Tag Archives: co-occurring disorders

Mental Health, Self-improvement & Happy life –Counselorssoapbox.com January 2013 Best of Blog

Posted on by
7

Counselorssoapbox.com

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

Taking stock of where we are in this no longer New Year – January Recap.

One month of 2013 come and gone, time to reflect on where we are and where we are going. So far this month we have talked a lot about taking stock of where you are and deciding where you are going. This happy life journey is all about becoming who you truly want to be.

I noticed that there are still a lot of people coming in to join us that are reading last year’s posts about diseases and disorders. When you are stuck in depression, anxiety, or substance abuse you may not be ready to begin a journey towards happiness. First, you need to define what your issues are.

Occasionally we may need to take a detour to help someone catch up with the direction towards happiness. As we progress I we will continue to examine the research that I come across, things that may explain why some of us have certain of life’s struggles and how you might overcome them.

One goal for this New Year has been to get these blog posts out on a regular basis. That seems to be working. I find I am able to write posts ahead of time and schedule them to appear on their appointed day. This has avoided those times when life and work prevent me from writing a post.

The progress on the book has been slow but I continue to work on getting it finished. The plan is to have a book published by the year’s end. I will mention some other writing projects as we go along.

I will endeavor to keep the shameless self-promotion to a minimum but my writer friends tell me that spreading the word about your writing is a requirement in this strange new e-book universe.

Here are some of the top viewed posts from this month, January 2013:

  1. How much should you tell a therapist? 
  2. Do people really forget what happened when drinking? – Blackouts 
  3. 6 ways to recover from Complex Trauma or Complex PTSD                         
  4. What is the difference between Depression and Major Depressive Disorder?   
  5. Why can’t we forget the painful past?       
  6. Are you Hyperthymic?      
  7. Do therapists have to report a crime?                
  8. Which border is Borderline Intellectual Functioning on?   
  9. Do others harm your self-esteem?          
  10. Is nicotine a stimulant or a depressant?      
  11. Sleep Paralysis – What causes it? Is it related to PTSD or demons?     
  12. Levels or types of Borderline Personality Disorder

Thanks if you were one of the early readers. If you missed one or want a second look the links are above.

Thanks, folks.

This year we will continue our journey through cleaning up our past, learning to cope with feelings and problems, and designing the kind of person we want to be. As always your comments are welcome.

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

Drug programs are not about treating addiction

Posted on by
3

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

Drugs.

Drugs.
Photo courtesy of Pixabay.

Did you think drug treatment programs were designed to treat addiction?

Drug treatment efforts in the United States are generally not about treating addiction. If we really cared about reducing addiction we would be doing things differently.

There has been a fair amount of criticism surrounding drug treatment programs and why there are so many people who have been through a treatment program and still use drugs. The reason this situation looks so bleak is that the majority of these programs were never designed to treat addiction despite what the program may be called.

Addiction is not the only area where programs are designed to do one thing despite being sold to the public and called by a name that implies they are supposed to solve that problem.

Having angered half the world with my posts on prayer and the role of spirituality in recovery I might as well anger the rest of the world with some comments about the defects in our political system.

Most drug treatment programs are not meant to get addicts off drugs!

Does that surprise you? It is only very recently and among a very small number of people; that addiction, alcoholism, and related impulse control disorders like compulsive gambling have come to be regarded as diseases.

The traditional approach to addiction was to consider those people criminals and lock them up until they quit doing drugs. Alcoholics were considered crazy and got confined to psychiatric facilities called “sanitariums.”  The high prevalence of repeat DUI’s (Driving under the influence sometimes called DWI, driving while intoxicated) and rearrests for drug use confirms that more than just locking them away is needed to solve this problem.

Some examples of possible treatments

Methadone maintenance for Heroin Addicts.

Methadone maintenance is not designed to cure addiction.  It is designed to reduce crime. The goal in this and most other drug and alcohol treatment programs is now and always has been on crime prevention.

The Heroin Addict with a $200 a day habit has to come up with that money every day or become very sick. There are ways to put the bill off, like getting an advance from the dealer, but that works for a very short time unless you are very, very wealthy. Eventually, you need cash. Drug connections are not charitable institutions, they want the cash.

Many Heroin users resort to stealing to cover their costs, burglary is a common way. To get $200 a day for drugs the addict needs to steal $2,000 worth of property. Fences do not pay retail. In the process of stealing $2,000 a day to cover their drug needs the addict may do $20,000 in damage. They do not care if they break a $1,000 window to steal a $1 item.

Giving the addict a $2 dose of “narcotic replacement therapy” will save as much as $20,000 in burglary and vandalism costs. What shocks me at this point is that the insurance companies are not lining up to fund this kind of crime prevention effort.

Remember that Heroin was discovered back in the 1800s and has been way out of patent protection for a long time. The only reason it is so expensive is that it is illegal. Doctors are not even allowed to prescribe it for clients who are addicted.

The replacement drug, most often Methadone, is not less addicting but more addicting than heroin. It is also not easy to get off. So the system does not treat the heroin addict. We get them hooked on another even more addicting drug.

Please do not misread this as my arguing for the legalization of Heroin or the end of methadone clinics. Keeping as much heroin as possible off our streets may reduce initial cases of addiction. Putting more Heroin on the streets will likely increase cases of addiction. I also know of many cases of people whose lives were changed by the use of narcotic replacement therapy (mostly methadone.)  Some people need that drug to get out of the illegal lifestyle and on to a legitimate job.

What I am pointing to is that this program like so many other government programs is not meant to help the people with the problem.

Drug treatment programs are designed to reduce crime not cure addiction.

Prop 36 or SACPA.

The “Prop 36” program in California which sent tens of thousands of addicts to treatment resulted in a number getting off and staying off drugs. The program has since been in large part “defunded.” The official title of the program was SACPA, short for Substance Abuse Crime Prevention Act. Clearly, the emphasis was on crime prevention, not addiction treatment.

Drunk Driving programs.

Further evidence for this hypothesis comes from Drunk Driving programs. Drunk driving programs do NOT treat alcoholism despite the high number of alcoholics with chronic medical problems who are driving up the cost of medical care for all of us. Programs forbid their instructors from talking about alcoholism.

Drunk driving programs are focused on teaching you how to drink more and still not get a DUI. Things like designated driver programs and spacing your drinks so you can continue drinking, the more the better, and still not get a DUI.

It is possible with the expansion of health care we will get serious about treating addiction, alcoholism, and mental health issues. I remain hopeful but skeptical. Past experience has made me that way.

Sorry to spoil your illusions. Drug treatment never was about the addict. But then you are not one of those people who believe in fairy tales like the tooth fairy or that food stamps are meant to reduce hunger are you?

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

Did your goldfish die? About relationships

Posted on by
2

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

Goldfish.
Photo courtesy of Pixabay.com

What do goldfish and potted plants say about your relationship?

For people in recovery, relationships are a source of huge problems. Early in recovery, we discover that those relationships can be either an important source of support or a cause of pain and suffering.

One area that pops up on inventories, goals, and to-do lists is to create better relationships. People come to think that if they only had that one person that loved them they would be healed.

The result is a lot of people jumping into new relationships way before they are ready.

We can also start trying to fix relationships that have been strained or broken only to find that those first clumsy efforts to repair breaches have resulted in new arguments and slights that leave further wreckage in our lives.

Women in recovery are often urged to take the simple plant, pet test. Men would benefit from taking this test also.
Begin your recovery by getting a simple plant. A flowering houseplant is nice. Pick anything that you like and which fits your lifestyle. Spend some time looking around and selecting your plant. Most of us have selected life partners with less thought and consideration than we take on our plants.

For the next 6 months carefully tend your plant. Is it growing well? Does it need more light and water? Or does it need less water? Too much or too little of a lot of things can cause damage to plants and to relationships.

At the end of the six months grade yourself on plant care. Have you developed a caregiving relationship with your plant? Has the plant thrived? Have you?

If you have been successful at growing your plant then you are ready to move to stage two.

It is amazing how many people who can’t keep a plant alive jump into a sexual relationship and produce a child at a time when they don’t have the strength to care for a plant. This exercise is not just about gardening skills, it is about your ability to consistently day by day show concern and care for something outside yourself.

The next step in the process is to get a pet. This gets riskier. A goldfish is a good place to start. This involves more research. Most of us think we know all about taking care of goldfish but most of our fish die. Learn a little about what makes for a healthy goldfish and what their needs are.

You want to learn how to select a healthy one. Moving fish around can result in some not making it. Too much food or too little can make your fish sick. You may have to try this several times before you get one that likes the place you are keeping them and is healthy enough to be a part of your life.

By now I hope you are getting that this is not all about goldfish. What we are practicing is the skills needed to create healthy relationships. You will need to learn about any potential relationship partner. You will need to learn how to pick a healthy one. You will also learn that lots of things look better in the store window than they do after you get them home.

If your goldfish dies you may be sad or even cry but only you and the goldfish will be affected. If you “hook up” with someone there will be you and them but there will also be their family and yours mixing with you and your family and friends. If this relationship fails you can’t just flush it in the bathroom.

If you have been successful in raising your goldfish or other small pet for at least 6 months you are ready for the next big step. No, don’t rush out and start a family. If your living situation permits get a larger more demanding pet. A kitten or small shelter puppy make good next steps in this process. If where you live does not permit these types of animals, consider a small bird or other, more complicated small animal.

Now you have to balance your needs, do you feel like caring for your “family” today? Can you continue to meet the needs of your menagerie? Your dog or cat needs care every day whether you feel like it or not. You also have to consider the interaction between your previous household members and your new addition.

Does the cat try to get the goldfish? Do you need to move the fishbowl up high? How safe is the plant? Juggling all three creatures’ needs prepares you for juggling conflicts between other family members as your recovery progresses.

This creating a blended family is an important skill for those in recovery from a mental illness or a substance abuse issue. Once you enter a more adult romantic relationship there will always be conflicts between past relationships and the new one. Navigating blended families with step, half, and ex-relationships can put a lot of stress on you and on your new relationship.
This whole process will take about two years.

This step method of practicing relationship skills is not original with me. It has been used and recommended in recovery groups as far back as I know. It has largely been recommended to women who are at an especially high risk of rapidly entering a new relationship. This risk is especially high if you have children and need a partner to help with the financial and caregiving tasks.

In this new modern era, more men than ever are becoming the primary caregiver for their children and they especially need to be good caregivers not expect the replacement partner to take the primary responsibility for children from past relationships.

Some people become frustrated along the way and toss that plant against the wall. Some people forget to feed the fish for a while and the goldfish dies, or they overfeed the fish, pollute the water. and the fish dies from that. This gives you an opportunity to practice your recovery skills. I would rather you toss a plant at the wall then a child.

This discussion assumes that you are not currently in a romantic relationship and many recovering people are either not in one or not in a healthy relationship. If you are in a relationship or are coming home from the hospital or rehab to some children you already have you can modify this as needed.

The emphasis here is on your learning skills to have healthy relationships rather than thinking that if you just fell in love with someone else then your life and your problems will be fixed.
Any comments?

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

Flavors of motivation – Personality traits and factors

Posted on by
8

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

Motivation.

Motivation.
Photo courtesy of Pixabay.com

Is there one best motivation technique?

So far we have been talking about what it will take to get from where you are, wherever that might be, to the place you want to go. I have defined that place as having a happy life – whatever that might mean to you.

Last year I also posted a series of pieces about stages of change, how it is that we think people go about changing. While each of you may be in a different stage of change and we may all be in different stages of change for different problems, the focus of the posts this month is on gathering information so you can decide for yourself what, if anything, you want to change.

One aspect of making these changes we will need to talk about is motivation. This post is meant to be an introductory post on the topic of motivation. In “Motivation Month” there will be a longer series of posts on other aspects of motivation.

There is lots of material on the web about motivation, plenty of motivational speakers, and books on motivation. Some motivational methods work well for some people, some of the time, but no motivational program seems to be a clear success all of the time.

One consideration in designing a motivation program is who you are trying to motivate. One set of techniques may be more effective for self-motivation and another set works better for motivating others.

Psychologists have been studying the way in which personality factors – sometimes reported as the “big five” factors influence motivation. They influence other parts of your behavior and feelings also. There is some disagreement as to how much of personality is genetic and how much is learned. I think both factors play a role and therefore you start where you start but you can learn to be otherwise. Here are the big five factors.

Extroverts want the money or fame.

People who are extroverts are more likely to be motivated by more tangible status-related rewards than introverts. Extroverts want to raise their status. Fame, attention, high salaries are all likely to motivate the extrovert. Bosses will find tangible rewards, money, a corner office, or a prime parking space are likely to increase the extrovert’s motivation.

If you are looking to raise your status and need to self-motivate look for activities that will bring you into contact with lots of people. Networking, speaking before groups, making an increased number of calls, all these things are likely to motivate you and to increase your productivity.

Agreeable people need friends.

People who are high in agreeableness are motivated by getting along. They value communication. Not the kind of communication that is aimed at getting someone to do what you want them to, but the sort of communication that involves really understanding and being understood.

Agreeable people will work for less money if they feel that their coworkers are friends. They are excellent candidates for morale or social committees. They may be more motivated by working in an altruistic setting like a nonprofit even if the money is less.

Conscientious people need to get things done.

A person who is high on conscientiousness is task-oriented. They like to be able to work on a project where they can see the results of their efforts. They are big on self-discipline.

They show up for work on time, not because someone is watching them but because it is the “right” thing to do.

They are likely to be internally motivated. If you need to motivate a conscientious person, make sure they know the rules and expectations of the job and why these things are important.

Anxious people need security.

People who are anxious are sometimes referred to as being low in emotional stability. They will be motivated by results that improve their security. Anxious people will be more motivated by a long-term promise of secure employment or a pension fund than by current high salaries.

If you are high in anxiety you can increase your motivation by planning ways to increase your security.  Most people are one paycheck away from being homeless; saving up 6 months or more in living expenses can be very motivating to an anxious person.

Personality type is not the whole answer to motivating yourself and others but it is one point to begin your thinking about the role of motivation in your journey towards having a happy life.

Throughout this year there will be more on the topic of motivation. Stay tuned as we help each other design and move towards happier, more rewarding lives.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

4 Ways Prayer is Answered

Posted on by
2

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

Sunset.
Photo courtesy of Pixabay.com

Why visualization and the law of attraction may bring you garbage.

Whatever you may call it, the process of expressing things to our Higher Power and then waiting for an answer gets extremely misunderstood.

People tell me “God does not answer my prayers.” I also hear the law of attraction does not work or that visualization stuff is bunk. Let’s consider those possibilities.

Whatever terminology makes you comfortable with this discussion is OK by me. For ease of my writing this out, from here on in I am going to call it prayer. You can translate that into some other vocabulary if that works better for you. I will also use God and He or Him to refer to this Higher Power. If you understand your higher power as She or Them, please talk with your higher power, not me, about that.

We get a whole lot more answers to prayer than we realize. They just weren’t the answers we wanted and expected. Let me give you an example.

See a problem with this prayer?

A man new to recovery prays earnestly one night. “God, please give me a better paying job, lots of money, a new car, a nicer house, and a more attractive wife, and I will need this by Friday night when the class reunion occurs.

The AA Big Book refers to this as something like being a greedy child on Santa’s lap at Christmas. That is not the way we should pray.

We are told to pray for “Knowledge of God’s will for us and the power to carry it out.”

You can reframe that as finding your life’s purpose and then living your life that way if you chose. (I need to stop doing those reframes.)

1. The first possible answer to any prayer is NO!

There will be lots of “things” in your life you might ask for and you will not get them. You may pray for God to let someone live and they die. This does not mean that you are a bad person or God hates you. (My higher power loves me and everyone else unconditionally; he may not belong to that kill them all and let me sort it out club.) Getting a NO does not mean that your higher power is cruel.

There were reasons why you got a NO, I don’t know what they are, you may not know why, but then you might want to go on living your life the best you can and see if you can figure that one out.

2. The answer may be yes.

Sometimes my higher power heals sick people. I do not know why he heals some and not others. Praying in this case and the resulting healing could just be coincidences but some of the stories I have heard tell me there might be another, more spiritual reason for this healing.

My higher power does, however, help a whole lot of Alcoholics, addicts, and mentally ill people if they are willing to do a little work on themselves. Why this Higher Power has such a decided interest in the addicted and the mentally ill, I cannot say, but I am firmly convinced that a Higher Power of some kind is a part of the recovery process.

3. The answer to your prayer may well be “Not now, you need to wait.”

Very often we need to keep praying over a long time, all the while doing the required work in order to bring a result into tangible form. Those of you who believe in the “Power of Positive Thinking” can ascribe this to repeatedly placing the thought in your subconscious.

Personally, I do not hold much faith in the subconscious. I know about the conscious and about being unconscious. Like subliminal advertising, I think anything worth doing is worth doing in a conscious manner. The subconscious is part of another discussion; now back to our prayer in progress.

That third answer, you need to wait, some of us get that confused with the NO one.  It would be easy to give up on the conversation at this point and say God never answers my prayers. This is why it is important to not only talk with your higher power but to also listen carefully to what he is saying.

One way of listening to a higher power is to meditate. There are other words that can be used to this process of listening to your Higher Powers voice like “still small voice.” I will let you translate this one as needed.

These first three ways God might answer prayer seem pretty obvious but number four – well hold on to your hats.

4. You want what?

I do not know about any of your Higher Powers out there but mine clearly has a sense of humor. Sometimes God gives us what we ask for, all the while knowing we won’t like it when we get it.

We get this answer to our prayers when there is a spiritual lesson that we need to learn.

For example, say you prayed “God help me get this job” just before you go for the interview. Then you get the job. A few weeks into this new job you start discovering things about what you will be doing that are most distressing. You may have been moved across the country or overseas. You may be trapped and unable to afford the move back home.

This “You want what?” can also apply to love objects and friends. Sometimes we want an important person to like us and then find out that they are no one we want in our lives. Being popular with the in crowd, may not lead to spiritual enlightenment. It may lead us to a whole lot of places we wished we hadn’t gone.

This possible answer to prayer is why that “Praying only for knowledge of his will for us” part is included. We don’t always know what is best for us.

So have you used prayer or something like it? Has it helped in your life journey?

What is next on this road to a happy life? Stay tuned and we shall see.

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

LPCC’s PCCI’s and Medi-Cal – News update from CALPCC

Posted on by
3

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

Counseling questions

Counseling questions.
Photo courtesy of Pixabay.com

LPCC’s PCCI’s and Medi-Cal – News update from CALPCC

CALPCC the state-wide association for LPCC’s and PCC interns today released a news update confirming that LPCC’s and PCCI’s will be able to bill Medi-Cal here in California. This greatly increases the job opportunities for this new mental health profession.

Professional Clinician Counselors in California will be able to see adults and children. If they wish to see couples or families they will need to have had specific training in family therapy.

This SPA (state plan amendment) was signed in December 2012 with an effective date of July 1, 2012. The result of this SPA is that Professional Clinician Counselors will be able to bill Medi-Cal during the current fiscal year.

For more information please check the CALPCC website. Those of you who plan to practice as Professional Clinician Counselors in California should plan to join CALPCC if you have not already done so.

Related articles

Afraid to say pray? Spirituality, religion and a happy life

Posted on by
3

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

Praying.
Photo courtesy of Pixabay.com

The role of Prayer, spirituality, and religion in creating a happy life.

I have held off on discussing this topic as long as I can. It is with great trepidation that I even put the keywords, prayer, religion, and spirituality into my blog.

But there is a connection between what you believe and your ability to have a happy life. We find that people who have a spiritual belief are more able to create the changes needed to improve their life. Having friends is helpful and having somebody with a whole lot of pull in the universe would be even better.

Nothing has been so effective in human history at dividing us up into in and out groups and becoming an excuse for war or general mayhem, then what we call our particular spiritual belief. If you have a particular aversion to Religion in general, please read on, I believe that for you, recovery is possible also and you don’t need to sign on for my particular religious belief system in order to have a happy life.

I, like so many others, have from time to time referred to myself as a recovering —— (fill in name of several religions here.) I came from a region where at one time the “Regular” Baptists and the “Separate” Baptists used to get guns and shoot at each other. It was the 60’s, the 1860’s. But the idea is still in play.

Further north and a little east of there some of my ancestors tried to kill each other and then had to flee because somewhere Catholic and others were Protestants. Descendants of these faiths and a whole lot of others end up marrying each other and I am one of those results. I find it increasingly difficult, no impossible, to take sides in all these sectarian disputes.

So what does that have to do with recovery?

The hard part for many people in recovery, recovery from any and all of life’s problems, has been to separate those old religious rituals and dogmas from reconnecting with some sort of deeply felt beliefs.

Prayer is one of those useful beliefs.

Now it would appear that there are a whole lot of different understandings of who we pray to and what prayer is, but the results tell me that those that pray have better and happier lives.

Twelve-step groups in their early days had to come up with a solution to this God and belief problem. They use the term “God as you understand him” So that includes all the various denominations as well as the various other names by which people may call their “higher power.”

I will try to avoid those old sectarian disputes, though at this point I suspect I have already wandered into the minefield and shortly my comments and inbox will fill with comments from people saying “If you don’t pray the way we do at the First Church of —- then God hates you and you are going to —.”

Prayer is too important to our recovery from unhappiness and a whole lot of other issues to be left out of the equation.

Wholly sectarian philosophies often incorporate practices that look and sound suspiciously like prayer. Creative visualization, meditation, the law of attraction, all these things try to put us in touch with something greater than ourselves. So does “wish-craft” and psyching yourself up to create better performance.

As we take this journey towards our happy life, whatever you may define that as being, we will need to talk about the role of faith, belief, prayer, and meditation. I don’t expect to write anything that intentionally offends anyone and I do believe that what I say will not contradict anyone’s current religious practice.

I have not studied religion in any professional capacity and don’t presume to tell anyone what they “should” believe. What I do know based on my training in counseling and psychotherapy is that believing in something is helpful in creating a positive, mentally healthy life.

This raises a bunch of questions we need to consider.

Does God, your higher power, the forces of the universe, or whomever, hear and answer your prayers? Even if it is your own subconscious that hears and responds, what might be the advantages of giving some prayer a try?

Why do some people say they get answers to their prayers and others say they don’t? What improves the chances that you will get an answer? How many different ways could your prayer be answered?

What is all this meditation stuff and why do people talk about “prayer and meditation?” Don’t you do one or the other?

This material on prayer, meditation, and spirituality will get sprinkled throughout the year so as to avoid giving anyone spiritual indigestion.

From personal experience, I have concluded that my Higher Power (as I understand them) has not one or two ways to answer my prayers. I am quite convinced that I have received at least four different answers to my requests. Your answers to prayer may vary from that number depending on your actual situation. I have also learned that I was not very skilled at praying. I have needed to change the technique I use.

Let me tell you in a future post about those four different answers you may receive and why we may all be amateur prayers.

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

Finding your Quest – what life challenge will define you?

Posted on by
3

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

Meaning.

Meaning.
Photo courtesy of Pixabay.com

Have you found your life’s purpose?

It is my view that each and every person has a reason for being – beyond that night their parents spent together. Some of us find our purpose easily and the rest of our life leads in that direction. For others of us, we can’t see that purpose till late in life after we have accumulated a vast collection of experiences.

We are all the heroes of our own lives.

Every great epic story involves a hero and a quest. In the heroic drama, there is a customary sequence of events that sets up the required quest. Good fiction writers know this and give you plenty of quest elements to make their stories interesting. When I write fiction I try to incorporate those elements. In my counseling practice I find that clients have been on personal quests, searches for life’s meaning, that rival any I think up for a work of fiction.

The epic begins with the hero being asked to undertake some great and meaningful task. They are thinking of doing something to save mankind or prevent a great global disaster.  Interview a group of first-graders and ask them what they plan to be when they grow up and you will get a list of those professions that try to make a difference. Somewhere along the line, we decide not to embark on that quest.

In the hero story, the protagonist usually says no. I don’t want to devote my life to helping the homeless or some other noble undertaking. Here the hero goes off on his own and tries to have a lot of fun. Sound familiar. We may suspect we have some special purpose but no, we decide to live our lives for ourselves and let others worry about the homeless and world peace.

Now in the hero story, the main guy finds he can’t escape his destiny no matter how hard he tries. The war comes to his town, the shelling destroys his home and now he is one of those homeless refugees of war. He has to do something to end homelessness and war if only to save himself. Maybe in the process, he puts on a white helmet and tries to save a few children.

Notice that most people in the helping professions have had to overcome some issues, in themselves or their families, the quest to improve their world was thrust on them whether they wanted it or not.

Counselors in substance abuse facilities have historically been people in recovery from alcoholism or addiction. They have to save others to save themselves. I have also seen people who grew up without parents who were moved from caregiver to caregiver, who made it their life work to be super parents or to work with other parentless children.

So in this epic we call our lives we may get distracted, sometimes for years, but eventually, we need to face the task of finding a purpose for our lives. We embark on this quest or we waste away never knowing that our life could have had a purpose and a meaning.

We may stumble along in life, endure pain, and suffer a little. Hopefully, learn that the pain may be a requirement but the suffering is optional. Eventually, we find our life purpose. Right?

Wish it were that easy.

The way this heroic quest plot plays out in the movie theater or the novel is a lot easier to see than in our own lives.

In the novel version, once the hero sets off there are all kinds of obstacles put in his way. He may encounter dragons and demons and all sorts of stuff. He will be arrested and thrown in a dungeon and then have to find the magic key that sets him free.

A writer’s expression that fits with this scene is “when the hero reaches for the key, cut off his hand.” This sounds cruel I know, but in the giant epic, there is never a point where the hero knows things are getting better. Not till he gets to the end and looks back.

So what does this have to do with our personal recovery? Sometimes recovery is not pretty. This is a real-life and bad things can keep happening even when you are trying to do the right thing. The thing that will give your life real meaning, will make your quest worth undertaking, is to find that thing that says to you it needs doing no matter what it takes.

If you can find that quest, your life will have meaning no matter how hard the struggles.

Are you willing to undertake a great heroic quest to become the best person you can be?

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

Inventorying you baggage.

Posted on by
8

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

Baggage.
Photo courtesy of Pixabay.com

Are anger and pain all you got in there?

When people start on the project of inventorying their baggage they customarily find a whole lot of anger, pain and resentment, and a liberal serving of fears. If they find any happiness, joy, or contentment it doesn’t seem to take up much space and is easy to carry so it tends to go unnoticed.

The expression baggage mostly comes from relationship issues, leftover emotions from the last relationship that gets unpacked and used in this relationship even when they are totally inappropriate. The term inventory comes mostly from twelve-step recovery literature. I have combined the two here because they have a whole lot of common elements.

People who unpack their baggage find a whole lot of negative emotions, anger, fear, and resentments, that they need to inventory before they can move on. Any good twelve-stepper can tell you that the big book says that inventories are not only done in red ink. You need to give yourself credit for the good parts of yourself.

That asset taking, the black ink part of the inventory, will come up in a later post.

The big book then goes on to provide specific directions on how to do a fourth step inventory of your anger, fears, and resentments.  I will not try to repeat that explanation here. If you are interested in the full discussion the A.A. big book titled simply enough “Alcoholics Anonymous,” is available inexpensively and most everywhere.

While we have since developed over 300 different therapy schools, each with its own set of initials and applications to various disorders, the A.A. program appears to work no matter what problem it is applied to.

The closest cousin to this A.A. program among the therapy schools is the CBT process and its cousins REBT and DBT.

The short version here is that by one method or another, the way to get recovery is to get a head change. Your thinking needs to change for your feelings to change.

The reason we get hurt in life is that our expectations for others are faulty. We need to reexamine our beliefs about why people do things. What we find is that other people’s behavior is rarely about us. It is usually about them. Sick people do sick things. If we try to hang onto that sickness, stay angry and resentful, we stay just as sick as they are. Maybe sicker, because as we know better we should do better.

So we don’t need to hang on to all that anger and resentment. That does not mean we forget. Those experiences made us who we are, but we do stop ruminating on these old injuries “gnawing on the things that are eating us” as Casey Truffo called it.

So do you have any negative emotions on your inventory list, some anger and fear and resentments, you are ready to let go of? Toss that stuff, lighten your load and let’s get moving on this journey towards a happy life.

If you don’t have the strength to do the tossing, recruit some help, a counselor, sponsor or a friend can help you sort through that pain and become willing to let go of the past.

You need to jettison the past; it is heavy to carry and takes up a lot of room in the baggage. If you intend to get to that new happy life you had better plan to travel light. The joy and the happiness, hold onto that, it never seems to take up any room in the luggage, and the more of it, you spread around, the more you seem to have.

This lightening the load, getting rid of the garbage that is holding us back, some people do it quickly, but most of us need to do it over and over again. Keep coming back to it whenever you need to.

If you get going on this journey towards happiness you will quickly find that you just don’t have room for all that baggage. The closer you get towards your happy life goal the less value you will find in that junk and the easier it will be to get rid of it.

So let’s get moving. One last thing to consider. Who will you be taking along with you on this quest to find your happy life?

Related articles

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Can an LPCC practice privately? Reader Question # 2

Posted on by
5

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

So now LPCC’s are licensed – where can they work?

In California, an LPCC can practice privately if – and only if, they are licensed here in California. So far the only people who meet this requirement are those who already had another license (LMFT or LCSW) here in California and who took the Gap exam to qualify for the LPCC license also. People who were licensed as a Professional Counselor in other states and moved here are beginning to qualify to take exams and become California licensed LPCC’s.

LPCC’s have a special role in working in career counseling, mediation, and a few other areas that are somewhat different from other mental health professions. LPCC’s should not treat children, families, or couples unless they have had additional training in those areas similar to the training LMFT’s receive.

Interns of any license (MFT interns, ASW, and PCC interns) are not allowed to have their own practice and must work under another licensed person. In a for-profit practice, the intern can only work for a limited period (6 years) while gathering supervised hours and testing. Interns and associates who work in governmental settings or other “exempt” settings may be able to work longer than the 6 year period their first intern number is good for.

Because of quality concerns, I expect most employers to limit the time interns who work for them have to get licensed and still work seeing clients.

Some people are attempting to get around this licensing requirement by calling themselves Life Coaches, a profession that to the best of my knowledge is currently not licensed or regulated. If the client’s issue relates to anything that may be caused by a mental, emotional, or behavioral disorder then the client should be seen by a licensed mental health professional. Coaches should restrict their practice to clients who do not have a mental illness but want help in accomplishing more in life.

The more promotional material I read and view online from coaches the more nervous I am that they may be stepping outside their scope of competency as well as their scope of practice.

The laws may vary in other jurisdictions but the legal and ethical principles to stay within your scope of practice and scope of competency should be the same everywhere.

Thanks for that question.

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