Which you is the real you? Life Roles

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

Hats

How many hats do you wear?

On the stage of life, we each play many parts.

One way we get confused about who we are deep down is the way in which we play many roles in our lifetime, sometimes in the same day. Each and every one of these you’s is the real you even when they can be quite different.

Changing those roles may feel like an actor changing their costume. Roles each come with an imaginary role hat. People in recovery may find it difficult to move from role to role while maintaining their recovery.

We are all children with parents. Even when we reach our senior citizen years, if our parents are still living we will continue to be our parent’s children. For some of us, this is a good thing. For others of you, you would prefer to not fill that role but somehow after one short phone call, we can get right back into the feelings we had as small children.

Five minutes after getting off the phone with your parent you can be yelling at your own child. You are now in the parent role. While these two roles are very different both are the real you. But your roles don’t stop there.

We also are partners or ex-partners or about-to-be-partners depending on the state of our romantic relationships at the time.

We, many of us, also have work roles. Even those who do not work at paid employment may have “welfare recipient” roles that require you to attend sessions and do various activities to continue to receive your assistance.

The critical factor here is to keep your head straight on what your role is now, in this minute, and to be able to meet all these various role requirements.

Recovering people struggle to keep their roles separate. Yes, you are a person with depression, anxiety, or substance abuse issues but you still need to fill those parent, child, partner roles also.

Your disorder does not define you and neither does those other roles.

Learn to be able to slip from one role to another. Remember to change your role-hat when you need to move from recovering person to employee or parent.

Learn that the you that is present when your depression is troubling you is not the same you that will be present when the depression lifts. Accept all these many you’s with equal love and caring.

Realize that sometimes a very small trigger can move you from parent-you to child-you or from loving partner to an angry spouse.

Each of these roles may require different traits. You need to be an affirming parent at home but may need to be a stern boss at work.

The more easily you can comfortably move from one role to another all the while being the real you the better you will adjust to life’s challenges.

The more skills you develop, the more easily you will be able to move from role to role without feeling overwhelmed or being a fake you.

Sometimes these roles may conflict and the challenge is to keep all these roles in balance without them overwhelming the other you’s.

The skills you may use when a part of a group may be very different from the skills you will need for those times in life that you are alone with only yourself.

How many roles do you fill each day and how do you manage to move between roles that require different skills?

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 much motivation is in your tank?

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

Motivation

Motivation.
Photo courtesy of Pixabay.com

Don’t run out of motivation before you reach your destination.

How much motivation do you have? One mistake we tend to make is to think of motivation as an all or nothing characteristic. It is not true that some people are motivated and others are not. In fact, we find that levels of motivation ebb and flow.

If you have ever found yourself driving along a lonely stretch of road and looked down at the gas gauge to see you are getting low, you know the feeling of anxiety that comes with running out of the resource you need to complete your journey.

Motivation is like that gasoline in your tank. None of us has an unlimited supply of motivation and even the most motivated can run out from time to time. The size of our motivation supply may vary but the most successful people also know all the places to stop to refill their motivation.

At the beginning of most novel tasks, we can all summon up some motivation. Unfortunately, many of us run out of that motivation before we reach our goal.

The way in which your motivation tank gets filled up also makes a difference. Some people are highly self-motivating. They are able to refill their own motivation tank. Others need lots of external motivation.

Students, especially college students are particularly prone to lose motivation. This running out of motivation in your tank has been particularly well studied in college students.

Every year college fills up with hoards of students anxious to get an education and find a new better-paying job as a result. They struggle through registration, sometimes standing in lines for hours to add classes that were full. Books are bought and studying commences. From the long lines and the patience of these students, you would be tempted to believe that they were all highly motivated.

But between that first week and the third something happens. Some find they are going to have to work to pay for their tuition, others are tempted away by the immediacy of a job, usually a low paying job but it is a source of income. Some decide that they may want a degree but they don’t want to attend classes or do homework. At this point, students are starting to disappear.

By the semester midpoint, the class has shrunk. Those students who remain are in for the duration. Dropping a class is no longer an option. This group looks like a highly motivated class. Then something happens.

We find that even the most motivated students begin to slack off.  It is difficult if not impossible to hold that same level of motivation for a full semester. The effective students do their papers early while there is still some motivation in their tank.

Over breaks some students do things that are positive, they rest and replenish their motivation. They will return towards the end of the semester ready to jump in and run the distance to finals. A few students never get their motivation back. The process repeats semester after semester. Some students are able to get refueled on motivation enough times to reach the finish line.

Something else also happens here. Frequently we see a decline in motivation within the same student from semester to semester.  At the onset, they are motivated by wanting to master their subject and become proficient in their future occupation. By the last semester of school, many students are now motivated only to do what is needed to finish school and get that degree.

A significant number of students complete the degree so devoid of motivation, so tired of their field of study that they may never work in that field.

There are two takeaways here. If you want to keep up your motivation to accomplish something, you need to be able to break that task up into sections so that you can reward yourself for completing each section. You need to find ways to replenish your motivation. The other thing you need to be sure of is that you have looked down the road sufficiently to be sure that if you keep up this motivation when you get to the goal you will really be in a place that makes you happy.

Let’s see what else we can do this month to crank up our motivation. Anything that especially motivates you over the long haul? Care to share about that motivation?

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

Taking stock of yourself. Posts about self-discovery

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

Self

Getting to know yourself.
Photo courtesy of Pixabay.com

Here are links to posts about self-discovery and getting to know yourself.

I decided to post this list to help you find some of the past posts on this important subject. There will be additional posts on the topic of finding out “Who are you?” as we progress through the year.

Eventually, my plan is to pull all these posts together into a longer document, maybe even a book. Only time will tell. If you have other suggestions on how to get in touch with yourself, that old inventory process, feel free to leave a comment.

How sure are you about that goal?

Finding your Quest – what life challenge will define you?

Inventorying your baggage

What do you most want in your life?

Your autobiography as therapy

How heavy is your baggage – Unpacking your baggage

Would a Genie help? Happiness by magic

Who are you? Who do you want to be?

5 things you need to ask yourself about mistakes to avoid making them again

Are you original or ordinary?

Are you successful?

How did you know that? When and where we learn things matters.

Every day is April Fools’ Day when you are fooling yourself

Hope that helps.

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

4 Ways liars get away with deceiving us

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

Truth or lie

Separating truth from lies is hard work.
Photo courtesy of Pixabay.com

How do they get away with lying?

Ever wonder how chronic liars seem to get away with telling falsehoods while other people get caught when they say the smallest thing that is not totally true.

Here are some of the ways liars get us to believe their falsehoods.

They spend time getting our trust first.

A consummate liar will spend lots of time getting to know you, becoming your best friend, and building trust, all the time waiting for the chance to tell that one big one and get away with it.

Watch out for those who have had relationships go sour in the past and they always have a story to tell about how the other person after a long period of time did them wrong. They usually have not resolved that misunderstanding but have cut that person off.

The chances are that no one is all good or all bad and if this person has a long string of being treated wrongly there is some part they are playing in this. Be wary of someone who is not able to admit that they played a part in past relationship failures.

We want to believe them

If they are offering something that sounds too good to be true it probably is. If they are making a special deal, just for us, we wonder why they are letting us have it. And exactly what are they letting us have.

The more you have an incentive for wanting to believe this person the more you let your guard down and the easier you make it for them to slide that whopper by you.

One way to prevent this is to be sure you watch out for any preexisting desire on your part to believe them. This results in you latching on to the things you want to hear and then tuning out the things that should have warned you that a lie was coming.

A well-crafted lie always needs to contain some truth.

Just because one of the facts you are told is rock solid you know it is true does not mean the rest of the story is accurate. Any good liar will know to embellish their falsehood with as much truth as can be crafted to fit around and conceal the lie.

The trick or treat method.

In this operation the would-be deceiver tells you lots of nice things, things you want to believe, things you think are true, and then as your guard goes down they slip in a whopper.

This technique works best if the chronic liar keeps up a high level of small truths and a relatively few large deceits.

These are only three ways we might be deceived but the repeat liar is likely to know all of these and more.

How have you played a role in letting others deceive you and how might you be more discerning in the future?

Best wishes on creating that happy life you deserve.

David Joel, Miller, LMFT, LPCC

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

They didn’t teach me that in school

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

School classroom

School.
Photo courtesy of Pixabay.com

Why didn’t they teach you that in school?

We have this expectation that once you go to school, get a degree, you should be set. You should know what you need to know. That is not true by a couple of kilometers.

I have discovered since I graduated from school, that what I do not know outsides the things I did learn. Some of this I can attribute to the student not getting everything the professor taught. I know I missed some things. Now that I have been teaching I realize we don’t tell the students everything they need to know. It is just not possible.

Most educational programs cannot begin to teach you all there is to know in your subject matter area. Personally, I have read more books, attended more trainings, and had to learn more material since the degree than I did in the process of getting a degree.

This phenomenon happens in very good degree programs. It is probably worse in some of the for-profit educational systems which can teach you all sorts of things that are fun to learn but do not necessarily qualify you to get a job in that field. In some places, there were no jobs to begin with, or the ones that are out there require far more than a degree.

What a good program of study can do for you is to teach you the basic vocabulary of the field you want to enter. You should learn some things about the laws or ethics, hopefully, both, that relate to your chosen profession. You learn enough to realize what you do not know and that is about all. The purpose of an educational program should be to give you basic entry-level skills, not the advanced skills that you might need to be competitive in the job market.

Let’s use counseling as an example. We learn the differences between depression and autism and we learn the theory of how to counsel. That does not make the new graduate competent to work with someone with an eating disorder or Autism. Those advanced skills require more training. Most of the time we don’t know when we graduate what direction our career will take. You get hired by an agency that works with people on parole and you learn about that. If you get a job at an eating disorder clinic or an organization that works with people with autism you will need more training in that.

The result is a whole lot of recent graduates who find out that there are no jobs doing what they learned about in school or who find they have such basic skills that there will be years more training required before they can function at a competent level.

If you think that once you get that degree the education part is over you will probably not last or be successful in your chosen field. The true professional never stops learning.

One of the great tragedies of our educational system these days is the belief among so many people that going to school and getting a degree in something you like will automatically result in a good-paying job in that field. The truth is that the degree only gets you in the door for the interview. The path from a new graduate to a successful career is a long one.

Far too many people have run up sizable educational debt only to find there are no jobs out there in that field or those that do exist are in other parts of the country and may not pay enough to fund that large student loan.

If you have made the decision that a college degree is for you, make sure that you research not only the school you want to attend but the major you will embark on. Spend as much time researching the possible job market for that job as you would on following a sports team. And consider talking with someone who is currently on the job about the things they have had to learn after embarking on their career.

Your school may have taught you about the subject matter of your degree but that can fall far short of what you will need to know to be successful earning a living in that field.

Remember that your learning does not end with the degree. If you want to be successful in most fields the degree is the starting point in your lifelong process of learning.

Best wishes on your path to creating the happy life you want.

David Joel Miller, LMFT, LPCC

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

More problems for the children of Meth users

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

Drugs of addiction

Addiction.
Photo courtesy of Pixabay.com

Being around Meth users is bad for children.

Just read another study that reports on another problem for children of meth users. Like we needed another study to tell us that using Meth is bad for both parents and their children. We know Meth use is bad, just we may not yet know how bad and in what ways. Still, this study caught my eye for several reasons.

This study looked not at Newborns but at toddler age children of Meth users. It found parental Meth use affected these toddlers in some ways we had not looked for before.

These kids show an abnormal stress response. This will have an impact on these kids for the rest of their lives.

We have long known that the mother’s drug use during pregnancy can and does affect the child.

Alcohol is the easiest case in which to see this. We started out thinking that above a certain point alcohol could damage the fetus. For a long time, we talked about safe levels of alcohol use and how much alcohol consumption did it take to result in “Fetal Alcohol Syndrome.”

This concept, that some was safe and you had to drink a lot to harm the fetus, has been modified as we found problems in children whose mothers drank smaller amounts of alcohol and still those children showed long-term problems. We now referred to these problems as “Fetal Alcohol Spectrum Disorder” in recognition that any alcohol can affect the unborn child. We also now believe that high blood concentrations of alcohol on anyone drinking occasion, known as binge drinking, can result in damage even if the pregnant woman drinks moderately or not at all. Binge drinking harms both the mother and the unborn child.

What does this have to do with children of Meth users?

For one thing, we believe that the brain of the unborn child is heavily influenced by the chemicals in the mother’s bloodstream. What damage is done depends on which of the various structures in the brain and nervous system are being formed when the mother drinks or uses.

The fetus is experiencing a higher dose of the drug than the mother because the liver of the fetus is not well-developed. The drug passes through the placenta to the fetus and then has to return to the mother to circulate through her bloodstream and eventually be removed by the mother’s liver.

My experience clinically, and there seems to be research that bears this out, is that mothers who used Meth during pregnancy have more children with long-term learning disabilities than women who abstain from drugs during pregnancy.

This brings into question if Meth and possible Cocaine affects the unborn what effects could other drugs have?

Mothers who use depressants like Heroin appear to have children with one set of learning and behavioral problems. Children of stimulant abusers have a different set of problems.

This makes me wonder what the risks are for the children of women who consume these highly caffeinated energy drinks.

We also know that many of these drugs have larger more amplified effects on the unborn if there is alcohol in the mother’s bloodstream. This is a case of 2 plus 2 being 6 or 7 when it comes to creating harm for the unborn.

Where this new study expanded our knowledge of the effects of parent drug use on children was the evaluation of continuing stress on the children who had been exposed to Meth.

What they found was that this combination of pre-birth exposure to Meth and ongoing stress in the family resulted in toddlers who had greatly exaggerated or changed responses to stress even when outside the home.

The implication here is that the cumulative effects of Maternal drug use and then stress in the mother or family’s life after the birth magnifies the problems for the child.

All this argues for the critical need for more drug abuse prevention and treatment for women during their child producing years and for treatment to help parents of young children cope with stress and provide a less stressful environment for the child.

We can help the mother at this critical time or we can plan on building more special education classrooms, jails, prison, and mental hospitals for these kids later down the road.

I know what I think the better and more cost-effective path would be, but I doubt that the people who pay the bills for treatment will see it that way.

Getting tough on sick people is a lot easier to sell than dollars for prevention.

Here is wishing for a better and happier future for all of us and the children who come after us.

David Joel Miller, LMFT, LPCC

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

4 Ethical Loopholes strangle therapists

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

Ethical loopholes strangle.
Photo courtesy of Pixabay.com

4 Ethical Loopholes Strangle Therapists – Part 1.

Therapists who violate codes of ethics harm clients; they also may lose their licenses or ruin their carriers. Often these ethical breaches start with thinking that there might be sometimes when it is OK to make an exception to an ethical standard.

Not following ethical guidelines can harm clients. Making exceptions to ethical codes can be fatal flaws.

Therapists are taught codes of ethics in school. We take exams that include questions on laws and ethics or may even need to take a separate law and ethics exam. Every few years most of us have to take a refresher course in law and ethics. Still, people violate these guidelines. Why?

Somewhere down the line, some professionals start looking for loopholes, exceptions to those ethical requirements. When they do this, put their head through that ethical loophole, too often they can get strangled and lose their licenses or lose the trust of their clients.

Four ethical violations seem to create the most problems for clients and therapists. Most of these violations start with the professional think that while this rule is a good one there might be times when someone, not them of course, but another therapist, might do this and that would be OK. Once you have been able to picture a time when there might be an exception to this ethical rule it is likely that you will cross that boundary and try to put your head through that loophole.

Most therapists think immediately about the ethical standard that says no sex with clients. They know that if you think that might EVER be OK then you are at risk to do it. While this is huge for therapists, it may not be the ethical violation that harms the client the most.

Here are the Big 4 ethical violations in their order of harm to the client

1. Not keeping what clients say confidential.

When I get away from other professionals, out in the community this comes up more than I thought it would. Look at the list of top posts on this blog. Month after month people search for information about what is and is not kept confidential. Unfortunately, I also hear too many stories about how a therapist told that client’s story somewhere, someone recognized them from the story and this has hurt them when a family member, friend, or boss found out.

Knowing that the way counseling helps is because of the relationship and that strict confidentiality is fundamental to that confidentiality, how do so many professionals cross that line?

The first stretch through this loophole often happens innocently. Here is a HYPOTHETICAL example.

The therapist is somewhere and is asked about a particular mental health disorder. “Is there any treatment for Trichotillomania?”

“Sure there is, the therapist says. “I saw a client recently with Trichotillomania. She has suffered a trauma and began pulling out her hair uncontrollably, almost unconsciously. I treated her using treatment “X” and she got better.”

So far so good. But the therapist wants to sound great, impress this person, and get more referrals. He or she is thinking maybe I should become the authority on treating trichotillomania in this town. So they go on to tell more.

This was a tough case you know. Her family is very influential in this town. Her father is a prominent politician in this town and he did not want this getting out in his district or it might affect his reelection campaign. That district on the “X” side of town is awful conservative.

Is there a problem now? Sure there is. This is way too much information and has identified that client to anyone who thinks about this for over 5 seconds.

One little story – what harm?

But the next time the story gets more elaborate and before long this clinician is talking about their clients all over. They even decide to warn their church group about that sexual offender that has moved in on the same block as the church. What harm can there be in helping people keep their children safe?

The harm comes first because they have violated that client’s trust and eventually someone will find out and then it turns major. The harm may also include attacks on that client. Sometimes that registered sex offender, the one that the counselor warned people about, what he did was when he was 18 he had sex with his 17-year-old girlfriend and her parents pressed charges. This couple since has gotten married but he could still turn up on a list of sexual offenders.

If this therapist has a private practice and people find out about this they may just stop going to see them. But if the clients are low-income and have to go to a government-funded clinic they may not be allowed to change therapists. They may just stop coming and they will be counted, not as victims of the system but as treatment failures and drop-outs.

You would think a profession like counseling would police itself. Not usually. The complaint in this situation is most effective if it comes from the client. But then the client already afraid because of the harm done to them, that registered sex offender or Muslim may be getting death threats at this point, probably just wants to escape the system.

Other professionals may hesitate to report this. It is their word against the others. Whistleblowers can and do get punished. Also because this happened to a client there may be minimal ways that this can be reported by another counselor without violating this client’s confidentiality again. All of these are ethical and practical concerns.

Oh my! I am past 900 words and have only talked about one of four ways ethical boundary violations hurt clients.

One caution here – Ethical guidelines are just that “Guidelines” not hard and fast rules. So any professional, at any point, is in danger and may have a problem with something. What I am talking about here are the big problems and the professionals who repeatedly break these ethical principles.

In the future, I want to talk about other ethical problems also. My plan is to talk about one of these problems each Friday for the next three weeks. This post was mainly aimed at counselors and would-be counselors, but then I thought others might be interested in the ethical dilemmas we confront.

Here are ethical issues number two, three, and four.

2. Thinking that it is OK to party a little. If you just chip on the weekends how can that hurt clients?

3. Dual Relationships, hiring clients to work for you, getting them to loan you money or loaning them money, especially getting into investments together.

4. Falling in love and getting into sexual relationships with clients. We all want to believe in Snow White and Prince Charming but if a therapist falls in love with a client who came to him with a mental illness, this may turn out more like a sexual predator than a prince.

Let’s look at these three problems over the next three weeks.

Since we are over on words today I will skip the links to other stuff, you know where to find me. Check the categories to the right for more on other mental health and substance abuse issues.

David Joel Miller, LMFT, LPCC

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

Addiction, substance use disorder or chemical dependency

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

Drugs of addiction

Addiction.
Photo courtesy of Pixabay.com

What is the difference between addiction and chemical dependency?

A lot of different terms are applied to the usage of substances and problems that arise when people begin to experience difficulties with their use.

Various professions use different terminology to describe the same or similar problems and we don’t all use the same severity points to identify problems.

One way of understanding these differences is to think of substance use as being on a continuum. Let’s start with something most people are familiar with, alcohol use, and then add various drugs to the picture.

Alcohol use might range from no use to chronic daily drinking to the point of passing out. Fully 50% of the people in the U. S, who are old enough to drink, did not have a drink in the last 30 days. Clearly not everyone drinks and among those who do, not everyone has a problem.

Heavy Drinkers.

At the other end of the scale, the 10% heaviest drinkers consume 60% of all the alcohol drunk. The top 20% heaviest drinkers consume 80% of the alcohol sold in America. People at the high end of the drinking scale develop more and more serious alcohol use problems than those who consume less.

Among those who do drink, some people have one or two drinks on a special occasion such as a wedding or New Years’. People who drink at this level rarely have any problems. It is possible however to drink only once a year on New Year’s and end up drunk every time resulting in DUI’s or arrests.

The labels that will be attached to the person as their consumption of alcohol increases and problems begin to arise will vary with the profession and the reason the person is being given the label.

The person who has one drink and no ill effects would be considered by most of us an alcohol user but nothing more. The person who only drinks occasionally but when they drink has problems might be thought of as abusing alcohol.

The chemically dependent.

The medical profession often has special units which are called “Chemical Dependency units.” The people who reach these units have the most severe form of substance use disorder. They have reached the point of physical dependence on their drug of choice. Those who are chemically dependent on alcohol are at risk to die during withdrawal.

If someone has ever had a stroke, seizure, or experienced the D.T,s if there are any hallucinations occurring when the level of alcohol in this person’s bloodstream begins to drop, this person is at high medical risk and should be detoxed in a hospital or other medically managed facility. People can and do die from alcohol withdrawal.

People who are chemical dependent on other drugs may have severe physical withdrawal symptoms. The heroin or opioid user, for example, will have diarrhea, nausea, vomiting, shakes, and goosebumps. The withdrawals from opiates may feel like the person will die but deaths from opiate withdrawals are rarer than from alcohol. Overdose deaths are another issue.

Short of physical withdrawal is a form of substance use disorder that is called Substance Dependence. Clearly, not all cravings for a drug of choice are the result of physical withdrawal.

Someone goes through a 30-day treatment program, they have not used for over a month but the day they are discharged they use again. The craving is not a result of physical or chemical dependency but is a psychological need. Therapists would diagnose this as Substance Dependency. For the Therapist, this would include both physical and psychological dependency.

Alcoholism and addiction.

Twelve-step programs draw a different distinction. They would call this problem use of substances, addiction, or alcoholism. This addiction level of problem use may be reached even before psychological dependency has occurred. Addiction may begin at the point of wanting, craving, and thinking about the drug of choice even before the person has lost the ability to control usage. If you are struggling to control your usage then you have already reached a point of problem usage and probably would fit the description of an alcoholic or addict.

Substance abuse.

The lowest level of problem use would be referred to as substance abuse. This might be binge drinking, drinking more than planned or doing something dangerous after having consumed alcohol or another drug. The person who has a few too many drinks and then drives may be abusing alcohol but may not yet have developed alcoholism.

If this alcohol abuser can realize they have a problem and stop drinking to excess, they may be able to stop their progression to alcohol dependence, alcoholism, or chemical dependency.

Substance use disorder makes its debut.

The newer trend, now reflected in the DSM-5, is to avoid making fine distinctions between substance abuse, dependency, addiction, and chemical dependency and call all problem relationships with drugs including alcohol simply a substance use disorder.

Substance use disorder can come in mild, moderate, or severe forms.

Wherever the substance use disorder starts, it needs treatment long before it becomes an addiction or chemical dependency.

Whatever happens (It has happened with the DSM-5 and the new OCD-10 as of 10/1/15) with the DSM-5, expect the various professions and the recovery community to cling to their own special perspectives and their preferred terminology.

Did that explanation help with understanding the differences between Substance use, abuse, dependency, addiction, alcoholism, and chemical dependency?

Best wishes on your journey towards a happy life.

David Joel Miller, LMFT, LPCC

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

What will the therapist tell me about trust? Trust issues

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

Trust.
Photo courtesy of Pixabay

What if I tell my therapist that I have trust issues?

Here is what I tell clients with trust issues. I am not too sure just what others may say and would encourage both professionals and clients to leave comments about trust issues.

1. Trust is not an all or nothing thing.

The mistake we often make is we either trust too much, trust completely, or do not trust at all. There are plenty of friends that I trust, mostly, with some things, but I do not trust every friend from work with the pin number to my ATM.

Many people who say that they have trust issues have a habit of jumping into a relationship without getting to know the other person, and then when they are let down, they feel this person is not to be trusted.

This pattern of moving into over-close and trusting relationships too quickly sets you up when the other person is unwilling or unable to meet your expectations.

Be sure in getting into a relationship, any relationship, and that includes friendships, that you take the time to get to know the other person, and find how much you can trust them and about what subjects.

This does not mean that you need to eliminate everyone from your life that you are not able to trust completely 100%. If you cut all the people, who are less than total trustworthy you may find yourself very alone. There are days I don’t even trust myself completely, but I like being with me anyway.

2. People who tell you things may believe them.

People say things, they think they are true but what they say may still be wrong. People often say that others have lied to them and as a result, they can’t trust anyone. This often happens when someone in a new relationship repeats things that others have told them. They believe what they say, and they may just be trying to be helpful but if the “facts” they have repeated turn out to not be true the other person who acted on the basis of those facts is likely to feel cheated or deceived.

Consider that the person telling you this may be wrong or mistaken and check the facts before you take action based on what someone else has told you.

3. Counseling is a corrective emotional experience.

For this relationship, to be helpful, you need to be able to trust the counselor. If you don’t, you need to look at why you are having difficulty trusting. Remember that no matter how much you trust that professional there are limits to what secrets they can keep. If you tell them you plan to kill someone they will not keep your secret. If you talk about child abuse, they will probably be required to tell that also.

Trust in this, and any other relationship should build over time based on how the other person handles the things you tell them.

4. Remember that people, even professionals can make mistakes.

Generally, professionals are “trustworthy, ” but occasionally we find one that is not. They may take unfair advantage of you. Take your time to get to know them and then make your judgment about how much you can trust them and with what.

This extends to friends and relatives also. We often have competing loyalties. Withholding facts from one friend can seem like dishonesty. Telling that person can violate the trust of another person. In romantic relationships, we tend to trust a lot when we want things to work. Later when the relationship goes sour, and that partner tells someone else our secrets we will feel betrayed and that our trust has been violated.

5. Most people have trust issues for good reasons.

The reason you have trust issues may well be that you trusted someone too much in the past and they let you down. If you have an experience in life of having your trust betrayed it is reasonable and normal to have trust issues with that and related issues in the future.

Remember that some people make a habit out of lying. They get what they want by not telling the truth. People in an active addiction get their needs met by misleading others. Sometimes the person you believed has lied so much it has become automatic behavior.

Consider who you are trusting and do they deserve your trust. Especially be cautious if this person has violated the trust of others in the past. What makes you expect to be the one person that they tell the truth to?

6. People who are not trustworthy often find it hard to trust others.

The person who tells me they are suspicious that their partner is cheating and who wants me to find out what others in their family are up to is often the person who has cheated or has done other things they do not want the family to know about.

If you are dishonest, it makes it harder for you to trust others.

Build your ability to trust by following these simple rules.

1. Pick people who are generally trustworthy.

2. Get to know them and build trust with them gradually watching what they do with little secrets before disclosing larger ones.

3. Make sure you are trustworthy. The old saying goes it is hard to con an honest person. Liars set themselves up to be deceived.

4. Make sure you are able to trust yourself most of the time. When you let yourself down be quick to forgive.

Here is hoping that you are able to overcome your “trust issues” and begin to trust yourself and others in appropriate ways.

David Joel Miller, LMFT, LPCC

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

Steps to become a Substance Abuse Counselor.

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

Counseling questions

Counseling questions.
Photo courtesy of Pixabay.com

How do you become a drug counselor?

What are the typical steps someone takes to become a substance abuse or Alcohol and Other Drug (AOD) Counselor?

The profession of substance abuse counselor is in flux.  There is a large chance that this path will change in the future and it can be different in one jurisdiction than in another part of the country.

Substance Abuse Counselors follow a different path than Social Workers, Professional Clinical Counselors or Marriage, and Family Therapist largely because their profession stems from different roots. Substance Abuse Counselors have been recognized as a professional discipline relatively recently.

The professions involved in psychotherapy have a hundred-year head start on the newer profession of substance abuse counseling.

Psychotherapy stems from the medical profession. The founders are MD’s like Freud and Jung. Psychiatrists are trained as MD’s first and then trained in mental health second. Psychologists have Doctorate degrees (Ph.D. or PsyD) involving at least 8 years of college. Licensed Counselors and Marriage and Family Therapists all have master’s degrees requiring, in most cases, 6 years of college education.

Social workers come from a slightly different origin. They began with “friendly visitors.” Their background is in welfare, social work, and providing aid and assistance. Most licensed social workers have master’s degrees (6 years of college) though some entry-level positions can be gotten with a 4-year degree. I expect that the term “social worker” in the future may be restricted to those with a degree in social work or possible to those with a master’s degree. Just working in a social work agency should not make you a “Social Worker.”

Substance Abuse Counselors come from a different world. Most substance abuse professionals have what we call “lived experiences” meaning they or someone close to them is in recovery. They have lived through the process of addiction and recovery and from first-hand experience, they know the difference between the disease of addiction and the life of recovery.

Most recovering people are suspicious of those counselors who learned about addiction or recovery from a textbook rather than from firsthand experience. We know of course that a doctor does not have to have personally had all the diseases he treats in order to be a superior physician. We wonder though why someone would choose to be a substance abuse counselor whose life has not been touched in some way by addiction, especially when we realize that substance abuse professionals often make less than their counterparts in other related fields.

Recently we have moved from, everyone who works in a recovery facility having lived experience only, to require that they also have some training in counseling, the disease of addiction, and the laws and regulations that involve counseling.

As more funding has been provided by the government for substance abuse treatment, society has asked, and rightfully so, what are the qualifications of those who do the counseling and what results are we getting for our money? The result of these questions has been to increase the qualifications needed to become a substance abuse professional.

Different jurisdictions have moved in different directions and things continue to change.

Some states or areas have instituted a form of licensing for substance abuse counselors. This has been resisted by longer established professions. The argument runs that it is confusing to the public when to be a psychotherapist or clinical counselor it requires 6 to 8 years of college, but the AOD counselor has a much lesser requirement. How comparable is a substance abuse counselor who has no education or only a few hours of training and should they get to use the term “licensed counselor?” Does the public understand that someone with a substance abuse counseling license has much less education than a licensed mental health counselor?

California so far has not seen fit to license substance abuse counselors. Here we have a system of registration and certification. The state does not so far register or certify AOD professionals. AOD counselors register with an organization and then complete supervised hours and an exam to become certified. How many hours of education and experience can vary dramatically from one registry to another.

Registered and certified counselors are not, at this point, allowed to set up private practices but must work for a licensed facility. Facilities are licensed by the state but this does not ensure any particular level of staff training other than a percentage of counselors must be registered or certified by some of the many registries that have gotten themselves listed with the state.

Under this system it is possible for a non-licensed person to open a facility and get that facility licensed, thereafter then can work as a registered person in their own facility. In fairness, it should be mentioned that most drug treatment facilities are operated by nonprofit companies.

Over time, of course, these regulations continue to increase the required skills and experience needed to become an AOD counselor.

So the path to becoming an AOD counselor requires, some level of knowledge and interest to begin with, usually by lived experience, some course of education which can vary anywhere from a weekend training to a 36 unit college certificate. And some number of hours of experience followed by a certification exam. In practice not all AOD counselors are equally trained.

If this is a profession you wish to pursue, I recommend that you check the most recent regulations in the jurisdiction in which you live. Consider also what the job prospects and pay scale is for this occupation in your area. And also look at how portable will your credential be if you chose to move. Some registrations or certifications are transferable and some are not.

Increasingly professionals in the substance abuse counseling field are continuing their education to the master’s level so that they are qualified to work not only with substance abuse disorders but in the area of mental health and co-occurring disorders.

Thanks to the readers who sent in this question. Best wishes on creating your happy life.

David Miller, LMFT, LPCC

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