Irritated.

Sunday Inspiration.     Post by David Joel Miller.

Irritated.

Irritated.
Photo courtesy of Pixabay.com

Irritated.

“Everything that irritates us about others can lead us to an understanding of ourselves.”

― C.G. Jung

“I don’t have pet peeves like some people. I have whole kennels of irritation.”

― Whoopi Goldberg

“If you are irritated by every rub, how will your mirror be polished??”

― Jalaluddin Rumi

Wanted to share some inspirational quotes with you.  Today seemed like a good time to do this. If any of these quotes strike a chord with you, please share them.

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Is job burnout inevitable?

By David Joel Miller.

Are you destined for job burnout?

Burnout.

Burnout.
Photo courtesy of Pixabay.com

Job burnout is taking a huge toll. Despite not being a recognized mental illness, work-related burnout is a major reason people go out on disability. We have tried various approaches to this problem. Sometimes we blame the employer, too much work, too much stress, not enough staff to meet the challenges. Other times we blame the employee. If you have worked anywhere with a significant number of employees, you know some people arrive at work already stressed out before the workday begins. Maybe they have relationship problems, sick children or financial stress, whatever the reason some people arrive at work already stressed out.

At some work sites, everyone is stressed out.

In some occupations, people are burning out faster than new employees can be hired. Some interesting research has been done recently in China. As they moved to modernize their economy, burnout has been a significant issue. In the aftermath of the financial crisis of 2008, bank workers were under significant work stress. It’s not customary to think of bank employees as likely to burn out, but in 2008 the burnout rate among Chinese bank employees reach seventy percent.

Repeatedly studies of social workers have reported burnout rates of more than fifty percent. One of the consequences of employee burnout is that the social worker becomes emotionally exhausted and tries to protect themselves by withdrawing emotionally from their clients. As the number of burned out employees increase, client satisfaction declines. One consequence of so many burned out human service employees is poor recovery rates among the clients they serve.

Why burnout doesn’t always result in high employee turnover.

Many of the professions with high burnout rates are highly paid but require advanced education. Doctors go through an incredible ordeal and accumulate a large amount of student loan debt. Social workers, counselors, and therapists, often have master’s degrees are Ph.D.’s. The process of continuing in school for six or eight years past high school can result in large student loan debt.

Careers that require long training periods and a large financial investment can trap burned out employees who must work for years to pay off financial debt. They may also be unable to move to a new occupation without taking a huge pay cut, resulting in additional financial and family stress. Burned-out workers who feel trapped and unable to change their employment become less productive, less cooperative with other staff, and are more likely to become detached from, and cynical about, the clients they work with.

High burnout rates may result in everyone being inexperienced.

In some occupations burnout results in higher than normal turn over. One survey of drug and alcohol counselors revealed that more than half of the counselors had been on the job for less than a year. Many public mental health facilities have a high number of recently graduated clinicians compared to the number of senior staff available to oversee their work.

Many clients experience multiple changes in the person providing their service. It’s hard to develop a good relationship between therapist and client when the therapist keeps changing.

Don’t let yourself become a victim of burnout.

High systemic rates of burnout suggest that there is not much an employer can do to prevent burnout among employees. Certainly, anything the employer can do to reduce employee burnout will benefit that employer. Employee assistance programs can be very helpful in letting employees resolve stressful issues. But keeping yourself from burning out is something everyone needs to make a priority for themselves. Don’t make the mistake of pushing so hard in the early stages of your career, that you burn out and don’t have a career.

In future posts let’s explore some ways you can prevent burnout from taking control of your life.

More posts about – Burnout.

Two David Joel Miller Books are available now!

Bumps on the Road of Life.

Your cruising along the road of life and then wham, something knocks you in the ditch.

Bumps on the Road of Life.

Bumps on the Road of Life.
David Joel Miller.

Sometimes you get your life going again quickly. Other times you may stay off track and in the ditch for a considerable time. If you have gone through a divorce, break up or lost a job you may have found your life off track. Professionals call those problems caused by life-altering events “Adjustment Disorders.” Bumps on the Road of Life is the story of Adjustment Disorders, how they get people off track and how to get your life out of the ditch. Bumps on the Road of Life is now available in both Kindle and paperback format.

Casino Robbery.

The robbers wanted more than money; they planned to kill Arthur’s fiancé and her boss.

Casino Robbery. David Joel Miller

Casino Robbery.
David Joel Miller

Arthur Mitchell was trying to start his life over with a fiancé and a new job. That all ends when the casino robbers shoot Arthur, kill his fiancée, and her boss. Arthur would like to forget that horrible day, but the traumatic nightmares and constant reminders won’t let him, and someone is still out to get him. When he tries to start over by running a rural thrift store, someone knocks him unconscious, vandalize the store, and finally tries to kill him. His only chance to find peace is to figure out what the killers want from him and why.

Casino Robbery is a novel that explores the world of a man with PTSD who has to cope with his symptoms to solve the mystery and create a new life. Casino Robbery is available now in both Kindle and paperback editions.

Other books are due out soon; please visit my Amazon Author Page – David Joel Miller

Want to sign up for my mailing list?

Get the latest updates on my books, due out later this year by signing up for my newsletter. Newsletter subscribers will also be notified about live training opportunities and free or discounted books. Sign up here – Newsletter. I promise not to share your email or to send you spam, and you can unsubscribe at any time.

For more about David Joel Miller and my work in the areas of mental health, substance abuse and Co-occurring disorders see the about the author page. For information about my other writing work beyond this blog check out my Google+ page or the Facebook author’s page, up under David Joel Miller. Posts to the “books, trainings and classes” category will tell you about those activities. If you are in the Fresno California area, information about my private practice is at counselorfresno.com. A list of books I have read and can recommend is over at Recommended Books

Types of Jealousy.

By David Joel Miller.

There’s more than one type of jealousy.

Jealousy

Jealousy.
Photo courtesy of Pixabay.com

When you hear the word jealousy, most people think about jealousy in a romantic relationship. That’s not the only type of jealousy that affects humans. Jealousy is a complex reaction to relationship threats. Being in relationships with other humans has lots of advantages. Groups of human protect each other.

Relationships are inherently rewarding, producing feelings of affection, intimacy, and belonging. Anything that might undermine your relationships is likely to produce strong feelings, thoughts about the meaning of this relationship threat, and behaviors to respond to those threats. Jealousy can begin very early in life, and how it’s experienced change across the lifespan

Sibling jealousy.

Sibling jealousy, sometimes called sibling rivalries, is extremely common. It is generally in the mild to moderate severity range and rarely becomes a more severe morbid or pathological jealousy. Sibling jealousy in children is frequent, pervasive, and easily activated. The immediate cause is usually a lack of attention towards the jealous child or their perception that there is favoritism towards the other child.

For some children, this is easily resolved. Unresolved sibling jealousy can lead to serious problems later in life. Some adults continue to argue with their siblings, and the expression “mom always liked you best” is the classic example of this.

Our early family experiences set the pattern for our reaction to jealousy caused by relationship threats. Children compete for mom, dad, or another caregiver’s attention. The recent increase in blended families with their step-parent, step-children relationships, reveals how important relationship security is to humans and how jealousy grows in response to relationship threats.

Friendship jealousy.

In early childhood, everyone had, or wished for, a best friend. When those relationships were dyads, just the two of you, they tended to be stable and long-term. Add a third person, and the best friend relationship becomes unstable. Children often compete for friendships and demand exclusive attention. “It’s either them or me” is the slogan for early friendships.

Romantic jealousy.

Jealousy in romantic relationships is easily activated. A person with good self-esteem is likely to respond to threats in their relationship with partner retention efforts. If you think your partner may be looking at other people, you spend more time with them and make more efforts to impress them. You may try to scare off that other person or tell your partner they can’t have it both ways.

Morbid or pathological jealousy.

This is the most serious manifestation of jealousy. It may lead to stalking or acts of violence. This serious condition is most often associated with romantic relationships but can occur in any of varieties of jealousy. People who develop pathological jealousy are likely to suffer from low self-esteem. When someone believes, they would have trouble attracting another partner, but their mate has many options, they are more likely to respond with angry, controlling, or violent behavior.

Professional jealousy.

Professional jealousies can lead to all sorts of workplace conflicts. Professionals competing for the attention or rewards from third parties can undermine the effectiveness of the school, business, or other entity.

Delusional jealousy involving neurocognitive problems.

This condition is associated with Parkinson’s, dementia, treatment with a dopamine agonist, alcohol addiction, and stimulant abuse disorders. It often coexists with hallucinations and increases the risk of violence towards caregivers.

People with neurocognitive disorders can become extremely fearful of losing a relation. They may begin to accuse their partner of having affairs, and they will come to believe these affairs are taking place even when the partner is almost never outside their sight.

Stay tuned in for more posts about jealousy; it’s causes and its treatment, which is coming up soon. More information about Jealousy and its treatment is or will be at Jealousy.  

Two David Joel Miller Books are available now!

Bumps on the Road of Life.

Bumps on the Road of Life.

Bumps on the Road of Life.
By David Joel Miller

Your cruising along the road of life and then wham, something knocks you in the ditch.

Sometimes you get your life going again quickly. Other times you may stay off track and in the ditch for a considerable time. If you have gone through a divorce, break up or lost a job you may have found your life off track. Professionals call those problems caused by life-altering events “Adjustment Disorders.”

Bumps on the Road of Life is the story of Adjustment Disorders, how they get people off track and how to get your life out of the ditch. Bumps on the Road of Life is now available in both Kindle and paperback format.

Casino Robbery.

The robbers wanted more than money; they planned to kill Arthur’s fiancé and her boss.

Photo of Casino Robbery book

Casino Robbery.

Arthur Mitchell was trying to start his life over with a fiancé and a new job. That all ends when the casino robbers shoot Arthur, kill his fiancée, and her boss. Arthur would like to forget that horrible day, but the traumatic nightmares and constant reminders won’t let him, and someone is still out to get him. When he tries to start over by running a rural thrift store, someone knocks him unconscious, vandalize the store, and finally tries to kill him. His only chance to find peace is to figure out what the killers want from him and why.

Casino Robbery is a novel that explores the world of a man with PTSD who has to cope with his symptoms to solve the mystery and create a new life. Casino Robbery is available now in both Kindle and paperback editions.

Other books are due out soon; please visit my Amazon Author Page – David Joel Miller

Want to sign up for my mailing list?

Get the latest updates on my books, due out later this year by signing up for my newsletter. Newsletter subscribers will also be notified about live training opportunities and free or discounted books. Sign up here – Newsletter. I promise not to share your email or to send you spam, and you can unsubscribe at any time.

For more about David Joel Miller and my work in the areas of mental health, substance abuse and Co-occurring disorders see the about the author page. For information about my other writing work beyond this blog check out my Google+ page or the Facebook author’s page, up under David Joel Miller. Posts to the “books, trainings and classes” category will tell you about those activities. If you are in the Fresno California area, information about my private practice is at counselorfresno.com. A list of books I have read and can recommend is over at Recommended Books

Introverted.

Sunday Inspiration.     Post by David Joel Miller.

Introverted.

Introverted.
Photo courtesy of Pixabay.com

Introverted.

“I’m an introvert… I love being by myself, love being outdoors, love taking a long walk with my dogs and looking at the trees, flowers, the sky.”

― Audrey Hepburn

“He was left a good deal to himself. He had been inclined to talkativeness, but gradually he became silent. He began to think of the difference between himself and others.”

― W. Somerset Maugham, Of Human Bondage

“There is no such thing as a pure introvert or extrovert. Such a person would be in the lunatic asylum.”

― C.G. Jung

Wanted to share some inspirational quotes with you.  Today seemed like a good time to do this. If any of these quotes strike a chord with you, please share them.

Why Pharmacokinetics matters.

By David Joel Miller.

What is pharmacokinetics and why does it matter?

Drugs affect the body.

Why Pharmacokinetics matters.
Drugs affect the body.
Photo courtesy of Pixabay.com

Drugs are everywhere in our society. Not just Street drugs, or the legal drugs such as tobacco and alcohol. Most of us are exposed to drugs all day, every day. Even the people who say they “don’t do drugs” should be concerned about drugs and pharmacokinetics. When we hear about drugs, most of us think illegal drugs. It’s easy to overlook the long-term effects of use and abuse of prescription medication, over-the-counter medication, and the vitamins and herbal remedies all around us every day.

Pharmacokinetics deals with how drugs enter the body, how they get absorbed, how they get transported and delivered throughout the body, and ultimately how are drugs eliminated from the body. In a past post, we talked about routes of administration; the way drugs get into the body.

How much of that drug did you take?

For most drugs the more you take, the stronger the effect. Let’s take a simple, common drug, alcohol to illustrate this principle. If someone drinks a twelve-ounce beer, they consume about half an ounce of pure alcohol. Drinking twelve ounces of whiskey will result in the consumption of about six ounces of alcohol. With whiskey, you drink the same amount of liquid, but because the whiskey is more concentrated, you received a much higher dose of Alcohol than the beer drinker does. Measurement of alcohol consumption requires the use of an idea called the standard drink.

Drug dose is computed based on body weight.

A three-hundred-pound man will need to take a higher dose of medicine than a twenty-pound child. Heavier people contain more volume of liquids, so any chemical they take into their system becomes more dilute. For most medications, your Doctor will want to know your body weight, so they know how much medication to give you.

When it comes to Street drugs or even alcohol, most people don’t consider the effect that body weight has on the drug using experience. Thin people will get higher blood concentrations of the drug even when they take the same amount. Recently we have seen many people who had weight loss surgery, lost a large amount of weight, and developed a significant problem when they consume alcohol or other drugs.

Drug absorption matters.

Some drugs are readily absorbed into the bloodstream. When you consume liquid drugs or very soluble ones, they readily pass through the stomach, into the intestine, and are absorbed into the bloodstream. Solid drugs vary a great deal in their bioavailability, which is the part of the drug that becomes absorbed into the bloodstream and reaches the site of action.

An example of the problem of bioavailability involves pregnant women. Calcium is often added to the diet of a pregnant woman to help the fetus develop strong bones. Limestone is high in calcium, but no matter how much you grind it up, most of the limestone will pass through the body undigested. How much of the calcium in your vitamin supplement will be absorbed into your bloodstream, it’s bioavailability, matters.

Drug distribution varies from drug to drug.

Drugs that are highly water-soluble travel readily throughout the body. Blood nourishes all the cells in the body, and the parts of the body that received the most blood also received the largest doses of drugs. Drugs tend to accumulate in the heart, brain, kidney, and liver. Parts of the body that get little blood flow, the muscles and fat, received little of the active drug. Can you see why taking an oral supplement to “melt away fat” is unlikely to work?

A few drugs, such as THC in marijuana, are fat soluble. These drugs will tend to accumulate in the parts of the body which have the largest fat content.

Drug elimination – how the drug leaves the body.

Eventually, any drugs that go into your body will get broken down and eliminated. Many drugs are metabolized by enzymes produced in the liver. These drugs are especially hard on the liver when taken in excessive quantities. This process is the reason heavy alcohol consumption increases the risk for four separate types of liver disease.

Some drugs are metabolized in the kidneys or the G.I. tract. Regardless of where the metabolism takes place, the majority of all drugs are removed from the body by the kidney. Some drugs, especially in large quantities, can be very hard on the kidneys. Drug abuse can result in impaired kidney function resulting in the need for kidney dialysis.

Drug metabolism is a sequential process.

Many drugs are broken down in stages. The first breakdown product is then metabolized into a second breakdown product and so on. These breakdown products or metabolic byproducts may also be psychoactive. When both cocaine and alcohol are present in the system, they and their metabolic byproducts can combine to produce Cocaethylene which is even longer lasting than the original cocaine and alcohol.

For more on this topic see – Drug Use, Abuse, and Addiction and Recovery

Two David Joel Miller Books are available now!

Bumps on the Road of Life.

Bumps on the Road of Life.

Bumps on the Road of Life.
David Joel Miller.

Your cruising along the road of life and then wham, something knocks you in the ditch.

Sometimes you get your life going again quickly. Other times you may stay off track and in the ditch for a considerable time. If you have gone through a divorce, break up or lost a job you may have found your life off track. Professionals call those problems caused by life-altering events “Adjustment Disorders.” Bumps on the Road of Life is the story of Adjustment Disorders, how they get people off track and how to get your life out of the ditch. Bumps on the Road of Life is now available in both Kindle and paperback format.

Casino Robbery.

The robbers wanted more than money; they planned to kill Arthur’s fiancé and her boss.

Casino Robbery. David Joel Miller

Casino Robbery.
David Joel Miller

Arthur Mitchell was trying to start his life over with a fiancé and a new job. That all ends when the casino robbers shoot Arthur, kill his fiancée, and her boss. Arthur would like to forget that horrible day, but the traumatic nightmares and constant reminders won’t let him, and someone is still out to get him. When he tries to start over by running a rural thrift store, someone knocks him unconscious, vandalize the store, and finally tries to kill him. His only chance to find peace is to figure out what the killers want from him and why.

Casino Robbery is a novel that explores the world of a man with PTSD who has to cope with his symptoms to solve the mystery and create a new life. Casino Robbery is available now in both Kindle and paperback editions.

Other books are due out soon; please visit my Amazon Author Page – David Joel Miller

Want to sign up for my mailing list?

Get the latest updates on my books, due out later this year by signing up for my newsletter. Newsletter subscribers will also be notified about live training opportunities and free or discounted books. Sign up here – Newsletter. I promise not to share your email or to send you spam, and you can unsubscribe at any time.

For more about David Joel Miller and my work in the areas of mental health, substance abuse and Co-occurring disorders see the about the author page. For information about my other writing work beyond this blog check out my Google+ page or the Facebook author’s page, up under David Joel Miller. Posts to the “books, trainings and classes” category will tell you about those activities. If you are in the Fresno California area, information about my private practice is at counselorfresno.com. A list of books I have read and can recommend is over at Recommended Books

Delusion or reality?

By David Joel Miller.

Sometimes delusions get people into trouble.

One problem area for mental health is distinguishing between delusions and reality. If

Delusions.

Delusions.
Photo courtesy of Pixabay.com

something is highly unlikely and yet despite mounds of evidence that can’t be true, that someone still firmly believes in its truth, it’s likely to be a delusion. Unfortunately, one person’s belief may be another person’s delusion. Disagreements about the truth often result in violence. After there’s been a violent incident, the question often arises why hadn’t someone spotted that person who was likely to become violent?

Identifying when someone is delusional is the first step. Figuring out when that delusion will lead that person to violence is a much more difficult task.

Defining delusions.

The technical definition of delusions is fixed beliefs which people are unwilling to change even when presented with evidence to the contrary. The harder it is to tell what is truth and what is delusion the more likely it is to result in violence. Religion and politics are two areas particularly prone to disagreements that lead to violence.

Here’s a list of the recognized themes of delusions.

  1. Someone’s out to get me, technically called persecutory delusions.
  2. Grandiose delusions, the person believes they are special and have exceptional abilities.
  3. Love and sex delusions are technically called erotomanic delusions, during which the delusional person believes someone is in love with them or wants them sexually.
  4. Nihilistic delusions involve the fixed belief that a major disaster will occur.
  5. Delusions regarding health and body functioning are called somatic delusions.

Is that delusion bizarre?

When other people in your culture don’t believe, something could happen, it would not be a normal experience for them. Common examples of beliefs that would be considered bizarre delusions include the idea that someone is beaming thoughts into your head or removing your thoughts. Some people also believe that an outside force is controlling them.

The problem with diagnosing delusions.

Delusions can occur in the course of several mental illnesses. There is also one specific category titled Delusional Disorder (F-22) which is a catchall for several distinct kinds of delusions which occur outside the course of another mental illness.

One type of delusion which results in a lot of problematic behavior is the delusional form of jealousy. Jealousy is a complicated topic; not all jealousy is delusional. But delusional jealousy, sometimes described as morbid or pathological jealousy, can result in stalking and interpersonal violence.

In upcoming blog posts, we will look at delusional disorder and then some of the varieties of jealous behavior, when is jealousy good for relationships, as well as how and when jealousy become dangerous.

Two David Joel Miller Books are available now!

Bumps on the Road of Life.

Your cruising along the road of life and then wham, something knocks you in the ditch.

Bumps on the Road of Life.

Bumps on the Road of Life.
David Joel Miller.

Sometimes you get your life going again quickly. Other times you may stay off track and in the ditch for a considerable time. If you have gone through a divorce, break up or lost a job you may have found your life off track. Professionals call those problems caused by life-altering events “Adjustment Disorders.” Bumps on the Road of Life is the story of Adjustment Disorders, how they get people off track and how to get your life out of the ditch. Bumps on the Road of Life is now available in both Kindle and paperback format.

Casino Robbery.

The robbers wanted more than money; they planned to kill Arthur’s fiancé and her boss.

Casino Robbery. David Joel Miller

Casino Robbery.
David Joel Miller

Arthur Mitchell was trying to start his life over with a fiancé and a new job. That all ends when the casino robbers shoot Arthur, kill his fiancée, and her boss. Arthur would like to forget that horrible day, but the traumatic nightmares and constant reminders won’t let him, and someone is still out to get him. When he tries to start over by running a rural thrift store, someone knocks him unconscious, vandalize the store, and finally tries to kill him. His only chance to find peace is to figure out what the killers want from him and why.

Casino Robbery is a novel that explores the world of a man with PTSD who has to cope with his symptoms to solve the mystery and create a new life. Casino Robbery is available now in both Kindle and paperback editions.

Other books are due out soon; please visit my Amazon Author Page – David Joel Miller

Want to sign up for my mailing list?

Get the latest updates on my books, due out later this year by signing up for my newsletter. Newsletter subscribers will also be notified about live training opportunities and free or discounted books. Sign up here – Newsletter. I promise not to share your email or to send you spam, and you can unsubscribe at any time.

For more about David Joel Miller and my work in the areas of mental health, substance abuse and Co-occurring disorders see the about the author page. For information about my other writing work beyond this blog check out my Google+ page or the Facebook author’s page, up under David Joel Miller. Posts to the “books, trainings and classes” category will tell you about those activities. If you are in the Fresno California area, information about my private practice is at counselorfresno.com. A list of books I have read and can recommend is over at Recommended Books