Posted by fxckfeelings on June 7, 2010
Most people panic if their mental health goes south, and if/when they find a doctor to help them recover, they assume that treatment is a mystery about which doctors know best. If you’re in that situation and disagree with your doctor’s decisions, don’t act like a helpless child challenging an all-knowing parent. Learn what you need to know to make well-informed decisions and stand by them, whether or not your doctor agrees. It’s the best way to cure yourself of panic, and it makes refuting your doctor’s advice a discussion between equals, not a pleading.
–Dr. Lastname
My psychiatrist thinks I should increase my medication, but it already makes me sleepy and has caused me to gain 10 lbs. If anything, I’d really feel better getting off it entirely, because I hate being dependent on it. For the time being, I know I need it, because I’ve barely recovered from my last depression, but even thinking about increasing the dose makes me feel depressed. I’ve seen this doctor throughout my entire illness and she’s been very good with me up to this point, but now that I don’t agree with her I don’t know what to do. I don’t want to have to take more medication.
It’s much easier to have an agreeable disagreement if you’re not pushing someone with your emotions; after all, lawyers use evidence, not tantrums, to win a case.
Still, it’s hard not to push with your emotions when the issue is personal and scary. Unfortunately, you don’t have a choice.
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Posted by fxckfeelings on May 27, 2010
True love isn’t the kind of thing that brings two people together in perfect harmony, at least outside of “The Princess Bride.” In our world, it’s what happens when life makes perfect harmony impossible, and two people find a way to step around the bad parts and hang onto the good. Inconceivable, but true.
–Dr. Lastname
I don’t want to break up with my girlfriend, but I know that I can’t really be with her, either. We can’t live in the same city, for one thing, because I have a grown child, grandkids, and a business I rely on and can’t move. She and I first met in college, but drifted apart, then married other people. We have great chemistry and I’m really happy that I found her again and could recapture part of what we once had; we talk every day, visit monthly, and I get along with her kids and family. The problem is that we can never live in the same place, and I know how much she wants a live-in partner, and I’m sure that, as she realizes our relationship can’t go forward, she’ll drift away. My goal is to keep our relationship from falling apart for the second time in my life, but I don’t know how to do it.
You’ve got a girlfriend you’ve known for decades whom you still love, accept and want to see. If that isn’t success, I don’t know what is. Seriously.
Yes, for various reasons beyond your control, you can’t live in the same city, and there’s always a chance that she’ll find someone who can and he’ll steal your true-love away. There’s also a chance Megan Fox will call you up and ask you out, but I wouldn’t plan your life around it.
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Posted by fxckfeelings on May 20, 2010
Writing looks easy; after all all you need is pen, paper, and maybe a table at Starbucks. Then there’s inspiration and an interesting topic. Plus a fully functioning brain, a supportive audience, and, of course, shitloads of luck. Oh, and a trust fund. It’s no wonder then that writing and depression dance a delicate pas de deux with one another, and that torturing yourself for not “succeeding” as a creative mind is a pretty useless, uncreative punishment.
–Dr. Lastname
I’m an older woman with two advanced degrees in creative writing (one from Iowa, la di da). My career, on the other hand, hasn’t risen beyond doing commercial writing, be it technical or ad copy. I get published in small journals here and there, but after my first novel got a handful of rejections, my agent dropped me, and I haven’t been able to finish another novel in order to get a new agent and sell the first. My limited number of published pieces has also made it hard to get a teaching job, even though I got degree number 2 specifically to enter academia. So now I’m stuck working in advertising, and while it’s a good steady job that pays well, it still kills me a bit inside. Nevermind that I’ve absolutely struggled with depression my whole life, and while I take a handful of medications to control it, it’s just an added level of difficulty. Nonetheless, with my illness under control but my dream still very much out of control, my goal is to make this job work so I can settle and maybe even be happy.
You could say writing is a stupid career choice, given the unlikelihood of making money, and that academia isn’t much better, given the current job market. It’s as stupid as counting on a career in the NBA because you’re good at basketball.
The truth is, a large part of being a writer isn’t a matter of choice; it’s who you are, and trying to find a life that fits. It’s not so much a bad choice as a bum calling, with inspiration necessary but never promising to come when called.
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Posted by fxckfeelings on May 10, 2010
Everyone wants a feel-good, look-good family, but most of us relate to the more familiar feel-bad families on TV (which look good, and feel better by the end of the show). Still, there’s a difference between your average dysfunctional family unit and your genetic/step-parent clusterfuck. When your family situation is in truly bad shape, you’ve got to be tough enough to accept what you’ve got, then focus on making the best of those impossible relationships, outsider opinions be damned. Unlike those TV families, real problems don’t get solved after a half-hour, not everybody’s pretty, and you have to ignore your ratings with the audience.
–Dr. Lastname
I need to stay married because, while I work a pretty demanding job, my wife stays at home and watches our two kids, whom she adores. The problems are, however, (and there are many): she doesn’t work because of a migraine disorder that’s so debilitating that she’s on disability, and she takes too many non-prescription pain pills for those headaches, and, while they don’t make her a bad parent (I know the kids are safe), they often make her, in your words, a really needy, grumpy asshole and an impossible woman to be married to. I never know when she’s going to kick me out of the bedroom, scream at me in front of friends, or nod off after dinner. Needless to say, she won’t try marriage counseling or cutting back on the pills and thinks I’m bullying her if I suggest we have a problem. I can’t leave her, because it’d break the kids’ hearts, plus, like I said, she provides childcare, which is not something I could afford on my salary, and if I lost custody of the kids, I’d be in a worse hell than I am now. I know I can’t leave, but I don’t think I can live like this much longer. My goal is to find a better way to survive.
You’ve got good marital reasons for staying vs. leaving (the kids, the kids, the kids, and money, but also, the kids). There’s no escaping the fact, however, that her headache is infectious, and you’ve got it, too.
You’ve obviously built up a good, solid tolerance for living with your wife’s problems without fighting all the time, and your values and perspective are great. Which is why you probably already know that your goal is impossible.
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Posted by fxckfeelings on May 6, 2010
New technologies and the breakdown of old conventions have created more sexual opportunities and freedom, but really, the basics haven’t changed. Being of clear and honorable intentions might seem old fashioned, but the misguided lust, loneliness and guilt that can taint those intentions are downright Biblical. New conventions just mean new rules; just because love feels chaotic doesn’t mean relationships should be.
–Dr. Lastname
Last fall, I started hooking up with a girl who’s been a friend of mine since freshman year. It wasn’t anything serious, just your average friends with benefits deal, and neither one of us ever talked about her being my girlfriend or anything “real.” What I never knew before though is that this girl gets really depressed, and when she got really sick this winter, I was there for her because that’s what I’d do for any friend, whether we’re hooking up or not. She’s better now, but I’m kind of confused as to what’s happening between us. Sometimes I think I want to be her boyfriend, but I’m not sure I’m really that into her, and I don’t think she wants that from me, and at this point everything’s just really awkward and weird. I just want to know where we stand, or what I should do.
People often choose to be “friends with benefits” (FWB) because it seems easier than committing to a relationship, but don’t be so sure.
Having a FWB is like playing a fretless guitar that seems to offer musical freedom, but is actually more likely to produce noise unless you really know what you’re doing. In other words, don’t attempt a FWB situation unless you’ve learned what the rules are and can stick with them. It’s not for those who haven’t mastered their instrument.
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Posted by fxckfeelings on May 3, 2010
Poor, well-meaning, dedicated therapists and the patients who love/destroy them. After all, it’s enticing to let someone persuade you that you’re their guardian angel and the only therapist that can help. It’s a fun ride for everyone, at least until you realize that you’re responsible for something you don’t control, and they’re even less responsible than before for dealing with reality as it is. While this is a shrink-based site, we are the first to admit that therapists are not perfect people, especially when they get in in their heads that they actually are.
–Dr. Lastname
I have a 30-year-old patient whom I’ve been seeing in weekly psychotherapy for 6 months and he had a terrible history of sexual and physical abuse and years in state care. Amazingly, despite all his trauma and several prior failed treatments, he settled into a trusting relationship with me. He tells me I’m the first person he’s bonded with, and he’s been able to stop using cocaine, and, for the first time, sees some hope for himself. The problem is that he just got a new job, and I’m not covered by his new insurance plan. He wrote me a letter telling me how much he feels his recovery depends on continuing the treatment we’ve started and I feel professionally obliged to put his welfare ahead of my financial needs, but I’d like to get paid. My goal is to do right by my patient, and not trigger the feelings of abandonment that underlie much of his negative behavior, but I’m not sure how long I can afford to see him for nothing.
There are many therapists who believe the best thing you can do for a troubled patient like this is to “be there,” providing the steady acceptance and secure relationship that they need for healing. I’m not one of them.
The sad fact is that the healing power of currently available treatments is vastly over-rated and a good example of false hope and the harm it can cause.
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Posted by fxckfeelings on April 26, 2010
Bad habits are rarely personal—your average nail-biter doesn’t have a cuticle vendetta—but when one half of a marriage gets into bad behavior, even if it has nothing to do with his/her spouse, it’s hard for the other half not to blame his/herself. Women want to discuss the bad habit, men quietly stew, and either way, something impersonal feels like an affront. There’s no escaping the pain when a partnership starts to break down, but you can find ways to talk about bad habits without implying that anyone has failed, or doesn’t care, or just plain bites.
–Dr. Lastname
My husband and I have two kids, we both work hard, and he always used to find time to play with the kids and spend time with me, but in the last few months, he’s buried himself in online poker in the evenings, and the kids see a lot less of him (I do, too, and it’s been a long time since we had sex). He tells me there’s nothing wrong and that he’s not betting with real cash, but I know what I see, so I’ve told him we need to talk, and that’s what’s really infuriating, because then he won’t talk at all. My goal is to figure out why he’s stopped caring about me and find a way to get through to him.
You’re assuming there’s something bothering your husband that you can figure out and communicate about, because that’s what would allow you to fix things; that it’s not the poker that’s really the problem (or the not being poked).
Before you sit him down and try to take him away from the e-poker table, ask yourself what happens if it doesn’t work, which it often doesn’t, and clearly, in your case, hasn’t.
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Posted by fxckfeelings on April 15, 2010
While Shut Up! Week began with us doing the up-shutting, it concludes with the more fun exercise of instructing others when they can utilize their own “shut up!” skills. After all, a friend might want to help you, or you might want to help a friend yourself, but sometimes the best thing you can do to help someone is get them to keep their mouth closed. And with that, Shut Up! week shuts down.
–Dr. Lastname
For years, I’ve talked to a friend of mine about my problems who’s also a counselor, and during that time, he’s urged me to seek professional help. I used to brush off that advice, mostly because this friend lives in another city and only ever really talks to me on the phone when I have problems, but in the last few months, I’ve begun to consider taking his advice. I don’t know what to say when I call to make the appointment, however, because I haven’t the faintest how to explain the unknown in my head (which is the main issue that frustrates me). I want to scream, but don’t know why or what. Do you have any advice as far as how to ask for help when I’m not sure what I’m really asking help for?
Remember, funny feelings in your head cause fear, which causes funny feelings, which cause fear, which create a spiral that will flush you down the toilet of needless worry. The first thing to do then is shut up and think about whether you need help.
If you’ve had funny feelings in your head for years, they’re not about to kill you; they’re not telling you to kill yourself or anyone else, and they’re not annoying you to death. WAIT! There is more to read… read on »
Posted by fxckfeelings on April 12, 2010
Discovery Channel always does well with its sharks, so this week, we’re going to try cases that are variations of the theme of “Shut up!” In many ways, sharks and “shut up” have the same effect on people, be they swimming in actual water or metaphorical self-pity; it’s painful and humbling, but if you come through your confrontation intact, you feel indestructable. Now, if you please, shut up and read.
–Dr. Lastname
I’m a 58-year-old gay man and it’s a long time since life has been any fun. I’ve been single for some time (with no real prospects of a relationship), my friends don’t seem to have time for me, and at the end of a hard day’s work running my own business, I’ve barely broken even and have nothing to look forward to but spending the evening alone. That’s when the depression closes in and I can’t stand living. I write all this because I know that I’m a miserable failure, and that facts, not depression or any other mental illness, are behind my reasoning. I mean, when I tell my few close friends how I feel, they tell me I’m being too hard on myself, but if you’re almost 60, alone, and a financial mess, doesn’t that mean you’re a loser? My goal is to be real about myself.
Sounds like your goal isn’t to be real about yourself, it’s to be mean to yourself because you’re in a bad mood. If you were to reread the above paragraph when your mood wasn’t so shitty, you’d see your treating “facts” with the same care as Bill O’Reilly.
So, to quote Bill, Shut up, I don’t want to hear it. You wouldn’t talk like that to a friend, or even probably your worst enemy, so don’t do it to yourself.
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Posted by fxckfeelings on April 8, 2010
Many jobs, especially those involving leadership or sales, depend on making a good impression with the public. The risk is becoming so focused on public reaction that you end up like Ed Koch, asking “How’m I doin?” with such frequency that you lose track of exactly what you’re supposed to do (aside from getting people to curb their dogs). Most public jobs, however, involve lots of duties that only make an impression when done very poorly, so success can’t be defined by accolades, and you’re the only one who knows best. It’s up to you to be your own best judge before you end up so hungry for approval that you get stuck in deep dog shit.
–Dr. Lastname
As rabbi of a medium-sized temple for 10 years, I’ve enjoyed a good relationship with my congregation and I love the work. My problem is that I rely on the temple Board to decide whether I get a raise, and, during the last recession, there wasn’t one because everyone felt too poor to pay more dues. When, recently, I began looking at what rabbis of comparable congregations are making, however, I found that my salary is well below the mean, so I’ve been wondering how to become more active without appearing to be greedy, selfish or unresponsive to the problems of the congregation. One way that occurred to me was to do a “360 degree review” and ask everyone to give me feedback on how I’m doing, including the congregation, the board, and people who work for me. My goal is to get a high approval rating and use that to get a raise.
Unlike the woman earlier this week who was too afraid to rock the boat by asking for a raise (until anger made her want to torpedo the ship), you’re inhibited by guilt, empathy, and that certain Jewish ne sais quoi.
Still, no matter how tempting it is, don’t ask the congregation to clap if they think the rabbi deserves a raise. You’re a scholar and a leader, not Tinkerbell.
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