Posted by fxckfeelings on October 16, 2014
You know that the how/when/why of diagnosis is a loaded topic, not just because you’re either longing to find or determined to reject one, but because those of you who read this site with some regularity know how many letters we get on the subject. A diagnosis is a powerful thing, but, like your authors’ posts, it’s rarely the last word. As always, ask yourself what a diagnosis really means before giving it too much meaning, or too little. We won’t be shocked or disappointed, however, if you want to ask us about what it means, also.
–Dr. Lastname
I have severe mood swings which don’t help at all, because some days/weeks I will be normal anxious me, but then I can have periods where nothing scares me anymore, pretty much like I’m ‘on top’, and I’ll have so much confidence. But then I have periods which are the exact opposite, meaning that I’ll be constantly upset and feeling self hatred for the way I am. As a result of this, I researched Bipolar Disorder and I have nearly all of the symptoms, I also took some of the online tests, which I know are not completely accurate but I thought they would give me a brief outline. Each one said that I possibly have moderate to severe Bipolar Disorder. After thinking for a while, I spoke to my mum, but she shunned the idea. I later convinced her to do some research on it and let me know her opinions, which I think she had no intention to let me know her thoughts as I only got a reply one month later as a result of my frequent questioning. She said I am definitely not bipolar. I have now been put on the contraceptive pill to control my irregular periods and mood swings, however they have not altered my moods, nor has the Teen Multivitamins that my mum has been buying me to prove that it’s entirely just my hormones. My goal is to control my moods and lessen my anxiety.
Just as there are eight major levels for classifying biological organisms—from general “life” down to the precise “species”—there are several unofficial levels of diagnoses. The most general level might be by location (e.g., the brain) and the more specific would be by identifying the cause of the disease. Unlike with plants and animals or even more common diseases, however, scientists can’t classify your individual diagnosis beyond basic symptoms. In sum, not surprisingly, it’s hard to classify crazy.
If the characteristics of the bipolar “species” vary greatly, depending on the person experiencing bipolar illness, then the usefulness of the diagnosis is limited, and your own observations and evaluation become much more important. What matters most then is not whether you do or don’t have a certified bipolar diagnosis, but whether your mood swings interfere with your life. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 13, 2014
In a culture that proudly sells medications created by grade school teachers, financial advice by religious figures, and recipes by celebrity wives, being an expert, or just seeking advice from one, is, in many people’s “expert” opinion, stupid. While we are sometimes more knowledgeable than supposed experts, we sometimes really, really aren’t, but you can’t know whom to trust if you get too influenced by feelings of self-doubt or omniscience. Instead, ask yourself whether you have the information you need in order to make good decisions, and whether, when it comes to that information, someone else knows more than you. If you can be objective about your decision-making ability, you’re much more likely to accept your strengths and weaknesses and take them into account; become an expert on your own problem and you can confidently find the help you need, no matter what the source.
–Dr. Lastname
My wife has been disabled since her second nervous breakdown; I thought she was a free spirit when I met her, but early in our marriage, we both realized that something was wrong, and she was diagnosed bipolar. Now that I’m writing my will, I realize I should probably take account of her condition; she’s been doing well for the past year, but another breakdown is always a possibility. If I knew better what to expect for her, I’d know whether I need to protect her from misusing the money, or just make sure the money is put towards making sure she has what she needs when I’m not around, like a roof and even a nurse. My goal is to find an expert who can tell me what to expect from her illness and how I cam make sure that she’s taken care of.
There are plenty of instances where people choose to follow their instincts over professional advice, and, whether it involves not vaccinating kids, not hiring a licensed electrician, or not getting that oral surgery, the results are not often pretty (but plenty painful and dangerous).
When it comes to knowing what to expect from your wife’s relapsing mental illness, however, you and your wife are the top experts in this unique field.
The two of you know better than anyone what her illness has been like in the past; how frequently it recurs, how much disability it causes, and how much it affects her judgment and her ability to manage money. Unless your doctor is also a psychic, her powers to predict your wife’s future are nowhere as strong as yours. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 6, 2014
Much is made of the inextricable link between trust and love, but the assumption seems to be that you can’t love someone else unless you can trust them (to listen, keep it in their pants, rescue you from a sinking ship, etc.). Just as important, however, is the ability to trust yourself and your own judgment when entering into a relationship; if you have too little confidence, you can sabotage your relationships, and if you have too much, you’ll make commitments that won’t last and will hurt like hell when they break down. Learn to trust yourself by gathering facts, observing carefully, and using common sense to judge your friendships and make smart decisions. Then, regardless of over or under-confidence, you’ll be able to love someone you trust and have trust in whom you love.
–Dr. Lastname
I am in a good relationship and have been now for a while (around 9 months). But none of my relationships seem to last more than a couple of years (I’m now in my 40s), and I worry that some of them I have sabotaged myself. I am at a point in this relationship where we have acknowledged that we love each other and have started making plans months into the future (nothing like moving in together, but definitely trips and such), and suddenly, I have this fear I’m going to lose him. But not just lose him—lose him to someone, and that someone is my friend. I had a friend when I was younger that flirted with my boyfriends, and even though nothing ever happened, it bothered me that she never understood these boundaries, didn’t have a sense of loyalty towards me, and used her looks and sexuality to get attention from those that should be considered off limits. Now I have a newer friend who is younger than me—she’s very pretty, smart, and single, and she has a tendency to try to connect with my boyfriend in ways that I am unable to by finding the gaps and honing in and I don’t like it. I am acting as though they have already run away together, or have a secret relationship. Is my own insecurity causing me to worry about this? My goal is to alleviate these fears of betrayal.
Having fun friends with fickle boundaries may damage your calm, but you do yourself more damage by letting them distract you from the real issues surrounding your boyfriend and your future together. Instead of worrying about whether your gal pals have good intentions, focus on doing the necessary homework to find out whether your boyfriend is a good match.
Assuming you’re not able to stop yourself from being insecure about your friends and boyfriends, use your insecurity to assess your boyfriend’s trustworthiness. Maybe you can also use it to get better at screening friends in the future, but for now, believe it or not, your best weapon against your paranoia is paranoia itself.
Instead of trying to feel better by talking about your fears and asking for reassurance, use them to review your boyfriend’s history with women and your girlfriend’s history as a femme fatale. Your anxiety will drive you to ask the right questions, and, with any luck, the right answers will allow you to tell that anxiety to shut up. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 15, 2014
Since attention is a precious resource, it’s useful to view help like any other investment; sometimes your help pays off in the long run, even if you can’t get a good result right away, and sometimes your long-term prospects are grim and high-risk despite a good initial return. Just as you’d never invest sentimentally or impulsively, don’t get caught up in the immediate joys and frustrations of helping without first looking at the big picture and determining what you can actually accomplish and whether the benefit is worth the risk. Then you can invest wisely and with positive returns, sooner or later, for both you and those whose welfare you’re investing in.
–Dr. Lastname
I am worried that my daughter is heading for meltdown and I’m unsure how to help. Her marriage was a brief catastrophe that left her with no money and a young child. She seemed to be getting back on her feet by finding a nice place and, with my help, a new car, and she has support from family and friends. She also started a demanding new job that is out of her comfort zone–she was sick of her old job and wanted to switch careers for a long time—but now she is struggling to cope and feels back at square one with all the crying and sense of hopelessness. I suspect that returning to her old job would have had the same result, but she now feels it was a mistake to take on more stress and change, even though she needs to support her child and the work is well paid and what she always hoped to do. I have tried hard to help with practical matters and held back on unsolicited advice or judgment, but I find myself walking on eggshells for fear of getting it wrong. She is back on medication but I worry that her life is unraveling. My goal is to accept my limitations while knowing that I am doing all I can to offer support.
Parents with young children have a deep understanding of contagion, at least when it comes to the colds and infections that get picked up at the Petri dish we call school, but the real lesson comes when those children become adults. Parents might not catch their kids’ germs, but they can still get caught up in their drama.
Your daughter may feel like her life is unraveling because she is overwhelmed by motherhood and a demanding job, but don’t let her feelings infect your brain. Yes, she may wind up losing her current job, car, and temporary peace of mind, but that’s doesn’t mean she’s failing or that you have to go into crisis mode. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 31, 2014
Some pressing problems are like mosquito bites or cravings for bags of Kit-Kats; the amount of urgency they inspire is inverse to the amount of attention they deserve. Other problems, like that angry rash on your arm or the spreading leak under the toilet, would be much easier to bear if you did not have to think or talk about them, but they’re the ones that often require careful discussion and negotiation. So don’t let your problems tell you when to talk or keep silent. Ask yourself what’s necessary, and, exactly like an adult who can deal with problems responsibly, you’ll often find yourself doing the opposite of what’s comfortable, and knowing you’re doing a good job.
Please Note: This is our last new post until 9/4, since we’re taking August to focus on finishing our book. We’ll refresh the front page with older posts while you get refreshed in the sun, and we’ll see you (and your sunburns) in September.
-Dr. Lastname
I have awful OCD symptoms that I can’t find the right treatment for. For years, I’ve had graphic, uncontrollable thoughts about killing the people I really care about (my parents, my husband), and even though I have no reason to harm the people I love, the thoughts are so persistent that I genuinely fear I’ll hurt one of them. I started psychotherapy in my twenties, and it’s always felt good to have someone I could tell about it so I felt less pressure and fear, but after all these years and communication (and a couple attempts at medication), nothing’s ever really changed. Now I’m in my forties and I’m happily married, but my husband rolls his eyes when I bring up the subject and try to relieve my fear by airing it out. My goal is to end these thoughts once and for all.
Not surprisingly, the best way to get control over obsessive thoughts isn’t to obsess over them. Airing these thoughts might provide temporary relief, but instead of releasing them, you’re empowering them; they’re like a plant, and you’re giving them the air and sunlight they need to grow and grow.
You’ve clearly tried everything, including medications, which sometimes reduce the intensity of obsessional thinking. If nothing has worked, however, then you probably also know that there isn’t a cure. That means it’s time to practice acceptance, as well as restraint. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 21, 2014
Despite what the Ramones (R.I.P.) once declared, most people do not want to be sedated, especially if it’s for reasons involving “going loco.” Some people can’t think about psychiatric hospital admission as other than a form of kidnapping, and others as a failure that should never have happened if they took proper care of themselves. In reality, it’s good to think about psychiatric admission as something that can happen again regardless of how well you take care of yourself, and will rarely happen for reasons that you won’t ultimately agree with. The more you accept the possibility of hospital commitment and consider your own views about what makes hospitalization necessary, the more skilled you’ll be at managing the situation if it occurs again, even if it’s something you’re never going to wanna do.
–Dr. Lastname
I’ve got depression that is usually controlled well by medication, but I had one bad episode three years ago when I got really down, couldn’t leave the house for a month, and was on track to starve myself to death. My parents were right to pull me out and take me to the hospital, but it was a horrible experience; there were some scary, sick people there, and staying there was traumatizing. Now my shrink wants me to put together a crisis plan that will tell my parents how to decide when they should take me to the hospital, if it ever becomes necessary again—a sort of “advance directive”—and I’m trying to figure out how to make sure that I don’t have to go back unless it’s really, really necessary. The last thing I want is to visit an emergency room where they like to lock people up, so I end up trapped in the nightmare ward again. My goal is to figure out how to minimize the possibility that I will get admitted again.
As traumatic as it felt to be admitted to a psychiatric hospital, you are familiar with the bigger trauma that you would have experienced if you weren’t admitted. The scary people you say in the psych ward were probably fairies and pussycats compared to the hellscape that your own home had become.
You know how painful your depression was, how it interrupted everything important in your life, including work, relationships and your ability to care for yourself, and how it endangered your health and your life. That’s the trauma it’s now your job to manage, and avoiding the job because you’d like to avoid the hospital is a foolish move. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 14, 2014
You lose a lot of important things as you get older—hearing, memory, life—but you also lose the ability to give a crap about things that really don’t matter. That’s why, if you’ve suffered from insecurity, either about work performance or the amount of commitment in relationships, being old can give you a more solid perspective and new management opportunities. So, if you’re old enough to have lots of experience, don’t get too worried by old fears. Rely on your own perspective to tell you what you need to do, regardless of what others think and your anxiety tells you. Just don’t rely on your ability to read small print.
–Dr. Lastname
I’m in a very specific line of consulting work—lots of research, long hours—that I’m very good at and enjoy doing, but I also wind up driving myself crazy with anxiety about doing the job just right. I formally retired a few years ago after many years in the business, when I was 55 and didn’t need the money, but I took a contract a few months ago because the specific assignment interested me. After all these years, however, I’m still having panic attacks, tightness in my chest, and shortness of breath. I even had to dig out the valium. I’m just obsessed with doing a perfect job, even though I know this stuff cold and my clients love me. My goal is to figure out what’s wrong with me and stop making myself sick.
Anxiety often causes symptoms that feel like sickness or even a heart attack (chest pain, tightness in your chest, shortness of breath, sweating), but that doesn’t mean that, like those other illnesses, it also shortens your life. A heart attack can kill you; a panic attack just makes you feel like you’re going to die.
So, while it’s natural to think that you’re making yourself sick every time you allow yourself to get anxious, anxiety isn’t deadly, or even totally detrimental; in regular doses, it helps you by making you worry about survival, making a living, and avoiding danger. Anxiety’s a lot like wine; a small amount everyday is helpful, a large amount everyday can make you feel helpless. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 26, 2014
Character attacks, like drive-by shootings and lottery winnings, never seem to go to the right people; sensitive innocents are often used as pawns (and attacked, and tortured) in battles between those close to them, and clueless and insensitive idiots refuse to accept any criticism as valid. Whatever emotional hurt you experience, dish out, or deny, your moral judgment of the behavior being criticized counts most in the end. Hurt fades quickly if you see no wrong in what you’ve done, and if you see wrong in the actions of others, what you do to avoid them is more important than calling them out and getting to their feelings, certainly if you have something of a drive-by nature in mind.
–Dr. Lastname
I feel ashamed that my weaknesses are opening my son to a vicious attack by his ex-wife’s lawyer. She’s a monster and her lawyer is trying to make my husband and I look like we’re incompetent and even dangerous grandparents when it comes to caring for their kids. His ex-wife’s lawyer told the judge that, because I’ve been hospitalized for mania and alcoholism, I shouldn’t be allowed to care for my grandchildren, and then demanded my medical records. I can’t defend myself, because it’s true, even though I’ve been sober and doing well for the past year and have never endangered those kids. My goal is not to let my illness jeopardize my son’s custody of his kids or prevent me from helping him care for them.
If there’s anything positive you can take from the experience of being attacked in court for having mania and alcoholism, it might be that, as a grandparent, you’ve been given the chance to feel like a kid again; specifically, like a child being attacked in the schoolyard for something you can’t help but are sensitive about. Everyone laughs, it hurts, and the bully gets a win.
Since you are an adult, however, and not a nervous little kid, you can recognize that, just because you’re ashamed of something, and someone attacks you about it, doesn’t mean you’ve done something wrong. Unfortunately, bullies often grow up to be Assholes™, and some of those Assholes™ trick nice men into marrying them (or just get law degrees). WAIT! There is more to read… read on »
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 »
