Showing posts with label mental illness. Show all posts
Showing posts with label mental illness. Show all posts

Tuesday, October 13, 2009

On Curing Cabin Fever

OK, OK, it's been a lot of Dear Abby lately...but her column seems to be the one that's raising the most questions in my mind these days. Today, I'd like to know what you think. (Well, I always want to know what you think, and usually intend to close with a question--but then start ranting and forget. This time I intend to stick to my plan!)

DEAR ABBY: Since my daughter left home several years ago, I have become extremely anxious on Sundays. In the afternoons it feels like the walls are closing in on me. I feel so depressed I have to leave the house.
If I go someplace that is open and unconfined, with lots of people around, I feel fine. When I return to my house in the early evening and dote on my pets, I get back to feeling normal.
Abby, some people have said I suffer from "empty nest syndrome." Others say it's "cabin fever." Any thoughts on what I can do about this? -- PHIL IN PHOENIX


DEAR PHIL: If your daughter left on a Sunday, that may be the reason you become depressed and anxious on that particular day of the week. Or because you are less busy and distracted on Sundays, you become more aware of the fact you are alone. Whether you're experiencing "empty nest syndrome" or "cabin fever" is irrelevant. Discuss your feelings of depression and claustrophobia with a licensed mental health professional so you can be properly diagnosed and receive help for your problem.

Since the writer specifically mentioned the words "anxious" and "depression," I see why Abby probably felt compelled to recommend seeking a doctor's intervention. But I can't help but wonder if she's not jumping the gun a little bit.

This man's description of Sunday evenings is actually remarkably similar to how I feel at the same time of the week. I hate Sundays. For me, I think it has to do with the end of the weekend, and the feeling, held over from my recent student days, that I'm forgetting to do some pile of work that's due tomorrow. Lately it's also often meant that I have a long, boring, drive ahead of me. I tend to feel restless, irritable, and yes, a bit trapped. But the feeling passes, and Monday morning all is back to normal.

If once a week his body and mind are craving something that's easy to provide, and not damaging (in this case, an open, crowded, public place), and he can do that thing, and feel better afterwards, I guess I don't see what's wrong with that. Sometimes we have to feel bad so that we know we're supposed to do something different.

If we're hungry, we eat. If we're sleepy, we sleep. If we're jumpy and antsy, we go for a walk. If we're sad or angry, we seek comfort in whatever way we can (and of course some ways are better than others). To me, it follows that if you feel trapped, and going out for a few hours makes you feel better--you should just do that! "I feel so depressed I have to leave the house" doesn't sound that unreasonable to me. What's wrong with leaving the house? This, to me, suggests he hasn't left the house all weekend, that he considers being in the house "the norm," and leaving, an aberration. If this is the case, that might explain precisely why he's feeling so trapped by his own four walls. His body and mind are craving to get out--so he should get out!

Do you think I'm being too glib about this? Was Abby right to recommend a mental health diagnosis? Or do you think that in today's society we're sometimes too eager to perceive any uncomfortable feeling as a symptom of mental illness, rather than a signal that, if followed intuitively, will lead us to a healthy change?

Sunday, January 11, 2009

Taking it personally?

I was recently informed by a former reader that he'd ditched this blog when he was offended by something I'd written earlier this fall.

Of course, pissing people off is a major sign that you've "made it" as a writer (and for such glory, I'm willing to accept a readership of 3 people rather than 4! Maybe).

Nevertheless, I wanted to address the issue, since this is the first time I've been boycotted, and that seems worth marking in some way.

On December 16, I posted a response to a letter from Annie's Mailbox, written by Ann Landers' former editors. The letter was from a young woman in college who was unhappy in her relationship with her back-home boyfriend, who sounded like less than a treat. He had a history of emotionally and verbally abusing her, she said, as well as a history of mental illness in his family that seemed to be manifesting itself in his behavior. He was, at the very least, unstable and easily angered. And yet her question was whether she should break up with him, or if instead she should "throw her life away with the wrong guy."

My main beef with her letter was the way she phrased her question. Not "I'm afraid of my boyfriend and don't know how to end the relationship" but "Should I throw my life away on the wrong guy?"

Seriously, those were her words. And I commended Marcie and Kathy for looking past what she said, and getting to the heart of what she seemed to mean: that the bf was scary and unstable, and she wasn't sure how to end it.

However, I also felt that their advice might not be so helpful. The writer (not me, but the writer) described the boyfriend as abusive, unstable, and potentially mentally ill. As a result, I didn't think that Kathy and Marcie's advice, to become so obsessed with her studies that he wants to break up with her out of boredom, would be very effective. If he is all the things that the writer (again, not me) says he is, than I think he'll be more focused on controlling her and the state of their relationship than rationally considering whether or not they still have anything in common.

My former reader was put off by the fact that I described the boyfriend as potentially schizofrenic--but that came from the writer herself, not from me. More personally offensive to him, though, was my parenthetical sidenote wondering whether there was a "creepy age discrepancy" between the two.

"As the product of a 'creepy age difference,'" he said, "I was offended."

However, this post was hardly about age difference in relationships on the whole. I caught a whiff of what sounded like it might be an age gap, and pointed it out. When a relationship is already abusive and unbalanced, a discrepancy in age that gives the abuser an even more unbalanced amount of power and authority over the other person becomes creepy, whether it's a difference of 3, 9, or 20 years.

In contrast, I truly believe that relationships between people of compatible and balanced emotional, social, and intellectual levels can and often do thrive, no matter the numbers involved.

To sum up--my problem wasn't with the age difference, which I inferred (it was never confirmed in the letter). I simply felt that if there was such a difference, it would only compound the unfortunate situation in which this young woman found herself, and make it more difficult for her to get out of the relationship.

I stand by my original answer, though this episode was a good reminder to me that the odd phrase can put people off so much that they totally stop reading.

"That's what you would do if a columnist did something like that, right?" the former reader asked me.

Nope. I'd write in to them and voice my opinion. That's what I've done for years, and I'd encourage readers here to do the same! Conversation is what keeps this interesting. I don't have all the answers, and whether or not we agree, I'd like to hear what others think.

Tuesday, December 16, 2008

And your question would be....?

Often people who write in to advice columnists seem to just want a chance to vent, receive justification for their feelings, or confirmation for a choice they've already made. Too many of their letters end with "Was I right?" (How boring...at least give the columnist more wiggle room than "yes" or "no")

But sometimes I really have to wonder. Did you need help with this one? This is from "Annie's Mailbox," an advice column maintained by the women who were Ann Landers' editors. And they were more patient and generous with this chica than I would have been.

Dear Annie: I'm a sophomore in college and live far away from my hometown, so I rarely see my friends or family. I wouldn't mind so much except that I'm in a long-distance relationship with "Rob," whom I have known since I was very young.
I know such relationships can be difficult, but this one is completely over the top. Rob has always been emotionally and verbally abusive, but now he has gotten so bad I'm afraid he's becoming mentally unstable. Schizophrenia runs in his family, but he refuses to seek counseling.
Here's the real problem. I've met another guy. "Alex" is funny, sweet and kind, and he loves me a lot. The feeling is mutual. What do I do now? Should I dump Rob and risk making him angry? Should I ditch Alex and be miserable? Should I throw away my life for the wrong guy?

— Didn't Mean To Two-Time

I'm sorry. The "real problem" begins with the fact that you've met an apparently normal human? "Should I throw away my life for the wrong guy?" Yes. Yes, that sounds like an excellent plan! What???

Marcie and Kathy picked up on the fact that this girl is likely afraid of her scary boyfriend, and mostly talked to that issue. Wise and kind of them, as I mentioned:

Dear Didn't Mean: So you've outgrown Rob, who is unstable and abusive, but you don't want to make him angry because he's a little scary. You can talk this over with one of the university counselors. Then tell your parents that you want to break up with Rob, but you are worried about his potential for being abusive.
It would be best if you could find a way to separate yourself gradually and naturally. Be nice on the phone and in your e-mails, but not too friendly or romantic, and don't contact him too often. Don't say you miss him or love him. Talk about class to the point where he's bored. Your aim is to convince Rob he'd like to move on, too.


But I sort of feel like a potentially schizofrenic, undiagnosed, untreated, manipulative person is not going to get bored and move on if she turns cool, cordial, and really really academic. He'll just get mad about how little attention she pays to him and freak out that she doesn't love him anymore. Which is true. She should just make a clean break, as soon as possible. (Also, it's weird that she's known him since SHE was very, very young, not since WE were very very young. Sounds like there's potential for a creepy age discrepancy here.)

Also: do not jump right into a relationship with Alex! If he's macking on you when you're clearly already in a relationship, and one that is unhealthy, there's something weird going on. Is he drawn to your neediness? Sadness? His ability to comfort you and make you laugh when you're being made miserable? What's he going to do when you're no longer in misery? You want to be with someone who wants you when you're healthy and happy. And even if Alex turns out to be cool, and not into suffering, stifled girls, you're not going to get healthy and happy jumping right into something else. Be single for awhile.