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Thursday, November 21, 2024

Hung Worry

Posted by fxckfeelings on June 4, 2012

When people argue about medical self-care, be it with family or just with themselves, their feelings are often masquerading as reason. After all, emotions make decisions fraught and complicated, while reason tells you that you can never control your health, just make choices that have costs and probabilities. If you face those costs and probabilities with courage, you need never defend your decisions, regardless of their outcome. It’s natural to worry, but it’s useless to let worrying dictate what you do and don’t do with your health.
Dr. Lastname

My husband and I have a great marriage, but there’s one issue we seldom agree on, and it’s irritating as well as worrisome. Whenever I decide to get medical advice about a problem, like back pain or anxiety, he suggests I’d do better by sucking it up and staying away from doctors and medicine, which is the way things were done in his family. I, on the other hand, believe you owe it to yourself to get good medical advice and that getting treatment is the way you take good care of yourself. I don’t like his disrespect for my opinion or his lack of sympathy when I’m clearly suffering. My goal is to get him to at least respect my point of view.

It’s natural to emotionalize health care decisions in terms of fear because that’s how we often make them: when we’re worried enough, we see a doctor.

Trouble is, worry can as easily drive you to avoid as to overuse medical care and can also embroil you in endless debates with family members whose worry style is a little different from your own. And there are many styles to choose from. WAIT! There is more to read… read on »

Minor Threat

Posted by fxckfeelings on May 31, 2012

The helplessness of trying to help troubled kids often brings out the fighting spirit in those who care the most. Unfortunately, without a clear enemy from which you can rescue your child, you often fight for goals that can’t happen, target other would-be helpers, and make a bad thing worse. Regardless of how helpless you feel, your goal isn’t to save troubled children from a monster or a mental illness; it’s to find out if there’s something you can do that will actually help while avoiding direct emotional conflict. Not fighting won’t relieve your helplessness, but it will let you work towards something better.
-http://www.fxckfeelings.com/ask-for-help/

My ex-wife, who is a therapist, is spooking me out about our son, whom she says she’s treating for a variety of serious problems. He’s now 10, and he’ll tell me one day, when I’ve got visitation, that he’s having suicidal thoughts, using grown-up phrases that make me think he’s just repeating something he got out of a book or from TV. Then she’ll keep him home from school and stop visitation for a couple weeks while she does “therapy” with him, at the end of which time she’ll declare that the problem is solved. A few weeks later, he won’t show up and she tells me she’s keeping him home for treatment because he’s having “panic attacks.” My kid needs help and I can’t believe her treatment is doing any good. Meanwhile, he’s not getting help from anyone else, especially not the staff of his school, who are eager to help but never see him enough (they’re already bending over backwards to keep him from repeating this year and are trying to avoid reporting him for truancy, given the number of school days he’s missed). My goal is to get my son the help he needs.

It’s hard not to unleash your wrath when your ex-wife’s insistence on playing doctor blocks the real doctor from getting through. Your own child is in trouble, your ex’s behavior is troubling, and you’re this close to tearing her a new one.

Remember, however, that nuclear wars between protective caregivers are costly and often harm the one you most want to rescue; by fighting against your ex-wife’s treatment, you’d just be increasing her blast range.

The first thing to do then is to consider the alternatives while taking comfort in the fact that there’s a great deal you can learn about your child’s problems, and a great deal you can do to help. But it’ll only work if you take things one at a time instead of taking your wife down. WAIT! There is more to read… read on »

Marriage Ow

Posted by fxckfeelings on May 7, 2012

Particularly when you’re expecting to raise kids, there are good reasons to commit yourself to caring for your partner through thick and thin, sickness and health. What you should recognize from the beginning, however, is that uncontrollable, bad things can happen that can make a partnership dangerous and destructive to one or more family members and then it’s your responsibility, as an individual, to do what’s necessary. Mental and neurologic illness can change personalities and create overwhelming burdens. Unrecognized character problems are equally uncontrollable and can have a similar impact. When you take your vows, keep this in mind and remember, many people who divorce are trying to choose the least of the evils that face them and haven’t forgotten the promises they made.
Dr. Lastname (Doctor only today– the writer half is under the weather)

When I was manic and crazy, I really fucked up my marriage. For 6 months, I was talking fast, flinging money around, drinking hard, sleeping with anyone I could catch, and generally acting like an asshole. The third time I went into the hospital, the doctors found a medication that worked and, since then, I’m back to my old self but my wife has decided it’s all over. She goes out without me whenever she can and acts like she’s angry whenever we’re together. I can understand her feelings, but she won’t accept my apology. For the last 6 months, I’ve shown her my old, reliable self, but I can’t win back her trust. The problem is my bad; I should be able to make it right.

We all want marital vows to overcome whatever bad things life throws at us, and so we promise to care for our partners through thick and thin, unconditionally.

What’s stupid about such promises, however, is that some of those bad things are the size of an asteroid and can wipe out any marriage, regardless of how strong the love and commitment, and feeling obliged to stick with vows that have no escape clauses can drive you crazy.

Yes, your wife should forgive you for having a manic episode: you couldn’t help it and the part you can help—taking your medication—you’re doing well. It takes courage to resume your life and face the people you know after the humiliation and chaos of acting like a crazy jerk.

The sad thing that can’t be helped isn’t your illness; it’s your wife’s reaction to it. I assume you and others have done all you can to educate her about it and you’ve had a good opportunity to show her what your values are and regain her confidence, now that you’re well again. If it hasn’t worked, it’s not because there’s something wrong with your approach: it’s probably because there’s something wrong with your wife’s character. She just doesn’t have the strength.

Look at her closely, and you’ll probably find she’s never had the strength, meaning that she’s never been able to keep a relationship going if it hurt her too much. That’s why it’s important, when looking for a partner, to find someone who’s shown an ability to stick by her friends and family regardless of hurt. It’s a quality that’s even more important than the fact that you love one another. Without it, you’re fucked. Now you know.

So don’t make yourself responsible for her reaction, as sad as it is. You didn’t cause your illness or give her the character she has. Don’t apologize. Don’t beg. Let her know you understand your illness put her through a very hard time, but that you’re confident that you’ve recovered and that you can again be a good partner. Maybe surviving this hard time has made you stronger and wiser. In any case, if she still wants the partnership, it’s hers; if not, you both need to move on.

You need someone strong who can still love you after a manic episode, and she needs someone lucky who doesn’t get sick.

STATEMENT:
“I feel like I destroyed my marriage and it’s my job to get it back, but I know I didn’t cause my illness, and I’m proud of the way I manage it. I can’t help it if my wife can’t tolerate it, but I know I need a wife who can.”

After her last hospitalization a year ago, my wife didn’t recover all that much, and she’s gradually become very different from the woman I married. Her psychiatrists tell me there’s no new treatment to try (she didn’t tolerate clozapine, which is the Hail Mary treatment for crazy thinking) and she’s probably not going to recover much more than she has now. She’s able to keep herself clean, but she still hears voices, looks befuddled, and thinks I’m spying on her for the FBI. She can do simple chores, but she’s very distractible. Most nights, she sleeps at her mother’s house because that’s where she’s most comfortable. I’ve got used to taking care of the kids on my own, and I can’t trust her with them when she’s around. I miss her terribly and I promised to stand by her in sickness and health, but I don’t know that I can stand this much longer. I feel bad about deserting her when she really can’t help it, but taking care of her and the kids is more than I can manage.

You sound like you’ve done all you can to help your wife recover from severe mental illness and it isn’t going to happen. Instead of blaming yourself or anyone else for her failed recovery, you’re facing it as a sad fact of life. What troubles you most is dealing with your marital vows to stick together through sickness and health.

Marital vows ignore the fact that some illnesses can destroy a family and present you with impossible choices. Most times, sticking together is manageable, better than the alternative, good for the kids, and the right thing to do. It’s not hard to imagine situations, however, when sticking with someone does no good for them, destroys your life, and is bad for the kids. No one likes to think of those things at a wedding, or ever.

Put aside your guilt long enough to ask yourself what she would expect of you if she were her old self and what you would expect of her if your positions were reversed. Assume that you both believe in standing by the one you love, but not if it does no good, or overwhelms the resources of the healthy partner, or endangers the kids and their future. Assess the impact she has on them and they on her. Take into account that she probably qualifies for social security/disability and may also be eligible for state services for the chronically mentally ill.

Don’t assume that the path that hurts most is the one that’s right. This is not a conflict between duty and pleasure or between selfless vows and selfishness. It’s a conflict between your responsibility to care for your wife and your assessment of the value of your sacrifice, the good it can do, and the harm it can cause to your other responsibilities.

Either way, it breaks your heart, but you have an administrative responsibility as the sole leader of the family and you need to do what will do the most good/least harm. Whatever you choose, respect yourself for bearing the burden of this choice.

STATEMENT:
“I feel like I can’t leave my marriage without breaking my vows and deserting my wife when she needs me most. I can’t help the fact that she’s no longer the same person and doesn’t get much from being married to me. I’ll try to weigh the competing ethical responsibilities and do the right thing, knowing there’s no way to do right without also causing harm.”

Secondary Support

Posted by fxckfeelings on May 3, 2012

Just because spending time with a certain someone is always a positive experience doesn’t mean that certain someone is actually a special candidate for meeting your needs. Whether you’re looking for a spouse or a shrink, many of the same rules apply; no matter how much you enjoy and trust that person, it’s your job to know what you want out of the relationship, what limits must be set in order to get there, and how much availability you require (and, with therapists, what lessons you can take from the relationship that can help you when availability is impossible). Defining the practical conditions that are necessary for the relationship that you want, and standing by them, are what make a certain someone not just special, but a smart investment.
Dr. Lastname

I have experienced 2 bad marriages and the death of my only child at age 28 (one year ago). I’m now trying to rebuild my life and am in a relationship with a man who has experienced shit (horrible divorce) and raising his youngest child, a teenager. Unfortunately, he has trouble balancing family, work and dating, and I don’t know how to handle this during my grief time and uncertainty—I fluctuate between feeling my worries are unreasonable and justified. His ex wife screwed him kid-wise and money-wise, so he is bitter in lots of ways. On the other hand, I was equally screwed by my ex but pushed on and made my own way, so I don’t entirely sympathize with his resentment. I also understand that, because of his divorce, he hasn’t had a life with his kids and wants to establish a relationship with his son, but he also wants one with me, and I don’t think he knows how to balance these two goals. We’re both adults with good jobs who’ve experienced the same problems, but I’m not sure why we can’t get it together, and I want this to work.

As the survivor of an unbearable loss and the non-help of a deadbeat ex, you have a right to ignore other people’s resentment and bitterness. As such, you’re ready to move on and find a better relationship, and because your sorrows give you perspective, you know when someone else isn’t ready.

You obviously value your partner’s love for his kids, and see evidence of his fidelity in his long attachment to a crazy wife. You’re right, however, to have concerns about the flip side of this picture, which is his potential inability to control his over-responsiveness to whoever seems to need him more. WAIT! There is more to read… read on »

Indefensible Despair

Posted by fxckfeelings on April 2, 2012

When you’re overwhelmed with depressed or anxious feelings that don’t seem “justified” or connected to the usual events of your life, you first doubt whether you deserve to feel that bad, then doubt your sanity entirely. That’s because these intense, negative emotions tell you that you’re worthless and/or doomed when you’re not (at least, no more than anyone else), and most people assume their emotions must be at least a little right. In reality, symptoms pass and you’re never worthless or doomed as long as you can keep your perspective, so instead of jumping to dire conclusions when intensely negative feelings try to seize control of your brain, stand your ground.
Dr. Lastname

I feel guilty for feeling like I might be depressed. I have no reason to feel sad (and that word makes me cringe because it doesn’t quite sum up the multitude of emotions that devastate me on a regular basis; desperate, useless, pathetic, oxygen thief, loser and plenty other perfectly good adjectives could cover it) and because I can’t justify it, I start to feel frustrated. I’m like an elastic band – one minute I’m the happiest person on earth and the next I’m scraping the bottom of the barrel, ready to drop where I stand and content to never get back up again. I’m twenty and so it might just be that I’m walking the boundary line between physical maturity and teenagerdom, where angst haunts us all. I’ve had difficulties with this kind of thing in the past—my dad died when I was nine and I developed anorexia shortly after and while I’ve since ‘recovered’ (I hate that word), I still have issues with the way my body looks. I tried to kill myself when I was thirteen for no other reason that I can remember other than I had a rope and a bunk bed and fuck it, why not? Obviously I failed and I’ve never tried it again, but now and then I’ll look up at my ceiling fan and think, “Why not?” And then I’ll feel silly and awkward. But then I’ll be driving down the freeway and think “one jerk of the wheel and I’m out”. Or I have a headache and I’m staring at a very large bottle of aspirin and it’ll be there, in the back of my head, whispering away. It’s not normal to feel like that, is it? Even if they are just passing thoughts, it shouldn’t be like this. Does everyone think like this?

When you find yourself with frequent feelings of self-loathing and an urge to end it all, the question isn’t whether other people think like this (not usually), or whether you should have to feel like this (should or not, you do, and that’s the way it is), or why you feel like this (life is indisputably unfair and some people carry inexplicable pain).

The question you should instead be asking yourself is whether you can find a reason to live, knowing that you often don’t really want to. WAIT! There is more to read… read on »

Topic of Cancer

Posted by fxckfeelings on March 26, 2012

Cancer that doesn’t kill you can nevertheless leave you with permanent damage and fears, but if you feel it’s necessary to reverse that damage or stop the fear before life re-starts, you’re taking on a fight with cancer you can’t win. Instead, try to remember the values you care about that apply to anyone and don’t depend on mental state or performance—being kind, doing your work, balancing your commitments—and take pride in pursuing them regardless. Now that you’re lucky enough to have a life after cancer, don’t allow cancer to run it or ruin it.
Dr. Lastname

I am a 55-year-old mother, grandmother and graphic designer who was so, so, so lucky to have survived lung cancer seven years ago! But somehow in the process it has frozen me and I seem to have forgotten how to live. I mean there are dim memories and quiet, inside voices that keep pointing out my life is passing me by but I am frozen from action and I don’t know why or how. A small voice keeps looping, “Let your light shine” but again, I don’t know how. I also have fairly active rheumatoid arthritis but it’s not a big deal in comparison to lung cancer. What it mostly has meant is that I haven’t worked full-time for a few years so money is extremely tight and I want many things; mostly to travel, to be able to help my family financially, get a small house of my own…I’ve always been told that I’m artistically very talented but in reality I produce nothing anymore. What is wrong with me? Can you give me any clues or even one small place to start from? I don’t want to be hopeless and I feel that I’m not. I do still have hope but I keep drawing a blank on how to begin.

Based on what you’ve said, I suspect that, like many artists, you never used to have a problem structuring your own time because your creativity always did it for you. Inspiration begets motivation begets organization, etc.

If that’s true, then what’s troubling you now may be that you’ve lost that capacity, either as a result of depression or chemotherapy or both. You can still be creative, you just can’t do something about it as easily as you used to. WAIT! There is more to read… read on »

The Twilight Saga

Posted by fxckfeelings on March 22, 2012

Regardless of what you hear on TV about the power of exercise, fish oil, and Xenu, none of us has much control over the way we or our loved ones die. We beat death, not by postponing the inevitable, but by sustaining our most important priorities—love and commitments—in the face of helplessness, pain, and impending loss. In other words, we beat death in so much as we don’t let it take over our lives.
Dr. Lastname

I love my wife and we’ve had a great 30 years together but, since her cardiac arrest during a heart attack, she hasn’t been the same. What I really hate is that, as much as I want to help her recover and prevent her from slipping back, she doesn’t seem to want to get better. I know she has some memory problems and isn’t steady on her feet, but her physiotherapist gave her a good set of exercises. Instead of doing them, however, she’s happy to stay in our bedroom all day and watch TV, often blowing off important medical appointments. I get furious and find myself screaming at her, which does nothing but make me feel mean and cruel. My goal is to get her to do her best to recover, because I don’t want to punish her, but I can’t stand the idea that she’s making herself worse, and then I could lose her.

People don’t age and die because we lose our fight to live; we die because we die. Fighting is merely a protest demonstration and/or holding action. Understandably, you don’t want to lose your wife, but no amount of effort on her part will stave off death forever.

We’d all prefer to believe that love and determination could drive your wife to recover from her disability, and, under some circumstances, they could (most of those circumstances, as we’ve said many times, involve a screenwriter).

Unfortunately, they often can’t, and, if her disability is not treatable, persistent pushing could make you abusive and destroy the relationship that’s her most meaningful source of support. WAIT! There is more to read… read on »

Doom Diagnosis

Posted by fxckfeelings on March 15, 2012

People often think the worst kind of craziness leaves you dazed, confused, and mumbling to yourself on the subway, but the truth is that there’s another kind of craziness that’s even worse. With that kind of crazy, you’re still aware of the date, can name the President, and keep a bank account, but you feel broken by the deliberate malice of those you should be able to trust. It feels like a legitimate reaction to life and individual people rather than an illness, but illness it is, and people who have it and those who love them must accept it as such if they’re to get any kind of protection at all from its corrosive effect on relationships and hope. Otherwise, everyone involved will end up feeling as isolated and scared as the ailing, mumbling subway-dwellers.
Dr. Lastname

My psychiatrist recently told me he thought I was a borderline character disorder, which I know, from looking it up, means I’m an angry, destructive person who is probably not going to get better. What was also upsetting was the fact that the description of a borderline character disorder fit me, because I’ve always had trouble keeping relationships and I tend to cut myself and do other self-destructive things when I’m feeling low, which is most of the time. My goal is to feel better, and now I feel hopeless. The question is, am I really hopeless?

The fact that you’re asking that question, instead of hating the evil system of mental health clinicians for destroying your self-esteem by giving you a vicious label, shows that you’re not as hopeless as you think.

You have a good ability to see things positively and clearly, even when your feelings are entirely negative. That’s essential to managing the temperament and habits of a borderline personality (or almost any negative personality trait). That and admitting you have a problem in the first place. WAIT! There is more to read… read on »

Recovery Mission

Posted by fxckfeelings on March 1, 2012

A serious trauma will change the way you see the world, but if you’re not careful, it will also try to change your very beliefs by distorting your feelings and perceptions. You can’t prevent it from causing depression, anxiety, and lots of fear, but if you know what matters in your life and are determined to continue on your course, you can stop it from affecting your beliefs and drawing you into vicious cycles of isolation, conflict, and more trauma. Trauma is random and meaningless; your job is to give meaning to the part of yourself that endures it and still believes you can make the world a better place.
Dr. Lastname

After a dark couple of years fighting off my worst bout of depression, anxiety and PTSD from a bad sexual assault (aren’t they all!) last year finally saw the fog lift and for me to really get back into my creative work which is now doing really well. I met a guy a few months ago. He is the first man that makes we want to really tackle some of my man issues, so I can really connect in an emotional and sexual way with him. We haven’t been intimate yet as I have been traveling for work, but I am returning soon. I cannot wait to see him, we talk every day and we really do have a special bond already. He has commented on my ‘aloofness’ at times and my ‘shutting down’. I don’t want him to think I don’t care about him, or that it is his fault. For the first time ever, I am considering telling him about the assault (I have never told a partner before) but I worry that it would be too big for him to handle, or that he would treat me differently, either like I’m a fragile victim or that I’m damaged goods. I don’t want or need a rescuer. My goal is to make a decision that would not only benefit me but us as a couple.

When deciding whether to tell a new friend about your abuse, what’s important isn’t whether you tell, but how. You never, ever want trauma to define you; it’s what you do with it that counts.

Post-trauma depression can leave you with hopeless thoughts about your inability to trust or be happy again. It tempts you to regard moments of anxiety and withdrawal in a new relationship, not as normal new relationship jitters, but as evidence of permanent damage and an incapacity to relate.

What you know, however, is that you’ve survived those fears and reflexes while going on with your life and taking the risk of getting close to someone new. They won’t stop you (unless you happen to pair up with a guy who can’t stand occasional depression and aloofness, in which case, he’d be better off with a robot).

So, if you haven’t let being a trauma victim hold you back so far, don’t treat yourself like one now. WAIT! There is more to read… read on »

Symptomatic Meaning

Posted by fxckfeelings on January 9, 2012

Horrible thoughts and feelings are supposed to make you feel as if there’s something horribly wrong, and there is, but it’s not necessarily with you. Even when your brain is giving you strange signals and your mood is in the pits, you’re the same old person with the same old values. Judge yourself by what you do with symptoms of mental illness, not by the way they make you feel or think, and you will never have reason to doubt yourself or despair.
Dr. Lastname

I was diagnosed with major depressive disorder and anorexia nervosa purging type a few years ago. Both of these issues had pretty much consumed my life during the years leading up to that diagnosis and have continued to be impairing ever since. I started cutting myself two years ago (it has become more frequent this past year), and I’ve had several panic attacks in the past several months. Fortunately, my overwhelming desire to commit suicide has subsided, although I still think of suicide and my death in general fairly often. In addition to my own issues, I have watched my mom slip into a state of psychosis during the past two years, triggered by the death of her father. She has become so depressed, delusional, and violent that my parents separated and sometimes I don’t even feel safe staying in the house with her—a few weeks ago my dad and I had to stop her from going through with a suicide attempt. The police were called, and I had to hold her arms down while she was clearly in a psychotic rage. At one point, she tried to stab my hand to make me let go. She was taken to a mental health facility where she stayed for a week, and now she’s furious at us for making her go there and hasn’t been much better since then. I feel like I never get anywhere with therapists because they just prescribe medicines that make me feel numb to any emotions or focus on my eating disorder so much that I never get to work through these other issues. I feel like my life is unraveling and it’s gotten so bad that, honestly, I don’t feel like I even want to fix it. My goal in telling you this is to figure out a way to help my mom and how to get through school while I’m dealing with this.

It may seem strange to hear this, for someone who suffers as much as you do from depression, anorexia, and the burdens of taking care of a very sick mother, but I think you’re doing an amazing job.

Yes, you’re chin-deep in shit, but you haven’t drowned, and that’s a remarkable accomplishment.

Your depression hasn’t made you hate people or blame them, and your anorexia hasn’t caused you to pretend you’re not sick, so you must have a solid hold on reality. There you are, with all your pain, finding the love to help your mother and the energy to go on with your studies. You’ve got good values and a big soul. WAIT! There is more to read… read on »

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