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Understanding the Blame Game

5 min readJul 1, 2026

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The Blame Game

“It’s not you, it’s me.” With that felicitous phrase, George Costanza made another entry into the annals of Seinfeld hilarity. In this episode of the classic sitcom, George is trying to break up with a girlfriend when she turns the tables on him by breaking up first, using his proprietary phrase on him before he gets the chance.

George’s ensuing indignance makes for great comedy. It came back to me the other day as I returned home from a doctor’s appointment. My doctor had irritated me with a general lack of consideration. But upon reflection, everyone was irritating me that morning. Could all these people be irritating on the same day? It seemed so, but we all know better. As had happened many times since I had quit my psychiatry practice due to health problems, I often found myself in pain, tired, or frustrated. All of this led me to being frequently irritable, as I was that day. Maybe it wasn’t them. It was me.

But I was not yet ready to drop the charges. In each case, the irritator in question had, in fact, been rude, insensitive, thoughtless, generally unsupportive, or some annoying combination. My doctor was glued to his computer and seemed anxious to leave. So, which was the problem: my irritability or people’s irritating behavior?

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Mark D Rego
Mark D Rego

Written by Mark D Rego

Dr. Rego’s new book “ Frontal Fatigue. The Impact of Modern Life and Technology on Mental Illness” is available. Go to markdregomd.com for more info.