Postings from April 1-30, 2004
Date: April 24-25, 2004
Dear Happyshrink, Our
college age daughter has had two bouts of serious depression four
years apart. She was treated with Effexor for 18 months the second
time. She has been med-free since October and resumed college life
to the fullest. What do we need to be aware of in guarding against a
relapse? She missed a semester of college and then took a reduced
load of coursework upon her return. She doesn't ever want to
"go there" again, and I have to say it was our most difficult
parenting experience in all our years of marriage. We have no family
history of mental illness and hope and pray she doesn't suffer from this
for her lifetime. I know statistics are not in her favor after two
episodes. Any advice? Dear Worried and concerned parents, I can certainly understand your concern and frustration. There really isn't any way of knowing if and when these bouts of depression may return. While the two of you and your daughter need to be hopeful about the future, you also need to be aware that symptoms can return again. The triggers for such symptoms can be related to stress, early childhood issues and/or chemical imbalances. I would suggest that your daughter be in therapy during the time she is in school so that if symptoms do begin to return, they can be detected early and treated effectively. Clinical depression is by far the most widely diagnosed mental illness. Studies and estimates indicate that it may affect as many as 20% or more of our population. Much of it is undiagnosed and untreated. The fact that it has been identified as a problem for your daughter may be distressing to you, but awareness and treatment can be the difference between a life of unhappiness and unfulfilled dreams, and an active, productive and happy life. Most forms of clinical depression may not necessarily be cured but they can be managed successfully. You can help your daughter to manage this illness just like you would any other condition she may have. Don't let her be stigmatized into thinking that such a condition is a flaw in character, intelligence or a sign of weakness. It's not. Here is a small list of people who suffered from clinical depression: Abraham Lincoln, Kareem Jabbar, Barbara Bush, Menachem Begin, Irving Berlin, Ray Charles, Michaelangelo, Peter Ilyich Tchaikovski, Dick Clark (the Bandstand guy; not the national security guy), Yves Saint Laurent, Walt Whitman, Rodney Dangerfield (I guess it was a respect thing with him), Boris Yeltsin and Paul Simon (definitely the singer/songwriter and maybe the Senator). Your daughter is in good company worried and concerned parents. I hope she will one day turn you into "proud parents." happy(proudparentofachildwhoismanagingdepression)shrink Dear Happy Shrink, I am a published author in the mystery genre seeking expert advice. I came across your site in searching for a specific mental illness and since I couldn't find the illness, I thought maybe you could help. In an old Law and Order SVU, the psychiatrist was talking about a young man who had been having an affair with his mother for years and had now turned serial slasher. The cops made reference to finding his knife, if the killer had discarded it and the psychiatrist said something like: "He suffers from PIKERSIM OR PEEKERSIM (sorry--trying to spell as I heard it) and that the knife is his penis and the knife is NOT disposable to him. Do have any idea what the psychiatrist on the show was referring to and can you give me the correct spelling so I can get further information? This is something I can use in a current book. Any assistance is appreciated, Thank you PJ Dear PJ, I am posting your letter in hopes that a colleague or someone else who watched the show might be able to find the term they were using. There is nothing familiar to me nor was I able to find anything with regard to the terms "Pikersim or Peekersim." (I looked for may variations on the spelling). In the circumstance your described where a child has been a victim of incest over a long period of time, defense mechanisms can break down and people will actually construct more pathological ways of coping. In the case of the young man in the TV show, the knife became his penis and was his way of expressing his rage at his mother. I know that is rather simplistic but that would be the Freudian interpretation of his behavior. There much less written material on mother-son incest than there is on father-daughter and father-son incest. If you do find more information about the term they used and the psychological dynamic, please let me know. I love all the Law and Order shows, but missed that episode. Good luck. happy(lawabidingandonlyoccasionallydisorderly)shrink hi happyshrink I am a 21 years old male I have been suffering from panic attacks since I was 15. I started medication since six month ago. The problem is that I am having a problem most of the times concerning pronouncing words correct and replacing words with other words that are close while speaking this problem I had never had before and it seems it is happening more frequent I don't remember having such problems 2 years ago. I want to know is this related to panic attacks or it is a disease that I am developing. I want a solution to it because it is really embarrassing when you start to confuse between words especially if you are in front of a crowd. thanks AR Dear AR, I would venture to guess that this is not a new disease that you have started to suffer from. Rather, it is a symptom of your anxiety. Many individuals who suffer from panic disorders also have symptoms of anxiety. They can occur during times of stress as well as in social situations. Actually, I too have been misusing words when talking to people for quite a few years now. It often happens when I am either excited about something or I'm trying to get out a lot of words in a short time. It used to embarrass me but I guess I can laugh about it now. Then again, I'm a "bit" older than you and I can see how it might be a lot more embarrassing to a younger person. (It's expected from an old fool like me.) I suggest you let your psychiatrist know that you have this symptom. Just like panic attacks are symptoms, so is your word mispronunciation. Perhaps you need some techniques to lower your anxiety and speak slower. That's what I would try to do. There are also anti-anxiety medications around but I would first try some cognitive therapy as a better alternative. Let me know how things work out. I am glad you finally got the help you needed for your panic attacks. Now it's time to work on other issues. Good luck. happy(tawkamungstyerselves)shrink And compliments of Reverend_Al Why we love kids
Dear Bertha, What the HELL does spring time have to do with Viagra? Are you playing off the word "spring"? If so, you are sick and need help. We live in the very cold northeast and when I saw the note about spring I was really happy. Now it turns out to be a f*****g Viagra ad. What the HELL were you thinking?!?!!! Don't ever toy with me again. I mean it. Beula McClannary. Dear Beula, If you continue to get this hot under the collar, you may just heat up the entire northeast. Calm down. Summer is right around the corner and I know you love things hot and steamy. happy(runningforcover)shrink
Date: April 17-18, 2004
Hello Happyshrink, About 3 weeks ago I started taking Effexor XR for depression. I started at 37.5mg/day. Within a few hours I experienced nausea - it felt like my stomach was tied in knots and was pretty severe. After about 7 days the symptom subsided and I increased the dose to 75mg per my doctor's orders. The stomach pain returned, though not as severe. The problem though was that I was unable to sleep... I already take Ambien (7.5mg, I break the tablet). The Ambien allows me to fall asleep, but I awaken within 3 hours and am unable to fall back to sleep. After 6 nights of that, I reduced the dose back to 37.5 and was able to sleep through the night. I would like to be able to increase my dosage, as my understanding is that 37.5mg isn't really a high enough dose to have much impact. However I need to sleep! I am taking the medication right before bed. Is this increasing my problem or does it not matter? Also, will the sleeplessness eventually go away or is that a permanent reaction? I have limited access to mental health resources and would be very grateful for your input. Thank you, L Dear L, You might want to ask your doctor to prescribe the regular Effexor. It is not time released like the XR but it may not make you as nauseous and if you can take it in the morning, it may not keep you up at night. It's worth trying. The Effexor XR may become less a problem over time. You might also want to wait it out. Other than those suggestions, you might need to try another anti-depressant. You should consult with a psychiatrist to make sure that the meds you are taking are best for you and will not affect your medical condition as well. Good luck and let me know how things work out. happy(anti-depression)shrink Hi Happy, I saw your site and thought why not? I have a friend that is bothered badly by anyone who rubs their fingers together. Now, your probably asking yourself is that a big problem where you live? Well, when I first found out about it I too thought, hmmm who has time to care. But seriously, she has stopped all social activities, she stays home to avoid this situation. When she sees this done by a family member or friend (?) she asks why; they deny doing it; thus leaving her to think she's losing it. I have used all my wonderful life's journey advice and even though I feel she's not as burdened she still deals with it. Is this a true phobia or a pet peeve? I'm trying to define it so I can look for help. I'm not so sure she fears it as much as detests it. What do you think Happy? P.S. I think if I have something in the form of a book so she doesn't feel like the only person alive going through this ordeal it may help her realize its fixable. Oh, and it didn't just appear one day, I think it comes from her childhood. (mother) Thanks, Seeking Dear Seeking, There are many possible conditions that your friend could be suffering from. It could be a phobia or a form of OCD. It could also be a trigger for some early trauma (Post Traumatic Stress Disorder-PTSD). Since she has stopped all her social activities, it could also be a smokescreen for social anxiety or depression. The only way she will be able to find out what is going on is to be evaluated by a psychiatrist or other mental health professional. As her friend, the best thing you can do is urge her to seek help so she can start living her life again. Be a good friend and let me know if you are successful. happy(that'swhatfriendsarefor)shrink Dear Happy, Thelma come over yesterday a braggin' that she gots Dui to cut down to one drink a day. Rev. Al give a Hallyluya. I be unconvinced. Gind Rinker Dear Gind, It's true that DUI has cut down to one drink a day but this picture will demonstrate that it wasn't such a great accomplishment.
Happy(eatingonesmallcandybaraday)shrink Happy answers another spam letter: Dear Happyshrink, Does normal sex leaves you unsatisfied? Are you looking for some special toppings that’ll bring new unknown taste to your sexual cuisine? We’ve got something for you here. The most sophisticated tortures, screaming ladies writhing with pain but yet getting pleasure, and much more will not leave you calm! Click here for new and unknown pleasure! Locoweed H.Tonga Dear Mr. Tonga, I'm not sure what you mean by normal sex. A good sex life should include diversity and imagination. The tortures and screaming ladies are not my particular cup of tea, but as long as they are two consenting adults I say live and let live. So how did you get the name Locoweed? Maybe if you stopped smoking some of that stuff sex of any kind would be more satisfying. happy(likesbeingcalmespeciallyaftergoodsex)shrink
Date: April 10-11, 2004 HAPPY EASTER
Dear HappyShrink, My husband died 2 1/2 years ago. Our daughter was five years old. A year ago, I started seeing someone. My problem is this: My daughter has a problem with me having a boyfriend. If I kiss him goodbye in front of her she will usually get mad and cry. He gets annoyed when she does this and then I end up getting mad at him. He doesn't understand why she would have a problem with this. I understand perfectly. She lost her father at such a young age and doesn't like to see me with another man. We have sex once a week and on a rare occasion twice. This is perfectly fine with me but of course he has a problem with it. He thinks he should be able to stay over night at our house and have sex when my daughter is home. I don't think that this would be a good example to set for a child and I know it would upset her terribly. He doesn't seem to care about that. He's 45 years old and I think he needs to grow up. He's got sex on the brain all the time like an 18 year old boy. Is this normal for a man his age? All of our problems revolve around sex. It's all he talks about. If things don't go exactly the way he wants during sex he gets mad and very quiet, then either ignores me the next time I see him or just doesn't call me. Otherwise, he's very good to us and treats my daughter well. I think that if he was mature he would be more understanding of the situation. What do you think? Any advice would be helpful. Should I tell him to get lost or am I being unreasonable? He says that my life revolves around my daughter and to some extent I think it should especially since I'm all she has. I'm getting real tired of his moodiness. Thanks, K Dear K, There are two separate issues going on here. While they may be related, you need to look at them separately to get a perspective on what you need to do. The first issue deals with this guy and if he's the right person for you to be involved with. One thing he needs to understand if your relationship is to grow and move forward is that you and your daughter are "package" deal. He can't make a commitment to you without making a commitment to your daughter as well. This involves developing a relationship with her that is independent of his relationship with you. He needs to get to know her and understand her. If that's too much for him to handle, then he's probably not the right choice for you. As far as sex is concerned, that is also an issue of compatibility. There is nothing wrong with a 25, 35, 45 or even 55 (cough cough) year old man to be interested in having sex more than once a week and also wanting to spend a night with you. If you have different feelings about that, eventually it's going affect other aspects of your relationship. If sex is problematic now in your relationship, do you expect it to get better as time goes on? I can't tell you whether or not to continue this relationship or to end it, but you need to think about this man's compatibility with you and your daughter. You are a package deal and he needs to realize that. The second issue deals with your readiness to let someone else into your life as well as your daughter's life. If you want to have another man love you, you have to be willing to have that man love your daughter as well. I understand that this is going to be tough for her and I also understand why she gets upset when a man shows affection towards you. But when do you and her let go of your husband? If you are not ready to let go, she won't be ready either. If you are ready, you need to help her move on and accept a new father. The loss of a young husband and the father of a five year old must have been very devastating for the both of you. It can take a long time to grieve his loss and allow yourself to love someone else. Perhaps you are still not ready to do that. I can't really judge that from your letter but I do know that if you find the right guy for you and your daughter, you need to be invested in making it work and not bide your time until your daughter is old enough to "accept" a new father. You need to help her to "embrace" a new father. That can be a very tough thing to do and even feel like a betrayal of your deceased husband. Think about what you want for yourself and your daughter K. If you want to have a new person in both of your lives, then find the right one and let him be full participant in loving you and raising your daughter. Let me know what you think. Good luck. happy(andafullparticipantofanewfamily)shrink Dear Happyshrink, I am divorced and have been for 4 years. I have recently remarried. My ex husband still has issues and a need to contact me frequently over petty - well to me they seem petty - issues, an example would be tennis shoes for the kids. We have 2 children of which we have shared custody. He will make up problems that he must discuss with me, when we actually talk there is no real issue to be discussed. If things have been peaceful, he will find something that just has to be talked about. He has gone so far as to call family members and my husband to discuss whatever he feels the need to discuss. I am very frustrated with his behavior and need help finding a way to cope with him. He refuses to follow the agreement we made, and will change this agreement to suit whatever need he has. I do not understand. When we were together, he was extremely controlling and verbally abusive. I left him. No matter how I handle this, whether I am kind or mean or somewhere in-between, it makes no difference. I have cut off all verbal communication with him, then he resorts to e-mail to make a point. He will pick and pick until he gets a response. If I do not respond in the timeframe he deems necessary he will escalate his behavior. Since he will not seek counseling for himself, yes we have tried it together and he rarely showed up, I need to find a way to be able to deal with this behavior without it disrupting every thing in my life. Any guidance would be appreciated. S Dear S, You situation is not that uncommon. Many controlling and abusive exes continue to be manipulative and controlling even after a divorce. He's not all that different from a schoolyard bully. But like most schoolyard bullies, once you stand up to them, they back down. It's not a matter of being nice or nasty to him. It's a matter of being consistent and following through on that consistency. Here are some concrete suggestions. Enforce the divorce agreement. If he shows up when he's not supposed to, ask him to leave. Get an order of protection if he persists on doing this and exercise it when he violates it. Nothing says "Don't screw with me!" like getting arrested. If he is in violation of other parts of the divorce agreement, deal with it in court. I know that it can be a pain in the neck but it's an action he can't ignore without realizing that he has more to lose than to gain. Set some reasonable communications parameters for him. For example, agree to speak to him about the kids every other week on Tuesday nights from 8:00 to 8:15pm. Tell him that unless there is an emergency, you will hang up on him all other times. Ask your relatives not to speak with your ex if he calls. If necessary, go to court and file a motion that the court order him to stop contacting your relatives. Ask your new husband not to engage your ex in conversation as well. Your husband can remind your ex when it was agreed upon for him to speak with you and then get off the phone. Let your new husband read the emails and delete the ones that are just being sent to upset you. Let your ex know that your husband will be screening emails and you will only be looking at ones that are relevant and not inflammatory. Also let him know that your children are not to couriers of verbally inflammatory messages. If he ignores that rule, go to court. I know some exes who ended up having supervised visitation because they couldn't talk to their kids without bad mouthing the other ex. Be consistent and patient. He will continue to test and manipulate as long as he believes there is a chance he can succeed. It sounds like he's been succeeding a lot in the past 4 years and it's time to let him know that he can't do it anymore. Lastly S, don't let your children become pawns or weapons in this battle. Take the higher road. They should be able to spend time with their father if he's willing to show up when he is scheduled to. Let them develop their own relationship with him without your feelings being a part of it. If he's manipulative and inconsistent with them, they will get that message. You divorced your ex because he was controlling and abusive. Don't let this continue. He's not going to change but you can. Please feel free to update me on your progress. happy(tryinghardtobeconsistent)shrink
And Compliments of Rev_Al:
THE IRISHMAN'S DAUGHTER
Happy(forcedtoeathamonPassover)shrink
Date: April 3-4, 2004 Spring Ahead everyone!
Dear Happy, I was online earlier this week when I noticed that my ex-husband was also on line. I can tell this because we are on each other's "Friends" list on Yahoo IM. This is mainly because, since he has no long distance service on his phone, my daughters IM him from time to time. This particular evening he had by his name: "View my Webcam: Might be nude". Fortunately, as this was about 9:30 PM Eastern Time, and I had been extra efficient at getting the little darlings to bed, neither child saw this message. Do you think this is an appropriate message for their father to post where his kids might see it? They are 11 and 13 and often stay up that late working on homework. Sincerely, Judiblueye(swideshut!) Dear Judiblueye, I am glad that you had your eyes wide open and found your ex's message before your daughters did. I would contact him by phone (He should be able to receive long distance even if he can't call.) and lay it on the line for him. If this should happen again, you will take him off of the friends list and prevent your daughters from contacting him on the Internet. I would also inform your local family court of this occurrence. If it happens again print a screen shot of your computer to send to the courts so there is proof of such inappropriate behavior. Given the fact that he's a deadbeat dad, they shouldn't have much tolerance for his actions. Protecting your children is something that you always do well Judi. Don't be afraid to protect them from their father if you need to. happy(doesn'tneedtovisualizeJudi'sexnakedtoknowitisobsene)shrink Hi Happy, I wanted to clarify what I meant by 'attachment issues' with my grandson. I'm afraid I see a lack of attachment in him. His bio mother had twins 13 months after he was born, they were not our sons. She was in and out of the relationship 6 months after they were married, and permanently out after our grandson was 20 months. She has had sporadic contact with him. Our son got full custody and ended up hooking up with the babysitter. Unfortunately 'hooking' also describes what she did for fun. She was also extremely rigid and overbearing with our grandson, some physical abuse occurred too. She split when our son had to leave the country for 6 months for his job and left our grandson with us. That was when he was 3.5 - 4. He was no sooner back when an old friend moved in with him & they married soon after. Unfortunately this girl has a temper and was abusing our grandson. We intervened, and the law also intervened. Our grandson will be with us while our son is getting help. Well, that's a quick version of the background. Our grandson is attached to me, but he is fine about playing with other kids. He participates in a regular program at our church and does well. He plays fairly well with our 3 year old granddaughter, but is showing some jealousy of my attention to her. Under the circumstances I'm glad to see that reaction, although I'm trying to teach him otherwise. I'm concerned that his attachment to me will be a problem when he goes back to our son, most likely in another 1.5 years because he'll be leaving the country again this fall. At this point I'm thinking, heck, just leave him until he's 18. C Dear C, I would strongly urge you to fight to retain custody of your grandchild a year and a half from now. Your son's judgment since he has become a father is very suspect and I don't see how he is going to become more together in the next year and a half even with professional help. Your grandchild needs a stable environment and you can provide that for him. I would not raise this issue with your son until such time that he decides that he wants his son with him again. I know this won't be easy for you and it may seriously damage the relationship you have with your son. I am sure that while your grandson is the source of great joy, he is also a big responsibility that you thought was behind you at this point in your life. I have known you over the past several years C and I know that you are going to do the right thing. If you feel your grandson needs some help now, you will get it for him now. If he needs your protection in a year and a half, you will protect him. Anything less would not be the C that I have come to know and respect. Good luck and continue to write. happy(tryingtodotherightthing)shrink And now a some interesting contributions from a friend at work:
Subject:
Marriage
Marriage (Part I) Typical macho man married typical good-looking lady and after the wedding, he laid down the following rules: "I'll be home when I want, if I want and at what time I want-and I don't expect any hassle from you. I expect a great dinner to be on the table unless I tell you that I won't be home for dinner. I'll go hunting, fishing, boozing and card-playing when I want with my old buddies and don't you give me a hard time about it. Those are my rules. Any comments?" His new bride said, "No, that's fine with me. Just understand that there will be sex here at seven o'clock every night... whether you're here or not." Marriage (Part II) Husband and wife had a bitter quarrel on the day of their 40th wedding anniversary! The husband yells, "When you die, I'm getting you a headstone that reads, here Lies My Wife - Cold As Ever." "Yeah?" she replies. "When you die, I'm getting you a headstone that reads, 'Here Lies My Husband Stiff At Last.'" Marriage (Part III) Husband (a doctor) and his wife are having a fight at the breakfast table. Husband gets up in a rage and says, "And you are no good in bed either," and storms out of the house. After sometime he realizes he was nasty and decides to make amends and rings her up. She comes to the phone after many rings, and the irritated husband says, "what took you so long to answer the phone?" She says, "I was in bed. "In bed this early, doing what?" "Getting a second opinion!" Marriage (Part IV) A man has six children and is very proud of his achievement. He is so proud of himself, that he starts calling his wife," Mother of Six" in spite of her objections. One night, they go to a party. The man decides that it's time to go home and wants to find out if his wife is ready to leave as well. He shouts at the top of his voice, "Shall we go home 'Mother of six?" His wife, irritated by her husband's lack of discretion shouts right back, "Anytime you're ready, Father of Four." God may have created man before woman but there is always a rough draft before the masterpiece. And in an attempt to be fair and balance (unlike FOX or CNN) here is another contribution from a friend with another agenda: Subject: our
side of the story Dear Happyshrink, Sorry it's been so long between letters. Still greeting people down at the WalMart. You know .. "Welcome to WalMart, would you like a buggy?" I don't even need to look at that piece of paper you gave me with my script written out for me much anymore. AND ... I only get tongue tied when I forget or don't put enough paste on my dentures. The kids had a science fair project due last week and we didn't have any flour to make paste and ......WAIT ... I am getting off the subject ... yesterday was my day off and ..... JeWitch had an appointment with her shrink and she had made me go with her. I wish I had stayed home .. here is what happened ... She plops down on the psychiatrist's couch and as she is lighting up a smoke she says, "Doc, I just can't seem to make any friends. Can you help me, you fat slob?" OOOOFA ... I must have passed out .. I don't remember anything else. --=*=-----=*=-----=*=-- Was this a great country or what ?? Dear Edna, It's really nice to hear from you after all this time. I know that JeWitch's behavior is very strange to you but it's not all that unusual to us shrinks. We deal with something called "transference" all the time. This is a psychological dynamic where the patient views the shrink as a father or mother figure. In the case of JeWitch, the shrink is viewed as an ex-husband figure. Let's face it... she's married a lot of fat slobs in her day. I don't take offense. PS: This is still a great country.... even with a bunch of idiots in all parts of the government and on both sides of the aisle. happy(anadmittedfatslob)shrink
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