Posted by fxckfeelings on June 2, 2014
For people with mood disorders, one of the most dangerous moods is the one for love, because a steady relationship often seems like the reward for getting rid of mood swings or the free pass to feeling better about yourself. The problem, of course, is that it’s much easier to find the kind of love that will make your disorder worse than it is to find something that will last and survive real life problems, including your moods. So don’t hunt for love as a feel-good prize or cure. Instead, accept the fact that it’s a job that takes patience and discipline and, fortunately, can be done even when your mood sucks.
–Dr. Lastname
I used to enjoy being a party girl and having random hook-ups, but since I got sober a year ago, I gave all that up and my life is a lot better. I’m not having big mood swings, I’m working steadily, and I finally feel ready for a serious relationship with someone I really like and respect. Even though I’m sure I’m ready now and excited to find Mr. Right, I get really nervous around guys and never find ones that seem like good choices. My goal is to find a real relationship, because I’m great at meeting people and my mood is a lot steadier, and so I don’t understand why it’s not easier.
Doing a series of shorter road races might be the right way to train for a marathon, but having a series of brief, anonymous sexual encounters is not the best way to prepare for monogamy.
Even a runner knows that you don’t get the same kind of excitement from meters as you do from miles; a sprint is a quick thrill, a marathon can be a painful mess. That’s why, if you’re approaching the search for a longer-term romance with excitement in mind, you’re heading down the wrong path. WAIT! There is more to read… read on »
Posted by fxckfeelings on May 8, 2014
When you can’t stop fucking up, it doesn’t always make a difference whether you acknowledge your fuckuppery or not. Wanting to stop yourself gives you incentive to change and that, plus lots of time, work, and management of all kinds may do the trick, but there are no guarantees. Knowing you’re right/having no clue you’re actually fucking up gives you no incentive to change, so there’s no need for anyone around you to try to help since you are who you are. In either case, accept what you can’t change, whether it’s obvious from the beginning or becomes evident through failed efforts. You don’t have to be down on yourself or someone else just because of an un-shake-able fuck-up status.
–Dr. Lastname
I get into terrible moods where I can’t stop myself from saying nasty things to my mother and sometimes throwing things across the room, so I agreed to see a shrink. She tells me I have a mood disorder and maybe an anxiety disorder, and I’ve had a bunch of sessions, but so far nothing stops my anger and when it kicks up I can’t stop myself from being horrible to everyone around me. Some mornings I can’t get to school, but I usually get there and get enough work done to be passing. Since my behavior is OK at school though, I wonder why I can’t control myself at home. I don’t want medication that will turn me into a zombie, but I don’t want to be a monster, either. I hate being this way. My goal is not to be a jerk.
After you give someone a load of verbal garbage or even a lingering smack to the face, it sounds pretty lame to say, “My bad mood made me do it.” If every cranky person became violent, your average rush hour would be a bloodbath.
The truth, however, is that, for some people, a bad mood can push unbelievably hard. For instance, the most obnoxious and provocative people out there aren’t political pundits or drunken tailgaters, but some of the crazy-manic patients in your local hospital.
That said, after medication starts working and the episode ends, so does their cruelty, but that’s the nature of moods and madness. WAIT! There is more to read… read on »
Posted by fxckfeelings on March 27, 2014
Anxiety and depression can act like funhouse mirrors, distorting your thoughts and making it hard to perceive the benefits and obligations of social relationships. Some people can’t say no to social responsibility, no matter how unreasonable, and some people can’t say yes to it, even when it’s minimal. Regardless of the distortions that make you over- or under-embrace your social pleasures and responsibilities, use objective methods to figure out how much is good for you and how much is necessary. Then you can build a social life and discharge responsibilities without burning out or drying up, and substitute the funhouse for actual fun.
–Dr. Lastname
My elder brother was diagnosed with MS when he was in his 30s, and now he’s in a nursing home and a wheelchair. He’s given me his health care proxy and told me he was relying on me, calling me five times a day and giving me a hard time if I don’t answer, so now my anxiety has gone through the roof. He’s always been a spoiled brat and now it’s worse. His health care is actually pretty good, and there are people and activities in the nursing home to keep him occupied, but he expects me to drive 100 miles to visit whenever he asks. I’ve always been the one everyone turns to for help, but now I go around with a knot in my stomach and desperately need to take more medication, even though I know it’s addictive and likely to make me fall. My goal is to find some way to relieve my anxiety that doesn’t kill me.
If you’re an anxious person, then there’s no substance in the world—pill, liquid, magic bean—that can make you suddenly be a not-anxious person. Especially if you continue to do things that feed your anxiety, like say yes to anyone who needs your help because you’re too anxious to say no.
Sadly, the things that currently give you immediate relief are A, making others happy, and B, medications, both of which have side effects. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 12, 2013
While most people with mood disorders don’t technically “hear voices,” they sometimes experience something much scarier; their own internal monologue lying to them. Whether your mental illness is convincing you you’re worthless or the king of the world, don’t follow your corrupted instincts when it comes to managing medications and drawing up safety plans. Instead, study the facts, learn from your own experience, and plan the odds, rather than letting your confidence play you and make you crazier than you really are.
–Dr. Lastname
I am a doctoral candidate preparing to defend and graduate in May. I am so terrified of what comes next (giant black hole; there be dragons) that I am undermining my progress and succumbing to despair. This is tied to my utter lack of ambition. I don’t know how to dream Real Things. All this worry and fear and lethargy leaves me feeling exhausted. And I am so worried and so frustrated with (what I perceive to be) my laziness, my incompetency that I become angry at the smallest things. How can I learn to get work done and to build a life? How can I learn to do it just because it must be done? How can I distinguish between real and false selfishness (it feels selfish to build a life just for me)?
The business of many doctoral candidates is to find a meaning in many random, painstakingly-researched, frustrating phenomena that ties them together and gives you a new idea you can dwell on for several hundred pages. Congratulations, you’re very good at it; too good at it, as you’ve turned your talents on your own troubles.
It’s certainly possible that your fear of any and all future jobs, combined with terminal laziness, incompetence, and an inability to distinguish between real and false selfishness have paralyzed you and filled you with self-loathing. More likely, however, is that your self-doubt has written a thesis outline tying together your many layers of failure. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 14, 2013
Whenever someone’s bad behavior forces you to set limits, it’s like slapping a hysterical person in the face; you can’t know in advance whether they’ll thank you or hate you forever. In either case, if you do it only when necessary, nicely, and with respect, you’ll know you’ve done a good service, whether it’s appreciated or not. In the short run, you’ve offered them a target for their resentments about the world and it’ll sting them as much as it stings you, but in the long run, you’ve given them a chance to learn and grow.
–Dr. Lastname
My eighteen-year-old son is very bright and imaginative and, when he’s sweet, I feel we have a special relationship. Periodically, however, he gets frustrated with things and gets very, very nasty with me. He bullies me into doing things for him and I try to be flexible, but then if I don’t do exactly what he wants he throws a big scene and threatens to break the furniture or crash the car. After the last incident, I threw him out of the house and he went to live with his father for a few days. Now I’ve got him back, but I know it’s going to happen again sooner or later and I don’t know how to explain to him that I can’t give him everything he wants without provoking an irrational freak-out.
When you have a kid who throws dangerous freak-outs, don’t make it your top priority to avoid provoking him; a child’s tantrums are a pain to deal with at any age, but trying to permanently tiptoe around a moody teenager is just as futile and damaging as always coddling a cranky toddler. They keep having tantrums while you get progressively more insane.
Of course, you don’t want to give him a hard time, but the behavior/temper problem is his, not yours, and not only will you drive yourself crazy, you’ll fail to give him the kind of help he needs most, which is a clear set of rules that can help him manage the poorly hinged part of his personality. Tantrums may be eternal, but so are time-outs, even if they take a different form. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 19, 2013
In the self-help-iverse, “limits” is often a dirty word, because we should all aspire to reach the loftiest heights or depths of intimacy. In reality, limits are crucial when setting both personal and interpersonal goals, but they’re especially vital when you’ve got a partly functional, mentally ill family member to take care of. In that situation, you will probably feel like doing anything to get him/her into treatment, including persuasion, confrontation, and threats of expulsion. In reality, your influence over the course of a mental illness is often, well, limited, treatment or no, and trying too hard to make it better can make it worse and drive you crazy. Instead of getting over-absorbed in efforts to help, get help yourself in figuring out the limits of what’s possible and respecting your other priorities, including safety, security, and the nurturing of others. Refusing to acknowledge limits is a lot easier/more damaging that learning to respect and use them to your advantage.
–Dr. Lastname
I’m married to a wonderful, unique individual, a free spirit who lived in a van for several years avoiding the world. After we married, we had a difficult couple of years, but then my work took off, and I got pregnant. My husband, already a night owl, turned into an irritable, stressed out insomniac who oscillates between manic episodes of ultra productivity, to sleeping for marathon amounts of time, missing appointments, being late for work, generally letting everyone down. He seems so resentful of me—everything I say he takes to the utmost extreme. We have been in talk therapy for three months, which has been pretty useless. The therapist has recommended my husband see a general doctor and a shrink about the insomnia. On a long road trip he started hallucinating and driving off the road. Sometimes he admits there’s a problem, other times he doesn’t. This morning, after another night of no sleeping, he screamed at me, collapsed on the floor and then crawled into the closet and passed out. I have asked him to leave our house until he seeks help, but he also refuses to leave. If I don’t pay the bills, he will be unable to. I reached out to his family and they keep saying it’s a marital tiff. He’s a wonderful man who is deeply troubled right now and in huge denial. I think he has some serious mental health issues which have been brought up by the huge responsibility of being a father which need addressing. How can I best help him?
You know that your husband’s dangerous behavior is out of his hands and in his mind. Unfortunately, there are lots of medical and mental health problems for which no one, including this mental health professional, has the answers, and this may be one of them.
The danger of trying to help him if it’s just not possible is that you’ll exhaust yourself and, worse yet, put yourself and your baby at risk from his symptoms. His illness may not be his fault, but that doesn’t make it your only responsibility, either. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 15, 2013
If Shakespeare was right and a rose by any other name would smell as sweet, then a mental illness, no matter how it’s diagnosed, will always mean you feel sort of nuts. If you want to know what’s wrong with you, receiving a diagnosis feels very important, even if it sometimes leaves you yearning for something better, or resenting being labeled in the first place. The truth is that many diagnoses do little more than satisfy the irrational human need to exert magical control by naming whatever is painful and scary. So, when faced with symptoms that frighten you, don’t pay too much attention to the diagnosis; instead, find out what it says about your chance of getting better and the possible benefit and risks of treatment. Remember, it’s easier to deal with the unknown—and keep smelling the roses—when you don’t pretend to know more than you do.
–Dr. Lastname
I have a quick question but a lasting problem. I went to the doctor recently to talk about my roller-coaster emotions. She told me that I was manic-depressive with bipolar tendencies. I just want to ask you, since you went to Harvard, what the fuck does this mean?
Sadly, even with my Harvard-ified shrink expertise, I can’t tell you what the meaning of having a “manic depressive” or “bipolar” diagnosis is, because that’s for you to determine, not your shrink, this shrink, or anyone else. That’s because the diagnosis doesn’t add much meaning to what you already know about yourself and your roller-coaster moods.
So if your lows are crushing or your highs make you act like a nut, then you have good reason to get help in managing your mood, but the decision is up to you. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 13, 2013
Parents can be responsible for making sure their kids are clothed, bathed, and fed, and even the bathing part is a stretch if your kid is a teenaged boy. After that, almost everything is out of a parent’s hands, especially behavior. Under normal circumstances, there’s lots you can do to help a kid control his bad behavior, assuming you stay positive, provide him with effective limits, and encourage him to endure whatever internal demons and nasty frustrations are flipping him out. Under abnormal circumstances, however, you may well do everything, accomplish nothing, and find it’s better redirecting your energies to where they’ll do more good, even if it’s just making sure they have some soap.
–Dr. Lastname
My twelve-year-old daughter can be difficult with her father and she’s not always respectful to her teachers, but she’s basically a good kid and I can count on her to do her homework and be reasonably nice to her sibs. Lately, however, I’ve been getting more complaints than usual and I’ve noticed that she looks pretty irritable and unhappy most of the time. I don’t want to come down too hard on her, but I don’t want to ignore the fact that I’m responsible for how she behaves and she hasn’t been particularly nice to people. My goal is to figure out how to take her problem seriously without making her feel I’m too critical.
When you feel responsible for your child’s behavior—or your dog’s, or even just your own weight or success—then you feel obliged to get it under control. Unfortunately, responsibility and control do not go hand-in-hand; if your kid is spoiled, needs a talking-to, and has the ability to learn from it, then a conversation might work. Otherwise, think again, because you’re trying to control what even she cannot.
In this case, you’re suggesting that your daughter already knows what she should be doing but that something is bringing out the worst in her. A serious talk about her behavior may help her stop, but there’s a danger, particularly if you sound too angry or moralistic, of worsening her mood, provoking self-hate, and stimulating defiance or self-harm. You both want the same thing, but frustration will make it even more impossible. WAIT! There is more to read… read on »
Posted by fxckfeelings on April 18, 2013
Whether it’s mental illness, high blood pressure, or Bieber Fever, finding out that you or a loved one has a chronic, incurable condition stirs up feelings that you must learn to manage if they aren’t to manage you. Instead of attempting to change what you can’t or fleeing into comforting activities with bad hangovers, gather your courage and learn about actual risks and the limits of treatment. If you do that and avoid panic, self-medication, and/or dubious musical choices, you’ll become effective at helping yourself while staying focused on your life rather than your disease.
–Dr. Lastname
I met the greatest girl six months ago—she’s smart, hard-working, and we share the same values, so it’s not just an infatuation based on her looks or laugh or whatever. As I was getting to know her, I was thinking she’s the sort of person I would want to have a family with. Then, a couple of weeks ago, I got the feeling that she was getting a little…weird? She wasn’t sleeping, and was working obsessively on random stuff like color-coding the bookshelves, couldn’t stay focused, even while driving, which was pretty scary. Then last week, she started to talk fast/non-stop and text our friends about how great our sex was. The next thing I knew she was in the hospital, where I now understand she’s been once before, and her parents tell me she’s bipolar. I’m really not discouraged about her having a mental illness freak-out, I just want to find a way to help and also not let this get in the way of our relationship.
We tag every post on this side with “acceptance,” and that’s because it’s central, not just to dealing with life’s problems and getting to use the iTunes store, but in terms of long-term relationships. Acceptance isn’t easy for most, but it’s clear you have full faith in your girlfriend, in sickness and in health.
The downside to such natural, positive acceptance, however, is the lack of screening process for the life you wish to share with her; if you’re looking for a partner, you also have to ask whether her illness will allow her to do the job. Your relationship is rooted in something real, but so is her illness. WAIT! There is more to read… read on »
Posted by fxckfeelings on March 14, 2013
Most of us feel driven to help someone who’s in pain, whether they want it or not, but as sitcoms, Jodie Foucault books, and alcoholics have tried to teach us over and over again, stepping in to relieve or prevent suffering isn’t always a good idea. The sad reality is that lots of pain can’t be helped, and the sufferer is the only one who can make the tough decisions required to manage that pain effectively. Helping, then, is often less a matter of providing relief and more of encouraging people to ignore pain that they can’t change and take credit for the good things they do about it. The outcome isn’t as dramatic as it is when you attempt to rescue someone, but it’s often a lot more meaningful for everyone involved.
–Dr. Lastname
I’m a resident advisor in a college dorm (it’s free room and board, and I’m a psych grad student, so it’s training of sorts), but I’m stuck because I don’t know how to help one of the kids on my floor. He’s severely depressed and it’s complicated by the fact that his parents, who are Middle Eastern, don’t believe in mental illness and think he’s supposed to just get over it, so they won’t pay for treatment and would probably accuse him of shaming the family if they knew he got it. For a couple years, he was cutting his arms while keeping it a secret and not letting it affect his grades. Lately he says he’s stopped cutting but often thinks of suicide and sometimes gets into a strange, spacey state of mind where he’s caught himself standing on balconies and thinking about jumping. He’s a good kid and he denies being traumatized (I think he might be in the closet, and with his parents, I understand why he’s afraid to come out), but he obviously needs help. My goal is to find him the help he needs.
Before trying to help someone who’s suicidal and restricted by his own beliefs from getting help, you’ve got to remind yourself that your powers are sharply limited, and that, even under the best circumstances—if you had a practice and he was a willing patient—his case would be a challenge. This is the stuff they don’t teach you in school, or you’d switch your degree to finance.
You can coach him on his options, but the alternatives are all painful and there’s no guarantee of relief, so don’t expect to make him feel better; what you can do, however, is help him see his choices as meaningful and positive. In other words, if the desire to heal others is what’s driving your degree, it’s time to begin your coursework for Life is Unfair 101. WAIT! There is more to read… read on »
