Posted by fxckfeelings on November 25, 2013
If you truly want to believe in the old saying, “There’s someone for everyone,” you have to add the caveat, “assuming that many of those people aren’t exactly right for each other.” Some people think they’ve found “the one,” but then can’t see their partner’s faults because of the wishful optimism of love. Others sour on their spouses because of the tired pessimism of long-married irritability So if it comes time to make a tough decision about a marriage, be sure to ask yourself what continuing your partnership is likely to do to your finances, parenting, and security given what’s happened so far and what you now know about the character of your significant other. Once you figure out whether your someone is actually Mr. Wrong or Mrs. Will-Suffice, you’ll have a much better idea of whether you should hire a therapist to help you get along or a lawyer to preserve your assets.
–Dr. Lastname
Please Note: There will be no new post on Thursday due to American Thanksgiving. As always, we are grateful for our families and your misery. We’ll be back next week.
I’m living a nightmare and feel totally helpless. I thought my wife had overcome the drug habit she was struggling with before we got married (otherwise I wouldn’t have married her). Normally, she’s the sweetest person in the world. Recently, she went back being the evil witch I remember her being when she was on drugs, blaming me for everything and threatening to take me to court for abusing her. When I asked whether she was on drugs again, she said I was a crazy asshole. Two hours later she said she was sorry, that I was right, but she felt ashamed of using drugs and was taking it out on me. She said treatment just didn’t work for her. My goal is to get her to get help so she goes back to being the amazing woman I love.
There’s a reason that “addict” is a term you live with forever. That’s not to say it has to be a horrible stigma—college graduate and Torontonian also qualify as life-long labels—but no matter how much you wish addiction would be behind you or someone you love for good, it’s always there.
You thought your wife had overcome her drug habit because you loved her sweet, kind side and wanted to think ugly, addict side wasn’t real. She’s not a bad person, but she has a bad side and a bad disease that she doesn’t seem ready or willing to deal with. Even when she’s being kind, her evil side is always going to be there, and she’s doing nothing to stop it. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 19, 2013
In the self-help-iverse, “limits” is often a dirty word, because we should all aspire to reach the loftiest heights or depths of intimacy. In reality, limits are crucial when setting both personal and interpersonal goals, but they’re especially vital when you’ve got a partly functional, mentally ill family member to take care of. In that situation, you will probably feel like doing anything to get him/her into treatment, including persuasion, confrontation, and threats of expulsion. In reality, your influence over the course of a mental illness is often, well, limited, treatment or no, and trying too hard to make it better can make it worse and drive you crazy. Instead of getting over-absorbed in efforts to help, get help yourself in figuring out the limits of what’s possible and respecting your other priorities, including safety, security, and the nurturing of others. Refusing to acknowledge limits is a lot easier/more damaging that learning to respect and use them to your advantage.
–Dr. Lastname
I’m married to a wonderful, unique individual, a free spirit who lived in a van for several years avoiding the world. After we married, we had a difficult couple of years, but then my work took off, and I got pregnant. My husband, already a night owl, turned into an irritable, stressed out insomniac who oscillates between manic episodes of ultra productivity, to sleeping for marathon amounts of time, missing appointments, being late for work, generally letting everyone down. He seems so resentful of me—everything I say he takes to the utmost extreme. We have been in talk therapy for three months, which has been pretty useless. The therapist has recommended my husband see a general doctor and a shrink about the insomnia. On a long road trip he started hallucinating and driving off the road. Sometimes he admits there’s a problem, other times he doesn’t. This morning, after another night of no sleeping, he screamed at me, collapsed on the floor and then crawled into the closet and passed out. I have asked him to leave our house until he seeks help, but he also refuses to leave. If I don’t pay the bills, he will be unable to. I reached out to his family and they keep saying it’s a marital tiff. He’s a wonderful man who is deeply troubled right now and in huge denial. I think he has some serious mental health issues which have been brought up by the huge responsibility of being a father which need addressing. How can I best help him?
You know that your husband’s dangerous behavior is out of his hands and in his mind. Unfortunately, there are lots of medical and mental health problems for which no one, including this mental health professional, has the answers, and this may be one of them.
The danger of trying to help him if it’s just not possible is that you’ll exhaust yourself and, worse yet, put yourself and your baby at risk from his symptoms. His illness may not be his fault, but that doesn’t make it your only responsibility, either. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 15, 2013
If Shakespeare was right and a rose by any other name would smell as sweet, then a mental illness, no matter how it’s diagnosed, will always mean you feel sort of nuts. If you want to know what’s wrong with you, receiving a diagnosis feels very important, even if it sometimes leaves you yearning for something better, or resenting being labeled in the first place. The truth is that many diagnoses do little more than satisfy the irrational human need to exert magical control by naming whatever is painful and scary. So, when faced with symptoms that frighten you, don’t pay too much attention to the diagnosis; instead, find out what it says about your chance of getting better and the possible benefit and risks of treatment. Remember, it’s easier to deal with the unknown—and keep smelling the roses—when you don’t pretend to know more than you do.
–Dr. Lastname
I have a quick question but a lasting problem. I went to the doctor recently to talk about my roller-coaster emotions. She told me that I was manic-depressive with bipolar tendencies. I just want to ask you, since you went to Harvard, what the fuck does this mean?
Sadly, even with my Harvard-ified shrink expertise, I can’t tell you what the meaning of having a “manic depressive” or “bipolar” diagnosis is, because that’s for you to determine, not your shrink, this shrink, or anyone else. That’s because the diagnosis doesn’t add much meaning to what you already know about yourself and your roller-coaster moods.
So if your lows are crushing or your highs make you act like a nut, then you have good reason to get help in managing your mood, but the decision is up to you. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 12, 2013
When anger is persistent in a relationship, it’s often impossible to clear the air and end hostilities, no matter how strong either party’s diplomatic skills are. Trying to air underlying grievances often makes them worse, so without heavy artillery or the help of the UN, your best bet is either to retreat, or, if you’re entrenched in the region, learn to live with anger while you decide, using your own standards, whether the benefits of a relationship are worth the pain. As long as you behave decently yourself, you have no reason or right to question your own value or waste time wondering what you did wrong. You do have every right, however, to go about your business and not let unfriendly fire lead to another endless war.
–Dr. Lastname
My wife and I are in our 50s and have two grown daughters that live with us in the suburbs. She drinks off and on and suffers from all the insidious side effects of alcoholism, as does our family. How can l give my wife the space she wants but “be there” too? She also suffers from PMDD and has been arrested and held for observation for reckless inappropriate behavior. She has caused physical injury to myself and her daughters. I’ve journaled on a calendar for the last two years, just good days or bad and two distinct cycles of behavior have emerged, one on a 28 day cycle that she’s aware of (still an asshole though), and the other on a 200 day cycle that’s horrendous and can last as long as 50 days or so. She doesn’t appear to have even the slightest awareness of how grossly inappropriate her bad temper and consequent actions are. Her need to punish and hurt, me in particular, is just bizarre. She becomes completely inconsiderate, disrespectful, obnoxious, and there is no approaching her during these episodes. I am isolated by the tantrums that occur if I reach out for help or comfort from friends or family. We can’t even speak to one another within our household or she feels ganged up on and, you guessed it, even more enraged. We can’t have people over, we can’t plan any activity or a vacation. She is completely unsympathetic to our agony and when (god forbid) we ask for a little mercy, her favorite response is “I don’t give a fuck!” Please help me.
When people feel torn apart by the nastiness of someone they love, they should always ask themselves whether their goal is to change the person who’s mean to them or change themselves. Since the former is dangerous, painful, and altogether impossible, the choice becomes clear.
Whether her problem is mood swings, alcohol, a bad attitude, or all of above and more, doesn’t matter; you and others have tried hard to change your wife and it’s clearly not going to work. So talking about her problem with anyone else, including me, a friend, or some other shrink, is the wrong thing to do. She says she doesn’t “give a fuck,” and in the meantime, you fruitlessly give all the fucks in the world. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 22, 2013
Mental illness has many traits that physical illnesses don’t, and sadly, one of those is shame; that’s why, when dealing with mental illness, in yourself or others, it’s easy to pay more attention to stigma than chronic dysfunction. Stigma is the shame you feel about losing control, spending time in a weird mental state, and not being able to trust your judgment, while chronic dysfunction is the inability to do what you really need to in order to pursue what you felt was important before getting sick. In either case, what matters most is not whether you’re embarrassed or dysfunctional, but how well you respect yourself for dealing with whatever bad feelings, behaviors, or disabilities remain with you after you’ve made your best effort to recover. Mental illness is not easy to treat, but the shame that comes with it is easier to avoid than you think.
–Dr. Lastname
My husband isn’t happy with me, and I can’t say I blame him. I’m bipolar, and before we married, there were times when my mood swings made me a manic, exciting, sexy girl. Now it’s 10 years later, and I take medication so I never get manic. I do my job, hold up my end of the conversation, and act like a responsible person, but the chemistry between us isn’t as fun or exciting as it was in the old days, and I know it’s hard on him. I feel our marriage hasn’t recovered and it’s a burden for both of us. I wonder if it’s a mistake to stay married.
If your idea of your marriage contract requires you to stay exciting and interesting, then it’s like a TV show that depends on its ratings, and eventually, no matter how many cute kids you add, murder trials you withstand, or sharks you jump in water skis, ratings will inevitably decline.
If that’s how you see your marriage contract, I wonder if your husband is also obliged to stay attractive, interesting, and exciting, lest you find a better replacement to play his role.
What I suspect, however, is that what you both offer and expect in your partnership is more important than excitement, and includes being reliable, caring, and doing your share. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 19, 2013
It’s easy to know and describe what it’s like to be physically out of sorts—usually, Nyquil or a triage kit are in order—but when you’re losing it mentally, things get a lot more complicated. In some cases, it’s uncomfortable and can’t go away soon enough, while for others, it’s great and not something they even see as a problem. Good or bad, however, it’s easier to identify and understand, at least to the person experiencing it, if you remind yourself that a state of mind is only a state of mind. So whether or not you can change it, or believe it’s worth changing, it’s always worth remembering that there are more important things. Your job is to make the most of your state of mind, even if you can never fully make sense of it, without letting your brain run your life (and body) off the rails.
–Dr. Lastname
I don’t know how to begin…It’s really strange because I’ve never felt like talking to a psychiatrist, but now that I’m trying to, I realize how much I may need one. I’ve been trying to find one of my, of what I realize now, many fucked up aspects to talk about. Why do we bottle things up? Why do we make the bad things the deepest parts of our lives? Happy moments are like listening to the Beatles, short and like being on acid or running through a meadow…or both. But melancholy sits inside like Joni Mitchell or Jeff Buckley, if you let it. I guess my point is that I am terrified that I am going to have Virginia Woolf or Sylvia Plath’s life. Almost everyone in my family has mental issues. My brother tried to kill himself this year, my grandparents are the lovable nut-bags, my father had anger issues during my childhood… and I got the diagnosis from my doctor this year that I am depressive with bipolar tendencies. It’s terrifying to get a name for the way you are. I have so many. I wish it was duchess sunshine awesome, but you know… I guess what I came here for was to say that I don’t know how to express my emotions, should I bottle them up? Or should I just let myself go? My goal is to be a little clearer.
We don’t have the power to diagnose people over the internet, but when we get letters from people fretting over psychiatric diagnoses we usually feel comfortable diagnosing those diagnoses.
So, assuming you do have the familial tendency to be depressed, have mood swings, and, presumably, be creative, you don’t have to have a fucked-up life, nor do you have to stifle your creativity.
What you will have to do, however, is work at keeping your perspective when you’re hurting with depression and everything seems to suck while not letting your diagnosis frighten or shock you. After all, a doctor has merely put a label on what was always there, meaning you now know there are techniques that can help you deal with what’s been ailing you. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 12, 2013
Almost everyone—man, woman, and certainly fundamentalist Mormon—regards marriage as a happy ending and valuable goal in itself. It’s no wonder then that we’re reluctant to ask ourselves whether marriage is actually a good fit for everyone’s character, or whether some marriages are doomed despite lots of love and motivation on both sides. So beware of the sentimentalism of love when it applies to the unsentimental institution of wedlock. Instead, tally up the facts that come from actual behavior to determine whether marriage suits what one person needs and another person has to offer. If you’re looking to add a sister-wife, we can’t help you.
–Dr. Lastname
Now that I’m 35, I wish I could finally find a way to explain to my family that I really don’t want to get married, but they won’t hear it and think I just don’t want to grow up. It’s true that, for many years, I was out of control with drinking, drugs, and big lows, and I can understand that they don’t believe I know what’s good for me. But I’ve been sober now for five years, I take my work seriously, medication has stabilized my moods, and I’ve dated some nice girls I really care about who I enjoyed spending time with. At a certain point, however, I always start to wish they’d go home so I could do what I wanted to do, like reading or watching Netflix. I’ve remained friends with most of my exes, but I’d rather spend time alone in my own place, controlling my own time, and, while I love kids, I don’t want to raise any. So my goal is to figure out a way to get my relatives to accept my decision and stop nagging me.
It’s particularly hard to believe in the value of your own major choices if you’ve had trouble with substance abuse or mood swings, and even harder to get anyone else to believe in your major choices, especially when you make the choice to stay single and childless. Evidently, your history of addiction and mental illness is a good reason to second-guess your choices, but not your ability to raise a human.
Now that the worst of that addiction is in the past, you know that one of the great benefits of getting sober and taking time about your decisions is that you can actually come to believe in their rightness. In your case, you’ve got good evidence that there’s nothing wrong with your preferences; your emotions haven’t been controlling you, nor is a lack of good prospective partners influencing your personal choices. To paraphrase a wise, fictional Friday night football coach, you have a clear head and a full heart, so you can choose and not lose. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 18, 2013
Saying that being depressed just means being sad is like saying that having cancer means feeling nauseous; depression involves a lot more than misery, including anxiety, self-doubt, exhaustion, physical pain, and even nausea, depending on the individual. Some people are always at least a little depressed because they’re never satisfied with themselves, and others have severe symptoms but only briefly after special disappointments. In either case, until depression gets it’s own chemo-like treatment, people can seldom cure their symptoms. They can, however, learn to think more positively about their lives while not confusing the pain of symptoms with failure or character defects, or the pain of life with depression in general.
–Dr. Lastname
I have a very demanding and high pressure job, part of which is done in public, so when I make a mistake, I can’t stop thinking about it or beating myself up. I always think the worst, even for the minor stuff, but I don’t understand why. I accept mistakes in others, why can’t I accept them in myself? I am not arrogant or self-important; just the opposite, I often think I’m the dumbest, most inept person in the room. I’ve had some success but I always attribute that to external forces, not anything I’ve done. This is starting to really affect my life. I cry a lot. I don’t know what to do. Please help.
The fact that you got such a demanding and high pressure/profile job probably means that you have what it takes to get it done, but part of what helped you get it and do it well is being ultra-conscientious, which means worrying, self-criticism, and now, probably, depression. Circle of life, meet circle of strife.
The good side of worry and anxiety is that they drive you to work harder and look out for mistakes. Worriers succeed, not to keep my industry alive, but because worry-genes help people survive and multiply. The negative side of these genes, however, is that they set you up for negative thinking and depression. Anxiety and depression are just two sides of the same miserable coin. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 13, 2013
Parents can be responsible for making sure their kids are clothed, bathed, and fed, and even the bathing part is a stretch if your kid is a teenaged boy. After that, almost everything is out of a parent’s hands, especially behavior. Under normal circumstances, there’s lots you can do to help a kid control his bad behavior, assuming you stay positive, provide him with effective limits, and encourage him to endure whatever internal demons and nasty frustrations are flipping him out. Under abnormal circumstances, however, you may well do everything, accomplish nothing, and find it’s better redirecting your energies to where they’ll do more good, even if it’s just making sure they have some soap.
–Dr. Lastname
My twelve-year-old daughter can be difficult with her father and she’s not always respectful to her teachers, but she’s basically a good kid and I can count on her to do her homework and be reasonably nice to her sibs. Lately, however, I’ve been getting more complaints than usual and I’ve noticed that she looks pretty irritable and unhappy most of the time. I don’t want to come down too hard on her, but I don’t want to ignore the fact that I’m responsible for how she behaves and she hasn’t been particularly nice to people. My goal is to figure out how to take her problem seriously without making her feel I’m too critical.
When you feel responsible for your child’s behavior—or your dog’s, or even just your own weight or success—then you feel obliged to get it under control. Unfortunately, responsibility and control do not go hand-in-hand; if your kid is spoiled, needs a talking-to, and has the ability to learn from it, then a conversation might work. Otherwise, think again, because you’re trying to control what even she cannot.
In this case, you’re suggesting that your daughter already knows what she should be doing but that something is bringing out the worst in her. A serious talk about her behavior may help her stop, but there’s a danger, particularly if you sound too angry or moralistic, of worsening her mood, provoking self-hate, and stimulating defiance or self-harm. You both want the same thing, but frustration will make it even more impossible. WAIT! There is more to read… read on »
Posted by fxckfeelings on May 2, 2013
From Mama Rose to your average scary hockey dad, pushy parents who steamroll their kids into living out their own dreams are seen as monsters who seldom inspire real motivation. Pushing a relatively unmotivated kid into therapy instead of the spotlight might not make you feel like Dina Lohan, but the fact is, an enthusiasm gap between parent and child never bodes well. It doesn’t necessarily mean that your kid is an unmotivated, treatment-rejecting slacker, but it does mean that the intensely emotional intervention of a caring parent, whether offering treatment, discipline, or both, can make a child too reactive to others’ motivations to discover his or her own center and strength. When you want to help a difficult child, you must also learn to sell your child on the values of patience and self-restraint through example, waiting for your child to meet you halfway. Pushing a child to be mentally healthy is more valid than pushing her to be a superstar or pro-athlete, but if she don’t want it as much as you do, all you’re doing is pushing her away.
–Dr. Lastname
My daughter’s therapist is extremely expensive (hundreds of dollars, and he doesn’t take our insurance), but my daughter said the sessions helped her with her depression when it seemed like no one and nothing else could, so my husband and I took out a loan and paid for weekly treatments, which started when she was in high school and continue over the phone now that she’s in college. At the end of last semester, however, she’d flunked out of a course and now says she needs more money for personal expenses, and my husband and I have reason to think she’s drinking and partying way too much. We’re furious and my husband doesn’t want to keep “throwing money away,” especially since it’s money we have to borrow, but I’m afraid that if we confront her or reduce support for her treatment she’ll get even worse, drop out of school, and never get her degree or her mental health in order. My goal is to figure my way out of an impossible dilemma.
Ironically, endlessly searching for ways to keep your daughter safe is, in itself, a fairly dangerous proposition; if you make yourself too responsible for her treatment, she won’t develop her own values and reasons for using it and accepting its limitations. You can lead the kid to therapy, but you can’t make her think.
Until she builds her own foundation for managing her illness and its treatment, your recovery plan remains shaky. It gets shakier the more it depends on your efforts and the availability of therapists who may or may not be there when you need them, no matter what their cost. WAIT! There is more to read… read on »