Category Archives: Mental Health

Do people really need to stay on anti-psychotic medications over the long haul?

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

Drugs

Medications.
Photo courtesy of Pixabay.com

Are psychiatric meds for life?

The conventional wisdom has been that one you were put on an anti-psychotic you were going to be on it for life. People who stopped taking their meds were at high risk for a relapse.

Now comes a blog post, from no other than the director of the National Institute of Mental Health, reporting that we may have been wrong about this.

You can read the full director’s report at the link below.

http://www.nimh.nih.gov/about/director/2013/antipsychotics-taking-the-long-view.shtml

Please do not read my post or even the Director of NIMH and stop taking your meds. Talk to your doctor first.

But consider that meds and meds alone may not be what you or others with a mental illness really need.

You might also want to talk a look at Aaron Beck’s book on cognitive therapy and schizophrenia. The link is below.

Schizophrenia: Cognitive Theory, Research, and Therapy

“Counselorssoapbox is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to amazon.com.” We recommend only books we think are good and maybe occasionally make a buck.

So as with all other treatments, one size, one method is not the right approach for everyone.

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

Should you vent? The dangers of venting

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

Should you vent?
By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Do you need to vent?

Have you ever felt you just needed to vent?  Have you been around others who vented all over you? Sometimes it feels good to let it all out, to tell that person what you think. It is not so much fun if you are in the path of someone venting.

Have you been around others who vented all over you? Sometimes it feels good to let it all out, to tell that person what you think. It is not so much fun if you are in the path of someone venting.

Sometimes it feels good to let it all out, to tell that person what you think.

It is not so much fun if you are in the path of someone venting.

Keep in mind, there are a whole lot of problems that result from venting.

When people talk about “Venting” they are almost universally talking about expressing negative emotions. Even when people act out on supposed positive emotions there can be violence. Venting as a way to celebrate your team’s victory can end you up in jail if you act out.

When people talk about venting they are not talking about the slow letting off of pressure like when the teapot starts to whistle. Most people, when they vent look more like a stick of dynamite going off than a little steam from the teapot’s spout.

Here are some reasons that venting may make things worse rather than better.

Rehearsal for violence.

There was a time when we had couples in therapy hit each other with those sponge rubber bats and yell at each other to “get it out.” Some therapists discovered that after venting in therapy those same couples went home and then the next time they argued they started hitting each other for real, with solid bats.

Venting can increase your sensitivity to anger and violence. You are in effect practicing getting worked up and acting out.

Yelling, screaming, and jumping around does not serve to get a football team calmed down before a match, it gets them worked up and they go out there and become more aggressive. We will leave the issue of whether watching violence increases your propensity for violence alone for now. What is clear to me is that practicing aggression makes you more aggressive not less.

Venting increases your anger or other negative emotions.

Once you are extremely angry it is hard to control that anger. The most effective solution is to learn to not get upset in the first place. As hard as that sounds to do, once you get the idea that you can choose whether to get angry or not, avoiding anger is much more effective than venting once you get there.

The idea behind venting is that you are not in control of yourself, once you get angry you need to let it out and it is OK to subject others to your release of anger.

Anger management classes teach us that it is not what someone has done to us that creates our anger, it is our beliefs about that other person’s actions. Quite often the reason they did that thing which upset you was not the reason you think.

This does not imply you just need to take things. You have choices in your responses. The problem with venting is that we almost always go overboard and become excessively expressive of our anger.

The result is that after venting you end up regretting how far you went. You may even vent and then apologize. Once you have to apologize or get bailed out of jail, you have lost all the advantages of releasing that anger. You are now in a weaker and more helpless condition after venting than before.

Venting does not make you a stronger person. It leaves you making amends for the things you have done while venting.

Venting Damages relationships.

Even if you can vent and discharge those unpleasant emotions, that does not help the person you vented at. Often venting involves saying and doing things that may be hurtful to others. You vent, you feel better but the person you cussed out or hit may harbor a grudge forever.

Venting with a partner can damage a relationship beyond repair.

One reason venting is so attractive to so many people is the human tendency to store up complaints, sometimes called Gunny Sacking, and then let the other person have the whole load of our wrath all at once. This is an unhealthy way to deal with ongoing problems.

So before you let yourself vent consider other ways to handle those negative emotions or to prevent upsetting yourself in the first place.

Additional posts on this topic are under feelings and emotions, related topics are listed in the categories list to the right.

Related articles

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 avoid prison by saying your suicidal?

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

Alcatraz prison

Prison?
Photo courtesy of Pixabay.com

If you say you are suicidal will you stay out of prison? How about jail?

Nice try! Not likely!

People try all sorts of things to get out of going to prison. While saying you are suicidal may slow the process down a wee bit it won’t prevent it.

Jails and prisons have psychiatric units. They can put people on suicide watch. So just because you say you are suicidal will not prevent you from serving a prison term.

People often confuse some very different ideas and the result is that they think things are one way when they are not. Here are the different concepts, very oversimplified. All of these, for the record, is very different from the popular conception of “crazy.”

Not guilty by reason of insanity.

This may get you off from the prison term but you may not be happy with the way it goes. Not guilty by reason of insanity means that at the time you committed the crime you did not understand that what you were doing was wrong. This is way beyond seriously and persistent mental illness and has nothing much to do with saying you want to kill yourself.

People who get this verdict go to a long-term psychiatric facility. You do not just stay for your 5 or 10. You stay until some psychiatrist is willing to risk his license on saying that you will not do this thing again and that you now have learned the difference between right and wrong.

I hear from clients who have been in these places that had they been up to going back to prison they might have chosen the prison.

Involuntary psychiatric hold.

There are three reasons you get placed on an involuntary hold. You say you will kill yourself, you threaten to kill someone else and we believe you, or when we give you food and clothing you can’t figure out what to do with this stuff.

This involuntary hold usually gets you sent to a local mental hospital. These are not long-term facilities by any means.

You stay here for, in my state, up to 72 hours for evaluation, and then at the discretion of the psychiatrist you might get put on a longer hold. For most people, this stay lasts a week to two. A stay beyond that is rare. Not the 72 hours is an “up to
” number. Lots of people get released in a lot less than 72 hours.

The objective here is to give you meds, get you stable and then send you somewhere else.

So if by some chance you convince someone you are going to harm yourself, you will get to stay here long enough for the meds to kick in and you to stop caring about what happens. At that point off you go to the prison unit.

While a prisoner is at this kind of hospital there will probably be one full-time guard watching them. They watch you all the time, everywhere. This gets annoying enough some about-to-be-sentenced people make sudden recoveries.

Seriously and persistently mentally ill.

If you can convince the powers that be that you have a long-term mental health problem you will get sent to a prison with a psychiatric unit at which you may be required to take your meds. You may have the right to say no, but the prison can go before a judge and get a court order to medicate you against your will. Also refusing meds results in a lot of reductions in privileges and options.

Should you say you are suicidal to get out of jail?

My advice to whoever sent this question in would be if you really are suicidal say so. But if you are not, do not try this dodge. The result could be more time and having to do things you do not want to do. You also run the risk of getting a label hung on you and face discrimination from the other prisoners. Who wants to do their whole time labeled a J-cat unless you really do need the meds.

Give it up. You did the crime, do the time and then consider doing something to rehabilitate yourself.

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 do you tell them you have a mental illness?

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

Mental Health or Mental Illness

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

How do you tell someone you have a mental illness?

Should you tell people about your mental illness? When and how? Is there a stigma around having a mental illness? You bet there is!

That stigma impacts your decision about when to self-disclose and to whom. Whether to tell others about your mental illness is one of the tougher decisions anyone in recovery will have to make.

Your mental health conduction is mostly confidential.

Generally, medical conditions are protected by confidentiality. Your doctor is not going to tell people about your condition unless this is a “reportable by law” condition. Even then the person at the communicable disease center is going to keep it confidential as much as possible.

It is a whole lot harder to keep your mental health condition a secret and once that information gets out it can change your relationships forever.

Ask people if they would be OK working at a desk next to someone with cancer and many will say yes. There was a time people with cancer were avoided for fear it might be contagious. We know more now about most diseases.

Many people would be willing to work with or next to someone with an HIV infection or AIDS.

When it comes to someone with a mental illness the picture changes.

Most people do not know much about mental illness and still think it might be contagious, or that the mentally ill are “crazy” and dangerous. Many people do not know what to do or how to react when they encounter someone having a mental health crisis. Here is a great program called Mental Health First Aid to help people know how to respond but this program has not been available to nearly enough people.

Even among professionals working in social service agencies, there is a sizable number who would not want to have a person with a mental illness working alongside them. We have talked so much about the problems of the mentally ill, the message that recovery from mental illness can and does happen has not even reached everyone working in social services agencies, let alone the general public.

We have a long way to go to defeat the stigma around having a mental illness.

One way stigma has gotten broken down is by having people in prominent positions tell the story of their struggles. This has been powerful for reducing stigma against AIDS, Homosexuality, and a great many other conditions.

High profile people talking about their mental illnesses has not had nearly as much effect.

Some people who have talked publicly about their mental illness have said if they had known how much prejudice they would experience, they might not have been so open about their problems.

It is not just the mental health consumer who experiences discrimination. Their family members may be discriminated against or persecuted also. Some people do not want to have the mentally ill in their neighborhood even when they have a mentally ill member in their own family.

The result of this prejudice keeps the mentality ill hidden and forgotten and the families find they may need to pretend that no one in their family would be “crazy.”

The route forward for those who self-disclose mental illness does not look easy.

Sometimes the self-disclosure is inevitable. When you are in a relationship your partner needs to know. If you are on a job and have to take time off for treatment or end up in a hospital then your boss needs to know. You may have to tell your family also.

Some relatives, friends, and coworkers are more understanding than others. Some companies follow the letter of the law and look for other reasons to terminate a mentally ill person. Other employers follow the spirit of the law and recognize the contributions the mentally ill can make to this organization.

Mental Health is on a continuum.

It is important to note that even in writing this post I slipped into talking as if there are two groups, the mentally ill and the “normal.”

People who are knowledgeable in this area will tell us that the boundaries between these two groups are porous and that people move from being mentally ill to being mentally well. Some mentally well people will also discover they have a mental illness this year when they had never had one before.

Life stresses can impact most anyone’s emotional well-being.

The road to reducing prejudice around mental illness runs through the places of education. That education needs to take place well beyond the confines of professional training programs. We need more understanding of what mental and emotional illnesses are like and how they can be overcome in our schools, churches, and workplaces.

Along the way to stigma reduction each person with a mental illness, their friends, and family will need to consider when and to whom they will self-disclose.

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 can you tell if someone is normal?

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

Normal.
Photo courtesy of Pixabay.com

What is normal anyway?

How can you tell if you are normal? How could you know if someone else is normal or just faking?

What if “normal” is having a whole lot of problems just like the rest of us?

Some days I start thinking either everyone is “normal” or none of us is. If by normal we mean no problems, emotional, mental, or behavioral. So far I haven’t found any such people.

Remember that I spend all day, most days, seeing people who need counseling and in that process, I need to assess them and give them a diagnosis. You might think that because I only see people who have issues, I don’t see the really “Normal” people.”

I am starting to doubt that.

Everywhere I go people seem to have one problem or another. Celebrities get drunk and do bizarre things, athletes do drugs and countless Facebook pages report mostly complaints about how rotten life is and how everyone they know is crazy.

The harder I look the fewer almost-normal people I can find.

This has started me thinking that we have set the bar for normal so high that no one can make it to almost normal let alone the full measure of normalcy.

If we expect normal people to be close to perfect then we are likely to be severely disappointed. Frankly, we all have our issues. Life happens, things happen and then we have to cope, for better or worse.

Some people cope better than others, but so far no one seems to be able to go on being “normal” every day for extended periods of time.

Frankly, I have given up on being normal. I will take “not certifiably crazy” any day.

From time to time when asked about how normal people do things, I have threatened to capture one of them and put that “normal person” on display at a zoo. That way the rest of us could observe what it would be like to have finally achieved normalcy.

After thinking about that a while I have to conclude that normal, is a long way from what most of us expect normal to be. Normal is, after all, living life in spite of having a whole lot of problems, issues, and untamed emotions. It may even be perfectly normal to have wild and crazy thoughts every now and then.

Given that, go ahead and enjoy being normal, even if you need therapy and meds to cope with a normal life.

Related articles

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 brain on delay?

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

PNG of brain.

Brain
Photo courtesy of Pixabay.com

Five possible reasons for Brain Delays.

There are lots of ways to put your brain on delay. Once you do, it can be hard to get it working correctly again.

Your brain may be tired, worn out, beat up, or just plain over-full. No matter the reasons, once your brain is in the delay mode you will not get the sort of use out of that organ that it is capable of.

Here are some things that may be slowing your brain down and putting it on delay and some thoughts on getting your brain back on-line.

Fear can hijack your brain.

When our minds are occupied with fear and anxiety we use up a lot of working memory. You can spend so much time brooding on your troubles that there is not much capacity left to think things through, plan for the future, or even to enjoy the good things along the way.

Find ways to reduce the fear or anxiety. There are all sorts of methods, counseling, medication, or facing this event with a supportive person. You will see a lot about that in other posts on this blog.

Some fears are really cowards in disguise if you face them down and walk towards them the thing that you are afraid of will run.

Depression or Dissociation uses up brain capacity.

One symptom of retardation is “psychomotor retardation.”  When you are very depressed any effort, even thought, becomes more than you can manage.

If you feel “out of it” or “spacey” look for an emotional cause.

There is also a condition called dissociation. A small dose of this may be a normal way your brain protects you from physical or emotional pain. If this keeps happening or interferes with your life consider getting some professional help. You can get better and no this is not, “just the way I am.”

Alcohol or other depressants make thinking fuzzy.

What depression can do to us, we can do to ourselves by drinking alcohol, taking depressant drugs or even by excessive use of sedating prescription drugs.

Despite all the myths out there, alcohol does not give you energy, it depresses the nervous system. Drink enough alcohol and just remembering who you are and where you are, become major tasks.

Don’t let alcohol slow your brain down.

Abuse of stimulant drugs can cloud things up.

Using stimulant drugs to accomplish more is a horrific delusion. In the early stages, stimulant drugs like cocaine and meth seem to offer the hope of lots of energy, a more productive life.

But with repeated use, we become the dog who chases his tail. You run faster and faster but get nowhere. People on stimulant drugs get “Stuck.” They repeat behaviors over and over until they finally crash.

Once they crash they stay down for at least as long as they were up. All that downtime, their brain is set on fuzzy.

Stimulant use and abuse can get you both ways, when you are up you are stuck on things and when you are down you are off-line.

Physical health issues make thinking harder.

If you have not had health care or it has been a while since you saw a doctor, make sure you get yourself checked out by a doctor. If it has a medical cause then your problem is not an emotional one. Having a physical issue can make your emotions more difficult to cope with. Sometimes you may have both a physical and a mental health issue.

So if you find your brain on delay, think about what caused this condition. Rather than doing more of what isn’t working, try something new. Get help and get that brain back up and working the way it was designed to work.

Related articles

Staying connected with David Joel Miller

Two David Joel Miller Books are available now!

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.

Casino Robbery is a novel about a man with PTSD who must cope with his symptoms to solve a mystery and create a new life.

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

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

Want the latest on news from recoveryland, the field of counseling, my writing projects, speaking and teaching? Please sign up for my newsletter at – Newsletter. I promise not to share your email or to send you spam, and you can unsubscribe at any time.

For more about David Joel Miller and my work in the areas of mental health, substance abuse, and Co-occurring disorders see my Facebook author’s page, davidjoelmillerwriter. A list of books I have read and can recommend is over at Recommended Books. If you are in the Fresno California area, information about my private practice is at counselorfresno.com.

How you can beat test anxiety

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

Anxious woman

How anxiety holds you back.
Photo courtesy of pixabay.

Do you suffer from test anxiety?

Test anxiety is not just a problem for children in school. Want to drive, you need to take a test. Many jobs require tests. Even after you graduate from school many professions require licensing exams or tests to renew your license. Job interviews are another form of test, an oral one.

Dating is also a sort of test and some of you have only been able to do this with some alcohol to help you overcome that type of test anxiety. Sales also involve tests, does the client want what you are selling? Do you take it personally if you “fail to make the sale?” If you can’t stand being turned down you will never make it in sales.

Test anxiety is far more common than most of us recognize.

So today and in upcoming posts, we will look at test anxiety, how it affects us, and how to overcome it.

It is not the people who know the least that get test anxiety, nor is it those who are at the most risk of failure. Often the people who have the highest test anxiety are actually the best students but they consistently make three so-called thinking errors that interfere with their ability to put down on paper or another medium the full extent of what they know.

Don’t make the three key mistakes of people with high test anxiety. Test anxiety, technically called evaluation anxiety, is maintained by three concurrent thinking errors.

Don’t underrate your abilities.

People with high test anxiety consistently underrate their abilities compared to those who do not have test anxiety. You need to believe in yourself.

Learn to give yourself credit for what you know rather than focus on what you might get wrong. If you suffer from “low self-esteem,” work on being able to see the best in yourself.

Don’t overrate the consequences of doing poorly on the test.

One low score will not flunk you out of college. Cumulatively the consequences of a lot of test anxiety will lower your grades. Even then, slightly lower grades will not keep you from graduating if you do all the other work.

Remember in a hundred years no one, not even you, will know or care about what grades you got.

Honest, grades are not all that important. What does matter, is have you really learned the material? People who cram for tests will have forgotten most of what they learned in a week or two. If you really care about the subject you are studying them you will learn this material at a deep level.

Think grades or GPA matter all that much. Unless you are trying to get into a very exclusive school or are taking a once in a lifetime type test most times you score today is not all that big a deal.

Quick, what was your doctor’s GPA? What kind of grades did your lawyer get in school? Every day we trust our lives and liberties to people and have no idea what grade they received in school.

What we do care about is do they know their stuff. Can they get the job done?

Do not engage in negative self-talk that uses up working memory and creates the poor performance you feared.

Repeatedly telling yourself you are going to fail a test, nearly guarantees that you will. Your brain will try to help you out and make your predictions come true. (See the post on the Nocebo Effect in which you can quite literally think yourself sick.)

Good coaches do not solely focus on the athlete’s mistakes. They also give their players encouragement and recognition for things well done.

Be your own coach and encourage yourself. Tell yourself that you are going to do your best and you will.

Do not put off studying until the last minute.

Learn to study well ahead of time. Putting off your study session and then studying under pressure makes it harder for your brain to store that new information. Study early and often.

Even if time is limited, short periods of study each day are better than last-minute marathon study sessions.

When you really don’t know the answers your test anxiety will increase. If you are well prepared and well-rested your chances of doing well improve.

Watch for a future post on “How you can get A’s.” Tips I have learned from my many years in school and my time as a faculty member.

If all the basic tips for reducing test anxiety do not help, consider getting professional help. A good counselor or therapist can work with you on reducing this and many other anxieties.

Chances are that if you suffer from test anxiety there are lots of other anxieties that are keeping you from having the happy life you deserve.

Related articles

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

Mental Health Monsters – Depression and Anxiety

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19

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

Emotional monsters.
Photo courtesy of Pixabay.com

Has your life been a struggle with monsters?

As children, many of us had monsters in our closet. Some of you needed night lights or parents to turn on the light and check the closet for us. That light chased away the monsters.

But as we grew older some of us discovered we were locked in a struggle with real-life monsters, anxiety, depression, or another emotional problem.

Rather than fearing the monster under the bed or the one in our closet, we began to try to lock those monsters away in the closet. Slam the door on the depression or anxiety and pretend that if we don’t see that monster then he does not exist. Our family, friends, and society were more than willing to play along in this game.

So now older, we discover that the mental health monster has been living in the closets of our mind and all the while that depression monster, the anxiety monster, and maybe you addiction monster, they have all been growing, locked away in the closet.

So how, after all this time of pretending that you are not troubled by an emotional problem monster, do you open that closet and do battle with the creature that you wanted to deny?

Society has been a willing participant in this process of hiding the monsters of mental illness and emotional problems from us. If we pretend that depression does not walk among us, if we can laugh at the ravages of the anxiety monster then we can all feel safe from this gang of emotional problem monsters.

If you are going to fight the great fight against the gang of mental health monsters you will need a host of emotional tools, the weapons you will need to defeat the monsters of the mind.

Have you put together a toolkit that will help you in your struggle with those emotional monsters?

What tools work for you?

Related articles

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 voices in your head – depression, anxiety and fear – they lie

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18

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

The voices in your head, depression anxiety, and fear – they lie
Photo courtesy of Pixabay.com

Should you listen to those voices in your head?

You know the ones I mean, the doubt, the discouragement, the thoughts of depression, and anxiety. Those voices that tell you things will never be better. They say you can’t do this and you must do that. Those voices are maintaining your emotional and mental problems.

We all have those voices in our heads at times. The ones that tell us we must do something or that we will never be able to do something. How we interpret those voices makes all the difference.

Those voices in your head and you do not need to be psychotic to hear them, they arise from all sorts of things. They can be the voices of negative people from your past. Remember that those adults that told you depressing, hurtful things, they may have had an emotional problem also. It is not unusual for a depressed parent to pass those voices of despair down to their descendants.

Not all voices in our heads are negative. Sometimes they are telling us valuable information, memories from our happy experiences. But remember other times what they say are outright lies. How can you tell the difference?

Frequently, that thing we call a voice in our head is our own thoughts, thoughts heavily influenced by our emotional state.  When we are in a bad mood, down and dejected, those voices talk of doom and gloom, the tales of the depressed.

Some people take this to be the devil on one shoulder and an angel on the other. Our thoughts are telling us we should or shouldn’t do or think a particular thing.

If you are more philosophical than religious you might frame this as a conflict between your conscience and your desires. If that voice in your head is telling you to go ahead and do it, you can get away with it this one time. That is probably your desires. If the voice says that what you are thinking about is wrong – that might be your conscience. But there are exceptions.

Others of us will interpret those “voices” in our heads, those thoughts that sound so convincing that they must come from somewhere else, as messages from God or our higher power.  If you get that thought, be careful to check out this message with your spiritual adviser. The God talking to you may be a function of your emotional problems.

Another source of those “voices in your head” is the things you have been told in the past. Under times of stress, and most of life is stressful, memories of what we have been told come back.

What we constantly need to ask ourselves is – are these voices telling the truth?

Believing that because you have a sudden thought, that you must do a particular thing, can result in a lot of problems.

More cognitive humans might interpret these “voices” as automatic thoughts. Over time the things we tell ourselves and are told become so a part of us that we think these thoughts as if they were facts. Those ideas are our automatic default ways of believing even when they do not match the facts of the current situation.

These voices in our heads become problematic when we lose the ability to dispute what they are saying. We do not need to believe everything that we think. What we tell ourselves may only be true because we say it.

If you find that those voices will not be silent even when you command them. If those voices take on a personality of their own, then it is time for professional help and probably medication.

But short of a true psychotic experience, we all have those recurring thoughts that might at times sound like voices telling us things. Whether those voices are the memories of what you were told as a child or are your own imaginings, remember that sometimes the voices lie.

Not only are some of our self-talk lies but what those old voices in your head are telling you, that may be lies also.

What has your depression, bipolar, anxiety, or other emotional problem been telling you? Are your internal voices telling you the truth or has your depression been telling you lies again?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Do emotional problems, depression and anxiety, time travel?

Posted on by
13

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

Do your problems follow you around?
Photo courtesy of Pixabay.com

Is time on your side?

When you go for counseling exactly what time period should you be concentrating on?

Some people want to spend a lot of time working through the past. If you have been the victim of abuse or neglected you may find it difficult to move forward until you make peace with the past. Depression or anxiety may have their roots in the past, but at what point does continuing to relive the past interfere with the present and the future?

Staying in the present.

For people in recovery, however, you define that, the emphasis is more likely to be on the present, how to cope with that present, how to live life on life’s terms.

In changing your life, for me, the emphasis should be on the future. How can you get where you want to go without looking at where you will be when you get there? You know about your symptoms, your depression, or maybe you have anger issues or anxiety, what is important is how you move beyond those emotional problems.

Couples who come in for relationship counseling, we used to call that marriage counseling, often want to rehash the past, who did what to whom and why. Often this need to establish whose fault it was or who is right and who is wrong, gets in the way of establishing how that couple will develop the skills they need to create a happy relationship in the future.

Does it really matter why the homeless person is homeless? Say you figure out why you are depressed, has that changed anything. You are still depressed and now you have to pay for therapy to tell you what you already knew.

It might be more important to learn the skills they need to find and hold a job and then to get and maintain a place to live. In looking at why people have a particular emotional problem, I find it is only productive to look to the past when we are looking for ways to prevent this from happening again.

The same is true of break-up counseling. You separate, get a divorce, and now what? Do you stay stuck in the blame them or even blame yourself mode or can you see how there might be something you need to learn or something you need to do differently if the future is going to be different from the past?

Some counselors and this includes relationship counselors, want to work their way through the past. Sometimes you need to do this if there are things that you have not finished with, feelings you are not ready to let go. But isn’t looking forward to the future a whole lot more important than staying stuck in your problems?

The longer I have been involved with the counseling process the more I find myself focused on the future and how to create that happy life that I want for myself and for the client.

Lots of us have our stories, problem saturated or even problems soaked tales of how our life got this bad. We know why we are depressed, anxious, or even addicted. What we find it difficult to talk about is what we want for the future.

In counseling, I like to use the “miracle question.” I ask the client if this problem you have were suddenly gone tomorrow, what would your life be like? If you had your dream job, what would you be doing? Many of them can’t imagine a life without their problem. Some are not willing to give that problem up just yet.

Some will downright refuse to press that happy button.

Some couples therapists find that the ability to imagine a good relationship predicts the success of relationship counseling. If you are in counseling to find out whose fault it is and then to punish them for your unhappiness, you are wasting your time.

Whatever you do, strive to leave those emotional problems from the past in the past and spend the present making plans and preparations for a happy, contented future.

Your depression, anxiety and other emotional problems can only time travel if you refuse to let go of them as you take this journey we call life.

Related articles

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