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Friday, January 10, 2025

Fie, Anxiety!

Posted by fxckfeelings on November 3, 2014

Sometimes anxiety and depression are not illnesses, though they may feel like it; they’re part of every human’s normal alarm system, warning you that something painful or soon-to-be-dangerous needs your attention. When anxiety and depression randomly tell you that the world sucks, however, that’s when you cross the line from normal to unnecessary, requiring attention. Either way, never rush to discount what anxiety and depression have to tell you about the world, but never believe them until you’ve assessed the alarm and reached your own conclusion.
Dr. Lastname

My anxiety has been better lately, but it kicked up last weekend after my roommate’s friends broke a window in our apartment while they were tossing around a football. My roommate’s a nice guy, but he doesn’t want to pay for the window because he says the landlord doesn’t take good care of our apartment in a bunch of other ways. Now I’m starting to worry about what will happen when the landlord sees the damage and whether it will come out of my security deposit, which seems unfair, since I wasn’t even here. Anyway, my goal is to figure out whether I should up my medication because the stress from this whole thing is really hard to take.

Anxiety, like tiredness or anger, isn’t inherently problematic; if we never felt these things, it would be a big problem, and a probable sign of drug use, lobotomy, or being dead.

The issue, of course, comes with feeling anxious too much, or tired all the time, or angry at trees for being lazy. The current anxiety you’re feeling is the regular kind; it’s your response to your roommate’s actions that need rethinking. WAIT! There is more to read… read on »

Tricking Your Battles

Posted by fxckfeelings on October 30, 2014

War might be hell, but the decision whether or not to take on a fight can make you feel, at the very least, like you’re Satan’s upstairs neighbor. Sometimes you want to avoid taking necessary action in order to avoid (marital) bloodshed, and other times, even if you’re not in American government, you’re eager to take on a fight without realizing there’s no hope for real victory. In any case, never let anger or fear get in the way of your own analysis of the facts behind the conflict. Keeping the peace may mean that you have to stand up for an opposing point of view or just feel angry, but a little personal purgatory still beats the alternative.
Dr. Lastname

My wife and I never argued about money until recently, when she retired and started spending large amounts on her new hobbies. We have more than enough to live on, thanks to the money I got when I sold my company, but I can’t help resenting the way she spends large sums without talking it over or checking to see how much we have left. If I share my resentment, she’ll feel I’m trying to control her, but I just want her to control her credit card. My goal is to get a handle on our finances without starting a fight that will just cause us both to feel bad and then probably prompt more spending.

Talking to your spouse about her spending is as difficult as talking about her drinking or eating, or even her skipping and gum-chewing. This is because, at the heart of it, trying to talk to someone about their actions sounds a lot like you’re trying to tell them what to do. And nobody outside of the military or the bowels of Craigslist’s sex ads wants to be told what to do, especially by the person who’s supposed to be on their side.

Because they feel like scoldings, discussions like this immediately create a quasi-parent/child dynamic, which is why things quickly devolve into eye-rolling, finger-pointing, name-calling. Ultimately, if you’re lucky, your shared tantrum will result in temporary cutbacks, resentment, and the beginning of a running, perhaps-infinite “I told you so” contest that no one will ever win.

So never communicate money worries until first reviewing your anticipated income, expenses, assets, and areas of control. Consult an accountant or a simple book or website on budgeting. Pretend you’re a corporate manager who must find out how much your department—not just this one employee—can spend next year without depleting your assets, and how much will be left after covering necessities.

Then compose a memo describing your conclusions, decisions about the spending you control, and recommendations about the spending you don’t. Edit out criticism, fear, or defensiveness; your job is to provide good information and solid decisions that reflect your values and your family’s shared need for a financial plan, not to make your wife happy.

Before sharing your report, prepare for unfair personal criticism by composing positive, fact-filled answers. If you’re accused of being a control freak, invite her to offer better solutions that don’t break the budget. Regret the fact that you can’t always agree on priorities, but don’t budge from the facts, and avoid getting emotional.

It’s too bad that you and your wife’s spending instincts are not as naturally compatible as they have been, but it’s not unusual to have disagreements when life enters a new phase. You may not be able to make her happy or end those disagreements, but you can come up with a budget you believe in, refuse to let the disagreement become personal, and stay positive about the future security you’re creating by endorsing spending limits, even when she doesn’t agree.

If you sit down to talk about the nuts and bolts of your finances, not to take apart her spending habits, you can have a real discussion that could result in a budget instead of a brawl.

STATEMENT:
“I hate for my wife to feel deprived or over-ruled, but I will not express fears or argue about spending until I’ve put together a budget and tried to engage her positively in defining what’s necessary and making tough decisions. We may not wind up agreeing, but I will keep our differences to a minimum and not express fear or personal criticism.”

When my son decided to leave for college, we all thought he’d have a great time because he’s gregarious, likeable, and well motivated. Unfortunately, he somehow got depressed almost immediately upon starting school, and the whole year was a struggle with grades that were OK, but a disappointment. Then, after coming home and immediately feeling like his old self, he decided he had the problem licked and would have no trouble going back. After returning to school and another two months of depression, however, he’s ready to call it quits and transfer to another college. I don’t like the idea of his quitting and wasting time, but I can’t talk him out of it. I’m angry, which just means he doesn’t listen to me. My goal is to give him advice he will listen to and save him from making a mistake.

Assuming you’re right about your son’s depression, and that he can’t help it, you have more reason to be proud of his efforts to make school work than you have to be ashamed of his desire to quit and come back home. After all, you don’t see him as fundamentally immature or dependent, just prone to an away-from-home depression that he can’t shake. That doesn’t mean that college has to be torturous for him, even if it can’t be an average experience.

Homesick-triggered depression doesn’t seem to have been studied objectively, but it happens to some very solid kids and is just one of those problems that usually gets better as we get older. It shouldn’t be surprising that some people have reflexes in their brains that keep them at home, at least when they’re younger, and some are born to go roving; genes are probably important and, in a Darwinian process, circumstances sometimes favor the survival of the stay-at-homes and sometimes the wanderers.

In any case, the fact that your son finds himself burdened and partially impaired by homesickness doesn’t mean he has failed or that he has to leave home, unless leaving home is really necessary, which it does not appear to be.

Instead of assuming that he needs to complete his studies at Homesickness U., ask him to consider the pros and cons of transferring to a local college by leading him through the risk/benefit analysis. Ask him to find out what transfers are possible and whether transferring will cost him any course credits or special opportunities.

Ignore his expression of disappointment and regret over how much better he could have done if he hadn’t gotten depressed; tell him that depression isn’t something you control and that it often happens in this situation. He’s been enrolled in Depression 101, a mandatory part of the Core Curriculum, and from your point of view, he’s done well with it.

Meanwhile, if it hasn’t happened already, ask you son whether therapy with a good, positive coach could help him fight the negative thoughts that depression puts in his head and whether, if it’s impairing his ability to learn, he should see a psychiatrist and try medication.

You’re sorry he had to go through this painful experience, but remind him and yourself that he went to college to learn, not necessarily to be happy, and you’re impressed that he’s learning a lot.

STATEMENT:
“I hate to see my son feel like a loser, but he’s done nothing to make himself depressed and he’s learning how to manage it. I’ll keep on coaching him through this experience.”

Moral Exam

Posted by fxckfeelings on October 23, 2014

We’ve said many times that the worst relationships teach the best lessons, from what to look for in your next partner to what you need in a good lawyer. Knowing how much you’ve actually learned from the lessons, however, can sometimes be tricky; sometimes you get so connected with someone that breaking up makes you underestimate how much you’ve learned, and sometimes your connection is so superficial and one-sided that you wind up feeling you’ve learned more than you really have. In any case, don’t judge what you’ve learned from a relationship by your emotional reaction. If you’re honest with yourself and give or take credit where it’s due, you should’ve learned enough to ace the next test.
Dr. Lastname

I always knew deep down that my relationship with my college boyfriend was never going to work out—he was restless, attractive, and hated the idea of settling down, and I wanted to get married—but I loved him and couldn’t let go. We stuck together for eight years until he finally had an affair, I broke up with him, and now, five years later, I’m happily married. I would have told you I had no complaints until I was recently invited to a big party by an old friend, who told me my old flame would be there, which bothers me more than I thought. I don’t know who he’ll be with or what has happened to him, and I’m afraid to find out, mostly because I’m so eager to find out. I hate the idea of still having feelings for him, particularly since I’m married. My goal is to figure out what’s wrong with me and why I can’t move on and forget about him.

If you’re looking for someone to tell you whether/how/why your feelings for your ex are important or dangerous, you’re obviously looking in the wrong place. You shouldn’t expect to control having feelings, just to control what you do with them, like not obsessing over them in the first place.

You finally did what was necessary after recognizing that your old college boyfriend would never make a good life partner, but only after he had an affair. Still, that affair was a teachable moment, not just about your future together (or lack thereof), but about your tendency to let uncertainty bind you to things for longer than necessary. WAIT! There is more to read… read on »

Label Ready

Posted by fxckfeelings on October 16, 2014

You know that the how/when/why of diagnosis is a loaded topic, not just because you’re either longing to find or determined to reject one, but because those of you who read this site with some regularity know how many letters we get on the subject. A diagnosis is a powerful thing, but, like your authors’ posts, it’s rarely the last word. As always, ask yourself what a diagnosis really means before giving it too much meaning, or too little. We won’t be shocked or disappointed, however, if you want to ask us about what it means, also.
Dr. Lastname

I have severe mood swings which don’t help at all, because some days/weeks I will be normal anxious me, but then I can have periods where nothing scares me anymore, pretty much like I’m ‘on top’, and I’ll have so much confidence. But then I have periods which are the exact opposite, meaning that I’ll be constantly upset and feeling self hatred for the way I am. As a result of this, I researched Bipolar Disorder and I have nearly all of the symptoms, I also took some of the online tests, which I know are not completely accurate but I thought they would give me a brief outline. Each one said that I possibly have moderate to severe Bipolar Disorder. After thinking for a while, I spoke to my mum, but she shunned the idea. I later convinced her to do some research on it and let me know her opinions, which I think she had no intention to let me know her thoughts as I only got a reply one month later as a result of my frequent questioning. She said I am definitely not bipolar. I have now been put on the contraceptive pill to control my irregular periods and mood swings, however they have not altered my moods, nor has the Teen Multivitamins that my mum has been buying me to prove that it’s entirely just my hormones. My goal is to control my moods and lessen my anxiety.

Just as there are eight major levels for classifying biological organisms—from general “life” down to the precise “species”—there are several unofficial levels of diagnoses. The most general level might be by location (e.g., the brain) and the more specific would be by identifying the cause of the disease. Unlike with plants and animals or even more common diseases, however, scientists can’t classify your individual diagnosis beyond basic symptoms. In sum, not surprisingly, it’s hard to classify crazy.

If the characteristics of the bipolar “species” vary greatly, depending on the person experiencing bipolar illness, then the usefulness of the diagnosis is limited, and your own observations and evaluation become much more important. What matters most then is not whether you do or don’t have a certified bipolar diagnosis, but whether your mood swings interfere with your life. WAIT! There is more to read… read on »

No Pro

Posted by fxckfeelings on October 13, 2014

In a culture that proudly sells medications created by grade school teachers, financial advice by religious figures, and recipes by celebrity wives, being an expert, or just seeking advice from one, is, in many people’s “expert” opinion, stupid. While we are sometimes more knowledgeable than supposed experts, we sometimes really, really aren’t, but you can’t know whom to trust if you get too influenced by feelings of self-doubt or omniscience. Instead, ask yourself whether you have the information you need in order to make good decisions, and whether, when it comes to that information, someone else knows more than you. If you can be objective about your decision-making ability, you’re much more likely to accept your strengths and weaknesses and take them into account; become an expert on your own problem and you can confidently find the help you need, no matter what the source.
Dr. Lastname

My wife has been disabled since her second nervous breakdown; I thought she was a free spirit when I met her, but early in our marriage, we both realized that something was wrong, and she was diagnosed bipolar. Now that I’m writing my will, I realize I should probably take account of her condition; she’s been doing well for the past year, but another breakdown is always a possibility. If I knew better what to expect for her, I’d know whether I need to protect her from misusing the money, or just make sure the money is put towards making sure she has what she needs when I’m not around, like a roof and even a nurse. My goal is to find an expert who can tell me what to expect from her illness and how I cam make sure that she’s taken care of.

There are plenty of instances where people choose to follow their instincts over professional advice, and, whether it involves not vaccinating kids, not hiring a licensed electrician, or not getting that oral surgery, the results are not often pretty (but plenty painful and dangerous).

When it comes to knowing what to expect from your wife’s relapsing mental illness, however, you and your wife are the top experts in this unique field.

The two of you know better than anyone what her illness has been like in the past; how frequently it recurs, how much disability it causes, and how much it affects her judgment and her ability to manage money. Unless your doctor is also a psychic, her powers to predict your wife’s future are nowhere as strong as yours. WAIT! There is more to read… read on »

Top Fear

Posted by fxckfeelings on October 9, 2014

Fear, like high school and colonoscopies, is an uncomfortable-yet-necessary part of life. Problems arise, however, when fear either becomes excessive, thus limiting our life experiences, or insufficient, thus opening us up to dangerous experiences that could end our lives entirely. If your fear level is set too high or too low, draw on your experience and values to decide what actions are necessary, then manage your fear accordingly. You may not be able to change your fear level or the amount of dis/comfort it entails, but you can definitely prevent fear from changing your life for the worse.
Dr. Lastname

I am very afraid of presenting in front of the class. I start to shake and stutter and it really happens automatically and I can’t do anything about it. Even when I don’t have to present, I always feel nervous and shy. I’m actually very afraid to talk to someone at my school even if it’s another student. Do you have any advice I can use? My goal is to be able to talk to people and stand up in from of the class without looking like an idiot.

Talking to people, especially in school, is more dangerous than most people think; one false word, sneeze, or pop culture reference, and before you know it, you’re saddled with a humiliating (possibly sneeze-related) nickname for the rest of your life or an open invitation to get your ass kicked. So, when your brain floods you with nervousness whenever you try to speak up, it’s actually trying to protect you from a dangerous activity.

Unfortunately, that fear may make you shake and stutter, thus attracting humiliation, thus proving your brain is right and making you terrified to open your mouth again, etc., perpetuating the safety/silence cycle.

You haven’t done anything wrong to make yourself nervous; you are just extra sensitive to the risks of embarrassment and rejection in school life, and you may have good reason. Unfortunately, though, it isn’t easy to make severe nervousness go away, and if you avoid class presentations and social contacts until you start to feel better, you may not learn much or talk to anyone for a long time. WAIT! There is more to read… read on »

Social Insecurity

Posted by fxckfeelings on October 6, 2014

Much is made of the inextricable link between trust and love, but the assumption seems to be that you can’t love someone else unless you can trust them (to listen, keep it in their pants, rescue you from a sinking ship, etc.). Just as important, however, is the ability to trust yourself and your own judgment when entering into a relationship; if you have too little confidence, you can sabotage your relationships, and if you have too much, you’ll make commitments that won’t last and will hurt like hell when they break down. Learn to trust yourself by gathering facts, observing carefully, and using common sense to judge your friendships and make smart decisions. Then, regardless of over or under-confidence, you’ll be able to love someone you trust and have trust in whom you love.
Dr. Lastname

I am in a good relationship and have been now for a while (around 9 months). But none of my relationships seem to last more than a couple of years (I’m now in my 40s), and I worry that some of them I have sabotaged myself. I am at a point in this relationship where we have acknowledged that we love each other and have started making plans months into the future (nothing like moving in together, but definitely trips and such), and suddenly, I have this fear I’m going to lose him. But not just lose him—lose him to someone, and that someone is my friend. I had a friend when I was younger that flirted with my boyfriends, and even though nothing ever happened, it bothered me that she never understood these boundaries, didn’t have a sense of loyalty towards me, and used her looks and sexuality to get attention from those that should be considered off limits. Now I have a newer friend who is younger than me—she’s very pretty, smart, and single, and she has a tendency to try to connect with my boyfriend in ways that I am unable to by finding the gaps and honing in and I don’t like it. I am acting as though they have already run away together, or have a secret relationship. Is my own insecurity causing me to worry about this? My goal is to alleviate these fears of betrayal.

Having fun friends with fickle boundaries may damage your calm, but you do yourself more damage by letting them distract you from the real issues surrounding your boyfriend and your future together. Instead of worrying about whether your gal pals have good intentions, focus on doing the necessary homework to find out whether your boyfriend is a good match.

Assuming you’re not able to stop yourself from being insecure about your friends and boyfriends, use your insecurity to assess your boyfriend’s trustworthiness. Maybe you can also use it to get better at screening friends in the future, but for now, believe it or not, your best weapon against your paranoia is paranoia itself.

Instead of trying to feel better by talking about your fears and asking for reassurance, use them to review your boyfriend’s history with women and your girlfriend’s history as a femme fatale. Your anxiety will drive you to ask the right questions, and, with any luck, the right answers will allow you to tell that anxiety to shut up. WAIT! There is more to read… read on »

Panic Boon

Posted by fxckfeelings on September 25, 2014

While fear usually inspires a fight or flight response, there’s also an equally unappealing third choice, “freeze,” which is when you’re too scared to move, explore your options, or even hold on to a shred of hope. In any case, once fear makes you forget your strengths and opportunities, it becomes far more dangerous than whatever you’re actually afraid of. Instead, use fear to make you think harder instead of more imaginatively about any and all forms of impending doom and you’ll usually find an effective way to handle your problem and take the fourth option in the face of fear, “calmly figuring shit out.”
Dr. Lastname

I like my job as a hairdresser, but getting a career wasn’t easy; I had to overcome a drinking problem and a life-long learning disability that forced me to take the certification test several times before I was dry and focused enough to pass. I recently had to have oral surgery that landed me on a short course of painkillers, but when I got off I couldn’t stop shaking or crying because I became fixated on the possibility the drugs will lead me back to booze. My husband is supportive, but he doesn’t make enough money to support our family on his own, and I can’t imagine going back to work while having anxiety attacks every day. I need a way to control these attacks or I don’t know what’s going to happen to me or my family.

You may think that your brief, warranted use of a controlled substance is what’s filled you with anxiety, but it’s actually the uncontrollable fear unleashed by that experience that’s flooded you with an unwarranted, seemingly-unending amount of negative thoughts and panic.

You proved long ago that you have the strength to fight addiction and build a normal life, but anxiety is destroying the confidence you deserve. And if you keep being afraid of what you can’t control, you risk letting your life spin even further into chaos. WAIT! There is more to read… read on »

Age Against the Machine

Posted by fxckfeelings on September 4, 2014

For something that’s both incredibly intangible and subjective, potential is remarkably admired. At least money can buy you lunch and loved ones can share dessert; potential is usually only valuable in absentia, when you’re either mourning it’s loss or praying for it’s arrival. Instead of pining for how you could have been, or used to be, a “contender,” stay focused on meeting your daily priorities with the things that have actual value, like work, friendships, and family. Whether your potential was really lost or was never there to lose, you can always respect what you’ve done if it’s worthwhile and ignore what could have been.
Dr. Lastname

I used to believe in seizing the day and not thinking too much about the future, but now that I’m in my sixties, I find the things that bother me just don’t go away— seizing the day is too hard, and thinking about the future too painful. I’ve got bad knees that make it very hard to climb stairs or get through an airport without a wheelchair and my monthly medications cost serious money. Feeling helpless is the first step to feeling hopeless, so I find myself thinking depressing thoughts and feeling depressed a lot of the time. My goal is to figure out a way to not let pain and negative thinking wear me down.

When you rely on a “seize the day” philosophy to get the most out of life, you often forget that many days have nothing much to seize. On other days, you may be forced to seize moments of eating shit and compromising in order to keep your promises or protect your future security. Crap-e Diem, indeed.

If seizing the day is what really matters, then yes, as you get older, there’s less that’s new and exciting, and your seizing opportunities are fewer. If, on the other hand, you also value the less glorious and not always enjoyable parts of life, like making a living, raising kids, and being a friend, then aging just means there’s less to seize and more to savor. WAIT! There is more to read… read on »

Mind Your Voice

Posted by fxckfeelings on July 31, 2014

Some pressing problems are like mosquito bites or cravings for bags of Kit-Kats; the amount of urgency they inspire is inverse to the amount of attention they deserve. Other problems, like that angry rash on your arm or the spreading leak under the toilet, would be much easier to bear if you did not have to think or talk about them, but they’re the ones that often require careful discussion and negotiation. So don’t let your problems tell you when to talk or keep silent. Ask yourself what’s necessary, and, exactly like an adult who can deal with problems responsibly, you’ll often find yourself doing the opposite of what’s comfortable, and knowing you’re doing a good job.

Please Note: This is our last new post until 9/4, since we’re taking August to focus on finishing our book. We’ll refresh the front page with older posts while you get refreshed in the sun, and we’ll see you (and your sunburns) in September.

-Dr. Lastname

I have awful OCD symptoms that I can’t find the right treatment for. For years, I’ve had graphic, uncontrollable thoughts about killing the people I really care about (my parents, my husband), and even though I have no reason to harm the people I love, the thoughts are so persistent that I genuinely fear I’ll hurt one of them. I started psychotherapy in my twenties, and it’s always felt good to have someone I could tell about it so I felt less pressure and fear, but after all these years and communication (and a couple attempts at medication), nothing’s ever really changed. Now I’m in my forties and I’m happily married, but my husband rolls his eyes when I bring up the subject and try to relieve my fear by airing it out. My goal is to end these thoughts once and for all.

Not surprisingly, the best way to get control over obsessive thoughts isn’t to obsess over them. Airing these thoughts might provide temporary relief, but instead of releasing them, you’re empowering them; they’re like a plant, and you’re giving them the air and sunlight they need to grow and grow.

You’ve clearly tried everything, including medications, which sometimes reduce the intensity of obsessional thinking. If nothing has worked, however, then you probably also know that there isn’t a cure. That means it’s time to practice acceptance, as well as restraint. WAIT! There is more to read… read on »

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