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Goals, not wishes-- I'm a doctor, not a genie.

Monday, February 6, 2012

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 »

The Giving Fee

Posted by fxckfeelings on November 17, 2011

Just as there are diseases that can compromise the human immune system, there are factors that can compromise our emotional immune systems, as well. If you’ve been abused or take too much pleasure in giving, you’re more susceptible, not just to bad relationships, but to more psychic damage from those relationships. There are ways for the emo-immuno-compromised to protect themselves by strengthening their minds and learning to avoid the kind of people that could hurt them the most. Until they develop a mental prophylactic, adopting strict self-standards is the best way for anyone to stay safe.
-Dr. Lastname

I was sexually abused quite a bit by my dad (and am de-repressing memories right now, fun-fun). I am realizing that I am very fearful of the people I love, and avoid them. Honestly, if I didn’t need to bond to keep from going insane, I would never have a close relationship, because anyone I care about enough can destroy me. But I’m in a lot of pain from loneliness as it is.

Many people believe there are tons of benefits to confronting your past, namely that it will teach you something that will bring catharsis to your present. The common notion being that if you can figure out what went wrong then you can avoid being victimized again.

The problem here is that reviving memories of sexual abuse by your dad will also bring back the old feelings of helplessness and having no choice, which, of course, is the opposite of your situation as an adult, so the lessons are the opposite of useful to your life now.

You’re not examining the past to drown yourself in feelings of helplessness, but to assure yourself that you can protect yourself from abuse. WAIT! There is more to read… read on »

Irreconcilable Diseases

Posted by fxckfeelings on November 14, 2011

When you love someone who gets mentally ill and doesn’t recover, you may not only lose that part of their personality you loved the most, but also get stuck with a double dose of what you liked least. After all, it’s one thing to vow to be there in sickness and in health, but sickness and negativity and mania are usually more than most people bargain for. If your spouse’s mental illness makes your marriage unbearable, keep a lid on your negative feelings by respecting the burden life has put on both of you and refusing responsibility for putting things back the way they were. Once you can accept that sad reality, it’s time to figure out whether there’s room in your marriage for you, your spouse and the disease, or if your old vows no longer apply.
-Dr. Lastname

My wife suffers from non-medication responsive depression (we’ve done ECT’s, every med in the book, and she has a psychiatrist). She’s bitter and short to family; she goes off on the kids and then can turn around and be nice. I do all the work around the house, get the kids to activities, etc., and I’m wearing out. She comes home from work and just logs on her lap top and sits in front of the TV while I get dinner and clean up. She shows no affection towards me and I feel like a servant. When I complain or push her, she talks about killing herself and putting herself out of our misery (she’s been hospitalized several times) or just hurting herself (sometimes she cuts on her arms and legs). I’m getting to the point where I don’t like her anymore. She just seems to have given up. Nothing interests her, nothing tastes good…she gets no enjoyment from anything. What can I do? She’s in her forties, now, but she struggled with depression in her twenties and this current bout has been going on for 5 years. Her doctor and therapist are really committed to her, but it seems like she doesn’t care, like she enjoys being miserable. Sometimes I feel like I’m spiraling down with her, but I’m not going to give up. If I just stand by, she seems to just sink lower, but I can’t leave, because she’s said that the kids and I are the only reason she’s still alive.

If you’re like most married people, you become dependent on your spouse for a positive response, no matter how independent you are as an individual. You married her because you respect her opinion and take pleasure in her approval. You make her happy, everyone feels good. You see the problem here.

So it’s normal to feel bitterly disappointed and deflated when depression turns her into a grouchy, nasty, unappreciative, unaffectionate black hole who threatens suicide if you criticize her and never does her share.

It’s not just the lack of approval from her that’s bothering you, it’s the overabundance of disapproval, of you and everything else. WAIT! There is more to read… read on »

Value Pack

Posted by fxckfeelings on September 26, 2011

When someone behaves badly and doesn’t see it, it may be because they’re driven by values that can’t be contradicted, not by you, other priorities, or other values. It may also be because they don’t have any values other than their immediate needs, but either way, you’re looking at a hell of a relationship hurdle. In any case, don’t assume that agreement in principle is necessary for someone to change bad behavior. Sometimes it’s enough that you believe it’s bad and insist on change, very clearly, as a condition for continuing your relationship. Other times, they won’t budge, and as much as you value their company, your values have to come first.
-Dr. Lastname

My girlfriend is a good person, and we get along well, except when her ex-husband and spoiled son come into the picture. She’s the bread-winner, so her ex is always sending her bills for extra expenses and he messes with the visitation schedule whenever he wishes (their son lives with him because she’s often traveling on business). What seems to get to my girlfriend is when her ex shows signs of having a new live-in partner, and he’s nastier with her when he thinks I’m around. With her son, my girlfriend’s biggest fear is that he’ll get mad and not want to visit, so she gives him whatever he asks for. The whole situation creeps me out and puts me on the periphery. When I push her to set limits, she reacts as if I’m burdening her with one more demand. My goal is to make our relationship work.

The most devotedly pleasing girl in the world isn’t going to do you much good if she can’t carve out enough space and time for your relationship. After all, her devotion and drive to please have a waiting list.

If there’s a problem, as there is here, it’s often not a measure of how much she loves you, but of how well she can respond to other demands in her life. Without priorities or limits, she’s not going to please anyone. WAIT! There is more to read… read on »

The Help

Posted by fxckfeelings on September 15, 2011

As diseases go, mental illness is a doozy to treat; some mentally ill people are too humiliated to ask for help, and others are too crazy to ask. If you want to help them (or yourself), keep in mind that it’s the illness, stupid, which distorts the attitude towards treatment. Use the same logic and moral values for mental health treatment decisions that you would use for other illnesses; there’s nothing humiliating about getting sick, no matter what a sick brain decides.
-Dr. Lastname

I have been wrestling with depression for years now and my maternal side of the family has a history of depression and suicide. I don’t feel that I can do this on my own anymore and need help. I don’t want to just take a medical cocktail of antidepressants. My question to you is how do I go about finding a therapist and/or doctor that will be most helpful to me.

The first step for getting treatment for your depression seems simple– don’t get depressed about treatment for depression. After all, depression’s just another form of pain unless it twists your thoughts into thinking that not getting rid of it is a kind of failure that marks a meaningless life.

As long as you realize depression is a persistent ailment, just like persistent back pain or diabetes, you’ll have an easy time making treatment decisions because you won’t regard using treatment as evidence of weakness. WAIT! There is more to read… read on »

The Self-Blame Game

Posted by fxckfeelings on September 12, 2011

When it comes to the doorway of self-respect, some people are doormats while others are battering rams. The key (pun intended) to respecting yourself is being sensible about assigning blame; not everything is your fault, not every person can be helped, and no insult is worth taking to heart. So instead of allowing yourself to be stepped on or administer punishment, judge yourself fairly and stand firm.
-Dr. Lastname

My best friend and I got together after 9 years of friendship. A couple of years before we got together, I was with a guy that my best friend absolutely hates and also works quite closely with. My friend and I love each other immensely, but after only six months it was all over and done with; his trust and jealousy issues got the better of him in our relationship even though there was no basis for it, and he called it off as he knows that won’t change about himself. While he loves me, he wants us to be in each other’s lives forever so broke it off. I thought it was something we could work on so never really gave up hope that he would return. We finally had a proper talk about all of it, however, and now I get that he is never coming back to me, but I still don’t know how to reconcile that. How can he give up on himself and his chance of love, and how do I stop beating myself up over the guilt I feel for being with that previous guy, when all that goes through my head is that had I not done that, we could still be together? I feel like I ruined what could have been the best thing in my life and don’t really know how to move on, especially when all I want is for him to have a main role in my life. How do I separate my friendship and feelings? How do I stop hating myself for what I’ve done?

Many people hate themselves whenever something goes wrong, picking apart everything they might have done different, from bringing an umbrella to not swinging on a pitch that was down in the dirt.

As long as you don’t think too hard, there’s no difference between could have and should have, leaving you with heaps of regret (along with ruined shoes and/or play-off chances). WAIT! There is more to read… read on »

Moving On, Up

Posted by fxckfeelings on September 8, 2011

Getting over a relationship can mean a lot of things—a bad haircut, eating entire pints of ice cream, sex with people you wouldn’t normally make eye contact with, etc.—but what’s most important isn’t how you get over it, but what you get out of it. If you come out the other side with bad feelings but great insight, you’re feeling worse but doing way better than the person who feels great but lacks perspective altogether. Those who don’t learn from relationships are doomed to repeat them, no matter how many bad haircuts it takes.
-Dr. Lastname

I can’t seem to recover from my wife’s infidelity. Six months ago, when I found out, it nearly destroyed me. I stopped sleeping, and started eating compulsively, and felt depressed and anxious all day. I have a demanding job and we have a 2-year-old son and I simply had to keep going. Now, after months of couples therapy and my wife’s promising to stop drinking and then starting up again, I’ve gotten strangely detached. I don’t think our marriage is going to make it and, on some level, I don’t care. I can’t lose the 20 pounds I gained, I don’t exercise the way I used to, and I can’t seem to get my confidence or happiness back. What more should I be doing?

I want to take this opportunity to congratulate you, not for losing a horrible spouse (that seems both insensitive and obvious), but for becoming a fat, lazy mope. Most people consider “letting themselves go” to be a bad thing, but in this instance, it’s a positive side-effect of recovery at work.

After all, the best measurement of how well you’ve recovered from trauma is not how good you feel. This Sunday marks a rather grim anniversary for many Americans, and after 10 years, some of those people still hurt, and some of those in pain are also in shape. Trauma doesn’t factor into it. WAIT! There is more to read… read on »

Cancer Answers

Posted by fxckfeelings on July 21, 2011

Talking to a partner about their cancer often leads people to become nervous and tentative. They may feel guilty for being the healthy party, or afraid to say the wrong thing and trigger painful feelings, and it’s that sort of distance that can lead to cancer of the relationship. If your partner has cancer, don’t freeze up; respect your usual shared goals, values, and reasons for making decisions, and treat him or her as your respected friend and not a cancer victim. Take the disease in stride, or the disease will take much, much more.
-Dr. Lastname

My boyfriend went through hell from chemotherapy, but I don’t know what to do with his depression and irritability. We’d been dating about a year and planning to get married when he found out he had a nasty kind of cancer and, since then, he’s been brave about chemo and going on with his life, which has meant working when he’s feeling OK, and our moving in together and being partners. Usually, we get along well, but lately he’s been depressed and telling me he knows he’s a burden, he can’t get much done, and he just wants to be alone. I want him to get help for his depression and stop the negative thinking but I don’t want to attack him or make him feel I don’t respect the fact that he has cancer.

One of the things you always hear from people in pain is that you, the lucky one, “just don’t understand.” It’s the rallying cry of the suffering, whether they’re coping with cancer, or just being between the ages of 10 and 18.

What sick people often fail to realize, at least at first, is that people who aren’t in their position understand things that they can’t; after all, you might have the good luck not know what it’s like to have cancer, but you know what your boyfriend’s like when he’s not depressed, and you know this isn’t it. WAIT! There is more to read… read on »

No Good Need Goes Unpunished

Posted by fxckfeelings on July 18, 2011

People who need people aren’t necessarily the luckiest people in the world (although therapists can count themselves lucky for the business they provide). Just because you need someone or something s/he represents doesn’t mean you wish them well or have the chemistry to be good friends, especially if you’ve latched onto a jerk. Sure, crushes can sometimes be satisfied, but only if you get very good at keeping them from controlling you or influencing the way you make decisions about the important people in your life. After all, one isn’t the loneliest number, and it doesn’t always take two, so sometimes people who think they need people are perfectly fine all alone.
-Dr. Lastname

I have been in therapy for 8 years, sometimes weekly, sometimes monthly or less, depending on life events and finances. My goal has always been to find some peace or grace in being me. I told this psychiatrist the first time I met with her that I “pattern like a duck,” meaning that I form strong and sometimes obsessive attachments. My attachment to her started that day and, this many years later, is still fierce and often painful. She is appropriately nonjudgmental and vacillates between thinking that the work for us is in this attachment and suspecting it’s a form of resistance. I can’t seem to focus on anything else for more than a couple sessions. I have read (obsessively) about attachments in therapy..,either to luxuriate in my own, or to get some understanding of what it is that has a hold of me and what it would take to get past it. Am I supposed to “work through it”? What does that look like? Am I supposed to ignore it? The only positive thing about this unspecified longing for her is that I have attached less to other “marks” during this time. Otherwise, I feel stuck. I think about just leaving therapy to get some distance from her and this dynamic, but I would rather just get over it. HELP (and thank you).

If you approach therapy with the goal of finding “some peace or grace in being me,” you’re in for a long, dependent journey with your therapist, mainly because, with a goal as loose as that, your journey has no real end.

This is the point, of course, where we say your goal is actually a wish, an ambiguous feeling not necessarily connected with your priorities or values. It’s a nice notion, but it’s not necessarily something you can control, and not something tangible enough for your therapist–or this therapist—to help you figure out. WAIT! There is more to read… read on »

The Powerless Principle

Posted by fxckfeelings on July 7, 2011

Obviously, emotions are a powerful motivator, but they aren’t responsible for bad decisions—they just provide the fuel that your stupid idea needs to take flight. Ultimately, love can only make you a fool, and fear can only stymie you, if you allow them to. Don’t try to figure out why you’ve lost control, just admit you can and need to get it back. Stay dedicated to the idea that control is possible, if you’re prepared to take a position and stick with it before you crash and burn.
-Dr. Lastname

I struggle not to fall for any man who isn’t already involved with a woman. Dating, engaged, married, I don’t care, so long as they’ve got someone who’s done the groundwork and has given them the tick of approval. I’m refusing to buy into the fact that there are no eligible men left in my city, but I need to know why it is I’m so sadistically falling for men I just can’t have.

The idea that we are all powerless to control love isn’t so much a romantic notion as it is an excuse. Obviously, we’re not all powerless to control hate, because the body count would be unreal (although it would make the competition on most reality shows more interesting).

In other words, just because you fall for someone doesn’t mean you should select them, or that falling needs to precede the selection process. You have control over your emotions, not vice versa.

WAIT! There is more to read… read on »

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