Posted by fxckfeelings on January 23, 2012
For those of us in the helping professions who overestimate our ability to help, (off-hour phone) calls for help can become a big problem. Whether you’re soft and sympathetic or blunt and tough, there’s no problem you can’t make worse by taking too much responsibility for messes that are beyond your (or anyone’s) control. If, on the other hand, you know the limits of your powers, you can respond to calls pleasantly, do your job, and still help someone without hurting your own sanity.
-Dr. Lastname
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. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 7, 2011
Frequent readers of this site know that, when confronted by a crazy person, (or asshole ™), one should react the same way they would if they were getting charged by a Grizzly bear; don’t run, stay calm, and play dead. This is hard advice to follow when that crazy person is someone close to you whom you care about and normally count on to be sane, but if you take their symptoms personally and react to those symptoms with strong emotions, they’ll come at you harder than they would some stranger on the street/in the woods. With some people, the illness consists of surges of fear, anger, and despair that cast them and you in leading roles in a suicide-bomber psychodrama; with others, the fear is more centered in thoughts than feelings, which means less drama and less spite, but more crazy ideas that can’t be reasoned away. Either way, the challenge is to remember the difference between the person you love and the craziness going on, make no sudden movements, and wait for the attack to pass.
-Dr. Lastname
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. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 13, 2011
We mock dogs for chasing their own tails, but people do the same thing everyday in their own heads; that’s what obsessions are like for those who sometimes know what they’re doing and wish they could stop, and sometimes just wish they could catch that tail. Some people can’t make up their minds, some can’t unmake them, but nobody can control those who are in obsession’s grasp. You can only stay calm and avoid argument while they mentally run in circles, chasing their own butts.
-Dr. Lastname
I have struggled and do struggle with mental illness. I am 29-years-old and live in my parent’s house with my 2-year-old. Although I have been in school and have worked a few jobs, I can’t seem to stay on one path once I’ve made a decision. I have a very difficult time making decisions, whether they are big decisions or small ones, and once I do finally make a decision I often drive myself crazy changing my mind a billion times. I break up with my boyfriend every few weeks because I’m doubting my decision of being with him, then I turn around and try to mend it because I’m doubting my decision about breaking up. I booked a trip and spent the whole two weeks prior wondering whether I should go, worrying about something bad possibly happening. I struggled right up until the morning of my flight, almost cancelling and not going to the airport 15 minutes before boarding time. This problem has contributed to ruining relationships in my life and I’m very tired of dealing with it. Why am I constantly plagued with indecisiveness and how can I cope?
Your were right the first time; what’s bothering you isn’t indecisiveness, it’s mental illness. That’s one of the many conclusions you don’t have to second guess.
It’s mental illness that makes you unthink everything you think; if it were indecisiveness, it would arise more from a wish to avoid decisions or uncertainty about what you want. Your problem seems more like a mental tic that obsesses you with doubts and alternatives every time you make a plan. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 15, 2011
As diseases go, mental illness is a doozy to treat; some mentally ill people are too humiliated to ask for help, and others are too crazy to ask. If you want to help them (or yourself), keep in mind that it’s the illness, stupid, which distorts the attitude towards treatment. Use the same logic and moral values for mental health treatment decisions that you would use for other illnesses; there’s nothing humiliating about getting sick, no matter what a sick brain decides.
-Dr. Lastname
I have been wrestling with depression for years now and my maternal side of the family has a history of depression and suicide. I don’t feel that I can do this on my own anymore and need help. I don’t want to just take a medical cocktail of antidepressants. My question to you is how do I go about finding a therapist and/or doctor that will be most helpful to me.
The first step for getting treatment for your depression seems simple– don’t get depressed about treatment for depression. After all, depression’s just another form of pain unless it twists your thoughts into thinking that not getting rid of it is a kind of failure that marks a meaningless life.
As long as you realize depression is a persistent ailment, just like persistent back pain or diabetes, you’ll have an easy time making treatment decisions because you won’t regard using treatment as evidence of weakness. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 1, 2011
The Bible is too black-and-white to be helpful about the necessity of brother-keeping; so sayeth the Lord, we’ll never feel like good people if we don’t care about our families. The trouble is, some relatives are dangerous or draining to be around, and we’ve got other obligations. So forget about absolute moral imperatives and develop your own rules for being a good person when responding to the needs of people you love (but have good reason not to like or trust). And so it was written.
-Dr. Lastname
I’m wondering whether I should try to do something to help my ex who I feel is spiraling into unhealthy (mentally and physically) old age (i.e., be my brother’s keeper rather than “let live”). He’s been acting weird, keeping strange pets and stranger company, and he moved to a rough part of town though he has the money to live wherever he wants. It’s like he’s having a late-life crisis. I know he’s got a bunch of medical problems and I wonder whether he’s taking care of himself. My goal is to figure out how far I should push him to get help.
Whether or not you should be your brother’s, or your ex’s, keeper is a meaningless question if you expect the answer to be yes or no. Nothing involving exes is simple (even their pets).
If you’re actually wondering how far you should go, that’s a terrific question for which there’s a good way to develop an answer of your own. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 16, 2011
It doesn’t seem mean or destructive to be convinced you or someone else needs help, but the trouble happens when there’s good reason to believe there is no help to be found, at least none of the kind you want. That’s when seeking can become as futile as the search for the Holy Grail, except nastier, sadder, and with more damage than a flesh wound. Giving up is often a significant act of kindness, and the first step to getting or giving a different, better kind of assistance, with or without nerdy references.
-Dr. Lastname
I have a friend who has a history of being diagnosed with depression, self-mutilation and, recently, suicidal thoughts. She was forced to seek treatment with a counselor in HS (now 24-years-old) whom she said was no help, and now she says she won’t ever seek treatment again because it won’t help her. She acknowledges she has issues that need addressing, but she doesn’t believe in mental illness diagnoses, states she just needs to “deal” with it. However, all we talk about is how much she hates her life, hates feeling this way but isn’t willing to do anything about it. I’ve told her she’s an adult, and makes her own decisions and no one can force her to do anything, but I’ve been very honest with my concerns about her, and that she needs help. I don’t want to treat her with kid gloves or enable her but I also don’t know how much I can push her, since I know its her mental illness that’s clouding her view of the world/reality. How can I continue to be a good friend without beating my head into a wall and enabling her?
For many people, “help” and “cure” have become interchangeable words, as if good motivation and proper treatment will always make things better (tell that to the common cold).
Sadly, the help your friend needs, just like a cure for what ails her, may or may not exist, depending on her luck, the severity of her issues and whether she sees them as hers or just a reaction to other people. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 9, 2011
Nuclear meltdowns may poison the air and water for miles around, but, in terms of actual damage done, love is probably the greater environmental hazard because it affects more people, gives no warning, and can’t be doused by heavy water. We should give kids courses on “duck and cover” before exposing them to the seduction of dreamy romances, but until then, there are some ways to avoid the fall out. It’s not easy building a hazmat suit, but there are ways to do it if you still have possession of your personality after the exposure is over.
-Dr. Lastname
A year and a half ago, my ex-fiancé died suddenly from a heart attack. He was 38. We had broken up a year earlier, and it was a very messy break-up. He called my boss at work and told her I was trying to have her fired so I could steal her job, I walked away from most of my personal belongings when I moved out, and I walked away from my savings because we had a joint bank account. I went to the funeral and found out that while we were planning our wedding he was pursuing on-line long-distance relationships as well as inappropriate relationships with women in our city. A letter from one of the long-distance women was read out at the funeral. I can’t move past this. I have been dating a man for about 3 months now and he’s wonderful. I have a really hard time thinking positively, and every time we have an argument I think ‘worst case scenario’—that he will leave me. How can I think more positively?
First, begin with the idea that love is dangerous and some people are more vulnerable than others. We’ve called love a virus before, and sadly, your emotional immune system is impaired.
People love to say it’s important to “follow your heart,” but for people like you, that can be deadly; after all, those same people might say that “love is blind,” and when you’re helpless to love, following your blinded heart can lead you right off a cliff. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 2, 2011
Oh, people—can’t live with them smothering you, can’t live without them at least giving you the time of day. Unfortunately, nobody, including you, can give everybody the amount of attention they desire or deserve, so somebody’s bound to feel stung. If you treat your friendship like a precious resource, giving to those who can make the best use of it and withholding when the difference it makes is negative or none, then you’ll know you’re doing a good job, even if those pesky people don’t agree.
-Dr. Lastname
My best friend drives me crazy and doesn’t give me room to breathe. She calls every night and wants to talk for at least half an hour, even when there’s nothing to talk about, but we’re adults, not high school kids. I work full-time and get home late, so she doesn’t expect us to get together during the week, but if I don’t want to see her on Saturday or Sunday she wants to know what I’m doing and acts hurt if I could have been doing it with her. We’re both over 40 and don’t get asked out much, but I’d like to develop a wider group of friends. Instead, I feel like I’m always on the defensive. The more irritated I get, the more careful I have to be about what I say, which just makes me sound more defensive. I’m trapped. My goal is to be myself with her.
Even though your friend sounds like the emotional Ike Turner, I’m sure she isn’t all bad; she might be good at offering support, or fun to hang out with, or talented with a guitar.
On the other hand, your friend is clingy by nature, over 21 and, if she hasn’t responded to comments about her clinginess so far, incapable of getting it. Remember, no matter how much she sounds like a jealous spouse, you and your friend aren’t married. It’s OK to ask yourself how much time you want to spend together, not just what’s best for Ike.
WAIT! There is more to read… read on »
Posted by fxckfeelings on May 26, 2011
People like to call one another on bad behavior, and, thanks to the likes of Oprah, think that such acts of “openness” are a good idea. What they’re forgetting is that most badly behaved adults want to behave that way, have their own reasons for thinking it’s OK, and are ready to behave even worse if confronted, threatened, or attacked. If you want to continue and/or improve your relationship with a badly behaved person, don’t give him/her an earful s/he doesn’t want to hear. Offer a proposal for a better way of behaving, your plan for making it worthwhile, and your intentions in case it’s declined. You can’t whip anyone into shape, but you may persuade someone to develop better manners, for their own reasons, on their own terms, in a now Oprah-free universe.
-Dr. Lastname
My crazy ex-wife’s bitterness and sabotage blocked me from seeing our son, but when he got to college and out of her grasp, I hoped that 20 years of patience was paying off and I could finally begin to revive a long interrupted relationship. I’ve tried to show how much I love him and want to help him, and I’ve looked for opportunities to give him gifts and take him on vacations. The trouble is, I’m beginning to feel that all he wants me for is money and that, otherwise, he either doesn’t care or is angry and suspicious. He asks for things, says thanks, and then disappears until he needs something else. If I ask him why he hasn’t been answering my calls, he gets huffy. My goal is to let him know that I won’t put up with that crap and try to make the relationship work the way it should.
The main barrier to a good relationship between you and your son isn’t your ex and all the lost years, but the fact that, according to your son, it’s your problem to fix, not his.
After all, whether you like/deserve it or not, you have a needy and untrustworthy rep, and at this point, you don’t know if it’s because he’s brainwashed, oblivious, or a jerk.
Time will tell, and the best way to make the best of what’s there, be it a good kid with bad ideas or a bad kid with bad ideas, is to keep your expectations low, your feelings to yourself, and your needs in check.
WAIT! There is more to read… read on »
Posted by fxckfeelings on April 21, 2011
Love without trust is always a painful, combustible combination. If your partner does something to lose your trust, s/he’s got to get lost, no matter how much love remains, and you’ve got to learn your lesson and move on. If you can’t trust someone whose behavior is OK because your trusting feelings just won’t come, then maybe the pain is worse, because there’s nothing to learn and nothing to do. In either case, when the trust goes, acknowledge that you’re not going to get what you want and need to settle for the best possible disaster before everything blows up in your face.
-Dr. Lastname
My partner cheated on me while I was pregnant with our baby, and kept ME the secret. He told lies about me and told people that we were no longer together so that he could openly date the other woman. I’m struggling to stop thinking about it all, and the whole ordeal has triggered a particularly intense bout of depression and self-harm. I have hundreds of questions I feel I need answers to, but my partner is 100% unwilling to discuss the matter, seeing it as “dragging up the past”. My goal is to be able to get through the day without memories of the betrayal and the gossip that surrounded it intruding on my life.
When a guy hides his relationship with you when you’re pregnant, you don’t have hundreds of questions that need answers; you’ve got a few simple, sad, unpleasant answers that need to be accepted.
After all, you’re not doing a PhD in trying to understand him. That’s a waste of time and, like most inquiries into the sad “whys” of this universe, a sneaky way of avoiding acceptance.
You could see it as him not being that into you, but the reality is that he’s not into anyone, at all, except for himself. At this point, the only important question is one you have to ask yourself, and it’s figuring out what’s the right thing for you to do, regardless of what your should-be-ex might think.
WAIT! There is more to read… read on »
