Finding Our Values.

Sunday Inspiration.          Post by David Joel Miller.

Values.

Values

Values
New York City 1980’s
Photo courtesy of Pixabay.com

“It’s not hard to make decisions when you know what your values are.”

― Roy Disney

“We are not afraid to entrust the American people with unpleasant facts, foreign ideas, alien philosophies, and competitive values. For a nation that is afraid to let its people judge the truth and falsehood in an open market is a nation that is afraid of its people.”

[Remarks on the 20th Anniversary of the Voice of America; Department of Health, Education, and Welfare, February 26, 1962]”

― John F. Kennedy

“It is no measure of health to be well adjusted to a profoundly sick society.”

― Jiddu Krishnamurti

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

Appreciation.

Sunday Inspiration.   Post By David Joel Miller.

Appreciation.

Appreciation

Appreciation.
Photo courtesy of Pixabay.com

“I’m glad they didn’t build a wall along the Eastern Seaboard to keep my ancestors out.”

 

“In prison, I fell in love with my country. I had loved her before then, but like most young people, my affection was little more than a simple appreciation for the comforts and privileges most Americans enjoyed and took for granted. It wasn’t until I had lost America for a time that I realized how much I loved her. ”

― John McCain, Faith of My Fathers: A Family Memoir

“Appreciation is a wonderful thing. It makes what is excellent in others belong to us as well.”

― Voltaire

“Be thankful for what you have; you’ll end up having more. If you concentrate on what you don’t have, you will never, ever have enough”

― Oprah Winfrey

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

Happy Easter.

Happy Easter

Happy Easter.
Photo courtesy of Pixabay.com

Shouldn’t evolution end mental illness?

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

Confused brain

Mental illness.
Photo courtesy of Pixabay.com

Why are there so very many different genes involved in mental health?

Clearly, there were lots of lifeforms on the earth in the past that are no longer around. Without getting sidetracked here by the whole question of evolution or creation or some variant of the two, one still has to wonder how all those things which are calling mental illnesses arose. And why do mental illnesses still exist?

Every additional study I read tells me that someone has identified a gene they believe may be involved in creating or exacerbating a condition we are calling a mental illness. If they haven’t found that gene then they are suggesting one must exist and remains to be found.

This raises the question: “Why are there so many of these mutations?”

That makes me wonder if all these conditions we are calling mental illnesses are of recent origin or did they at some time in the past have some evolutionary advantage. If mental illness did not serve some purpose in the past, why does it still exist?

Ancient literature, the Bible, and other writings mention things like alcoholism, drunkenness, and some people with impaired reality testing who would in past times have been described as “mad.”  This was Mad as in insane or mentally ill not mad as in uncontrolled anger.

Shouldn’t natural selection be reducing not increasing the number of mental illnesses?

We know that mental illness shortens the lifespan, the mentally ill live fewer years than those without a diagnosable illness. Over time there should be fewer and fewer of the mentally ill left to reproduce. That would make some sense unless there was at some time, current or past, some advantage to what we now call a mental illness.

Humans now live longer and in larger clusters.

Some authors have suggested that many of the diseases we are now most concerned about, heart conditions, cancers, and diabetes are largely the result of humans living longer than before. When the average lifespan was 30 or 40 years, few people lived long enough to get those old-people diseases. See Sapolsky’s “Why Zebras Don’t Get Ulcers” for more on this topic.

So people live longer now and they also are living more and more in large industrial cities. Crowding of the sort that happens in cities can cause stress and changes in behavior. Is it possible that humans are mentally and emotionally un-adapted to live in large city masses?

There has been an avalanche of children getting mental health diagnosis.

We used to think that childhood was essentially a happy time and then you grew up and had to work. Only back then most children did not grow up, they died. So the more we look at the childhood prevalence of things we call emotional disturbances the more of these things we find. ADHD in elementary school girls is up 600 percent. Depression is more common than expected in children. Suicide rates of children are occurring in younger children and becoming more common.

Are mental illnesses ancient survival mechanisms?

What if some of those things we call mental illness helped people survive in the times when most people lived in rural areas, forests and jungles even, and some of these things use to be good things, but they are no longer as helpful in modern industrial situations.

How could some anger be a good thing?

Anger and its link to the fight or flight responses in the brain appear to occur in all the animals with a brain stem. For creatures of any kind that primitive response to threat can keep you alive in times of hunger when you need to fight for the food. Getting angry and fighting can also keep you from becoming that food.

Killing to preserve your life and your food supply makes sense when you live in the woods and that is a mountain lion out to eat you. That same anger mechanism is less helpful when someone cuts in line in front of you at the supermarket. Get angry and hit someone there and you may be the one getting carted off to jail or the psych hospital.

Why do bipolar people reproduce?

One of the characteristics of bipolar disorder is hyper-sexuality. This same driven sexual behavior can be seen in drug addicts also. Sexual “acting out” as it gets called, can get people with bipolar disorder in trouble with their family and their mates.

People, most of them, who are faithful to their mates get more sex on a regular basis and they tend to live longer than those who have lots of sexual partners. For someone in extreme danger who might get eaten at any moment being hypersexual may not improve your survival but that increased number of offspring may have helped humans expand their population at the expense of other animals.

What is good for the population as a whole is not always good for the individual person and vice versa.

Could depression have been an asset in the past?

Some of the characteristics of depression, the atypical type, are eating everything in sight and then sleeping as much as possible. This is a great strategy if you live in an ice age cave where food is unreliable and you need to conserve energy.

Eating everything in sight and sleeping all day does not work so well when you have a job to go to every day.

The point I am making is that many of the things we think of as “mental illness” may have been functional in the past. Some of these things that are getting labeled illnesses are more “maladaptations.” Even the bears don’t get to hibernate the way they used to.

ADHD may have saved lives.

One of the characteristics of this thing we are calling ADHD is restlessness and hyperactivity. This is useful if you need to outrun run a lion. The more you run around the stronger your legs get. Being fast on your feet keeps you from getting eaten or killed in some situations.

Today children need to stay put and not move to keep the teacher happy. That ancient part of the brain is telling them to run, play, and move fast. It may take a long time for the human brain to catch up with the move from the woods to the big city.

Just my speculation on how these things we call mental illnesses may at points in the past have been more adaptive than they are today.  What do you think about this?

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

Do the mentality ill need to stay sick?

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

Mental health care is caught in a bind.

Mental Health or Mental Illness

Mental Health or Mental Illness?
Photo courtesy of Pixabay.com

What are we to do about the mentally ill? Our systems of care are stuck on the very sharp points of a modern dilemma. Most of those care systems are set up to care for the sick. We assume that there are two kinds of people, the “normal” ones and the mentally ill ones. Despite all the evidence that across the lifespan the two groups are largely indistinguishable, our programs are primarily focused on, sometimes restricted to, treating the ill.

We have systems in place to treat the sick. Often these programs are poorly funded and access is limited to only the most severely impaired. Despite their inadequacies programs do exist. Unfortunately our systems of care aren’t always prepared for people getting well.

The traditional mental health treatment paradigm consists of identifying a problem that could respond to our available treatments. Give them meds, give them therapy, manage their lives for them. Sometimes the system expects to cure them, a few of them, and send them away.

Only we know that paradigm stopped working in physical health a long time ago. Most health problems, mental or physical, do not get cured. They are chronic. You don’t get cured of diabetes, you get your symptoms under control. Then if you are no longer critically ill we need to move you out of the treatment facility.

Mental health systems only treat the ill.

Despite much evidence that people with mental health and substance abuse disorders recover, we insist that if they are to continue to see the doctor they need to remain sick. If their current care does not meet “medical necessity:” then they are not eligible for services. Keeping someone well, supporting their wellness is just not in the program.

Once you “flip out” and try to kill yourself or others you are eligible for help. Until that time no services for you.

Preventive medicine has not yet reached mental health.

Repeated studies have demonstrated that for every one dollar we spend on substance use treatment we save seven dollars in incarcerations and criminal justice costs. But until you commit a crime and do your time you are not eligible for rehab.

Strength-based recovery works so no one pays for it.

Treatment plans begin with current symptoms. The assessment form may start off with a history of the present illness, not what life problems has this person had to overcome and what strengths have they been using so far.

The biased assumption of this approach is that there is somehow something wrong with this person. The possibility that life and its stressors have overwhelmed you rarely comes into play.

If you want treatment you need to stay chronically ill.

Generally, once the symptoms subside the client gets discharged. The recommendation is when you feel like killing yourself again, call us. What is missing is what can we do to help you get well. If you want help you need to stay sick. Get too healthy and your encouragement gets withdrawn.

The system perpetuates itself by encouraging people to think that they cannot and shouldn’t get better. Disability rather than being a temporary support has become an all-or-nothing program. Stay sick and we will help you. If you decide to get better you are on your own.

There are some exceptions To the stay-sick requirements.

I realize that there are some exceptions to this paradigm, that you need to be very, very mentally ill before you can get coverage for your mental health issues. Some non-profits try, a few governmental programs are designed to help people stay well and continue to have productive lives. But those few programs are the exceptions. They are constantly hampered because they need to find funding sources to pay for prevention and rehabilitation services. Most funding streams are only available to treat illness and to get help in these places you need to stay ill.

What is needed to improve mental health?

What is sorely needed in the mental health and the substance use disorder field is a seamless system of care. People need access to brief counseling when they are going through life’s difficulties before those problems derail their life.

We also need mental health systems that assume people will get better and can have a happy productive life. Those systems should be able to offer help and encouragement during the difficult times without requiring you to prove you are permanently mentally ill to qualify for treatment.

Most importantly, systems of care ought to emphasize helping people reach their own happy life goals rather than requiring them to stay sick if they want help. Episodic and preventative care needs to replace the current program of requiring people to prove they are seriously mentally ill and will promise to stay that way in order to receive help. Outcome measures need to focus less on how many severe symptoms you have and more on how you are progressing on having the best life possible.

Wellness and recovery needs to move from being a slogan to being a reality.

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 optimistic.

Sunday Inspiration    Post By David Joel Miller.

Optimism

Cardinal in winter.

Be Optimistic.
Photo courtesy of Pixabay.com

Be Optimistic.

“What day is it?”

It’s today,” squeaked Piglet.

My favorite day,” said Pooh.”

― A.A. Milne

“It’s snowing still,” said Eeyore gloomily.

“So it is.”

“And freezing.”

“Is it?”

“Yes,” said Eeyore. “However,” he said, brightening up a little, “we haven’t had an earthquake lately.”

― A.A. Milne

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.

Martin Luther King Jr. Day.

Inspirational    Post  From David Joel Miller.

MLJ Day 2015

Today we celebrate Martin Luther King Jr. Day

Martin Luther King Jr. Day.

“I have decided to stick to love…Hate is too great a burden to bear.”

― Martin Luther King Jr., A Testament of Hope: The Essential Writings and Speeches

“If you can’t fly then run, if you can’t run then walk, if you can’t walk then crawl, but whatever you do you have to keep moving forward.”

― Martin Luther King Jr.

“We must come to see that the end we seek is a society at peace with itself, a society that can live with its conscience.”

― Martin Luther King Jr.

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

What is – “What is?”

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

What is

What is?
Photo courtesy of Pixabay.

Sometimes words don’t mean the same thing to all of us.

The fields of counseling, therapy, and psychiatry all have some common interests but we don’t always use the same words to describe the same thing. Add in related disciplines like psychology, substance abuse counseling, self-help, and life coaching, and the field has become a veritable tower of babble.

If you are struggling with, or in recovery from, a mental, emotional or behavioral disorder or if you have a problem with drugs and alcohol you may wonder what the words you hear mean. Many of the people who arrive at the counselorssoapbox.com blog have used a search term looking for information or trying to find out what a particular disorder or treatment word means.

Students in the classes I teach and sometimes the interns also, appear to grasp the concept but then come time for the test and they miss things I thought they knew. Recently I have gone to ending many nights class with a slide about the words, possibly new words, that were used in that night’s lesson.

It occurred to me that it might be helpful to explain some of the terms that professionals, researchers, self-help writers, and recovering people use. As time permits there will be posts about all these and other topics.

Not everyone agrees on the definitions of these terms. Some of the labels we use come from the American Psychological Associations book Diagnostic and Statistical Manual of Mental Disorders (DSM.) The most recent version of this book is the DSM-5. Another source of labels used in the mental health and related fields is the World Health Organization’s International Classification of Diseases. The most recent edition of this would be the ICD-10. The ICD-11 will be on the scene soon.

Descriptions of terms that will be in this counselorssoapbox.com What is — a group of posts will be my “plain language” versions of these ideas.

The plan to describe and discuss things from the simplest possible perspective so I will paraphrase or use metaphors to explain what I am talking about. For the full text that defines mental illness see the appropriate manual.

Writing all these posts will take me some time but then you were expecting that weren’t you? This group of posts will not necessarily be in alphabetic or any other particular order. I write them as the muse strikes.

As always, comments are welcome, some end up being the basis for future posts. Remember there is only one of me and that I write during that rare period known as “spare time” therefore some comments will get faster replies than others. My goal is to respond to all of you eventually.

If you made it to here, thanks so much for being such a dedicated reader.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

A New Year is Dawning.

Inspiration for a new year     Post By David Joel Miller.

The New Year

New Year Dawning.

Happy New Year
Photo courtesy of Pixabay.com

“Cheers to a new year and another chance for us to get it right.”

― Oprah Winfrey

“We will open the book. Its pages are blank. We are going to put words on them ourselves. The book is called Opportunity and its first chapter is New Year’s Day.”

― Edith Lovejoy Pierce

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

Top Mental Health Blog Posts – counselorssoapbox.com 2015

By David Joel Miller.

2016 Becomes 2016

Top Mental Health Blog Posts 2015
Photo courtesy of Pixabay.com

What were the most read posts here in counselorssoapbox.com over the last year?

The year 2015 is coming to a close. Time to look back and look ahead. Below is the list of the top 10 most-read blog posts here on counselorssoapbox.com, some are old favorites and some are newer. If you missed any of these now might be a good time to take a look.

In the New Year, there are lots of plans. I will let you know about them as they come to fruition. Have a great night tonight, try to stay clean, sober, and in a happy frame of mind. In the morning we will start afresh in the year 2016.

How much should you tell a therapist?

Levels or types of Borderline Personality Disorder.

Is nicotine a stimulant or a depressant?

What do drug dreams mean?

Do people really forget what happened when drinking? – Blackouts

Do therapists have to report a crime?

What are the six kinds of hallucinations?

Do therapists like fall in love with, their clients? Why don’t they tell them?

Six ways to recover from Complex Trauma or Complex PTSD

Hyperthymia, Hyperthymic Personality Disorder and Bipolar Disorder 

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