Posted by fxckfeelings on February 11, 2013
For people who suffer from mental (or almost any serious) illness, finding the right course of treatment is a lot like dating; the goal is to find a match that’s steady, provides what you need (even if it provides some minor things you don’t), and gets along with/doesn’t burden your family. The risk of side effects—not side effects themselves, but their risk—is like the risk of wasting time with jerks, unavoidable for almost every treatment, and weighing those risks against the need for treatment and its benefits is what makes medical decision-making tough. Since you probably wouldn’t go for an arranged marriage (or even a matchmaker on Bravo), you shouldn’t assume your doctor is responsible for finding a safe, no-side-effect treatment while you sit back and wait. Nerve yourself to do the research, face the risks involved and then give yourself credit for the required courage, no matter how many medicinal Mr. Wrongs you face along the way.
–Dr. Lastname
I’m glad my wife was finally helped by her third antidepressant, because she’s now a lot less grumpy with me and the kids and she no longer seems touchy and unhappy all the time. The trouble now is that she’s less interested in sex that she was before, if that’s possible, and it leaves me feeling frustrated and ignored. It’s sad, because we used to have great sex and it always brought us together, and now we’re under greater stress than ever and she acts like sex is just more work. I don’t want to sound like her wanting to have sex is more important than her not being depressed, but I can’t pretend her total lack of interest isn’t hard to deal with. Surely there’s a better solution to her depression, so my goal is to help her find it.
I wish I could tell you that the treatments for depression are surefire and reliable, but they aren’t. This is due partly to the mysterious nature of the brain, but also because no doctor worth his or her salt will tell you that any treatment is 100% effective, 100% of the time. Even Athlete’s Foot can be tricky (and also decrease libido, at least for one’s spouse).
That said, finding the medication and/or therapy to relieve depression is especially tricky, so it’s important to remember that whenever you hear the words “this treatment has proven effective,” what they mean is “better, on average, than nothing.” So, unfortunately, there may be no treatment better than the one your wife is now taking, even though it’s the worst for her sex drive. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 7, 2013
As anyone who’s loved someone crazy or addicted knows—or really, anyone who’s watched any non-duck or -storage related programming on A&E—some addicted and/or mentally ill people take too much responsibility for the impact of their behavior on family, and others put too much responsibility on their family for saving them from themselves. In actuality, your job is never to act on your feelings of responsibility until you’ve first observed, and then accepted, what you actually control. The result may suck, and leave you feel totally helpless, but you need never be a slave of guilt when you’ve done what you can with what you’ve got (which is hopefully more than basic cable).
–Dr. Lastname
My wife (we’re gay) has Tourette’s syndrome, anger issues, and a tendency to drink more than she should. I have Bipolar disorder, and an obliviousness to other people’s feelings that is sometimes intentional, sometimes not. My wife and I dated for seven years before we got married, so it’s not like we didn’t know each other’s diagnoses and drama, but most for most of that time I was well-medicated, held down a full time job with benefits, and felt like I wasn’t being my real self. Last summer my anti-depressants kicked me into a full manic break. “God” told me to start collecting camping/survival gear and move in with friends in my home state to work on a civil rights campaign and spend time with my family. We won the campaign, and I got some cherished time with two relatives in their dying days, but I completely f*cked us financially, and ruined my wife’s trust in me. She is adamant that marriage is forever, whether we’re happy or not, and we are going to make it work. I love her, but I’m pretty sure I’m an Asshole, there’s no reason to believe this won’t happen again, and if she doesn’t get rid of me I will ruin her life, whether I want to or not. She wants stability and kids. I don’t think I can provide those things for her. My goal is to reconcile my wife’s expectations with the real limitations imposed by my case of crazy.
As we’ve often said, the best way to know for sure that you’re not an Asshole™ is the fact that you even considered the possibility that you’re an Asshole™. Assholes™ may feel injured, but, since they know it was someone else’s fault, they never feel guilty. Sadly, as a non-Asshole™, you’re forced to feel both.
So just because you’re mortified by what your last manic period did to your family finances doesn’t make you an Asshole™ or a dangerous marital partner, even though that’s the way you feel. It just makes you a good person struggling with a bad illness. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 4, 2013
Even though we now live in an age when communication is technically easier than ever, there are still plenty of people who have trouble interpreting other people’s words; their phone might get a clear signal, but their brain does not. Some people read too much into what others think of them while others are oblivious, but no matter how you tend to misinterpret your fellow man, don’t trust your feelings-skewed understanding until you’ve first looked at the evidence and given time and experience a chance to tell you whether you’re making the right call or dropping it.
–Dr. Lastname
My problem is a lack of trust and a great deal of insecurities. I am suspicious of my boyfriend and of my friends. I feel like everyone had ulterior motives, and I can’t help that being the first thing that springs to mind if someone is too busy to see me, or even if they ask me to do something with them (my thoughts – maybe they feel sorry for me). I feel sorry for myself, when I have no great reason too. My life isn’t so bad. This might not sound like much but to be tormented with it everyday… It feels like much. My goal is to trust and have more confidence in myself and in others.
It’s a mistake to lump mistrustful feelings together with mistrustful actions when you describe yourself as a mistrustful person; lots of people describe themselves as having bad tempers, but not all of them allow those tempers to land them in jail.
As such, if you mistrust your boyfriend enough to dump him for no reason or force him to list the reasons he loves you every day, then you’ve got a serious problem. Not serious enough to be criminal, but serious enough to be screwed.
If, on the other hand, you have mistrustful feelings but have nevertheless found yourself a trustworthy boyfriend and sustained a relationship that works for both of you, then you’ve got a painful syndrome that you’re managing very well; you’re not mistrustful, then, you simply feel mistrust. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 28, 2013
Everyone will tell you that there are valuable lessons to learn from bad experiences, but unfortunately, there are some valueless lessons as well if you misinterpret your misfortune. For example, some people read too much into their painful experiences and become afraid to take new risks, while others learn almost nothing and have to retake the lesson/get screwed again and again. The answer is not to sample your crises like Goldilocks—trying to find a response that is not too much, not too little, but just right—but instead, to ground yourself in values that help you determine what risks are worth taking, what feelings are worth keeping to yourself, and what’s truly worth learning for the future.
–Dr. Lastname
The end of last year I was able to stop taking my anti-depressants after about 4 years. I feel good, my drinking is in control (though I do sometimes feel the old instinct that, when I’m stressed, a drink will help, though after one sip I know it won’t). I’m free of my fear of going outside my apartment or with groups of people. I did see a therapist, which helped me so much, though we never found out what triggered my depression, so I have a deep worry that it might come back. I know there is no point worrying about something that might never happen (I fully believe that its just a waste of time), but I doubt my relationship will survive another ride on the depression roller-coaster as it was nearly destroyed the first time. Also, my partner is concerned as I hope to have kids at some point and my partner has read that postpartum depression is worse if you have suffered depression before. The thought of being ill again terrifies me and I want to avoid that black hole anyway I can. Should I try to work out why I got depressed before? Is postpartum depression something I should be concerned about what the time comes? If I can somehow prepare myself then I’m hoping that if/when depression comes knocking again I might be able to put up a better fight.
After experiencing and surviving the pain and repercussions of a bad bout of depression, it’s normal to fear recurrence, but that fear is often worse than the thing itself; that’s certainly true with depression, as well as heights, spiders, and gays.
In fact, a PTSD-like syndrome of anxiety is common among people who’ve survived such painful and intense symptoms, so it’s important that you pay as much attention to managing the fear of depression as to treating the depression itself.
It’s understandable that you want to figure out a way to prevent recurrence, but reassuring yourself that everything is going to be alright is as misguided as parents’ insisting their kids they can grow up to be whatever they want; whether you’re hoping to rid yourself of depression or reach the major leagues despite being a one-armed girl, the odds aren’t good, so don’t make the mistake of reassuring/promising yourself that it won’t happen again.
In reality, as with all problems, real consolation comes not from putting the trauma out of mind completely, but from knowing that, whatever happens, you survived the first time and acquired a lot of weapons you’ll use to fight depression if and when it comes again.
Of course, fear will tell you that you and your relationship barely made it, but the fact is, you did make it, which is a great accomplishment. Now you’ve found treatments that work and, most importantly, you know that depression is just a bunch of symptoms, it’s not who you are; it wasn’t personal and you weren’t lazy, just unlucky and sick. Don’t get so freaked, then, by the harm a postpartum depression might do to your kids and/or marriage that you forget that child-rearing and maintaining relationships is always risky, and that you have developed good tools for managing that risk.
Yes, you have a chance of having a post-partum depression, but instead of terrifying yourself with thoughts of that possibility, investigate what you can do to decrease the risk. For one thing, you’ll find you can take antidepressants, even while pregnant; their risk of harming a fetus is low and outweighed by their ability to protect you (and the fetus) from its crushing symptoms.
And don’t fall prey to the notion that because medication has risks, it’s automatically unsafe to take, or that you’re weak or dependent to do so. It means you have an obligation, as with any danger, to weigh benefit against risk by sizing up the chance that your symptoms will come back and deciding whether treatment is worth it. So ask your doctors (and do your own research) to inform yourself about the odds of relapse. If they’re high, find out what the risks and benefits are of taking antidepressants as a preventive vitamin.
Instead of letting depression persuade you that you’ll ruin your family by making your partner and children miserable, treat it like any other disabling illness that tests most families, sooner or later, and teaches them how to survive hard times. Get your arsenal ready for fighting the negative thinking that depression both causes and is caused by.
Don’t let your experience make you a depression-phobic; remember how well you handled that depression, take a cue from the gays, and counter that fear with pride. We’d gladly see that parade.
STATEMENT:
“I can’t think about depression without feeling overwhelmed by fear. I know, however, that fear distorts my thoughts and that my experience with depression has made me much more knowledgeable and better equipped to manage it. I will prepare myself and take any reasonable risk that will allow me to stay as healthy and functional as possible, regardless of whether it recurs.”
I don’t see how I can go back to working in my family’s car business because my brother is such a dickhead. I’m broke and I need the work, and my father doesn’t mind if I work there, but my brother and I have never gotten along, and the last time we worked together he was so insulting, day after day, that I finally picked up a tire iron and we would have killed one another if they didn’t pull us apart. I promised to bury the hatchet and keep my mouth shut—as I said, I need the money—but I was back at the shop for barely four hours when he started up again and I had no choice but to punch him in the face. My goal is to teach my brother to leave me alone, so I can work at the family business when there’s no other work around.
Most of us have an instinct to push back when we’re pushed, particularly if the pusher is aggressive and insulting (and a blood relation). No words are necessary and we don’t have to be in a bad mood—all it takes to get triggered is getting cut off in traffic or a dirty look from a spouse. Maybe this instinct helps us protect ourselves from predators by showing them we’re too much trouble to dominate, but more often than not it just makes assholes, inmates, and/or corpses out of everyone.
Unlike the woman above, whose depression has taught her fear and pessimism, you don’t seem to have learned anything from your many fights. Like her, however, your response is based on feeling, not reason, so it’s both about learning from experience, as well as restraining your emotions.
Your brain is obviously wired to fight back, so if someone pushes, you feel obliged to return the favor, even if you aren’t necessarily looking for a fight in the first place. Trouble is, once that instinct gets hold of you, it gives you no choice but to fight, and the results in the real world usually suck for everyone who isn’t a Hollywood hero. Tough guys get arrested, sued, betrayed, beat up by other tough guys, and, like the rest of us, old and too weak to throw much of a punch.
So instead of just following your instinct towards fury, ask yourself whether you want to satisfy that instinct or control it. Sure, satisfying it feels better in the short run but, you guessed it, always ends badly. Controlling it is hard, takes lots of practice, and it’s what the authorities want you to do, which may make it harder for you to decide whether it’s what you want to do for yourself. Until you control that fighting instinct, however, there’s nothing anyone can say that will protect you from endless fights with your brother and others.
Wanting to control it is no guarantee that you can, and neither is therapy. If you decide to control it, you will probably need to work at building your control day by day, one day at a time, like AA, getting religion, or a gym membership. You can call it anger management, but you’d be better off calling it humiliation tolerance and/or finding goals that are more important than insult and injury (like making a living or being a good guy) and reminding yourself about them, hour by hour. The only thing you have to fight is the urge to fight, and the tire iron won’t do you any good.
STATEMENT:
“I can’t stand to feel pushed around and I take pride in being the guy who never starts fights but who knows how to finish them. I know, however, that fighting always ends badly in an unfair world and I have goals that are more important than what anyone says or does to me, particularly if they’re assholes. I am proud of myself for pursuing those goals regardless of how assholes make me feel.”
Posted by fxckfeelings on January 21, 2013
For all the lip service people give to the importance of truth, your average person is willing to work a lot harder to preserve a bullshit notion than admit what’s real, and that’s not just true for college quarterbacks. Depressed people prefer to listen to their rotten emotions telling them a hundred reasons why they’ve failed, no matter how many victories they’ve achieved, and people with bad habits can find a hundred reasons for thinking they had no choice, despite the many avoidable fuck-ups they’ve fucked up. That’s why thinking is better than just believing, so you can follow a simple moral procedure, add up what you’ve actually accomplished given what you do and don’t control, and give yourself good advice, fair judgment, and a break from all the hard work that defending bullshit requires.
–Dr. Lastname
In 2011, I was working two minimum wage jobs seven days a week, trying to cram in a social life while getting over a REALLY bad break up. Eventually, I gave up trying to fix it myself and started going to therapy once a week for 8 months. A year later, I got a better paying job, had free weekends, a new boyfriend, our own flat, an OK social life, BUT I sometimes still feel like it’s 2011 in an emotional sense. I still feel emotionally drained, exhausted, suffer low self-esteem and spend most days trying to not fight with my boyfriend over dishes. I then start feeling bad because I think I am not being grateful for the fact that my life did change for the “better.” I know I suffer from depression– have done since I was about 8 due to having a very abusive father, and long story short, I moved out when I was still in high school (about ten years ago). I thought therapy would help but it seems to have brought other problems to surface. Anyway, my question is, at what point should I stop trying to find happiness and just be happy and what does that even mean? Everyday is very different– one day I feel like buying a one way ticket to anywhere that will have me & leave everyone and everything I have behind, and then the next day I am dancing around the house feeling like I won the lottery. It’s starting to drive my boyfriend crazy but he tries to accept me as I am. So extreme are two days that I am not sure I know how I feel anymore about anything. My goal in 2013 is to stop getting upset/stressing about things that do not help my situation and to learn to relax more and enjoy just being. How do I achieve this seemingly easy task but which to me seems like a very very difficult algebra problem?
While many Christians ask themselves “What Would Jesus Do?,” we often ask our readers to ask themselves “What Would A Friend Say?” While Jesus’s imagined answers are often similar, it’s hard to imagine going out to a bar with Jesus after work and kvetching about your life, so “Friend” seems to work better.
That said, if you told a friend about your struggles—depression, irritability, past-trauma—they would tell you that they’re sorry you’re hurting, but that it’s worth taking time to appreciate all you’ve accomplished, despite what you’ve gone through. Like Jesus, they would not judge. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 17, 2013
It’s often been said that if you want to make god laugh, make a plan, but this is not the case for people dealing with mental illness, mostly because of all the pain you have to accept before you even get to the plan-making stage. If you ignore that pain, you’re a dumb ostrich who will make an avoidant plan, but if you focus too much on it, you develop a ruminative plan and become your problem. So brace yourself for unavoidable pain, prepare to do two things at once, and plan away. Then your choices will take you as close as possible to where you want to be, and your plan, or at least your ability to make one, will make any higher power proud.
–Dr. Lastname
I have a big problem getting myself to study. I do things late and then don’t get good grades, or I don’t get anything done, or I stop somewhere in the middle. I guess I have a problem with concentration and also with laziness. I’ve also done this thing since I was a little child where I turn on music, I sit on a couch or my bed and rock myself, hitting my back towards the backrest of the couch, sometimes it takes hours, sometimes it’s quite quick, like half an hour. I also have quite low self-esteem, not sure what is the reason…I am trying to overcome it somehow but it always gets to me again and I have to deal with it and then I have these days like I do not want to get up—I can’t think of a reason to, and I do not want to go anywhere and I am scared of everything. Sometimes I feel like people are watching me and criticizing me and I don’t want to go to the market because I don’t want to deal with anyone. Sometimes I eat a lot because I am in that crazy mood and I feel bad about it, not because I’ll gain weight (maybe a little bit) but especially because of my health… I criticize myself a lot. I write something or say something and in a while I hate it even if the first impression about it was really good. So… I might be a little bit screwed up I guess… I would be thankful for some opinion or advice what to do with all this.
You’ve certainly got a ton of problems, including trouble concentrating, studying, getting up in the morning, keeping your weight under control, dealing with paranoid thoughts, etc. (but hopefully not memory, because I’d have to think there are even more issues you forgot and left out).
The big question to ask yourself, however, is not what’s wrong with you and to count all the ways, but what you’ve done with your life in spite of these problems. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 14, 2013
When people judge success or failure by the ensuing level of happiness, good guys blame themselves for things they don’t control and bad guys blame everyone else for their own mistakes. Instead of putting your accomplishments on a feelings-based scale, think carefully about what you really can and should control, given your values. That way, no matter if you’re a good guy dealing with bad luck or a jerk who assumes he’s a victim, you can at least feel happy about doing what’s right.
–Dr. Lastname
I wish there was something I could do for my older son (now about 30), but he’s never been happy and I’ve gradually got used to the idea that maybe he never will be, although I’m not sure I’ll ever not feel bad about it. He’s got a job and takes care of himself but, unlike his younger brother, he doesn’t have a girlfriend or a job that he likes. My own belief, and I’ve lived by it myself, is that everyone should at least find work that they like, and then it’s not hard to be happy, but he doesn’t seem close to finding work he likes, and he doesn’t seem to be trying. So I doubt there’s anything I can do to help him, but I thought I’d ask you anyway, because, as his mother, I’ll never feel I’ve succeeded until he finds happiness.
There’s nothing that warms a mother’s heart more than to see her kid smile, but you should also know, by the many good, well-parented, miserable adults in this world, that a good upbringing can’t stop someone from being downbeat.
Your son’s tendency towards misery is not more your fault that it is his; it’s a tough world, genetics has no mercy, and bad things happen. Don’t make those bad things worse then by making him responsible for his inability to get happy and causing you both to feel like losers.
It’s common to believe that one can be happy if they find work that they like, but, like taking good care of yourself, eating right, having regular bowel movements, and most other common sense keys to happiness, that belief is largely bullshit. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 10, 2013
Deciding whom to blame for a problem you can’t get a handle on is easy if you follow your instincts, but instincts should also tell you that a decision made based on intuition instead of thought is probably wrong. In reality, you need to look carefully at whether a person is doing his or her best with what’s actually controllable before deciding whether what’s missing is better discipline or better luck. Ignore your instincts, assess the uncontrollable and you’ll come up with helpful and constructive ideas by looking for facts, not blame.
–Dr. Lastname
I’m in college, and my problem is that I have ADD and even when I’m on Ritalin, I get distracted very easily if something about a course is hard to understand. Then I wind up fucking around, doing other things, spending too much time with my boyfriend, and falling behind. After two or three weeks, it’s too hard to catch up and I don’t want anyone to know, so I stop going to class. A few weeks after that, there’s nothing to do but drop the course, which makes me feel like a loser. I had the same problem in high school, but I’ve never found a drug or dose that’s made the problem better. My goal is to find a better medication or a way to try harder so that I don’t get behind in the first place.
There’s no doubt ADD is your problem, but another problem lots of people with ADD develop over the years of experiencing learning as a painful, humiliating process is avoidance. It came from your ADD, but it’s its own problem, and not the kind they make pills for.
A lot of people with ADD get good at lying to themselves and others about what they’re failing to do and what the consequences are going to be. It started as a coping mechanism, but it’s developed into a pain in the ass. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 3, 2013
Any number of sources, from teachers to parents to inspirational posters featuring wolves, teach us that we should be able to achieve our goals by working harder and feel great when those goals are achieved. Unfortunately, mental illness often trumps these expectations by making it impossible to do certain kinds of work or enjoy the non-working hours that should bring happiness. So, if you’ve got good evidence that mental illness has altered your capacities, despite good treatment, it’s time to change your teachers/parents/wolves’ assumptions about high performance and happiness and identify the other things that matter more.
–Dr. Lastname
My daughter suffers from bipolar disorder, and while I admire her determination to finish college and want to support her confidence, I know that she hasn’t been able to read more than a chapter or two since her illness started 10 years ago. She does fine on courses that don’t require much reading, as long she takes one at a time. Otherwise, she melts down– she can’t do the work, withdraws, stops attending classes, and looks more symptomatic for a month or so until she recovers. My goal is to build her confidence and help her overcome the stigma of having mental illness.
People often think that the measure of recovery after a disabling illness is how much normal function you get back, but when you’re dealing with an incurable illness, “normal” and “recovery” are defined differently.
Pushing yourself harder to meet the old standard under your new set of circumstances is an effective way of meeting your goals, but only if those goals involve making yourself feel like a loser for not being able to accomplish something that’s practically impossible.
True recovery means doing your best to live up to your values, regardless of how well your equipment is working; performance is the means, not the end. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 13, 2012
Given how little we control our own urges, it’s not surprising that we also have trouble controlling our reactions to them, but it is odd how often those reactions are totally wrong. Brains have a pretty good track record with instincts; get thirsty when hot, get sleep when tired, get away when near snakes, etc. When people get urges that are humiliating, however, even when they’re doing a good job of controlling them, they wrongly blame themselves, but when they get controlled by noble urges, even when they’re causing terrible harm, they give themselves a pass. So, however much you love or hate your urges, don’t give yourself a hard time about stigma or anti-stigma. Instead, remember your own moral priorities and ask yourself whether you’re doing the right thing with whatever urges, pretty or ugly, that you got, and to avoid snakes.
–Dr. Lastname
I have yo yo’d with my weight for ever—I was 8 years old when I remember going on my first diet, and I had binged by lunch time. I have seen a psychologist regularly in the past and a psychiatrist more recently, and been diagnosed with a binge eating disorder as well as melancholic depression. I also have a history of being sexually abused when I was a child and required hospitalization once for an attempted suicide (prior to diagnosis) and have been on various anti-depressants. Last year I decided to press charges against my abuser and the investigation is still taking place. This was very big for me as previously I couldn’t speak about or put into words to anybody what had happened to me, but with the professional help over years, could make a police statement. I have managed to get into a healthy weight range many times in the past, but only when on a program like Jenny Craig or weight watchers, and I resent having to do these programs and can’t commit to them after I have done them once, but I can’t seem to stay in this healthy way of life on my own. I am either losing weight or putting weight on– my thought are always around food, what when and where I can eat next. I hide most of my eating from everyone including my husband. I feel like a drug addict and don’t know how to take control of my eating. I do really well in my career and other areas of my life, I just can’t flip this switch that turns me into a zombie when I want to eat. I read everything I can about these disorders, I talk about strategies with my mental health professional, but when the urge to eat takes over I go into a zone that I can’t switch myself out of. How can I stop this pattern?
Having an eating disorder is rough, but it’s even worse if you give yourself a disorder about your disorder, giving yourself a hard time for having a hard time. It’s especially unnecessary given the fact that it’s harder to find someone with complete control over unhealthy food impulses than it is to find a unicorn.
Almost everyone has trouble controlling eating habits, as evidenced, not just by the multi-billion dollar industry devoted to weight management (which, as you’ve discovered, is no silver bullet), but by the fact that very few people get permanent weight control without surgery. In reality, of course, as much as we try to control our weight, more often, it controls us. WAIT! There is more to read… read on »
