Will the therapist say I am crazy and lock me up?

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

Psychiatric hospital.
Photo courtesy of pixabay.

Being locked up is a fear of some people coming to therapy.

The chances of this happening are very close to zero. The fact that you came in on your own means this is highly unlikely for many reasons.

This idea of the upset person who gets “put away” in a mental hospital, usually called an insane asylum, makes for great T. V or a good novel, but in real life that does not happen, at least not very much and particularly not here in the United States.

Here are the reasons why you are not going to get locked up just for going to see a counselor.

Professionals just do not think of mental illness that way anymore.

The old notion was that there were two kinds of people, normal and crazy. If that were true we would need to lock everyone up because I do not see any normal people in my world. Some people may be more normal or less normal than others, normal being a statistical concept. Being different does not make you crazy.

Mental illness is not the same thing as being crazy.

Mental illness is on a continuum, people get unwell, then they get sick, then they move back in the other direction as they recover. Most people have times in their life when they are anxious or depressed. If someone is shooting at you please get anxious. If a family member dies, I hope you get sad. Do not let that anxiety or depression control you for the rest of your life.

People we call mentally ill get stuck at that “too sad” or “too anxious” and do not seem to get back to a better place without help.

There is a big argument about why. Watch for an upcoming post on the causes of mental illness as I see them.

The therapist expects you to have some problems, so no they are not likely to think you are over the edge just because you came for a little emotional help.

There are only three special reasons you can be confined to a psychiatric hospital against your will.

Holds for involuntary psychiatric hospitalization in this area are only written if the client is a danger to themselves, a danger to others or they are so disabled they can’t feed themselves or clothe themselves. Being poor, or homeless, does not count. I hand you a cookie and you eat it, I offer you a sweater and you put it on, you pass this test.

If you say you are planning to kill yourself then you may be detained until those thoughts pass and you recant that thought. Professionals are suspicious if you were saying you would kill yourself to the police just a few minutes ago and now you are saying that you won’t.

Saying you have thoughts, usually will not get it. You need to also have a plan for when and how you will do it or a history of attempts or some other reason for the official placing you on an involuntary hold to believe this is something you might do.

Being under the influence of drugs or alcohol is a risk factor. People who binge drink or are drunk are 55 times more likely to attempt suicide than sober people. So if when drunk you say you are going to kill yourself and the police are called you may end up in a psychiatric hospital for a very short stay.

Say you are planning to kill someone else, say you also have a gun and you may end up in a hospital or a jail for a while longer. Even then the law just does not let the police or the psych hospital keep people who might someday hurt someone else all that long.

Once the person sobers up or changes their mind, the chances are that they will have to be released even if the police still think that this person may in the future hurt someone.

While this lets some people out who may harm others it also keeps a lot of people from being locked up just because they scare someone else.

The psych hospitals are pretty full and they charge a lot of money.

The hospitals do not want to keep anyone there one minute longer than they have too. The days of years in an asylum are over and gone. Most stays now are a week or less. Stays beyond 30 days are rare.

In crisis units, the stay around here is most often less than a day.

Yes, I know the involuntary hold says 72 hours, but in practice, not many people stay that long. That 72 hours or 3 days is a maximum, not a for-sure.

Most of the complaints I hear are that people were discharged from the hospital before they felt ready, not that they were kept too long.

As soon as someone appears able to cope with life they get let out even if they will need meds or therapy to be able to cope in the future.

Counselors, in most places, are not authorized to write involuntary holds.

Even if a counselor works for the government and writes holds in their day job, they are not able to write them in their private practice. So unless your treating professional is a psychiatrist with treating privileges at the hospital there is a low chance they have that little card that lets them write holds, especially one that would let them write the hold in their private office.

What could happen is if you said you were going to kill yourself or others and you convinced the therapist that you were serious about this, he or she might call the police and get you detained until you change your mind.

There you have it. The things that bring most people to counseling are miles away from the things that might get you locked up in a psych hospital. Stop worrying about this and go get the help you need before you have to live your life in the place of unhappiness.

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

Why people avoid the doctor and the therapist

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

What are your reasons for avoiding getting your problems treated?

Therapist

Therapist.
Photo courtesy of Pixabay.com

The scenario is the same only the problems and the treating professional change. You have a problem, a sore that does not heal, a physical or emotional pain that won’t go away, or a troubled relationship, but you avoid getting help.

Why do people so often avoid treatment for a problem?

We see a lot of couples who come for marriage counseling, they have talked about seeing a counselor off and on for a long time. Now when they come to our offices one or both have decided it is over, past the point of repair. They say they can’t stand the pain one day longer.

Why have they waited so long? What made them think they needed to endure that pain at all? Here are some of the faulty beliefs that cause people to avoid therapy.

Talking about problems will make them worse.

Despite this fear’s prevalence, there are plenty of reasons to think just the opposite. Problems caught in the early stage may need small corrections; wait too long and they need major changes.

Admitting you have problems or challenges does not mean giving in to them. Recognizing your challenges gives you something you can work on to improve your life.

Asking for help means I am weak.

It is easy to delude yourself, think you are, or should be superman or superwoman, able to handle everything by yourself. That is just not the way life works. Even experts consult with other experts. Two heads are better than one. Recovering people have sponsors, and in the sphere of emotional problems, counselors and therapists frequently see other professionals when they experience life problems.

People will think I am crazy or incompetent if I go for help.

No one should think that, especially not the therapist.

First off, therapy is confidential. Your counselor is not going to tell and you have the choice of telling or not telling your family and friends.

We all have times in our lives when we need to see a professional or specialist. You see a mechanic for your car repair and you see a lawyer if you have legal issues. Hopefully, you saw one or more teachers that taught you how to read.

Some people are able to do some of these things for themselves, but not many people are doctors, lawyers, and tax accountants. Everyone needs some advice now and then.

Counselors can do several things that are helpful, Give you perspective, no you are not crazy, lots of people in your circumstance would have that issue. They also can help you learn the skills you need to manage or regulate emotions.

Lots of people spend their whole life working at jobs they hate or that are low paying because they did not use the services of a career counselor to help them plan the right career for them.

People also do not seem to come in to learn how to be good parents or good spouses. They do however see their therapist when the child has problems or the marriage is in trouble.

A little early skills training or education can help you reduce life problems or navigate the things that will come along in any life.

Once I lose control, start crying or get angry I will never be able to stop.

This idea is simply not true. Given enough time people regain control. People cry and then they get “cried out” we laugh and then the laughter fades. The problem is not that a feeling will take control of you and you will never return. The issue is that you need to learn to regulate your feelings.

Regulate does not mean destroy them or eradicate them. It means learning to be able to control them, work with them, learn from them, and play with them.

Want proof that you will not be transported to crazyland if you start to cry?

Create some crying time!

Have some sadness you are afraid will overwhelm you? Set aside a time each day, 15 to 30 minutes. At this same time, each day go in a room by yourself and set a timer. For the entire time cry nonstop. Cry as hard as you can. Get that crying out!

What people find is that they are usually not able to keep up the crying for the full-time. They just do not have 30 minutes’ worth of tears in them every day, especially not every day for a week or a month.

You will also find that if you can make yourself cry on schedule, then you will be able to make yourself not cry when you want to do that.

Practice crying when you want to and not crying when you wish to not cry and you will have gone a long way towards learning to “regulate” your emotions.

If you find that regulating emotions is a special challenge for you, this does not mean that there is something wrong with you. It means that there is a skill, “Emotional Regulations Skill” that you still need to learn. A therapist, especially one trained in DBT, can help you learn to regulate your emotions.

For more on “behavioral experiments” like crying at will see the work of Milton Erickson.

I won’t be able to take the pain.

People sometimes think that if they talk about their pain then they will not be able to bear it. You will be able to take the pain of treatment a whole lot better than the pain of staying ill.

One place this fear comes from is the image of the old psychoanalyst making you go through all the sordid details of your life.

While I may be old, I do not think we need to dig up the whole garden of your life to find the weeds that are causing your pain today. A good therapist can help you work on the problem that brought you into treatment and then if you decide you can move on to working on past issues.

Working on our issues may be painful at times but once you face your demons and learn the skills to tame them they shrink like scared little kids.

The Therapist will spill my secrets.

Not likely to happen. Therapists and most counselors have a requirement to keep your secrets, that comes close to that old religious practice of things told under the seal of the confessional is not repeated by the priest.

The law protects most client-therapist conversations. The counselor can lose their license for telling even if you committed a crime.

I have written a lot of posts about what things the counselor must report (If you are suicidal, homicidal, or talk about abuse of a child, elderly person, or disabled person.)

If you have specific concerns look at those posts and if in doubt ask the counselor to tell you about confidentiality before you tell them your secrets.

They will think I am crazy and lock me up.

Extremely, I repeat an extremely low chance of this. See this post: Will they lock me up?

For more on these “therapy interfering beliefs” See the writings of the following: Aaron Beck, Judith Beck, Marsha Linehan, and Milton Erickson, to whom I am indebted for much of the inspiration for this post. Let’s hope I have not distorted their views in the retelling.

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

Why are we so afraid of feelings?

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

Man with feelings

Managing feelings.
Photo courtesy of Pixabay.com

Fear of feelings?

You would think that feelings were on the banned substance list. So many people are avoiding them. Failure to feel what we feel is at the root of a lot of mental health problems. Still, people go to great lengths to not feel those feelings.

We hear lots of advice about ways to avoid feelings, think logically, pull yourself together don’t let yourself feel that. The forces of logic have won the day and henceforth feelings are banned.

But we know in our gut that sometimes feelings are telling us the truth when our head wants to mislead us.

Some people grew up in homes where their feelings were invalidated. You said you were sad and you were told you are not sad, you don’t even know what sad is. If you feel that way you are being weak or selfish or some other terrible thing.

Numbing out the feelings.

So you avoided feelings, any and all feelings, and eventually, you became numb, chronically unhappy, or unable to feel any real joy. In your flight from feelings, you may have left a lot of love, friendship, and compassion behind. You may have resorted to drugs or alcohol or other addictions to avoid feeling what you were feeling.

Feelings have been blackballed, put on the most wanted list, and hunted down and exterminated whenever possible. We have become so very afraid that someone will get angry, depressed, or anxious and then something bad will happen. So we tell them to pull themselves together, forget that feeling and think logically.

Logical thinking, the scientific method has resulted in a lot of technological advances. We have more stuff than ever before in the history of the world. Stuff exists now that science fiction writers fantasized about just a few short years ago.

What we haven’t accomplished is any real reduction in pain or unhappiness. We have more pain-killing drugs but no less pain. We have more antidepressants but we have more depression than ever. We teach people to be more rational and there are crimes of passion on every corner.

In this process of avoiding being carried away with excesses of feelings, we have lost the ability to use feelings for the intended purpose.

Your feelings brain.

When we talk about using our brains, what is left out of the equation is just how much of our nervous system lies outside our heads. All those nerve cells, the ones surrounding your stomach, and the ones in your neck, they are trying to tell you things also.

Those expressions, someone is a pain in the neck, or that makes me sick to my stomach, those expressions are full of truth. Those bodily sensations are conveying information to the rest of our beings that we just may need to know.

Those other “thoughts” the ones in our feeling systems ought to get more attention. That skill we call intuition may just be those emotional memories of things in the past that are useful for actions in the present.

By avoiding our feelings for so long we have lost the ability to regulate those emotions. When we do feel something, like sadness, we can easily become overwhelmed.

When feelings are strangers we come to fear their presence. So many of us will do anything, drink, drug, numb out to avoid feeling what it is we are feeling. We become afraid that feelings are enemies out to destroy us rather than old friends here to tell us something.

One huge step in recovery is to learn that we can feel feelings, happiness or sadness, excitement, or anxiety without becoming overwhelmed and carried away. Having a feeling is not the same thing as being taken over by that feeling. Joy does not have to lead to an excessive celebration and sadness or anxiety need not lead to another relapse or flight.

One group of therapists talks about the need to learn distress tolerance. I can feel bad some of the time and that is OK. I will not cease to exist because I feel sad or anxious. It is possible to feel unpleasant feelings, ask what that feeling has to tell us, and then, like so many other thoughts, let that feeling move on.

Not every happy feeling calls for action, a celebration of excess that might lead to a relapse into drug use, overspending or inappropriate sexual activities.

It is possible to feel feelings and let them serve and inform us rather than being controlled by what we feel.

How do you feel about your feelings?

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

Love

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

Child and adult on beach

Love.
Photo courtesy of Pixabay.com

Thoughts about Love.

There are lots of description for love but despite all the meanings we humans never seem to get enough of this precious stuff.

“Being deeply loved by someone gives you strength, while loving someone deeply gives you courage.”
―The Complete Works of Lao Tzu: Tao Teh Ching & Hua Hu Ching

“Love is that condition in which the happiness of another person is essential to your own.”
― Stranger in a Strange Land

“You don’t love someone because they’re perfect, you love them in spite of the fact that they’re not.”
― Jody Picoult  My Sister’s Keeper: A Novel

“You know you’re in love when you can’t fall asleep because reality is finally better than your dreams.”
― Dr. Seuss’s Beginner Book Collection (Cat in the Hat, One Fish Two Fish, Green Eggs and Ham, Hop on Pop, Fox in Socks)

Quotes from GoodReads.

Hope you have enough love today to be able to spread some around.

What is an Alcoholics Anonymous (A.A.) meeting like?

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

AA big book

Alcoholics Anonymous big book.

What happens at an A. A. Meeting?

This should be an easy question. It’s not. Let me explain what an A. A. meeting is and how very different these meetings can be.

While most people think of Alcoholics Anonymous as meetings you go to, it all started with a book titled aptly enough “Alcoholics Anonymous.” Back then there were few A. A. meetings. Most people learned about Alcoholics Anonymous from buying and reading the book.

Reading the book “Alcoholics Anonymous.”

I continue to recommend that people read the book whether or not they elect to attend meetings.

Over time more and more meetings have sprung up, mostly meetings of people who had read the book and wanted to learn more or get help in participating in the A. A. program of recovery.

With all these groups starting up, they each had to develop their own set of rules. There got to be so many rules that at one point Bill W. one of the two co-founders, said if they followed all those rules, even he could not be a member. The result was that each group or meeting could figure out their own way of doing things as long as their rules did not conflict with the 12 Steps and the Twelve Traditions.

Today there are a whole lot of very different A. A. meetings. Most groups have their meeting times listed and included in schedules and you can find those schedules online or in print form.

Meetings can be categorized by what the program for a meeting will be, who is able to attend, where the meeting is held, and so on. There are also designations for rules for particular meetings.

Types of A. A. meetings.

They can also be categorized by what is on the program at that particular meeting. First the rule types and then the program types.

Smoking and non-smoking meetings.

In the old days, most meetings were smoking allowed. Back then you could tell a good meeting by the full ashtrays. Nowadays more meetings are non-smoking. They may be held in a place that does not allow smoking or the members may have decided to make their meeting a non-smoking one.

Open and closed meetings

There used to be more prejudice about people admitting they had a drinking problem, let alone saying they were alcoholics, so some meetings became closed meetings, meaning that they asked that only alcoholics attend those meetings.

The majority of meetings, especially the large ones, are open meetings that anyone who wants to go can attend. They do ask that if you share, you only talk about alcohol problems and your recovery from alcoholism. Sorry, no commercial pitches or religious and political solicitations are part of this program.

Men’s only or Women’s only meetings

I recommend to female clients that whenever possible they attend a few women’s only meetings. The point of meetings is to work on your recovery not to find a new partner.

Meetings and fellowships

Meetings customarily meet once per week at a particular time and place. They may use any room available; say a church meeting hall, a room at a school, or business. The meeting rents the room from the place and then has its own meeting. The A. A. group may meet at say the Methodist church on Friday night, but it is an A.A. meeting, not a Methodist meeting, so any faith, or those with no faith, are welcome to attend.

A fellowship is a group of meetings that goes in together and rents a room so that there are primarily A. A. meetings in that place. A fellowship might have a morning meeting each day, a noon meeting each day, and one or more evening meetings each day all in the same place.

Go to a fellowship for a few weeks and you will develop a group of clean and sober friends. I encourage clients to try out a fellowship as soon as possible. I also encourage them to try a number of meetings until they find the one that is right for them.

Different A. A. meetings will have different formats.

Speaker meetings

At a speaker meeting, one or a couple of people will get up and talk about their experiences in recovery.

Book studies

At a book study, a portion of the book is read and they people discuss what this means and how they might apply it to their recovery. Books would include the A. A. Big Book, 12 and 12; As Bill sees it, and so on. These meetings do not include reading from any religious books like the Bible or the Koran as that would make the meeting a religious meeting not an A. A. meeting.

Open participation meetings

At this meeting members, (remember you are a member if you decide you want to stop drinking) are encouraged to talk about what is on their mind as it applies to drinking, not drinking, and their recovery from alcoholism.

Meetings, by the way, are not therapy sessions. Sometimes it is hard to tell the difference but the focus of the meeting should be on your problems with alcohol and your efforts to not drink.

The Big Book suggests that people share “in a general way,” what they used to be like, what happened and what they are like now.

So there you have the types of meetings that you might choose to attend, but what will actually happen if you chose to go to an A. A. meeting? If you need to or want to attend a meeting, consider which meeting type you might like to attend or try out several and see what is best for you.

In a future post, I want to describe what the experience of attending an A. A. meeting might be like.

The posts I write about AA are from my perspective as a therapist and clinical counselor and do not necessarily reflect the views of A.A. World Services. For more on A.A. and their program of recovery check out the “A.A. Big Book” titled Alcoholics Anonymous at the links below or contact AA World Services at their website.

The Big Book of Alcoholics Anonymous

The classic text on Alcoholism, recovery this is the book that started off the whole 12 step phenomenon.

Alcoholics Anonymous from The Anonymous Press

One of the Kindle editions – At 99 cents this is such a bargain. This edition needed a separate listing. No Kindle reader? No Problem, if you have a computer you can download a free Kindle reader.

http://www.aa.org

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

Why people are reading counselorssoapbox.com

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Counselorssoapbox.com

Why people are reading counselorssoapbox.com

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

For the last 30 days here are the top posts that brought people to counselorssoapbox .com.

In case you missed some of these top posts the links are included.

How much should you tell a therapist?

Levels or types of Borderline Personality Disorder

Do therapists have to report a crime?

Do people really forget what happened when drinking? – Blackouts

Which border is Borderline Intellectual Functioning on?

Are you a Parentified Child?

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

Reasons Counselors and Therapists Lose Licenses

About the Author – David Joel Miller

Hyperthymia, Hyperthymic Personality Disorder and Bipolar Disorder

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Happy Holliday

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By David Joel Miller

Have a Happy Holiday – And be really safe out there.

Full moon.
Photo courtesy of Pixabay.com

 

Halloween Hates Women

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

Witch

Witch.
Photo courtesy of Pixabay.com

Halloween has become decidedly misogynistic.

Halloween is just not what it used to be. I suppose people start saying things like this when they get old, and I resemble that, nothing is the way it once was.  But Halloween has changed in some disturbing ways. Modern Halloween does not seem to think much of women or girls for that matter.

When I was younger Halloween was mostly a holiday for children. Today it has become the second-largest holiday. It was the warm-up for Thanksgiving, Christmas, and New Years, those required to cope with winter holidays we needed to cheer ourselves up and to affirm our connection to the rest of our culture.

Halloween is being marketed as an adult holiday. Halloween has grown older but clearly, it has not grown up.

Men are getting to choose between increasing numbers of characters to impersonate. Women are getting stereotyped in one of two roles.

A woman must choose between being a young erotic sex object and being an old ugly hag.

The portrayal of the witch, so often a standard feature of Halloween costumes, as deformed, green skin, with warts and all, implies that women who are not sex objects are despicable.

When I was a child most little boys wanted to be pirates, cowboys, or hobos. Little girls mostly wanted to be princesses. A lot of the costumes were homemade and the goal was to play dress up and pretend to be something you would never be.

Today the costumes are store-bought and the goal seems to be to dress rehearse the things you wish you were doing. Mostly these are things that you would do if you could do but can’t because you might get arrested or lose your job over them.

In the transformation of this holiday, the roles of men and women have changed.

This is not about the macabre or the horror stories. We have always had times when as a people we tried to poke fun at death and the fears of the unknown, the dance macabre, the day of the dead, those sorts of things. Today rather than skeletons people want to dress up as mass murders.

That works for the guys but have you seen the costumes being offered to the women and the little girls?

It does not hurt to sometimes dress up and play roles. We do that a lot with Renaissance Faires, Pirate fairs, and Sci-fi conventions.

I just have to wonder after all the progress on equality between the sexes, how we can continue to encourage women to fit into the dichotomy that either you are a sex object or you are worthless and despicable mold.

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 Blue Jay Mind – Do you have Mind Chatter

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

Blue Jay.
Photo courtesy of Pixabay.com

Do you have a Blue Jay Mind? Is your mind on overload?

Does your mind feel like it is full? Is your brain always rushing somewhere? Do you sometimes feel like your mind is having a traffic jam?

Have you ever sat outside, a park or the lake, when a flock of Blue Jays or other loud birds had a constant chattering conversation? Does your own mind sound like that sometimes? In meditation, they refer to this as a monkey mind. But we North Americans we don’t see monkeys except in the zoo.

Flocks of loud obnoxious birds; that we see a lot of.

Some days my mind sounds like that squabbling in the tree outside my window.

You know you are not fully crazy; these are not voices in your head. These things that overwhelm you are your own thoughts, but that does not make it any easier to keep that mind of yours under control.

An unquiet mind is an unruly companion.

Some days my brain is just plain full. Is yours? I tell people around me not to tell me one more thing that I need to remember. I say, only half-joking, that if I learn one more thing I will need to forget something I used to know and I am afraid that trying to remember what they are telling me may mean I will forget how to get home tonight.

Do you reach the point of cognitive overload and find that you are working harder and harder to remember less and less? You may be getting old; you may be losing some abilities. If so see your doctor.

There is a simpler explanation.

We only have so many cognitive resources at our command. My computer has just so much storage space and so does my mind.

What we all need to do is reserve some space in our heads for the things that really matter. Learn to simplify our minds and reduce our worries. Less stuff rattling around in our brains results in more calmness, more serenity.

The difficult part of this is to get your mind slowed down and cleared out when you need to. We all can become so accustomed to thinking, thinking, always thinking that for many people it is difficult to shut that mind off when the times come to give your mind a rest.

Some people find mindfulness and meditation training to be helpful to get that mind quiet. Other people need counseling or even medication.

If your mind is constantly racing, if your head is full of noise and most of it is your own thoughts seek help. Just listening to your own thoughts day after day can wear you out.

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

That’s not what’s wrong with you!

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

Problem and problem solving

Problem-solving.

Are you sure you really know what your problem is?

There has been a disturbing trend lately in the psychotherapy business. To hear some of my colleagues talk, clients do not have a clue what is wrong with them. Worse than that, if the client did know, they are convinced the client would lie to them.

I have to question these premises. First, some fictional examples may help.

A male client goes to see their therapist. The man says he and his wife are quarreling and he is afraid their marriage will end in divorce. The therapist does a full assessment and informs the client that his problem is not his relationship. His problem is he did not have a good attachment to his mother. He needs to work through all his childhood issues of wanting more from his mother than she gave him.

The client, not conscious of psychological principles, continues to insist that he and his mother got along just fine. The client says that it is possible that all men have mother issues they need to work out before they can properly relate to a woman. What does he know about psychological principles?

So the man undergoes a long examination of his childhood and his relationship with his mother. At the end, he sees how he was not really as close to his mother as he thought.

In the meantime, his wife leaves him and files for divorce. As much as it pains this man to lose the relationship with a woman he really loves and he is also sad about losing contact with his children because the wife has moved them to another state where she lives with her parents.

Still, the man now understands how his underdeveloped relationship with his mother has resulted in his attachment issues with women and he now understands why he will never be able to make a woman happy.

Sound far-fetched? I see things like this more often than you might guess.

Second example. A woman comes to see her therapist because she has been out of work for many months. She is discouraged and getting depressed because of her employment situation and her economic troubles. I am thinking either treatment for depression or help with career counseling, but the treating therapist tells me that would be wrong.

The problem here is that this client grew up in a home with an alcoholic parent. This has left all sorts of scars on the client and the client undergoes treatment for her anger towards that alcoholic parent. The client insists that she got over that stuff a long time ago but the therapist informs this client that she is sicker than she thinks and that she will never be happy again until she gets these childhood issues treated.

The client talks with this therapist for a number of sessions, still unconvinced that she has all that big a problem with her childhood. Eventually, the therapist tells the client that this client needs to stop lying about her hatred towards her father.

Clearly, anyone who grew up with an alcoholic parent has been scarred for life and will probably never be able to work again

By the way, these are fictional composite examples so do not go thinking you know the people I am talking about. You would be wrong.

Counter-transference.

The problems these vignettes illustrate are a phenomenon known as counter-transference. The counselor who has had issues in their childhood, or has others in their life with these issues, is insistent that the client must have the issues that the counselor sees and if the client disagrees then the counselor believes the client is lying.

It can also come from a theoretical orientation that asserts that all adult problems are the result of childhood events.

A more productive approach is for the treating professional to consider that some people who had mother problems or an alcoholic parent may be having problems today because of that past, but most people really have the problem they say they have.

I try, in my practice, to always accept that the problem is what the client says the problem is. This can save a lot of time by working on that issue first and then get back to the other stuff if that still needs doing.

I also find that it saves a lot of my time and the client’s time to avoid arguing with the client. If they tell me things I take it that they believe what they are telling me. They may be mistaken but most people really do believe what they are saying.

Certainly, there are times that clients might stretch the truth. Especially if they have something to gain, like child custody or disability. In those cases, where my results will go to another person or agency I ask a lot more questions. But if the purpose of the therapy is to help the client resolve issues or cope with life problems I find it is worth the effort to start from a place of believing the client.

Most of the time the problem that needs treating is the thing the client says brought them to my office in the first place. If your provider is insistent on treating you for their issue instead of yours consider getting a second opinion.

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