Posted by fxckfeelings on March 8, 2010
In my practice, I give patients with ADD a special appointment option. Instead of their taking responsibility for keeping a regularly scheduled appointment (which means they’re obliged to pay full freight, with no insurance support, if they don’t show up), I encourage them to line up for a walk-in appointment which may keep them waiting longer, but won’t cost them a cent if they forget to come. It’s not that I discriminate, I’m just trying to make the best of things. That, to me, exemplifies the best way to deal with Attention Deficit Disorder, both for my patients and as a third party; keep your expectations reasonable, your appetite for shit bottomless, and your shrink understanding.
-Dr. Lastname
My roommate calls me the Ritalin vampire, because once my meds run out around 5, I become a different person (or really just a depressed, anxious mess). My mood drops so low so fast, and my nerves become so raw, that I have to drink just to get through the evening and get some sleep. It’s obviously driving my roommate crazy, but more than that, it’s messing up my life—I wake up hung-over, my boss is pissed, I feel sick all the time, so even when I’m not anxious and wired when I’m on my meds, I still feel like shit. My goal is to figure out how to get my ADD under control when the sun is down.
Most Ritalin users don’t have a terrible comedown with severe anxiety every time their meds wear off—what you have isn’t normal ADD, but ADD plus anxiety, plus, probably, alcohol dependence.
The medical term for your three-pronged disorder is a trifuckedta. Surprise, the prognosis ain’t so hot.
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Posted by fxckfeelings on March 4, 2010
We all have different standards for bad behavior; some people hate themselves for eating more than 1000 calories a day, while others don’t understand why you think it’s such a big deal that they drive drunk. While the opinions of those close to you are worth considering, the only true judge for what’s right and wrong is, surprise, you. Just as long as you weigh all the risks and benefits (and eat a cookie and/or call a taxi).
-Dr. Lastname
Do you think sex addiction is a real disease that needs therapy, or is it a way to make a big deal out of nothing that helps cheaters and the people they cheat on feel better while people in your business get paid? I love my wife—we’ve been together for almost 20 years—but I don’t think anyone would say I have an disease because I grab a little extra action if the opportunity comes along. I don’t think she knows I’m not faithful, it doesn’t happen that often, and I don’t think it hurts our marriage at all. It’s not like I have a steady mistress; I just end up going home with women I meet when I’m traveling sometimes, because it’s nice to feel young and like I haven’t lost it, whatever it is. As far as I can tell, everyone wins, because I feel better and my wife is less annoyed by my constant begging for sex. So my goal is to figure out if the way I live my life, which seems to be A-OK, is actually reason to go into rehab.
To rehab, or not to rehab. That is the question.
You’re raising the timeless question, and obviously, we’re not going to tell you to let your feelings be your guide, or, for that matter, your daddy, your minister, your rehab counselor, or your parakeet, Ray.
As to the validity of sex addiction, it either doesn’t matter, or it depends on your definition of illness. I define illness as something wrong with your body that’s personal, important, and out-of-control, and it doesn’t matter whether it’s cellular or behavioral, neurological or psychiatric. Or kinky.
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Posted by fxckfeelings on March 1, 2010
A lot has been made recently about how it seems like every child is being diagnosed with autism; celebrities like Jenny McCarthy, whose son is autistic, have led the charge to blame and outlaw vaccines in order to protect kids. In reality, as science progresses and our understanding of the autism spectrum deepens, the disease hasn’t expanded, just the diagnosis, i.e., there aren’t more autistic kids, just more kids being called autistic. While today’s cases aren’t autism-related, they both illustrate the myth of the power of diagnosis. Focusing too much on what your disease is does nothing to improve your health. Incidentally, Jenny McCarthy has revisited her take on vaccines—it turns out her son’s diagnosis was wrong.
-Dr. Lastname
In the last ten years, I’ve heard voices in my head and most doctors describe my symptoms as psychosis, but nobody can tell me exactly what’s wrong, or find a medication that makes them go away, or really do anything but listen to me give them my laundry list of “how I’m crazy” and try to take the problem apart. In the meantime, I’m struggling to hold onto my job, my wife is struggling to put up with me, and my kids (now grown) just worry and get more distant. My disease stays the same, my life gets worse, my diagnosis goes nowhere. My goal is to figure out what is causing the symptoms, get a real diagnosis, and make real progress.
I wish the word diagnosis meant “we know what’s wrong and what to do,” but it often doesn’t, except in certain special cases. (Like, right now I feel safe diagnosing your reaction as disappointment.)
Very often, all a diagnosis means is that we recognize a group of symptoms that often travel together in the same social circle, and often get a little bit better when they’re treated with a particular group of medications. Tada.
That’s almost always true when the doctor making the diagnosis is a psychiatrist, because we know less about mental illnesses than almost every other kind of illness (and less about the brain then we do about any other part of the body).
We really should use some other word than “diagnosis,” but we don’t, because we love to think we know more than we do, which goes to prove that doctors are just as vulnerable to idiot false hopes as everyone else.
Some people put a premium on hope of any kind, but false hope is dangerous, because we pay for it with unrealistic expectations that lead to feelings of failure. You expect that, once you get the right diagnosis, you’ll get the right treatment, but I diagnose that assumption as bullshit.
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Posted by fxckfeelings on February 22, 2010
Very few people leave their jobs everyday feeling great—it is called “work” for a reason, after all—but it’s extra difficult to accept when a boss or business partner leaves you feeling betrayed, used and screwed (unless you’re in the actual sex trade, where upon, it’s just another day at the office). Ultimately, even for sex workers, the job isn’t personal, and it’s not worth taking it that way.
-Dr. Lastname
For a long time, I truly believed that my boss was my mentor, if not a father figure; he seemed to look out for me, take a special interest in my career, and generally groom me for promotion within his company. After I did well with responsibility, he’d come through with reasonable raises and he liked to tell people that he believes in promoting women. Recently, though, I’ve noticed that he does little more than flatter me now that he has me doing all the dirty jobs and he keeps all the interesting stuff for himself and two of his favorite “old boys.” He gets irritated whenever I suggest I could do more and likes to bask in the gratitude of his new favorite girl, a secretary with big tits and not much else. I’ve worked hard here over the years, and I don’t really want to find a new job, but I feel like I’ve been used and misled, and generally wasted my time under false pretenses. My goal is to get the recognition I deserve, even if it’s not from the mentor I thought I had.
Wanting recognition at work is a reasonable wish and, if it was just a problem of your learning how to speak up, dress up, and get rid of your braces, then more power to you.
Many people are familiar with the usual fairy stories, and have pushed themselves to be more assertive and reach their dreams. Not only hasn’t it worked, but it brought down crap on their heads to insure an unhappily ever after-style result.
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Posted by fxckfeelings on February 18, 2010
If about half of all marriages end in divorce, then, say, a tenth of marriages end in nothing short of open warfare. In a marital battle, some people fight by keeping the verbal (and legal) bombs flying, others hide face down in a fox hole, but both of those tactics only serve to make the war intensify. A better battle plan is to give up on any control of your opponent’s forces (or feelings) and, without too many words or too little action/open fire or fatalities, figure out what you think is right and calmly begin peace talks on those terms.
-Dr. Lastname
My husband always saw himself as the righteous protector of our daughter and, after our divorce, he got into the habit of dragging me into court to force me to pay for some super-costly treatment or schooling that was always no more than a little bit better than what was available for free, but he’d look like a hero to our daughter and the court and the social worker, and I’d look like a miserly shit, and I’d complain bitterly, which just got everyone more on his side, and I was screwed. My daughter bought the bullshit, which meant she and her father shared a tight bond based on hating me, the Scrooge. But I thought the court assaults would stop when she turned 18, until yesterday, when I learned he’s suing me, once again, this time to pay for our daughter’s college tuition, even though she never asked me, she’s over 18, and, with her history of alcohol abuse (and no attempt to get sober), paying for her to go to college without going to rehab first is a waste of money. I think they’re both just scraping the barrel for reasons to drag me into court and I’m getting flashbacks about being raped by the judge. I don’t have any illusion about all of us getting along, but I think it’s fair to want this craziness to stop.
Like it or not, it’s your ex’s legal right to haul you into court at his whim, force you to hire a lawyer, and make you look like a creep. As a reward, you get to give him a good chunk of your savings to pay for something you don’t believe in, to someone who’s out to ruin your life.
Say what you will about justice, but most of the time, it isn’t very fair.
There’s no way you can avoid feeling helpless and outraged, and there’s no shower long or hot enough to make the violated feeling walk away. If, however, your goal is to stop this from happening again by repeatedly venting your outrage, you’ll actually make it worse. WAIT! There is more to read… read on »
Posted by fxckfeelings on February 15, 2010
As Valentine’s weekend comes to a close and the Holiday Death Triangle of Christmas-New Year’s-Valentine’s once again completes its cycle of horror, it’s time to reassess what makes relationships last. Sometimes Mr. Right doesn’t have a connection with you that makes you see fireworks, while a connection with Mrs. Wrong does make you see fireworks, but only after her left hook connects with your face (and your family disconnects from your life). Valentine’s Day might be about love, but there’s a reason why good relationships last for years and Valentine’s haunts our lives but once a year.
-Dr. Lastname
I’m in my mid-30s, about to have my first child with my husband of about a year. My husband is a solid guy—he’s steady, and very caring—but deep down, I know a big reason I married him is because I wasn’t getting any younger and wanted to start a family. I dated a guy in law school that I was really in love with, but he was a lot older, made it clear he never wanted kids, and was your basic passionate, unavailable nightmare. I admit, I’m hormonal, which means my husband’s been getting on my nerves a lot lately, which just makes me obsess more and more about how I’ve settled for a life without love. My goal is to figure out how to get through the next stage of my life and live with my decision.
Don’t get superficial and compare the Valentine’s Day smiles at the next bistro table to your current mood and nostalgic memories of past lovers. In my experience, finding the love of your life isn’t too difficult, but finding a good partner is a real pain in the ass.
By “good partner,” I don’t mean someone you’re crazy about, under any and all circumstances, forever and ever, amen. I mean someone who is strong, easy to live and work with, accepts you during your weaker and less likeable moments, communicates on your wavelength, and picks up the load when you can’t. As well as someone whom you can put up with most of the time.
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Posted by fxckfeelings on February 8, 2010
It’s tough not to feel like chopped liver when your partner is more afraid of someone else’s reaction than yours. Odds are, if that’s what you feel, it often doesn’t reflect on how much they love you, but how much they fear someone else, and pushing them too hard will make the fear worse. Instead of countering their fear with your own need, try to show them that they don’t need to be afraid if they’ve done what’s right.
-Dr. Lastname
My girlfriend and I work together, so, in the interest of not causing too much of a stir, we’re keeping our relationship quiet. I’m OK with that, at least in terms of our jobs, but she also hasn’t told her ex-husband about me yet, after a year of our being together, and keeping our relationship a secret for his sake is not something I’m OK with. She’s not afraid of hurting him—he’s remarried—but of unleashing his wrath, because he’s a bully who revels in punishing her whenever she makes any progress towards moving on in her life. They have a son together, and she’s afraid that, if her ex finds out about us, he’ll go on a rampage to get full custody. He’s very emotional and can easily afford a good lawyer and so far he’s always been able to get the court’s sympathy. It’s not like I want to parade our relationship around in everyone’s faces, but there’s only so much secrecy that I can stand and I feel it puts a limit on our future and makes it impossible for her to make decisions or be held accountable for them. My goal is to get my girlfriend to stand up to her ex so I can know where I stand and we can build a life together.
One of the worst and often unexpected obstacles that get in the way of this kind of second partnership is the other person’s boundaries, or lack of them, with her/his first family. Negotiating those boundaries can make check-points in warzones seem like a breeze.
You start out respecting her unselfishness and love for her son, and feel a need to protect her from bullying and unfair treatment, so you put up with the secrets. Eventually, however, you discover that, if she can’t stand up to her former husband’s bullying, you’re always playing second fiddle to her fear of rocking the SS Ex-Monster.
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Posted by fxckfeelings on February 4, 2010
If someone’s related to you, there’s no guarantee they’re going to be honest with you, or even honest about you to anyone else. You can try to get them to own up to their problems with anger, eloquence, and/or the help of the court system, but the smarter choice is to stop pushing them towards the truth and hold onto the facts yourself. As long as you’re calm and factual, people can draw whatever conclusions they want and your relatives can stick to their version, but your part in the family affair is settled.
-Dr. Lastname
I’m fine now (I’m 14), but I’m trying to figure out how to deal with a crazy father who physically abused me until a couple of years ago—that’s when my mother finally figured out what was happening and had me come live with her. The trouble is, I guess you could say my father doesn’t see reality the way other people do and he never remembers hitting me. In his mind, when he’d hit me, it was because I was trying to destroy him, so what he tells the judge is that he loves me and that my mother is a raging alcoholic who has brainwashed me to hate him (my mother stopped drinking after the divorce, years ago) and he really believes what he says. My goal is to get him to stay away from me and convince others that his version of reality isn’t real.
Kids aren’t the only ones who have trouble accepting the fact that we often can’t protect ourselves from scary crazy boogeymen, particularly when the craziness isn’t obvious, and the boogeymen are family.
We’ve said it here before: certain crazy people are not obviously crazy and are particularly good at persuading other people to see them as injured victims because they truly, truly believe they are, no matter what really happened. It’s a kind of sickness for which no one has the cure, and nobody feels sicker than the victims in the wake of these sickos, who don’t necessarily feel sick at all.
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Posted by fxckfeelings on January 25, 2010
If you hate someone or something for reasons beyond your control, then those feelings are, in essence, beyond your control, so resistence is essentially futile. Hating something is one thing, but then feeling guilty for hating, then angry for feeling guilty, depressed for feeling angry…so it goes down the feelings spiral, down the emotional toilet.
-Dr. Lastname
When I broke up with my girlfriend, I felt like I didn’t have a choice; she was smothering me, she made me feel guilty and like a bad person all the time, and I just couldn’t take care of her anymore. We’d been together for a relatively long time and I had reached the end of my rope (she’d even started hitting me and breaking things in our apartment). The problem is now that I feel even worse because, in the months since I ended it and she moved out, she’s started getting high a lot and has threatened to kill herself more than once. If she goes through with it, I don’t know what I’ll do with myself. My goal is to feel less awful about breaking up with her (which I did to feel less awful).
As a not-sociopath, you can’t feel less than awful about your ex-girlfriend’s drugging, depression, and self-destruction.
It’s the feeling responsible, as well as awful, that will not only do nothing to help her recovery, but will also turn your sorrow into well-entrenched, call-the-doctor depression. So…Dr. Lastname here, how can I help you?
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Posted by fxckfeelings on January 21, 2010
In-laws are classically seen as a pain in the ass, but when your in-laws’ offspring becomes your ex, and your own offspring remain, that pain doesn’t go away. Sustaining relationships with exes is hard—especially when those exes are drunk, crazy, and generally impossible—but when you have kids, you’re forced to sustain those relationships, with parents and grandparents, like it or not.
-Dr. Lastname
My ex-wife cares about our kids, but she’s always been overbearing and intense, which is why I ‘m very happy not to be married to her now. Her latest rage, in both senses, came from her new therapist, who persuaded her that she’s depressed and has bad dreams because she was neglected and maybe abused by her alcoholic parents, so now she wants our kids to have no contact with them, their grandparents, at any time, whether the kids are staying with me or with her (we have joint custody). Now, I’m not crazy about her parents and they sometimes drink too much, but they never did anything unsafe and the kids love them, so I was shocked to hear from the kids that they miss their grandparents (my wife never informed me about her new policy). I don’t want to trigger a court fight with my wife—I can’t afford it, and neither can she, but she spares no expense when she feels her kids are threatened by the forces of evil—and I’ve got no great wish to put myself on the line for her parents, but I don’t like having her tell me what the kids can do when they’re with me and I don’t think losing their grandparents is good for them. My goal is to send her a message that she can’t control what our kids do when they’re with me and protect the kids from losing their grandparents.
The short answer is, you can’t win a pissing contest with a fire hydrant.
Yes, your ex-wife has no right to tell you what you can and can’t do with the kids when they’re with you, and yes, it hurts them to be cut off from their grandparents, and yes, in the short run it’s entirely within your power to facilitate grandparental visits.
No, none of this matters in the big picture.
If your wife is the kind of self-righteous, crusading, angry asshole you describe her as being, then you have very little power to make things better and many, many opportunities to make things worse.
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