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Wednesday, November 27, 2024

Dire Alarm

Posted by fxckfeelings on October 13, 2015

If you’ve been struck with a severe medical illness, then PTSD is like the mental aftershock. Instead of recovering from your initial illness, you can end up struck with panic attacks that turn recovery into a sequel to your suffering. Just because you can’t recover feelings of calm equanimity, however, doesn’t mean that you’re not on the mend or that you can’t lead a meaningful life in spite of anxiety and not working. Learn how to fight negative thinking, even when life sucks, the anxiety won’t go away, and the ground never stops shaking, and you can still find meaningful things to do with each day.

-Dr. Lastname

My life is currently in complete disarray and I’m on medical leave from work to resolve my health issues, which almost took my life several times over the last few years. I go to a therapist who also teaches yoga, and started seeing a CBT as well, but my daily life is still miserable and I need help. I’m currently sitting at my computer sweating, crying, shaking and no amount of medicine or breathing technique or exercise is helping. My goal is to figure out how to get my health issues under control.

Expecting to get most health issues under control, including depression and panic attacks, is often a way to make yourself even more unhappy and sick.

That’s because we can never totally control our health or our illnesses, and cures are few and far between. In your case, you’re obviously doing all the right things—getting medical help, seeing therapists, exploring various kinds of treatment—so give yourself credit for what you’re doing, and cut yourself some slack for not being able to control what your brain and body have decided to do on their own.

It’s hard not to feel overwhelmed when you’ve recently experienced extreme medical problems, and it’s impossible not to get freaked out when experiencing the extreme symptoms of a panic attack, but you know, deep down, that the anxiety will pass.

WAIT! There is more to read… read on »

Disorder Form, Part 2

Posted by fxckfeelings on August 13, 2015

Finding equilibrium in your life is hard; as we discussed earlier this week, creating balance in a family of unbalanced people is nearly impossible. In other families, however, you can coach someone into a new, more positive direction. In doing so, you can help them create more security in their own lives, improving their balance and strengthening your bonds instead of risking them.
Dr. Lastname

I worry about my son because he’s had a hard time getting his life started since he graduated from college a few years ago. He’s very bright and was always a hard worker, but, right after he graduated, it took him a long time to get going and find a job, probably due to a combination of depression, anxiety, and no focus. In any case, he’s now working, but he needs a graduate degree if he wants to make a decent salary in his field and have any sort of financial security, and he never gets around to applying or even looking into possible local programs. He’s not touchy about being pushed, but I hate the idea of nagging him. My goal is to get him to see that he needs to do more if he really wants to be independent.

Helping kids get organized does not require nagging, just administration. Remember, a good boss doesn’t nag, just sets a clear direction for a good reason, assumes that’s what you want to do, and helps you get there. Take that approach as a parent, particularly when, as in your case, your son doesn’t get angry about being advised, encouraged, or incentivized. WAIT! There is more to read… read on »

Instability Insurance, Pt. 2

Posted by fxckfeelings on August 7, 2015

On Monday, we discussed how stress can change people and turn a strong, intelligent woman into a bad-boyfriend addict. While stress can push you to pick up bad habits, it can also push you away from good ones. Whichever happens to you, regaining control begins with an acceptance of the fact that you’ve lost it, but that you’re still the same old person inside. Then invite help from friends, build new habits and be patient, and you’ll eventually bring your behavior into line with your character. Just because stress changes you doesn’t mean careful management can’t change you back.
Dr. Lastname

I worry about the way my daughter stops contacting me for months at a time when she gets depressed. At least when she was in high school, she lived with me, so I could keep an eye on her and force her to stay on top of her work and get out of bed. Now she’s out of school and won’t even answer my texts. I worry, but I don’t want to antagonize her or undermine her independence by barging in on her. Meanwhile, I understand from her brother that she has trouble getting out of bed or even checking her mailbox, so it seems like she needs me now as much as she did when she was a kid. My goal is to help her without making her feel that I’m trying to take over her life.

It’s true that actions speak louder than words when it comes to expressing affection or commitment, but some people’s behavior is really impaired, even when their affection and commitment are genuine. Depression notoriously can prevent people from checking their mail, answering their phones, or even showering or leaving the house. No wonder they get more isolated and depressed.

What you’ve learned from watching your daughter endure prior bouts of depression is that her withdrawal doesn’t reflect specific negative feelings or a lack of independence; just a neurological shutdown. WAIT! There is more to read… read on »

Action Blues

Posted by fxckfeelings on August 3, 2015

Most of the time, you don’t want to try to pay attention to two things at once—the TV and the oven, the road and your texts, your kid and your moody pet alligator, etc.—but other times, it’s more dangerous not to. It’s a problem for those people who pay too much attention to the reaction they have to other people and ignore their own actions, as well as those who pay too much attention to their own actions and ignore how it impacts others. If you’re a single-minded person and want to avoid being blind-sided, learn how to divide your attention and pay it at the same time. That’s the only way to be mindful of relationships and your own priorities (and hopefully oncoming traffic).
Dr. Lastname

I like to be close to people and I tend to fall in love really easily, so, while my relationships are often intense and fulfilling, they never last very long and never end well. Anyway, my life has been going reasonably well, and I’ve been dating a girl I really like who I think would be a good wife, but my roommate is also my best friend and, since he’s started dating someone, he’s stopped being around very much. Neither one of us is gay, and we’ve never technically hooked up, but we’ve always been really comfortable with each other physically, and our bond is really close. Maybe that’s why I really resent his relationship and find myself being very angry at him for no reason and jealous that someone else has his attention. I really don’t think I’m gay, and I love my girlfriend, but I’m freaked out about my feelings. My goal is to figure them out and get back to having a happy relationship with my best friend.

For those who are prone to powerful emotional reactions, having strong feelings can be a lot like getting blackout drunk; you’re very certain where you are now and what you think about it, but can’t seem to remember how you got there. You lose the part where you keep falling into intense relationships and only focus on the fallout when they come apart.

The intensity of your post-entanglement emotions not only blinds you to the pattern of needy behavior and faulty decision-making that repeatedly puts you in these situations, but to the more important reality of how he or your current girlfriend fits into your future partnership plans.

So, instead of focusing on your anger and jealousy, give serious consideration to what you really want from your roommate; better to take a moment to assess your priorities than follow your feelings to another destructive conclusion. WAIT! There is more to read… read on »

Accident Prevention Reassurance

Posted by fxckfeelings on July 27, 2015

Obviously, accidents are, well, accidental, but if we purposefully avoid identifying relative responsibility, then we risk putting ourselves and others through them again. After all, if we don’t take responsibility for accidents that are not largely accidental, we miss an opportunity to prevent them. And if we do take responsibility for accidents that are entirely accidental, we compound the misery unnecessarily, which may make more accidents happen. So, instead of getting swept up in shame or guilt, add up the facts and seek second opinions. Accidents happen, but if you don’t learn from them you’re deliberately setting yourself up for more mistakes.
Dr. Lastname

My sister drinks because she says it’s the only way to make her anxiety go away—her anti-depressants don’t do it—but she’s been hospitalized three times now because of blackouts caused by drinking and taking extra medication. She gets mad when they try to keep her at the hospital for observation because she always says that she didn’t want to kill herself, she was just trying to get some relief for depression and screwed up by drinking, and being at the hospital makes her more depressed and then she signs out as quickly as possible. She’s mad at me and the rest of the family for insisting that she has a problem with alcohol and needs help, because she thinks we’re just freaking out over a few stupid mistakes and we’re doing this because we like to make her feel worse. My goal is to find her the help she needs.

As you already know, the only problem your sister will admit to having is the one she has with you and your insane overreacting, and maybe also one with your family, who should love her the most but are making her difficult life even more excruciating. You almost can’t blame her for turning to the bottle.

What’s hard for you to accept, of course, is that you can’t get through because, from what you’ve described, her mind is focused entirely on the way she feels in the moment, and in most moments, it’s lousy.

She might have even felt suicidal at the time she almost died, but since she doesn’t afterwards, what was a suicide attempt is now, in her estimation, a silly mistake. As such, she’s not lying, she’s just incapable of seeing the big picture. Shrinks call people whose depressed and angry feelings distort things this way “borderline personality disorders” and, when their distortion is as severe are your sister’s, there’s nothing much that can help them, at least not for the time being.

So don’t try to argue or tell her how much she needs help. Instead, simply trust yourself and act according to what you see and believe. You can’t promise her that she’ll feel better if she stops drinking, particularly not at first. You can promise her, however, that treatment and sobriety can help her think more positively, act more carefully, and reduce the risk of accidental overdose and death if she truly wishes to build a better life.

WAIT! There is more to read… read on »

Cease Love and Understanding

Posted by fxckfeelings on July 20, 2015

While a large percentage of the population enjoys live-Tweeting every thought, Instagramming every cloud, and updating their Facebook status with every fart, there are still some people who prefer to keep their lives fairly private and don’t care what you think about “Scandal.” For whatever reason, some people need to be understood by everyone they know, while others would rather be known only by those they specially trust. In any case, don’t let a frustrated need, whether to be understood or ignored, get you to doubt yourself. Judge your behavior by what you know, rather than by how isolated or crowded you feel, and you’ll find the perfect privacy level.
Dr. Lastname

I knew that intravenous antibiotics might not help my Lyme disease, but I appreciated the fact that my internist was willing to try an experimental treatment. Now that it’s clearly not helping, however, she continues to act as if I’m basically pretty well and that I should continue my physical therapy for the muscle pain and be glad it isn’t worse. All that tells me is that she really doesn’t understand how debilitated I feel and how much the disease has affected my life; her lack of understanding makes me feel worse than when I came to her for treatment. My goal is to find someone who hears what I’m saying and can comprehend what I’m going through.

We all want understanding from doctors when illness makes us feel helpless, forces us to reduce our expectations or change our lifestyles. If they don’t understand the depth of our pain—especially when illness has pushed us so far down—then it seems unlikely that they’ll be able to find the treatment that will pull us up.

It’s a lot like wanting a comforting parent when you’re hurting and your life is a mess; without that comfort, everything feels much worse and it’s harder to figure out what to do. You want understanding and nurturing, which is hard to find from somebody who wears a lab coat for a living. WAIT! There is more to read… read on »

Monster Barrage

Posted by fxckfeelings on July 16, 2015

Deciding whether or not to accept the challenge to fight an Asshole™ shouldn’t be difficult—whether you’re facing an Asshole™ or an actual asshole, every instinct should tell you to get the hell out of there. Of course, sometimes the Asshole™ seems like the only thing standing between you and justice, so before you go “mano a anus,” consider the validity of your anger, the likelihood of ancillary damage and cost, and the value of whatever it is you hope to win. Then, whether you’re the one who must do the fighting or just counseling someone else, you’ll come up with a strategy for either fighting or fleeing that will have the least-shitty results.
Dr. Lastname

My father died recently and my unmarried younger sister still lives in the family house with our elderly mother who is now struggling with memory loss. Over the years we have been a dysfunctional family with a lot of sibling rivalry, and my brother and I find our sister argumentative and difficult. Being around her for any length of time involves walking on eggshells and she and our mother have a turbulent relationship although she is her favorite child. My parents’ will states we will all benefit equally upon our mother’s death but now our sister is trying to emotionally blackmail us into pledging the house to her. She feels that she deserves it as she is the main caregiver. However, she has been supported by her for years and has always been hesitant to find work. We find it distasteful to be arguing about money with our mother still living and our father deceased just weeks ago. My brother and I are both happy to inherit our fair share when the time comes but worry that our sister will syphon off the funds my mother has and expect to keep the house as well. We feel like vultures in wait and do not wish for bitterness or conflict but our sister is often unreasonable and bombastic and we have problems of our own. My goal is to find a way to withstand manipulation and protect our interests without causing our mother’s remaining time to be made unhappy and stressful.

The feeling of unfairness is like the emotional salt in the psychic wound left by loss. After all, it never feels fair when you lose someone you love, but having that pain exacerbated by an Asshole™ sibling adds extra sting to the agony.

It’s hard to avoid becoming paralyzed by that pain, as well as guilt over the anguish you could cause your mother by arguing with your sister. Before you go to war with your sister, however, give thought to whether winning a victory would be meaningful, or even possible, given her Asshole™ tendencies.

Your sister is being totally unfair and unreasonable, but as with mortality itself, there’s a point when you have to lay down arms and give in to the inevitable. WAIT! There is more to read… read on »

Wrong Guard

Posted by fxckfeelings on July 13, 2015

Protectiveness isn’t just a noble family virtue, but a likely evolution-driven behavior, instilled in us to insure the survival of the family genome (or at least another generation of helicopter Neanderthals). Unfortunately, the urge to protect is also usually emotion-driven, thus making it liable to backfire. It’s not unusual then, especially when it comes to your fellow genome holders, for you to have to protect yourself from someone’s misguided protectiveness, protect someone you care about from their own protection-driven behaviors, or both. So use careful reasoning to determine when protection is possible, when it’s not, and when it’s likely to do more harm than good. You’ll actually become a good protector if you react less to feelings and more to what’s truly best for your family’s future.
Dr. Lastname

My father is well-meaning but a little loopy, especially now that he’s older, and somehow he got it into his head that my wife is cheating on me with a handsome, younger co-worker. In reality, my wife and I are very happy, and we like and occasionally socialize with this co-worker and his husband, but clearly, it ends there. Still, every time dad visits he gives my wife dirty looks and tries to take me aside to tell me I can’t trust her. She and I used to laugh about it, but now that my dad’s been harping on this bullshit for over a year, it’s starting to get on our nerves and our kids, while young, are starting to suspect that grandpa’s upset about something and want to know what it is. I’ve tried to reassure my father that it’s just in his imagination and to keep it there, but he can’t stop. My goal is to figure out a way my father can spend time with my family without causing my wife pain and upsetting the kids.

Keeping the peace within a family isn’t always easy; it’s hard under your own roof, but even harder when you’re running interference between the family you’ve created and the family that created you. Sometimes, however, the efforts required to keep everyone happy aren’t just doomed to failure, but to make you (and others) miserable.

Your natural instinct is to work harder and try to meet everyone’s needs—your wife and kids, your job, your misguided old man—but there are times when the demands become impossible, and instead of dedicating boundless energy towards making things work, you have to create boundaries and instruct others to work around them. WAIT! There is more to read… read on »

Disturb Your Enthusiasm

Posted by fxckfeelings on July 2, 2015

People often try to drum up motivation in the disheartened by repeating the old saying about how even the longest journey begins with a single step. Remember, however, that, whatever your destination, you must also find the right way to get there; there are bad ways to do good things and vice versa, but if your goal or method is off, you’re going to end up stuck. In other words, don’t set out for righteousness in ill-fitting shoes or take a speed-hybrid on the road to ruin. Instead of assuming that the quality of your motivation determines the effectiveness of your methods, evaluate them on their own merit. That’s the true first step you have to take before the journey even begins.
Dr. Lastname

I’m well established as a leader in my department with an impeccable sales record, so I was shook up when our VP suddenly told me he wanted to redistribute some of my accounts to a guy who’s junior to me, and then later promoted him over me to senior administration. While I’ve always gotten along well with my co-workers, I’ve also felt that I’ve been treated a little differently at work because I’m a woman (and one of few), but I’d never been able to put my finger on any specific discrimination until now. I met briefly with someone in HR to ask about this guy’s promotion over me, and he immediately got defensive and accused me of being difficult. Realizing that even approaching the subject of possible sexism would probably make things worse, I instead put together a detailed report for the VP on how taking me away from my regular accounts may decrease sales, but that did nothing but reinforce my “difficult” reputation. I’m clearly being discriminated against, but I’m more helpless and angrier than ever. My simple goal is to be treated fairly.

Getting fair treatment is always a dangerous goal, particularly when you have very good reason to believe you’ve been treated unfairly; even in battles over basic rights, victories are rare, hard-won and sometimes require involvement by the Supreme Court.

No matter how black and white your dispute may seem, you still have little control over how others treat and react to you; most administrators regard accusations of unfairness as a personal insult and potential legal attack. Sometimes, love wins, but more often, fear does. WAIT! There is more to read… read on »

Nuclear Over-Reactor

Posted by fxckfeelings on June 29, 2015

Your brain’s ability to identify problems is a lot like that of a drug-sniffing dog, which is to say, despite its training and experience, it still occasionally confuses flour with cocaine or gives the OK to a cargo ship packed with heroin. In order to avoid overreacting to a non-problem or writing off something dangerous, think carefully about the consequences of problems and your intuitive response before deciding whether you need to act or sit on your hands. That way, you’ll be a more effective problem-assessor (and possibly problem solver) and more than earn a treat.
Dr. Lastname

Since my husband and I divorced, I feel like my daughter is slipping away. The divorce wasn’t bitter, but my daughter has the same sensitive temperament as my ex-husband and just generally takes after him more, so she seems more comfortable with him than with me. She and I love one another, but we don’t have the same natural rapport that she and her father have, so, all things being equal, it makes me feel a little on edge when we’re together. When I try harder to show I care (buy her clothes, take her to concerts, etc.), it seems to make her more uncomfortable. I feel like I’m losing the most important relationship left in my family, and I should encourage her to tell me why I make her nervous. My goal is to find a way to make our relationship work.

It’s natural to think you can get closer to your kid by being more like the person she’s close to. Unfortunately, trying to be like someone you’re not is like a dog trying to walk only on his hind legs; it’s hard work, curious and awkward for everybody nearby, and eventually, you’ll be unable to resist returning to a natural/quadruped state.

That’s why a major requirement for partnership is finding someone who can accept your temperament the way it is, which might also explain why your partnership with your husband wasn’t sustainable. Either way, you can still have a successful partnership with your kid, even if you aren’t 100% compatible. WAIT! There is more to read… read on »

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