I am a divorced 26-year-old (I have been divorced for almost 5 years). My marriage was a toxic abusive relationship. Regardless of that, I feel “happy,” I have realistic career goals, a loving family and boyfriend. Everything adds up, but I feel as though my happiness is a mirage. I’m happy with everything and everyone but myself. I just never add up to what I feel I should be or can be, especially when it comes to the number on my bathroom scale. I feel as though I will never be thin enough. I know it is unnatural to feel this way, being that I’m thin for my height, but I worry I am spinning on the edge most days looking at nutrition labels and focusing on the number of the day. How can I over come this mind game? Why did it bloom so late after my divorce? Is it even from my divorce or was this monster seeded a long time ago?

Most people aren’t happy with the way they look or how much they weigh, and all people spend at least a little time each day being unhappy, but many still manage to live normal, albeit slight chubby/grumpy lives.

As to the source of your insecurities, your guess is as good as mine and the many other scientists, clinicians, and desperate-for-a-topic writers who explain this phenomenon. It could be your ex, or it could reading too much Cosmo.

These experts assume, for the most part, that you wouldn’t be so self-critical if you didn’t listen to magazines, celebrities, or your critical-yet-well-meaning grandmother, and just believed in your self. They tell you that self-esteem will conquer all. Of course, they’re wrong.

There’s lots of evidence that self-hating body thoughts can happen to people with perfectly good self-esteem, nice families, and normal bodies. Instead of obsessing about why you feel this way the same way you obsess over calorie counts, stop and ask yourself, first, whether these thoughts are doing you much harm.

I know they’re causing you pain, but ask yourself whether they’re affecting your health or relationships. Right or wrong, you can think you need to lose a few without hiding major parts of your personalities and or being a bad friend or parent.

If you think your body-hate isn’t doing too much harm, try ignoring it. Certain kinds of psychotherapy may help, but watch out if you find yourself becoming more self-obsessed and blaming yourself for not getting better. The mark of good psychotherapy, like good coaching, is that it gives you ideas and motivation for managing a problem without increasing your expectations of control.

If body-hate is hurting your health or relationships—if you purge, have become anemic, or acquired any number of the dire symptoms that come with an eating disorder—assemble a treatment team, including a primary care physician, a psychiatrist and dietitian, and don’t hesitate to put yourself into an around-the-clock “eat-your-food” camp if it’s necessary. It can save your life.

In any case, don’t pin your hopes and self-esteem on self-control, or self-hating thoughts will just get worse. If you make it your job to keep trying and regard the illness as you would the weather, it can’t touch your sense of who you are.

You need never see yourself as a food nut or anorectic; you’re simply a person with eating issues, which puts you in the same camp as 90% of the population. You might feel like shit, but you are truly not alone.

STATEMENT:
“There’s nothing wrong with my values or approach to life, and I’ve managed to build a good life, except for one problem. I have an obsession about food and weight that sometimes drives me crazy. I don’t know that I can stop it, but I will always do whatever is necessary to keep it from ruining my health and relationships.”

I feel horrible about this, but ever since my husband gained weight, I find myself feeling much less attracted to him. Neither one of us has ever been super-models, but after 10 years of marriage, I’ve managed to keep my weight from getting out of control and he hasn’t. I tell him he should eat less because of his health, and he makes a half-assed effort, but the truth is, I also just hate his body like this. I’d never tell him that though because he’d be heartbroken and I’d feel like such a jerk. I’d never leave him over this (we have a family), but not having sex is putting a strain on our relationship, which makes being together so much harder. How can I want to be with him if he keeps letting himself go?

The fact that we spend billions of dollars improving and preserving our sexual attractiveness should be a clear indicator that we have absolutely no control over it.

Specifically, we don’t control what aging does to our bodies or how we respond to those changes, in ourselves and others. That’s probably one of the best reasons for not making a big deal out of it; the more we try to control it, the more it tortures us when we can’t.

Many think over-eating should be more controllable than aging, but to those people I say, try keeping your weight down while making a living, raising a family, and living in the golden age of Oreo Cakesters.

Even if you achieve your ideal body weight, you know how easily stress, sorrow and even inattention can open the door on your bad old habits. As Bush II discovered, there’s nothing more demoralising than declaring victory when you’ve temporarily got the upper hand on a problem that is never going to go away.

Even if weight control is easy for you, you know that it’s not easy for most people, like your husband, regardless of how much they worry about it. Worrying makes us hungry, as does reading about one more diet that does no better than old diets if you measure progress after a year or two. So, as much as you miss the old sexual attraction and worry about your husband’s health, don’t get obsessed with the “would-have, should have” of weight control. Blaming him isn’t fair, and will make the problem much more personal.

We’ve had lots of laughs at the expense of those idiot Victorians who advised women who didn’t like sex to “lie back and do it for England.” Sadly, it seems like there was great wisdom in that advice, particularly when you care about your partner and you’ve run out of other options.

First, though, don’t let guilt over your own negative sexual response—or anger at his “letting himself go”—prevent you from exploring those other options. Your husband probably wants to lose weight, if for no other reason than to improve his health. With his agreement, explore all the ways you can create “structure”—incentives and habits— in your daily home routine that will encourage exercise and caloric restraint.

Without letting yourself become a calorie Nazi, (which, for most of us, would be a worse sex-killer than growing a lady-beard), see if you can shape your menu, pantry contents, and exercise schedule.

If nothing works, fall back on your marriage vows. The reason you make vows is not because you’re fickle and likely to change your mind about your partner, but because life is hard and will eventually take the things that are fun now and make them difficult. You can try to help him lose weight (and help yourself), but if that doesn’t work, you need to help your marriage.

The test of a good marriage is not whether it’s fun, but whether two people continue to like and respect one another when it’s not. Through sickness and health, slim and flabby.

STATEMENT:
“It hurts to have a sexually repulsive husband, particularly after I’ve tried to help him slim down, but the purpose of our partnership was always to create a family and look out for one another, and was never about being young and sexually attractive forever, so I respect myself for putting up with this loss for the sake of a marriage that I value.”

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.”

I love how open-hearted and caring my girlfriend is, but I wish she’d be a little bit more selective with who she cares for. Specifically, she’s still in close contact with her ex-boyfriend, his friends, and even his family. I know she’s not interested in him anymore—he has a wife—but they have a large enough presence in her life that I’m jealous, just, well, creeped out. For example, this past winter we had to go to her ex’s parents’ anniversary dinner, which was limited to close family and us. What were we doing there besides feeling awkward (or really, was that just me)? I love this woman and want to marry her, but I don’t want to inherit her ex and his clan as in-laws. My goal is to get her to put up some fences in her personal life.

Remember Dr. Lastname’s first theory of relationships: your partner is who s/he is, and you are who you are. Then add up the pros and cons of partnership while not letting false hopes elbow reality aside.

Plug your situation into that model, and you get your goal. Don’t try to get your socially over-connected girlfriend to put up fences. Instead, figure out whether her style is likely to work for you.

Social butterflies are often very interesting people. Friendship is their art, and it can be fun being married to one. You meet lots of people who would otherwise have never entered your life, get lots of interesting invitations, and actually expand your circle of friends.

Decide from the beginning, however, whether you like most of the people and social adventures that she connects with, or not. Of course, you also need to know whether your girlfriend keeps her priorities, and boyfriends, straight.

Unless you’re Virginia Woolf’s remarkably tolerant husband, Leonard, you don’t want her sleeping around. So check out her track record for commitment, availability, financial responsibility, and the rest of the basic partnership job description.

Also, check out your own track record for sharing your significant other with the world. Regardless of how fascinating she is and how easy-going you’d like to be, you may not be good at sharing. Don’t fall for her and then try to change her, especially since she’s going to be spending her time trying to change you.

Don’t be distracted by the social thing, love, jealousy, or any of that feelings slurry. If her references don’t check out with your basic job description for a partner, drop her or you’ll be sorry. This isn’t emotional, this is math. Even if the facts are crunched in your favor, be prepared to share, or move on.

STATEMENT:
Assuming that she meets your partnership criteria and that you like most of her friends and exes, and their exes, etc, here’s a statement to help you address your joint social priorities. “I need to know that you’re committed to our spending time alone and with my (much smaller) social and family circle, and that parenting comes first, if we decide to have kids. I retain the right to opt out of some social events. Otherwise, I enjoy your style and look forward to sharing in your rich social life.”

I love my wife, and I have since we met in college. She’s also been very devoted to me, supporting my fledgling career as an artist and even taking a part-time job as my manager (on top of her full-time job, which supports us both). The problem is that, as much as I love her and as much as I’ve tried to ignore my feelings for other men, I’m pretty sure I’m actually gay. To admit that I’m gay would mean divorcing her, which would not only break her heart when all she’s ever done is sacrifice everything for me, but throw every aspect of my life, personally and professionally, into chaos. I don’t want to hurt her or lose her, and, well, I don’t want to go on welfare. My goal is to be true to both of us.

When you identify as gay, it’s not clear whether you mean the identity, or the actual sex act. “I’ve got to be myself” means, yes, you’ve got to be who you are, but no, you don’t have to have sex, unless you want to.

In other words, if having sex is not more important to you than holding onto a relationship that is otherwise meaningful and important, you don’t have to do it. It’s really that simple. You can be gay, and proud, and also proud of not having sex except when you want to, and not hurting someone you care about.

Now that you know you can control your sexual urges, you’re ready to be a priest, or a not-so-young husband (or wife) whose partner can’t respond. It’s part of being a grown-up. One of the extremely un-fun parts, but a part nonetheless.

If you stick with your wife because she’s a good provider, supporter, and business manager, your relationship sounds somewhat one-way, and that’s not good for either one of you.

You need to love as well as be loved, and know that you can love. Otherwise, your secret identify will not be that you’re gay, but that you’re a user. There’s a reason users don’t get pride parades.

On the other hand, if your wife and you are good friends and have built a life together with shared family and invested energy that would be destroyed by breaking up, then you’ve got to ask yourself whether gay love, sex, lifestyle, etc., are worth more.

Putting sex aside, ask yourself how much of you you’re hiding by hiding this part of your identity from your wife. Most coupled people need to self-edit—not hide, just edit—even with their closest relationships (particularly with their closest relationships).

You don’t want to push your partner to hear and respond to what they don’t really want to deal with. On the other hand, if being gay is part of your everyday thoughts, feelings, and humor, then hiding it makes your relationship false, and does a disservice to her as well as keeping you from being who you really are.

In which case, you need to share your secret identity (without, hopefully, the complications of sexual infidelity) and see whether she can accept you while you try to figure out whether the new relationship will work.

You’ll be gay in theory, just not in practice, which’ll have to be enough if you also want to stay married.

STATEMENT:
If you happen to choose this option, here’s a statement. “I think I’m gay and need to be more open about that side of my personality. No, I don’t think I need to have gay sex or a gay lover, at least not yet. What I do need is to be more open about my real thoughts and feelings. I don’t fault myself for not having told you earlier, because I didn’t know myself. Meanwhile, if you’re willing, I’d like us to continue as partners and see if this can work.”

Do you think sex addiction is a real disease that needs therapy, or is it a way to make a big deal out of nothing that helps cheaters and the people they cheat on feel better while people in your business get paid? I love my wife—we’ve been together for almost 20 years—but I don’t think anyone would say I have an disease because I grab a little extra action if the opportunity comes along. I don’t think she knows I’m not faithful, it doesn’t happen that often, and I don’t think it hurts our marriage at all. It’s not like I have a steady mistress; I just end up going home with women I meet when I’m traveling sometimes, because it’s nice to feel young and like I haven’t lost it, whatever it is. As far as I can tell, everyone wins, because I feel better and my wife is less annoyed by my constant begging for sex. So my goal is to figure out if the way I live my life, which seems to be A-OK, is actually reason to go into rehab.

To rehab, or not to rehab. That is the question.

You’re raising the timeless question, and obviously, we’re not going to tell you to let your feelings be your guide, or, for that matter, your daddy, your minister, your rehab counselor, or your parakeet, Ray.

As to the validity of sex addiction, it either doesn’t matter, or it depends on your definition of illness. I define illness as something wrong with your body that’s personal, important, and out-of-control, and it doesn’t matter whether it’s cellular or behavioral, neurological or psychiatric. Or kinky.

Some people have lots of guilty feelings over nothing, others have no guilty feelings ever, and others are swayed by whomever they spoke to (or whatever website they read) last.

In reality, you can figure out the answer to the rehab riddle yourself if you’re willing to push aside false hope and wishful thinking, as well as unreasonable guilt.

Wishful thinking is believing there’s no risk of anyone’s getting hurt because, so far, no one has been hurt; that’s what it means to think with the little head. Unreasonable guilt is feeling so bad about having sinned that the only way of getting relief is to do it again.

That said, let’s look realistically at the risks and benefits of a sexual adventure. The benefit is a good (or even great) feeling, but the risk is that, despite your efforts to be discrete, your cover may get hit by an STD, a partner’s passionate clinginess or nastiness, or some other accident. You’re the one who knows best what happens after the great reveal in terms of your wife’s feeling hurt and/or deciding to end your partnership.

Whatever happens, it will involve lots of pain for you and your wife (and your kids if you have them), and lots of business for yours truly, never mind realtors, lawyers, jewelers, you name it.

For most people, that kind of marital apocalypse is an emotional and financial catastrophe. On the country music timeline, begin with “My Cheating Heart” and wind up “Sleeping Single in a Double Bed.”

You may think you’re in the clear if your partner subscribes to an “open marriage” and tells you she doesn’t believe in jealousy. Again, if that’s what you’d like to hear, don’t trust your ears until you ask yourself what she’s really likely to do, given all you know about her and her past relationships.

Remember, you’re not asking for permission from your mama; you’re the papa and a grown-ass man whose job is to figure out how things will really work out for the entire family.

So don’t wait until you’re scared by the evening news or local preacher or shrink to find whether or not to rehab. Look at the risks realistically and then do what you think is right.

If you decide to stop and can’t, then look for whatever help is simplest, cheapest, and most available and move on to costly treatments only if you absolutely have to. Remember, as much as you’d like to think that the costliest intervention—a month at Betty Ford—is more likely to give you the strongest, most permanent, temptation-resistant self-control, it’s not so.

If your sexual behavior is out-of-control and can do serious damage, and there’s a treatment that might work, then it’s worth a try. Start cheap, however, before you plunk down a college-tuition’s worth, and remember that treatment may not work. Or you can keep going, and pay the equivalent of my entire Harvard bill during your divorce.

Either way, the decision is ultimately yours, and hopefully things will work out better for you than they did for rehab Hamlet.

STATEMENT:
Write up a risk-reminder before the next time you leave town. “There’s nothing wrong with the pleasure of being attractive but there’s lots wrong with what can happen next. If I think the risks of causing harm are too great, I’ll do my best to avoid temptation. I may feel like a nervous wimp who’s afraid of what other people think. In reality, I’m doing what’s necessary to manage my life and do what’s right.”

When I was a teenager, I used to shoplift a lot, and I stopped, like a lot of kids, when I turned 18 and could get into real trouble with the law. That was a long time ago, and while I haven’t stolen anything from a store with a price tag on it since then, I do, and I’m not proud of this, grab any freebies I can get my hands on. For example, everything from the sugar packets to the toilet paper in my house is taken from local coffee shops. I want to stop doing it, because I’m really ashamed of the habit and I know it’s stupid, but I honestly feel like I can’t help myself. My goal is to stop taking things, whether or not they’re free.

Any behavior that doesn’t measure up to your standards of control will make you feel bad, but if control-of-everything was important, then those iron-willed guys who like to see how long they can hold their fingers in a flame (you notice they never hazard other body parts) or tolerate vigorous self-lashing would be the most virtuous, instead of the most insane.

Your goal then isn’t to feel in control (or put any vulnerable body parts at risk); it’s to have enough control over the controllable things that really matter.

You can judge the importance of any behavioral control problem by asking yourself how much harm the problem is likely to cause and how hard it is to control.

Don’t question whether it’s an addiction or not, or, at least, don’t do it more than once. Questions about whether or not you need withdrawal symptoms to define something as an addiction, or what the difference is between addictive and obsessive behaviors, help you dodge the tough question you don’t want to face, namely, how you’re going to deal with it.

Instead of debating the nature of addiction, ask yourself whether you have bigger behavior problems that are harder to notice, like, say, not doing enough with your life. Often a weakness for petty thievery is a sign that you don’t have other goals that are more important.

So add up the risk assessment of your out-of-control behavior. No, you’re not likely to get arrested, but you’re not going to like yourself for the fact that whoever sits down on the can after you’re finished, both with the toilet and taking the TP, is in for a nasty surprise. You need to ask yourself whether you’ve got better things to do with your time and, if not, what are you going to do about it.

Don’t ask yourself whether this sin will prevent you from getting into heaven, or even whether it will cause you embarrassment. Instead, imagine that your time is running out, and then wonder whether you’ve taken on enough meaningful tasks in life, like making a living and caring for others, to make you proud, with or without an iron-will.

STATEMENT:
Keep your smaller guilts from interfering with your bigger concerns. “I don’t always like my behavior or control it as well as I should, but I do my best with the bigger, harder responsibilities of life and that’s the source of my pride.”

My girlfriend and I work together, so, in the interest of not causing too much of a stir, we’re keeping our relationship quiet. I’m OK with that, at least in terms of our jobs, but she also hasn’t told her ex-husband about me yet, after a year of our being together, and keeping our relationship a secret for his sake is not something I’m OK with. She’s not afraid of hurting him—he’s remarried—but of unleashing his wrath, because he’s a bully who revels in punishing her whenever she makes any progress towards moving on in her life. They have a son together, and she’s afraid that, if her ex finds out about us, he’ll go on a rampage to get full custody. He’s very emotional and can easily afford a good lawyer and so far he’s always been able to get the court’s sympathy. It’s not like I want to parade our relationship around in everyone’s faces, but there’s only so much secrecy that I can stand and I feel it puts a limit on our future and makes it impossible for her to make decisions or be held accountable for them. My goal is to get my girlfriend to stand up to her ex so I can know where I stand and we can build a life together.

One of the worst and often unexpected obstacles that get in the way of this kind of second partnership is the other person’s boundaries, or lack of them, with her/his first family. Negotiating those boundaries can make check-points in warzones seem like a breeze.

You start out respecting her unselfishness and love for her son, and feel a need to protect her from bullying and unfair treatment, so you put up with the secrets. Eventually, however, you discover that, if she can’t stand up to her former husband’s bullying, you’re always playing second fiddle to her fear of rocking the SS Ex-Monster.

Then you end up mad at her, which makes her feel that she’s now being attacked on two fronts and can’t manage all the demands, which makes her more fearful and standoffish. Long story short, the goal of getting her to stand up to her ex- will probably backfire, particularly if you make it a personal issue of how much she loves you.

A better goal is to see if she can firm up her boundaries for her own sake. People like her are usually anxious and overly responsible and tend to believe, reflexively, that it’s their fault when things go bad and someone’s hurting.

By commenting on events as they happen, you may be able to show her that there are occasions when she has more to gain and will do more good in the long run by saying no, even if she tends to feel, or is made to feel, guilty for her actions.

For example, if her ex tells her she’s got to take her son at the last minute, even if that means cancelling your vacation plans, remind her that it’s more important for her to get court support for regular, reliable visitation than to protect her son’s current feelings, even if that means giving her ex-husband a chance to screw up and herself a chance to take a break.

Don’t complain about the way her wussiness ruins your good times, although you certainly have a right to feel that way. Complaints will make her feel that the issue is one of pleasure vs. sacrifice and thus make her guiltier. Instead, resist the urge to whine and stick to your idea of what will work best for everyone in the long run.

If she ultimately can’t develop her own sense of what’s right and stick with it and your boundaries, then you can’t supply her with internal security. and she’ll always be over-reacting to the latest terrorist threat, like certain countries we know. At least next time you’ll check out the border guards before deciding on partnership.

STATEMENT:
Here’s a statement to keep your conversation with her positive and useful. “We both want a life together and believe our partnership can ultimately benefit your relationship with your son. So the question isn’t whether you love me enough to face down your ex, or whether you do things his way, your way, or my way; it’s whether you can be sufficiently assertive with your ex when you believe it’s necessary and show him that pressure won’t get you to back down. If you can do that, you’ll be a more effective mother and have more opportunity to build a life with me. If not, you may find that fear reduces what little power you have and makes it hard for our relationship to go forward.”

I lost my job a year ago, so my wife’s mother offered to help us out and rent us a small apartment above her garage at a good price. The job I’ve landed since doesn’t pay nearly as well as my last one, so my wife and I (and our baby) are still stuck in that apartment, even though her mom has both jacked up the rent and completely and repeatedly ignored our pleas for a little autonomy and privacy. (She says the economy hit her harder than expected and she needs for us to help her out and not put pressure on her.) Not only does she drop by whenever, uninvited (to give unsolicited parenting advice, of course), but so does her sister who lives nearby, drinks too much and often asks for money. My wife and I both hate living there, and we have enough money to move out, but I know we’re going to get accused of being ungrateful and unhelpful when we tell her and it will tie my wife in knots. My goal is to get us out of here without stirring up her family and getting my wife upset.

Moving out of your mother-in-law’s place is bound to stir up your wife’s family because that’s the way they are, so don’t make yourself or your wife responsible for avoiding that pain, theirs or yours. It’s as inevitable as an in-law proving to be annoying.

Yes, it will probably be painful, particularly for your wife, but the alternative is worse, so you need to make your best decision, do what you gotta do, and not take responsibility for everyone’s happiness.

You must be doing something right because you and your wife are suffering together, on the same side. If she couldn’t get herself to leave or if you got too mad at her or her mother, that wouldn’t be the case. So you’re doing a good job of keeping the anger under control and your wife of accepting the necessity of moving on.

The bad news is that, with a family like this, there’s no avoiding pain and, if you and your wife are nice-guy, good-kid types, it will feel like guilt. The good news, however, is that you’ve done nothing wrong and much right, so the guilt is just an annoying feeling, nothing more.

Don’t look at the next step with your mother-in-law as an unavoidable, painful confrontation (though that’s probably what it will be). Instead, see it as an opportunity to work on your guilt-trip defenses. That’s seeing the glass as half-full (at least until the boozing aunt shows up).

And if your wife is worried about failing to shore up her mother’s finances, remind her that supporting her the way you’ve been doing is not really going to solve her money problems. Meanwhile, it’s causing more problems, including poverty and emotional distress for your kid.

Urge your wife to ignore her mother’s neediness and think of what will work best in the long run. Then prepare to face the inevitable.

STATEMENT:
Respond to the worst-case accusation you can think of without getting negative or defensive (imagine your mother-in-law’s throwing a “because of your selfishness I’ll lose the house and you’re forgetting how much I helped you when I was able” guilt trip). “We’re happy to have had a good year together and are grateful for all that you’ve done. We’ve given a lot of thought to the reasons for staying, including helping you keep the house, but we don’t think that’s going to work in the long run, so it’s better for us to move on and for you to talk to your financial advisor and come up with another approach. But we’re glad that we all gave it a try.”

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.

So cops, judges and social workers often can’t figure out who is telling the truth for a long time. Meanwhile, they often make mistakes and put restrictions on kids and families that hurt everyone and cost more money than the family can afford. It’s a sad fact of life, but they’re trying to do the right thing.

The system usually works to try and protect the weakest party, and when you’re aggressive, even if you’re just aggressively trying to get people to see the truth, you make sickos look that much more weak and innocent. It’s unfair, but pushing hard to express the truth will often push it underground.

So Dr. Lastname’s advice for kids is the same as for adults: don’t think that expressing your emotions sincerely and eloquently will solve the problem. If your father is sincere and has a good lawyer, he’ll persuade the judge that you have, possibly, been brainwashed by your mom, and they’ll treat you like a poor, emotional kid who deserves pity but doesn’t really know his own mind. Then everyone will spend lots of time visiting shrinks. Thanks for the business, but no thanks for the bullshit.

First things first, give up on the goal of convincing others, and try instead to make positive sense of this experience and prepare a statement that you could, if necessary, read to your father.

The less anger and fear you put in your statement, the more it will help others get at the truth. I’m not saying you shouldn’t have negative feelings—of course, they are what they are—but the goal of your statement is to keep out the negative feelings without in any way holding back on the facts of what really happened.

You might not make his sickness go away or get people to see the truth, but being clear, honest, and emotionless is the best protection against the boogeyman.

STATEMENT:
Here’s an example. “I think it’s a bad idea for us to spend time together. I know you care about me and want to see me, but I think you forget about the bad things that happen when you get upset and lose your temper. You forget about (put in details, including bruises and dates). I don’t want to hurt you and I want you to be happy but I don’t think we should spend time together until I’m old enough to protect myself from your temper. Sincerely.

I’d like to get help for my wife’s younger sister because she drives the family crazy. Simply put, she’s a lying drug-addict, and my wife’s parents are always trying to help her in a way that ruins things for the rest of us—they give her money, pressure my wife and me to accept her at family events, and then make us feel guilty if we don’t want to see her. She’s totally poisonous as she is, but I know she can’t help herself, and I’d like to get her real help, not just hand-outs and pretending everything’s OK, so we don’t have to continue like this.

Your goal is just as bad as your wife’s parents’ goal, because you’re both assuming that your sister-in-law can be helped when all the evidence points the other way. They’re throwing their money away at her directly, you’d be throwing your money away at “real help” she isn’t ready for. It’s a lose/lose.

Really, everyone wishes your sister-in-law could be helped, but proceeding on that assumption when it’s not true is a good way to make things worse, and that’s exactly what you’re complaining about.

The sad fact is, treatment is often hopeless. You know that’s true for lots of medical problems, from cancer to Crohn’s disease, so why not accept the fact that it’s equally true for everything else.

Instead, stick with the realistic hope that she’ll change someday, and that you (and others) will have an opportunity to help. It might happen, but it’s not something that you can make happen or are responsible for.

In the meantime, don’t blame her, because there’s a good chance she has as little control over the problem as you do, even though it’s her body and her problem. Blame life, it sucks more reliably than anyone or anything else.

Now that you’ve listened to me and given up on your goal of getting help for your sister-in-law, realistic thinking suggests some positive things for you to do. Since you’re not responsible for saving your sister-in-law or protecting your parents-in-law, you can bow out of family events you don’t really want to go to.

Ignore feelings of guilt or responsibility. You’d help if you could, but you can’t, and there are other important priorities, like going on with your life and enjoying time with those you love.

STATEMENT:
Prepare a statement that responds to the most guilt-provoking accusations you can imagine. “I’m concerned about my sister-in-law and take full responsibility for helping her whenever possible. One thing I’ve learned, though, from watching her parents do a wonderful job of trying to help her is that, for the time being, it’s just not possible. When it’s not possible, we do more good by distancing ourselves from her problems so as to limit their harm and provide her with more incentive to change. Distancing ourselves from her problems does not mean distancing ourselves from her. The better we protect ourselves, the more welcoming we will be if and when she begins recovery.”

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!

Whether it’s coming from you or the Mormon Tabernacle Choir of Therapists, your therapeutic support is not going to change those mysterious urges to binge and puke. Buying into that notion will waste you even more time and money than all the cash you’ve already flushed away at the supermarket.

Bulimia, like all addictions, can turn people into assholes. Don’t get me wrong, they don’t choose to be assholes, but when you’re more interested in binging and purging than in anything else, including other people’s feelings and squaring your debts, you’re an asshole. Or really, you’re a normal, possibly good person suffering from a bad case of asshole-itis.

It’s a humiliating thing to say about ourselves, but what helps most in controlling dangerous behavior, when all else fails, is to be treated like a soldier or dog-in-training in a program where our every movement is controlled. That’s the kind of treatment that saves lives when bulimia gets dangerous.

Obviously, it doesn’t cure it, but it stops us from going over the cliff until we can get enough control back to keep it down to a barf or two a day.

So the most you can do is let her and others know if you think her life’s in danger. Otherwise, you’ve got little influence over her for good or ill, and you’re living with an asshole you can’t cure who’s costing you a bundle.

You may wish you could help her, ease her pain, and not make yourself feel guilty by locking the refrigerator if you don’t get a check. Well, I hate to say this, but fuck you. That’s a goal of feeling good, which is much like her goal.

If, however, your goal is to make the best of this situation, it’s not to feel good but to do what’s right by helping her if you can and otherwise preserving your resources for worthwhile causes.

That means bearing the pain of watching her in pain, feeling helpless, and ignoring the guilt of receiving a look that accuses you of adding to her misery. It also means letting her know you’re there if she wants to get real help, establishing your refrigerator perimeter, and getting to eat your own damned ice cream.

STATEMENT:
Prepare a mission statement that protects yourself from false guilt. “I can’t help my roommate feel better or control her eating behavior, but I can watch out for her if her life is in danger and I can encourage her to be a stronger obsession manager by requiring her to pay for what she eats. In doing so, I may temporarily make us both feel unhappy; but that’s an unavoidable part of her recovery and my self-protection. It’s the work we both must do to pass this course in making the best of a bad situation.”

Since there’s no easy way to say it, I’ll just put it out there that I have a problem with my anal sphincter (a botched surgery when I was a kid that left me with very little control). Like everyone since then, my co-workers notice that I sometimes smell bad and like to joke about it, usually but not always behind my back. I do my best to control it, and I’ve seen specialists about it, but what it comes down to is that everyone is happier when I keep my distance and I just wish I could find a job I could do from home. I even avoid attending family events and leave early when I go because I don’t want to embarrass my parents (and I obviously avoid women and people in general). I just transfered to another branch, and now I’m terrified about the reaction of my new co-workers. I know this sounds like a joke, but it isn’t. My goal is to find a treatment that can control this problem or a lifestyle that is less full of humiliation.

By now you should know that you can’t have what you want, either a sweet-smelling body or a solitary, well-stocked bat cave to retreat to. Forgive the pun, but tough shit.

You’re fucked, and if you keep trying to eliminate the problem you’ll never live your life and your parents will die and you’ll regret the things you didn’t do with them or the other things you want to do with yourself like make more money.

Now that that’s cleared up, ask yourself what your goal is when the goals you’ve been chasing are unattainable and there’s no way to avoid a shit-load of pain (last sly double-entendre, I swear).

The obvious answer is to try to reduce your sensitivity to humiliation so that you can live life as fully as possible. It would be nice if you were a natural-born comedian who could deflect nasty jokes, or an insensitive clod who never understood them in the first place; but you’re not. Now that you’re an adult, however, and no longer a school-kid, there are lots of other things you can do.

First, confront the Madison Avenue notion that your self-esteem depends on attractiveness. Your goal isn’t to be attractive, but to make people feel as comfortable as possible with your ugly side while you pursue your other goals.

So pretend you’ve got a colostomy and that’s the way it is and learn how to be shameless. Wear a diaper if it will help, just learn how to not take shit personally and put together a list of what you want to do with yourself and do it. That’s your goal.

Make people more comfortable by telling them, frankly, that you have a GI problem that sometimes causes bad smells and you can’t stop it but that you’re pretty good at managing it. That’s why you, for instance, use incense and deodorizers, and sometimes have to leave meetings unexpectedly. If your smell is a problem and you don’t notice it, you don’t mind having it pointed out to you.

Keep a candle burning on your desk. Be the first to let them know when you’re having a bad day. Read a book of bathroom jokes beginning with “What died in here?”

Your goal isn’t to control your colleagues; that’s impossible with heaps of cash or hypnosis, so accept that they’ll be nice or nasty, as they are. Instead, create a wall between you and your problem and invite them to see your problem as something apart from you. Lots won’t, but a few will.

After all, you’re not a bad smell, just a guy who’s trying to do a good job despite a tough, humiliating handicap. That’s something to be proud of, a much bigger accomplishment than being sweet-smelling and attractive. Fuck advertising.

Give your parents similar directions, letting them know that you’re happy to attend family events, but you’ll let them know if you’re having a bad day and you won’t take it personally if they’re planning a big event in a poorly ventilated space and don’t want you to come.

You can’t control your problem or how people react to it, but you can’t let those factors take over your life completely. After all, even for those of us with cooperative anuses, life often stinks. You just arm yourself with Fabreze and carry onward.

STATEMENT:
Prepare a manifesto that keeps you focused on your own priorities rather than the reactions of idiots. “My job is to lead my life and try to make a living and find friends, and I’m not responsible for my bad smell. I manage it well by protecting others and making it easy for them to protect themselves. My bad smell may humiliate me; but it can never outweigh my pride in not letting it stop me.”

My mother has always been quick to take offense—hear things the wrong way, feel easily hurt, want an apology—and I’ve always been the one to smooth things out and reassure her and, if necessary, tell her I’m sorry. Recently, she got really angry when she heard me talking to a family friend at a party and thought that I was being critical and complaining about her. I told her that was absurd, I didn’t mean things that way and that the family friend didn’t hear it that way. Besides, it’s not the sort of thing I’d say about anyone. But my mom acted like I didn’t realize how mean I’d been. So I spoke to the family friend, who agreed with me, and I asked her to talk to my mom and let her know she hadn’t heard any criticism either, but my mom says she’s just trying to smooth things over. I know this is just how my mom is, but that doesn’t mean that it ever stops making me crazy, and everything about this latest stunt is totally unreasonable. My goal is to get her to see she’s being a nut and get over it.

Freud famously put a lot of emphasis on mothers, and most people assume that “tell me about your mother?” is the first question a psychiatrist asks a patient. My response to that, however, is that I don’t really care about your mother. And even if your mother was my patient, I wouldn’t be able to make her “better.”

You think, if only you could get your mom to stop being a nut, your problems would be over. And hey, if only I could find a way of turning dog turds into solid gold, I’d never have to work again. Alas, turds are turds, and your dreams haven’t come true for many years. Assume they won’t come true now.

That said, it’s time to consider what it means to you to have a mother who periodically threatens to, essentially, break up with you. At least, let’s assume, for the sake of our discussion, that it’s that bad, and that her injury and mistrust are so deep that she and you believe the relationship will go into the deep freeze if you can’t get her to see the light.

Ask yourself, what’s the best thing a person can do when they’re threatened with the loss of that much love. Your wish, of course, is to patch things up if you can—it’s painful to be orphaned—but trying too hard to hang onto anyone whose demons periodically require you to jump through hoops isn’t good for you. It tends to stunt your growth, put you on the defensive, and make you a slave to fear.

I know, it’s no fun to be a motherless child, but the opposite, in extreme cases, is to become a victim of abuse, and that’s far worse. Be aware then that you may be walking a fine line between two lousy alternatives, and the one that grabs your feelings the most, easing your mother’s hurt so you can avoid losing her love, may be worse in the long run.

So your goal isn’t to make her better and smooth out your relationship; no amount of groveling and witness testimony is going to make things right, so give it a rest.

Your goal is to make things better to the extent your power allows, and do so without accepting a relationship dominated by fear. If fear remains the status quo, your goal is to build a wall and bear the pain. Don’t avoid future social events, but don’t let your next celebration be a pity party.

STATEMENT:
Prepare a statement that balances your desire for a good relationship with your responsibility to protect yourself from abuse. “I care about you, hate to see you upset, and would never want to say anything to hurt you. I’ve examined what I said and asked others to provide me with their impressions. In the end, I’m confident I was not trying to hurt you and that you can be assured that your negative impression of my words is not true. I hope we can put this behind us now. It’s never good to dwell on these things after we’ve done our best to deal with them. “

In the past few years, I’ve become pretty close with my sister’s husband (we play basketball together sometimes or have beers, that kind of close). Anyway, I like the guy, but I’m 99% sure he’s cheating on my sister, don’t ask me how. I could easily be 100% sure, but then I’d have to tell my sister, wouldn’t I? Or would I have to talk to him about it and see if I can get him to stop, or make him admit everything to my sister himself? Because right now, the two of them seem really happy together, and they have two great kids, and I don’t want a divorce to fuck all that up. My goal is to do right by my family.

This is the sort of soap-opera situation where your protective feelings for your sister and her kids might well push you to confront her husband, but ask yourself what good that would do. Because, unlike what you see on TV, you do not have the luxury of cutting to commercial after the big reveal.

Sure, it will relieve the pressure of your angry feelings for a few minutes, that’s true; but you know what we think of feelings, and this is a good case in point. A confrontation will focus on what’s most negative about his behavior and make it harder for everyone, particularly him and your sister, to consider what is best for them.

The plot goes like this: you’ll label him a betrayer, he’ll find fault with your sister, they’ll both feel like shit and find shit in their relationship, and their ability to remember what’s good about their relationship and what they might want to salvage will get lost.

If you really want to be a good friend to your sister or her husband, be a friend of their marriage. If possible, remember what you like about him and, if the opportunity comes along, let him know that you know that marriage can be tough, but that having affairs usually does more harm than good.

If anything, your problem is a perfect example of my old adage that bottling up feelings never hurt anyone, but unbottling them has caused a world of pain. If you keep your mouth shut (except for the aforementioned occasional advice), you give yourself a chance to think, choose your opportunity, and say something constructive.

If you become a warrior for justice and gain relief by getting everything out in the open, you will probably bring out the worst in everyone, and maybe get yourself a black eye. So put this melodramatic subplot on hold and suck up the pain.

STATEMENT:
Draft a statement that expresses support for your sister and brother-in-law while avoiding anger and blame (regardless of how you really feel). “I care about you and your marriage and believe you’ve done a very good job and are good people. Under pressure, people sometimes do things that cause more harm than good. I’m not interested in who’s to blame. I want you both to do what’s best for you and your family. Don’t burn your bridges, cause pain, and compromise your integrity. Take your time and, if you want to end your marriage, do it right.