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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 13 to 37 of 38. Go back in thread:
Posted by Brainbeard on November 4, 2010, at 18:18:41
In reply to Re: Yep., posted by morgan miller on November 4, 2010, at 18:04:53
> If we allow ourselves(usually subconsciously) to continue to feel anxiety, we prevent ourselves from feeling really good again, which would then make us vulnerable again.
So very true and insightful! I always go from anxiety to boredom to feeling happy to feeling miserable and 'losing everything', as you adequately put it. As soon as I feel well, my anxiety will agressively force itself upon me - or, perhaps I should say: *I* will agressively force anxiety upon myself..
Posted by Phillipa on November 4, 2010, at 18:32:27
In reply to T--t-t-t-t-t-t-truth, posted by Brainbeard on November 4, 2010, at 18:18:41
FB I had no idea that you feel so bad. What about Standford and possible TMS? Love Phillipa
Posted by morgan miller on November 4, 2010, at 18:43:19
In reply to T--t-t-t-t-t-t-truth, posted by Brainbeard on November 4, 2010, at 18:18:41
> > If we allow ourselves(usually subconsciously) to continue to feel anxiety, we prevent ourselves from feeling really good again, which would then make us vulnerable again.
>
> So very true and insightful! I always go from anxiety to boredom to feeling happy to feeling miserable and 'losing everything', as you adequately put it. As soon as I feel well, my anxiety will agressively force itself upon me - or, perhaps I should say: *I* will agressively force anxiety upon myself..
>
>Yeah I compare it to being afraid to be vulnerable in a romantic relationship. Because we were hurt at some point, we may be afraid to allow ourselves to truly be vulnerable with a romantic partner. We start to allow ourselves to open up some and be happy with someone, but soon begin to do things to sabotage the relationship and maintain a certain "safe" distance. The reality is, we have to be able to be completely vulnerable in a relationship in order to fully reap the benefits of it, maintain it, and truly be happy in it. I am so guilty of sabotage and distancing in both relationships and life, and my anxiety(including the emotional wounds that drive my anxiety) is the star player in all of it.
Posted by sigismund on November 4, 2010, at 19:13:45
In reply to Re: T--t-t-t-t-t-t-truth, posted by morgan miller on November 4, 2010, at 18:43:19
Opening up and being vulnerable (as with letting go) isn't something that can be willed.
In our society there is simply too much that is attempted by effort of will.
Posted by morgan miller on November 4, 2010, at 20:17:26
In reply to Re: T--t-t-t-t-t-t-truth, posted by sigismund on November 4, 2010, at 19:13:45
> Opening up and being vulnerable (as with letting go) isn't something that can be willed.
>
> In our society there is simply too much that is attempted by effort of will.True. But, it is possible to achieve being stronger so that one is capable of opening of and being vulnerable through breaking down barriers, learning to trust, and learning to love oneself in therapy. It may take some hard work and time, but it is possible.
I do think effort of will is necessary to some extent, without it you would not have the will or strength to do the work you need to do to get to a healthier place. Also, will is involved in taking risks and exposing oneself, and through these, we can learn to become stronger. It's the old exposure therapy idea used in overcoming fears.
Posted by floatingbridge on November 4, 2010, at 21:18:04
In reply to Re: does anyone not want to get better? » floatingbridge, posted by SLS on November 4, 2010, at 17:59:25
> Do you feel doomed?
Yes, sometimes. Being raised with an apocalypse loving family.
>> Our time here is limited, and the losses of past years are irrecoverable. Time continues relentlessly. What guarantees are there that anything will change in the future? None.
>
Yes. I can barely bare it.> Do you experience significant anhedonia?
>
I'm not sure. It was rated significant in Jan at Stanford--I couldn't tell. What is intolerable now is that I can experience some pleasure, maybe even daily, but the remainder I am outside of it. Just tiny windows.
> How is your anxiety level?
It's increased, and I'm taking 1.5 xanax xr daily and extra as needed. For the past few weeks I had been having ptsd triggers, like trapdoors. Very fruitful on one hand, but frightening.>
> > > If I were to act the way I feel, I would remain mute and stare into space; not doing the things necesssary to
survive independently. Somehow, it sounds more comfortable and peaceful to give up and to no longer push. The effort to function and remain a part of society is immense and can be overwhelming. Such effort is nothing short of heroic.
But Scott, how does someone keep on? I don't think I am that strong.
>
>
> > You've dealt with this for sometime. Have you been here before? I guess you have. Does this sort of crisis reoccur?You have found something worthwhile?
> >
> > > Push, push, push.
> > >
> > > It is always push, push, push.
> > >
> > > It gets old.
> >
> > Yes, very, very old.
> > >
> > > Why bother?
>
> > I really am not sure. My child. But even that can not be enough (theoretically speaking today).
>
> > > To discover the answer to this question is to examine your psyche for its motivations to remain alive and reach for the best quality of life that your limited resources will allow, despite the enormous effort required to accomplish
this. It is an investigation of character.
>
> > Scott, I don't have confidence in my character.
>
> It is not so uncommon that people who
have the greatest of characters fail to
recognize it. Look in the mirror. You will see what I'm talking about. I happen to be very impressed by your character.Scott, that is very kind of you. I haven't
been able to clean my house. The mirrors are filmy. I'll talk to my pdoc
tomorrow about this. Since I lost hope of a physical diagnosis, I don't know what to do. The fatigue is terrible. And to admit that I feel beaten is shameful to me. It's not something I can tell my husband. Telling my pdoc will be tough enough.Thanks for writing, thanks for listening.
fb
>
>
> - Scott
>
>
>
Posted by maxime on November 4, 2010, at 21:23:18
In reply to does anyone not want to get better?, posted by floatingbridge on November 4, 2010, at 13:57:21
> Sometimes I feel a great 'no'. Just no.
>
> Lately, I am so tired and disapointed, when I:m honest, I feel that I don't want to get better. I feel myself sinking, and that's become easier than plodding on.
>
> Has anyone else felt (or feel) this way?
>
>I know this feeling all too well. I get into such a bad space that I just want the depression to consume me completly. A part me wants that because then I would have a valid excuse (in my opinion) to kill myself.
Posted by maxime on November 4, 2010, at 21:24:52
In reply to Re: does anyone not want to get better? » floatingbridge, posted by SLS on November 4, 2010, at 15:59:52
Wow Scott, I really relate to what you wrote. That is exactly how I feel.
Posted by SLS on November 5, 2010, at 6:20:11
In reply to Re: does anyone not want to get better?, posted by floatingbridge on November 4, 2010, at 21:18:04
> > Do you feel doomed?
>
> Yes, sometimes. Being raised with an apocalypse loving family.
> >
>
> > Our time here is limited, and the losses of past years are irrecoverable. Time continues relentlessly. What guarantees are there that anything will change in the future? None.
> >
> Yes. I can barely bare it.
>
> > Do you experience significant anhedonia?
> >
> I'm not sure. It was rated significant in Jan at Stanford--I couldn't tell. What is intolerable now is that I can experience some pleasure, maybe even daily, but the remainder I am outside of it. Just tiny windows.
> > How is your anxiety level?
> It's increased, and I'm taking 1.5 xanax xr daily and extra as needed. For the past few weeks I had been having ptsd triggers, like trapdoors. Very fruitful on one hand, but frightening.
>
> >
> > > > If I were to act the way I feel, I would remain mute and stare into space; not doing the things necesssary to
> survive independently. Somehow, it sounds more comfortable and peaceful to give up and to no longer push. The effort to function and remain a part of society is immense and can be overwhelming. Such effort is nothing short of heroic.
>
>
> But Scott, how does someone keep on? I don't think I am that strong.
> >
> >
> > > You've dealt with this for sometime. Have you been here before? I guess you have. Does this sort of crisis reoccur?You have found something worthwhile?
> > >
> > > > Push, push, push.
> > > >
> > > > It is always push, push, push.
> > > >
> > > > It gets old.
> > >
> > > Yes, very, very old.
> > > >
> > > > Why bother?
> >
> > > I really am not sure. My child. But even that can not be enough (theoretically speaking today).
> >
> > > > To discover the answer to this question is to examine your psyche for its motivations to remain alive and reach for the best quality of life that your limited resources will allow, despite the enormous effort required to accomplish
> this. It is an investigation of character.
> >
> > > Scott, I don't have confidence in my character.
> >
> > It is not so uncommon that people who
> have the greatest of characters fail to
> recognize it. Look in the mirror. You will see what I'm talking about. I happen to be very impressed by your character.
>
> Scott, that is very kind of you.> I haven't been able to clean my house. The mirrors are filmy.
I know it is hard, but I think you will feel better if you learn to define yourself by what you ARE rather than by what you DO - or fail to do.
> The fatigue is terrible. And to admit that I feel beaten is shameful to me.
Ah. A perfectionist? You demand more of yourself than you would of anyone else.
> It's not something I can tell my husband.
I'm sorry to hear that.
I know you feel beaten. Chronic major depression (if that is what you have) will make you feel that way, whether you are truly beaten or not. Perceptions in depression are skewed towards the negative without having recognition of the positive. I believe you have some insight into this, as you used the word,"feel" rather than "are" beaten". Just know that your energies are going to wax and wane, and that you will again have the psychic energies and drive to fight again.
Sometimes, "giving in" to the depression is to discover acceptance of its power. You can then accept yourself, despite your frustration and demoralization at not being able to achieve those things that you expect and demand of yourself.
Despite your present feelings of defeat and weariness, the energy to fight will eventually reappear. It is a part of your character that you will seize upon this energy and use it to survive and perhaps even enhance the quality of your life. In the meantime, be merciful with yourself.
- Scott
Posted by floatingbridge on November 5, 2010, at 11:12:16
In reply to Re: T--t-t-t-t-t-t-truth, posted by sigismund on November 4, 2010, at 19:13:45
> Opening up and being vulnerable (as with letting go) isn't something that can be willed.
>
> In our society there is simply too much that is attempted by effort of will.There, too? I thought it was confined to the manifest destiny of the colonies and the wild wild west. Peculiarly American.
Posted by floatingbridge on November 5, 2010, at 11:23:59
In reply to does anyone not want to get better?, posted by floatingbridge on November 4, 2010, at 13:57:21
So I'm not alone in these bouts. I really appreciate people replying. Sometimes I have trouble with my game face--something my pdoc acknowledges served me well once upon a time (thus starts the spooky fairy tale) but is now dysfunctional and harmful.
I really, really thought 'this' would go away. It isn't. And here I am, another day, my husband and son in good moods. I'm still here, alive, trying, pleased to have some online friends to talk to. I have a pdoc I love who I see on about an hour.
Thank you.
fb
Posted by sigismund on November 5, 2010, at 13:56:15
In reply to Re: T--t-t-t-t-t-t-truth » sigismund, posted by floatingbridge on November 5, 2010, at 11:12:16
>There, too? I thought it was confined to the manifest destiny of the colonies and the wild wild west. Peculiarly American.
The original idea comes from Leslie Farber, a New York psychoanalyst from the 60s who wrote a wonderful little book called something like 'Sex drugs suicide and the good life'. I can't see that around anywhere and he died a long time ago but there is on Amazon "The Ways of the Will". He spent time writing about how psychiatry unfortunately sometimes made the willfulness worse. Then there was William Burroughs's amusing thought that if the average American could, he would hop down into his digestive system and shovel the sh*t out his *rs* (if you will excuse my French).
Are we the same here? It is the most interesting thing about Babble for me. I'm not sure. There are lots of American refugees here where I live, anyway.
America was started by religious dissidents. Australia started as a prison. You have names like Springfield. We have names like Useless Loop and Mt Misery. You had a revolt over taxes. We had a revolt over rum. It took a long time to subjugate the Indians. We were quicker. Al Sweringen in the wonderful 'Deadwood' talks about his life (obviously in the American west) and mentions he spent a couple of years in Australia. 'That was a waste of time' he says.
Posted by floatingbridge on November 5, 2010, at 14:16:55
In reply to Re: T--t-t-t-t-t-t-truth » floatingbridge, posted by sigismund on November 5, 2010, at 13:56:15
> He spent time writing about how psychiatry unfortunately sometimes made the willfulness worse.
Sigi, I hadn't heard this. How interesting. Hmmm. Can you say more, or perhaps I'll Google around a bit.
> 'That was a waste of time' he says.
Because it's culturally 'dull'? I've heard it is extraordinarily beautiful....
Posted by sigismund on November 5, 2010, at 14:26:57
In reply to Re: T--t-t-t-t-t-t-truth, posted by floatingbridge on November 5, 2010, at 14:16:55
>Because it's culturally 'dull'?
I don't really know what Australia (or New South Wales, correctly speaking) was like in 1870. Somewhat of an anarchic landgrab of course. You might be right. When I was growing up olive oil was only sold in pharmacies in 150ml bottles (along with opium). That's progress, I guess.
>I've heard it is extraordinarily beautiful....
I told the (ex)-American who runs the Pilates place I go to what Al Sweringen had said. She burst out laughing. And then we talked about the American countryside. And she said that Australia is old and subtle, not majestic like the American countryside. Australia is so old. Very lovely plants and (native) animals.
That's the thing about this world. It is so beautiful and terrible.
Posted by floatingbridge on November 5, 2010, at 14:39:10
In reply to Re: T--t-t-t-t-t-t-truth » floatingbridge, posted by sigismund on November 5, 2010, at 14:26:57
>
> >I've heard it is extraordinarily beautiful....
>
> I told the (ex)-American who runs the Pilates place I go to what Al Sweringen had said. She burst out laughing. And then we talked about the American countryside. And she said that Australia
is old and subtle, not majestic like the
American countryside. Australia is so old. Very lovely plants and (native) animals.
>
> That's the thing about this world. It is so beautiful and terrible.Yes. Almost unbearably so. And to see it through a kid's eyes.
Brings cormac mc carthy to mind. I've sworn off him so many times...
>
>
>
>
>
>
>
Posted by floatingbridge on November 5, 2010, at 14:45:46
In reply to Re: T--t-t-t-t-t-t-truth » floatingbridge, posted by sigismund on November 5, 2010, at 14:26:57
We hope to take our son to New South Wales in a year or two. He (we) will love the plants and animals. There is a nice arboretum here that supports some Australian plants. Very different indeed.
Posted by sigismund on November 5, 2010, at 18:02:39
In reply to Re: T--t-t-t-t-t-t-truth, p.s., posted by floatingbridge on November 5, 2010, at 14:45:46
The other thing I didn't mention which I thought about while walking the dog (firm internal parent!) is that the US has a libertarian tradition while we have an egalitarian/authoritarian one.
So, much US politics sounds strange to us.
Like when I heard Ron Paul talk perfect sense about Iraq.
You can't quite work out where it's coming from.
I'm currently trying to digest Rubio.
Nice looking man.
Posted by sigismund on November 5, 2010, at 18:06:55
In reply to Re: T--t-t-t-t-t-t-truth, p.s. » floatingbridge, posted by sigismund on November 5, 2010, at 18:02:39
Tonight we go to see this most wonderful North American.
Last time it was like a religious service.
Posted by linkadge on November 5, 2010, at 19:54:26
In reply to Re: T--t-t-t-t-t-t-truth, p.s., posted by sigismund on November 5, 2010, at 18:06:55
Interesting musings. After much consideration of this topic on my own over the past few years, I have come to the conclusion that I really do, infact want to get better.
However, I think the problem is that, I want to get *better*. I mean *well*.
Part of me realizes, after only getting so far with treatment, that I almost willingly recede at the prospect of feeling blocked by medications from complete wellness.
Linkadge
Posted by floatingbridge on November 6, 2010, at 0:14:15
In reply to Re: T--t-t-t-t-t-t-truth, p.s., posted by sigismund on November 5, 2010, at 18:06:55
That was lovely. From my favorite of his albums. And I haven't seen McCabe & Mrs. Miller for years. Shelly Duvall.
Posted by floatingbridge on November 6, 2010, at 0:22:13
In reply to Re: T--t-t-t-t-t-t-truth, p.s., posted by linkadge on November 5, 2010, at 19:54:26
Hi Linkagde,
> However, I think the problem is that, I want to get *better*. I mean *well*.
You remember *well*?
>
> Part of me realizes, after only getting so far with treatment, that I almost willingly recede at the prospect of feeling
blocked by medications from complete wellness.Are you saying that you might rather forgo med treatment because you're not sure it a good enough trade-off? I'm asking because I'm not sure what you're saying, and I'm interested.
How is low dose effexor?
>
> Linkadge
>
Posted by floatingbridge on November 6, 2010, at 0:43:19
In reply to Re: does anyone not want to get better? » floatingbridge, posted by SLS on November 5, 2010, at 6:20:11
>
> I know it is hard, but I think you will feel better if you learn to define yourself by what you ARE rather than by what you DO - or fail to do.You know this is hard. Has it been an obstacle for you to overcome? To define myself by what I am-- a human being-- is so difficult (as you say) because I feel so poorly about myself. Somehow I am in a special category of being extraordinarily unworthy. I see the irony--of wanting to be special, even if it means horrible. And yes, because, in large part by early circumstance, my worth was defined and paid to me by what I did.
>
> I know you feel beaten. Chronic major depression (if that is what you have) will make you feel that way, whether you are truly beaten or not. Perceptions in depression are skewed towards the negative without having recognition of the positive. I believe you have some insight into this, as you used the word,"feel" rather than "are" beaten". Just know that your energies are going to wax and wane, and that you will again
have the psychic energies and drive to fight again.Thank you very much, Scott. The waxing and waning. Today I saw my pdoc after a month. I could tell he was glad to see me. Maybe projection, but I prefer to believe otherwise. Between digesting the different PB posts and seeing him, I do feel I have more strength today than yesterday.
>
> Sometimes, "giving in" to the depression is to discover acceptance of its power. You can then accept yourself,
despite your frustration and demoralization at not being able to achieve those things that you expect and
demand of yourself.I think I understand this. It is, well, for
me, an extended process. Now that I see it written out as you have, I realize I have been moving towards this.
> Despite your present feelings of defeat
and weariness, the energy to fight will eventually reappear. It is a part of your character that you will seize upon this energy and use it to survive and perhaps
even enhance the quality of your life. In the meantime, be merciful with yourself.Thank you so much for extending your faith to me.
fb
>
>
> - Scott
>
Posted by linkadge on November 6, 2010, at 7:22:23
In reply to Re: T--t-t-t-t-t-t-truth, p.s., posted by floatingbridge on November 6, 2010, at 0:22:13
>Are you saying that you might rather forgo med >treatment because you're not sure it a good >enough trade-off? I'm asking because I'm not >sure what you're saying, and I'm interested.
I'm saying that treatment only makes me well enough to remember what well really is....from there the side effects seem to compleltely prevent me from getting better.
Linkadge
Posted by linkadge on November 6, 2010, at 7:30:08
In reply to Re: does anyone not want to get better? » SLS, posted by floatingbridge on November 6, 2010, at 0:43:19
>Somehow I am in a special category of being >extraordinarily unworthy. I see the irony--of >wanting to be special, even if it means >horrible. And yes, because, in large part by >early circumstance, my worth was defined and >paid to me by what I did.
I can identify. Off meds, even feeling bad, I still feel more like myself. On meds (esp ssris), I notice that I am blocked from introspection and blocked from feeling deep personal value. (well...blocked from feeling deep anything for that matter.)
Linkadge
Posted by g_g_g_unit on November 6, 2010, at 19:37:40
In reply to Re: T--t-t-t-t-t-t-truth, p.s., posted by linkadge on November 6, 2010, at 7:22:23
> I'm saying that treatment only makes me well enough to remember what well really is....from there the side effects seem to compleltely prevent me from getting better.
>
> Linkadge
>That's essentially how I feel about the issue. Something I wish prescribers could acknowledge is that I don't equate the medicated "me" with wellness. Meds create a different person altogether (socially, creatively, etc.), one I haven't really been able to accept yet.
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