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.

Tips for Surviving Hard Times.

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

Surviving a rough road.
Photo courtesy of Pixabay.com

How do resilient people get through the hard times?

Life is hard sometimes. People get sick, lose jobs, relationship break up. Things can get really tough. Some people get discouraged, fall into episodes of anxiety and depression. Other people are able to bounce back.

If you have depression or anxiety and it is holding you back, consider getting professional help. Resiliency, that ability to bounce back from life’s challenges is a skill that you can develop or improve. Here are some suggestions of things you can do to get through those life challenges.

1. Do not spend time thinking about how bad things are.

When you get knocked down one common reaction is to spend lots of time thinking about your setback. How did this happen? What could I do differently?

Ruminating, that endless rehashing what happened to knock you down can keep you stuck in the down position. Use this time to look for solutions not to endlessly remind yourself how unfair things are.

Sometimes life is unfair. Sometimes things happen that should not happen. The difference between people who find their lives ruined and those who go on to overcome is all about attitude.

2. Accept that life has its ups and downs.

This is a real life. Things do not follow those storybook plots. Everyone has setbacks. People who were “instant” or “overnight” successes often spent years practicing. Many successful people failed several times before they discovered the thing that they were good at.

More than once an athlete has stumbled and fallen only to get back up and complete the race. Sometimes they were able to win despite that fall.

If you stay down you create your own defeat.

3. Do not catastrophize.

We, humans, have the ability to exaggerate things in the extreme. The student fails one test and begins to tell themselves that they will never pass another test. They will fail in school, “never” get a good job, and “always” be poor.

Do not fall into “black and white thinking.” People are not either winners or losers. No one wins everything every time. One setback does not make you a loser. Slip into those mindsets and you lose out on the successes you have had.

4. View setbacks as opportunities to improve your game.

Highly resilient people look at setbacks as a lesson learned. If you fail at something you may need to change your approach or change your game.

Winners practice the skills they are deficient in. We all like to do things we are good at but those who look at their errors as chances to improve take their game to a whole nother level.

5. Start by changing yourself.

It is less painful to blame our tough times on others, on the economy, our ex, or an unreasonable boss. The highly resilient person knows that spending time on why things are others faults will not change things. Most of us have tried our whole lives to make others change to suit us.

Every teen tries to change their parents. Wives try to change husbands and husbands try to change wives. You may have some small successes in getting others to change but the great lesson in life is that if you change yourself that forces others to alter the way they interact with you.

It is always easier and more productive to look at how you can alter your thinking and behavior and as a result, produce a better outcome.

6. Do not waste time insisting things be your way.

Things do not always go our way. Continuing to insist that things “must” or “should” be some particular way is a waste of your time and energy.

This does not mean that you have to accept bad or hurtful situations. Stop insisting things change and change yourself, your reaction to things, and your behavior.

If you do not like the way things are going stop complaining and start taking action.

7. Sometimes not getting what you want is a good thing.

Many times in life we will not get the things we wanted. Or we get what we wanted but not when we wanted them. That just may be a good thing.

Getting one job may keep you from continuing to look and finding a better one. Often a failed romance will result in meeting someone else that is an even better match.

8. Some losses are an inherent part of the cycle of life.

Not every loss is a good thing but it may be a necessary thing. As we age we lose things. We can’t walk as well or lift as much. People, friends, and relatives leave our life. Some through death and some just drift away. These losses can be painful. They can also be an opportunity for growth.

How we handle the loss of our parents becomes a model for how our children will cope with losing us.

9. Do not confuse the journey with the destination.

Most of us do not start our life wealthy, successful, and accomplished. Life is a journey. You grow and develop or you become stuck and decline. Do not despair because you are not where you want to be. Keep moving forward and you can be amazed at how things can change.

Recovering people often despair in those early days of reaching the goals they believe they should already have met. Over time they can accomplish more than they ever dreamed.

10. See the good in your current situation.

Not working right now? Does this mean that you can spend more time with your children or spouse? Not in a relationship at this time? This may be your one and only time in life to learn who you are and to have time just for yourself.

11.  Notice the small pleasures.

If you are crying because you do not have a rose garden you miss the pleasure from the one flower you do have. Enjoy your friends, your family, and your leisure. Relish what you can buy rather than bemoan that you can’t afford the best or the most expensive.

12. Love and accept yourself.

You are a worthwhile person simply because you are you. Do not despair because you compare yourself to someone else. There are always others with more. Remember that they may also be unhappy and struggling. Do not envy what others have unless you know what they had to give up and go through to get there.

If you really know what sacrifices that other person had to make to get where they are you might not want to make those efforts.

13. Give yourself credit for the things you accomplish.

One sure way to stay stuck in failure is to attend only to your errors. Whatever you focus on you get more of and eventually if you keep looking for the failure your brain will create more disappointments.

To build resilience, to really improve your ability to bounce back from adversity, learn to give yourself a round of applause for each and everything you accomplish.

Cumulatively a string of small victories can add up to a major victory. Anything you accomplish is a win. Make sure you mark those things you do well down and hold onto those memories so they can carry you through the hard times.

14. Aim high but be happy with all your accomplishments.

We humans have a decided tendency to be unrealistic in our expectations. Some of us aim so low that we never miss the mark. The trouble with aiming at nothing is that is precisely what you hit – nothing.

Other of us aim so high that no one, not even a superhuman could reach that mark. Then when we fail to hit that sky-high mark we alibi our failure by saying – well what did you expect.

Resilient people aim high but are pleased with whatever accomplishments they achieve. Practice these ways to cope in times of stress.

What other techniques have you found that help you bounce back when life knocks you down?

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

6 Ways to Banish Loneliness.

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

Lonely person

Loneliness.
Photo courtesy of Pixabay.com

Ending Loneliness.

In a past post, we talked about Loneliness first-aid – ways to keep that creature from moving into your life. But if you find that Mr. Loneliness has been a longtime guest in your life – How do you get him to move out?

Here are some ways to Banish Loneliness from your life. Breaking up, when you are in a bad relationship is hard to do. The person who is causing you so much pain will resist leaving. Loneliness is sneaky that way. You send him packing out the front door and you might find him climbing in the window later that night.

Here are ways to get through to loneliness that he is not welcome in your life anymore.

1. Become your own best friend.

Remember back to elementary school. If you had a best friend they did not like it if you started hanging out with someone else. Mr. Loneliness is like that. He never grew up. So if you start hanging out with a good friend he will not want to hang out with your anymore.

What better friend to be with than yourself.

This is hard for some folks. They tell me they have low self-esteem. They are not sure they like themselves and they would not want themselves from a best friend.

This lays out a clear roadmap to becoming happier. Make friends with you.

Get to really know yourself and like yourself. Stop beating yourself up. If no one ever gave you credit for things well done, learn to take a bow when you did something right.

Accept yourself and forgive yourself. Become the model of a best friend and start by becoming your own best friend.

It is hard for other people to like to be with us if we do not like ourselves.

2. Reconnect with old friends.

Loneliness wants you to forget about people who have been supportive and rely only on him. Look through your phone list and call someone. Call someone or email them every day. Chances are that since you stopped staying in contact with that old friend loneliness has been hanging around their door also.

3. Make some new same-sex friends.

When people are lonely the first suggestion loneliness makes is to find a new lover. Loneliness knows that the high of a new love feeling will only last a short while. Sex with a new partner can leave you alone sleeping with Mister Loneliness faster than anything else.

The loneliest time for most people is after a close relationship ends.

So if you want to avoid the new sexual partner trap Mister Loneliness has set for you, make new friends who are the same gender as you. That takes the mating ritual stuff out of the picture for most people.

If you are gay or lesbian, forget what I just said and work on making more friends of the opposite sex. The idea here is to develop social connections that can chase off Mr. Loneliness without falling into the new relationship trap.

Those hormones in the brain love releases last 6 to 18 months. If you haven’t learned how to be happy without your partner there all the time, then as that new love turns into an everyday routine you will start dating Mr. Loneliness again.

4. Get out there.

You need to get out of the house and do things. Nothing makes you and Mr. Loneliness closer than you isolating from other human contacts.

Now by “get out there,” do not think you need to hit the clubs and bars. That is a good way to run into Mister Loneliness again. He likes to dress up as an alcoholic or an addict. The man who looks like Mister Right probably has some drug habits and a few ex’s, baby’s mommas, and the like.

What you need to do is get out there around other happy positive people.  If you have an interest in a sport, join a team or league. If you like reading, join a book club. If you have a religious or spiritual faith, get active in that group.

5. Learn friend-making skills.

Learning to make friends is a skill, not an ability. Some people just seem naturally better at making friends but a few of those naturals have confided in me about the process they went through to get good at making friends. Watch those people who are good at making friends and see how they do it.

Do not start telling yourself that you could never do what they do. Maybe not exactly what they do in their way. You are you after all. But you can pick up a few pointers by watching the popular people.

Ask one of them how they do it and you may get a helping hand you never expected.

When in a new place learn to put your hand out and introduce yourself. Ask about others and wait to be asked about yourself. Do not regurgitate your whole life story but offer up small tidbits to keep the conversation moving.

Keep telling yourself you can get better at making and keeping friends.

5. Learn the skills to be alone but not lonely.

Being all alone should not mean being lonely. If you have done the work on yourself, become your own best friend learned the things you like, and the things that are not ok with you, then being alone some of the time should be a good thing.

6. Take yourself on a date.

Do nice things for yourself. Go to places you like to visit. Try out new foods and new positive experiences.

Where would you take a tourist who was visiting your town for the first time? Many people have never seen the top tourist spots in their own city. Take yourself there. If you really like the place invite a friend to go back with you.

Ask people you know for recommendations of places to visit. If they come up with suggestions ask them if they have ever been there and either way, ask them if they would care to join you. If they say no do not take this as a rejection of you. We all have busy lives these days and sometimes people are just not available to go places and do things when you might invite them.

Those are six ways to get Mr. Loneliness out of your life. There are many more. Have you found any that work for you?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

5 Misconceptions about the causes of affairs.

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

Emotional Affair

Affair?
Photo courtesy of Pixabay.com

The causes of many affairs are not what people think.

Often they are a lot simpler than you may expect. Here are some common misconceptions.

1. Affairs are all about sex.

Some affairs do start that way, the one night stand or the hookup, but most include a much deeper feeling component. Wives are often surprised that the woman their man picked for an affair is not all that spectacular.

Far more affairs begin as over close friendships that develop given enough time together and the increased sharing of feelings that develop into an intimate relationship. Many affairs start out with the sharing of things that the affair partner is not able or willing to share with their regular partner.

Affairs can begin as a result of people spending time together on the job or in an outside activity. They progress from spending lots of time together to sharing about the hobby or job and ultimately reach sharing about feelings and secrets.

When someone begins sharing inner secrets with someone other than their partner the risks of an affair increase. This is one reason therapists are warned to always be on the lookout for clients who are beginning to feel attracted to the therapist or vice versa.

2. Affairs are the result of a bad or unhappy marriage.

Many people, up to 37 % in one study, reported that they thought they were in a good relationship. They did not begin to think of their primary relationship as bad until after they were involved in an affair and then felt the need to choose between the relational partner and the affair partner.

3. People leave their wives and families for their lovers.

That does happen sometimes, but it is true less than 25% of the time. Most of these relationships that started out as affairs do not work out. Either the primary couple reconciles and works it out or the person who had the affair ends up alone for a period of time before getting into another long-term relationship.

4.  Affairs are planned ahead of time.

Most affairs are the result of opportunities and attitudes. Away from home travel, working, or socializing with the opposite sex, and being in a culture that accepts or condones sex outside marriage increases the risks.

If others around you are hooking up and fooling around it becomes more difficult to maintain boundaries.

5. An affair is a rational choice – there had to be a reason he picked her.

Often the affair is a purely accidental happening. When it comes to a romantic relationship humans are often drawn to someone very different from themselves. A new partner who is very different from the primary relationship partner has that extra allure of the unknown. They may also present the challenge of seeing if you could get that person to want you.

As people get older the affair may be a chance to answer that question “Do I still have what it takes.”

6. Affairs are secretive solitary happenings.

Sometimes affairs are conducted in secret but more often than not the affair couple develops a social circle of friends who support the affair couples relationship.

The social group of one or both of the participants in the affair frequently encourages the affair couple. Working in a place with lots of single people or a culture of hook-ups and away from home sex can encourage an affair. Some jobs have a culture of partying after work, complete with alcohol or drug use, and hook up sex.

In a setting where others are fooling around it is easier to end up hooking up yourself. Having friends who will facilitate your adventures and cover for you increases the risks that you will engage in an affair.

Affairs happen, more often than not. They can cause a huge amount of suffering. Some people have one affair and they regret it. Others repeat the mistake. If this is the first time and the person who had the affair regrets it then there is hope. Marriage counseling can help. So can individual counseling for the two married people to help them see why it happened and how to create a safe relationship in the future.

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

Will walking make you smarter?

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

Does brisk walking help you learn or should you rest up first?

Walking.
Photo courtesy of Pixabay.com

Worldwide we are seeing the results of increases in body weight. Clearly being obese or overweight can seriously impact your health. We know that more exercise can help lose weight and may improve health but how much exercise is needed and the impact this might have on learning and memory is often overlooked.

The connection between exercise and the ability to learn may be a lot more significant than most people realize

As little as 10 minutes of brisk exercise in the form of walking can improve your ability to learn things. Unfortunately, most people do not recognize this relationship. Most of us rest after exercise and then try to study and learn when well-rested.

We may be doing the whole exercise and learning behaviors backward.

One study, (Salas et al, 2011) reports that a brisk 10-minute walk improved college student’s ability to learn new material.

Unfortunately, the students in this study did not recognize that their learning had improved. Sometimes our own impression of how much we are learning turns out to be incorrect.

As those who practice yoga will tell you, exercise does not need to be painful to be helpful. The key to getting health benefits from this form of exercise is not speed or strength, but to breathe as you do it. Doing a pose or posture slowly and with breathing can result in significant health benefits.

So if you find that your concentration is waning, the answer may be a brisk walk rather than the traditional “break” from the thinking activity.

Turns out that we need a healthy body to help us with the tasks most of us think of as mental.

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

7 Dos and Don’ts of loneliness first aid.

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

Lonely person

Loneliness.
Photo courtesy of Pixabay.com

The do’s and don’ts of loneliness.

Loneliness follows you around. Sometimes that old bugger is waiting just outside your door for a chance to move in. Loneliness is one of the largest causes of relapse. It can take you back to depression, anxiety, or drug and alcohol abuse in a minute.

If you hear Mr. Loneliness knocking at your door here are the things you should do and not do to keep yourself safe and headed forward in a happy life.

1. Do practice thought-stopping.

When Mr. Loneliness whispers his message of pain in your ear, drown him out with the positive things you tell yourself. Tell yourself to knock off those thoughts and think about something more helpful.

There are lots of books and articles out there on how to stop negative thoughts and replace them with positive thinking. Make use of thought-stopping.

2. Do reach out to people who are supportive.

Mental health and substance abuse recovery professionals all agree you need a support system. You also need to make sure that those people will really support you in times of need. Mom may let you stay with her but when you are depressed, lonely, or feeling like picking up will she know what to say?

Make it a point to maintain contact information for all the people who are supportive of you. If you are a member of a support group or a 12 step community get a list of phone numbers, email addresses, or other contact info.

Each day reach out and communicate with someone in your support system. Some people will be there for you and some will not. Some can help with physical things like a ride but are not able to listen to how you feel. Others will be glad to listen to you but can’t, for a variety of reasons, give you a ride.

Know who will support you and in what ways.

Remember support systems are a two-way street. Sometimes when you call, just to check-in, you will find that the other person needs to talk more than you do. Be there to support them also.

3. Do pull out your gratitude list.

When you are depressed, lonely, or fiending for a drink it is easy to see what is wrong in your life and hard to remember the things that are good.

Whatever you call your lists, gratitude, things that are helpful, things that make you smile, a WRAP plan, write these lists down, and keep them close. That way when there is a time you need to see the happy, positive things in your life, you can pull that old gratitude list out and remind yourself of the things you are thankful for.

If your lists are thin, work on these lists with your friends, supporters, sponsor or professionals. Often others can see the good in you and the changes that you are making long before you can.

When you are tired and there is still a climb to get to the top of the mountain, it is easy to forget how far you have already climbed.

4. Do not pick up drugs, alcohol, or another addiction.

Drugs, Alcohol, Gambling sexual addictions, these were the old solutions to that lonely feeling and the other pains you wanted to avoid.  These are the solutions that did not work.

Remind yourself that more of the same gets you more of the same and no matter what do not reach back for an old addiction. Keep moving forward.

Things can and do get better. People do recover from all manner of problems and you can too.

5. Do not rush to hook up with someone to hold that loneliness at bay for a few minutes.

The old saying was “marry in haste and repent at leisure.” Most people spend more time shopping for a used car than for a baby’s mother or baby’s father.

Trying to cure loneliness by jumping into a new sexual relationship is a prescription for disaster. When the novelty of the experience wears off you will find yourself in worse shape than before.

It takes two healthy people to create a healthy relationship. Two people can help each other but you can’t fill the hole in your heart with someone else’s private parts.

6. Do not invite Mr. Loneliness to move in and live with you.

Beware making your life all about loneliness. Do not wear your pain on your sleeve for all to see. You can get caught up in rehashing all the reasons you are lonely and find out that you were the prison guard that locked you inside that lonely cell. Do not torture yourself and call that being realistic.

Being alone may be your condition right now but Mr. Loneliness is a cruel person who does not make a good long-term companion.

7. Do not isolate and hope the feeling will pass.

The cure for loneliness is not avoiding people. It is getting comfortable in your own skin and in being around others.  Reach out for help. Do not expect others to fix you. It is the interactions with others that cure loneliness, not the having or being had.

Try these loneliness first-aid tips and see if this procedure keeps Mr. Loneliness away. If you find he has already moved into your life while you were not paying close attention then stay tuned for an upcoming post on ways to get Mr. Loneliness out of your life.

Some people will find that once they let go of Mr. Loneliness they are frantically trying to get someone in their life, anyone, to keep them from feeling lonely, they do not know what to do by themselves. We have a post in the works for that topic also.

Not sure when these posts about Mr. Loneliness and his gang will appear, they are scheduled out into the future, so watch for them and check the topic list to the right of this page for more on the adventures of Mister Loneliness.

Have you had some experiences with Mr. Loneliness? If he is gone – how did you get him 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

Drug kills your mental health before it kills your body.

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

Full ashtray

Smoking cigarettes.
Photo courtesy of Pixabay.com

Nicotine  – The killer drug.

Of all the drugs out there, legal or illegal one drug alone accounts for the bulk of the drug-related deaths each year. That drug is Nicotine and the predominant ways it gets into your body is by smoking or second-hand smoke.

We have known for 50 years or more that Tobacco and smoking were harmful to our physical health but we are only now seeing the extent of the connection between smoking and other societal problems such as mental illness and homelessness.

For every one person that dies of an illegal drug Nicotine kills 200 people. That is not an argument for legalizing other drugs. We have seen highly publicized drug deaths recently from illegal drugs. Heroin and prescribed Opiates can kill quickly and with alcohol in the bloodstream the overdose death rate sores.

Deaths from tobacco happen far more slowly. There is a gradual progression of a variety of diseases before the final death.

What we have been overlooking in all of this is the significant connection between mental illness, other drug addiction, and smoking. Mental health treatment providers have been slow to recognize the connection and slower yet to attempt any form of smoking cessation treatment with the mentally ill clients.

While in withdrawal from Nicotine clients can become agitated, restless, and harder to manage. Providers have suggested that they needed to work on the “bigger” issues of drug withdrawal, alcoholism, depression, and other mental disorders.

What has been missing from this approach is a clear view of the ways in which Nicotine may be causing and maintaining a mental illness.

Research studies have suggested that between 44% and 50% of all the cigarettes consumed in America are smoked by those with a mental, emotional, or behavioral health diagnosis (a DSM diagnosable condition.)  Researchers have detailed the efforts of the Tobacco companies to market to the mentally ill (Prochaska, Hall, & Bero, 2008; Lasser et al., 2000; Apollonio & Malone, 2005, cited in Wigand, 2009.)

One consequence of the heavy smoking by the mentally ill is that they commonly live twenty years less than those without a long-term mental illness.

Despite the apparent connection between Nicotine and the creation and maintenance of mental illness most providers have been reluctant to include smoking cessation in their programs.

This connection between smoking and mental health issues is particularly problematic among women. Jessup Et al. on their study of women smokers reported “Smokers had significantly higher rates of Post Traumatic Stress Disorder (PTSD), past year depression and anxiety, suicidality, past year substance abuse, and co-occurring disorders.

Jessup further reports that women who smoke two packs per day are more than twice as likely to suffer from Major Depression. Those with Post Traumatic Stress Disorder were 4-5 times more likely to be heavy smokers. In this study, smoking women were much more likely to be unemployed than nonsmokers and even if they lived with a partner the smokers were more likely to not have enough money to meet their basic needs.

The connection between smoking, drug, and alcohol use disorders, and mental illness has been reported in study after study.

Those disorders that seem to be highly correlated include substance use disorders, PTSD, Depression, Anxiety disorders, and Psychosis. There have been some suggestions that smoking has helped those with serious mental illness manage their symptoms, even though this is at the cost of a shortened lifespan. The research seems to report that smokers report more, not fewer, symptoms of mental illness. The “smoking solution” is making symptoms worse, not better.

This connection between smoking, mental illness, and a substance use disorder also resulted in increased rates of unemployment, no medical insurance, and a high need for treatment. Those at the highest need of physical health services were the least likely to be receiving those services other than through free programs or hospital emergency rooms.

Studies have also reported that smokers are twice as likely to have had recent thoughts of suicide as non-smokers.

One difficulty with adding smoking cessation treatment to substance abuse, mental health, and co-occurring treatment programs is that the majority of people in treatment are in the stage of change we call “precontemplative” meaning they had not even thought about quitting. For this group, the most effective intervention may be education about the connection between smoking and their other co-occurring issues.

We are hopeful that the expansion of health care will result in more services for those who have co-occurring disorders and that smoking cessation treatment may be included in those services.

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

Is he Internet addicted?

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

Computer

Internet.
Photo courtesy of Pixabay.com

Is this just having fun or is it internet addiction?

How much internet usage is a problem?

When it comes to behaviors how can you tell when enough is too much?

We know that behaviors can become problems. Some like pathological gambling can destroy lives and families but when is a behavior an addiction?

Is internet addiction a real addiction?

It would appear so. Brain scan studies show that in both drug-addicted individuals and people with problematic internet usage the same areas of the brain light up when they think about their preferred activity. The brain has changed in response to their habit and has resulted in characteristic symptoms of addiction.

The hallmarks of addiction are; building up a tolerance, withdrawal symptoms, excessive involvement with the drug or activity, and continued participation in the activity despite negative consequences. We should also mention here that cravings for the drug or activity are the factor that maintains the addiction.

Let’s look at how these characteristics will manifest in someone with an internet addiction. We think there is a difference between high levels of computer usage and a true internet addiction. Computers and the internet have become parts of modern life. They can have good and bad aspects. Many jobs now require the use of the computer, often for many hours per day. We use computers and the internet for business, person, and social applications. Some usages have more risk of becoming a problem than others.

Internet addiction is one of these “behavioral addictions” or compulsions that are poorly understood and little researched.

First, the 4 characteristics of addiction applied to excessive internet usage. Then some information on possible psychiatric connections.

1. Tolerance.

People who become addicted to the internet need more and bigger computers, more software, and the time they spend on the computer continues to increase. They may spend excessive (for their income) amounts of money and time on their computer activates.

2. Withdrawal.

When unable to do their usual activities the internet addict will become angry, fearful, anxious, or depressed. Should their connection fail they are unable to do other activities in the place of their internet routine.

3. Excessive usage.

What is excessive is a matter of perspective. Most addicts can’t see that their activity has become excessive until it has become too late. Neglect of other areas of life is a good sign this activity is becoming excessive.

Does the internet user stay up too late and then are they tired all the next day. Does this time online interfere with their job, school work, or family life? Is this person neglecting their role responsibilities?

All of these are signs that the use of the internet has become excessive.

4. Continued use despite negative consequences.

The internet addict will begin to lie to others around them about their usage and the nature of their online activities. We have talked elsewhere, or will soon about how this lying may be a sign that the person is using the internet in the service of another addiction, like an affair, gambling, or a sexual addiction. The lying we are talking about here is not about covering up the why of their usage but this lie is about covering up the extent of their usage.

Poor school work or job performance are common results of excessive internet usage. Chronic fatigue with a loss of motivation and interest in other activities occurs. Social isolation, with few friends and few offline activities, also occur.

Psychiatric considerations and co-morbidity.

So why should we be concerned about an internet addiction? They could be addicted to books (an incurable condition for a writer.) As long as they do not lose their job or family, what’s the harm?

Internet addiction may be a symptom of other disorders rather than a primary disorder. Internet addiction coexists with several other serious mental health problems. Those with internet addiction often have depression from mild all the way to serious. Anxiety is a common co-morbidity and may be of the generalized, over-anxious, variety, or the social phobia type.

Among those with excessive internet usage, alcohol and marijuana abuse is common. Addictions travel in flocks and switching one addiction for another is commonly reported in recovery circles.

Internet addiction is not yet a recognized disorder in the DSM. One variation, Internet Gaming Disorder has been proposed for further study. The mental health community is still not quite sure how to understand this internet addiction thing.

Some authors have proposed that this may be a variant of Obsessive-Compulsive Disorder (OCD.) The use of the internet may be a way of reducing anxiety in those with OCD. Other authors have noted that the anxiety in Internet addiction is more like that in drug addiction, the addict becomes anxious when they are unable to get the thing that is the object of their addiction.

Internet addiction may be another of those catch-all groups that are really a set of similar symptoms that represent several distinct disorders. A cough can be a symptom of many illnesses and what if excessive internet usage is really a symptom of many different mental health disorders?

Three variations of internet addiction appear likely

1. Internet Gaming.

This variant is the need for the repetitive playing of games and racking up points. They may be playing against others online or this may be a solitary activity. Research currently distinguishes this from internet gambling. Gambling Disorder (formerly called Pathological Gambling) seems the same online and offline and pathological gamblers move between various settings and games of chance.

2. Cyber Sex.

This appears to fit in with other sexual issues. It is distinguished from the use of the internet to facilitate affairs or other crimes. This can vary from sex chat and sexting all the way to a pornography addiction. In a cybersex addiction, the goal is to get sexual gratification online rather than the goal of meeting a real person offline.

3. Obsessive use of the internet for social contact.

This includes frequent usage of emails, text messages, and social media sites. The internet addict may become obsessed with how many friends they have on a particular site, what others are saying, and so on. This reliance on the internet for human contact may lead to a lack of social skills and few friends when in offline situations.

One serious concern with excessive reliance on the internet for social contact is the risk of pain caused by online stalking and cyberbullying which can result in suicide or other emotional crises.

Hope this brief summary of the problem of internet addiction and the link to other behavioral disorders may be helpful to someone. As always appropriate comments are welcome.

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

10 Rules for recovery after an affair.

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

Emotional Affair

Recovery after an affair.

The common perception is that once the affair is discovered the couple is headed for divorce. The truth is that up to 70% of married couples stay together, for a variety of reasons, after they discover that partner was having an affair.

Among those who do divorce, many will later regret making that first impulsive decision.

Your family and friends may be telling you to kick him, or increasingly her, to the curb. But should you call it quits? What does it take to recover from an affair? How can marriage counseling play a role in mending the pain?

1. Don’t make sudden decisions when you discover an affair.

Give both of you time to think it through. You have a lot of time and emotions invested in this relationship. You owe it to yourself to see if it can be repaired before you junk it.

2. Both of you need to process how the affair affected you.

Both partners in the relationship may need therapy to work through their feelings about the affair, their relationship, and how it reached this point.

Therapists recommend that the non-affair partner write a letter to the affair partner telling them how they feel and how this has affected them. This is the kind of letter you need to write but do not need to send. Process these feelings first in your own therapy. Eventually, you may be able to read this to your relationship partner and help them to understand how this has affected you.

3. You need to create empathy for the non-affair partner.

Many people who have had affairs have very little understanding of how this has affected their partner. They will say in counseling that they have ended the relationship and that should solve the problems. Having them listen to the non-affair partner talk about how they were hurt by the affair and what feelings this created in that person can increase empathy and understanding.

4. Avoid staying together after the affair and ending up living two separate lives.

Some couples arrive at this point as a result of unspoken feelings. They will stay together for the children, for the economic needs, or because of the problems of splitting assets. What they don’t plan on is having an emotionally close relationship ever again. Most of these efforts fail as the two people involve find that they are living a life devoid of love and affection.

Even if the couple plans to try to make this relationship work, avoiding having those tough talks about their plans goals and future may result in a relationship that feels like to unrelated people living in the same house.

5. Rebuilding trust after an affair is a long hard process.

The most devastating part of finding out your partner had an affair is the feeling of betrayal of your trust. It takes a long time and lots of effort to rebuild that trust. You need to let each other into both your lives and make sure neither is hiding anything. Do not tell your partner you are going to get gas for the car and then turn up several hours later with leftover takeout food. If you plan on several stops tell your partner if plans change, call them and let them know, or stick to the plan and make a second trip some other time.

6. Do not use counseling or therapy as a way to get even with your partner.

Trying to use marriage counseling as a way to get even with the affair partner makes things worse. No amount of beating them up will erase what happened and it will result in fresh wounds that may never heal.

7. Give the non-affair partner all the information they need but no more.

Many partners want to know every detail, what did you two do in and out of bed. It is important to stop keeping secrets but beware of giving more details that requested. Non-affair partners can suffer from symptoms similar to Post Traumatic Stress Disorder. After hearing about sexual activity between the partner and the affair partner the non-affair partner can experience intrusive thoughts. They may imagine graphic images of their partner engaged in sexual activity with another person.

8. Make post affair counseling a repair effort.

Give the partner that had the affair a chance to show their intentions. Do they do small things to make it right but quickly slip back into old behaviors? Let them know that you hope for and expect the best but they will need to prove their desire to change and make it right by making visible changes in their behavior.

9. Get extra honest with each other to rebuild trust.

Affairs are about the fights you never had. If there are problems in the relationship talk them through. Work on expressing your feelings, being careful to ask to have your needs met rather than run your partner down. “I feel disrespect when you do not help clean up after dinner.” Not “You are such a pig!” You never clean up after yourself!”

One key characteristic of affairs is the need to keep secrets. The non-affair partner sometimes feels then may have contributed to the affair by not asking what the other person was doing and feeling. Some people who have had affairs tell me that they felt they had a sort of permission to have the affair a “don’t ask don’t tell” code.

Couples may need to have a lot of those talks about sex and relationships they did not have before they entered this relationship. Women frequently have a different definition of an affair than a man will. She thinks that flirting and emotional closeness with another woman is cheating. He may think that anything short of intercourse is OK. That attitude and some alcohol have led to a lot of one night stands.

10. Avoid the problematic use of drugs and alcohol.

Drugs and alcohol lower inhibitions. People with an untreated substance use disorder are at increased risk to engage in affair behavior. Drinking and using places encourage sexual activity. People who abuse alcohol and drugs may accept those kinds of behavior as a part of the “Partying” lifestyle.

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

Grieving bad relationships?

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

Grieving a bad relationship.
Photo courtesy of Pixabay.com

Do you grieve over the end of a bad relationship?

When a relationship ends we all grieve, each in our own way. Grieving is a process and that process can be different for each person. It makes sense to grieve over the loss of someone we love, but many people find themselves going through a period of grief at the end of a bad relationship, and the stages of grief they go through can be a lot like the process for the loss of a loving relationship.

This has occurred not once or a few times in my clinical practice. If it was one person I would not be telling this story out of respect for their confidentiality. But this has happened frequently in the lives of people I see and it is reported in the research on ending relationships.

Bad relationships happen in the romantic area and they happen in our families of origin. There is pain from that unfulfilling relationship whether it involved an unloving or abusive parent or a romance gone bad.

New relationships often start with huge hopes and expectations. A large number do not live up to those expectations. We invest a piece of our heart in every intimate relationship we have ever been in.

Couples get together, with or without the benefit of marriage. They expect this relationship to make them happy. Then the reality sets in they are not happy in this relationship. Many times they find they are miserable.

There may be abuse, addiction, domestic violence, and arguments. In the course of those conflicts, people say things to each other that they can never take back. The relationship hurts.

Ending the relationship does not end the pain.

You may have grown up in an unloving home. The parent was addicted, abusive or just unable to provide the affection you wanted and needed. Depressed parents, parents with their own mental or emotional issues may not be able to give those things they do not have themselves. The cycle of emotional unavailability can pass down through generations.

Children who were abused by parents, placed in foster care to protect them, still may miss that parent.   More than one of these youth, upon reaching adulthood will leave the foster care system to return to the family that abused them.

What they miss is not the reality of unloving parents but the loss of that dream that someday somehow they will be reconciled to those parents and find love.

Couples often grieve not for the loss of the relationship that never was good but for the loss of that dream that in this relationship they might find the loving other that would make them happy.

What many find out is that this other can never make them happy, happiness is an inside job. No amount of effort will make some troubled relationships whole. Often times ending a relationship is the best thing for both people involved. Other times they end the relationship and discover that they are still unhappy.

When any relationship ends, good or bad what we most grieve is the loss of potential, the end of the dreams that someday, somehow this relationship will meet our needs. We grieve when we lose a good relationship and we grieve when the troubled ones end.

We grieve mostly at the end of each relationship over the loss of what might have been.

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

Tobacco is the ticket to mental illness and addiction

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

Smoking cigarettes.
Photo courtesy of Pixabay.com

Tobacco and Mental Illness.

Early Cigarette smoking is strongly linked to developing a mental illness or an addiction

The younger you start smoking the riskier it is. In our efforts to teach kids about drugs and addiction we have been neglecting to focus on the one drug that seems to be the ticket to later-life mental illness and addiction.

That drug is nicotine.

Most young people with a drug or alcohol problem began to smoke between the ages of 11 and 13. Early use of alcohol is also a factor. For now, let’s talk about the impact of smoking cigarettes on teen’s development of a mental illness or an addiction.

Among adult smokers, over 80% began smoking in the early teen years.

What has gone unnoticed for so long is the connection between this early smoking, the development of addiction to other drugs, and the development of a mental illness.

Fortuna Et al. reported on a study of adolescents in a residential substance abuse treatment program. You need to have developed a serious problem to get into residential treatment in most places these days. What they found was disturbing.

An occasional smoker, those “social” smokers, can develop a dependency on Nicotine in as little as 4 weeks. Kinney reported in a drug treatment book that after smoking just one cigarette, once they light up that second time, a young person has an 85 % chance of becoming a daily smoker. That is an extremely addictive substance.

Among teen smokers in residential substance abuse treatment, the problems with mental illness were significant. Those with depression and anxiety, both common across the lifespan, they were twice as likely to develop nicotine dependence as those without a mental illness.

People with Bipolar Disorder and or Schizophrenia are three times more likely to be nicotine dependent. Even the rates of smoking among those with ADHD are reported as significantly higher than those with no mental illness diagnosis.

Being the victim of, or being exposed to trauma, domestic violence or other abuse and neglect also correlate with an increase in smoking and nicotine dependency.

It is worth noting that from the design of these studies we can’t be sure of the exact nature of the connection. Does smoking increase the risk of developing a mental illness? It looks likely. It also looks likely that those with a preexisting mental illness are more likely to take up smoking. Either way teen smoking is a whole lot more troubling than anyone recognized in the past.

What Fortune et al. did conclude in their study was that a teen’s cigarette smoking significantly increased the risk of them developing a serious drug or alcohol addiction. They also report that those with co-occurring disorders, addiction, and a mental illness are much more likely to become nicotine dependent if they start smoking.

In this study, the only drug that teens had used first more often than smoking tobacco was smoking marijuana. We have known that route of administration significantly impacts the way the drug affects a user. It seems to me that any drug that is smoked can lead to dependency faster than other routes of administration. Even so, the conclusion that more teens with co-occurring disorders began by smoking marijuana is a concern.

Alcohol use was a close third in the drug that teens who later developed an addiction had used first. This suggests that parent use, societal approval, and ready availability are all factors in teen’s first picking up a drug and then in progressing to a more serious substance use disorder.

Most of this kind of research looks at those who develop problems and then looks back at what route the followed to get to addiction. We can’t be sure what percentage of teens that smoke cigarettes, do marijuana, or drink alcohol will go on to develop a substance use disorder or a mental illness. Still, it seems clear that those who do develop an addiction or a mental illness, most of them started abusing the readily available substance at an early age.

In studies of teens in drug treatment, Fortune et. al especially notes this, smoking is so common, almost every teen is a smoker, it is hard to see the differences between the smokers and the nonsmokers.

Lawrence et. al, looked at the connection between smoking and mental illness in a large sample of youth, not in treatment. Their conclusions were similar. Teens with a mental illness were far more likely to start smoking at an early age, smoke on an everyday basis, and be heavy smokers. They clearly identified a link between teens who smoke and mental illness.

It is important that in addressing teen mental health issues and substance abuse issues we not overlook the role of nicotine and early smoking. We also need to keep an eye out for the emergence of increased marijuana use as the first indicator of a teen mental health issue.

Other research and treatment protocols have looked at the need for a different form of treatment for those whose primary drug of choice was Marijuana and who had self-reported this as being a problem. For more on drug-specific treatment of Marijuana look at the SAMHSA publication on Brief Counseling for Marijuana Dependency (BCMD.) This publication is free.

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