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 »
Posted by fxckfeelings on March 8, 2012
On the pie chart of what goes into a healthy relationship, sex should never be the biggest slice; that’s putting the most emphasis on the one element of a relationship over which people have the least control. Besides, the fact that it can ignite all your circuits or trigger vast yearnings doesn’t mean it will find you, or make you, a good long-term partner. If your partner is loyal, caring, and reliable, then how frequently you get a piece shouldn’t take the biggest piece of the pie.
–Dr. Lastname
My 34-year-old husband is a wonderful, sexy, kind, sensitive, clever man. Fourteen years ago, however, he had a severe meth addiction that got him in jail. After ten years sober, he started drinking a few years ago, but, having worked in the addiction field, I don’t think the drinking is an issue at all, though I do think the meth has really screwed with this head. What he does have an issue with is intimacy and sex. We have a wonderful relationship so we’ve talked extensively about the problems we have—erectile dysfunction. He says that the meth fucked with his head sexually, and that it made it very difficult for him to have “normal,” i.e., non-aggressive sex. Before me, he found sex fine with women he was not emotionally connected with, but as soon as feelings came in, the sex became more difficult. Early in our relationship, sex wasn’t an issue, but as soon as we got engaged, and then married—it became very difficult. He’s warm and loving, and doesn’t want to be ‘aggressive’ with me, which means he can rarely get it up. We kiss and touch a lot, but it’s getting harder and harder to deal with; I feel rejected, he doesn’t feel like a good husband or a ‘real’ man, though I tell him every day how much I love him. When we do manage to have sex, it’s beautiful, but he rarely comes, and is rarely hard all the way through, and it’s infrequent. I definitely think it’s a psychological issue, and so does he. He talks about feeling massive anxiety and pressure that he will lose me, and this makes the problem worse. It seems this combination of our (new) marriage, his lousy job, and his past is putting a huge psychological pressure on him. I’m not sure what to do—do we go to therapy together? Him alone? What kind of therapist? How do I deal with this? I’ve been endlessly patient, I’ve snapped and lost my temper, I’ve reassured him, I’ve cried. I love him so much and I want to help him and us, and also make sure that I deal with it right.
The trouble with trying to fix sexuality by understanding its psychological underpinnings is that it turns an inability to perform into a personal failure. As we always say, figuring why something’s wrong isn’t the same as figuring out how to make it right.
Sex aside, you get along well with your husband, who seems like a hardworking guy with the strength of character to stick with a job he doesn’t like and stay off drugs. You feel respect and affection for one another. So far, so good.
In other words, you have a good marriage, even if he doesn’t have a lot of orgasms. Your relationship has the important stuff, so don’t give sex any more importance than necessary. WAIT! There is more to read… read on »
Posted by fxckfeelings on March 5, 2012
Co-worker Counseling
As anyone who’s done time in a cubicle knows, co-workers often give and take well-intentioned advice in order to make the team work better and/or save one another trouble. The problem is that giving unsolicited advice, no matter how well-intentioned, and regardless of the context, is as tricky as defusing a bomb; one wrong word or movement and you’re dodging fall-out for weeks. So, if the advice you want to give seems personal or targets a weakness about which someone is sensitive, it’s more likely to damage relationships that, since work is work, are inescapable. Don’t think of giving advice, or reacting to it, until you’ve found a way to take out the sting and remove any implication of personal failing. You can do it, but only if you’re willing to keep your deeper feelings to yourself (and/or keep your eye out for a new place to work).
–Dr. Lastname
I don’t know how to respond to a co-worker of mine, who has always looked down on me for being sloppy. I’m not the best lab-tech in the world, but I’ve been doing it for years and I’m pretty good (my boss agrees). This particular colleague, however, is gung-ho about improvement and peer feedback and he started up this self-rating program that identified neatness as a positive value for good work. Now he wants to help me be neat to improve my work (his words!) and I want to take my fingers and shove them up his nose. My goal is to respond appropriately.
Most people feel responsible for their weaknesses, particularly one like sloppiness, which seems voluntary and controllable. As a result of this mistaken point of view, slobs, like the overweight and the flakey, live in a (messy) world of shame.
After all, they’ve heard from parents and teachers how much more they could achieve if they would take neatness seriously and accept help in improving themselves, tried to take that advice seriously…and kept cluttering all the same. So no wonder you feel like dumping garbage all over your colleague’s neatness parade. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 23, 2012
Mental illness, much like the devil, performs its greatest trick when it convinces the sufferer it doesn’t exist. That’s why some sick people don’t believe they’re sick, because they’re too sick to know, while others fall into denial rather than admit they don’t have control and can’t get it. If that includes you, don’t worry; you can force yourself to become objective as long as you’re willing to accept whatever unpleasant evidence you uncover. If it’s a matter of a deluded brain, however, you can’t recover without relying on the kindness and common sense of family and strangers to deliver you from evil.
–Dr. Lastname
I believe what started out as typical empty nest syndrome has turned into complete paralysis. I’m literally stuck in my own nest! I know it’s strictly up to me to get myself launched, but I’ve lost all confidence in my ability to go/do/be well, anything. I think it’s more than simply “get a hobby.” I’ve come to the sad reality that my “friends” were really more like “bleacher/booster buddies” from all of my kid’s activities over the years, and now I find myself without any close friends, and no real interests. I was a stay at home mom (by choice) and had always planned to get back into the workforce once my kids got older, but MS sidelined those plans, and keeps me pretty challenged nowadays. I know I need to get myself back in the game, but my list of excuses as to why this is impossible only grows over time. I’m not always mobile, I’m not confident about how I look, and I just feel like I’m boring and have nothing to offer anyone. Since I’m already assuming nobody’s going to like me, maybe I should just go eat some worms…but of course that would require a trip out my nest, and…well, I guess you get the whole “woe is me” picture. I cannot figure out where to begin to ever break this cycle of negativity. Can you help me hatch a better plan than the useless one I’m currently sitting on?
Anyone can get into a rut, but multiple sclerosis makes it much, much harder to get yourself out. You might not realize this, but your empty nest is actually more of a sick bed.
MS not only makes you doubt your stamina and physical balance, it also frequently makes your emotions more intense, particularly the negative ones that tell you you’re useless and lacking in courage.
So, when your mind tells you that you have no friends and nothing to offer, that’s the MS and depression talking. Of course, it would be easier to tune it out if there were other voices to help you do so, but the negative thoughts keep you from seeking out new company, and so the rut deepens. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 20, 2012
When love hurts, everyone’s a psychologist looking for a fixable issue. Trouble is, most love problems have deep roots that can’t be fixed without a single (or couples) lobotomy. Whether the problem starts with your feelings or the other guy’s (and, often, it’s clearly one or the other, not both), the big question is whether whoever owns them can manage them, not whether you can make them go away. In either case, if you’re prepared to accept whatever you find, you can stop love from destroying you, even if you can’t stop it from hurting your heart and your head.
–Dr. Lastname
I love my boyfriend—we’ve been together for 2 years and I’d like us to be able to live together when our kids (from previous marriages) are grown—but every few months he gets a strange look in his eye, his body language changes, and he acts like he’d rather be somewhere else. When I confront him, he’s apologetic, but admits he’d rather be alone, and then he goes back to his place and doesn’t call. I feel devastated, but I give him space, and eventually he’s back to himself and we settle into our talk-every-day routine. After the first time or two, I thought we’d worked things out and it wouldn’t happen again, but now I’m losing faith. I want him to get help. I can’t see how our relationship can go forward if this keeps happening and that’s my goal.
It’s weird, but there are some people who would really like to have committed relationships who are also allergic to them. Sadly, there is no relationship version of the poodle.
While such people have shaky moods, their values are solid. The problem isn’t that they’re distracted by beautiful new people or romantic excitement; they simply can’t stand too much domesticity for too long without getting short of breath and dying to be alone. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 9, 2012
The only thing worse than having negative feelings about someone or something for no good reason is having those feelings with every justification in the world. Either way, it’s usually better to keep those feelings to yourself, because no matter where the feelings come from, unleashing them sends them to the same place; to confuse, upset, and frustrate everyone around you. The truth about bottled-up feelings is that, with time, they don’t explode, they dissipate. Eventually, negative feelings go away, even if they don’t go quietly.
–Dr. Lastname
I’m in a very loving and healthy relationship with a divorced father of a 5-year-old. I feel we are deeply in love and we plan to marry, however, when he has his son I feel like nothing more than an outsider. Although he is very fond of me, I can’t help but be overcome with jealousy at the attention my boyfriend gives him and I distance myself in order to hide my feelings. I end up feeling isolated and alone which ends with tears if he asks me what’s wrong. I’ve tried to separate my feelings from reality, because his son deserves his attention and time. I see him light up when his kid’s around, but it’s hard for me to understand their relationship since my own father is a deadbeat and I’ve been dealing with abandonment issues my entire life. I don’t want him to feel guilty because he’s such a great dad and misses his kid and I don’t want his son to feel that I’m indifferent to him and ignore him, but I can’t help but feel like the jealous older sister. My goal is to remove myself from these emotions and learn to appreciate our unique family blend.
Don’t feel guilty for your thoughts or feelings, particularly when your actions don’t reflect those feelings. You can feel wrong as long as you do right.
And you must be doing a good job with managing your bad feelings, because, regardless of how jealous or bummed you feel when you behold your fiancé’s warm father-son relationship, you’ve done a great job of keeping them to yourself. You’ve succeeded in protecting your most important relationships from the negativity.
One definition of professionalism is behaving in a benevolent, job-oriented way without letting negative feelings show or interfere. You’re obviously a pro, particularly since you’re doing it while managing a shitload of pain. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 6, 2012
Mental pain is like the check-engine light on your car; it tells you something’s wrong, but doesn’t specify what, so it could be anything from an impending engine fire to a stupid broken check-engine light. So, when communication is painful, don’t assume you need a new communicator, and when you don’t like the image in your mirror, you may not need a make-over. You’ll always do better at figuring out what your problems are really about, and what to do for them, if you ignore the painful messenger and refuse to let it make your diagnosis for you.
–Dr. Lastname
I wish my boyfriend wasn’t so critical about the money I spend on clothes. Couples therapy helped me understand that growing up poor left him with deep insecurity about money (he still doesn’t make much compared to me, though he’s a hard worker). What therapy hasn’t done, however, is stop him from giving me a hard time about every sweater I buy, even though I’ve got good savings, no debt, and a total willingness to carry more than my share of expenses. If we get married, I’m sure his criticism will get worse and I don’t think I can stand it. My goal is to get him to back off, so we can have a life together.
The potentially bad side of couples’ therapy, as readers of this blog know, is that it can encourage a person’s tendency to take unlimited responsibility for getting through to their spouse. Like food, booze, or anything you enjoy, communication should be enjoyed in moderation.
After all, you’re supposed get a break from that responsibility once you’re sure you’ve done the right thing, but couples’ therapy can make you into a share-aholic who can never rest until togetherness has been restored. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 2, 2012
The fact that treatment is seldom as good as we want or need it to be isn’t so bad. If we can’t always make things better with treatment, and we’re willing to accept that fact, we’re no longer burdened with responsibility for figuring out answers and making things better in the first place. Our real job isn’t finding a perfect cure for what ails us, but figuring out whether treatment is better than no treatment. And if treatment only does so much, we can take credit for whatever we do to manage the hopeless mess that’s left for the rest of our not-so-bad lives.
–Dr. Lastname
My 15-year-old son needs treatment for his irritability. He gets unbelievably angry over small things, to the point that he ups and goes to his room. He agrees that things are basically OK and he’s sorry afterwards, but it happens at least once a week. We have a happy home and he has friends in school and gets good grades. I think it’s his mood that’s the problem and it causes him and our family a lot of pain. My goal is to figure out how to get him some help with psychotherapy and/or medication.
Just because someone’s in pain doesn’t mean he needs help. Pain is just part of the complete life package, along with joy, hunger, death, etc.
Of course, you’ve got less to lose and more to gain from treatment if his irritability has caused bruised knuckles, broken sheetrock, and a growing familiarity with your local police. Pain is a normal part of life, but serving life in prison isn’t.
What you’re saying, however, is that, aside from his verbal explosions, he remains in physical control, does self-motivated time-outs, retains good relationships, and has no trouble focusing on work and getting it done. No pill could improve upon that. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 23, 2012
For those of us in the helping professions who overestimate our ability to help, (off-hour phone) calls for help can become a big problem. Whether you’re soft and sympathetic or blunt and tough, there’s no problem you can’t make worse by taking too much responsibility for messes that are beyond your (or anyone’s) control. If, on the other hand, you know the limits of your powers, you can respond to calls pleasantly, do your job, and still help someone without hurting your own sanity.
–Dr. Lastname
While most mental health clinicians would feel guilty admitting this, I’ve been in the biz for long enough that I don’t give a shit and I need to vent. Most of the crisis calls I get from my psychotherapy practice are senseless and irritating; they’re from patients who feel bad because they forgot to take their medications, or drank too much or when they shouldn’t, or allowed their demons to wreak vengeance on their enemies, the nearer the better, self best of all. A few call me because they’re feeling suicidal (but won’t go to the hospital) and just want me to make them feel better, which is hard when it’s late and I’m tired, and often impossible just because I don’t have that kind of power. I try to be civil, but their calls leave me feeling helpless and wondering whether I’m doing any good. Discussing their responsibility for their behavior is useless, because it usually makes them mad or apologetic. My goal is to figure out what to do with crisis calls that are really a useless pain in the ass.
Many crisis calls you receive as a shrink do a good job of showing off a patient’s worst behavior. It’s like having partial custody of a colicky child.
It’s not that their distress isn’t real and severe—it is, almost always—it’s that it causes self-defeating behavior, like drinking or mouthing off or retreating from the world, which creates a jam that is extra hard to get out of.
Bad feelings cause bad behavior, bad listening skills and bad regrets about going into the therapy business instead of owning a Toyota dealership. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 19, 2011
When grown kids need permanent parental support, it’s hard for those parents to feel like they’ve succeeded. Every parent worries that they’re not doing enough for their kids, but for those who have adult kids with problems, that worry is amplified by anxiety and guilt. They can take over management, however, by assessing their responsibilities rationally and keeping their worries in check. It’s not healthy to care for and protect your children too much, but the only parents that fail are the ones that don’t care enough.
–Dr. Lastname
Helping my daughter pay the rent on a bigger apartment seems to have lifted her out of her depression and she’s much more active at her job, but she’s still not making enough money and I’m running out of cash. If I tell her that she has to take a roommate, I’m afraid she’ll just crawl under the covers again and we’ll be back where we started. It shouldn’t be that hard for her to make enough money, but it is. I’m mad and I’m stuck. My goal is to get her to make more money and/or understand that I can’t keep supporting her like this.
While you may think you’re giving your daughter money out of love, you’re actually doing it out of fear. That’s trouble, because when you give money out of fear, you’re usually being mugged.
Fear makes you forget long-term risks, like what you’ll do after you run out of money and the consequences for you, her, and other people who depend on you. Your love is infinite, but your finances aren’t. WAIT! There is more to read… read on »
