Posted by fxckfeelings on January 7, 2013
Talking is many things—an activity, a profession (ahem), an anathema in almost any public setting if done via cellphone—but it’s rarely a constructive, active solution to a personal problem. Talking about fears is a good way to avoid doing something about them, whether that means stopping bad behavior or taking a good risk. So, whether you’re talking in therapy or with a friend, don’t talk up your issues until you’ve talked with yourself about what you need to be doing and whether it’s worth the fear-fighting effort. Then, if your goals are worth the trouble, suck it up and limit your talk to your fear-fighting efforts, excluding what it would take to make you feel better, like talking about your fears, especially on a cellphone in an elevator.
–Dr. Lastname
My ultimate fear is this– that my girlfriend will be swayed by another man who is more handsome and stronger and more interesting than me. I am not a jealous guy normally, but when it comes to girlfriends, then I don’t trust them. I think I am what is called an “Anxious-Preoccupied” type person. I am never reassured of how much my girlfriend loves me, or how much she cares about me, and I always need more and more validation and confirmation. My clinginess and overly attachment is what killed my first two relationships. In the beginning they adored me and found me interesting, but as our relationship grew I would slowly become more and more scared, until it ended up being an almost self-fulfilling prophecy. When I am not with her, I fear she will be with some other man. She has never given me any reason to doubt her, besides the fact that she is a desired attractive female. It’s the unreasonable trust, and one a human being cannot give someone else, but the fear is killing me, and I want to end the relationship to this person whom I love deeply, but I know I will take my weird conditioning with me to the next relationship, anyway. I don’t know how to accept this likely outcome that can happen in every relationship. My father was a cheater, and he left me and my mom when I was five. I’ve had a bad relationship to him ever since. My stepdad cheated on my mom as well, and it killed me as a nine year old seeing my mother break down. Now I am 25, and have periods of confidence, but also bad ones (like when I become overweight, as I’ve yo-yo’ed through my teens and mid 20s). Right now I am in a bad period, 20 pounds overweight, and have no job. Maybe it’s no wonder that my confidence is low, but why can’t I slay this demon? Can you tell me what to do, because this is not only ruining my relationship, but also me as a person. I seem incapable of being close to anyone without destroying their respect for me with overly attached nature.
Despite the number of little Nevaehs and Aubreees out there, the act of naming someone or something is usually given a great deal of importance; giving something a name is a sign in itself that that person/bridge/boat etc. is consequential and valuable. Given that your fears should be neither of those things, however, taking the time to name them is an odd choice.
While you might hope that naming or explaining your fears will set you free or give you courage, the reality is that focusing on your fears can easily make them seem more important than what they prevent you from doing, and make you believe that you can’t act better until you feel better. Making your fears that important then, or at least as important as a yacht, is not a good place to begin. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 20, 2012
When you believe in the value of a close family, it’s natural to take on the role of diplomat when a conflict between some of your nearest and dearest threatens to make you all distant and estranged. Unfortunately, there are some disagreements that can’t be resolved, be they by diplomat or total destruction, but that’s not reason to despair; there’s much you can do to be helpful and cement relationships that do work if you allow negative feelings to exist without blame, and respect the value of spending limited amounts of time with family you have to be with. After all, a good diplomat knows that peace isn’t found through open togetherness, but through respectful time apart.
–Dr. Lastname
Please note: There will be no post on Monday due to Christmas Eve. Happy holidays to all (and if that doesn’t happen, you know how to reach us).
My sister and I have been raised by our single mother, and I have excellent relationships with both of them. Unfortunately, my sister and our mother’s relationship has always been difficult and it’s getting worse. My sister recently revealed that she had been sexually abused by one of my mother’s boyfriends, and inexplicably, I felt like I knew it all along. My mother was obviously distraught by the news, although I don’t know that my sister and her have had any deep discussions around that issue. My sister did briefly see a shrink but never went on a full therapy. In a nutshell, I think my sister has built a lot of resentment towards my mother and their disagreements/fights are becoming more and more bitter, to the extent that my mother is becoming less and less inclined to have a relationship with my sister. I’m tired of being in the middle of it all and have decided to let them deal with their issues themselves. I don’t like to see them unhappy but it seems to me that they refuse to take the necessary steps to heal their relationship. Am I right in deciding to stay out of it? Or is it my duty to keep trying to mend their relationship?
When two people you love are estranged, it feels like your only choice is to try to get them to reconcile or give up entirely—the “Parent Trap” trap. Fortunately, there’s a third option, although it’s not very Disney, and there’s no happy ending.
Your third choice happens once you accept the fact that their reconciliation is neither your responsibility nor under your control. You didn’t pull them apart, you can’t put them together, but you don’t need them to pull you apart, either. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 13, 2012
Given how little we control our own urges, it’s not surprising that we also have trouble controlling our reactions to them, but it is odd how often those reactions are totally wrong. Brains have a pretty good track record with instincts; get thirsty when hot, get sleep when tired, get away when near snakes, etc. When people get urges that are humiliating, however, even when they’re doing a good job of controlling them, they wrongly blame themselves, but when they get controlled by noble urges, even when they’re causing terrible harm, they give themselves a pass. So, however much you love or hate your urges, don’t give yourself a hard time about stigma or anti-stigma. Instead, remember your own moral priorities and ask yourself whether you’re doing the right thing with whatever urges, pretty or ugly, that you got, and to avoid snakes.
–Dr. Lastname
I have yo yo’d with my weight for ever—I was 8 years old when I remember going on my first diet, and I had binged by lunch time. I have seen a psychologist regularly in the past and a psychiatrist more recently, and been diagnosed with a binge eating disorder as well as melancholic depression. I also have a history of being sexually abused when I was a child and required hospitalization once for an attempted suicide (prior to diagnosis) and have been on various anti-depressants. Last year I decided to press charges against my abuser and the investigation is still taking place. This was very big for me as previously I couldn’t speak about or put into words to anybody what had happened to me, but with the professional help over years, could make a police statement. I have managed to get into a healthy weight range many times in the past, but only when on a program like Jenny Craig or weight watchers, and I resent having to do these programs and can’t commit to them after I have done them once, but I can’t seem to stay in this healthy way of life on my own. I am either losing weight or putting weight on– my thought are always around food, what when and where I can eat next. I hide most of my eating from everyone including my husband. I feel like a drug addict and don’t know how to take control of my eating. I do really well in my career and other areas of my life, I just can’t flip this switch that turns me into a zombie when I want to eat. I read everything I can about these disorders, I talk about strategies with my mental health professional, but when the urge to eat takes over I go into a zone that I can’t switch myself out of. How can I stop this pattern?
Having an eating disorder is rough, but it’s even worse if you give yourself a disorder about your disorder, giving yourself a hard time for having a hard time. It’s especially unnecessary given the fact that it’s harder to find someone with complete control over unhealthy food impulses than it is to find a unicorn.
Almost everyone has trouble controlling eating habits, as evidenced, not just by the multi-billion dollar industry devoted to weight management (which, as you’ve discovered, is no silver bullet), but by the fact that very few people get permanent weight control without surgery. In reality, of course, as much as we try to control our weight, more often, it controls us. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 29, 2012
Whether traumatic or dynamic, having an early and/or intense sexual experience can make you worry that your ability to have solid adult relationships will be damaged. While sexual trauma can make intimacy scary, and sexual overstimulation can distract you from it, there are ways to move past your past. If you have a clear vision of partnership and the discipline to implement it, sexual feelings need never control your life. You may never stop them from causing pain and distraction, but they can never stop you from finding and being a good partner moving forward.
–Dr. Lastname
I recently had a severe panic attack that lead me to believing I was molested as a young child. From what I know, I lost my virginity to a man in his 20s when I was 13 years old, or in 7th grade. After visiting with some old friends, I brought up an event which had happened when we were 13 years old that involved men in their late 20s or older, alcohol, and oral sex. She was horrified I brought it up, but to me, it was something that was part of my life, but after heading home that night, I began to think that maybe it wasn’t so normal for young girls to be having sex and that’s when my panic attack sunk in. For some background, I was “raised” by a 15-year-old mother who I believe loved me, but was at times, emotionally abusive and manipulative, and often times neglectful as she also had three other children after me. My father was also very young and inconsistent, I often went months without hearing from him and longer not seeing him. Anyways, eventually I lost my virginity to a man in his 20s which lead to years of promiscuity with much older men. My brother is now in his 20s and I try to gain perspective by mentally placing him next to what I perceive as a 13-14 year old, but I really can’t process the age difference. I don’t necessarily feel like a victim because I felt like such a willing participant, but lately, I’ve had this deep terrifying feeling that this sexual history goes back much further than I can remember. Although I can’t figure out what happened to me as a child, I do have these “flashbacks” that sometimes make no sense and I can’t seem to place them on a timeline, but my mind will immediately discard them and a sense of panic will set in. My goal is to come to terms with my history so I can start processing and begin to heal.
Being forced by a chance perspective to reexamine your basic assumptions about your childhood—whom you could trust, how safe you really were—can create a domino effect of doubt.
You’re now compelled to call your entire sexual history into question and wonder whether anxiety and flashbacks are side effects of the shock, or legitimate signals of unremembered sexual trauma. Between what you do remember and your lack of parental protection as a child, it could mean that you were sexually abused.
It’s never certain, however, that recalling such an experience in therapy can produce healing, and there’s a danger that delving into childhood trauma may make you feel more helpless and trap you in loops of negative thinking that keep the dominoes of doubt in perpetual free-fall. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 15, 2012
Whether you’re pushed into a major decision by loving emotions or anger and disappointment, watch out; the forces behind your decision might be pushing you off a cliff. The stronger your feelings, the more important it is to take a deep breath and figure out the risks and benefits of what you’re about to do before doing something major (or, if your feelings are negative, even opening your mouth). In either case, gather facts, do your homework, and map out consequences before push comes to shove and you commit yourself to actions you can’t take back.
–Dr. Lastname
My wife and I have three kids, but we’ve felt a little empty since our youngest girl hit ten and stopped being cuddly, so we’re thinking about adopting. My wife is a stay-at-home mom who’s a little moody but loves kids and has been a good parent, and I work hard at a tough career, but I’m usually around all the time on weekends. My goal is to figure out whether we can make adoption work.
Most people think that deciding on a big, emotional commitment requires a big, emotional process; i.e., since nothing causes more emotion than marriage or parenthood, decisions about getting married or having kids should arise from emotional resolutions.
While this might be a common assumption, it’s also a common refrain of this blog that such an assumption is very, very wrong.
Instead of relying on loving emotions to direct your course, consider the conditions necessary to making an adoption work. If certain conditions aren’t met, it won’t. It’s that simple.
Those are the conditions that need your closest attention, not whatever’s percolating in your heart, or, God forbid, your gut (which, as we’ve often said, is where your shittiest decisions originate, pun intended). WAIT! There is more to read… read on »
Posted by fxckfeelings on September 24, 2012
Coping with the mental illness of a family member can be agonizing, and when you can’t stop destructive behavior, it feels like defeat. Trying to defeat the symptoms of mental illness, however, is like trying to win a war on weight-gain or terror—difficult, endless, and resulting in gains that are easily lost. If you learn to accept setbacks as part of the process, rather than attack them as tests of your love and will, you’ll do more to sustain morale, including yours and your family’s. Take pride in your willingness to endure a difficult, painful, and sometimes frightening relationship; you won’t win or lose a war, but you’ll gain peace.
–Dr. Lastname
I’ve got an adult daughter whom I know is mentally ill—she thinks people are plotting against her, including her very nice husband—and, for the last few years, without my own husband’s help, I’ve desperately tried to persuade her to get treatment before her marriage fell apart and she got arrested for doing something violent and stupid. The harder I tried, however, the more she suspected I was part of the conspiracy. There was a ray of hope 6 months ago when she had a screaming fit one night and got locked up in a mental hospital, but the medication made no difference, and she came out more certain than ever that her husband was her worst enemy, so she left him. My husband says I’m part of the problem because I never take my daughter’s side, but my goal is to restore her to sanity, and I know my husband is in fantasyland if he thinks she’s sane and has a “side” based in reality. I’m getting nowhere, though, and my own marriage is under pressure. What do I do now?
Unfortunately, while there is no surefire cure for paranoia, pushing a paranoid person to get help is a reliable way to make it worse. After all, if somebody thinks the world is against them, disagreeing with that person only confirms their delusions. Call it the paranoia-dox.
If your daughter’s paranoia can’t be helped—and it seems you’ve tried very hard to help her—then I’m sorry, but your husband has the right idea, even if it’s for the wrong reason. By not challenging her feelings of being victimized, your husband avoids the paranoia-dox, which makes it an approach worth trying. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 13, 2012
If your parents or in-laws make you feel helpless, even though you’re now a parent yourself, it’s seldom useful to examine how or why they do it since knowledge seldom changes your feelings, except to make them more powerful. Instead, get the courage to pull the parenting card yourself and develop polite rules for stopping bad behavior and keeping things friendly. You’ll be surprised at how quickly your feelings will change if you act as a boss when that’s what you really are. And if they don’t like it, they can go to their rooms, with or without supper.
–Dr. Lastname
I’ve always had a love-hate relationship with my father…I think he’s a decent guy and I owe him for everything he gave me as a kid, but his anger has been a problem my whole life. He and my mother divorced when I was pretty young so I only saw him on holidays and some weekends, but even after that, at least once per visit he’d get so frustrated with me that he’d go into rages that left me genuinely terrified (he never went too far physically or verbally, but I’d still get really shaken, and once it was over, he never mentioned it again). I made it worse as I got older, because I’d yell back, which pushed him even further. Now I’m the mother of 2 young kids, I’d like them to spend some time with him (and so would he), but I want to protect them from the possible fear/trauma that I had to experience, even if it wasn’t criminal, per se. So how do I keep a lid on the fireworks without keeping him out of my life?
You’re right to regard big loud parent-child blowouts as tough on kids (and anything else around, including other people, pets, plates, etc.), and you’re wise enough to look for alternatives that don’t involve too much suffering by you or your kids, assuming the worst-case Dadageddon.
Remember, however, that you’re the mother, which means you make the rules of engagement. When you were a kid, you probably bristled under your father’s scary authority, but after all these years, you’re free at last. You’re the adult now and the parent, so you’re not just the boss of you, but your brood as well. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 30, 2012
If you listen to (other) experts, psychiatric treatment should always begin with objective evidence, which then determines a diagnosis, which directs us to proven, effective treatments. This expert, on the other hand, thinks that “evidence-based psychiatry” would be very nice if we happened to know lots more than we do, but it is one of life’s great ironies that the organ we know the least about is the home of knowledge itself, the brain. Until we can fully wrap our heads around our minds and how they work, scientific thinking in psychiatry is often wishful thinking. It can actually get in the way of making good, practical decisions and accepting the necessity of living with the unknown, be it a mystery illness or the grey mush in our skulls.
–Dr. Lastname
I’ve been very confused lately because of what’s going on inside me. My father did some bad things to me while I was growing up—things that I just began remembering a year or so ago (sorry, I can’t label it). Since then, other memories surfaced as well, but not many at all. Most of my memories of my childhood are snapshots that are just little moments in time, separated by years in between that I just don’t remember. Anyway, the thing that distresses me is that sometimes, but not all the time, I’ll feel like I have another part of me who is talking in my head. This came to my awareness mostly after the memories started coming up, although I feel like maybe it happened occasionally before. For instance, recently someone asked me a question, and a child’s voice answered in my head. I have other instances of similar things like that happening. One time it seemed like there were two parts conversing with each other and I was just observing the conversation, per se. That being said, I am educated enough about what happened to me and the consequences of it to know that I think I’m describing DID, but from what I’ve read, I don’t think I have it. I don’t switch to other personalities, and I don’t really lose time or anything like that…but I do know I’m not qualified to make that kind of assessment (and I know you can’t just by reading this letter). But my question does relate to that: is it possible to have the kinds of experiences I’ve described and not have DID? Since I’m pretty sure I don’t have it, I feel like I’m just some crazy, messed up person for no reason. It terrifies me to share this with anyone, but I don’t know what to do anymore, and it’s getting harder and harder to keep going.
Diagnosis in psychiatry is never precise and, when given too much attention, can do more harm than good. Until the day a mental illness diagnosis can be determined by peeing on a stick, all we can currently do is lump symptoms together and try to observe what happens to people who fall within an arbitrary category.
In the short run, knowing you’re not alone might be comforting, but it would tell you very little about what to expect from future symptoms or treatments. Worse, it would get you thinking of yourself as a diagnosis instead of as a person who’s trying to live life in spite of some disturbing, hard-to-understand symptoms.
As such a person, ask yourself what you most want to accomplish in this life, despite whatever’s going on in your head. For most people with traumatic childhoods, it’s always meaningful to be decent to others, whether they’re your kids, relatives, or friends. You know how easily people slip into abusiveness when they’re angry and how much it hurts, so you never take a good, supportive relationship for granted.
Most symptoms that impair the way you function won’t prevent you from being the person you want to be or doing what you really want to do, they’ll just slow you down and force you to work harder to think up alternative methods. A good coach helps you to accept your impairment without getting discouraged or demoralized.
So instead of looking for the ultimate shrink diagnostician, find a therapist who can act as a good coach, who isn’t too upset by symptoms, and is eager to see what you’re capable of, even when you’re distracted by traumatic memories, internal conversations or the sensations of observing yourself.
Consult a psychiatrist at least once or twice to get an overview of possible treatments, including medication. Of course, non-medical treatments almost always pose a lower risk, but many medications are relatively safe and require no more than a few weeks to try out. If your symptoms are sufficiently painful and/or disabling, and non-medical treatment is insufficient, then you owe it to yourself to check out every possibility.
Whatever symptoms you have, you want to do your best to manage them without letting them define your life. Keep up your diagnostic questions until you’re confident you’ve heard what the experts have to say, regardless of how unsatisfying that might be, and then forget about what caused your problems or how they might be categorized.
Your next step is to manage your burden and respect yourself for carrying it, even if the nature of that burden remains a mystery.
STATEMENT:
“My psychological symptoms spook me and leave me feeling distracted and distanced from myself, but they can’t take the meaning out of a good day’s work or a solid friendship. I may never figure out why I feel the way I do, or stop myself from feeling that way, but I can certainly lead my life according to my values regardless of the tricks my head likes to play on me.”
No one was more surprised than I when I suddenly got depressed about a year ago, because it’s not something that ever happened to me before. I lost energy, felt like crying, and got anxiety attacks. There was lots of pressure at work, but my job was safe, and I’ve never been prone to buckling under pressure. Now I could barely get to work and I didn’t give a damn about the projects that I was responsible for. My wife finally forced me to see a psychiatrist, I started to feel better on an antidepressant, and then my internist really surprised me by telling me my testosterone was low and I should try a trial of replacement therapy, which I did. Within 2 weeks I was back to normal and a few weeks later I stopped the antidepressant. So now I wonder whether I was really depressed or not or whether I should have tried antidepressant in the first place. My goal is to figure out my diagnosis so I’ll know what to expect.
Even on that rare occasion when a specific psychiatric diagnosis really matters, it doesn’t matter as much as you think. Yes, it was critical to your recovery that you and your doctors checked out testosterone deficiency as a possible cause of depression; the sudden, unexpected onset of your symptoms raised the odds of your having an unusual and potentially curable cause, which deserved an extensive workup of your hormone levels, vitamin levels, evidence of inflammation, etc., so congrats for making a good decision.
You also discovered that depressive symptoms may have many causes, making depression less of a diagnosis than a cluster of symptoms. So, much like aspirin, antidepressants can improve symptoms, no matter what the cause, if they work at all. (Unfortunately, no matter what the cause, antidepressant trials often fail [35% for each trial] and require lots of time [three to four weeks] before there are noticeable results.)
In addition to lucking out with both the diagnosis and the response to antidepressants, you learned a valuable lesson, which is that anyone can get depression. It wasn’t caused by bad psychological or medical hygiene, just bad luck. Getting depression often doesn’t have a deeper meaning other than that we live in a tough, unfair world where people often get sick for no reason, and sometimes that sickness makes your brain miserable.
Your own observations are the best guide to your prognosis. If you responded rapidly to getting testosterone replacement therapy, then you may be relatively unlikely to get depressive symptoms again (as long as you continue taking the testosterone, which you may need indefinitely). At some point, if you want to experiment with reducing the testosterone treatment, ask your physician about the odds and choose a good time for experimenting, when not too much else is going on in your life.
From what you know, there’s no reason to think that your prognosis—your expected luck—is worse than anyone else’s. You made good choices, which is an essential survival skill when you happen to live in a bad luck world.
STATEMENT:
“I’d love to take my mental health for granted the way I used to, and maybe I will, after enough time of not feeling depressed has passed, but there’s no escaping knowing how easy it is to get sick. I’m proud of having made good decisions and happy to have gotten lucky enough to almost balance the bad luck I had to get sick in the first place.”
Posted by fxckfeelings on August 6, 2012
Like all symptoms of mental illness, anxiety and suicidal feelings seem controllable since they’re related to thoughts and how we look at things, especially since they have the potential to be so destructive. In reality, their primary causes are powerful, mysterious and, whether rooted in past events or biology, are not curable or easily reversible by the best treatments, most loving families, and strongest willpower. What good treatment and a loving family can do, however, is give meaning to the courage it takes to ignore pain and dangerous impulses, giving one comfort, if not control.
–Dr. Lastname
How do you get rid of the pain from your child’s suicide? My son died four years ago, and our entire family is still devastated. We are all now living with depression, anger, and our own thoughts of suicide at times. We are all in therapy but it’s moving so slowly, it doesn’t feel like life is moving forward. After a tragedy like this, how do you get your purpose back?
While I can’t imagine anything much worse than having your child suicide, the key to surviving it is to understand how similar it is to having your child die of any other cause. No parents should have to bury their child, no matter how that child’s life ended.
Intuitively, suicide feels like a preventable cause of death, so it seems justified to review the many would-haves and could-haves leading up to it.
Mental health professionals sometimes make things worse by focusing on such possible “causes” as unacknowledged trauma, unshared feelings, or unrecognized calls for help, all of which mean blame. Blame then feeds the depression and anger you talk about, poisoning normal grief with feelings of guilt, regret, and failure. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 23, 2012
There’s nothing better at inducing helplessness than being molested as a child, but it’s easy to forget that helplessness is a feeling, not a measure of strength and character. If you’ve been traumatized in the past, don’t let the helplessness of this or any other overwhelming experience make you feel like an ineffective victim. Instead, learn to respect your existing effectiveness, regardless of how helpless you felt then or still feel now. You may always feel helpless, but your very survival is proof that you’re stronger than your emotions.
–Dr. Lastname
My life is pretty stable now, but I’ve had a lot of major problems this last year and, in the middle of my troubles, I started to remember being molested by a family friend when I was 14, just after I hit puberty and got breasts overnight. I’ve been struggling to get my daughter help for a major health problem, and then I got fired and had to find a new job, and then my mother started to slip into dementia. Now, I’ve got a new job, my daughter is getting good help, and my father is taking good care of my mother, but I can’t get over a rising feeling of helplessness. If it’s because I was molested, my goal is to get over it.
Before you can even try to recover from the helplessness of current crises, you have to get around the sneaky way it has of making you feel personally ineffective, in part by playing on your memories of the helplessness of being molested. After a while, you can feel like you’re drowning, which is about as helpless as it gets.
In other words, you want to move forward, but helpless feelings cause helpless beliefs by awakening helpless memories. Your mind gets stuck in the notion that you couldn’t do anything in the past, you’re not able to do anything now, then things will probably get worse, and you’ll be powerless to prevent it. WAIT! There is more to read… read on »
