CAMFT – CALPCC and the future of mental health in California

By David Joel Miller

If you are not a Marriage and Family Therapist (LMFT) or a Professional Clinical Counselor (LPCC) you may not have heard about the commotion going on here in California.

CAMFT has for a very long time been the primary voice of MFT’s both in California and Nationally. CAMFT membership exceeds 30,000 MFTs, far more than the membership of the American Association of Marriage and Family Therapists.

While California was an early adopter of the MFT profession it was the last state to adopt the licensing of Professional Clinical Counselors.

CALPCC has become the state-wide organization for the Licensed Professional Clinical Counselors. This new sister profession is off to a dramatic start.

Some of you may be aware that I hold both licenses. I elected to become dually licensed because I feel that there are differences in the things that the two specialties do and personally I have times when I practice both professions.

Since I have two licensees I am a member of both CALPCC and CAMFT. I also have been honored to serve on the board of directors for CALPCC.

Now that there are three mental health licenses (LCSW’s MFT’s and LPCC’s) here in California we are still sorting things out. (Four if you count the registration and certification of Substance abuse counselors.)

Both the LMFT’s and the LPCC’s face challenges ahead.

MFT’s were founded on system theory and the requisite skill set includes couples or marriage counseling. Some but not all LPCC’s are trained to do marriage counseling. The challenge for MFT’s consists of maintaining that there is something different about what they do. This becomes a particular challenge as more and more MFT’s are working in county agencies with individual clients rather than seeing couples and families.

LPCC’s have specialized training that some, but not all MFT’s received, particularly in the areas of career counseling and substance abuse work. LPCC’s also have skills in working with nonverbal clients. Because LPCC’s are the newest profession there has been a reluctance to open jobs, especially in the public, governmental sector for LPCC’s even when their skill set might be a better match than an MFT’s.

Recently CAMFT’s board of directors proposed changing their bylaws so that all mental health professionals could become members. This would leave MFT’s with no organization to represent their interests and two competing organizations for LPCC’s.

Now a group of CAMFT members has succeeded in triggering a vote on the CAMFT bylaws to return CAMFT to an MFT only organization.

No less than H. Dan Smith, two-time CAMFT president, has sent out a letter in support of retaining the old bylaws to keep CAMFT an MFT only organization.

Personally, I think this is a good idea.

If you are an MFT, MFT student or intern, and plan to continue to practice Marriage and Family therapy as a specialty then I believe you should vote for the old bylaws and become or stay a member of CAMFT.

If you consider yourself a counselor and are a counseling student, PCCI (intern) or a Licensed Professional Clinical Counselor (LPCC) then I encourage you to join and support CALPCC. You might also want to like CALPCC on FaceBook.

If you are one of that group that now holds both licenses I believe you owe it to yourself to continue membership in both groups.

5 Issues in Coping with recovery

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

Ball recovery

Recovery and Resiliency.
Photo courtesy of Pixabay.com

The journey to recovery land is an adventure.

Recovery, whether it is from depression, anxiety, or substance abuse, involves learning to cope with a whole lot of changes in your life. Those problems in your life have mounted up and now you have to face making some changes.

There are likely to be changes in your financial life as a result of your disorder. Many people enter recovery at the insistence of the governmental systems. You may have ended up homeless, or unemployed and when you ask for help you got referred to a program.

Even if you still have a job and a place to stay, the result of your disorder may be that you have to alter your habits. You may also have a lot of wreckage that needs to be repaired. Many recovering people find that they have impaired relationships with others in their life. They want to set those things right or they have to adjust to the changes.

Some of the recovery-related challenges may involve doing things that you never thought you could do. Other changes mean doing without things that in the past you thought were necessities and that you could never do without.

Once saying in recovery circles is that in recovery you need to change everything, your playgrounds, playmates, and your toys. There is a whole lot of truth to that observation.

Here are some of the areas of your life that may need to change as you move in the direction of recovery.

Transportation issues in Recovery.

You may be used to driving your car, but new in recovery many people find that they have to find another form of transportation.

If you lost your license, you need to stop driving. Many people who have their licenses revoked or suspended can’t accept that they need to stop driving. The drive anyway. Often they get caught driving without a license and create more wreckage. Maybe they go to jail, maybe their car gets impounded and they can’t get it back.

You may need to rely on others for transportation, learn to take the bus, or arrange to walk a lot more than you ever imagined.

Finances change in recovery.

In recovery, many people find they need to make changes in their finances. You may be unable to work, or unable to work full-time during your recovery process. You may have lost your job as a result of your disorder or your disorder may be the consequence of being out of work.

Many people find they lose their house, have to move to a cheaper place, or otherwise need to downsize their expenses. Living on food stamps, welfare or a part-time job can be a major challenge.

Ironically many people find that once they cut down, they are able to live on far less than they used to and still have more time and are less stressed. Having a lot costs a lot, and the struggle to maintain things can be a major source of stress.

Relationships connect with recovery.

In recovery, it is important to take a look at your relationships. What you may find is that those relationships you have been clinging to are not healthy. Some people find that while they were in their addiction or their disorder they have left old positive friends and taken up with questionable ones. Others have alienated people who used to be supportive. Repairing damaged relationships, cutting off unhealthy ones, and setting new boundaries with the people you chose to keep in your life are all parts of recovery.

Loneliness may visit you during your recovery.

It is not just the tangible things that change in recovery. There is a lot of work to do on learning to feel and to manage your emotions.

Some people are so used to filling their life with others, activity and commotion, even drama, that just being with themselves is a new experience.

Being alone should not mean you are lonely. You can be lonely anywhere, even in a crowd, but getting comfortable with yourself is a big part of recovery.

Boredom and recovery.

Another emotion that causes a lot of problems for people in recovery is boredom. If you are used to regulating your emotions by reaching for chemicals or for other people, then simply being alone can feel boring at first.

With time you can learn to relax and enjoy the time you get to spend with yourself.

Rather than complaining about all the life changes you need to make in recovery, relax and enjoy the journey, you will find that the trip to “recoveryland” is an enjoyable, lifelong journey.

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

Cute is hard work

 

Love yourself

Love yourself
Photo courtesy of Pixabay.com

You think your job is hard? Try being cute all day!

See you all again tomorrow. 

How do you become a member of A.A.?

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

AA big book

Alcoholics Anonymous big book.

Is A.A. membership expensive?

What do you have to do to get accepted into membership?

A.A. is one of the more unusual organizations when it comes to becoming a member.

They do not charge a membership fee. There are no monthly or annual dues to pay. They do pass a basket and the money people donate is used to defray the expenses. No one is ever pressured to put something in the basket.

Unlike other groups who have frequent solicitations for funds, A.A. asks that only members contribute. Members are never required to contribute, but most give something, even if it is just the small change in their pockets.

There are no creeds to agree to. No catechisms to learn or memorize. They do read some things, but only those who want to read. There are no membership committees and no application forms to fill out.

You do not even need to be an alcoholic or agree to take the twelve steps to become a member. The twelve steps in A.A. are, like most everything else in the program, “suggestions” not requirements.

You do not need to agree to believe in a particular religion or worship any particular deity. In fact, you do not even need to believe in a God to be a member.

There is in fact only one requirement for membership in A.A.

“The only requirement for membership is a desire to stop drinking.”

If you can honestly say that you want to stop drinking, then you have qualified for membership.

Having become a member there is a suggestion that you get a book and read it, come to some meetings and find a sponsor to help you work your steps. None of those things are however requirements, they are suggestions.

Essentially, you are a member if you say you are a member.

With membership does come some duties. You, as a new member, will be asked to respect other member’s anonymity. You will also be asked to refrain from making public statements on behalf of A.A. Beyond that not much will be asked of you unless you chose to participate in your recovery.

All in all, A.A. is an easy group to join. So ask yourself “Do I want to stop drinking?” If so, head for a meeting because you have already qualified to become a member whether you knew it or not.

The posts I write about A.A. are from my perspective as a therapist and clinical counselor and do not necessarily reflect the views of A.A. World Services or A.A. members. For more on A.A. and their program of recovery check out the “A.A. Big Book” titled Alcoholics Anonymous at the links below or contact A.A. World Services at their website.

The Big Book of Alcoholics Anonymous

The classic text on Alcoholism recovery this is the book that started off the whole 12-step phenomenon.

Alcoholics Anonymous from The Anonymous Press

One of the Kindle editions – At 99 cents this is such a bargain. This edition needed a separate listing. No Kindle reader? No Problem, if you have a computer you can download a free Kindle reader.

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 avoid taking a job you will hate

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

Job application.
Photo courtesy of Pixabay.com

How long before you hate that job?

Some jobs are terrible at first look. You can tell you will hate them from a distance. But a lot of other jobs fool you. You think they will be “OK.” But after a few weeks or months, maybe years, you discover you hate this job.

But a lot of other jobs fool you. You think they will be “OK.” But after a few weeks or months, maybe years, you discover you hate this job.

After a few weeks or months, maybe years, you discover you hate this job.

How can you avoid a job you will hate?

One important factor is the fit between the job and the person who fills that position. Here is an example of how a job fit affects loving or hating your job.

A large company had a number of jobs available. One was in the data entry department. The person who gets this one will sit all day in a cubicle and enters data on a computer screen. Most of the time they will work from a large stack of forms and there is little interaction with others.

The other position is a data collector. This person walks up and down a mall and asks people if they will be willing to answer a few questions. When someone says yes, they then spend the next few minutes asking that person questions, getting their opinions on things.

Some of you have already decided which job you want just from the descriptions.

So, one person, let’s call him Bob, comes for the interview and this person is very shy. Bob hates being around crowds. He gets nervous just talking to strangers.

The second applicant, Let’s call her Nancy, loves talking to people. Someone new is the high point of their day. The thought of having to be cooped up in a cubical all day sounds like Nancy’s idea of hell.

So what would happen if outgoing Nancy gets the job to enter the data, and shy Bob gets assigned to go to the mall?

Would things work better if Shy Bob gets the computer job and outgoing Nancy gets the interview job?

This example illustrates two things at work. The fit for the job is the best predictor of how happy the person is likely to be on the job. Job satisfaction is also a big predictor of how well that employee will perform.

The second thing this example illustrates is how important it is to pick people for the qualities they really have not for stereotypes.

It would be easy to expect Bob, the man, to be better at going out and meeting people and Nancy, the woman, to be the shy one who would want to stay in the office.

This fallacy results in some people getting hired because they look or act a certain way, rather than because they are the best person for the job.  So a good way to avoid a job you will come to hate is to take a hard look at yourself, what you like and do not like, and aim for the job that will make the best use of your talents and will not ask you to do things that are among your least favorite things-to-do list.

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

Looking for a job doing anything leaves you doing nothing

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

Dream job sign

Dream job.
Photo courtesy of Pixabay.com

Looking for a job doing anything?

Getting a job is one way to rapidly improve your mood, reduce depression and anxiety. More and more mentally ill are working, not at jobs manufactured for them, but at important and rewarding jobs right alongside other people who may never have experienced a mental health challenge.

If the person next to you at work chooses to not tell you about their mental health issues many times no one would know.

Few things in life can pull you down into depression or anxiety as dramatically as losing your job or going through long periods of unemployment. Counselors and clients often spend a lot of time working on depression and neglect the impact that having a job or other purpose in life might have on the client’s mental health.

One major missing piece in the treatment of mental illness has been our failure to provide career counseling and guidance to those with mental health challenges.

Some of life’s most needed skills; things like managing anger, having a healthy relationship, and find a job are missing from many people’s education.

Now if you were one of those people who just naturally knew how to find that high paying career, never were laid off or downsized, and had a period of unemployment, you may not have needed any career guidance. But if you are like most of us, you have had to make it through periods of unemployment and underemployment and you may have felt a good deal of anxiety and depression during those times.

Employment development departments and other agencies may work to help people find work, but how to manage those emotions while doing a job search is often missing from the equation.

One mistake I see discouraged and depressed job seekers making is to start looking for a job “doing anything.”

The willingness to take what jobs are available and at the wages that are available is a laudable quality. But looking for a job doing “anything” rarely works.

If you do not know what you are looking for how will you know it when you see it?

Try looking in the paper or online under the heading “Anything.” Did you find any listings? Looking for “a job doing anything” is not the same thing as being willing to do anything.

The more focused you are on what you are looking for, the more opportunities you might find. Having two, three, or more specific things you would like to do for a living will net more leads than constantly looking at everything and anything.

That unfocused job search will net you a lot of jobs you are not qualified for or which require work at times and locations you can’t do, but not many opportunities that are possibilities.

Spending time learning about the world of work, what jobs exists and what jobs might be a good fit with your abilities, interests, and education will go a long way in narrowing your search from looking everywhere at everything and finding nothing to looking in a few key areas in which you have a good chance to find something.

There are a few important things that you need to know to narrow your job search and improve your chances.

  1. Know yourself, your likes, your abilities, and your interests.
  2. Know about the world of work, what jobs are out there
  3. How do you land that job once you have found it?

In future posts, I want to explore a few of the basics of career counseling that Professional Counselors practice with their clients.

While you may not be out of work now there is always a chance to improve your situation. Sometimes this improvement comes from finding a job and sometimes it comes from advancing within the place you find yourself.

Either way best wishes on making a job a part of your recovery and your happy life plan.

Keep an eye out and we will take a look at more career information in the posts to come.

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

Emotional problem or mental illness

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

Confused brain

Mental illness.
Photo courtesy of Pixabay.com

What is the difference between an emotional problem and a mental illness?

Emotions and mental illness Is there really a difference?

Back in the Freudian days, they tended to think that there were two kinds of problems, Neurosis and Psychosis. Those with Neurosis had problems of living; they were too sad, too anxious, or worried too much. Those with psychosis were clearly mentally ill. The heard voices saw things did things that looked irrational. We sent them away to the sanitarium, now called the state hospital. We also tended to mix the mentally ill in with those with an intellectual disability.

Then this nice neat system began to crumble.

Medication can reduce the symptoms of “mental illness.”

First, they discovered a medication that stopped or reduced the voices and other hallucinations. If a med could shut off voices, was the person with a psychotic disorder really “crazy” or did they have a treatable illness?

Then we found that voices were not an all or nothing phenomenon. They did not happen all the time to some of the people who had them. Sometimes hearing voices happen to the “normal” people. Very depressed people might hear voices sometimes and not others. Talk with them, watch their depression recede and the voices shut up.

Also, we found that most teenagers hear voices now and then. You hear a sound; do not know what it is and the brain interprets it as something you know well, like your own name.

Additionally, a lot of otherwise normal people hear angels or a religious figure; some people see or hear loved ones who have died. If it was a religious vision we were reluctant to call that psychosis.

The walls between emotional problems and mental illness began to get thin. In places, we thought we saw people crawl through the cracks in our system designed to keep the normal’s in one place and the mentally ill in the other places. We started calling those that crawled through the fence “borderlines” and other “personality disorders” because they seemed to live in the land between normal and not normal.

Recovery moments happen.

Then came various assorted recovery movements. There was recovery from alcoholism, addiction, and gambling. There was also the consumer movement and then we saw that people with serious and persistent mental illness can and do recover.

People, prominent, important people, came forward and talked about their struggles with mental illness and their own very personal stories of recovery.

The newest trend is to talk in terms of wellness and recovery. That life’s emotional problems are on a continuum. You may have times when you are stressed or depressed and your emotions get out of control. There are other times that your emotions are on a par with the best of them.

Acute versus chronic mental illnesses.

Clearly, for some people, life is more challenging than others. Some people have hereditary predispositions to having more of one problem or another. Some people have multiple problems to deal with. Some people’s problems are chronic and other people’s problems may get better or worse and then better again.

Some of those conditions we have come to call “mental illnesses” have an underlying structural difference in the brain. Some emotional problems are the result of difficult experiences in life. The brain rewires itself based on experiences. Not everyone has or should have all the same skills or the same challenges.

What we continue to see is that these things that bring the majority of people for mental health treatment are not those long-term underlying differences. What most trips folks up are the everyday problems of living, the unemployment, the relationship conflicts, and the times of loneliness.

The line between those with a serious and persistent mental illness and those with a current emotional problem is becoming harder to find.

The truth is that everyone has times of emotional difficulties and everyone can recover and have a happier, better 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

Systematic desensitization – conquering fear.

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

Anxiety provoking.

Fear and Anxiety.
Photo courtesy of Pixabay.com

Anxiety can be a stubborn foe.

It is tempting to avoid the things you fear and to find ways to numb those unpleasant feelings. Some people use alcohol or sleeping pills other people use avoidance. But eventually, you have to face that fear or be taken prisoner by your fear.

You can’t get over something you don’t face. Sometimes the only way out of a burning building is through the door that is on fire. To begin with, we won’t ask you to walk through the flames, just to look at the door and see how your fear that it might be on fire on the other side is keeping you a prisoner in that room.

Systematic desensitization reduces the impact of fears.

One way of domesticating the anxiety monster is a technique called systematic desensitization. This is an especially effective technique for taming fears or anxiety when those anxieties are a fear of one very specific thing.

Some of these item fears are so specific we name them Specific Phobias. Meaning you are deathly afraid of one particular thing even if you are never around that thing.

Some of these specific phobias are so terrifying to the people with that particular specific phobia that I can’t even write the word out or they would stop reading. So let’s start with an exaggerated and somewhat humors example of how this specific desensitization could work.

Say there is this person that is deathly afraid of crackers. (The little packaged edible kind.)

If you know who I am talking about here please do not let on. That person’s family laughed at him.  But try as he would he just could not bear to eat at a table where there were crackers. Eventually, this got so bad that I – I mean he – could not eat with his family when they were having soup for fear there would be crackers present.

This fear became progressively worse. Soon eating out was impossible because there might be crackers all around. Eventually, even commercials for crackers or the mention of the word might provoke a panic attack. Something needed to be done.

The cure for cracker or saltine phobia? Systematic desensitization.

So off to the therapist this sufferer from cracker phobia went. Here are the steps in recovery from cracker phobia.

First, you need to be willing to talk about this fear and develop a scale of fear. Something like if we just talk about that fear I – I mean he – had by referring to this as the fear of “You know what.” That would be a 1 on the fear scale.

Actually using the name “Cracker” that scored a two. To see a picture of some crackers in a magazine that would rate a fear factor of 4. Entering at a restaurant where there might or might not be crackers present, that was a 5. Seeing actual crackers, that would be a 6, and witnessing someone eat one that would rank an 8. To have to physically touch a cracker that would rank a 9. To personally eat a cracker that would rate a 10.

Now having developed our scale we would begin to work our way up the scale all the while with the therapist reassuring the client.

Along the way, the therapist might teach the client some relaxation techniques, deep breathing, and so on. The theory here is that you can’t really feel two contradictory feelings at the same time. The more you concentrate on your relaxation the more likely you are for the fear, or anxiety if you prefer, to subside.

So over time, the exposure to the dreaded crackers becomes more and more frequent and closer, all the while practicing the relaxation skills.

At the end of treatment, the goal would be for the client to actually open a package of crackers and to eat one while the counselor watched.

Now neither I nor anyone I know has really suffered from a cracker phobia. This cracker fear has been a long time joke in the family. But I hope this has demonstrated how a counselor could help a client overcome a specific phobia that may sound funny to the client’s family and friends but has been causing the client some very real distress.

What are some of the specific phobias that this method is known to work on? Well the number one fear in America, more severe than the fear of death, is the fear of public speaking. Also up there on the list are phobias to snakes and spiders.

Fear of snakes is no big thing for most city dwellers, but if you needed to live and work outdoors this could be a trial. If you worked at the zoo in the reptile house, a fear of snakes could cost you your job.

So whatever your fear or specific phobia there are treatments to help you turn that anxiety or fear control back down to a manageable setting.

Similar to systematic desensitization, at least in my book, is the use of exposure and response prevention. People with Obsessive-Compulsive Disorder (OCD) develop rituals or routines that they feel the need to perform to reduce the anxiety. If we can expose the person to the thing that they fear and prevent the ritual, then over time the fear diminishes. Combine some relaxation techniques with the exposure and response prevention and you move close to the systematic desensitization approach.

Best wishes on taming those pesky excessive anxiety and fear monsters.

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

Anxiety is a good thing

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

Anxiety provoking.

Anxiety.
Photo courtesy of Pixabay.com

Some anxiety is a good thing.

A little anxiety some of the time may be helpful. It is only when the volume on your anxiety control gets turned up too loud that it becomes a problem.

Dictionary definitions of anxiety include such things as nervousness about something that is going to happen and something that causes you to worry.

In these troubled economic times, worry about your job and job security makes sense, especially if you work in an industry or company that has been having economic difficulties. Even those government jobs that used to be the height of security don’t seem immune from danger these days.

But if you spend needless hours in worry that you might get laid off or fired when there is no basis in fact for that worry, then your anxiety control might have its volume turned up too high.

Anxiety can protect you.

Some anxiety is actually protective – if and only if, you are in a dangerous situation that warrants that anxiety. This is another case of a little is good and too much is harmful. The challenge is in knowing which is which. If you see someone with a gun shooting, it is wise to be nervous, even scared, and to duck behind something for cover.

Anxiety can help you avoid risks and in certain situations, like when someone is shooting at you, that anxiety might save your life.

Anxiety can take control of you.

If when sitting at home on your couch you hear the noise from a car door slamming a block away and you jump behind the couch to take cover, this level of anxiety is a problem.

People become anxious in dangerous situations for a reason. If the stress they are under triggers an excessive response that may be an “Acute Stress Disorder” but if those over-reactions to past stress continue long enough, they can morph into something more serious. Post-Traumatic Stress Disorder is just such a problem.

This was first recognized in servicemen returning from the war and the hallmarks are intrusive thoughts of what happened in the past that are still interfering with your life today and recurrent nightmares that involve memories of things that happened to you in the past or efforts for you to avoid those situations. We now realize that these problems also are prevalent in children and adults who have been abused or molested.

Disrupted sleep from nightmares about past anxiety-producing situations predicts that you will have mental health symptoms in the future. IRT can help reduce nightmares. 

Treating PTSD is a complex subject. There are many theories but the research is less than convincing. What I feel fairly sure about is that taking sleeping pills or drinking alcohol are not a good solution. If you have intrusive thoughts or nightmares you need some counseling to get this under control.

Running and hiding from our fears gives them extra chances to grow.

But what if you do not have a case of PTSD but your anxiety is off the hook? Do your friends tell you that you are an overly anxious person? Do you sometimes think that you are just too scared and worried?

If your anxiety volume control is just turned up too high, if the affairs of everyday living are making you want to crawl out of your skin, then you need treatment.

What kind of treatment? Well, there are several, but one, systematic desensitization is especially helpful if you have fears that do not make sense to others but you find are interfering with your life.

Too much anxiety? Try some systematic desensitization (done with a therapist or counselor) and see if you can’t get that anxiety volume turned back down.

In tomorrow’s post, we will talk about systematic desensitization.

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

Sobriety

Serene

Serene and Sober.
Photo courtesy of Pixabay.com

Encarta Dictionary tells us Sobriety is:

Abstinence from or moderation in the use of alcohol or drugs

The quality of being serious and thoughtful

“Your best days are ahead of you. The movie starts when the guy gets sober and puts his life back together; it doesn’t end there.”
― Bucky SinisterGet Up: A 12-Step Guide to Recovery for Misfits, Freaks, and Weirdos

“We have learned that the satisfaction of instincts cannot be the sole aim of our lives.”
― Alcoholics AnonymousTwelve Steps and Twelve Traditions

“achieving true sobriety goes beyond abstinence. it’s also about healing your soul, apologizing for damage you did to other, and seeking forgiveness.”
― Lou GrammJuke Box Hero: My Five Decades in Rock ‘n’ Roll

Quotes from GoodReads

Are you sober today?