Author Archives: David Joel Miller

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About David Joel Miller

David Miller is a California Licensed Marriage and Family Therapist, Clinical Counselor, faculty member at a local college, certified trainer and writer.

What is non-medical counseling?

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

Counseling and therapy

Counseling.
Photo courtesy of Pixabay.com

You do not have a mental illness but counseling may still help.

Do you have problems getting along with a spouse?

Has it been difficult adjusting to a new job or a new town? Kids won’t mind or you are having financial and legal difficulties?

Do you have “anger issues?”

All these things and many more may be reasons to seek counseling, even though you do not have a diagnosable mental illness.

Getting help for these issues early may mean you can live a better life and not have your problems become a mental illness.

There is nothing noble about suffering for long time periods when help is available.

There are a whole slew of life problems that might need working on but they do not rise to the level we would recognize as a mental illness. These issues are listed in the Diagnostic and Statistical Manuel of Mental Disorders (DSM-5 is a registered trademark of the APA) even though they are not mental disorders.

The idea behind including these issues is that they cause significant distress to clients. These issues bring people into the offices of doctors, therapists, counselors, and even judges, but they are not at this point in time considered a mental illness.

The result of these distinctions is that while you may want or need help in these areas you will need to look for other sources of help than the doctor and probably your issuance will not cover treatment for them.

EAP’s and Non-Medical Counseling.

Many employee assistance plans will offer you a few sessions with a counselor to work on these issues. They find it is cheaper and better to help employees overcome outside work issues than to let them go and then have to hire and train new employees. So if you have an EAP plan look for help there first.

You may have insurance coverage for some Non-medical counseling issues.

A few medical insurance plans or Behavioral insurance plans, to be more precise, also cover these issues. For some problems of living, you can get other help. Most of these problems have such severe impacts on people’s lives they need treating even if your insurance does not cover them. Private therapists and counselors can help here.

About Life Coaches.

Recently we have seen a proliferation of “life coaches” who also can help you work on life issues that need help but are not technically mental illnesses. Some of these coaches have training and can be very helpful, others have minimal training and will miss when you really need to see a trained professional. Until this gets sorted out and there is some kind of licensing for life coaches, I recommend you seek out a licensed person even if what you need is non-medical counseling or coaching. Most professional counselors are happy to work on life coaching issues also.

First some background and then the list of problems.

In the U. S. we have been used to using the DSM (Currently the DSM-5) for mental illnesses. In the rest of the world, they use the International Classification of Diseases. As of October 1, 2015, the U.S. is switching to use the numbering system the rest of the world uses. We also updated the names that we use to more closely align with the rest of the world. The result, the numbers, and names have changed for some things so you will see multiple names and numbers for those things and some things will get split while others got combined. Do not let the professional’s confusion confuse you.

V Codes and Z Codes.

I have sorted this list to make it easier to write about so the list does not exactly follow the DSM. Things called “V codes” are the old number and the “Z codes” are the new ones. Sometimes two problems had or have one number and others have or had no number.  This is not a full list, for that see the DSM-5. I just wanted you to see the flavor of things that might bring someone to counseling which is not technically a mental illness.

Relationship issues

Partner Relational V61.10 Z63.0

Parent-Child V61.12 Z62.820

Sibling Relational VV61.8 Z62.891

Abuse and neglect (victims) V61.12, V61.21, V62.83

Perpetrators of Abuse get a 995 point something number (now a T number)

Other relational problem V62.81

Bereavement V62.82 Z63.4

Discord with neighbor, lodger, or landlord Z59.2

Job – work problems

Occupational problem V62.2 Z56.9

Academic problems V62.3 Z55.9

Adult Antisocial Behavior (Career criminal) V71.01 Z72.811

Legal issues

Financial issues

Incarceration

Life changes

Acculturation V62.4 Z60.3

Phase of life problem V62.89 Z60.0

Situational adjustment – military deployment, moves from job changes

Religious or spiritual problem V62.89 Z65.8

Noncompliance with treatment V15.81 Z91.19 (NOW NON-ADHERENCE)

Housing issues

Homelessness Z59.0

Inadequate housing Z59.1

Problems living in a residential institution Z59.3

Living alone Z60.2

Other things that get treated but may be missing or hard to find in the DSM

Caregiver fatigue or burnout

Military sexual trauma

Military deployment Z56.82

Child care issues

Poverty-related issues

Lack of food and water Z59.4

Extreme poverty Z59.5

Not enough welfare Z59.7

Other unspecified housing or economic problem Z59.9

Physical health issues – the emotional part

Those problems that are poverty-related, school and child-related and involve interactions with the government, may have services available from public agencies. Other issues may justify you seeking private treatment.

Hope that somewhat clarifies all the things that counselors, social workers, and therapists may work with that are not specifically mental illnesses. If you or someone you know has any of these kinds of issues consider looking for help.  Seeking out help for these issues does not mean you are “crazy” or that you have a mental illness. Not using help when it is available, that is more like stubbornness.

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

Nightmare Treatments.

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

Nightmare

Nightmares maintain depression and PTSD.
Photo courtesy of Pixabay

What are the top Nightmare treatments?

Many people have an occasional “bad dream.” But some people, and you know this if you are one of them, have frequent recurrent nightmares. An occasional episode of a bad dream is probably no big deal, though if you just had one last night it may be very disturbing today.

Technically we think there are differences between bad dreams, nightmares, and night terrors. Night Terrors are when you wake up in a panic and possibly screaming but can’t remember what was happening just before. A “bad dream” is when you do not wake up till morning but you remember the disturbing dream. Nightmares are the worst for most people. This is when the dream wakes you up and you remember what it was about. Not everyone uses the same meanings for this which makes reading articles on negative dreams confusing.

What caused the Nightmare?

Treatment for nightmares partially depends on what is causing them, or more specifically what the content of the nightmare is about. Is there a specific trigger for your dream?

Children can begin to have nightmares after watching a particularly scary movie. This I think of as “contamination.” You see or hear about something that happened somewhere else to someone else and your mind begins to process this. Avoiding things that trigger you can help.

Sometimes we are going through a difficult time at work or school. If your department is being reorganized and you are having scary dreams, nightmares even, about being laid off, fired, or transferred, then we can work on these in a very specific way.

The most difficult nightmares to have and to treat are dreams about real-life trauma that has happened to you. Nightmares about past trauma can perpetuate your mental health issues. Nightmares play a role in keeping you depressed or in maintaining your Posttraumatic Stress Disorder (PTSD.)

Rule out medical causes of nightmares.

Medical issues, especially breathing problems during sleep, can be a cause of bad dreams and nightmares. It pays to talk with your medical doctor and be sure that there are no underlying medical problems that are causing or worsening your nightmares. This “medical rule out” is a good idea for all mental illnesses.

The talk approach to reducing nightmares.

This is the starting point for most treatment. In this system, you work on remembering your dreams, good and bad. Often people keep a diary or pad of paper by the bed and upon awakening then write down anything they can remember about the dreams they have been having that night. If you get up and do things before writing you will lose most of the content of the dreams. Write a few things down and you have a better chance of recalling more details of the dream.

This dream record then can become the basis of your discussion with your counselor. For simple non-threatening dream work, you may want to work with a friend or group and do a mutual discussion of your dreams.

What you want to avoid here is repeatedly talking about dreams based on real trauma. Going over and over the story of your rape or abuse will reinforce it not reduce it. For dreams that are maintaining PTSD or complex trauma, you need to work with a more specialized professional.

Medication for nightmares.

Medication has its place in managing Nightmares. If you are currently under stress you may need medication to sleep. Say you are having to testify in a case involving a crime you witnessed or that happened to you. You need to be able to sleep to get through this. Seeing your doctor is a good idea.

Soldiers in a combat zone may need medication so they sleep and are alert the next day. Not sleeping the night before can get you or someone else killing in this kind of situation. You may be able to talk with a comrade but even that is difficult. The middle of combat is no time for any lengthy therapy.

Medications have one disadvantage. They suppress dreaming but they do not eliminate the need to dream. In dreaming our minds process the events of the dream. Your dream and the memory wait in line to be worked on. When you stop the meds the memories can come back and they have had time to bulk up and become scarier than before.

Image rehearsal therapy.

This method has some good research to back it up and has worked across a range of different types of nightmares from children with scary monster dreams to victims of abuse and violence. In working with a counselor to use this method you focus more on learning the skill of imagery rehearsal than on discussing the specifics of your nightmare. Here is the basic process. I recommend that you try doing this with a professional to avoid creating other problems while working on the nightmare.

You keep track of your nightmare. A written journal helps but if you can remember it well you can do it that way.  Ask yourself what would need to happen for the dream to be less scary.

Say in your nightmare an ex breaks into the house and beats you up. This is based on a history of the ex. stalking you and trying to harm you. You imagine putting a metal door on your house. You imagine installing a deadbolt and an alarm that automatically calls the police if someone tries to break in. Imagine the ex tries to break in and the police are called and they catch and arrest him.

If you practice this new less scary dream each night before you fall asleep many people will discover that they have the new less scary dream. If you can imagine the new ending and can learn to recognize that you are dreaming, a process called lucid dreaming, you can in effect rewrite the dream and over time it will get processed and become less of a problem.

Scheduled Awakenings.

This is a new method. I have not read a lot about it and can’t tell you if it really works. People who have tried everything else without success have reported this one helped them.

In sleep, we cycle through deep and shallow sleep about every 90 minutes. As we age you may find yourself waking up every 90 minutes or so. It is in these cycles that dreaming occurs. So if you set an alarm clock to wake you up every 90 minutes or so it could stop the dream cycle before the dream gets really scary.

The goal here is to wake up to the alarm before the nightmare, set the alarm, and go back to sleep. This will result in choppy sleep.  You may need more time in bed but you can theoretically get a full 8 hours of sleep and that without nightmares. Over time the nightmares should reduce. If any of you have tried this let me know how it worked.

Have you used any of these methods and how did they work for you? Has anything else helped you to reduce nightmares?

You might also want to take a look at other sleep and dream related posts that have been published here on counselorssoapbox.com.

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

Good Morning

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Sunday Inspiration    Post By David Joel Miller.

Good Morning

Good Morning
Photo courtesy of Pixabay.com

 

“Good Morning! Good Afternoon! Good Night! These are not just mere greetings.

They are powerful blessings, setting the best vibration for the day. Hence, whether it is morning, afternoon or night, make sure that you say your greeting right!”

― Franco Santoro

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

Do you have anger issues?

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

Angry person

Anger.
Picture courtesy of Pixabay.

When should you seek counseling for your anger issues?

Anger and “anger issues” are one of the more common problems that result in people calling my office for a counseling appointment. Having anger building up inside you can harm you. All those excess stress hormones are really hard on your heart and other organs.

But anger, an excess of that stuff, can also damage relationships with family, friends, and those you work with. Untreated anger issues may result in the police being called and you going to jail. Excess anger also results in lost jobs and in divorces.

In extreme cases, too much anger will get you locked up and court-ordered to 26 weeks of anger management classes or 52 weeks of batterer’s treatment classes. Out of control anger can make a mess out of your life.

That must mean that anger is one of the more common and major mental illnesses, right? Wrong.

Despite all the problems an excess of anger can bring it is not recognized as a mental illness. Say what? Yes, you read that right. We think anger, rather than being any one specific mental or emotional illness is a “secondary” emotion. That is you are feeling one thing but you end up expressing this other feeling as anger. When hurt, emotionally or psychically hurt, many of us express this as anger.

Regardless of what is causing your anger or why you are angry, counseling can help you tame that anger beast.

There are several reasons you might need to go for some anger management counseling.

  1. You do not like the person you become when you are angry.

If your anger is bothering you then it is time to see a counselor. This is true of a whole lot of other unpleasant or negative emotions. You do not need to be mentally ill to seek out counseling. If you do things when angry, sad, or anxious you would not do otherwise, that is a bad sign. Just having to live with that anger all the time can make you miserable.

Some of you are thinking that you are in a situation where another person is always “making you angry.” Do not let that stop you from seeking help. You can learn ways to turn the volume down on your anger so you become less angry and angry less often or your counselor may help you with some life coaching to change the situation so that you are not going to get your anger triggered.

  1. Your anger is interfering with your relationships.

Any time an emotional, mental, or behavioral issue interferes with your relationships with family and friends that need attention. This may be an indication of a mental illness or it may just be stress. Either way, you need help for anything that is damaging your relationships.

Humans need other people. Having a good group of supportive people around you improves the quality of your life. Do not let anger drive your friends and family away and leave you unsupported.

  1. Anger is affecting your work or schooling.

If you miss work or get in trouble on the job because of anger or other emotional flare-ups, this means that your feelings are a problem that needs attention.  If you are not working but are in school then we consider going to school and doing your homework your job. Wish I could convince kids who tell me they don’t want to go to school, that school is their job and if they can’t do that one they may need to work on their being homeless skills.

  1. Your anger has interfered with other things you used to like to do.

If you used to play softball or go bowling but because of your anger and fights you got into you can’t go there any more than your anger has been and continues to be a problem. Letting anger or any other emotional issue cut you off from things that make you happy is a bad idea. Life should be more than working and suffering. Try restructuring your life to make it a life worth living.

That is the short list, you may think of other reasons you need to go see a counselor or life coach. Just remember you do not need to wait until your problems become serious mental illnesses before you seek help. Have you put up with anger for longer than you need to? Is it time for you to get some help, learn some skills, to get that anger creature out of your 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

What is life coaching?

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

coach

Coaching.
Photo courtesy of Pixabay.com

Life Coaching is an exciting and a scary world.

Life coaching is a new development in the counseling, therapy, helping-person field. There are good life coaches out there, who can be very helpful, but finding who you need to see is the challenge. Let’s hope this post will help explain those issues.

Coaching of all kinds has been around for a very long time. We are all mostly familiar with athletic coaches. Most have been players, grown up around the sport they coach or they have taken formal university classes in how to coach a particular sport. A good coach can prepare you for the Olympic trials or help you take your golf game up to a pro-level. You do not take a weekend seminar online and then coach an NFL team.

Other types of coaches have grown up to meet the needs of particular people for mentoring and development. Executive coaches help executives plan and develop careers. Recovery coaches are often people who have recovered from a particular issue, substance use disorders, or alcoholism. They can help take a recovering person through the journey from the land of addiction to recovery land.

One thing we have found in the recovery field is that being in personal recovery can help make you a better coach or substance abuse counselor, but that by itself is not enough. Those peer coaches need more training and they need supervision. To be a good coach you not only need to know how to do something, play a sport or recover from drug use, you also need to know how to pass that knowledge on to the person you are trying to help.

Why life coaches?

Many of the current life coaches have come from the fields of psychology, especially counseling psychology to be specific, or they are from the fields of mental health, marriage and family therapist, or professional counselors.

Most mental health therapy and counseling are deficit-based. You need to have a mental illness and then we can see you and bill your insurance. But what if you want to be a better person, develop your career, or just plan to more effectively reach your goals? Counseling, in the past, was not set up to help well people, it was set up to treat ill people.

One school of counseling, we call this a “theoretical orientation” is called “solution-focused therapy.” Rather than looking for what makes you sick, these therapists look for the things you do that work and then help you plan to do more of these behaviors.

Recently counselors and psychologists have been looking at things called “strength-based” counseling. What are you good at and how will we help you do more of that. This led to the field of positive psychology which looks at making life better rather than “pathologizing” people so that we only treat sick people.

Thinking in terms of teaching skills to have a better life is scary to those people who are used to thinking that systems of care should only treat the really – really – sick people. The result is that help in having the life you want and in staying well is not something most healthcare systems pay for. You want help in having a good life, they may think, you need to go looking for it yourself.

If you plan ahead then you can get sick, get professional help until your problem gets moderate or mild, and then you are back to being on your own.

Many people would rather plan and develop a good life and avoid being sick in the first place. So they seek out coaches that can help them plan a better life. You do not have to be sick to go for coaching.

Now the secret part of life coaching.

Most, maybe all of what coaches are doing has been done by counselors and some psychologists all along. The difference today is not what we do but who pays for what. The result is new fields of counseling psychology and counselors doing “life coaching.” Marriage and Family Therapists have known this for a long time. Come in when you have mild disagreements and we can help you improve communication. Wait till the divorce is in progress and all we can do is keep you from hurting each other while you negotiate the divorce stuff.

Some problems with “life coaches”

Try a web search on life coaching and you will see a vast array of web pages. All life coaches are far from equal. Many of the web pages for life coaching are adds, take this class; send in a check and you can become a life coach and make big money telling people how to live their life. The truth of life coaching is far from this.

Currently, there is no set curriculum or standards for life coaches, no license and while there are schools teaching life coaching most are private for-profit enterprises and their degrees are untested and unaccredited.

Some life coaches run ads that sound more like they are psychics or “spiritual healers.” Now if that is what you are looking for all well and good. The rub comes in when people go to these “life coaches” and turns out they have a serious mental illness that should have been treated.

My suggestion is that if you want “life coaching” because you want to improve your life and reduce stress, seek out a licensed mental health professional. I must here disclose my biases. I am a Licensed Marriage and Family Therapist and a Licensed Professional Clinical Counselor. Also in supervising trainees and interns who are new to the field, some of what I do is coach them in how to be the best possible therapists and counselors. So, I do all three and that may make me extra skeptical of those who embark on the life coaching business without getting some serious education and training.

The life coaching conclusion.

If you hate your job and are so depressed you can’t go to work, get therapy for your depression. If you don’t know what kind of job you want, see a career counselor. Not sure how to develop and grow your career as you grow older you may need job or life coaching. Same thing for relationships. Can’t get along with your partner see a couple’s counselor. Scared and having trouble dating and finding a partner? You may want to work with a relationship counselor but on some dating coaching.

In future posts, I want to talk to you about strengths-based counseling and how you may find it worthwhile to look for someone who will help you have the best life possible.

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

Be uniquely Colorful

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Sunday Inspiration    Post By David Joel Miller.

Be colorful

BE COLORFUL
Photo courtesy of Pixabay.com

“Always remember that you are absolutely unique. Just like everyone else.”

― Margaret Mead

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

Suicide – Addiction Proclamations.

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Proclamation, Proclamation so many Proclamations.

Town crier proclamation.
Photo courtesy of Pixabay.com

By David Joel Miller.

Two very special proclamations came across my desk on the very same day this week. The president has proclaimed September as National Alcohol and Drug Addiction Recovery Month.

Here in Fresno County, California, our Board of Supervisors has declared September 7 through September 13th as Suicide Prevention Week. I suspect that lots of other jurisdictions are issuing proclamations for Suicide Prevention Week what with The World Suicide Prevention Day coming up on September 10th.

Why does Suicide Prevention Day and Week share the attention with Addiction Month?

Turns out there are a lot of connections between addiction, alcoholism, and suicide. Addiction, suicide, and mental health issues all co-exist and these are challenges that many people are reluctant to talk about. As uncomfortable as having these conversations may be they are topics we all need to think about and be prepared to discuss with those we come in contact with.

Most people are uneasy with the topic of suicide. Professionals get special training in how to talk with clients about their urges to self-harm and their thoughts of suicide. Even with that training, there are counselors who feel uncomfortable asking the simple questions like “Are you thinking of killing yourself?”

No one should ever feel uncomfortable with this question. If you have concerns about someone ask away. Just make sure you ask in a caring non-judgmental way. I see no evidence that asking someone if they are thinking about a suicidal act will put the idea in that person’s head. Many people who have started to think of suicide as a solution to their problems are just waiting for someone to care enough to ask.

Learning about mental illness, suicide prevention, and substance use disorders.

At some point in your life, you will encounter a person with a mental health challenge, an addiction or possible you will cross paths with a suicidal person. What should you do? One important thing to do is to prepare for those possibilities now. An excellent source of information on mental health issues is the Mental Health First Aid course.

Certified Mental Health First Aid instructors are available across the United States and most of the rest of the world. Consider taking the class or better yet get your group to sponsor trainings in your area. If you need more information please feel free to leave a comment or contact me.

There is also a special Mental Health First Aid training for those who work with youth which trains you on how to respond to a youth who is having mental health issues.

One other handy resource for a potentially suicidal person is the

National Suicide Prevention Lifeline – 1 (800) 273-8255 which has services available 24-7 and in both English and Spanish languages. Website: www.suicidepreventionlifeline.org

Your local 911 or emergency number is also a good resource in a crisis.

Why the connection between suicide prevention and addiction?

We find that those who drink heavily, binge drinkers, are about fifty-five times more likely to attempt suicide. Intravenous drug users are about fourteen times more likely than the general population to try to suicide. Other drug users? Any drug use disorder raises the risk of a suicide attempt by at least tenfold.

If you know someone who has a substance use disorder encourage them to get help and learn all you can about the impact that substance use disorders are having on our country.

People with an addiction can recover.

This month during National Alcohol and Drug Addiction Recovery Month it is important to emphasize how very possible it is to recover from an addiction, a mental illness, or other emotional challenges. People do change, recover, and go on to live happy productive lives no matter what the challenge is they have faced.

Today, this week, and all this month think about the problems we all face whether we know it or not, every day with addiction, substance use disorders, and the possibility that someone close to you may start thinking that suicide is an option for them.

Maybe together we can all do just a little to help those who are feeling hopeless and helpless today.

Photo by Marcus Jeffrey 

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

Preventing mental illness.

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

Could you be mentally ill?

What Causes Mental Illness?

Is it possible to prevent mental illness?

There was a time when we, we as in society, thought there were two types of people, the normal ones, and then those others, the mentally ill.  Today we know it is a lot more complicated than that. There are things that can be done by professionals and by consumers that can make the impact of mental illness less difficult.

This tells us there are things that can be done early on before someone becomes sick, which can prevent the development of a mental illness or lessen the severity. People with a healthy physical lifestyle get physically ill less often. People who use certain wellness tools are less likely to be debilitated by a mental illness.

Prevention services can reduce the risk of developing an illness in both the physical and the mental health areas. It is easy to see the need for treating an illness once it develops but harder to get systems to offer treatment to prevent an illness. Some physical health systems offer preventative treatment. Unfortunately, the mental health systems are far behind the physical health systems in this area. If you want help for an emotional problem before it becomes a mental illness you probably need to seek help on your own.

Most of the things we now call a mental illness are the result of stress and trauma, injuries you accumulate in the process of living. Bad things happen to you. Maybe a lot of them and over time those events wear you down. At first, you become sad or discouraged, eventually, this sadness could deepen and reach the point of being an episode of Major Depressive Disorder.

People are exposed to trauma and stress, sometimes this develops into Posttraumatic Stress Disorder (PTSD), for other people this reaction to the stress of life lingers on as excess anxiety or persistent sadness. Those conditions may be severe enough to get diagnosed and treated by a professional. Lots of people spend major chunks of their life struggling with things the professionals and the insurance companies call “subclinical” cases of emotional issues.

What about people born with a problem, say Schizophrenia, you are asking. Aren’t mental illnesses hereditary things? This continues to be a problematic issue in the mental health field. Two siblings, identical twins, have a family history of schizophrenia, say mom has the disorder. They should both get it to right? Not always. Sometimes one will develop the disease and the other will have much milder symptoms of emotional issues. Why does this happen?

There is a lot of ongoing research in this field. Someday we may have the final answer to this question. Boy if you were a drug company and could develop a med that would keep people from “catching” schizophrenia you could make a lot of money. But for now, what we think is involved is that there are risk factors and protective factors.

If you were one of those twins you would likely be looking to add some of those protective factors to your life.

If you were doing a stressful job, you might go looking for ways to reduce the stress before it became overwhelming and developed a mental or emotional disorder. People who have a life that is less than they would like, they also might be looking for ways to make that life more fulfilling.

Not everyone who has a lot of stress or sadness in their life goes on to develop a severe mental illness. You may be one of those people who can just take a lot of stress and disappointment. Still, the statistics tell us that about half of the U. S. population at some point in their life will develop symptoms that should be treated. Wouldn’t it make sense to take a few doses of a preventative?

Anger management is another area where prevention is better than treatment. You can get help for your anger issues now or wait for the court-ordered 52-week program.

If you are under stress, have disappointments, or just find that you are irritable and angry a lot, maybe you are using alcohol or drugs to cope, what might you do to keep this from escalating? Do you need to run to see a counselor? That might help, getting a professional opinion can get you started on the right track. But here is a list of possibilities.

  1. Learn self-help skills and stress reduction skills

You will find a number of posts here on counselorssoapbox on stress reduction, self-help, and so on. There a lot of other good resources out there.

  1. Develop a personal wellness plan.

WRAP, wellness, and recovery action planning is a good one. There are free materials out there and the books are relatively inexpensive. You do not need to wait to develop a mental illness to create a wellness plan.

  1. Read self-help books.

I especially recommend books based on Cognitive Behavioral therapy. They can create the optimum benefit and in less time than many other therapies. David Burns’s book Feeling Good jumps to mind. There is also a list of recommended books over on the website for my private practice counselorfresno.com

  1. Try some non-medical counseling or life coaching

Many employee assistance plans offer a limited number of sessions, (three, six, maybe twelve sessions), with a counselor or therapist to work on general life issues. This is commonly called non-medical counseling. Stay tuned for a longer post on this topic.

If your child won’t mind, you have excess anger, you are stressed at work, or just not sure about what you want to do with your life, these non-medical counseling sessions can be helpful in clarifying where you are at and what you want to do.

Life coaching is a new and evolving field. There are some warnings about this one. Clients tell me that they want coaching not therapy because they are not “crazy” I tell them I agree they are not “crazy” by which I mean they do not have a diagnosable mental illness. Still, they could use some counseling. For them, it is easier to think of this as coaching.

Most professional counselors and some therapists do this sort of work. Helping you plan the life you want. Seeing them for preventive counseling or coaching is a good idea. A number of people recently are advertising as “life coaches.”  There are no set standards or licenses for coaches in most places. Some are well-trained with degrees in coaching psychology others just took their GED and rented an office expecting to make a lot of money coaching people. If your life coach does not also have a mental health license you need to be extra careful. More on the whole life coaching thing in an upcoming post.

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

School is back in session.

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

School classroom

School

School went back in session which means all things work-related have changed.

With school back in session, I find my schedule has gotten way busy just at the time readers are checking out the blog and leaving comments. I believe that because of the topics I write about, mental health, substance use disorders, and co-occurring disorders, more searches are happening just now on those topics. Some of this is school-related.

This time of year, at least here in the northern hemisphere where I live, people start abandoning their outside activities and return to their indoor life. This shifts the attention from fun activities to relationships, careers, and where their life is going. So more interest in the winter, indoor months, in happy life, self-help, self-improvement, and relationship issues.

As a result of this increased interest, my list of topics to write about has grown longer while my time to write has been reduced. My teaching and counseling work schedules are keeping me busy just now.

So please forgive me if it takes some extra time to respond to comments and questions and if occasionally there are some gaps in the publication schedule.

Counselorssoapbox.com is approaching one thousand posts and still growing. Thanks to all of you for reading and continuing to be supportive of this endeavor.

What is ahead for the coming months here on counselorssoapbox.com?

A new feature coming up will be a series of posts titled “What is.”  This started as a project for my beginning students and the masters level people I supervise. Knowing the vocabulary of mental health and recovery helps them think about what they will be doing and the issues in the field. These “What is” posts will be shorter than the regular long-form ones.

The field is changing, counselorssoapbox and the posts on it need to reflect those changes. We are looking at milder cases of issues and the topic of prevention. The old idea that the mentally ill, addicts, and alcoholics were fundamentally different from “normal people” has given way to seeing how anyone can at times have a substance use disorder when their drinking gets excessive and that you can move back and forth on a continuum of mental wellness.

The year ahead, academic not calendar year will need to include more posts on wellness and recovery, and some things called strength-based recovery. Parallel with those new ways of thinking is the emergence of non-medical counseling and coaching. All of these areas are fertile topics for thought and discussion.

Those who know me well, know that I love seeing clients, teaching, writing, and supervising new counselors, because I learn so much in the process of listening to all of you and researching the topics I will write about.

Hope you will all continue to follow counselorssoapbox and thanks for your continued support in all I do. Keep those comments and questions coming and I will do my best to share what I know or can find out about those topics.

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

Magic all around us

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Sunday Inspiration    Post By David Joel Miller.

Magic Things

Magic Things all Around Us
Photo courtesy of Pixabay.com

“The world is full of magic things, patiently waiting for our senses to grow sharper.”

― W.B. Yeats

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