Frank matters

Others may have Ann and Abby, Dr. Laura and John Gray,but we've got the sharpest shooter of them all: the renowned therapist Frank Pittman, M.D. His brilliant, witty, and occasionally acerbic advice offers what really counts: genuine wisdom.

DEAR DR. FRANK,

I'm a 32-year-old, manic-depressive male who has been on lithium for the last six years. I've been steady, stable and, to all appearances, quite normal all that time. A month ago I started seeing someone new. We really got along great until she told me that she had looked in my medicine cabinet on the first night that I'd cooked her dinner, and had seen the lithium. She's upset because I didn't tell her about the lithium right off the bat, and I'm upset that she violated my privacy. Even worse, I feel she won't understand that I'm basically okay and, instead, will see me as a damaged person--as distressed merchandise. How can I negotiate this issue long term and short term?

Dear Basically O.K.,

Each of you is hoping this relationship will be the one, so of course you are going to show yourself off at your best, and of course she's going to snoop around to find out what skeletons you are hiding in your medicine closet.

But before you can move forward with the relationship, you both have to get over the idea that any person or any relationship is perfect. Only then is it safe to reveal your imperfections and baggage. However, it is not generally considered a good courtship technique to walk around with a sign around your neck saying "BEWARE! MANIC DEPRESSIVE." This sort of thing isn't relevant until you are confident that the relationship has a future.

As my psychologist-daughter Ginger Pittman-Pistilli put it: "Until we as a society agree to submit blood and urine samples and a psychological profile before the first date, it is totally appropriate to reserve the details of your psychiatric history, as you would the intimacies of your sexual experiences or your fourth-grade report card, for more personal relationships."

You must understand that courtship rituals are exercises in fantasy--built on deceit and distraction, smoke and mirrors--while relationships are exercises in honesty, tolerance, and the messiness of reality. Your friend needs to know more about lithium and manic depression before she reacts to the information. (I've always referred people to the 1975 book Moodswing by R.R. Fieve.) Above all she needs to know more about you and what you have been through to become the person whose medicine closet fascinates her so. Reveal your secret shames and the traumas you've faced up until now.

She may be looking for a fantasy rather than a relationship with a real guy. You might be a lot more real than she's willing to bargain for. But if she's willing, the genuine relationship can now begin.

DEAR DR. FRANK,

My husband and I are both on our second marriages. When we married three years ago, I had been widowed for ten years, and my new husband's wife had died the year before. He seemed to be at peace with her death, but his daughter was not; she refused to go to our wedding and, in the last three years, has almost totally broken off contact with our new family. We've tried repeatedly to reach out to her, but she just ignores our overtures. I see how this hurts my husband so much. Any suggestions?

Dear Snubbed Stepmother,

Obviously your husband felt more in need of a wife than his daughter felt in need of a stepmother. Your stepdaughter may have felt that her father was "at peace" too quickly with her mother's death and that his remarriage was disrespectful of her. He did not bring you into the bereaved family he shared with his motherless children; instead, he created a new family with you and then invited his daughter in, and she must have felt that she simply didn't have a place in her father's new family.

You talk of "us" reaching out and "our" overtures. You give me no reason to believe you are part of the issue, and I advise you to make that assumption unless you know or hear otherwise. Your job is to be friendly and to get out of the way of your stepdaughter's relationship with her only parent. Your husband needs to share at least some of her mourning for her mother--without you around.

I am particularly pained that you wrote this letter rather than your husband. Please pass this paragraph on to your husband from me:

I assume your daughter is not offended by your new wife personally but is offended by your remarriage. So let me take a wild guess here (based upon a few thousand such situations in my practice and a few in my own family). Let me first assume your late wife was the psychological parent. Let me then assume you never developed comparable sensitivity to the emotional lives of your children, and that you now expect your new wife to take over that function. And finally let me assume your daughter is holding out for a personal relationship with her only remaining parent. I may be way off base, but if my guess feels right to you, then take your daughter out for dinner--alone--and talk about her mother. Cry together, recall the good feelings and the bad. Ask her how you've been as a father, husband and widower. Repeat this as often as necessary for as long as it takes. Once you and your daughter are comfortably close, ask her if you can invite your new wife to join the two of you on one of your next excursions.

Tags: abby, advice, courtship, daughter ginger, distressed merchandise, dr frank, dr laura, first date, frank pittman, genuine wisdom, imperfections, lithium, manic depressive, medicine cabinet, medicine closet, psychiatric history, right off the bat, skeletons, urine samples

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