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Friday, November 15, 2024

Diagnosis: Muddled

Posted by fxckfeelings on February 6, 2012

Mental pain is like the check-engine light on your car; it tells you something’s wrong, but doesn’t specify what, so it could be anything from an impending engine fire to a stupid broken check-engine light. So, when communication is painful, don’t assume you need a new communicator, and when you don’t like the image in your mirror, you may not need a make-over. You’ll always do better at figuring out what your problems are really about, and what to do for them, if you ignore the painful messenger and refuse to let it make your diagnosis for you.
Dr. Lastname

I wish my boyfriend wasn’t so critical about the money I spend on clothes. Couples therapy helped me understand that growing up poor left him with deep insecurity about money (he still doesn’t make much compared to me, though he’s a hard worker). What therapy hasn’t done, however, is stop him from giving me a hard time about every sweater I buy, even though I’ve got good savings, no debt, and a total willingness to carry more than my share of expenses. If we get married, I’m sure his criticism will get worse and I don’t think I can stand it. My goal is to get him to back off, so we can have a life together.

The potentially bad side of couples’ therapy, as readers of this blog know, is that it can encourage a person’s tendency to take unlimited responsibility for getting through to their spouse. Like food, booze, or anything you enjoy, communication should be enjoyed in moderation.

After all, you’re supposed get a break from that responsibility once you’re sure you’ve done the right thing, but couples’ therapy can make you into a share-aholic who can never rest until togetherness has been restored. 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 »

Friendless Love

Posted by fxckfeelings on January 19, 2012

Sometimes, when you most need friendship, neediness messes it up. Maybe it’s a need for the wrong kind of person or for the wrong kinds of intimacy that are very satisfying in the short run and explode later. Ultimately, friendship isn’t the answer to your needs, but managing your needs will give you a good friendship.
Dr. Lastname

I have always had a problem with keeping friendships because of moving too much, anxiety, and some other reasons. Almost every friend that has come into my life seems to be very needy and I tend to become anti-social when this happens. My current best friend has showed many signs of being very clingy and a bit controlling; she buys me things when she knows I am busy just so she can hang out with me, she calls me frequently even though she knows I dislike talking on the phone, she is demanding and apologetic at the same time. I am confused on what to do because she is always there for me and I can’t always be there for her. Lately, I have been having so much negative feelings about her that I don’t want to work on the relationship and this is exactly my problem—I lose people because I let my feelings get in the way. Maybe I am not finding the right people to hang out with? I mean we have so much in common, but that might be the problem because we both have severe anxiety and what we hate about life seems to be all we talk about, so it’s just negative energy most of the time. I will admit I am selfish and should be more thankful that I have someone that understands me and is there for me, but I guess I am too unhappy in my life and unhappy with myself to be appreciative of the goodness in others. It’s something I would like to work on, but I don’t even know where to begin.

Whatever draws people into relationships– neediness, sex, an encyclopedic knowledge of “Law & Order”—it isn’t necessarily good for you. When you’re operating on instinct, you stop thinking.

It sounds like you’ve got a good idea of what’s good for you, and it’s a friendship that discourages whining and encourages breathing room and independence. Nevertheless, you give in to the pull of your instinctive need for needy, whiny friends.

Once you give in, you’re stuck. You like the close attention and some of the intimacy, but you also don’t like the high demands and expectations, so you want to pull away. That leaves you guilty, lonely, and more in need of a needy friend. The shitty friendship cycle remains unbroken. 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 »

The Giving Fee

Posted by fxckfeelings on November 17, 2011

Just as there are diseases that can compromise the human immune system, there are factors that can compromise our emotional immune systems, as well. If you’ve been abused or take too much pleasure in giving, you’re more susceptible, not just to bad relationships, but to more psychic damage from those relationships. There are ways for the emo-immuno-compromised to protect themselves by strengthening their minds and learning to avoid the kind of people that could hurt them the most. Until they develop a mental prophylactic, adopting strict self-standards is the best way for anyone to stay safe.
Dr. Lastname

I was sexually abused quite a bit by my dad (and am de-repressing memories right now, fun-fun). I am realizing that I am very fearful of the people I love, and avoid them. Honestly, if I didn’t need to bond to keep from going insane, I would never have a close relationship, because anyone I care about enough can destroy me. But I’m in a lot of pain from loneliness as it is.

Many people believe there are tons of benefits to confronting your past, namely that it will teach you something that will bring catharsis to your present. The common notion being that if you can figure out what went wrong then you can avoid being victimized again.

The problem here is that reviving memories of sexual abuse by your dad will also bring back the old feelings of helplessness and having no choice, which, of course, is the opposite of your situation as an adult, so the lessons are the opposite of useful to your life now.

You’re not examining the past to drown yourself in feelings of helplessness, but to assure yourself that you can protect yourself from abuse. WAIT! There is more to read… read on »

First Responder

Posted by fxckfeelings on November 7, 2011

Frequent readers of this site know that, when confronted by a crazy person, (or asshole ™), one should react the same way they would if they were getting charged by a Grizzly bear; don’t run, stay calm, and play dead. This is hard advice to follow when that crazy person is someone close to you whom you care about and normally count on to be sane, but if you take their symptoms personally and react to those symptoms with strong emotions, they’ll come at you harder than they would some stranger on the street/in the woods. With some people, the illness consists of surges of fear, anger, and despair that cast them and you in leading roles in a suicide-bomber psychodrama; with others, the fear is more centered in thoughts than feelings, which means less drama and less spite, but more crazy ideas that can’t be reasoned away. Either way, the challenge is to remember the difference between the person you love and the craziness going on, make no sudden movements, and wait for the attack to pass.
Dr. Lastname

When my wife is feeling fine, she’s a reasonable, hard-working, dedicated woman who believes in helping others, but then she gets into this grim, obsessed mood and knocks herself out and then gets mad about how people don’t respect or appreciate her and she just doesn’t care any more. Yesterday, she told the boss she didn’t care if he fired her, because she didn’t care. If he fired her, it would damage a career she really cares about and, besides, we need the money, but when I tried to tell her she needed to shut up, she told me she didn’t care about our marriage or about living any longer, particularly if I didn’t support her. What do I do to stop her from hurting herself?

As we’ve said before, there are a lot of people out there who either don’t believe in mental illness, or do believe it exists but don’t really understand what it is. The former usually believe in Xenu, the latter are baffled by “Hoarders.”

Either way, the easiest way to explain mental illness to those types is to describe the disease as a demon, and yes, it’s a sad fact that people are quicker to understand satanic possession over an actual illness, but such is the biz. 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 »

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 »

Guilted Lovers

Posted by fxckfeelings on October 6, 2011

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

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

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

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

Value Pack

Posted by fxckfeelings on September 26, 2011

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

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

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

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

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