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Saturday, January 11, 2025

Secondary Support

Posted by fxckfeelings on May 3, 2012

Just because spending time with a certain someone is always a positive experience doesn’t mean that certain someone is actually a special candidate for meeting your needs. Whether you’re looking for a spouse or a shrink, many of the same rules apply; no matter how much you enjoy and trust that person, it’s your job to know what you want out of the relationship, what limits must be set in order to get there, and how much availability you require (and, with therapists, what lessons you can take from the relationship that can help you when availability is impossible). Defining the practical conditions that are necessary for the relationship that you want, and standing by them, are what make a certain someone not just special, but a smart investment.
Dr. Lastname

I have experienced 2 bad marriages and the death of my only child at age 28 (one year ago). I’m now trying to rebuild my life and am in a relationship with a man who has experienced shit (horrible divorce) and raising his youngest child, a teenager. Unfortunately, he has trouble balancing family, work and dating, and I don’t know how to handle this during my grief time and uncertainty—I fluctuate between feeling my worries are unreasonable and justified. His ex wife screwed him kid-wise and money-wise, so he is bitter in lots of ways. On the other hand, I was equally screwed by my ex but pushed on and made my own way, so I don’t entirely sympathize with his resentment. I also understand that, because of his divorce, he hasn’t had a life with his kids and wants to establish a relationship with his son, but he also wants one with me, and I don’t think he knows how to balance these two goals. We’re both adults with good jobs who’ve experienced the same problems, but I’m not sure why we can’t get it together, and I want this to work.

As the survivor of an unbearable loss and the non-help of a deadbeat ex, you have a right to ignore other people’s resentment and bitterness. As such, you’re ready to move on and find a better relationship, and because your sorrows give you perspective, you know when someone else isn’t ready.

You obviously value your partner’s love for his kids, and see evidence of his fidelity in his long attachment to a crazy wife. You’re right, however, to have concerns about the flip side of this picture, which is his potential inability to control his over-responsiveness to whoever seems to need him more. WAIT! There is more to read… read on »

Mate Expectations

Posted by fxckfeelings on April 26, 2012

When your love life hasn’t gone according to plan, leaving you with disappointment instead of devotion, it’s hard not to feel like a failure. The fact is, however, that love is bad luck’s favorite target, even when you do everything right, and that you can have a successful life without a successful marriage. So don’t take it personally if the picture isn’t pretty, and don’t be surprised if your love life is more punishing than pleasant. If you can muster up enough courage and perspective, you can avoid pointless regret and rate yourself according to what you’ve done with love, not what love has done with you.
Dr. Lastname

I wish I knew why I do so little with my social life. After working hard all day at my own business, having dinner, and then talking on the phone with my grown kids, I just go to bed. I work on Saturday, then do nothing on Sunday. I’ve got some good friends, but they’re married and I’m divorced, so it’s hard to hang out. I’m not lonely, exactly, but I wish I had a steady guy or at least was going out on dates, but I have no desire or energy to meet new people, so, aside from my work (which I do well) and immediate family, I’m not interested in leaving my home. I know I should be putting myself out there if I want a partner, but I can’t seem to care.

If you wonder why you’re not as energetic and active as you used to be, one reason is that you’re old, or at least not young, so you don’t have infinite energy or optimism. You know your time is limited—both day-to-day and on earth in general—so it’s harder to waste it on something you’re not enthusiastic about.

From what you’ve said, however, your schedule seems full by any age standard; you work all day and keep in good touch with your family, so you’ve got good reason to be tired. Your time is well spent, so you feel spent, as well.

I assume you’d say if you were depressed or too disorganized to do anything but work. The leading possibility for your solitude then is that you’re tired and haven’t given yourself a good reason to go dating, and one should only date if there’s a good reason. Otherwise, HBO would make for a better companion. WAIT! There is more to read… read on »

Uneasy Answers

Posted by fxckfeelings on April 16, 2012

When what you’d like to change about yourself is a predominant feeling, like anxiety or depression, you end up in a double bind; you’re stressed that you feel stressed, you’re angry that you feel angry, and, especially if you’re depressed, you find yourself wanting a feeling-free existence. Since changing your personality isn’t possible, you need to settle for symptom management rather than total relief. Ultimately, certain feelings are hard to bear and feelings about feelings make them worse, but keeping feelings in check is possible, and something you can feel good about.
Dr. Lastname

I know I have a pretty good life, but I seem to always be stressed, which seems largely self-inflicted due to my high standards for myself at work and home. I tend to overdo it trying to meet my self-imposed goals and feel stressed a lot trying to achieve, and upset when I don’t meet this standard. For example, I freak out if my work isn’t done on time, and if I don’t get all my chores done by the end of the weekend. I generally freak out if anything is in my inbox for more than a few days. My goal is to chill out and enjoy life more, instead of stressing out over impossible deadlines, and to more effectively prioritize what actually needs to be done ASAP vs. things that can wait.

There are many analogies made using the gazelles around the watering hole, but as tragic as that one weak gazelle’s fate is, at least, before he died, he wasn’t suffering from stress.

Sub a watering hole for a water cooler, and you see why stress has its advantages; to the degree that stress and high standards push you to work harder and do a better job, they help you survive. Gurus on TV tell you about the advantages of relaxation, but gazelles will tell you otherwise. WAIT! There is more to read… read on »

Missed Manners

Posted by fxckfeelings on April 9, 2012

One of the great mysteries in human thinking is why we think pointing out a rude person’s rude behavior will lead to improvement, instead of just elicit a (way more logical) rude response. So, instead of drawing a rude friend or co-worker’s attention to their bad-manners, decide whether your relationship, personal or professional, is worth sustaining in spite of their overbearing behavior. If it is, respond politely to whatever you think needs attention and refuse to talk about anything you think does not; you can be firm if you know what your own standards are, without having to defend or retaliate. If it’s not worth it, then feel free to sever ties (politely and with the utmost tact).
Dr. Lastname

I have a long time friend who has OCD about feet and cleanliness. Her OCD is so bad that whenever she sees someone’s bare foot touch the ground, they have to immediately wash their feet before entering her house. She recently accused me of having smelly feet when I’m in her car wearing clean socks and boots during winter. In addition, when I got a little irritated with her accusation she said, “I’m only helping you out because someday you will meet a man and he won’t like your smelly feet.” I don’t think I have smelly feet and have not gotten complaints from former boyfriends about it, nor have my other friends or co-workers complained about smelly feet. How do I tell her she’s being rude and that her OCD is getting out of control?

Wondering how to correct a friend’s rude behavior was the topic of many letters sent to the late, great Dear Abby. That said, I’m not sure she would like my answer.

Back in those days, calling friends and family on their rude behavior was the way civilized people policed the quality of social civility, like telling kids on the bus to give up their seat to an elderly person and expecting they would bow to public judgment (and not give you the finger).

The trouble is, unsolicited advice, no matter how tactful and well intentioned, is often a hard sell, even when presented to adults that aren’t naturally rude. WAIT! There is more to read… read on »

Indefensible Despair

Posted by fxckfeelings on April 2, 2012

When you’re overwhelmed with depressed or anxious feelings that don’t seem “justified” or connected to the usual events of your life, you first doubt whether you deserve to feel that bad, then doubt your sanity entirely. That’s because these intense, negative emotions tell you that you’re worthless and/or doomed when you’re not (at least, no more than anyone else), and most people assume their emotions must be at least a little right. In reality, symptoms pass and you’re never worthless or doomed as long as you can keep your perspective, so instead of jumping to dire conclusions when intensely negative feelings try to seize control of your brain, stand your ground.
Dr. Lastname

I feel guilty for feeling like I might be depressed. I have no reason to feel sad (and that word makes me cringe because it doesn’t quite sum up the multitude of emotions that devastate me on a regular basis; desperate, useless, pathetic, oxygen thief, loser and plenty other perfectly good adjectives could cover it) and because I can’t justify it, I start to feel frustrated. I’m like an elastic band – one minute I’m the happiest person on earth and the next I’m scraping the bottom of the barrel, ready to drop where I stand and content to never get back up again. I’m twenty and so it might just be that I’m walking the boundary line between physical maturity and teenagerdom, where angst haunts us all. I’ve had difficulties with this kind of thing in the past—my dad died when I was nine and I developed anorexia shortly after and while I’ve since ‘recovered’ (I hate that word), I still have issues with the way my body looks. I tried to kill myself when I was thirteen for no other reason that I can remember other than I had a rope and a bunk bed and fuck it, why not? Obviously I failed and I’ve never tried it again, but now and then I’ll look up at my ceiling fan and think, “Why not?” And then I’ll feel silly and awkward. But then I’ll be driving down the freeway and think “one jerk of the wheel and I’m out”. Or I have a headache and I’m staring at a very large bottle of aspirin and it’ll be there, in the back of my head, whispering away. It’s not normal to feel like that, is it? Even if they are just passing thoughts, it shouldn’t be like this. Does everyone think like this?

When you find yourself with frequent feelings of self-loathing and an urge to end it all, the question isn’t whether other people think like this (not usually), or whether you should have to feel like this (should or not, you do, and that’s the way it is), or why you feel like this (life is indisputably unfair and some people carry inexplicable pain).

The question you should instead be asking yourself is whether you can find a reason to live, knowing that you often don’t really want to. WAIT! There is more to read… read on »

Single Objective

Posted by fxckfeelings on March 19, 2012

Everyone knows how hard it is to find someone to love who will love you back for who you really are, but few people acknowledge how much they’re willing to hide themselves in order to make a one-sided relationship seem reciprocal. If the person you’re with can’t deal with your faults, you shouldn’t make yourself deal with trying to be faultless. Better to end something with Mr. Right and be alone than stay with someone who thinks you’re just Ms. Meh.
Dr. Lastname

I lost the love of my life by hanging on to her too hard, and now I’m trying to let go in order to get her back. We had a good relationship for 2 years and I was always able to ignore the fact that she didn’t love me the way I loved her, even though she sometimes shoved me to the periphery of her life. We spent lots of time together because we shared common interests, and I should have been content with that. Instead, I lost control one night and told her how angry I felt, and she said it’s over because she didn’t want more drama in her life. Now, when I run into her, I try to be friendly but distant, because I know that any reaching out will cause her to back off. My goal is to get her back, and I wonder whether there’s anything else I can do.

It’s relatively easy to get love started, but it’s much harder to sustain it, and even harder to survive it.

That’s because there are lots of ways to control initial attractiveness, from a slick haircut to an arsenal of clever pick-up lines. Once chemistry is established, however, no haircut can contain or control it. Even couples therapists have the same divorce rate as the rest of us. WAIT! There is more to read… read on »

Suspect Sexuality

Posted by fxckfeelings on March 8, 2012

On the pie chart of what goes into a healthy relationship, sex should never be the biggest slice; that’s putting the most emphasis on the one element of a relationship over which people have the least control. Besides, the fact that it can ignite all your circuits or trigger vast yearnings doesn’t mean it will find you, or make you, a good long-term partner. If your partner is loyal, caring, and reliable, then how frequently you get a piece shouldn’t take the biggest piece of the pie.
Dr. Lastname

My 34-year-old husband is a wonderful, sexy, kind, sensitive, clever man. Fourteen years ago, however, he had a severe meth addiction that got him in jail. After ten years sober, he started drinking a few years ago, but, having worked in the addiction field, I don’t think the drinking is an issue at all, though I do think the meth has really screwed with this head. What he does have an issue with is intimacy and sex. We have a wonderful relationship so we’ve talked extensively about the problems we have—erectile dysfunction. He says that the meth fucked with his head sexually, and that it made it very difficult for him to have “normal,” i.e., non-aggressive sex. Before me, he found sex fine with women he was not emotionally connected with, but as soon as feelings came in, the sex became more difficult. Early in our relationship, sex wasn’t an issue, but as soon as we got engaged, and then married—it became very difficult. He’s warm and loving, and doesn’t want to be ‘aggressive’ with me, which means he can rarely get it up. We kiss and touch a lot, but it’s getting harder and harder to deal with; I feel rejected, he doesn’t feel like a good husband or a ‘real’ man, though I tell him every day how much I love him. When we do manage to have sex, it’s beautiful, but he rarely comes, and is rarely hard all the way through, and it’s infrequent. I definitely think it’s a psychological issue, and so does he. He talks about feeling massive anxiety and pressure that he will lose me, and this makes the problem worse. It seems this combination of our (new) marriage, his lousy job, and his past is putting a huge psychological pressure on him. I’m not sure what to do—do we go to therapy together? Him alone? What kind of therapist? How do I deal with this? I’ve been endlessly patient, I’ve snapped and lost my temper, I’ve reassured him, I’ve cried. I love him so much and I want to help him and us, and also make sure that I deal with it right.

The trouble with trying to fix sexuality by understanding its psychological underpinnings is that it turns an inability to perform into a personal failure. As we always say, figuring why something’s wrong isn’t the same as figuring out how to make it right.

Sex aside, you get along well with your husband, who seems like a hardworking guy with the strength of character to stick with a job he doesn’t like and stay off drugs. You feel respect and affection for one another. So far, so good.

In other words, you have a good marriage, even if he doesn’t have a lot of orgasms. Your relationship has the important stuff, so don’t give sex any more importance than necessary. WAIT! There is more to read… read on »

Recovery Mission

Posted by fxckfeelings on March 1, 2012

A serious trauma will change the way you see the world, but if you’re not careful, it will also try to change your very beliefs by distorting your feelings and perceptions. You can’t prevent it from causing depression, anxiety, and lots of fear, but if you know what matters in your life and are determined to continue on your course, you can stop it from affecting your beliefs and drawing you into vicious cycles of isolation, conflict, and more trauma. Trauma is random and meaningless; your job is to give meaning to the part of yourself that endures it and still believes you can make the world a better place.
Dr. Lastname

After a dark couple of years fighting off my worst bout of depression, anxiety and PTSD from a bad sexual assault (aren’t they all!) last year finally saw the fog lift and for me to really get back into my creative work which is now doing really well. I met a guy a few months ago. He is the first man that makes we want to really tackle some of my man issues, so I can really connect in an emotional and sexual way with him. We haven’t been intimate yet as I have been traveling for work, but I am returning soon. I cannot wait to see him, we talk every day and we really do have a special bond already. He has commented on my ‘aloofness’ at times and my ‘shutting down’. I don’t want him to think I don’t care about him, or that it is his fault. For the first time ever, I am considering telling him about the assault (I have never told a partner before) but I worry that it would be too big for him to handle, or that he would treat me differently, either like I’m a fragile victim or that I’m damaged goods. I don’t want or need a rescuer. My goal is to make a decision that would not only benefit me but us as a couple.

When deciding whether to tell a new friend about your abuse, what’s important isn’t whether you tell, but how. You never, ever want trauma to define you; it’s what you do with it that counts.

Post-trauma depression can leave you with hopeless thoughts about your inability to trust or be happy again. It tempts you to regard moments of anxiety and withdrawal in a new relationship, not as normal new relationship jitters, but as evidence of permanent damage and an incapacity to relate.

What you know, however, is that you’ve survived those fears and reflexes while going on with your life and taking the risk of getting close to someone new. They won’t stop you (unless you happen to pair up with a guy who can’t stand occasional depression and aloofness, in which case, he’d be better off with a robot).

So, if you haven’t let being a trauma victim hold you back so far, don’t treat yourself like one now. WAIT! There is more to read… read on »

Diagnosis: Denial

Posted by fxckfeelings on February 23, 2012

Mental illness, much like the devil, performs its greatest trick when it convinces the sufferer it doesn’t exist. That’s why some sick people don’t believe they’re sick, because they’re too sick to know, while others fall into denial rather than admit they don’t have control and can’t get it. If that includes you, don’t worry; you can force yourself to become objective as long as you’re willing to accept whatever unpleasant evidence you uncover. If it’s a matter of a deluded brain, however, you can’t recover without relying on the kindness and common sense of family and strangers to deliver you from evil.
Dr. Lastname

I believe what started out as typical empty nest syndrome has turned into complete paralysis. I’m literally stuck in my own nest! I know it’s strictly up to me to get myself launched, but I’ve lost all confidence in my ability to go/do/be well, anything. I think it’s more than simply “get a hobby.” I’ve come to the sad reality that my “friends” were really more like “bleacher/booster buddies” from all of my kid’s activities over the years, and now I find myself without any close friends, and no real interests. I was a stay at home mom (by choice) and had always planned to get back into the workforce once my kids got older, but MS sidelined those plans, and keeps me pretty challenged nowadays. I know I need to get myself back in the game, but my list of excuses as to why this is impossible only grows over time. I’m not always mobile, I’m not confident about how I look, and I just feel like I’m boring and have nothing to offer anyone. Since I’m already assuming nobody’s going to like me, maybe I should just go eat some worms…but of course that would require a trip out my nest, and…well, I guess you get the whole “woe is me” picture. I cannot figure out where to begin to ever break this cycle of negativity. Can you help me hatch a better plan than the useless one I’m currently sitting on?

Anyone can get into a rut, but multiple sclerosis makes it much, much harder to get yourself out. You might not realize this, but your empty nest is actually more of a sick bed.

MS not only makes you doubt your stamina and physical balance, it also frequently makes your emotions more intense, particularly the negative ones that tell you you’re useless and lacking in courage.

So, when your mind tells you that you have no friends and nothing to offer, that’s the MS and depression talking. Of course, it would be easier to tune it out if there were other voices to help you do so, but the negative thoughts keep you from seeking out new company, and so the rut deepens. WAIT! There is more to read… read on »

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 »

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