What I would like to share with you, and in turn, hear you share your thoughts about, is chronic unhappiness. Is there ever an end to depression and its shadow? Is there a way to “get over it’? My goal is to be able to live beyond depression and to actually grow from it. Sure, I hate those books where people claim to be grateful to their depression… but I hate it mainly because I resent their ability to feel that way! What do you think?

There’s no way to “get over” problems you have no control of in the first place and, no matter what form it comes in (shitty in-law, brain tumor, Hurricane Earl, etc). Chronic unhappiness is high on that “uncontrollable” list.

So now you have to ask yourself what it means to “get over” an uncontrollable problem. Usually, it means you’ve asked yourself to do the impossible and thus given yourself a chronic headache to top off your chronic unhappiness.

Know your exact strain of chronic unhappiness so you can figure out what you can and can’t do with each one. Depression is unique in being a thought-distorting illness: it’s more than a poor outlook or a bad mood caused by bad luck or a rough divorce (or both at once). It’s a bad mood that goes on and on, even when you win the lottery or hit your 50th anniversary.

As an illness, it hits you with a variety of complicated, brain-related symptoms, like messed-up sleep, appetite, focus, energy, social urges, and sexual reflexes, and that’s not counting the storms of anger and/or anxiety. It’s a bad mood on steroids.

Having an unhappy life, on the other hand, can make you depressed, but not necessarily. Some people with happy lives can get very depressed, and some people with grumpy personalities aren’t depressed, although other people may wish they were. In each case, figure out, through trial and error, what you can and can’t do. Each strain is unique.

To “get over” your “getting over,” try cognitive therapy. It protects you from negative thinking by attacking the plausible, idiot assumptions you make without thinking, the most dangerous of which is that you should be able to get over chronic unhappiness.

Once you’ve done what you can do with your particular flavor, whatever that is, give up and chill out. It’s time to go on with work and relationships, however much your chronic unhappiness hurts or slows you down. The better you do that, the more you’ll grow.

No, no one should be grateful to aging, loss, and chronic pain—I think we’d all be happier with fewer “growth opportunities”—but there’s no choice. This is the life we’ve been given, so take pride in what you do with it, with or without depression (or a brain tumor).

STATEMENT:
“I don’t know why these blues won’t leave me alone. Maybe I inherited them as part of a gene-package deal from my creative, reach-out-and-connect-with-people ancestors. In any case, I’ve done what I can to manage them and I haven’t let them make me lazy or isolated or self-absorbed, and that’s a major accomplishment (which I’d be happy to do without).”

My younger brother is four years younger than me—that makes him 26, but you’d never know it because he acts like a freaking toddler. He’s not mentally impaired, he’s responsibility impaired. He dropped out of college to “find himself,” and he’s still searching, sometimes getting crappy jobs but mostly going on “adventures” and landing our parents with the bill (and sometimes the bail). I love him, but the older we get, the more I worry, because our parents won’t be around forever and I can’t be the one to clean up his messes—I’m not rich and I have my own kids to care for. Is there anyway to get him to take life a little more seriously?

Sorry for the obvious response, but the real question is, are you serious?

I’m sure your brother would say he’s serious about experiencing joy and living in the moment and that you ruin your chance of present happiness by worrying too much about things that aren’t going to happen. In other words, he’s not going to change.

Even thinking about trying to reform him will backfire and trigger conflict. You’ll give your brother a worried look, he’ll return that with a look of tolerant condescension, and your parents will accuse you of undermining his confidence. This will all leave you stewing about good deeds, their punishment, and his bullshit.

Forget about your responsible feelings and figure out what a good sibling should do to help one not-so-good. Your parents have shown you that rescuing him does no good, so rejoice. Since they’ve proven there’s not much you or anyone can do that will actually help him, there’s nothing much that you have to do, period.

When he makes a mess, help him help only when you think it will do good and it’s not someone else’s job; that won’t be often and it won’t drain you dry. The rest of the time, give him your best wishes, condolences, and directions on what he can do if he can get it together.

Don’t expect to feel comfortable, at least not at first. Your guilty, responsible feelings will be stirred up, but if you don’t keep those feelings hidden, other people will stir the pot. If experience and logic tell you that you’re not responsible, believe them and act accordingly, regardless of how you feel or what the rest of the family has to say.

Announce, don’t communicate. Let him know what you think is best without paying much attention to his response. Yes, it would feel better if you could get him to agree, but your need for agreement opens a door you want to keep closed.

He’ll keep his carpe diem attitude, and all you have to do is keep your end of the bargain, on your terms. He can go find himself, and you can find some peace.

STATEMENT:
Here’s a statement to keep you from trying to change him or win him over. “As much as I want to protect my brother and parents from his irresponsibility, I know I can’t. He will wind up in horrible messes. I will not stop loving him, caring for him, or doing for him if there’s a real chance to help. Most times, it will hurt to watch him suffer, but I will not turn away.”

Just after my girlfriend and I started dating, she decided she had to stop hanging out with her closest friends, not because I told her to, but because she decided they partied too much and it wasn’t good for her anymore. I supported that 100%, but it puts a lot of pressure on me to spend a lot of time with her since she literally has no one else to hang out with anymore. Plus, I have to travel a lot for work, which is why I took the job, because I love being on the road. Even though she knows this about me and tells me it’s OK, I can tell that my leaving town really depresses her and so I feel really guilty because I know she’ll be really lonely when I’m gone. I want things to work with her, but I can’t change who I am and don’t want to change what I do. What can I do to feel less guilty? How much compromise is too much?

I’m not sure if this is comforting, but it’s not guilt telling you that you’re making your girlfriend unhappy. I can see why this is confusing, because your girlfriend isn’t outwardly saying she’s unhappy, either.

Still, guilt isn’t your problem because you haven’t made vows, you don’t have bad intentions, and you don’t owe her something for giving up friends and a lifestyle that weren’t good for her in the first place.

You feel guilty just because you’ve chosen a lifestyle that may make her unhappy, but, given that you’re the ramblin’ kind, it’s also your responsibility to find out if you’re the right boyfriend for her.

You can’t help the fact that you’ve got traveling shoes that don’t come off and a priority that’s even more important than pleasing her, which is to find out whether she can tolerate your traveling ways. Otherwise, pleasing her becomes a dangerous and destructive prison.

It’s good that you know your work priorities require you to travel. That’s nothing to feel guilty about, but it means that, if you want a partner, she’d better be independent, or the two of you are going to be very unhappy. Yes, it’s OK to fall in love and be on the road at the same time, but if she isn’t an independent type, it won’t work.

So, while it’s true that your actions may make her unhappy, that isn’t your fault. What you need to know is whether she and you can bear that pain without it destroying your relationship. If you flinch and say you’re sorry, you’re implying that you could make things better, but you can’t, so don’t. Naturally, you don’t want to make her suffer, but you need to know whether she can hack it, because this is the way it has to be.

Evaluate her independence by looking at her track record, not just her wishes. Just because she loves you enough to straighten out her life and tell you she’s willing to put up with your absences doesn’t mean she has the strength to do so.

So stifle your guilt and check out her strength. . You are who you are, and she’s not going to change, so either things work with the personalities you’ve got, or the wheels have to hit the road.

STATEMENT:
Here’s a statement that prevents guilt and fear from distracting you from what matters. “We have a wonderful relationship and I can see how much you’re committed to making it work, but you know that travelling is an unavoidable part of my life, so you need to be very independent and able to tolerate long absences if we’re to have a chance at a partnership that could work. That’s the question I need to ask both of us: whether you would be able to tolerate my traveling lifestyle without feeling lonely, lost and deserted.”

I know it’s sappy, but I do believe that there’s someone for everyone, and that the right guy is out there and I just haven’t met him yet. In the meantime, I’ve put up with a lot of Mr. Wrongs, from guys who don’t open the door for me or pay for dinner on the first date to guys who just live like slobs and only call back on “their schedule.” Some of my friends think I’m too quick to dismiss men for stupid reasons, but if I know what I want, why settle? In the meantime, I’m sick of putting up with losers, and I do have a nagging worry that the one guy for me is just never going to cross my path because I’ll be on a date with a jerk instead. How do I wade through the losers to find the one?

You’ve got a good attitude towards dating because you’re realistic about how draining and sad the process can be if you don’t put as much effort into self-protection as you do into flowers and horseshit.

There’s no such thing as dismissing guys too quickly when you’re dating; the faster the better, but only if it’s for the right reasons. Dating is a two-priority process, unfortunately, requiring both seeking and self-defense, which is why there are no guarantees and why you need to be tough and careful as well as attractive.

My only concern about your dating philosophy is your unflagging belief in your chosen one. If you’re very good at dating, there are still no guarantees that you’ll find someone, let alone the prefect someone of your dreams.

On the other hand, your singleness is not your fault, and pretty people won’t necessarily do any better. Pretty people aren’t guaranteed a soul mate, either. Just free drinks.

So, instead of judging your pickiness by your friends’ opinions, ask yourself what you’re looking for. Don’t waste time on a nice smile, or a sexy feeling, or a six pack (abs or beer). Start with the same essentials you’d put on the job description for anyone you would want to do business and/or spend time with: reliability, generosity, and the presence of abilities you find impressive and helpful for whatever it is you want to do. If a man has those qualities but doesn’t clean up after himself, it might be worth ignoring the slobbery.

Most prospects don’t meet those criteria, so don’t get sentimental about hurting their feelings or looking extra hard for that diamond in the rough. You said it well: the big reason for missing Mr. Right is wasting time (and heartache) with Mr. Wrong. Just don’t confuse Mr. Wrong with Mr. Lacks-Total-Perfection.

STATEMENT:
Give yourself a sensible mission statement. “I’d like to date someone who’s attractive and fun, but my bigger priority is to find someone solid who’s attractive enough and won’t waste my time, and that’s hard to do. I will need to be disciplined, smart, and tough to find someone good; perfection is an illusion. If I find someone good, I can enjoy romance and pretend he’s perfect; but until then, I’ve got a job to do.”

My parents have decided to retire, sell the big house I grew up in and move into a smaller condo closer to my sister and me. The move makes sense—my sister and I are adults with our own families—but it’s brought up a sort of taboo issue for my parents, which is my mother’s attachment to stuff. She’s not a hoarder, but if my dad wasn’t around to put his foot down, I sometimes worry it could be, because my mother has trouble throwing anything away. She says that moving all the time as a child has given her a different appreciation of objects, and that it’s better to regret having too much stuff than to miss something you threw away and can’t get back. Problem is, there’s no room for this stuff in the new condo, they won’t have the budget for storage, and my sister and I aren’t able to put all of her old work files, souvenir spoons, and elementary school textbooks (seriously) in our basements. What I’m afraid will happen is that my father, who has always taken responsibility for managing their money, will try to get my mother to agree that they can’t afford to move and store her stuff when they move, she’ll keep complaining, and he’ll get nasty. How can we get my mother to learn to let go?

I know you and your father want to make your mother happy and have harmony, but it looks like she’s not eager to adapt a sparse, Zen lifestyle.

The problem is, trying to make someone happy when it’s just not possible usually causes more unhappiness. False hope is dangerous, no good deed goes unpunished, and stuff happens (sometimes in great quantities).

There’s no way you can spare your mother the pang of parting from her horde. Trying to do so, while well intentioned, makes your father assume responsibility for her pain and its relief. In reality, life imposes the problem, not your father or any other member of your family, and it’s your mother’s job to deal with it, because no one else can.

Ask yourself (and your father) why he takes responsibility for a problem that isn’t really his. By managing the budget, carrying out spending decisions, and insisting on making your mother happy, he assumes total responsibility, infantilizes her, and garners himself a shitload of blame.

Tell him to accept that, while he might have failed as family manager/mom’s #1 cheerleader, he can succeed in not being responsible for any unhappiness caused by the stuff-alanche.

Seriously, you can tell him he’s done a wonderful job managing the household and your mother’s angst, but there are limits to what he can do, and that he’ll do better if he presents the situation to your mother and invites her to come up with a better solution.

In other words, instead of your father telling your mother it all has to go and your mother saying she can’t bear to part with any of it until the whole dispute becomes a clusterfuck, your father should instead do some math.

After he prices storage, figures out their fixed income budget, and sees that the two don’t mix, he can present that evidence to mom, explain how he can’t make it work, and give her the chance to find a solution.

At that point, the future of mom’s stuff collection is nobody’s fault. Hopefully, she’ll find an option that works for her, but in the meantime, you, your father, and your sister have avoided a stuff-load of aggravation.

STATEMENT:
Here’s a positive statement your dad could make to protect the family from blame while requiring his wife to share responsibility for a painful but necessary decision. “I’m glad we’ve been able to retain our family memorabilia until now, but I’ve looked at the cost of moving and storage, given that our new condo has no basement, and it doesn’t fit our budget. Please review the numbers and see if you can come up with a better answer and we’ll talk about it. One way or the other, it looks like we’re facing a painful compromise.”

I don’t know why my 10-year-old kid is so selfish and materialistic, because her mother and I aren’t. I can’t take her past a toy store without her having a tantrum if I don’t get her what she wants, and by tantrum, I mean she just keeps yelling and crying, even after I’ve dragged her out of the store and put her in the car. It’s not like we deprive her, either, because we do buy her toys occasionally for no reason, but she’s furious when she can’t get them on demand, which is all the time. She sees a shrink because she throws tantrums in school whenever the teacher wants her to stop doing what she’s doing and start something else. I’m afraid she’s spoiled and I don’t know how to undo the harm.

If the main cause of tantrums and other bad behavior in children was poor moral values like selfishness and materialism, then we’d know how to correct it by teaching better values, as forcefully and loudly as necessary.

All we’d need to rectify bad behavior is a Sunday school nun with a metal ruler.

You’ve got evidence, however, that whatever triggers your daughter’s tantrums is not simply a matter of her being spoiled, because she also has tantrums in school over the non-materialistic issue of being asked to stop what she’s doing and transition from one activity to another, sans toys of any kind.

What you’ve got here isn’t a bad set of values, but a problem in her nervous system that you don’t know how to correct. It’s understandable that you’d focus on the toys instead; you’d rather blame her and yourselves rather than face something you can’t control.

Once you face the sad fact that you’re helpless (but good) parents, you’re free to consider ways to help an unavoidably irritable kid improve her self-control.

At first, of course, try behavioral tricks you learn from teachers and therapists, because they’re less risky than medications. You learn to give her more “structure,” which means keeping her busy, providing her with clear rules, and imposing immediate time-outs when she starts to tantrum. It also means avoiding toy stores.

Therapy seldom helps if it focuses on your faults, but can be very helpful if it teaches you new child management techniques, and protects you from feeling responsible for your child’s (bad) behavior.

If non-medical treatment isn’t enough, and you think her behavior is seriously interfering with her schoolwork, friendship, and self-esteem, find out whether medications are safe enough to be worth a try.

As I’ve said many times, meds are never a cure, they sometimes don’t work, and they can often come with less-than-desirable side-effects. They’re worth a try, however, if you think the risk of her behavior is worse than the risk of the medication.

You and your daughter are in this together, and you have a lot of options for ways to manage and cope. One day, she might have a peaceful relationship with the toy store, but in the meantime, do your research, stay calm, and avoid women in habits.

STATEMENT:
Prepare a way to announce your new policy that conveys acceptance and hope. “I know that seeing new toys gives you very strong feelings that make it hard to walk away without them. We’ll help you by staying away from toy stores until you’re old enough and strong enough to manage those feelings. If you get those feelings anyway, we’ll try to find you a quiet place where you can be alone until you no longer want to scream or hit people. You’re not the only kid who’s had this problem, and we’ll get through it until you grow out of it.”

My husband quit drinking four years ago. I supported his decision to get sober, but I’m disappointed with the result. He used to be a fun goofball, but now he’s a dull grump, and I don’t like his company (and he doesn’t seem to like mine, either). We’ve started to go our separate ways but he’s not interested in talking about it. My goal is to restore the chemistry of our marriage and the good parts of his character without driving him back to drink.

Having fun with your husband is not your top measure of a partner. If you want fun, go out and have a drink.

Acceptance, rather than fun or passion, is the most essential requirement for a long-term relationship, and now you know it. Oh, first marriages have so much to teach you.

To find out whether you can accept a prospective partner, don’t go on a bar crawl; spend time together sober, tired, stressed, hungry, and short of money.

You’ll find out whether you can work together and trust the guy to do his share, shut up about the things he doesn’t like, and not irritate you too much by what he says when he’s dumb. That’s a better measure of true love than the tingle you get from laughing at one another’s sloshed jokes.

You have two choices at this point in your marriage. One possibility is to accept your husband the way he is and try to put aside the understandable anger and sadness about what you’ve lost. You can’t have the happy guy back unless you also want his alcoholism, and you don’t.

By the way, if your goal is to communicate with him before you’ve decided whether you can accept him, you’ll probably give him an earful of your sorrow, disappointment, and anger, and that will drive him away, but not before giving you an earful in return. Your best bet is to shut up until you’ve made up your mind.

The other choice, if you can’t accept your husband the way he is, is to stop being married. It’s not pretty, but the fact is, you can’t talk him into being the guy you want. Talk instead to yourself about whether you can accept the sober guy he now is.

Having finished your most important conversation—with yourself—you’re now ready to let him know which direction you want to go in. Either you can make it work with your dry husband, or take your newly acquired wisdom to marriage #2.

STATEMENTS:
Here are two alternate statements that avoid negative statements about who he isn’t and say positive things about what you want to do.

If you think you can accept him: “I want us to spend more time together. I’ve been hung over from the indirect effect of alcohol on our relationship; but I respect what you’ve done and I want to try new, sober ways for us to have fun, find common interests, and work together.”

If you know you can’t accept him: “I admire your sobriety, but alcohol interfered with my ability to get to know you, and, now that I know you better, I respect what you’ve done but think that we’re not meant for one another.”

I’ve been working for the same company for almost twenty years. I started at the very bottom and have worked my way up to a respectable position in middle management. I’ve never gotten a poor review, never had a dispute with a superior, never let my responsibilities slide. That’s why I’m totally bewildered by my new boss’ persistent criticism of my performance. I haven’t changed a thing, but he’s constantly telling me he thinks I’m slow on my projects, even though he can’t pin down anything I’m doing wrong. My goal is to get him to see that it’s his judgment, not my ability, that’s flawed.

The trouble with telling your boss he’s wrong is that it pushes him to find more fault with you. The chance of changing his mind, if he’s really down on you, is zip.

If anything, he’s more likely to prove he’s right by making it his project to get you fired. If you can’t convince him he’s wrong with your stellar performance, a talking-to won’t help. Sadly, you’re now employee of the month at Fucked Industries.

If you pay too much attention to his response, you’ll get angry at his lack of respect or appreciation for your good work, which will cause you to scowl, lose your motivation, and do less work, which will prove him right and make your actions and self-respect reactive to his stupidity. Don’t talk to him, and don’t react to him more than absolutely necessary.

Instead, assess your own work and be sure it meets your own standards; if you have two decades of positive reviews, that’s tons of evidence that it does. Then move forward, knowing that your work is OK, you’re probably not going to change your boss’s mind, and you need to make a living.

If it’s safe, see if you’ve got enough support from other higher-ups to counteract your boss’ influence. Warm up your résumé, and start looking at other options (e.g., if there’s an opening at It’s A Living And Co.)

Now you’re ready to talk to him. Give him a prepared, positive response that edits out all anger, attack, or defense, and pose for your “employee of the month” picture with a shit-eating grin.

STATEMENT:
“I greatly regret that you have not been satisfied with my work. I paid close attention to your comments, reviewed my work habits, and considered ways of either improving my work, if I thought it was deficient, and/or presenting it to better advantage if I thought communication was the problem. I’ve reviewed supervisory input from the past 20 years—all of it positive, I’m happy to say—requested additional input from current colleagues, and compared current with past performance. My conclusion is that I’ve been doing good work and that your dissatisfaction results from a difference in our styles. I will continue to listen carefully to your input and hope to win your satisfaction.”

I’m not crazy about my grown-up step-kids, but they’re not bad people, they just tend to be disappointed in me for some reason or other and then complain to my wife, who then tries to smooth out our relationship by telling me about their issues and urging me to talk with them, maybe with a therapist. She’s very nice about it, but every time I try to speak up about what actually happened or clear up a misunderstanding, I sound like I’m calling the kids unrealistic and self-centered (which they are) and it makes things worse. My wife doesn’t blame anyone, but it distresses her that I and her kids don’t get along better and I hate to see her unhappy. So how can I improve things with my step-kids when we really don’t see eye to eye?

Your poor step-headaches. They’re unhappy and assume that mom should play diplomat.

Instead of justifying their complaints with “I’m just being honest” they should really say, “I’m just being an enormous jerk.”

This is a good example of honest sharing by people who are honestly unhappy with you but haven’t given much thought to whether there’s anything you can do about it (other than by being someone else). They haven’t even considered whether making them feel better is your responsibility.

Unlike them, don’t assume it’s your responsibility to return the favor with an equal amount of honest sharing—not unless you want to give your wife a headache and enjoy a long, dirty bout of Greco-Roman mud wrestling.

If, as you say, the step-sort-of-adults want you to be someone you aren’t, and it isn’t a matter of your bad behavior, then you can’t make them happy or reach a better understanding by improving communications. If only you were behaving badly, you could make things better by improving, but you’re not, so you can’t, and you’re fucked.

Whether her kids complain to you or her, your job isn’t to work things out (unless you believe it’s really possible); it’s to live up to your own standards for being a respectful step-dad and keeping conflict to a minimum.

If you can’t make things right for your wife, you can respect her wish to improve family relationships while minimizing your exposure to criticism. The technique is simple, but requires you to shut up about your real feelings and give up on the idea that your wife can understand your predicament.

So let the step-kids complain all they want. If these were actually your kids, you would’ve imparted an important lesson to them early on: when it comes to sharing feelings, honesty is not always the best policy.

STATEMENT:
Here’s the formula. “I know your kids are not entirely happy with me and I’ve given careful thought to the problems they’ve shared with you. I intend to let them know I’ve heard their concerns and, to the degree that I can, I’ll make things better. If, as I suspect, some of their distress arises from differences in our personalities, we can’t expect it to go away or be resolved by discussion, but we can certainly learn to accept one another, avoid negative interactions, and make the best of your wonderful relationship with your children, which I am determined to support in any way possible.”

I know I’m good at what I do (let’s just call it finance), but I get held back because I’m terrible at networking and socializing in general. So much of my business is about going out and making connections, and I find talking to strangers, especially ones I’d like to work with or for, to be the most painful and awkward experience in the world. I get incredibly self-conscious, feel like I’m talking too much or too little, get distracted and antsy, and just want to go home or back to work. I also don’t drink anymore—I was never a drunk really, but I thought it held me back in college—so that makes my awkwardness even worse. If I don’t learn how to shmooze, however, I’m never going to get ahead. My goal is to get over my awkwardness.

Don’t hate your own awkwardness. People who have a heightened sense of shame about their social behavior become more awkward, which makes them more ashamed, and you’re spiraling into social phobia. It’s like stuttering; the more you think about it, the worse it gets.

It’s true that, when you’re in school, social awkwardness seems to condemn you to being a nerd loser who never gets laid. Fortunately, nerds have their revenge, and they get it, not by becoming socially gifted, but by entering a world that also rewards skills, reliability, and experience, and this boosts their confidence as they get older.

While networking is a big part of the business world (as you know, most business school tuition should include a bar tab), it’s not the only way to get ahead. You could get your job to pay for further business courses, or try to talk to/impress your boss one-on-one in a small talk, anecdote-free environment.

If small talk is necessary, you don’t have to be talented to learn how to do it; you just need to be humble enough to stumble through exercises that others could do easily. Again, accepting your disability makes it easier to manage it.

In the meantime, when you do find yourself at networking functions, don’t get tied up trying to be the cool guy you aren’t. Try for more one-on-one conversations, sip your Diet Coke, and enjoy a night out with your awkward self.

STATEMENT:
Here’s a statement to chart your course of self-improvement. “I value my achievements and values but recognize that I could use better people skills. There’s no point in criticizing myself for being ungifted in this area. I’m proud that I’m willing to work on my weakness if and when I think it’s necessary.”

Most people thing my mom is really fun, if a little flaky and emo, but they don’t see how crazy and mean she gets when there’s no one around but my brother and me (my parents are divorced). When she’s in a bad mood, she tells us we’ve been mean to her, and reminds us of things we’ve said that hurt her, and tells us how bad we are until we’ve apologized, and then she forgets it ever happened. There’s one cousin who’s seen what she gets like and I rely on him to remind me that it’s OK, she’s crazy, but the other day he seemed charmed by her and then, when I complained, he told me I had to get over her and not be so angry, and now I feel totally unsupported. My goal is to get someone to understand what’s going on.

Nothing gets people more stirred up than dramatically pitched false accusations and punishments by a powerful, inescapable, totally two-faced authority, like your mama.

The good news is that, while you’ve got the makings of a perfect soap opera, it sounds like you’re not getting swept away by it.

The trouble with soap operas, of course, is that they trap the good guys into endless rounds of angry, hurt reactions to crazy bad guys. In the process, they take up huge amounts of time and energy for tears and talk, talk, talk before, finally, there’s a glimmer of comfort and validation…before the cycle starts all over again.

The process leaves no time for any other (boring, make-a-living) activities or relationships, positive or negative, and the good guys’ angry responses and efforts to expose the villain usually make them more vulnerable to slander in an endless vicious circle.

So enjoy validation if it comes your way, but don’t seek it out too intensely or your life will become ready for daytime. Besides, even if somebody sees what your mother’s really like, her behavior is not going to change. Sadly, you drew her number in the mother lottery and won a nut job.

Not to be indelicate, but, as you might have guessed, your mama sounds a little crazy. On the positive side, that basically means, while her behavior is erratic and sometimes cruel, it’s not personal, just like your cousin says.

She’s not motivated by anything except a blip in her brain, so keep that in mind when you’re tempted to “fight back,” because you can’t win against crazy, no matter who acknowledges how crazy she is.

Your goal then isn’t to out your mother as a witch from hell, but to keep doing whatever you think is positive, good for you, and likely to spring you free, like getting your schoolwork done, keeping busy with out-of-house activities, and keeping these goals in mind when she does blow up and accuse you of untold (and likely fictitious) evils.

There’s more good news in that it sounds like that’s what you’re doing; you’re not describing angry, “cry-for-help” drug-downing or cop-defying behavior that will accelerate the soap opera cycle at the expense of your health and future independence.

You’re moving ahead, regardless of anger and turmoil, and that’s what you need to do. Forget exposing her two faces, because nobody will be happy if the soap hits the fan.

STATEMENT:
Here’s a standard business plan for growing up with a closeted witch. “I’ve got good reason to believe I don’t do bad things unless she gets me mad, and I can’t stop her from getting me mad, even if the world knows it’s her fault, so I’ve got to believe in myself and pursue my regular goals, like schoolwork and building a life. I can’t expect to be happy when she gets going, but if I can keep my mouth shut and fight the temptation to join her in big, dramatic scenes, I’ll be doing a good job and acquiring an excellent training in how to be a therapist.”

I’m a psychotherapist with a small but thriving practice. I’m also recovering from an addiction to pain meds (please note: I cannot prescribe medication, nor can anybody in my practice, so there’s no ethics violation there, I got my pills like any other druggie would). I’ve been completely sober for three years now, but I’m afraid to be open about my problem with almost anyone, including my family, because I can’t see how people would respect or want to get help from someone who was as messed up as I was (and I know most drug counselors are addicts, but I think this is different). The problem is, I feel more stressed than ever. I’m burning out on my practice because I’m always staying late and trying hard to make sure everyone is settled before I let them out of my office. And I feel terrible about not spending enough time with my family, and I never have time for myself. I feel I’m in danger of slipping, but there’s no escape.

Your drug use might be under control, but right now, your life isn’t.

Your life is being managed by your need to do a perfect job and keep your patients safe and happy. Meanwhile, you’re running out of gas, losing credibility with friends and family, and slipping closer to the pit of pain pills.

You’re not at the wheel, your desires are, and we know where that road leads. Caring too much about how people feel and doing a perfect job are what got you into this mess in the first place.

You can’t make people happy, particularly if you’re a shrink. Patients are unhappy; that’s why they’re patients. So far, there’s no cure to life sucking, so, like a good physical therapist, your job is to use your time efficiently to offer coping tools. After that, it’s quitting time.

Sometimes people are helped; but sometimes they’re disappointed. Your job is to do a good professional job and then move on to other responsibilities.

Then there are patients who want to hold someone responsible for their unhappiness, and their therapist is target number one. They know you haven’t done enough, or you’ve done the wrong thing, or you need to do more. If you react too much to their beliefs, you’ll never leave the office.

Of course, you can’t stop being sensitive, because that’s your nature; I might as well ask you to start writing with your other hand or grow a foot overnight. Instead, accept your sensitivity and learn to manage it.

You need to take pride in how you manage your weaknesses and, to do that, you must first acknowledge them, not disown them. Out yourself and lay claim to the management credit you deserve.

STATEMENT:
Here’s a management directive. “I always feel better if people respect me and are happy with my work; but I will not let that need interfere with my building better self-control, limiting workaholism, and doing what I think is right to balance my life. The greater my weaknesses, the more right I have to be proud of what I’ve done with them and intend to do.”

On the plus side, I’m a pretty ambitious person; I have lots of dreams for different careers, adventures, academic pursuits, you name it. The problem is that I have problem with following through. Sure, it’s not easy to chase your dreams when you have a young kid (whom you’re raising alone), but I was like this before I had a baby, and now that I do have a child, I feel more compelled than ever to do something with my life and be a good example. I want to follow through with getting my masters in anything and making a good living, showing my kid that you can do anything you want. My goal is to finally follow through.

No matter how much you wish you could follow through more, you gotta ask yourself whether you’re a follow-through kind of person or not.

Some people just aren’t, so a congratulations/you’re screwed might be in order.

Maybe you believe the popular myth that everyone can be a follow-through person by just concentrating harder on following through, making an inspiration board and buying a dream-catcher something. Don’t. Not very inspiring, but the truth’s the truth.

Some brains aren’t made for following through, and, while it’s probably not impossible for you to do it, it’s just very hard. Ultimately, it won’t happen unless you find something you think is worth the sacrifice.

Meanwhile, if you push yourself to follow through because you wish you were a follow-through person, it won’t happen, and you’ll just wind up disrespecting yourself and ruining more bulletin boards with newspaper clippings and crap.

On the other hand, if you have a good reason to follow through, and you’re not just trying to prove yourself, you may very well find ways to screen out distractions, take extra time, ask friends for help, get coaching, whatever it takes to get the job done. You’ll do it better if you accept the fact that you’re not a natural at following-through and that you need extra help and time to do it.

Sure, you might not get everything done, but a non-follow-through person is more responsive to the here and now and to life as it comes along.

Ask yourself which kind of person you’d like to sit next to at a dinner party. Congratulations then; your equipment isn’t broken, it’s just not good for everything.

STATEMENT:
Time for a Stuart Smalley Speech of Self-Acceptance. “Sometimes I wish I could follow through much more than I have, but I’m a responsible, independent person and caring parent and I’ve found a way to be a good person using the style that I have. My job isn’t to show my child how to follow through, but how to follow through as much as necessary and as much as possible and that’s what I do. So I’ll dye my hair blond and take pride in being a ditsy person who meets her obligations.”

I hate my job, but I can’t leave it, because a, it’s a civil servant position, so the benefits are great, and b, I have literally failed at everything else I’ve tried. I’ve sold insurance, tried to open a pizza place, attempted to sell real estate…all that and more went bust. So now I’m a drone working a job that I literally can’t get fired from, and I’ve never been more miserable. My goal is to figure out why I can’t do well at something I actually like.

Many people say you should be able to make a living at something you like. You should, in a fair world. A world that is not the one we live in.

On the other hand, I didn’t hear you say that you failed to try hard, or that you stopped caring about making a living as an independent person, so I have to assume you’ve got good values and that, whatever went wrong, it’s not necessarily your fault.

I don’t know what part of each of these jobs went well for you, but my guess is that you were good at some part of each of these jobs, and that, if we knew what you liked and disliked about each of them, we’d see a pattern that would tell us how your mind works (and it does work, but again, maybe not the way you want it to).

We might find out that you’re a good entrepreneur with bad luck. Entrepreneurs like to take risks, but hard work doesn’t guarantee good luck. There are lots of good entrepreneurs who don’t strike it rich, it’s just that magazines and business schools tell us about the ones who do.

Maybe you were trying so hard to prove yourself that you never stopped to take stock of your strengths and weaknesses. People who are frustrated with their failures often become obsessed with trying harder, rather than trying smarter.

If you’re sure your failures were your fault, then you’ve been too ashamed to consider your weaknesses objectively, figure out if they’re important, and work on ways of living with them.

If you sat down with a good job counselor, you might be able to figure out what to avoid in a job and possibly find something you like more than what you’re doing. If that’s not possible, at least respect yourself for earning a living the hard way. Easy is not in your cards. You’re working to make a living and it isn’t fun.

If you were actually living in a fair world, in a science fiction universe, and you couldn’t find a fun job, I’d have to agree that it’s your fault. Not to worry, because you’re living here on earth. No one can blame you, except you. So don’t.

STATEMENT:
Time for another round of positive perspective. “I’m not well suited for any job I’ve found, but that hasn’t stopped me from doing what’s necessary to make a living. I hate the only job I’ve been able to hold, but that hasn’t stopped me from holding it because I had to, which is much tougher than holding a job you like.”

I love my work, my kids, and my wife, but I have bipolar mood swings (and I’ve taken medication for years) that lead me to do things that get me into trouble. Recently, in spite of the medication, I felt a surge of energy and started to stay up late, sneak into my studio and paint. I’ve also started to drink again. I don’t want to change meds or let people know what’s happening because I want to keep my options open. I love the highs and the freedom, and I hate being told what to do, but I’ve got a demanding day job that doesn’t involve painting, and a wife who doesn’t like it, to say the least, when I’m not honest. So my goal is to get myself under control before people catch on to what’s really happening.

There are few fathers and husbands who can’t identify with the goal of wanting to feel special, have time to themselves, and avoid humiliating comments about eating, drinking, toileting or sleeping habits from their next of kin.

The fraction of these fathers who are dealing with mental illness and addiction to alcohol don’t want to be asked if they’ve been taking their medication or started drinking.

So, if your goal is to avoid immediate disrespect and hang on to your secret Van Gogh identity a little longer, then keep doing just what you’re doing.

On the other hand, if you want to avoid the long term chaos of going nuts, listening while your doctors try to find a mental hospital that also does alcohol detoxification and having your wife tell you that you’re not welcome home until you straighten out and maybe not then either…then you’ve got to give up on secrecy and come out of the out-of-control closet.

That’s because it takes a powerful part of your personality to make a good guy risk his health and marriage for the joy of a very, very good but relatively brief mood and paintings that will never reach Sotheby’s. It takes a demon.

Lots of people have demons—they pay my bills—and it’s a waste of time to figure him out instead of looking for ways to manage him better, all of which require you to face and ‘fess up to your (or should I say his) possession.

Sorry, but it’s almost impossible to gain control of a demon without acknowledging that he’s A, there, and B, can’t be extirpated or exorcised (except through lobotomy). That’s because he gains strength from being hidden.

So tell your wife and trusted friends about your problem, share your story with similarly possessed people, discard false shame, and do your best to keep the demon under control.

In recovery, they say you’re only as sick as your secrets; admit your secrets, and you can keep your demon at bay.

STATEMENT:
Here’s what you need to say to yourself (and others). “I’m living a good life, but it isn’t easy. My priorities are to make a living and raise a family, but there’s a part of me that wants to drink and paint and stay up late and enjoy the bipolar highs, and sometimes that part takes control, particularly when I think I’ve beaten him for good. Making my problem public is the best way to strengthen my self-control. I respect my willingness to humiliate myself for a good cause.”

My girlfriend and I keep breaking up without ever really getting together. She’s obviously interested in me, or she wouldn’t keep calling, and I can sense her sincerity. We have a good time together when we get a chance to go out. Whenever we’re at the stage of taking things to a new level, however, like we’ve been talking every day for a couple weeks, she’ll suddenly drop out of contact for a few days and then act like nothing’s happened and I shouldn’t expect her to be that available. A couple times when she dropped out, it was because she couldn’t decide whether to get back together with an old boyfriend. That’s no longer the issue, so I thought we were clear to go, but we can’t seem to take off. I’d like to know if I’m doing something wrong or if there’s a way she could get help.

Don’t trust your feelings to tell you whether someone is really interested. Feelings are easily fooled and love is blind; watch her feet and see what they have to say.

This girl’s feet are doing the cha-cha-cha, one step forward, one back, quick shuffle, one more back, one forward, another shuffle, and repeat. She likes to dance with you, but that doesn’t mean she’ll ever move forward or make you her number one partner.

If you trust your feelings, then you must ask yourself what you’re doing wrong, which keeps you stuck with her and introduces you to doubt, depression, and me. It costs you time and money to stay at the mindfuck disco.

Ask yourself what you’re dancing for. It’s not because you need to dance (though you do), but because you’re looking for a partner, which requires you to know what you’re looking for and keep your feelings out of it until you’re sure you’ve got a likely candidate.

One of the requirements—I know, it’s amazing that I can read your mind, but remember, I went to Harvard—is that someone has a good track record with relationships. No one who does the cha-cha-cha need apply, ever.

Don’t tell me that’s easier said than done. First, I’ll tell you it’s harder if you don’t do it, so you don’t have a choice. Second, given today’s theme, I’ll tell you you’re possessed by a demon who loves attention and wants to dance and you have a hard time keeping him in check.

Your goal is to make a solid, independent choice, regardless of your short-term needs. Cowboy up, be a grown-up and give yourself the benefit of solid, caring protection and a nice, sturdy, one-on-one waltz.

STATEMENT:
Here’s a statement, in case your demon (or sometime dance partner) asks why you can’t, at least, enjoy a nice, friendly talk. “I don’t think our chemistry is right for what I’m looking for, though we certainly have a good connection. Spending time with one another right now doesn’t take either one of us in the right direction.”

Last fall, I started hooking up with a girl who’s been a friend of mine since freshman year. It wasn’t anything serious, just your average friends with benefits deal, and neither one of us ever talked about her being my girlfriend or anything “real.” What I never knew before though is that this girl gets really depressed, and when she got really sick this winter, I was there for her because that’s what I’d do for any friend, whether we’re hooking up or not. She’s better now, but I’m kind of confused as to what’s happening between us. Sometimes I think I want to be her boyfriend, but I’m not sure I’m really that into her, and I don’t think she wants that from me, and at this point everything’s just really awkward and weird. I just want to know where we stand, or what I should do.

People often choose to be “friends with benefits” (FWB) because it seems easier than committing to a relationship, but don’t be so sure.

Having a FWB is like playing a fretless guitar that seems to offer musical freedom, but is actually more likely to produce noise unless you really know what you’re doing. In other words, don’t attempt a FWB situation unless you’ve learned what the rules are and can stick with them. It’s not for those who haven’t mastered their instrument.

You need that toughness and discipline so you don’t cross the line between friend and more-than-friend, which means being direct about your intentions (honorably limited) and vigilant about the many ways your actions can unwittingly contradict your words (by calling or sharing or sighing or talking too much).

Regardless of the actual ups and downs of how you feel, your words and actions should convey an unambiguous, consistent message. Otherwise, love or neediness may escape and create a situation you and/or your partner are not ready for.

Toughness is also necessary to determine whether your prospective sex-buddy has what it takes to stay within agreed-upon boundaries. Some agreeable friends really want something more and will be disappointed when it doesn’t happen.

This may sound like some pretty rigid guidelines for what should be a care-free relationship—I ordered the sex, hold the commitment!—but at least when you’re a boyfriend or girlfriend, you know where you stand thanks to some fairly universal relationship guidelines. Being a FWB is living a gray zone unless you draw your own line in the sand.

In your situation, charity made you cross that line and become your FWB’s depression counselor. Good for you as a friend, bad for you as a recipient of benefits, because now, no one knows what to expect.

If you did it because you really, really liked her, then you would want to upgrade, but that doesn’t seem to be the case. Don’t over think your feelings about her, because when most people are interested in someone romantically, they know pretty fast.

If one of you not being single is what kept you apart when you first met, getting together now makes sense, but if the spark just wasn’t there, then that’s why you aren’t together. As such, the reason you hooked up has more to do with loneliness than a unique connection, and might be worth leaving at that.

If you decide that you truly do want to go for a love upgrade, be sure your erstwhile non-exactly-lover is a solid person who would make a good partner, and that the benefit of a successful upgrade outweighs the loss of what you’ve already got. After all, once you jump from friends to boy/girlfriends, downgrading back to friends can be tricky, if not impossible.

Check out whether he/she is steady in other relationships and not too needy, sensitive, or vulnerable to runaway feelings. Remember, Glenn Close’s character in “Fatal Attraction” promised an attachment-free fuck and was probably sincere (in her own nutty way).

It’s your responsibility to make sure things are what they seem. Then figure out whether you want to make beautiful music together, or whether you’re just not ready to jam.

STATEMENT:
Here’s a Mission Statement to share with your friend. “I think we’re good at being friends, with or without benefits, but I know I’m not ready to go further because I don’t think the chemistry is quite right. I hope our friendship helped you during the winter when you were depressed. It left me feeling good about our friendship and with the same overall impression that that’s what our relationship is meant to be.”

Like a lot of single women in their 30s, I’ve gotten into internet dating, but I’m not very good at it, because I really don’t want to be mean to anyone, and I don’t think it’s fair to make up your mind about someone when you don’t really know them. I mean, sure, I have a physical type, but what I’m talking about is that I don’t want to brush off some poor guy after one cup of coffee just because he’s not my dream guy right off the bat, know what I mean? And I don’t think you can really learn that much about somebody based on a few emails, so basically I end up going on a bunch of dates that often aren’t that much fun or, if they are, I don’t get a call-back and wind up ruminating for a week about what went wrong. My goal is to figure out how to make online dating work.

Online dating doesn’t work unless you’re tough and disciplined (see case above). That’s because getting attached to someone who can’t return your feelings will wear you out and make you feel like an unattractive loser. It’s the way we’re wired (pardon the pun).

If your priority is to make everyone feel valued, send them some of Oprah’s favorite things. If you want to take advantage of the wide reach of online dating, which will expose you to large amounts of raw suiterage and toxic jerks, learn how to become an efficient and effective screener.

First, decide for yourself whether it’s moral to reject people, especially if it seems to cause them pain. In my opinion, it’s immoral not to reject people (assuming you do it politely and respectfully). Better to be tactfully honest than grudgingly lie.

If you don’t just rip off the Band-Aid, you’re leading them on and assuming responsibility for their feelings, making yourself vulnerable to manipulation and guilt, and/or promising what you can’t really deliver.

Sure, you may feel guilty if someone looks pained by your decision not to continue contact, but that’s just a passing feeling. Know the difference between guilty feelings and real guilt and learn how to ignore the former.

Of course, if you’re too sensitive to pain, either theirs or yours, you’re not ready to go hunting in love’s wild e-yonder, because hunting usually requires a willingness to tolerate pain. Your goal isn’t to avoid pain (or cause pain), but to minimize it, learn from it, and not let it interfere with an effective search.

If you’ve decided it’s OK not to run a ministry for the horny and needy and that guilty feelings can be ignored, then you’re ready to learn the principles of wide-reach screening and discover that you probably know them already.

Begin by listing the 5 or 6 criteria for excluding candidates, regardless of attractiveness. They include drug-use, poor money management, unreliability, a history of backing away from reasonable relationships, an inability to say no to horrible relatives, and a lack of interest in the kind of future that you want.

Then, while you’re chatting and searching for interpersonal chemistry, keep your list in mind and say good-bye whenever a red flag pops up. Time is short, screening is tiring, and the hunt is on.

STATEMENT:
Use your criteria to prepare a statement. “I’m interested in a reliable, hard-working, loyal grownup who can manage his/her money responsibly and is looking for a committed partner to share (name your future). I’m not in need of friendship or sex and I don’t have much time to chat, but I’ll get back to you if you’re interested and seem to be a possible match. ”

I have a 30-year-old patient whom I’ve been seeing in weekly psychotherapy for 6 months and he had a terrible history of sexual and physical abuse and years in state care. Amazingly, despite all his trauma and several prior failed treatments, he settled into a trusting relationship with me. He tells me I’m the first person he’s bonded with, and he’s been able to stop using cocaine, and, for the first time, sees some hope for himself. The problem is that he just got a new job, and I’m not covered by his new insurance plan. He wrote me a letter telling me how much he feels his recovery depends on continuing the treatment we’ve started and I feel professionally obliged to put his welfare ahead of my financial needs, but I’d like to get paid. My goal is to do right by my patient, and not trigger the feelings of abandonment that underlie much of his negative behavior, but I’m not sure how long I can afford to see him for nothing.

There are many therapists who believe the best thing you can do for a troubled patient like this is to “be there,” providing the steady acceptance and secure relationship that they need for healing. I’m not one of them.

The sad fact is that the healing power of currently available treatments is vastly over-rated and a good example of false hope and the harm it can cause.

What’s wrong is that our treatments, in terms of demonstrated effectiveness, are all rather weak, and it shouldn’t be surprising; we do our best, but life, such as it is, is a bitchmonster from hell. You can’t undo the past, change personality, stop drug cravings, or even guarantee that you’ll be available next week.

Look where you’re going with this treatment and “mind the gap,” as they say on the London Underground, because, as ideal a healer as you seem right now, there are many ways this dynamic could get tripped up.

For example, unexpectedly, you and/or your treatment rub the patient the wrong way. It may be that you fail to live up to an impossibly high ideal or that you have a bad day and say the wrong thing. When that happens, trust disappears and with it, your patient’s rationale for healing.

You try to stay calm, remain empathetic, and ride out the storm while resenting having your personality dissected for an unpaid hour. If your anger shows, it gives your patient more reason to feel victimized and find a therapist who can help him recover from his latest trauma/treatment.

Another common outcome is the “Bill Murray Morass,” whereby he continues to feel strongly that treatment is beneficial and can’t imagine living without it, and you, and this continues for many years, while you continue to feel responsible and indispensable. “What About Bob?”, indeed.

You and “Bob” could argue that treatment has benefited his control over negative impulses, but it has also fostered a sense of dependency and fragility that will surface if, God forbid, you should die first, or, more likely, he just changes his mind.

So don’t buy into his idea of your precious relationship. If he liked you, it proves he has the capacity to like another therapist. There are many fish in the sea, many therapists in his insurance directory. If he depends on that positive feeling to stay sober or maintain a positive idea of the future, he’s in trouble, and so are you.

Your goal is for him to build up ideas for staying sober and fighting off despair that are not dependent on a single relationship or good feeling, and that can stand up to rejection and depression. In other words, you want to “be there” for your patient, but you don’t want to be the only thing between him and oblivion. Don’t beget a Bob.

STATEMENT:
Our relationship has been positive, but it’s important for you to manage negative beliefs, despair, and anger when you’re not feeling closely supported, and our stopping treatment gives you just such an opportunity. You have the capacity to form a positive relationship, so I’m confident you’ll do well in shopping around for a new therapist. Meanwhile, it’s good for you to focus more on the ideas than on the individual, because it’s your own ideas and the way you use them that will give you strength to manage yourself. I’m confident that this will work out well.”

I have a new patient who’s a young woman, college freshman, who was sent to therapy by her parents after her roommate turned her in for cutting her arms and drinking too much. After a fair amount of discussion, I started her on a medication trial and explained to her that these pills take a while to work (if they work at all), but it didn’t sink in, because after a week she’d had enough with feeling tired and hungry, especially because she still felt depressed and anxious. Not long after that, she declared that therapy in general was a waste of her time and she could stop drinking and self-mutilating on her own. Part of me thinks that it’s not my job, or anyone’s job, to sell her on treatment if she’s not ready, but I admit, there’s a softy side of me that doesn’t want to let her off the hook just so that she can really hurt herself or get kicked out of school. My goal is to get this kid to give treatment one more chance.

It’s tempting to tell a young woman with obvious problems that she should stay in treatment, but don’t. This is not the time to listen to your softer side. Of course you wish she would feel better and stay positive, but first, you and she must accept your lack of control.

If psychiatric treatment—medication or psychotherapy—were more reliable and effective, maybe it would be worthwhile to give such advice. More often than not, however, the first trial of treatment doesn’t work or causes side effects and patients who are already angry and disappointed about their life expectations are then quick to feel that their negative beliefs have been redeemed.

Your goal isn’t to get her to stay in treatment; it’s to give her tools to make rational and positive decisions about treatment. You don’t want her treatment decisions to depend on her positive relationship with you (see: above Bob) or an initial positive result. You want them to depend on her own ability to weigh risks and benefits and do what’s right.

It’s easier to help her think realistically about treatment if you crush false hope up front. You are obviously well aware that treatments of any kind rarely bring about a “cure.” I’m often reminded, when patients cite a pharmaceutical add touting a particular medication as “effective,” that the scientific meaning of the word is the opposite of its meaning in plain English.

In the language of science, effective means “better than nothing,” not “helpful most of the time.” Life is tough and so are most psychiatric problems. Unfortunately, so is your patient’s attitude.

Ultimately, you want her to know that, while you don’t care which decision she makes, you do care a great deal that you make she makes that decision rationally. Being soft won’t work, so be hard, or really, be honest, not emotional or sentimental.

STATEMENT:
Here’s a speech for encouraging her to take good care of herself and use treatment appropriately. “I wish I could tell you that treatment will ease your pain, but it often doesn’t. Given the fact that depressive feelings often come from genes and that we don’t have a cure, it’s not surprising that they tend to come and go and then return, even when a medication or other treatment has been very helpful. So the main goal of treatment isn’t to make you feel better, but to make you stronger and better able to tolerate your condition, much as if it were diabetes. You can get stronger by choosing the right psychotherapist or therapy or 12 step group and also appropriate friends and readings, because the right choice can make you stronger, and the wrong choice won’t. Medication is worth trying if your symptoms are hurting or threatening to get you canned. There’s a risk that each medication will cause side effects or won’t work, but you don’t want to make a choice about meds because you love or hate them. You want to weigh the risks of not taking them and the possible benefit of their working. If I were in your position, I’d definitely be trying them, but it’s your call.”