Posted by fxckfeelings on January 5, 2015
We’ve written many times about the way mental health professionals especially tend to be either demonized or canonized; nobody expects their dentist to fix their lives or thinks their accountant is a monster and a fraud when s/he’s not perfect, but these are the expectations for those who deal in problems that are frightening and poorly understood, like mental illness. People would like to think therapists can provide control, but they’d also like to think the problem will go away by itself if you return to your usual routine. If you can accept the fact that some problems can’t be solved, however, and that the influence of professionals is always limited, you’ll be ready to learn everything you need to know and become your own expert on tough problems, imperfect professionals, and, if you’ve got the time, your own taxes.
–Dr. Lastname
My fifteen-year-old son does poorly in school whenever he gets depressed, which is fairly often, but his current school’s counseling staff is totally worthless—they haven’t just failed to help him, but so many students that their ineptitude is an open secret amongst parents and teachers—so I’m worried that they won’t do much for him once the depression starts and his grades slip. My goal is to figure out what to do to get his school to provide the counseling services he (and other kids) deserve.
If counseling were a reliably good treatment for depression and was available exclusively through schools, then you’d have a worthwhile fight on your hands. The movie version would win awards and you’d get your face on a dollar coin.
Unfortunately for your Oscar dreams, but fortunately for your son, the stakes for your battle aren’t nearly that high.
In reality, the help that almost all counseling provides is limited, and may have less to offer now that you and your son are knowledgeable about depression and can talk to one another about it. Your school’s counseling staff may be especially weak, but their legendary ineptitude need not get in your son’s way. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 22, 2014
Freaking out is good for your health in the moment if you’re facing a lion, zombie, or Beyonce, but if the moment passes and the freak-out doesn’t, then you’ve got problems. Some people then freak out about freaking out and see nothing but dark clouds sweeping in, while others shut the world out entirely and create a darkness of their own. In either case, if you don’t want fear to run your life, learn to assess your real risks and actual strengths. Then you can face anything from scary thoughts to American royalty without freaking out too much and feeling like your life is over.
–Dr. Lastname
Over the last few years, my panic attacks have been getting worse and nothing seems to work. So far, I’ve been able to hold it together and do my job, but I often have to hide in the bathroom for short periods in order to catch my breath and talk myself off the ledge. Valium helps a bit, but I have to be careful not to take it regularly or I’ll get addicted, which I’m very frightened of happening because addiction runs in my family. Other medication hasn’t helped, nor have changes to my diet and exercise routine, so I’m getting scared and desperate. My goal is to find a psychiatrist who can help me before anxiety ruins my life.
When you’re prone to experiencing random episodes of intense, meaningless fear that make your heart race, your throat close up, and your brain tell you the world is ending, it’s hard to be optimistic. They don’t call them panic attacks because they make you freak out about how great your future will be.
On top of that, panic attacks have no cure and, as you get older, anxiety tends to get worse. So, while it’s not surprising if you see the light at the end of the tunnel as either a train, a laser cannon, or the fires of hell itself, you have good reason for hope. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 11, 2014
A doctor’s diagnosis may make a serious illness official, but talking about it with professionals and people you trust is what makes it real. That’s why admitting you’re seriously sick can be so hard; if you admit you’re ailing from something manageable but incurable, the illness might scare people away, but if you admit it and become obsessed, you might needlessly scare yourself. That’s why you have to consider carefully when it’s better to focus on your problem and make it public, and when it’s not. Talking about your problems might make them real, but not talking about them doesn’t make them disappear.
–Dr. Lastname
I’m perfectly healthy now, but I had a couple nervous breakdowns when I was eighteen and twenty, and I wonder whether I should tell my fiancée. I really don’t want to drive her away. I tried stopping my meds a month ago, to see if I’m really OK now, and I still feel great, so I wonder if I need to tell her about a problem that I may not have any more, now that I’m twenty-six and working full time in a profession. I exercise and eat right now, which I didn’t do then, and I’m really not a nut job. My goal is not to screw up a wonderful relationship by bringing up past events that may not matter any more.
It’s common for people who take medication for severe mental illness to decide they no longer need said meds once they start feeling better, and it’s not hard to understand why; it’s natural for someone who’s taking crazy pills to rationalize that sanity equals success.
After all, you wouldn’t keep wearing braces after your teeth got straight, or taking antibiotics after an infection cleared up. Especially if you felt your fiancée might leave you if she found out you once had a slight under-bite or athlete’s foot.
The difference, of course, is that medication is supposed to manage your symptoms, not make your brain better. That’s why stopping treatment can be so dangerous, because declarations of health can turn to hubris at a frightening speed. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 17, 2014
No matter what the talking heads say, a bleeding heart is not a partisan trait, nor is it always a negative one. You don’t even have to be a registered voter to be a good, caring person, and party affiliation doesn’t determine whether you’ll care too much and take responsibility for problems that you can’t really help. Learn how to assess your responsibilities realistically, whether you embrace or reject the problem at hand. Then, when a problem comes within range of your heart, you’ll be able to decide what to do without having to blindly follow any party line.
–Dr. Lastname
My girlfriend’s father is a widower in his mid-eighties who is still physically fit and able to drive. He is a difficult man, socially awkward and uneasy in company. He fills his days by going round thrift shops and yard sales buying old books and large quantities of stuff which he does not need or use. He used to sell it, but the dealers he supplied have died or long been retired so it just mounts up, particularly since his wife died. Now his house is a mess and a lot of living space is now uninhabitable. He cannot bathe or shower as the tubs are used to store stuff. My girlfriend feels guilty and stressed, but is too busy to do anything about it. I wonder whether I can move in with her if this is a family trait. I find this sort of lifestyle depressing and off putting. She is a kind and reliable person with many good qualities. My goal is to work out a coping strategy.
Caring about other people’s problems is a good trait if you can do something to help them, but otherwise it’s a good way to cause yourself trouble you don’t need. It’s just like hoarding, except with anxiety instead of expired food and dead cats.
Before taking on responsibility for an unsolvable problem, ask yourself whether that problem is likely to cause you trouble, or whether there’s anything that really needs to be done about it. Unless your girlfriend’s father wants to use your house as a storage unit, living with his hoarder status might not be too much for you to bear. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 3, 2014
Sometimes anxiety and depression are not illnesses, though they may feel like it; they’re part of every human’s normal alarm system, warning you that something painful or soon-to-be-dangerous needs your attention. When anxiety and depression randomly tell you that the world sucks, however, that’s when you cross the line from normal to unnecessary, requiring attention. Either way, never rush to discount what anxiety and depression have to tell you about the world, but never believe them until you’ve assessed the alarm and reached your own conclusion.
–Dr. Lastname
My anxiety has been better lately, but it kicked up last weekend after my roommate’s friends broke a window in our apartment while they were tossing around a football. My roommate’s a nice guy, but he doesn’t want to pay for the window because he says the landlord doesn’t take good care of our apartment in a bunch of other ways. Now I’m starting to worry about what will happen when the landlord sees the damage and whether it will come out of my security deposit, which seems unfair, since I wasn’t even here. Anyway, my goal is to figure out whether I should up my medication because the stress from this whole thing is really hard to take.
Anxiety, like tiredness or anger, isn’t inherently problematic; if we never felt these things, it would be a big problem, and a probable sign of drug use, lobotomy, or being dead.
The issue, of course, comes with feeling anxious too much, or tired all the time, or angry at trees for being lazy. The current anxiety you’re feeling is the regular kind; it’s your response to your roommate’s actions that need rethinking. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 16, 2014
You know that the how/when/why of diagnosis is a loaded topic, not just because you’re either longing to find or determined to reject one, but because those of you who read this site with some regularity know how many letters we get on the subject. A diagnosis is a powerful thing, but, like your authors’ posts, it’s rarely the last word. As always, ask yourself what a diagnosis really means before giving it too much meaning, or too little. We won’t be shocked or disappointed, however, if you want to ask us about what it means, also.
–Dr. Lastname
I have severe mood swings which don’t help at all, because some days/weeks I will be normal anxious me, but then I can have periods where nothing scares me anymore, pretty much like I’m ‘on top’, and I’ll have so much confidence. But then I have periods which are the exact opposite, meaning that I’ll be constantly upset and feeling self hatred for the way I am. As a result of this, I researched Bipolar Disorder and I have nearly all of the symptoms, I also took some of the online tests, which I know are not completely accurate but I thought they would give me a brief outline. Each one said that I possibly have moderate to severe Bipolar Disorder. After thinking for a while, I spoke to my mum, but she shunned the idea. I later convinced her to do some research on it and let me know her opinions, which I think she had no intention to let me know her thoughts as I only got a reply one month later as a result of my frequent questioning. She said I am definitely not bipolar. I have now been put on the contraceptive pill to control my irregular periods and mood swings, however they have not altered my moods, nor has the Teen Multivitamins that my mum has been buying me to prove that it’s entirely just my hormones. My goal is to control my moods and lessen my anxiety.
Just as there are eight major levels for classifying biological organisms—from general “life” down to the precise “species”—there are several unofficial levels of diagnoses. The most general level might be by location (e.g., the brain) and the more specific would be by identifying the cause of the disease. Unlike with plants and animals or even more common diseases, however, scientists can’t classify your individual diagnosis beyond basic symptoms. In sum, not surprisingly, it’s hard to classify crazy.
If the characteristics of the bipolar “species” vary greatly, depending on the person experiencing bipolar illness, then the usefulness of the diagnosis is limited, and your own observations and evaluation become much more important. What matters most then is not whether you do or don’t have a certified bipolar diagnosis, but whether your mood swings interfere with your life. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 25, 2014
While fear usually inspires a fight or flight response, there’s also an equally unappealing third choice, “freeze,” which is when you’re too scared to move, explore your options, or even hold on to a shred of hope. In any case, once fear makes you forget your strengths and opportunities, it becomes far more dangerous than whatever you’re actually afraid of. Instead, use fear to make you think harder instead of more imaginatively about any and all forms of impending doom and you’ll usually find an effective way to handle your problem and take the fourth option in the face of fear, “calmly figuring shit out.”
–Dr. Lastname
I like my job as a hairdresser, but getting a career wasn’t easy; I had to overcome a drinking problem and a life-long learning disability that forced me to take the certification test several times before I was dry and focused enough to pass. I recently had to have oral surgery that landed me on a short course of painkillers, but when I got off I couldn’t stop shaking or crying because I became fixated on the possibility the drugs will lead me back to booze. My husband is supportive, but he doesn’t make enough money to support our family on his own, and I can’t imagine going back to work while having anxiety attacks every day. I need a way to control these attacks or I don’t know what’s going to happen to me or my family.
You may think that your brief, warranted use of a controlled substance is what’s filled you with anxiety, but it’s actually the uncontrollable fear unleashed by that experience that’s flooded you with an unwarranted, seemingly-unending amount of negative thoughts and panic.
You proved long ago that you have the strength to fight addiction and build a normal life, but anxiety is destroying the confidence you deserve. And if you keep being afraid of what you can’t control, you risk letting your life spin even further into chaos. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 31, 2014
Some pressing problems are like mosquito bites or cravings for bags of Kit-Kats; the amount of urgency they inspire is inverse to the amount of attention they deserve. Other problems, like that angry rash on your arm or the spreading leak under the toilet, would be much easier to bear if you did not have to think or talk about them, but they’re the ones that often require careful discussion and negotiation. So don’t let your problems tell you when to talk or keep silent. Ask yourself what’s necessary, and, exactly like an adult who can deal with problems responsibly, you’ll often find yourself doing the opposite of what’s comfortable, and knowing you’re doing a good job.
Please Note: This is our last new post until 9/4, since we’re taking August to focus on finishing our book. We’ll refresh the front page with older posts while you get refreshed in the sun, and we’ll see you (and your sunburns) in September.
-Dr. Lastname
I have awful OCD symptoms that I can’t find the right treatment for. For years, I’ve had graphic, uncontrollable thoughts about killing the people I really care about (my parents, my husband), and even though I have no reason to harm the people I love, the thoughts are so persistent that I genuinely fear I’ll hurt one of them. I started psychotherapy in my twenties, and it’s always felt good to have someone I could tell about it so I felt less pressure and fear, but after all these years and communication (and a couple attempts at medication), nothing’s ever really changed. Now I’m in my forties and I’m happily married, but my husband rolls his eyes when I bring up the subject and try to relieve my fear by airing it out. My goal is to end these thoughts once and for all.
Not surprisingly, the best way to get control over obsessive thoughts isn’t to obsess over them. Airing these thoughts might provide temporary relief, but instead of releasing them, you’re empowering them; they’re like a plant, and you’re giving them the air and sunlight they need to grow and grow.
You’ve clearly tried everything, including medications, which sometimes reduce the intensity of obsessional thinking. If nothing has worked, however, then you probably also know that there isn’t a cure. That means it’s time to practice acceptance, as well as restraint. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 21, 2014
Despite what the Ramones (R.I.P.) once declared, most people do not want to be sedated, especially if it’s for reasons involving “going loco.” Some people can’t think about psychiatric hospital admission as other than a form of kidnapping, and others as a failure that should never have happened if they took proper care of themselves. In reality, it’s good to think about psychiatric admission as something that can happen again regardless of how well you take care of yourself, and will rarely happen for reasons that you won’t ultimately agree with. The more you accept the possibility of hospital commitment and consider your own views about what makes hospitalization necessary, the more skilled you’ll be at managing the situation if it occurs again, even if it’s something you’re never going to wanna do.
–Dr. Lastname
I’ve got depression that is usually controlled well by medication, but I had one bad episode three years ago when I got really down, couldn’t leave the house for a month, and was on track to starve myself to death. My parents were right to pull me out and take me to the hospital, but it was a horrible experience; there were some scary, sick people there, and staying there was traumatizing. Now my shrink wants me to put together a crisis plan that will tell my parents how to decide when they should take me to the hospital, if it ever becomes necessary again—a sort of “advance directive”—and I’m trying to figure out how to make sure that I don’t have to go back unless it’s really, really necessary. The last thing I want is to visit an emergency room where they like to lock people up, so I end up trapped in the nightmare ward again. My goal is to figure out how to minimize the possibility that I will get admitted again.
As traumatic as it felt to be admitted to a psychiatric hospital, you are familiar with the bigger trauma that you would have experienced if you weren’t admitted. The scary people you say in the psych ward were probably fairies and pussycats compared to the hellscape that your own home had become.
You know how painful your depression was, how it interrupted everything important in your life, including work, relationships and your ability to care for yourself, and how it endangered your health and your life. That’s the trauma it’s now your job to manage, and avoiding the job because you’d like to avoid the hospital is a foolish move. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 14, 2014
You lose a lot of important things as you get older—hearing, memory, life—but you also lose the ability to give a crap about things that really don’t matter. That’s why, if you’ve suffered from insecurity, either about work performance or the amount of commitment in relationships, being old can give you a more solid perspective and new management opportunities. So, if you’re old enough to have lots of experience, don’t get too worried by old fears. Rely on your own perspective to tell you what you need to do, regardless of what others think and your anxiety tells you. Just don’t rely on your ability to read small print.
–Dr. Lastname
I’m in a very specific line of consulting work—lots of research, long hours—that I’m very good at and enjoy doing, but I also wind up driving myself crazy with anxiety about doing the job just right. I formally retired a few years ago after many years in the business, when I was 55 and didn’t need the money, but I took a contract a few months ago because the specific assignment interested me. After all these years, however, I’m still having panic attacks, tightness in my chest, and shortness of breath. I even had to dig out the valium. I’m just obsessed with doing a perfect job, even though I know this stuff cold and my clients love me. My goal is to figure out what’s wrong with me and stop making myself sick.
Anxiety often causes symptoms that feel like sickness or even a heart attack (chest pain, tightness in your chest, shortness of breath, sweating), but that doesn’t mean that, like those other illnesses, it also shortens your life. A heart attack can kill you; a panic attack just makes you feel like you’re going to die.
So, while it’s natural to think that you’re making yourself sick every time you allow yourself to get anxious, anxiety isn’t deadly, or even totally detrimental; in regular doses, it helps you by making you worry about survival, making a living, and avoiding danger. Anxiety’s a lot like wine; a small amount everyday is helpful, a large amount everyday can make you feel helpless. WAIT! There is more to read… read on »
