I decided recently to listen to my friends and family and see a psychiatrist about my depression, but I don’t know whether I’ve made the wrong decision, or whether I’ve just chosen the wrong doctor. Basically, I decided to get help because I feel helpless, but my doctor wants me to do a lot of the work myself and doesn’t really help that much. It’s not just he wants me to ask myself a lot of questions (and answer them—if I had the answers, would I really be paying him?—but also deal with my insurance company and read up on the medication he suggests (he tells me about them, sure, but he says I owe it to myself to read up on them on my own, and that doesn’t make sense to me since he’s a doctor, knows everything about the pills, and he could just tell me himself). My goal is to figure out whether therapy is worth it, or whether I’m just getting help from the wrong source.

I hate to sound like your psychiatrist, but ask yourself what you have a right to expect from treatment, given what you know about its limits and your resources for paying for it.

If you want, you can spin things positively by saying that you’ve heard about good new treatments that can really help and that you’ve got great insurance that you pay a ton of money for. Of course, you’d probably be full of shit.

You don’t need to do months of research to know that no treatment has yet been acclaimed as a cure for mental illness or any other life- or personality-related problem.

Plus nothing you’ve read (or probably haven’t bothered to read) about the effectiveness of any current treatment implies that it works 100 percent of the time or that the treatment, if medical, is safe from possible side effects.

In addition, every method of “screening” for depression that you’ve heard about involves a questionnaire, right, rather than a blood test or scanning machine, which means that the burden for enduring, measuring and tracking the results of a trial of treatment falls, inevitably, on you the patient. And those are unfortunate facts of life whether you’re rich or poor, smart or stupid, board certified or not.

That’s the next problem: you’re not rich. And while you bristle at having to deal with insurance limits, you can’t afford insurance that would give you unlimited mental health treatment because it doesn’t exist. All insurance puts a limit of some kind on the amount of treatment you get and, unless you know what that limit is, you’ll use up your resources too quickly and have no idea about what, if anything, entitles you to more.

In addition, insurance limits your doctor’s fees and the amount of time s/he can afford to spend on a visit, so don’t fall for the professional who is ultra-amiable until your money runs out. Instead, look for someone who gives you what you most need in as little time as possible. In other words, beware smiles and frills because they may drain your limited resources.

Depressed people like yourself also tend to get negative and helpless ideas, which make them act negatively and passively, which makes them yet more depressed. That’s why mental health clinicians will push you to challenge your negative assumptions, learn more positive ways of thinking about your problems, and put the breaks on the depressive cycle.

It’s a cognitive kind of psychotherapy and is very helpful, although it’s often unpleasant in the beginning because you need to clamp down on your natural instincts. It’s a mental workout to make your non-depressive muscles stronger. No pain, no gain.

So yes, therapy of all kinds can be worth it, but you’ll be the one doing much of the work, not because someone else is slacking, but because mental illness sucks and both treatment and the resources to pay for it require careful management—by you.

Now you just have to decide what’s harder—doing the work or doing nothing. It might not be what you want to hear, but there’s no psychiatrist out there with a better offer.

STATEMENT:
Here’s a statement to keep you positive about a negative treatment process. “It’s hard having an incurable illness and knowing that the treatments are iffy, take a long time, and can easily use up my insurance before helping me, but I owe it to myself to give every reasonable treatment a try and become and good resource manager because that’s what I have to do.”

I’ve been in therapy for five years, and while I like my therapist a lot, I’m moving soon (my girlfriend got into grad school on the west coast), so I’m ending my treatment with her. She asked me recently though whether I was going to continue my treatment in my new town or whether I thought I’d taken it far enough, and I realized I honestly don’t know. She had some suggestions in terms of determining when and why to end therapy, but to be honest, they didn’t really help. I’ve been in therapy long enough that I don’t really remember how I coped beforehand, and while I feel much less tormented than I did when I began therapy, I’m not sure if my state of mind will crumble once I’m no longer getting help. How do you think one can determine when therapy has run its course, or whether there’s more to be done?

There’s a simple way to figure out how much talking psychotherapy you need: imagine paying full fee for it.

Before you crunch the numbers, ask yourself why you started therapy in the first place. Forget self-improvement, introspection, or generally pondering your bellybutton. Figure out what’s so bad about the way you feel and/or handle your life that you need to continue to spend lots of time and money on changing it.

Having failed to solve your problems over the past 5 years, you should wonder whether you can realistically expect a cure in the next year (no way) or whether you need maintenance treatment to keep you from slipping backwards (which is what you’ve been wondering all along).

At the same time, go back to the original question and ask yourself how much you can afford to spend on treatment each year and whether you should hold a few sessions in reserve for use in emergencies.

Unless you’re rich, don’t waste time worrying about how stopping treatment will make you feel. Instead, try stopping and see what happens. Even if you miss your therapist’s support, lose confidence, and re-experience your nervous stammer, suck it up, give it time, and the earth will continue to turn.

Next, think of therapy as a course that’s supposed to give you a specific marketable skill in exchange for your hard-earned debt. Don’t think like a college kid; you’re not there to party, please your parents, or become cool. If the first few sessions don’t deliver what you need, drop the class.

If you do have ample insurance coverage for therapy, don’t let it make you forget basic resource management skills. For one thing, many insurance policies are stiffening the limits on outpatient psychotherapies and are about to force you to do the above.

For another, being an active manager protects you from unnecessary dependence and time-wasting. Give your therapy specific goals, then examine how close to those goals you’ve come.

If therapy is more about discussion, then save the insurance hassle and start a search for a fun hairdresser. You can get your hour of talk and never have a bad hair day.

STATEMENT:
Here’s a statement that keeps you focused on making the best of limited resources instead of going for all-you-can-eat and then feeling deprived and abandoned. “I like psychotherapy and feel it’s been good for me, but it’s time, before it eats up more time and/or money, to think hard about how badly I need it, how well it’s working, how much is necessary, and how much I can afford to pay for it. The more I answer these questions for myself, the less likely I am to depend on experts to tell me what I need.”

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

My family, whom I’ve always been close to, has never liked my wife—they didn’t like her when we were dating, they did a shitty job of hiding how pissed they were when I said we were going to get married, and they still don’t like her now. I know she can seem pushy and anal-retentive, but she’s a good person and she’s been incredibly supportive of me. When we started dating, I’d just lost my job, but she stood by me and even helped me find work again. When we needed a new place to live, she took charge. I’ve tried to get my family to see her the way I do or, if they can’t, at least be polite, but they always manage to undermine her plans and mock her way of doing things, and it drives her nuts. I can’t keep forcing my family on her if things don’t get better, but I don’t want to stop seeing them. My goal is to get my family to change before they drive her, and me, away.

There’s a special kind of torture in trying to make peace in vain. If we all had Hillary Clinton’s job, we’d probably just give up and wear pantsuits, too.

At least your peace-making efforts are not doubly cursed with your wife’s accusing you of being unsupportive and not standing up for her…or maybe you’re not telling me the whole story because you’re forever protecting your wife’s back.

Either way, I assume that sharing your concerns with your family hasn’t worked. Indeed, telling them they’re hurting your wife’s feelings may feed their hope of changing or punishing her or driving her away, and then they’ll act worse. If so, it’s time to shut up and give up on trying to solve this problem and instead ask yourself how to make the best of it.

Don’t feel too responsible for everyone’s pain, just because that pain got triggered by your choice of mate. Your wife knew that your family was part of the deal and that pain is unavoidable with certain types of in-law.

Your parents should value your wife for being a strong, steady partner and, if they were grown up, they’d assume that spending time with people you don’t really like and smiling while you do it is an essential part of leading a family, as it is for managing any organization.

Alas, it seems the parent has become the child, so here’s some parental advice from a more mature source; life is hard, bad interpersonal chemistry is unavoidable, and you make conflict worse by taking too much responsibility for improving it.

Accept things the way they are and count the advantages of continuing a painful family relationship, including retaining contact with people you love (even if you don’t like them or the way they behave), sharing meaningful family events, and providing your kids with a sense of where they come from. Then decide how much family time is necessary to conserve what you value while minimizing the pain.

Besides, while you can’t change interpersonal chemistry, you can control what time you arrive and leave, and what subjects you’re simply not going to talk about. If they want to dig into your wife, don’t fight it, just change the subject and exit early if need be.

You’ll never be one big loving family, but you’ll always be family, even if it’s for short periods fewer times a year. It’s not fair, but it’s the best thing for your marriage, your sanity, and a life free of pantsuits.

STATEMENT:
Give yourself a mandate that protects you from having to share anger, guilt, or explanations with your family. “I’ve tried to build a friendship between my wife and family and it hasn’t worked, but that won’t stop me from being a good son and keeping family relationships as positive as possible. If I do what I believe is right, I need never expose myself or my wife to argument or pointless discussion, no matter who in my family feels otherwise.”

My wife and I are concerned about our daughter’s boyfriend. They seem quite serious, and we’d be happy to see her married and settled down, but he seems like a bully. It’s not just that we think he’s not good enough for her, but we’re genuinely worried that he could become abusive, if not physically, then verbally. He’s so combative and humorless it makes us wonder what we did wrong, since we thought we provided her with a happy, jovial home life growing up. My wife has tried to talk to her about it, but my daughter assures her that he’s a good guy and says we’re not being tolerant or supportive of her adult choices. I want my daughter to figure out who he really is before it’s too late.

As parents of a marrying daughter, particularly one who likes defending the misunderstood and obnoxious, you have less control than a drunk at a cruise’s open bar.

Try to protect her, and you’re attacking her baby/lover and pushing the two of them even closer together. You know you’re in trouble when, in trying to help her, you find yourself making dramatic speeches that sound like they come from a movie.

Instead, take poker lessons, or at least listen to Lady Gaga, and prepare to keep your feelings well hidden if you want to avoid making things worse.

Yes, life is that bad; you put decades of love and care into raising a kid, and this is what you get. The good news is that it happens to really good parents, so don’t waste time blaming yourselves or your wife. The bad news then is that there’s no mistake to undo. Life is unfair, and you’ve been tagged by the fickle finger of fuckin’ bad luck.

Now that you’ve cried and accepted your fate (and perhaps asked yourselves who Lady Gaga is), there is much you can do.

Begin, as usual, by expressing respect for your daughter’s love and good intentions. It’s an insult to suggest that her fiancé is an asshole, but you can wonder if the rough edges (of such a wonderful guy) are likely to get in the way of his employment, parenting, or relationship with her friends. You can also contradict the idea that love is going to change him or make his difficulties go away, without suggesting that it’s anyone’s fault.

Having created some non-personal, non-critical ways for her to think about her future, you can let subsequent events speak for themselves while you raise an eyebrow and, pointedly, say nothing. Speeches are weak and melodramatic– silence is a stronger statement.

You’re not blaming him for being a fuck-up; you’re simply expressing concern about the burden that will eventually fall on her in the worst case scenario and noting when events seem to be falling into that category. You’re being an impartial judge, even if the verdict sucks.

STATEMENT:
You need a mission statement that blocks off fear and blame. “We know you love one another and that you have a tremendous capacity to nurture him and be nurtured by him. But we see marriage as two people carrying a load together, as well as a matter of love and feelings, and that’s why we urge you to consider whether his problems will get in the way of his doing his share, not just in terms of emotional support but making money and raising kids. Having said that, we’re happy for you and will welcome him into the family, hoping things turn out well.”

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.”

My son did well in his first year of college and now he’s thinking of going to law school. I told him he needs to talk to an adviser and maybe get a summer internship in a law office, but he told me I’m giving him a headache and that the whole point of college is to explore things, try things out, live in the moment, and learn how to be happy. I don’t want to be a wet blanket—and, of course, he’s not listening to me—but getting into a decent law school is highly competitive and it won’t happen unless he’s careful about his choices in the next 3 years. What do I tell him, without destroying his change to enjoy college?

I don’t like being a killjoy, either—well, that’s not true, but anyway—since when do you spend a vast portion of your limited family fortune so the kid will have a good time?

You want your son to be happy of course, but happiness, being the shitty goal that it is, is also a shitty top priority. He’ll be happier in the long run if he can support himself, since sweet memories of keggers gone by won’t pay the rent.

The more it costs, relative to your income, to send him to college, the more you’re aware it’s not for fun.

The value of college is boosting his ability to make a living, take responsibility for the well-being of others, survive the horrible things life is going to throw at him, and still be a good person.

Maybe kids would have more realistic expectations if college offered a course or two on the extra-curricular problems that are going to wind up teaching them the most, like dealing with roommates who hate them, or losing their ability to stay organized when there’s no one taking attendance, or not being able to control a deep attraction to someone or something that’s bad for them.

Those are learning experiences that are always painful (after beginning, almost always, with lots of fun), and that often have a lot more value than your average Comp Lit class.

I know, sounding like a grim, worried crank may help you adjust your expectations for his happiness, but it won’t help you get through to him; he’ll feel you’re trying to spook him into working harder when co-eds just wanna have fun.

Instead, do what you usually have to do when talking about the facts of life: assume your friendliest, most professional and optimistic demeanor when addressing the facts of life. In the nicest way possible, inform him that If he wants to live in the moment, he might have to pay for that choice with his future.

Of course, if he really wants to focus on fun now, you also have to discuss who’s paying his tuition.

STATEMENT:
“I’m glad you’ve found something that interests you and, if this were a fair world, you’d have a chance to explore other interests in college, have lots of fun, and then buckle down and get focused in law school, but things seldom work that way. If you’re interested in law, you’d better find out whether law school admissions are tight and, if they are, how to make yourself a viable candidate while still having the best time you can.”

My girlfriend is a loyal straight-shooter, but she’s a little clueless about how people feel—sometimes I think I’m the girl in this relationship when it comes to sensitivity—and recently she’s been acting like an idiot. There’s this guy who’s obviously infatuated with her, but he’s trying to hide his feelings because he has a girlfriend, she’s got me, and it’s not what anyone wants. When I told her what was going on, she laughed it off, took it as a compliment, and teased me for being jealous. Then, without thinking about it much, she continued to look for opportunities to work with him, which is something he welcomes, but it obviously gets him going, and I can see no good coming from it. She says she isn’t making him unhappy, so why should I try to create problems. How can I get him to see he’s stirring up trouble?

It’s tough to have the ability to foresee trouble that others don’t, because, when you warn them, you’ll get called Chicken Little for spoiling their happiness. Problem is, the sky falls on everyone’s head.

If you raise your voice to reflect the urgency of the situation, you’ll have your emotionality explained to you, which will make you more emotional. Alas, Cassandra didn’t have too many friends and those she had, she hated.

In order to be taken seriously, you need enough confidence in your point of view to avoid become defensive, and enough acceptance of the fact that someone may not accept your warnings so that you phrase them calmly and in a language that s/he actually speaks.

In this case, your girlfriend’s blindness to her male friend’s deeper feelings means she experiences your warning as criticism of her irresponsibility and an attempt to deprive her of the pleasure of his company.

So first, dispel any blame. Express appreciation for her friendliness and make it clear you don’t hold her responsible for managing someone else’s feelings, particularly when they’re subtle and hard to spot.

Then ask her to assess the indirect evidence of a problem she can’t see. I know, it’s like explaining color to the blind, but you can do it. Urge her to consider several methods for spotting over-attachment, such as a tendency for her not-crush to be too willing to drop everything when she invites him to work with her, or the reaction of her un-crush’s girlfriend when she’s talking to them both.

In other words, if she can’t see the signs, lead her to them, and ask her to consider the possible risks if you’re right: eventual trouble between her un-crush and herself and, possibly, between him and his girlfriend.

Emotions are easy to pooh-pooh, but facts aren’t. If your girlfriend can see those facts, she might abandon the rush her un-crush gives her in favor of the possible emotional fall-out.

STATEMENT:
Prepare a statement that disowns blame-casting (“casting” is Yiddish for “stupfing”, in the interest of speaking your language) and urges nothing more than positive precautions. “I hope I’m not right about his feelings but, if I am, I certainly don’t see him acting inappropriately, which is why the problem is subtle. The most you should do, if you see anything that leads you to be concerned, is avoid over-stimulating him with too much friendliness while keeping things positive and non-personal, so as to give him time to deal with his vulnerability.”

My husband worries a lot about my drinking and depression but, to my mind, I don’t think my drinking is a problem and I don’t think I’d be depressed if I wasn’t worried that he’d leave me. For the sake of our marriage, I’ve agreed to stop drinking for a while and go to AA, but I really feel that my drinking wasn’t causing me any problems and that I’m doing this to make him happy, which makes me feel weak and angry. I want to get him to accept me the way I am before I can’t take it anymore.

You’re in a tough spot, because partnership really can’t work without acceptance, and acceptance is not something you can control. The more you force acceptance, the harder it is to achieve. Accept that, buddy.

If you try too hard to get his acceptance, you’ll hide whatever you think he won’t accept, which means putting your drinking in the closet and going to the mall instead of AA meetings.

On his end, if he tries too hard to make the relationship work, he’ll pretend you’re not really drinking or that you’re going to change, which also means no real acceptance.

The sad fact of life is that you are never going to change who you really are, which, at the very least, is a girl who enjoys drinking, and he’s going to have to take it or leave it. On the other hand, if you present the issue positively and he considers it realistically, maybe acceptance will occur, now that you’re not forcing it.

That’s why your goal shouldn’t be to win acceptance from your love; it’s to find out if your love can be accepting. He doesn’t need to like your drinking, but you need to know whether he can accept that it’s part of your package and accept the whole deal.

Instead of getting him to accept you the way you are, begin by accepting yourself. Forget how much you like to drink and ask yourself, on the basis of your own experience and what you’ve read, whether drinking gets in the way of anything you hold dear, like your health or making a living or being a good woman and a good friend. If in doubt, stop drinking for a while and see if there’s any difference.

Once you know your own mind, lay things on the line with your husband in a positive way. Of course, if you’ve come to agree that you’re a lush, let him know that you want to stop drinking because you believe you need to, and not to please him.

Otherwise, state your differences positively while letting him know how much you’d like him to accept you, if he can. If he can’t, then that’s a sad reality you both have to accept on your own.

STATEMENT:
Prepare a statement of your own views that is not overly reactive to his. “I respect your concern for my drinking and regret that it worries you. I’ve looked hard at how much it affects my health, work, and friendships. In the end, I don’t see it as causing me problems and, as much as I love you, it won’t help our relationship to appease unfounded fears. I hope you’ll accept my decision. Meanwhile, I think we should drop the topic of my drinking and, hopefully, move on to other things.”

My daughter is severely bipolar and lives with us so my wife and I can try to make sure she takes her meds and doesn’t hurt herself. We aren’t always successful—she’s practically an adult now and hates when we parent her—so she stopped taking her meds because she thought she didn’t need them anymore. Now she’s extremely manic, maybe using hard drugs, and extremely irritable. We’re absolutely helpless and there’s nothing we can do because she won’t talk to us. Our goal is to get her to listen to us, stop drugging, and get back on her meds.

Mental illness makes all families helpless; after all, it’s hard to have a dialogue with someone whose brain is diseased, irritable, inattentive and unresponsive. You’d have better luck reasoning with a rabid wolverine.

If you believe that your only power derives from your ability to have a heart-to-heart talk with her, then you are, indeed, helpless. The good news is, you’re wrong. After all, you can help wild horses improve their self-control without first teaching them English. Thus, you, too, can become a bipolar whisperer.

As parents and landlords, you control a number of powerful incentives, like access to money, car, refrigerator, shelter, and, oh yeah, money. That doesn’t mean you can control her or her illness, but it does mean you can create some pretty strong reasons for her to do the good things she needs to do.

Set rehabilitation goals for your daughter that you believe are truly essential, which will probably include sobriety, doing enough household chores in order to live independently, controlling violent behavior, and stopping sudden impulses from affecting her safety or treatment. Add or subtract from these core goals, based on your own experience and other parents’ war stories.

Once you know your priorities, announce them and back them up with rules and incentives for following them. I said announce, not converse. If you’re too worried about her anger or hurt or lack of understanding, you’ll be ineffective.

Don’t pick a fight, but don’t hold back on saying what you think with friendliness, conviction, and optimism. Tone of voice is as important as content. Don’t end sentences with a rising, Valley Girl inflection that asks for approval. Use the same calm, assertive energy praised by Cesar Millan.

Yes, there’s a risk that she’ll do something dangerous or force you to ask her to leave, but a bipolar-veteran parent knows how to manage crises without appearing to panic. It’s a risk you need to take, and be prepared for, because the alternative is way worse than facing an angry four-legged beast.

STATEMENT:
You need a statement that says, “This is what we believe, here are the rules that are required for self-control and independence and this, very simply, is what will happen if you don’t follow them. There are no punishments and we do not believe you are being stubborn or childish; but we will withhold privileges and, if necessary, ask you to live elsewhere for a while if we think it’s necessary, either because your behavior makes it impossible for us to live with you, endangers your safety, or blocks you from making progress.”

My wife and I liked to party when we first met (nothing too crazy, we just went out a lot), but we just had our first kid, so we now spend a lot more time at home. My wife used to be a fun, bubbly person, and she still sort of is, but ever since the baby was born she’s been really stressed out, worrying that something bad will happen and the baby will die. Not stuff she could possibly prevent, just a random act that would kill our child, and the stress is so bad she is haunted by visions of our son in a casket. I think she’s dealing with this stress by drinking a bunch of wine with dinner and getting a little more than tipsy. I’ve told her to relax about stuff she can’t prevent, but she says she can’t help it, and I don’t like that she’s drinking too much, and where that’s going to go. I want to see my wife get some treatment that will relieve her stress so she can stop drinking too much.

You might wonder how wanting to help someone could be bad, and it’s because, as goals go, it’s often one you can’t reach. If you don’t accept that fact before making your plans, you’ll make things worse.

Here, for instance, there’s a good chance she’s too busy drinking and/or avoiding her problem to heed your good advice and, at least at first, she may not be able to stop herself (and if she could stop herself, you probably wouldn’t be writing me in the first place).

If you sound frustrated, frightened or critical when you talk to her, it will make her worse. Your goal is to see if you can help her, not force her into help. You can bring a wife away from wine, but you can’t force her not to (fret and) drink.

Once people get into the habit of using alcohol to treat anxiety, they often can’t stop, particularly if they’re waiting to feel better before stopping. All the while, alcohol makes anxiety worse (as well as depression, mania…the only things it doesn’t worsen are weddings and sporting events).

So, your goal for her drinking isn’t to reduce her anxiety so she won’t feel like drinking, but to provide her with reasons for stopping drinking, now, regardless of whether it makes her anxiety worse, (which it will), while she also searches for tools to feel better. You can’t make any of that fear go away, but you can give her good reasons to find ways to ignore it and focus more calmly on your baby’s bottle than her own.

Sure, remind her about the availability of treatments; but don’t be surprised if she just wants you to leave her alone because treatment makes her think about her fears, and she’d rather not/would rather open another bottle of red.

Don’t tell her that going to treatment will be enough to make you happy, because treatment is not always effective and it’s useful only if she undertakes it for her own reasons, rather than to get you off her back. Don’t tell her treatment will definitely make her happy, either, because if it doesn’t, you’re a liar and the fault is still yours.

Encourage her to consider her options, including cognitive therapies with ideas and mental exercises to counteract negative thoughts, behavioral therapies with physical exercises to reduce anxiety, and medical treatments that might ease both anxiety and the intensity of her visions.

Her biggest danger is not the pain of anxiety, but that her fear will drive her to give up doing what matters and stop her from being a good mother and wife. The fear scares her, but it’s her fear of that fear that drives her to drink, and that’s where you need to start.

STATEMENT:
Prepare a statement that gives her positives alternative and encourages choice, not compliance. “You’re a strong woman and great mother, and I’m sorry that you’re tortured by fearful thoughts, but I’m more worried about the way your efforts to avoid those thoughts are interfering with your life. Instead of figuring out whether there’s a treatment worth trying, you’re panicking and using alcohol for relief. I know for a fact that alcohol makes anxiety symptoms worse, while it also undermines your ability to make tough decisions about treatment. You’re good at decisions. Don’t let fear make them for you.”

My daughter likes to bring her young son to our house on weekends (she’s a single mom) so he can see his grandparents and she can relax. Of course, my wife and I love to see him, but he’s getting to the age where he can walk and likes to grab everything he can get his hands on, and she doesn’t seem to notice. He’s knocked books off of shelves, broken some plates, and I recently wrenched my bottle of Lipitor out of his hands just as he was getting the lid off. I’ve told my daughter that she needs to watch him more closely, and she assures me she has a mother’s intuition and always stops him before he does anything wrong. She’s wrong, and my wife and I are too old to keep up with him. My goal is to get through to her, and protect our grandson, without getting her pissed off.

Forgive me for saying so, but I’m guessing your daughter’s obliviousness isn’t new. That and a lack of condoms is probably one of the main reasons she’s become a single mother.

If you’ve been wrestling with her obliviousness for years, now is the time to stop. She’s been your daughter a long time, and if you (and having a kid!) haven’t gotten through to her by now, it’s time to raise the white flag.

It’s sad and scary to admit that her obliviousness is not going to go away and will always force you to bear an extra burden of parental worry, but if you don’t accept this fact, you’ll clash, drive her away, and reduce your chance to make things safer and hang out with your grandchildren, even after they can control their limbs.

Your goal then isn’t to get through to her, but to do what you can to improve your grandson’s safety. Do what you can afford, be it toddler-proofing your house or hiring a teen babysitter/child-chaser who can walk around for hours bent over at 90 degrees.

For your sake, hide your worry and resentment. If your negative feelings show, she’ll feel you don’t trust her (which you don’t) and then avoid you. With luck, however (and given her track record), she’ll be too oblivious to notice how you feel.

Expect problems and look for dangers, while at the same time conveying pleasure and confidence. Behind closed doors, you can share your fear and resentment with your wife, but in front of your daughter, keep a poker face.

In the long run, maybe you can teach your grandson to watch out for himself, but resist the urge to follow him with nanny cams. The hardest thing you need to do, after you’ve done what’s reasonable, is let it be. Enjoy being grandparents and lock up your Lipitor.

STATEMENT:
Here’s a statement to keep your fears in check. “We did a reasonable job teaching our daughter about safety and responsibility (as did others), but she just doesn’t get it. Now we watch out for her and our grandson, when we get a chance. Our biggest achievement, however, is not solving the problem, because we can’t. It’s bearing our worries, keeping quiet about them, and not letting them spoil our relationship with her or our ability to get on with life.”

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I’ve been getting increasingly nervous about my aging parents, particularly because my mother, who’s a very vigorous near-90, likes to ignore the real risks of continuing to vacation in their old, 2 story, roughing-it country home. She loves to garden, take vigorous walks, build fires, and keep to the same routine she had when she was 40. I know I’m a nervous person—I’m a nurse, and I’ve had to deal with an injured leg since childhood—but I’m haunted about what could happen to her if she fell down and it’s no place for my dad, who’s very frail after a stroke. When I said something to her yesterday about how she should hold onto my father’s arm when he walks, she told me to mind my own business. I’m the only one of the kids who lives nearby, so their safety is my business. How do I get her to understand she needs to be more careful?

It’s understandable that you worry about your parents, but even if they were both freakishly healthy and lived in a hermetically sealed bubble, the sad fact is, they’re both going to die.

[Moment to process.]

Yes, your aging parents are lucky to have a caring child nearby, particularly someone who’s medically educated, as you are. You also know, however, as someone who’s lived with a crippled leg, how necessary it is to take risks if you want to live a full life and how important it is to make those risk-management decisions yourself.

Your goal isn’t to breathe easy, knowing that your parents are safe as can be, or make yourself responsible for their safety. As much as you’d like them to be safe, they can’t be, so those goals would drive you and them crazy (and provide me with a steady income).

Now that you know you can’t make them safe or ease your own fears, you’re ready to think creatively about realistic risk management, knowing that bad things (like death, but lesser things, too) will happen.

Your goal isn’t to prevent those bad things from happening, but to help your parents do whatever they’re willing to do to prevent them, then forget about them, and live their lives (and let you live yours).

Instead of nagging them to be more careful, offer to get them professional advice on how to manage risks from slips, falls, fainting spells, medication mistakes, and assorted worst-case scenarios.

If that doesn’t work, leave their doctor a message encouraging him/her to do the same and if that doesn’t work, take a course yourself and do what you can. Then, you’re finished and enjoy the veggies from the garden.

STATEMENT:
Here’s a statement for keeping your responsibilities in check. “As much as it would hurt to see my parents injured and as much as it scares me to think about it, I respect their determination to live independently as long as possible, despite the risks. I can do more for them by offering good advice than by inducing guilt. I will take pride in doing this job well, regardless of whether they accept my advice. Indeed, the less I can do and the more helpless I feel, the more pride I’ll take in not letting my management interfere with their choices.”

Two years ago, my wife was diagnosed with Type 2 diabetes. We’re both overweight, but she also used to be a smoker, so her health’s always been more of an issue than mine. We were both warned that if we didn’t get better eating and exercise habits, we’d be in trouble, and now she knows her diabetes puts her at much higher risk of heart disease, hypertension, infections, and kidney disease. Well, two years later, and I’ve started taking the dogs on long walks, stopped eating from the vending machine at work, and lost some weight. My wife, on the other hand, hasn’t really changed her habits at all. She says she’s eating less crap at work, but at night she’s making the same unhealthy (delicious) stuff we’ve always eaten, and she always says she’s too tired to walk with me. I don’t know what I can do aside from nagging her, and that’s not working, so I’m really worried that she’s going to go downhill fast and that I’ll lose her. My goal is to get save my wife from herself.

As much as you’d like to keep your wife around as long as possible, you know that your influence over her health habits is limited, and trying to control her health will cause you more conflict and probably drive both of you to an earlier grave…which contradicts your purpose.

Unlike the concerned daughter above, you don’t have the luxury of ignoring the inevitable; she can’t make her parents immortal, but theoretically, you can help your wife to change her habits. If you’ve ever tried to change any of your own habits, however, you know it’s never really that easy.

Weight control, for example, should be easy because putting food in your mouth and swallowing are supposedly voluntary actions. In reality, people don’t have that much control over their habits or their health. Ask anyone who’s eaten at Cinnabon.

It takes great effort, not everyone can do it, and other legitimate priorities, like raising kids and making a living, get in the way. Biology is powerful, and our bodies are designed to survive famine, not taste-bud seduction.

Accept that she has a chronic, incurable illness and you’ll start to be more helpful. Instead of nagging, offer advice on impulse management and eating better (but don’t force that advice, because then you’re back to square one).

If that doesn’t work, ask her doctor to do the same, and if that doesn’t work, learn CPR, read up on living with a diabetic, and enjoy your time together. After all, you don’t want to ruin the quality of your relationship for the sake of a little more quantity.

STATEMENT:
Here’s a nagging-restraint statement. “It’s hard to watch my wife’s unhealthy habits, but I’ll do more for her by keeping my feelings to myself, offering advice if she wants it, and enjoying her while I’ve got her. A good marriage always requires tolerating the pain of traits you can’t change, and this is more of the same.”