Posted by fxckfeelings on June 7, 2010
Most people panic if their mental health goes south, and if/when they find a doctor to help them recover, they assume that treatment is a mystery about which doctors know best. If you’re in that situation and disagree with your doctor’s decisions, don’t act like a helpless child challenging an all-knowing parent. Learn what you need to know to make well-informed decisions and stand by them, whether or not your doctor agrees. It’s the best way to cure yourself of panic, and it makes refuting your doctor’s advice a discussion between equals, not a pleading.
-Dr. Lastname
My psychiatrist thinks I should increase my medication, but it already makes me sleepy and has caused me to gain 10 lbs. If anything, I’d really feel better getting off it entirely, because I hate being dependent on it. For the time being, I know I need it, because I’ve barely recovered from my last depression, but even thinking about increasing the dose makes me feel depressed. I’ve seen this doctor throughout my entire illness and she’s been very good with me up to this point, but now that I don’t agree with her I don’t know what to do. I don’t want to have to take more medication.
It’s much easier to have an agreeable disagreement if you’re not pushing someone with your emotions; after all, lawyers use evidence, not tantrums, to win a case.
Still, it’s hard not to push with your emotions when the issue is personal and scary. Unfortunately, you don’t have a choice.
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Posted by fxckfeelings on April 12, 2010
Discovery Channel always does well with its sharks, so this week, we’re going to try cases that are variations of the theme of “Shut up!” In many ways, sharks and “shut up” have the same effect on people, be they swimming in actual water or metaphorical self-pity; it’s painful and humbling, but if you come through your confrontation intact, you feel indestructable. Now, if you please, shut up and read.
-Dr. Lastname
I’m a 58-year-old gay man and it’s a long time since life has been any fun. I’ve been single for some time (with no real prospects of a relationship), my friends don’t seem to have time for me, and at the end of a hard day’s work running my own business, I’ve barely broken even and have nothing to look forward to but spending the evening alone. That’s when the depression closes in and I can’t stand living. I write all this because I know that I’m a miserable failure, and that facts, not depression or any other mental illness, are behind my reasoning. I mean, when I tell my few close friends how I feel, they tell me I’m being too hard on myself, but if you’re almost 60, alone, and a financial mess, doesn’t that mean you’re a loser? My goal is to be real about myself.
Sounds like your goal isn’t to be real about yourself, it’s to be mean to yourself because you’re in a bad mood. If you were to reread the above paragraph when your mood wasn’t so shitty, you’d see your treating “facts” with the same care as Bill O’Reilly.
So, to quote Bill, Shut up, I don’t want to hear it. You wouldn’t talk like that to a friend, or even probably your worst enemy, so don’t do it to yourself.
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Posted by fxckfeelings on April 1, 2010
We began this week with people paralyzed by fear of the unknown. We now end it with people who get stuck, not due to fear of the unknown, but rather fear of the untenable; their lives are blocked by the effects, or even just the possibility, of mental illness. Everyone’s lives, even for the few of us who are sane, are fraught with danger, so there’s no point in letting any illness ruin you, at least not without a fight.
-Dr. Lastname
I know that my depression is one of the main obstacles keeping me from getting a new job; I got laid off three months ago, and even though my meds had stopped working way before that, I had enough discipline to push through. Now I don’t have a workplace to go to, I have trouble getting motivated enough to do anything, so between my inability to get out of bed and the fact I look like a mess, interviews aren’t happening. My wife is pissed because I’m not motivated to get new work and I won’t go back to see the psychiatrist, but I don’t see the point in trying this new prescription, because it’s my fourth medication so far, and I don’t understand why the first medication I took, which worked the best, stopped working, and why none of the others since has done the job. I don’t see why I should waste my time getting treatment if it isn’t going to work, but my wife thinks I’m being complacent and lazy. My goal is to find some way to get better or at least get her off my back.
You’re reinforcing something I’ve been telling my children their whole lives; life is unfair.
It was unfair for them when I wouldn’t by them a Happy Meal or the latest Nintendo game, even when they deserved it, and it’s unfair for you now that you’ve lost your job and can’t find the right meds. Unfair is unfair, as they say (or at least as I say).
The trouble is, it isn’t a fair world for anyone, young or old, and you won’t survive if you can’t take your lumps and keep on going.
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Posted by fxckfeelings on March 29, 2010
For our 100th post, we address a problem that causes loads of people useless worry, and that is…useless worry. Just because horrible things may happen to you or someone you love (or because of someone you love), life shouldn’t end. Prepare yourself the best you can for whatever trouble you think you see coming, and then continue your regularly scheduled, useful life.
-Dr. Lastname
Living with my mentally ill 30-year-old daughter is wearing me out. My wife and I can never leave her alone, but we also can’t take her with us because she gets uncomfortable when she’s around people she doesn’t know and says inappropriate things in a loud voice and has to get up and leave. The problem isn’t her, though, it’s my wife, who is so worried about what will happen if we put her in a half-way house with other sick people that she can’t think clearly about it. We’ve got some money, but if we paid for my daughter to have her own condo and a nurse to keep an eye on her, the money wouldn’t last long. Then again, if she continues to live with us, we won’t last long. My goal is to get my wife to see that we have to get her into a state-supported program, for her sake and ours.
You hope to get your wife to see that your mentally ill daughter needs to live independently, but if you were making any progress in that direction, you wouldn’t be writing.
Let’s assume then, at least for the moment, that your hopes are false and your wife can’t let go, and if she can’t let go, she’ll always be thinking of new ways to make your daughter feel more comfortable and better understood. Which makes your goal a more and more distant dream.
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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 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 December 7, 2009
At fxckfeelings.com, we’re never afraid to tackle the ickier topics; we deal with not just the feelings that come out of us, but the solids, as well (although often they’re equivalent). So if someone can’t hold it down or you can’t hold it in, sure, it’s an awkward situation, but it’s not the end of the world. You’re not responsible for what goes in or what comes out, just for what you do about it, whether it’s your problem or your neighbor’s.
-Dr. Lastname
I just started at college, and I like my roommate, but she’s bulimic and hard to be around. Not just because she’s sick (and everybody on the floor knows about her problem, it’s hard not to), but because when she binges, it’s on my food because that’s what’s closest, and she always feels really bad about it and cries that she wishes she could stop, but then she doesn’t offer to pay for it and it’s costing me a lot of money. Part of me just feels bad for her, because she’s clearly really messed up, but another part of me is pissed because I’ve lost a lot of money this year on food that she’s eaten and thrown up, and that just makes me feel guilty like I’m a bad person for putting my lost money above her health. I want to move after the break, but I don’t want her to feel abandoned. My goal is to help her and myself.
Welcome to that other part of college, Hard Knocks University, where the class Helplessness 101—what to do when you can’t help both someone and yourself, and sometimes you can’t help at all—is a frosh requirement.
The tough part is not the decision, but accepting the shitty nature of your options. Bulimia, like any chronic condition (depression, addiction, etc.) is not completely curable, not by you or certainly the patient herself.
If you buy into the psychobabble about body image and low self-esteem, you might think you could help her by praising her strengths, noticing her attractive qualities, or getting her to think about the superficiality and limitations of attractiveness. Ha!
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Posted by fxckfeelings on November 30, 2009
Seeing someone through a long illness makes saying goodbye a little easier, but that’s like saying that lifting weights makes it easier to lift a truck; losing someone you love is an impossible, painful task, no matter what the circumstances. You don’t protect them from death by protecting them from death, but by bearing the sorrow of their memories.
-Dr. Lastname
My father, a Holocaust survivor, is dying of cancer. I’m his only child, and while my mother is doing the best she can, I feel overwhelmed with responsibility and grief. I don’t know how to stop feeling so helpless, not just because I love him and can’t save him, but because he overcame so much to make life possible for me, and now all I can do is watch him die. My goal is to figure out what I can do for him since he’s done so much for me.
Don’t fall for the common misconception that you fulfill your duty to your parents by taking care of them and keeping them safe when they’re old. As a genuine geezer, Dr. Lastname can tell you with authority: you can’t, and it’s not your duty anyway.
No, I’m not telling you to push your dad out on an ice flow or forget about him, not for a moment. I am telling you to think about two things: what your goal will be for your kids when you get old and need their help, and how little you can do for anyone when they’re suffering from old age.
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Posted by fxckfeelings on November 2, 2009
Making the best of ill health, surprise, doesn’t usually feel good; there’s the burden you’ve put on others, and (if you’re caring for someone who’s chronically ill) for the burden they’ve put on you. If you can learn to ignore your emotions and focus rationally on what your life is really about, however, you’ll find that your pain isn’t really what’s important.
-Dr. Lastname
I have been basically bedridden now for almost a decade with constant pain and fatigue, and I’m not even 50. I have been diagnosed with many auto-immune diseases, as well as central nervous system disorders that have led to constant pain, and am on a diet of many medications for pain, neurological disorders, and sleep. I find myself asking why bother? I have lost so many years of my life; my “thrill” in life is getting through a grocery trip. My body is weakened and aged, I cannot please my husband, my now grown children see a mother who is weak and sad. Before this, I was an active, involved, strong woman looking forward to a wonderful active life with my husband, and ready to see my children become healthy adults with families of their own. Now I see a life of pain that no medication has been able to stop, the constant craving of sleep, and utter depression.
If your goal was to be have a wonderful active life with your husband and watch your grandchildren grow, you were screwed before you began.
We all wish for a life like that, but the reason I’m open for business is that none of us can make such a life happen, even with a perfect start and wonderful marriage, not in this world. So if you make a goal of wishes like these, you’ll feel like a total loser when uncontrollable things happen, like incurable illness and pain.
A better goal is to find a partner who is sufficiently strong, caring, and devoted to kids so that he will shoulder the load when you can’t and stick around when you’re not much fun to be with. Lucky for you, you’ve succeeded.
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