I’m in a very loving and healthy relationship with a divorced father of a 5-year-old. I feel we are deeply in love and we plan to marry, however, when he has his son I feel like nothing more than an outsider. Although he is very fond of me, I can’t help but be overcome with jealousy at the attention my boyfriend gives him and I distance myself in order to hide my feelings. I end up feeling isolated and alone which ends with tears if he asks me what’s wrong. I’ve tried to separate my feelings from reality, because his son deserves his attention and time. I see him light up when his kid’s around, but it’s hard for me to understand their relationship since my own father is a deadbeat and I’ve been dealing with abandonment issues my entire life. I don’t want him to feel guilty because he’s such a great dad and misses his kid and I don’t want his son to feel that I’m indifferent to him and ignore him, but I can’t help but feel like the jealous older sister. My goal is to remove myself from these emotions and learn to appreciate our unique family blend.

Don’t feel guilty for your thoughts or feelings, particularly when your actions don’t reflect those feelings. You can feel wrong as long as you do right.

And you must be doing a good job with managing your bad feelings, because, regardless of how jealous or bummed you feel when you behold your fiancé’s warm father-son relationship, you’ve done a great job of keeping them to yourself. You’ve succeeded in protecting your most important relationships from the negativity.

One definition of professionalism is behaving in a benevolent, job-oriented way without letting negative feelings show or interfere. You’re obviously a pro, particularly since you’re doing it while managing a shitload of pain.

You’re entitled to ask yourself whether you can put up with the painful feelings, and keep yourself under pretty good control, once you’re married. A better way to put that question is, are the advantages of the relationship worth it, assuming that your control is good enough. My guess is that it is, and it is.

There’s also the possibility that, after enough time goes by, your painful feelings will ease up, particularly if you and your fiance’s son have a chance to hang out and develop your own relationship, creating your own unique bond so you have nothing to be jealous of.

What you don’t want to happen is to let your disgust at your negative feelings destroy your confidence or make you feel guilty. If you feel you’ve got to purge yourself of those ugly feelings, or confess them, you’ll make them worse.

Forget the exorcism then; you’ve got a demon, but disowning her entirely will only increase her power to terrorize you. You came by her honestly, you’ve done a good job of stopping her from running your life, and accepting her will let you re-affirm your solid self-control.

If your fiancé asks why you sometimes seem unhappy, tell him a positive version of the truth; that, because of your background, you sometimes feel painfully needy, plus he’s much nicer than anyone you knew growing up. You’re also confident that the feeling will pass because you love them both so much.

As you settle into your new life and new family, the feelings will settle as well.

STATEMENT:
“Sometimes I feel like a motherless child, which is to say hollow and mean, but I keep this problem to myself and, as a result, I’ve got a great fiancé. I expect to feel needier in some ways as we get closer, but it’s worth it, and I think we’ll be OK.”

I’ve got an evil father-in-law who is always ready to say something nasty about me, and my wife never really supports me. Right after I set up a rule or schedule for our family, my father-in-law will go out of his way to defy it, and then ask my wife to bring our daughter over for a visit. Instead of standing with me and telling her father that he has to respect our rules and that I’m a part of the package, she goes over there by herself and acts as if nothing happened. I wonder if I’ll ever be able to trust my wife again and, if that’s the case, I don’t see how we can stay married. My goal is to do my best to get her to see what her father is doing.

It’s infuriating, when you’re trying to manage a family, to have someone sabotage your arrangements and make you look like a dictator instead of a parent and husband. Still, it happens, and it’s hard to stop, even when your partner is in total agreement with your every move.

On the other hand, many of your not-so-distant, not-so-wealthy ancestors may have had to live together in close quarters and couldn’t escape. As a result, they probably checked out their in-laws very carefully before deciding to marry, because they knew, once things got started, they were stuck.

If you can bear the humiliation for a minute, stop and consider what’s best for you. Put aside your fury at your wishy-washy wife and meddling father-in-law and ask yourself whether she’s a good partner in other ways—as mother, manager of time and money, and loyal companion (in every non-paternal relationship).

No, this is not an attempt to change your feelings for her; it’s to get you to think about whether getting rid of the feeling of betrayal will be worth the loss of her partnership and the impact of divorce on your daughter, which will push her into your father-in-law’s arms. Your feelings are about betrayal, but if you let them run loose, you may expose yourself to a much greater betrayal with more dire consequences.

If, feelings aside, you believe you’ll have a better life and stronger influence on your daughter by avoiding divorce, then ask yourself whether you can learn to live with anger and bitter mistrust while keeping your feelings to yourself. It’s possible (see case above), but admittedly difficult. If you decide to go that route, seek coaching and a good support group.

If you can’t imagine living with those feelings within a marriage, then you can’t, but don’t expect divorce to provide you with rapid relief. On the other hand, if you stay married, you’ll probably have many opportunities to run the family circus, just not all the time and not with your wife’s full cooperation/compliance.

Your goal, if you choose the trial of living with your Judas wife, won’t be to regain a feeling of marital comfort and trust, but to learn how to live without those feelings, knowing that, on some rational level, the value of your wife’s strengths as a partner outweighs the pain that your father-in-law has stirred up. If you want to remain a full-time parent and husband, you don’t have a choice.

STATEMENT:
“I’ll never feel that I can fully control my household or trust my wife until my father-in-law is dead. Nevertheless, she and I are a good team and my ability to keep our daughter from over-bonding with her grandpa is better if I’m around full-time rather than during visitation only, so I’ll try to stay married and set quiet limits on an intrusion I can’t always control.

I wish my boyfriend wasn’t so critical about the money I spend on clothes. Couples therapy helped me understand that growing up poor left him with deep insecurity about money (he still doesn’t make much compared to me, though he’s a hard worker). What therapy hasn’t done, however, is stop him from giving me a hard time about every sweater I buy, even though I’ve got good savings, no debt, and a total willingness to carry more than my share of expenses. If we get married, I’m sure his criticism will get worse and I don’t think I can stand it. My goal is to get him to back off, so we can have a life together.

The potentially bad side of couples’ therapy, as readers of this blog know, is that it can encourage a person’s tendency to take unlimited responsibility for getting through to their spouse. Like food, booze, or anything you enjoy, communication should be enjoyed in moderation.

After all, you’re supposed get a break from that responsibility once you’re sure you’ve done the right thing, but couples’ therapy can make you into a share-aholic who can never rest until togetherness has been restored.

Discussions that could be settled in hours are instead plumbed for weeks, accomplishing nothing positive (unless you’re the therapist, who’s putting every hour of your bullshit towards his/her mortgage).

In other words, if you give proper attention and respect to your partner’s objections, continue to believe you’ve done the right thing, and offer a respectful response, you shouldn’t have to talk about the issue any more, even if he remains unhappy and angry about it. It’s unfortunate that his childhood was poor. You can still buy shoes.

If you feel obliged to keep on explaining and defending yourself because of his feelings, you’re making yourself responsible for something over which you have no control. Of course, you wish he could feel better about your spending decisions, but if you make yourself responsible for changing his mind or doing whatever else is necessary to ease his unhappiness, you’ve downgraded the importance of your own moral compass, and that’s dangerous. It’s not good for either one of you, and it could ruin your relationship.

You’ve already decided that your fashion budget isn’t a sin. You’ve given the higher priorities their due, including saving for the future, doing your share with your partner, and, I assume, giving to charity. If you’ve passed your own ethics test, you shouldn’t have to feel guilty about enjoying your money; as you’ve suspected, facing regular budgetary non-acceptance from a spouse isn’t good for a marriage.

So forget about his feelings about your money and your feelings about his feelings. Let him know you believe your budget is morally justified, and you don’t want to hear about it. You aren’t expecting his feelings to change; you don’t want to be punished by them or hear about them anymore.

For both of your sakes, you hope he can shut up, regardless of how he feels. You’ve given up on the hope that he can feel great about your money; but, if he can keep his feelings to himself, you may have a good working partnership. You’ll know what the future holds by observing how he acts, and then you can reward yourself for doing the right thing with some new boots.

STATEMENT:
“My guilty pleasures feel a lot guiltier when I see them reflected in my boyfriend’s low-budget eyes, but our relationship won’t work if I have to apologize for good, responsible spending habits. I don’t want our partnership controlled by his feelings (particularly since I don’t think he has control over them himself). I’ll stand by what I believe, and let him know that his feelings are his responsibility to manage.”

People see me as successful because I’m a well-regarded doctor who makes a good income for doing interesting work, but I’ve really lost interest in it myself and feel like I’m going through the motions. To my mind, I’ve become like Richard Corey in the poem, who kills himself because of the gap between how he feels and the way people respect his appearance. I’m not doing a bad job, but I feel like a failure because, in spite of all the hard work and good income, I just don’t care, and every day I go to work and have to pretend that I do. My goal is to figure out where I went wrong.

Your letter is a good example of how dangerous depression can be when negative thinking burrows into your system of beliefs. Indeed, your words are the very weapons your depression is using against you. They’ve already beaten you into thinking you’re a failure, so stop them before they do any more harm.

If you judged yourself objectively, you would see a man doing good work and helping people. You wouldn’t hold him responsible for feeling happy; after all, life routinely destroys the happiness of good people who are well insured. Depression is just one of the many, many totally uncontrollable ways that life can do that. You would never be so cruel as to suggest that a suffering, unlucky friend was therefore leading a meaningless life.

Take inventory if you like, but as long as you’re making a living, taking care of yourself, providing good service, and helping people, you’ve got lots to be proud of. Nothing has changed except your feelings, and they can be ignored.

Once you pay more attention to your values than your feelings, you’re ready to protect yourself from insidious allegations of failure. The only thing that has failed is the happiness carburetor in your brain.

While we can’t (and wouldn’t) assure you that medication or any other kind of therapy will restore your happiness—it might, but it might not, because treatment is uncertain and no one controls happiness—my message is that your happiness is unimportant, at least in comparison to your pride. You have a right to respect yourself. Defend your self-respect, and your unhappiness is just another source of pain. It’s bad, but it isn’t you.

Once you see your unhappiness as nothing other than a form of pain, rather than personal failure, you’ll deal with it more effectively. You won’t give up on the good activities and people you formerly liked because they now leave you cold. You’ll let others know that you continue to care about them even if you don’t feel particularly caring at the moment, and that you appreciate their interest and concern. You’ll spend less time alone reading poetry, and eventually, you won’t notice the pain as much.

STATEMENT:
“It drives me crazy the way everyone sees me as the picture of success when I feel like a total loser, but I know I’m not a loser and feeling this way is just part of the pain of depression. I won’t buy the idea that I feel this way because I’ve made mistakes or bad decisions. I’ll respect myself for doing a good job and putting on a professional smile when I really feel like shit.”

My 15-year-old son needs treatment for his irritability. He gets unbelievably angry over small things, to the point that he ups and goes to his room. He agrees that things are basically OK and he’s sorry afterwards, but it happens at least once a week. We have a happy home and he has friends in school and gets good grades. I think it’s his mood that’s the problem and it causes him and our family a lot of pain. My goal is to figure out how to get him some help with psychotherapy and/or medication.

Just because someone’s in pain doesn’t mean he needs help. Pain is just part of the complete life package, along with joy, hunger, death, etc.

Of course, you’ve got less to lose and more to gain from treatment if his irritability has caused bruised knuckles, broken sheetrock, and a growing familiarity with your local police. Pain is a normal part of life, but serving life in prison isn’t.

What you’re saying, however, is that, aside from his verbal explosions, he remains in physical control, does self-motivated time-outs, retains good relationships, and has no trouble focusing on work and getting it done. No pill could improve upon that.

So, if he’s handling his pain well, getting things done, and engaging in life, then making him get treatment for his irritability may make a bigger deal of his problem without necessarily providing relief. It’s a sad fact, but neither talk therapy nor psychiatric medication reliably improves irritability—just sometimes and more often than placebo.

It’s always possible that his irritability foreshadows a mood disorder that will eventually get worse and might be prevented or disarmed by beginning medication early. The trouble is, we have no way of telling whether he’s at high risk, and the medication has risks of its own, as well as being costly. The risks from antidepressants aren’t great, as far as we know, but there’s always the risk of what we don’t know because our tools for examining the long-term effects of medication on the brain are limited. If you try an antidepressant, ask yourself whether it’s helpful enough to be worth that risk.

As for most mood stabilizers, like Lithium, Depakote, and Abilify, the risk is much higher than for antidepressants (although you wouldn’t think so if you didn’t listen carefully to the end of Abilify commercials). Sometimes, pain treatment is worse than pain, and shouldn’t be considered without a careful assessment of the risk and rewards. From what you’ve said, the risks of most mood stabilizers dwarf the rewards by a mile.

Psychotherapy can be harmful if his shrink doesn’t accept the fact that treatment has limits. Find someone who can accept the possibility that your son’s irritable outbursts are unavoidable and coach him on managing them if they can’t be cured—though, clearly, your son is already a good manager himself.

In the end, the decision is yours, and various treatments might be helpful. If you accept the possibility, however, that treatment for painful conditions is not always better than no treatment, then you will weigh risk against benefit, regardless of how you feel, and make a good decision. After all, it’s risky to overestimate the power of medication and treatment, but it’s riskier to underestimate your son.

STATEMENT:
“It breaks my heart to watch my son have a meltdown and I’m terrified of what can happen to a teenage boy with an anger problem. I know he’s a good kid, however, and he’s showed an amazing ability to keep it together socially and academically. If a treatment seems to help him and be worth the risk, I’ll support it. If it doesn’t, I’ll support the many good ways he’s dealing with his temper and help him develop even stronger anger-management skills.”

My son is a nice kid, but his ADD makes him completely irresponsible. He seems motivated about getting his college degree, but, even when he takes his medication, he always comes late to lectures, leaves assignments to the last minute, and doesn’t get problem sets finished. He was asked to take a semester off because his grades slipped and he seemed out of control. Now that he’s back at home, he pays no attention to his bank balance and has bounced a lot of checks. When I confront him, he’s sincerely apologetic, but then he does the same thing the next day. I just wish I could get him to stop lying and care about what he’s doing.

If you can’t help someone with love and medication (see above), it’s normal to assume that he doesn’t really want to get better and your goal is to find the key to motivate him. The trouble is, some people who are motivated (and medicated) are nevertheless unable to perform.

They feel ashamed, apologize, avoid, feel more ashamed, and so on. They seem sleazy and unmotivated. The problem is that, if you treat them as if they’re sleazy and unmotivated, you make them worse.

The sad fact here is that medication can usually sharpen attention and make learning easier, but it can’t correct the executive function problems that make it hard for many people with ADD (and others) to get things done and deal with unpleasant priorities. Yes, you need character and willpower, but you also need some help from your brain, and some brains are too “in the moment” to be pushed into planned, prioritized activities, even when the will is willing and the attention razor sharp.

In that case, your goal isn’t to get your son to stop lying—he’s not purposefully dishonest, just permanently flakey—but to disarm his shame while helping him face the full extent of his disability. Forget about his lying, insincerity and apologies. Make it clear you’re not interested in the merry-go-round of avoidance and remorse and instead want to examine the power of whatever makes him fuck up in spite of the fact that he doesn’t really want to. That said, your goal is to help him find ways to manage himself.

Don’t let him present himself as a bad guy who could do better if he’d just try harder, because the evidence says otherwise. In reality, he’s a good guy with a permanent impairment, and it will take him a lot of work to get a handle on it.

Ask him if he’d like a wake-up call in the morning, or whether he should compose a daily log of his lateness to see when it’s better or worse and whether it’s responding to interventions, including medication changes. The more you talk about his lack of control as a fact, the more you challenge the shame that reinforces avoidance. Too bad he’s fucked, but there’s lots to be done. Most of us have weaknesses we have to work hard to manage, but most involve food and don’t involve bank fees.

Once you limit his responsibility and yours for what he doesn’t control, you’re free to bear down on the one part that he does have some power over. You don’t expect him to change his disability or understand why he has it—it is what it is—but you’re confident he can work on managing it, and that, with hard work and discipline, he can gain the control he needs and lose the shame that’s holding him back.

STATEMENT:
“It’s hard to watch my son’s overly sincere apology for behavior that cost us half a year’s tuition, knowing that, if he hadn’t lied about what was happening, we could have helped him, and that he’ll do the same thing again. Nevertheless, he wants good things for himself and has a legitimate problem that is worse than a poor attention span. I will talk to him about the good things he can do with a bad problem, and urge him to seek coaching rather than moral reform or absolution.”

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.

You’re right to wonder whether your response to crisis calls is helpful. Whether you realize it or not—and you seem to realize it—your words sound moralistic and angry, though for good reason. The more you care about your patients’ welfare, the more upset you get about what they’re doing to themselves and how it undoes all those good talks (and/or medications) that seemed to help. As you say, their negative feelings become contagious as you wrestle with your own fatigue, doubts, and fears about more calls to come.

Unfortunately, a moralistic tone usually makes people who’ve messed up feel more messed up. You judge them as having made bad choices, whereas they experience a rush of emotions and habits that sweep all choice away. Your intentions are good, but labeling your bad-behaving patients as irresponsible bad-choosers will usually make them feel like losers talking to their dads.

The good side is that you’ve given them a focus for their anger and disappointment that isn’t themselves. The bad side is that you may get an honorable mention in a suicide note.

If you truly believe in your observations, however, assure yourself that you’re not responsible for making the crisis caller less destructive. The threat to you isn’t the intrusion on your time, it’s feeling responsible for the mess they’re in, which you’re not. Their mess is out of your control, and theirs. Your only responsibility is to give them good advice and do what you can if they’re not safe.

Tell them what you think they eventually need to be able to tell themselves; it will pass, there are good things to do meanwhile, and they’ll sort out the cleanup when they’re better rested. If they’re not safe, they should take themselves to an emergency room.

Assure them you’ll work with them on increasing their self-control over anything they think they’re doing wrong, but it can’t happen now. Good night and good luck to them, and I hope it felt good for you to vent.

STATEMENT:
“It’s hard to stay calm when I see my patients fucking up their lives and then wanting me to make them feel better during my spare time, but my feelings are just a reflection of their feelings, and don’t have to get in my way. When I can’t help them, it’s too bad, but it doesn’t help to blame them, and we can make good use of the experience later, when we talk during work hours.”

As a therapist, I assume that my strongest weapons are kindness and empathy, but sometimes the process is exhausting and my family does not appreciate the amount of time I spend fielding patient phone calls off-hours. When I get desperate calls at dinnertime or late at night, they interfere with my family life, but I don’t believe in hanging up until my patients feel better. Many have been traumatized and go through terrible periods of emptiness and they need to know that someone cares. My family jokes, somewhat bitterly, that my patients have more access to me than they do. I feel unappreciated, tired, and torn in many directions. At least my patients feel that I care. My goal is to help my family see that I also care about them.

If empathy and kindness were as powerful as some therapists and Christians believe, the world would be a lot better than it is. As your family correctly observes, however, the calls keep coming, there are no cures, and What About Bob is coming down the road.

Ask yourself whether your patients are actually getting better, or just feel better because they’ve found someone nice to take their calls. If they are feeling better, figure out if it’s because they’re better at managing their own crises, or because you’ve confirmed their right to have a nice response whenever they need it. If it’s the latter, heaven help them when you’re not there (and help your family when you are).

It’s good that you’re kind and empathic; that’s why your family and patients like to spend time with you. What’s wrong, however, is that, in over-valuing the therapeutic impact of those qualities, you’re putting too much responsibility on yourself for your patients’ problems (see above). Realistic experience should tell you that kindness doesn’t cure. Neither (see above) does moralistic confrontation.

That is sad, and limits your powers considerably, but it also means you should keep calls short and treat them as evidence of your patients’ need for better self-management. If a patient is willing to try improving his/her self-management, that’s a great focus for treatment and the calls are grist for the mill.

If, on the other hand, a patient can’t see any possibilities for better self-regulation and wants nothing other than better treatment from others, your therapy won’t do any good other than providing him/her with a short-term fix and your family with an empty seat at the table. In that case, Forget Bob and return to the family fold.

STATEMENT:
“It feels right to soothe those who are in despair, and to help them carry their load, but I know that I can’t really carry anyone else’s load and that responding to repeated off-hours calls doesn’t help patients appreciate and make best use of their own resources. Without sacrificing my kindness, I will offer them ideas about how to manage their moments of disorganization and despair, and I will do that most effectively during treatment hours and not at other times.”

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.

You’ll also forget that your daughter may be able to do more for herself now than she could before. She may be able to tolerate more stress and access other resources if yours are less available.

Finally, your fear amplifies her fear and vice versa, until you both doubt that she’ll be able to survive without your current level of support, without there being any evidence of that, other than fear itself.

If you want to manage her disability, rather than be managed by it, you must continually test out what she’s capable of. If she’s stressed by looking for a roommate, coach her on how to do it or how to find a coach. If the roommate is hard to live with, advise her on ways to protect herself. If you protect her more than absolutely necessary, you’re just stifling her growth in the long run.

After all, you’re not responsible for relieving her stress, but for teaching her how to live with it. You’re trying to ensure her basic safety and security, and while you wish she could be happy, that’s not something you or she control.

If she’s afraid of slipping back into depression, point out the constructive things she’s doing to prevent it. Stress may make her feel overwhelmed, but that doesn’t necessarily cause depression or mean that she’s slipping back. It just that means life is hard.

Don’t let her panic incite yours. Instead, think up an emergency, affordable bail-out plan in case she has a bad relapse. Don’t share it with her, just remind yourself that you know what to do for her safety and that the pain she may experience as you cut her funding is an unavoidable part of her recovery and your solvency.

By giving no more than you think is necessary, you become a strong fear-manager and learn self-defense against an emotional hostage situation. Ultimately, that’s the skill you want to give her.

STATEMENT:
“I’m terrified of the stress my daughter will experience if I cut back on the money I’m giving her, but I’ve thought carefully about what she needs and I’m sure she’ll be stronger if she can cope with the stress and do more with less.”

My 22-year-old daughter is mildly retarded, but she’s pretty well taken care of. She’s not unhappy—she worries about things much less than I do—but I’m unhappy, because I’ve never felt comfortable with her. Most people think she’s sweet and docile, but my daughter very much has a will of her own; she doesn’t like to shower, she doesn’t care about other people’s feelings, and she has no idea of how people are reacting to her, or anyone else. I’ve tried hard to find a point of positive connection, and failed. Other people think I’m a great father, but I can’t get over the feeling that I never met this challenge and that there’s unfinished business between my daughter and me.

Regardless of whether your daughter is retarded, super-powered or “normal,” you can never be sure that you’ll like her. It’s so much easier to be her father if you do, but that’s never a guarantee.

It may be that no one would like her if they really knew her, but that doesn’t matter. It sounds like you’ve tried hard to like her, but you don’t, and it’s not in your control.

Given the lack of good chemistry, however, you should appreciate your achievement all the more. You haven’t punished your daughter or told her she’s a failure; on the contrary, you’ve taken good care of her. You’ve done your job under much tougher conditions than most parents have to deal with, and I don’t mean because she’s retarded, but because of your negative feelings for her.

The test of a good teacher isn’t how well she teaches the kids she likes, but how well she does with the kids she doesn’t like and how well she hides that fact.

If this were the movies, your business wouldn’t be finished until the two of you have a good hug. Since this is real life, it’s never finished, so every day, do your best to treat her with respect and friendliness. If you slip and get nasty, apologize. It’s one day at a time.

It’s certainly sad that you couldn’t like her more, but it’s not a failure. It’s a success that, in spite of that, you treat her right, and one that only a great father could achieve.

STATEMENT:
“I will never feel comfortable with my daughter and I will always suspect that, if I were a better person, I would; but I am who I am and she is who she is and I’ve done the best job possible given that simple fact of life.”

So I’m a 20-something girl who has been faced with a couple big problems in a short period of time, the first being that I am in my last semester of nursing school and I failed. This has been a very long hard stressful experience, and being faced with failure is devastating. I have to wait till September to try to get back into the program and that’s my last chance, so I’m having a hard time accepting that my very laid-out plan for my life is now in jeopardy. Also I am being faced with health issues, with myself and with my family, and finally, I have been in a mind-fuck of a relationship for three years with a person that shows me five different faces. I know all the ways he’s done me wrong but I cannot walk away because I have yet to conquer him, even tough I’m trying to accept the fact I cannot change him and need to stop being a doormat. In summary, I have obvious control issues, over-analyze everything, have anger that is uncontrollable if I don’t get what I want, and really need help to fix it.

Priorities are like dominos, and if you put the wrong one first, you lose your goals one by one. So, while this may look like a chaotic clusterfuck of issues, you probably already know that it’s actually a chain reaction caused by putting school behind this five-faced jerk.

After all, the main source of your strength is your desire to get stronger, pick up skills, and make a living, while the main source of weakness is, as usual for most people, your need for something/someone you can’t have.

Fortunately, you’re smart enough to recognize your effort to change your boyfriend is a compulsion that you just can’t stop, and you have the willpower and determination in your character to take on and pursue difficult goals.

Unfortunately, you’ve focused this strength on changing your boyfriend, thus throwing said smarts and willpower down the shitter.

In addition, you expect to control your school performance and your relationship without bowing to the fact that you don’t have the time or energy for everything, but your school performance won’t improve unless you have more time for it, and your boyfriend, well, we covered that.

Besides, you can’t “conquer” someone; even actual conquerors like Napoleon don’t die happy (or even with their genitals intact).

When you give yourself a reasonable assignment, your control demon helps you do a great job. If you don’t put a limit on your self-assignment, your demon will eat you alive. It’s a tough reality to accept, but if you can—not just admit that you can’t change your boyfriend, but find the strength to stop trying—you can give yourself an assignment you can do, and do well.

You’ll probably do better in school if you stop blaming and scaring yourself, because that can’t do wonders for your ability to focus. Instead, don’t be ashamed to look for help, either from a nice, positive tutor or a study group, and prepare a new study plan that helps you with your weaknesses.

No problem, you’ll have the time, because there’s no reason to continue wasting it with your boyfriend. This is probably not the answer that you want, but it’s the only acceptable one since succeeding in school means more to you (and is more tenable) than putting up with quintface.

Inside, it may feel like a defeat to let him go, but once you do, all the other, better goals in your life will have room to grow. You just need to stay vigilant about your priorities, because it’s amazing how easily a compulsive person can make them all fall down again.

STATEMENT:
“I feel like a total, helpless loser, but my priority is to put my energy into getting ahead, and not into relationships that don’t work. I can’t conquer my boyfriend, but my compulsion can’t conquer me. I’ve learned a valuable, painful lesson that can help me move forward if I stop criticizing myself and start doing what I need to do.”

I had a terrific boyfriend, whom my parents loved, but I just couldn’t see us staying together all our lives, and my feelings for him weren’t as positive as what I see my parents’ having for one another (they have a wonderful marriage). So I left him and broke his heart, and now I’m dating someone I feel closer to, because I think he understands me better. We’re going very slowly, however, because I’m afraid of making the same mistake, and I want to see if I still feel the same way about him in another year. He’s getting impatient, and I wonder if you think I’m right to go slow.

I suppose the traditional reason for going slow in a relationship is to see how you really feel about someone as time goes by. Still, that won’t do you much good if you happen to really love him a lot, and he’s a useless jerk.

Yes, it would be nice if you could find someone you love as much as your mom and dad love one another; but many good partnerships are not totally lovey-dovey, and good partners are hard to find. Begin then with the important stuff and consider perfect harmony as the icing on the cake, rather than the filling.

So, instead of hooking yourself up to a love-meter and graphing your progress as time goes by, tthink about the basic qualities you’re looking for. Again, priorities are key, but if a relationship is your main goal, then looking for the right things in a relationship is what you need to be mindful of.

The important stuff that makes a prospective partner eligible for consideration, as you know, begins with a solid character, reliability, common values, and mutual acceptance. He’s got to be able to do his share and share your mission, without your having to change or persuade him. Otherwise, it’s a no-go.

Yes, positive chemistry is necessary, but it can also be dangerous; the guy who connects with you most is not necessarily a solid character, and often the exact opposite. So take your eyes off the love meter long enough to do your due diligence.

If your guy checks out as a good prospect, but the emotional fit is not quite as perfect as your parents’, think carefully about how many good guys you’ve run across and how much mileage you have left on your dating tires before deciding whether he’s worth the compromise.

Don’t wait for the love-meter to make your decision for you while you pick mental daisy petals to see whether you love him or love him not. Add up the reasons you trust him to be good company in hard times, and prepare for a possible compromise.

Yes, you may cry a tear for the loss of romantic dreams; but you’ll have far fewer tears in the future, when the stakes are much higher. As we always say, if you want unconditional love, get a pet. If you want a partner, get your priorities straight.

STATEMENT:
“I don’t want to break another guy’s heart because I don’t love him enough, but t won’t let my worries stop me from checking out his basic strengths and deciding whether we have the makings of a good partnership. When it’s time to decide, I’ll use my wisdom and experience rather than measuring my love against my parents’ romance.”

My brother is really an upbeat, cheerful, friendly guy, but he turns into a viper whenever someone tells him what to do, even when it’s sure to get him into lots of trouble, and afterwards he’s convinced he’s been calm and diplomatic. When he and his wife got divorced, he was so argumentative with the judge that he lost custody of his kid. When his boss asked him to do something stupid, my brother fired off emails to Human Resources declaring he was being unfairly attacked. The funny thing is, he doesn’t mind when I tell him he’s being stupid, and the next time something happens he’s sure he’s done better; but he hasn’t. He’s not nearly as difficult as he seems to be, so my goal is to keep him out of trouble.

God bless the antagonists, for they know not what bile they speak.

Whenever someone is particularly quick to resist being pushed, we assume there’s an emotional reason for his actions, and that understanding why will help him to control himself, or help us shut him up and make him more tolerable.

Truth is, we often can’t explain or control oppositional behavior, which suggests there’s a basic force of nature driving some people to be reflexively, unthinkingly oppositional.

It’s actually on the spectrum of Asshole ™ behavior, but, since it lacks the malice required to actually fulfill the Asshole criteria, it remains a general pain in the ass, especially for those people, like you, who are close to him.

Maybe the Oppositional Instinct springs from a genetic trait that spurs creativity or guarantees that not everyone will follow the leader of the human herd, thus guaranteeing that some will survive if the herd leader is fatally wrong. The Bible’s Abraham certainly wasn’t a get-along kind of guy, Steve Jobs wasn’t a people person, and no shrink with a blog fxckfeelings.com is eager to go with the professional flow. Most of the time, however, instant opposition doesn’t win friends among authority, co-workers, family, and/or most mammals.

Since their actions are often infuriating, we think oppositional people must be furious, but in reality, they’re often just doing their thing, taking courage from the fact that everyone else is getting mad and is therefore the irrational party. You can’t try to change your brother then, or teach him how to protect himself.

Short of averting your eyes, you can help other people who care about him—the victims of his accidental provocation—most of whom will hate and love him in equal measure. Friends will feel he wasted their help and ignored their advice, family will blame him for endangering their security, and they’ll all speculate about the impact of the things they could have or should have said or actually did say.

If you brought them together in a support group (or did individual sessions), they’d discover that everything had been said, more than once, and it did no good. It’s sad, but, on the other hand, no one failed.

While you and those who related can help each other deal with the pain (in your ass), sadly, you can’t stop him from being an ass in the future.

STATEMENT:
“I can’t help feeling that I could save my brother from his worst problems if only I could get him to shut up, but I know better. The best I can do is appreciate his better qualities and accept the fact that it’s probably more painful to watch him than be him, since he’s always doing what he knows is the right thing to do.”

My father is the kind of guy who would always complain about my mother (his ex-wife) to my face, even when I was little, but, if I objected, he would get mad at me for being ungrateful and unsympathetic. He still does it now that I’m an adult, and there’s got to be a better way to deal with him then just avoiding him so I don’t have to hear it. My goal is to set limits on him that will stick.

While you may be in a unique position to know that your father has good reason to be hurting, you also know, from experience, that airing grievances repeatedly is a good definition of whining. It may provide your father with temporary relief, but it also binds him to his role of victim/husband in a relationship that’s long over.

The fact that he attacks you for not being sympathetic is the icing on the cake, as far as proving the unhealthy nature of his kind of venting; he widens his victimhood by sucking his near and dear into the role of villain. OK, I know he can’t help it but still, it’s not good for you to have this kind of conversation.

You’re right to want to stop it, and telling him how unhealthy his father-son venting is is a start, but you need stronger weapons than reasoning with him about his violating a parental boundary. In order to prepare, ask yourself what you’d do if he ignored your wishes and crossed that line, and be ready for when it happens.

List the reasons that you believe it isn’t good to listen, even though he believes, in his heart, that this makes you a hard-hearted kid. You know your listening does no good, brings out nothing good in him, and has you walking on eggshells. You also know that you won’t get him to understand this point of view.

Ironically, once you believe in your own values, over and above whatever your father tells you, you’re an adult, not a kid. It’s as an adult that you tell him it’s not a good subject to get into and you don’t’ want to talk about it. Knowing that he’ll object, and refusing to explain, is what an adult does.

So what’s important is not what you tell him, but what you tell yourself. If you believe that what you’re doing is best for everyone, then your silence speaks louder than words, and distance won’t be necessary.

STATEMENT:
“I’ve always felt trapped by my father’s complaints and confessions, particularly because he jumps on me if I don’t listen, and I can’t help but feel guilty. I’ve thought through the consequences of his actions, however, and my sense of what’s right is stronger than the guilt reflex he can always make me feel. As long as I stick with what I know is right, I’ll never be trapped.”

I trust that my sister will be a fair executrix for my father’s will, but I often feel out of the communication loop because she’s closer to my other sister, and I’m often the last to know about her decisions. When I’ve shared my feelings about this in the past, she’s just gotten testy. Recently, I wondered why his will had not put in a special bequest for my daughter, because he’d once expressed that intention, so I asked my sister whether she could get hold of an earlier will and see whether the bequest had been there before and then taken out. She blew up at me about how I didn’t trust her, and couldn’t see why it was such a big deal. My goal is to get her to see that my request was legitimate and to keep me informed.

Nothing has more potential to damage a family dynamic—not a long car trip, adultery, a coming out here or there—like a dispute over a will.

If somebody feels screwed, cheated, or in any way shortchanged, blood ties will get bloody.

Luckily, you trust your sister, so that eliminates the most common source of conflict. Unfortunately, you’re now creating conflict in an extremely fragile situation where it doesn’t need to exist.

When it comes to wills, you have broader goals than getting inside the loop or having your feelings understood. For one thing, you can’t get inside the loop; it’s an old loop, and if you’re not inside by now, just trying to get into it will turn it into a noose.

For another, you haven’t stopped to ask yourself whether there’s any point in being inside the loop. If your sisters are closer with one another than with you, then so be it. Even if you don’t have a loop of your own, theirs doesn’t seem so inviting.

Ultimately, it’s more important for you to consider what your goals should be at the time of your father’s death. It’s natural for the pain of his loss, or impending loss, to make both you and your sisters testy. Given how the situation is an emotional landmine, choose your priorities carefully.

Unless you’re mercenary, which I assume you’re not, a few dollars doesn’t matter. And, however much you were deprived of love by one family member or another, your bigger interest now is in keeping things peaceful. If you need love, get a dog, and if you’re still desperate for that loop, take up crochet. If you want to keep your life free from sib-wars that will enrich lawyers and therapists and cause years of pain, however, your goal is to keep the peace (and keep your mouth shut) while helping your sister settle the estate.

Accept the fact that your father’s death may leave you with feelings of emptiness and perhaps resentment at decisions that should have been made differently. Death forces acceptance, or else, and acceptance is necessary if you’re going to pick up the mantle of leadership and help your family survive this trial intact.

STATEMENT:
“In addition to mourning my father, I can’t get over the feeling that I’ve been unfairly pushed aside in my family. I’m confident, however, that I haven’t deserved such treatment and my job, therefore, is not to react to family feelings, but to take pride in my own identity and make the best of a transition that passes leadership and responsibility to me and my sisters.”

I love my husband and he’s a great father, but I can’t stand the way he wants to mess with our house. It’s an architectural masterpiece that got left to me by my parents, along with their collection of old American antiques, and I want to pass them on intact to the next generation. My husband doesn’t have the same reverence for the place that I do, and wants to put in some of his own furniture and repaint rooms that really don’t need it. I want him to be comfortable but I’m not going to get rid of beautiful antiques or waste money on repainting rooms that were recently painted. My goal is to get him to understand how I feel about the place and to back off of unreasonable demands.

It’s hard to accommodate two loves, your home and your family, without someone taking it personally. It’s like a strange love triangle between you, your husband, and interior design.

So long before you get to talk about specific compromises, your husband is going to resent playing second fiddle to a sofa and you’re going to feel he doesn’t care enough about you to support your love of architecture and your family’s traditions.

Try to fight those feelings by presenting the problem less personally. Sure, it’s normal to feel under-loved and misunderstood, but that discussion will go nowhere, as you already know, and communication on that theme is a bad idea.

Instead, ask your husband for a list of specific changes that would allow him to feel at home. If you can’t stand listening to his ideas, and are too likely to blurt out your opposition, then ask a decorator to serve as your intermediary/mediator. As any decorator would tell you, their real job is often family therapy.

If you like, make a list of what is most important for you to preserve, and then sit down when you’re not feeling too tired or stressed and take a look at your husband’s ideas. Don’t think of them as demands or impositions or threats to the family legacy, just ideas. And while you’re at it, cost out the alternative of living separately. Some people can afford such arrangements, and the exercise gives you a concrete Plan B instead of an unthinkable insult.

Or you can pass your priorities, together with your husband’s, to the designated decorator/family therapist and charge him/her with the job of preparing compromises that might allow both of you to feel at home. At least, if that doesn’t work, you would both hate the decorator.

Remember, people can love one another very much and still not find a way to be at home with one another. In retrospect, that would become a key criteria for you in any future partner search, as it should be for everyone. One reason you move in together is to find out whether you can both feel at home in the same (historic) house.

STATEMENT:
“I can’t help feeling my love for my husband threatens my tie to the old family home, but I’ll try to keep my fears and needs in check, and my mouth closed, while I try to find a compromise. Then I’ll know I’ve done my best.”

I thought I’d always be able to trust my wife, even though I’ve never been able to trust anyone else before. I’m just like that, always nervous and suspicious, even when people are reasonably nice. My wife is an unusually nice and nurturing person, but when I found out she was doing some compulsive shopping and she lied about it, I flipped out and I can’t recover. The more she tries to reassure me, the more I don’t trust her. She’s just about had it with me and I want to recover our old intimacy before our marriage breaks up.

It’s really remarkable that you assume that your wife isn’t necessarily bad, just because she’s triggered your suspicions. It’s also remarkable that she’s the first person you’ve trusted, but why focus on the negative.

Most people who suffer from severe suspicion are pretty sure that it’s the other person’s bad actions that have caused a loss of trust, but you aren’t falling for that trap.

You’re open to the idea that your wife isn’t that bad, even though her actions have shattered your peace of mind. But you’re also a little too accepting that one white lie and the sadness that lie has caused you can lead to your divorce.

It’s a bummer, but this sounds less like therapy-inducing “trust issues” and more like a severe case of “the honeymoon is over.” In other words, if you expect to get back that old trusting feeling, given the demon of suspicion that has always haunted you, you’re probably wrong.

Plus, trying to get it back will just make both of you feel more angry and responsible for the pain you’re in. False hope is more dangerous for your marriage than your wife’s covert shopping habits.

Rely instead on your good common sense and do a fact-based investigation of your wife’s trustworthiness as a partner; don’t listen to your feelings before you collect, and review, the facts. Begin by defining the crimes that you consider deal-breakers, like compulsive shopping that empties your accounts or major drug use or lying about other close relationships. Imagine advising a friend about the kinds of bad spousal behavior that can turn marriage into a dangerous, depression-inducing burden without hope of redemption.

Then weigh your wife’s behavior against these standards. If her shopping doesn’t represent a major drain and her lying doesn’t apply to most difficult topics, then it may not represent a major threat. From what you say, that’s a possibility, but it’s for you to decide.

If it’s true that she’s not so bad, however, then you’ve got a tough job ahead of you that will actually increase your pain, not make it better, but thems the breaks. If you decide your marriage is worth hanging on to, then you’ve got to stop breaking it up while seeking a relief you’re never going to feel.

Once you stifle your paranoia and decide this is your problem to manage, you open new doors for yourself. You can talk to a therapist about ways of thinking positively despite your mistrust, and you may also find that your mistrust gets better if you don’t stimulate it by expressing it. If nothing else works, you may find that medication can help.

It may initially make you feel helpless and hopeless to allow suspicion to reenter a relationship you thought would be a safe haven. In the long run, however, tolerating a certain amount of suspicion may save your marriage and allow a deeper sense of trust to develop. Sure, you’ll always worry about her shopping sprees, but you may also take comfort in the fact that she tolerates your faults and that your partnership is good for both of you. Trust your own standards, rather than your feelings, and divorce may not be so inevitable after all.

STATEMENT:
“I’m profoundly disappointed to discover that my marriage is no longer a refuge from the suspicions that have always tortured me, but I won’t let them control what I do with it. If I decide that my marriage is solid enough, I will find ways to keep my suspicion from making my decisions for me, even if I can’t get rid of them. If I let them control me in the past, I’d have never gotten married. Now I need to take the fight to the next level.”

I’ve broken up with my boyfriend many times over the 5 years we’ve dated, but after I made it clear to him, for the umpteenth time, that he had to start including me in his inner family circle, he turned around and told me not to drop by on Thanksgiving because he needed to spend time with his kids, which made me explosive. It’s not just that he excludes me from his inner family circle; he’s always backing out of plans, which is why we still live separately and I never know whether we’ll spend time together next weekend. Now that I’ve cooled off, I find it hard to really end things with him when we’ve been together so long and know one another so well. I feel like we should be able to work things out, but maybe we keep breaking up for a reason.

You’re obviously attached to your boyfriend and haven’t been able to give him up, even when you knew the relationship wasn’t working for you. Maybe you love him too much or you’re too needy, which are also two reasons that you should flee from this unhealthy relationship in the first place.

In any case, you’ve told him what you want, again and again, and there’s been no progress. The problem isn’t that you’ve failed to get through to him; it’s that reality has failed to get through to you.

The sad fact is that there’s usually no way to change the distance between you and the person you love. It’s like the distance between molecules; you can push it back and forth, but there’s something basic about it, on average, that you can’t change, even with a megaton of talk, therapy, or whatever.

If you can bring yourself to accept the idea that he, and the relationship, are not going to change, and decide that this relationship will never give you enough of what you want, then you have to find the strength to move on.

Remember that you’re right to look for someone who includes you in his intimate family gatherings and with whom you can make reliable weekend plans. Until you find that person and check out his credentials, however, you must become strong enough to keep your heart to yourself. Hang out with friends and family, develop social hobbies, and build up your independence muscles so you aren’t forced to lean on people who aren’t sturdy. Build your strength while remaining wary of your instincts.

Don’t assume there’s someone out there for you, because there often isn’t, and the false assumption that there is will confirm your belief that you’re doing something wrong every time you don’t connect, and that will lead you back to connecting too much. There may be someone out there for you, or not, but your job is to conduct a good search, not compromise your heart or try to force the wrong guy to do the right thing.

STATEMENT:
“I can’t help feeling very connected to my boyfriend, but I know he can’t meet my needs and I can’t change him. If I want a chance at a better partnership, I must move on and become independent enough to resist going back or falling into some new and equally painful compromise. I know what’s good for me and I can’t afford to accept less.”

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.

Unfortunately, the bitterness you feel in response to your unmet needs adds to her self-hate, creating a vicious circle of negative emotion that demoralizes everyone. Controlling that bitterness is the one thing you can do to improve what is an otherwise impossible situation.

First, pretend that she’s had a stroke that zapped the part of her personality that was warm, active, and responsive; your loss isn’t personal or preventable, and your needs are no longer plausible. Acknowledging these difficult truths now prepares you to assess, without hurt or a sense of failure, whether your family is better off with the two of you together or apart.

There are positive aspects to your marriage, like the fact that she contributes financially, and that, by staying alive, she helps the kids, and hopefully she does some parenting from time to time. She’s showing courage, whether she knows it or not. Maybe the advantages of staying together outweigh the many disadvantages you’ve listed above.

Whatever you decide is best, present it to her positively; tell her you know she’s trying and there’s probably love and affection in there somewhere, if the depression would only lighten up. Remember the person she was and talk to that person as if she’s still there but, like Sleeping Beauty, can’t wake up.

If you feel separation is for the best, let her know that you value and support her role with the kids and that what you are separating from is not her, but her illness. And if she threatens suicide, tell her that her threats are a factor in the separation.

When depression takes over your personality, it makes you do bad things, like putting your life in other people’s hands. If she could control that side of herself, she might improve her parenting and your partnership, even if her depression does not improve. Recommend DBT, a kind of therapy I often recommend, that helps people who feel terrible protect themselves from acting terribly.

Decide what’s for the best, don’t be a victim, and ignore blackmail. You may be a victim of her illness, but you’re also the man in charge who’s doing a wonderful job of soldiering on. If you do what’s best for you and your kids, then it doesn’t matter what she says now; the healthy part of her approves, even if it can’t be heard.

STATEMENT:
“I feel like I’m taking it from all sides and that all the love and nurturing I give my sick wife comes back as shit. I know, however, that her response is not her, but her illness. I have assumed a huge load as a single parent who must now go on alone without the love and support of a partner. I will make hard choices that she may see very negatively, as she sees everything. I will hold fast to my own vision of what’s best for the family.”

I’m writing because my husband wants me to. He thinks there’s something wrong with me, but I like being a little manic, so I haven’t taken my mood-stabilizer medication in 10 years. It’s true, I talk fast, I can’t hold a job, I’m irritable, and he’s had to put me in the hospital a couple times. On the other hand, I don’t hurt anyone and I like the way I feel, most of the time, except for one thing: he wants me to be the way I used to be and he’s always unhappy with me. I hate sleeping in the same bed, but he’ll give me a hard time if I move to another room. My goal is to get him off my back, so I agreed to write.

As noted above, when you’re married, you can’t help depending on your spouse’s approval, in some deep, hard-wired way, which means that, if you never seem to get it, you become a permanent rebel who cares too much to leave but feels better every time you do the opposite of what he wants. In the process, you lose track of your own priorities.

On the other hand, you know your priorities about your hypomanic mood. Keeping it natural and un-medicated is more important to you than holding a job, staying out of hospitals, and keeping your husband happy. That’s where you stand.

The problem is, you wish your husband would get used to the new (10-year-old) you, but that’s not going to happen. There’s no point in talking about whether he should accept you, just like there’s no point in talking about whether you should damp down your hypomania. He can’t help where he stands and neither can you.

So instead of writing to someone who’s supposed to persuade you to take your medication, face the sad fall-out from your decision. Don’t blame yourself; just ask whether the marriage is worth it, because clearly, your old marriage and the mania can’t co-exist.

On the one side, you’ve shared a lot of years together and your standard of living is probably better with him than without him, given that you’re on disability. On the other hand, there’s the mutual non-acceptance, which is hard for both of you to live with.

Whatever you decide, stop whining. You’re not to blame for a bad decision, and you aren’t a victim of bipolar disease, so don’t make yourself a victim of your husband’s non-acceptance.

If you want to continue to live with him, have the balls to stand by your decision. Tell him you’re sticking with the temperament you’ve got, you still want to live with him, you won’t talk to shrinks, and you’ll sleep where you sleep. If he wants to throw you out when he realizes, after 10 years, that you aren’t going to change, so be it. You don’t blame yourself for choosing to live with your hypomanic mood, and you don’t blame him if he wants to leave his life with you behind.

STATEMENT:
“I feel like I’ve ruined my marriage by deciding to do what’s right for me, but the decision has been costly in so many ways that I know I didn’t do it lightly or to spite my husband, so I respect my decision. Now I need to ignore feelings of guilt or wishes that he could accept me the way I am and instead accept him the way he is. Whatever I decide to do about our marriage, I’ll do what I think is best for us and never be a victim.”