Posted by fxckfeelings on December 16, 2013
While the “fight or flight” response seems ingrained in most any living thing with legs or wings, your average human’s response to aggression is slightly more nuanced; instead of “fight or flight,” it’s more like, “flight or stay put and become a dick or a doormat.” If, however, you give yourself time to think through your moral priorities, risks, resources, and the ends you want to achieve, there’s always a third, non-dick or –doormat option, which is, stay and decide to set limits. Instead of trying to intimidate or placate, you learn to protect yourself from the chaos of conflict by doing what you think is right and encouraging others to use their complex human brains to do likewise.
–Dr. Lastname
My family is lucky that I’ve always been a peacemaker, because my husband is very opinionated and overbearing. I know there’s no point in trying to reason with him or oppose what he’s saying, because he’s never going to change his mind and opposition just makes him angrier, and when he’s angry he just berates me until I stop talking and yells until I beg him to stop because it’s upsetting the kids. He’s never, ever been physically violent, just loud. Sometimes, however, I find myself feeling helpless, depressed, trapped, and full of resentment and anger. My goal is to feel better about my husband’s behavior without rocking the boat.
Although rocking the boat may feel painful and like the wrong thing to do—it is, after all, one of the best ways to tip over and sink—there is usually a possible benefit in family situations. And not just because a sinking ship will drown most rats.
For instance, it may stop you from having to go along with a bad or dangerous decision, or protect you from toxic exposure to prolonged criticism. In actuality, your husband is the real boat-rocker who insists on his right to yell you into submission and you have to decide what action will best keep it afloat, even if that action triggers threats and loud voices that make you feel like you’re drowning. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 31, 2013
At a certain age, it becomes clear that high school ends, but the feeling is one you never outgrow; there will always be days when you want to dress like an idiot, be forced to eat food on a tray, or feel bullied, either by a group of alpha-males or by your own inner-Heather. No matter what the source of your browbeating, however, getting a bully to stop is often impossible, and fighting a bully may give him/her more power over your feelings and thoughts. So remember, standing up to a bully doesn’t require you to fight, win, or gain control over someone else. Instead, it requires you to know your own values and respect your own behavior, regardless of whatever mean, provocative statements get thrown your way, or how many Mean Girls/Women/Men you have to encounter throughout your life.
–Dr. Lastname
I’ve been sober 15 years and get a huge amount out of my AA meetings, but I still hate myself. It isn’t that I act like a jerk anymore—I’ve got a great husband and I do my job and make a living—but that doesn’t change how I feel. I don’t do anything bad, but I waste time, I don’t have the smarts to go back to school and do well, and I haven’t done anything particularly good or accomplished much. I envy people who are successful, which makes me feel that much smaller. I wonder what steps I need to work on to ever get to like myself.
For some people, hating yourself is an unavoidable bad habit, like mentally biting your nails, and if you’ve ever been a nail-biter, you know that it’s almost impossible to stop entirely, even if you’re destroying your fingertips and/or self-esteem.
As painful as self-hatred is to live with, it’s probably an unavoidable condition for many perfectionists and idealists especially, as well as those who were subject to severe criticism and abuse as kids. Expecting to be healed from it, then ,just adds to your sense of having an unacceptable defect and thus to your self-hatred, as you start hating yourself for hating yourself for hating yourself, etc.
For many years now, you’ve done nothing you should hate yourself for and you’ve got people in your life who don’t hate you. If you still hate yourself, in spite of these good things, then it’s probably a feeling you can’t change. Given that you’re a self-hater, however, you’ve done a remarkable job of changing or preventing self-hating behaviors, and remembering that is your best weapon against your brain’s urge to knock you down. 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 August 29, 2013
Whether you believe in a particular psychotherapy or find the very prospect of head-shrinkery scary, don’t let the emotions that draw you towards or away from the therapist’s couch drive your treatment decisions. Develop your own fact-based procedures for deciding whether you’re fucked-up enough to need therapy and, if so, whether there’s a treatment that isn’t too risky and has a good enough track record. Maybe we’d all like the experts to figure that out and make such decisions for us, but we’re better off picking the brains of experts and then making treatment decisions, pro or con, for ourselves.
–Dr. Lastname
Please note: We’re taking next week off for a long-deserved summer vacation, but look forward to hearing about your back-to-school/work misery when we return.
How long is too long to be in therapy? I have been in therapy for four years now, and it has helped enormously. I went into therapy initially because of a trauma situation, but I don’t want to stop, even though I’ve long worked through that trauma, because I still think I can benefit. Still, now that I reached the four-year mark, I’m wondering, how long is too long?
If you’ve read this blog, you’re probably aware of our belief that the most important goal of mental health treatment is seldom to relieve all your pain; that’s usually an impossible pursuit, or one that just shifts the pain from your head to your wallet and your friends, who are sick of hearing about what you learned in therapy.
The better goal of therapy is to use it to figure out how to prevent that pain from interfering with the way you think about, and lead, your life, and lucky for you (and us), your question reflects this healthy priority. 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 July 25, 2013
The phrase, “when the going gets tough, the tough get going,” is a bit unclear; after all, in a tough situation, you can either buckle down and get more focused or just give up and get going outta there. Trying harder or just giving up both give us a sense of control, but no matter where the tough go, either choice can easily make things worse. So when life becomes difficult, first assess the odds that more work will yield more positive results. Then, if there’s no way out of a tough spot, respect yourself for what it takes to eat shit and stay put. And no matter what, always make careful use of your clichés.
–Dr. Lastname
I know my adult daughter is a terrible avoider and procrastinator—she struggled all throughout school, and only graduated from college with a lot of help—but she made great progress a year ago after we developed a schedule and daily to-do list, and she was very good about using me as her coach. After her last lay-off, however, she lost steam and started looking depressed—she stopped getting up on time, keeping up with her calls, getting exercise, going through her mail, etc. She’s not totally incapacitated and we still talk every day, but she’s vague about what she’s actually accomplished. I’m thinking we should start over and develop a new system for evaluating what she needs to do and tracking whether she’s done it. When I talk with her about starting a new system, however, she gives me more vague answers, which leaves me frustrated and very, very worried. I’ve got to find some way to push her or she’ll never get going and then it will become more and more difficult for her to resume her career. She’s almost 30, and I can’t push her forever.
Throughout time, humans have developed useless-yet-comforting rituals to ease us through hopeless situations; from ducking and covering through a nuclear blast to stocking up on duct tape during an orange alert, there’s nothing like an empty ritual to distract you from the fact that, ultimately, you’re totally fucked.
As such, the good news is, you’ve done everything right by your daughter to help her manage procrastination by drawing up a schedule and to-do list and offering to track them with her. The bad news is that all those positive steps sometimes lead nowhere, and trying to figure out a new system at such a time might be about a useful as hiding under a desk to avoid a mushroom cloud. 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 July 15, 2013
Love and hate aren’t opposites, they’re siblings, which is why there’s a level of hatred you can only feel for someone you’re involved with, and at your rage-iest moments, it’s often hard to figure out whether your relationship is healthy. It’s especially difficult at those times since you may be too distracted by love, hate, rage, passion, etc. to define the specific requirements that matter most to a partnership or you may be too spooked by a close relationship to ever feel comfortable. In either case, a little hate in a relationship is healthy; it’s being too indifferent, either to make the effort to assess what you need or learn how to assert yourself with your partner, that spells trouble.
–Dr. Lastname
I’m really stuck on my relationship. The first year was great, then we moved in and I’ve been in this space of questioning it ever since. I’ve never lived with anyone and have only had one other long-term relationship so have little to compare it to. I have come to realize over the past year through counseling that my thoughts about relationships have been mostly fantasies, thinking that it’s easy and fulfilling all the time. This one has required me to do a lot of ‘work’ overcoming this, compromising, changing my views, and pushing myself to bring up difficult conversations. We are great friends and have similar values, which I think is what holds us together. However on a day-to-day basis we argue quit a bit, have different preferences on lifestyle (he likes to be out all the time, I am a home body), and sometimes have different views on romantic relationships. I understand that differences are inevitable but what I am really having trouble with is determining if I should continue to work on these issues and accept that relationships have never been easy for me, or if he’s not the right match. I could keep looking and find myself in the same boat with another man a few years later. Or, I could be realistic, know that it’s not like it is in the movies and settle down and start a family, which is ultimately what I want. What is your view on this?
To paraphrase Tolstoy, all successful relationships are alike; every unhappy relationship is unhappy in its own way. The signs pointing to a partner’s worthiness are fairly obvious—if they’re responsible, share your values and your friends, all factors you’re taking into account—but the small things that can doom a relationship are often more unique.
You’re on the right track about advancing a close relationship by living together to discover how you and your boyfriend gel in very realistic, specific ways, but you need to be even more specific now about the significant differences that remain between you and your partner, particularly if, as you say, you want to start a family. WAIT! There is more to read… read on »
