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Wednesday, November 6, 2024

Doctor? No.

Posted by fxckfeelings on May 5, 2011

People like to turn to an authority when they’re helpless, and if that helplessness only applied to 911-like situations, there would be no problem. For problems that don’t involve theft or fire but sadness and family, however, authority is useless; sure, doctors like me can give advice, but until medical schools start borrowing from Hogwarts’ curriculum, the best resources you have are your own. The sooner you realize that, the sooner you’ll learn to draw on your own authority to come up with the best possible management plan and execute it with confidence. You are your own best first responder.
Dr. Lastname

I need to find a doctor who will tell my daughter she needs to take her medication. She’s always had a problem with depression, and she did well in high school when she took antidepressants. Now, however, she’s 24 and very reactive to however she’s feeling, whether it’s not getting out of bed, or not working, or feeling dizzy and deciding it’s the medication and stopping it. My husband and I can’t get her to stick with anything, and she won’t listen to us in any case, so our goal is to get you, or some professional, to tell her what she needs to do.

Whenever parents want a doctor to tell their kid what to do, you can be pretty sure they’ve lost faith in themselves and overestimated the power of communication/a medical degree.

And no, it doesn’t matter how old the kid is or how many Harvard degrees the doctor has; the doctor doesn’t have more power than the parents, no matter how powerless the parents feel.

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Trust and Consequences

Posted by fxckfeelings on April 21, 2011

Love without trust is always a painful, combustible combination. If your partner does something to lose your trust, s/he’s got to get lost, no matter how much love remains, and you’ve got to learn your lesson and move on. If you can’t trust someone whose behavior is OK because your trusting feelings just won’t come, then maybe the pain is worse, because there’s nothing to learn and nothing to do. In either case, when the trust goes, acknowledge that you’re not going to get what you want and need to settle for the best possible disaster before everything blows up in your face.
Dr. Lastname

My partner cheated on me while I was pregnant with our baby, and kept ME the secret. He told lies about me and told people that we were no longer together so that he could openly date the other woman. I’m struggling to stop thinking about it all, and the whole ordeal has triggered a particularly intense bout of depression and self-harm. I have hundreds of questions I feel I need answers to, but my partner is 100% unwilling to discuss the matter, seeing it as “dragging up the past”. My goal is to be able to get through the day without memories of the betrayal and the gossip that surrounded it intruding on my life.

When a guy hides his relationship with you when you’re pregnant, you don’t have hundreds of questions that need answers; you’ve got a few simple, sad, unpleasant answers that need to be accepted.

After all, you’re not doing a PhD in trying to understand him. That’s a waste of time and, like most inquiries into the sad “whys” of this universe, a sneaky way of avoiding acceptance.

You could see it as him not being that into you, but the reality is that he’s not into anyone, at all, except for himself. At this point, the only important question is one you have to ask yourself, and it’s figuring out what’s the right thing for you to do, regardless of what your should-be-ex might think.

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Take It Or Leave Her

Posted by fxckfeelings on April 11, 2011

If you watch basic cable, you’ve seen enough shows about bizarre health problems to know there’s someone out there for everyone, willing to put up with anything; from morbid obesity to tree hands to a lack of sex organs, there’s no physical trait so daunting that there isn’t someone out there (usually someone with low expectations) who can’t accept it. It’s always surprising, then, when people with lesser problems, like illness or bad habits, have trouble getting the same level of unconditional support. Of course, acceptance, as hard as it is, doesn’t mean being a doormat. That’s why the payoff of acceptance is becoming stronger, prouder, and more realistic, even if it never airs on basic cable.
Dr. Lastname

I like my wife, except when she doesn’t take her bipolar medications, which she hates, and then she becomes nasty, irritable, and overbearing. She makes my life miserable, and I worry about her impact on the kids. My goal is to protect the kids and get her to take her medication.

The best way to keep someone from taking their medication is to persistently ask them whether or not they’ve taken their medication.

That’s not to say that leaving the issue alone will insure she takes her meds, either. The point is, if she doesn’t want to take then, she won’t. The second part of the goal is a no-go.

The best you can do is tactfully encourage your wife to look for her own reasons to take medications. Having done that, you can predict whether it’s ever going to happen, and direct your life accordingly.

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Traumarama

Posted by fxckfeelings on March 21, 2011

If trauma leaves you with bad feelings, then of course you want to get over it. The problem is that, unfortunately, you were traumatized, not, say, irked. And trauma, by nature and/or definition, haunts you to one degree or another for an extended period of time and doesn’t necessarily pass. If you expect it to go away, like a slight ribbing would, you might get lucky. More probably, however, you will blame yourself for not being able to “get better” and make that trauma worse. If you wind up with trauma, then expect trauma, and learn to manage it. Being told to ignore it doesn’t mean making the memory go away; it means acting as if it wasn’t there. And if we’ve irked you, well, at least it’ll pass.
Dr. Lastname

I didn’t have any serious injuries after falling off some scaffolding, but I began to have nightmares and the thought of returning to work gave me anxiety attacks. So I took a medical leave, saw a therapist, and got some medication and now I’m much better, but I’m still far from 100% recovered and the thought of climbing a ladder still makes me feel like I’m going to have another attack. So I’m wondering whether to extend the leave until I feel better—I don’t know how long my disability insurance will cover this—or find something else to do, and it’s hard to make a decision when I don’t know whether I’m ever going to feel better. My goal is to feel well enough to make a decision.

Severe anxiety makes sissies of everyone. The primal part of your brain thinks it’s doing you a favor; it’s the part that says fire bad, sun hot, sex yay. Now it’s saying, ladders evil, followed by, run!

Meanwhile, anxiety attacks are so painful, the thing you’re most afraid of is having one again, the very thought of which makes you anxious, which feels like you’re about to have another. Your brain’s protecting you in a hellish spiral.

The scary thing you need to accept up front is that your anxiety, and your anxiety about anxiety, may never go away. If you think you’re supposed to make it go away, you’ll be more discouraged when you can’t; if you climb the ladder while telling yourself it will never happen again, you’re putting yourself into danger. That’s the kind of hope and optimism that will get you into trouble.

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Thems The Brakes

Posted by fxckfeelings on March 3, 2011

Pride comes before the fall, and the fall is sometimes into a prolonged depression, which, to mix metaphors, can lead to a lengthy winter of discontent. No matter how much you deserve to be confident in a job well done at work, there are uncontrollable things that can put the brakes on your momentum or just stop you from doing excelling work. One of the major sources of stalling is the aforementioned depression. That’s when you either find a more solid source of pride or start seeing yourself as a failure, and you know what we advocate. Real excellence is accepting your best work when it’s not excellent, and real pride comes with healthy expectations and is fall-free.
Dr. Lastname

After 5 years of facing up to issues with PTSD after a sexual assault, depression, anxiety and feeling generally emotionally disconnected, I felt that I made progress. As a creative person, I was stuck in a job surrounded by other artists but not creating anything myself. I left my job last autumn and set myself up as a freelance artist and have been working hard at being pro-active. I have been ignoring the signs of depression since last November, maybe earlier. I am doing the bare minimum just to support myself but over the past month or so I have been sinking down further and further. I feel like a failure to be back at this place again. In the past I have taken anti-depressants but they cut all creative flow off and I just can’t do that again, it’s the only thing holding me together at the moment. I cried last night for the first time in 9 years at the sheer frustration of not moving forwards and not being the artist I want to be. I’ve kind of given up on the idea of having the things normal people do like family (have no contact with my own), so I do tend to define myself by my art. My goal is to be brave enough and good enough to create the work that I feel is inside me without sabotaging or running away.

One of the dangers of being an artist is that you may gain too much confidence in your control over creativity. Sometimes, you feel the muse. Most of the time, you feel the misery.

When you feel inspired, you define yourself by your art, despite the lack of control you have over it. Creative types are in the unique position where talent and productivity don’t necessarily go hand-in-hand. When the former outweighs the latter, problems ensue.

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Destructive-Compulsive

Posted by fxckfeelings on February 14, 2011

All kids mess up—they take after parents, after all. Even more than their parents, they’re vulnerable to acting impulsively due to a cranial cocktail of stupidity, hormones and youth. They’re half-baked brains often interfere with any and all important activities, from behaving decently to getting homework done. There’s no good reason to hold them responsible for most of what goes wrong, then, but every reason to hold them and ourselves responsible for trying any reasonable remedial tactic and treatment. You can’t stop the apple from falling where it will, but you may be able to pick it up before the worms get it.
Dr. Lastname

My 15-year-old daughter was stealing, using drugs, and staying out all night until I had her arrested and brought to court in shackles, where the judge put her under the supervision of a probation officer. At that point, which was a week ago, she started to behave herself and act like the nice kid she can sometimes be, until today, when I noticed money missing from my wallet and found a bong in her room. I hate putting her through another “scared straight” court confrontation, but she has choices, and she has to learn that there are consequences. My goal is to make sure she makes the right ones.

I’ve heard that nutty “kids have choice” concept applied to fatties, druggies, and sex perverts, as well as kids. I’ve also seen it proven false. Every time.

Everyone wants choices, but when impulses take over, they can get you to do things before the concept of choice has even entered your head. That’s why, at this point, the choice is yours, not hers; whether or not to slow her down with some tough training.

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Do-It-Yourself-Help

Posted by fxckfeelings on February 7, 2011

When in the midst of one of life’s many shit storms, it’s easy to forget that feeling helpless and feeling that things are out of your control aren’t the same thing. It’s probably true that you don’t have much control over what troubles you, but that doesn’t mean you’re totally powerless and doomed to total annihilation. Helplessness, after all, is just a feeling, and a dangerous one if it makes you give up, lose faith, or act like a jerk. So if you can take a step back and look at what you actually can do, even if it’s very little, those shitty storm clouds will begin to clear.
Dr. Lastname

I can’t stand myself since I lost my job—I know I hated my boss and I was looking forward to retiring in a year, but I liked the clients and was good at what I did—but getting fired was humiliating and unfair and now I don’t feel like doing anything or going out. I can’t make myself feel better and my medications aren’t working and my friends can’t cheer me up. My goal is to feel like my old self and do the kind of work I can now afford to do, since I don’t really need the money.

The job you lost is one you hated, you have enough money to live on, and you now have the freedom to do whatever you want…this is probably what you’ve already heard from your friends a million times.

What they don’t know is that thinking that way just makes you feel worse.

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What, Me Worry?

Posted by fxckfeelings on February 3, 2011

Just as it’s sometimes better to be feared than loved, it’s sometimes better to be afraid than completely at ease. Yes, anxiety may push up your blood pressure, pound your pulse and punish your insides to the point where it feels like pure punishment. On the other hand, anxiety will also help you run faster, be more aware, and work harder. All these survival skills go back to the cavemen, who couldn’t kick back and feel too good, lest they end up getting snatched up and tasting good to a predator. Even now that we’ve moved from caves to condos, everybody needs a healthy dose of stress to stay alive.
Dr. Lastname

I never used to be particularly anxious, but that’s because I could count on my wife to run the family, manage the finances, and take care of the kids while I focused on work. Then a month ago, after she announced she was having an affair and wasn’t sure that she wanted to stay together, I started to have anxiety attacks and a feeling of dread. It changed my entire outlook on my life, past, present, and future. My anxiety got worse when I started to look at our finances and discovered we’ve got loads of debt she never told me about. Now she tells me that the affair is over and she wants to make the marriage work, but the anxiety isn’t going away—this whole incident has opened up a Pandora’s box of worry that goes way beyond her cheating. My goal is to get back to the way I felt before and not wake up to this terrible feeling every morning.

If you believe every pharmaceutical ad you see on TV, you might think that anxiety is as deadly as cancer and machine guns combined.

There’s a great disconnect, however, between random anxiety attacks and the very real possibility that you might lose everything and go totally, tits-up broke.

When you let someone else do life’s worrying for you and then discover they’re not really competent, you’ve probably got a lot of past worrying to catch up on.

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Prudent Parents

Posted by fxckfeelings on January 24, 2011

As a general rule, the worst kind of advice is unsolicited, but when you’re a parent, it often feels like giving your two cents is your duty, even if no one asks for it. Of course, it’s hard to offer good advice to your children about touchy, questionable decisions they’ve already made. It’s amazing what you can say and get away with, however, if, instead of giving them a piece of your mind, you take the time to ask them questions about where their mind’s at without any negativity or judgment. Hopefully, you’ll come to a conclusion that makes sense to both of you, and you can save your two cents for a rainy day.
Dr. Lastname

I wish I could be sure that my daughter is getting the right treatment for my grandson. He’s 7-years-old and been diagnosed with Bipolar Disorder and his doctor started him on a drug called Abilify, which has some nasty side-effects. I’ve read on the internet that Abilify can be harmful to kids and I wish my daughter and her husband would think twice before allowing themselves to be talked into using it, but I don’t want to intrude into their decision. My goal is to make sure my grandson isn’t harmed.

Never ask someone if they’re sure they know what they’re doing, because if they weren’t sure, you wouldn’t need to ask in the first place.

If you do end up asking your daughter why she’s exposing her son to a dangerous medication, not only will she answer yes, but she’ll give you an annoyed earful as to how she’s doing the right thing, how you don’t know what you’re talking about, and how you should just mind your own business.

She might not know what she’s doing, but neither did you when you opened your mouth.

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No Therap-easy Answers

Posted by fxckfeelings on January 6, 2011

Names are often misleading; there are no arts or entertainment on the A&E channel, Greenland is mostly ice, and, most importantly, Therapy isn’t necessary therapeutic. Fact is, few therapies work completely or all the time, whatever kind of medical problem you have, and there are no guaranteed cures for psychiatric problems. That means there are no no-brainer decisions; all decisions require your brain, so you’re the one who must make all the tough calls. As such, you’re the one who must decide whether a therapy is therapeutic and whether, given its risks, it’s worth trying. The more responsibility you take, however, the more control you’ll experience over your choices, and the more respect you’ll command from others and yourself. If you want to see the mushy kind of therapy, you can watch it on A&E.
Dr. Lastname

Things have been much better since my husband began therapy—he’s much less explosive and sensitive lately—which is good, because I didn’t really think we could start a family the way he was acting before. He was traumatized as a kid, and it’s made him very suspicious and touchy. I think therapy is helping him to get to the root of his problems, and that, if things continue to go well, we could actually have kids, but I’m not sure when he’ll be well enough for the time to be right. My goal is to set a goal for us.

Your husband may be happy because his relationship with his therapist has filled a deep need, or because he’s excited about a breakthrough, or because the McRib is back.

Sooner or later, however, therapy or no, life won’t be so easy, particularly if you have kids and you run into the usual kinds of medical, economic and personal kinds of bad luck that happen to most of us.

That said, don’t use your husband’s apparent happiness or serenity to decide whether he and your partnership are ready for child-rearing; what you need to know is how well his serenity stands up to stress.

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