Posted by fxckfeelings on August 22, 2011
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People like to think that trusting an inner voice—their gut, their instincts, the force, etc.—will always lead in the right direction. In actuality, instincts and body parts are better known for causing instant urges (a.k.a. “feelings”) that ignore logic and implant convictions that the sky is falling, love occurs at first sight, and advertising never lies. When it comes to major decisions, don’t trust your gut (which, as we’ve pointed out before, is literally full of shit). Find out facts and figure out the odds before doing something that scares you, titillates you, or gives you an enormous Visa bill.
-Dr. Lastname
My brother is a good doctor, and an especially good one given that he’s struggled with depression his whole life. When his own illness needs attention, however, he becomes a terrible patient. He doesn’t get depressed often, but when he does he obsesses about the possible side effects of each medication and so doesn’t take what’s recommended, takes half the prescribed dose, or insists on his doctor giving him something less harmful (and much less effective). The result is that he drives his doctor (and me) crazy and takes a lot longer to get better. When I tell him he’s over-reacting to his fears, he tells me “I’ve learned to listen to my body.” I know he’s a doctor, but I think his body’s lying. What can I do to help him when he’s sick?
It’s a sad fact of mental illness that it often prolongs itself by disabling a person’s ability to seek and select appropriate treatment. Like any smart disease, it knows from self-preservation (in all the ways your brother does not).
That means you can’t necessarily get through to your brother by reasoning or addressing his fears. In your brother’s case, it’s unlikely, not just because you and his doctors have tried and nothing works, but also because he is a doctor, and the side-effect of trying to treat a doctor is a giant pain in the ass.
Recognizing his response as inherently unreasonable and illness-driven, however, can build your confidence in your own opinion to the point where you don’t have to persuade or argue. If he insists on listening to his body, you can serve some truth to his brain. WAIT! There is more to read… read on »
Posted by fxckfeelings on May 30, 2011
When people are in pain and can’t find a good treatment, they often feel like filing a protest—it’s the adult, less-trivial version of a child pitching a tantrum when their situation becomes too unfair. One way to rebel is to embrace a treatment that feels good but does harm, another is to avoid a treatment that feels bad but might help in the long run. As with a red-faced toddler, you can’t help such a person by supporting their expectations, you can only remind them that life is, in fact, unfair, and that they’d better deal with it as it is, or you’ll have to reassess your relationship/take a time out.
-Dr. Lastname
My wife is a good woman, and she loves our son, but she has a trauma history and when she gets anxious, she gets very negative and loses hope in us, herself, and our future. Antidepressants helped some, but less than we hoped. Two years ago, before our son was born, her psychiatrist showed her that negative thinking was half the problem and urged her to get DBT, a kind of cognitive behavioral therapy that would help her develop positive thinking habits. She didn’t follow through but seemed to be doing well until the other day, when I discovered she’s been drinking secretly since she delivered. She says alcohol is the only drug that helps relieve her anxiety, which has been overwhelming. My goal is to find something else that will help her.
Everyone is entitled to anxiety-relief, a fair life, and a healthy body. Along with that entitlement comes the guarantee that everybody (except for a few lucky jerks) has to pay the price.
At this point, her motto is, to paraphrase the New Hampshire license plate, “live free (from anxiety) or drink.” If it were up to you, she wouldn’t feel this way, but it’s not, and you’ve got to tell her that neither freedom nor booze is an option.
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Posted by fxckfeelings on May 19, 2011
Lot of people can’t control their own behavior 100% of the time and no one can control anyone else’s behavior, but there’s a big difference between biting your nails and sleeping all day, or between dodging someone’s road rage and watching them starve themselves to death. No matter how bad the behavior or how helpless it makes you feel, knowing that you’re not responsible for a solution can give you the courage to do some good and respect yourself and other control-impaired people, regardless of what happens or how bad it is.
-Dr. Lastname
So you say “fxck feelings” and act on what I can change. How do I sit through a feeling and get to the other side of it without resorting to destructive habits (eating/not getting out of bed/no proper sleep because if I go to bed I will think and feel and remember as I’m falling asleep of all those things that I don’t want to keep remembering and that make me sad) that compound those feelings instead of dull/diffuse them? My goal is to live (emphasis on the word “live”) through a feeling until it goes away or at least becomes akin to white noise, instead of distracting myself away from a feeling with destructive behavior/habits to avoid it until I’ve made it ten times worse.
In one of her short stories, author Lorrie Moore describes two explorers captured by an angry tribe of natives in the jungle. The explorers are offered the chose of “death or Roo Roo,” and the first man choses Roo Roo, which turns out to be lethal torture. The second man then opts for death, so he is killed…by Roo Roo.
What you’re dealing with is a death-or-Roo Roo situation.
You either let depressive sleep impulses drive you to destructive habits that feel better in the short run and hurt you more in the end, or you suck it up until it’s not so bad (or you get distracted by something worse) and even then it’s not great. Alas, it’s a jungle out there.
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Posted by fxckfeelings on May 16, 2011
Couples, like sports teams, tend to react to one another with reflexive reactions that bypass the higher centers of the brain in order to better facilitate working together as a unit. It takes no more than a look or an innocent question, however, to put you on the defensive before you know what you’re defending against or the harm you’re going to do by responding so fast. Then you’ve got an error against you and a very angry fan base (even if it’s a fan base of one). Instead of pushing for resolution, take a solo time out, rethink your strategy, and sooner or later, you’ll both be back in the huddle, figuring out your next move together.
-Dr. Lastname
I hate it when my husband and I squabble over something stupid, and then he falls silent and stops communicating, and it’s like he’s left the room. It drives me crazy. It’s true, I’m not thrilled about doing his bidding when I don’t have the time, or when his requests don’t make any sense, but if he let me know how important it is to him instead of sulking, I’m sure I would do it and then we wouldn’t have to go through this pain. My goal is to get him to communicate better.
If you’re the sort of person who can’t stand it when someone you love is angry and silent, your best mate might be a parrot.
You may try to find ways to help your beloved and avoid your pain, but don’t. Sometimes, reaching out to angry people will get them to lash out at you because they want a time-out, or it will let them know they can get to you by sulking, so they’ll use silence as a weapon.
Anger sends the same signal from any animal, from human to bear—go away, or stick around at your peril.
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Posted by fxckfeelings on May 9, 2011
Parents get a lot of blame when something goes wrong in their kids’ lives, and a fair share of it is heaped on by those in my industry. The lion’s share, however, comes from parents themselves, and that feeling of responsibility, no matter who assigns it, is great at making things worse. The truth is that parents have little control over their kids’ weaknesses or the fact that life is sometimes hard and painful beyond their powers of protection. Accept this sad truth, and you’ll become a much more effective parent and much less blaming of your spouse and your kid, whether Freud’s disciples admit it or not.
-Dr. Lastname
I still can’t understand why my 15-year-old daughter would purposely overdose. I understand she’s always been an emotional kid and that she hasn’t been happy lately, but my husband and I love her. We’ve always told her we want to hear about any problem she wants to share with us, and she knows it would kill us to lose her. Still, she seems to have no remorse for what her suicide might have done to herself or the rest of the family. My goal is to understand how she could do it and teach her a sense of responsibility so it won’t happen again.
In many ways, a suicide attempt is like a natural disaster; you shouldn’t bother asking why it happened, or what if you had done things differently. Whether you blame global warming or God’s wrath, it won’t change the fact that it happened or that there is at least some chance that it will happen again.
The moment you think you understand the reason, you’ll think you know what she did wrong, or, at least, what she should have done better, and that will just make her feel more like a loser, and more like doing it again. Or you’ll think you know what you or your husband did wrong, which will make you feel like losers and blame one another, and make her feel like doing it again.
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Posted by fxckfeelings on May 5, 2011
People like to turn to an authority when they’re helpless, and if that helplessness only applied to 911-like situations, there would be no problem. For problems that don’t involve theft or fire but sadness and family, however, authority is useless; sure, doctors like me can give advice, but until medical schools start borrowing from Hogwarts’ curriculum, the best resources you have are your own. The sooner you realize that, the sooner you’ll learn to draw on your own authority to come up with the best possible management plan and execute it with confidence. You are your own best first responder.
-Dr. Lastname
I need to find a doctor who will tell my daughter she needs to take her medication. She’s always had a problem with depression, and she did well in high school when she took antidepressants. Now, however, she’s 24 and very reactive to however she’s feeling, whether it’s not getting out of bed, or not working, or feeling dizzy and deciding it’s the medication and stopping it. My husband and I can’t get her to stick with anything, and she won’t listen to us in any case, so our goal is to get you, or some professional, to tell her what she needs to do.
Whenever parents want a doctor to tell their kid what to do, you can be pretty sure they’ve lost faith in themselves and overestimated the power of communication/a medical degree.
And no, it doesn’t matter how old the kid is or how many Harvard degrees the doctor has; the doctor doesn’t have more power than the parents, no matter how powerless the parents feel.
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Posted by fxckfeelings on April 11, 2011
If you watch basic cable, you’ve seen enough shows about bizarre health problems to know there’s someone out there for everyone, willing to put up with anything; from morbid obesity to tree hands to a lack of sex organs, there’s no physical trait so daunting that there isn’t someone out there (usually someone with low expectations) who can’t accept it. It’s always surprising, then, when people with lesser problems, like illness or bad habits, have trouble getting the same level of unconditional support. Of course, acceptance, as hard as it is, doesn’t mean being a doormat. That’s why the payoff of acceptance is becoming stronger, prouder, and more realistic, even if it never airs on basic cable.
-Dr. Lastname
I like my wife, except when she doesn’t take her bipolar medications, which she hates, and then she becomes nasty, irritable, and overbearing. She makes my life miserable, and I worry about her impact on the kids. My goal is to protect the kids and get her to take her medication.
The best way to keep someone from taking their medication is to persistently ask them whether or not they’ve taken their medication.
That’s not to say that leaving the issue alone will insure she takes her meds, either. The point is, if she doesn’t want to take then, she won’t. The second part of the goal is a no-go.
The best you can do is tactfully encourage your wife to look for her own reasons to take medications. Having done that, you can predict whether it’s ever going to happen, and direct your life accordingly.
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Posted by fxckfeelings on March 10, 2011
Families are forever, just like diamonds and herpes, so it’s natural to want to change family relationships when they’re excruciating or failing apart. Everyone assumes that our best tools are communication and understanding; for some reason, we hold to this belief, even as repeated efforts to communicate and understand have made relationships worse. Whether a relationship is supposed to last for years or not, learn to accept it as it is. Then your plans will become more effective, but, like diamonds and herpes still, that relationship will remain hard, and there will be flare-ups.
-Dr. Lastname
My father asked me to write this letter for both of us. I was forced to move into my father’s one-room apartment and live with him after I lost my job and ran out of money (I’m 40). I’m grateful he took me in, and I’m trying to make enough money to get out on my own again. In the meantime, we’re stuck with one another, and we can’t stop fighting. I want him to understand the fact that I can’t help having a terrible temper, being very distractible, and not having the energy to clean things up because I’ve been diagnosed with depression and ADD. He wants me to understand that it’s hard to put up with my being a slob and never cleaning up and that he can’t help getting furious. We both want to put an end to the hostility.
Asking for understanding from your father is a really bad way to try to reduce hostilities, and a really good way to increase them. And no, it’s not opposite day.
Sure, he’s your dad, but let’s dispose of the notion that parent-child relationships are always supposed to be perfect, and can and must be fixed if they’re broken. Just because you share blood doesn’t mean you should share an apartment or that you can expect to get along, if you do.
As for “fixing” your relationship…well, if your father was fixed, you wouldn’t be here, and that would be the best solution to your conflict. Otherwise, you’re his son, but that doesn’t mean you should be able to get along.
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Posted by fxckfeelings on March 7, 2011
Some self-help experts tell us that we control our destiny! All that does is make you feel responsible for things working out in the end, which is why your automatic response when that doesn’t happen is to figure out where you went wrong while feeling like a shitty, guilty mess. The truth is most big problems can’t work out in the end, particularly when they involve illness and aging, and the only thing wrong is that we’re living in a very, very tough world. Instead of asking where you failed, be proud of what you achieved despite being destined to suffer at nature’s whim.
-Dr. Lastname
I’ve been very helpful and patient with my husband since he suffered brain damage after being hit by a car, but I’ve just about had it. Everyone in our families focuses on finding a new treatment for him, and we’re all happy that he’s recovered some functions and can now talk and stand up. The trouble is, I’m exhausted, I’ve got no time to go out and make a living, and he’s gotten into the habit of telling me what I’m supposed to do without a please, thank you or may I. My goal is to set him straight and let him know I can’t keep it up at this pace and that he needs to improve his tone.
Setting someone straight when he wants too much from you usually leads to a guilt fest; you make him feel guilty, he guilts you right back, and it’s a regular guiltapalooza.
You wouldn’t be knocking yourself out in the first place if you didn’t feel responsible and, yes, guilty for not doing more. Of course, you may be knocking yourself out doing things that are really, really necessary, but that’s unlikely. Guilt rarely works that way.
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Posted by fxckfeelings on March 3, 2011
Pride comes before the fall, and the fall is sometimes into a prolonged depression, which, to mix metaphors, can lead to a lengthy winter of discontent. No matter how much you deserve to be confident in a job well done at work, there are uncontrollable things that can put the brakes on your momentum or just stop you from doing excelling work. One of the major sources of stalling is the aforementioned depression. That’s when you either find a more solid source of pride or start seeing yourself as a failure, and you know what we advocate. Real excellence is accepting your best work when it’s not excellent, and real pride comes with healthy expectations and is fall-free.
-Dr. Lastname
After 5 years of facing up to issues with PTSD after a sexual assault, depression, anxiety and feeling generally emotionally disconnected, I felt that I made progress. As a creative person, I was stuck in a job surrounded by other artists but not creating anything myself. I left my job last autumn and set myself up as a freelance artist and have been working hard at being pro-active. I have been ignoring the signs of depression since last November, maybe earlier. I am doing the bare minimum just to support myself but over the past month or so I have been sinking down further and further. I feel like a failure to be back at this place again. In the past I have taken anti-depressants but they cut all creative flow off and I just can’t do that again, it’s the only thing holding me together at the moment. I cried last night for the first time in 9 years at the sheer frustration of not moving forwards and not being the artist I want to be. I’ve kind of given up on the idea of having the things normal people do like family (have no contact with my own), so I do tend to define myself by my art. My goal is to be brave enough and good enough to create the work that I feel is inside me without sabotaging or running away.
One of the dangers of being an artist is that you may gain too much confidence in your control over creativity. Sometimes, you feel the muse. Most of the time, you feel the misery.
When you feel inspired, you define yourself by your art, despite the lack of control you have over it. Creative types are in the unique position where talent and productivity don’t necessarily go hand-in-hand. When the former outweighs the latter, problems ensue.
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