Blog repairs using a hand crank on a computer.

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

Blog post.
Photo courtesy of Pixabay.com

Blog repairs using a hand crank on a computer.

Still Cranking.

There was a time before automatic starters when you needed a good hand crank to get your car started. By the time I received my driver’s license they had stopped using hand cranks, but I still remember their existence.

Recently I have found myself having all sorts of problems posting, turns out my web browser should have been retired along with the hand crank. The browser has been replaced but some repairs still need to be made.

Some of you did not get the comments or reply’s I thought I sent. I will try to make that up in the weeks to come. Also, there have been a lot of edits to past posts to get links and other problems repaired. My hope is that I have not flooded anyone’s inbox with the repairs.

Hope you will all stay tuned for the new improved blog version.

Until the repairs are finished:

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

Career setbacks and unemployment are top men’s issues

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

Filling out a job application

Job application.
Photo courtesy of Pixabay.com

Being out of work can bring a man to his knees.

Lots of men have had to face the harsh reality that they are no longer the “great provider” they thought they would be.

Among all the issues that bring men to counseling being out of work and unable to provide for their family in the way they are used to providing tops the list.

For more on other men’s issues see the post Top 10 Men’s Issues here on counselorssoapbox.com

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 are the stages of change?

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

Changing your life

Time for a life change?
Photo courtesy of Pixabay.com

How do people really change?

The stages of change model comes originally from a book titled “Changing For Good” by Prochaska, Norcross, and DiClemente.

This model has been widely applied to substance abuse treatment but is also applicable to mental health, weight loss, or even improving test scores in underperforming schools.

We teach this model to beginning students in Substance abuse counseling programs and it is gradually becoming a part of Professional Clinical Counseling and Marriage and Family Therapy training.

It is helpful for professionals to understand how it is that people change so we don’t get ahead of or behind our clients in the process of change. This model also helps predict the possibility of relapse and is applied to relapse prevention.

The Stages of Change model is not just for professionals. It is included in the Mental Health First Aid program and is now being taught to clients and consumers.

Below are the links to a series of posts I wrote on the stages of change. This is my explanation of the model and some additional insights from Ken Minkhoff at Zia Partners and my fellow Change Agents.

My apologies to Prochaska, Norcross, and DiClemente if I have in any way distorted their model. For their version read the book. See also materials on Stages of Change at the SAMHSA website.

Stages of Change or How Do We Change Pre-Contemplation

Stages of Change part two – Contemplation

How do People Change? Preparation

Stages of Change – Early Action

Stages of Change – Late Action

Maintenance is a Part of Change

Related posts are at:

Is Relapse a Part of Recovery?

Four Stages of Recovery

Getting some recovery – preventing relapse

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

Too funny – had to share

Summer Solstice Guane's avatarSummer Solstice Musings

 

There you have it.

I found this jewel on Pinterest and had to share 🙂

View original post

What is a dry Drunk – putting down without really getting clean.

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

Liquor

Alcoholic beverages.
Photo courtesy of Pixabay.com

They quit drinking and using but nothing else changed.

They quit drinking, they put down the drugs. The family hopes. They have heard this before. “I am done,” this is the last time. The now-former drinker starts talking a good game. They swear they are not doing drugs. Things will change now. The family wants to believe them. For a little while, there is hope.

Only nothing does change.

Despite the not drinking and the lack of drugs, the person behaves the same way they used to. They are miserable. Their relationships at home and work do not improve, not the way they think they should. The family and friends don’t like being around them anymore now than they did when the person was drinking and using. They are dry but they are not sober.

Suddenly without drugs and alcohol in their system, they feel feelings they have kept at bay for a long time.  Life does not miraculously become perfect. There are bills to pay, legal consequences to take care of and relationships to mend. Life becomes real with its ups and downs.

Dry drunks are easy to spot if you know what you are looking for. They turn up at meetings all across America. Some have been off the sauce for years, 5 years maybe. But they are miserable. And they make others miserable. They are full of anger, bitterness, and hurt.

They may turn to a religion. They go to church and become more righteous than the preacher. They can see the flaws and failings of everyone they meet – just not in themselves.

Eventually, the stop going to meetings, that program doesn’t work they tell others. They went but they never really participated. They wanted a shortcut to recovery. One that did not require them to do the painful work of changing.

They may leap from church to church; decrying people as hypocrites and saying people there were not true believers. They learn rules on how to worship but not the values of hope, caring, and compassion.

Families tire of being around them. The dry drunk thinks they deserve credit for not drinking and using. The family doesn’t see what has changed. The alcoholic or drug addict is still self-centered and unhappy.

Sometimes the family will tell the dry person “liked you better when you were drinking, you were more fun then.” Or “at least when you were drinking we knew what to expect.”

Dry drunks can go on walking around miserable for years. Eventually most either relapse or turn up in counseling. They attribute their problems to something else, a bad relationship, or a difficult work situation. Yes, of course, they have problems. Just putting down the drug or giving up the alcohol does not make all your problems magically disappear.

Some become so discouraged that they stop trying. Why give up the drink if life will never get any better? We see them in multiple drug and alcohol treatment programs.

Eventually what most recovering people find is that they never really had a drinking or drug problem – they have a living sober problem. The problem was not the drugs. Drugs and drinks were their solutions. A solution that temporarily hid their problems but did not solve them.

What they learn eventually, if they learn it at all, is that what they really have is a life problem.

How do you live a happy, fulfilled life without the drugs and alcohol?

Finding that better life requires more than just not drinking or putting down the drugs. It requires an active process of change. Going to meetings is not enough, you need to actually “work” the steps, do the work of change.

Counseling also involves a process of change. The recovery, from whatever your problem is, does not happen in the sixty minutes of each session. In that time we can chart a course, teach skills, and help you discover pain you didn’t know you had. The real work of recovery happens in your daily life, in that other 167 hours per week when you need to practice new skills and new ways of being.

If you or someone you know is a dry drunk, has put down but not gotten clean and sober, don’t give up. Find someone you can work with that can help you really become clean and sober.

For more on recovery topics see:

Getting your tools dirty

Getting some recovery

Is relapse a part of recovery?

Running hard after recovery

Why giving up the drugs and alcohol did not make you happy

What is hitting bottom?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Does putting your job first really work?

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

Dream job sign

Dream job.
Photo courtesy of Pixabay.com

How do you balance home and work when jobs are so hard to get?

Clients are telling me they sacrificed time at home with their children and their partner trying to hold onto a job in this bad economy. Then one day they lost the job and the family. How do you balance holding on to that job and maintaining your relationships is the topic of today’s post “Choosing Between Job and Partner

Any thoughts on the topic?

Anger management during a custody battle?

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

Family torn apart

Divorce.
Photo courtesy of Pixabay.com

How does your anger impact a custody case?

Recently I was interviewed by fightyourcase.com about how to handle anger during a custody dispute. The results of the interview and their full article on the way in which anger management issues can affect your court case, your children and you ran today. Read the whole article “Avoiding anger in a custody battle” and let me know what you think.

Busy week this week, but watch for more posts as I get them written.

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 are Minor Depressive Disorder and Depressive Disorder NEC?

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

Depressed person

Depression.
Photo courtesy of Pixabay.com

UPDATE – changes in the DSM.

You can erase most of this post from your memory. During the process of updating the Diagnostic and Statistical Manual of Mental Disorders (DSM) from the DSM-IV to the DSM-5 a lot of things were proposed. Some of those suggested changes were instituted and others were left out. This post includes mostly ideas that did not make it to the final DSM-5. Because these ideas were included in a lot of research articles and other blog posts I have left the post up, but need to tell you that this information is now out of date.

Minor Depressive Disorder is out.

It did not even make the maybe section of disorders needing more study that is in the back of the DSM.

NEC or Not Elsewhere Classified is one of those left out ideas.

It was discussed as an improvement over the old Not Otherwise Specified (NOS.) A lot of people were receiving a NOS diagnosis rather than a more precise or accurate diagnosis. In retrospect, I can see how NEC like NOS could have turned into another Fuzzy catchall diagnosis.

The final decision was for the DSM-5 to have two miscellaneous designations for things that do not fit nicely into a particular category. These two new designations are; Other Specified and Other Unspecified.  When those two specifiers get used will need a whole other post but for now, just know that:

NOS is out

NEC is not in and does not replace NOS

 Here is the old post:

The new sort-of depressive disorders

Minor Depressive Disorder is another one of those disorders that were proposed as somehow different from other depressive disorders. It was proposed in the DSM-4-TR as a condition needing further study.

The reason some researchers suggested this one is that the diagnoses in the DSM are yes or no things. You either meet criteria or you don’t, give or take some judgment calls we could describe as “clinical judgment.”

People do not come with discrete specific mental illnesses very often. They have problems and suffering and want help. To get that help we need to give them a “diagnosis.” The labels do not always fit well.

Minor Depressive Disorder was hard to tell from the other Depressive Disorders and does not seem to have made the cut for the DSM-5. (I am reading the on-line version; the paper version will not be out until next year.)

What we will have is a new group of Depressive Disorders Not Elsewhere Classified (NEC.) Here is my quickie version of the new categories. For the full version check the APA website for the DSM-5 or wait for the Book or the Movie version.

Recurrent Brief Depression

Every month for a year they have 2-13 days of depressive symptoms. This comes with a list of reasons to not give this one or other diagnosis that it might be.

Mixed Subsyndromal Anxiety and Depression

Lots of people who are anxious get depressed and people who get depressed can become anxious. This happens so often that a new Mixed Anxiety and Depression diagnosis was proposed. That one did not make the cut. So for full-on Depression and full Anxiety looks like we will continue to use both diagnoses. It will be interesting to read the full text on this one when the DSM-5 comes out. Somehow this Subsyndromal mix got its own label.

Short duration (4-13 days) Depressive Episode

So if your brief depression does not recur every month you can still get a depressive diagnosis. This one concerns me and I will need to learn more. It seems to open the door for anyone who has ever had a “blue week” to now get a diagnosis of a mental illness. Wonder if this will get used a lot or very little?

Subthreshold Depressive Episode with insufficient symptoms

With only a few exclusions everyone now gets to be depressed.

Uncertain Depressive Disorder

This works for anyone else that would like a depression diagnosis but has not yet gotten one.

The conclusion

In my estimation, there will be a lot more people who can qualify for a depressive disorder diagnosis under the new system. I will need to study this one some more before we implement the new DSM-5. This may mean that a lot of people who need help but used to get turned away because they did not meet the criteria for a diagnosis will get help. Or it could mean that everyone will get one of the depressive diagnoses and that a Depressive Disorder Diagnosis will stop meaning anything. Only time will tell.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Does Depression go away suddenly if you have Bipolar Disorder?

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

Person with masks

Bipolar.
Photo courtesy of Pixabay.com

Can people with Bipolar Disorder have a sudden remission of their depression?

Morning Question #23

YES, YES, and More YES. It is common for people with Bipolar Disorder to rebound suddenly from a depressive episode. Taking antidepressants can cause that. So can a lack of sleep. Most likely these sudden recoveries for depression will not take you to “normal” whatever that is. They propel the bipolar person into Mania or at least Hypomania. I suspect that lots of other things can cause that leap from depression.

For more on Bipolar Cyclothymia, Mania or Hyperthymic personality see the categories to the right or check out the blog post – List of Bipolar related posts.  

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

Job stress?

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

Stress person

Stress.
Photo courtesy of Pixabay.com

Job stressing you out?

Feel trapped in your current position? Is your work contributing to your anxiety and depression?

David Miller, LMFT, LPCC.