Posted by fxckfeelings on January 23, 2012
For those of us in the helping professions who overestimate our ability to help, (off-hour phone) calls for help can become a big problem. Whether you’re soft and sympathetic or blunt and tough, there’s no problem you can’t make worse by taking too much responsibility for messes that are beyond your (or anyone’s) control. If, on the other hand, you know the limits of your powers, you can respond to calls pleasantly, do your job, and still help someone without hurting your own sanity.
-Dr. Lastname
While most mental health clinicians would feel guilty admitting this, I’ve been in the biz for long enough that I don’t give a shit and I need to vent. Most of the crisis calls I get from my psychotherapy practice are senseless and irritating; they’re from patients who feel bad because they forgot to take their medications, or drank too much or when they shouldn’t, or allowed their demons to wreak vengeance on their enemies, the nearer the better, self best of all. A few call me because they’re feeling suicidal (but won’t go to the hospital) and just want me to make them feel better, which is hard when it’s late and I’m tired, and often impossible just because I don’t have that kind of power. I try to be civil, but their calls leave me feeling helpless and wondering whether I’m doing any good. Discussing their responsibility for their behavior is useless, because it usually makes them mad or apologetic. My goal is to figure out what to do with crisis calls that are really a useless pain in the ass.
Many crisis calls you receive as a shrink do a good job of showing off a patient’s worst behavior. It’s like having partial custody of a colicky child.
It’s not that their distress isn’t real and severe—it is, almost always—it’s that it causes self-defeating behavior, like drinking or mouthing off or retreating from the world, which creates a jam that is extra hard to get out of.
Bad feelings cause bad behavior, bad listening skills and bad regrets about going into the therapy business instead of owning a Toyota dealership. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 9, 2012
Horrible thoughts and feelings are supposed to make you feel as if there’s something horribly wrong, and there is, but it’s not necessarily with you. Even when your brain is giving you strange signals and your mood is in the pits, you’re the same old person with the same old values. Judge yourself by what you do with symptoms of mental illness, not by the way they make you feel or think, and you will never have reason to doubt yourself or despair.
-Dr. Lastname
I was diagnosed with major depressive disorder and anorexia nervosa purging type a few years ago. Both of these issues had pretty much consumed my life during the years leading up to that diagnosis and have continued to be impairing ever since. I started cutting myself two years ago (it has become more frequent this past year), and I’ve had several panic attacks in the past several months. Fortunately, my overwhelming desire to commit suicide has subsided, although I still think of suicide and my death in general fairly often. In addition to my own issues, I have watched my mom slip into a state of psychosis during the past two years, triggered by the death of her father. She has become so depressed, delusional, and violent that my parents separated and sometimes I don’t even feel safe staying in the house with her—a few weeks ago my dad and I had to stop her from going through with a suicide attempt. The police were called, and I had to hold her arms down while she was clearly in a psychotic rage. At one point, she tried to stab my hand to make me let go. She was taken to a mental health facility where she stayed for a week, and now she’s furious at us for making her go there and hasn’t been much better since then. I feel like I never get anywhere with therapists because they just prescribe medicines that make me feel numb to any emotions or focus on my eating disorder so much that I never get to work through these other issues. I feel like my life is unraveling and it’s gotten so bad that, honestly, I don’t feel like I even want to fix it. My goal in telling you this is to figure out a way to help my mom and how to get through school while I’m dealing with this.
It may seem strange to hear this, for someone who suffers as much as you do from depression, anorexia, and the burdens of taking care of a very sick mother, but I think you’re doing an amazing job.
Yes, you’re chin-deep in shit, but you haven’t drowned, and that’s a remarkable accomplishment.
Your depression hasn’t made you hate people or blame them, and your anorexia hasn’t caused you to pretend you’re not sick, so you must have a solid hold on reality. There you are, with all your pain, finding the love to help your mother and the energy to go on with your studies. You’ve got good values and a big soul. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 5, 2012
Whether you take pride in controlling your health with the latest developments in modern medicine, ancient holistic treatments, or the dictums of Xenu, you’re making the same basic mistake in thinking that you control your health. Depression is especially insidious, because there’s no amount of will power or even therapy that can make for a perfect solution. So gather techniques wherever you may using whatever works to deal with what ails you, just remember that the goal isn’t finding a cure, but the best methods to help you cope.
-Dr. Lastname
I have suffered from anxiety and depression much of my life. My most recent (and most devastating) bout was a couple of years ago, when I worked with a therapist and managed to heave myself out of it without the use of antidepressants (which I had been on in the past and want to learn to live without.) Now I find myself slipping back in. My biggest issue seems to be that I put too much stock in what others think of me or might think of me (I’m really good at fabricating things people might be saying about me.) I also had a baby last year, which has prevented me from pursuing my career fully, so when I hear of the successes of others (or see them on Facebook) I get very anxious and feel that the universe is unjust. I want to be a good mom, and I want to be good at my job, but I feel I am failing at both and resenting others who are great at either. I was made fun of a lot when I was a kid and I think I still carry some of this baggage around, like whatever decision I make is the wrong one because I’m basically a loser. How can I focus on myself and my own life without worrying about what everyone else is up to or what they may think about me?
While you already have a good idea of what to do about your negative thinking, you still need to protect yourself from two bad ideas that you express here. Unfortunately, those two ideas are also your “goals.”
First, disavow yourself of the notions that you should be able to stop depression without using medication and that you should find a way to be less, for lack of a better word, insecure. In doing so, you won’t be giving up—you’ll be giving yourself some relief. WAIT! There is more to read… read on »
Posted by fxckfeelings on December 19, 2011
When grown kids need permanent parental support, it’s hard for those parents to feel like they’ve succeeded. Every parent worries that they’re not doing enough for their kids, but for those who have adult kids with problems, that worry is amplified by anxiety and guilt. They can take over management, however, by assessing their responsibilities rationally and keeping their worries in check. It’s not healthy to care for and protect your children too much, but the only parents that fail are the ones that don’t care enough.
-Dr. Lastname
Helping my daughter pay the rent on a bigger apartment seems to have lifted her out of her depression and she’s much more active at her job, but she’s still not making enough money and I’m running out of cash. If I tell her that she has to take a roommate, I’m afraid she’ll just crawl under the covers again and we’ll be back where we started. It shouldn’t be that hard for her to make enough money, but it is. I’m mad and I’m stuck. My goal is to get her to make more money and/or understand that I can’t keep supporting her like this.
While you may think you’re giving your daughter money out of love, you’re actually doing it out of fear. That’s trouble, because when you give money out of fear, you’re usually being mugged.
Fear makes you forget long-term risks, like what you’ll do after you run out of money and the consequences for you, her, and other people who depend on you. Your love is infinite, but your finances aren’t. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 14, 2011
When you love someone who gets mentally ill and doesn’t recover, you may not only lose that part of their personality you loved the most, but also get stuck with a double dose of what you liked least. After all, it’s one thing to vow to be there in sickness and in health, but sickness and negativity and mania are usually more than most people bargain for. If your spouse’s mental illness makes your marriage unbearable, keep a lid on your negative feelings by respecting the burden life has put on both of you and refusing responsibility for putting things back the way they were. Once you can accept that sad reality, it’s time to figure out whether there’s room in your marriage for you, your spouse and the disease, or if your old vows no longer apply.
-Dr. Lastname
My wife suffers from non-medication responsive depression (we’ve done ECT’s, every med in the book, and she has a psychiatrist). She’s bitter and short to family; she goes off on the kids and then can turn around and be nice. I do all the work around the house, get the kids to activities, etc., and I’m wearing out. She comes home from work and just logs on her lap top and sits in front of the TV while I get dinner and clean up. She shows no affection towards me and I feel like a servant. When I complain or push her, she talks about killing herself and putting herself out of our misery (she’s been hospitalized several times) or just hurting herself (sometimes she cuts on her arms and legs). I’m getting to the point where I don’t like her anymore. She just seems to have given up. Nothing interests her, nothing tastes good…she gets no enjoyment from anything. What can I do? She’s in her forties, now, but she struggled with depression in her twenties and this current bout has been going on for 5 years. Her doctor and therapist are really committed to her, but it seems like she doesn’t care, like she enjoys being miserable. Sometimes I feel like I’m spiraling down with her, but I’m not going to give up. If I just stand by, she seems to just sink lower, but I can’t leave, because she’s said that the kids and I are the only reason she’s still alive.
If you’re like most married people, you become dependent on your spouse for a positive response, no matter how independent you are as an individual. You married her because you respect her opinion and take pleasure in her approval. You make her happy, everyone feels good. You see the problem here.
So it’s normal to feel bitterly disappointed and deflated when depression turns her into a grouchy, nasty, unappreciative, unaffectionate black hole who threatens suicide if you criticize her and never does her share.
It’s not just the lack of approval from her that’s bothering you, it’s the overabundance of disapproval, of you and everything else. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 10, 2011
Depression puts a strain on relationships, as does any illness, but it also acts as a filter through which only the worthiest of friends emerge. After all, one of the great rewards of a good friendship is feeling helpful and supportive to a sick friend, and one of the reddest flags of a bad friendship is someone who isn’t capable of either. So when depression tells you that you’re a burden to your friends, remember that, like most of what depression says, it lies. You’re never a burden to a true friend, particularly when you’re struggling, so if someone can’t be a good friend to you when you need them the most, then good riddance.
-Dr. Lastname
I need to face the fact that I have trouble getting close to people. I recently had a close relationship with a guy I was crazy about, but I often get depressed and, when it happens, I get quiet, and he couldn’t stand it. I’m good at functioning when I’m depressed, it’s never stopped me from getting my work done, and I push myself to hang out with friends, but I can’t help the fact that I don’t have much to say and that I don’t really feel like laughing. I kept telling him it wasn’t personal, but he didn’t really believe me. My goal is to figure out how I can find a partner if I can’t really interact very well.
The biggest negative thought you can have when you break up with someone is to believe it’s because there’s something wrong with you, either because your boyfriend said it or because that’s what your brain is telling you.
Nobody says, “it isn’t you, it’s me,” and means it, so you shouldn’t, either.
Remember, it’s deep human nature to blame ourselves for crap that happens, be it a failed relationship or a failed baseball season. It’s your job, however, as your one and only chief protector, to put this assumption to a logical test. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 24, 2011
We’ve talked before about the myth of “help;” how applying the mantra “you need help” to everyone and anyone with problems isn’t always the right thing, whether you’re on the giving or receiving end of this recommendation. After all, just because someone begs you to get help doesn’t mean that you need it, and just because someone begs you for help doesn’t mean it will do them any good or be worth it. Forget feelings of disloyalty, use your own judgment, and remember, most of the time, the most helpful response to people who want you to be involved in help-giving or help-taking is to let them know when help isn’t the answer.
-Dr. Lastname
I’m a 22-year-old who is coming out of a pretty rough emotional patch. I got into a bad habit of leaning on a male friend, being a complete needy, co-dependent mess with a guy who is a pretty heavy drinker and, you guessed it, a needy, co-dependent mess. Well. Now I’ve sobered up and tried to develop some space between us, and he’s not taking it well. He drunk-dials me at least once a week, and leaves these crazy, rambling, needy voicemails. (I moved away a while back, and he keeps pushing me to make plans to meet up.) I basically want to cut him out of my life altogether, because I really think he’s bad for me. But he was there for me—albeit in a f*cked up way—when I was a mess. Does dropping him make me a bitch?
There are two sides to every sin; for example, murder is evil while manslaughter is just really unfortunate. The same is true for good deeds, and fidelity, while less deadly (hopefully), works much the same way.
There’s a bad kind of fidelity based on feelings and a good one based on what you think is right. The bad one is a gut-level sense of obligation you feel towards anyone you’ve shared a bed or bread or booze with, who cries out to you in need and expects you to respond. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 19, 2011
The purpose of life is not to be found in human connectedness, or at least not the kind that arises from the instant sharing of feelings, food, and/or bodily fluids. RomComs, pop songs and almost every advice source might tell you otherwise, but there’s no reason for people who don’t connect easily to feel or be excluded from the human race. Whether you’re attachment-impaired or dealing with someone who doesn’t know a relationship from a turnip, your job is to build relationships according to your own standards, in your own way. Even if you don’t share, you can still care.
-Dr. Lastname
Even in my 40s, I carry a lot of baggage/resentment from my upbringing. I was born in a foreign country and adopted by an older couple who had already raised two of their own kids before deciding to adopt. They were worn out, emotionally distant–my Mother suffered severe depression—so it was a quiet, lonely, and undirected childhood. I’ve since created what most days feels like a good life but working in a very competitive field, I feel like it can all be taken away from me in a flash (and, like most people since the economy collapsed, I’ve been laid off a number of times). I’ve always managed to find work, but I can’t help but think my shy and quiet demeanor has a lot to do with ending up on the chopping block; slipping through the cracks has been the recurring theme of my life. On some level I know I suffer from attachment disorder–connecting with others has always been a challenge and making idle chit-chat with co-workers and “bragging” about my accomplishments takes extreme effort—but moving forward I’d like to feel more connected to people I work with and form stronger relationships and friendships in my life. I think it would be good for my career and my overall being. How do I make that happen?
Before plumbing your personal history for the cause of your isolation, examining its impact on your resume, or trying to increase your degree of connectedness to other people, there’s a much simpler first step—asking yourself why you’re doing all this in the first place.
You’re not saying you’re lonely or that you wish to be closer to a particular friend or family member, just that, if you were more connected to others in a general, categorical way, you would be less disposable and less easily fired. That may be true.
On the other hand, you’re also saying that your lack of connectedness, like your mother’s lack of connection with you, represents a kind of failure that makes life less meaningful. That’s just plain false. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 15, 2011
As diseases go, mental illness is a doozy to treat; some mentally ill people are too humiliated to ask for help, and others are too crazy to ask. If you want to help them (or yourself), keep in mind that it’s the illness, stupid, which distorts the attitude towards treatment. Use the same logic and moral values for mental health treatment decisions that you would use for other illnesses; there’s nothing humiliating about getting sick, no matter what a sick brain decides.
-Dr. Lastname
I have been wrestling with depression for years now and my maternal side of the family has a history of depression and suicide. I don’t feel that I can do this on my own anymore and need help. I don’t want to just take a medical cocktail of antidepressants. My question to you is how do I go about finding a therapist and/or doctor that will be most helpful to me.
The first step for getting treatment for your depression seems simple– don’t get depressed about treatment for depression. After all, depression’s just another form of pain unless it twists your thoughts into thinking that not getting rid of it is a kind of failure that marks a meaningless life.
As long as you realize depression is a persistent ailment, just like persistent back pain or diabetes, you’ll have an easy time making treatment decisions because you won’t regard using treatment as evidence of weakness. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 8, 2011
Getting over a relationship can mean a lot of things—a bad haircut, eating entire pints of ice cream, sex with people you wouldn’t normally make eye contact with, etc.—but what’s most important isn’t how you get over it, but what you get out of it. If you come out the other side with bad feelings but great insight, you’re feeling worse but doing way better than the person who feels great but lacks perspective altogether. Those who don’t learn from relationships are doomed to repeat them, no matter how many bad haircuts it takes.
-Dr. Lastname
I can’t seem to recover from my wife’s infidelity. Six months ago, when I found out, it nearly destroyed me. I stopped sleeping, and started eating compulsively, and felt depressed and anxious all day. I have a demanding job and we have a 2-year-old son and I simply had to keep going. Now, after months of couples therapy and my wife’s promising to stop drinking and then starting up again, I’ve gotten strangely detached. I don’t think our marriage is going to make it and, on some level, I don’t care. I can’t lose the 20 pounds I gained, I don’t exercise the way I used to, and I can’t seem to get my confidence or happiness back. What more should I be doing?
I want to take this opportunity to congratulate you, not for losing a horrible spouse (that seems both insensitive and obvious), but for becoming a fat, lazy mope. Most people consider “letting themselves go” to be a bad thing, but in this instance, it’s a positive side-effect of recovery at work.
After all, the best measurement of how well you’ve recovered from trauma is not how good you feel. This Sunday marks a rather grim anniversary for many Americans, and after 10 years, some of those people still hurt, and some of those in pain are also in shape. Trauma doesn’t factor into it. WAIT! There is more to read… read on »
