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Thursday, March 12, 2026

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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Home Sweet Home

Posted by fxckfeelings on September 3, 2009

Families share more than last names and lactose intolerance—they also share feelings and physical space. So whether you’re divvying up your attention among parents, or rooms among siblings, or a wheel of brie among brothers, do so with care and caution.
Dr. Lastname

Growing up, my mother and I were very close (dad left, I was her only son). Sure, she would sometimes get very intense about relationships—she gets focused on being close with whoever she really cares about—but I thought, no matter who else was in the picture, we had a strong bond. Now that I’ve started living independently in a nearby city, I expected her to be happy when I come home and to understand that I need to see my friends as well as spend time with her. Hell, I look forward to spending time with her. But the last time I visited home, which was practically the first time since I graduated and moved away, she got badly bent out of shape and I can’t figure out what I did wrong. I didn’t lie around and do nothing or get things dirty and not clean up. I spent some time with her, was considerate. So I was shocked when she told me she was very offended and I shouldn’t visit again unless I was really interested in sharing time with her. My goal is to figure out what went wrong and straighten things out. I love her, but I can’t let her control my life whenever I’m home.

It would be nice if you were an idiot who needed nothing more than a good etiquette coach to straighten out your behavior and mend your strong bond with mama, because then you’d be welcome in your (former) old Kentucky home.

And it would be nice if your mother was having a sudden acute attack of depression complicated by outright and totally uncharacteristic bitchiness which could be expected to disappear once she got treatment and/or lucky. The good news, however, is that you’re probably not an idiot and she’s probably not depressed.

And, if that’s true, then the sad news is that she’s probably got a problem with her character that neither one of you is going to change, and her home will never be yours. So it’s true, you can never go home again, especially when it was never your home in the first place.

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Me, F*ck-Up? No, F*ck You.

Posted by fxckfeelings on August 27, 2009

There are some people who, no matter how talented and smart they are in some areas of life, are totally oblivious to their own flaws and, despite their intelligence, are world class fuck-ups (some of them even went to Harvard). In reality, being a fuck-up is a lot like being a psychopath; if you’ve seriously considered whether or not you’re a fuck-up, you probably aren’t one.
Dr. Lastname

When I met my husband, he was a confident, bright, accomplished guy; he was top of his class, recruited to his firm at a high salary with a great contract, hard working, and all signs pointed to someone who would never have a problem making a living. Over ten years into our marriage, however, I’m seeing a different picture and I just don’t get it. This gifted, bright man is also stubborn as a mule and a lousy listener. I could see he was getting into trouble with his boss at work and I tried to help him, but he wouldn’t listen. Then, when he lost his job, he had big ideas about what he was going to do next, but he wound up finding nothing, and when I urged him to see a job counselor and keep busy doing other things at home, he wouldn’t listen. What I see is a guy who checks the job listings for half an hour every day, fills in a few applications on-line, and then gets obsessed with a computer project like synchronizing a new day planner. We’ve got a kid, we’re out of money, he hasn’t worked in over a year, I’m the only bread-winner, and I can’t get over how angry I am. How can I get him to see that he needs to change his tactics, particularly when I can hardly speak to him without ripping off his balls? Would couples therapy help me get through to him?

I wish I could tell you that your husband’s foot-dragging is caused by anger or fear about you or his parents, or having to be a grown-up, or past sexual trauma, etc., because then a good talk with you and/or a therapist could help him get over his negative feelings and move on with his life. But the odds are that it’s not pent-up feelings; it’s the way he is, and, if that’s the case, therapy of any kind isn’t going to change him, let alone get him employed.

I know, it’s hard to imagine how a sincere, gifted, accomplished guy can become so ineffective…at least at first. But it’s not hard to understand if you watch how people think and learn as they get older.

You’ve probably known a couple people who were brilliant in school but didn’t do well in their careers because they lacked a certain common sense, ability to get along with others, or organizational skills. Many people, of course, have weaknesses like these and learn how to manage them.

Some people, however, are not so fortunate. WAIT! There is more to read… read on »

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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Stop Being Angry, D*mmit!

Posted by fxckfeelings on August 6, 2009

One of the basic tenets of the fxckfeelings.com philosophy is this: you can’t change people. As such, even trying to change someone’s mind by making their anger go away is never a good goal, whether it’s the anger of a naggy spouse or a misbehaving kid. Instead, change your line of reasoning: go back to basics and define the issues for yourself. Then, if you’re lucky, they’ll change their own minds.
-Dr. Lastname

My wife and I are both artists—her painting, me sculpture—but after our son was born, it became clear that one of us was going to have to get a real job in order to pay the bills. I was making more money from sculpting at the time, so she was the one to take the plunge. Her job is actually somewhat creative, and she doesn’t hate it completely, but now that I’m not having as many shows and selling as many pieces, she’s leaning on me constantly to work harder or find a better-paying job. I try to tell her that I’m doing the best I can, but she doesn’t accept that, and if I even suggest that she’s bitter that she had to give up her art and I didn’t, she absolutely loses it. The truth is, I think my career is worth holding on to, but I don’t know how to convince her unless I make a windfall in the next six months. My goal is to get my wife to get off my back.

Never try to get your wife off your back, because that a), implies you’re already trapped underneath her, and b), means you’ll be lying, squirming, and generally pulling all the stops to change her mind/get her to move, which will just strengthen her resolve.

In fact, if you look behind you, you’ll notice you’re giving your wife a piggy-back ride at this very moment. So your goal will wrench your back.

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My Therapist, Myself

Posted by fxckfeelings on August 3, 2009

Like almost every useful treatment, medical or otherwise, psychotherapy can be dangerous, particularly when you rely on your (say it with me now) feelings to decide whether or not to continue. Ironically, feeling good is one of the worst reasons to stay with therapy, and feeling crappy is one of the worst reasons to end it.
Dr. Lastname

My therapist is about to depart on vacation for one month, and I’m feeling f*cking nervous and tense about it. I’d like to know what I can do to make the best of this break in therapy and come back refreshed and ready to start work again when my therapist returns, and also how to keep the unpleasant feelings of missing her to a minimum.

Congratulations! While your question seems like a short-and-sweet query (or maybe a chance to cheat on the classic back-to-school essay, “What I did on my therapist’s summer vacation”) it’s actually a perfect example of the dangers of focusing too much on feelings when you’re undergoing psychotherapy. A+

Look, there’s nothing wrong with enjoying therapy, experiencing emotional relief or a feeling of personal growth, or liking or missing your therapist. Just remember—you’re paying for this and should never forget what you’re getting it for. Or you’ll be sorry.

If you rely on your feelings to tell you whether to continue therapy, you may never have reason to stop. You may continue to like your therapist, find the subject interesting, learn something new, and feel the treatment supports you in a way nothing and no one else does.

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Impervious to Advice, Addicted to Love

Posted by fxckfeelings on July 30, 2009

When women are hooked on the wrong kind of love, they often want advice for the wrong reasons, which explains why sometimes good advice is worse than no advice at all. Oddly, giving romantic advice to friends is sort of like dating itself; if it doesn’t stick after a few attempts, then stop wasting your time.
Dr. Lastname

I’ve given my closest girlfriend the same advice a million times, and a million times, she’s passively ignored me, so I’ll say straight away that my goal is to give advice she’ll actually listen to. The problem she always comes to me with is this (and in her mind, it isn’t a problem, at least at first): said friend is in a band, and because of that, she’s always on the road, and in her travels she meets these guys (either randomly for one night or for a few weeks at a time if they’re touring with her band, that kind of thing), and every so often she falls for one of these guys and wants to find a way to have a real relationship with him, even though it’s logistically impossible in the long term due to the fact they live in one place and she lives in another (never mind that they’re usually too young, too drunk, too full of themselves, etc). I tell her those things, but she insists her feelings (which is what made me think I should write you!) can’t be ignored, that guy-of-the-moment gives her butterflies and she can’t remember being this excited about anyone. It’s only a matter of time before things go horribly wrong (he stops returning her texts/calls, starts being a jerk to her, take your pick), and then she’s sad, tells me she should have listened to me, and wonders why she’s so dumb about guys. I, too, wonder, but I’m sure you’ve got it all figured out.

Instead of asking yourself what’s wrong with your advice because it hasn’t got through to her after a million times, ask yourself whether there’s any hope of her hearing your advice. Ever. And not because she has tinnitus.

Because the sad thing is, when it comes to the thrill of romance, some people are addicted to those “butterflies” and want to embrace that sensation, no matter how many times they’ve been burned. They love love, whether it’s real or phony, and regardless of how long it takes them to recover, or what else they lose while recuperating. Love is blind, your friend is deaf and dumb.

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Family Values

Posted by fxckfeelings on July 27, 2009

When you work at a family business, you often feel obliged to go above and beyond what would normally be expected of you. But if “above and beyond” means your job has forced you into a moral quandary and a double life as a cop or therapist, then it’s time to forget family and get rational. And if you still can’t figure out a solution, it’s time to get a new job.
Dr. Lastname

My family has had a business going back three generations; now my dad’s in charge, my sister and I work there, plus a bunch of cousins, aunts, and uncles. I was looking through one of my client’s files when I saw some numbers that looked off. Going through the records, it became clear that this was a persistent inaccuracy, so I went to my sister, who actually does the accounting. She was really upset I’d come to her—she admitted she’d cooked the books a bit, and hoped I wouldn’t notice—but begged me not to say anything to anyone or be mad, because our father had told her to do it, and said he had a good reason. I don’t want to ask my father what that reason is—even though I can’t imagine what reason he has in mind—but I do want him to stop, because he’s putting the entire business in danger. At the same time, he’s my father, and if I do challenge him, it would really upset him and everyone else in the family. They respect him and would consider it disloyal to question his judgment or put the family in trouble. But wouldn’t going under or getting sued also upset the family? I’ve always believed in doing the right thing, but is it right to confront him and get everyone mad at me and possibly lose my job, or to say nothing and be part of something dishonest? It’s killing me not to have an answer, and that’s my goal.

If you assume that there’s always a good way to do right—that there’s a black and white right and wrong—you’ll often make things worse for you and your loved ones. Simple-minded idealists probably do more harm in this world than all the thieves combined.

The problem with these idealists is that they elevate the peaceful feeling of a good conscience above considering what happens next or whom it harms. If this actually were a simpler world where the only temptations came from destructive or selfish impulses, and all of us really had the same ability to choose between good and evil…well then, that sounds like a very simple, logical place to be. But it also sounds like one nation under Skynet.

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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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