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Sunday, September 22, 2024

ADD 101

Posted by fxckfeelings on March 8, 2010

In my practice, I give patients with ADD a special appointment option. Instead of their taking responsibility for keeping a regularly scheduled appointment (which means they’re obliged to pay full freight, with no insurance support, if they don’t show up), I encourage them to line up for a walk-in appointment which may keep them waiting longer, but won’t cost them a cent if they forget to come. It’s not that I discriminate, I’m just trying to make the best of things. That, to me, exemplifies the best way to deal with Attention Deficit Disorder, both for my patients and as a third party; keep your expectations reasonable, your appetite for shit bottomless, and your shrink understanding.
Dr. Lastname

My roommate calls me the Ritalin vampire, because once my meds run out around 5, I become a different person (or really just a depressed, anxious mess). My mood drops so low so fast, and my nerves become so raw, that I have to drink just to get through the evening and get some sleep. It’s obviously driving my roommate crazy, but more than that, it’s messing up my life—I wake up hung-over, my boss is pissed, I feel sick all the time, so even when I’m not anxious and wired when I’m on my meds, I still feel like shit. My goal is to figure out how to get my ADD under control when the sun is down.

Most Ritalin users don’t have a terrible comedown with severe anxiety every time their meds wear off—what you have isn’t normal ADD, but ADD plus anxiety, plus, probably, alcohol dependence.

The medical term for your three-pronged disorder is a trifuckedta. Surprise, the prognosis ain’t so hot.

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Man Vs. Wife

Posted by fxckfeelings on February 18, 2010

If about half of all marriages end in divorce, then, say, a tenth of marriages end in nothing short of open warfare. In a marital battle, some people fight by keeping the verbal (and legal) bombs flying, others hide face down in a fox hole, but both of those tactics only serve to make the war intensify. A better battle plan is to give up on any control of your opponent’s forces (or feelings) and, without too many words or too little action/open fire or fatalities, figure out what you think is right and calmly begin peace talks on those terms.
Dr. Lastname

My husband always saw himself as the righteous protector of our daughter and, after our divorce, he got into the habit of dragging me into court to force me to pay for some super-costly treatment or schooling that was always no more than a little bit better than what was available for free, but he’d look like a hero to our daughter and the court and the social worker, and I’d look like a miserly shit, and I’d complain bitterly, which just got everyone more on his side, and I was screwed. My daughter bought the bullshit, which meant she and her father shared a tight bond based on hating me, the Scrooge. But I thought the court assaults would stop when she turned 18, until yesterday, when I learned he’s suing me, once again, this time to pay for our daughter’s college tuition, even though she never asked me, she’s over 18, and, with her history of alcohol abuse (and no attempt to get sober), paying for her to go to college without going to rehab first is a waste of money. I think they’re both just scraping the barrel for reasons to drag me into court and I’m getting flashbacks about being raped by the judge. I don’t have any illusion about all of us getting along, but I think it’s fair to want this craziness to stop.

Like it or not, it’s your ex’s legal right to haul you into court at his whim, force you to hire a lawyer, and make you look like a creep. As a reward, you get to give him a good chunk of your savings to pay for something you don’t believe in, to someone who’s out to ruin your life.

Say what you will about justice, but most of the time, it isn’t very fair.

There’s no way you can avoid feeling helpless and outraged, and there’s no shower long or hot enough to make the violated feeling walk away. If, however, your goal is to stop this from happening again by repeatedly venting your outrage, you’ll actually make it worse. WAIT! There is more to read… read on »

Family Frauds

Posted by fxckfeelings on February 4, 2010

If someone’s related to you, there’s no guarantee they’re going to be honest with you, or even honest about you to anyone else. You can try to get them to own up to their problems with anger, eloquence, and/or the help of the court system, but the smarter choice is to stop pushing them towards the truth and hold onto the facts yourself. As long as you’re calm and factual, people can draw whatever conclusions they want and your relatives can stick to their version, but your part in the family affair is settled.
Dr. Lastname

I’m fine now (I’m 14), but I’m trying to figure out how to deal with a crazy father who physically abused me until a couple of years ago—that’s when my mother finally figured out what was happening and had me come live with her. The trouble is, I guess you could say my father doesn’t see reality the way other people do and he never remembers hitting me. In his mind, when he’d hit me, it was because I was trying to destroy him, so what he tells the judge is that he loves me and that my mother is a raging alcoholic who has brainwashed me to hate him (my mother stopped drinking after the divorce, years ago) and he really believes what he says. My goal is to get him to stay away from me and convince others that his version of reality isn’t real.

Kids aren’t the only ones who have trouble accepting the fact that we often can’t protect ourselves from scary crazy boogeymen, particularly when the craziness isn’t obvious, and the boogeymen are family.

We’ve said it here before: certain crazy people are not obviously crazy and are particularly good at persuading other people to see them as injured victims because they truly, truly believe they are, no matter what really happened. It’s a kind of sickness for which no one has the cure, and nobody feels sicker than the victims in the wake of these sickos, who don’t necessarily feel sick at all.

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Out With In-laws

Posted by fxckfeelings on January 21, 2010

In-laws are classically seen as a pain in the ass, but when your in-laws’ offspring becomes your ex, and your own offspring remain, that pain doesn’t go away. Sustaining relationships with exes is hard—especially when those exes are drunk, crazy, and generally impossible—but when you have kids, you’re forced to sustain those relationships, with parents and grandparents, like it or not.
Dr. Lastname

My ex-wife cares about our kids, but she’s always been overbearing and intense, which is why I ‘m very happy not to be married to her now. Her latest rage, in both senses, came from her new therapist, who persuaded her that she’s depressed and has bad dreams because she was neglected and maybe abused by her alcoholic parents, so now she wants our kids to have no contact with them, their grandparents, at any time, whether the kids are staying with me or with her (we have joint custody). Now, I’m not crazy about her parents and they sometimes drink too much, but they never did anything unsafe and the kids love them, so I was shocked to hear from the kids that they miss their grandparents (my wife never informed me about her new policy). I don’t want to trigger a court fight with my wife—I can’t afford it, and neither can she, but she spares no expense when she feels her kids are threatened by the forces of evil—and I’ve got no great wish to put myself on the line for her parents, but I don’t like having her tell me what the kids can do when they’re with me and I don’t think losing their grandparents is good for them. My goal is to send her a message that she can’t control what our kids do when they’re with me and protect the kids from losing their grandparents.

The short answer is, you can’t win a pissing contest with a fire hydrant.

Yes, your ex-wife has no right to tell you what you can and can’t do with the kids when they’re with you, and yes, it hurts them to be cut off from their grandparents, and yes, in the short run it’s entirely within your power to facilitate grandparental visits.

No, none of this matters in the big picture.

If your wife is the kind of self-righteous, crusading, angry asshole you describe her as being, then you have very little power to make things better and many, many opportunities to make things worse.

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Moral No-Ground

Posted by fxckfeelings on January 18, 2010

People get demoralized when they feel they’re not getting what they deserve, be it pain relief or respect. It’s natural to go on strike and either A, start raging against the machine of injustice, or B, go the other way and surrender to a life on the couch in sweatpants and a snuggie. Of course, the resulting fall-out will feel like a side-effect of the original injustice, not a direct result of your tantrum, but you’ll be too high on rage/comforted by your snuggie to understand. Understand this now, before you protest; better to suffer the original injustice in peace than the further demoralization of unemployment, stiff drinks and a blanket with sleeves.
Dr. Lastname

I have a dedicated husband, three teenagers, a nice house, a well-behaved dog—it’s not a bad life—but I’ve had a nagging sadness my entire life, and I still do, despite all the good things I’ve got. I deal with it, admittedly, by drinking a bit. I wouldn’t say I’m a drunk, and my drinking doesn’t interfere with my parenting or my marriage anymore than my mood does, but I know that what I’m doing is self-medicating. My husband wants me to see a shrink because he thinks I should take real medication for depression, but if my drinking doesn’t mess up my life, and if, despite all I have, I can’t be happy, anyway, then I don’t understand what makes one medication better than the other. My goal isn’t to be happy, just to withstand my misery, my way, right or wrong.

I understand that chronic depression, which is what we call “nagging sadness” in the biz, isn’t fun. It can make you grumpy, negative, unmotivated, scattered, and lousy at whatever you’re trying to accomplish.

All that’s excluding the pain, so no wonder it can demoralize you into seeing a negative future for yourself. It’s enough to make you want to turn “what the fuck” into words to live by.

If there was some way to relieve your pain that was risk-free and didn’t affect your other life priorities, that would be wonderful (for you—the aforementioned biz would probably dry up).

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Inexact Change

Posted by fxckfeelings on January 14, 2010

Changing your habits is a lot like changing your physique; it takes a lot of hard work and effort, and after a while, most of us revert to our old selves, which means our habits/fat pants reenter our lives. Still, wanting to change or help someone change is not an entirely dismissable goal, it just requires a lot of will power, patience, and the right degree of responsibility for what you can and cannot control. In either situation, try to eat less fast food.
Dr. Lastname

I love my girlfriend, but I noticed that she drank like a fish at parties and carried lots of credit card debt, so when we began to think seriously about getting married, I told her I needed her to cut way back on her drinking, stick to a budget, and pay down her debt. She was hurt, but since then she’s been doing what I asked, and we’ve been getting along well. What I’ve noticed since then, though, is that she’s lost some of her spark and generally seems less happy. I wanted to help her, not hurt her, but at the same time, I don’t know how we can finally get married if she still wants to act like an irresponsible kid. My goal is to help my girlfriend (or really both of us) without making her miserable.

It’s natural to feel responsible when your words do, indeed, wipe the smile off her face—instead of a diamond, you gave her an earful—but it’s a dangerous way to think because your words are also her best warning against greater pain to come.

So you’re right, there’s no way your marriage will work if she can’t control her drinking and spending, so your real goal isn’t to avoid hurting her feelings. Instead, it’s to protect both of you from creating a family just to watch it fall apart.

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XMAS RSVP

Posted by fxckfeelings on December 21, 2009

Even if none of us has spent Christmas with our entire families, most of us feel like we should help make it happen and feel terribly guilty if we can’t (I just feel guilty for taking their money, but only a little). We have some illusion that the holidays are the time for our criminal or alcoholic or crazy relatives to put their behavior aside, slap on a Christmas sweater, and join their loved ones around the tree and we feel bad if we can’t make the reunion happen, or even let it happen. But fear not, there’s a way to make excuses tactful and blameless without bringing down everyone’s holiday cheer. Gaw bless us, every drunk and lawless one.
Dr. Lastname

Please note: There will be no new post on Thursday, 12/24, due to the holiday. Please continue to write in, however, because there will be a new post on 12/28. Thanks, and happy holidays!

My ex-wife was always a wild outlaw in high school, (I got the kids), she’d show up from time to time, but rarely when she said she would, and you never knew when she’d be high, so the court imposed supervised visitation. I want my kids to have a mom though, but when she no-shows, the kids are crushed. Of course, the kids want to see her, particularly for Christmas, but what they don’t know is that she and her current boyfriend were caught on video robbing a liquor store, so if she’s going anywhere, it’s probably straight to jail. . My goal is to figure out a way to break this to my kids so that they don’t hate their mother (even though I sort of think they should).

You can’t protect your kids from the hurt of loving an outlaw mother, any more than you could protect yourself for falling for her years ago. Telling your kids that she’s a bad person inflicts a worse kind of hurt, because it devalues the love you and the kids have given her (which, as you know, you can’t get back).

Even if you can’t protect them from hurt, you still can and should protect the value of their love for her and whatever is meaningful about hers for them.

To begin with, don’t buy the idea that outlaws are regular people who make bad choices. That’s one of those stupid, false-hope ideas that assumes that everyone has the choice to be good or bad and can redeem themselves by making better choices. It’s sort of a hybrid of Milton’s “Paradise Lost” and Santa’s “Naughty/Nice” list…and it’s bullshit.

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The Gift That Keeps On Giving

Posted by fxckfeelings on December 14, 2009

As Christmas gets even closer, we have to help our readers with even more holiday-inspired, toxic self-reflection. The holidays have the unfortunate tendency to push people to examine and confront their hurt feelings, when really, the best gift they could give themselves is to ignore their feelings and just enjoy their friends, family, and seasonal baked goods.
Dr. Lastname

I consider myself to be a pretty thoughtful gift-giver—I pay attention to what other people need, things they don’t even know they need, their birthdays, their anniversaries, and I usually get it right. My husband, on the other hand, isn’t sentimental at all about birthdays or anniversaries and doesn’t remember them, so he’s a lousy gift-giver and, I can’t help it, it really gets to me. After I knock myself out to get him a good birthday present, he either forgets mine, or gets flowers at the last moment, or thinks of getting me something and then doesn’t follow through. We have a wonderful marriage but every year around Christmas, his lazy, lousy gifting really gets on my nerves (particularly since I can’t help doing a good job with his gifts). It’s humiliating. My goal is to find a good way to address this problem so I won’t resent him this Christmas.

There’s not one, but two good reasons why it’s a bad idea to address the problem of unequal gift giving with your husband, and the first, it’s a safe bet, is that you’ve done it before and it turned out badly. I’m right, am I not? (It’s important for me to be right, given my Harvard background).

You reproach your husband for neglecting your Christmas needs, he gets defensive, tells you how he knocks himself out for you, maybe goes further and remembers the time you didn’t do your share, and then you have to tell him how he got the facts wrong.

Meanwhile, both of you are drifting further away from any spirit of Christmas giving, other than that old staple of gift-giving everywhere, the Christmas Earful.

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You’ll Be Sorry

Posted by fxckfeelings on December 10, 2009

Most of us make a big deal out of apologies, but the sad truth is that “sorry” doesn’t serve as a guarantee of lessons learned or absolution, just a band-aid on our hurt feelings until one party messes up again. For all our emphasis on forgiveness, it’s hardly a virtue, Christian or otherwise, if it requires you to assume that people have more choices than they really do.
Dr. Lastname

My daughter is turning into a petty criminal. She’s getting kicked out of school again, she won’t stop messing around with drinking and drugs, she has unprotected sex, and her boyfriend is probably the guy who broke into our house and stole our TV, though she refuses to believe it. My husband and I have tried so many times to get her to see what she’s doing wrong and steer her in a better direction—we’re our own private “scared straight” program at this point—but every time we confront her about where she’s headed, she says she feels terrible, that she’s sorry, that she never wants it to happen again…and then she gets wasted and everything repeats itself. If only we could get her to understand the harm she’s doing, maybe we could get through to her and turn her around. Meanwhile, it’s killing us. We try to forgive her, but it’s hard. My goal is to forgive her and get her to see what she’s doing to herself and everyone who loves her.

There’s no point in getting your daughter to see what she’s doing wrong if she can’t really stop herself from doing it, and she really, really can’t. You can’t scare straightness into a boomerang.

Regret and remorse will make her feel bad, and you might think that will stop her from fucking up next time. Well, au contraire, my dear unHarvard-educated sap. It’s not fair, but that’s the way it works. You should know that since you’re the one missing a TV.

According to Christmas movies and sentimental parts of the Bible, repentance leads to redemption, but I say, goddammit, that’s just wishful bullshit.

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Passive Attack

Posted by fxckfeelings on November 19, 2009

Unless you’re holding a weapon, getting someone to do something they don’t want to with a simple request is virtually impossible. Even harder, however, is getting someone to do something they don’t want to do by passively nudging them; now both the request and the delivery of the request are so repellent that you’ve guaranteed a bad outcome. Taking a stand isn’t easy, and jebus knows it’s often a bad idea, but when it has to be done, you need to cowboy up and be direct, weapon or no.
Dr. Lastname

Lately, I’ve been trying to get my life together, and part of that is quitting drinking; my fiancé and I are actually getting sober together. The problem in all this is my mother; she lives nearby and comes over often (believing she is providing “moral support” for turning my life around), and, for whatever reason, no matter what the occasion, she brings a bottle of wine as a gift and makes a really big deal about the vintage and how refined it is and all this nonsense. I guess she doesn’t really understand that drinking is a big source of my problems, and both my fiancé and I have dropped hints to that effect, but it’s not getting through, and so, surprise, it’s messing with our sobriety. My goal is to get through to my mother that, while I appreciate her kindness, she’s actually being kind of cruel.

When you decide it’s necessary to get a grip on any powerful hard-to-control behavior, your goal is not to get people to take the hint that they should avoid tempting you. (Hint, hint—you’re being a wuss).

If you’re hinting, it’s because you’re afraid to tell people, straight out, that you’re trying to get sober, and that means that you’re more worried about what they think than about your reasons for not drinking. Your sobriety doesn’t stand a chance; you’re not strong enough.

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