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Friday, January 10, 2025

The Self-Blame Game

Posted by fxckfeelings on September 12, 2011

When it comes to the doorway of self-respect, some people are doormats while others are battering rams. The key (pun intended) to respecting yourself is being sensible about assigning blame; not everything is your fault, not every person can be helped, and no insult is worth taking to heart. So instead of allowing yourself to be stepped on or administer punishment, judge yourself fairly and stand firm.
Dr. Lastname

My best friend and I got together after 9 years of friendship. A couple of years before we got together, I was with a guy that my best friend absolutely hates and also works quite closely with. My friend and I love each other immensely, but after only six months it was all over and done with; his trust and jealousy issues got the better of him in our relationship even though there was no basis for it, and he called it off as he knows that won’t change about himself. While he loves me, he wants us to be in each other’s lives forever so broke it off. I thought it was something we could work on so never really gave up hope that he would return. We finally had a proper talk about all of it, however, and now I get that he is never coming back to me, but I still don’t know how to reconcile that. How can he give up on himself and his chance of love, and how do I stop beating myself up over the guilt I feel for being with that previous guy, when all that goes through my head is that had I not done that, we could still be together? I feel like I ruined what could have been the best thing in my life and don’t really know how to move on, especially when all I want is for him to have a main role in my life. How do I separate my friendship and feelings? How do I stop hating myself for what I’ve done?

Many people hate themselves whenever something goes wrong, picking apart everything they might have done different, from bringing an umbrella to not swinging on a pitch that was down in the dirt.

As long as you don’t think too hard, there’s no difference between could have and should have, leaving you with heaps of regret (along with ruined shoes and/or play-off chances). WAIT! There is more to read… read on »

Forced Exposure

Posted by fxckfeelings on August 29, 2011

The mistake most people make when they want to improve someone they love (or even themselves) is to share their unfiltered, unabridged negative feelings as a source of motivation. They’re right, of course, it is a powerful source of motivation—to avoid you and your criticism like the plague. When you want to make someone better, keep the negativity in check while you urge someone, often yourself, to think reasonably about what will work out better. Being close to someone doesn’t give you the right to unload; be a sibling second, an amateur shrink first.
Dr. Lastname

I’ve always been close to my younger brother but I kept quiet about my objections to the woman he married, although she sure came with baggage—a mean ex-husband and 2 unhappy kids. Recently, however, it turned out that the mean ex-husband wasn’t entirely wrong, and she is indeed self-centered, bossy, and nasty and shows very little respect to my brother or, in one memorable episode, our parents. When she cussed out my mother, I’d had enough, and let him know I thought she’d gone too far. Since then, as you might guess, my brother has not been eager to talk to me and certainly doesn’t want to talk about his marriage, even though my main feelings for him are positive and protective. I would do anything to get him to seek help, since he won’t talk to anyone in the family, but I don’t know how to get through to him. So how can I get him to talk to someone?

There’s a common notion that shrinks are good at getting through to loved ones who won’t listen to anyone else; that a psychiatrist can double as a spiritual Sherpa, able to guide the stubborn up Mount Issues to the Summit of Personal Insight.

What people forget is that shrinks aren’t Sherpas, we’re strangers—we lack facts and a vivid, first-hand impression about whatever the rotten thing is that they should be advised against—and there’s no reason to believe a stranger can succeed where a sibling can’t.

WAIT! There is more to read… read on »

Body Talk

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 »

Confidence Man

Posted by fxckfeelings on July 28, 2011

If we’re to believe the common wisdom that self-esteem is as important to the human body as insulin, white blood cells, and limbs, then it’s important to remember that too much is a bad thing. True, too little is the one that hurts in the short run, but too much can lead to bad decisions that can be just as harmful as diabetes. What’s important is to manage the self-esteem you’ve got so it doesn’t make you a wimp or a jerk. Maintain a healthy balance, because you need too much self-confidence like you need that extra arm.
Dr. Lastname

I constantly feel inadequate, though I am socially quite confident and easy-going. I have always been a worrier, and someone that seeks approval from others—mainly because of the relationship I have with my parents, where praise is hard to come by. Ever since graduating (a year ago),my confidence seems to have hit rock bottom. I became very disheartened by the whole application process, and felt like I became reduced to a series of bullet points. As a result, the many rejection emails I received were crushing. I have since found a job I generally enjoy, but cannot shake a feeling of anxiety. I constantly worry that I’m being a bad employee, friend, daughter. I worry about money, about the fact I don’t meet guys that I can make a relationship work with…When a guy I was dating recently treated me undeniably badly, I still found myself questioning my own behavior, worrying it was my fault. I want to make plans for the future, but keep finding reasons why my ambitions will be impossible to achieve. How can I stop giving myself such a hard time, and take my future by the horns?

Yes, there are people who are optimistic, happy, and full of confidence, and their optimism often generates its own good results and gets everyone, including advice-givers, worshiping the “groove” they’re in and telling you how to get it.

What they don’t tell you is that the groove is overvalued; sooner or later, life sucks, and when it does, it won’t shake you nearly as much as someone who has never experienced self-doubt and thinks they’ve got the world by the tail. So one thing you can be optimistic about is that you’re prepared for disaster.

WAIT! There is more to read… read on »

Cancer Answers

Posted by fxckfeelings on July 21, 2011

Talking to a partner about their cancer often leads people to become nervous and tentative. They may feel guilty for being the healthy party, or afraid to say the wrong thing and trigger painful feelings, and it’s that sort of distance that can lead to cancer of the relationship. If your partner has cancer, don’t freeze up; respect your usual shared goals, values, and reasons for making decisions, and treat him or her as your respected friend and not a cancer victim. Take the disease in stride, or the disease will take much, much more.
Dr. Lastname

My boyfriend went through hell from chemotherapy, but I don’t know what to do with his depression and irritability. We’d been dating about a year and planning to get married when he found out he had a nasty kind of cancer and, since then, he’s been brave about chemo and going on with his life, which has meant working when he’s feeling OK, and our moving in together and being partners. Usually, we get along well, but lately he’s been depressed and telling me he knows he’s a burden, he can’t get much done, and he just wants to be alone. I want him to get help for his depression and stop the negative thinking but I don’t want to attack him or make him feel I don’t respect the fact that he has cancer.

One of the things you always hear from people in pain is that you, the lucky one, “just don’t understand.” It’s the rallying cry of the suffering, whether they’re coping with cancer, or just being between the ages of 10 and 18.

What sick people often fail to realize, at least at first, is that people who aren’t in their position understand things that they can’t; after all, you might have the good luck not know what it’s like to have cancer, but you know what your boyfriend’s like when he’s not depressed, and you know this isn’t it. WAIT! There is more to read… read on »

No Good Need Goes Unpunished

Posted by fxckfeelings on July 18, 2011

People who need people aren’t necessarily the luckiest people in the world (although therapists can count themselves lucky for the business they provide). Just because you need someone or something s/he represents doesn’t mean you wish them well or have the chemistry to be good friends, especially if you’ve latched onto a jerk. Sure, crushes can sometimes be satisfied, but only if you get very good at keeping them from controlling you or influencing the way you make decisions about the important people in your life. After all, one isn’t the loneliest number, and it doesn’t always take two, so sometimes people who think they need people are perfectly fine all alone.
Dr. Lastname

I have been in therapy for 8 years, sometimes weekly, sometimes monthly or less, depending on life events and finances. My goal has always been to find some peace or grace in being me. I told this psychiatrist the first time I met with her that I “pattern like a duck,” meaning that I form strong and sometimes obsessive attachments. My attachment to her started that day and, this many years later, is still fierce and often painful. She is appropriately nonjudgmental and vacillates between thinking that the work for us is in this attachment and suspecting it’s a form of resistance. I can’t seem to focus on anything else for more than a couple sessions. I have read (obsessively) about attachments in therapy..,either to luxuriate in my own, or to get some understanding of what it is that has a hold of me and what it would take to get past it. Am I supposed to “work through it”? What does that look like? Am I supposed to ignore it? The only positive thing about this unspecified longing for her is that I have attached less to other “marks” during this time. Otherwise, I feel stuck. I think about just leaving therapy to get some distance from her and this dynamic, but I would rather just get over it. HELP (and thank you).

If you approach therapy with the goal of finding “some peace or grace in being me,” you’re in for a long, dependent journey with your therapist, mainly because, with a goal as loose as that, your journey has no real end.

This is the point, of course, where we say your goal is actually a wish, an ambiguous feeling not necessarily connected with your priorities or values. It’s a nice notion, but it’s not necessarily something you can control, and not something tangible enough for your therapist–or this therapist—to help you figure out. WAIT! There is more to read… read on »

Pretty Hate Machine

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 »

The Cure Thing

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 »

Helping Head

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 »

Allure of a Cure

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 »

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