Posted by fxckfeelings on May 3, 2010
Poor, well-meaning, dedicated therapists and the patients who love/destroy them. After all, it’s enticing to let someone persuade you that you’re their guardian angel and the only therapist that can help. It’s a fun ride for everyone, at least until you realize that you’re responsible for something you don’t control, and they’re even less responsible than before for dealing with reality as it is. While this is a shrink-based site, we are the first to admit that therapists are not perfect people, especially when they get in in their heads that they actually are.
-Dr. Lastname
I have a 30-year-old patient whom I’ve been seeing in weekly psychotherapy for 6 months and he had a terrible history of sexual and physical abuse and years in state care. Amazingly, despite all his trauma and several prior failed treatments, he settled into a trusting relationship with me. He tells me I’m the first person he’s bonded with, and he’s been able to stop using cocaine, and, for the first time, sees some hope for himself. The problem is that he just got a new job, and I’m not covered by his new insurance plan. He wrote me a letter telling me how much he feels his recovery depends on continuing the treatment we’ve started and I feel professionally obliged to put his welfare ahead of my financial needs, but I’d like to get paid. My goal is to do right by my patient, and not trigger the feelings of abandonment that underlie much of his negative behavior, but I’m not sure how long I can afford to see him for nothing.
There are many therapists who believe the best thing you can do for a troubled patient like this is to “be there,” providing the steady acceptance and secure relationship that they need for healing. I’m not one of them.
The sad fact is that the healing power of currently available treatments is vastly over-rated and a good example of false hope and the harm it can cause.
WAIT! There is more to read… read on »
Posted by fxckfeelings on April 29, 2010
All parents worry that they’re going to do something, from letting the kids watch too much TV to getting them bad haircuts, that will screw up their children for life. Worse is watching your co-parent, whether or not you’re still together, do the child-dooming while you have to watch. Your instinct is to protect the brood at all costs, but think twice, because doing so will probably cause way more damage than a mullet ever could.
-Dr. Lastname
My ex-wife was never that solid, but even I was surprised when she left me for her yoga instructor, who’s also a total fuck-up. I agreed to joint custody because our daughter deserves to know her mother, no matter how stupid her mother is, but my wife’s visitation falls on the same days as our daughter’s ballet classes, and, wouldn’t you know, my ex- doesn’t have a car (her boyfriend crashed the one she got from me), so she tells me, in front of our daughter, that I’m selfish if I don’t drive the two of them to ballet and back, on her visitation day. It makes me nuts, because I can’t figure out a way to say “no” without disappointing my daughter and looking like a meanie. My goal is to stop my ex-wife from using our daughter to manipulate me.
Attempting to stop your ex-wife’s visitation blackmail is never a good goal; it makes you reactive to her ability to make you feel guilty and/or look bad, rather than to your own ideas about what constitutes an appropriate sacrifice for your child’s welfare.
Besides, you can’t stop her from using your worries about your daughter to push you around. Basically, your ex-wife can fart in your face whenever she wants, even when you’re behind the wheel. She’s already stunk up your marriage.
If you accept and ignore humiliation (and bad smells), however, you can focus on the more important goal you’ve already embraced, which is doing what’s necessary for your daughter’s well-being.
WAIT! There is more to read… read on »
Posted by fxckfeelings on April 12, 2010
Discovery Channel always does well with its sharks, so this week, we’re going to try cases that are variations of the theme of “Shut up!” In many ways, sharks and “shut up” have the same effect on people, be they swimming in actual water or metaphorical self-pity; it’s painful and humbling, but if you come through your confrontation intact, you feel indestructable. Now, if you please, shut up and read.
-Dr. Lastname
I’m a 58-year-old gay man and it’s a long time since life has been any fun. I’ve been single for some time (with no real prospects of a relationship), my friends don’t seem to have time for me, and at the end of a hard day’s work running my own business, I’ve barely broken even and have nothing to look forward to but spending the evening alone. That’s when the depression closes in and I can’t stand living. I write all this because I know that I’m a miserable failure, and that facts, not depression or any other mental illness, are behind my reasoning. I mean, when I tell my few close friends how I feel, they tell me I’m being too hard on myself, but if you’re almost 60, alone, and a financial mess, doesn’t that mean you’re a loser? My goal is to be real about myself.
Sounds like your goal isn’t to be real about yourself, it’s to be mean to yourself because you’re in a bad mood. If you were to reread the above paragraph when your mood wasn’t so shitty, you’d see your treating “facts” with the same care as Bill O’Reilly.
So, to quote Bill, Shut up, I don’t want to hear it. You wouldn’t talk like that to a friend, or even probably your worst enemy, so don’t do it to yourself.
WAIT! There is more to read… read on »
Posted by fxckfeelings on February 4, 2010
If someone’s related to you, there’s no guarantee they’re going to be honest with you, or even honest about you to anyone else. You can try to get them to own up to their problems with anger, eloquence, and/or the help of the court system, but the smarter choice is to stop pushing them towards the truth and hold onto the facts yourself. As long as you’re calm and factual, people can draw whatever conclusions they want and your relatives can stick to their version, but your part in the family affair is settled.
-Dr. Lastname
I’m fine now (I’m 14), but I’m trying to figure out how to deal with a crazy father who physically abused me until a couple of years ago—that’s when my mother finally figured out what was happening and had me come live with her. The trouble is, I guess you could say my father doesn’t see reality the way other people do and he never remembers hitting me. In his mind, when he’d hit me, it was because I was trying to destroy him, so what he tells the judge is that he loves me and that my mother is a raging alcoholic who has brainwashed me to hate him (my mother stopped drinking after the divorce, years ago) and he really believes what he says. My goal is to get him to stay away from me and convince others that his version of reality isn’t real.
Kids aren’t the only ones who have trouble accepting the fact that we often can’t protect ourselves from scary crazy boogeymen, particularly when the craziness isn’t obvious, and the boogeymen are family.
We’ve said it here before: certain crazy people are not obviously crazy and are particularly good at persuading other people to see them as injured victims because they truly, truly believe they are, no matter what really happened. It’s a kind of sickness for which no one has the cure, and nobody feels sicker than the victims in the wake of these sickos, who don’t necessarily feel sick at all.
WAIT! There is more to read… read on »
Posted by fxckfeelings on December 21, 2009
Even if none of us has spent Christmas with our entire families, most of us feel like we should help make it happen and feel terribly guilty if we can’t (I just feel guilty for taking their money, but only a little). We have some illusion that the holidays are the time for our criminal or alcoholic or crazy relatives to put their behavior aside, slap on a Christmas sweater, and join their loved ones around the tree and we feel bad if we can’t make the reunion happen, or even let it happen. But fear not, there’s a way to make excuses tactful and blameless without bringing down everyone’s holiday cheer. Gaw bless us, every drunk and lawless one.
-Dr. Lastname
Please note: There will be no new post on Thursday, 12/24, due to the holiday. Please continue to write in, however, because there will be a new post on 12/28. Thanks, and happy holidays!
My ex-wife was always a wild outlaw in high school, (I got the kids), she’d show up from time to time, but rarely when she said she would, and you never knew when she’d be high, so the court imposed supervised visitation. I want my kids to have a mom though, but when she no-shows, the kids are crushed. Of course, the kids want to see her, particularly for Christmas, but what they don’t know is that she and her current boyfriend were caught on video robbing a liquor store, so if she’s going anywhere, it’s probably straight to jail. . My goal is to figure out a way to break this to my kids so that they don’t hate their mother (even though I sort of think they should).
You can’t protect your kids from the hurt of loving an outlaw mother, any more than you could protect yourself for falling for her years ago. Telling your kids that she’s a bad person inflicts a worse kind of hurt, because it devalues the love you and the kids have given her (which, as you know, you can’t get back).
Even if you can’t protect them from hurt, you still can and should protect the value of their love for her and whatever is meaningful about hers for them.
To begin with, don’t buy the idea that outlaws are regular people who make bad choices. That’s one of those stupid, false-hope ideas that assumes that everyone has the choice to be good or bad and can redeem themselves by making better choices. It’s sort of a hybrid of Milton’s “Paradise Lost” and Santa’s “Naughty/Nice” list…and it’s bullshit.
WAIT! There is more to read… read on »
Posted by fxckfeelings on December 14, 2009
As Christmas gets even closer, we have to help our readers with even more holiday-inspired, toxic self-reflection. The holidays have the unfortunate tendency to push people to examine and confront their hurt feelings, when really, the best gift they could give themselves is to ignore their feelings and just enjoy their friends, family, and seasonal baked goods.
-Dr. Lastname
I consider myself to be a pretty thoughtful gift-giver—I pay attention to what other people need, things they don’t even know they need, their birthdays, their anniversaries, and I usually get it right. My husband, on the other hand, isn’t sentimental at all about birthdays or anniversaries and doesn’t remember them, so he’s a lousy gift-giver and, I can’t help it, it really gets to me. After I knock myself out to get him a good birthday present, he either forgets mine, or gets flowers at the last moment, or thinks of getting me something and then doesn’t follow through. We have a wonderful marriage but every year around Christmas, his lazy, lousy gifting really gets on my nerves (particularly since I can’t help doing a good job with his gifts). It’s humiliating. My goal is to find a good way to address this problem so I won’t resent him this Christmas.
There’s not one, but two good reasons why it’s a bad idea to address the problem of unequal gift giving with your husband, and the first, it’s a safe bet, is that you’ve done it before and it turned out badly. I’m right, am I not? (It’s important for me to be right, given my Harvard background).
You reproach your husband for neglecting your Christmas needs, he gets defensive, tells you how he knocks himself out for you, maybe goes further and remembers the time you didn’t do your share, and then you have to tell him how he got the facts wrong.
Meanwhile, both of you are drifting further away from any spirit of Christmas giving, other than that old staple of gift-giving everywhere, the Christmas Earful.
WAIT! There is more to read… read on »
Posted by fxckfeelings on November 23, 2009
The one gift everybody can expect to get around the holiday season is a surplus of emotions (which, as I’ve said before, turns into a surplus of business for me—ho ho ho!). The ghost of Christmas (and Thanksgiving and New Years) past visits most of us, but for those with rough pasts, said ghost can be a real bitch. If you keep your emotional swamp in check and focus on the positive in the present, you can keep your festivities from being too haunted (and keep yourself out of my office).
-Dr. Lastname
You said before that everybody hates the holidays, and I think most people hate seeing their families. Well, I hate the holidays, but it’s because I don’t have a family; my parents still drink too much, one brother is in jail and the other I don’t trust around my kids, and so every time the holidays roll around I get depressed that I don’t have anyone because the people I should be happy to see are the ones who made me the crazy mess I am today (honestly—I’m bipolar, but on medication). I’m sick of basically being guaranteed to hate myself and life all winter just because of what my family did. My goal is to find a way to feel better no matter what time of year it is.
There’s a simple answer to why it’s a bad idea to expect to get over the sorrow of a bad, abusive family; because usually, it simply can’t be done.
Focusing on your pain and waiting for it to go away will spoil your holidays even more than they’re already spoiled. Talk about a turd in the cranberry sauce.
Maybe you think it’s a holiday right and tradition to vent/celebrate your sad feelings with a shrink. Well, this shrink says forget it. I’m not interested, and neither should you be.
WAIT! There is more to read… read on »
Posted by fxckfeelings on October 1, 2009
Guilt is an unvoidable part of life—as well as a central motivator of at least a couple of religions—and often the sources of guilt (see: family) never go away. What most people don’t realize is that there’s false guilt and real guilt, the former far more easy to ignore, the latter worth confronting in a meaningful way. Still, while you can’t get rid of guilt overall, there are ways of managing it so that, at the very least, it doesn’t become a holy pain in the ass.
-Dr. Lastname
My mother is a drama queen– she thrives on family conflict and gossip and needs to control every step of my life. She has her nose in everyone’s business, talks badly about most people, and also has a violent temper (at 79 years old, she still throws things and flips people [like me] the bird out of anger). Several events happened that finally made me so angry with her that I literally told her off and have cut ties with her for over a year, but during this year I have suffered from terrible guilt and shame for turning my back on my elderly mother. Believe me, I feel better and more relaxed without her constant turmoil, but there are nights that I wake up from a dream where I am shunned at her funeral as “the daughter who abandoned her mother”. I have tried, in the past, to talk sense into her and explain my feelings but she creeps back to her same troubling ways. My goal is to get over the guilt that I feel about cutting my mother out of my life.
Anger is never a good reason for doing anything, and particularly not for cutting off ties with your mother; after all, anger’s a feeling, and you know that’s a dirty word. It’s not that you don’t have good reasons for being angry, just not for letting anger make your decisions.
As you’ve now realized, once you let anger take over, it’s very hard to protect yourself against guilt, which is where your major problem lies now. The only good, healthy defense against guilt, other than drowning your neurotransmitters in alcohol, is to know you’ve done the right thing, regardless of how unhappy you’ve made someone feel or how badly they’re suffering while you’re the one standing watch.
In this instance, unfortunately, you haven’t done the right thing, so guilt has become your master.
WAIT! There is more to read… read on »
Posted by fxckfeelings on September 17, 2009
Trauma becomes a part of who you are—the more you fight it, the more you punish yourself—so don’t struggle against the scars, physical or mental, that’s life’s given you. Many people have the notion that therapy can cure psychological trauma, but, in reality, trying to “cure” trauma is like trying to win a war on terror: you can’t defeat an emotional response, you can just keep living in spite of it.
-Dr. Lastname
Up until 2003, I lived in Brooklyn and worked in Tribeca, so, as you can imagine, 9/11 was a big, scary deal for me. I went to therapy for a while—both for the PTSD and the grief over a couple of friends at Cantor/Fitzgerald who died—and while I think I’m doing much better than I was, I still get shaky when I see footage or pictures from that day. Problem is, 8 years have passed, I now live in Chicago, so there’s not a lot of sympathy for my sensitivity. In fact, last week, when the topic came up at work and I expressed my discomfort, one of my co-workers accused me of being totally over dramatic, and I then became the subject of some light ribbing. And I know they have a point sort of, but I also know that it was really fucking scary. So my goal is to figure out what I should do, be it get more therapy or more resistance to my co-workers’ bullshit, in order to move past my trauma.
Trying to block or control your trauma-reactive sensitivity is a bad idea; after awhile, you simply can’t control it, and trying to do so makes it worse. The number of treatments that aim to reduce your symptoms after traumatic events should warn you that success is partial, and control impossible.
And, of course, there are all those natural treatments for blocking pain—alcohol, weed, sugary baked goods, and other high-side-effect mental painkillers that work beautifully, however briefly—while also destroying your life.
In the short run, some treatments are helpful…but they’re not cures. Now you’ve had treatment, it’s 8 years later, you’ve moved away and tried to move on, so whatever sensitivity you’ve got at this point, you’re not going to get rid of.
WAIT! There is more to read… read on »
