Posted by fxckfeelings on September 15, 2011
As diseases go, mental illness is a doozy to treat; some mentally ill people are too humiliated to ask for help, and others are too crazy to ask. If you want to help them (or yourself), keep in mind that it’s the illness, stupid, which distorts the attitude towards treatment. Use the same logic and moral values for mental health treatment decisions that you would use for other illnesses; there’s nothing humiliating about getting sick, no matter what a sick brain decides.
–Dr. Lastname
I have been wrestling with depression for years now and my maternal side of the family has a history of depression and suicide. I don’t feel that I can do this on my own anymore and need help. I don’t want to just take a medical cocktail of antidepressants. My question to you is how do I go about finding a therapist and/or doctor that will be most helpful to me.
The first step for getting treatment for your depression seems simple– don’t get depressed about treatment for depression. After all, depression’s just another form of pain unless it twists your thoughts into thinking that not getting rid of it is a kind of failure that marks a meaningless life.
As long as you realize depression is a persistent ailment, just like persistent back pain or diabetes, you’ll have an easy time making treatment decisions because you won’t regard using treatment as evidence of weakness. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 22, 2011
[Please Note: Sadly, we haven’t completely fixed up the site glitches, but there should be improvements by the end of the day. We apologize for the delay, but you can still send us your problems at [email protected], linked below.]
People like to think that trusting an inner voice—their gut, their instincts, the force, etc.—will always lead in the right direction. In actuality, instincts and body parts are better known for causing instant urges (a.k.a. “feelings”) that ignore logic and implant convictions that the sky is falling, love occurs at first sight, and advertising never lies. When it comes to major decisions, don’t trust your gut (which, as we’ve pointed out before, is literally full of shit). Find out facts and figure out the odds before doing something that scares you, titillates you, or gives you an enormous Visa bill.
–Dr. Lastname
My brother is a good doctor, and an especially good one given that he’s struggled with depression his whole life. When his own illness needs attention, however, he becomes a terrible patient. He doesn’t get depressed often, but when he does he obsesses about the possible side effects of each medication and so doesn’t take what’s recommended, takes half the prescribed dose, or insists on his doctor giving him something less harmful (and much less effective). The result is that he drives his doctor (and me) crazy and takes a lot longer to get better. When I tell him he’s over-reacting to his fears, he tells me “I’ve learned to listen to my body.” I know he’s a doctor, but I think his body’s lying. What can I do to help him when he’s sick?
It’s a sad fact of mental illness that it often prolongs itself by disabling a person’s ability to seek and select appropriate treatment. Like any smart disease, it knows from self-preservation (in all the ways your brother does not).
That means you can’t necessarily get through to your brother by reasoning or addressing his fears. In your brother’s case, it’s unlikely, not just because you and his doctors have tried and nothing works, but also because he is a doctor, and the side-effect of trying to treat a doctor is a giant pain in the ass.
Recognizing his response as inherently unreasonable and illness-driven, however, can build your confidence in your own opinion to the point where you don’t have to persuade or argue. If he insists on listening to his body, you can serve some truth to his brain. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 14, 2011
Some of us have demons inside, whether we like it or not, for reasons that are always unfair and usually inexplicable. You don’t have to be Buffy to know what demons are like-—full of hate, need, and the power to make you do things that hurt others and yourself. Absent Buffy or a neighborhood exorcist, you’ve got to learn to live with your demon if you have one (or more) sharing your body, and the best way to begin is to remember who you are and what you care about, other than the immediate satisfaction the demon demands. Then you can reach out to other demon-fighters, whom you’ll find are more numerous, available, and courageous than you would ever have imagined when you were fighting your demon alone.
–Dr. Lastname
I discovered this site after reading Emma Forrest’s book, “Your Voice In My Head” [fxckfeelings.com was cited in the acknowledgments –Dr. Lastname]. I am very young (in high school) and have suffered from anorexia/bulimia for 3 years. I never had a calm childhood, and after being obese I lost half of my body weight through anorexia within half a year, but I gained all of it back by bingeing in not even a few months. I feel like I was not even strong enough to ”stay anorexic’,’ so I became bulimic. Everyday I wake up thinking about how I should die or how long I can keep living with myself, because I despise who I am, and it is becoming unbearable. I truly believe I will never see the light at the end of the tunnel, I will never get out of this and will spend the rest of my life with an eating disorder which has ruined my life. I have no more strength to keep fighting, I have had enough, enough of life. Please help, I am ready to hear anything.
As mental illnesses go, eating disorders are the most parasitic; they literally consume their host in order to thrive, but instead of demanding more food, they feed upon your body and self-worth.
Instead of having a moderate, healthy awareness of your own attractiveness, you’re dealing with a leech that is rarely satisfied with how you look and more often intensely disgusted with the ways you fall short. It would rather wipe you out than live with you ugly (and it always thinks you’re ugly). WAIT! There is more to read… read on »
Posted by fxckfeelings on July 11, 2011
Some people feel compelled to solve other people’s problems by telling them what they did wrong, figuring that shame and the power of truth will get them to correct their mistakes. The truth is, the only thing shame motivates most people to do is sulk and make even stupider decisions. Instead, admit that most problems don’t actually have solutions, then be positive about the options that do exist. If you insist on piling on harsh truth, the real shame will be that you didn’t take our advice.
–Dr. Lastname
I can’t figure out how to keep my daughter from falling into a depression. She’s a fine young woman (she’s 30) and was doing well until she got laid off, through no fault of her own. What worries me is that, whenever she doesn’t have school or a job to do, she gets into a funk, has trouble getting out of bed, starts to wonder whether she has skills that anyone will want, gives up her job search, and becomes depressed and immobilized. She got some treatment once, but it didn’t help much. What got her going in the past is that she’d eventually move to a new place and start over, and that worked. My goal is to help her avoid the meltdown and the need to re-locate every time her job fails.
Before trying to help a depressed person, remember—avoid sounding critical at all costs. They might deserve it, but they’re already dealing with an incredibly harsh, vocal critic who happens to live in their heads.
Don’t accidentally give advice that adds to that chorus, because you’ll just confirm what she already thinks of herself and make matters worse.
The usual way to develop a positive line is to concede the negative; tell her you think she’s prone to self-criticism and depression, because she is. Just don’t tell her to “get help.” WAIT! There is more to read… read on »
Posted by fxckfeelings on June 23, 2011
If treatments were always beneficial, and people were always rational, and life was always fair, it would be easy to figure out how much help a person needs. Unfortunately, treatments often poop out, and people often embrace or reject treatment for the wrong, often irrational, reasons, and life is just a cruel mess. So deciding how much real, imperfect treatment to use in real, imperfect situations requires courage, acceptance of your limitations (and those of treatment), and the conviction to tell the unfairness of the world to go fuck itself, you’re going to keep trying, anyway.
–Dr. Lastname
Although I’m usually a big fan and praise your blog endlessly, this recent post [“Helping Head,” 6/17/11] isn’t a “like.” Eating disorders are treatable to full remission. In fact, the pervasive idea out there that people just struggle endlessly and that treatment doesn’t really work is self-fulfilling and even dangerous. Please consider re-considering. There’s new science on this!
Without irony, I can say that treatment for eating disorders is effective. In other words, I agree with you, except that the word “effective” has a hook in it.
“Effective” is the word most favored by drug companies because it implies no guarantees, solutions or cures, just that the treatment in question produces results that are better than no treatment at all.
Unfortunately, it does not mean completely effective, or effective for everyone, all the time. (And it also may cause dry mouth, constipation, etc., etc.). WAIT! There is more to read… read on »
Posted by fxckfeelings on June 16, 2011
It doesn’t seem mean or destructive to be convinced you or someone else needs help, but the trouble happens when there’s good reason to believe there is no help to be found, at least none of the kind you want. That’s when seeking can become as futile as the search for the Holy Grail, except nastier, sadder, and with more damage than a flesh wound. Giving up is often a significant act of kindness, and the first step to getting or giving a different, better kind of assistance, with or without nerdy references.
–Dr. Lastname
I have a friend who has a history of being diagnosed with depression, self-mutilation and, recently, suicidal thoughts. She was forced to seek treatment with a counselor in HS (now 24-years-old) whom she said was no help, and now she says she won’t ever seek treatment again because it won’t help her. She acknowledges she has issues that need addressing, but she doesn’t believe in mental illness diagnoses, states she just needs to “deal” with it. However, all we talk about is how much she hates her life, hates feeling this way but isn’t willing to do anything about it. I’ve told her she’s an adult, and makes her own decisions and no one can force her to do anything, but I’ve been very honest with my concerns about her, and that she needs help. I don’t want to treat her with kid gloves or enable her but I also don’t know how much I can push her, since I know its her mental illness that’s clouding her view of the world/reality. How can I continue to be a good friend without beating my head into a wall and enabling her?
For many people, “help” and “cure” have become interchangeable words, as if good motivation and proper treatment will always make things better (tell that to the common cold).
Sadly, the help your friend needs, just like a cure for what ails her, may or may not exist, depending on her luck, the severity of her issues and whether she sees them as hers or just a reaction to other people. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 6, 2011
The reason that high school movies will never go out of style is that a large part of our compass of self-definition, the one that tells us whether we’re doing a good job and adjusting satisfactorily, is magnetically driven by the people we see, socialize, and suffer with every day. Thankfully, real life comes with graduation, and, if you’re lucky, the ability to escape the judgment of peers and make your own evaluations. If you really miss high school that much, skip the critical contemporaries and go straight to John Hughes.
–Dr. Lastname
I’m feeling a little lost. For most of my life, I’ve been an excellent student. I made As and Bs with minimal effort. Seriously, I’d just show up to class, take a few notes, and get an A. I didn’t really have to try. It just happened. The past two years, however, it seems like I’ve been sinking further and further into a hole that’s gotten so deep, I can’t even see where I fell in. I have difficulty motivating myself to get out of bed 90% of the time. When I used to be able to pen an excellent paper in a few hours’ time, I find myself now staring at a blank Word document with nothing but a header for weeks. My GPA has plummeted from fantastic (not stellar, but it would’ve done well enough) to abysmal. The only thing keeping me from dropping out of college entirely is the fact that I know I’d have nothing else at all to live for. My family already thinks I’m a failure, because I haven’t graduated yet. The past two years has put me painfully behind schedule. I’m thoroughly unhappy, and I honestly don’t know how the hell to stop it. I need help figuring out what the hell I need to do to get out of this hole.
Pretend you’ve just been told you have a fatal disease. Suddenly, your GPA and the opinions it inspires in your family and friends probably matter a lot less, no?
When you’re in workplaces, families and/or schools, they seem to be the whole universe and your place in them seems to define who you are. The best thing about being cast out, or even just moving on, is that you gain an opportunity to define your worth more independently, in terms of your values and efforts, instead of what people thought of your performance.
Right now, your grades and your family are telling you you’re a failure, but they don’t deserve to have the last word. You have obstacles you can’t control, and you have good qualities not currently recognized in your limited universe.
It’s time to reassess not just what’s wrong, but how it’s wrong, for whom, and how much is really in your power.
WAIT! There is more to read… read on »
Posted by fxckfeelings on June 2, 2011
Oh, people—can’t live with them smothering you, can’t live without them at least giving you the time of day. Unfortunately, nobody, including you, can give everybody the amount of attention they desire or deserve, so somebody’s bound to feel stung. If you treat your friendship like a precious resource, giving to those who can make the best use of it and withholding when the difference it makes is negative or none, then you’ll know you’re doing a good job, even if those pesky people don’t agree.
–Dr. Lastname
My best friend drives me crazy and doesn’t give me room to breathe. She calls every night and wants to talk for at least half an hour, even when there’s nothing to talk about, but we’re adults, not high school kids. I work full-time and get home late, so she doesn’t expect us to get together during the week, but if I don’t want to see her on Saturday or Sunday she wants to know what I’m doing and acts hurt if I could have been doing it with her. We’re both over 40 and don’t get asked out much, but I’d like to develop a wider group of friends. Instead, I feel like I’m always on the defensive. The more irritated I get, the more careful I have to be about what I say, which just makes me sound more defensive. I’m trapped. My goal is to be myself with her.
Even though your friend sounds like the emotional Ike Turner, I’m sure she isn’t all bad; she might be good at offering support, or fun to hang out with, or talented with a guitar.
On the other hand, your friend is clingy by nature, over 21 and, if she hasn’t responded to comments about her clinginess so far, incapable of getting it. Remember, no matter how much she sounds like a jealous spouse, you and your friend aren’t married. It’s OK to ask yourself how much time you want to spend together, not just what’s best for Ike.
WAIT! There is more to read… read on »
Posted by fxckfeelings on May 30, 2011
When people are in pain and can’t find a good treatment, they often feel like filing a protest—it’s the adult, less-trivial version of a child pitching a tantrum when their situation becomes too unfair. One way to rebel is to embrace a treatment that feels good but does harm, another is to avoid a treatment that feels bad but might help in the long run. As with a red-faced toddler, you can’t help such a person by supporting their expectations, you can only remind them that life is, in fact, unfair, and that they’d better deal with it as it is, or you’ll have to reassess your relationship/take a time out.
–Dr. Lastname
My wife is a good woman, and she loves our son, but she has a trauma history and when she gets anxious, she gets very negative and loses hope in us, herself, and our future. Antidepressants helped some, but less than we hoped. Two years ago, before our son was born, her psychiatrist showed her that negative thinking was half the problem and urged her to get DBT, a kind of cognitive behavioral therapy that would help her develop positive thinking habits. She didn’t follow through but seemed to be doing well until the other day, when I discovered she’s been drinking secretly since she delivered. She says alcohol is the only drug that helps relieve her anxiety, which has been overwhelming. My goal is to find something else that will help her.
Everyone is entitled to anxiety-relief, a fair life, and a healthy body. Along with that entitlement comes the guarantee that everybody (except for a few lucky jerks) has to pay the price.
At this point, her motto is, to paraphrase the New Hampshire license plate, “live free (from anxiety) or drink.” If it were up to you, she wouldn’t feel this way, but it’s not, and you’ve got to tell her that neither freedom nor booze is an option.
WAIT! There is more to read… read on »
Posted by fxckfeelings on May 23, 2011
Ambition is a blessing and a curse; a curse for most of those people who possess it, but a huge blessing for my business, which flourishes off the self-hate of said overly-ambitious people who believe they could have been contenders (if it wasn’t for themselves). Actually, the usual reason you can’t have your dream is that your equipment isn’t what it should be, and the best way to restore your faith in yourself is to accept the fact that your brain, while not a blessing, isn’t exactly a curse, either, and requires a set of expectations all its own.
–Dr. Lastname
I’m going back to school in the fall (for my master’s), and am really worried about the problem that plagued me in undergrad—academic OCD (which combines with general OCD, natch). Specifically, I over-cite EVERYTHING in my papers, because I have this terror of plagiarizing—to the point where my papers are hard to read, and the citing is ridiculous. I haven’t been out of undergrad very long, and I know I need to go back to school to achieve my career goals, but I’m DREADING the papers—any thoughts on how to prepare myself to deal with this very specific anxiety?
If you want an easy way to manage your over-citation compulsion (OCC), here it is; stop making too many citations! Stop it! Bad! Hope it works, and we don’t accept personal checks.
As always, the problem with looking for easy answers to your problem is that you’ll assume that all you need to do to get better is give yourself a kick in the pants or share your feelings with a therapist. It’s not true, and thinking like that will make you feel like a failure (and, if you’re lucky/buy answers like the one above, an idiot).
Long story short, your problem is here to stay (citation: this site, on a weekly basis) and, as long as you’ve got to write papers, managing it is going to be painful.
WAIT! There is more to read… read on »
