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Fail with pride.

Thursday, February 9, 2012

Life Hurts

Posted by fxckfeelings on February 2, 2012

The fact that treatment is seldom as good as we want or need it to be isn’t so bad. If we can’t always make things better with treatment, and we’re willing to accept that fact, we’re no longer burdened with responsibility for figuring out answers and making things better in the first place. Our real job isn’t finding a perfect cure for what ails us, but figuring out whether treatment is better than no treatment. And if treatment only does so much, we can take credit for whatever we do to manage the hopeless mess that’s left for the rest of our not-so-bad lives.
-Dr. Lastname

My 15-year-old son needs treatment for his irritability. He gets unbelievably angry over small things, to the point that he ups and goes to his room. He agrees that things are basically OK and he’s sorry afterwards, but it happens at least once a week. We have a happy home and he has friends in school and gets good grades. I think it’s his mood that’s the problem and it causes him and our family a lot of pain. My goal is to figure out how to get him some help with psychotherapy and/or medication.

Just because someone’s in pain doesn’t mean he needs help. Pain is just part of the complete life package, along with joy, hunger, death, etc.

Of course, you’ve got less to lose and more to gain from treatment if his irritability has caused bruised knuckles, broken sheetrock, and a growing familiarity with your local police. Pain is a normal part of life, but serving life in prison isn’t.

What you’re saying, however, is that, aside from his verbal explosions, he remains in physical control, does self-motivated time-outs, retains good relationships, and has no trouble focusing on work and getting it done. No pill could improve upon that. WAIT! There is more to read… read on »

Friendless Love

Posted by fxckfeelings on January 19, 2012

Sometimes, when you most need friendship, neediness messes it up. Maybe it’s a need for the wrong kind of person or for the wrong kinds of intimacy that are very satisfying in the short run and explode later. Ultimately, friendship isn’t the answer to your needs, but managing your needs will give you a good friendship.
-Dr. Lastname

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

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

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

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

Artistic Nooses

Posted by fxckfeelings on January 16, 2012

No one ever totally controls art or business, which doesn’t stop artists and professionals from being control freaks who rate themselves by their results. The difference between them is that a businessperson with poor results usually still gets paid, while an artist who produces bad art, or good art in a bad market, doesn’t. No matter what one’s field, all anyone can do is keep working, because the only way you can guarantee shitty results is by giving up work entirely.
-Dr. Lastname

Like a lot of artists, I don’t think I’m good at anything else. I’ve been “the arty one” since I can remember, I went to art school on a scholarship, and I’ve gotten illustration work pretty steadily since then. Ever since my last job, however, I’ve started to wonder if I’ve lost it somehow. I got a steady gig in a graphic design department, and at first, I totally got along with my co-workers and we seemed to share a sensibility. Then, for some reason—maybe it’s my age (I was the youngest one), the new department head, an off-the-mark project I completed, I don’t know—the group consensus turned on me and I was treated like an untalented hack for the first time in my life. I’ve never dealt with this before, and I still don’t get it, because the higher-ups were still pleased with my work even if my peers decided it sucked, and I was always nice to everyone. The only thing that did happen was that I started to doubt my ideas more, because every time I’d come up with something I’d immediately think of all the reasons my co-workers would hate it. After a few months of this, I couldn’t take it anymore, so when a college friend told me there was an opening at his work, I jumped on it. The problem is that I still can’t get that negativity and doubt out of my head—maybe I am a hack, after all—and I’m terrified of starting this new job and either not coming up with anything good or not coming up with anything period until eventually I can’t get a job at all. I’m not good at anything else, but what if I’m not good at design anymore, either? My goal is to get my mojo back (or at least get these assholes out of my brain).

One of the curses of being talented, in arts or sports, is that talent becomes the heart of your self-esteem. Talent and ego have a flawed-yet-symbiotic relationship.

It’s particularly true if, like many talented people, you’re actually not so hot at doing other things. It’s as if your talent takes up extra brain-space, crowding out room for the basics and leaving you both gifted and klutzy, brilliant and ADD, hyper-capable and totally incompetent.

Other people might tell you that you’re good at other things, but those other people are wrong; they don’t have or understand an artistic mind. They had to decide on a career, whereas you probably felt like you didn’t have a choice. They also probably have health insurance. WAIT! There is more to read… read on »

Symptomatic Meaning

Posted by fxckfeelings on January 9, 2012

Horrible thoughts and feelings are supposed to make you feel as if there’s something horribly wrong, and there is, but it’s not necessarily with you. Even when your brain is giving you strange signals and your mood is in the pits, you’re the same old person with the same old values. Judge yourself by what you do with symptoms of mental illness, not by the way they make you feel or think, and you will never have reason to doubt yourself or despair.
-Dr. Lastname

I was diagnosed with major depressive disorder and anorexia nervosa purging type a few years ago. Both of these issues had pretty much consumed my life during the years leading up to that diagnosis and have continued to be impairing ever since. I started cutting myself two years ago (it has become more frequent this past year), and I’ve had several panic attacks in the past several months. Fortunately, my overwhelming desire to commit suicide has subsided, although I still think of suicide and my death in general fairly often. In addition to my own issues, I have watched my mom slip into a state of psychosis during the past two years, triggered by the death of her father. She has become so depressed, delusional, and violent that my parents separated and sometimes I don’t even feel safe staying in the house with her—a few weeks ago my dad and I had to stop her from going through with a suicide attempt. The police were called, and I had to hold her arms down while she was clearly in a psychotic rage. At one point, she tried to stab my hand to make me let go. She was taken to a mental health facility where she stayed for a week, and now she’s furious at us for making her go there and hasn’t been much better since then. I feel like I never get anywhere with therapists because they just prescribe medicines that make me feel numb to any emotions or focus on my eating disorder so much that I never get to work through these other issues. I feel like my life is unraveling and it’s gotten so bad that, honestly, I don’t feel like I even want to fix it. My goal in telling you this is to figure out a way to help my mom and how to get through school while I’m dealing with this.

It may seem strange to hear this, for someone who suffers as much as you do from depression, anorexia, and the burdens of taking care of a very sick mother, but I think you’re doing an amazing job.

Yes, you’re chin-deep in shit, but you haven’t drowned, and that’s a remarkable accomplishment.

Your depression hasn’t made you hate people or blame them, and your anorexia hasn’t caused you to pretend you’re not sick, so you must have a solid hold on reality. There you are, with all your pain, finding the love to help your mother and the energy to go on with your studies. You’ve got good values and a big soul. WAIT! There is more to read… read on »

Upper Management

Posted by fxckfeelings on January 5, 2012

Whether you take pride in controlling your health with the latest developments in modern medicine, ancient holistic treatments, or the dictums of Xenu, you’re making the same basic mistake in thinking that you control your health. Depression is especially insidious, because there’s no amount of will power or even therapy that can make for a perfect solution. So gather techniques wherever you may using whatever works to deal with what ails you, just remember that the goal isn’t finding a cure, but the best methods to help you cope.
-Dr. Lastname

I have suffered from anxiety and depression much of my life. My most recent (and most devastating) bout was a couple of years ago, when I worked with a therapist and managed to heave myself out of it without the use of antidepressants (which I had been on in the past and want to learn to live without.) Now I find myself slipping back in. My biggest issue seems to be that I put too much stock in what others think of me or might think of me (I’m really good at fabricating things people might be saying about me.) I also had a baby last year, which has prevented me from pursuing my career fully, so when I hear of the successes of others (or see them on Facebook) I get very anxious and feel that the universe is unjust. I want to be a good mom, and I want to be good at my job, but I feel I am failing at both and resenting others who are great at either. I was made fun of a lot when I was a kid and I think I still carry some of this baggage around, like whatever decision I make is the wrong one because I’m basically a loser. How can I focus on myself and my own life without worrying about what everyone else is up to or what they may think about me?

While you already have a good idea of what to do about your negative thinking, you still need to protect yourself from two bad ideas that you express here. Unfortunately, those two ideas are also your “goals.”

First, disavow yourself of the notions that you should be able to stop depression without using medication and that you should find a way to be less, for lack of a better word, insecure. In doing so, you won’t be giving up—you’ll be giving yourself some relief. WAIT! There is more to read… read on »

OCD 101

Posted by fxckfeelings on December 29, 2011

Being thoughtful is good, but being thoughtful to the point of painful obsession is having OCD, with fearful thoughts that stick in your brain and won’t go away unless you do something sort-of-magical and sort-of-stupid that gives you a moment of relief (before your fears start again). The good news is that it happens to good people who learn how to manage and live with it, which can happen much more easily if you can abandon the worst obsession of all—finding a way to cure the OCD altogether.
-Dr. Lastname

Please Note: Monday is also a fxckfeelings.com holiday. Happy New Year (and again, if/when it’s unhappy, you know the drill).

I’m a current student and I’ve sort of self-diagnosed myself as having an unusual kind of OCD. It started out four years ago when I was studying for an upcoming major exam. I had always been one of the few top students, but at one point in time in the midst of hours of straight studying, I couldn’t absorb any more info, and in a fit of frustration, a ball of emotions welled up and I actually said harshly in my mind to myself, “you shall FAIL!”, even though I’ve always tried to avoid such negative thinking. What came next was an unshakable, unexplainable, and annoying-yet-scary series of feelings, thoughts and emotions for the next few days and weeks. After that episode, I developed an irrational apprehension about me having “ruined” myself and my academic ability. To get myself back to my normal, anxiety-free mind when studying or doing anything related to studies, I imagined “transferring” the whole chunk of this mental mess on other stuff, whether it is the faces of people who did badly in academics in my field, to those I don’t like, etc. Still, my mind would automatically be inclined to have these random obsessions appear in my mind while studying, and it’s really prevented me from fully unleashing my full academic ability in subsequent grades. I really felt restrained and trapped by this, and my goal is to eliminate this strong-rooted (it’s been 4 years) mental condition that happens whenever I study and then makes it almost impossible.

Some OCD thoughts are crippling but come out of nowhere, like fear of contamination or making a mistake. While they often lead to compulsive rituals, like repeated hand-washing and fact-checking, you manage to keep studying. So, while you’re suffering, you’re still lucky.

The fact that your obsessive fears are tied to school may make them easier to deal with, because, unlike germs, school (usually) doesn’t go on forever.

School is built on mental constructs that attract obsessions like lint to a dryer vent; it’s got grades, grade-points, and exams that hinge on a word or the instructor’s interpretation of same. It invites obsession and obsessive argument, which can be torture, but at least it has an end date. WAIT! There is more to read… read on »

The Kids Aren’t All Right

Posted by fxckfeelings on December 19, 2011

When grown kids need permanent parental support, it’s hard for those parents to feel like they’ve succeeded. Every parent worries that they’re not doing enough for their kids, but for those who have adult kids with problems, that worry is amplified by anxiety and guilt. They can take over management, however, by assessing their responsibilities rationally and keeping their worries in check. It’s not healthy to care for and protect your children too much, but the only parents that fail are the ones that don’t care enough.
-Dr. Lastname

Helping my daughter pay the rent on a bigger apartment seems to have lifted her out of her depression and she’s much more active at her job, but she’s still not making enough money and I’m running out of cash. If I tell her that she has to take a roommate, I’m afraid she’ll just crawl under the covers again and we’ll be back where we started. It shouldn’t be that hard for her to make enough money, but it is. I’m mad and I’m stuck. My goal is to get her to make more money and/or understand that I can’t keep supporting her like this.

While you may think you’re giving your daughter money out of love, you’re actually doing it out of fear. That’s trouble, because when you give money out of fear, you’re usually being mugged.

Fear makes you forget long-term risks, like what you’ll do after you run out of money and the consequences for you, her, and other people who depend on you. Your love is infinite, but your finances aren’t. WAIT! There is more to read… read on »

Guilted Cage

Posted by fxckfeelings on December 15, 2011

Feeling you’ve made a mistake is usually an instinctive reflex that has nothing to do with sober judgment and/or actual responsibility and a lot to do with guilt. You feel you’ve made a mistake when things turn out badly, or your efforts fail, or you’re still in pain, so you feel obliged to give yourself a good kick…which usually makes things worse. It’s not that we’re incapable of examining blame and responsibility rationally, it’s that self-flagellation gets rid of guilt faster than self-reflection keeps us from accepting a guilty verdict.
-Dr. Lastname

I have been struggling with performance anxiety for years. It was particularly difficult during university, where I saw three psychologists, including a campus counselor, who, while supportive, weren’t helpful. It got much better though when I was able to take control of a treatment group I was facilitating, where I could design the program and run it the way I wanted to. I enjoyed being the therapist who helps others, and the experience gave me confidence. Still, the anxiety has not been extinguished in all situations—when teaching and presenting at conferences, the anxiety in these two areas is just as high as it was previously. I have been managing this for a long time and I do not feel motivated to continue to place myself in situations where my anxiety is raised again so high that I experience nausea, stomach pains, dry mouth, etc., not to mention the exhaustion I feel after the anxious-provoking event has finished. I do have some mild/moderate social anxiety—I don’t like socializing in big groups unless I know the people, and this prevents me from making new social contacts and networking for my profession. I am well versed in exposure therapies and ACT and have used these to get me to the point I am at now, and I continue to use them. However, I don’t think my anxiety will ever improve beyond where it is now and I am too exhausted to continue to try. I guess I’m stuck and don’t know if I should try to find a specialist to help me to continue to force myself to network, push myself to present at conferences, and become an academic psychologist or move into working as a clinical psychologist in a private practice, where I would work more on my own and I would be happier and more relaxed but also know that I am avoiding the events that are anxiety-provoking.

Maybe being in the mental health business makes you feel more responsible for controlling symptoms of anxiety and becoming a role model for good mental health. It’s ironic, given that most people in our field are the worst role models for mental health. If we were totally sane, we’d just go into dermatology and rake it in.

If you are driven to perfection, it’s causing you to forget that certain symptoms, like anxiety, tend to be incurable, and that, if you’ve reached the point where you can’t make them better, it’s because you’ve done an amazing job of managing them and pushing yourself to the limit of what you can bear. WAIT! There is more to read… read on »

Priority Girls

Posted by fxckfeelings on December 12, 2011

Ideals often screw up priorities, because it’s much more attractive to go after something beautiful that you really, really want rather than take on whatever is do-able and necessary. It’s not a matter of killing your dreams, just being smart about them; the only antidote to faulty ideals is to exercise your common sense regularly, thinking about what’s likely to work, given your resources, rather than what you’d want the most in a fair, ideal world. You don’t need us to tell you that the world is not ideal, so beware reaching for the stars and falling on your face when the top shelf will do.
-Dr. Lastname

So I’m a 20-something girl who has been faced with a couple big problems in a short period of time, the first being that I am in my last semester of nursing school and I failed. This has been a very long hard stressful experience, and being faced with failure is devastating. I have to wait till September to try to get back into the program and that’s my last chance, so I’m having a hard time accepting that my very laid-out plan for my life is now in jeopardy. Also I am being faced with health issues, with myself and with my family, and finally, I have been in a mind-fuck of a relationship for three years with a person that shows me five different faces. I know all the ways he’s done me wrong but I cannot walk away because I have yet to conquer him, even tough I’m trying to accept the fact I cannot change him and need to stop being a doormat. In summary, I have obvious control issues, over-analyze everything, have anger that is uncontrollable if I don’t get what I want, and really need help to fix it.

Priorities are like dominos, and if you put the wrong one first, you lose your goals one by one. So, while this may look like a chaotic clusterfuck of issues, you probably already know that it’s actually a chain reaction caused by putting school behind this five-faced jerk.

After all, the main source of your strength is your desire to get stronger, pick up skills, and make a living, while the main source of weakness is, as usual for most people, your need for something/someone you can’t have.

Fortunately, you’re smart enough to recognize your effort to change your boyfriend is a compulsion that you just can’t stop, and you have the willpower and determination in your character to take on and pursue difficult goals.

Unfortunately, you’ve focused this strength on changing your boyfriend, thus throwing said smarts and willpower down the shitter. WAIT! There is more to read… read on »

Relative Silence

Posted by fxckfeelings on December 8, 2011

When people you love act like jerks, you can’t help feeling responsible for doing the impossible and setting things straight (if it was possible, you wouldn’t be writing me). So whether you’re driven by worry or guilt-trips, stop making yourself responsible for easing their pain. Use your own ideas about right, wrong, and actual impossibilities to protect yourself and others as much as you can, and go about your business with a clear conscience while they go about being impossible and clearing the room.
-Dr. Lastname

My brother is really an upbeat, cheerful, friendly guy, but he turns into a viper whenever someone tells him what to do, even when it’s sure to get him into lots of trouble, and afterwards he’s convinced he’s been calm and diplomatic. When he and his wife got divorced, he was so argumentative with the judge that he lost custody of his kid. When his boss asked him to do something stupid, my brother fired off emails to Human Resources declaring he was being unfairly attacked. The funny thing is, he doesn’t mind when I tell him he’s being stupid, and the next time something happens he’s sure he’s done better; but he hasn’t. He’s not nearly as difficult as he seems to be, so my goal is to keep him out of trouble.

God bless the antagonists, for they know not what bile they speak.

Whenever someone is particularly quick to resist being pushed, we assume there’s an emotional reason for his actions, and that understanding why will help him to control himself, or help us shut him up and make him more tolerable.

Truth is, we often can’t explain or control oppositional behavior, which suggests there’s a basic force of nature driving some people to be reflexively, unthinkingly oppositional. WAIT! There is more to read… read on »

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