Tag Archives: David Joel Miller

Why people become addicted – deltaFosB

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

Addiction.
Photo courtesy of Pixabay

Is there really something different in the brains of addicted people?

Yes, there really does seem to be a physical change in the brain that accounts for why some people become addicted to chemicals, drugs in particular, and behaviors also. These brain changes may explain why and how people move from just experimenting, trying new novel exciting things, to the point of being addicted. Once addicted, the brain begins to demand more of the chemical or the behavior it has become dependent on.

One possible explanation for this brain change is deltaFosB.

It was quite by accident that I came across a description of deltaFosB and how it was causing a behavioral addiction. That instance had nothing to do with drugs, alcohol, or chemical dependency but came from the field of research on erectile dysfunction.

Erectile dysfunction was once considered purely a problem among older men and presumably their partners. Recently we have discovered there is a group of men who are developing erectile dysfunction at an amazingly young age.

The common denominator in this early onset of erectile dysfunction? Watching pornography. A few views appear to be no problem but those who watch a lot gradually develop a dependency on the watching of porn and become unable to be aroused by a real physical partner. The brain has rewired itself to become dependent on or addicted to porn to achieve sexual arousal.

For more on this see: Your Brain on Porn.

For those of you who like to watch – there is a YouTube TEDx Talks video on this research titled The Great Porn Experiment.

These brain changes do not happen suddenly but a little at a time.

Research on cocaine, morphine, nicotine, ethanol (drinkable alcohol), and Delta (9)-tetrahydrocannabinol (Delta (9)-THC, the active ingredient in marijuana, found they all produce specific changes in the brain. These changes do not happen suddenly from one dose but gradually over time the levels of deltaFosB increase and at some point, different for different people or different for different mice, and the brain begins to rewire itself to depend on the drug.  Interestingly enough each drug changes the brain in a different characteristic way.

Patterns of addiction to different drugs involve different changes in the brain. For more on this see: Distinct Patterns of ΔFosB Induction in Brain by Drugs of Abuse by Perrotti LI, Et. Al. Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, Texas.

A full explanation of the chemistry involved is beyond my expertise or the scope of this blog but I have included a few links to some resources on the topic for those of you who are so inclined.

Wikipedia describes the role of deltaFosB this way.

“The ΔFosB splice variant has been identified as playing a central, crucial (necessary and sufficient) role in the development of many forms of behavioral plasticity and neuroplasticity involved in both behavioral addictions (associated with natural rewards) and drug addictions.”

How many doses does it take to become addicted – Gene Expression.

Genes are a lot more complicated than we used to think. When I went to school back in the post dark-ages era, we thought genes were yes or no things. You inherit your gene for eye color, hair color, height, and so on from your parents in a predictable, dominant-recessive way. Right?

Not really.

There is a thing called gene expression.

My gene for hair color dictated dark black hair. At least in my teens, it did. Those of you who have seen my blog bio picture realize that most of my hair is now gray, Ok maybe we should call it white. How did the gene for my hair color change?

As we age, or under the influence of environment and substances our genes can “Flip.” That switch in our genes moves and now that gene for black hair becomes the gene for white. The same thing happens for behaviors and drugs.

That chemical that used to be just an extra add-on for your pleasure becomes something you must have just to feel passable.

Here is a specific study on the process for those who take cocaine.

Expression of the transcription factor deltaFosB in the brain controls sensitivity to cocaine.

Now we have an explanation, of sorts, for how someone can use a substance or do a behavior for a while with no problem and then at some point the switch flips and they are now addicted to that drug or behavior. Presumably, this would also allow us to determine which behaviors fit the model as true behavioral addictions and which are just bad habits.

Can we flip that switch back? So far we have not found a way to turn an addict or an alcoholic back into a non-addicted person. You can dye your hair or you can let it go but once you turn gray you are stuck.

Be careful with the behaviors you practice and the chemical you use. They may be changing your brain.

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

Useful information about Alcohol Use and Abuse

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Looking for information about Alcohol Use and Abuse?

Liquor

Alcoholic beverages.
Photo courtesy of Pixabay.com

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

Ever hear of the Alcoholism Awareness Council? I hadn’t. Recently I found this site, or more precisely they found me. Looks like a good source for information on alcohol use, alcohol use disorders, and what we used to refer to as alcohol abuse and dependence. They publish information, both statistics, and the latest research, in the field of alcohol use and abuse. Lots of links on this site to other sources, both researchers and government publications.

So if you are researching the state of alcohol use in America or working on a paper for a substance use class this site might be helpful.

Oh yes – sure, you can read counselorssoapbox.com also. I will do my best to keep you posted on the latest information in the fields of substance use disorders, mental health, and co-occurring disorders. But when you are not here at counselorssoapbox.com reading this blog, you might also want to check out the resources at Alcoholism Awareness Council           http://www.alcohol.org/

If you do check out the Alcoholism Awareness Council, please let me know what you think.

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

17 Ways to de-stress

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

Stressed

Feeling stressed out?
Photo courtesy of Pixabay.com

How do you manage stress?

Stress can overwhelm you at any time or anywhere – Here are some suggested ways to turn down the stress volume.

1. Breath.

Under stress, most of us forget to breathe. The result is fewer shorter breathes and an overwhelming sense of panic that can follow a lack of air in your lungs.

Slow your breathing down. Take deep breaths from the diaphragm. You should feel your stomach moving in and out. Short fast breaths from high up in your chest can increase the feelings of stress.

Breathe slowly and deeply, pause between breaths. Watch your stress move out each time you breathe out and pause before taking in that next deep breath.

2. Make friends with silence.

There is noise everywhere. We have our radios and our televisions, our iPad’s and other electronics all screaming away at once. Add on people talking at you all day long and a few people screaming for whatever reason and you are bound to feel the stress meter rise.

Think back to that last time you felt really relaxed and distressed. Maybe a vacation in the mountains or at the beach. One thing you are likely to remember about that time is how quiet it was.

Those voices in your head can get awfully loud some days. Learn to quiet your mind down and embrace the silence. I keep a set of headphones at my desk to minimize the noise. Soft nature sounds help, sometimes no sound at all helps even more to reduce my stress.

3. Say a positive affirmation.

Affirmations are those little saying you tell yourself that help you to cope. Don’t lie to yourself or the whole affirmation will backfire. Tell yourself that this may be stressful but you can handle it. This too shall pass or whatever other saying works for you to put this current stress in perspective.

4. Make a list of the good things in your life.

If you keep thinking about all the problems your life story gets soaked through with problems. Most of us have lots of positive things going on. Take those little sparkling moments and hold on to them.

Writing out a list of things that are good, things you are grateful for can put the rest of your life in perspective. This list, sometimes called a gratitude list, can be a reference guide when things get tough.

The very act of writing down positive things in your life reinforces those things. Thinking saves the thought briefly in one part of the brain. Writing stores these blessings in a second part of the brain. Sharing them out loud with a friend stores them in a third part of the brain. The more of your brain that is full of happiness the less room there is for stress.

5. Stand more.

Stand and get the body moving. Stretch and relax those tense muscles. Tight muscles can be a result of stress but they can also be the cause of your body thinking that the stress is worse than it really is.

People who stand burn more calories than those who sit. Standing is a quick easy way to relax and reduce the stress of the moment.

6. Walk more.

Walking can be very effective in reducing depression. When the body shares the load the mind can get a rest. A quick walk to the end of the hall, the water cooler, or the bathroom can refocus the mind and move the stress off the front burner.

7. Make prioritized lists.

The human brain has a limit on the number of things you can keep in conscious memory at any one time. The more you try to keep in the front of the mind the less space is available to work on the current task.

Writing down a “to-do list” can free up space in your brain to get this task done. It also reduces the anxiety you may be feeling that you might forget something.

Once the list is down on paper, prioritize those things. Do one big hard thing first and leave the long list of quick things for later when you may only have a few minutes left.

Check those items off your list as you do them and by the end of the day you may find that you are far more productive and less stressed than when you were spending all that time trying to remember all those things you needed to get done today.

8. Feel what you’re feeling.

Feelings are not the enemy. They can convey much-needed information. Feelings like human friends are not always right. Because something scares you does not mean it is dangerous. Listen to the feelings but then make informed decisions on how you will handle those feelings.

See the post Making Friends with Feelings

9. Look at things that make you happy.

If you run from place to place with no time to take in the joys of life you will only accumulate more stress. Slow down sometimes and notice the pleasant things. Take an extra second or two and taste the thing you are eating. Pause to notice those flowers growing outside your office.

Accumulating those brief doses of pleasure can make the rest of the day less stressful.

Ever stop to really look at the pictures your workplace put up in the hall?

10. Carry a worry stone

A worry stone, religious symbol, or other personal object carried in your pocket can absorb a lot of that stress you are holding onto.

11. Make time for family and friends.

When you don’t have friends and family around you, then you are all alone. Seek out positive people for a role in your stress reduction plan.

12. A pet can help you reduce stress.

When no one else listens, when you feel all alone, that pet, a dog or cat, is waiting at the door when you come home. A pet is a great example of unconditional love.

13. Be an indoor explorer – look for new experiences.

Check out a new deli or other places to eat. Visit a new store or library. Keep an eye peeled for things you might try that you have never done. A local adult education or college class may offer all kinds of opportunities for new experiences.

There are lots of resources on the internet these days to allow you to take a class at a far off university or learn about something that interests you.

14. Develop a skill.

Is there a new skill you might develop? Something you always wanted to do but never got around to? Take the time to develop that skill and see where it takes you. Those breaks while you practice that skill reduce stress and challenge you to keep working on your self-improvement.

15. Do self-care.

The more stressed-out people get the less time they take for self-care. Do something nice for yourself. Look for ways to treat yourself well.

16. Practice your spirituality.

If you have a faith, practice it. Religion or spirituality are comforting when times are tough. If you have a belief make sure that your actions are consistent with that belief. Pray, meditate, or engage in other spiritual practices. Those moments of faith can get that stress volume down to a realistic size.

17. Express Yourself.

Write not because you have to but because you chose to. Draw if that interests you. Do this for yourself, not for the approval of others. Dance, pantomime or practice any other expressive skill.

There are my suggestions of 17 ways to reduce stress. Do you have other ways you have found to help you manage your stress?

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 to cure low self-esteem – 19 ways to higher self esteem

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

Believe in you.

Self-Esteem.
Photo courtesy of Pixabay.com

Ways to boost your self-esteem.

Don’t feel good about yourself? Here are some ways to solve the low self-esteem problem.

1. Stop putting yourself down – negative self-talk causes low self-esteem

If you tell yourself you can’t then you won’t. Telling yourself negative things will keep you stuck. Putting yourself down will not protect you from failure it will protect you from success.

Continued self-criticism is the surest way to lower your self-esteem. Don’t do that to you and don’t put up with others doing it either. Don’t repeat the negative things you have been told to yourself.

2. Do something.

High self-esteem is based on what you accomplish. The more you try, the more you learn how to do things. The more you do the more you will accomplish and the more you have to make you feel good about your life. Make sure you tally up the successes, not just the errors.

3. Stop rating yourself.

Accept yourself as you are. The process of rating yourself points out where you are less than perfect. No one is perfect. There is always room for growth and improvement.

Remember that half-empty glass. Concentrate on doing, not measuring, and you will find that you will have less need of boosts to your self-esteem.

4. Stop discounting the positive.

Learn to give yourself credit for the things you do well. Practice accepting praise and compliments from others. If you do not count your successes then the tally will be only failure.

5. Write out a gratitude list.

Knowing the things that make your life good, paying attention to those things can help you to feel better about yourself.

6. Don’t listen to the haters.

There are plenty of haters in the world who need to pull you down to feel good about themselves. There are those evil trolls under every bridge. Do not listen to them. Do not believe them. Do not waste time on them.

Arguing with haters brings you nothing but pain. Sinking to their level can only destroy your self-confidence.

7. What would your best friend say about you?

Don’t dismiss the things your real friends and loving family might say about you. They know your good and your bad and they like you anyway. What are the good things they see in you? Not sure? Ask them what they see as your skills and abilities. You may be surprised to find how much others think of you while you have been thinking you are coming up short.

Don’t have family or friends that would see the good in you? Work on developing a positive support system.

8. Watch who you are comparing yourself to – looking over your shoulder.

Focus on what you are doing. Constantly comparing yourself to others will cause you to become discouraged. No one wins all the time. Do not compare your everyday life to someone else’s lifetime achievement.

9. Start over each day – past successes and failures do not count today.

Stop beating yourself up for the mistake of yesterday. Each day you start out fresh. Do your best to make today better than the day before.

10. Pick friends that support you.

Surround yourself with people who like you the way you are and will support you. Being surrounded by people who like you is a great way to boost your confidence.

11. Look for the evidence – are you really stupid?

Do not discount all the evidence that you are a worthwhile person. If you only count up the negatives you miss all the evidence that you are a person of value. Not enough evidence that you are accomplishing things? Do more, not less, and you are likely to do some worthwhile things.

12. Avoid emotional reasoning.

If you are sad that does not mean things are going poorly. Just because you feel down right now does not make you a failure. We can all have times when we are discouraged. Being discouraged means you need to take another look at what you are doing. It does not mean that you are not a worthwhile person.

13. Compliment others.

Get in the habit of noticing the good in others. Tell them what you like about them. Cultivate a positive good-seeing vision and you will be more able to see the good in yourself.

14. Accept compliments.

Do not dismiss compliments. You know when people are sincere and when they are buttering you up. Being able to accept compliments and say thank you helps you to feel good about yourself. Stop chasing the positive away from your door.

15. Tell yourself you can – positive affirmations.

Start out each day by saying good things, positive affirmations, and your brain will work on making them come true.

Restart your day at any time by telling yourself that this is a good day. You are a worthwhile person and you do not need to do or say anything to be acceptable.

16. Have a successes resume.

It is easy to remember failures and harder to remember successes. Make up a list of the things you do well. Write them down. Review that list periodically and add to it. You will be surprised how many things should be on that list that you may forget otherwise.

17. Do things.

The more you do the better you will feel about yourself. Do things for the sake of doing not for the success points. The more you do the better you will feel.

18. Play your own game, not the old family role.

Families have roles. You may have been handed the “stupid” hat or the “black sheep” hat when you were born. You can change that role. Stop living down to the things others tell you and the names you may have been called. Stop saying you are stupid or bad and try on a new role. You just might like the “OK person” role.

19. Stop keeping score all the time.

Life only happens for so long and then it is over. A hundred years from now no one will remember your mistakes. Life is about having the experience, not the score. Enjoy the trip.

Really your worth as a person does not depend on your algebra test score or your golf score.

There are my suggestions – 19 ways to cure low self-esteem. Most involving putting away the tape measure and accepting yourself the way you are. Do you have any other suggestions? What has helped you to feel good about yourself and the things you do?

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

Surviving sadness – avoiding depression

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

Sad child

Sad.
Photo courtesy of Pixabay.com

How do you cope with sadness when your life goes on?

Sadness is a normal part of life. You feel sad sometimes and then the sadness passes and you move on. Sometimes we feel sadness and we get stuck there. The longer you stay stuck the more likely you are to slip down into the quicksand of depression.

So what should you do when that sadness feeling comes lurking around?

1. Let yourself feel what you feel.

It is OK to feel what you feel. Some things are sad. Sometimes we feel sad just because we do. We hear of someone else’s misfortune and it makes us sad. We see something and we feel this feeling. This is called empathy, the ability to understand and experience what others feel. Put yourself in another’s shoes and you will understand some part of their sadness.

Do not try to stop the feeling the second it comes on. It is OK to experience it. Just do not stay there and wallow in the feeling. Understand that this feeling like all other feelings can pass if you permit it.

2. Share with someone else.

In times of trouble, we need to share our sadness with others. We talk about our pain and grief with friends or family. If you have religious faith or a spiritual tradition you will want to seek out those with like beliefs.

When there is no one that you feel comfortable turning to, when there is no one there or when you do not feel comfortable putting your sadness on those close to you there are professionals that can help. Seek them out.

3. Share with yourself – write it out.

Sadness that continues to rattle around in the head magnifies itself. A first step in getting loose from the sadness is to get it out.

Some people find that journaling, writing about their sadness or depression, helps discharge it. Others use drawing or dance to express these sentiments.

4. Turn sadness into motivation.

A sad event in your life can be the tipping point that turns your life around. Lose someone to a drug overdose and you may be motivated to become a counselor.

How might your sadness, pain, and suffering become tools to help you find your purpose in life?

5. Treat yourself to things you like.

Learn those things that make you happy and make it a point to allow yourself those items on the list that are positive.

6. Budget extra sleep time

Not getting enough rest, being overtired, is a way to let sadness and depression overcome you. Get plenty of rest. Make bedtime a regularly scheduled event.

One type of depression (atypical features) results in people who start to stay in bed all the time. They eat more than normal, like a bear ready for winter, and then sleep day and night. If you find that you are tired all the time and just do not have the energy to get out of bed and do things, try setting a time for bed and one for getting up. If that still is a problem consider an evaluation by a professional for possible depression.

7. Eat regular meals.

Failure to eat on time, lack of energy can result in sad, tired feelings also. This makes it hard to get back into life after a life event that creates sadness. Take care of yourself and that especially means eating in a healthy way if you want to reduce the impact of sadness on your life and mental health.

8. Invest in laughter.

Laughing can be a powerful antidote for sadness. Watch a sitcom, visit a comedy club, tell jokes, and your sadness fades. Not able to laugh when the rest of the crowd does? That is a sign that your feeling has moved beyond sadness to major depression. Laughter is great medicine, take some daily if possible,

9. Hang out with positive people.

You become like the people you spend time with. Your friends are your future. Hang with the winners if you want to win. Hanging out with downers will pull you down.

10. Take frequent short breaks.

When you are down and sad, things can be overwhelming. Do what you can. Do not give up. Do a little and then take a break. Repeat as needed. Be kind to yourself when times are tough.

11. Exercise.

A little movement can brighten your mood. Walk around the block if that is all you are up to. Exercise is a good prescription for depression and a little can be a preventative when it comes to the progression from sadness to depression.

Try to include some exercise in your regular routine to improve both psychical health and mental health.

12. Change the scenery.

Get out of the house. Take your lunch break away from the office. Do something new on your time off. A change of scenery can create a new perspective on life and on your troubles.

13. Learn to say no.

When sad we tend to give in and go along. This can create feelings of resentment. Learn to set boundaries. Do not let yourself be taken advantage of. Saying no to requests that are beyond your current abilities can reduce your stress and keep your sadness from drowning you.

14. Avoid negative people.

Misery may love company, but it loves miserable company. If you want to get out of the sadness trap seek out positive people. Limit your exposure to naysayers and Negative Nellies.

15. Plan for time to yourself.

When you are down, too much commotion and too many people can be overwhelming. Include in your schedule quiet time for yourself.

16. Reconnect with supportive people.

Make sure those people you do contact are supportive. Call an old friend. Attend a self-help meeting even if you do not feel like it. Being around supportive people is good for your recovery and for your future mental health.

What other positive coping skills have you discovered that keep your sadness from becoming a serious depressive episode?

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

Hair Pulling is a mental illness- trichotillomania.

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

Anxiety provoking.

Anxiety.
Photo courtesy of Pixabay.com

Hair-Pulling Disorder – Trichotillomania.

Yes Hair-Pulling Disorder, the repetitive uncontrolled kind of hair pulling is a mental health issue. Humans are not the only creatures who resort to this kind of self-mutilation when under stress. Caged animals, especially birds do this when stressed also.

Hair-pulling Disorder sounds like an odd problem to have at first glance unless you or someone you know has had this disorder and then it takes on huge importance.

The way we understand this one has been changing. This is in flux and will take some time to sort out.

In the past, as reflected in the DSM-4 this was seen as a form of impulse control disorder. Much of the way it was treated in the past was behavioral. The focus was on the behavior and not the meaning or function it had for the person pulling the hair.

As an impulse control disorder, it was in with Pathological Gambling and Intermittent Explosive Disorder. Hair pulling was for sure different than compulsive gambling but most people who had to treat clients with this problem didn’t know what else to do with it.

In the new DSM-5, when all the professionals switch to the DSM-5, this disorder will move to the section on Obsessive-Compulsive Disorders. This will put it more in the class of disorders with Hoarding and Body Dysmorphic Disorder. We are seeing that obsessions and compulsions are more driven than chosen behaviors.

This change in thinking makes a whole lot of difference in how it might get treated and it makes even more of a change in how the person who has the problem might react to that treatment.

Behavioral treatment is focused on the behavior and interrupting that behavior. So grandma might have used a treatment that consisted of slapping that hand each time the young person reached for the hair. The idea was that stop the behavior and you had the problem cured.

If we see this as OCD behavior, then this is not something the person is consciously doing. The behavior is functioning to reduce tension and there is this overwhelming need to do it. This would not be something that the person thought about beforehand and no amount of slaps or yells will change anything.

You might as well yell at someone for yawning. Once they yawn it is over. Besides we think yawning is about physical sensations, not inappropriate behavior. Despite that feeling, we still can get annoyed at people who yawn and we all try to stifle the yawn from time to time.

But if you got smacked for each and every yawn eventually you might give up and just avoid the person slapping you or you might feel that you were a bad person for not being able to control this sensation and you could punish yourself in some way.

So if this is a form of OCD we would want to know what the function of the behavior was. What anxiety or tension is the person trying to relieve by hair pulling? Reduce that tension; treat the anxiety and the hair-pulling stops on its own.

Young women are ten times more likely to get this diagnosis than young men. We do not mind seeing young men with very little hair but a young girl with bald spots, that gets noticed.

People who have Hair-Pulling Disorder (Trichotillomania) are also at higher than average risk to do other self-injurious behaviors. Someone with the hair-pulling disorder might also pick at their skin excessively, technically called excoriation, or they might nail-bite excessively.

There are also likely to become depressed and or develop another anxiety disorder.

So if you or someone you know is finding their life messed up because they are constantly pulling out hair, they develop bald spots for which there is no known medical cause and when they try to stop find they can’t, consider professional treatment.

Yes, absolutely Hair-Pulling Disorder (Trichotillomania) is a real mental illness of the obsessive-compulsive disorder type.

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

Will walking make you smarter?

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

Does brisk walking help you learn or should you rest up first?

Walking.
Photo courtesy of Pixabay.com

Worldwide we are seeing the results of increases in body weight. Clearly being obese or overweight can seriously impact your health. We know that more exercise can help lose weight and may improve health but how much exercise is needed and the impact this might have on learning and memory is often overlooked.

The connection between exercise and the ability to learn may be a lot more significant than most people realize

As little as 10 minutes of brisk exercise in the form of walking can improve your ability to learn things. Unfortunately, most people do not recognize this relationship. Most of us rest after exercise and then try to study and learn when well-rested.

We may be doing the whole exercise and learning behaviors backward.

One study, (Salas et al, 2011) reports that a brisk 10-minute walk improved college student’s ability to learn new material.

Unfortunately, the students in this study did not recognize that their learning had improved. Sometimes our own impression of how much we are learning turns out to be incorrect.

As those who practice yoga will tell you, exercise does not need to be painful to be helpful. The key to getting health benefits from this form of exercise is not speed or strength, but to breathe as you do it. Doing a pose or posture slowly and with breathing can result in significant health benefits.

So if you find that your concentration is waning, the answer may be a brisk walk rather than the traditional “break” from the thinking activity.

Turns out that we need a healthy body to help us with the tasks most of us think of as mental.

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

7 Dos and Don’ts of loneliness first aid.

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

Lonely person

Loneliness.
Photo courtesy of Pixabay.com

The do’s and don’ts of loneliness.

Loneliness follows you around. Sometimes that old bugger is waiting just outside your door for a chance to move in. Loneliness is one of the largest causes of relapse. It can take you back to depression, anxiety, or drug and alcohol abuse in a minute.

If you hear Mr. Loneliness knocking at your door here are the things you should do and not do to keep yourself safe and headed forward in a happy life.

1. Do practice thought-stopping.

When Mr. Loneliness whispers his message of pain in your ear, drown him out with the positive things you tell yourself. Tell yourself to knock off those thoughts and think about something more helpful.

There are lots of books and articles out there on how to stop negative thoughts and replace them with positive thinking. Make use of thought-stopping.

2. Do reach out to people who are supportive.

Mental health and substance abuse recovery professionals all agree you need a support system. You also need to make sure that those people will really support you in times of need. Mom may let you stay with her but when you are depressed, lonely, or feeling like picking up will she know what to say?

Make it a point to maintain contact information for all the people who are supportive of you. If you are a member of a support group or a 12 step community get a list of phone numbers, email addresses, or other contact info.

Each day reach out and communicate with someone in your support system. Some people will be there for you and some will not. Some can help with physical things like a ride but are not able to listen to how you feel. Others will be glad to listen to you but can’t, for a variety of reasons, give you a ride.

Know who will support you and in what ways.

Remember support systems are a two-way street. Sometimes when you call, just to check-in, you will find that the other person needs to talk more than you do. Be there to support them also.

3. Do pull out your gratitude list.

When you are depressed, lonely, or fiending for a drink it is easy to see what is wrong in your life and hard to remember the things that are good.

Whatever you call your lists, gratitude, things that are helpful, things that make you smile, a WRAP plan, write these lists down, and keep them close. That way when there is a time you need to see the happy, positive things in your life, you can pull that old gratitude list out and remind yourself of the things you are thankful for.

If your lists are thin, work on these lists with your friends, supporters, sponsor or professionals. Often others can see the good in you and the changes that you are making long before you can.

When you are tired and there is still a climb to get to the top of the mountain, it is easy to forget how far you have already climbed.

4. Do not pick up drugs, alcohol, or another addiction.

Drugs, Alcohol, Gambling sexual addictions, these were the old solutions to that lonely feeling and the other pains you wanted to avoid.  These are the solutions that did not work.

Remind yourself that more of the same gets you more of the same and no matter what do not reach back for an old addiction. Keep moving forward.

Things can and do get better. People do recover from all manner of problems and you can too.

5. Do not rush to hook up with someone to hold that loneliness at bay for a few minutes.

The old saying was “marry in haste and repent at leisure.” Most people spend more time shopping for a used car than for a baby’s mother or baby’s father.

Trying to cure loneliness by jumping into a new sexual relationship is a prescription for disaster. When the novelty of the experience wears off you will find yourself in worse shape than before.

It takes two healthy people to create a healthy relationship. Two people can help each other but you can’t fill the hole in your heart with someone else’s private parts.

6. Do not invite Mr. Loneliness to move in and live with you.

Beware making your life all about loneliness. Do not wear your pain on your sleeve for all to see. You can get caught up in rehashing all the reasons you are lonely and find out that you were the prison guard that locked you inside that lonely cell. Do not torture yourself and call that being realistic.

Being alone may be your condition right now but Mr. Loneliness is a cruel person who does not make a good long-term companion.

7. Do not isolate and hope the feeling will pass.

The cure for loneliness is not avoiding people. It is getting comfortable in your own skin and in being around others.  Reach out for help. Do not expect others to fix you. It is the interactions with others that cure loneliness, not the having or being had.

Try these loneliness first-aid tips and see if this procedure keeps Mr. Loneliness away. If you find he has already moved into your life while you were not paying close attention then stay tuned for an upcoming post on ways to get Mr. Loneliness out of your life.

Some people will find that once they let go of Mr. Loneliness they are frantically trying to get someone in their life, anyone, to keep them from feeling lonely, they do not know what to do by themselves. We have a post in the works for that topic also.

Not sure when these posts about Mr. Loneliness and his gang will appear, they are scheduled out into the future, so watch for them and check the topic list to the right of this page for more on the adventures of Mister Loneliness.

Have you had some experiences with Mr. Loneliness? If he is gone – how did you get him out of your life?

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

Is he Internet addicted?

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

Computer

Internet.
Photo courtesy of Pixabay.com

Is this just having fun or is it internet addiction?

How much internet usage is a problem?

When it comes to behaviors how can you tell when enough is too much?

We know that behaviors can become problems. Some like pathological gambling can destroy lives and families but when is a behavior an addiction?

Is internet addiction a real addiction?

It would appear so. Brain scan studies show that in both drug-addicted individuals and people with problematic internet usage the same areas of the brain light up when they think about their preferred activity. The brain has changed in response to their habit and has resulted in characteristic symptoms of addiction.

The hallmarks of addiction are; building up a tolerance, withdrawal symptoms, excessive involvement with the drug or activity, and continued participation in the activity despite negative consequences. We should also mention here that cravings for the drug or activity are the factor that maintains the addiction.

Let’s look at how these characteristics will manifest in someone with an internet addiction. We think there is a difference between high levels of computer usage and a true internet addiction. Computers and the internet have become parts of modern life. They can have good and bad aspects. Many jobs now require the use of the computer, often for many hours per day. We use computers and the internet for business, person, and social applications. Some usages have more risk of becoming a problem than others.

Internet addiction is one of these “behavioral addictions” or compulsions that are poorly understood and little researched.

First, the 4 characteristics of addiction applied to excessive internet usage. Then some information on possible psychiatric connections.

1. Tolerance.

People who become addicted to the internet need more and bigger computers, more software, and the time they spend on the computer continues to increase. They may spend excessive (for their income) amounts of money and time on their computer activates.

2. Withdrawal.

When unable to do their usual activities the internet addict will become angry, fearful, anxious, or depressed. Should their connection fail they are unable to do other activities in the place of their internet routine.

3. Excessive usage.

What is excessive is a matter of perspective. Most addicts can’t see that their activity has become excessive until it has become too late. Neglect of other areas of life is a good sign this activity is becoming excessive.

Does the internet user stay up too late and then are they tired all the next day. Does this time online interfere with their job, school work, or family life? Is this person neglecting their role responsibilities?

All of these are signs that the use of the internet has become excessive.

4. Continued use despite negative consequences.

The internet addict will begin to lie to others around them about their usage and the nature of their online activities. We have talked elsewhere, or will soon about how this lying may be a sign that the person is using the internet in the service of another addiction, like an affair, gambling, or a sexual addiction. The lying we are talking about here is not about covering up the why of their usage but this lie is about covering up the extent of their usage.

Poor school work or job performance are common results of excessive internet usage. Chronic fatigue with a loss of motivation and interest in other activities occurs. Social isolation, with few friends and few offline activities, also occur.

Psychiatric considerations and co-morbidity.

So why should we be concerned about an internet addiction? They could be addicted to books (an incurable condition for a writer.) As long as they do not lose their job or family, what’s the harm?

Internet addiction may be a symptom of other disorders rather than a primary disorder. Internet addiction coexists with several other serious mental health problems. Those with internet addiction often have depression from mild all the way to serious. Anxiety is a common co-morbidity and may be of the generalized, over-anxious, variety, or the social phobia type.

Among those with excessive internet usage, alcohol and marijuana abuse is common. Addictions travel in flocks and switching one addiction for another is commonly reported in recovery circles.

Internet addiction is not yet a recognized disorder in the DSM. One variation, Internet Gaming Disorder has been proposed for further study. The mental health community is still not quite sure how to understand this internet addiction thing.

Some authors have proposed that this may be a variant of Obsessive-Compulsive Disorder (OCD.) The use of the internet may be a way of reducing anxiety in those with OCD. Other authors have noted that the anxiety in Internet addiction is more like that in drug addiction, the addict becomes anxious when they are unable to get the thing that is the object of their addiction.

Internet addiction may be another of those catch-all groups that are really a set of similar symptoms that represent several distinct disorders. A cough can be a symptom of many illnesses and what if excessive internet usage is really a symptom of many different mental health disorders?

Three variations of internet addiction appear likely

1. Internet Gaming.

This variant is the need for the repetitive playing of games and racking up points. They may be playing against others online or this may be a solitary activity. Research currently distinguishes this from internet gambling. Gambling Disorder (formerly called Pathological Gambling) seems the same online and offline and pathological gamblers move between various settings and games of chance.

2. Cyber Sex.

This appears to fit in with other sexual issues. It is distinguished from the use of the internet to facilitate affairs or other crimes. This can vary from sex chat and sexting all the way to a pornography addiction. In a cybersex addiction, the goal is to get sexual gratification online rather than the goal of meeting a real person offline.

3. Obsessive use of the internet for social contact.

This includes frequent usage of emails, text messages, and social media sites. The internet addict may become obsessed with how many friends they have on a particular site, what others are saying, and so on. This reliance on the internet for human contact may lead to a lack of social skills and few friends when in offline situations.

One serious concern with excessive reliance on the internet for social contact is the risk of pain caused by online stalking and cyberbullying which can result in suicide or other emotional crises.

Hope this brief summary of the problem of internet addiction and the link to other behavioral disorders may be helpful to someone. As always appropriate 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

Are internet affairs real affairs?

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

Computer

Internet.
Photo courtesy of Pixabay.com

Are internet affairs real affairs?

The article this post originally sent you to no longer exists. For more information on this and related topics please see:

Affairs

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