Category Archives: Mental Health

Ways you create drama.

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

Is your life drama?
Photo courtesy of Pixabay.com

Are you making your own drama?

Do you find yourself saying that there is way too much drama in your life? Feel like you live in a soap opera? There are ways you can turn the drama down even if you live in a drama-filled environment. There are also ways you may be the architect of your own drama.

Here are some ways you may be the creator of your own life soap opera.

You stick your nose in other people’s business.

Do you spend a lot of time telling others what they should and should not do? Any surprise that they are paying you back? If you want to avoid drama in your life, avoid interfering in other’s lives. You may think that your family member or friend is making wrong choices but if you get involved in the choices you also get involved in the drama.

Live your life and let them live theirs. People who keep poking around in others’ lives become a part of that other person’s drama. Want less drama in your life? Focus your attention on your life and let others live theirs.

Doing too much creates drama.

If you say you will do something do it! Making commitments and then backing out is a sure way to increase the drama in your life.

The things you committed to are the things others expect of you. Promise too much and do not deliver and you invite other people to be angry with you.

When you run from one thing to another you risk being perpetually late and not meeting your commitments. You also start to feel overwhelmed. All of this creates extra drama. Want a relaxed world? Reduce the things you do every day. Give yourself breaks between things.

Reducing the “must’s” and the “should’s” reduces drama.

Those rules you set for yourself become cruel taskmasters. Let go of all those “Musts” and “Should’s” and just relax and enjoy the ride. Some things, like right and wrong and moral values, are major big things and yes you should expect yourself to live up to those things. But if your list of things you have to do to be an OK person gets too long you are creating a drama-filled life.

Let the little things go.

Telling the truth reduces drama.

Some people lie to get away with things. Others lie because they do not want to disappoint people. The more you mislead others, regardless of the reasons, the more you invite their anger or hurt when they find you out. Tell the truth when possible and if it is not possible, try saying little or nothing.

Being dishonest with others is a huge drama maker.

You do not need to answer every social media post.

Lots of people post lots of trivial stuff online. Do not get sucked into answering every post you see. Ignore the comments that do not make your life better. Use social media to connect with friends and have fun but beware the trolls.

Some people say things just to start an argument. Some comments are hurtful. If you disagree you do not need to argue with every person out there. Read things carefully. Plenty of drama-filled exchanges begins when one person misunderstands what another is saying and then begins to argue with a statement that was never made.

You do not need to become a part of the thought police.

Let others be wrong some of the time.

You do not need to correct everyone’s errors. Allow others to be wrong some of the time. Pointing out other’s mistakes invites them to retaliate and point out your flaws. Finger-pointing can consume all your time and is a huge drama machine.

Feel better about yourself and finding other’s mistakes becomes less important. Humans make mistakes, some by accident and some intentionally. You will make errors in tour life, let others have the same privilege.

Stay out of the gossip to reduce the drama.

Sharing about other people is tempting. Spreading that gossip “Have you heard what SHE did?” sucks you into the gossip vortex. Once you start going round and round that circle the drama accelerates.

For less drama stop trying to change others.

Most efforts to change others is doomed to failure. The more you try to manipulate others and get them to live the way you want them to the more drama you create. For people you can’t agree with the best option may be to cut them out of your life. If you can’t do that, some family members may refuse to go away, you can reduce your contact with people who are not good for your mental health.

Trying to make others change to suit you invites them to push back. All that pushing and pulling is the stuff that drama is made of. Live your life and extend that same privilege to others.

Let sick people be sick. It is not about you.

Some people are just mean. Some are thoughtless or rude. Do not get into conflicts with people who are not capable of being any different than they are. It is not your job to change them and the more you insist that they be other than they are the more drama you create.

Do not upset yourself when other people are imperfect. You may need to set a boundary. You may even need to call the police. But do not get sucked into a long-term feud with people whose lifestyle or behavior does not suit you.

Are you ready to make the move from a drama-filled life to a happy 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

9 Ways to stop unhelpful rumination.

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

Stop unhelpful Rumination.
Photo courtesy of Pixabay.

Do you find your brain full of negative unhelpful thoughts?

Sometimes it feels like our own brain is out to get us. Sometimes it is. If you have unhelpful thoughts and then you sit and chew on those thoughts, thinking them over and over, those thoughts are likely to try to get you.

That pattern of not being able to get a thought out of your head is referred to as rumination and it can trigger all kinds of negative behavior. Rumination is a trigger for cutting (non-suicidal self-injury) drinking and drug use, depression, and anxiety and I suspect a lot of other mental health issues. How do you stop unhelpful rumination before it creates some serious issues?

Here are some ways to stop those unwanted, unhelpful thoughts.

Tell unhelpful thoughts to stop.

If you have kids that are doing something they shouldn’t, many parents would tell those kids to “knock that off.” Learn to tell your unhelpful thoughts to stop also. It takes time and it takes practice but repeated enough you can train your brain to stop thinking about something that is not helpful.

This soft mental yelling at unhelpful thoughts is one form of thought stopping. There are other methods. Use the thought-stopping technique that works best for you.

Recognize that thoughts, like many people’s “voices” sometimes lie.

Ruminations like to tell you that the problem is you. They will try to convince you that you are no good, the world is no good and things can never get better. This is not true.

No one is totally no good. You have some things about you that are good and you can learn to do better and practice positive skills. Do not give in to the negative thoughts.

Reduce unhelpful thoughts by using positive affirmations.

What you tell yourself comes to be. Tell yourself that you will keep trying and you will do better. Develop a list of things you will tell yourself when these ruminator-thoughts attack. Make sure you are telling yourself the truth.

Do not tell yourself that you are so smart you know all the answers. No one is that smart. Do tell yourself you know many things and are capable of learning many more.

Develop a gratitude list to increase helpful thoughts.

Are there any things in your life that you are grateful for? When you are really anxious or depressed it may be hard to think of any. Work on this gratitude list. Keep it handy like a fire extinguisher to put out the flames of these ruminations.

Have friends and supporters suggest things for this list. Write it down. The brain tends to believe the things you write down are important. When the unhelpful thoughts attack, whip out your gratitude list and beat them back by reading off all the things you really have to be thankful for.

Problem Solve so you don’t get stuck in the problem.

Think about how you will handle things better next time, not why you made the mistake this time. Not good at making friends? Avoid asking yourself why no one likes you and instead ask yourself how you can become better at making friends.

Ask others how they solved this problem. Do not think that because you are unskilled in an area that you will never be good at that skill. Talk with the experts, those who have been doing something well for a long time. Get a coach, seek out the “old-timers” that everyone thinks are “naturals.” They will tell you that becoming a natural took years of effort.

Once you find out that others have had the very same problem you have and have learned to overcome anyway, you will discover that you can do this too.

Maintain a positive attitude to reduce unhelpful thoughts.

Look for the positive not the negative. What you look for you will find. Become an expert on positive thinking and you will discover that those who believe in themselves do better.

To start with most people find it hard to see the positive possibilities. Do not beat yourself up if in the early stages you slip back into negative thinking from time to time. Not able to be positive as much as you should? See the next hint.

Increase your positive thoughts.

Being a positive person takes lots and lots of practice. Early in life, it is common for you to see others who succeed and think there is something wrong with you because you can’t be perfect.

Learn to be just a little bit more positive each and every day and eventually the things you could only dream of doing become the norm for you.

Try these hints. Practice them daily and you will be pleasantly surprised by how much less you will be ruminating about the negative and how often you will see that glimmer of hope shining in your direction.

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

Nonsuicidal Self Injury – Cutting to stop pain

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

Cutting – nonsuicidal self-injury.
Photo courtesy of Pixabay.com

What is cutting – Non-suicidal Self-Injury?

Non-suicidal self-injury often called cutting, is another of those troubling conditions that send people to hospitals, physical and mental hospitals. Intentional self-burning, head banging, hair pulling, hitting yourself, and repetitive skin picking are other examples of this thing we call Non-suicidal self-injury. Non-suicidal self-injury causes a lot of suffering for those who do it and for those around them, and yet this problem, like anger, does not get the recognition of a separate diagnosis. FYI Hair pulling has gotten its own diagnosis called Trichotillomania.

Deliberate self-injury is a behavior. Like many behaviors, it can be misunderstood. If someone waves at you, they may be calling you over, they may be telling you to get away from where you are or it may be a way to say hello. It might even have another meaning. Self-injury is like that, a behavior, which may have different meanings.

Non-suicidal self-injury is a condition that has been researched and has been proposed for inclusion in the DSM as a recognizable mental illness. Currently, it is not a “stand-alone diagnosis.” Non-suicidal self-injury is listed in the back of the DSM-5 as a “condition for further study.”

If someone engages in non-suicidal self-injury, the kind we think is a mental illness, the most likely way it gets categorized is as a symptom of Borderline Personality Disorder. Sometimes it is a symptom of Borderline Personality Disorder or Borderline traits, sometimes not. Borderline Personality disorder is the only mental health condition that lists both suicide and Nonsuicidal self-injury as symptoms despite the high or increased rates of self-harm in other disorders like depression, bipolar, and alcohol use disorders. First, the things Nonsuicidal self-injury is not and then what we or I think it is.

What Non-suicidal self-injury is not.

Non-suicidal self-injury is not simply a teen thing.

The kind of thing we mean when we talk about Non-suicidal self-injury, the one that gets diagnosed and treated is not a fad or a rite of passage. I know there are those who cut, tattoo or brand themselves because they want to scar their body to look cool or to impress their friends. This is not what we are talking about when we say Non-suicidal self-injury – the disease.

Nonsuicidal self-injury is not a request for attention.

Yes, some people do this behavior to get noticed or to get something they want. One way to differentiate this is to ask where they self-injury. Most people who seek attention cut in places that are clearly visible. Those who do it as a result of an emotional or mental issue cut or otherwise self-injure in places that are not visible, the stomach or the thighs and they often wear long sleeves, even in the heat of the summer, to cover the cuts. The distinction is that those who develop the illness Non-suicidal self-injury often try to hide their cutting.

What Nonsuicidal self-injury is.

A way to cope with emotional pain.

Transforming emotional pain into physical pain can seem like a way to escape that emotional pain. While it does work, at least some of the time it is not a desirable way to cope. Good coping mechanisms need to be not only effective but safe also. Treatments for Non-suicidal self-injury include lots of learning and practice of alternative coping skills sometimes referred to as recovery tools.

A way to cope with dissociation

Some people report they self-harm to feel or to feel real. This numbing out is a symptom of dissociation and related disorders. Dissociation is not always recognized for what it is. Dissociation needs treatment for what it is not just for behaviors like anger or cutting.

If you live in chronic emotional numbness then the only time you may be able to feel anything is when you substitute physical pain for the constant numbing emotional hurts.

Non-suicidal self-injury is a way to regulate emotions.

Some people have difficulty regulating their emotions. They may have suffered traumas, grown up in a dysfunctional home, or have personality characteristics that make them more prone to be overloaded with emotions. Take a look at the post Emotional Avalanches and Feelings Landslides which discusses how people can be suddenly swept away by feelings floods.

Cutting or other types of non-suicidal self-injury is one way some people cope with these feelings avalanches. Violent outburst is another way. The topic of violent outbursts and emotional regulation is covered in the series on “Anger Management.”

Rumination plays a major role in depression, anxiety, and anger as well as in causing emotional landslides.

Some of the links above may not be active yet. The bold-underlined terms mean that a post is up or will be coming shortly. I will try to get the links in here as the new articles post. If any links (the ones in blue) do not work let me know and I will work on fixing them.

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 your Anxiety a disease?

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By David Joel Miller

Anxiety provoking.

Anxiety.
Photo courtesy of Pixabay.com

Some fear is normal, too much is an anxiety disorder.

How can you tell if your fears and anxieties are normal or are they the signs of a more serious mental illness? In everyday language, there is not much difference between fears and anxieties. In technical, mental health terms there are some key differences between fears, anxieties, and the times your anxiety symptoms get out of control and get diagnosed as a mental illness.

Of all the mental illnesses, Anxiety disorders are the most common. In any given year one in five Americans will experience Anxiety so severe it should be diagnosed as an anxiety disorder. Prevalence rates around the world are very similar to the U. S. experience. Anxiety disorders are also the ones most likely to be seen by medical doctors as the symptoms often look like symptoms of physical illnesses.

Fear in the mental health sense is a reaction to a thing or situation that causes an immediate reaction. You see something, something happens and you get that feeling you need to do something now. The standard reactions are to freeze, flee, or fight.

Say you see a poisonous snake and you become very scared. This sounds rational. But if you are afraid to visit a school because they might have pictures of snakes up in the science classroom, that is excessive and should qualify you for some kind of mental health diagnosis. Which diagnosis? We are not there yet.

Anxiety, the mental health type definition, is a feeling of nervousness or uncomfortable about something that may happen in the future. People with anxiety disorders become so afraid that something will or might happen in the future that they have to alter their present to avoid these possibilities.

People commonly report that they have “Panic attacks” or “Anxiety attacks.” If the thing setting off the anxiety attack is something that has a real potential danger then having fear and freezing, fleeing, or fighting might all be reasonable adaptive behaviors. Attacks of a symptom do not always equal a mental illness.

While some anxiety disorders are brief most, to get diagnosed, need to be more than temporary conditions. The criteria for many anxiety disorders it’s that you must have had this anxiety for six months or more. Of course, during that time period, your anxiety may have episodes of getting stronger, and other times it may be less troublesome. If it has interfered with your life for 6 months or more you most likely have an anxiety disorder.

Not every case of nervousness or anxiety is the result of having an anxiety disorder. Someone who is depressed and has difficulty doing things they used to do is likely to become anxious. We include that kind of anxiety as part of the depression. Same thing when someone with a psychotic disorder becomes fearful and think people are watching them. That paranoia is part of the psychosis and does not get a separate diagnosis of an anxiety disorder.

What makes this fear diagnosable is when it begins to interfere with or change your behavior or upset you. If you can’t leave the house or work because of your anxiety, that is probably a diagnosable anxiety disorder. If your extreme fearfulness, anxiety, or hyper reactiveness start affecting your relationships, that is a probable diagnosis.

There are a number of different types of anxiety disorders depending on what is causing your fear or anxiety. Further complicating this picture is that many people who have anxiety disorders have more than one kind. Having multiple anxiety disorders is considered very common.

Since people with anxiety disorders have by definition “excessive” fear or anxiety it takes an outside observer, usually a therapist to evaluate the risk and see if this person’s fear is reasonable given their situation and their life experiences.

Most anxiety disorders start in childhood, often before the end of middle school. Over time and untreated anxiety disorders get worse. The stats say two of every three people with anxiety disorders are women. I believe this is partly cultural. Boys and men are taught to approach what they fear. Attack it. Women are supposed to get away. This results in anxious men becoming more violent or using a substance to cover up their anxiety and as a result, they get a behavioral or substance use diagnosis.

Physical sensations may be symptoms of anxiety.

Different people experience anxiety differently. Anxiety symptoms are frequently physical and many people interpret their anxiety symptoms as a physical illness.

If you experience an anxiety attack you may feel dizzy or light-headed. You may feel disoriented, have difficulty breathing or swallowing. The heart may race, you might sweat or tremble all over.  Despite the feeling you want to run your legs could become rubbery or jelly-like.

Some people experience gastrointestinal symptoms, constipation, diarrhea, nausea or feeling like you may vomit. Sleep disturbances, mind racing, and confused thoughts can result in Anxiety disorders getting confused with Bipolar Disorder and other mental illnesses.

Here is the most recent list of recognized Anxiety Disorders. These are necessarily brief, general descriptions of the disorders in plain language. For the specific criteria consult the relevant edition of the DSM.  For more on each separate disorder look for the articles I have written on specific disorders. I plan to write more of these posts on specific anxiety disorders in the future.

You will find the link to other articles on anxiety below.

Separation Anxiety Disorder.

This disorder customarily starts early in life. The child is afraid to leave or be away from a caregiver. They may think that something bad will happen to them or the caregiver if they are separated. We used to think of this mostly as a disorder of children and that they should “grow out of it.” We are starting to think that you can have this at any point in your life and that many clingy needy adults had this and or an attachment disorder since childhood.

Selective Mutism.

Someone who speaks normally at home but is afraid to or refuses to speak when in public or around strangers fits the description of Selective Mutism. The criteria for this disorder does not imply that the child is being poorly behaved but just that they are so afraid they can’t speak around strangers. The result is poor grades or school failure. As they get older this may lessen but again there are adults who just avoid speaking around strangers as much as possible.

Specific Phobia.

Spiders and snakes, blood, heights, or flying can all be objects of a specific phobia. With Specific Phobia we can point to things or situations that are the cause of the anxiety. People with specific phobias often had fears of several things or situations and may have other anxiety disorders as well.

Social Anxiety Disorder (Social Phobia).

In this disorder, the anxious person is afraid of social situations where others may watch them, evaluate them, or otherwise form an opinion about them. The fear here is about doing something “wrong” or being judged. This is about having your peers think poorly of you, what you wear, or how you do things. In severe cases, people avoid eating in public or going to social gatherings.

Panic Disorder.

Panic disorder involves many of the physical symptoms we talked about above. The person having a panic attack may have shortness of breath or chest pain and think they are having a heart attack. Having had one attack people become afraid to leave the house for fear they will have another and not be able to get help in time.

Agoraphobia.

Agoraphobia translates as “fear of the marketplace” mostly this involves crowded situations. Fear of buses, standing in lines, crowded places, stores, and similar situations. In severe cases, the person becomes unable to leave the house to go shopping and either needs someone to go with them or just go at times the store will be very empty.

Generalized Anxiety Disorder.

This involves being over-anxious all the time. A person with Generalized Anxiety Disorder is anxious all the time about most anything. There may be real-life causes for this anxiety, like living through a war or being assaulted or harmed. The professional has to look carefully to separate this from PTSD or other Trauma and Stressor-related disorders.

There are also diagnoses for anxiety problems caused by drugs, medications, medical conditions, or other factors.

For more on Anxiety, treatments for anxiety and related issues see:

counselorssoapbox.com Anxiety Post list.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

What is the DSM?

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

What is

What is the DSM?
Photo courtesy of Pixabay.

DSM is short for Diagnostic and Statistical Manual of Mental Disorders.

The DSM, short for Diagnostic and Statistical Manual of Mental Disorders is a book created and published by the APA (American Psychiatric Association) which seeks to codify the classification of mental, emotional, or behavioral diagnoses. Currently, the DSM is in its fifth edition (DSM-5.) Each successive edition has seen significant shifts in how we understand and diagnose mental illnesses.

While this volume is published by an American organization it has been widely used throughout the world. A number of reasons for the creation of the DSM have been suggested but a few large reasons stand out as the most important.

The early lists of diseases were about mortality, morbidity, and treatment.

Some of the earliest efforts to categorize diseases had to do with classifying causes of death. Other methods of classification were used on census reports to describe those who were unable to work because of mental retardation or mental illnesses.

It was also useful to doctors to have lists of diseases in order to help direct treatment. That medical model continues to influence mental health treatment. The APA is an organization of those people from a medical specialist who can prescribe medication. The result of reliance on doctors to write the classification system has been the medicalization of mental illness. If the main tool you have to treat illness is medications then they get classified by those disorders that will respond to a particular class of medication rather than those that will be best treated by a particular talk therapy.

Your diagnosis should not change with the place you live or who sees you.

One goal in encouraging the universal use of the DSM (and the International Classification of Diseases or ICD, more on the ICD in another post) is to increase the likelihood that when clinicians in various countries diagnose someone with a mental illness they are using the same definitions and criteria.

When you do research it is important to be researching the same disorder.

Standardized criteria, sometimes called strict criteria, are important in researching the treatment of mental disorders. Being sure that everyone in the research study has the same illness improves the chances that a treatment that works once with one group might work again on people with similar symptoms.

The DSM has undergone some huge alterations over the years. Early thinking separated mental illness into neuroses, the problems of living, and psychosis, the loss of contact with reality. Often mental retardation was tossed in with mental illness or vice versa.

Every time the list of mental illnesses has been revised the list has gotten longer. There is still a lot of debate over whether we have all the possible mental health issues listed in the DSM. The result of this uncertainty is a chapter in the back of the DSM-5 called “conditions for further study.” Some of these conditions will eventually get listed as disorders and some will disappear again.

The first or original version of the DSM came out in 1952. It is reported to have been influenced by government efforts to test soldiers during WWII. This was revised into DSM-II in 1968.

DSM-III was introduced in 1980. It introduced a thing called the “multi-axial system.” This was partially a recognition that the boundaries between mental illness, environmental issues, personality disorders, and physical illness were not always easy to fix precisely. The multi-axial system survived officially until Oct of 2015 when all were, in theory, required to adopt the new DSM-5. In the DSM-5 there is no longer a 5 axis system though we still look for most of the things that used to be placed on these five axes.

The DSM-III version was revised to be DSM-III-R in 1987 with lots of stuff changed and moved around.

In 1994 the DSM became DSM-IV, followed in 2000 by a minor text revision to become the DSM-4-TR.

The latest DSM revision was released in 2013 as the DSM-5. This version includes the codes for use with both the ICD-9 and the ICD-10. For those clinicians trained over the last 20 years, the DSM-5 was a sort of culture shock as some of the things we thought we knew about mental illness have been redefined. There was and continue to be some professional disagreements about how the DSM-5 classifies certain human problems.

The process of treatment research, especially in the area of brain scans and neuroscience makes it likely that our understanding of the human brain and mental illness will continue to change.

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

Anger triggers – What gets you angry?

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

Angry person

Anger.
Picture courtesy of Pixabay.

What things set off your anger?

Some people are chronically angry, many things set them off. Others have a relatively few things that result in feelings of anger. Becoming one of those people who rarely gets angry and manages their anger well is possible but it takes some work.

Learning to cope with anger involves recognizing anger when it comes to visit, becoming aware of the things that increase your chances of being angry, and then learning control strategies to turn the “thermostat” on your anger down.

Many things may be “triggers” for making someone angry. In substance abuse work we spend a lot of time on learning to manage triggers to drink and use. For people with lots of anger or other emotional issues, learning your triggers is important as well.

Some authors define triggers as external events that may be the cause of your anger. I am used to thinking of triggers as being either external, situations, or people I encounter, or internal, what is going on in my body and my mind. I have roughly divided some reported triggers into these two groups. You may find that there are other very personal triggers for your anger that are not on my lists.

See how many of these fit you and then do some “field research” in your own life, looking for the things that are triggering your anger. Some of these triggers may be real threats to you or your family and friends. Other triggers may be things most of us would call minor but for you, they just “set you off.” Identifying your triggers can help you plan responses for the future.

External Anger Triggers – People, Places, and Things.

These are things that happen to you, others do or events that upset you.

Facing a real threat physically or financially.

Being verbally or physically attacked or assaulted.

Being put down or disrespect in front of others.

An interruption to your plans.

Frustration at things that get in your way.

Financial losses or difficulties.

People who do things we believe are ethically or religiously wrong.

Unfair situations or treatment.

Things being out of our control.

People lie to you or let you down.

Having your things taken or damaged by others.

Having long waits or standing in lines.

Traffic or people getting in your way.

Crowds.

People talking about you.

Not being paid what you are owed.

People saying bad things about you.

Being accused of things you didn’t do.

People who do not clean up after themselves.

Being given the wrong information or directions.

Internal Triggers for anger.

Sometimes it is the things going on inside of you that can trigger anger or other negative emotions.

Lack of sleep

Being hungry or thirsty.

Having your mind occupied with problems.

Negative emotions, anxiety, depression.

Feeling physically ill or having health problems.

Being lonely.

Feelings of guilt or shame.

Believing that you are not good enough or unworthy of good things.

Not liking yourself.

How many of these things, either external people, places, or things or internal states are triggers for your anger, anxiety, or other emotional issues? Once you recognize what is setting your anger off you may be able to work on reducing the impact of those triggers and avoiding the negative consequences of out of control anger.

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

Manage Anger by recognizing it – the Anger Cues.

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

Anger burning

Anger Burns the holder.
Photo courtesy of Pixabay.com

How would you know when you’re angry?

Controlling anger is a problem for many people. Learning to recognize anger when you see it, find ways to avoid or reduce your anger, and then to not anger yourself in the first place can all help improve your health and your relationships.

Whether you have been required to learn about anger, someone you know has an anger problem or you want to find ways to reduce and control your anger, there are techniques that will prove helpful. Less anger can also have positive health benefits.

If you have difficulty with your anger let’s start on a crash course in how to recognize the anger monster when he rears his head.

Anger causes physical changes – Your body tells you about anger.

Your body often responses to rising levels of anger way before you realize that anger is the feeling you are having. Think for a moment about how you experience anger and how you see it in others.

Do you feel hot or flushed? Does your blood pressure rise? Are their sudden onsets of “stress” headaches after which you discover you are feeling angry and resentful towards someone?

Changes in heart rate and in breathing are common as the body prepares for the flight or fight reaction that follows anger and hostility. Increasing anger also can trigger higher levels of anxiety in people with anxiety disorders. These fear, anxiety, and anger caused changes resulting in more blood flow to the muscles and less to things like digestion and rational thinking.

High anger is well-known to cause violence towards others but recently it has been recognized as a cause of self-harm also. Angering yourself, regardless of the provocation, can result in impairment of your physical health.

The result of anger is a flooding of the nervous system with stress hormones resulting in physical problems including, headache, digestion problems, abdominal pain, insomnia, skin problems, such as eczema, heart attack, stroke, and many others. Not only do high levels of anger increase your risk of heart disease, but anger can also impede the healing process if you have suffered heart damage.

Anger can increase your blood sugar levels, especially a problem for those with diabetes. Another common reaction to anger is to begin to sweat. Uncontrolled anger can reduce your immunity and increase the risk of getting colds or flu. Some research has shown correlations between high levels of anger and cancer.

For people in recovery from substance abuse or mental health issues, anger can be a trigger for relapse. If you are in recovery or have uncontrolled anger, the cost of that anger, whether you show it or not can be unbearably high.

Watch for these physical changes in your body and you will make progress in recognizing the things that trigger your anger.

For more on the medical aspects of anger see:

WebMD

Better Health Chanel from State Government of Victoria.

Behavioral cues – Your anger autopilot.

Notice where your body goes without you during an anger episode. You may find that long before you realize you are getting angry you have clenched your fists, changed your body posture or had other automatic physical reflexes.

Pacing and wandering aimlessly may also be signs that anger is taking control of you. You may suddenly realize you have been staring off into space or otherwise zoning out. Many people when angry, find their voice has risen to extremely loud volumes without them being aware they are raising their voice.

Slamming doors, throwing things are also common manifestations of anger. You may begin to act badly even before you are aware you are angry. Some of these reflexes are biological but others have been learned based on how you learned about anger and how your anger experiences have unfolded as you grew.

Learning to spot these behavioral cues can make you an expert in recognizing the Anger monster.

Anger brings other emotions along for the ride – fear, hurt, jealousy, disrespect.

Anger overlaps and cohabitates with many other negative emotions. When you are angry you may also become fearful, anxious, or begin having cravings for drugs or alcohol.

This coupling of emotions works in both directions. Anger triggers other negative emotions and those other emotions, especially pain, hurt, and loneliness, can trigger angry feelings. Just before you became angry what feeling were you feeling? Jealousy, rejection, feelings of being put down or disrespected can all trigger an angry response. If your anger was preceded by feelings of guilt, shame, or humiliation you may need to work on those other feelings to reduce the role of anger in your life. Frustration or impatience can trigger anger episodes.

Anger can also be a trigger for other mental health issues from dissociation to Post-traumatic Stress Disorder.

Anger hijacks your brain – self-talk, pictures in your head, plans of revenge.

What you look for you get more of. Angry people are constantly on their guard watching for signs they are being criticized. Is someone comments on the things you do are you taking it as devaluing you and your actions?

Once the thought storm begins to build do you see insults and injury everywhere? Do you work yourself up into a lightning storm looking for someone to fry? Many episodes of anger are preceded by a storm of thoughts, rumination, about why people shouldn’t do or must do this or that. If you begin to believe that everything people around you do has something to do with you the anger will rise.

Have you seen changes in yourself as the anger rises? Watching for these cues help you spot anger and work to tame this beast before your anger damages 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

Your thoughts are holding you back.

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Woman thinking

Unhelpful Negative Thoughts.
Photo courtesy of Pixabay.com

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

How many of these unhelpful thoughts do you have?

Some thoughts can help you get things done, others can hold you back.

If you regularly have any of those unhelpful thoughts they may be undermining your progress. Identifying your unhelpful thoughts and working on changing them can result in a much better life.

Do you ever have these thoughts?

You expect the worst.

If you habitually, always, expect the worse, you may find that no matter what happens you see the worst in it. Believing that bad things are sure to happen is a cognitive bias that results in being quick to spot the problems in life but prevents you from seeing the good.

Shift your focus.  Learn to look for the positive and you will discover that there are a lot of good things that have escaped your attention.

You expect the lead in every play.

It is all about you? If something goes wrong do you think it is your fault? If and when it fails, do you believe that says something about you? Just because people laugh when you enter a room does not mean they are laughing at you.

This unwavering thought, that what happens is all about you, puts a lot of pressure on you and in the end, you will find yourself unable to do everything.

Accept that much of what happens is about others and has nothing to do with you.

People are out to get you.

Some people do have enemies, that is true. But if everywhere you go everyone seems out to get you then you are misinterpreting a lot of facts. Most people are not motivated by trying to “get you” they are too busy with their own life. It is only when you make a habit of getting between them and their goals that they may have it in for you. The best way to avoid these results is to get out of their way, that, or be so far ahead of them they can’t see you up ahead.

One other possibility, along the way you have harmed enough people so that you have created the truth in that there out to get you thought.

That belief that people are out to get you is a cognitive distortion. In severe cases this is paranoia. The truth is that most of the time, most of us are just not that important to others.

The future will be bad.

This thought is sure to doom you to a life of failure and misery. The single most important thing in creating a happy life is the attitude that having the life you want is possible. Hope is the thing that helps you bounce back from being knocked down. Hope is the resiliency factor.

If you have lost hope look for it anywhere you can find it.

You insist things go according to plan.

Having a plan is good. Expecting that things always go according to your plan is setting yourself up for disappointment and failure. Leave room in your planning for the unexpected. Planning is a valuable process. Insisting that things must follow your plan leaves you unable to cope with the unexpected.

You keep waiting for the perfect time.

There may be no such thing as the perfect time for anything. Waiting for the perfect time robs you of the only time you will ever be able to start working on this project – now. If you put off action until some future time you may be unprepared when that time comes.

If there are real reasons to wait to take action make sure you are learning and practicing the skills you will need when that time comes. Begin by taking small steps in your desired direction and see how much closer you will be when the appointed time does arrive.

You do not believe in taking risks.

Life is risks. Doing nothing is a risk. Doing anything is a risk. Why not take the risk of doing something worth the effort? There are no sure things. That’s why we buy insurance, to protect us from losses when the unexpected happens.

Learn to evaluate risks. Take those risks where the results will be worth the risks.

You do not want to be different.

Everyone is different in their own way. Want to accomplish something in life? You are required to take risks and to be different. Average and same do not get noticed. Being the same as everyone else is a sure way to set yourself up for a bland life.

You are afraid to change your mind.

Only a real fool continues to insist they are right despite mounting evidence they have made an error. If you stick to a failed plan and continue to argue about your rightness you lose the opportunity to change direction and head in a new better direction.

Admit your errors and learn from them. Adjust your efforts. Errors are not the end of your options, they are only improvement opportunities.

You are afraid you will be taken advantage of.

Someone may get something from you. That is called a bargain. Learn to check out as many of the facts as possible and then take a risk. The only way to have good things happen is to do things and take chances. Avoiding risks is avoiding all the possible good things that may well happen to the ones who risk big.

The reason most people are taken advantage of? They are expecting to get something from the other person that they have not earned. That old saying “you can’t con an honest person” contains a lot of truth.

You are afraid to say no.

Saying yes to everything leaves you stretched too far and unable to do things you want to do. You do not have to do everything everyone wants you to do. Say no; just make sure your no’s are really no. Not saying no leaves others in control of your life.

You are afraid to say yes.

Not saying yes to things can be even more harmful than not saying no. We often miss out on things that could have been beneficial and pleasurable because we were afraid to say yes to an opportunity. If opportunity is knocking you have to answer the door.

Nothing good ever happens to you.

Believing nothing good can or will happen in your life leaves you blind to the opportunities all around you. Look for the things that are ungood and you will not grab the good things when they are right in front of you.

Have you fallen into the habit of practicing these unhelpful thoughts? Are you ready to get your habitual, automatic, thoughts overhauled?

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 angry is too angry?

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

Angry person

Anger.
Picture courtesy of Pixabay.

Does your anger get out of control?

People with an anger management problem seem to have only one setting on their anger control.

The anger is either off or it is on. This leaves them with only two settings,

I think I am not angry and I am boiling over with anger. Those boil-overs are what gets them in trouble.

Learning to recognize you are getting angry helps avoid boil overs.

A first step in learning to regulate your anger is to install an anger thermometer in your brain. Having this anger thermometer in place helps you monitor how angry you are and what is causing that anger temperature to rise.

Ever notice that in the summer a room that is 68 degrees Fahrenheit ( 20 degrees Celsius)  seems refreshingly cool, maybe even downright chilly if you just came in from outside where it was 100 F ( 37.8 C) In the winter that same room may seem hot if you just came in from outside where it was below freezing?

The same sort of thing happens with anger. When you are tired, have not slept well, are hungry or thirsty, you are more likely to become angry. Small irritations can set someone off when they do not feel well. Failing to recognize what you are feeling and to respond appropriately can also result in anger flare-ups. Mad, as in anger, can often just be sad in disguise.

These things will reduce your ability to control anger.

Alcohol use and abuse or drug misuse can also reduce your inhibitions and make small anger problems into serious events. Unresolved problems in one area of your life, financial or relationship issues can pop up as anger over things that might not otherwise set you off.

Rumination, that repetitive thinking about the same thing over and over, can also heat up your emotions to the vapor point. By rumination I am not referring to evaluating past actions or events to learn from them, what we mean by rumination is that habit we humans have to keep chewing on things that bother us until they make us sick. Rumination is an exercise in creating and maintaining unhelpful thoughts. More on rumination and its role in creating emotional problems is coming up in other counselorssoapbox posts.

How will you measure anger?

Begin your exploration of your anger feelings by creating a scale that works for you. Some people use a temperature scale. Other people find it more helpful to use a scale of zero to ten or zero to one hundred. Having created this Anger scale, begin to take periodic readings of how angry you are at any given moment.

It may be helpful to take your anger reading at the same time each day. Pay special attention to times you notice anger beginning. What was happening just before you felt your anger rise? Try taking your anger reading every day when you rise and when you go to bed. Do you wake up in a grouchy mood or does your mood get worse as the day progresses?

A further refinement to this scale would be to list some words for feelings related to anger and then try to arrange them on a scale from least angry to most angry. Is irritated the same as angry? Is strong anger enraged but moderate anger annoyed? Adding these other feeling words allows you to develop a range of feelings you could be having between not angry and violently boiling-over angry.

The goal of this effort is to learn to measure your anger so that later in the anger management process you can install an anger thermostat in your brain that allows you to turn the anger up or down at will. Most people have little difficulty angering themselves up but learning to keep the anger on low or even turn it off at will, that is a valuable skill.

Clues that anger is growing.

All this anger regulation stuff works if you are able to recognize your anger as it ebbs and flows. But if you find that you did not know you were getting angry and then suddenly you are boiling mad how can we help that?

Think about your past experiences with anger. Have you ever noticed someone becoming angry? They may have given off clues by their behavior or their body language before that anger outburst occurred. There may have been changes in their behavior or language.  In an upcoming post, I want to make some suggestions about how you might recognize that anger in others and in yourself before you hit the boiling point.

What kind of relationship do you have with your anger? Does it keep danger away or does it harm your relationships? Maybe a little of both? Stay tuned for more posts on Anger and how to tame that be

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

Does anger management class help anger issues?

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

Angry person

Anger.
Picture courtesy of Pixabay.

What is an anger management class and how does it help?

Anger and anger issues are factors in a majority of referrals to counseling despite the fact that anger, as such, is not a diagnosable mental illness. Lots of people have asked me how an anger management class works and what do people learn there.

There is a strong connection between anger, and difficulties managing anger, and substance use disorders. Not everyone who takes a drug, medication, or drinks alcohol proceeds to lose control over their anger. So in that sense, we can’t for sure say that substance use or abuse causes anger issues.

However, problems with anger and controlling anger are so common among those that have a substance use disorder that most treatment facilities include an anger management class in their substance abuse rehabilitation program.

Most people who contact a counselor because of anger issues are doing so because others have told them their anger is out of control. Often this referral to anger management class is court-ordered after an incident of domestic violence or an assault.

Because of the number of referrals that are court-ordered, anger management classes, and curriculum can vary widely depending on the requirements of the court, probation, child protective services, or other agency.

An individual might see a therapist for any number of individual sessions to work on their or their family member’s anger. A few mandated classes run a minimum of 12 sessions, many more mandated, or court-ordered, anger management and domestic violence programs are 26 or 52 weekly sessions.

If you have been ordered to attend an anger management program make sure that the program is approved by the agency that is requiring you to get the treatment. Not all anger management classes are equivalent.

Most anger management curriculum is skills-based. This means that just learning the ideas in the classroom may not work in the outside the classroom world. There are exercises that need to be practiced and thought about between class sessions. Often there is written or verbal homework.

One saying in anger management books is that mad often hides sad. To learn to manage or eliminate your anger you may need to get in touch with other feelings, especially feelings of hurt, sadness, and shame.

Here are some of the topics an anger management curriculum may cover.

How to recognize when you are angry. Physical and emotional cues.

Many people think of feelings as something to be avoided. Substance users may have “numbed out” and lost touch with their feelings. Men often have only three feelings, good, bad, and furious. Learning that this feeling you are feeling is anger and that those clenched fists are a sign of trouble is a first step in learning to manage anger.

You need to learn to measure your anger.

Anger and related emotions can come in a variety of intensities. Learn to recognize how strongly you are feeling this feeling. Recognizing that the angry feeling is on the rise can help interrupt the anger cycle.

Learn how to turn the thermostat down on your anger.

It is not healthy to be at the boiling point all the time. Think of anger as having a thermostat. If the room gets too hot you can turn the thermostat down. Learn how to defuse and reduce those angry feelings.

How to change your thinking to avoid getting angry in the first place.

The way we see the world, the things we believe about why things happen causes our feelings. Learning other ways to look at things can help reduce those angry feelings. Not angering yourself in the first place is a difficult skill to learn for some people and it takes practice to master. This advanced anger management skill is the most effective way to change an angry life into a happy one.

Developing more effective self-control.

Every feeling does not need to result in an action. There are techniques to channel feelings into productive actions rather than into actions that damage relationships and have negative consequences.

Triggers.

Some things make one person angry but not others. Learning to recognize what triggers your feelings and how to avoid being triggered are helpful skills.

Assertiveness training to get what you need without excessive anger.

Many people can’t tell the difference between being assertive and being aggressive. The only way they know to get their needs met is to get angry, become aggressive, and hurt others. They can learn simple assertiveness training skills to get those needs met without creating wreckage.

Conflict resolution skills – how to solve disagreements without fights.

Like assertiveness training, conflict resolution skills can help defuse the consequences of disagreements. Most of us were conditioned to the win-lose paradigm. Turns out there are ways to create win-win solutions also. They take some effort to craft but using conflict resolution tools makes solutions possible.

How did you learn about anger? What was your family’s relationship with anger?

If you came from a family where anger was handled by hitting and yelling that may be all you know. Other families never expressed anger or disappointment directly and if you came from that style of family you never learned to express your feelings. People who stuff feelings are at extra risk to get full of anger and then explode. Check out a past post about Gunny Sacking for more on that response to anger.

How has anger affected your life?

One last way anger education can help is by taking a look at your life experiences with anger. Has it hurt you more than helped? What happened when others got angry? Did it destroy relationships? And most importantly how has your anger affected those around you?

Many people discover that when they got angry and acted on that anger they were the loser regardless of the outcome of their anger outburst.

For short anger management classes, SAMHSA publication SMA 05-4009 Anger Management for Substance Abuse and Mental Health Clients is an excellent resource. This curriculum can be covered in 12 sessions, though it is often expanded to more sessions to allow participants to talk about the lessons and to practice skills.

There are also a lot of self-help books on the topic of anger management. Look for those books based on CBT therapy particularly the ones by Aaron Beck or Albert Ellis.

For those who need a court-ordered 26 or 52-week anger management or domestic violence classes, there are longer curriculums available. Check with the provider in your area or the agency that is ordering the treatment. One good resource for anger management classes are the local domestic violence shelters who often provide treatment at low-cost.

Stay tuned to this blog (counselorssoapbox.com) for more on this topic in the future. While I can’t do therapy via the internet if you have questions about this topic I will do my best to answer them as time permits.

For more on anger management see Anger Management Posts.

Till next time, David Joel Miller.

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

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