Posted by fxckfeelings on July 19, 2010
Today’s post tackles a common, yet heretofore-not-submitted question about therapy, namely, how to find good help without breaking the bank in the process. While it’s a simple question, the answer isn’t, so we’ve dedicated the entire post to helping those who want help with their mental illness, but don’t have a dime to spare.
-Dr. Lastname
I’ve been depressed for some time and could use some treatment, but my insurance has a big deductible, so I’ll be paying everything out of my pocket, which isn’t deep. My goal is to get treated for the least amount of money.
I’ll assume from your tone that depression isn’t making you suicidal or putting you at immediate danger of losing your job and/or family because, if it is, you need to forget about the cost of treatment and value the cost of your survival.
If depression is putting your life/work/family in danger, get a psychiatric evaluation, in an emergency room if necessary. Do not pass go, do not collect $200 (no matter how much you need it).
If that isn’t the case, there’s lots you can do to reduce the amount of money you spend on treatment…if you’re willing to spend some time, do some research, and use your common sense.
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Posted by fxckfeelings on July 15, 2010
We Americans love our stuff, but the lust for said stuff can cause individuals to behave badly (see: the demonic/orgasmic audience reaction to Oprah’s car giveaway). Usually, when someone goes overboard with longing for/accumulation of stuff, it’s a family member who steps up to put the breaks on, but when anyone, family or no, gets between someone and their stuff, things can get uglier than anything Oprah could imagine. If family members put limits on their responsibilities, however, there are still ways for stuff-addicted loved ones to break the stuff cycle.
-Dr. Lastname
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).
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Posted by fxckfeelings on July 1, 2010
When a relationship fails, you can either accept that you can’t really accept them, or accept that, no matter what you do, they can’t accept you. After all that acceptance, you think it would be easy to not let that person aggravate you, but the temptation to speak your mind will stick around as long as the other person does. Your last bit of acceptance is that you need to keep your mouth shut until you make up your own mind about how to go forward, then accept your decision and politely speak your peace. No exceptions.
-Dr. Lastname
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.
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Posted by fxckfeelings on May 20, 2010
Writing looks easy; after all all you need is pen, paper, and maybe a table at Starbucks. Then there’s inspiration and an interesting topic. Plus a fully functioning brain, a supportive audience, and, of course, shitloads of luck. Oh, and a trust fund. It’s no wonder then that writing and depression dance a delicate pas de deux with one another, and that torturing yourself for not “succeeding” as a creative mind is a pretty useless, uncreative punishment.
-Dr. Lastname
I’m an older woman with two advanced degrees in creative writing (one from Iowa, la di da). My career, on the other hand, hasn’t risen beyond doing commercial writing, be it technical or ad copy. I get published in small journals here and there, but after my first novel got a handful of rejections, my agent dropped me, and I haven’t been able to finish another novel in order to get a new agent and sell the first. My limited number of published pieces has also made it hard to get a teaching job, even though I got degree number 2 specifically to enter academia. So now I’m stuck working in advertising, and while it’s a good steady job that pays well, it still kills me a bit inside. Nevermind that I’ve absolutely struggled with depression my whole life, and while I take a handful of medications to control it, it’s just an added level of difficulty. Nonetheless, with my illness under control but my dream still very much out of control, my goal is to make this job work so I can settle and maybe even be happy.
You could say writing is a stupid career choice, given the unlikelihood of making money, and that academia isn’t much better, given the current job market. It’s as stupid as counting on a career in the NBA because you’re good at basketball.
The truth is, a large part of being a writer isn’t a matter of choice; it’s who you are, and trying to find a life that fits. It’s not so much a bad choice as a bum calling, with inspiration necessary but never promising to come when called.
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Posted by fxckfeelings on May 10, 2010
Everyone wants a feel-good, look-good family, but most of us relate to the more familiar feel-bad families on TV (which look good, and feel better by the end of the show). Still, there’s a difference between your average dysfunctional family unit and your genetic/step-parent clusterfuck. When your family situation is in truly bad shape, you’ve got to be tough enough to accept what you’ve got, then focus on making the best of those impossible relationships, outsider opinions be damned. Unlike those TV families, real problems don’t get solved after a half-hour, not everybody’s pretty, and you have to ignore your ratings with the audience.
-Dr. Lastname
I need to stay married because, while I work a pretty demanding job, my wife stays at home and watches our two kids, whom she adores. The problems are, however, (and there are many): she doesn’t work because of a migraine disorder that’s so debilitating that she’s on disability, and she takes too many non-prescription pain pills for those headaches, and, while they don’t make her a bad parent (I know the kids are safe), they often make her, in your words, a really needy, grumpy asshole and an impossible woman to be married to. I never know when she’s going to kick me out of the bedroom, scream at me in front of friends, or nod off after dinner. Needless to say, she won’t try marriage counseling or cutting back on the pills and thinks I’m bullying her if I suggest we have a problem. I can’t leave her, because it’d break the kids’ hearts, plus, like I said, she provides childcare, which is not something I could afford on my salary, and if I lost custody of the kids, I’d be in a worse hell than I am now. I know I can’t leave, but I don’t think I can live like this much longer. My goal is to find a better way to survive.
You’ve got good marital reasons for staying vs. leaving (the kids, the kids, the kids, and money, but also, the kids). There’s no escaping the fact, however, that her headache is infectious, and you’ve got it, too.
You’ve obviously built up a good, solid tolerance for living with your wife’s problems without fighting all the time, and your values and perspective are great. Which is why you probably already know that your goal is impossible.
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Posted by fxckfeelings on May 3, 2010
Poor, well-meaning, dedicated therapists and the patients who love/destroy them. After all, it’s enticing to let someone persuade you that you’re their guardian angel and the only therapist that can help. It’s a fun ride for everyone, at least until you realize that you’re responsible for something you don’t control, and they’re even less responsible than before for dealing with reality as it is. While this is a shrink-based site, we are the first to admit that therapists are not perfect people, especially when they get in in their heads that they actually are.
-Dr. Lastname
I have a 30-year-old patient whom I’ve been seeing in weekly psychotherapy for 6 months and he had a terrible history of sexual and physical abuse and years in state care. Amazingly, despite all his trauma and several prior failed treatments, he settled into a trusting relationship with me. He tells me I’m the first person he’s bonded with, and he’s been able to stop using cocaine, and, for the first time, sees some hope for himself. The problem is that he just got a new job, and I’m not covered by his new insurance plan. He wrote me a letter telling me how much he feels his recovery depends on continuing the treatment we’ve started and I feel professionally obliged to put his welfare ahead of my financial needs, but I’d like to get paid. My goal is to do right by my patient, and not trigger the feelings of abandonment that underlie much of his negative behavior, but I’m not sure how long I can afford to see him for nothing.
There are many therapists who believe the best thing you can do for a troubled patient like this is to “be there,” providing the steady acceptance and secure relationship that they need for healing. I’m not one of them.
The sad fact is that the healing power of currently available treatments is vastly over-rated and a good example of false hope and the harm it can cause.
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Posted by fxckfeelings on April 19, 2010
Many of us have nasty sides that can do lots of damage if they get out. In psychiatry, we call them “demons” or, to be less judgmental/more technical, “inner assholes.” They’re helpful if we’re cornered by Moonies and need to escape, and they certainly make us less boring. On the other hand, they’re dangerous, particularly since it feels so good to let them fly. Unfortunately, anything that flies has to land, usually on those you actually care about.
-Dr. Lastname
When my husband and I first got married (and married young, over 20 years ago), his job was physically intensive, but he enjoyed it and it paid well. Not too long ago he got injured, and it was bad enough that he can’t go back to that line of work, so he’s collected disability and taken over the childcare, which he does well. I found a good job, so we’re making enough money, but I don’t like working and miss spending time with the kids, so I push him to find a desk-job, but he obviously hates that kind of work and can’t seem to find anything that suits him. The whole thing is so unfair, I can’t help but dig into him sometimes, in a way that I know, even as I’m talking to him, is just nasty and inappropriate. It’s really putting our marriage through the ringer, but as hard as I try, I can’t control my temper. My goal is to get through this problem without getting divorced.
You clearly value your partnership with your husband…even if you hate your new role as breadwinner so much that it awakens the asshole within.
It leaves you with a big lump of anger and disappointment that you can’t get over and won’t go away. The expression might be “like it or lump it,” but sometimes, you have to do both.
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Posted by fxckfeelings on April 15, 2010
While Shut Up! Week began with us doing the up-shutting, it concludes with the more fun exercise of instructing others when they can utilize their own “shut up!” skills. After all, a friend might want to help you, or you might want to help a friend yourself, but sometimes the best thing you can do to help someone is get them to keep their mouth closed. And with that, Shut Up! week shuts down.
-Dr. Lastname
For years, I’ve talked to a friend of mine about my problems who’s also a counselor, and during that time, he’s urged me to seek professional help. I used to brush off that advice, mostly because this friend lives in another city and only ever really talks to me on the phone when I have problems, but in the last few months, I’ve begun to consider taking his advice. I don’t know what to say when I call to make the appointment, however, because I haven’t the faintest how to explain the unknown in my head (which is the main issue that frustrates me). I want to scream, but don’t know why or what. Do you have any advice as far as how to ask for help when I’m not sure what I’m really asking help for?
Remember, funny feelings in your head cause fear, which causes funny feelings, which cause fear, which create a spiral that will flush you down the toilet of needless worry. The first thing to do then is shut up and think about whether you need help.
If you’ve had funny feelings in your head for years, they’re not about to kill you; they’re not telling you to kill yourself or anyone else, and they’re not annoying you to death. WAIT! There is more to read… read on »
Posted by fxckfeelings on April 8, 2010
Many jobs, especially those involving leadership or sales, depend on making a good impression with the public. The risk is becoming so focused on public reaction that you end up like Ed Koch, asking “How’m I doin?” with such frequency that you lose track of exactly what you’re supposed to do (aside from getting people to curb their dogs). Most public jobs, however, involve lots of duties that only make an impression when done very poorly, so success can’t be defined by accolades, and you’re the only one who knows best. It’s up to you to be your own best judge before you end up so hungry for approval that you get stuck in deep dog shit.
-Dr. Lastname
As rabbi of a medium-sized temple for 10 years, I’ve enjoyed a good relationship with my congregation and I love the work. My problem is that I rely on the temple Board to decide whether I get a raise, and, during the last recession, there wasn’t one because everyone felt too poor to pay more dues. When, recently, I began looking at what rabbis of comparable congregations are making, however, I found that my salary is well below the mean, so I’ve been wondering how to become more active without appearing to be greedy, selfish or unresponsive to the problems of the congregation. One way that occurred to me was to do a “360 degree review” and ask everyone to give me feedback on how I’m doing, including the congregation, the board, and people who work for me. My goal is to get a high approval rating and use that to get a raise.
Unlike the woman earlier this week who was too afraid to rock the boat by asking for a raise (until anger made her want to torpedo the ship), you’re inhibited by guilt, empathy, and that certain Jewish ne sais quoi.
Still, no matter how tempting it is, don’t ask the congregation to clap if they think the rabbi deserves a raise. You’re a scholar and a leader, not Tinkerbell.
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Posted by fxckfeelings on April 5, 2010
Despite all that Hillary, Michelle, and Jóhanna have done to break glass ceilings for women (the latter being the first female Prime Minister of Iceland, no small shakes), we still get letters from ladies with workplace issues caused not by performance, but by gender. Ironically, our answers are far more gender-neutral; workplace disagreements should always be professional and unemotional, whether you’re a man or a woman, or in or outside of the Arctic Circle.
-Dr. Lastname
My boss has never really been supportive of my work, but we get along well, and it’s partly because I haven’t asked for a raise in over 20 years. Recently, however, he began to give me a hard time about leaving early, and it’s really pissed me off because I work a lot at home on the computer (my husband and I have trouble getting reliable after-school childcare) and I take pride in working hard. (It’s particularly unfair and infuriating because I’ve had an unusually good year and everyone, including my boss’s boss, the big boss, knows it and I was even thinking now, finally, I would get a raise. Certainly not a reprimand. I’m reaching my breaking point here, because it’s one thing to work your ass off for poor pay because you like the work and the people on your team, but another to be bullied over nothing on top of that. I’m meeting with the big boss tomorrow and my goal is to get the credit I deserve and maybe give him a piece of my mind.
Reassuring women about their feelings instead of giving them a raise is something guys have done to girls (and communication-sensitive people of all genders) since the glass ceiling was made out of quills.
This is not to say that men are entirely at fault; women make it easy for guys to do this by bringing up their feelings as a reason/using them to push for a raise, instead of letting facts and economics do the pushing for them.
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