At least I didn’t die.

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

The hospital thought I had Covid.

If you are a regular reader of this blog, you probably noticed that there weren’t very many posts in November. Part of that was by design. I was doing the NaNoWriMo writing contest during November. And despite some challenges, I did finish a first draft of that book. 2020 makes the fifth time I have completed the first draft of a book during November. More on that in an upcoming post.

Five days in the hospital, mostly in the ICU, changed my plans.

This illness came on very suddenly. Tuesday evening, I thought it was a little cold in the house. My toes and my fingers both felt chilly. So, I turned up the heater and wore socks to bed. Wednesday morning, I felt normal. By noon I was so cold I was shaking. When I tried to type on the computer, I couldn’t hit the keys. Dialing 911 turned out to be a significant challenge.

My feeling cold turned out to be fever and chills.

Since I felt so incredibly cold, it never occurred to me that I was running a fever. I tried to take my temperature, but my hand shook so much I couldn’t get an accurate reading. By the time I got to the hospital, I was shaking so severely the EMT thought I was having a seizure. I’ll leave it to the medical professionals to debate that one.

If it looks like Covid, you must treat it like Covid.

So many of my symptoms implied an infection with the Covid virus that once they got me admitted, I was sent to the Covid ICU unit. In addition to fever and chills, my blood pressure dropped severely. I’ve never been one to have to worry about high blood pressure, but in retrospect, the numbers they were getting for my blood pressure should’ve made me question whether I was still alive. I had to be given an intravenous medication just to get my blood pressure back within the wishing distance of normal.

Life on the Covid ICU unit.

Being on the Covid ICU unit for four days was a scary experience. My heart goes out to the people who must work in that unit. And remember, I’ve worked on locked psychiatric units, but this one scared me. I feel that I got excellent care. I won’t mention the name of the specific facility. Everyone has their preferences, and some people have had bad experiences, even with an excellent provider. Let me say that I’m delighted to continue to be a member of this medical system.

Watching the staff enter and exit my room was a little like what you might see in a science fiction movie when someone has taken aboard the alien ship. Everyone wore a facemask and a shield. To come into the room, workers had put on an additional transparent plastic garment that totally covered them. When they left the room, that entire outer garment was disposed of. This virus is a nasty enemy, and we can’t be too cautious.

My Covid tests came back negative.

I was told at one point that I had received two separate Covid tests. Eventually, I was given the results, which was that I was negative for Covid. Of course, that didn’t explain blood pressure readings that sounded more like the score of a professional football game, as well as my extreme weakness and inability to eat.

What I had was diverticulitis.

The short version of this is that diverticulitis is an inflammation of the intestine. Some of that nasty junk that should’ve stayed in my intestine had seeped through into surrounding tissue and caused a systemic infection throughout my body. Apparently, I wasn’t far from taking that last elevator ride, which takes you either all the way up or all the way down.

It’s been a slow recovery.

Even once I was able to get discharged from the hospital, I still wasn’t back to normal. Being that sick left me extremely exhausted, and I took the following week off. I am slowly getting back to doing the things I like to do, which for me is working, teaching, and of course, my writing. I have several ideas for topics I want to write about, but that will take me some time.

My online teaching.

To date, I have taught four classes online. I’ve also been taking classes and how to do a better job of teaching online. While online education is a vital necessity in this age of the coronavirus, I believe it’s another one of those long term changes whose time has come. Remember that first portable phone, the giant brick that required hours to recharge? Just as our mobile communication devices have evolved, I fully expect online education to continue to evolve. As the year 2020 comes to an end, and I look forward to 2021, I expect the pace of change to accelerate.

I’m just extremely glad to be alive to be both a witness and a participant in all this change. Please continue to read the counselorssoapbox.com blog, where I will continue to talk about how I see things in the fields of recovery from substance use disorders, mental health, and having a happy life.

P. S. What do you think of the new featured image at the top of this blog? Is it an improvement? Or do you miss the old header?

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 seemed 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

Aging.

Aging.
Photo courtesy of Pixabay.com

Aging

Sunday Inspiration.     Post by David Joel Miller.

“Some day you will be old enough to start reading fairy tales again.”

― C.S. Lewis

“Wrinkles should merely indicate where the smiles have been.”

― Mark Twain

“When I was your age, television was called books.”

― William Goldman, The Princess Bride

Wanted to share some inspirational quotes with you.  Today seemed like a good time to do this. There are an estimated 100,000 words in the English language that are feelings related. Some emotions are pleasant, and some are unpleasant, but all feelings can provide useful information. If any of these quotes strike a chord with you, please share them.

Look at these related posts for more on this topic and other feelings.

Emotions and Feelings.

Inspiration

How to become a morning person.

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

Man sleeping

Sleeping person.
Photo courtesy of Pixabay.com

Is morning a real struggle for you?

When you’re younger, in your teens or early twenties, being a night owl can have its perks. At that age, you’re looking to have fun, and being groggy in the morning isn’t a big deal. But over time, your career and reaching life goals become more important. If you want to be successful at your job, staying up late and being barely functional in the mornings becomes a disadvantage.

To some extent, whether you’re a morning person or a night person may be a part of your personality. But like many other parts of who you are, you can shift your sleep-wake cycle so that your more alert and productive in the mornings.

Some creative people can adjust their work schedules to fit their periods of maximum productivity. But if you work for someone else, or you have other people in your home who schedules don’t match yours, becoming more alert in the mornings has its benefits, and there are things you can do to improve your morning functioning. Here are some of the helpful things.

Allowing enough time for sleep helps start your morning.

For a while, productivity gurus were telling us that the way to get more done was to sleep less. While that may have worked for some people in the short run, research suggests that depending on your biology; there’s a certain number of minimum hours of sleep you need each night. Less than that amount will impair your cognitive functions, lead to weight gain, and hold you back in life.

Scheduling yourself with not enough hours between the time you go to bed and the time you get up will take its toll. Don’t think you can do that Monday through Friday and then try to make up the sleep deficit by sleeping in late on the weekends. If you’re exhausted, the extra sleep may help temporarily. But changing bedtime and awakening times will make it harder for you to get adequate sleep as you move back-and-forth.

Most people require somewhere between seven and nine hours of sleep. While it’s possible to learn to break that up, allowing enough hours for sleep each night improves your health. If you routinely sleep less than six hours or more than nine, you should consult a medical doctor or mental health professional.

Make going to bed a priority if you want to be a morning person.

Don’t try to borrow hours from tomorrow. No matter how tempting it is to stay up and watch the end of the movie, or play one more videogame, spending hours you should be sleeping is sure to damage your alertness and productivity the next day. Cumulatively those late-night activities could damage your physical and emotional health. Set a bedtime that allows you to get enough hours of sleep and stick to it.

Don’t dance with the snooze alarm.

Rest is most restorative when your sleep moves through the standard stages. Interrupted sleep stages don’t allow the brain to heal and prepare for the day ahead. Getting into the habit of being overtired and trying to catch a few more minutes of sleep each morning prevents you from developing a regular sleep routine.

Practice good sleep hygiene to wake up rested.

If you want to avoid being tired in the morning, you need to develop a good sleep routine. Avoid caffeine or strenuous exercise before bedtime. Turn off the electronics and avoid blue light from screens for an hour or more before your planning to go to sleep. You’re more likely to be able to fall asleep if the room is both dark and cooler. Doing all the things you can to get your body ready for sleep will help you fall asleep faster and wake up more rested.

Allow enough time for your morning ritual.

You’ll have a better day if you don’t start the day rushed and behind schedule. You can create problems for the next day when you went to bed too late and struggled to get up the next day. Leave plenty of time in the morning so that getting ready for your day doesn’t leave you stressed. Make morning something you look forward to, whether that’s your morning cup of coffee or a few minutes with your family or pets. Being chronically stressed and hurried in the morning can take all the joy out of waking up.

For a better morning, invite some sunshine into your life.

Natural light tells the brain it’s time to get moving. Being able to spend a few minutes outdoors in the sunshine improves your mood. There’s something very soothing about plants and flowers. Our bodies have developed a natural reaction to sunshine.

Psych yourself up each morning for a better day.

A positive mindset makes the morning go better, and a better morning leads to a better day. Avoid looking at what you must do today as more stress you’d like to avoid and try to view it as an opportunity. The mindset you take into the day has a significant impact on how you experience that day. When you wake up looking forward to the day, morning becomes your friend.

Taking time for breakfast makes morning pleasurable.

Incorporate some time for breakfast into your daily routine. Even a small amount of food gets the body prepared for activity. Students who eat breakfast tend to get better grades in school. Workers who have a good breakfast arrive ready to work and are clearheaded and more productive.

Straighten up after yourself for a less stressful morning.

Allowing time in the evening before bed to straighten up means you wake up in a pleasant clean environment. Make your bed each morning. Taking the time to honor your environment sets up the whole day. Make the bed, straighten things up, leave your home ready to greet you when you return. Make waking up and going to bed a part of good self-care rather than a chore that interferes with your playtime.

Being well-rested reduces the risk of burnout.

When you’re chronically tired, every task is overwhelming. Work can be stressful. People who go to work already worn out don’t have the resiliency they need and are at increased risk of experiencing burnout.

Are you ready to become a morning person?

Are you a morning person or a night owl or somewhere in between? Would it be easier to fit into your work life and your family life if you were more of a morning person? Please leave a comment and tell me your thoughts about the morning and becoming a morning person.

For more on this and related topics, please see – Sleep

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

What have you lost?

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

Bereavement

Bereavement, grief and loss.
Picture courtesy of pixabay.

We have lost more to the coronavirus than we may realize.

Real, profound losses don’t heal in an instant. The losses from coronavirus continue to add up. I suspect it’s going to be a long time before we, as a society, feel the full impact of those losses. Some of those losses we can attribute directly to the virus. But other losses will linger and won’t be fully recognized for a long time to come.

The most obvious loss is the people who have died.

If one of your family members, or someone close to you, has passed, you are no doubt feeling it acutely right now. Beyond the close personal family, we have all lost people who were supposed to be our safety net. The losses of doctors and nurses, first responders, the firemen, the police, the ambulance drivers, those losses will continue to affect us for a considerable time. Will people rush to fill those gaps? Or will more people avoid those professions as simply too risky for them and their families?

The fact that our death toll from the coronavirus has now exceeded that of any other country should give us a reason for concern. Despite China’s larger population, our losses have been higher. I’m sure there will be some who will try to obscure this fact by suggesting that the reporting of deaths in China were inaccurate. I think we already know, or should know, that we probably underestimated the American death toll also. The lack of adequate testing has undoubtedly resulted in a substantial number of deaths from the coronavirus, which were attributed to pneumonia, or other underlying medical issues.

We have lost our sense of safety.

Our sense of safety as a society has been eroding for a long time. Attending large gatherings has become increasingly dangerous. The repeated shooting at schools and public get-togethers has been met with discussions about how to identify the crazy people before they do it, even though most of those shooters did not have a serious or persistent mental illness. Trainings in the schools and public places for active shooter situations suggested to us that if we learned enough, it couldn’t happen to us. No amount of knowledge is going to protect us from these repeated occurrences if we, together as a society, do not attack the causes.

I’m inclined to think that the current coronavirus crisis, as serious and tragic as it is, has allowed us to take our eyes off the real, long-term dangers in our society. The fundamental premise of our capitalist society is that things, and the profits of businesses, matter more than people. We can afford billions for ventilators, and even more billions poured into the financial markets. Still, our spending on things like advanced education, and public health, are a much lower priority.

If we were realistic, we might compare the current losses from the coronavirus to the 1,400,000 people who died as a result of firearms over a 50-year period. Every year large numbers of people in our society died from treatable illnesses.

The belief that the elderly are being cared for has been shattered.

For a very long time, we’ve not paid attention to the plight of seniors in nursing homes and memory care facilities. Whenever a story comes up across the news about seniors abandoned or left with inadequate care, we look for someone to blame as if this is the abnormality. The low level of funding for most senior care facilities has left those people housed there chronically vulnerable. During this coronavirus episode, those care facilities have turned into killing fields.

Some dying businesses can’t be resuscitated.

Healthy businesses will struggle for a long time. Social distancing and avoiding large gatherings have reduced the spread of coronavirus. It’s likely there are a lot of people in the population who have not yet been infected. We also know there are asymptomatic carriers. How willing will you be to book a cruise, take your children to a crowded movie theater, or return to other crowded activities when businesses try to reopen for business as usual?

Will some of the efforts to revive the economy cause lasting harm?

I hope you been paying attention to the way in which interest rates have been hammered down to close to zero over the last few years. We should be asking ourselves who that benefits and who that harms. The principal beneficiaries are the large banks and corporate businesses. Their existence is predicated on the belief that there can be no limits to how large they can grow and how vast the profits will be.

Who have low interest rates harmed?

One significant impact of the low interest rates has been a reduction in the income of pension plans. Most pension plans were already inadequately funded. With lower rates of return on their investments, those plans have just begun to chase riskier and riskier investments. One potential outcome of this development, and a consequence we are already seeing, is pension plans cutting their benefits or, in some cases eliminating them altogether.

Social Security is expected to run out of money in the not-too-distant future. Social Security has always been predicated on the idea that in the future, there will be more workers making larger salaries paying into the system. Past surpluses were invested in buying government debt, which was supposed to pay an interest rate into the Social Security fund. Those surpluses are gone now, spent by the ever-growing federal budget, and the interest rates have fallen to near zero.

Saving for your old age was once considered a virtue. While having a safety net of savings is still an excellent idea, the idea that your savings could earn a rate of return that made your retirement years more secure has proven to be a mirage.

Will the jobs lost to the coronavirus distancing ever return?

The long-term consequences for where we work, where we shop, and how we get our education are extremely unclear at this point. The idea that we can wave a magic wand, dump trillions of federal dollars into the economy, and suddenly everyone will be working again, happy and secure in the knowledge that their government will provide for them right up until the time they die. That notion may turn out to be the party on the Titanic rather than the lifeboat for a sinking economy.

I suspect many of you are feeling uncertainty and loss in many parts of your life. The list of losses I’ve detailed is probably the short version, and I have missed many others. How is the coronavirus episode affected you? What losses have you experienced?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

How has the coronavirus affected you?

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

Illustrate illness storm.

Coronavirus storm.
Photo courtesy of Pixabay.com

Has the coronavirus changed your life?

When I think about the coronavirus, the picture that comes to my mind is a giant storm, like a hurricane, moving slowly towards us all. I sat down yesterday to write a post about how the coronavirus had altered my life. I live in California, and because of our early sheltering in place orders, many of us got into our safe places before the storm hit. When you’re in that safe place, it’s easy to forget the magnitude of the hurricane that is still coming your way.

It was easy for me to rattle off a list of ways in which the winds of change have altered my life. It’s been stressful, but somehow, I’ve been coping. It would be easy to feel overwhelmed by all that’s happened.

And then I turned on the news.

I watched what’s happening around the world. We could see pictures of the coronavirus storm coming ashore in New York City. The casualties are mounting. It would be reassuring if we could find something different about those people who have died. When the news told us that it was only very old people, people with underlying health problems, people locked away in nursing homes, I could fool myself, believe that I’m healthy and active, I’m at low risk. But now we see that healthy people, strong people, first responders, doctors, and nurses – the coronavirus is getting them now.

Just because the hurricane came ashore a few miles down the road doesn’t mean you’re safe. Sometimes infections, like hurricanes, pass by and leave people unscathed. But this storm doesn’t appear to be losing strength. It seems to be standing in place, growing in intensity.

You can’t start recovery when the storm is still raging.

I don’t think that at this point, anyone can tell us with any accuracy how long the coronavirus will ravage our country. We know for a certainty that more people are going to die. But what we don’t know yet is whether our safe places, our hospitals, and homes can withstand the epidemic. Our medical system has been seriously overloaded, and the strain is showing. There are not enough doctors and nurses for those people with insurance coverage, and certainly not enough capacity for those who are uninsured.

For a long time, we have blamed those people who were homeless or unemployed, and as a result, didn’t have medical coverage, for their own suffering. For the last 50 years or better, we had a common myth that if you wanted a job, you could find one. The popular belief was that if the government threw enough money into the storm, businesses would thrive, and anyone who wanted to work would be safe. There aren’t many people alive now who lived through the Great Depression when able-bodied people couldn’t find work. The coronavirus storm calls into question many of our fundamental beliefs.

So, what do I think is ahead?

I think there are going to be some dark, rainy nights ahead. More people will get sick, and more will die. The worst of the coronavirus storm has not reached us. Our medical system will be battered, and in some places, will break. We may repair the system, or we may leave it the way it used to be where some people get treatment, and others don’t. That means accepting that the homeless and unemployed will continue to be health risks to those with jobs.

I don’t expect to live long enough to see our system return to the way it was before this storm. Some businesses, many small businesses, even some large corporations, won’t weather the storm no matter how much bailout money they get. But other businesses and jobs will spring up to take their place.

We will recover. Granted, there will be scars from the trauma and the people we have lost. Somehow humans go on. As a result of our experiences, people will develop some new skills. I think there will be a major expansion in online education and working from home, as people adapt to this new way of being.

I’m also quite confident that as a result of the stay at home orders, nine months or a year from now, there are going to be a lot of babies born who will only know about the coronavirus from what their parents tell them. The question in my mind is, will the world those children inherit be a better one as a result of the lessons we’ve learned, or will they have to repeat the same experiences this generation has?

Would you like to share your thoughts?

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

The Golden Years Don’t Have to Be Sexless

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

Affectionate Couple.
Photo courtesy of unsplash.com

The Golden Years Don’t Have to Be Sexless

Contrary to popular belief, sex isn’t just for the young. It’s a great stress reliever, a form of physical intimacy, and overall health booster for people of all ages, especially the older population. Here are some ways to ensure it stays a part of your life for as long as you want.

Address age-related issues

With age comes several physical changes that can affect our performance or enjoyment in the bedroom. Hormone levels drop and reactions to sexual stimuli slow, which can wreak havoc on your sexual health. There are several ways to address these issues, however, to enjoy a healthy and fulfilled sex life, no matter your age.

Older men who experience erectile dysfunction– like 60% of men in their 60s do, mildly or moderately– should speak with a doctor about a daily medication like tadalafil (generic Cialis) that improves the ability to get and maintain an erection, and enjoy more dependable functioning. Older women who have dryness– which nearly 1 in 3 experience after menopause– can benefit from a vaginal estrogen cream like Premarin that helps rebuild tissue atrophied with age, and provide a more comfortable experience. Facing these issues head-on can help ensure you and your partner maintain satisfactory sex lives, despite any physical changes that often come with age.

Get creative in the bedroom

If you and your partner have grown old together, your relationship may have become a little too familiar. All too often, the cause of a sexual dry spell is due to boredom in routine. If you and your partner have become indifferent in your physicality, it may be time to bring in some new experimentation to your sex lives.

Many couples benefit from adding in different aspects to their intimacy, like new positions or foreplay in order to experience a sense of freshness and excitement. And, trying something new together is a great way to build intimacy in your relationship and bond as a couple. Just be sure to bring up any thoughts to your partner ahead of time to ensure you’re both comfortable trying, then consider making it a game or competition to stay positive and fun. If your partner is uncertain, it’s imperative that you’re patient so you can maintain a healthy channel of sexual communication with them.

Communicate with your partner

As most couples have experienced, a significant aspect of physical intimacy relies on emotional closeness and effective communication. If you struggle to openly communicate with your partner, whether about your physical intimacy or your relationship in general, look into the root cause. Do you or your partner shut down conversations once they get uncomfortable? Does either of you tend to take an accusatory tone when discussing solutions? These are all ways to sabotage your communication as a couple and can filter into issues in the bedroom as your relationship grows older.

Be sure you’re both being open, honest, and understanding while trying to share your feelings, and don’t put any limits on the conversation. Get comfortable being completely open about your thoughts to develop a deeper intimate connection and improve your sexual satisfaction. Then, discuss likes, dislikes, or fantasies in the bedroom; it’s crucial that you and your significant other are performing constant check-ins before, after, and even during sex.

Whatever method you and your partner use, be sure you’re not becoming complacent in your sex life together. It’s important to both your relational and personal health that your sex life lasts well into your golden years.

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

Can you prevent depression?

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

Depressed person

Depression.
Photo courtesy of Pixabay.com

Depression is no joke.

The World Health Organization has identified major depressive disorder as the most significant cause of disability worldwide. Even though depression is a significant source of disability most research on depression has focused on causes and treatment rather than ways to prevent depression or ways to prevent depressive relapses in those who have recovered from an episode of depression. A disease as common as major depression needs more focus on prevention.

Depression can be prevented.

All humans may suffer from some depressive symptoms from time to time, but if those symptoms become severe enough, you will be diagnosed with major depressive disorder. You should know that major depressive disorder rarely goes away on its own, untreated. There are certain lifestyle adjustments you can make which can reduce the likelihood you will get depression or once you have been treated; these techniques can reduce the risk that you will have subsequent episodes of depression. Researchers believe that up to half of all depression could be prevented. More than 30 randomized controlled trials have shown that depression can be prevented.

Preventing depression is different than treating depression.

When can depression be prevented?

You can experience depression at any time in your life, but there are certain times when you will be under stress, and the risks increase. Your quality of life will be much better if you focus on preventing depression rather than waiting until you experience a severe episode of depression.

There are two approaches to preventing depression. One is to try to avoid the first episode of major depressive disorder. The second approach is those efforts made by people who have recovered from a major depressive episode to prevent having a relapse into depression.

Your sleep affects your depression.

Changes in sleep are a symptom of depression. In melancholy depression, people can’t sleep and can’t eat. In atypical depression, people become like the bear ready to hibernate for the winter. They eat everything in sight and then sleep for abnormally long periods. If you have multiple days on end where you can’t sleep, or you feel chronically tired and can’t get out of bed in the morning despite sleeping for more than a healthy number of hours, you should be evaluated for major depressive disorder.

Better sleep requires more than simply more hours in bed.

It’s important to develop good sleep habits. The quality of your sleep matters. Aim for at least seven to eight hours of good restful sleep. Allocate enough hours each night for sleep. Give yourself an hour or two to wind down before bedtime. If you’re having difficulty sleeping because of emotional problems, talk over those problems with your support system or seek professional help.

Smoking is connected to depression.

Depressed people are more likely to begin to smoke, have difficulty quitting, and if they do stop depressed people are more likely to start again. This relationship is bidirectional. Smoking increases the risk you will become depressed. Smoking has been connected to a number of mental health problems. Not having to go through the daily process of taking doses of nicotine and then rapidly withdrawing can increase your emotional stability and reduce the risk of depression.

Increase positive emotions to avoid depression relapses.

Learn to be a happiness expert. Preventing depression includes expanding positive experiences in your life. The more happy, positive feelings you have the less room there is in your emotional life for depression. Magnify the positive to minimize the negative.

Decreasing negative emotions lowers the risk of depressions returned.

Try to rid your life of negative emotions. Too much anger can wear you out emotionally. Loneliness, especially the kind of loneliness that comes from poor quality relationships, quickly needs to depression.

Avoid alcohol to sidestep depression.

Alcohol is a depressant. Even a little bit of alcohol can dampen your mood. If you have a history of alcohol use disorder is probably not safe to drink alcohol. If you’ve recovered from depression drinking alcohol may lead to relapse. If you are recovering or have recovered from depression, why risk a relapse of depression by consuming alcohol?

Continuing treatment for depression longer can prevent relapses.

If you have taken medication for depression don’t discontinue it the minute you feel better. Always consult with your doctor before discontinuing or changing medication. Stopping medication too soon increases the risk of a depression relapse.

Continuing to participate in Cognitive behavioral therapy after the immediate crisis also reduces relapses into depression. If you have done other things to treat your depression continue those life improvement practices also. Staying in treatment a little longer can be very helpful in preventing relapses of depression.

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

Eight ways depression gets overlooked in adults.

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

Older people

Elderly couple.
Photo courtesy of Pixabay.com

As people age, the ways they show depression changes.

In mature adults, depression can often be overlooked. As people age, the symptoms of depression change and treatable depression is likely to be dismissed as just a part of the normal process of aging. Younger people commonly express their sadness by crying. Among older adults, depression is more likely to manifest as withdrawal, hopelessness, loss of appetite, and apathy.

Symptoms of depression in mature people are often misinterpreted as aches and pains. Depressed people of all ages are likely to self-medicate emotional problems by using pain relievers. Untreated depression in older adults can lead to their failure to take care of their physical needs. Failure to recognize and treat depression among older adults can make the course of their physical illnesses worse and can result in an increased risk of suicide.

Gerontologists have recognized many ways in which depression in older adults can be overlooked. Here are eight ways depression often goes unnoticed in older adults.

1. Joint and back pain can be symptoms of depression.

Joint and back pain can be symptoms of depression, or they can lead to depression. One study found that the more joints that are in pain, the more likely the person is to have depression. If someone has joint pain or back pain, they need to see a medical doctor and get that pain treated, but they also need to be screened for depression. Pain can be depressing, but depression can make the pain feel worse.

2. Cognitive impairment may be depression rather than aging.

Problems with memory and thinking among older adults may well be the results of depression rather than age-related disorders. A lack of motivation, apathy, is a characteristic feature of depression. Depression leads to confusion about your options and what to do. The longer the depression goes untreated, the higher the risks it will be dismissed as cognitive impairment due to aging.

3. Chest pain can be made worse by depression.

Having a heart condition or chest pain can lead to depression. People with depression are likely to experience those pains more acutely. While you shouldn’t neglect medical treatment for chest pain, an older adult who has chest pain should also be screened for possible depression and treated for depression if it’s present. Having depression leads to poor compliance with the doctor’s instructions, not taking medication as prescribed, and a poor prognosis.

4. Irritability is a common symptom of depression.

Regardless of age, when you don’t feel well, you’re more likely to be irritable and push people away. Among older adults with depression, irritability is such a common symptom; it is almost universal. If you find that you’re becoming more irritable as you age considered getting professional help for possible mental health issues.

Depression may also express itself in other negative emotions. Guilt, shame, fear, anxiety, and loss of hope all feelings that may be associated with depression.

5. Headaches, especially migraines, can be a sign of depression.

One large study found that among those people with migraines, more than half also had depression. This connection can run in either direction. We can’t be sure whether the headaches caused the depression or being depressed increases the chances of headaches and migraines. If headaches have begun to interfere with an older adult’s life, they should be screened for depression and anxiety disorders.

6. Digestive problems can be a sign of depression.

One of the core criteria symptoms for depression is changes in appetite. In younger people with depression, we usually see them either unable to eat or binge eating large amounts of food. In older adults, these changes in appetite may also be reflected in nausea, constipation, diarrhea, or other gastrointestinal upsets.

7. Changes in sleep patterns may be caused by depression.

There are two types of depression recognized, melancholy depression, and atypical depression. In melancholy depression, people can’t sleep or sleep poorly. In atypical depression, the person will be chronically tired and spend an increased amount of time in bed. Some changes in sleep are common across the lifespan. But if an older adult finds they are having trouble sleeping or sleeping a great deal more than usual, that change in sleep may be a result of an underlying depression.

8. Increased use of alcohol and drugs are connected to depression.

In the past, there’s been a tendency to excuse increased alcohol consumption among the elderly. They don’t need to work anymore and why shouldn’t they enjoy themselves? The truth is drinking to intoxication is not likely to be enjoyable. Depressed people tend to drink more, and alcohol is a depressant, making the heavy drinkers more depressed. Drinking to intoxication has been linked to a massive increase in the risk of suicide. For older adults, even a small amount of alcohol can make their physical health worse.

Historically, as people grew older, most of them, gave up their use of drugs. The baby boomer generation has tended to continue their use of drugs well into their retirement years. Escalating drug use can be a symptom of depression in older adults and can lead to creating and exacerbating physical health issues.

If you’re an adult moving to the older adult years, or you have a friend or family member in that age range, don’t overlook the signs of depression. Depression is not something you have to put up with as you age. Severe depression is a crippling disorder that is treatable by both medication and talk therapy. No one should have to suffer from depression in their “golden years.”

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

What are Somatic Symptom and Related Disorders?

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

What is

What are Somatic Symptom and Related Disorders?
Photo courtesy of Pixabay.

Your mind and your body are connected.

The Somatic Symptom and Related Disorders chapter in the DSM 5 covers a group of disorders in which both the body and the emotions play a role. A lot of people think of the mind and the body as two separate things. They would like to believe that if you are sick, that means there was something wrong in your body. Otherwise – your pain is all in your head. The truth is emotional problems can make you physically ill, and illnesses that originated the body can significantly impact your emotional health.

People with Somatic Symptom and Related Disorder are primarily seen in medical settings, often by primary care physicians. They are less often seen in mental health settings, and then primarily because their doctor referred them. Some of these conditions are quite rare in the general population. If a condition affects one in 300 people, then there would be over 1,000,000 people in the U.S. with that condition.

Many emotional and mental disorders create physical symptoms in the body. Depression characteristically causes changes in sleep and appetite as well as a loss of energy and motivation. Anxiety disorders can cause dizziness, sweating, light-headedness, shortness of breath, and many other physical symptoms. Panic Disorder manifests with symptoms similar to a heart attack or respiratory failure.

This group of disorders displays significant physical or somatic symptoms. The pain and suffering of the body are readily apparent. In these conditions, there is also significant distress and impairment in your ability to work, create, and maintain relationships, or enjoy other important areas of your life. People with Somatic Symptoms Disorders are very upset by their symptoms.

This family of diagnoses should not be used simply because the doctor has been unable to find a medical explanation for the condition. Somatic Symptoms Disorders also require a change in the way the patient sees their symptoms. What the doctor or therapist is looking for is the way in which the patient’s thoughts, feelings, and behaviors, are being altered because of the physical symptoms. Somatic Symptom Disorder, the most common among this family of disorders, is often present in combination with another diagnosed physical illness. When both conditions are present, it becomes more difficult to treat and may require the services of both a medical doctor and a therapist.

Risk factors for developing a Somatic Symptom Disorder.

Having a history of traumatic experiences in early life increases the risk of a Somatic Symptom Disorder. Stress is more than just a feeling. When under stress, hormones, and neurotransmitters change. Living with high levels of stress hormones alters the functioning of the nervous system. Other risk factors include increased sensitivity to pain, chronic pain, or living in an environment where no one listens to your needs unless you report physical pain.

Other disorders related to somatic symptoms.

Here is a short list of other disorders related to Somatic Symptom Disorder.

Illness Anxiety Disorder.

Conversion Disorder.

Facetious Disorder.

False Pregnancy (Pseudocyests)

Brief forms of Somatic Symptom Disorders.

As with the other things we are calling a mental illness, these conditions need to interfere with your ability to work or go to school, your relationships, your enjoyable activities or cause you personal distress. Otherwise, you may have the issues, but you will not get the diagnoses if this is not causing you a problem. If the only time this happens is when under the influence of drugs or medicines, or because of some other physical or medical problem, this problem needs to be more severe than your situation would warrant. These other issues need treating first; then if you still have symptoms, you could get this diagnosis.

FYI These “What is” sometimes “What are” posts are my efforts to explain terms commonly used in Mental Health, Clinical Counseling, Substance Use Disorder Counseling, Psychology, Life Coaching, and related disciplines in a plain language way. Many are based on the new DSM-5; some of the older posts were based on the DSM-IV-TR, both published by the APA. For the more technical versions, please consult the DSM or other appropriate references.

See Recommended Books.     More “What is” posts will be found at “What is.”

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

.

Illness Anxiety Disorder (F45.21.)

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

medical

Acute or Chronic Illness?
Photo courtesy of Pixabay.com

What is Illness Anxiety Disorder?

Illness Anxiety Disorder is a condition in which the patient is preoccupied with the idea that they have or will get a physical illness. The person with Illness Anxiety Disorder may have no physical symptoms, or the symptoms that have could be relatively mild. The concern they have is not about the symptoms, but it is about their worry that they might have or be developing an illness. In the past, this condition was included as part of the Somatization Disorder, but the symptoms are sufficiently distinct that in the DSM-5 it was listed separately.

People with Illness Anxiety Disorder have high anxiety about their health. They can be easily alarmed by very small changes in their health status. The smallest symptom will convince them they are developing a serious, possibly fatal, disease.

The possibility of an illness takes over their lives.

People with Illness Anxiety Disorder spend a lot of time looking for symptoms. They may do a lot of self-exams, or have large numbers of laboratory tests performed. They often see multiple doctors to get second opinions. Even when reassured that there is nothing seriously wrong with them they convinced themselves that the doctor had missed something. They find it impossible to believe there is nothing wrong with them and may complain that the doctor didn’t care and did nothing to help them.

Illness Anxiety Disorder is not a short-term condition. To meet the criteria for this condition the patient must have had symptoms for at least six months or more. Most people have symptoms for much longer time periods, though during these times the particular condition they are concerned about may keep changing.

Illness Anxiety Disorder seriously affects people’s lives.

People with this condition spend a lot of time talking about their illness or illnesses. Their ill-health becomes their principal topic of conversation. Their limited focus on illness damages relationships. The belief that they are will become sick turns them into invalids, afraid to be active or leave the house.

Medical treatment becomes their primary focus.

Considerable time can be spent visiting various doctors and specialists and having tests run and rerun. Despite reassurance from doctors that there is nothing wrong with them or that their condition is not serious, these patients continue to believe they are becoming seriously ill. In older adults, the primary concern may be memory loss. Despite reassurances that some forgetting is normal, they may worry that having forgotten something means they are developing Alzheimer’s or dementia.

As this condition progresses, they may spend considerable time on the Internet reading about and researching their perceived symptoms.

Triggers for developing Illness Anxiety Disorder.

Hearing about someone falling ill and developing a rare medical condition is a common trigger for Illness Anxiety Disorder. Reading articles or news stories about medical conditions increase the risk of developing Illness Anxiety Disorder.

Illness anxiety disorder comes in two types.

  1. Care seeking.

This type is largely seen in medical settings where they are likely to have accumulated thick files, had many tests, and have been prescribed a significant number of medications.

  1. Care avoidance.

Despite considerable worry and personal research on the possibility they have or are contracting a serious illness, care avoidance types avoid doctors who might confirm their fears.

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