Posted by fxckfeelings on February 2, 2012
The fact that treatment is seldom as good as we want or need it to be isn’t so bad. If we can’t always make things better with treatment, and we’re willing to accept that fact, we’re no longer burdened with responsibility for figuring out answers and making things better in the first place. Our real job isn’t finding a perfect cure for what ails us, but figuring out whether treatment is better than no treatment. And if treatment only does so much, we can take credit for whatever we do to manage the hopeless mess that’s left for the rest of our not-so-bad lives.
-Dr. Lastname
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. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 23, 2012
For those of us in the helping professions who overestimate our ability to help, (off-hour phone) calls for help can become a big problem. Whether you’re soft and sympathetic or blunt and tough, there’s no problem you can’t make worse by taking too much responsibility for messes that are beyond your (or anyone’s) control. If, on the other hand, you know the limits of your powers, you can respond to calls pleasantly, do your job, and still help someone without hurting your own sanity.
-Dr. Lastname
While most mental health clinicians would feel guilty admitting this, I’ve been in the biz for long enough that I don’t give a shit and I need to vent. Most of the crisis calls I get from my psychotherapy practice are senseless and irritating; they’re from patients who feel bad because they forgot to take their medications, or drank too much or when they shouldn’t, or allowed their demons to wreak vengeance on their enemies, the nearer the better, self best of all. A few call me because they’re feeling suicidal (but won’t go to the hospital) and just want me to make them feel better, which is hard when it’s late and I’m tired, and often impossible just because I don’t have that kind of power. I try to be civil, but their calls leave me feeling helpless and wondering whether I’m doing any good. Discussing their responsibility for their behavior is useless, because it usually makes them mad or apologetic. My goal is to figure out what to do with crisis calls that are really a useless pain in the ass.
Many crisis calls you receive as a shrink do a good job of showing off a patient’s worst behavior. It’s like having partial custody of a colicky child.
It’s not that their distress isn’t real and severe—it is, almost always—it’s that it causes self-defeating behavior, like drinking or mouthing off or retreating from the world, which creates a jam that is extra hard to get out of.
Bad feelings cause bad behavior, bad listening skills and bad regrets about going into the therapy business instead of owning a Toyota dealership. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 9, 2012
Horrible thoughts and feelings are supposed to make you feel as if there’s something horribly wrong, and there is, but it’s not necessarily with you. Even when your brain is giving you strange signals and your mood is in the pits, you’re the same old person with the same old values. Judge yourself by what you do with symptoms of mental illness, not by the way they make you feel or think, and you will never have reason to doubt yourself or despair.
-Dr. Lastname
I was diagnosed with major depressive disorder and anorexia nervosa purging type a few years ago. Both of these issues had pretty much consumed my life during the years leading up to that diagnosis and have continued to be impairing ever since. I started cutting myself two years ago (it has become more frequent this past year), and I’ve had several panic attacks in the past several months. Fortunately, my overwhelming desire to commit suicide has subsided, although I still think of suicide and my death in general fairly often. In addition to my own issues, I have watched my mom slip into a state of psychosis during the past two years, triggered by the death of her father. She has become so depressed, delusional, and violent that my parents separated and sometimes I don’t even feel safe staying in the house with her—a few weeks ago my dad and I had to stop her from going through with a suicide attempt. The police were called, and I had to hold her arms down while she was clearly in a psychotic rage. At one point, she tried to stab my hand to make me let go. She was taken to a mental health facility where she stayed for a week, and now she’s furious at us for making her go there and hasn’t been much better since then. I feel like I never get anywhere with therapists because they just prescribe medicines that make me feel numb to any emotions or focus on my eating disorder so much that I never get to work through these other issues. I feel like my life is unraveling and it’s gotten so bad that, honestly, I don’t feel like I even want to fix it. My goal in telling you this is to figure out a way to help my mom and how to get through school while I’m dealing with this.
It may seem strange to hear this, for someone who suffers as much as you do from depression, anorexia, and the burdens of taking care of a very sick mother, but I think you’re doing an amazing job.
Yes, you’re chin-deep in shit, but you haven’t drowned, and that’s a remarkable accomplishment.
Your depression hasn’t made you hate people or blame them, and your anorexia hasn’t caused you to pretend you’re not sick, so you must have a solid hold on reality. There you are, with all your pain, finding the love to help your mother and the energy to go on with your studies. You’ve got good values and a big soul. WAIT! There is more to read… read on »
Posted by fxckfeelings on January 5, 2012
Whether you take pride in controlling your health with the latest developments in modern medicine, ancient holistic treatments, or the dictums of Xenu, you’re making the same basic mistake in thinking that you control your health. Depression is especially insidious, because there’s no amount of will power or even therapy that can make for a perfect solution. So gather techniques wherever you may using whatever works to deal with what ails you, just remember that the goal isn’t finding a cure, but the best methods to help you cope.
-Dr. Lastname
I have suffered from anxiety and depression much of my life. My most recent (and most devastating) bout was a couple of years ago, when I worked with a therapist and managed to heave myself out of it without the use of antidepressants (which I had been on in the past and want to learn to live without.) Now I find myself slipping back in. My biggest issue seems to be that I put too much stock in what others think of me or might think of me (I’m really good at fabricating things people might be saying about me.) I also had a baby last year, which has prevented me from pursuing my career fully, so when I hear of the successes of others (or see them on Facebook) I get very anxious and feel that the universe is unjust. I want to be a good mom, and I want to be good at my job, but I feel I am failing at both and resenting others who are great at either. I was made fun of a lot when I was a kid and I think I still carry some of this baggage around, like whatever decision I make is the wrong one because I’m basically a loser. How can I focus on myself and my own life without worrying about what everyone else is up to or what they may think about me?
While you already have a good idea of what to do about your negative thinking, you still need to protect yourself from two bad ideas that you express here. Unfortunately, those two ideas are also your “goals.”
First, disavow yourself of the notions that you should be able to stop depression without using medication and that you should find a way to be less, for lack of a better word, insecure. In doing so, you won’t be giving up—you’ll be giving yourself some relief. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 14, 2011
When you love someone who gets mentally ill and doesn’t recover, you may not only lose that part of their personality you loved the most, but also get stuck with a double dose of what you liked least. After all, it’s one thing to vow to be there in sickness and in health, but sickness and negativity and mania are usually more than most people bargain for. If your spouse’s mental illness makes your marriage unbearable, keep a lid on your negative feelings by respecting the burden life has put on both of you and refusing responsibility for putting things back the way they were. Once you can accept that sad reality, it’s time to figure out whether there’s room in your marriage for you, your spouse and the disease, or if your old vows no longer apply.
-Dr. Lastname
My wife suffers from non-medication responsive depression (we’ve done ECT’s, every med in the book, and she has a psychiatrist). She’s bitter and short to family; she goes off on the kids and then can turn around and be nice. I do all the work around the house, get the kids to activities, etc., and I’m wearing out. She comes home from work and just logs on her lap top and sits in front of the TV while I get dinner and clean up. She shows no affection towards me and I feel like a servant. When I complain or push her, she talks about killing herself and putting herself out of our misery (she’s been hospitalized several times) or just hurting herself (sometimes she cuts on her arms and legs). I’m getting to the point where I don’t like her anymore. She just seems to have given up. Nothing interests her, nothing tastes good…she gets no enjoyment from anything. What can I do? She’s in her forties, now, but she struggled with depression in her twenties and this current bout has been going on for 5 years. Her doctor and therapist are really committed to her, but it seems like she doesn’t care, like she enjoys being miserable. Sometimes I feel like I’m spiraling down with her, but I’m not going to give up. If I just stand by, she seems to just sink lower, but I can’t leave, because she’s said that the kids and I are the only reason she’s still alive.
If you’re like most married people, you become dependent on your spouse for a positive response, no matter how independent you are as an individual. You married her because you respect her opinion and take pleasure in her approval. You make her happy, everyone feels good. You see the problem here.
So it’s normal to feel bitterly disappointed and deflated when depression turns her into a grouchy, nasty, unappreciative, unaffectionate black hole who threatens suicide if you criticize her and never does her share.
It’s not just the lack of approval from her that’s bothering you, it’s the overabundance of disapproval, of you and everything else. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 10, 2011
Depression puts a strain on relationships, as does any illness, but it also acts as a filter through which only the worthiest of friends emerge. After all, one of the great rewards of a good friendship is feeling helpful and supportive to a sick friend, and one of the reddest flags of a bad friendship is someone who isn’t capable of either. So when depression tells you that you’re a burden to your friends, remember that, like most of what depression says, it lies. You’re never a burden to a true friend, particularly when you’re struggling, so if someone can’t be a good friend to you when you need them the most, then good riddance.
-Dr. Lastname
I need to face the fact that I have trouble getting close to people. I recently had a close relationship with a guy I was crazy about, but I often get depressed and, when it happens, I get quiet, and he couldn’t stand it. I’m good at functioning when I’m depressed, it’s never stopped me from getting my work done, and I push myself to hang out with friends, but I can’t help the fact that I don’t have much to say and that I don’t really feel like laughing. I kept telling him it wasn’t personal, but he didn’t really believe me. My goal is to figure out how I can find a partner if I can’t really interact very well.
The biggest negative thought you can have when you break up with someone is to believe it’s because there’s something wrong with you, either because your boyfriend said it or because that’s what your brain is telling you.
Nobody says, “it isn’t you, it’s me,” and means it, so you shouldn’t, either.
Remember, it’s deep human nature to blame ourselves for crap that happens, be it a failed relationship or a failed baseball season. It’s your job, however, as your one and only chief protector, to put this assumption to a logical test. WAIT! There is more to read… read on »
Posted by fxckfeelings on November 7, 2011
Frequent readers of this site know that, when confronted by a crazy person, (or asshole ™), one should react the same way they would if they were getting charged by a Grizzly bear; don’t run, stay calm, and play dead. This is hard advice to follow when that crazy person is someone close to you whom you care about and normally count on to be sane, but if you take their symptoms personally and react to those symptoms with strong emotions, they’ll come at you harder than they would some stranger on the street/in the woods. With some people, the illness consists of surges of fear, anger, and despair that cast them and you in leading roles in a suicide-bomber psychodrama; with others, the fear is more centered in thoughts than feelings, which means less drama and less spite, but more crazy ideas that can’t be reasoned away. Either way, the challenge is to remember the difference between the person you love and the craziness going on, make no sudden movements, and wait for the attack to pass.
-Dr. Lastname
When my wife is feeling fine, she’s a reasonable, hard-working, dedicated woman who believes in helping others, but then she gets into this grim, obsessed mood and knocks herself out and then gets mad about how people don’t respect or appreciate her and she just doesn’t care any more. Yesterday, she told the boss she didn’t care if he fired her, because she didn’t care. If he fired her, it would damage a career she really cares about and, besides, we need the money, but when I tried to tell her she needed to shut up, she told me she didn’t care about our marriage or about living any longer, particularly if I didn’t support her. What do I do to stop her from hurting herself?
As we’ve said before, there are a lot of people out there who either don’t believe in mental illness, or do believe it exists but don’t really understand what it is. The former usually believe in Xenu, the latter are baffled by “Hoarders.”
Either way, the easiest way to explain mental illness to those types is to describe the disease as a demon, and yes, it’s a sad fact that people are quicker to understand satanic possession over an actual illness, but such is the biz. WAIT! There is more to read… read on »
Posted by fxckfeelings on October 13, 2011
We mock dogs for chasing their own tails, but people do the same thing everyday in their own heads; that’s what obsessions are like for those who sometimes know what they’re doing and wish they could stop, and sometimes just wish they could catch that tail. Some people can’t make up their minds, some can’t unmake them, but nobody can control those who are in obsession’s grasp. You can only stay calm and avoid argument while they mentally run in circles, chasing their own butts.
-Dr. Lastname
I have struggled and do struggle with mental illness. I am 29-years-old and live in my parent’s house with my 2-year-old. Although I have been in school and have worked a few jobs, I can’t seem to stay on one path once I’ve made a decision. I have a very difficult time making decisions, whether they are big decisions or small ones, and once I do finally make a decision I often drive myself crazy changing my mind a billion times. I break up with my boyfriend every few weeks because I’m doubting my decision of being with him, then I turn around and try to mend it because I’m doubting my decision about breaking up. I booked a trip and spent the whole two weeks prior wondering whether I should go, worrying about something bad possibly happening. I struggled right up until the morning of my flight, almost cancelling and not going to the airport 15 minutes before boarding time. This problem has contributed to ruining relationships in my life and I’m very tired of dealing with it. Why am I constantly plagued with indecisiveness and how can I cope?
Your were right the first time; what’s bothering you isn’t indecisiveness, it’s mental illness. That’s one of the many conclusions you don’t have to second guess.
It’s mental illness that makes you unthink everything you think; if it were indecisiveness, it would arise more from a wish to avoid decisions or uncertainty about what you want. Your problem seems more like a mental tic that obsesses you with doubts and alternatives every time you make a plan. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 15, 2011
As diseases go, mental illness is a doozy to treat; some mentally ill people are too humiliated to ask for help, and others are too crazy to ask. If you want to help them (or yourself), keep in mind that it’s the illness, stupid, which distorts the attitude towards treatment. Use the same logic and moral values for mental health treatment decisions that you would use for other illnesses; there’s nothing humiliating about getting sick, no matter what a sick brain decides.
-Dr. Lastname
I have been wrestling with depression for years now and my maternal side of the family has a history of depression and suicide. I don’t feel that I can do this on my own anymore and need help. I don’t want to just take a medical cocktail of antidepressants. My question to you is how do I go about finding a therapist and/or doctor that will be most helpful to me.
The first step for getting treatment for your depression seems simple– don’t get depressed about treatment for depression. After all, depression’s just another form of pain unless it twists your thoughts into thinking that not getting rid of it is a kind of failure that marks a meaningless life.
As long as you realize depression is a persistent ailment, just like persistent back pain or diabetes, you’ll have an easy time making treatment decisions because you won’t regard using treatment as evidence of weakness. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 22, 2011
[Please Note: Sadly, we haven't completely fixed up the site glitches, but there should be improvements by the end of the day. We apologize for the delay, but you can still send us your problems at help@fxckfeelings.com, linked below.]
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 »
