Posted by fxckfeelings on December 2, 2010
People often feel broken by trauma if they can’t stop attacks of anxiety and achieve the sense of control that they’re sure normal people have. Sadly, normal people are as common as guiltless donuts and pegasi; if being broken means that you can’t be fixed, then everyone is broken, because we all eventually have problems about ourselves that can’t be fixed. If you’re out there, braving the risks of relationships and work and child-rearing in spite of trauma symptoms, then you’re not broken—you’re a hero.
–Dr. Lastname
I made the executive decision today to not participate in our airport’s body scan or pat down procedure, and now my whole family is f*cked. I had my “no more than 3oz bottles” in their “official” airline approved baggies, so obviously I arrived at the airport planning to suck it up and be a team player. When we got to the security checkpoint however, I discovered there was not enough scope (or vodka) in my 3oz bottles to get me through the required security procedure. I started having flashbacks dating back to a sexual assault 20+yrs ago, and called off the idea of being a team player. I’m pissed at myself for ruining our plans, and equally pissed that my husband (who knows about my past experience) thinks it’s “silly” that I couldn’t just suck it up and go through it like everyone else. My kid’s are totally confused now as to why we are at home and not at Grandmas. I know from news stories I’m not the only one having a problem with our new security procedures. I know I don’t “owe” anyone an explanation, but it seems avoiding their questions is only making matters worse. How do I explain, without really explaining, why I’m refusing to put myself back in the position that clearly was not in my best interest at the time?
If you’re reactive to your feelings in public, for any reason, life becomes more dramatic, unpredictable and sometimes humiliating. You want your junk, physical and emotional, untouched.
Unfortunately, most times you do end up saying something emotionally, it doesn’t come out cool, leaving you and everyone else feeling a bit violated.
There are, however, some advantages to being emotionally reactive, particularly in the anxious way you describe, even if those advantages don’t involve airports.
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Posted by fxckfeelings on November 8, 2010
Sometimes asking questions over and over again is a good way to avoid the fact that you already know the answers, you just don’t like them. The answers are probably bad news that require you to live with pain, but by refusing to accept them, you don’t postpone that pain, just force yourself to keep living with the same problems with the added extra of uncertainty and compound pain interest. It’s better to take the answer you don’t want and face the truth bravely, even if the truth is that you’re fucked.
–Dr. Lastname
I take medication for my Obsessive Compulsive Disorder, and every night, when I take my pill, I wash it down with a couple of beers. My OCD takes the form of compulsive worrying about my health, or the possible bad effects of things I’ve done, and it’s partially prevented me from practicing law. I know you’re not supposed to drink when you take meds like this, but the beer helps me sleep, and my OCD hasn’t gotten worse with the booze. Still, I know it’s a bad idea, and while my primary care physician and my psychiatrist have said it’s OK, they seem a little doubtful. At the same time, they can’t point me to any definitive articles on the subject. My goal is to get you to give me an answer that will make me comfortable.
If your OCD is worrying compulsively about your health, and you’re searching for a definitive opinion to help you stop worrying about your health…surely you see how you’re putting the symptom before the horse.
You already know that the comfortable feelings you get from experts’ answers don’t last long; they can seldom stand up to new doubts prompted by afterthoughts, things you’ve read, and the general mental itch, I’ve-got-to-check-things-over-again-OCD feeling.
Comfortable is not an option. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 18, 2010
To paraphrase Homer Simpson’s thoughts on alcohol; for the depression-prone especially, fear is the cause of, and result of, all of life’s problems. When you’re afraid, it seems like you’re losing control, and nothing will work unless you get it back, which will just dig you deeper. Life can and will always take away your control, so your job is to forget control and preserve your values using whatever you have, regardless of result. You may not be able to cure yourself of depression, alcoholism, or anything else that ails you, but you shouldn’t hide and give up. Remember, to further paraphrase Homer Simpson, the answers to life’s problems aren’t found through control, they’re found on the internet.
–Dr. Lastname
I’ve been so depressed I can barely get out of bed, so at this point, I’m willing to try medication. The problem is, none of the pills I try seem to work for me, and some of them make me feel worse. One antidepressant made me dizzy, and another one my doctor recommended is said to cause weight gain, and another sometimes causes a severe rash. I’m desperate, but there’s got to be a way to feel better without a fucking rash. I need something that will work without doing me serious harm.
If you’re looking for an antidepressant that’s sure to help and has never caused harm, stop your search now. Like cold fusion, unicorns, and a good Joel Schumacher movie, such a pill doesn’t exist.
Refusing a medication because it makes you gain weight is like skipping chemotherapy because of possible hair loss. Expecting too much from antidepressants, or any medication, can paralyze you and prevent you from getting the actual help they might be able to provide.
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Posted by fxckfeelings on September 30, 2010
There’s something about the decision to take or not take medication that makes people very reactive to feelings, both theirs and others, instead of just weighing the important stuff, like the risks, their symptoms, etc. The only good way to make medication decisions is to think about what will happen to you without them and decide for yourself what will do you the most good. Until the day others can feel sick on your behalf, their reactions to your own carefully thought out medical choices shouldn’t come first.
–Dr. Lastname
Given all my issues, I’m not doing so badly, although it’s true I have a $400/week speed habit. Even with that though, I’m doing well at a demanding, high-powered job, meeting all the overtime demands, and then, at quitting time, when I’ve gotten paid and don’t want to feel bored or alone, that’s where speed comes in. A few years ago, I had a crazy, manic mental breakdown and they started me on medication, which I’ve taken regularly, but I’ve been doing fine ever since, my mood is great, the speed hasn’t bothered me, so I don’t see why I can’t start cutting back on the meds. That’s my goal: to feel OK without meds.
Whether it’s bad for you to use speed or stop your bipolar medications depends a lot on what you believe you need for your future survival, assuming that you care about it.
Since I don’t think that’s a safe assumption, let’s assume you’ll at least consider caring about it after you read my response.
WAIT! There is more to read… read on »
Posted by fxckfeelings on August 30, 2010
Someday, people with psychiatric problems will get safe, effective treatment without having to make difficult choices, and Thanksgiving dinner will come in a pill, and jetpacks will be available cheaply for every man, woman and child. For now, the state of the art is much better than it’s ever been, but it’s still primitive, and it certainly isn’t inexpensive. Until the silver bullet for curing mental illness is found, patients have to make innumerable tough decisions for themselves, weighing everything from side effects to costs. Or they can just bide their time until their jetpacks arrive to make everything better.
–Dr. Lastname
I decided recently to listen to my friends and family and see a psychiatrist about my depression, but I don’t know whether I’ve made the wrong decision, or whether I’ve just chosen the wrong doctor. Basically, I decided to get help because I feel helpless, but my doctor wants me to do a lot of the work myself and doesn’t really help that much. It’s not just he wants me to ask myself a lot of questions (and answer them—if I had the answers, would I really be paying him?—but also deal with my insurance company and read up on the medication he suggests (he tells me about them, sure, but he says I owe it to myself to read up on them on my own, and that doesn’t make sense to me since he’s a doctor, knows everything about the pills, and he could just tell me himself). My goal is to figure out whether therapy is worth it, or whether I’m just getting help from the wrong source.
I hate to sound like your psychiatrist, but ask yourself what you have a right to expect from treatment, given what you know about its limits and your resources for paying for it.
If you want, you can spin things positively by saying that you’ve heard about good new treatments that can really help and that you’ve got great insurance that you pay a ton of money for. Of course, you’d probably be full of shit.
WAIT! There is more to read… read on »
Posted by fxckfeelings on August 9, 2010
Whether it’s wishful thinking, fear, or a powerful sales pitch from the church of Scientology, we have lots of emotional reasons for shutting down our logical minds when we have to make medication decisions about psychiatric illness. The good news is that, while those decisions should be made carefully, they’re not rocket science. The bad news is that it requires more courage than brains (or Thetans) to be a good manager of your own health.
–Dr. Lastname
I recently started going to a doctor for my depression. She thinks I should take pills, I’ve seen lots of articles about how antidepressants don’t work and the main reason they’re prescribed is because of the huge investment that big pharmaceutical companies have made in producing and marketing them. It makes sense to me that there are better natural, holistic solutions that get played down by the medical establishment because they can’t make money for anyone and threaten the profits made by those companies. My goal is to find treatments that work best, not the treatments that server the corporate interests.
The problem with most criticism of current drug treatments is its hopefulness; it implies that there are good, effective, cheap and low-side-effect treatments for depression (that are being suppressed). If only principal clause of that statement were true.
Sure, a magic bullet, holistic or otherwise, would be great (there are lots of other unsolved and incurable problems I can work on, so I’m not worried by the hit my business will take).
The truth is, however, that current treatments are time-consuming, weak, often costly, sometimes risky, and not guaranteed to work
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Posted by fxckfeelings on August 5, 2010
We’ve talked many times on this site about how controlling other people is essentially impossible (at least in the long run, but you’d be surprised how obedient people are short-term when you have cake). That’s why pushing for someone else’s acceptance isn’t just hopeless, but when we put that need ahead of our own convictions and priorities, it’s downright dangerous. People in AA are taught right off the bat to accept what they can’t change, which is a valuable lesson to anyone, with or without booze (or cake).
–Dr. Lastname
My husband worries a lot about my drinking and depression but, to my mind, I don’t think my drinking is a problem and I don’t think I’d be depressed if I wasn’t worried that he’d leave me. For the sake of our marriage, I’ve agreed to stop drinking for a while and go to AA, but I really feel that my drinking wasn’t causing me any problems and that I’m doing this to make him happy, which makes me feel weak and angry. I want to get him to accept me the way I am before I can’t take it anymore.
You’re in a tough spot, because partnership really can’t work without acceptance, and acceptance is not something you can control. The more you force acceptance, the harder it is to achieve. Accept that, buddy.
If you try too hard to get his acceptance, you’ll hide whatever you think he won’t accept, which means putting your drinking in the closet and going to the mall instead of AA meetings.
On his end, if he tries too hard to make the relationship work, he’ll pretend you’re not really drinking or that you’re going to change, which also means no real acceptance.
WAIT! There is more to read… read on »
Posted by fxckfeelings on July 19, 2010
Today’s post tackles a common, yet heretofore-not-submitted question about therapy, namely, how to find good help without breaking the bank in the process. While it’s a simple question, the answer isn’t, so we’ve dedicated the entire post to helping those who want help with their mental illness, but don’t have a dime to spare.
–Dr. Lastname
I’ve been depressed for some time and could use some treatment, but my insurance has a big deductible, so I’ll be paying everything out of my pocket, which isn’t deep. My goal is to get treated for the least amount of money.
I’ll assume from your tone that depression isn’t making you suicidal or putting you at immediate danger of losing your job and/or family because, if it is, you need to forget about the cost of treatment and value the cost of your survival.
If depression is putting your life/work/family in danger, get a psychiatric evaluation, in an emergency room if necessary. Do not pass go, do not collect $200 (no matter how much you need it).
If that isn’t the case, there’s lots you can do to reduce the amount of money you spend on treatment…if you’re willing to spend some time, do some research, and use your common sense.
WAIT! There is more to read… read on »
Posted by fxckfeelings on June 7, 2010
Most people panic if their mental health goes south, and if/when they find a doctor to help them recover, they assume that treatment is a mystery about which doctors know best. If you’re in that situation and disagree with your doctor’s decisions, don’t act like a helpless child challenging an all-knowing parent. Learn what you need to know to make well-informed decisions and stand by them, whether or not your doctor agrees. It’s the best way to cure yourself of panic, and it makes refuting your doctor’s advice a discussion between equals, not a pleading.
–Dr. Lastname
My psychiatrist thinks I should increase my medication, but it already makes me sleepy and has caused me to gain 10 lbs. If anything, I’d really feel better getting off it entirely, because I hate being dependent on it. For the time being, I know I need it, because I’ve barely recovered from my last depression, but even thinking about increasing the dose makes me feel depressed. I’ve seen this doctor throughout my entire illness and she’s been very good with me up to this point, but now that I don’t agree with her I don’t know what to do. I don’t want to have to take more medication.
It’s much easier to have an agreeable disagreement if you’re not pushing someone with your emotions; after all, lawyers use evidence, not tantrums, to win a case.
Still, it’s hard not to push with your emotions when the issue is personal and scary. Unfortunately, you don’t have a choice.
WAIT! There is more to read… read on »
Posted by fxckfeelings on May 31, 2010
Most good people find themselves doing the same old bad things over and over. For some of us, said bad habits don’t go beyond excessive chocolate or videogame usage, but for others, “bad things” result in horrible consequences. Understanding why people are like that seldom helps, but recognizing when people are like that (whether it’s you or the other guy) can be very helpful if you accept the fact that the problem won’t go away and take responsibility for managing it as it is. You can’t change urges, but you can sure try to change results.
–Dr. Lastname
I love my work, my kids, and my wife, but I have bipolar mood swings (and I’ve taken medication for years) that lead me to do things that get me into trouble. Recently, in spite of the medication, I felt a surge of energy and started to stay up late, sneak into my studio and paint. I’ve also started to drink again. I don’t want to change meds or let people know what’s happening because I want to keep my options open. I love the highs and the freedom, and I hate being told what to do, but I’ve got a demanding day job that doesn’t involve painting, and a wife who doesn’t like it, to say the least, when I’m not honest. So my goal is to get myself under control before people catch on to what’s really happening.
There are few fathers and husbands who can’t identify with the goal of wanting to feel special, have time to themselves, and avoid humiliating comments about eating, drinking, toileting or sleeping habits from their next of kin.
The fraction of these fathers who are dealing with mental illness and addiction to alcohol don’t want to be asked if they’ve been taking their medication or started drinking.
So, if your goal is to avoid immediate disrespect and hang on to your secret Van Gogh identity a little longer, then keep doing just what you’re doing.
WAIT! There is more to read… read on »
