Tag Archives: Depression

How to control your drinking

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7

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

How to control your drinking.
Photo courtesy of Pixabay.com

Some easy ways to keep your problem drinking under control.

It is not uncommon for a drinker, especially someone new to consuming alcoholic beverages to overdo and experience negative consequences. If you have had a hangover, been stopped for drunk or impaired driving, or ended up in a conflict as a result of your excessive drinking, you may want to try some of these methods to keep your drinking under control.

If after trying these techniques you still are having problems with your alcohol consumption there are some more advanced suggestions at the end of this list.

Set limits and stick to them.

Drinking five or more drinks for a man or four or more for a woman is considered binge drinking. This is the riskiest way of drinking. The damage to the body from excess alcohol consumption is proportionate to the level of alcohol in your bloodstream.

Even at half these levels, in most places; you can be too compromised to drive and risk an arrest for some form of impaired driving.

The best policy is to limit yourself to no more than one or two drinks on any drinking occasion.

Women if you are pregnant or may become pregnant, that limit should be zero. We know of no safe level of alcohol for a pregnant woman. Sorry ladies.

Do not drink because of negative emotions.

Depressed people who drink alcohol to cheer themselves up, become more depressed. Drinking because you are angry increases the risk you will lose control and act on that anger. Drinking to control anxiety results in more anxiety. Drinking away any problem results in more of that problem.

Do not drink to increase happiness.

If one drink makes you happy two should be better and thirty more so.

The trap here is that if you need the alcohol to make you happy you are already in a risky neighborhood.

Do not drink alcohol when you are thirsty.

Alcoholic beverages do not quench your thirst. Alcohol dehydrates you. Drinking alcohol when thirsty will make your dehydration and thirst worse and result in your craving and drinking more alcohol than you intended.

Do not drink when you are very hungry.

Some people believe that a little wine makes for a better dinner. The risk for many of us who lead busy lives is that we wait too long to eat. The result is that we fill up on alcohol and do not eat the food.

Drinking on an empty stomach increases the risk of overdoing the drinking and losing track of how many you have had.

Avoid drinking in situations where the primary activity is drinking alcohol.

A single glass of champagne at a wedding is not likely to cause most people any problem. One drink at a social party where everyone is planning to get drunk is likely to lead to social pressure to consume more than you had planned on.

Many people can safely have a single drink at an event with a non-drinking purpose. Those very same people who go out with others after work to have a drink are at risk of overdoing. Don’t go to a drinking event and expect to be the one person who drinks in moderation. You may be one of those people who can be at a drinking occasion and not drink. The chances are you are not one of those people if you have read this far into a post on controlling your drinking.

If you have tried all the simple methods of controlling your drinking but still find yourself consuming more than you should, you may be one of those people who has crossed the line between a normal drinker and a person with an alcohol use disorder. You may be a problem drinker.

Characteristic features of Alcohol use disorders include things like, loss of control or drinking more than you intended, increased tolerance, needing more alcohol than before to feel the effects, and the development of negative consequences when you drink. Cravings are another warning sign.

If you have an alcohol use disorder of any kind seek help. Counseling and therapy with a professional that understands substance use issues or self-help groups may be able to teach you to live life without the alcohol and avoid the problem of repeatedly trying to control your drinking and not being able to stay sober.

Alcohol use disorders are a group of real illnesses and like many other medical diseases once you have these disorders you are not likely to ever return to being a person without this disease. If you have a drinking problem of any kind please seek 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

Mental Health Monsters – Depression and Anxiety

Posted on by
19

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

Emotional monsters.
Photo courtesy of Pixabay.com

Has your life been a struggle with monsters?

As children, many of us had monsters in our closet. Some of you needed night lights or parents to turn on the light and check the closet for us. That light chased away the monsters.

But as we grew older some of us discovered we were locked in a struggle with real-life monsters, anxiety, depression, or another emotional problem.

Rather than fearing the monster under the bed or the one in our closet, we began to try to lock those monsters away in the closet. Slam the door on the depression or anxiety and pretend that if we don’t see that monster then he does not exist. Our family, friends, and society were more than willing to play along in this game.

So now older, we discover that the mental health monster has been living in the closets of our mind and all the while that depression monster, the anxiety monster, and maybe you addiction monster, they have all been growing, locked away in the closet.

So how, after all this time of pretending that you are not troubled by an emotional problem monster, do you open that closet and do battle with the creature that you wanted to deny?

Society has been a willing participant in this process of hiding the monsters of mental illness and emotional problems from us. If we pretend that depression does not walk among us, if we can laugh at the ravages of the anxiety monster then we can all feel safe from this gang of emotional problem monsters.

If you are going to fight the great fight against the gang of mental health monsters you will need a host of emotional tools, the weapons you will need to defeat the monsters of the mind.

Have you put together a toolkit that will help you in your struggle with those emotional monsters?

What tools work for you?

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

The voices in your head – depression, anxiety and fear – they lie

Posted on by
18

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

The voices in your head, depression anxiety, and fear – they lie
Photo courtesy of Pixabay.com

Should you listen to those voices in your head?

You know the ones I mean, the doubt, the discouragement, the thoughts of depression, and anxiety. Those voices that tell you things will never be better. They say you can’t do this and you must do that. Those voices are maintaining your emotional and mental problems.

We all have those voices in our heads at times. The ones that tell us we must do something or that we will never be able to do something. How we interpret those voices makes all the difference.

Those voices in your head and you do not need to be psychotic to hear them, they arise from all sorts of things. They can be the voices of negative people from your past. Remember that those adults that told you depressing, hurtful things, they may have had an emotional problem also. It is not unusual for a depressed parent to pass those voices of despair down to their descendants.

Not all voices in our heads are negative. Sometimes they are telling us valuable information, memories from our happy experiences. But remember other times what they say are outright lies. How can you tell the difference?

Frequently, that thing we call a voice in our head is our own thoughts, thoughts heavily influenced by our emotional state.  When we are in a bad mood, down and dejected, those voices talk of doom and gloom, the tales of the depressed.

Some people take this to be the devil on one shoulder and an angel on the other. Our thoughts are telling us we should or shouldn’t do or think a particular thing.

If you are more philosophical than religious you might frame this as a conflict between your conscience and your desires. If that voice in your head is telling you to go ahead and do it, you can get away with it this one time. That is probably your desires. If the voice says that what you are thinking about is wrong – that might be your conscience. But there are exceptions.

Others of us will interpret those “voices” in our heads, those thoughts that sound so convincing that they must come from somewhere else, as messages from God or our higher power.  If you get that thought, be careful to check out this message with your spiritual adviser. The God talking to you may be a function of your emotional problems.

Another source of those “voices in your head” is the things you have been told in the past. Under times of stress, and most of life is stressful, memories of what we have been told come back.

What we constantly need to ask ourselves is – are these voices telling the truth?

Believing that because you have a sudden thought, that you must do a particular thing, can result in a lot of problems.

More cognitive humans might interpret these “voices” as automatic thoughts. Over time the things we tell ourselves and are told become so a part of us that we think these thoughts as if they were facts. Those ideas are our automatic default ways of believing even when they do not match the facts of the current situation.

These voices in our heads become problematic when we lose the ability to dispute what they are saying. We do not need to believe everything that we think. What we tell ourselves may only be true because we say it.

If you find that those voices will not be silent even when you command them. If those voices take on a personality of their own, then it is time for professional help and probably medication.

But short of a true psychotic experience, we all have those recurring thoughts that might at times sound like voices telling us things. Whether those voices are the memories of what you were told as a child or are your own imaginings, remember that sometimes the voices lie.

Not only are some of our self-talk lies but what those old voices in your head are telling you, that may be lies also.

What has your depression, bipolar, anxiety, or other emotional problem been telling you? Are your internal voices telling you the truth or has your depression been telling you lies again?

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

Do emotional problems, depression and anxiety, time travel?

Posted on by
13

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

Do your problems follow you around?
Photo courtesy of Pixabay.com

Is time on your side?

When you go for counseling exactly what time period should you be concentrating on?

Some people want to spend a lot of time working through the past. If you have been the victim of abuse or neglected you may find it difficult to move forward until you make peace with the past. Depression or anxiety may have their roots in the past, but at what point does continuing to relive the past interfere with the present and the future?

Staying in the present.

For people in recovery, however, you define that, the emphasis is more likely to be on the present, how to cope with that present, how to live life on life’s terms.

In changing your life, for me, the emphasis should be on the future. How can you get where you want to go without looking at where you will be when you get there? You know about your symptoms, your depression, or maybe you have anger issues or anxiety, what is important is how you move beyond those emotional problems.

Couples who come in for relationship counseling, we used to call that marriage counseling, often want to rehash the past, who did what to whom and why. Often this need to establish whose fault it was or who is right and who is wrong, gets in the way of establishing how that couple will develop the skills they need to create a happy relationship in the future.

Does it really matter why the homeless person is homeless? Say you figure out why you are depressed, has that changed anything. You are still depressed and now you have to pay for therapy to tell you what you already knew.

It might be more important to learn the skills they need to find and hold a job and then to get and maintain a place to live. In looking at why people have a particular emotional problem, I find it is only productive to look to the past when we are looking for ways to prevent this from happening again.

The same is true of break-up counseling. You separate, get a divorce, and now what? Do you stay stuck in the blame them or even blame yourself mode or can you see how there might be something you need to learn or something you need to do differently if the future is going to be different from the past?

Some counselors and this includes relationship counselors, want to work their way through the past. Sometimes you need to do this if there are things that you have not finished with, feelings you are not ready to let go. But isn’t looking forward to the future a whole lot more important than staying stuck in your problems?

The longer I have been involved with the counseling process the more I find myself focused on the future and how to create that happy life that I want for myself and for the client.

Lots of us have our stories, problem saturated or even problems soaked tales of how our life got this bad. We know why we are depressed, anxious, or even addicted. What we find it difficult to talk about is what we want for the future.

In counseling, I like to use the “miracle question.” I ask the client if this problem you have were suddenly gone tomorrow, what would your life be like? If you had your dream job, what would you be doing? Many of them can’t imagine a life without their problem. Some are not willing to give that problem up just yet.

Some will downright refuse to press that happy button.

Some couples therapists find that the ability to imagine a good relationship predicts the success of relationship counseling. If you are in counseling to find out whose fault it is and then to punish them for your unhappiness, you are wasting your time.

Whatever you do, strive to leave those emotional problems from the past in the past and spend the present making plans and preparations for a happy, contented future.

Your depression, anxiety and other emotional problems can only time travel if you refuse to let go of them as you take this journey we call life.

Related articles

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Extra practical therapy book is coming

Posted on by
7

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

David Joel Miller Books

David Joel Miller Books

Work has resumed on the book I am writing about counseling and therapy.  The planned release date is sometime early next year.

This book is a collection of ideas about counseling and how to get the most out of the process. It is designed specifically for the non-professional. It will cover a lot of questions that so many of you have asked about counseling, therapy, mental health, substance abuse, and related topics. It will include answers to questions such as:

When should you go for counseling?

How will you know if it can help you?

Is Counseling safe and what will I need to do to make it safe and effective?

What kind of professional am I looking for?

How much does it cost and what can I do if I can’t pay?

And much more

Some of this material is from posts to counselorssoapbox.com and reader’s questions to the blog. Much new material has been added each day as the writing progresses.

It is still not too late to get your question answered. Ask now and I will try to answer your question on the blog. Longer or more detailed questions may well end up in the book.

The title is still a work in progress. Any suggestions?

As the book writing progresses, the time for blog posts is getting more difficult to include in my schedule. So some days we may need to skip posts. There have been some spectacular posts recently among the blogs I subscribe too and I plan to share some of these via reposts.

If you would like to stay connected to the posts on counselorssoapbox, the progress of my book in progress, or the flow of the conversation about mental health and substance abuse issues – please subscribe or follow counselorssoapbox.

You will find the follow button at the very tip-top of the page, in the black area, next to the counselorssoapbox.com name. And don’t forget to hit the share and the like buttons at the end of each post.

Thanks and stay tuned for the latest updates.

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

Anger and Depression beat Contentment and Serenity.

Posted on by
5

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

Angry person

Anger.
Picture courtesy of Pixabay.

How fast do you have to drive to reach Serenity?

The advertisers’ version of contentment and happiness is a car, preferably a convertible, and a supermodel of your preferred sex, driving down the highway going as fast as you can. Despite repeated efforts, most of us find no matter how fast we go we never make it to happiness or contentment.

We don’t start to look for positive emotions like contentment, serenity or happiness until we are overwhelmed by all those negative emotions. Swamped with anger and disappointment we realize we can’t run or drive fast enough to reach contentment.

What if we started the other way around?

Is it possible that the really happy person is sitting in their car in the driveway, not having anywhere they have to be? Better yet, is true happiness sitting on the grass under the tree, not having to make the payment on that new car?

Until we become so busy that we can’t do it all, we do not recognize the benefits to be had from sitting quietly and enjoying our ease.

It is only when we experience the pain of negative emotions that we are able to realize the value of those less charged positive emotions like serenity or contentment.

In the collective, we mostly say we want world peace.  But inside ourselves, whether we admit it or not, most of us are hoping for some excitement, even if it comes at the price of more stress and emotional costs.

Try running a web search for “Contentment classes” and then compare those results to “Anger Management Classes.” You will find that few people are looking for contentment, but many are looking for ways to control their anger.

Is it possible that less doing and more being could have relieved this imbalance?

People who value serenity will tell you that they found their inner peace not by more searching but by sitting still and learning to appreciate where they were and what they had.

One of the great illusions of depressions is that there is something we need to find to make us happy. More things, another person in our lives, may be nice, but that sort of happiness does not last. Learning to be content by yourself, in the situation you find yourself, leads to an inner peace that may not resemble that car ad but will be a lot more valuable in the long run.

Sad to say but it appears that everyone is motivated to flee depression, anger, and anxiety, but not many people are willing to sit still and experience contentment and serenity.

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

Where have all the feelings gone? Emotions or rational logic?

Posted on by
4

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

Where have all the feelings gone?
Photo courtesy of pixabay.

Good feelings, bad feelings, too many or too few feelings, which is it?

You need feelings skills.

Feelings, sometimes called emotions, are one of the major things that send people to therapy. Learning appropriate feelings skills is a part of recovery regardless of what you are recovering from.

One way to define a goal of therapy is having a happy life. I have liked that definition from the first time I heard it. Some people are in so much pain that having a happy life is beyond their expectations; they might define their goal as having less pain. Reducing pain is, in my opinion, one way of describing “Happying up” your life.

Is it OK to be happy?

Recovering people are often uncomfortable with the whole idea of having a happy life. They have spent a good part of their life chasing happiness by using drugs, alcohol or sex in an effort to make them happy. Society tends to equate a good time or being happy with doing drugs or reaching for something outside yourself to make you happy.

The idea that there is something out there that can make you happy is a great deceiver. It comes as a shock to some of us that you can be happy and have fun without reaching for those outside objects.

True happiness comes from inside. Setting things right with yourself and then the rest of the world can fit in its proper place.

Are you too emotional?

Excesses of negative emotions, anger, sadness, anxiety, and so forth, are the major cause of people who come for treatment. They often define their problem as too many feelings. They say that they are “too emotional.” By two emotional they appear to mean they are flooded by negative, unpleasant emotions.

There are also those who come to the counseling room and report that they are just numb. They have lost the ability to feel anything. Sometimes they self-injure, cut, or mutilate themselves in an effort to feel again.

The great irony of using pain to feel again is that often the cause of numbness has been an intense unbearable pain. The emotional part of the body has shut down the feeling systems to protect these folks from an overload of negative emotions.

To move from an excess of negative emotions or numbness to a place where you can feel happy positive feelings require several things.

Recognize that you are feeling.

You need to get past the numbness by recognizing that you are having feelings. You need to allow yourself to experience emotions. For someone engulfed in pain and negative emotions, this can be overwhelming. We call learning to sit with negative emotions and not be swept away by them “distress tolerance.” Sometimes it is OK to feel bad, just for now. If you can hang on, those bad feelings will subside.

If you want a happier more positive life you also need to be able to recognize the positive emotions when you have them. Some people were taught that it was bad to have feelings. Turns out that avoiding emotions and trying to run you on rational logical principles only is not the solution.

Logic and rational thinking are not always correct. So just going by rules and regulations may not be the answer either.

Just because you believe it does not make it true.

In CBT therapy we spend a lot of time looking at irrational or faulty beliefs. In other forms of therapy, the emphasis is on talking through all your feelings and having someone who can really understand what you are going through. Turns out that depending on the situation both approaches can work and the same person may need to do work both on their feelings and their thinking.

There is also a connection between intuition and using feelings to help you make good decisions. There is also a connection between the various senses and the way in which we all experience our emotions.

In keeping with the theme of this blog, recovery from substance abuse and mental illness and generally having a happy life, we will spend some extra time exploring feelings, the senses, and the role of logic and intuition and having a happy recovered life.

Related articles

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Why your diagnosis does not fit

Posted on by
7

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

Medical record

Diagnosis.
Photo courtesy of Pixabay.com

Why do they keep changing my mental health diagnosis?

If you or someone you know has a mental health diagnosis you might be wondering why the information you get is so inconsistent. You read about your diagnoses somewhere and yes you have some of those symptoms some of the time but there may be other symptoms you do not think you have had ever.

Then you see another professional and they give you a new diagnosis. Keep getting treatment and the diagnosis may keep changing. What is wrong with this? Which of the things you have been told are your problem is the correct diagnosis and why? Are the other diagnoses wrong?

You can have more than one problem.

Could be several diagnoses are correct. You could have high blood pressure and still have diabetes. You may have Depression and Anxiety and still have Partner Relational Problems.

It could also be that none of the diagnoses are right on the money and that what you are being given is a “provisional” diagnosis. As more information comes in your diagnosis might get changed. I know this is frustrating for you, it bothers most professionals also, but the truth is that the correct diagnosis is not always that clear.

“Strict Criteria” leaves a lot of people out.

Mental health diagnoses, in practice, are a lot fuzzier than they look in the textbooks. When we read research reports these are based on “strict criteria.” This means that the research participants are fully screened by someone on the researcher’s team and then they, or their files, are often reviewed again. During this process lots of potential subjects are screened out.  Anyone who has ever had a substance use disorder is not included.

So if you have bipolar disorder and have abused alcohol – no research for or about you. The result of these screening out process is that we know a lot about people who have exactly one and only one issue but not so much about anyone who has two or more problems or whose symptoms do not exactly match the “strict criteria.” The problem with getting a correct diagnosis does not end with strict criteria.

Mental illness as a brain disorder.

Mental illness, as currently understood, includes most all thinking, feeling, and behaving disorders. This creates a conflict when we start talking about “brain disorders.”

You could be born with a brain problem that makes you at more risk for depression – but then being neglected, abused, or other sad life experiences could overload your system and result in depression. So the environment can change the brain. Learning can alter your mood and if you learned to be depressed you can unlearn it.

Life experiences can and do change the wiring in your brain.  As far as your brain is concerned every thought you have is an experience as the electrical impulses and the chemical messengers move through your brain.

Change your thinking and your feelings change. As your feelings change your behavior will change. New feelings, new behavior, and your diagnoses could change.

Changes in thinking are not the only way you can change your feelings.

This freeway in your brain and nervous system moves in both directions. Change your behavior and your feelings will start to change. As your feelings change your thinking will change.

You keep changing without trying.

As you add more years to your life experiences, I am avoiding saying that anyone is getting older, your brain undergoes changes. Some of this is the result of learning and the growth of nerve cells. Other parts of the changes include hormones, puberty, menopause, and so on.

Some mental illnesses are first seen at certain times in people’s life. Schizophrenia symptoms are a lot more likely to first start or become pronounced enough to be recognized during the teen years or early twenty’s.

Bipolar Disorders do not get diagnosed until after you have had your first recognizable manic or hypomanic episode. The result is that most people first get a diagnosis of some kind of depression, with or without irritable mood and behavior, and then, later on, they may get a diagnosis of Bipolar Disorder.

As we age our symptoms may change and the diagnosis will change. The underlying person is still the same person, just the life problems they are working on have shifted.

If you do not feel that your current diagnosis is accurate, do not stress. You could try another provider or you could just wait and that diagnosis may change all on its own.

Diagnoses, like off the rack clothing rarely fit perfectly. What you need is a good enough fit that it assists you in developing a program of recovery. Sometimes that recovery program is primarily about managing your symptoms so you can stay out of the hospitals or institution. For other people recovery involves seeing how far they can take their life.

Personally, I am a believer in recovery. I have seen so many people with serious mental illnesses recover that I find it hard to believe there is anyone who can’t have some recovery in their life.

Recovery means different things to different people. Focus on what you can do, what you can improve, and see where your recovery will take you. Don’t let that ill-fitting diagnoses deter you from making the recovery journey.

Related article

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

Should your daughter’s therapist be talking to you?

Posted on by
2

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

child

Child.
Photo courtesy of Pixabay.com

When should your child’s therapist include you in the conversation?

Sometimes the therapist should be talking to the parent and sometimes not.  Which is which and what factors are in play?

The child’s age.

If your child is 4 then yes, most of the time the therapist should actively engage you in the conversation and in participating in the process of therapy. You need to be a part of what is going on. You are with the child 24 /7 and you will need to do things to maintain any progress that is made in therapy. Mostly, if the child is young, the parent needs to be involved. Most of the work will focus on helping the parent to manage this child’s symptoms in the home environment.

When your child is older will the therapist talk to you?

What if your child is 44? Sorry folks, I know that you parents think of this person as your child, you care about them and want to help them. But once they pass 18 they get privacy and confidentiality. Unless they are severely disabled and you are their only caregiver it is unlikely you will be included in the conversation at all. Even then most of the conversation will stay confidential between the client and therapist. Your child will need to tell you what you want to know or you will not get the information.

Between four and 18 years of age the “including parents” part gets iffier. The older the child the less that parent will be included in the therapy.

The more the parent pushes to know every detail of what the child is saying in therapy the more this intrusion can interfere with making progress. As the parent pushes more to control the therapy we therapists also get progressively more suspicious.

I love it when the parent cares about their child and wants them to get well. But the parent who insists on being present at every session and wants to know everything that the child says and the therapist does – what is up with that?

Is the parent the solution to the child’s problem or the cause?

Most therapists have stories of parents who seemed overly interested in what their child said in therapy. One reason this happens is that the parent is the cause of the problem.

Parents who are abusing their children are afraid the child might talk about that abuse. Some parents have their own secrets they want to hide, drug use, alcoholism, criminal activity, all manner of things.

Even if the parent is not the proximate cause of the problem, the family’s situation may be what is making this child depressed. Most parents want the conversation focused on the child and they do not want any discussion of the domestic violence or other problem behaviors that take place at home. Some parents do not want the therapist to find out that one parent has been missing for a few years in prison or that there has been a whole string of step-parents.

When parents are present, or when the child thinks the parent will hear what they say, they don’t talk about the embarrassing things.

Most kids do not talk about the pressures to have sex or the urges when parents are present. They know what their parents have told them about drugs, alcohol, and sex. They also know what the parents are doing in these areas and that what parents say and do are often at odds. So lots of embarrassing things get left out of conversations when the parent is present in the therapy room.

The fear that the parent will disapprove or the risk of embarrassment should the parent know what is going on might keep the child from talking about things that really need to be discussed.

Even that fear of failing algebra may not get talked about with mom in the room. The kid knows mom will just rag on them to study more rather than hear that this fear of failing algebra is giving them test anxiety and making it harder to finish the test.

Therapists help families through role changes.

During those late teen years, the parent’s role moves from protecting the child to teaching them how to make choices and learn from their mistakes. Parents, if your teen’s problems are severe enough to need the services of a professional then you probably will not be involved in the discussion until the teen has worked the problem out.

One thing a therapist should do is help the teen work up the courage to tell their parents what is wrong. Sometimes we even facilitate the teen telling the parents embarrassing things.

Many a child is surprised to find that when they do work up their courage and tell the parent this secret, the parent is more understanding and supportive than the teen expected.

Lots of problems could be worked out if a family could just talk about the issues in a supportive; “we are all in this together” atmosphere. But for family’s who can’t do this or have lost the ability to talk with each other, there are professionals that can help.

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

Will therapy work even if you don’t believe in it?

Posted on by
10

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

Therapy

Therapy.
Photo courtesy of Pixabay.com

What is therapy and how do you know if it will work for you?

Interesting question, this came in as a search term and that always gets me thinking about what was on the reader’s mind and what did they want to find. As a therapist, I believe that therapy works, sometimes, for some people, but at other times people tell me that they went for therapy and it did not help them.

Why does therapy sometimes help and sometimes not? Maybe this depends on what therapy really is. I think there are ways it works and ways it doesn’t.

Let’s try some similar questions and see if it helps understand this dilemma.

Does gravity work if you do not believe in it?

Most of us would say a conclusive yes; gravity always works, at least here on planet earth. So if therapy is a force that produces change yes it should always work regardless of whether you think it will or not.

Do cars work whether you believe in them or not? If you just hang around them, but because you do not believe in cars, you never get in one, then no for you, they will not work.

If you think that therapy is a process of change; then for it to work you will need to do some work.  If you do not do the work, your disbelief will prevent the process from taking you anywhere. Disbelief will keep you stuck where you are.

We know that you do not have to be a therapist for what you to do to be therapeutic. We even talk about therapeutic environments. So if you have supportive friends who can listen to you and help you think and talk things out, that might be therapeutic.

The most effective therapy occurs when you believe that the therapist wants to help you and you feel comfortable talking about your problems. The short answer is that counseling works best if the client believes it will. But like gravity, counseling or therapy can work for you if you just temporarily suspend your disbelief and give it a try.

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