Monthly Archives: February 2012

February 2012 – Best of Blog Recap

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Counselorssoapbox.com

Here it is – The Best of Blog Recap for February 2012 –

Thanks, some more to all of you that read this blog. This has been the most read month ever for the counselorssoapbox blog. Hope some of the things I have written have been helpful and thought-provoking. Feel free to comment and especially pass along the link to anyone you think might want to read this effort.

This month there were a few days with no post but when we reached the month end there were more posts than I had originally planned. We will see what the next month holds.

Here are the top read blog posts of the last month.

1. Do drugs cause mental illness?

2. How does therapy help people?

3. How many mental illnesses are there?

4. How much should you tell a therapist?

The all-time top read posts were:

1. How does therapy help people?

2. Post-Traumatic Stress Disorder – PTSD and bouncing back from adversity

3. Do drugs cause mental illness?

4. Treatment for teens risky Behavior

Over time lots of you have viewed the home page and “about the author” page also.

Thanks to all my readers new and old.

Next month we will explore some other topics and see what we come up with.

Till next time, David Miller, LMFT, NCC

Directions to happiness

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By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Happy faces

Happiness.
Photo courtesy of Pixabay.com

Looking for happiness?

It is hard to find something if you don’t know where it is or what to look for. Happiness is a lot like that. Can you remember the name of your elementary school? What was the school mascot? People are able to answer questions like that all the time but they have difficulty describing things that might make them happy.

It is also helpful to know how to avoid going somewhere you do not want to go to. Besides knowing the things that might make you happy it pays to know the things that might make you sad, afraid, or mad. Most of the time we can feel sad when it is inside us but often we can’t remember or describe it even at a few minutes distance.

When asked what things make you happy or sad lots of people can’t tell me or they will list off some things, video games, or a new job to make them happy, and losing their job or not getting something they want will make them sad. Things are easier to describe than relationships and characteristics like love and acceptance. Most times those things are only symbols for the feelings we all would like to experience.

We spend so much time with ourselves, every moment of every day we are there with ourselves. Most of the time we are there but we are not present. We may be physically in our bodies but our minds, our consciousness is not home. We are avoiding feeling what we feel.

You would think that we should know all about ourselves. Most of us never take the time to really get to know ourselves, our wants and desires, until a crisis strikes.

If I asked you about your best friend, what they like what makes them happy or sad, could you tell me?

Many times the person I asked can describe in detail their friend or relatives’ favorite color, flower, movie, or place. But ask them to tell you about themselves and they are out of answers. We ask our friends these questions, talking about you and asking about the other is part of the process of getting acquainted.  Often we are afraid to take the time to get to know ourselves.

Would you want you for a best friend? Lots of people in therapy will say no. I tell them that they need to be their own best friend. How can others treat you better than you treat yourself?

So the first step on the road to happiness is getting to know you. Seeing you realistically but still being able to accept you with all the faults. We often can accept a friend with warts and all but let us be one hair less than perfect and we can judge ourselves unmercifully. Learn to accept yourself.

One question I ask kids is if they were that person in the Aladdin’s lamp story and they found that lamp, what would their three wishes be? Some kids give me a list of things video games and new sneakers. Other kids say they want their parents to stop fighting or to still be together.  Wishes like this tell me about what is really important. What do you think you would wish for?

How might having three magic wishes reveal what you truly value and what direction you need to go to find your happy life?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel

Unhappy Relationships

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By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Couple not talking

Unhappy relationship.
Photo courtesy of Pixabay.com

The most important issues in our lives are our relationships.

Unhappy relationships bring more people to counseling and therapy than any other issue.  Relationship issues sent more people to psychiatric hospitals than all the other causes of emotional turmoil. That need for connection to other humans underlies all human activity. If having a good relationship is so important to a happy life, why is it such a difficult thing for us to do?

When we say relationship issues most people think first and sometimes only, about romantic, sexual relationships. Type a question about relationships into most any search engine and you will be taken forthwith to a dating site. As important as this relationship is to most of us, it is not the only or the most important relationship we might have. Many people rely on the romantic relationship and fail to develop another more important relationship – their connection with themselves.

Humans, like most vertebrates, begin life with our primary relationship being our relationship with our parents. Sometimes this is one parent sometimes two; sometimes the primary caregiver is a non-biological person. That first relationship sets the pattern for the rest of our relationships. We store a blueprint away in our brain and often we keep reproducing that first primary relationship in every human connection we have afterward. Just because that relationship is good or bad does not control the quality of all relationships afterward. We can learn new patterns of relating to others.

Our early years are spent developing relationships beyond that one close caregiver we are so dependant on. Children who have unreliable or impaired caregivers find it difficult to develop functional relationships with others in their lives. Their blueprints for life have smudges and missing lines where things they should have learned about relationships were left out. Sometimes the lines were drawn incorrectly such as when the primary caregiver abuses or neglects the child. In those situations, we may begin to think that things are normal and acceptable even when they are severely dysfunctional.

Even when the primary caregiver does a good job of meeting a child’s needs the person may get some of the lessons wrong. As a therapist I spend a lot of time helping people correct these blueprints, sort out the things they learned that are not so and we look for missing parts of that life blueprint, the lessons not learned.

Beyond the first lessons with that original caregiver, most of us learn by relating to others. The first five or so years are spent with close family, siblings, grandparents, aunts, uncles and other relations. Eventually, there will be relationships with non-relatives, friends, and neighbors.  Some of these relationships will be helpful, some will not.

During our school years, we might learn some lessons from teachers and other unrelated adults, most often we learn from peers. Those other kids our own age that were struggling to grow up and find their way in life taught us lessons even when they didn’t know the answers. Many of our likes and dislikes our habits and needs were formed at this stage. We rarely look back to examine the changes to the life blueprint during those years. Not until part of our structure collapses in divorce, addiction or a relationship failure do we have a reason to check our life blueprint.

The relationship most of us neglect is that one relationship which we should pay the most attention to – our relationship with ourselves. Wherever you go, whatever you do, you will be there. Do you like yourself? Would you want you for a best friend? Make friends with yourself. Spend time getting to know you. Learn to treat yourself the way you would want others to treat you. Become your own best friend.

So often when we are sad, depressed, or anxious we crave a good fulfilling relationship. Often we reach out for another human, thinking that if we just found that one person that could love us enough, then we would be healed. That seems to only work in fiction. Two sick people do not make for a healthy relationship. To have a healthy happy relationship you need two healthy people. So before you go looking for a partner to fill in the missing pieces of your soul consider first getting to know yourself and become your own best friend.

Having children for the sake of making you happy all too often results in short-term pleasure and long-term unhappiness. Sex and drugs are not a substitute for a happy inside. There are too many people who grew up in homes where their parent’s never learned to be happy and where they inherited the family blueprint for dysfunctional living, that constant search for something outside of yourself that will make you happy.

Before you begin your search for that one special person to fill your life, please work on the relationship with that one special person you already know – you.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel

What do you do if therapy is not helping?

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By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Counseling questions

Counseling questions.
Photo courtesy of Pixabay.com

Counseling not working?

So you have been going to therapy for a while now and things are just not getting better what should you do now? Here are a few suggestions.

Talk to the counselor about your progress.

Sometimes you may think nothing is changing, you may be too close to your problems and in so much pain that you don’t see the progress you have made. Reviewing what has happened so far in counseling can help you gain perspective. Some problems are more difficult to solve than others. Consider where you started from in evaluating your progress. Sometimes, for some people, the light just comes on but other people find lifelong problems take time to work through.

Clarify your objectives.

You also want to discuss your objectives with your provider.  If your provider is working on one issue but you really feel that you need to solve something else you need to tell them. If your goals are unclear then it is not surprising you are not seeing progress. When therapy started you may have been in so much pain all you wanted was for the hurt to stop. Often in the early stages of change, we are very unclear about what we want to have change. As the process progresses you may decide on a goal or you may want to change your goal. Is it possible your goal changed without you noticing?

Consider what you are doing in the hours outside of therapy.

There are 168 hours a week; you only spend one or two of those in therapy.  If you come to the counselor’s office, talk about change but the rest of the week you live your life the same old way, you are not likely to make much progress. Are you working on improving your lifestyle? Have you cut down on drugs and alcohol? Should you cut them out altogether? Do you get enough sleep? Do you eat well and exercise? An hour a week talking about your stress will not do much if you continue to live a stressful life. Has your counselor suggested homework? Have you done it? If they did not suggest homework consider asking them why not? If you didn’t do the action steps ask yourself why not.

 Reevaluate your motivation to change.

Are you interested in changing? Did you come to therapy hoping that the counselor could help you change someone else? Specifically, what do you want to change? Or do you really want anything to change? If you don’t what change, then what do you want from being in counseling?

Are there other helpful things you could add to therapy?

Consider adding self-help groups, reading self-help books, and working on developing or improving your support system. Support groups of others who are struggling with the same issue are extremely powerful. Learn from those who are farther along in their journey. Self-help books are full of ideas that might be just what you need. Ask your counselor to recommend some books or groups that might aid in achieving your goals. Take the good and uplifting from where ever you can get it. Do you have a religious or spiritual belief? Are you practicing that belief?

Consider adding medication.

Many people come to counseling resistant to medication. Medications are not a magic cure-all but for some conditions, they are helpful, for some they are essential. Possibly the help you get from a medication may be just the thing you need to get that initial progress into motion.

Reexamine the relationship between yourself and the therapist.

The major predictor of success in a counseling relationship is your belief in the counselor’s ability to help you. If you have any doubts about that consider why you have doubts about this relationship. Do you lack trust? Do you not feel heard?  Consider talking with your provider about your doubts. Then if you still feel that this relationship is not helping consider seeing someone else. There are times when even the best therapist might decide that they are not helping a client. The ethical thing for a provider to do if they are unable to be helpful is to refer that client to someone else that has more expertise or is a better fit for that client.

Here is hoping that you are finding the things you need to help you along your journey to the life you truly want and deserve.

For more on this subject see:

5 Rules for Picking the Right Therapist

How to Spot a Bad Therapist

Reasons Counselors and Therapists lose licenses 

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel

Today was another “Mental Health First Aid” training

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This is one of my favorite trainings to conduct. It runs two days, 12 hours full of information on what to do if you or someone you meet is experiencing a mental health issue.

Tonight’s post will be short. I hope to get a new blog post written tomorrow. If you are anywhere near Central California and are interested in this training contact me. There are a number of certified trainers and the full list of trainers is available from Mental Health First Aid USA. Below is a description of the training I had posted a while back. If you did not see that post here is the info. If you did see it – well some things may be worth repeating.

***********

Mental Health First Aid (MHFA) is a great new training. If you are not familiar with this training you should check it out. Designed for the non-professional, it teaches you how to react and how to be helpful if you encounter someone who is having a mental health crisis. Created in Australia the program has now come to the United States. The two-day, twelve-hour interactive class covers the major kinds of mental illnesses and how to help a friend, family member, or someone you might meet who is experiencing mental health problems. Sponsored by the Maryland Department of Health and Mental Hygiene, Missouri Department of Mental Health, and The National Council for Community Behavioral Healthcare there are now certified trainers throughout the United States.

Here in California’s central valley, there are over a hundred certified trainers. Certified trainers in Fresno have put on numerous trainings over the last year. I became so enthusiastic about this program that I took the training and became a certified trainer. So far I and a co-facilitator have completed three trainings (now at 5.) All of our trainings were enjoyable to do and well attended. In the coming year, we plan to offer the training at least three more times. We are currently looking for a larger room or a sponsoring agency. If you want more information on my trainings please email me or watch this blog for posts on upcoming trainings.

If you are not near Fresno, California, you can check the Mental Health First Aid USA website at http://www.mentalhealthfirstaid.org/cs/program_overview/ for a listing of courses in your area. The training comes with a detailed book for reference after the class. So whether we see you in one of our trainings here in Fresno, or you take it from another trainer, this is one class well worth taking.

Thanks to all of you who are reading this blog, subscribing, and passing it on.

Have a happy life. David Miller, LMFT, NCC

More child sexual predators?

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Counseling questions

Counseling questions.
Photo courtesy of Pixabay.com

Have you lost track of the number of reports in the news of people abusing children? I know I have. One topic of discussion around the water coolers and in the media these days is the number of these reports and the number of times the thing we fear most, turns out to be true. Which makes one wonder- is there more child abuse, especially child sexual abuse, going on these days?

We are correct to distrust reports of more – or fewer predictors these days. More people being arrested does not mean more incidents. It is very likely that children have been victimized since time began, which is not to excuse it, just to say we can’t be sure there is more going on now. But the number, frequency, and severity of children being abused are beyond troubling.

With children, professionals like myself are what is called “mandated reporters” which means if we know or reasonably suspect someone is harming a child we are required to report this. From the number of adults who end up in therapy as a result of being victims of sexual abuse, it seems clear that this has been going on largely overlooked for a long time. Mostly we don’t like to think that someone who is working with children might be harming them. The stranger molester is very rare, most of the time the person harming kids is someone that is close to them and is respected by the community.

Beyond the pain of the first abuse, most adult victims will tell you the most painful part of being a victim was the number of adults who dismissed the claim or covered up for the perpetrator. I read that one child victim was punished for “making stories up” about his abuser. Years later we find out that this victim was telling the truth but was intimidated by adults into silence.

The shocking thing about so many of these reports of an adult sexually abusing a child is not just that the incidents are occurring but that the activities have gone on for so long, involved so many children and the perpetrator was allowed so much access to children. There may be some societal changes that account for this.

We live in a more anonymous society than ever before. This is the first time in the history of the world that the majority of people on earth live in large cities instead of rural communities. In the small town, there was always someone who was considered “weird” and the children were told to avoid them. This may not have protected anyone. Kids back then disappeared and things happened to them on the way home from school but we felt safer then, thinking that by avoiding certain people we were keeping kids safe. Today we have little idea who lives next door let alone on the next block.  We also know very little about public figures like the teacher, pastor, or priest.

Some people think that putting lists of child predators online will help reduce children being victimized. This process has proved inefficient in practice. I was at a county fair a while back. It was a relatively small county. The local police had a map in their booth with pins showing the location of registered sex offenders. In this one small town, there was no street that did not have a pin within a block or two. The sex offenders we know about are everywhere. What about the ones we won’t know about for years to come?

There is some likelihood that in times past most predators were solitary creatures. They were afraid to let anyone know their secret. That reduced their ability to abuse children and may have limited the number of victims. You don’t share secrets in a small town where if one person found out your secret everyone might be out to get you.

There was also a lot more social disapproval of people who might be abusing a child especially sexually. There were and still are families in which child sexual abuse is a family tradition. Older relatives abuse children and the parents who were abused themselves cover it up. More than once an adult has cried while talking about their child’s victimization and then they told me they had been a victim themselves, sometimes the adult was molested by the same uncle or cousin that had now molested their child.

In addition to the reduced social disapproval, these days it has become easier for predators to find others who approve of their behavior. They are able to connect via the internet and other electronic media. Children who don’t understand victimization, we all think things won’t happen to us when we are young, put themselves in risky online situations.

The increase in pornography and sexually explicit materials makes deviant behaviors look more normal. A few years back people who wanted sexually explicit materials had to go to a particular store and buy something that was kept under the counter. By today’s standards, most of that stuff was pretty mild. Today situation comedies have more sexual content and more violence than the girly magazines used to portray. Violence and sexual content are a lot more interesting to watch most of the time than normal behavior. If you watch a lot of violence or sex it is easy to get a distorted view of reality and think that things are normal that in times past were clearly off-limits.

The widespread abuse of stimulants has added to the problem of inappropriate sexual behavior, especially the increase in hypersexuality. Meth users report that under the influence they felt extreme sexual urges and participated in sexual acts that when off drugs they would never have considered. Much, but not all child sexual abuse is reported to be connected with drug abuse.

If it were possible to put aside the emotional cost of child mistreatment, which is not possible for most of us, there is still a huge monetary cost to society. According to the CDC, a single year of child abuse costs society over $200,000 in additional lifetime treatment costs. That is more than the cost of a stroke or most physical diseases. More years of abuse means more pain and more expense. We also know from studies of PTSD that the sooner someone gets treatment the less likelihood there will be a severe permanent disability. This makes the early detection and treatment of abused children all the more important.

So this blog post is running long.

The point of all this is that there may not be any more people who are having urges to sexually abuse children now than in times past. What we are seeing now are more cases involving people we all thought we could trust. There are societal factors that may be reducing the inhibitions of people who have these urges. These incidents can make us start to fear and distrust everyone. Some of these cases involve large numbers of victims and have gone on over long periods of time. Being a victim of abuse causes lifelong suffering and we as a society need to do more to prevent and treat these victims. The questions before us are how to prevent or reduce the number of these incidents and do we as a culture have the will to use resources to heal the victims?

Any thoughts on this?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel

How much should you tell a therapist?

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By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Whispering secret

Keeping your secrets?
Photo courtesy of Pixabay.com

Do you wonder how much you should tell your therapist? What is it ok to talk about and what should you keep to yourself? Here are some guidelines.

1. The more you are able to talk about with your therapist the more likely the process is to help you.

If you feel the need to hold back on something you need to ask yourself why. Consider if this is something that might really affect your life or is it just embarrassing. You shouldn’t be embarrassed to talk with your counselor. They have probably heard it all before so they are not likely to be surprised. Their goal is or should be, to be helpful. They can’t really help you if you won’t tell them things that are bothering you.

2. Ask them about confidentiality

When you first came to meet the counselor they should have covered the rules and the limits of confidentiality. Some things are confidential, meaning the therapist won’t tell anyone else, some things are not. When you meet your counselor for the first time there is so much on your mind that you may not have understood it all. If you signed a copy of a confidentiality policy you should have received a copy. This is a part of the “informed consent” they are supposed to do. If you have any doubts about this ask them.

There are certain things that counselors can’t keep secret. By law, most counselors are required to report child abuse and the abuse of elderly or disabled people. If you have done something like that or know about someone who was abused, the counselor can help you by working on the reasons you acted that way. They should try to help you change. They can help you with the process of admitting what happened and helping the victim get treatment. If you were the victim of abuse when you were a child most counselors will not have to report that unless the abuser is still around and might be abusing someone else.

My suggestion to you is to ask the counselor about their procedures before you tell them something you might regret. This will give them a chance to explain the rules of their profession and the laws in their jurisdiction. Consider that even if there are consequences to you for telling it still may be worth doing. They say we are only as sick as our secrets.

If you are suicidal counselors are supposed to report this. Not to hurt you or take away your will but to try to save your life. Most times the client will report afterward that they were glad someone cared enough to prevent their suicide.

In most places, the relationship between a patient and their therapist is protected by law. So outside of specific things they must report, like child abuse, therapists are not supposed to disclose other things you talk about. They are not police investigators and they don’t have to report most crimes.

3. How much do you trust them?

The whole process of therapy depends on the trust between you and your counselor. Despite all the laws requiring therapists to keep things confidential, some people are not trustworthy. If you don’t feel you can trust your therapist– don’t tell them your secrets until you have resolved that issue. Now some of you have “trust issues.” You have trouble trusting anyone. Working with a counselor to learn to be more trusting should help that. So start by telling the counselor a small thing and see how that feels. You can work on the bigger things later on.

When I first started in this field I went to see a therapist. We are all supposed to have that experience if we want to understand how it feels for the client. The therapist should also work out their own issues in their own therapy, not in sessions with clients. I asked the therapist I was seeing if what we talked about was confidential. Their response was to ask me what I meant by confidential. They never did answer my question. So I avoided talking to that therapist about anything which might reflect on my future career. The lesson I learned was that if my therapist would not give me a straight answer to my questions I did not feel like trusting them. I make an effort to never do that to one of my clients.

P. S. I did eventually find someone I did trust to talk to about those issues and everything worked out just fine.

4. What is the consequence of this getting out?

If you might be embarrassed by a revelation say that you had a crush on some movie star when you were eight, even if the therapist did slip and tell your family you might be embarrassed, you might never trust that counselor again, but your life should not be ruined. If you cheated on your taxes or your wife and now feel guilty, having that revealed might be life-changing. Think long about telling your therapist where you buried the body unless you need them to help you confess that to the police and clear your soul. While therapists are not supposed to violate confidentiality and tell about client’s past crimes sometimes it happens. When this happens the therapist loses their license and the client gets to feel really happy about that the whole time they are in prison. Neither of those outcomes is what therapy is supposed to be about.

The point of requiring therapists to keep client’s secrets and to tell them upfront what will and won’t be kept secret is to make it possible for them to discuss their problems without fear of reading about their issues in the local paper. Without that level of trust, most therapy would not be helpful. This is similar to doctor-patient or lawyer-client privilege.

5. Who do they work for?

If you want your counselor to keep the secrets you tell them within legal limits, then you need to hire and pay them.
If you visit a court-appointed therapist or one at the school or CPS they are working for the agency that referred you. They may have a duty to tell the court, CPS, or the school what they think and what you said. They should be clear about this when you go to see them but if they are not – be careful and ask about confidentiality before you “spill the beans.”

6. Do they have a no secrets policy?

Some therapists, Marriage and Family Therapists, and those working with children may have a no secrets policy. When I work with a couple I don’t want to be working on saving the marriage if I know that one of the parties is having an affair. I might tell both parties that I can’t keep secrets from the other partner if we are to work on improving the relationship.

This is a big issue when we work with children. Some parents want us to find out all the kid’s secrets. This does not work. After we tell the parent the first secret the child decides to never be honest again. This may require some balancing.

If an eight-year-old tells me they snuck a sip of dad’s beer or took some cigarette from a store and tried one, I don’t feel the need to tell the parent. I want to find out why the kid is doing this and work on that issue. What if the kid is injecting heroin into his arm? I think I should tell the parent that. So if it is life-threatening I will tell the parent. I have covered this policy when I first start seeing the kid so he knows if it is life-threatening or really scary stuff I plan to help him tell his parent but I can’t keep that secret. I do say that little stuff, the kind of stuff most kids do. That can stay just between us.

So there you have some guidelines for what to share with your counselor and when. Hope that was helpful.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel

How to spot a bad therapist

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By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Therapist

Therapist.
Photo courtesy of Pixabay.com

What a therapist should not do.

Spotting a bad one of anything is the hard part. It may be harder with therapists than with other professions because of the confidentiality requirement. We aren’t supposed to tell you who comes to see us as that would violate their privacy. That makes it hard for you to check references. But there are some ways you can spot people who have broken the rules, violated codes of ethics and laws, and generally not behaved in a way that would make me want anyone I know to go see them. There are tell-tale signs that this person is not the counselor for you. It is not about the size or place of their office. There are some really great people who have their offices in poor parts of town. It is also not about the price they charge. We would all like to think that the person who charges more do so because they deserve it. That is not always true. And full-time people are no more reliable than part-timers when it comes to therapists. Many really good people work only part-time because they teach, have government jobs, or are semi-retired.

There are some things that should always make you suspicious if you see them. Here in California you can go to the Board of Behavioral Sciences website and check the status of anyone’s license. Many other states have license bureaus where you can check to see if the provider has ever had an action taken against their license. You need to be careful how you read the notations if the person’s intern number shows as “canceled’ which is probably a good thing. The intern number is canceled when they get a full unrestricted license. But if their license has ever been suspended or revoked you should check why.

Every month I get a magazine for therapists and in the middle, it has a list of all the professionals whose licenses have been suspended, revoked, etc. Here are the top things that therapists and counselors should not do but sometimes some of them do.

A therapist should never have sex with a client.

Does this sound odd? This is one of the top two reasons counselors lose their licenses. In California, we have a book that is titled “Professional Therapy Never Includes Sex.” We are supposed to keep that book with us and if a client ever says a past provider had a sexual relationship with them we give them that book. There is a fine if we don’t have the book. One reason that we are not supposed to get into romantic relationships with clients is that it is unfair to have them pour out their hearts to us and then use that information to get them into bed. When you go to a counselor you are looking for an independent person. If you have ever been or think you might be involved with them romantically that is not the professional for you. It is wise to keep friendships and therapy relationships separate also. Friends can’t always tell you the truth about things. Your therapist should.

You can’t help people if you need help.

Impaired therapists especially those who abuse alcohol and drugs are in no position to help anyone else. Now I believe in recovery. People with mental, emotional or substance abuse problems can recover, and recovered people can make excellent counselors. But no one can be fully helpful when they are impaired themselves. Some professions let people who are arrested for bad behavior go back to work right away. A professional counselor or therapist will be required to get help for themselves before they can return to work. Usually, there will be a waiting period before the start back to seeing clients and they may have to have a supervisor checking their work.

If you have bipolar disorder a professional who has the disorder also may be uniquely qualified to understand what you are going through and to help you. You just need to be sure they have found the solution to the problem and are functioning well themselves. You won’t always know this. Substance abuse counselors are much more likely to self-disclose that they are in recovery than mental health counselors. I am suggesting here that you interview the therapist as much as they should interview you. How comfortable do you feel that this person is the person to help you? Do, for sure give it and yourself a chance. It is not helpful to bounce from therapist to therapist. But if you get one of those gut feelings that this is not the person for you, I think you should listen to that feeling.

How much can you be honest with the person you owe money to?

No counselor should ever borrow money from a client. It is considered unethical and probably illegal most of the time. Run from anyone who suggests that and if the therapist talks about their money problems, this is a bad sign. In fact, any time you feel like part of your therapy session was spent on the counselor’s problem this is a bad sign.

They shouldn’t be in the business of lending money either. This is really bad. It makes you indebted to them and distorts the relationship. Counseling is all about the relationship. So anything that takes the focus off working with you on your problem and puts that focus on the counselor should make you wary. This is not what is supposed to be going on here.

This also means that you need to pay as you go. Running up a big bill with your counselor makes them start thinking about the money you owe and not about helping you. If you find it hard to pay, discuss this with them, and work out a solution. Don’t just let it go.

Bosses and therapists don’t mix.

Don’t go to work for your therapist. Trading stuff for therapy is also risky as it sets up a situation for one of you to be unhappy. Most codes of ethics tell us that we should not have any other relationship with our clients that the professional one. There may be some distant relationships like living in the same town or shopping in the same grocery store, but close relationships with your counselor are always problematic.

This boss and therapist relationship is especially problematic if you work in a place that employs therapists. It is a bad idea to talk to the therapist who works in the office next to you over lunch. Do you really want everyone at work to know your marital problems? So if you need help pick someone outside your normal sphere of activity and plan to pay them and thereby keep the relationship strictly professional.

So there you have it, four rules to help you spot a counselor or therapist that is not right for you. In other posts, I have and will talk about the positive things to look for in picking a professional.

Some people think that any licensed person has been “checked out” somehow. Not exactly. They have met some minimum requirements, but other professionals do not go to see them anonymously and check them out. So should you run into a professional that is not behaving legally or ethically it is up to you to avoid that person?

Hope some of these thoughts are helpful. Till next time here is wishing you a happy life.

For more on this subject see:

5 Rules for Picking the Right Therapist

What to do if Therapy is not helping

Reasons Counselors and Therapists lose licenses

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel

The ambulance at the corner

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By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Hospital emergency.

Ambulance.
Photo courtesy of Pixabay.

The ambulance at the corner.

There was an ambulance at the corner this morning. I almost missed it, but I had to stop for the light. I glanced over to see what they were doing. The light might change at any moment.

There was a homeless man I had seen at that corner before. The brick wall by the gas station shielded him from view. I saw his shopping cart on the sidewalk. The ambulance was parked just beyond. That nameless homeless person was motionless on his blanket, there on the sidewalk with the EMT’s all around.

There was a woman standing nearby holding the leash to her dog. She was staring at the homeless man, lying there so still. We don’t see a lot of homeless people in this part of town. Down on the south side, we see them, but not out north. Lately the homeless are coming farther north, or did he use to live here. Are people up north starting to be homeless also?

While I watched the paramedics rolled the man over. He didn’t seem to move. I wondered was he dead, was he unconscious? Maybe he was mentally ill. Most of the street people are mentally ill. Maybe he was a drug addict, lots of them are homeless. Maybe he was both mentally ill and homeless – or not.

A house near me is vacant. They lost it to foreclosure. This used to be a good neighborhood, middle class, and full of promise, now there are more for sale signs than residents. There are also lots of houses that sit empty, we all know they have been empty for a very long time, just the banks haven’t put the for sale signs, the “someone’s dreams died here” sign, on them yet.

Maybe that homeless man with the shopping cart was the man who used to live on the corner. His house went into foreclosure. Then his wife and kids left, gone to live with her parents. They said he drank a lot and then he was gone.

So I wondered who this unmoving man was by the corner. Why did he go to sleep on the sidewalk last night? Did he die of an overdose or of exposure? Was he just unconscious? They should try to revive him so he could – So he could what, come back to sleep behind the brick wall by the corner?

I have to hold on to hope. Somehow we will find a way to help those who are homeless, those who are addicted, those whose mental illness has taken them from family and friends.  But the hope seems fainter now, looking at that man lying on the sidewalk as I wonder what in his life went wrong.

It would be reassuring to think that being homeless and sleeping on the sidewalk only happens to bad people, people who deserve it. But I know from my own experiences that bad things sometimes happen to people who work hard and try their best. If only I could say he deserved his fate I might not feel so afraid and venerable.

Why do the homeless seem so old, so old and young? Living on the street ages you. I know that. And there are more seniors who can’t pay their bills now. Why didn’t someone help him?  But I know that there is less money now for any sort of help for people, less than we used to have. We needed the tax cuts for businesses to create jobs and now there is less money for people who don’t work.

Is all that stuff on my shopping list really that important? Do we really need more stuff? What does it say about me that I live in a society that appears to values things more than people? Did some abstract thing called a recession cause this or was it a bursting housing bubble that was the cause? Or did this happen because I and people like me stopped caring about other people? I wondered what I should do.

And then the light changed.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel

It’s not all in my head

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By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Counseling questions

Counseling questions.
Photo courtesy of Pixabay.com

It’s not all in my head.

You have a headache, stomach ache, or pains here and there in your body. You go to your doctor and they poke and prod and run tests. They can’t find anything. So they refer you to a specialist or another doctor for a second opinion. Maybe you repeat this process a few times. Eventually one of these medical professionals suggests you see, maybe even makes a referral to, a psychiatrist, physiologist, or therapist. You are angry, maybe even furious. You know it is not all in your head. You are right; it is not all in your head, but seeing a mental health professional may help.

The connection between mental and physical pain is not all that neatly compartmentalized. Your thinking and your body are not two separate things. Your “brain” and the nerve cells in it are not all stored in your head. Did you know you have nerve cells everywhere in your body and they are all connected to your brain? Yes, there are nerve cells that surround your stomach and digestive tract. So the brain in your head influences the “brain” in your gut and vice versa. When your digestion is out of whack it affects your mood. Your mood also affects your digestion. This is not just some “mental” problem, your thoughts and feelings can create a very real pain in your body.

Your body also hugely impacts your mental states. Every therapist in training is taught that before we can diagnose a “mental illness” we need to be sure that the client has seen a doctor and that any medical issues have been ruled out or are being treated. Many doctors have observed that patients who have positive mental attitudes are more likely to benefit from medical treatment. Talk therapy started with doctors who also worked with their patients on emotional problems. Today, as doctors have more and more to do that practice of working on emotions, has largely been assumed by therapists and counselors. One new trend is returning counseling and therapy to the primary care, medical setting. This is not just some way to increase medical billing. The two disciplines are being recombined because it improves care and may make you well faster.

Many treatments for depression involve taking care of yourself physically. One symptom of depression is a loss of energy. Other symptoms are changes in sleep and appetite.  One treatment for depression is taking better care of yourself physically. Walking and other physical exercises can improve your mood. Getting more sleep and eating better can also improve mood.

Improving your mood and thinking can improve your physical performance. Many athletes see therapists to help them work on the mental part of their game. Improvements in sleep and eating improve all kinds of things in a person’s mental state.

So is that positive thinking stuff all a “mind trick?” Not at all. Studies have shown that the placebo effect is a real thing, not an illusion. If we give you a medication, your brain chemistry might change. This became the basis for the idea that mental illness was a “chemical imbalance.” Then some researchers tried another approach. When you give some people the real drug and some people a placebo, a sugar pill for example, and then you draw brain fluid something interesting happens, the brain chemistry of both changes. So the fact that people think that they are getting an effective medication by itself changes their brain chemistry.

Researchers know about this and they compare the results of the placebo with the real drug. To be effective the drug should produce a much larger change than the placebo. But what is interesting to me as a therapist is how much of a change can be created in someone physically by a change in the way they are thinking.

There are other connections between the physical body and the mental state. Kids who are sick, colds, and flu, for example, are much more likely to be grouchy and irritable. Kids who are coming down with an illness are more likely to get in trouble. But the reverse, in my experience, appears to be true also. People who are stressed, anxious, or depressed are much more likely to come down with a physical illness.

So if your medical professional has suggested you see someone in the mental health field, please don’t take this as a brush-off or a lack of interest in your problem. Professional athletes still have coaches. So if your medical professional has suggested you see a counselor or therapist, please consider it. The help of a good counselor or life coach may be just what you need to combine with your medical treatment to finally get those physical problems under control.

A big thank you to all of you who have commented on this blog or emailed me off the blog. I appreciate all your comments. I can’t offer comments or advice on your specific problem. This blog is not meant as treatment. I started this blog to offer my opinion on current issues in mental health treatment. Sometimes a comment will get me thinking and when possible I will answer it with a general information post on the topic you suggest. I am also interested in hearing what you are experiencing and what information might be helpful.

Till next time here is hoping you have a happy life. David Miller, LMFT, LPCC.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel