Posted by fxckfeelings on September 10, 2009
No matter what your illness, medication should never be your first option for treatment. Everything you put in your mouth, from aspirin to spinach, has risks attached, so you should always proceed with caution before you add chemicals to the mix. Then, once on medication, most people are eager to get off it as soon as possible, but that has its own set of risks, as well. If you make your health the first priority, then the choice of whether or not to medicate won’t become risk-free, but it will become clear.
–Dr. Lastname
Before I got treated for depression, my marriage was rocky, but not doomed. I would be irritable and lethargic, which was tough for my husband to deal with, but mostly he was concerned and caring, and he was glad when I decided to get help. Now I’m taking medication, which has helped a lot in stabilizing my moods and keeping the black clouds away. The downside is that my meds have also, surprise, made my sex drive disappear, and this is doing way more harm to my marriage than my depression ever did. My husband isn’t a creep—he’s put up with a lot, and has always been supportive—but I can tell that there’s a distance growing between us. It’s different now that I’m the same old me but not interested in him physically, as opposed to a crying mess who wasn’t interested in him but also couldn’t get dressed in the morning. Is there anyway to not be depressed and not be libido-less? My goal is for both me and my marriage to be healthy.
Equating a happy marriage with a lusty sex life (as does every magazine in the supermarket checkout line) is dangerous, because it directly links the state of your union to something you don’t actually control.
If you could control it, you wouldn’t be writing to me in the first place. More than that, the fact that there are so many sex therapists should tell you how limited your control is (as is theirs).
That’s what the word therapy means in ancient Urdu: doing something that may or may not help for a problem you don’t control but think you should. And if therapy fails, then you’ve got a bad marriage because you’re libido-deficient.
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Posted by fxckfeelings on July 1, 2009
Human nature tells us that the best way to solve a problem is to get to the root of the issue, but some problems, like mental illness, have no simple cause and no solution to speak of. In today’s cases, two people need to rethink their approach to mental illness; when you stop looking for someone to blame or a silver bullet cure, you can get to the real business of learning to cope with the reality of the present.
–Dr. Lastname
I think one of my sister’s kids might be mentally ill—he’s 9 and very intense and unhappy—but my sister doesn’t see it, and I don’t know how/if to get her to pick up on it. It should be fairly obvious to her since we saw the same symptoms in our mother, who wasn’t diagnosed as bipolar until we were kids and she had a chance to put on quite a show. I guess my sister doesn’t really understand that our mother wasn’t just a mean drama-queen but actually sick, maybe because she was younger when Mom went to the hospital and doesn’t really remember, or maybe because she’s in denial, or maybe both of those things combined with the fact she and her husband are space cadets that are such hands-off parents they don’t even notice that one of their own children is clearly suicidal. My goal is to get my sister out of the clouds and get my nephew some help, because if something happens to that kid, I don’t blame genetics, I blame her.
As any teacher well tell you, the danger of bestowing your idea of help on another parent’s child is that you have very little control over how parents react, because no parent wants to hear that something is wrong with their child. And their default response lies somewhere between defensive anger and general freaking out.
The freaking out also comes from the fact that it’s hard to keep the urgency and alarm out of your voice, no matter how diplomatic you think you are, and feelings trigger feelings. Suddenly you’re in a perfect storm of hysteria, but hey, no good deed goes unpunished.
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Posted by fxckfeelings on May 27, 2009
Protecting one’s children is a powerful instinct, but it’s important not to become so blinded by that instinct that you can’t see if your protection is doing more harm than good. The two kids in these cases are particularly vulnerable, but their parents might be so committed to fighting for their kids that they can’t see how they’re actually declaring a larger, futile war.
–Dr. Lastname
My son is in 5th grade, and my wife and I were recently called into a meeting with the vice principal to discuss my son’s behavior. We were told that he routinely disrupts class, talks back to teachers, throws balls over the wall at recess, and, overall, “refuses to behave.” His school work is terrible, I admit that, and she says that this is because it’s nearly impossible to teach him since he won’t focus or really do anything but act up. Her recommendation was meeting with a school-appointed psychiatrist, and that that doctor would likely prescribe medication for ADHD. My wife is OK with that plan, but I think the situation is crazy, not my kid. He’s 10 years old, of course he’s acting like a brat, and I’m sick of people throwing drugs at every child that doesn’t sit still. I don’t want my son turned into some Ritalin zombie. My goal is to get him to get him in line with his school without putting him on pills.
You’re the parent, the tough decisions are always your responsibility, and the decision whether or not to medicate your kid is a hard one. What you and any right-thinking teacher or doctor would prefer, first and foremost, is a non-medical way of helping your son control his behavior.
While the common perception (yours included) is that shrinks like myself are eager to put people on the pharmaceutical bandwagon, that simply isn’t an infallible truth. Medication is never entirely safe, and is certainly less safe than most non-medical interventions, like behavioral treatments. Just because doctors can prescribe medication doesn’t mean it’s always our go-to answer.
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