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Wednesday, November 6, 2024

Painful Decisions

Posted by fxckfeelings on November 2, 2009

Making the best of ill health, surprise, doesn’t usually feel good; there’s the burden you’ve put on others, and (if you’re caring for someone who’s chronically ill) for the burden they’ve put on you. If you can learn to ignore your emotions and focus rationally on what your life is really about, however, you’ll find that your pain isn’t really what’s important.
Dr. Lastname

I have been basically bedridden now for almost a decade with constant pain and fatigue, and I’m not even 50. I have been diagnosed with many auto-immune diseases, as well as central nervous system disorders that have led to constant pain, and am on a diet of many medications for pain, neurological disorders, and sleep. I find myself asking why bother? I have lost so many years of my life; my “thrill” in life is getting through a grocery trip. My body is weakened and aged, I cannot please my husband, my now grown children see a mother who is weak and sad. Before this, I was an active, involved, strong woman looking forward to a wonderful active life with my husband, and ready to see my children become healthy adults with families of their own. Now I see a life of pain that no medication has been able to stop, the constant craving of sleep, and utter depression.

If your goal was to be have a wonderful active life with your husband and watch your grandchildren grow, you were screwed before you began.

We all wish for a life like that, but the reason I’m open for business is that none of us can make such a life happen, even with a perfect start and wonderful marriage, not in this world. So if you make a goal of wishes like these, you’ll feel like a total loser when uncontrollable things happen, like incurable illness and pain.

A better goal is to find a partner who is sufficiently strong, caring, and devoted to kids so that he will shoulder the load when you can’t and stick around when you’re not much fun to be with. Lucky for you, you’ve succeeded.

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Do Know, Don’t Care

Posted by fxckfeelings on October 13, 2009

Sometimes, knowing is indeed half the battle, at least if you’re talking about where you left your car keys or the answers to a math test. When it comes to tracing the origins of your behavior, however, pinning your temper on dad or your bad taste in men on bad boys isn’t going to lead you to a nicer, smarter you. Knowing why you’re a prick won’t make you better; not being a prick will, regardless of where the fault for your prickish genes lies.
Dr. Lastname

It’s been a tough year (surprise), and so I’ve been a little more quick to anger than I usually am, and I tend to have a few more beers after work than I would normally have. Things with my wife were kind of rough because of all of this, so she told me to see a therapist, and for the sake of my marriage, I agreed, because losing my wife would be the worst thing that could happen. Six months or so ago, my therapist started asking me about my childhood, and it finally clicked that my dad also had a really bad temper, and was also a pretty lousy drunk, but I’d never really thought of him that way, and I’d never really made the connection to my own behavior. My therapist was really pleased at my breakthrough, but here I am, six months later, and I don’t feel any better, and my wife is ready to leave if I don’t stop yelling at her. My goal is to use what I’ve learned in therapy to solve my problems, but what is it I haven’t figured out, why do I keep acting this way, and why am I spending money on therapy if I’m getting nowhere?

Once psychotherapy helps you figure out where your mean streak comes from, you can write an interesting book about it and, usually, blame it on a brutal ancestor and tell Oprah all about it.

What all that hard-earned knowledge probably won’t help you much with is keeping you in check the next time you get irritable and/or drunk. Bad daddy or no, what will help you a lot more is to get sober and learn how to shut the fuck up.

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The Giving Screed

Posted by fxckfeelings on October 5, 2009

While being selfless seems like an admirable quality in the abstract, most of us learn early that people with a thing for giving aren’t actually so easy to be around; it’s hard to have an even give-and-take with somebody who doesn’t fulfill the “take” part of the bargain. Selflessness maybe feel good in the short term, but the more you extend yourself while shutting out (or being shut out by) the other party, the more likely you are to end up with only yourself as company.
Dr. Lastname

I love my girlfriend, and we’ve gone through a lot together; not just living in different cities (which I’ll get to), but also serious health problems. I was there for her for every second of her treatment for cancer, an ordeal that lasted for one scary year, before she went into remission. While we were living together at that point, it wasn’t long after she was in the clear that my father asked me if I could move back to my home city to help him at work—he wanted some help expanding the family business—so I told my girlfriend it would be six months, max, and then I’d move back in with her. But six months have passed, and my dad says the business won’t work without me (although, admittedly, it has in the past), and I don’t think it would be fair to keep stringing my girlfriend along. I love her, but I’m needed here, and I also don’t want to hurt her and be responsible for a relapse. My goal is to break up with my girlfriend and get her to understand it’s the best thing to do.

Some people are born givers; they enjoy giving and, if they don’t think about it, their giving impulses push them closer to whomever needs them most. You might think such selfless givers were saints, regular Ghandi-jis or Mary Poppinses.

In reality—and while most people are loath to admit it—most selfless givers are assholes to everyone but the one who makes them feel most obligated. (Just ask Ghandi’s wife.)

So, my giving friend, I’m going to tell you the same thing I’d advise your ex-girlfriend to say to you: that your goal shouldn’t be to feel better about excusing yourself from your obligation to your girlfriend, but to figure out your own priorities, regardless of your obligations to her, your father, or anyone else.

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Solid Guilt

Posted by fxckfeelings on October 1, 2009

Guilt is an unvoidable part of life—as well as a central motivator of at least a couple of religions—and often the sources of guilt (see: family) never go away. What most people don’t realize is that there’s false guilt and real guilt, the former far more easy to ignore, the latter worth confronting in a meaningful way. Still, while you can’t get rid of guilt overall, there are ways of managing it so that, at the very least, it doesn’t become a holy pain in the ass.
Dr. Lastname

My mother is a drama queen– she thrives on family conflict and gossip and needs to control every step of my life. She has her nose in everyone’s business, talks badly about most people, and also has a violent temper (at 79 years old, she still throws things and flips people [like me] the bird out of anger). Several events happened that finally made me so angry with her that I literally told her off and have cut ties with her for over a year, but during this year I have suffered from terrible guilt and shame for turning my back on my elderly mother. Believe me, I feel better and more relaxed without her constant turmoil, but there are nights that I wake up from a dream where I am shunned at her funeral as “the daughter who abandoned her mother”. I have tried, in the past, to talk sense into her and explain my feelings but she creeps back to her same troubling ways. My goal is to get over the guilt that I feel about cutting my mother out of my life.

Anger is never a good reason for doing anything, and particularly not for cutting off ties with your mother; after all, anger’s a feeling, and you know that’s a dirty word. It’s not that you don’t have good reasons for being angry, just not for letting anger make your decisions.

As you’ve now realized, once you let anger take over, it’s very hard to protect yourself against guilt, which is where your major problem lies now. The only good, healthy defense against guilt, other than drowning your neurotransmitters in alcohol, is to know you’ve done the right thing, regardless of how unhappy you’ve made someone feel or how badly they’re suffering while you’re the one standing watch.

In this instance, unfortunately, you haven’t done the right thing, so guilt has become your master.

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Relative Injustice

Posted by fxckfeelings on September 28, 2009

From having your sister falsely accuse you of stealing her doll to being landed with a deadbeat dad, most people learn early that family is rarely fair. Still, be you the familial accuser or accusee, there’s usually a great risk to speaking your mind; family bonds, unlike bridges, can never be completely burned, so unless you want to be forever tied to someone you’ve tried to set on fire, it’s better to shut up about injustice and accept the relatives you’ve got.
Dr. Lastname

My mother has always been quick to take offense—hear things the wrong way, feel easily hurt, want an apology—and I’ve always been the one to smooth things out and reassure her and, if necessary, tell her I’m sorry. Recently, she got really angry when she heard me talking to a family friend at a party and thought that I was being critical and complaining about her. I told her that was absurd, I didn’t mean things that way and that the family friend didn’t hear it that way. Besides, it’s not the sort of thing I’d say about anyone. But my mom acted like I didn’t realize how mean I’d been. So I spoke to the family friend, who agreed with me, and I asked her to talk to my mom and let her know she hadn’t heard any criticism either, but my mom says she’s just trying to smooth things over. I know this is just how my mom is, but that doesn’t mean that it ever stops making me crazy, and everything about this latest stunt is totally unreasonable. My goal is to get her to see she’s being a nut and get over it.

Freud famously put a lot of emphasis on mothers, and most people assume that “tell me about your mother?” is the first question a psychiatrist asks a patient. My response to that, however, is that I don’t really care about your mother. And even if your mother was my patient, I wouldn’t be able to make her “better.”

You think, if only you could get your mom to stop being a nut, your problems would be over. And hey, if only I could find a way of turning dog turds into solid gold, I’d never have to work again. Alas, turds are turds, and your dreams haven’t come true for many years. Assume they won’t come true now.

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Restraining Disorder

Posted by fxckfeelings on September 21, 2009

In difficult situations with difficult people, we’re often tempted to turn to the law for help, hoping that the authority of police or the court can set things right and not asking ourselves what is really likely to happen next. In many cases, if you’re dealing with raw feeling, going to the cops or court brings in a whole new wave of complications and misery. So, as we always say, when cornered by a crazy person, act as you would if under attack from any wild animal; lie low, play dead, and just hope it loses interest and goes away.
Dr. Lastname

I dated this guy years ago—only for a few months, nothing really serious because he seemed kind of weird even then—and he’s been harassing me ever since. Six months after I broke up with him, he wrote me a bunch of emails and left a ton of voicemails saying he wanted to know what he did wrong, that we should be together, and I did talk to him once just to tell him I was sorry but it was over and he should move on. He told me once that he was bipolar and I was sorry for him—he had seemed very normal then and I thought maybe his family didn’t like his eccentricities, which I thought were charming—but his messages seemed intense, illogical, and angry, and I started to worry. Then, six months after that, another bunch of emails and messages, this time more menacing, so I told him resolutely never to talk to me again. Just recently he started again, but this time the messages were actually scary—he threatened to kill me if we couldn’t be together. He said he felt broken inside and that he wanted me to feel the same way so that I’d understand him and then we could be friends again. Basically, I want to know if I need to get a restraining order against this guy—I’m really scared, and if anyone ever deserved police protection, it’s me. On the other hand, if he’s dangerous, maybe he needs to be put into a hospital and that’s something the police should be able to do. My goal is for the police to do something to protect me and, I hope, him.

In a fair and reasonable world, it would be easy for the police to lock up people who become temporarily dangerous because of mental illness, and doctors would be able to cure them. Unfortunately—naturally—that’s not the world we live in.

Unless someone is overtly dangerous in a way that is immediate and unequivocal—they’ve recently written threatening letters, or said something scary to a reliable witness, or can be expected to act aggressively when interviewed by the police or an emergency room clinician—they’re not going to get hospitalized. That’s the way our laws work for involuntary hospitalization.

These laws seem to do more to protect the accused than the alleged victims in that they protect the individual’s right not to get locked up for being different. In reality, they’re often worse for the mentally ill people they’re intended to protect, because they prevent them from getting treated for an illness that is killing their brain cells and ruining their lives.

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Medication Under Consideration

Posted by fxckfeelings on September 10, 2009

No matter what your illness, medication should never be your first option for treatment. Everything you put in your mouth, from aspirin to spinach, has risks attached, so you should always proceed with caution before you add chemicals to the mix. Then, once on medication, most people are eager to get off it as soon as possible, but that has its own set of risks, as well. If you make your health the first priority, then the choice of whether or not to medicate won’t become risk-free, but it will become clear.
Dr. Lastname

Before I got treated for depression, my marriage was rocky, but not doomed. I would be irritable and lethargic, which was tough for my husband to deal with, but mostly he was concerned and caring, and he was glad when I decided to get help. Now I’m taking medication, which has helped a lot in stabilizing my moods and keeping the black clouds away. The downside is that my meds have also, surprise, made my sex drive disappear, and this is doing way more harm to my marriage than my depression ever did. My husband isn’t a creep—he’s put up with a lot, and has always been supportive—but I can tell that there’s a distance growing between us. It’s different now that I’m the same old me but not interested in him physically, as opposed to a crying mess who wasn’t interested in him but also couldn’t get dressed in the morning. Is there anyway to not be depressed and not be libido-less? My goal is for both me and my marriage to be healthy.

Equating a happy marriage with a lusty sex life (as does every magazine in the supermarket checkout line) is dangerous, because it directly links the state of your union to something you don’t actually control.

If you could control it, you wouldn’t be writing to me in the first place. More than that, the fact that there are so many sex therapists should tell you how limited your control is (as is theirs).

That’s what the word therapy means in ancient Urdu: doing something that may or may not help for a problem you don’t control but think you should. And if therapy fails, then you’ve got a bad marriage because you’re libido-deficient.

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All Apologies

Posted by fxckfeelings on September 7, 2009

We all want someone to be sorry or grateful when our feelings are on the line, but, feelings and people being what they are, it’s sometimes worth ignoring our emotional needs to hear a few simple words. Apologies and gratitude carry a lot of emotional currency, but just like regularly currency, they need to be genuine to be worth anything.
Dr. Lastname

I don’t fight with my adult son, but it’s because I bite my tongue. When he’s working as a doctor he’s very professional and well respected, but he’s basically always been very moody, and when I hang out with him for more than a few hours, I often run into a big dose of real nastiness. He’ll look sour and complain that I want him to do something he really doesn’t want to, or that I should have gotten him something, or that he doesn’t want to go out to dinner and I should go out alone. He’s rude and grumpy in a way that he would never be with a friend. When he was an adolescent, I wrote it off, but he hasn’t changed at all. Afterwards, he never admits that he did anything wrong. No wonder he doesn’t have a girlfriend. My goal is to get him to see that he acts like a shit and get him to apologize.

It would certainly ease your pain if your son were to apologize, but a solicited apology is about as helpful as unsolicited advice; it’d merely be a response to your feelings rather than a genuine realization that his behavior is out of control and bad for him.

So far, that’s eluded him. Making him say he’s sorry for it is not the same as making him be sorry for it.

And you should always remember the dark, demonic side of nice people who get nasty sometimes; even when they’re sorry, the next time they feel bad, they want to hurt someone. It’s particularly tempting to hurt someone who says “ouch, you’ve really hurt my feelings,” because that’s like remarking to a hungry bear that you feel really delicious that day.

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Retroactive Relationships

Posted by fxckfeelings on August 17, 2009

As Yogi Berra once said, “It ain’t over ’til it’s over,” and while that’s surely the case for the current Red Sox season, it’s also true about relationships. Due to anything from a shared possession to a shared child, couples often end up tied together when they’re not together anymore. For those couples, they have to tread even more lightly now that they’re apart, or, when it comes to conflict between exes, it will be deja vu all over again.
Dr. Lastname

After my husband and I got divorced, I started going to a therapist, because I was really leveled by the whole experience. Plus I worried I was facing a custody battle over our son, who was only five, and wanted to make sure I kept it together for him. Ultimately, custody went more smoothly than I expected (my son lives with me over the school year and spends summers and some holidays with his dad), and my ex and I are on civil terms. To make a long story short though, in talking to this therapist about my ex and his odd family (with whom he spends lots of time in the summer), the therapist asked me if my ex-husband had ever talked about being molested—the family behavior I described as odd, on top of my ex-husband’s own quirks, seemed indicative of a pattern of abuse. I got up the courage to confront my ex about it, but he shut me down pretty fast. The problem is that he has our son with him and his family, and I’m worried absolutely sick, but there’s nothing I can do. I’d like to help my ex in a way, but my goal, really, is to do what’s best for my son.

Let’s imagine, just for the sake of argument, that your ex-‘s family is eccentric but not abusive. You push your ex-, he tells his family, they’re all offended and can’t talk about you without snarling with anger. Now they’re not just eccentric, they’re enraged.

Then, your son picks up on the vibrations and starts walking on eggshells with everyone, including you. That’s how dangerous it is to try too hard to protect your son from abuse; declare war on those who threaten him, and he could be your first casualty.

A better goal is to do whatever you can to protect him from abuse while also trying to protect him from the potential conflict an allegation will trigger. It’s certainly a fine line, and you must be able to tolerate fear and uncertainty to walk it. You don’t really have a choice, because the alternative is worse. And, anyway, it’s part of your parental job description.

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Helping The Needy

Posted by fxckfeelings on July 23, 2009

In business negotiations, the best way to get what you want is to offer the other person something they want, respectfully. In families, on the other hand, people negotiate by being emotional, desperate, and needy, which is why the women in these two cases need to learn the business, and fast.
Dr. Lastname

I’ve been a teacher in the public school system for a long time, but in recent years, with this “teaching the test” nonsense, I’ve felt less and less appreciated for what I do. Now that an administrative shake-up has replaced anyone knowledgeable about education with empty bureaucrats who treat me like some uncertified graduate student, I’m desperate to retire and save myself from what’s become a daily indignity. My husband knows how much I want to stop teaching—he’s heard about my deteriorating job for a while now—but he’s facing a lot of restructuring at his own job, so he’s not very supportive of my decision because he’s worried about where that will leave us financially. I know that’s a reasonable response given he might see his salary get reduced (or disappear), but no matter how rationally I assess the situation, I still resent him for not supporting me, and then I feel guilty for expecting his support when he has worries of his own. My goal then, as I see it, is to get him to understand that I’ve really, really had it with this job and that I need to get out and that he should be giving me emotional support right now, because I’m about to lose my mind.

Look at the disaster you’re setting up by going after your husband’s understanding, but, at the same time, scaring the shit out of him about your economic security. There’s the concept of the carrot and the stick—this is the stick and the mace.

Let’s assume he’s much kinder and smarter than the usual hubby, and doesn’t lay a guilt trip on you about who’s been working harder/who most deserves a rest right now/why the hell do you think you can start to ease off when he has to double his pace just to break even, blah blah blah.

Even then, it would take an inhuman saint to be so calm about your troubles (and their impact on your mortgage payments) not to respond with, “well, dear, we need to think this through,” rather than “I’ll do whatever it takes to make you feel safe.” Not the way you’re framing the argument.

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