Morning Question # 5 How often and how long should you see a therapist?

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

Therapist

Therapist.
Photo courtesy of Pixabay.com

Short answer: see a therapist as much as you need, no more, no less.

Longer answer: There is nothing special about the once a week, 50-minute hour, therapy session. Psychoanalysts often see clients twice a week or more. If you have a personality disorder, especially Borderline Personality Disorder, at least 2 to 3 times a week is recommended. Once to work on current problems, once to learn skills to avoid having more crisis type problems and more sessions as needed for addressing the past and long-term suffering.

In substance abuse, the preferred method of treatment is lots of sessions and meetings in the beginning, and then less as time goes on. Many programs begin with residential around the clock treatment to make quick gains followed by daily group sessions to consolidate the gains and lastly weekly follow-up sessions.

In Coaching or goal setting situations a single session may be all you need. That first session is sometimes followed by a booster session every so often.

Most of the time the number of sessions, frequency, and duration of treatment is determined by who is paying. Insurance may limit you. So might public funding. Court-ordered treatment may set a minimum. If you need more sessions your provider should be able to advocate for you and help you get what you need.

The more serious the illness the more treatment will be needed. For some conditions you will need to stay on medication for the rest of your life and that medication will need monitoring even when you discontinue therapy.

The question of how much, how often, and for how long are definitely things to discuss with your provider.

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

Morning Question # 4 – Is there a mental illness you can’t recover from?

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

Confused brain

Mental illness.
Photo courtesy of Pixabay.com

That depends on what you mean by recover.

People, in my opinion, can and do recover from a wide range of mental illnesses and substance use disorder problems. Recovery means that you get your hope back and you get your life back. It does not mean that you are cured or can cease your vigilance when it comes to self-care.

Somebody with type-two diabetes can lose some weight; get their blood sugar under control. They may even be able to live without medication. But does that mean they can or should begin to overeat or neglect their health again?

Someone with a serious mental illness may get their condition under control. They may be able to have happy relationships and friends. They get their hope and happiness back. Many people with mental illness are able to work, volunteer, or do productive activities again.

Millions of people have “recovered” from alcoholism, by which they mean they are no longer in a hopeless state of mind or body.”

To me, recovery is a process, not a destination. We can all move from unwell to less well to more well. But recovery only lasts when you continue to do the work to maintain it.

So – NO – I have not seen a mental or emotional illness from which you can’t recover if you are willing to do the work of recovery. Some recovery roads are just longer and more difficult than others.

When a question or comment comes in or someone uses a search term that needs a short answer but not a post. Time permitting; I post answers, like this one to those questions in the early morning.

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

Morning Question # 3. What stimulant drug causes mental illnesses?

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

Drugs

Stimulant drugs.
Photo courtesy of Pixabay.com

What stimulant drug causes mental illnesses?

Morning Question # 3.

ALL. Yes, any stimulant can cause a mental or emotional problem when you are under the influence. Some stimulants, like Methamphetamine, if you do enough of them, can cause permanent damage to the brain. The DSM includes five stimulant-induced disorders that can last after you are detoxed from the drug. Even Caffeine can cause intoxication and can induce anxiety or sleep disorders. The stronger the stimulant and the more you use the bigger the risk.

Sometimes a question or comment comes in or someone uses a search term that needs a short answer but not a post. Time permitting I will post answers to those questions in the early morning.

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