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Thursday, January 9, 2025

Manic Panic

Posted by fxckfeelings on July 16, 2012

While plenty of crazy people make their mental state known with a tell-tale twitch or tinfoil hat, a severely manic person can look relatively sane and still be completely bonkers when it comes to making decisions about life, love, and money. Our laws allow them to fly under the commitment radar until their behavior gets so erratic that they’re about to fly off a mental cliff, whereupon the police (with your help) can take them off to treatment. So if you wish to help someone who is mildly manic, don’t hesitate to offer good advice. If someone is very manic, however, your helpful words may cause nothing but fear, aggravation, and mental jet fuel, so you will need to be quiet, patient, and knowledgeable about commitment law to be helpful when things get out of hand and the tinfoil hats come on.
Dr. Lastname

I was diagnosed bipolar as an adult and usually take some lithium to deal with it, but, for a few weeks last month, I started to get manic. I rode it out by spending all my time in church and buying a lot of philosophy books. It wasn’t too bad—I just wasted a little money and a lot of time, but otherwise, I felt kinda great, and I haven’t felt depressed, at least not yet. Now I’m back to my old self, but I’m not sure where the mania came from, or when/if it’s going to come back. My goal is to figure out what it happened.

What happened when you got manic is that you got manic, forgetting who you are and what you wanted to do with your mania. That’s what mania tends to do.

It gives you strong feelings that need immediate expression because you feel more real and “in the moment.” It tells you what to do, whether it’s cleaning the house all night, sleeping with as many strangers as possible, or spending your bankroll on religious literature.

What you want—you, as a person and manager of your own interests, rather than a manic diagnosis—is to figure out, during a sane moment, how much manic behavior is safe, where to draw the line, and what you want done about it by you, and if you’re out of commission, what you want done by others. You say nothing about that in your letter; unfortunately, you don’t seem to be present other than as a passive eyewitness to your symptomatic self. WAIT! There is more to read… read on »

Jacked Habits

Posted by fxckfeelings on July 12, 2012

When a bad habit gets between you and something you really want, it’s hard not to expect that good motivation, loads of therapy and deep insight into why you’re fucking up will give you the control you need. Unfortunately, bad habits don’t have easy solutions; they often have a life of their own and, short of administering a good ol’ lobotomy, the power of therapists often falls short. That’s when you need to accept that, for many of us, the best solution for bad habits isn’t a great therapist, but good management.
Dr. Lastname

I don’t know why I’m always getting in my own way, but I’ve been a fuck-up since I was a kid in foster care (my parents were drug addicts who couldn’t take care of me). I’ve managed to hold the job that I really love, but I almost lost it after 5 happy, productive years because, for a 6 month period, I couldn’t get myself to show up on time. I’d get up on time, but then find some reason to arrive late, and I couldn’t stop myself until I was within an inch of being fired. I got it together to find a therapist, but I can’t get myself to take medication he prescribes, even though I think it could really help me. I also can’t get rid of my drug-addict girlfriend though I and all my friends think she’s a deadbeat user who does nothing for me. My therapist says I have a problem with self-esteem. My goal is to get control of my life.

It would be nice if the only thing standing between you and keeping your job safe, your home ex-girlfriend-free, and your sanity was depression, fatigue, or low self-esteem, but your problem is probably worse than that. It’s not a matter of what you have; it’s more who you are.

So if you think that a supportive therapist or a pick-me-up drug will do the job, you’re wasting your time and heading for more self-disappointment. You did a great job of diagnosing yourself from the get-go—you’re a fuck-up—and, while you’re not hopeless, you’re not going to get the help you need that easily. WAIT! There is more to read… read on »

The Deep Blue Me

Posted by fxckfeelings on July 9, 2012

Depression and life’s miseries have an amazing way of working together to make you feel like a loser who doesn’t belong, has nothing to contribute, and should not get out of bed. That other people are happy just makes you wonder what you did wrong, when it’s just misfortune and depression doing their job really well. The fact is, however, that we create value in life by pursuing what we believe is most important, regardless of whether we get lucky along the way. That’s why you need to assess whether you’ve done your best to live up to your values, disregarding negative thoughts and the failures over which you had no control. Then pain and negative thinking can’t succeed in damaging you, which means you won’t damage yourself.
Dr. Lastname

I’m not even sure where to begin so I’ll try and keep this as short and concise as possible. I come from a broken family– my mother was abusive and distant, and I became that way to the point where it was hard for me to feel genuine love for anyone because I never learned what love is. I got away from my family and had a string of bad relationships (where if I think about it, I am to blame really). I then met and almost immediately married my husband. He went along with it because he loved me, I pushed for it because I was insecure. I didn’t “feel” any real love for him but wanted him to validate my feelings because I believed then that that’s how love grows. For me back then, love = infatuation. I admit I’ve been messed up. I’ve beaten myself up enough. Anyway, our marriage has been rocky with a major indiscretion on my part and several minor ones (chatting/talking on the phone with strangers) on his part. He forgave me for my error and begged me to stay (this was 3 years ago). Only just a few months ago have I realized how fucked up I am and how I’ve let my “feelings” guide me to hell. I’m still trying to rewire myself and it’s hard work. Unfortunately I recently found out that my husband was still talking to random women for hours because “he’s lonely.” What scares me is that even though I am working on my issues, he still feels lonely and it’s likely he will hurt me again. I realize now that I do love him but I can’t always project it the right way or appear to be happy when really I’m feeling like shit. I keep thinking it’s all my fault that he feels lonely and that nothing I will ever do will help this. I’m really tired of dealing with my own crap and now realizing that he has his own set of issues that may or may not be related to me. I’m very confused. How do I stop obsessing over our faults and focus on the good? I don’t want to throw away everything I’ve accomplished because of my ‘moods’. Please help. How can I trust him again and more importantly, trust myself?

There are a lot of smart people out there with high standards, like yourself, who have brains that naturally favor negative thinking and family backgrounds that are full of sad events and broken relationships.

As such, it’s not your fault that your mind tends to put fault on you and call you broken. What’s worse, if you try to be more positive, your brain pushes back by calling your efforts to think happy thoughts a dismal failure (which, of course, they’re not). Brain 1, You 0.

So, instead of trying to focus less on your faults, aim higher by taking pride in your many remarkable accomplishments. After all, if you can’t think differently, you can nevertheless force yourself to think about different things. WAIT! There is more to read… read on »

Hate Expectations

Posted by fxckfeelings on June 11, 2012

People usually feel to blame (and are blamed) for poor performance unless they have a good excuse, like a clear medical diagnosis, a personal tragedy, an act of god, or some combination of the three. Otherwise, you’re stuck with the blame, because people worship good performance and assume there’s always a way for someone who has the will (even though we know, rationally, how absurd that is). So be prepared to fight inner and outer prejudices if you become disabled while learning to trust your own observations as you decide how to get the most out of reduced resources. After all, excuses are unnecessary when you know you’re doing your best.
Dr. Lastname

I’m about to start my last year of college so I need to start thinking about what to do next. Until a few months ago, I’d always been planning to go to graduate school (I love my subject, and I don’t want to stop learning about it yet). Now though, I’m considering taking some time out and going home for a bit instead. I was quite seriously ill a few months ago with bacterial meningitis and since then I’ve been constantly exhausted, having trouble academically (something I’ve never experienced before) and had an unpleasant bout of depression. I almost dropped out but somehow battled through and passed my exams. The depression is easing off at last (I had CBT, which helped, and cut down on stress) but I’m still feeling a bit fragile. I feel like some time recuperating might be a better idea than moving to another strange city where I won’t have support from friends and family and the demands of grad school, as I’m worried that the stress might make me depressed again. Then again, it also feels like I’m letting my illnesses get the better of me and maybe when the year rolls around I’ll be fine and completely recovered and taking a year out is just lazy and I’ll end up stagnating while my friends move on to new and exciting things. My goal is to decide which course is right and accept it, even if it isn’t ideal.

When a severe illness or injury saps your strength and makes it hard to get out of bed, you wonder whether pushing yourself back to work will hasten recovery or cause a relapse. Sportswriters often debate this issue among themselves, which tells you that it springs from deeply irrational feelings.

According to them, the real hero is the one who plays hurt, regardless of personal cost, in the name of victory. Of course, if he plays badly, they decide he’s a glory-hogging bum who’s ruining the franchise, the sport, and the universe.

With that kind of thinking, you’re damned either way, so you’re better off developing your own method for deciding whether to work or rest so you can be your own, most honest critic. WAIT! There is more to read… read on »

Minor Threat

Posted by fxckfeelings on May 31, 2012

The helplessness of trying to help troubled kids often brings out the fighting spirit in those who care the most. Unfortunately, without a clear enemy from which you can rescue your child, you often fight for goals that can’t happen, target other would-be helpers, and make a bad thing worse. Regardless of how helpless you feel, your goal isn’t to save troubled children from a monster or a mental illness; it’s to find out if there’s something you can do that will actually help while avoiding direct emotional conflict. Not fighting won’t relieve your helplessness, but it will let you work towards something better.
-http://www.fxckfeelings.com/ask-for-help/

My ex-wife, who is a therapist, is spooking me out about our son, whom she says she’s treating for a variety of serious problems. He’s now 10, and he’ll tell me one day, when I’ve got visitation, that he’s having suicidal thoughts, using grown-up phrases that make me think he’s just repeating something he got out of a book or from TV. Then she’ll keep him home from school and stop visitation for a couple weeks while she does “therapy” with him, at the end of which time she’ll declare that the problem is solved. A few weeks later, he won’t show up and she tells me she’s keeping him home for treatment because he’s having “panic attacks.” My kid needs help and I can’t believe her treatment is doing any good. Meanwhile, he’s not getting help from anyone else, especially not the staff of his school, who are eager to help but never see him enough (they’re already bending over backwards to keep him from repeating this year and are trying to avoid reporting him for truancy, given the number of school days he’s missed). My goal is to get my son the help he needs.

It’s hard not to unleash your wrath when your ex-wife’s insistence on playing doctor blocks the real doctor from getting through. Your own child is in trouble, your ex’s behavior is troubling, and you’re this close to tearing her a new one.

Remember, however, that nuclear wars between protective caregivers are costly and often harm the one you most want to rescue; by fighting against your ex-wife’s treatment, you’d just be increasing her blast range.

The first thing to do then is to consider the alternatives while taking comfort in the fact that there’s a great deal you can learn about your child’s problems, and a great deal you can do to help. But it’ll only work if you take things one at a time instead of taking your wife down. WAIT! There is more to read… read on »

Imperfect Union

Posted by fxckfeelings on May 14, 2012

Marital nastiness, no matter how harsh and unfair, should never make you a victim. Even when your partner is an overbearing jerk, you have a right to leave or stay and an ability to judge for yourself whether you’ve done less than your share and deserve less-than-loving treatment. As long as you remember your choices and exercise your own judgment, even the most painful marriage won’t control your mind.
Dr. Lastname

Six months ago, I had my husband arrested for domestic violence. I was pregnant at the time. It was a wake-up call for both of us—there were many unspoken resentments between us as I have a very high stress job and he stayed home with our first child. We are both in therapy now, because, while I know I’m not responsible for his actions, I absolutely had some emotional messiness to clean up on my end. Somehow, we have recommitted to truly working together, but I am still so angry at him for putting me through that ordeal. We do love each other, but personality-wise, we are probably not the best match, and if there were not small children involved, I would have divorced him after this. My family, with whom I’ve always had a strained relationship, hate that I’m giving my husband another chance and are punishing me for it, telling me how I am being controlled, putting my children at risk, etc. I had my child 2 months ago and I’m already back at work, working like crazy (someone has to support the family), but I’m so overwhelmed, unsupported and just failed by everyone when I have 2 small children depending on me and a career to manage. The pace that I am keeping is ridiculous. Help! I need to figure out what I need to do to feel less overwhelmed. And if my husband and I are going to have a chance, I need to let go of my anger.

I wish it were possible for everyone to let go of anger and be happy in this life (but for this breakthrough to occur only after I’m retired).

Unfortunately, the unfairness of life, together with the unfairness of the worst personality traits we’re cursed with, make it impossible for many of us not to feel lots of chronic, steady anger on top of whatever one experiences for especially lousy events. For such people, being calm is just being quietly pissed.

So, for members of this club, as much as they wish they could get rid of it, the question isn’t how to let go of anger and feel peace, peace, peace; it’s how to manage one’s daily anger without turning into an emotional Hulk. WAIT! There is more to read… read on »

Marriage Ow

Posted by fxckfeelings on May 7, 2012

Particularly when you’re expecting to raise kids, there are good reasons to commit yourself to caring for your partner through thick and thin, sickness and health. What you should recognize from the beginning, however, is that uncontrollable, bad things can happen that can make a partnership dangerous and destructive to one or more family members and then it’s your responsibility, as an individual, to do what’s necessary. Mental and neurologic illness can change personalities and create overwhelming burdens. Unrecognized character problems are equally uncontrollable and can have a similar impact. When you take your vows, keep this in mind and remember, many people who divorce are trying to choose the least of the evils that face them and haven’t forgotten the promises they made.
Dr. Lastname (Doctor only today– the writer half is under the weather)

When I was manic and crazy, I really fucked up my marriage. For 6 months, I was talking fast, flinging money around, drinking hard, sleeping with anyone I could catch, and generally acting like an asshole. The third time I went into the hospital, the doctors found a medication that worked and, since then, I’m back to my old self but my wife has decided it’s all over. She goes out without me whenever she can and acts like she’s angry whenever we’re together. I can understand her feelings, but she won’t accept my apology. For the last 6 months, I’ve shown her my old, reliable self, but I can’t win back her trust. The problem is my bad; I should be able to make it right.

We all want marital vows to overcome whatever bad things life throws at us, and so we promise to care for our partners through thick and thin, unconditionally.

What’s stupid about such promises, however, is that some of those bad things are the size of an asteroid and can wipe out any marriage, regardless of how strong the love and commitment, and feeling obliged to stick with vows that have no escape clauses can drive you crazy.

Yes, your wife should forgive you for having a manic episode: you couldn’t help it and the part you can help—taking your medication—you’re doing well. It takes courage to resume your life and face the people you know after the humiliation and chaos of acting like a crazy jerk.

The sad thing that can’t be helped isn’t your illness; it’s your wife’s reaction to it. I assume you and others have done all you can to educate her about it and you’ve had a good opportunity to show her what your values are and regain her confidence, now that you’re well again. If it hasn’t worked, it’s not because there’s something wrong with your approach: it’s probably because there’s something wrong with your wife’s character. She just doesn’t have the strength.

Look at her closely, and you’ll probably find she’s never had the strength, meaning that she’s never been able to keep a relationship going if it hurt her too much. That’s why it’s important, when looking for a partner, to find someone who’s shown an ability to stick by her friends and family regardless of hurt. It’s a quality that’s even more important than the fact that you love one another. Without it, you’re fucked. Now you know.

So don’t make yourself responsible for her reaction, as sad as it is. You didn’t cause your illness or give her the character she has. Don’t apologize. Don’t beg. Let her know you understand your illness put her through a very hard time, but that you’re confident that you’ve recovered and that you can again be a good partner. Maybe surviving this hard time has made you stronger and wiser. In any case, if she still wants the partnership, it’s hers; if not, you both need to move on.

You need someone strong who can still love you after a manic episode, and she needs someone lucky who doesn’t get sick.

STATEMENT:
“I feel like I destroyed my marriage and it’s my job to get it back, but I know I didn’t cause my illness, and I’m proud of the way I manage it. I can’t help it if my wife can’t tolerate it, but I know I need a wife who can.”

After her last hospitalization a year ago, my wife didn’t recover all that much, and she’s gradually become very different from the woman I married. Her psychiatrists tell me there’s no new treatment to try (she didn’t tolerate clozapine, which is the Hail Mary treatment for crazy thinking) and she’s probably not going to recover much more than she has now. She’s able to keep herself clean, but she still hears voices, looks befuddled, and thinks I’m spying on her for the FBI. She can do simple chores, but she’s very distractible. Most nights, she sleeps at her mother’s house because that’s where she’s most comfortable. I’ve got used to taking care of the kids on my own, and I can’t trust her with them when she’s around. I miss her terribly and I promised to stand by her in sickness and health, but I don’t know that I can stand this much longer. I feel bad about deserting her when she really can’t help it, but taking care of her and the kids is more than I can manage.

You sound like you’ve done all you can to help your wife recover from severe mental illness and it isn’t going to happen. Instead of blaming yourself or anyone else for her failed recovery, you’re facing it as a sad fact of life. What troubles you most is dealing with your marital vows to stick together through sickness and health.

Marital vows ignore the fact that some illnesses can destroy a family and present you with impossible choices. Most times, sticking together is manageable, better than the alternative, good for the kids, and the right thing to do. It’s not hard to imagine situations, however, when sticking with someone does no good for them, destroys your life, and is bad for the kids. No one likes to think of those things at a wedding, or ever.

Put aside your guilt long enough to ask yourself what she would expect of you if she were her old self and what you would expect of her if your positions were reversed. Assume that you both believe in standing by the one you love, but not if it does no good, or overwhelms the resources of the healthy partner, or endangers the kids and their future. Assess the impact she has on them and they on her. Take into account that she probably qualifies for social security/disability and may also be eligible for state services for the chronically mentally ill.

Don’t assume that the path that hurts most is the one that’s right. This is not a conflict between duty and pleasure or between selfless vows and selfishness. It’s a conflict between your responsibility to care for your wife and your assessment of the value of your sacrifice, the good it can do, and the harm it can cause to your other responsibilities.

Either way, it breaks your heart, but you have an administrative responsibility as the sole leader of the family and you need to do what will do the most good/least harm. Whatever you choose, respect yourself for bearing the burden of this choice.

STATEMENT:
“I feel like I can’t leave my marriage without breaking my vows and deserting my wife when she needs me most. I can’t help the fact that she’s no longer the same person and doesn’t get much from being married to me. I’ll try to weigh the competing ethical responsibilities and do the right thing, knowing there’s no way to do right without also causing harm.”

Secondary Support

Posted by fxckfeelings on May 3, 2012

Just because spending time with a certain someone is always a positive experience doesn’t mean that certain someone is actually a special candidate for meeting your needs. Whether you’re looking for a spouse or a shrink, many of the same rules apply; no matter how much you enjoy and trust that person, it’s your job to know what you want out of the relationship, what limits must be set in order to get there, and how much availability you require (and, with therapists, what lessons you can take from the relationship that can help you when availability is impossible). Defining the practical conditions that are necessary for the relationship that you want, and standing by them, are what make a certain someone not just special, but a smart investment.
Dr. Lastname

I have experienced 2 bad marriages and the death of my only child at age 28 (one year ago). I’m now trying to rebuild my life and am in a relationship with a man who has experienced shit (horrible divorce) and raising his youngest child, a teenager. Unfortunately, he has trouble balancing family, work and dating, and I don’t know how to handle this during my grief time and uncertainty—I fluctuate between feeling my worries are unreasonable and justified. His ex wife screwed him kid-wise and money-wise, so he is bitter in lots of ways. On the other hand, I was equally screwed by my ex but pushed on and made my own way, so I don’t entirely sympathize with his resentment. I also understand that, because of his divorce, he hasn’t had a life with his kids and wants to establish a relationship with his son, but he also wants one with me, and I don’t think he knows how to balance these two goals. We’re both adults with good jobs who’ve experienced the same problems, but I’m not sure why we can’t get it together, and I want this to work.

As the survivor of an unbearable loss and the non-help of a deadbeat ex, you have a right to ignore other people’s resentment and bitterness. As such, you’re ready to move on and find a better relationship, and because your sorrows give you perspective, you know when someone else isn’t ready.

You obviously value your partner’s love for his kids, and see evidence of his fidelity in his long attachment to a crazy wife. You’re right, however, to have concerns about the flip side of this picture, which is his potential inability to control his over-responsiveness to whoever seems to need him more. WAIT! There is more to read… read on »

That Loathing Feeling

Posted by fxckfeelings on April 23, 2012

Whenever you’re about to do something you feel you need to do, you’ve got to wonder whether it’s good for you. As any overweight person can tell you, we often need what we can’t have or shouldn’t get too much of, and “needs” (i.e., frosting) have a way of winning out over logic. So whether your needs are driven by depression or dreams of a better marriage, don’t let them shape your goals until you’ve asked yourself where they’ll lead, what matters most, and what you need to do to manage them. After all, the difference between a need and a want is a slippery, frosting-covered slope.
Dr. Lastname

I constantly feel the black dog shadowing me. Mostly I can function and I pay it a gentle nod on my daily musings but every now and again the feeling is so great I want to slide on into the abyss. I may allow myself to indulge for a day or so but am careful to put in place an exit plan before I do (I know this place can feel so good but not really be good). It often takes great effort to avoid this feeling and even more so to get out of it. Lately I’ve been wondering if my approach is purely avoidance on my part rather than management. Does it really matter if it’s working? Yet I feel that slowly the effectiveness is waning and I seem to have a feeling of despair more often. Is it poor anxiety management driving the depression?

Your letter focuses so much on your subjective, “black dog” feelings of depression that I don’t know whether you A, feel seduced by the idea of taking time off to indulge sad ruminations, B, are low enough that you’re planning your suicide, or C, crave scones from the same-named bakery Martha’s Vineyard.

If the answer is B and you believe you are capable of harming yourself, you need to get away from the computer and into an emergency room right away. Since your letter doesn’t read as totally helpless (or New England-based), however, I’m going to assume the answer is A.

Your feeling-focused ambiguity leaves me (and you) uncertain as to whether your depressive time-outs are becoming worse or dangerous, by impairing your ability to work and sustain relationships. The answer is to be found in your actions, not your feelings; think less black dog, more black and white. WAIT! There is more to read… read on »

Indefensible Despair

Posted by fxckfeelings on April 2, 2012

When you’re overwhelmed with depressed or anxious feelings that don’t seem “justified” or connected to the usual events of your life, you first doubt whether you deserve to feel that bad, then doubt your sanity entirely. That’s because these intense, negative emotions tell you that you’re worthless and/or doomed when you’re not (at least, no more than anyone else), and most people assume their emotions must be at least a little right. In reality, symptoms pass and you’re never worthless or doomed as long as you can keep your perspective, so instead of jumping to dire conclusions when intensely negative feelings try to seize control of your brain, stand your ground.
Dr. Lastname

I feel guilty for feeling like I might be depressed. I have no reason to feel sad (and that word makes me cringe because it doesn’t quite sum up the multitude of emotions that devastate me on a regular basis; desperate, useless, pathetic, oxygen thief, loser and plenty other perfectly good adjectives could cover it) and because I can’t justify it, I start to feel frustrated. I’m like an elastic band – one minute I’m the happiest person on earth and the next I’m scraping the bottom of the barrel, ready to drop where I stand and content to never get back up again. I’m twenty and so it might just be that I’m walking the boundary line between physical maturity and teenagerdom, where angst haunts us all. I’ve had difficulties with this kind of thing in the past—my dad died when I was nine and I developed anorexia shortly after and while I’ve since ‘recovered’ (I hate that word), I still have issues with the way my body looks. I tried to kill myself when I was thirteen for no other reason that I can remember other than I had a rope and a bunk bed and fuck it, why not? Obviously I failed and I’ve never tried it again, but now and then I’ll look up at my ceiling fan and think, “Why not?” And then I’ll feel silly and awkward. But then I’ll be driving down the freeway and think “one jerk of the wheel and I’m out”. Or I have a headache and I’m staring at a very large bottle of aspirin and it’ll be there, in the back of my head, whispering away. It’s not normal to feel like that, is it? Even if they are just passing thoughts, it shouldn’t be like this. Does everyone think like this?

When you find yourself with frequent feelings of self-loathing and an urge to end it all, the question isn’t whether other people think like this (not usually), or whether you should have to feel like this (should or not, you do, and that’s the way it is), or why you feel like this (life is indisputably unfair and some people carry inexplicable pain).

The question you should instead be asking yourself is whether you can find a reason to live, knowing that you often don’t really want to. WAIT! There is more to read… read on »

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