mistrust, and you may also find that your mistrust gets better if you don’t stimulate it by expressing it. If nothing else works, you may find that medication can help.

It may initially make you feel helpless and hopeless to allow suspicion to reenter a relationship you thought would be a safe haven. In the long run, however, tolerating a certain amount of suspicion may save your marriage and allow a deeper sense of trust to develop. Sure, you’ll always worry about her shopping sprees, but you may also take comfort in the fact that she tolerates your faults and that your partnership is good for both of you. Trust your own standards, rather than your feelings, and divorce may not be so inevitable after all.

STATEMENT:
“I’m profoundly disappointed to discover that my marriage is no longer a refuge from the suspicions that have always tortured me, but I won’t let them control what I do with it. If I decide that my marriage is solid enough, I will find ways to keep my suspicion from making my decisions for me, even if I can’t get rid of them. If I let them control me in the past, I’d have never gotten married. Now I need to take the fight to the next level.”

I’ve broken up with my boyfriend many times over the 5 years we’ve dated, but after I made it clear to him, for the umpteenth time, that he had to start including me in his inner family circle, he turned around and told me not to drop by on Thanksgiving because he needed to spend time with his kids, which made me explosive. It’s not just that he excludes me from his inner family circle; he’s always backing out of plans, which is why we still live separately and I never know whether we’ll spend time together next weekend. Now that I’ve cooled off, I find it hard to really end things with him when we’ve been together so long and know one another so well. I feel like we should be able to work things out, but maybe we keep breaking up for a reason.

You’re obviously attached to your boyfriend and haven’t been able to give him up, even when you knew the relationship wasn’t working for you. Maybe you love him too much or you’re too needy, which are also two reasons that you should flee from this unhealthy relationship in the first place.

In any case, you’ve told him what you want, again and again, and there’s been no progress. The problem isn’t that you’ve failed to get through to him; it’s that reality has failed to get through to you.

The sad fact is that there’s usually no way to change the distance between you and the person you love. It’s like the distance between molecules; you can push it back and forth, but there’s something basic about it, on average, that you can’t change, even with a megaton of talk, therapy, or whatever.

If you can bring yourself to accept the idea that he, and the relationship, are not going to change, and decide that this relationship will never give you enough of what you want, then you have to find the strength to move on.

Remember that you’re right to look for someone who includes you in his intimate family gatherings and with whom you can make reliable weekend plans. Until you find that person and check out his credentials, however, you must become strong enough to keep your heart to yourself. Hang out with friends and family, develop social hobbies, and build up your independence muscles so you aren’t forced to lean on people who aren’t sturdy. Build your strength while remaining wary of your instincts.

Don’t assume there’s someone out there for you, because there often isn’t, and the false assumption that there is will confirm your belief that you’re doing something wrong every time you don’t connect, and that will lead you back to connecting too much. There may be someone out there for you, or not, but your job is to conduct a good search, not compromise your heart or try to force the wrong guy to do the right thing.

STATEMENT:
“I can’t help feeling very connected to my boyfriend, but I know he can’t meet my needs and I can’t change him. If I want a chance at a better partnership, I must move on and become independent enough to resist going back or falling into some new and equally painful compromise. I know what’s good for me and I can’t afford to accept less.”

Chemistry Preacher

Posted by fxckfeelings on November 28, 2011

If you take any relationship wisdom from this site, it should probably be that good partnerships are not the same as relationships that feel good. That doesn’t mean they have to feel bad (although bad feelings are unavoidable sooner or later), just that they have to survive bad feelings and offer benefits to both parties that are worth the trouble. So relationships that grab your heart but show no signs of becoming good partnerships are dangerous to your health, and relationships that turn you off but have much to offer are worth putting up with. Ain’t love grand, and ain’t love gone wrong a royal pain in the ass.
Dr. Lastname

I’m always a little annoyed at my boyfriend, even though we never really fight, because he always seems a little unavailable (you’d think at our age he’d be over playing games). If we spend lots of time together this weekend, then next weekend I can be sure he’ll call back late, find a reason we can’t meet early in the day, and leave me with an option for getting together briefly that doesn’t work well for either one of us. He used to say it was because he needed time for his son, but now that his son’s in college things haven’t changed. I don’t think he wants to date anyone else, and our friends think we’re great together, but I’d like to share my life with someone and our relationship is stuck.

Sometimes the worst thing about a relationship is that it’s too good to be bad, but too bad to be worth the effort.

Your boyfriend is almost a good match, good enough so that you look forward to seeing him every weekend, but it’s not mutual enough for him to feel the way you do. So you’re always chasing him, but never quite catching him.

If it were truly bad, then either he’d end it, or pride, fighting or the protests of friends might eventually help you break up, grieve and move on. Here, no such luck. You’re in relationship purgatory, but on the southern side. 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 »

Separation Anxiety

Posted by fxckfeelings on October 27, 2011

Intimate feelings should be a side-effect of relationships, not the other way around. When that intimacy becomes an end in itself, you forget, not just the other reasons why you’re spending time with someone, but the other things you need to be doing for yourself, your job, and the other people in your life. So the opposite of a strong attachment isn’t necessarily to break away, but to regain your sense of who you are and what you value the most, whether or not you’ve come down with a chronic partnership.
Dr. Lastname

Approximately three years ago I realized my psychiatrist preferred other patients and liked other patients more than me. That realization was incredibly devastating to me. I want to deal with this reality, however, my psychiatrist keeps denying this is the reality and will not openly admit he does indeed prefer other patients. Part of me that hopes (wishes) this truly is not the reality (him preferring other patients) and I TRY to believe that what he says is the reality! However, I simply can’t believe him. I have told him I can’t believe something that I think isn’t true. Even though he has helped me immensely in many ways, and I’m extremely attached to him, I have lost trust, confidence and faith in my psychiatrist over this issue. I think he is preventing me from having the opportunity to deal with reality by denying he prefers other patients. I have a need to hear him say, “Yes I do prefer other patients and your observations/perceptions about this have been accurate.” I think if I hear him say these words I could actually work to deal with it. Since he’s obviously not prepared to say this, MY GOAL is to somehow “detach” from him, stop therapy with him and move on and forget about it.

When you do therapy right, a shrink is like a thesis advisor, helping you explore the toughest issues in your life until your work is complete.

If you lean on therapy too much, however (sometimes through no choice of your own), a shrink is a crutch, which makes deciding when and how to end therapy much more complicated. Remove the cast too early, and you still can’t walk on your own. WAIT! There is more to read… read on »

Take Me To Your Leader

Posted by fxckfeelings on October 20, 2011

When a team under-performs—be it athletic, corporate, familial, or anything in between—it’s natural to feel they either needs a hug or a kick in the butt. In actuality, a good leader provides neither and both, reminding them of their strengths without taking responsibility for making them feel better, and showing them how they need to improve without blaming them for being what they’re not. You may not always get rewarded with a raise, a hug or a shower of Gatorade, but you will get results.
Dr. Lastname

I think I’ve been very patient and restrained in responding to my 18-year-old daughter, who left college after her first month because she felt she wasn’t welcome there. It’s really not the college’s fault—they asked her to move off-campus because she violated dorm rules several times within her first 2 weeks there (she didn’t tell me how) and being kicked out of the dorms made her feel so rejected and upset that she packed her things and came home without trying to live off campus and without telling me first. She’s a good kid and needs my support now more than ever, so I’m trying to forget the $19K she flushed down the drain and help her think about what she’s going to do next. Do you agree that my goal is to be patient and not get into a fight with her?

It’s impossible to be an effective parent, or a leader of any kind, if you equate naming problems with hurting people. If you’re in charge and you’re not a little lonely, you’re not doing it right.

Admittedly, if you’re angry when you identify a problem and you express that anger, you will probably hurt the person you want to reach and the discussion will bog down in conflict and guilt. In that case, you’re not just unsupportive, but ineffective, and that’s a lose/lose.

Fortunately, however, you sound like you have a warm and accepting relationship with your daughter, and that your angry impulses are not about to seize control. Since you’re particularly well equipped to discuss her problem, perhaps the feeling you need to control isn’t anger, but guilt and false responsibility. WAIT! There is more to read… read on »

Fruit of the Whine

Posted by fxckfeelings on October 17, 2011

When you’re trying to make things work with a difficult person (or one who’s acting difficult, at least for the time being), it’s normal to take on the role of making things easy; the more the protest, the more responsibility you take for smoothing things out. Unless you put strict limits on your responsibility, however, diplomacy will only make things worse. Know when it’s time to disagree and make it clear that if they aren’t willing to be less difficult, then contact may be impossible.
Dr. Lastname

I know my wife was always ambivalent about having a child because, though we had a happy marriage, we were both in our late 30s and she liked her life the way it was, but now, 6 years later, her crabbiness is hard to take. She’s not abusive, and she likes our son now that he’s here, but she’s grumpy and complains a lot. When I dragged her into couples therapy she expressed her resentment and that made her a little better, but then she stopped going, and now I don’t know how to get her to get help. I really don’t like her grumbling—our son, who is basically a good kid, is also somewhat negative and throws hard-to-manage tantrums—but I can’t think of anything else to do but protect myself by backing away when one or the other of them gets nasty.

If anyone insists to you that communication is the most important part of a marriage, bring up this case, because a little less communicating on your wife’s part would go a long way. Especially since she’s communicating through whines.

Like most people who aren’t assholes, your wife is prone to whining when she’s tired and in the presence of family, particularly if it’s someone she can blame, i.e., a parent or spouse. She can stop if she has to and it’s better for everyone if she does.

Again, though, as for most people, the flow of whining is often hard to dam. WAIT! There is more to read… read on »

Fault Lines

Posted by fxckfeelings on October 10, 2011

Whether you feel you’re in the right or in the wrong, defining your moral position in terms of someone else’s feelings is going to get you lost. If you feel you’re in the wrong, you don’t have to win forgiveness to make it right. If you feel wronged, trying to get an apology will probably making the wronging worse. If you’re doing what’s right, it won’t matter how people respond; having confidence in carefully considered choices will keep you on course.
Dr. Lastname

I was a terrible mother to my kids when they were younger—I yelled all the time and even hit them, and my husband had good reason to divorce me and allow nothing but occasional custody. Still, I love them dearly and I’ve always wanted to make amends; we’re all older now (they’re in their 20s), I’m a lot calmer after a lot of therapy to work through my anger issues. I’d do anything to help them, but one of them threatens to stop talking to me if I mention the fact that she drinks too much, and the other is polite but pretty distant. I feel I can’t get through to either of them because the mistakes of my past have ruined things forever. What can I do to mend our relationship?

I don’t doubt you want to help your kids, but that help comes with a high price– forgiveness for being an asshole when they were younger.

That was years ago, though, and you’ve continued to care for them and pay for them while learning to control your behavior (their being older probably helped). So before you ask how to get their forgiveness, ask what you have to do to forgive yourself. WAIT! There is more to read… read on »

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