Posted by fxckfeelings on March 17, 2011
Being diagnosed with mental illness won’t necessarily screw up your life, and screwing up your life doesn’t mean you have mental illness. In any case, people are most effective at managing screw-ups and mental illness when they’re ready to face the worst case scenario, assuming they can do so without letting it reflect on the quality of their management. Consider the worst, hope for the best, and don’t let your fears distort your perception of reality. In other words, don’t panic or feel that you’ve failed when somebody acts “crazy” or you’ll end up driving yourself nuts.
–Dr. Lastname
Are there varying degrees of bipolar? My son is 21 and just diagnosed in Sept 2010. He is a student, a swimmer with his university and a likeable, good-looking guy. He is medicated (lithium and Zyprexa) and is doing pretty well. He complains about concentration issues. I just feel sometimes like I need to be reassured that this is manageable and that there are positive stories of other people with bipolar. I hope and pray that he will lead a fulfilling life, marry and have a family. We are all just trying to adapt to this diagnosis.
Not only are there varying degrees of “bipolar,” there are probably various kinds as well, but we don’t know enough about what’s going on biologically to say. Like the Supreme Court once said of obscenity, you know it when you see it, but it takes many forms.
Basically, the word “bipolar” doesn’t have a lot of meaning other than as a description of someone who had an over-the-top episode of wild, excited, high-risk, inappropriately-undressed behavior that then, most probably, was calmed down by lithium.
Since we don’t have a biological definition of bipolar, we’re forced to use the word to describe the unluckiest cases, the ones who have the most severe symptoms that last the longest and come back the most often, simply because they’re the ones that are easiest to categorize.
There are probably lots of mild or brief cases that don’t get included in the definition, so the diagnosis seems to imply severe symptoms and a difficult future, when, actually, there are probably lots of mild cases. So yes, you’re right, he may not have it as bad as people think when they hear the word “bipolar” (which is to say, he will probably doing a lot better than Charlie Sheen).
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Posted by fxckfeelings on February 28, 2011
Dealing with jerks is difficult, but being related to jerks is torture, especially when they’re the kind of jerk (genus: ASSHOLE) who thinks everyone else is a jerk but them. Luckily, no matter how closely related you are, you don’t have to share their beliefs or give them what they want. Still, you’re stuck with them, because, while maintaining a relationship sucks, the alternative is usually worse, so learn how to make the relationship no worse than it has to be. Keep your feelings to yourself, figure out your own standard of conduct, and hope the jerk gene dies with them.
–Dr. Lastname
I’ve read my son’s Facebook and email (he left the stuff on the computer screen last time he visited), and he tells his friends he had a terrible childhood, and his parents are assholes. As his dad, my attitude is: Fuck him and his shit. Breaks my heart, but I paid over $100k for his school, and I’m not rich by any measure. His mother thinks we should be working to find out why we have this split. This is new since he went to college (now graduated and gainfully employed)– he’s an only child, now 25. I’d not have paid for his school if I knew what a sociopath he would become. He seems to want two separate lives, one we’re allowed to know about, and one we’re not, with the latter being where we are horrible folks and he was a poor abused kid that made his way up through some undefined poverty and difficulty. His mother and I are going to be divorced soon if we can’t resolve this. I want nothing to do with the ungrateful asshole, and she thinks I am a terrible father for not understanding he has a mental illness. He doesn’t acknowledge any problem, refuses to speak to us if there is any “drama.” In fact he wouldn’t return a call for three months. This is the only issue my wife and I have, but it is consuming us and we’re arguing continuously.
Before you get carried away reacting to your son’s blame, ingratitude, and nastiness, think of the goal you set for yourself when you decided to have a kid (assuming it wasn’t an incidental goal after “getting laid”).
Unless you’re foolish enough to believe in a father’s power to make his kid turn out right by bringing him up right, you know that bringing up kids is a crapshoot. (That’s why you should always hedge your bets by having more than one).
The only goal you can possibly set for yourself and your wife as parents is to do a good job and hope for the best. Like all parents, you probably had big dreams for him, and hey, so did Mama and Papa Gaddafi.
So you’re not alone in finding out that the kid you loved and nurtured sees you as an abuser. It’s life at its most unfair, but whether or not your spawn turns out to be a jerk just isn’t under your control.
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Posted by fxckfeelings on February 7, 2011
When in the midst of one of life’s many shit storms, it’s easy to forget that feeling helpless and feeling that things are out of your control aren’t the same thing. It’s probably true that you don’t have much control over what troubles you, but that doesn’t mean you’re totally powerless and doomed to total annihilation. Helplessness, after all, is just a feeling, and a dangerous one if it makes you give up, lose faith, or act like a jerk. So if you can take a step back and look at what you actually can do, even if it’s very little, those shitty storm clouds will begin to clear.
–Dr. Lastname
I can’t stand myself since I lost my job—I know I hated my boss and I was looking forward to retiring in a year, but I liked the clients and was good at what I did—but getting fired was humiliating and unfair and now I don’t feel like doing anything or going out. I can’t make myself feel better and my medications aren’t working and my friends can’t cheer me up. My goal is to feel like my old self and do the kind of work I can now afford to do, since I don’t really need the money.
The job you lost is one you hated, you have enough money to live on, and you now have the freedom to do whatever you want…this is probably what you’ve already heard from your friends a million times.
What they don’t know is that thinking that way just makes you feel worse.
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Posted by fxckfeelings on January 13, 2011
When faced with scary health issues, from strange lumps to bad thoughts, people often avoid treatments that hurt, particularly after long-standing symptoms have sapped their hope, fed self-hate, or fostered bad habits. They deny anything’s wrong, or they insist that resistance is futile, but either way, if you criticize them for not helping themselves, they will readily agree, hate themselves more, and burrow deeper into their holes and further away from treatment. Before they can find the way out, they need to reconnect with their real strength. Only by recognizing their actual achievements and their past and potential courage, can they face what ails them. The pain may continue, but not its power to intimidate and paralyze.
–Dr. Lastname
Please Note: In responding to suicidal goals, as in the case below, we do not presume to offer emotional support. If you’re at risk of hurting yourself, you should, of course, go to an emergency room, discuss your state of mind with a professional, and decide how much support you need in order to remain safe. In most of the cases we encounter, however, our correspondents are not simply suicidal; they are familiar with treatment and have come to believe that it won’t help. Often, we must agree that their feelings are unlikely to change in the near future. What we try to demonstrate, however, is that negative feelings create falsely negative and hopeless beliefs and that there are ways to recover your strength and perspective, even when the pain won’t let up.
I’m considering suicide. My life is a joke. I am in my late 30s and female and I have never had a relationship with a man. Several men have used me for sex and at least 2 of them begged me not to tell any of their friends they’d had sex with me. I’ve never been loved, been held, been listened to, been cherished. I’ve just been used like a toilet. On the outside I’m pretty. I can hold a conversation and I have a reasonable number of friends. But I hate myself and I don’t feel good enough. I was abandoned by both parents and I was raped for the first time when I was about 2-years-old. It’s like men I meet can smell the self-hate on me and they treat me accordingly. I do not have even one person in my life who cares about me or who I could trust. My friends are there to go for drinks or dinner with me if they can find nothing better to do but they are not there to be supportive ever, in any way. What is the point of me continuing to live?
It’s horrible to feel that you don’t belong to the human race, except for your ability to satisfy the needs and cravings of jerks.
Remember, however, that those feelings almost always beget more falsely negative beliefs, particularly about relationships. Whether or not you’ve done anything wrong, you feel infinitely rejectable, comfortable in the company of jerks, and anxious around people you respect, since you know they will reject you for your anxiety and fundamental worthlessness.
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Posted by fxckfeelings on January 10, 2011
It’s nice to be on the same page with your partner, but if you’re not, don’t assume you’ve got to get there; don’t even assume you’re reading the same book. Good partners sometimes have differences that are not going to be bridged by love, faith, or psychotherapy, but if you’re prepared to agree to disagree and can stand by your own values without requiring support, you can often continue to work together and at least share the same library.
–Dr. Lastname
My husband is a great guy and a pied piper with kids, including our own, but he’s really pissing me off because he can never say “no” when they cry, and so our parenting partnership has started to look like good cop/bad cop, and guess who gets to be the bad guy. If I try to get some quiet one-to-one time with them at bed time and he happens to be around, they cry, he comes running, and I’m chopped liver. Then I stew about the kids, but it’s not their fault, because I never get a chance to be the fun one so they don’t know me that way. I feel he never supports me and it’s driving me crazy.
As we always say, parenting, like relationships, like anything worth a damn, requires a lot of hard work. Unfortunately, your husband is leaving you with the bulk of the heavy lifting, and if you truly are a bad cop, he might need some tough love.
Of course you deserve your husband’s support when the kids need to be told “no,” or be disciplined, or abide by your perfectly good bed time plan. Maybe, if you let him know that you’re unhappy with his behavior, he’ll back off, man up, and learn how to wear the black hat in a good cause.
I assume, however, that you’re writing me because he can’t do that, and it leaves you feeling unloved and disrespected, so now you don’t so much want his support as you want to get through his thick skull.
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Posted by fxckfeelings on January 3, 2011
As most of you gentle readers have probably learned in the last week or so, Dr. Phil is officially wrong; family gatherings are made yet more miserable with good communication. The sad fact is that most of us possess the innate ability to show negative feelings without even opening our mouths, thus stimulating the worst fears and disappointments of our near and dear ones, and then, by a remarkable miracle, reading their negative body language and doing the same. It’s a game of emotional telephone where everyone trapped under one roof sharing a bloodline ends up miserable. You could hate yourself, hate your family, or just comfort eat (much like Dr. Phil?), or you could learn how to communicate more carefully.
–Dr. Lastname
For years, I’ve struggled with depression, and while I don’t blame my brother for all of my problems, he has become something of an anti-anti-depressant. I just spent a week with our parents and my brother’s family (wife and two young kids), and it was exhausting, not because I had to watch the kids, who are great, but because my brother constantly pisses me off and I use all my energy biting my tongue. And the thing is, I accept why less is expected of him; I don’t have kids, so when we’re all together I should be expected to help out more around the house. The problem is the way my brother acts so entitled and patronizing…or maybe I’m just being overly sensitive , or I deserve to bear more of the load around the house just like I deserve to die alone, etc., etc., and I’m depressed again. My goal is to be able to spend time with my whole family without feeling like my whole life sucks.
There’s nothing you can do to change your married-with-kids brother’s irritating manner, or the way your parents treat him as the successful favorite, or the black feelings they stir in your depressed, deserve-to-die-alone soul.
On the other hand, remember that disappointment echoes back and forth between close relatives, even when they’re trying to hide how they feel. Your brother may be withdrawing in response to your depression, you may be hurt by his withdrawal, and so on, while the evidence piles up to confirm your feelings of humiliation and worthlessness.
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Posted by fxckfeelings on December 27, 2010
Maybe, on an animal level, disrespect is a challenge to our status in the herd that must be met with immediate, overwhelming attack, or we lose out. What an emotional reaction to disrespect usually results in, however, is more conflict and more power to the disrespecter. Take disrespect as a chance to see whether you measure up to your own standards and, if you do, your defense will become simple and require no huffing, puffing, or drama around the watering hole.
–Dr. Lastname
PLEASE NOTE: The next new post will be 1/3/11. Have a happy New Year’s Eve, but for our sake, an unhappy new year overall. (Not really.)
I get no respect and nothing but criticism at home, and only an idiot would stick around. My teen-age daughter complains loudly, to anyone who will listen, including holiday dinner guests, that I was never there for her, and my wife treats her as if she’s a sensitive soul who needs understanding and shouldn’t be contradicted. I think my daughter is verbally abusive, disrespectful, and embarrassing, and that my wife encourages her. As a practicing physician, I have no trouble finding respect at work; at home, I’m chopped liver. Tell me why I shouldn’t leave.
I’ll take your word that you’re a doctor, because your need for respect makes you sound more like a drug dealing thug from “The Wire.”
Disrespect might make you feel like you’re being perceived as weak, but that’s nothing compared to telling yourself, or anyone else, that criticism or disrespect is driving you out of your house.
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Posted by fxckfeelings on December 23, 2010
When you do something truly stupid, the punishment is twofold; first, you have the knowledge of your stupidity, and then, you have living with the results of said stupidity, or making someone you love live with your stupidity, which makes you feel guilty and makes them feel stupid for loving you in the first place. Unfortunately, stupid is an incurable part of being human—some of us have a more dominant stupid gene than others—and remorse makes it worse. If you want to get smart, begin by accepting your inner stupid and getting to know its habits. Then, maybe next time stupidity calls, you’ll have a better answer and skip the punishing results.
–Dr. Lastname
PLEASE NOTE: We will have a new post on Monday, 12/27, but we’re taking a week off after that for family’ing. If you have angst, holiday related or no, that you need to share, speak now or wait until 2011.
Every now and then my husband, who is a sweet soul and mostly very smart, does something so mind-bogglingly stupid that it puts the whole family in danger. The latest incident happened when he was hanging out at a bar after work and, deeply (into drinking and) moved by the hard luck story of the guy on the stool next to him, he offered, without asking me, to guarantee the guy’s car loan. The next thing we knew, the bank was after our savings because his ex-best-bar-buddy had stopped paying the loan and the car was nowhere to be found. I admit it, I did a lot of screaming and feel like I was a saint for not killing him, but the real goal here is, how do I prevent him from doing it again.
You’re asking a mental health clinician to help you understand and/or change your husband’s behavior. Instead, you should be talking to a lawyer.
You want to stop him from doing it again, but what you really need is to protect yourself from the sure-to-happen next time his impulsive, besotted generosity imperils the family treasury.
You probably expect me, as a mental health clinician, to support the humanistic, liberal, uplifting belief that therapy can help people can change. Sadly, you don’t need a professional of any kind to tell you what you already know: that therapy doesn’t have that kind of power WAIT! There is more to read… read on »
Posted by fxckfeelings on December 6, 2010
Everyone from Mariah Carey to Charlie Brown has told us that what Christmas means is a happy, if not the happiest, time, and that you’re supposed to spread that happy to your neighbors, parents, and children. Most of us learn at an early age that Christmas is a mixed bag, and that the unhappy spreads faster than the happy, mostly among family members. Instead of focusing on good cheer, decide how best to use the holiday to express the Christmas spirit which, for those of you with some dysfunction in your families, means finding the best compromise between sharing a holiday together, protecting yourself from bad behavior, and avoiding the songmanship of Mariah Carey.
–Dr. Lastname
My 16-year-old daughter is a good kid, but she’s always been hell on wheels about breaking the rules. I always worry about her, because her father was sick and school is hard for her (she’s very ADD) and it would take very little to get her to drop out. The more I do to make sure she gets up on time, however, like driving her to school when she’s late, the more she misses the boat by always getting one absence more than whatever the school allows, so now I’ve got regular meetings with the principal (she refuses to show up) and neverending special ed plans. She’s really a nice kid and behaves well when she’s staying with her friends, but with me she’s often mean and nasty and swears all the time, and I just laugh it off. Now Christmas is coming, and I’d like her to be able to visit Mexico with a friend’s family, if she can just keep out of additional trouble. My goal is to avoid provoking her into doing more dumb things, dropping out of school, and getting into major trouble.
It’s clear that you love and accept your bad-ass kid, and that’s probably the most important part of any relationship, because non-acceptance is deadly.
You accept her, she accepts that you love her. She just can’t accept being told what to do.
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Posted by fxckfeelings on November 8, 2010
Sometimes asking questions over and over again is a good way to avoid the fact that you already know the answers, you just don’t like them. The answers are probably bad news that require you to live with pain, but by refusing to accept them, you don’t postpone that pain, just force yourself to keep living with the same problems with the added extra of uncertainty and compound pain interest. It’s better to take the answer you don’t want and face the truth bravely, even if the truth is that you’re fucked.
–Dr. Lastname
I take medication for my Obsessive Compulsive Disorder, and every night, when I take my pill, I wash it down with a couple of beers. My OCD takes the form of compulsive worrying about my health, or the possible bad effects of things I’ve done, and it’s partially prevented me from practicing law. I know you’re not supposed to drink when you take meds like this, but the beer helps me sleep, and my OCD hasn’t gotten worse with the booze. Still, I know it’s a bad idea, and while my primary care physician and my psychiatrist have said it’s OK, they seem a little doubtful. At the same time, they can’t point me to any definitive articles on the subject. My goal is to get you to give me an answer that will make me comfortable.
If your OCD is worrying compulsively about your health, and you’re searching for a definitive opinion to help you stop worrying about your health…surely you see how you’re putting the symptom before the horse.
You already know that the comfortable feelings you get from experts’ answers don’t last long; they can seldom stand up to new doubts prompted by afterthoughts, things you’ve read, and the general mental itch, I’ve-got-to-check-things-over-again-OCD feeling.
Comfortable is not an option. WAIT! There is more to read… read on »
