Tag Archives: Depression

Just because you can does not mean you should

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

Just because you can doesn’t mean you should.
Photo courtesy of Pixabay.com

You shouldn’t do everything just because you can.

One place many of us get off track is to start thinking because something is possible, we should do it.

This problem is common in the two primary life problem areas, Romances and finances.

You meet someone and they seem to like you. You feel some attraction back. A relationship is possible. Many people end up in relationships for no more reason than that the other person is interested. We fall in love because we think the other person might like us.   Just because this relationship is possible does not mean it would be healthy to get involved.

Not every potential mate should be your child’s parent.

Many a person’s baby’s father or mother became a part of their and their children’s lives for no better reason than that relationship was possible. We pick partners because we can have this relationship not because you should.

Pick your baby’s other parent carefully. You can break up with your partner but baby’s fathers and mothers are forever.

Don’t take jobs and spend money just because.

It is easy to sabotage your finances or your work life for similar reasons reason.

Lots of people drift into their work lives in the same way. You don’t know what you want to do. You know you need a job so when something comes along, you take that job.  Maybe the job is low pay. Maybe the working conditions are terrible. So eventually we get fed up, maybe even quit.

Just because you can get a particular job does not mean you should take it.

Don’t misunderstand me. If you need money you need to work. So sometimes we have to take a job that is less than the perfect job dream we have in our head. But please do not stop there. Think in terms of the rest of your life. What kind of career do you want? Are you working towards that?

What about you’re spending? Do you buy things because you can?

Many people have trouble with compulsive, emotional spending. You see something and you want it. You have the money or maybe the room on your credit card. The pleasure of the immediate purchase exceeds the happiness you might have from having more money in the bank or fewer, smaller bills.

Some of us drift through life always in debt, owing on cards and loans, for no better reason than that we bought things because we could not because we should.

Do you drift through life doing things because you can or do you focus on the things that you should do or not do?

Related articles

Staying connected with David Joel Miller

Two David Joel Miller Books are available now!

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.

Casino Robbery is a novel about a man with PTSD who must cope with his symptoms to solve a mystery and create a new life.

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

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

Want the latest on news from recoveryland, the field of counseling, my writing projects, speaking and teaching? Please sign up for my newsletter at – Newsletter. I promise not to share your email or to send you spam, and you can unsubscribe at any time.

For more about David Joel Miller and my work in the areas of mental health, substance abuse, and Co-occurring disorders see my Facebook author’s page, davidjoelmillerwriter. A list of books I have read and can recommend is over at Recommended Books. If you are in the Fresno California area, information about my private practice is at counselorfresno.com.

Without a dream life’s a nightmare

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

Dreams and Nightmares

Dreams and Nightmares
Photo courtesy of Pixabay.com

Dreams.

We start off life with all sorts of hopes and dreams, somewhere along the way we lose track of those dreams. The way of life becomes dark and gloomy.

If you don’t have a dream, a hope for the future, your life becomes empty and you feel hollow. Somewhere or other your hopes and dreams turn into the nightmares of adult life.

When life is a nightmare.

Finding your way from the nightmares back to the land of dreams, that is the work of recovery. The dreams you are looking for are not the fantasies of childhood but the solid dreams an adult should have of what can be and what they can become.

Rebuilding hope and recreating dreams is what makes a life worth the effort to live it. If you get nothing else from your recovery program then fully engage in the search for hope, the recreating of dreams.

My own philosophy of counseling is that I am a guide along the path towards that happy life we all need and deserve. I share the things I have learned from taking this walk we call life and I am blessed to be able to learn from others the lessons they have learned.

Sometimes in this journey, we have to walk through some very dark and scary places. We may struggle with monsters or demons. But always keep your eye on the light shining off on that distant horizon.

A colleague of mine recently described it very succinctly. You may have to walk through the valley of the shadows of death, don’t stop and camp there.

While you are walking through your daily struggles, do not get defeated by the dark shadows and the nightmares. Keep your eye on the bright spots.

What makes this journey of life with all the efforts that are required, something worthwhile is the dreams we create, the ones we are able to hold onto, and the companions with whom we share the journey.

Can you see your dreams on up ahead? What are you moving towards? What lessons have you learned about how to overcome the nightmares and make life worth the effort to keep trudging onward?

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

Switching addictions, can a drug addict drink Alcohol?

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

Bottles of alcohol.

Alcoholic Beverages.
Photo courtesy of Pixabay.com

Can or should a drug addict drink alcohol?

This comes up frequently in recovery circles. Typically after the person has drunk and had a bad result.

One saying, that may tell the story, is that if you scratch an addict underneath you find an alcoholic.

The great illusion of any addicted person is that the will find some other substance, some other process out there that will allow them to feel those same highs, to reach for a new solution to avoid their problems and be able to handle that substance.

Lots of addicts alibi that alcohol is legal so there should be no problem with their using it. Truth is that the legal drugs cause the most damage.

Alcohol is a drug, make no mistake about that. It alters thinking. Whether you have had a problem with alcohol in the past or not, alcohol will turn off the part of the brain that tells you “HEY STUPID, DO NOT DO THAT.”

For most people in substance use or abuse recovery, the drugs or the alcohol are not the problems. The drugs, alcohol, gambling, or addictive sex become the solution. The problem is that the user does not know how to live life without the thing or activity they have become dependent upon.

My recommendation is that if you are in recovery from drugs or any other addictive behavior you should avoid alcohol.

Alcohol is not the only substitute addiction that creeps up on recovering people. It is common for recovering people to switch addictions.

Often in groups, I hear from recovering people that they are trying to have fun without their drug of choice and they have been spending time at the local casino. That excitement of the risk of wagering is taking the place of the previous drug high.

No longer having to pay for drugs they take that leftover money and head for the casino. Recovering people can quickly find they have developed a problem with gambling, sex addiction or any other addictive behavior.

If you are in any type of recovery, be very careful about merely switching from one addictive substance or activity to another.

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

Fighting Boredom – finding things to do

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

Happy faces

Happiness.
Photo courtesy of Pixabay.com

Is your life boring?

We can all slip into this rut from time to time. Day after day we do the same things. They stop being exciting, they stop being fun. Relationships can get too predictable and then the magic goes out of them. We begin to be bored.

Some people try to cure boredom by taking big risks or making drastic changes. You don’t need to do drugs, get a divorce, or run off to join the circus to put the fun back in your life.

Kids are likely to experience boredom.

Teens and tweens are especially prone to this boredom syndrome. Someday as grownups they will wish they had some downtime, some rest, and relax time. But now they will tell you that they are bored, that there is nothing to do in this town.

It is not just parents in small towns that hear these complaints. One reason they ring true and are so hard for parents to dispute is that we adults can get into some awfully boring routines after a few years of living.

So parents if your kids are saying they are bored, show, don’t tell, them how to shake that feeling. Start by looking at your life and if you are boring, try changing that first.

One quick way to change feelings is by changing habits. Here are a few simple ideas. I have confidence in you readers and look forward to some suggestions from all of you of things you have done or are doing to shake the boredom and start living again.

Artistic types need this a lot. We get in ruts and need to break into new patterns. So do people with very conventional lives. You, accountants, know you need a little excitement also.

Go a different way to work.

Altering paths forces you to look at different scenery. These new sights stimulate you and hopefully your imagination.

Try a new destination.

Change the store you shop at, go to a different library, or a new mall. Many cities have old towns or artist areas, check these out. They are not places you would normally shop but you will see new things and get the thinking and the imagination going again.

Cook or eat a new food.

We have an obesity epidemic. Average life spans are declining and much of this is the result of food being too available. Much of that instant gratification food is unhealthy.

Now is a good time to try your hand at cooking something new, something healthy, or just something you have never tried before. You have to eat anyway. Why eat boring when you can make food an adventure.

Healthy food may be an even bigger adventure because it takes thought and effort and results in a feeling of accomplishment when you get it done.

Meet a new person.

Not suggesting you take up living in singles bars. What are the activates you could get involved in that might bring you into contact with other like-minded locals?

School activates, church or temple, volunteer organizations, or any civic event can lead to making new friends. New friends are energizing and a great cure for the boredom blues.

Has someone ever helped a child do something?

How did that make you feel? Did you feel bad because the kid suckered you into helping them? Not really.

Try finding others you can help so you can feel good.

Also if you are in recovery, get a sponsor and let them feel good about helping you. Needing helps sometimes does not keep you out of the helping crowd.

Make a list and check things off.

Make lists of things you want to do someday, that proverbial bucket list or just things closer to home. Do you have projects that you have been meaning to get to ever since you moved into that house? They still are not done?

Would it surprise you to find that lots of people retire or sell the house and move away with all those projects never done?

If you start doing things around the house or in your own area, you will have some time to enjoy the results of those projects.

What would a tourist to your hometown do?

Many people have never been to a museum or seen the local tourist attractions unless a friend or family member came to town to visit and you had to take them around on a tour. Give yourself that tour.

Get moving, get doing, and see how your boredom runs away.

Now if you try to get into action and you find you can’t, that nothing is fun anymore, then you may have a clinical loss of pleasure. That is a symptom of depression in one of its flavors.

If you find you have depression or persistent sadness or whatever you chose to call it, consider getting professional help.

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

Think your pain away, why meds may not be enough

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

Coping with pain.
Photo courtesy of Pixabay.com

If being mentally healthy will reduce your physical pain why is it a last resort?

Prescription drug use in America is at an all-time high. So is the abuse of prescription drugs. With more and stronger medications always being introduced why do so many Americans report chronic pain?

Doctors will prescribe all sorts of medication, sometimes even surgery, but when all else fails they will often refer the patient to counseling or a mindfulness class. Why is working on your thinking a last resort?

We know if you think about your pain, really concentrate on what is ailing you the pain grows in importance. It may even take over your life. This effect is true for both mental and physical pain.

Some simple mental techniques have been repeatedly shown to reduce the impact of pain and lessen the disability caused by those pains.

We know that those old pain involved expressions carry a lot of truth.

You are a pain in the neck – People who fit that description makes us feel sore in the neck region.

You make me sick – People who are disagreeable can affect our sleep and digestion.

We know from personal experience that dysfunctional interpersonal relationships can cause real physical pain. Learning to change or accept things in our life can go a long way towards managing our pain, both physical and mental.

Has there ever been a time when you were in serious pain and then something fun, a happy event occurred? For that brief time, you discover that you forget about your pain. Watching a funny program can reduce the feelings of sadness that are plaguing us.

In an earlier post, I wrote about “Don’t think about Elephants.” The process of trying not to think about a thing actually can make that item harder to forget. We find that rather than trying to not think about the pain, the pain in the back, or the pain in the heart, we need to focus on things that are helpful and positive.

Hospitals with chronic pain clinics have found that classes in exercise, yoga especially, mindfulness, and other calming techniques can reduce pain for patients who had found no relief via the medication or surgery approaches.

Yoga and mindfulness are not some metaphysical hocus-pocus. As it was explained to me mindfulness is nothing more than paying attention to what you are doing. Make sure that you are walking when you walk instead of brooding about your troubles.

And yoga? What about that? One instructor told me that yoga is just exercising while breathing. If you didn’t focus on improving your breathing, yoga would just be another type of calisthenics.

Something as simple as walking each day can have a significant effect on depression.

Learning to breathe, relax, and clear your mind, can be especially helpful in reducing the stress and tension in the body.

So consider including some work on your thinking and your body as part of any pain management program. As always talk with your doctor before making any sudden changes but let that doctor know you are open to some counseling or exercise if that might help control your pain.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Why you can’t make up your mind – Decisions.

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

Choice.

Choice.
Photo courtesy of Pixabay.com

Why is hard to make up your mind when you have multiple choices?

Choosing when you have multiple options can be difficult for several reasons.

There are two basic methods for making decisions, logical and emotional. As we saw in a previous post about Intuition neither way of making your choices is infallible.

Most choices are not clear-cut, all good or all bad. So we have to weigh the choices and then find some way of evaluating the good and the bad of each choice. When we get all done many of us fall back on our default mode to make our decision.

Not all choices are equal, so a fixed set of decision-making rules does not always work even though some people and some institutions adopt a systematic procedure for making those decisions. Below are some examples of choices

A good choice vs. a bad choice.

Which do you want ice cream or a beating? Ice cream good, beating bad, take the ice cream. Anyone having trouble making that decision?

Good vs. good.

At the party do you want cake or ice cream? This is a matter of preference, may take longer to decide but either is OK. It might be better if you could have both but that was not an option offered.

Good with the bad vs. bad with the good.

Your friend is having a party with cake ice cream and some champagne. You just went on a diet to get in shape for that reunion and you are trying to give up drinking. See friend and go off your diet?

You promised your workout friend that you would join her today at the gym. Last time you made an appointment she did not show.  Go to the gym and work out to lose the weight but risk her standing you up again?

Now add more good and bad.

There is this cute guy from work that may be at the party, so might your ex.

There is this other cute guy that you met at the gym but your ex’s new girlfriend is now working there.

The more pros and cons we add the more difficult it becomes to make a decision.

Remember that whether you try to choose rationally or emotionally you run into problems making that decision.

Rationally you never have all the info you would need. Who will show up where? You can’t know ahead of time and if you attribute probabilities to these events that still does not solve the problem.

Which would be worse? Running into your ex or his new girlfriend or both of them together?

One common approach to solving this dilemma is to take a piece of paper and draw a line down the middle put the reasons for choosing one in one column and the reasons for choice two in column 2.

Not much help is it. Is the risk of getting ice cream instead of cake more or less important than the risk of seeing your ex or his new girlfriend? Not all reasons are equal. We get into some calculus to solve this equation.

Worst of all by the time you get all the info you need and get the math done, the party is over and the gym has closed.

Also, choice decisions do not always s include all the alternatives. Make sure that the best choice is not left off your list. Also as with the cake or ice cream example, sometimes our action as in asking for both can alter the options available.

One last decision problem – time.

A dollar today is not equal to a dollar a year from now. Neither is exercising or eating cake. You could go to a party now and then exercise next week. A few weeks of that and you will not need your gym membership. You also will not be in top shape for the class reunion and that was the reason for your exercise and get a healthy program in the first place.

Sometimes you need to trust your gut.

This impossibility of getting enough info and then assigning probabilities and so on is why much of the time we humans use intuition. Based on past experiences and the degree of your preference you will choose one way or the other and then have to live the consequences.

One last factor you need to consider is the importance of your goal. You might do something distasteful for money. Say your boss asked you to go to a function and make a speech and your ex might be there. Would you do it to please him? Would you do it for $1.00 how about $1,000,000? The bigger the rewards the more you might choose one option over the other.

But what about the size of the negatives? If one choice might alter your life forever in a bad way would that affect your decision?

So these kinds of choices are very personal and reflect not just the pros and the cons or the chances one thing or the other will work out, they also reflect your personal goals and values.

Your goals and values shape your choices.

To make better choices on difficult decisions you really need to get to know yourself, your goals, and your values. Then pick what is best for you.

Any comments from out there? Have you had to make a difficult choice and how did you finally go about deciding.

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

What is the Drug of choice among the homeless?

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

Homeless person

Homeless.
Photo courtesy of Pixabay.com

So which drug does the majority of the homeless use?

Being homeless is one problem. Most of the homeless have a whole raft of problems. It would be nice to think that if they just got a place to stay, move them into a shelter, then their problems would go away. It is more complicated than that. Drug use also plays a role. You may be surprised at the relationship between drugs and homelessness.

It is more complicated than that. Drug use also plays a role. You may be surprised at the relationship between drugs and homelessness.

Homelessness, mental illness, and drug use run in packs.

Among the homeless, there is a disproportionate number of the mentally ill. These are people with serious and persistent mental illness. By serious and persistent mentally ill, I do not mean that they are beyond hope and incapable of recovery. Many very seriously impaired people do recover. But being homeless and having a mental illness makes the road of recovery that much more difficult.

The question is “Do we as a society have the collective will to help them recover?” Can we create the path back to society that they need? I fear that as a society most of our efforts are to keep them out of sight rather than to welcome than back to society.

People who are mentally ill, homeless, or not, are more likely to do certain drugs. They use them to control or manage symptoms and the use to forget and to cope. The mentally ill use one drug in particular more than the rest of society.

Beyond mental illness, there are other problems for the homeless. Drug use yes that is one. I’ll get to that in a moment. They also have a host of medical problems. The mentally ill die significantly sooner than the people who are not symptomatic. Their most preferred drug shortens their lifespan dramatically.

Note that I did not say the non-mentally ill. (Or the normal, who knows what is normal?)

We know that there are many people with less severe emotional problems who when put under enough stress can show signs of a mental illness.

As I have said before, I do not get fearful working around someone with schizophrenia. What makes me really scared is the “normal” person who is served with divorce papers or has just found out their partner is cheating and then this enraged person shows up at a workplace with a gun.

These adjustment disorders, untreated are a lot scarier than the persistently mentally ill. But I digress.

The homeless, often with a mental illness, and being homeless can cause depression and anxiety in the most stable of people, they have severe medical issues. The only source of treatment for many is long waits in hospital ER’s, at a huge effort for them and a huge cost to society. Their drug of choice makes their medical issues more acute.

By drug, I do not mean prescribed medication. Most homeless have difficulty getting a prescription and if they do have one taking it consistently is unlikely.

The homeless and the mentally ill everywhere are more likely to be the victims of crime than the perpetrators. When they do have prescribed meds they are likely to get lost or stolen during the course of life on the street. Lots of things get lost or stolen when you are homeless.

So which drug is the drug of choice among the homeless?

Tobacco, nicotine is the drug of choice among the homeless, followed arguably by alcohol. They pick these drugs because they are cheap and readily available.

The numbers with respect to smoking are staggering.

Three of every four homeless smoke, you heard that right, 75% of the homeless smoke. Rates of smoking among those with psychosis are very high.

A homeless person is FOUR times more likely to smoke than someone who is not homeless. The homeless are dying from smoking-related illnesses at rates far above the rest of the population.

Helping the homeless with smoking cessation, alcohol abuse treatment, and treating the health-related problems these two legal drugs are creating might go a significant way towards helping the homeless on their path to recovery.

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

Are you a Functional Alcoholic?

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

AA big book

Alcoholics Anonymous big book.

Alcoholics with jobs, families, and homes – the functional alcoholic.

Do you know someone with an Alcohol Use Disorder?

Most people have a very distorted idea of what constitutes an alcoholic. So much so that the mental health establishment has done away with the label. Like many other of life’s problems the stigma attached makes us avoid the words we need to use to name the problem and the result is that no one calls the thing by the same name for very long.

Today we do not try to distinguish between the person who is chemically dependent on alcohol, psychologically dependent, or the person who just drinks occasionally but when they do they end up with a problem.

How would you spot an alcoholic?

Truth is that the old stereotype of the homeless alcoholic bum is just that – a stereotype. Most of what people think they know about alcoholics is not true.

Of those who under the DSM-4 criteria, who were alcohol dependent, what some would have called an alcoholic, fully 80% of them had full-time jobs.

For the record, it is estimated that 70% of people who are dependent on drugs, drug addicts if you will, have full-time jobs.

So the majority of people who have a severe substance use disorder are still trying to fool themselves that they are not “Alcoholics or Addicts” because they still have a home to live in and a full-time job.

Only the most severely chemically dependent people end up homeless.

There are all sorts of problem relationships you can develop with a substance. Alcohol is one of the harder relationships to keep up. Over time the drinker develops tolerance. They need more to achieve the same effect. If you need alcohol to feel good, solve problems or it is simply required to have fun, you are headed for trouble.

What makes you an alcoholic surprises many people.

You don’t need to drink the hard stuff to develop a problem. Lots of beer and wine drinkers develop problems. You don’t need to drink every day. If you drink once a year for New Years but three years in a row you get DUI’s or end up in bar fights, you have some form of alcohol use disorder.

So consider that you don’t need to be a full-blown Alcoholic to have an alcohol use problem. Some of you can cut down or control your usage. Some of you will be able to quite all on your own if that is what you chose to do.

But if you have tried to control your drinking or quit on your own and find that your efforts are not working. Or if you quit and find you are miserable, consider counseling or another help strategy.

If you do have an alcohol use disorder there is help available.

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

How you can get more A’s, easier B’s, and pass life’s tests in 9 easy steps.

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

abc

Grades.
Photo courtesy of Pixabay.com

How to get an A or study less and still get a B.

If you want to get more A’s in school here is a system for improving those grades. This system will also help you get B’s more easily if that is your goal. (Check out the post on Why B students are happier.)  This system, with some minor modifications, will work for aceing other of life’s tests like job interviews.

Most of this has to do with college classes. This is the point where a lot of us really stress. If you do well in college more possibilities, like good-paying jobs, open up to you. If you are still in high school or some other learning environment adjust the ideas to your situation.

Get a running start on the grade you want.

Be on time for the first class; maybe even get there a little early. Getting to class late that first night puts you behind the rest of the time. You may be able to catch up but why take the chance?

Not being on time leaves you looking for a parking space, hunting for a seat, while the others are taking notes.

Also, come prepared, paper pen all that stuff. If possible have the textbook.

Coming late may mean you miss hearing about an important class requirement. What if there is a must go on a field trip later in the semester and you are not able to get off work on weekends. You need to work out the requirements before you find yourself in a bind.

Read the syllabus.

Every semester I hand out a syllabus. Later in the semester people are surprised to learn that they have a major paper due or there will be a midterm next week and that is the week their spouse has planned a trip to see the folks.

Not doing the paper on time or missing the midterm are sure ways to blow that A. They are also easily preventable if you just read the syllabus and plan ahead.

If your instructor does not hand one out, pay special attention to the things they tell you, write them down and ask questions if it is not clear exactly what you are expected to do this year.

Do what the syllabus says.

If there is homework – Do the homework. If you need to read a chapter in the book – Read that chapter. Make sure you write the paper or do the project and turn it in, on time is a good idea.

Amazingly, that when all else fails read the directions approach, does not get you to the finish line on time.

Read assignments before class.

Try to read the chapter before class each session. You may not understand it all but you will find the terminology and the general subject that is about to be discussed. Look up words you don’t know. Most books have glossaries in the back to make that easy.

By reading ahead you can recognize what your instructor is talking about and you can ask more intelligent questions.

Take notes.

Some of you are visual learners, some auditory, some kinesthetic. Reading, hearing, and writing all utilize different circuits in the brain. The more of your brain you involve in learning the better your chances of remembering.

Taking notes helps even if you never look at them again.

Read the material again after class.

Rereading the chapter after class really helps store and consolidate the information. Things that did not make sense or did not stand out now become very important. You now know what your instructor emphasized and you want to make sure you have that material clear.

Review your notes.

Go back over the notes. Do you get it? What you feel unsure about, that part is what you may want to study.

Schedule your life to be there for tests.

We all have lives, especially college students who may be working and have families as well as attending school. Emergencies do happen. Plan ahead to reduce the problems.

Most instructors at many schools do not give makeup tests. Especially they do not give makeup midterms or finals. Don’t just plan to be there. Open up some extra time around the exam.

Tell your boss that you have a big test that night and see if you can make arraignments to leave work a little early. Nothing so blows a semester’s work as getting caught up in a crisis at work and arriving after the final exam is over. Also, tell your family or partner and enlist their support in being to the test on time and prepared.

Yes, traffic is sometimes bad or you get a flat. Planning ahead reduces the chances that this inconvenience turns into a disaster.

Learn test-taking skills to get the best grades.

People who are good at taking tests do better than those who are poor test-takers even when the test savvy students have done less studying. If you are one of those who finds taking tests difficult, learn test-taking strategies, and practice taking tests until you get good at it.

If you have test anxiety – work on getting your anxiety under control also.

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

How you can beat test anxiety

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

Anxious woman

How anxiety holds you back.
Photo courtesy of pixabay.

Do you suffer from test anxiety?

Test anxiety is not just a problem for children in school. Want to drive, you need to take a test. Many jobs require tests. Even after you graduate from school many professions require licensing exams or tests to renew your license. Job interviews are another form of test, an oral one.

Dating is also a sort of test and some of you have only been able to do this with some alcohol to help you overcome that type of test anxiety. Sales also involve tests, does the client want what you are selling? Do you take it personally if you “fail to make the sale?” If you can’t stand being turned down you will never make it in sales.

Test anxiety is far more common than most of us recognize.

So today and in upcoming posts, we will look at test anxiety, how it affects us, and how to overcome it.

It is not the people who know the least that get test anxiety, nor is it those who are at the most risk of failure. Often the people who have the highest test anxiety are actually the best students but they consistently make three so-called thinking errors that interfere with their ability to put down on paper or another medium the full extent of what they know.

Don’t make the three key mistakes of people with high test anxiety. Test anxiety, technically called evaluation anxiety, is maintained by three concurrent thinking errors.

Don’t underrate your abilities.

People with high test anxiety consistently underrate their abilities compared to those who do not have test anxiety. You need to believe in yourself.

Learn to give yourself credit for what you know rather than focus on what you might get wrong. If you suffer from “low self-esteem,” work on being able to see the best in yourself.

Don’t overrate the consequences of doing poorly on the test.

One low score will not flunk you out of college. Cumulatively the consequences of a lot of test anxiety will lower your grades. Even then, slightly lower grades will not keep you from graduating if you do all the other work.

Remember in a hundred years no one, not even you, will know or care about what grades you got.

Honest, grades are not all that important. What does matter, is have you really learned the material? People who cram for tests will have forgotten most of what they learned in a week or two. If you really care about the subject you are studying them you will learn this material at a deep level.

Think grades or GPA matter all that much. Unless you are trying to get into a very exclusive school or are taking a once in a lifetime type test most times you score today is not all that big a deal.

Quick, what was your doctor’s GPA? What kind of grades did your lawyer get in school? Every day we trust our lives and liberties to people and have no idea what grade they received in school.

What we do care about is do they know their stuff. Can they get the job done?

Do not engage in negative self-talk that uses up working memory and creates the poor performance you feared.

Repeatedly telling yourself you are going to fail a test, nearly guarantees that you will. Your brain will try to help you out and make your predictions come true. (See the post on the Nocebo Effect in which you can quite literally think yourself sick.)

Good coaches do not solely focus on the athlete’s mistakes. They also give their players encouragement and recognition for things well done.

Be your own coach and encourage yourself. Tell yourself that you are going to do your best and you will.

Do not put off studying until the last minute.

Learn to study well ahead of time. Putting off your study session and then studying under pressure makes it harder for your brain to store that new information. Study early and often.

Even if time is limited, short periods of study each day are better than last-minute marathon study sessions.

When you really don’t know the answers your test anxiety will increase. If you are well prepared and well-rested your chances of doing well improve.

Watch for a future post on “How you can get A’s.” Tips I have learned from my many years in school and my time as a faculty member.

If all the basic tips for reducing test anxiety do not help, consider getting professional help. A good counselor or therapist can work with you on reducing this and many other anxieties.

Chances are that if you suffer from test anxiety there are lots of other anxieties that are keeping you from having the happy life you deserve.

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