Posted by fxckfeelings on February 4, 2010
If someone’s related to you, there’s no guarantee they’re going to be honest with you, or even honest about you to anyone else. You can try to get them to own up to their problems with anger, eloquence, and/or the help of the court system, but the smarter choice is to stop pushing them towards the truth and hold onto the facts yourself. As long as you’re calm and factual, people can draw whatever conclusions they want and your relatives can stick to their version, but your part in the family affair is settled.
-Dr. Lastname
I’m fine now (I’m 14), but I’m trying to figure out how to deal with a crazy father who physically abused me until a couple of years ago—that’s when my mother finally figured out what was happening and had me come live with her. The trouble is, I guess you could say my father doesn’t see reality the way other people do and he never remembers hitting me. In his mind, when he’d hit me, it was because I was trying to destroy him, so what he tells the judge is that he loves me and that my mother is a raging alcoholic who has brainwashed me to hate him (my mother stopped drinking after the divorce, years ago) and he really believes what he says. My goal is to get him to stay away from me and convince others that his version of reality isn’t real.
Kids aren’t the only ones who have trouble accepting the fact that we often can’t protect ourselves from scary crazy boogeymen, particularly when the craziness isn’t obvious, and the boogeymen are family.
We’ve said it here before: certain crazy people are not obviously crazy and are particularly good at persuading other people to see them as injured victims because they truly, truly believe they are, no matter what really happened. It’s a kind of sickness for which no one has the cure, and nobody feels sicker than the victims in the wake of these sickos, who don’t necessarily feel sick at all.
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Posted by fxckfeelings on December 7, 2009
At fxckfeelings.com, we’re never afraid to tackle the ickier topics; we deal with not just the feelings that come out of us, but the solids, as well (although often they’re equivalent). So if someone can’t hold it down or you can’t hold it in, sure, it’s an awkward situation, but it’s not the end of the world. You’re not responsible for what goes in or what comes out, just for what you do about it, whether it’s your problem or your neighbor’s.
-Dr. Lastname
I just started at college, and I like my roommate, but she’s bulimic and hard to be around. Not just because she’s sick (and everybody on the floor knows about her problem, it’s hard not to), but because when she binges, it’s on my food because that’s what’s closest, and she always feels really bad about it and cries that she wishes she could stop, but then she doesn’t offer to pay for it and it’s costing me a lot of money. Part of me just feels bad for her, because she’s clearly really messed up, but another part of me is pissed because I’ve lost a lot of money this year on food that she’s eaten and thrown up, and that just makes me feel guilty like I’m a bad person for putting my lost money above her health. I want to move after the break, but I don’t want her to feel abandoned. My goal is to help her and myself.
Welcome to that other part of college, Hard Knocks University, where the class Helplessness 101—what to do when you can’t help both someone and yourself, and sometimes you can’t help at all—is a frosh requirement.
The tough part is not the decision, but accepting the shitty nature of your options. Bulimia, like any chronic condition (depression, addiction, etc.) is not completely curable, not by you or certainly the patient herself.
If you buy into the psychobabble about body image and low self-esteem, you might think you could help her by praising her strengths, noticing her attractive qualities, or getting her to think about the superficiality and limitations of attractiveness. Ha!
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Posted by fxckfeelings on November 2, 2009
Making the best of ill health, surprise, doesn’t usually feel good; there’s the burden you’ve put on others, and (if you’re caring for someone who’s chronically ill) for the burden they’ve put on you. If you can learn to ignore your emotions and focus rationally on what your life is really about, however, you’ll find that your pain isn’t really what’s important.
-Dr. Lastname
I have been basically bedridden now for almost a decade with constant pain and fatigue, and I’m not even 50. I have been diagnosed with many auto-immune diseases, as well as central nervous system disorders that have led to constant pain, and am on a diet of many medications for pain, neurological disorders, and sleep. I find myself asking why bother? I have lost so many years of my life; my “thrill” in life is getting through a grocery trip. My body is weakened and aged, I cannot please my husband, my now grown children see a mother who is weak and sad. Before this, I was an active, involved, strong woman looking forward to a wonderful active life with my husband, and ready to see my children become healthy adults with families of their own. Now I see a life of pain that no medication has been able to stop, the constant craving of sleep, and utter depression.
If your goal was to be have a wonderful active life with your husband and watch your grandchildren grow, you were screwed before you began.
We all wish for a life like that, but the reason I’m open for business is that none of us can make such a life happen, even with a perfect start and wonderful marriage, not in this world. So if you make a goal of wishes like these, you’ll feel like a total loser when uncontrollable things happen, like incurable illness and pain.
A better goal is to find a partner who is sufficiently strong, caring, and devoted to kids so that he will shoulder the load when you can’t and stick around when you’re not much fun to be with. Lucky for you, you’ve succeeded.
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Posted by fxckfeelings on October 26, 2009
Like the injured gazelle at the watering hole, human beings also have an instinct to conceal their weakened status; often, our worst fear isn’t being set upon by unknown predators, but by those close to us, who will be disappointed when our wounds impair our usual performance. Even a gazelle, however, would realize that, when wounded, putting pride and other people’s needs first is ridiculous.
-Dr. Lastname
I’m an early middle-aged woman, lucky enough to have the problems that come with getting saner and older. I grew up in one of those sad alcoholic homes from which I never gave up working to extricate myself. I screwed life up at first but have been recovered from alcoholism over twenty years, similarly recovered from eating disorders (bulimia, anorexia, binge eating), returned to the school I had ditched to finally graduate with honors, kept jobs (now retired) and, a real miracle, I have been married to a terrific guy in my sobriety and am (for real) happily married. I have solid loving friends. I’ve seen therapists for the depression, which intermittently interferes but even found a half-assed but useful medication. A good life…except for the real problems that come with age. That wonderful husband has a couple of chronic diseases, my best friend died of the cancer I survived, and everyone is dead in my small original family. I am experiencing that trapped childhood feeling of being in a world in which I am helpless and those I love are hopeless and going away. I realize I must just feel the hurt and keep on anyway, but I am tired, and my stamina is more fragile now. I disappoint those I love and make mistakes more. Goal in writing you: To get a better grip on myself and accept more deeply that I cannot change the pain of life. I would like to not keep blaming myself, a old bad habit that lingers. Sorry I’ve gone on so long but I guess I wanted to show that I have really tried to help others and myself even if I’m whining now.
You see your goal as rising above the pain of aging, but you can’t fool me (remember, I went to Harvard): your deeper goal is to help people, to the point that their aging has worn you down and caused you to forget that you have other goals. For example, not getting worn down unless it’s really necessary.
So it’s not aging that’s your problem, but what aging has done to your ability to help others while keeping your priorities straight. That’s what I think is causing you the most grief. After all, if you were old but weren’t as responsive to the needs of others, all you’d have to worry about is your bad back and Tivo’ing NCIS.
On top of ascertaining your real goal, I can also guess you’re not from Samaria, so you don’t have a Samaritan license (funny, you don’t look Samaritan). That’s the first thing that’s wrong with your initial goal—wanting too much to help others.
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Posted by fxckfeelings on October 15, 2009
Accepting that we are all fucked by life is a basic tenet of the f*ckfeelings.com philosophy; there’s a certain zen to it, as we encourage not just being one with the universe and its glory but also with its amber waves of pain. For people who suffer from depression, pain makes an obvious attempt to define your life goal as “I’ve got to stop this.” But killing pain, as desirable as it is, will always compound your troubles if you make it your goal. Your goal is your goal and pain is pain and never the twain should meet.
-Dr. Lastname
I have been struggling with depression for most of my adult life, and I do mean struggling. No matter how many times I find myself going through months at a time of feeling hopeless, angry, and miserable, I know it’s a treatable illness—a chemical imbalance— nd that there must be a way to control it. Over the past twenty years, I’ve been through a handful of shrinks and at least a dozen medications, because no matter how bad it gets, I’ve refused to give up looking for the treatment that will allow me to fulfill the promise of my otherwise lucky life. The problem is that, twenty years into this battle, and I’m still not winning. Treatment works for a while, and just when it seems like things are finally working out for me and I’m in the clear, everything falls apart again. My goal is to figure out how—with what treatment, medication, game plan—to get control of this disease and live a normal life, because I’m stronger than this, and I refuse to let depression get the last laugh.
Hold up—did I miss the morning’s headlines that declared depression a curable illness? Up until yesterday, it wasn’t, and when you think about it, the list of truly curable diseases is an adorably short one. Really, unless you’ve got athlete’s foot, you’re probably shit out of luck.
That said, it doesn’t mean you should shoot yourself unless you’re similarly upset by the incurability of hypertension, diabetes, osteoporosis, high cholesterol, and all the other illnesses that most of us get, sooner or later. Even athlete’s foot isn’t worth it.
The issue here is that if you think that beating an illness means getting rid of it, you’ve lost before you’ve begun to fight. And if that illness is depression, then losing means getting more depressed, which means becoming a bigger loser, ad infinitum.
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Posted by fxckfeelings on September 21, 2009
In difficult situations with difficult people, we’re often tempted to turn to the law for help, hoping that the authority of police or the court can set things right and not asking ourselves what is really likely to happen next. In many cases, if you’re dealing with raw feeling, going to the cops or court brings in a whole new wave of complications and misery. So, as we always say, when cornered by a crazy person, act as you would if under attack from any wild animal; lie low, play dead, and just hope it loses interest and goes away.
-Dr. Lastname
I dated this guy years ago—only for a few months, nothing really serious because he seemed kind of weird even then—and he’s been harassing me ever since. Six months after I broke up with him, he wrote me a bunch of emails and left a ton of voicemails saying he wanted to know what he did wrong, that we should be together, and I did talk to him once just to tell him I was sorry but it was over and he should move on. He told me once that he was bipolar and I was sorry for him—he had seemed very normal then and I thought maybe his family didn’t like his eccentricities, which I thought were charming—but his messages seemed intense, illogical, and angry, and I started to worry. Then, six months after that, another bunch of emails and messages, this time more menacing, so I told him resolutely never to talk to me again. Just recently he started again, but this time the messages were actually scary—he threatened to kill me if we couldn’t be together. He said he felt broken inside and that he wanted me to feel the same way so that I’d understand him and then we could be friends again. Basically, I want to know if I need to get a restraining order against this guy—I’m really scared, and if anyone ever deserved police protection, it’s me. On the other hand, if he’s dangerous, maybe he needs to be put into a hospital and that’s something the police should be able to do. My goal is for the police to do something to protect me and, I hope, him.
In a fair and reasonable world, it would be easy for the police to lock up people who become temporarily dangerous because of mental illness, and doctors would be able to cure them. Unfortunately—naturally—that’s not the world we live in.
Unless someone is overtly dangerous in a way that is immediate and unequivocal—they’ve recently written threatening letters, or said something scary to a reliable witness, or can be expected to act aggressively when interviewed by the police or an emergency room clinician—they’re not going to get hospitalized. That’s the way our laws work for involuntary hospitalization.
These laws seem to do more to protect the accused than the alleged victims in that they protect the individual’s right not to get locked up for being different. In reality, they’re often worse for the mentally ill people they’re intended to protect, because they prevent them from getting treated for an illness that is killing their brain cells and ruining their lives.
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Posted by fxckfeelings on September 14, 2009
The not-MD here: Now that an actual health care bill is almost upon us, I thought this would be a good opportunity to ask my writing partner, as an actual health care provider, for his take on how we can improve health insurance.
We don’t like to get political, and everyone’s entitled to their own views (at least I think so—he’d probably tell you you’re just wrong), but this is not an entry about politics; at its core, the health care debate is about health care, and as a doctor, not a Democrat or Republican, this is his medical point of view. We’ll return to normal cases on Thursday.
-Dr. Lastname
One thing you learn as a parent is that there’s never enough time, money, or resources to provide perfect safety and security for your family. Worse, if you hold yourself responsible for providing it, you’ll go nuts the first time something goes badly wrong and you can’t control it. You’ll blow everything on something that can’t be helped, feel like a failure, and have nothing left, financially or emotionally, for those who need you.
As such, compromising on how you spend your resources is as much a part of good parenting as is nurturing, although it often makes you feel terrible. So it is with health care systems.
Democrats sometimes emphasize the nurturing part of this process, our shared humanitarian desire to provide more care, while Republicans sometimes emphasize the tougher part of this process, our desire to make sure that treatments work and are well delivered. But at the heart of good management there is always an unavoidable need to make good compromises, and that’s what I think needs more attention and reform. Not fewer denials from the insurance companies, but denials that are more fair and decided upon more ethically.
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Posted by fxckfeelings on September 10, 2009
No matter what your illness, medication should never be your first option for treatment. Everything you put in your mouth, from aspirin to spinach, has risks attached, so you should always proceed with caution before you add chemicals to the mix. Then, once on medication, most people are eager to get off it as soon as possible, but that has its own set of risks, as well. If you make your health the first priority, then the choice of whether or not to medicate won’t become risk-free, but it will become clear.
-Dr. Lastname
Before I got treated for depression, my marriage was rocky, but not doomed. I would be irritable and lethargic, which was tough for my husband to deal with, but mostly he was concerned and caring, and he was glad when I decided to get help. Now I’m taking medication, which has helped a lot in stabilizing my moods and keeping the black clouds away. The downside is that my meds have also, surprise, made my sex drive disappear, and this is doing way more harm to my marriage than my depression ever did. My husband isn’t a creep—he’s put up with a lot, and has always been supportive—but I can tell that there’s a distance growing between us. It’s different now that I’m the same old me but not interested in him physically, as opposed to a crying mess who wasn’t interested in him but also couldn’t get dressed in the morning. Is there anyway to not be depressed and not be libido-less? My goal is for both me and my marriage to be healthy.
Equating a happy marriage with a lusty sex life (as does every magazine in the supermarket checkout line) is dangerous, because it directly links the state of your union to something you don’t actually control.
If you could control it, you wouldn’t be writing to me in the first place. More than that, the fact that there are so many sex therapists should tell you how limited your control is (as is theirs).
That’s what the word therapy means in ancient Urdu: doing something that may or may not help for a problem you don’t control but think you should. And if therapy fails, then you’ve got a bad marriage because you’re libido-deficient.
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Posted by fxckfeelings on September 3, 2009
Families share more than last names and lactose intolerance—they also share feelings and physical space. So whether you’re divvying up your attention among parents, or rooms among siblings, or a wheel of brie among brothers, do so with care and caution.
-Dr. Lastname
Growing up, my mother and I were very close (dad left, I was her only son). Sure, she would sometimes get very intense about relationships—she gets focused on being close with whoever she really cares about—but I thought, no matter who else was in the picture, we had a strong bond. Now that I’ve started living independently in a nearby city, I expected her to be happy when I come home and to understand that I need to see my friends as well as spend time with her. Hell, I look forward to spending time with her. But the last time I visited home, which was practically the first time since I graduated and moved away, she got badly bent out of shape and I can’t figure out what I did wrong. I didn’t lie around and do nothing or get things dirty and not clean up. I spent some time with her, was considerate. So I was shocked when she told me she was very offended and I shouldn’t visit again unless I was really interested in sharing time with her. My goal is to figure out what went wrong and straighten things out. I love her, but I can’t let her control my life whenever I’m home.
It would be nice if you were an idiot who needed nothing more than a good etiquette coach to straighten out your behavior and mend your strong bond with mama, because then you’d be welcome in your (former) old Kentucky home.
And it would be nice if your mother was having a sudden acute attack of depression complicated by outright and totally uncharacteristic bitchiness which could be expected to disappear once she got treatment and/or lucky. The good news, however, is that you’re probably not an idiot and she’s probably not depressed.
And, if that’s true, then the sad news is that she’s probably got a problem with her character that neither one of you is going to change, and her home will never be yours. So it’s true, you can never go home again, especially when it was never your home in the first place.
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Posted by fxckfeelings on August 10, 2009
Some people find themselves suddenly, inexplicably cursed by a life of hardship and pain, while others cruise through a blessed existence of acclaim and luck. Truth is, of course, that the person in pain isn’t doomed to constant misery, and lucks brings its own peculiar, unavoidable hardship; thankfully, everyone of us, in one way or another, is fucked. It’s where we go from there that makes the difference.
-Dr. Lastname
Just a few years ago, in my early 20s, I was a fun, outgoing law student at a top tier school, on the cusp of beginning a promising career in a competitive field that I loved. But then, out of no where, my health fell apart. Without getting into it, I was diagnosed with a rare, chronic disease that causes me so much pain and fatigue that even the simplest tasks have become arduous. I had to drop out of school, move back home, and learn to deal, not just with the physical pain of everyday life, but with feelings of failure and being a complete loser. All my old friends are moving upwards and onwards, like I was once set to do, and all I can do is take it slow and try to cope with this new, brutal reality. Plus, because my disease is rare and not physically obvious (I look healthy), several friends and even family members have decided that I’m not sick, but that I just buckled under the competitive pressure of my law career or that I’m just lazy, and am using a fake disease as an excuse. They say things like, “my joints hurt, but I go to work everyday,” and I just want to curl up and die. Between my own disappointment and their cruel judgment, I’ve withdrawn from social interaction almost completely for a year now. My goal is to not completely isolate myself from the world and maybe even start to enjoy some social interaction again despite feeling self-conscious and experiencing such dismissive attitudes from others.
It’s good that you want to get out of your self-imposed solitary confinement—living like that’s unhealthy, even for people who are physically healthy to begin with—but attaching the enjoyment of social interaction onto your goal is not so hot, especially when you’re suffering from a disease that seems to make enjoying anything nearly impossible and gives prospective friends a case of the repulsive willies.
Problem is, despite your best efforts, enjoyment is out of your control, and if you make a big effort to extend yourself socially and run into crap, you’ll feel like a stupid failure and personally rejected, when, really, it’s your standards that are the problem. Yours and everyone else’s.
A better goal is to work at not taking your pain and isolation personally while working out rational standards for what it means to cope with them.
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