Posted by fxckfeelings on March 1, 2010
A lot has been made recently about how it seems like every child is being diagnosed with autism; celebrities like Jenny McCarthy, whose son is autistic, have led the charge to blame and outlaw vaccines in order to protect kids. In reality, as science progresses and our understanding of the autism spectrum deepens, the disease hasn’t expanded, just the diagnosis, i.e., there aren’t more autistic kids, just more kids being called autistic. While today’s cases aren’t autism-related, they both illustrate the myth of the power of diagnosis. Focusing too much on what your disease is does nothing to improve your health. Incidentally, Jenny McCarthy has revisited her take on vaccines—it turns out her son’s diagnosis was wrong.
–Dr. Lastname
In the last ten years, I’ve heard voices in my head and most doctors describe my symptoms as psychosis, but nobody can tell me exactly what’s wrong, or find a medication that makes them go away, or really do anything but listen to me give them my laundry list of “how I’m crazy” and try to take the problem apart. In the meantime, I’m struggling to hold onto my job, my wife is struggling to put up with me, and my kids (now grown) just worry and get more distant. My disease stays the same, my life gets worse, my diagnosis goes nowhere. My goal is to figure out what is causing the symptoms, get a real diagnosis, and make real progress.
I wish the word diagnosis meant “we know what’s wrong and what to do,” but it often doesn’t, except in certain special cases. (Like, right now I feel safe diagnosing your reaction as disappointment.)
Very often, all a diagnosis means is that we recognize a group of symptoms that often travel together in the same social circle, and often get a little bit better when they’re treated with a particular group of medications. Tada.
That’s almost always true when the doctor making the diagnosis is a psychiatrist, because we know less about mental illnesses than almost every other kind of illness (and less about the brain then we do about any other part of the body).
We really should use some other word than “diagnosis,” but we don’t, because we love to think we know more than we do, which goes to prove that doctors are just as vulnerable to idiot false hopes as everyone else.
Some people put a premium on hope of any kind, but false hope is dangerous, because we pay for it with unrealistic expectations that lead to feelings of failure. You expect that, once you get the right diagnosis, you’ll get the right treatment, but I diagnose that assumption as bullshit.
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Posted by fxckfeelings on February 4, 2010
If someone’s related to you, there’s no guarantee they’re going to be honest with you, or even honest about you to anyone else. You can try to get them to own up to their problems with anger, eloquence, and/or the help of the court system, but the smarter choice is to stop pushing them towards the truth and hold onto the facts yourself. As long as you’re calm and factual, people can draw whatever conclusions they want and your relatives can stick to their version, but your part in the family affair is settled.
–Dr. Lastname
I’m fine now (I’m 14), but I’m trying to figure out how to deal with a crazy father who physically abused me until a couple of years ago—that’s when my mother finally figured out what was happening and had me come live with her. The trouble is, I guess you could say my father doesn’t see reality the way other people do and he never remembers hitting me. In his mind, when he’d hit me, it was because I was trying to destroy him, so what he tells the judge is that he loves me and that my mother is a raging alcoholic who has brainwashed me to hate him (my mother stopped drinking after the divorce, years ago) and he really believes what he says. My goal is to get him to stay away from me and convince others that his version of reality isn’t real.
Kids aren’t the only ones who have trouble accepting the fact that we often can’t protect ourselves from scary crazy boogeymen, particularly when the craziness isn’t obvious, and the boogeymen are family.
We’ve said it here before: certain crazy people are not obviously crazy and are particularly good at persuading other people to see them as injured victims because they truly, truly believe they are, no matter what really happened. It’s a kind of sickness for which no one has the cure, and nobody feels sicker than the victims in the wake of these sickos, who don’t necessarily feel sick at all.
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Posted by fxckfeelings on January 25, 2010
If you hate someone or something for reasons beyond your control, then those feelings are, in essence, beyond your control, so resistence is essentially futile. Hating something is one thing, but then feeling guilty for hating, then angry for feeling guilty, depressed for feeling angry…so it goes down the feelings spiral, down the emotional toilet.
–Dr. Lastname
When I broke up with my girlfriend, I felt like I didn’t have a choice; she was smothering me, she made me feel guilty and like a bad person all the time, and I just couldn’t take care of her anymore. We’d been together for a relatively long time and I had reached the end of my rope (she’d even started hitting me and breaking things in our apartment). The problem is now that I feel even worse because, in the months since I ended it and she moved out, she’s started getting high a lot and has threatened to kill herself more than once. If she goes through with it, I don’t know what I’ll do with myself. My goal is to feel less awful about breaking up with her (which I did to feel less awful).
As a not-sociopath, you can’t feel less than awful about your ex-girlfriend’s drugging, depression, and self-destruction.
It’s the feeling responsible, as well as awful, that will not only do nothing to help her recovery, but will also turn your sorrow into well-entrenched, call-the-doctor depression. So…Dr. Lastname here, how can I help you?
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Posted by fxckfeelings on January 21, 2010
In-laws are classically seen as a pain in the ass, but when your in-laws’ offspring becomes your ex, and your own offspring remain, that pain doesn’t go away. Sustaining relationships with exes is hard—especially when those exes are drunk, crazy, and generally impossible—but when you have kids, you’re forced to sustain those relationships, with parents and grandparents, like it or not.
–Dr. Lastname
My ex-wife cares about our kids, but she’s always been overbearing and intense, which is why I ‘m very happy not to be married to her now. Her latest rage, in both senses, came from her new therapist, who persuaded her that she’s depressed and has bad dreams because she was neglected and maybe abused by her alcoholic parents, so now she wants our kids to have no contact with them, their grandparents, at any time, whether the kids are staying with me or with her (we have joint custody). Now, I’m not crazy about her parents and they sometimes drink too much, but they never did anything unsafe and the kids love them, so I was shocked to hear from the kids that they miss their grandparents (my wife never informed me about her new policy). I don’t want to trigger a court fight with my wife—I can’t afford it, and neither can she, but she spares no expense when she feels her kids are threatened by the forces of evil—and I’ve got no great wish to put myself on the line for her parents, but I don’t like having her tell me what the kids can do when they’re with me and I don’t think losing their grandparents is good for them. My goal is to send her a message that she can’t control what our kids do when they’re with me and protect the kids from losing their grandparents.
The short answer is, you can’t win a pissing contest with a fire hydrant.
Yes, your ex-wife has no right to tell you what you can and can’t do with the kids when they’re with you, and yes, it hurts them to be cut off from their grandparents, and yes, in the short run it’s entirely within your power to facilitate grandparental visits.
No, none of this matters in the big picture.
If your wife is the kind of self-righteous, crusading, angry asshole you describe her as being, then you have very little power to make things better and many, many opportunities to make things worse.
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Posted by fxckfeelings on January 18, 2010
People get demoralized when they feel they’re not getting what they deserve, be it pain relief or respect. It’s natural to go on strike and either A, start raging against the machine of injustice, or B, go the other way and surrender to a life on the couch in sweatpants and a snuggie. Of course, the resulting fall-out will feel like a side-effect of the original injustice, not a direct result of your tantrum, but you’ll be too high on rage/comforted by your snuggie to understand. Understand this now, before you protest; better to suffer the original injustice in peace than the further demoralization of unemployment, stiff drinks and a blanket with sleeves.
–Dr. Lastname
I have a dedicated husband, three teenagers, a nice house, a well-behaved dog—it’s not a bad life—but I’ve had a nagging sadness my entire life, and I still do, despite all the good things I’ve got. I deal with it, admittedly, by drinking a bit. I wouldn’t say I’m a drunk, and my drinking doesn’t interfere with my parenting or my marriage anymore than my mood does, but I know that what I’m doing is self-medicating. My husband wants me to see a shrink because he thinks I should take real medication for depression, but if my drinking doesn’t mess up my life, and if, despite all I have, I can’t be happy, anyway, then I don’t understand what makes one medication better than the other. My goal isn’t to be happy, just to withstand my misery, my way, right or wrong.
I understand that chronic depression, which is what we call “nagging sadness” in the biz, isn’t fun. It can make you grumpy, negative, unmotivated, scattered, and lousy at whatever you’re trying to accomplish.
All that’s excluding the pain, so no wonder it can demoralize you into seeing a negative future for yourself. It’s enough to make you want to turn “what the fuck” into words to live by.
If there was some way to relieve your pain that was risk-free and didn’t affect your other life priorities, that would be wonderful (for you—the aforementioned biz would probably dry up).
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Posted by fxckfeelings on January 11, 2010
We’ve often made the point that shrinks are doctors, not magicians, but we got a couple of cases this week take that point even further; not only aren’t shrinks magicians, they’re also people (and it turns out that surgeons are doctors and people, but really don’t want to be confused with shrinks). Not surprisingly, even doctors need a doctor once in a while, even if it’s an e-MD…with no magical powers.
–Dr. Lastname
I’m a therapist who takes great pride in being available and supportive to my patients, but I’ve got one who’s driving me crazy. At first, he thought I was great at helping him get more confident and functional, but lately he’s been slipping and drinking too much and fighting with his wife, and, instead of seeing me as a supporter who wants to help him control behavior that’s hurting him, he blames me for giving bad advice and being critical. I asked if he’d like to see a different therapist but he said he wants me to apologize and listen to him more carefully so I can make up for the pain I’ve caused. I’ve listened, and all he does is give me an endless earful about how badly I and other people have treated him and how I’ve made him feel worse, not better. I want to refer him elsewhere, but I can’t, because I wouldn’t wish this guy on my worst enemy but I can’t abandon him, and I don’t want to get sued or burn any bridges in what’s a pretty small professional community in this area. My goal is to get rid of this guy without feeling like I’ve abandoned him or triggering a malpractice suit.
If your goal as a therapist is to make people feel better, then it’s no wonder you’re fucked; as such, you’ll have no defense against the kind of asshole who feels you (or really, anyone but them) is responsible for their happiness and pain (mostly pain) and therefore deserves punishment when things go bad.
Under your rational exterior, you seem to agree that you’re responsible, Dr. Feelgood, so he’s got you, and he knows you speak his language. Asshole 1, Therapist 0.
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Posted by fxckfeelings on January 4, 2010
In fxckfeelings.com terms, most resolutions are just grand, annual wishes, not goals. Goals, as we define them, are realistic, while wishes are failure-prone yearnings that are usually best ignored. The holidays are over, and so are the excuses n’bullshit, so for our own New Year’s babies/cases, happy New Year, and it’s time to ditch these resolutions, stat.
–Dr. Lastname
My girlfriend got mad at me on New Year’s Eve and now she tells me it’s blown over, but I can’t believe her. I’ve always had these massive how-stupid-could-you-be thoughts that I can’t get out of my mind after I say something that might be stupid, even if it isn’t really stupid, but I keep on thinking about what I said and have to tell a friend about it and then, when they re-assure me, I can’t believe them and have to ask them again until it drives them crazy, and I start to worry about how stupid I sound to them, and so on. So my big New Year’s resolution was to stop myself from being so insecure, but now it’s happening again and, even though my girlfriend is a pretty uncritical person, I can’t stop wanting to ask her for re-assurance. My goal is to be able to tell myself that I didn’t say anything stupid and have more confidence in myself and finally become the person I want to be.
Many people don’t grow out of their “I-hate-myself-for-being-so-stupid” reaction, no matter how much they accomplish, or get reassured, or seek professional help. They never find out why they’re so stupid, but they never stop asking.
The reason for their so-called immaturity is a kind of painful mental tic that hurts like hell when it happens, and can’t really be prevented or eliminated (other than by lobotomy, which is a skill I’m trying to acquire, as soon as I can find a willing test patient/Jon Gosselin returns my calls).
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Posted by fxckfeelings on December 14, 2009
As Christmas gets even closer, we have to help our readers with even more holiday-inspired, toxic self-reflection. The holidays have the unfortunate tendency to push people to examine and confront their hurt feelings, when really, the best gift they could give themselves is to ignore their feelings and just enjoy their friends, family, and seasonal baked goods.
–Dr. Lastname
I consider myself to be a pretty thoughtful gift-giver—I pay attention to what other people need, things they don’t even know they need, their birthdays, their anniversaries, and I usually get it right. My husband, on the other hand, isn’t sentimental at all about birthdays or anniversaries and doesn’t remember them, so he’s a lousy gift-giver and, I can’t help it, it really gets to me. After I knock myself out to get him a good birthday present, he either forgets mine, or gets flowers at the last moment, or thinks of getting me something and then doesn’t follow through. We have a wonderful marriage but every year around Christmas, his lazy, lousy gifting really gets on my nerves (particularly since I can’t help doing a good job with his gifts). It’s humiliating. My goal is to find a good way to address this problem so I won’t resent him this Christmas.
There’s not one, but two good reasons why it’s a bad idea to address the problem of unequal gift giving with your husband, and the first, it’s a safe bet, is that you’ve done it before and it turned out badly. I’m right, am I not? (It’s important for me to be right, given my Harvard background).
You reproach your husband for neglecting your Christmas needs, he gets defensive, tells you how he knocks himself out for you, maybe goes further and remembers the time you didn’t do your share, and then you have to tell him how he got the facts wrong.
Meanwhile, both of you are drifting further away from any spirit of Christmas giving, other than that old staple of gift-giving everywhere, the Christmas Earful.
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Posted by fxckfeelings on December 10, 2009
Most of us make a big deal out of apologies, but the sad truth is that “sorry” doesn’t serve as a guarantee of lessons learned or absolution, just a band-aid on our hurt feelings until one party messes up again. For all our emphasis on forgiveness, it’s hardly a virtue, Christian or otherwise, if it requires you to assume that people have more choices than they really do.
–Dr. Lastname
My daughter is turning into a petty criminal. She’s getting kicked out of school again, she won’t stop messing around with drinking and drugs, she has unprotected sex, and her boyfriend is probably the guy who broke into our house and stole our TV, though she refuses to believe it. My husband and I have tried so many times to get her to see what she’s doing wrong and steer her in a better direction—we’re our own private “scared straight” program at this point—but every time we confront her about where she’s headed, she says she feels terrible, that she’s sorry, that she never wants it to happen again…and then she gets wasted and everything repeats itself. If only we could get her to understand the harm she’s doing, maybe we could get through to her and turn her around. Meanwhile, it’s killing us. We try to forgive her, but it’s hard. My goal is to forgive her and get her to see what she’s doing to herself and everyone who loves her.
There’s no point in getting your daughter to see what she’s doing wrong if she can’t really stop herself from doing it, and she really, really can’t. You can’t scare straightness into a boomerang.
Regret and remorse will make her feel bad, and you might think that will stop her from fucking up next time. Well, au contraire, my dear unHarvard-educated sap. It’s not fair, but that’s the way it works. You should know that since you’re the one missing a TV.
According to Christmas movies and sentimental parts of the Bible, repentance leads to redemption, but I say, goddammit, that’s just wishful bullshit.
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Posted by fxckfeelings on December 7, 2009
At fxckfeelings.com, we’re never afraid to tackle the ickier topics; we deal with not just the feelings that come out of us, but the solids, as well (although often they’re equivalent). So if someone can’t hold it down or you can’t hold it in, sure, it’s an awkward situation, but it’s not the end of the world. You’re not responsible for what goes in or what comes out, just for what you do about it, whether it’s your problem or your neighbor’s.
–Dr. Lastname
I just started at college, and I like my roommate, but she’s bulimic and hard to be around. Not just because she’s sick (and everybody on the floor knows about her problem, it’s hard not to), but because when she binges, it’s on my food because that’s what’s closest, and she always feels really bad about it and cries that she wishes she could stop, but then she doesn’t offer to pay for it and it’s costing me a lot of money. Part of me just feels bad for her, because she’s clearly really messed up, but another part of me is pissed because I’ve lost a lot of money this year on food that she’s eaten and thrown up, and that just makes me feel guilty like I’m a bad person for putting my lost money above her health. I want to move after the break, but I don’t want her to feel abandoned. My goal is to help her and myself.
Welcome to that other part of college, Hard Knocks University, where the class Helplessness 101—what to do when you can’t help both someone and yourself, and sometimes you can’t help at all—is a frosh requirement.
The tough part is not the decision, but accepting the shitty nature of your options. Bulimia, like any chronic condition (depression, addiction, etc.) is not completely curable, not by you or certainly the patient herself.
If you buy into the psychobabble about body image and low self-esteem, you might think you could help her by praising her strengths, noticing her attractive qualities, or getting her to think about the superficiality and limitations of attractiveness. Ha!
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