Posted by fxckfeelings on August 11, 2011
Whether or not it’s more blessed to give than to receive, both activities are loaded with lots of potential punishment, particularly if you feel unworthy and/or poor to begin with. If giving is necessary to make you feel worthy, you’ll end up a good-hearted sucker, and if being given to is the only thing preventing you from living in a trailer down by the river, you’ll end up in a black-hearted rage. There’s no need to feel bad about giving or receiving if you feel proud of who you are rather than how well you’re doing. A healthy perspective is the best blessing of all.
–Dr. Lastname
My friends tell me I’m too good to my ex-wife because I always take care of her when she’s in town by giving her a place to stay, feeding her, and tending to her medical needs. Even our kids say she uses everyone, promises everything, and gives back nothing, and, after many years of marriage and an equal number divorced, I know they’re right. I argue back that it’s not smart for me to antagonize her after she’s promised me half the estate she inherited from her dad, but they tell me that she never keeps her promises and she always figures out a way to blow her money on impressing new acquaintances and going on shopping sprees. My goal is to find ways to protect myself and maybe satisfy my friends’ concerns without fighting with my ex- and maybe losing her bequest.
God bless the giving people of the earth—kindergarten teachers, foster parents, 02% of psychiatrists—but I’ve said many times that, no matter how saintly their exterior, the givers’ biggest recipient of generosity is often their immediate feelings.
Let’s face it, giving feels good (partly because it offers peace of mind to the persistently guilty), and that means it’s bad, at least under some circumstances. Giving too much, like any source of good feelings, is dangerous to you and detrimental to the object of your charity. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 8, 2011
Funny thing about fuck-ups—“fucking up,” despite being their specialty, is their least favorite topic of conversation, probably because they haven’t joined the honorable brotherhood of fuck-ups by choice. I know, life is supposed to be all about choices, but it’s actually about the choices you make about the things you have no choice about. Assume that most people don’t like to fuck up, figure out what their limitations are, and your conversations will become fuck-up-free.
–Dr. Lastname
I can’t understand why my colleague has become such a sloppy teacher. She’s smart and well-trained and relates well to people, but it’s become common knowledge in our department that the kids don’t like her and complain that her classes are disorganized and have very little content. Maybe she’s decided that her part-time sales job is more important than teaching because it makes her more money. My goal, if she’s really decided that teaching isn’t important, is to avoid discussing the subject with her and talk about other things when we hang out. Does this make sense?
People always interpret one another’s inexplicable actions as if they’re the result of choice, rather than, well, inexplicable. The reason they call them stupid decisions is because intelligent forethought was never part of the equation.
It’s upsetting to see your friend and colleague do a bad job, so you assume she’s doing it because she chose to commit her time elsewhere, where the money is. Sadly, you’re probably inflating her grade. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 11, 2011
Some people feel compelled to solve other people’s problems by telling them what they did wrong, figuring that shame and the power of truth will get them to correct their mistakes. The truth is, the only thing shame motivates most people to do is sulk and make even stupider decisions. Instead, admit that most problems don’t actually have solutions, then be positive about the options that do exist. If you insist on piling on harsh truth, the real shame will be that you didn’t take our advice.
–Dr. Lastname
I can’t figure out how to keep my daughter from falling into a depression. She’s a fine young woman (she’s 30) and was doing well until she got laid off, through no fault of her own. What worries me is that, whenever she doesn’t have school or a job to do, she gets into a funk, has trouble getting out of bed, starts to wonder whether she has skills that anyone will want, gives up her job search, and becomes depressed and immobilized. She got some treatment once, but it didn’t help much. What got her going in the past is that she’d eventually move to a new place and start over, and that worked. My goal is to help her avoid the meltdown and the need to re-locate every time her job fails.
Before trying to help a depressed person, remember—avoid sounding critical at all costs. They might deserve it, but they’re already dealing with an incredibly harsh, vocal critic who happens to live in their heads.
Don’t accidentally give advice that adds to that chorus, because you’ll just confirm what she already thinks of herself and make matters worse.
The usual way to develop a positive line is to concede the negative; tell her you think she’s prone to self-criticism and depression, because she is. Just don’t tell her to “get help.” WAIT! There is more to read… read on »
Posted by fxckfeelings on June 23, 2011
If treatments were always beneficial, and people were always rational, and life was always fair, it would be easy to figure out how much help a person needs. Unfortunately, treatments often poop out, and people often embrace or reject treatment for the wrong, often irrational, reasons, and life is just a cruel mess. So deciding how much real, imperfect treatment to use in real, imperfect situations requires courage, acceptance of your limitations (and those of treatment), and the conviction to tell the unfairness of the world to go fuck itself, you’re going to keep trying, anyway.
–Dr. Lastname
Although I’m usually a big fan and praise your blog endlessly, this recent post [“Helping Head,” 6/17/11] isn’t a “like.” Eating disorders are treatable to full remission. In fact, the pervasive idea out there that people just struggle endlessly and that treatment doesn’t really work is self-fulfilling and even dangerous. Please consider re-considering. There’s new science on this!
Without irony, I can say that treatment for eating disorders is effective. In other words, I agree with you, except that the word “effective” has a hook in it.
“Effective” is the word most favored by drug companies because it implies no guarantees, solutions or cures, just that the treatment in question produces results that are better than no treatment at all.
Unfortunately, it does not mean completely effective, or effective for everyone, all the time. (And it also may cause dry mouth, constipation, etc., etc.). WAIT! There is more to read… read on »
Posted by fxckfeelings on May 16, 2011
Couples, like sports teams, tend to react to one another with reflexive reactions that bypass the higher centers of the brain in order to better facilitate working together as a unit. It takes no more than a look or an innocent question, however, to put you on the defensive before you know what you’re defending against or the harm you’re going to do by responding so fast. Then you’ve got an error against you and a very angry fan base (even if it’s a fan base of one). Instead of pushing for resolution, take a solo time out, rethink your strategy, and sooner or later, you’ll both be back in the huddle, figuring out your next move together.
–Dr. Lastname
I hate it when my husband and I squabble over something stupid, and then he falls silent and stops communicating, and it’s like he’s left the room. It drives me crazy. It’s true, I’m not thrilled about doing his bidding when I don’t have the time, or when his requests don’t make any sense, but if he let me know how important it is to him instead of sulking, I’m sure I would do it and then we wouldn’t have to go through this pain. My goal is to get him to communicate better.
If you’re the sort of person who can’t stand it when someone you love is angry and silent, your best mate might be a parrot.
You may try to find ways to help your beloved and avoid your pain, but don’t. Sometimes, reaching out to angry people will get them to lash out at you because they want a time-out, or it will let them know they can get to you by sulking, so they’ll use silence as a weapon.
Anger sends the same signal from any animal, from human to bear—go away, or stick around at your peril.
WAIT! There is more to read… read on »
Posted by fxckfeelings on March 17, 2011
Being diagnosed with mental illness won’t necessarily screw up your life, and screwing up your life doesn’t mean you have mental illness. In any case, people are most effective at managing screw-ups and mental illness when they’re ready to face the worst case scenario, assuming they can do so without letting it reflect on the quality of their management. Consider the worst, hope for the best, and don’t let your fears distort your perception of reality. In other words, don’t panic or feel that you’ve failed when somebody acts “crazy” or you’ll end up driving yourself nuts.
–Dr. Lastname
Are there varying degrees of bipolar? My son is 21 and just diagnosed in Sept 2010. He is a student, a swimmer with his university and a likeable, good-looking guy. He is medicated (lithium and Zyprexa) and is doing pretty well. He complains about concentration issues. I just feel sometimes like I need to be reassured that this is manageable and that there are positive stories of other people with bipolar. I hope and pray that he will lead a fulfilling life, marry and have a family. We are all just trying to adapt to this diagnosis.
Not only are there varying degrees of “bipolar,” there are probably various kinds as well, but we don’t know enough about what’s going on biologically to say. Like the Supreme Court once said of obscenity, you know it when you see it, but it takes many forms.
Basically, the word “bipolar” doesn’t have a lot of meaning other than as a description of someone who had an over-the-top episode of wild, excited, high-risk, inappropriately-undressed behavior that then, most probably, was calmed down by lithium.
Since we don’t have a biological definition of bipolar, we’re forced to use the word to describe the unluckiest cases, the ones who have the most severe symptoms that last the longest and come back the most often, simply because they’re the ones that are easiest to categorize.
There are probably lots of mild or brief cases that don’t get included in the definition, so the diagnosis seems to imply severe symptoms and a difficult future, when, actually, there are probably lots of mild cases. So yes, you’re right, he may not have it as bad as people think when they hear the word “bipolar” (which is to say, he will probably doing a lot better than Charlie Sheen).
WAIT! There is more to read… read on »
Posted by fxckfeelings on March 7, 2011
Some self-help experts tell us that we control our destiny! All that does is make you feel responsible for things working out in the end, which is why your automatic response when that doesn’t happen is to figure out where you went wrong while feeling like a shitty, guilty mess. The truth is most big problems can’t work out in the end, particularly when they involve illness and aging, and the only thing wrong is that we’re living in a very, very tough world. Instead of asking where you failed, be proud of what you achieved despite being destined to suffer at nature’s whim.
–Dr. Lastname
I’ve been very helpful and patient with my husband since he suffered brain damage after being hit by a car, but I’ve just about had it. Everyone in our families focuses on finding a new treatment for him, and we’re all happy that he’s recovered some functions and can now talk and stand up. The trouble is, I’m exhausted, I’ve got no time to go out and make a living, and he’s gotten into the habit of telling me what I’m supposed to do without a please, thank you or may I. My goal is to set him straight and let him know I can’t keep it up at this pace and that he needs to improve his tone.
Setting someone straight when he wants too much from you usually leads to a guilt fest; you make him feel guilty, he guilts you right back, and it’s a regular guiltapalooza.
You wouldn’t be knocking yourself out in the first place if you didn’t feel responsible and, yes, guilty for not doing more. Of course, you may be knocking yourself out doing things that are really, really necessary, but that’s unlikely. Guilt rarely works that way.
WAIT! There is more to read… read on »
Posted by fxckfeelings on January 27, 2011
You may love someone who loves you back, and you may want to live happily ever after, and you may have your appointment for “bridalplasty” all lined up, but there are many obstacles that can make partnership impossible. Sometimes it’s some unchangeable aspect of personality, sometimes it’s a life situation, either way, it’s a heart-shaped brick wall. Instead of trying to amp up the love that’s supposed to conquer all, figure out what else you need and accept that you need it. Sadly, when it comes to love, love is not enough, and not even liposuction can make it better.
-Dr. Lastname
I thought my problems were over when, a few months ago, I met an attractive, recently single guy who seemed very interested in me and talked openly about my being the sort of guy he’d like to marry (I’ve been burned too many times by younger guys who seem interested for awhile and then just get bored). Recently, however, I got spooked by the way he made several big choices without telling me or asking my opinion, like buying a house. I was shocked, and while he told me I could decorate the place anyway I wanted so I could feel at home, I was still emotional about him making such a big decision without even telling me. When I asked him to examine why he’d done it, he suddenly got mad and told me he didn’t need a lot of drama in a relationship and maybe we should take a break. I was shocked. I don’t want to break up; but my goal is to understand this relationship and make it work.
Just as dating should lead to marriage, the next step after fighting is supposed to be communicating and understanding one another’s position. In a fair world, this would be true. Alas, we haven’t even located that solar system yet.
If you can’t reach an understanding and instead seem to be triggering a breakup with someone who has, until now, been loving and generous, it’s natural to doubt yourself and wonder what you’ve done wrong. It’s also natural to not use deodorant—doesn’t mean you should.
Again, in a fair world, no true friend would threaten to break up with you unless you said something terrible, but that rule holds currency only in a galaxy far, far away.
WAIT! There is more to read… read on »
Posted by fxckfeelings on January 24, 2011
As a general rule, the worst kind of advice is unsolicited, but when you’re a parent, it often feels like giving your two cents is your duty, even if no one asks for it. Of course, it’s hard to offer good advice to your children about touchy, questionable decisions they’ve already made. It’s amazing what you can say and get away with, however, if, instead of giving them a piece of your mind, you take the time to ask them questions about where their mind’s at without any negativity or judgment. Hopefully, you’ll come to a conclusion that makes sense to both of you, and you can save your two cents for a rainy day.
–Dr. Lastname
I wish I could be sure that my daughter is getting the right treatment for my grandson. He’s 7-years-old and been diagnosed with Bipolar Disorder and his doctor started him on a drug called Abilify, which has some nasty side-effects. I’ve read on the internet that Abilify can be harmful to kids and I wish my daughter and her husband would think twice before allowing themselves to be talked into using it, but I don’t want to intrude into their decision. My goal is to make sure my grandson isn’t harmed.
Never ask someone if they’re sure they know what they’re doing, because if they weren’t sure, you wouldn’t need to ask in the first place.
If you do end up asking your daughter why she’s exposing her son to a dangerous medication, not only will she answer yes, but she’ll give you an annoyed earful as to how she’s doing the right thing, how you don’t know what you’re talking about, and how you should just mind your own business.
She might not know what she’s doing, but neither did you when you opened your mouth.
WAIT! There is more to read… read on »
Posted by fxckfeelings on January 13, 2011
When faced with scary health issues, from strange lumps to bad thoughts, people often avoid treatments that hurt, particularly after long-standing symptoms have sapped their hope, fed self-hate, or fostered bad habits. They deny anything’s wrong, or they insist that resistance is futile, but either way, if you criticize them for not helping themselves, they will readily agree, hate themselves more, and burrow deeper into their holes and further away from treatment. Before they can find the way out, they need to reconnect with their real strength. Only by recognizing their actual achievements and their past and potential courage, can they face what ails them. The pain may continue, but not its power to intimidate and paralyze.
–Dr. Lastname
Please Note: In responding to suicidal goals, as in the case below, we do not presume to offer emotional support. If you’re at risk of hurting yourself, you should, of course, go to an emergency room, discuss your state of mind with a professional, and decide how much support you need in order to remain safe. In most of the cases we encounter, however, our correspondents are not simply suicidal; they are familiar with treatment and have come to believe that it won’t help. Often, we must agree that their feelings are unlikely to change in the near future. What we try to demonstrate, however, is that negative feelings create falsely negative and hopeless beliefs and that there are ways to recover your strength and perspective, even when the pain won’t let up.
I’m considering suicide. My life is a joke. I am in my late 30s and female and I have never had a relationship with a man. Several men have used me for sex and at least 2 of them begged me not to tell any of their friends they’d had sex with me. I’ve never been loved, been held, been listened to, been cherished. I’ve just been used like a toilet. On the outside I’m pretty. I can hold a conversation and I have a reasonable number of friends. But I hate myself and I don’t feel good enough. I was abandoned by both parents and I was raped for the first time when I was about 2-years-old. It’s like men I meet can smell the self-hate on me and they treat me accordingly. I do not have even one person in my life who cares about me or who I could trust. My friends are there to go for drinks or dinner with me if they can find nothing better to do but they are not there to be supportive ever, in any way. What is the point of me continuing to live?
It’s horrible to feel that you don’t belong to the human race, except for your ability to satisfy the needs and cravings of jerks.
Remember, however, that those feelings almost always beget more falsely negative beliefs, particularly about relationships. Whether or not you’ve done anything wrong, you feel infinitely rejectable, comfortable in the company of jerks, and anxious around people you respect, since you know they will reject you for your anxiety and fundamental worthlessness.
WAIT! There is more to read… read on »
