An extra post

Problem-solving in mental health as in life has always been pretty straightforward for me. If we are applying the wrong formula to a problem then we keep getting the wrong answer. Once we learn an improved formula all we need to do is turn the crank and out comes an answer. Get a head change, a new way of seeing things and the problem changes from unsolvable to a manageable size. So we work on core schemas, automatic thoughts, irrational or dysfunctional beliefs. And we work on acceptance – radical acceptance. So the whole mindfulness thing troubled me—until-

There have been a lot of articles recently on mindfulness. Now I feel that this has its uses. Religious and spiritual practices have their place. And I am as much in favor of candles and herbal scents as the next person. All this has its time and place. And we know that if the client believes in something it will probably help. But do mindfulness techniques have a place in modern scientific, best practices, forms of treatment. Then I read some things that made me think.

Siegal has written and talked about mindfulness and recently I happened to read some things he had written on the subject. They made sense to me from a logical rational perspective. Let me try to explain this as I get it and hope not to do too much violence to the science.

Scientists have discovered mirror neurons in the brain. Now if all they did was see someone else doing something and result in us knowing how to do the same thing that would be the end of it, one more way to learn stuff. But these mirror neurons detect patterns that allow us to infer why someone is doing what they are doing. Learning these patterns makes our world a more secure and predictable place. This has a lot to do with understanding attachment theory.

If when we reach for more food at the table we get slapped – we learn to not reach but ask which may be a valuable learning experience for a young unsocialized child. But if the response varies depending on the amount of alcohol mom has consumed, what we may learn is the pattern that the world is a scary and inconsistent place. The pattern of asking may be adaptive and is quickly forgotten if we encounter a situation where it is not expected. The pattern of seeing the world as a frightening place is likely to last a lifetime.

So the mirror neurons help to explain how we learn basic core ways of relating to the world.

But there is more.

Mindfulness teaches the practice of paying attention to how we feel inside. As we come to recognize how we are feeling it becomes easier to recognize feelings in others. This is sometimes called the “expert” effect. If you are an expert on antiques you will spot them and probably will notice the cheap reproductions also. If you are not an antique expert you will see things you like or don’t like but lots of stuff will go unnoticed in the piles of other stuff. Same thing with feelings and empathy.

Seeing people express love will teach you the pattern of love. But if the people you live with don’t show love or show it inconsistently then you may be unable to recognize the pattern and to replicate it. This does not mean that people whose early caregivers did not love them as much as they wanted will be unable to love. What it does mean is that it may be harder to recognize and express love in later life.

Lots of people in recovery, from drugs, alcohol, mental illness, or dysfunctional caregivers report they have difficulty with trust issues. Most came from situations where it was not safe to trust on a regular basis so they never learned the pattern. Some recovering people have spent so much time being deceitful to cover up and continue their addiction they no longer recognize the truth when they hear it. Their mirror circuits have not had trust images to reflect back and incorporate into their catalog of patterns.

So how will mindfulness techniques help someone who has trust issues, attachment problems, or dysfunctional behaviors? How might these approaches help counselors in helping clients?

By becoming aware of our inner feelings and thoughts we can begin to dispute dysfunctional beliefs. We can learn new more functional patterns of meaning in life. We can recognize our feelings of anger, mistrust, and fear and test these feelings to see if they have a basis in reality. And we can learn from recognizing our own feelings to have empathy for others.

Counselors can especially benefit from mindfulness techniques by becoming better able to present an empathetic other who can participate in a corrective emotional experience with the client.

More to come as I research for that book I am writing on resilience.

Wishing you all the mindfulness you care to have. Hope to hear from some of 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

Teens, drugs and resiliency

Posted on December 4, 2011 by David Joel Miller

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

Teenagers.
Photo courtesy of Pixabay.com

Some new developments in the area of teens, drugs, and resiliency

Energy drinks:

These drinks have been involved in a large increase in hospital emergency room visits. Many young people and some adults think that energy drinks since they are sold in food and convenience stores are safe. Maybe they are in and of themselves but the way many people are using them is not safe. In a five-year period, hospital emergency room visits involving energy drinks have increased more than 1,000 % from just over 1100 to 13,000. The majority of these incidents, more than half, involved using energy drinks with drugs and alcohol. Males were more likely to mix energy drinks with illegal drugs and alcohol while females mixed them with prescription drugs.

A single can of the stronger energy drinks contains up to ten times as much caffeine and other stimulants than a caffeinated soda. People who consume energy drinks with alcohol are more likely to be involved in accidents as they do not feel impaired and over-estimate their abilities to drive or engage in other dangerous activities. The full report is available from SAMHSA, in the DAWN report (Drug Abuse Warning Network.)

New synthetic drugs.

In the race to create new drugs and the efforts to control or ban them, we are not sure who is winning. These products often sold as “bath salts” or incense but commonly abuse by younger consumers by smoking, continues to be a problem. Despite analog and similar laws that say that even if you paint the duck red it is still a duck, manufacturers are finding ways to make and market new synthetic drugs that are different enough to escape the net of banned substances.

Join Together, (join together at the partnership at drugfree.org.) a great source of information on the latest drug trends, reports that 43 states have laws regulating synthetic drugs. Some laws list specific chemicals as illegal. The manufacturers of synthetic drugs keep changing to new chemicals, not on the list. Other localities have listed categories of chemicals as illegal. Under these laws, prosecution is more difficult as the chemical may have legitimate uses that are not related to drug abuse.

Occasionally one of these new synthetic drugs results in a rash of hospitalizations or even deaths. Often these incidents are confined to a small area or a particular supplier of the product. The risks here are real but the problem keeps changing.

Volunteering reduces teen drug use and increases resilience.

In a previous blog, I wrote about the role of sleep in reducing teen problem behaviors and increasing resilience. There is more.

Another simple low-cost prevention measure for reducing teen drug use and improving resilience has been found. Surprising how simple some of these ideas are. The report, again by Join Together staff, reported that kids who regularly volunteer to help others are less likely to use drugs and get into trouble. This sounds a little twelve stepish.

The study they reported about was conducted with rural teens. Rates of drug use among rural teens are rising rapidly. No folks you can’t protect your kids from drugs by moving to the country, and the country folk isn’t just drinking whiskey anymore.

The economy and government budget cuts have reduced or eliminated many after-school programs and activities for kids. There are almost always opportunities to volunteer to help others. Not only did volunteering to help others reduce rates of teen drug use, the results continued into their young adult years, possibly beyond.

Food is also a treatment for teen drug use and promotes resilience.

While I am on the subject, I recall a study that reported that teens that sat down around one of those old fashion dining room table things, no T. V. mind you, that is kids who regularly eat dinner with their parents, they have fewer drug problems, better grades, more resilience and so on.

The conclusion

The risks and dangers for kids continue to grow. We can’t always protect them, probably parents have always been less able to protect kids than the adults would have liked. What we are seeing are research studies that show what a lot of folks always knew. Plenty of sleep, regular family meals, being taught right from wrong, and volunteering to help others, all these things result in a teen who is less likely to take excessive risks and more likely to develop resilience and bounce back from adversity.

Till next time, I will keep working on that elusive book and writing this blog. Your comments are welcome. What do all of you think about adolescent drug use, risk, and resilience?

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.

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

Post Traumatic Stress Disorder – PTSD, and bouncing back from adversity

Posted on December 2, 2011 by David Joel Miller

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

PTSD.
Photo courtesy of Pixabay.com

We have been hearing a lot more about PTSD these days.

The returning military is experiencing this problem in larger numbers than in the past. The military is not the only place we see PTSD. Children who have been abused, battered women and men, and people who have lived through traumas like hurricanes and tornadoes are also experiencing PTSD. The counseling profession, as well as society in general, is looking for solutions to this problem.

Recently at a convention for therapists and counselors, PTSD and the need to improve treatment was a major topic. I listened to the big-name people; the ones who have written books and given lectures, as they talked about how we should treat the disorder. Two of the biggest names in therapy did not agree on the best treatment. If they disagree, what is the person with PTSD to think? This made me start searching for answers.

Why do some people get PTSD and others do not experience it. In combat, let’s say ten men are in the same incident some get PTSD and some do not, why? Stix in a Scientific American article reported that of people who were traumatized by a single traumatic event, 90 % recovered from the trauma without therapy. So some people have concluded that PTSD is not a normal response to trauma. Maybe some form of resiliency is more common than PTSD. Maybe we have been doing it backward by studying the few who get PTSD instead of the many who bounce back from adversity.

We know from another study that kids who grow up in dysfunctional homes are more likely to suffer from PTSD, depression, and anxiety. From 50% to 67% of exposed kids develop some mental health issue, but the other one-third to one-half does not. Kids from this sort of background have repeated trauma and they have less social support. I wanted to know why some got PTSD and others did not.

There is a lot of research going on right now into the area of resilience. Some people seem to not develop PTSD when exposed to trauma. Others bounce back quickly. A few have lifelong problems. We need to know why these variations and how do we improve the ability to bounce back from adversity. A quick check of one journal database disclosed over 1400 articles about resiliency. I haven’t read them all yet but I will try to tell you the things I learn as I read them.

One thing seems clear from the articles I have read so far, and I am always comparing the research I read to what my clients tell me. Resilience, that ability to bounce back from adversity, is not something we are born with. Resilience can be learned and it can vary from situation to situation.

The subject is of such importance that I think there needs to be a book or books on how people can increase their resilience. So my plan at this stage is to share with you the things I learn and to add your comments and suggestions to what I find. In the process there just might be a book that needs writing. I will keep you posted on my efforts to write that book.

There are lots of writings on recovery, particularly from substance abuse or dependence, what it means to recover and be recovered. We are concluding that many people have both substance abuse disorders and mental health issues. It would be important to know how recovery is like resilience and how it is different, assuming these two terms do not describe the same thing.

One more thing I need to tell you about at this time. Some people experience a traumatic event and it changes their lives forever in a positive way. We call this Post Traumatic Growth (PTG). This intrigued me. Why and how is it that some people use a traumatic experience to transform their lives and grow into a stronger better person? We talk a lot about the way PTSD damages people but not much about the way in which it might inspire them. So I have been reading everything I can find on PTG. But I am also listening with new ears to the stories people tell about their life-changing experiences.

There is more to come on this subject so I hope you stay tuned for my postings and a possible book on Posttraumatic Stress Disorder (PTSD), Posttraumatic Growth (PTG), and the whole issue of how resilience is created and how you or someone you know can learn to bounce back from adversity.

For more information on Stress and PTSD see:

8 warning signs you have PTSD

Posttraumatic Growth (PTG) vs. Posttraumatic Stress Disorder

Acute Stress Disorder vs. PTSD

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.

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

Treatment for teen’s risky behavior

Posted on December 1, 2011 by David Joel Miller

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

Teenagers.
Photo courtesy of Pixabay.com

An amazing discovery in the treatment of risky teen behavior was reported over the last several weeks. It went largely unnoticed by most mainstream media.

Furthermore, one single treatment has been shown to have high efficacy in treating teen risky behavior. It is extremely inexpensive and can be obtained and applied without a prescription. The treatment, while often resisted by teens with high-risk behaviors, has been shown to not only be effective under a wide range of conditions but to treat a large number of undesirable teen behaviors at a very minimal expense.

In a startling report, two researchers for the Center for Disease Control in Atlanta Georgia found after studying data for over 12,00 U. S. high school students that a single deficiency coexisted with a huge increase in teen’s risky behavior. While the government report was reluctant to say that this deficiency was the cause of risky teen behavior, they speculate that this one key ingredient might reduce overall risk-taking in teens significantly.

Unfortunately, this key ingredient cannot be prescribed directly because it is not USDA approved for over-the-counter sales and is, in fact, available without a prescription. This one single item, not yet patented by a drug company, is available to almost all U. S.citizens for free.

High School students who were deficient in this one key item, and almost 70 percent of our teens were deficient, were almost two times more likely to be smokers. A continued deficiency if this ingredient, reported being necessary for happiness, resulted in a 50% increase in marijuana and alcohol use.

Long-term deficiencies in this factor were correlated with a huge increase in teen sexual activity. That was surprising since we most often have studied added factors that might cause an increase in sexual activity. Not many people would believe that a deficiency in a single ingredient necessary for life might increase the sexual activity of teens.

But wait – there is more, this deficiency doubled the risk for a suicide attempt. It was also related to getting into physical fights and being sad and hopeless. Kids who had this deficiency were also likely to be overweight, get less exercise, and generally have a less healthy lifestyle.

So what was this deficiency? And how can we supplement teen’s lives to overcome this insufficiency?

The deficiency was a lack of sleep! Sleep deprivation was significant in kids with all these problems. And the one simple cure was more sleep!

Now teens will resist sleeping more, especially sleeping during the night. It appears that most teens are truly nocturnal creatures. More than one adolescent who was brought in to the psychiatric facility has confided to me that they rarely get much sleep at night. An increasing number of kids have T. V.’s and computers in their bedrooms. Many are online texting friends or playing games until close to morning. They have to set alarm clocks to wake up and even then they often can’t quite get it together in the morning.

Eventually, a teen who stays up most of the night finds they can’t function in the daytime. They are at risk to fall asleep at school, cut class or just plain be grouchy and get into fights and other negative behavior.

So it just might be that one thing a parent might do to improve their teen’s life is to make sure that child is getting enough sleep, even if that means restricting electronic avoidance of sleep.

Be careful if your teen has been avoiding sleep on a regular basis. If you suddenly try to take away their electronic addiction your teen may go into electronic withdrawal. During withdrawal from electronic sleep avoidance teens have been known to become grouchy, throw things break things, swear or even threaten to harm themselves or others. In extreme cases, you may need professional help to get the teen back on a night-time sleep schedule. But if your teen is having difficulties in life you just might want to examine their sleep habits and see if more sleep might improve their mood and behavior.

More sleep might improve your mood and emotions also. What do you think?

Till next time. David Joel 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.

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

counselorssoapbox

Counseling, Therapy, Recovery and having a Happy Life

Monthly Archives: December 2011

An extra post

Mindfulness on a full brain

Teens, drugs and resiliency

Some new developments in the area of teens, drugs, and resiliency

Energy drinks:

New synthetic drugs.

Volunteering reduces teen drug use and increases resilience.

Food is also a treatment for teen drug use and promotes resilience.

Post Traumatic Stress Disorder – PTSD, and bouncing back from adversity

We have been hearing a lot more about PTSD these days.

Treatment for teen’s risky behavior

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Some new developments in the area of teens, drugs, and resiliency

Energy drinks:

New synthetic drugs.

Volunteering reduces teen drug use and increases resilience.

Food is also a treatment for teen drug use and promotes resilience.

Share this:

We have been hearing a lot more about PTSD these days.

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