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Dear Miss Information,

My best friend recently got back together with her boyfriend. They didn't use condoms while they were together — she was on the Pill — and they're not using condoms at present. She said he only slept with "a few people" while they were broken up and that he used protection. I told her I think that's crazy. She should make him get tested and get tested herself. But is it too late? If he has anything she's probably been exposed to it already. She doesn't wanted to get tested because she doesn't have insurance and is afraid of needles. I also think deep down she's either in denial or doesn't think it's necessary. Do you have any advice? I want her to see how serious this is.

P.S. Did I mention her boyfriend's a scumbag? — Unhealthy Friendship

Dear Unhealthy Friendship,

Hooray for you for taking to heart (and vagina) all those pamphlets they handed out in health class, and for wanting to look out for your friend. I have that nurturing instinct as well, though less kind synonyms might include "intrusive," "caretaker," or "adult child of an alcoholic."

You can have opinions about your best friend's conduct, and express those opinions, but you cannot control it. Which feels pretty terrible — it's like watching a friend who's about to drink and drive. At least with the booze cruiser you can grab their keys or offer them a ride, but it's less socially acceptable to come bursting into the bedroom, confiscate the suspicious package, and offer the use of your Rabbit as an alternative.

This is about gentle but persistent persuasion. It doesn't take an overpaid branding consultant to know that "Your boyfriend's a dick!" isn't a winning campaign message. Giving her the information she needs to get tested and making it seem as efortless as possible are better tactics. Do you have that information, Unhealthy? Do you know that most STD tests nowadays don't involve needles? Although blood tests are still the gold standard, you can get tested for HIV using your saliva or a quick finger prick. Insurance doesn't have to be an issue, either. Enter "free STD testing + [your county]" into Google, find your local Planned Parenthood, or buy an at-home testing kit. It's not free, but it's cheaper than paying for a full-on doctor's visit.

Once you have all the information, compile it into a nice little email or go old school and make some print-outs. Give it to her, along with an offer to go get tested alongside her (not necessary, I'm sure, as you are probably the type who smears on spermicidal lip balm before a French kiss). After that, all that's left to do is STFU and get on with your life and your friendship. You might also want to see what you can do about making peace with the scumbag (I know the type, 'cause I've dated him). The hyperactive worrying might stop if you get to like him better and trust him. If that doesn't work, there's nothing wrong with keeping your enemy close. You may get the ammo you need to convince your friend to find someone better. Then she'll start going bareback with him, and you'll have a whole new set of worries. Isn't codependency grand?

Dear Miss Information,

I recently dumped my horrible (alcoholic, mean, unwashed, bad-in-bed) boyfriend of four years and started dating a man I think is absolutely incredible. He's smart, sexy, kind, funny, well-mannered, and he really, really likes me. My only problem? I don't feel like I deserve him. I stayed in a bad relationship for a long time because I didn't believe anyone worthwhile could ever love me. I understand this. I also understand that it's totally irrational: I'm reasonably smart and attractive, and I've never really been short of people who wanted to date me. I'm afraid that I'm going to sabotage this new, good relationship with jealousy and insecurity and pessimism because of my ridiculously low self-esteem. I really don't want to do this. I lusted after this new man for years — we even briefly got together once before, until I threw it away because I was so convinced he was out of my league. I want this to work. Please give me some ideas about how I can not fuck it up this time around. — Scared Shitless

Dear Scared Shitless,

Therapy? Sorry if that's redundant, since your letter makes it sound like you're already in therapy. Or maybe you just own a lot of self-help books.

No one wants to make the same mistake twice. The bummer is that most of us will. It's difficult to change the way you're hard-wired. The key is knowing you're making the mistake, then taking steps to stop making the mistake, minimize its damage, and/or reverse it. Those who get really good at that can move on to the next level, which is knowing when you're about to fuck up, understanding the reasons why, and removing the potential triggers. The final stage involves looking down on everyone, using words like "spiritscape" and "personal journey," and composting your cat shit. In other words, there's no such thing as a mistake-free, non-fucking-up person, and anyone who think they are one is probably not someone your new man would want to be with.

You talk about jealousy, insecurity, and pessimism. How do these play out in your day-to-day as a couple? Are you pissy when he goes out without you? Do you grab his cell phone or demand to know who's on the other end when he gets a text? Is it a big issue if he compliments another female, even though you're always going on about Idris Elba and that one shirtless picture? If he could critique you, free of fallout, what would be his five biggest issues with the way you act in the relationship? Do you know what you need to do to work on them? If not, ask him... though maybe not all at once. You could solicit feedback as it's happening. The next time a recurring battle revs up, ask what he thinks you could do to avoid a repeat.

I also want you to think about how many real, concrete indications you've gotten from him that you're messing up and how much of it is in your head. I had an old therapist that had me write out a list of all the things I thought people were saying about me and then put checkmarks next to the ones that had actually been said. If you can get over the sudden realization that you're a paranoid, tin-foil-hat-wearing narcissist, the disparity can be pretty reassuring.

Finally, ask yourself if "I don't deserve him" is code for "I'm not really in love with him." I don't want to advocate for a breakup or shit on anyone's romance, but sometimes we convince ourselves that we have bad taste or don't deserve good things when the reality is we're with the wrong person. This is so (so) common for people who've been in abusive relationships. You've been mistreated for so long you feel like you're contractually obligated to stay with the next nice person. If that's the case, move on. I promise you there're more where he came from.

Commentarium (13 Comments)

Oct 19 09 - 5:03pm
EKA

While I almost consistently agree with Miss Information's advice, it worries me a lot that a lot of it mentions therapy as an immediate and obvious solution. From my life experience, it is a thousandfold more satisfying to solve my own problems, keep a check on my own wayward emotions and solve life's challenges with as little outside help as possible. Maybe I am missing something, but generally isn't it much healthier to have made your own decisions and experiences, rather than pay someone regularly to do all that for you? I think psychiatrists are for extreme cases - things like low self-esteem, on the other hand, can and should be conquered by keeping busy, bettering self-discipline and finding the things in life that are unique to you and that you enjoy. Experience teaches that better than any psychologist could, and it's a lesson remembered once and for all. Just my opinion.

Oct 19 09 - 5:22pm
marko

Sorry EKA, therapy is the immediate and obvious solution. If someone slaps a "kick-me" sign on your back it's gonna be a long time before you see it yourself, if you ever do. That's the kind of thing a therapist is good for. If a therapist is making your decisions and "experiences" (not quite sure what you mean there) then it ain't therapy but likely a Baptist church or some other kind of weirdo cult you've stumbled upon. Being controlled by someone is not therapy. Exactly the opposite. Therapy is about learning not to be controlled. By others, or by your own blind spots.

Oct 19 09 - 6:35pm
EKA

marko: perhaps unclearly formulated (English is not my first language), I just meant that in my opinion, a person will get much more out of figuring things out for themselves rather than depending on someone else every time. In severe cases therapy is fine, but with things such as low self-esteem, well I believe that the best way to build up self-esteem is to build up your life by your own efforts. That way, you can look back on your achievements and be proud of who you are, rather than look back and see a lot of money spent on someone else coaching you through a rough patch. Maybe that's just me; again, I do believe in therapy in other cases than the one mentioned above.

Oct 19 09 - 7:53pm
K

Therapy sure sounds called for to me. She's got a problem, and she doesn't seem to be making progress solving it on her own. Time to call in a professional. At some point you realize you can't fix the sink yourself so you call the plumber.

Oct 19 09 - 8:08pm
olassie

Well, technically she's already seeking out free therapy in the form of asking Erin for advice - perhaps she's tried working this through on her own and is in a rut.
The first step is already done, SS - and good for you - you dumped the motherfucker. The rest? It'll come.

Oct 19 09 - 10:44pm
cindy

therapy. absolutely! even if you're w/o insurance look to any free options. talking emotions through is cathartic.

Oct 20 09 - 4:24am
ML

I want to agree with the therapy thing, but I've been to so many. I'm not all together sure it actually works.

Oct 20 09 - 8:58am
JCF

Therapy is good, at least until you figure out that hey, who says you don't deserve to be happy and with a great guy? This guy could be your forever, or maybe he just looks good in comparison to the last one. There's no way to tell in advance (welcome to the world of relationships), but whether he is good or just looks good, that doesn't mean you're not good enough for him.

Oct 20 09 - 3:22pm
Emily H.

Therapy sounds like a good solution for this problem. Cognitive-behavioral therapy can help you deal with negative or counterproductive thoughts by teaching you to to keep track of what tends to trigger them, and helping you figure out more positive ways to react to them. The techniques are results-oriented and direct, so it's a good option for people who want to target an area in their life that they're having problems with, without having their whole childhood analyzed or whatever. A good therapist could help the letter writer figure out how not to get overwhelmed or react self-destructively when she starts feeling inadequate.

"Sometimes we convince ourselves that we have bad taste or don’t deserve good things when the reality is we’re with the wrong person." I'm not sure this is on the mark. The letter writer says she "lusted after this guy for years," which doesn't prove she's in love with this guy but makes it sound like she's really crazy about him, not just sticking with him because he's nice.

Oct 20 09 - 8:43pm
Flynn

EKA, I see where you're coming from but therapy isn't about having someone make all your decisions for you. The majority of therapists never, ever tell you what to do. They don't put a check on moods, solve problems, or fix things for you. They also don't do the other stereotype - which is act as a supportive 'GO YOU!' prop who endorses every decision you make, right or wrong. They mostly listen and ask questions that help you arrive at answers on your own. They help you take a step back and assess yourself more objectively than you could on your own. Saying your inner thoughts out loud is more powerful than you realize.

Oct 24 09 - 6:40pm
KLT

EKA,
To some degree I understand where you are coming from, but it seems obvious to me that perhaps you have never been faced with the things that this woman emailed Erin about - nor have you had anyone close to you go through what this woman went through. You're very lucky!

You have also missed the mark on how effective therapy is and can be. As someone who is unfortunate enough be wired badly (i.e., I struggled with a personality disorder and a very low self esteem for a long time), I feel compelled to let you know that if it wasn't for therapy I doubt I'd be functioning, much less around. Scared Shitless - if you're listening, please go to therapy. If you're already there, good for you - just keep working hard and things will fall into place for you. You sound like you know yourself quite well.

Oct 26 09 - 9:39am
Emily Thom

No, therapy can be very useful. I would say cognitive rather than psychoanalysis. It gives you practical methods to stop yourself from doing what you have always done in the past. Knowing why you behave in a certain way is good, but the head and the heart (the psyche?) do not always work in tandem. I know practically every reason why i sometimes behave the way I do. That doesn't mean I stop myself from behaving like that. I now try and think it through before i do it, and stop myself as much as I can. And therapy has helped me with that. Definitely. Low self-esteem goes way back. It needs tearing apart and throwing away. It is difficult for most of us to do that for ourselves.

May 05 10 - 2:03am
silver_doctor

I've toured the HIV wards in Los Angeles and seen the AIDS orphanages in Kenya, where the orphans lost their parents to AIDS and are dying of AIDS. I am a guy. No guy is worth that risk. "Self-esteem"
is a buzzword. It's used so frequently that, to me, it's lost its meaning. You sound depressed. "I am not worth much, I only have this one chance, so I'd better risk HIV or herpes infection—which means disability and no sex for the rest of my life—on this one guy."

Psychotherapists are a dime-a-dozen these days and fighting it out for patients...oh excuse
me...clients. Be careful. There are a lot of plain weird folks out there with a master's degree shooting from the lip. You could contact the Aaron Beck Center in Philly and get a referral to someone they recommend. Stay very clear of Noo Age and Self Help books. Beck is at http://www.beckinstitute.org
1. You do not have an addiction to low self-esteem (New Age/Recovery)
2. Neither do you have a reverse Oedipal conflict which can be resolved only by some bozo sitting wordlessly at the head of a couch listening to every word you say.

Best of Luck.....Dr.John

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