How do you develop a support system?

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

Supporters

Support system.
Photo courtesy of Pixabay.com

5 tips for developing a support system.

In the early stage of recovery developing a support system can be a challenge. We all know we need someone to support us, but who and how do we enlist their support? Let’s start with a description of a person in recovery from alcoholism and then expanded the description to other forms of recovery.

Newcomers in A.A. are encouraged to find a sponsor. It can be embarrassing to ask someone you hardly know to sponsor you. This relationship needs to be a good fit. The sponsor should be someone who has something in the way of recovery to offer and someone you feel comfortable in discussing your life with. They should also be someone you can trust to tell you the truth.

Have you ever done anything to help someone else? Let’s say you did something to help a child or an elderly person, how did that feel? Did it feel good to be able to help that person?

Sponsors do things for the person because it feels good to do so. They also work with others as part of the A.A. program because helping others keeps them sober. You are not imposing on a sponsor when you ask them to be your sponsor; you are offering them a chance to feel good about helping and to further their recovery. Don’t cheat a potential sponsor out of the opportunity to be of service.

Here is the process for selecting a sponsor that will likely be helpful.

1. Attend a variety of meetings

There are lots of A.A. and N.A. meetings. Most areas have central offices that can give you the address of a meeting nearby. With the changes in technology, there are lots of online resources, meeting lists, and even online meetings. If at all possible attend in-person meetings; it is important to make personal contacts.

Look for fellowships or places that have frequent meetings at the same location. Your car can find the bar without you steering it. Make it easy for your car to find the A.A. meeting on its own. Make a habit of going even when you don’t think you need to go. Someone there may need to see you. Support systems work in two directions.

There is likely to be one meeting that feels more comfortable than others. This may become your homegroup. Don’t stop there, however. Try out other groups for that time when you can’t go to your regular group but need a meeting. As you make friends at your home group consider going to other meetings together.

2. Get phone numbers.

At each meeting listen for people who say something that strikes you as helpful. After the meeting ask for their number. Many meetings will send around a phone card for members to give the newcomer their numbers.

Should you ask someone and they say no, please do not take this as something about you. Some people are very busy and don’t think they have the time for phone calls. Others, because of their jobs or situations, are not supposed to give out their phone number. If the potential sponsor says no keep asking till you find someone who is able to give out their number.

3. Every day call one other person in recovery.

When an alcoholic is thinking of drinking they will find that the phone receiver weighs two thousand pounds. They can’t lift the phone to their face to talk. By practicing phone calling every day you strengthen your arm and your habit of calling a recovering person. Sometimes you will find the other person needed the call even more than you did.

Don’t stop after one try. If the first person you call is not home or can’t talk keep calling until you reach someone. Having more than one person in your support circle is a huge plus.

It is also recommended that you not wait until after you are drunk to call. Call before you drink. Call as a way to manage the urges. Call as a way to build that connection with your support system.

4. Select someone to be your sponsor

One of those people you are calling, the one that is there for you, that is the person you are likely to ask to be your sponsor. Ask them. If they decline ask them for a recommendation. If you trusted them enough to ask them, trust them to refer you.

5. Develop social relationships with other recovering people

The best meetings are often the meeting-before-the-meeting and the meeting-after-the-meeting. Sit and talk. Go for coffee or dessert after the meeting. People hang out and talk not only about recovery but about the challenges of living life after drugs or alcohol.

Attend your fellowship’s social events, potlucks, picnics, sporting events, and so on. The more you develop social friendships the more people you have as potential support systems. Don’t wait until the crisis strikes to form strong friendships.

The process for finding sponsors at N.A. or other twelve-step programs is much the same.

What if your problem is a mental illness, not addiction, or both?

There are an increasing number of peer-run centers and peer-run groups. Ask at your local mental health providers about peer groups. Many areas have local NAMI chapters they can be especially helpful in referring you to peer support groups, so should local mental health agencies.

There are also online groups for mental health issues.

If you have both a substance abuse issue and a mental health issue look for co-occurring groups. It can also be helpful if you have multiple issues to attend more than one fellowship.

Think about how you would like your support system to support you.  Write out the things you would like them to do and not do. Make sure you discuss your wishes should a crisis strike. Make sure your support system knows about your professional providers or who to call if you have a crisis.

So there are some suggestions for creating and strengthening a support system. What have you done to create a support system?

Other posts about support systems can be found at:

How supportive is your support system?

Can one person be a support system?

How do you develop a support system?

Support meetings for family members?

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 supportive is your support system?

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

Supporters

Support system.
Photo courtesy of Pixabay.com

Support system – Resource or stressor?

Recovering people, those with mental illnesses, addictions, or alcoholism, are reminded of the need for a support system. The evidence seems clear. Those who have a good functioning support system do better. Alcoholics and addicts with a good support system are less likely to pick up, to use, or drink again. The mentally ill with an encouraging support system are more likely to stay in treatment and less likely to end up in a psychiatric hospital.

Not all support systems are equal. The quality and the quantity of supports are both important. Who is in your support system? Who should be a member of that group? Making up a written list of the people in your support system before the crisis can help you find resources when the time of need comes.

We speak of support system as if it was a single group, one recovering person – one support system. That is not the best way to build support.  People in recovery need multiple people and need more than one support group. Any single person may not be available when support is needed. Too much reliance on a few support people can burn them out. Not every person in your support system can provide all the support you need.

Here are some categories of the people who might be included in your support system.

Family members can support you.

Family members have been with you for a long time. Even when friends leave you the family remembers you and feels an urge to help you. They will likely feel a desire to help you when no one else will. Support from a parent or sibling can be very helpful for a recovering person, as long as the family is not also part of the problem.

If your family members have a mental illness or an addiction themselves, and often problems run in families, they can’t always provide the support you need. If the course of your illness has been long or serious your family may be burned out on you. They may be unable to provide the help you need at the time you need it most. Many recovering people have a circle of family members in their support system but that is often not enough.

Family members can also be a huge source of extra stress. One study of veterans with PTSD found that family members were rated as the most supportive but also the most stressful relationships those vets had. The stress caused by family members exceeded the support provided.

While it may be helpful to have family in your support system you will need more.

Spouses, partners, and longtime friends can be supportive.

Spouses and partners can be very supportive. People with Schizophrenia who live with a supportive partner were half as likely to end up back in the hospital. If you have a partner they should be a part of your support system, but no partner can carry that full burden. Over time if your partner’s main job is to support you the relationship will suffer. Good relationships need to be maintained with positive interactions. People in recovery do lots of damage to their relationships.

It is hard for a partner to listen to you talk about your symptoms and your urges. They may want to be helpful but being your support system is not a one-person job.

Longtime friends can also be great sources of support. Sometimes these old friends feel like family. Just be sure of how much support any one friend is able to provide and keep people who are unhealthy off the list. An alcoholic can’t get much support on their recovery from someone who is still drinking.

People like you can be a part of the support system you need.

Finding a group of people with problems and interests like yours can be extremely helpful. Addicts relate well to other addicts. Veterans find support groups of other veterans hugely helpful and people with a mental illness should look for a support group of other people with the same sort of problems they have.

Twelve-step groups are highly effective because they are made up of people a lot like you. Alcoholics find A.A. useful because not only does it include a process of change in its “working the steps” it also is helpful in creating a support system of people who, like you, are struggling with their issues. Your 12 step support system will include not only your sponsor but other members of your group whom you can call when you need to talk. Many recovering people also socialize with members of their recovery group.

Veterans often report that they feel able to talk about things in veterans groups that they can discuss nowhere else. Rape victims say the same thing.

In the mental health field, “consumer” groups are becoming more common. So are “dual-diagnosis groups.”  If this is your situation, look for groups like this and participle when you can. If no group exists in your area consider an online group or starting a local affiliate of one of the national groups.

Sponsors and mentors belong in your support system.

Sponsors and mentors can be an especially important part of your support symptom. Most often these will be people from the group like you category above but they develop a special relationship with you as they help by sharing their experiences and hope. They will most likely be focused on one issue, your alcoholism or addiction but every support system needs at least one “old-timer” who can help you along in your recovery.

People who are less like you can still provide support.

People in recovery need to develop outside interests and activities. The longer you are in recovery the more likely you are to become involved in groups that are centered on things other than recovery.

Religious and spiritual groups can be extremely supportive. Include these activities when possible. If you have a hobby or vocation, consider belonging to a group for that interest.

As you move into groups outside the focus of your recovery, think about how much it is appropriate to share with the members of this group. Some people will be anxious when they learn about your mental illness. You may need to keep the discussion of your recovery for a recovery group while talking with members of your spiritual group about your spiritual issues.

Include professionals in your support system.

In developing your support system make sure to include professional people. They may not be available as often as friends, family, or members of support groups but they can be just what you need when you have a crisis.

Keep an up-to-date list of Doctors you see and the meds you take with you. Have phone numbers for the counselors and therapists you see or have seen in case you need to get more help.

Make sure you invest the time in creating and strengthening your support system.

Other posts about support systems can be found at:

Can one person be a support system?

How do you develop a support system?

Support meetings for family members?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Why research is not about your problems – co-occurring diagnoses

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

White mouse

Sometimes the mice get it wrong.
Photo courtesy of Pixabay.com

Feeling left out? You probably have been.

Have you had difficulty finding information that applies to the problems you are facing? You are not alone. The latest research usually doesn’t apply to your condition and should you find a relevant article it may end with the statement, this treatment has not been studied in patients with X, Y, or Z.  In the mental health field, this issue is especially acute, “acute” meaning sharp and painful not “a cute” as in nice to look at.

Most people don’t have only one problem. We have many, many problems. So when we look for treatment we want something that might help us. When people have multiple problems we call that dual diagnosis or co-occurring disorders. You may have two mental health diagnoses, maybe more. Sometimes this is called multi-occurring or even “complex.”

Most people with a mental illness will meet the criteria for two or more conditions. The overlap between substance abuse and mental illness is the rule, not the exception. People with mental illnesses are more likely to develop an addiction or substance abuse disorder than those without mental illness.

People with a mental illness often have a physical illness. People with an earlier physical illness are more likely to develop a mental illness. If you are seriously and chronically ill you might be a little depressed and anxious wouldn’t you?

As a therapist and a blog writer, I am always looking for the latest in research, things that might help my client. There are some new things, but frankly, there are a lot of studies that are not very helpful.

Most studies exclude from their population anyone who had a substance abuse problem until they are clean and sober for at least 6 months or more. They also exclude from studies those who have had a psychosis such as schizophrenia.

Most of my career has been spent in substance abuse facilities, crisis units, and psychiatric hospitals. Clients there have the greatest need for new effective treatments. They also have the most co-occurring disorders.  The newest treatments have not been tested on the people who need the help the most.

Drug companies would love to play this game. Many psychiatric meds cause weight gain. This excess weight gain can result in obesity and diabetes. So if I am a drug manufacturer and want to minimize side effects which I need to report to the government I would want to exclude a person who had diabetes, better yet let’s leave out anyone who is overweight. When it comes to drug companies there are regulatory agencies that keep an eye out for this sort of thing, with psychotherapy not so much.

Recently I have been doing some reading on the problems related to treating people with PTSD. We need to find better ways to help people with this condition. Right now there are lots of possible treatments but even the big names in therapy don’t seem to agree on the best approach. If therapists don’t agree on the best treatment how is the client to know if the treatment will help or harm them?

Most of the clients I see who have PTSD also have other problems. Substance Abuse is common. With those recurring intrusive memories that keep you from a good night’s sleep for years on end would you be tempted to drink?  Most of the “controlled” studies on PTSD exclude anyone with a substance use disorder or psychosis. These are the clients for whom we most need to find better treatments.

People who have a combination of PTSD and depression or substance abuse are at greater risk. Does it make sense to exclude high-risk clients from efforts to evaluate treatment for high-risk clients?

Recently I came across a study on a new treatment for PTSD. I won’t spoil the fun by telling you whose study this was.

The introduction sounded good until I read further. They excluded from their study anyone with Bipolar Disorder, Psychosis, or a history of addiction. By the time they got done excluding they were down to less than ten subjects. They had excluded more people than they included. To me, this means they should have gone the other way and tried this new treatment on the people with the most problems, the larger group. When they did their study they found out that all but one of their subjects had a history of alcohol abuse. While they had screened out current alcoholics they missed that all the people they serve had at some time or other had an alcohol problem.

A further concern should be mentioned here. Treatment should not make a client worse. Some of the current treatments for PTSD seem to make clients worse off, the treatment can retraumatize them.  Treatments that are too painful result in clients dropping out of treatment. I continue to believe that people do not benefit from the treatment they do not receive, no matter how great the treatment looked in a research study.

I will post more about treatments for PTSD as I wade through the newer studies.

For more blog posts on PTSD, substance abuse, or Co-occurring disorders see the newly revised list by categories to the right.

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

Acute Stress Disorder vs. PTSD

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

Stress.
Photo courtesy of Pixabay.com

What is the difference between stress, Acute Stress Disorder, and PTSD?

Stress is a normal human reaction to something that threatens us or challenges our ability to cope. When challenged our bodies to respond. Even good things we have looked forward to, like new jobs, marriages, or the birth of a child, can cause stress. Negative events, loss of a job, divorce, sickness, or the death of someone we love can be even more stressful. Stress is a normal part of life unless it gets out of control.

Acute stress disorder is when something stresses us out and this stress results in impairment of our ability to function. It goes far beyond just being stressed out and needing time to recuperate.

Acute Stress Disorder is a diagnosable mental illness, though much of it goes untreated and unnoticed and like adjustment problems or a mild depressive episode may go away by its self, untreated. If it becomes severe enough it needs treatment before the symptoms get out of hand. The symptoms of Acute Stress Disorder must last for at least two days and must happen during the thirty days after the stressful event. Once the episode lasts more than 30 days we reclassify it as PTSD. PTSD may also intensify and produce symptoms that are in excess of those seen in Acute Stress Disorder.

Acute Stress Disorder.

Acute Stress Disorder is not just being stressed out or needing time off from work, it is far more debilitating than those symptoms.

Here are the things that need to happen for the stress to be Acute Stress Disorder. This is in my words, not the official DSM language.

Warning: This description is not meant as a diagnose-your-self project. If you think you recognize yourself, a family member, or friend in these descriptions you really should see a professional.

1. You experience or see something that makes you afraid you or someone close to you like a friend or family member will be killed or seriously injured. This could be an actual event or someone who threatened you and you believed them. As a result of this harm or risk of harm, you become intensely fearful, helpless, or horror-struck. Note this is pretty bad stuff, not just being chewed out by your boss or the risk of being fired. Those milder things are stressful and might result in an adjustment disorder if they affect you enough, but those non-life-threatening things don’t get called Acute Stress Disorder or PTSD.

2. You get lots of DISSOCIATIVE symptoms – 3 or more. Dissociative symptoms, those are bad.  Here is the list:

A. Numbing or not feeling emotions

B. You don’t feel like things are real – called derealization

C. You can’t be sure you are you – called depersonalization

D. You get dissociative amnesia – can’t remember big chunks of what happened.

3. You keep reliving this experience, like that episode of Star Trek where every day they got up and it all happened again. Your life turns into a rerun.

4. You would go a mile out of your way to avoid places or people like that again.

5. You are on edge, jumpy and the least little thing sets you off again.

6.  You get so upset you can’t go to work, avoid friends and are afraid to talk about this let alone ask for help.

7. This experience and all its terror lasts 2 days to 30 days.

8. By the way, if you did bad drugs and imagined this or there is something medically wrong with you – forget all the above and get to a doctor right away.

So what makes it PTSD?

If you have the above and it goes on over thirty days we change the name to PTSD. But then the longer this goes on the more the symptoms. This is one reason we are thinking that if we could get to people who have been injured and treat them right away we just might keep this Acute Stress Disorder from turning into PTSD. That means treating some people who could get better on their own without treatment in order to prevent others from getting PTSD, but given the long-term debilitating results of PTSD, a little extra treatment might be worth it.

Not sure what you think, but I believe that if we could provide appropriate services to all those returning GI’s from the Middle East we could prevent a lot of long-term suffering.

Those guys are worth the effort right? For the accountants out there, prevention saves a lot of money on long-term treatment also.

As Acute Stress Disorder goes past the 30-day mark lots of more severe symptoms develop, nightmares, extreme efforts to avoid anything that might remind them of the trauma, and lots of drug and alcohol abuse. PTSD and alcoholism are best friends.

There is disagreement right now about the best way to treat PTSD. I will write more in future posts on PTSD, stress, and some available treatments and new approaches that sound really interesting.

For more information on Stress and PTSD see:

Posttraumatic Stress Disorder – PTSD and bouncing back from adversity

8 warning signs you have PTSD

Posttraumatic Growth (PTG) vs. Posttraumatic Stress Disorder

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Eating Disorders and substance abuse

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

Unhealthy food

Unhealthy relationship with food.
Photo courtesy of Pixabay

More about eating disorders and substance abuse.

Risk factors for eating disorders.

Eating disorders, especially Anorexia, and Bulimia are far more common in women than in men. The ratio runs 10 women for every man. Our society’s emphasis on physical appearance puts young girls at extreme risk as they try to fit the image they see portrayed in the media. Eating disorders that begin in the teen or preteen years are unlikely to go away without treatment.

Certain activities and later on in life specific occupations have built-in an emphasis on keeping the weight off and having a particular body shape. Young women who train to become models, gymnasts, and dancers are at high risk.

Young men who engage in sports that emphasize weight classes are also at risk of developing Anorexia or Bulimia. Male gymnasts, wrestlers, and jockeys all experience pressure to lose weight and keep it off that may become unhealthy.

Added eating disorder dangers.

The dangers of eating disorders are not confined to those with anorexia who reach low body weight. Even when the bodyweight looks normal, the process of purging, intentional vomiting, and extreme dieting, can create health risks. Some methods harm health while being ineffective for weight loss.

Purging and diuretics can create extreme dehydration and an electrolyte imbalance. Dehydration does not equate with a loss of total weight and can seriously impair health.

Subclinical forms of eating disorders.

Milder forms of eating disorders are more common than previously thought. As the emphasis on obesity and weight loss has grown, many more people have resorted to extreme measures to get a sudden weight loss or to reduce weight gain. Despite the health risks involved it is tempting to allow yourself an occasional purge to offset the guilty feeling surrounding overeating or a meal with excess calories.

Co-occurrence of Eating Disorders and substance use disorders.

The overlap between Bulimia and substance abuse may be larger than previously thought.

Assorted studies on the co-occurrence of Bulimia and substance abuse have given varying estimates of the number of people with both issues. Current estimates run between a median of 25% and a high of 50%. Clearly, lots of milder cases of combined Bulimia and substance abuse are going undetected and untreated until one or both problems become acute. These two problems together are much more than the sum of adding up both disorders.

People with eating disorders are also more likely to currently have or have had a history of an anxiety disorder and a mood disorder. Many with an eating disorder have three or more disorders.

Those with eating disorders are at high risk to abuse or become dependent on stimulants. The “Jenny Crank” diet is legendary among Methamphetamine abusers. Abuse of stimulants for weight control regularly results in chemical dependency and serious health problems.

Boundaries between eating disorders are not firm.

During their lifetime people with eating disorders may move between the three principal eating disorders.

Medical issues in eating disorders are noteworthy.

Medical problems are especially challenging for those with an eating disorder. Untreated an eating disorder can lead to serious medical problems and sometimes death. Eating Disorders rarely go away by themselves and need professional treatment before the damage to the body and the emotions becomes permanent and possibly irreversible.

Other Eating Disorder posts can be found at:

Binge Eating Disorder – the other side of Anorexia and Bulimia 

Middle class and starving to death in America – An Eating Disorder called Anorexia

Love Hate relationship with food – Bulimia Nervosa

Avoidant Restrictive Food Intake Disorder

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

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Bipolar Disorder, Alcoholism and Addiction

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

Bipolar.
Photo courtesy of Pixabay.com

HUGE connection between Bipolar Disorder and Substance Disorders.

There are so many connections between having Bipolar Disorder and having a Substance Use Disorder. In treatment facilities that screen for mental illness, it is not uncommon for Bipolar to be the single most common co-occurring mental illness. Anti-social disorders are common in court order referrals and sometimes you might see a lot of clients with PTSD but most often it is the combination of Bipolar Disorder and a Substance Use Disorder that really stands out.

Drugs and alcohol can mask psychiatric symptoms, can create them and both intoxication and withdrawal can look like mental illness, but the combination of Bipolar Disorder and a substance use disorder is so common it is an expectation.

Bipolar Disorder coexists with substance abuse more often than with all the Depressions put together. All mood disorders other than Bipolar Disorder are sometimes labeled unipolar depression to separate them from the bipolar condition.

The overlap between these two conditions is huge. The Epidemiological Catchment Area Study reported that more than 60% of people with Bipolar also had a substance use disorder.

Alcohol was the drug of choice for both people with Bipolar Disorder and unipolar depression.

Because many people with Bipolar Disorder report liking the mania or hypomania they most often go undetected and untreated for long periods of time. Most of the time they come in for treatment because of an episode of depression. Many also escape detection until they have legal consequences that send them to a treatment program.

Most people who finally do arrive at the diagnosis of Bipolar Disorder have seen five or more health care professionals and have spent ten or more years on the process before getting diagnosed with Bipolar Disorder.

The extreme fluctuations in mood in Bipolar Disorder interact with drugs and alcohol. The reported rate of Bipolar Disorder is 1-2 % though it seems likely that many subclinical cases go undetected for prolonged periods of time.

Cyclothymia is another diagnosis related to Bipolar Disorder that has low highs and not so low lows. It is sometimes described as on the bipolar spectrum. For a full diagnosis of Cyclothymia, you need to have had the condition for at least two years.

This disorder is rarely diagnosed and treated as it does not cause the huge impairment or legal consequences of the more severe forms of Bipolar Disorder. People with Cyclothymia have periods of feeling better and stop treatment. They only come in when depressed and hide the hypomania well. In my own clinical experience, this condition is probably vastly underdiagnosed.

When we talk about having a substance use disorder most people will respond that they are not drug addicts or alcoholics. There are forms of the disease of addiction that stop short of physical addiction but result in ruined lives, broken relationships, and periods of time incarcerated.

The hallmarks of a substance use disorder are:

Obsessions – you can’t stop thinking about it.

Cravings – repeated urges to use

Loss of control – using more and more often than planned.

Increased tolerance – Needing more to get the same high or getting less of a result from the same amount of drug.

Withdrawal effects when you run out of the drug.

Psychological addiction or dependence occurs long before physical addiction.

Bipolar Disorder may have existed before the substance abuse but did not get diagnosed because there had been no severe mania. Some people with Bipolar begin using to cover up the symptoms or to help themselves cope. We think of this as “self-medicating.

Drugs and alcohol may increase the risk of developing Bipolar Disorder.

People with Bipolar disorder and substance abuse issues are hospitalized more often and for longer. They are more likely to have rapid cycling Bipolar Disorder and to have developed the symptoms at a younger age. They are also much more likely to have mixed episodes of both mania and depression at the same time.

Co-occurring Bipolar Disorder and substance abuse are much more resistant to treatment and people with both conditions at the same time are far more likely to drop out of or fail to complete treatment.

Alcoholism is more often a result of having Bipolar Disorder rather than a risk factor and those with alcohol as their primary drug of choice do better in treatment than many other co-occurring disorders.

Further complicating this picture we should know that any alcoholic with or without a mental illness is likely to have severe mood swings. Alcohol withdrawal and alcohol intoxication can mimic many mental illnesses and it can take some period of sobriety before a baseline for diagnoses is clear.

Alcohol and illicit drug use will also interfere with getting the medication right resulting in many med changes that might otherwise not have been needed.

So there are some brief thoughts about the connections between Bipolar disorder and substance abuse, especially alcohol abuse.

If you or someone you care about has a problem with drugs, alcohol, or may have a mental illness please encourage them to go for professional assessment and treatment.

Other articles about Bipolar Disorders and related conditions can be found at:

Bipolar or Major Depression?

Bipolar – misdiagnosed or missing diagnosis?

Am I Bipolar?

Bipolar doesn’t mean moody

Are you Hyperthymic?

New Bipolar Drug Trial

Bipolar Disorder Genetics research study – Come one come all

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

Best of Blog – May 2012

Counselorssoapbox.com

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

Here it is – The Best of Blog Recap for May 2012 –

Thanks so much to all of you for making this another great month. I appreciate all those of you that have read the blog and especially appreciate those who have left “likes” and comments. Please feel free to leave a comment or ask a question.

I have included 5 posts since the last two in both categories were tied or very close.

Best of blog for May

How much should you tell a therapist?

Are you Hyperthymic?

Why can’t we forget the painful past?

Posttraumatic Growth (PTG) vs. Posttraumatic Stress Disorder (PTSD)

Is it Complex Grief, Depression, or Bereavement?

The best of blog all-time posts are

How much should you tell a therapist?

How does therapy help people?

Are you Hyperthymic?

Why can’t we forget the painful past?

Grandma is the drug connect

To date, there have been readers in over fifty countries. Thanks to all of you. Stay tuned for more to come.

Till next time, David Miller, LMFT, LPCC saying “Hope you are having the happy life you deserve.”

You need to make more mistakes.

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

Mistakes and errors

Mistakes.
Photo courtesy of Pixabay.com

Sometimes it’s good to make mistakes.

Inside our minds, left over from childhood, is that nagging voice telling us we made another mistake. Oh no I did that wrong. Why do I even try? It is hard to get that voice to shut up. Even when no one in our lives is telling us we are wrong we still need to beat ourselves up for every little error. I should have done that better; I should have gotten that right, we tell ourselves. NOT SO.

As humans, my guess is that almost everyone reading this is a human, we need to make mistakes (sorry bots.) Our brains are hard-wired to require mistakes. We need to make them, and lots of them if we are to learn. Let me explain why.

When we do something wrong, something dangerous or painful, our brains like to set that up in one of those big fat grooves in our brain. Painful and unpleasant memories are readily accessible to our brains. This is for a good reason, – survival.

Hanson describes this as the stick and carrot. The carrot is nice, we like to eat especially if we are hungry, but the stick, that can kill us. We need to remember that stick from the first time we got hit. Not remembering pain could result in getting hurt again. It could mean death.

But happiness as we discovered last time in the post – Where Happiness Hides – happiness takes effort to remember it and remembering it needs to be practiced.

So why should we make mistakes?

The only people who make no or few mistakes are those who don’t try. The famous, the highly productive, and the successful, make lots of mistakes. You don’t hit home runs unless you swing. A great baseball player gets a hit maybe once every three times at-bat. He misses a lot of times. Now if we let fear of failure keep us from trying we don’t accomplish much. You can’t sink a basket unless you put the ball up in the air.

But there is more.

All creativity starts out as so-called “mistakes.”

Let me illustrate. Let’s say we meet in the hallway at work one day. Every morning for years we have walked by each other. I say Hello. You respond with Hello. Everything is right in the world.

This day is different. I say Hello. You, for some unknown reason, say “How are you doing today.”

Oh my goodness! The world is about to end. What do I do now? I have to actually think of an answer. Not the usual answer, but something new, something original. We just might end up having to have a conversation.

Your “error” in asking how I am doing has resulted in you being creative and me having to learn a new skill.

So “mistakes, errors” are the source of much of the world’s creativity.

Errors and mistakes are not in and of themselves bad. They are “learning opportunities.” Some have called these items “improvement opportunities.” So if we move from an “I need to be perfect and never make a mistake” to “I need to try on new things, learn the things that work and don’t repeat the things that did not work” We become more productive and more competent.”

This learning from mistakes is true for individuals, businesses, and systems.

The important thing is to not keep making the same old mistakes. So if you keep trying new things, yes you will make some mistakes. That is fine. Just keep the size of the mistake down to something you can afford; do not try out something new that might get you or someone else killed or lose your life savings. Do try out new approaches to solving those same old problems.

Have you seen anyone trying to solve a problem in the same old way with the same old thinking?

Don’t we describe the approach of doing the same thing over and over expecting a different result as one form of insanity? So if your old method resulted in a problem, addiction or depression, or lack of productivity, do not keep trying the same thing over again because this is the “right” way to do it. Consider a new approach and learn from the trial.

An economics professor once told the class that if we decided as economists to make predictions make them early and often. Some of them are bound to come true. This approach works in lots of productivity and self-help areas. If you are the first to try something, like quitting smoking, even if you struggle, you are a hero when you succeed. If everyone you know has already quit you don’t get so much credit.

The more new things you try the more likely you are to get some of them right. Keep putting that ball in the air. Just do me a favor and before you blame me for any failures, try to make small mistakes and try to not keep making the same mistakes over and over.

Those who try – make mistakes – they are human, but the important thing is they learn from those mistakes.

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

Where happiness hides.

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

Happy faces

Happiness.
Photo courtesy of Pixabay.com

How happiness becomes invisible.

Happiness is so much harder to find than pain for the majority of humans. This is not a result of some personal failing. Turns out that this bias, to see the bad and the dangerous and to miss the happy and the pleasant, is a built-in feature, a part of the design of humans.

One particular psychological principle explains a lot about the inability of so many people to see happiness even when it is right in front of you. That principle is the “expert effect.”

Let me explain the expert effect and how it hides happiness with a story from my past.

I once had a friend who was into antiques. We decide to meet up for lunch and check out a few antique stores downtown. After walking through one especially well-stocked establishment we paused outside to talk about what we had seen.

“Did you see that Fenton glass? And the shelf of carnival glass over in the corner?” She asked.

I had to admit I hadn’t noticed either of these glass items. They were right there in plain sight.” She commented.  “How could you have missed them?”

I had to admit I had missed them. There was a good reason why. At that point in my life, I could not have told you the difference between a piece of Fenton glass and a fence. I could easily spot the shelves of old books but the glass, not so much.

So after that experience and not wanting to appear so stupid I determined to solve this problem. The next week I went to the library and checked out, and read, some books on antique and collectible glass.  The next time we went antique hunting I did indeed see all sorts of previously invisible collectible glass.

Not only did I see it, but now I slowed down to take a close look and tried to remember what I had read about this particular type of glass. When we did finally talk about what we had seen there was so much more to the conversation.

The principle here is the “expert effect.” If you don’t know what something looks like it is hard to spot. The more you learn about a subject the faster you will identify it and the more meaning it will have when you see it.

Most of us are hard-wired to spot pain but we have never learned to see happiness. This makes the good things in life invisible even when they are right in front of us.

Most of us are naturally able to spot the unhappy, the painful, and the dangerous. You don’t need to be eaten by a lion to know that avoiding lions is a good thing to do. We can learn from others by seeing them get eaten. We might even learn from hearing others tell tales about lions eating people. Getting eaten has a high importance if you live around lions. In my town, we avoid gang members with guns in the same way.

It is much harder to spot others who are happy. And we don’t often hear stories about other’s happy moments. Even when we do see and hear happiness stories they don’t stick in our brains the way lion stories do. This is called a negativity bias.

Rick Hanson author of Buddha Brain, has written and talked about our ability to learn about the negative quickly and our lack of skill in learning to spot and remember happiness. With time our brains can learn most anything but the less you know about the topic the harder it is to learn and the more we will be biased to learning only scary things we need to know to keeps us alive.

So his prescription for learning about happiness? How do you become a happiness expert so you can spot it at a distance and learn to run toward happiness instead of from lions? Hanson suggests that a positive memory needs to be held and savored for 20-30 seconds before it will sink in unlike pain that registers straight off. He calls this 3 step process “taking in the good.”

The brain does not do a good job of storing facts, especially small or unimportant facts.

Did you know that the bulk of all learning, maybe 80% or more, is emotional, not intellectual?

Want to remember something? Turn it into an emotional experience, not a fact. Here is a happiness example.

You are walking along at a fast clip, trying to get your exercise done before sunset. Nice sunset. Nice flower I just passed. Glad when this jogging stuff is over and I can rest. Is that the way many of us do this exercising thing?

What would happen if you stopped and looked at the sunset? How long can you stare at your neighbor’s flowers before she calls the cops? If you pause and look, for as little as twenty to thirty seconds, give this experience time to soak into your brain, you will greatly increase the likelihood of remembering this experience as a pleasant one. Let a few of these 30-second experiences accumulate and you might become a happiness expert.

What – you too busy to spend 30 seconds collecting happiness?

But wait there is more. Hanson also said that besides slowing down and turning the facts into an experience, holding the feeling for the 30 seconds we also need to make a conscious effort to save the experience.

So if you set out to become a happiness expert, invest the time, feel the feeling when it comes, and plan to hold on to it and capture it in your brain.

You too can become a happiness expert and prevent happiness invisibility.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

The face of bullying is changing

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

Crying child

Youth mental health.
Photo courtesy of Pixabay.com

As bullying changes so should our response.

Most kids will be bullied sooner or later.  We used to think that there was something that the victim was doing. It would make us feel safer to think they had done something wrong and if we teach kids to avoid that mistake then our kids will be safe. Like blaming the rape victim, blaming the victim of bullying has not helped reduce the number of incidents. The amount seems to be growing. So is the type.

Our fear of violence in the school has led to crackdowns on violence. We have zero-tolerance policies. Bring a weapon to school and you get kicked out. Hit someone and you will be suspended maybe even expelled. There is no such thing as a “normal” fight between kids anymore. This has reduced the rate of physical bullying – somewhat. It has not reduced the rate of emotional bullying.

Bullying is not always from outside the family. The most devastating form occurs when family members, those who should have protected you, become the bullies. Relentlessly harassing a family member, the name-calling and the feeling of rejection all take their toll.

Kids have come into the psychiatric facilities as a result of a suicide attempt and they tell me their family has called them fat and dumb for years. They finally just gave up. This form of emotional bullying is also emotional abuse. It can and probably usually should be reported to the Child protective services as child emotional abuse. Besides intervening in the family we need to help the victim to get past the trauma of the abuse. But bullying is everywhere.

The new face of bullying is the anonymous face of the internet, cyber-bullying. It is also the acts of kids rejecting and excluding other kids. There is a lot more name-calling and cruel posts online.

Recently Psychotherapy Networker presented a webinar on bullying featuring Stan Davis as part of their parenting skills series. I try to catch as many of their presentations as possible. Most of the programs are designed for professionals and include continuing education units (CEU’s.) They also make some presentations available free of charge, but only for a short time. For more information on Psychotherapy Networker and their webinars see: http://www.psychotherapynetworker.org/

Davis tells us that the old approach to bullying is not working. Education for bullying, as in education for drug abuse does not solve the problem. Kids know they shouldn’t bully, with or without an education component.

The kids who tell me at age 8 that drugs are bad and they learned in school that you should never do drugs; I see them again in their teens after they have had an overdose. Same thing with bullying.

If we really want to create a climate without bullying, or less of it anyway, we can’t excuse or alibi bullying when it happens. We need a consistent message that there is zero-tolerance for emotional bullying just like zero tolerance for physical violence. So far society is not consistent with this message at home or at school.

Drugs are cool in movies and on T. V. so are in your face put-downs of others. Kids are learning to bully from what they see others do and lacking any amount of self-control they imitate the reality shows and the movie and video game bullying.  Like the way, drunk driving stopped being OK as a result of a concerted campaign by MADD we need a campaign to make bullying a not acceptable activity.

Davis also mentioned that the best antidote for bullying is friends. The more a child belongs and feels like a part of something the less likely they will be affected by bullying. The most victimized are the most alone and once they become the victim they are more likely to be shunned by others, who are afraid to become victims also.

Connection reduces the impact of trauma whether it is from bullying or from a natural disaster. We know from other sources that people with a serious mental illness, like schizophrenia, which have partners at home that support them are half as likely to end up in the psychiatric hospital. Kids who have friends are less likely to be permanently harmed by bullying.

Resiliency is also a source of protection when someone is bullied. Resilient people seem to be able to screen out the verbal insults and the put-downs  Screens, says Davis, keep out the injury, but we need help from our friends to keep the screens of protection clean and repaired.

So the summary here is that more bullying today is non-physical like insults and rejection and to protect against this, more friends and resiliency are what is needed.

See also: Bullying, Families, and Resilience 

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