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Saturday, November 23, 2024

Double Share

Posted by fxckfeelings on January 30, 2014

Many of us suffer stress and torment by accepting nutty ideas, either because we’re literally hearing voices, or just because we’re reading women’s magazines or buying into our own baseless guilt. It’s easy to feel you’re doing what you have to do when you’re really just holding yourself responsible for problems you don’t control and making efforts that can do no good. Unless mental illness makes it impossible, most of us should examine our beliefs before accepting them. Then we’re better able to stand up to critical thoughts, undeserved self-punishment, and airbrushed models in the name of deeper values.
Dr. Lastname

My sister started hearing voices when she was about 20 and then got diagnosed with schizophrenia, but she controls it well with medication and is able to hold a challenging secretarial job, so I know she’s relatively lucky. Sure, she had a brief hospital stay a couple years ago when her paranoia got out of hand, but since then she’s been fine. The other day, however, when we had dinner together, she was more outgoing about her fears of my being able to read her mind or put thoughts in her head. I was glad she could confide in me and I wondered if that was a sign she was getting better, but then I had second-thoughts about whether, if she was talking about it more, that it was maybe getting worse, and she was going to share her fears inappropriately with people at work. I’d like to know whether her talking about her symptoms is a good sign or bad sign and what I should advise her to do.

Back in the day, shrinks always thought sharing was a good thing, even if patients shared how much they hated us, thought we were aliens from Jupiter, and/or wanted to kill us. Thanks for sharing, even more thanks for not murdering.

In the long run, we thought sharing was always a good step towards recovery. Actual experience, however, has taught us otherwise, so your question is sensible, and you should, indeed, be prepared to discourage sharing when you think it’s a bad idea.

The key question you should ask your sister, and encourage her to ask herself, is whether she’s as sure as she usually is that the things she fears aren’t really happening. You’re less worried about her losing her job and more worried about her losing her mind. WAIT! There is more to read… read on »

D’oh Choice

Posted by fxckfeelings on December 23, 2013

As emotions go, guilt is often the most devious; it’s very good at tricking us into believing we’ve done something wrong, when we know we haven’t. It’s so slick that you can feel guilty for not feeling guilty in the first place. That’s why guilt is a terrible barometer for whether or not you’ve made a good or bad decision; sometimes the right choice makes you feel wrong and the wrong one righteous, at least in the short run. If you think of values and consequences, however, as well as needs, you’ll usually come up with a choice you won’t feel guilty about being proud of.
Dr. Lastname

Please Note: We’re taking Thursday off, so please have a great Boxing Day without us.

I’m a medical doctor—I graduated three years ago and did extremely well in my school. But then I broke up with my boyfriend, and for a while, I hated myself very much for it. Coupled to it was the death of one of my closest relatives. I turned lethargic, did not want to function, never talked to anyone and was alone. Finally I managed to get into a job not at all related with medicine, but for the past few months, I have been experiencing severe guilt about my decision. At the same time I don’t feel active or ready enough to put in the hard work necessary to go back to medicine. At least this feeling is welcome as I am finally feeling something. I have stopped trusting any guy and don’t want a relationship, but I’m consumed by this feeling of guilt. Unfortunately I also have a bit of narcissism, I feel that I m more intelligent than most of the people I meet, and so did not visit any counselor either. I just want to know if you have any suggestions on how to conquer my guilt and lethargy.

Even with support from a very nice therapist, all the insight in the world, and/or a job in the medical profession, guilt and lethargy often hang around as long as they want. You could find cures for cancer, bad boyfriends, and even depression, but still feel guilty that it took you so long, guilt is that insidious.

The way to conquer those symptoms is to prevent them from affecting your beliefs about yourself and the world. Up until now, it seems the symptoms have been brainwashing you into feeling like a hateful, worthless failure instead of a smart medical school graduate with an unlucky personal life. WAIT! There is more to read… read on »

Relative Hatred

Posted by fxckfeelings on November 18, 2013

There are about as many ways to describe “love” as there are ways to order coffee at Starbucks; you can love someone but not be in love with them, care about someone but not love them exactly, love someone but want someone else low-fat, etc. Family relationships are even more complicated, because sometimes a standard, easy parent-child relationship can get spoiled by a critical event that makes it hard for you to accept one another, and sometimes a clash in parent-child personality styles prevents acceptance. In any case, don’t berate yourself for what can’t be helped and don’t expect the relationship will ever be easy. If it’s important to maintain, however, there’s nothing to stop you from avoiding conflict by gritting your teeth, making nice, and keeping your irritation and disappointment to yourself. It may not be pleasant, but when you love someone but hate being around them, it’s the best option on the menu.
Dr. Lastname

I’ve always taken it for granted that I get along fine with my parents because we never had any significant conflicts—they were supportive when I was little, and we always found pleasant things to do together. That’s why it’s really surprising that we’re running into problems now, when I’m in my twenties. What’s happened is that they’ve both suddenly gotten religion and become Evangelicals—maybe because my sister and I left town and their lives felt a little empty—and now, whenever we talk, they make frequent reference to Jesus and have something serious and earnest to say about almost everything. They obviously feel it’s their duty to save me, which makes it very hard to have a pleasant conversation without exercising a lot of polite tact and changing the subject. I find myself getting very irritated and, really, I’m sad that the easy relationship we used to have is gone and I can’t get it back. My goal is to find some way out of this nightmare.

Having a friend get religion is like having them marry someone you don’t like—they’re still the same person, but now hanging out is less fun and more of an exercise in torture.

After all these years, you had a right to think you knew your parents inside and out and that you were lucky enough to have a solid, easy relationship based on love and mutual acceptance. While the love is still there, the ease is no more; fundamentalist religion makes it harder for them to accept you (you’re not saved) and you to accept them (you don’t want to hear about it).

Given the fundamental nature of, well, fundamentalism, and the fact that it seems to leave you fundamentally cold, you now have to negotiate a new relationship that will take a lot more work than the one you had. WAIT! There is more to read… read on »

Crazy, In Love

Posted by fxckfeelings on September 19, 2013

In the self-help-iverse, “limits” is often a dirty word, because we should all aspire to reach the loftiest heights or depths of intimacy. In reality, limits are crucial when setting both personal and interpersonal goals, but they’re especially vital when you’ve got a partly functional, mentally ill family member to take care of. In that situation, you will probably feel like doing anything to get him/her into treatment, including persuasion, confrontation, and threats of expulsion. In reality, your influence over the course of a mental illness is often, well, limited, treatment or no, and trying too hard to make it better can make it worse and drive you crazy. Instead of getting over-absorbed in efforts to help, get help yourself in figuring out the limits of what’s possible and respecting your other priorities, including safety, security, and the nurturing of others. Refusing to acknowledge limits is a lot easier/more damaging that learning to respect and use them to your advantage.
Dr. Lastname

I’m married to a wonderful, unique individual, a free spirit who lived in a van for several years avoiding the world. After we married, we had a difficult couple of years, but then my work took off, and I got pregnant. My husband, already a night owl, turned into an irritable, stressed out insomniac who oscillates between manic episodes of ultra productivity, to sleeping for marathon amounts of time, missing appointments, being late for work, generally letting everyone down. He seems so resentful of me—everything I say he takes to the utmost extreme. We have been in talk therapy for three months, which has been pretty useless. The therapist has recommended my husband see a general doctor and a shrink about the insomnia. On a long road trip he started hallucinating and driving off the road. Sometimes he admits there’s a problem, other times he doesn’t. This morning, after another night of no sleeping, he screamed at me, collapsed on the floor and then crawled into the closet and passed out. I have asked him to leave our house until he seeks help, but he also refuses to leave. If I don’t pay the bills, he will be unable to. I reached out to his family and they keep saying it’s a marital tiff. He’s a wonderful man who is deeply troubled right now and in huge denial. I think he has some serious mental health issues which have been brought up by the huge responsibility of being a father which need addressing. How can I best help him?

You know that your husband’s dangerous behavior is out of his hands and in his mind. Unfortunately, there are lots of medical and mental health problems for which no one, including this mental health professional, has the answers, and this may be one of them.

The danger of trying to help him if it’s just not possible is that you’ll exhaust yourself and, worse yet, put yourself and your baby at risk from his symptoms. His illness may not be his fault, but that doesn’t make it your only responsibility, either. WAIT! There is more to read… read on »

Couples, Retreat!

Posted by fxckfeelings on September 12, 2013

When anger is persistent in a relationship, it’s often impossible to clear the air and end hostilities, no matter how strong either party’s diplomatic skills are. Trying to air underlying grievances often makes them worse, so without heavy artillery or the help of the UN, your best bet is either to retreat, or, if you’re entrenched in the region, learn to live with anger while you decide, using your own standards, whether the benefits of a relationship are worth the pain. As long as you behave decently yourself, you have no reason or right to question your own value or waste time wondering what you did wrong. You do have every right, however, to go about your business and not let unfriendly fire lead to another endless war.
Dr. Lastname

My wife and I are in our 50s and have two grown daughters that live with us in the suburbs. She drinks off and on and suffers from all the insidious side effects of alcoholism, as does our family. How can l give my wife the space she wants but “be there” too? She also suffers from PMDD and has been arrested and held for observation for reckless inappropriate behavior. She has caused physical injury to myself and her daughters. I’ve journaled on a calendar for the last two years, just good days or bad and two distinct cycles of behavior have emerged, one on a 28 day cycle that she’s aware of (still an asshole though), and the other on a 200 day cycle that’s horrendous and can last as long as 50 days or so. She doesn’t appear to have even the slightest awareness of how grossly inappropriate her bad temper and consequent actions are. Her need to punish and hurt, me in particular, is just bizarre. She becomes completely inconsiderate, disrespectful, obnoxious, and there is no approaching her during these episodes. I am isolated by the tantrums that occur if I reach out for help or comfort from friends or family. We can’t even speak to one another within our household or she feels ganged up on and, you guessed it, even more enraged. We can’t have people over, we can’t plan any activity or a vacation. She is completely unsympathetic to our agony and when (god forbid) we ask for a little mercy, her favorite response is “I don’t give a fuck!” Please help me.

When people feel torn apart by the nastiness of someone they love, they should always ask themselves whether their goal is to change the person who’s mean to them or change themselves. Since the former is dangerous, painful, and altogether impossible, the choice becomes clear.

Whether her problem is mood swings, alcohol, a bad attitude, or all of above and more, doesn’t matter; you and others have tried hard to change your wife and it’s clearly not going to work. So talking about her problem with anyone else, including me, a friend, or some other shrink, is the wrong thing to do. She says she doesn’t “give a fuck,” and in the meantime, you fruitlessly give all the fucks in the world. WAIT! There is more to read… read on »

Shame and Misfortune

Posted by fxckfeelings on August 22, 2013

Mental illness has many traits that physical illnesses don’t, and sadly, one of those is shame; that’s why, when dealing with mental illness, in yourself or others, it’s easy to pay more attention to stigma than chronic dysfunction. Stigma is the shame you feel about losing control, spending time in a weird mental state, and not being able to trust your judgment, while chronic dysfunction is the inability to do what you really need to in order to pursue what you felt was important before getting sick. In either case, what matters most is not whether you’re embarrassed or dysfunctional, but how well you respect yourself for dealing with whatever bad feelings, behaviors, or disabilities remain with you after you’ve made your best effort to recover. Mental illness is not easy to treat, but the shame that comes with it is easier to avoid than you think.
Dr. Lastname

My husband isn’t happy with me, and I can’t say I blame him. I’m bipolar, and before we married, there were times when my mood swings made me a manic, exciting, sexy girl. Now it’s 10 years later, and I take medication so I never get manic. I do my job, hold up my end of the conversation, and act like a responsible person, but the chemistry between us isn’t as fun or exciting as it was in the old days, and I know it’s hard on him. I feel our marriage hasn’t recovered and it’s a burden for both of us. I wonder if it’s a mistake to stay married.

If your idea of your marriage contract requires you to stay exciting and interesting, then it’s like a TV show that depends on its ratings, and eventually, no matter how many cute kids you add, murder trials you withstand, or sharks you jump in water skis, ratings will inevitably decline.

If that’s how you see your marriage contract, I wonder if your husband is also obliged to stay attractive, interesting, and exciting, lest you find a better replacement to play his role.

What I suspect, however, is that what you both offer and expect in your partnership is more important than excitement, and includes being reliable, caring, and doing your share. WAIT! There is more to read… read on »

Diagnosis Focus

Posted by fxckfeelings on August 19, 2013

It’s easy to know and describe what it’s like to be physically out of sorts—usually, Nyquil or a triage kit are in order—but when you’re losing it mentally, things get a lot more complicated. In some cases, it’s uncomfortable and can’t go away soon enough, while for others, it’s great and not something they even see as a problem. Good or bad, however, it’s easier to identify and understand, at least to the person experiencing it, if you remind yourself that a state of mind is only a state of mind. So whether or not you can change it, or believe it’s worth changing, it’s always worth remembering that there are more important things. Your job is to make the most of your state of mind, even if you can never fully make sense of it, without letting your brain run your life (and body) off the rails.
Dr. Lastname

I don’t know how to begin…It’s really strange because I’ve never felt like talking to a psychiatrist, but now that I’m trying to, I realize how much I may need one. I’ve been trying to find one of my, of what I realize now, many fucked up aspects to talk about. Why do we bottle things up? Why do we make the bad things the deepest parts of our lives? Happy moments are like listening to the Beatles, short and like being on acid or running through a meadow…or both. But melancholy sits inside like Joni Mitchell or Jeff Buckley, if you let it. I guess my point is that I am terrified that I am going to have Virginia Woolf or Sylvia Plath’s life. Almost everyone in my family has mental issues. My brother tried to kill himself this year, my grandparents are the lovable nut-bags, my father had anger issues during my childhood… and I got the diagnosis from my doctor this year that I am depressive with bipolar tendencies. It’s terrifying to get a name for the way you are. I have so many. I wish it was duchess sunshine awesome, but you know… I guess what I came here for was to say that I don’t know how to express my emotions, should I bottle them up? Or should I just let myself go? My goal is to be a little clearer.

We don’t have the power to diagnose people over the internet, but when we get letters from people fretting over psychiatric diagnoses we usually feel comfortable diagnosing those diagnoses.

So, assuming you do have the familial tendency to be depressed, have mood swings, and, presumably, be creative, you don’t have to have a fucked-up life, nor do you have to stifle your creativity.

What you will have to do, however, is work at keeping your perspective when you’re hurting with depression and everything seems to suck while not letting your diagnosis frighten or shock you. After all, a doctor has merely put a label on what was always there, meaning you now know there are techniques that can help you deal with what’s been ailing you. WAIT! There is more to read… read on »

Prickly Pair

Posted by fxckfeelings on July 1, 2013

Cruelty is the byproduct of both excessive involvement and a lack of involvement; a calm person who doesn’t care too much would rather nap than be abusive. As such, you’d think the best way to improve bad behavior is to straighten out the level of caring, which is the subject of many plays and stories, often on Lifetime. In reality, caring usually doesn’t change, so the best way to stop mean behavior is to measure it against moral standards and practical consequences, and then stop it, regardless of whether you’re overly sensitive, insensitive, or just overdue for a nap.
Dr. Lastname

Please Note: This is our only post this week since the 4th is a holiday in the US. In the meantime, celebrate Canada Day by writing to us aboot your problems. See you next Monday!

I never understood why I hated my mother or why I couldn’t let go of my anger before she died, though I knew it bothered her. I remember resenting the way she made a big deal out of my good looks when I was growing up, and liked to show me off to her friends, but was otherwise pretty sarcastic and tough. I don’t usually get mad at most people because I don’t get that close. I know she came by her toughness honestly, because she grew up poor and worked hard all her life. I’m basically a loner except for my husband, who is really my best friend. Now, as I get older, I find myself thinking more about her and wondering why I was angry, and am still angry, and why it bothers me.

Sometimes toughness comes from not caring and sometimes it hides caring too much; there’s a reason why so many guys in prison, among their many tattoos, have ones that read “MAMA.” In your case, your pain at feeling misunderstood and mis-appreciated by your mother suggests that you cared a lot and wanted something from her she didn’t and couldn’t give.

Understanding that your mother didn’t have it to give won’t necessarily make your anger go away, however—real life not being science fiction, knowing the true name of something, be it a problem or a person, isn’t good for solving problems, just more efficient Google searches. WAIT! There is more to read… read on »

Asshole Alignment

Posted by fxckfeelings on June 20, 2013

In a just world, correcting injustice would have no unintended consequences, good people would always know how to do the right thing, and I’d be so hard up for patients that I’d have to become a podiatrist. Unfortunately, in this world, there are Assholes™, and the fight for justice isn’t just riddled with them, but may force you to align with one or be mistaken for one in the process. Don’t let them and your passion for justice distract you from checking out the moral pros and cons of what happens next. In seeking justice, you should ideally experience the joy of straightening out the world. More often, you will bear the pain of tolerating unjust crap for the sake of good values, the knowledge that you’re preventing things from getting worse, and that, in doing so, you’ve confirmed your non-Asshole™ status.
Dr. Lastname

Our church administrator made some dumb decisions that wasted money and favored her friends, and the church would be better off if she were eased out of her job, but there’s one member of our church who is so obnoxious and unreasonable in the way he attacks her mistakes that I don’t want to have anything to do with him. He has brought a lawsuit against the church that could hurt all of us and sees any offer of compromise as an effort to deceive him. I think he’s paranoid, but meanwhile I’m paralyzed because, even if I agree with his basic point, I don’t know how to move ahead without encouraging him and joining with a person I despise. My goal is save our church from bad management without having to encourage, or be seen as encouraging, an obnoxious, crazy jerk.

The enemy of your enemy may be your friend, but the enemy of the entire world is still a toxic Asshole™ you naturally want to avoid at all costs, even if you share a common goal.

Since your goal seems unselfish and idealistic, it’s especially painful to have it hijacked by the one person who can drive everyone else away. The more personal his attacks, the more support he’ll create for the administrator who needs to be fired. Even if you’re on the right side of things, the Asshole™ being on that side makes it wrong.

Ignoring how annoyed you are with both the Asshole™ and the accused administrator, add up the benefits and risks of firing her. Unless her actions make it unavoidable, you don’t want to stir up a fight in the congregation. Some people might say that church should be a place of greater purity and moral rectitude and its employees held to a higher standard, but that notion starts religious wars (and contradicts the actions of the Vatican). Yes, there are some crimes that are intolerable, but in most cases you’re more interested in pursuing acceptance and mutual respect, even if that means accepting some impropriety and administrative inefficiency.

If you decide that action is necessary, remember that backroom politics were invented to help people get things done when a horribly obnoxious loudmouth makes it impossible to have a meaningful public discussion. We now understand that many such people can’t help themselves; they have strong opinions about how other people should behave and no awareness of their motivations or reactions, particularly to their own demeaning statements.

You may have to put lots of work into circulating your opinion outside a general meeting, gathering a majority, and agreeing on a course of action, but it beats the alternative. Consider it to be both a test of your resolve and an Asshole™ shield. Having avoided taking part in a public, personal attack, do what you can to cushion the blow of her firing and avoid humiliating her or her supporters by paying respect to her contributions and showing no personal dislike, regardless of your deeper feelings.

Unlike your would-be ally, you aren’t trying to root out evil and punish corruption, just to clean up an unfortunate mess while showing respect for those who disagree with you and preserving a community of relationships that are more important than any one political issue.

With some careful maneuvering, you can be on the same side of the Asshole™ without getting shit on in the process.

STATEMENT:
“I’m annoyed by the mistakes of my church administrator and infuriated by the tone of the attacks that have been made on her. I will do nothing about this problem, however, unless I think it’s necessary, and then do all I can, behind the scenes, to avoid public humiliation and build a consensus that does not insult those who disagree with it.”

I know I did the right thing when I filed a job discrimination suit against my boss, who’s notorious for making sexist put-downs and treating women as if we’re sluts and objects, but since I did it, everyone at work has become strangely silent. I know other women there who share my disgust for him, but management has been ordered by company lawyers to treat me very, very carefully and no one at work wants to be seen as siding with me or they’ll become pariahs too. Everyone is nice but distant and their polite distance is making me feel totally isolated. I can’t quit without jeopardizing my suit, but staying has got me really depressed. My goal is to stand up against something I know is wrong without driving myself crazy.

I hope your lawyer warned you that, though your anti-discrimination lawsuit might eventually bring you a dose of deserved justice, it would almost certainly first bring you an added dollop of unjust pain. That’s the way things work when you’re not on TV and don’t get instant access to justice, or even Judge Judy.

The better your case, the quicker the company lawyers will order your bosses to clean up their act and create tons of written evidence showing that they’re polite, professional, and caring while they watch for a legitimate reason to put you on probation and, after sincere attempts to improve your performance, regretfully terminate your ass. That’s standard operating procedures and it sucks for everyone, particularly you.

If your job was becoming unbearable, your suit may nevertheless be worth it. Feeling angry and humiliated may not, on its own, be worth suing for, but a suit may well be worthwhile if you can’t stand working there anymore, know you have a good case, and are ready to leave. Even then, once you sue you many need to persuade future employers that you don’t have a chip on your shoulder about administration. If your boss is a true pig, however, then it’s probably less of a chip and more of a cross that you’d bear with pride.

Now that the lawsuit is underway, the important thing to remind yourself is that nothing about work relationships is personal, even though it feels that way, and that you need as much support as possible outside of work because personal relationships at work will be a desert.

Also, you need an exit strategy; lawsuits destroy relationships and make it almost impossible to work together, so don’t force yourself to stay at work to prove to colleagues that you’re right and that they can’t get to you. Work is about making a living without going crazy, not making a point about pride.

So collect your strength, write off your old job, and focus on your next move. As long as you’re there, do a decent day’s work so that you’ll know you don’t deserve the criticism you will probably get, but don’t let making a decent effort get in the way of your job search.

Unjust criticism shouldn’t change your opinion about the value of your work, your lack of respect for your boss, or your determination to look for something better. It should instead strengthen your resolve until justice, or better, Judge Judy, finally arrives.

STATEMENT:
“The first victim of my lawsuit, in terms of feeling punished, is me, but I expected that to happen. I won’t let shunning or unjust criticism change my values, my willingness to work hard, or my effort to find a square deal at my next place of employment.”

Parental Advisory

Posted by fxckfeelings on June 13, 2013

Parents can be responsible for making sure their kids are clothed, bathed, and fed, and even the bathing part is a stretch if your kid is a teenaged boy. After that, almost everything is out of a parent’s hands, especially behavior. Under normal circumstances, there’s lots you can do to help a kid control his bad behavior, assuming you stay positive, provide him with effective limits, and encourage him to endure whatever internal demons and nasty frustrations are flipping him out. Under abnormal circumstances, however, you may well do everything, accomplish nothing, and find it’s better redirecting your energies to where they’ll do more good, even if it’s just making sure they have some soap.
Dr. Lastname

My twelve-year-old daughter can be difficult with her father and she’s not always respectful to her teachers, but she’s basically a good kid and I can count on her to do her homework and be reasonably nice to her sibs. Lately, however, I’ve been getting more complaints than usual and I’ve noticed that she looks pretty irritable and unhappy most of the time. I don’t want to come down too hard on her, but I don’t want to ignore the fact that I’m responsible for how she behaves and she hasn’t been particularly nice to people. My goal is to figure out how to take her problem seriously without making her feel I’m too critical.

When you feel responsible for your child’s behavior—or your dog’s, or even just your own weight or success—then you feel obliged to get it under control. Unfortunately, responsibility and control do not go hand-in-hand; if your kid is spoiled, needs a talking-to, and has the ability to learn from it, then a conversation might work. Otherwise, think again, because you’re trying to control what even she cannot.

In this case, you’re suggesting that your daughter already knows what she should be doing but that something is bringing out the worst in her. A serious talk about her behavior may help her stop, but there’s a danger, particularly if you sound too angry or moralistic, of worsening her mood, provoking self-hate, and stimulating defiance or self-harm. You both want the same thing, but frustration will make it even more impossible. WAIT! There is more to read… read on »

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