While most mental health clinicians would feel guilty admitting this, I’ve been in the biz for long enough that I don’t give a shit and I need to vent. Most of the crisis calls I get from my psychotherapy practice are senseless and irritating; they’re from patients who feel bad because they forgot to take their medications, or drank too much or when they shouldn’t, or allowed their demons to wreak vengeance on their enemies, the nearer the better, self best of all. A few call me because they’re feeling suicidal (but won’t go to the hospital) and just want me to make them feel better, which is hard when it’s late and I’m tired, and often impossible just because I don’t have that kind of power. I try to be civil, but their calls leave me feeling helpless and wondering whether I’m doing any good. Discussing their responsibility for their behavior is useless, because it usually makes them mad or apologetic. My goal is to figure out what to do with crisis calls that are really a useless pain in the ass.

Many crisis calls you receive as a shrink do a good job of showing off a patient’s worst behavior. It’s like having partial custody of a colicky child.

It’s not that their distress isn’t real and severe—it is, almost always—it’s that it causes self-defeating behavior, like drinking or mouthing off or retreating from the world, which creates a jam that is extra hard to get out of.

Bad feelings cause bad behavior, bad listening skills and bad regrets about going into the therapy business instead of owning a Toyota dealership.

You’re right to wonder whether your response to crisis calls is helpful. Whether you realize it or not—and you seem to realize it—your words sound moralistic and angry, though for good reason. The more you care about your patients’ welfare, the more upset you get about what they’re doing to themselves and how it undoes all those good talks (and/or medications) that seemed to help. As you say, their negative feelings become contagious as you wrestle with your own fatigue, doubts, and fears about more calls to come.

Unfortunately, a moralistic tone usually makes people who’ve messed up feel more messed up. You judge them as having made bad choices, whereas they experience a rush of emotions and habits that sweep all choice away. Your intentions are good, but labeling your bad-behaving patients as irresponsible bad-choosers will usually make them feel like losers talking to their dads.

The good side is that you’ve given them a focus for their anger and disappointment that isn’t themselves. The bad side is that you may get an honorable mention in a suicide note.

If you truly believe in your observations, however, assure yourself that you’re not responsible for making the crisis caller less destructive. The threat to you isn’t the intrusion on your time, it’s feeling responsible for the mess they’re in, which you’re not. Their mess is out of your control, and theirs. Your only responsibility is to give them good advice and do what you can if they’re not safe.

Tell them what you think they eventually need to be able to tell themselves; it will pass, there are good things to do meanwhile, and they’ll sort out the cleanup when they’re better rested. If they’re not safe, they should take themselves to an emergency room.

Assure them you’ll work with them on increasing their self-control over anything they think they’re doing wrong, but it can’t happen now. Good night and good luck to them, and I hope it felt good for you to vent.

STATEMENT:
“It’s hard to stay calm when I see my patients fucking up their lives and then wanting me to make them feel better during my spare time, but my feelings are just a reflection of their feelings, and don’t have to get in my way. When I can’t help them, it’s too bad, but it doesn’t help to blame them, and we can make good use of the experience later, when we talk during work hours.”

As a therapist, I assume that my strongest weapons are kindness and empathy, but sometimes the process is exhausting and my family does not appreciate the amount of time I spend fielding patient phone calls off-hours. When I get desperate calls at dinnertime or late at night, they interfere with my family life, but I don’t believe in hanging up until my patients feel better. Many have been traumatized and go through terrible periods of emptiness and they need to know that someone cares. My family jokes, somewhat bitterly, that my patients have more access to me than they do. I feel unappreciated, tired, and torn in many directions. At least my patients feel that I care. My goal is to help my family see that I also care about them.

If empathy and kindness were as powerful as some therapists and Christians believe, the world would be a lot better than it is. As your family correctly observes, however, the calls keep coming, there are no cures, and What About Bob is coming down the road.

Ask yourself whether your patients are actually getting better, or just feel better because they’ve found someone nice to take their calls. If they are feeling better, figure out if it’s because they’re better at managing their own crises, or because you’ve confirmed their right to have a nice response whenever they need it. If it’s the latter, heaven help them when you’re not there (and help your family when you are).

It’s good that you’re kind and empathic; that’s why your family and patients like to spend time with you. What’s wrong, however, is that, in over-valuing the therapeutic impact of those qualities, you’re putting too much responsibility on yourself for your patients’ problems (see above). Realistic experience should tell you that kindness doesn’t cure. Neither (see above) does moralistic confrontation.

That is sad, and limits your powers considerably, but it also means you should keep calls short and treat them as evidence of your patients’ need for better self-management. If a patient is willing to try improving his/her self-management, that’s a great focus for treatment and the calls are grist for the mill.

If, on the other hand, a patient can’t see any possibilities for better self-regulation and wants nothing other than better treatment from others, your therapy won’t do any good other than providing him/her with a short-term fix and your family with an empty seat at the table. In that case, Forget Bob and return to the family fold.

STATEMENT:
“It feels right to soothe those who are in despair, and to help them carry their load, but I know that I can’t really carry anyone else’s load and that responding to repeated off-hours calls doesn’t help patients appreciate and make best use of their own resources. Without sacrificing my kindness, I will offer them ideas about how to manage their moments of disorganization and despair, and I will do that most effectively during treatment hours and not at other times.”

I have always had a problem with keeping friendships because of moving too much, anxiety, and some other reasons. Almost every friend that has come into my life seems to be very needy and I tend to become anti-social when this happens. My current best friend has showed many signs of being very clingy and a bit controlling; she buys me things when she knows I am busy just so she can hang out with me, she calls me frequently even though she knows I dislike talking on the phone, she is demanding and apologetic at the same time. I am confused on what to do because she is always there for me and I can’t always be there for her. Lately, I have been having so much negative feelings about her that I don’t want to work on the relationship and this is exactly my problem—I lose people because I let my feelings get in the way. Maybe I am not finding the right people to hang out with? I mean we have so much in common, but that might be the problem because we both have severe anxiety and what we hate about life seems to be all we talk about, so it’s just negative energy most of the time. I will admit I am selfish and should be more thankful that I have someone that understands me and is there for me, but I guess I am too unhappy in my life and unhappy with myself to be appreciative of the goodness in others. It’s something I would like to work on, but I don’t even know where to begin.

Whatever draws people into relationships– neediness, sex, an encyclopedic knowledge of “Law & Order”—it isn’t necessarily good for you. When you’re operating on instinct, you stop thinking.

It sounds like you’ve got a good idea of what’s good for you, and it’s a friendship that discourages whining and encourages breathing room and independence. Nevertheless, you give in to the pull of your instinctive need for needy, whiny friends.

Once you give in, you’re stuck. You like the close attention and some of the intimacy, but you also don’t like the high demands and expectations, so you want to pull away. That leaves you guilty, lonely, and more in need of a needy friend. The shitty friendship cycle remains unbroken.

Instead, get a grip and start to choose friends who are more independent and less fun to complain with. Don’t expect the getting-acquainted process to feel as natural and easy as it usually does, because if it feels too comfortable, you’re probably making the same mistake.

At the same time, discourage your current needy friends from expecting long windy complaint-fests. Keep the conversation positive, don’t share negative feelings, and stick to a schedule. You may be pleasantly surprised to find that needy friends get less sticky when you give them firm boundaries.

Don’t let guilt make you passive or discouraged. It may be impossible to change your relationship preferences, but you can have better relationships if you’re clear about what you want, force yourself to make better choices, and get the kind of friend you really need, not a needy friend.

STATEMENT:
“I feel like I’m a selfish friend who never gives as much as I get and resents the needs of others, but I believe I can do better if I find friends who are less needy. It’s time for me to find such friends, discourage needy behavior in others, and avoid indulging in it myself.”

My closest friend and I usually tell each other everything, and she always seeks my advice before doing something rash and probably dumb (she’s really ADD), and give it to her straight (within reason, and/or as tactfully as possible). The problem is that, when she wants to go forward with a decision she knows is risky (at best, really dumb at worst), I become the bad guy who won’t admit that I really don’t want her to be happy, even though, in reality, I just want what’s best for her. When she got together with her now-husband, I told her the situation was tricky (long-distance, financially rough, etc.), and when she stuck with it and complained to me about the whole thing, it was hard to be totally supportive. After a while, she took my worries about the nature of the relationship as me lying, actually hating her husband, plotting against her happiness, etc. So she didn’t tell me she was eloping hundreds of miles away until the last minute, and when I couldn’t make the arrangements with 10 minutes notice, she thought it was another lie, not a logistical nightmare. When I found out that I was the only person not told she was pregnant, that was the last straw; she said she wanted to talk about it, but her lying to me was so hurtful, unfair, and hypocritical that I didn’t see the point in trying to change her mind anymore, and it’s been months since we’ve talked. My goal is to do the right thing, and while I don’t want to hurt my friend and I miss her, my gut tells me it’s best to just let her live her life and protect myself from being hurt again, since she treats me like an enemy, anyway.

Whenever you find yourself giving a close friend constant coaching about her life, watch out. Intimate advice-giving makes a relationship feel very close and, at times, it may do some good; but you’re playing with fire or, more accurately, all the feelings your friend has towards her parents and everyone else who has given her advice and criticism over the years.

Given that she’s often impulsive (or so you’re implying), she’s probably received more than her share of disapproving advice and is touchy and defensive as hell. She doesn’t think you’re a liar—she thinks you’re her mom.

True, we shrinks give coaching and advice all day every day, but it works best when we keep it brief and business-like and don’t need friendship from the person we’re advising. When we start to care too much, we sound like parents and stir up the same damn hornets’ nest of negative feelings in those we advise.

Imagine, for a moment, removing the “tell each other everything” part of your relationship with your friend and then ask yourself whether the friendship might still be worthwhile. Yes, it would be less satisfying for both of you, but, if she really likes complaining about her life, she should get a dog (that’s my answer for almost everything). If you really like giving advice, become a shrink. Or a manicurist.

When the stinging goes down a bit, firm up your boundaries and see if your relationship becomes more positive. Say whatever honestly positive things you can possibly say about her husband, marriage, and pregnancy. Discount your months of withdrawal in a way that blames no one and signals no danger of confrontations—just wish her well.

Perhaps your performance will salvage the love and good times you’ve shared over the years. If not, you’ll hurt, but you’ll know you did the right thing, and that’s the truth.

STATEMENT:
“I feel unbelievably hurt by my friend’s shutting me out after we’ve been closer than sisters for many years, but I think she did it because we were too close, and not because she wished to hurt me, and there may be a way to build a better relationship. I’ll try to ignore the hurt, build on what was good, and see if a better kind of intimacy can develop.”

Please Note: The next new post will be 11/28, after American Thanksgiving.

My husband and I get along better since I left with our daughter to start a new job in a nearby town, and he is usually polite when he comes for his weekend visits (he sleeps on the couch). He’s a devoted father, but sometimes, when he’s in a bad mood, he gets as nasty as ever and calls me a loser and a wimp who can’t keep things clean or make much money, and I’m back with the old feeling of not being able to do anything right. I suppose I should shut the fuck up, because anything I say just sets him off and gets our daughter upset. My goal is to keep my feelings to myself and keep the peace.

It’s hard to tell nasty criticism from the valid kind if you already tend to get down on yourself for not getting much done. Then again, it’s hard to get much done when you have a kid and an ex-husband who’s always criticizing you.

What you seem to be taking issue with is how unfair your ex’s judgments are, as if you’re agreeing with him that you’re a loser, but you wish he’d be less harsh. The real problem, however, is that, without carefully applying your own standards, you’re allowing yourself to take his judgments seriously in the first place.

If you’re afraid of his reaction to your disagreement, you could say that staying quiet is a way of keeping the peace, and that peacemakers are blessed. It doesn’t seem blessed, however, to absorb nastiness indefinitely unless you can explain to yourself and your daughter why it’s necessary.

Otherwise, it actually make you a wimp, and it encourages him to be a bully, and while you can’t get double divorced, you can shut his criticism down without absorbing it.

After all, you’re no longer stuck with him and with doing nothing. You’re working during the weekdays and being a single parent, so you may be tired and have little to show for it at the end of the week. Still, you’re independent and accomplishing difficult and important goals, and you’d be foolish not to respect yourself, regardless of what your inner voice, or your husband, has to say about it.

Without getting mad, you can tell your ex-husband that you’re satisfied with how you run your life and don’t want his comments; if he insists on sharing, you insist on his leaving. It’s not hard to do if you believe you have a right (and he doesn’t), and it’s easier to feel you have a right if you’ve thought it through and don’t get into a fight.

You may never feel great about what you’re doing, given that you’re poor, tired, and have a critical ex who gives you a regular earful. Look objectively at the good things you’re doing, however, and you can stand up to those self-critical feelings and challenge anyone who echoes them. It’s time to recognize who the real loser is in this scenario.

STATEMENT:
“I may never feel like a winner, but I’m doing two tough and worthwhile jobs in working and raising a child, and I now have the right and opportunity to veto negative topics my husband would like to share. I will let him know that, if he escalates, he goes.”

I get enough done when I have a full-time job to go to—I’m motivated, show up on time, and keep up with my work—but since I’ve been unemployed I can’t seem to keep moving. I get up late, scan the internet, play some games, and go back to bed. It’s depressing, and the more depressed I get, the less I do. I’m turning into a total loser. How do I kick myself into action?

Lots of people need structure to keep moving; at school, you’ve got bells, attendance, and homework. At work you got a time-clock and a boss who will notice if you no-show or don’t get your work done. As such, structure’s basically a fancy word for having other people force good habits upon you so you don’t have to worry about them yourself.

When people don’t have structure, they have trouble getting things done. Some people, of course, are very good at staying energetic and knocking off their priorities in a disciplined way. And then there’s the rest of us.

Of course, when people don’t get much done they see themselves as lazy; with all that time on one’s hands, there doesn’t seem to be an excuse for accomplishing nothing. It’s the same tone we use to chide ourselves for making a careless mistake or eating too much pie. The negative criticism usually makes escape more attractive/leads to yet more pie.

If you’re ashamed of your low productivity, you may hide it by diverting energy into appearing busy and inventing a cover-up to explain what you haven’t done. The less you do, the more it becomes a secret. When the secret comes out, you’re more likely to be chided for laziness, the more you’ll want to hide again.

Don’t sink into that rut. Instead, treat your problem as important and respectable, and become your own boss or principal. Wage a campaign to be structured, whether you like it or not, to the degree to which you can get your employee/self to go along with you.

Start with a job description that keeps you busy and attends to priorities, i.e., what work you need to accomplish everyday until real work comes along. It should have enough time for hygiene, exercise, work, and friends. Not perfect, but good enough.

Look for help wherever you can get it. You may need help in putting together a schedule, or appreciate a call or a visit from a friend to watch you do something you said you’d do but wouldn’t do if there wasn’t somebody watching.

If you ask friends to help out, they’ll appreciate the chance to be helpful and will respect your struggle to bring your inner sludge under control. You’ll find lots of them have the same problem, so you can create a structure for each other until you’re back in a cubicle without so much cursed free time.

STATEMENT:
“I feel lazy and incompetent when I realize I can’t get much done when no one is watching but I realize that good people are often unable to control bad habits, so I’m determined to bear the shame and take advantage of every trick I can to get where I need to go.”

I was sexually abused quite a bit by my dad (and am de-repressing memories right now, fun-fun). I am realizing that I am very fearful of the people I love, and avoid them. Honestly, if I didn’t need to bond to keep from going insane, I would never have a close relationship, because anyone I care about enough can destroy me. But I’m in a lot of pain from loneliness as it is.

Many people believe there are tons of benefits to confronting your past, namely that it will teach you something that will bring catharsis to your present. The common notion being that if you can figure out what went wrong then you can avoid being victimized again.

The problem here is that reviving memories of sexual abuse by your dad will also bring back the old feelings of helplessness and having no choice, which, of course, is the opposite of your situation as an adult, so the lessons are the opposite of useful to your life now.

You’re not examining the past to drown yourself in feelings of helplessness, but to assure yourself that you can protect yourself from abuse.

Also, as an adult, your love for your dad may leave you with a dangerous sense of comfort and familiarity with low-boundary, exploitative sleazebags. In other words, your dad may have given you a tendency to be drawn to people who aren’t trustworthy, and who are worth being fearful of. I’m sure there are people in your life who aren’t scumbags, but your history makes you especially vulnerable to them.

It’s hardly surprising then that your world, as you see it as an adult, will seem full of both loneliness and dangerous people who can’t be trusted. Don’t criticize yourself then for being fearful of relationships or lonely; fear is a good protector, until you get strong enough to protect yourself.

So, as you examine your past, a therapist’s support for your pain and trauma may not be enough to counterbalance an ingrained conviction of helplessness. You may need an additional shield against that conviction before awakening the sleeping dragon of your memories.

One way to get stronger is to approach your past with less feeling and more thought. Develop specific standards for screening potential friends and lovers and use them to override any instincts to get together with, or over-involved with, the wrong people. In other words, if you want to remember your father’s worst traits, look for those traits in people before you decide whether or not they’re worthy of your friendship. Once you convince yourself that you’re a reasonably good self-protector, you can approach your memories with less fear of being swept away.

Find a therapist who’s a good relationship coach, or a therapy group whose members have some wisdom with difficult or exploitative relationships. Don’t force yourself to re-experience memories of abuse until you know how you’d manage it as an adult.

Don’t assume, because you’re fearful of the ones you love, that you’re bad at relationships or that they’ll turn out badly. You’re right, relationships are potentially dangerous, but your awareness of that fact and willingness to get some coaching and training can protect you and eventually help you find friends and lovers who deserve your trust.

Learning from/dealing with the past can be helpful, but beware of the risks, particularly if you (and a therapist) focus exclusively on painful emotions for which you still haven’t developed defenses.

If you want to look back, don’t lose sight of your present ability to spot and avoid guys like dear old dad; then you can learn from and use your memories, instead of being haunted by them.

STATEMENT:
“Because of the past, I may never feel secure about relationships. Once I learn how to detect abuse and avoid abusers, however, I can find friends I can trust, even if my fears remain.”

My friends can’t stand my girlfriend because they say she steals from me to feed her habit, but we’ve been together for 3 years and I can’t help feeling she’s the best friend I have. It’s true, she has a drug habit that she can’t control, and money sometimes disappears from my wallet, but it’s an illness and it’s no good to blame her for it. It doesn’t change the fact that we love one another. Aside from her habit, I know I can trust her. I truly believe our love is a positive factor in helping keep her habit from getting worse. My goal is to help her, of course, while getting my friends to see that she’s a real person, not a drug addict.

Relationships can always be dangerous if you focus too much on the other person’s feelings, or your own, without stopping to think about your other priorities in life. She might make you feel like a hero, feel like you’re a healing saint, feel guilty if you can’t do what she asks, etc. If you focus on that instead of whether or not this relationship is ruining your life, you’re doing it wrong. The more sweet, sensitive and generous your temperament, the worse your peril.

The opposite of caring too much for someone isn’t, of course, to be selfish; it’s to be responsible for your other goals, the ones that arise from your values, interests, and other obligations, including your job to take good care of yourself. You need money for your own education or rainy day fund or, simply, survival during hard times. You deserve to be loved for more than your ability to give.

Go back to basics and think about your own standards for a good relationship, as if you were advising a friend. Yes, you’d say, you need love and good chemistry, but you also need someone who can cover your back, take care of things when you’re disabled, help you on your way, and work well with you in a crisis. You’d have to agree that, without those standards, you’ll team up with someone who can suck you dry and undermine your stability in a very unstable world.

Love is a drug and it can addict and ruin your life and other relationships in a way that puts meth to shame. That’s why, rather than getting into a discussion of how wonderful it feels, you’d urge your friend to think about what he wants a relationship for and how it will help him do what matters.

Forget about what your friends think and put aside your desire to help your girlfriend; instead, focus on what you want to make of your own life and trying to be a good person in a crazy world. Remember who you are and then see where this relationship fits. You’re not a saint, you’re a boyfriend, and if you want to do what’s best for both of you, you won’t even be that much longer.

STATEMENT:
“I love my girlfriend and want to save her from drug addiction and I don’t mind her faults, but what comes first are my own standards for being a strong and self-reliant person that are not dependent on any one person’s love or approval.”

When my wife is feeling fine, she’s a reasonable, hard-working, dedicated woman who believes in helping others, but then she gets into this grim, obsessed mood and knocks herself out and then gets mad about how people don’t respect or appreciate her and she just doesn’t care any more. Yesterday, she told the boss she didn’t care if he fired her, because she didn’t care. If he fired her, it would damage a career she really cares about and, besides, we need the money, but when I tried to tell her she needed to shut up, she told me she didn’t care about our marriage or about living any longer, particularly if I didn’t support her. What do I do to stop her from hurting herself?

As we’ve said before, there are a lot of people out there who either don’t believe in mental illness, or do believe it exists but don’t really understand what it is. The former usually believe in Xenu, the latter are baffled by “Hoarders.”

Either way, the easiest way to explain mental illness to those types is to describe the disease as a demon, and yes, it’s a sad fact that people are quicker to understand satanic possession over an actual illness, but such is the biz.

As for your wife, some good people get into very black, destructive moods that are hard to describe, even though most of us have felt it at some time in our lives. It’s the kind of mood when you’re ready to cut off your nose to spite your face (and then turn to a loved one, telling them they made you do it and you hope they’re satisfied).

Those good people have the demon, and, if it’s bad enough, it’s a kind of mental illness that can be sudden, random, and completely out of their hands.

Some people are more vulnerable to those moods because they’re particularly sensitive or perfectionistic; they forget their own priorities and lose themselves in doing a good job or caring for others or making someone else happy. If they can’t succeed, they get exhausted and flip out. It’s worse in the afternoon, or when they’re tired and haven’t eaten.

If you send them to their room, they’ll trash it, beginning with whatever they value most, to show you how little they care and how bad they feel—this is the cutting-off-your-nose business described above. There’s not much you can do to help someone who’s sick/possessed in this way except to try not to not make it worse.

Start with not trying to confront her; otherwise you’ll just become a target and foil for her negative emotions. Instead, let her know you appreciate her hard work, know how upset she is and share the feeling that life can suck. Offer her some hot chocolate and/or a foot massage.

Then tell her you support her quitting, but you want her to do it when she’s feeling better and can do it properly. If she hates you for saying that, tell her you’re happy to give her some alone time and take a walk. Then hope you come home to an intact living room.

Later is when you’ll discover whether she’s the kind of relatively normal demon-possessed person who has perspective most of the time and wants to work with you and/or a therapist to gain better self-control, or whether she’s a permanent victim who can’t get past her anger and is sure you’re responsible for it.

In the shrink trade, we call that kind of person a “bad borderline” or “severe character disorder.” We can’t help them, because that demon/disorder problem started when they were young, took over, and convinced them it’s always someone else’s fault.

From what you said, however, she’s got values and priorities that aren’t totally reactive to her anger, most of the time, and she doesn’t always blame it on you or the boss, so there are lots of things she can do to strengthen her rage-management. Medication sometimes helps, but in my experience, what always helps is “DBT”, a behavioral treatment that is a lot like AA, as explained in the book Skills Training Manual for Treating Borderline Personality Disorder, by Marsha Linehan.

Read what you can, talk to experts, whatever it takes to help you understand what’s going on. If you can see her illness as something she can’t help instead of Biblically evil or self-indulgent, you will feel less obliged to stop her attacks and better able to suggest management tools for keeping her demon/disease under control.

STATEMENT:
“I hate watching my wife self-destruct when she’s tired and enraged, but there’s only so much I can do without making it worse. I know the problem isn’t me and I’m sure it’s here to stay, so I’ll encourage her to work on managing it, particularly when she’s feeling better.”

My wife gets paranoid sometimes, in spite of the fact that, after every episode, she agrees she won’t let it happen again. She promises she’ll see her therapist and take her medication but then, for some reason, she decides the side-effects are unbearable and stops them without telling anyone. A couple weeks later, she tells me she can’t stand living with me and moves out. She also tells me they’re plotting against her at work and planting microphones in her desk and she’s going to go to her boss and, by the way, she thinks her psychiatrist has been talking with him about her so she won’t see him any more. She gets loony, and she sort-of knows it when she’s her usual self, but not when the madness is on her. My goal is to get through to her and prevent her from losing her job or leaving me for good.

Paranoia is hard to prepare for or prevent; it’s one of those disorders that makes you wish that it came with a rash or ache, because some very sane-looking people have paranoid ideas that are very plausible until you realize they’re talking about the aliens, FBI and/or Virgin Mary.

It sounds like your wife keeps her paranoia buried well enough for her to be a good partner most of the time, so treat her that way, despite the weird fears lurking behind her eyeballs. She’s a regular person whose “possessed” brain is whispering bad things in the background which you and she know aren’t real and aren’t her.

Of course, your feelings about the matter are strong–her relapses put you through hell—but if you push or infantilize her, you may trigger the paranoia, and you’ll be the target. So keep your intense feelings to yourself while making it easy for her to take her medications and see her shrink.

Have a plan B for the times when she loses it, so that you don’t lose it yourself; the calmer you are, the better you’ll be able to help her. Prepare yourself for the bad times when you have to go against all your spousal instincts and back off.

As you know from the times when she’s taking her meds, they’re not a cure and, so far, nothing prevents relapses. There’s no reason, however, to think that the relapses will get worse; and at some point, treatments will get better.

When relapses occur, however, don’t blame her or yourself. Treasure the times you have together when she’s herself and hope that her crazy spells will be brief and leave her career and relationships relatively undamaged.

Being a borderline and being paranoid are two very different things, but the rules for caring bystanders is the same; if you can’t avoid the illness, just do your best not to be a target.

STATEMENT:
“It’s awful to have my wife’s personality taken over by someone who fundamentally mistrusts me, but I know it’s not personal and we’re a good team when she’s herself. I can’t protect her, but I know the difference between her and her paranoia and maybe that knowledge will help her find her way home.”

Approximately three years ago I realized my psychiatrist preferred other patients and liked other patients more than me. That realization was incredibly devastating to me. I want to deal with this reality, however, my psychiatrist keeps denying this is the reality and will not openly admit he does indeed prefer other patients. Part of me that hopes (wishes) this truly is not the reality (him preferring other patients) and I TRY to believe that what he says is the reality! However, I simply can’t believe him. I have told him I can’t believe something that I think isn’t true. Even though he has helped me immensely in many ways, and I’m extremely attached to him, I have lost trust, confidence and faith in my psychiatrist over this issue. I think he is preventing me from having the opportunity to deal with reality by denying he prefers other patients. I have a need to hear him say, “Yes I do prefer other patients and your observations/perceptions about this have been accurate.” I think if I hear him say these words I could actually work to deal with it. Since he’s obviously not prepared to say this, MY GOAL is to somehow “detach” from him, stop therapy with him and move on and forget about it.

When you do therapy right, a shrink is like a thesis advisor, helping you explore the toughest issues in your life until your work is complete.

If you lean on therapy too much, however (sometimes through no choice of your own), a shrink is a crutch, which makes deciding when and how to end therapy much more complicated. Remove the cast too early, and you still can’t walk on your own.

So, while it’s a reasonable goal for you to reduce your attachment to your psychiatrist, it’s only worth doing if you think you’ll get through it intact.

The truth is, it’s never a great idea to get attached to psychiatrists or therapists of any kind unless you think it’s really necessary; we cost a lot, the meetings don’t last long, and we’re not all that friendly, really, judging from the way we talk about one another. Most importantly, whatever you imagine you’ll eventually get from the relationship, like unconditional love or feeling like a favored child, doesn’t usually happen.

If what you think you’re getting, however, is a mental stability that you might not have otherwise, then you may be better off sticking with your shrink, regardless of feeling humiliated or rejected by not being his favorite.

As to wanting him to tell you where you really stand in his patient hit parade, ask yourself whether you’ll really be satisfied with his answer; if he tells you that you have “most favored patient” status, you’ll doubt whether he means it, and if he tells you that he likes someone else more, you may not feel so hot about that, either.

That’s the problem with most people who have unsettling doubts about someone they’re close to; they become obsessed with confirming their fears until their doubts damage the relationship and, voila, their fears are confirmed. Instead of going that route, it’s better to shut up or change the subject. Since you’ve been on that route for so long, however, that’s going to be tough.

For now, find goals for your treatment that are less dependent on how you and your psychiatrist feel about one another. Ask yourself what you’d like to change, and look at your psychiatrist as Professor Problems, whom you’ve hired to help you make that change. Judge him as you would any teacher or tradesman, not just by whether you get along but by how well he’s doing the job you hired him for.

In the end, you may manage your strong attachment more safely and effectively if, instead of stopping therapy abruptly, you focus on what you want your hired guy to do for you and confine your conversation to this topic. Make it less about how you feel about one another and more about what you want him to help you do.

If you can’t get past your fixation on his favorites, you should probably look for someone else. After all, this Professor Problems has got you thinking too much about him and you, instead of your true field of study—living life more effectively.

STATEMENT:
“My feelings for my psychiatrist are full of doubt, mistrust, and hurt, but there’s no way, after more than 3 years of trying, that I can make those feelings go away. What I can do, however, is decide whether the value of treatment is worth putting up with those feelings and, if so, start to see him as seldom as possible while using what I’ve learned from treatment to live my life.”

I can tolerate the fact that my son lives with a drug addict, but it’s hard. He’s a good-hearted kid who believes his love will eventually win her over to sobriety. Meanwhile, she never stays clean for long and always winds up stealing from him and prostituting to feed her habit. As a result, though my son works hard, they never have enough money and always wind up skipping out on the landlord or squatting. I make sure he has enough to eat, but I can’t give him anything without its winding up in her hands. He defends her when I call her a thief and a whore. My goal is to rescue him, and I’m getting nowhere.

You want to save your son from a destructive girlfriend and he wants to save her from herself and since you’re both going about it all wrong, allow me to save you a lot of trouble.

You can’t help anyone by taking responsibility for their fates or feelings; in fact, the more you push them with anger or urgency, the more they define themselves by pushing back, rather than by figuring out what they need to do for themselves. If you want to help, you’ve got to control your urges, much as you want them to control theirs.

So instead of making it your goal to save him, try to build his ability to save himself. Instead of pulling him from his girlfriend by damning her faults, respect his love and altruism while encouraging him to think about where it leads and how it conflicts with the other good things he wishes to do in this world.

If you know what it’s like to want to save someone whom it’s not in your power to save (and you do know this topic), share your awareness of how easily the saving obsession can endanger your other goals, commitments, safety and security. Tell him that you once thought that love can heal vulnerable souls, but that it doesn’t. Suggest that he will have a little more power to help her if he builds his independence, keeps his money out of her hands, and provides her with support when she’s clean.

If he objects that the only way to support her is by showing her consistent love and support, insist that you agree, excepting what he means by “love.” You believe it takes more love to do something good for someone that they won’t like than it does to give them what they want, which, if they’re addicts, is almost always bad for them.

So, instead of pulling him away from her, insist that he will do more to help her by doing the right thing himself, welcoming her when she accepts his values, and keeping his distance when she doesn’t, or can’t. In other words, setting a good example is the best way to set him straight.

STATEMENT:
“It kills me to see my son bleed himself dry for a sick, selfish, undeserving shithead of a girlfriend, but I respect his strengths and I can show him how to love someone without taking responsibility for his or her self-destructive behavior.”

I was a terrible mother to my kids when they were younger—I yelled all the time and even hit them, and my husband had good reason to divorce me and allow nothing but occasional custody. Still, I love them dearly and I’ve always wanted to make amends; we’re all older now (they’re in their 20s), I’m a lot calmer after a lot of therapy to work through my anger issues. I’d do anything to help them, but one of them threatens to stop talking to me if I mention the fact that she drinks too much, and the other is polite but pretty distant. I feel I can’t get through to either of them because the mistakes of my past have ruined things forever. What can I do to mend our relationship?

I don’t doubt you want to help your kids, but that help comes with a high price– forgiveness for being an asshole when they were younger.

That was years ago, though, and you’ve continued to care for them and pay for them while learning to control your behavior (their being older probably helped). So before you ask how to get their forgiveness, ask what you have to do to forgive yourself.

Sure, an abusive mother is probably the most stigmatized villain in the world. What people forget about mommy dearest, however, is that some people have very little control over their tempers, including those who would really, really like not to be assholes.

Depression and bipolar illness can make people very irritable while weakening their self-control and their ability to see themselves. Some people are born with terrible tempers, so the personality you got is the personality you got and it’s what you do with it that counts. That you’re trying to do the right thing is commendable.

You’ve taken your lumps without blaming others or backing off. You can’t help having the temperament of an asshole, and you’re still trying to be a good mom. That takes strength, determination, and good values. Taming one’s temper is never easy, so be proud.

What you shouldn’t focus on is whether your kids accept your transformation and apology. (If one is alcoholic, she may not accept it unless you give her a drink). You goal isn’t to get absolution from her, but to be a good mother, despite the distance between you and your kids.

So instead of repeating your apologies, let them know you’re proud of what you’ve done with motherhood, in spite of a terrible beginning, and that you’ve got good love and good advice to give, if they want it.

That said, you won’t take shit, either from yourself or from them; asshole behavior, be it internal or external, will not be tolerated. If they can agree to those terms, then you will be there for them, anytime, free of charge.

STATEMENT:
“I wish I didn’t abuse the kids, but I can’t change the past. I’ve done lots of good things, too, to protect them from myself and help them grow up. Now what they need is not more apologies, but the knowledge that I’m here with good, safe parenting to offer. If they don’t take me up on it, I may feel hurt and cut off, but that happens to lots of good parents. I won’t let those feelings make me retaliate or grovel. Good parenting sometimes means waiting.”

My husband is a good guy, but sometimes he seems to take me for granted, particularly when his family asks him for help and me and the kids are expected to agree to being a lower priority. The other day he informed me, without saying please, that he had to leave me with the kids for the long weekend because he needed to drive his sisters to another city to visit his dying aunt. I let him know I don’t like the way they seem to come first and wondered where that leaves us. I think I’ve got good reason to gripe, but I can’t seem to get him to see what he’s doing wrong. What can I do to get him to see that it hurts me and us when he’s over-responsive to his family?

You know that getting your husband to see that he’s in the wrong won’t work. From his point of view, he’s on a mission of mercy and you’re needy, competitive, and lacking in compassion. You lost the argument before saying word one.

In addition, you may not be sure that your position is right. After all, you’re reacting to the fact that he didn’t say “please,” not to whether or not his weekend trip is necessary. He may have neglected to say please because he was nervous about possible criticism, thus making the criticism more likely. You don’t want to get drawn into a personal injury war over his tone of voice, when he might be right, and you might have to agree, about his actual choices.

So ignore his impolite presentation and examine the necessity of his making this weekend pilgrimage. Ask yourself how much good his trip is likely to for his aunt and her sisters, whether it will give him some good time with his aunts, and whether there’s no one else who can help them out. Obviously, it’s less necessary if his dying aunt is already in a coma and her sisters have other ways to travel.

If, after examining the facts, you think the trip isn’t worth it, let him know you appreciate his good intentions but that you’re questioning whether the outcome of his good deeds outweigh the burden on the rest of the family. You’re on the same side—you know he’s a responsible dad who also cares about his aunts—but you’re hoping he’ll do what he thinks is right, rather than be overly responsive to his aunts’ emotions.

Once you’ve created a context of respect and made the issue of his weekend commitment less personal, you can also tell him you wish he’d take you into his thinking before making decisions that affect your partnership. Your intention is not to trigger a conflict of loyalties nor to make it a question of whom he loves more, but to urge a method of decision-making that will benefit both of you with no arguing at all.

STATEMENT:
“It feels demeaning to be told, not asked, to do double weekend duty by my dearly beloved while he tends to the needs of his aunts, but he’s a good dad, and a good partner (usually), so I now have an opportunity to suggest better ways of communicating if I can just keep my anger out of it.”

I always suspected that I was attracted to women more than to men, but I liked my husband, and we’ve been good companions for the past 20 years. It hurt him deeply, however, that I wasn’t interested in him sexually and finally, when he pressured me to tell him what was wrong, I told him I thought I might be gay. Now he feels I lied to him, that our marriage has been meaningless, and he wants a divorce. Our life together is over and I feel totally to blame, like I’ve let down my husband and betrayed our marriage. What can I say to make amends?

There’s one important step people sometimes forget to take before making amends– asking yourself what you’ve done wrong.

Obviously, your husband is hurt and he thinks you’re to blame, but, as we’ve said many times, that’s the whole point of marriage—having someone to blame. Real sin requires knowing that you have something to hide, and that doesn’t seem to be the case.

With only 3 shopping days left until Yom Kippur, you might wish to remind yourself that the Day of Atonement, when Jews make a special effort to examine our sins, begins with a thrice-repeated statement claiming that no one should ever be responsible for vows they can’t keep.

In other words, life is often impossible and it’s not rationalizing to say you can’t be responsible for what you don’t control– it’s Old Testament.

So look what you’ve done with your (newly coined) homosexual feelings. You haven’t been unfaithful, or blamed your lack of attraction to your husband on his being fat. If you kept a secret from him, it was because you also kept it from yourself, and in spite of your uneasiness, you forged a 20 year relationship. That’s a major accomplishment for both of you.

So don’t let your sexual identity shock shake your confidence; you’ve taken a step forward that allows you to be more self-accepting and spontaneous. While it damages your husband’s matrimonial ideal, it shouldn’t diminish your pride in what both of you have done with the marriage so far, or your hope in what it might become in the future, if your husband calms down.

After all, this doesn’t need to be the end of your relationship; you maybe not have been a great sexual partner, but you’ve always been a great partner, and there’s no reason not to continue to be great friends.

STATEMENT:
“I wish our sexual chemistry and my sexual identity were less complicated, but I feel my husband and I have been good partners, not because of my lying, but in spite of it. I wish it didn’t hurt to face these sexual realities but I’m glad we did and think we can be better friends now that I no longer have to hide who I am.”

I would like to stay off pain pills and I attend AA meetings regularly, but I get the pills from an old friend of mine who also goes to the meetings. She’s been sick with HIV and needs all the support she can get, so we wind up hanging out and then getting high. I wish my husband gave me a little more credit for trying to stay clean, even if I haven’t been successful. It’s hard to say “no” to spending time with a dying friend.

Forget for a moment why other people think it’s bad for you to take pain pills; instead, do your own assessment, not just for whether the pills are bad, but for whether or not amends are in order.

Obviously, the good side is that they make you feel better and you enjoy passing time with a sick friend. Then again, pain pills have a magical ability to kill pain while also causing a ton of it.

Start with a checklist of possible negatives, so you won’t miss the big picture. Include the weekly cost and whether the pills interfere with your ability to work, either directly or by risking a positive drug screen. Ask friends and family whether they see a negative effect on your behavior, and ask yourself whether your focus on feeling better has pushed aside other priorities, like being a good friend or parent.

Finally, assess your friendship with this friend in the same way. Ask yourself whether this is a friend who, in addition to being fun to hang out with, is someone you can count on. Look carefully at whether the feel-good focus of the friendship excludes the more important priorities above.

You need to find your own reasons for being sober, and the strongest reasons will come, not from your need to please your husband or meeting-mates, but from your sense of what it takes to be a good person. As the AA saying goes, you are the reason for your own sobriety. If you’ve used drugs a long time, however, you tend to be super-aware of how other people feel about you and relatively insensitive to your own standards. Those standards give you the reasons to stay clean.

Remember, however, that standards aren’t the same as sentiments. You may feel like a good woman for supporting a sick friend—a nice sentiment—while failing to meet important commitments to manage your health, work, family and other friendships.

Be careful not to bullshit yourself, or your good deeds will, surprise, get you little appreciation or, more importantly, little self-respect. If keeping your friend company keeps you from doing the right thing, then, like the pills themselves, you’re causing more pain than you’re preventing.

STATEMENT:
I feel good when I can help out an appreciative pal and share some good times, but if I want to keep my relationships with people who really care about me, I need to put commitments ahead of good feelings.

My girlfriend is a good person, and we get along well, except when her ex-husband and spoiled son come into the picture. She’s the bread-winner, so her ex is always sending her bills for extra expenses and he messes with the visitation schedule whenever he wishes (their son lives with him because she’s often traveling on business). What seems to get to my girlfriend is when her ex shows signs of having a new live-in partner, and he’s nastier with her when he thinks I’m around. With her son, my girlfriend’s biggest fear is that he’ll get mad and not want to visit, so she gives him whatever he asks for. The whole situation creeps me out and puts me on the periphery. When I push her to set limits, she reacts as if I’m burdening her with one more demand. My goal is to make our relationship work.

The most devotedly pleasing girl in the world isn’t going to do you much good if she can’t carve out enough space and time for your relationship. After all, her devotion and drive to please have a waiting list.

If there’s a problem, as there is here, it’s often not a measure of how much she loves you, but of how well she can respond to other demands in her life. Without priorities or limits, she’s not going to please anyone.

Most divorced mothers become embroiled with their exes due to guilt and worrying too much about what will make the kids happy. Those are tough feelings to fight, because they arise, in part, from good values and intentions, and fighting them can stir up more guilt and guilt-provoking remarks from others.

Here, however, your girlfriend is also driven by jealousy from persistent attachment to her ex, as well as fear of being rejected by her son. She seems relatively unaware that it’s her job to fight those feelings for the sake of higher values, namely, burying their old love so both can move on, and letting her son know that she stands for good behavior and isn’t afraid to put limits on him if he gets out of line.

There’s a chance she’ll hear you when you explain why she should re-consider her priorities, but it’s more probable that if she changes her behavior, it’s to please you rather than because she understands what you mean. She’ll go back to her old ways as soon as you seem less upset/sufficiently pleased. Then it’s back to pleasing the rest of her brood.

So assume for the moment that your girlfriend doesn’t have the values to see why she needs to change, other than for your sake, and ask yourself whether you would still want her as a partner if she behaved better. If so, specify to yourself exactly what behaviors would need to change.

Maybe you’d be satisfied if she could stifle her emotional repartee with her ex and agree to respond with neutral-toned emails (someday this website will offer assorted templates for such emails for all occasions). You might be contented if she could endorse some rules, with consequences, for her son. Whatever you think is absolutely necessary, reasonable, and within her control, spell it out.

Avoid long talks, particularly if they involve blame or anguish. If your requirements are business-like, reasonable, and steer away from controlling her emotions or expressing anger or blame, then you’ll have no reason to argue, defend, or offer long explanations.

Advance a plan for changes you believe are fair and that you can’t do without. The only fix that will please you is permanent, even if that means ending things altogether. Hopefully, you can work out a plan where your priorities, and her best interests, come first.

STATEMENT:
“I wish my girlfriend could see what she’s doing wrong, and I wish it didn’t feel so personal when she puts me last when she’s upset about everyone else in her life. Still, I want this to work. If she buys into my plan, maybe it will. Otherwise, I’ll know I’ve done my best and that it wasn’t my anger or disappointment that drove us apart.”

I’m afraid of the way I’m feeling about my girlfriend, whom I’ve lived with for the last 6 years. I’m a widower, pretty easy-going, and I had a wonderful relationship with my late wife, and also with our kids, and now my girlfriend’s kids, but she’s pretty overbearing and nasty sometimes, and is always sure she’s right, and it’s slowly getting to me. I always avoid conflict, but gradually I’ve gotten depressed and accustomed to walking on eggshells. Recently, I gave her a letter detailing my unhappiness and saying we had to talk. It took a lot of courage, because I hate conflict. Since then, she’s behaved a little better, but she has nothing to say. From her point of view, there’s nothing wrong and I’m over-sensitive. I don’t want to lose her, but I can’t go on like this. My goal is to find a way we can talk this out.

If you’re talking to someone who doesn’t share your values or perceptions, you have nothing to gain and lots to lose. Talking can get you frustrated and tired, or make you doubt yourself as you encounter your girlfriend’s conviction that either she did nothing wrong or that, if she did, you’re over-reacting. On the other hand, avoiding conflict and lying low won’t help you either, because that’s where you’re at right now.

It’s good you wrote her a letter in order to make her understand, spark communication, etc., but odds are, you probably knew better. Now that you’ve confirmed the death of that false hope, ask yourself whether you want to live with her as she is and, if the answer is no, whether there is some realistic change in her behavior that would make your relationship acceptable.

That’s right, sometimes people will behave better if you provide them with house rules, even if they don’t understand why the rules exist or entirely agree with them. (Sometimes, of course, they can’t behave better and rules can’t help them, but a few limits can often go a long way).

Draw up the rules you believe are absolutely necessary. Run them past your trusted advisors, so you’re sure they’re fair and untainted by anger or blame (see above). Don’t open the door on conflict, debate, or discussion about who does what wrong. Stick to your vision for a better future. Sure, your girlfriend may always believe she’s right and you may be more the doubting sort, but you should take courage from your track record of strong, successful relationships, so that you can act with conviction.

Make it clear that you will stop the conversation if she uses a certain tone of voice, repetition will clear the room, and a third repetition means one of you leaves the house. Be prepared to make it stick and act quickly and decisively, before you get too angry or feel you have to explain yourself.

Assuming you decide she’s worth the extra effort and that you don’t mind living with someone whose self-control and values aren’t what you’d wish, then you may find she’s more flexible than you thought. If she’s not, then you know you shouldn’t be conflicted about ending the relationship.

STATEMENT:
“I love my girlfriend, but I can’t get her to understand why she needs to back off when I ask her to. I know it won’t work unless she does better. I’ll let her know what’s required and show her I mean it. Then we’ll see.”

When my son was born 30 years ago, I met two other moms and we became friends. Although with partners, we shared the same interests and our kids got along well, and we spent the next years as very good friends doing lots of things together and with the children-one of those friends even married my brother (one son and three years later, they divorced). At the same time, I met a new partner (I was now separated from my son’s father), and we spent the next 27 years having a very on-off relationship. It’s difficult to sum up all those years but I think I can say that I probably cried through most of it! I should have left, I didn’t, he wasn’t committed, I was, I wanted a family life, he didn’t. I’m not perfect and I didn’t always behave well. Five years ago he had a son by another, not partner, woman and when that didn’t work out he and I got together again. Then last year, I invited my friend/ex sister-in-law to lunch with us, and they got together. The shock was immense … and it’s not so much the loss of either but this terrible feeling that I have been used as a sort of dating service by my friend and I just can’t get rid of this feeling of betrayal. It’s now a year on and I haven’t seen them since, and the emotional hurt is a lot less– I have done lots of new things, made new friends, and life is rosier, but I have this constant anxiety that this friend is going to take someone else from me – my sister? my other brother? and, worst of all, I have this strange fear that it will be my son. I would like to be happy for my ex and my friend, but I can’t. I protect myself by staying away but I have this huge sense of loss that I have lost this whole part of my life. I need to let go of this underlying anxiety that I am going to lose someone to her again.

When it comes to kids, we expect parents not to expose them to unnecessary rejections and losses from adults they’ll get attached to, who will then go away. When it comes to how parents protect their own hearts, however, the same standards don’t seem to apply, even though, as your experience shows, they really should.

Yes, I understand, you’ve loved a guy for 27 years, but it was always off-and-on, causing you intermittent heartache and wasting your opportunity for something better. You wouldn’t have needed a shrink, psychic, or your average plumber to predict a sad end to all you invested in him and his family.

That doesn’t mean your love was meaningless or less than real. It was powerful, at least for you. Like a good mother, however, your job is to protect yourself from real attachments that can’t work, and you haven’t done that.

What’s worse, you’ve come to assume that love controls you, as it has, so you’ve become a victim and fear that love will screw you again, and take away someone you care about. You’re afraid, but if you’re more careful about who and how you love in the first place, you will have the control you need, some peace of mind, as well as a lot less heartache.

The good news then is that love can’t screw you if you don’t let it. The bad news is that most love won’t work, and you’ve got to leave it alone when you know it won’t, regardless of what your heart says. One thing you’ve learned from your 27-year affair is that life is short, and it’s better to feel some pain now than feel a lot of pain over the course of decades.

First, resolve to stop being a victim. It’s no accident you’ve done better since your friend put an end to your underpowered (it takes two to power) love. Instead of worrying about your next loss, celebrate the fact that you’ve gained new friends and found better relationships.

You’re also more likely than ever before to find relationships that will last, but only if you interrupt the flow of good internal feelings at the beginning of a relationship to ask yourself if there’s any evidence it will actually work.

By the way, it would also help your brother and possibly your friend to ask themselves the same question. If you hang around with people who follow their attractions without giving much thought to consequences or values, you’ll find yourself in the midst of a boiling soap opera, and often be its victim. And the victimhood ends now.

As for that former friends’ tendency to use your friends and family as her dating pool, you’ve finally done what you should have done long ago, when you saw her mistreat your brother, by putting her out of your life. Suck up the sorrow, embrace your ability to do what’s necessary, and don’t let your feelings of powerlessness make you paranoid. You’re in control now, and even if you can’t control her, you can’t let her craziness run your life.

So, in addition to giving yourself better, more compassionate management, stay away from people who regard feelings-management as unacceptable interference with their inalienable right to follow their hearts.

As you’ve learned, following your heart often puts you on a decades-long trail of tears. Protect yourself as you would your son, enjoy your freedom, and keep enjoying it until you find someone reliable enough to enjoy it with you.

STATEMENT:
“I may always be sad about my old lover and scared of losing again, but I learned a lot from that love, I’ve done much better since I gave it up, and I will continue to do better if I remember what I’ve learned and stay away from people whose self-control I can’t trust.”

I promised my wife I’d stop messing around, and I meant it, but last month I did it again and restarted an old fling. I love my wife and the last thing I want is to lose her and the kids’ respect; I’ve got a wonderful family, and I’m not some macho guy who goes cruising to pick up skanks in bars. My problem is that women have always been very attracted to me, I don’t know why, and the sex is very, very satisfying (for both of us), even when we don’t really have much of a relationship. I’m an asshole, and I can’t stop myself. What can I do?

Certain ingredients make love particularly addictive, and one, for guys, is female adulation. They say women loves compliments and being adored, but they rarely ruin their marriages in order to receive them.

Certainly, what addicts you is not your fling-partner as a person, and sex is probably just a part of it. What lights up your pleasure centers and creates needs you can’t control is a mysterious combination of feeling strong, desired, and personally admired.

Whatever feeds your habit, it’s been going on a long time, and understanding its sources in your personality will probably not help. More likely, analyzing your feelings will make you more self-critical and vulnerable to the need for sexual re-inflation.

Unless I’m mistaken, you’ll find the addiction is hard to break, no matter how hard you try, and your first task will be, as they say in AA, to admit your helplessness and accept it as a fact of life. No, that doesn’t mean accepting that it will control your life, simply that it will be a presence in your life that you have to work hard every day to control and that may never be entirely controlled. The first step to avoiding asshole-ish behavior is acknowledging that you’re acting like an asshole in the first place.

Indeed, some people never control it, in spite of overwhelming incentives to do so. The good news, however, is that some good people have sustained meaningful marriages in spite of this behavior. Somehow, their wives felt loved, valued, and secure, despite their husband’s many affairs (and went on to become Secretary of State).

If it’s available, I recommend a 12 step group with other men who know what you’re talking about and who are trying to keep themselves under control. Look for a few attendees with good control who are leaders and sponsors. Unfortunately, there aren’t many guys who have this problem in the way you do, and stigma keeps them from identifying themselves, even to one another, but they are out there.

Even without a 12 step group, however, use 12 step principles. Accepting your helplessness means you shouldn’t promise your wife you’ll stop, because that will likely trap you in lies and shame. Tell her you can’t make promises, but you’ll try, one day (and come hither stare) at a time.

Take strength from your honesty and honest efforts. If you can regain your pride, you can show your wife how much you love her, instead of mollifying her like an angry mother.

Don’t give up. Spend time thinking about the reasons you want to stay faithful, aside from appeasing your wife. Look for any activity, or even a medication, that will allow you to think for a couple more seconds before you act. An antidepressant that has the side effect of reducing sex drive will go a long way towards preventing the act in the first place.

Shame, lying, and mollifying are probably as disruptive to your marriage as the infidelity itself. Work on all fronts and you may be able to improve your marriage and self-esteem, and then you’ll be able to look for some compliments and adoration from within.

STATEMENT:
“My compulsive sexual habits make me feel deceitful and threaten everything I value, but I’ll try to take strength from what I value to invest in my marriage, let my wife know where I stand, and stay focused on improving my self-control.”