What is low self-esteem? What causes low self-esteem?

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

Low Self-esteem

Low Self-esteem.
Photo courtesy of Pixabay.com

Is self-esteem related to confidence?

Low self-esteem, despite all the talk we hear about it, is not a specific mental health diagnosis. Low self-esteem does co-exist with several mental health issues including depression and anxiety.

While it is hard to define precisely, it is easy to see in practice and if you have suffered from low self-esteem you know the devastating effects it can have on your life.

Definitions of self-esteem vary widely. The Dictionary definition includes such things as your confidence in your merit as an individual person.

Also contained in the concept of self-esteem are such things as self-confidence, self-respect, and problems solving abilities. In effect, self-esteem is all about your ability to cope with life.

There are many causes of low self-esteem but regardless of the cause low self-esteem can be overcome.

People with low self-esteem are frequently high in self-monitoring. They are constantly on the lookout for errors they might be making. The result of high self-monitoring is that we find what we are looking for if you expect to find yourself making mistakes and that is all you look for then you will come to believe that everything you do is wrong.

In extreme cases, people who over self-monitor, who never give themselves credit for things well done, become increasingly helpless and hopeless.

There is a major connection between low self-esteem and depression. Being depressed reduces your ability to do things you used to be able to do. One consequence of depression is reduced or low self-esteem. But the connection works in the opposite direction also. Having low self-esteem increases the probability that you will rate yourself harshly and one result of this over negative evaluation is to become depressed.

Depression is not the only mental health challenge that stems from harsh self-evaluation and low self-esteem. People who believe they are not able to do things and look for evidence become fearful that they will make mistakes. The beginning to expect others to have negative evaluations of them and they look for ways to avoid those negative evaluations.

Low self-esteem is a major cause of some anxiety disorders. But this excessive self-evaluation, this inability to give yourself credit for things you are able to do, can lead to other problems also.

One way a person with low self-esteem tries to protect themselves is to constantly check everything. They expect to do things wrong, they expect others to be negative about them as a result of their errors so they develop routines of constant checking of everything trying to prevent or correct the smallest of errors.

While not the only cause, low self-esteem, and overly harsh self-evaluation are causes of Obsessive-Compulsive Disorder symptoms. In extreme cases, this becomes Obsessive-Compulsive personality disorder.

A significant cause of low self-esteem is growing up in a non-affirming family. There was a time that parents were told that to praise the child would give them a “swelled head.” Many parents find it difficult to praise their children for things done right but are quick to fulfill their parental duties by pointing out the child’s flaws. The result is that the child only hears about the things they do wrong and begins to think that they are “wrong.” Believing that it is you that is at fault, not that you are unable to do something is a precipitator of much low self-esteem.

Even if your family did on occasion affirm you, failure to affirm yourself or having non-affirming friends can also create these symptoms. Being bullied, teased, or rejected, are reasons many children come to believe that there is something inherently wrong with them. The result is chronic low self-esteem.

One antidote for low self-esteem is high self-confidence. Being high in self-confidence is a cultural thing. Some cultures believe that to put yourself forward, to assert your ability to do things, is narcissistic and wrong. Our American culture often values those who are high in self-confidence, possibly even high in narcissistic tendencies. We accept sports heroes and politicians who brag about their abilities as long as they produce the results.

People with low self-esteem find it difficult to achieve in life. They expect to fail and so often do not try. The result is that if you do not attempt things you never achieve them. Low self-esteem is in this way self-perpetuating.

If you have low self-esteem you can learn to accept yourself and feel good about yourself. Raising your self-esteem does not put you at risk to be arrogant or have an excessive opinion of yourself. Increase your self-esteem or better yet stop judging yourself harshly and you may find that your anxiety and depression are reduced or eliminated. Get treatment for that depression or anxiety and you may find that you feel better about yourself and your life.

More to come in future posts on ways to reduce or eliminate the problem of low self-esteem.

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

You can choose your life – happiness or depression, success or failure?

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

Choice.

Choice.
Photo courtesy of Pixabay.com

I never knew I had a choice – did you?

Did it ever occur to you that you have choices in life? People have told me so very often that they feel they never had a choice.

Then one day a client sat down with me and told me the story of how they never realized just how many choices they have had in life.

We make choices every day.

Even when we think we have no choices, we are making a choice to accept our lot and not do anything about it.

If you are faced with a problem and do nothing, that is a choice. And each and everything we do, that is a turn made in a particular direction. Any choice we make is another direction forgone.

Have you considered how many choices you may have in your life?

If you dropped out of school you can choose to go back or stay without that diploma. If you didn’t finish high school there are programs that help people to complete that High School diploma or get their GED.

Please do not say you are too old to go back to school. The Community colleges and the adult schools are full of “mature” students. Yes, it is work and yes it costs more now, in both time and money, than it might have cost back when you were younger. But you, like so many others before you, can do this if you chose that degree to be a part of your life.

Consider that in the course of a lifetime most of us have to retrain many times for a new occupation. The jobs we started with back in our younger days, many of those jobs do not exist anymore. Not much keypunching going on these days. Anyone still using those 8-inch floppy diskettes?

So if you might have to retrain when your current job goes out of existence why not retrain when your interest and enthusiasm wanes? You do not have to stay stuck in an unfulfilling job.

If you are stuck in an unhappy relationship you do not have to stay unhappy.

Now some of you will be saying that there are reasons you are trapped in that unhappy relationship. You have kids and what would it do to them if you ended your relationship? Maybe you came from a home where you lost contact with a parent after a divorce or you came from a single-parent family and never knew one of your parents. You say you could not do that to your children.

But wait, you are making excuses not giving reasons. You are choosing between unhappy and no relationship. Those are not the only possibilities. So often people think they have no choices so they stay or they leave and either way they are unhappy. The truth is that many people leave unhappy relationships and begin new relationships only to find that new relationship is unhappy also.

There are other choices you may pick.

You could stay in that relationship and work on making it happier. Marriage counseling helps, so do other approaches sometimes. You can also stay in a relationship and learn how to be happy in the place where you find yourself. See it is not the other person that makes you happy or not happy but the ways in which things meet or do not meet your expectations. Change your point of view and the situation stops making you unhappy.

One way that relationships make us unhappy is when there is a gap between what we are experiencing and what we expect. Change your expectations and there will be less of a gap.

Does that mean you have to accept bad behavior on your partner or family’s part? Not necessarily. If you begin to change yourself others around you just might change also.

You may not be able to get an alcoholic to stop drinking but you can create a life where you are less dependent on them.

Consider that you may have far more choices than you thought. You need to consider the choices you do have and which are right for you. What you just might find is that you have a lot more choices than you think you do.

What choices will you need to make to create that happy life you deserve?

“Image courtesy of FreeDigitalPhotos.net”.

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

Alcohol does not help with depression

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

Bottles of alcohol.

Alcoholic Beverages.
Photo courtesy of Pixabay.com

Why drinking won’t make you happier.

Most people think that drinking makes you happier and for some few people who were already happy it seems to work that way.

But if you are depressed, drinking can leave you more depressed than before.

Seems like the depressed person just can’t get a break.

We associate alcohol with parties and fun times. A little will loosen you up, so we think. What it is in fact doing is relaxing parts of the brain. A little relaxation may be helpful but a lot leaves you falling down.

One reason alcohol is associated with fun times is its ability to “disinhibit” you. It shuts off the part of your brain that may be telling you not to do that. So under the influence and even one drink begins to exert an influence, you may do things that you would not do without that drink. You might make a joke, dance more uninhibitedly or participate in an activity that at other times you would not attempt.

What alcohol does not do is make you suddenly happy.

It is the activity you are engaged in that is producing the happiness. Alcohol is a depressant. It works its magic spell but shutting off parts of the brain. The depressed person, unable to cope with parts of life when sober, becomes less able to cope when drinking, not more so.

 For the depressed drinking results in an increase in depression, not a reduction.

People with Major depression who drink are more likely to be disinhibited and do negative, bad things rather than to become happy.

The depressed person is more likely to attempt suicide while intoxicated. Some depression is the result of being angry at others and then taking the feelings out on yourself. If you are in a bad job or relationship we may blame ourselves for being trapped there rather than blame the other people. In this form of depression, we used to call this reactive depression; the depressed person when intoxicated is at increased risk to try to even the score with the person that has made them angry.

The depressed person is not likely to take only one drink.

If one is good for making you happy, so the reasoning goes, more should be better. The depressed person is at high risk to continue drinking until very drunk or even unconscious.

Unconsciousness, as we have seen in other posts, is not the same thing as sleeping. So people who use alcohol to cope with depression will find that they “come to” rather than wake up. In this state, the depressed person will be more depressed as well as hungover. The only cure for this is, in most minds, more alcohol. The cycle begins to accelerate.

There is a high rate of co-occurrence between excessive alcohol use, alcoholism, and depression. Depressed people who drink are at extreme risk to develop alcoholism and chronic alcohol abusers become progressively more depressed.

Despite all the marketing efforts made to convince us that alcoholic beverages are stimulants and make people happy, the real truth is that alcohol is a depressant and any amount stresses the mind and body.

If you are depressed the last thing you should be doing is trying to drink your troubles away. If you are genuinely happy, the more you celebrate with alcohol the less happy you are likely to be.

For most alcoholics, the alcohol was early on their solution but the more they drank the more the alcoholic beverage became their problem.

Alcohol tends to be very addicting, particularly to those with mental health issues. Remember that the category “people with mental health issues” includes most of us at one time or another.

Drinking to regulate emotions is a very risky habit.

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 do you find a counselor for Depression or Dysthymia?

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

Counseling questions

Counseling questions.
Photo courtesy of Pixabay.com

Looking for help with your depression.

Reader question thought I should share this with all counselorssoapbox.com readers as you might miss it as an answer to an older post. This was a comment on the Dysthymia post.

“I have a question: How do you find a professional who specializes in the treatment of Dysthymia? Someone who is really good. Searching for such a person in Michigan. Medications, by the way, are a waste of time. They don’t work for me. Can you suggest someone for me? Thanks!”

Great question. Let me make some suggestions. I am out in California and do not know professionals back there in your area. But the process is likely the same everywhere.

1. If you have not done so see a medical doctor first, there are some medical conditions that can look like depression or Dysthymia.

2. If you have a history of substance abuse, alcohol, or drugs, get that treated first or concurrently with the Dysthymia  Even after people stop using they still have the old thinking and it does not change without help.

3. Interview the counselor you are considering seeing.  Picking a therapist is kind of like dating, you may find the right person the first time, but you need to get to know them a little before you make the commitment.  Progress in therapy is all about the relationship.

4. Look for someone who treats depression. The process is very similar in treating Depression or Dysthymia  If the depression comes from a recent bad event this is more like an adjustment disorder. If you are depressed because you lost your job you need someone who can work on career counseling. Dysthymia is generally more long-term and you may need to look at things you learned as a child that no longer are helpful. I prefer to work from a Cognitive Behavioral or Rational Emotive perspective. Narrative therapy can also work.

5. Avoid a counselor who advertises things that do not fit you. Men should generally avoid a therapist that advertises they use a “feminist” perspective. Don’t see a Muslim counselor if you are a Christian or vice versa. Most good counselors work with everyone and do not put that sort of thing in their advertising.

6. Expect to do a lot of work on yourself. A good therapist is like a good tour guide, they can tell you about the trail but you need to take the hike.

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 problem easy button.

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

ok

Pushing the button.
Photo courtesy of Pixabay.com

Where did I put that easy button that solves everyone’s problems?

Have you seen that commercial where there is an easy button and you push it and the problem is solved?

Do you ever wish there was one of those buttons?

Clients come for counseling and they talk about how bad their life is, how they wish that family member would change, and so on.

What they don’t usually talk about is what they are willing to do to get this situation to change.

So if we had an easy button for your life problems – would you hit it?

Surprisingly many people would not be willing to hit the button.

Say you have a lot of anxiety and you could hit this button and all your anxiety would be gone, a very large number of you will pass on that opportunity. Why won’t people hit the easy button when it is sitting there on the table in front of them?

One reason is that our problems become like old friends. We are used to our particular brand of suffering and we are afraid that if this problem were to be solved then there would be other changes in our lives, changes that scare us. The terror we know is less scary than the one that might be around the bend in the path we have never trod.

For people who suffer from anger, depression, or substance abuse, their problem can become a part of who they think they are. Depression, like Anxiety, keeps you from doing things. That fear protects you from trying and therefore you don’t have to worry about making mistakes. You can’t do it because of Mr. Anxiety, Mary Jane, or Miss Crystal, so it is not your fault. If we take your anxiety from you and you were able to do things – guess what. Some of those things would not turn out well. You might even make some mistakes.

The cost of having an illness that prevents you from doing things needs to be balanced with the risks that if you did those things they will not all turn out perfectly.

With the freedom to make choices to decide how you want to live your life also come responsibilities. You need to own your choices, the good and the bad. Freedom has its risks.

Sometimes it is nice to have someone listen; understand what we are going through. Life can be hard and having a supportive person can be a great comfort. That person should not be someone who convinces you to hold on to your misery because a life free of suffering is just too scary.

I accept that many of us have had to live with pain. Pain may be a part of the human condition, but the suffering, that is optional.

One thing the counselor should not do is become a co-conspirator with the client and begin to tell them that they should give up. That with your problems there is no way you could be successful and so, of course, you should not try.

Despite the reality that giving up is bad advice no matter who tells you to do it, we all from time to time tell ourselves that we need to stop trying. The risks of solving our life problems are just too great.

So if the problem-solving button were in front of you – right now – hit it and your problem will be solved – will you do it? Are you ready to take that chance?

What will it take for you to be ready to leave those problems behind?

That button, that key to solving your problems, it has been there all this time, deep down inside you. You should know by now that your life can be happier if only you chose to let go of the suffering and make the most of your life with or without the pain.

The anger, the anxiety, the addiction, they may have been your long-term companions but they are not your friends. Kick them to the curb and get on with your life.

Every great epic story involves a hero and a quest.

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

Bipolar Disorder or Borderline Personality Disorder?

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

personality disorder

Bipolar or borderline personality disorder?
Photo courtesy of Pixabay.com

Bipolar Disorder or Borderline?

There are several differences between these two disorders. But it is important to remember that it is possible for someone to have both problems which greatly confuses the issue.

The largest differences between the two are sleep and time. Ego strength and character structure also play roles in this choice of diagnoses. I have exaggerated the differences to make the distinction clearer.

Sleep matters.

To be Bipolar you must have had a Manic or Hypomanic episode. The key characteristic of those episodes is long periods (time) of above-average energy and decreased need for sleep.

In hypomania, the person may be able to get by on a few hours of sleep, 3 or 4, and they feel fine. In full-out mania, they may even go all night without sleeping and still be just fine. At least they think they are fine. Others around them may notice they are irritable from lack of sleep but they think they are just fine.

Also in Bipolar when they are up they feel great, expansive. The same person may have episodes of depression and during those times they may sleep too much or too little but the telling point is that in the up times they will tell you they are on top of the world, full of energy, and can just do so much without needing to sleep like lesser people.

With those Bipolar manic episodes comes tons of energy. They like to go up in the attic and swing from the rafters. They might work all day then go to the casino and gamble all night only to go back to work the next day like nothing has happened.

Time.

People with Borderline have many moods within a day. The can be “touchy” easily set off and others may hurt their feeling without meaning too or even knowing why. People with Borderline Personality disorder are full of pain and rarely have a good day. They can be so bruised that a look or word can hurt them.

People with Bipolar have longer periods of up or manic feelings. When times are good for them they are really good. They may go weeks, months, or even years when they are on top of the world. But eventually, the crash comes and there will be long periods of time when they are depressed, possibly unable to get out of bed. Recurring episodes of depression is a common feature of Bipolar Disorder.

Ego strength.

Borderline Personality Disorder is pain based. Many borderlines were abused, neglected or deserted. They are needy in relationships but always distrustful that the person they are with will leave them.  Borderline may threaten to kill themselves if you leave them.

Bipolar people mostly don’t care what you think of them, at least not when they are manic. They know they are smarter than Einstein and better looking. They believe they can work miracles. This overvaluation of themselves and their abilities gets them in trouble a lot. The take excessive risks not because they want to hurt themselves like the borderline but because they really believe they will win.

Borderlines are anxious, Bipolar people could care less. Let this one leave and they will find another.

Sex.

People with Bipolar Disorder are often hypersexual. They can’t seem to get enough. This will lead to sexual indiscretions that ruin their established relationships. When manic they just can’t seem to stop themselves. When you’re manic the whole world looks good.

Borderlines are rarely secure in a relationship, fearful that if this partner leaves them, that confirms their fear, they don’t deserve a partner. They will stick with a partner, often an unworthy one, because they fear that if they were to break up they just could not take it.

Who loves their disease?

Someone with Bipolar disorder resembles a Vegas Gambler when they are on a winning streak they want to ride it forever. When the crash they hate themselves and can’t face the wreckage they have created. Bipolar people like being manic. They frequently quit taking their meds just so they can feel manic again. Mania is seductive like a new lover, but one who keeps treating you wrong. Still, you want to recapture that allure.

Borderlines are more like characters from a soap opera, bad stuff keeps happening to them and they wish the pain would end. They live in a world of pain and hurt. They wish they could find a way to get things to change. They are often angry and feel others don’t treat them right. Frequently they are correct. They have been mistreated by someone somewhere and they keep trying to find a way to make it right, to make the pain go away.

Do they ever not have symptoms? – Character structure.

Someone who has Bipolar disorder has a “Mood disorder.” They have specific times (Periods) when they have mania or Depression but at other times they have no mood symptoms. These times of apparent “normal” behavior may last for months or years and then something kicks off another episode of mania or depression.

Someone with Borderline Personality Disorder has a “Personality Disorder.” The presumption here is that they learned to be this way and are like this most of the time. They learned to protect themselves, store their anger, and release it in bursts and other survival techniques. The trouble is that the way they handle emotion makes them and those around them miserable.

The younger you were when you learned basic ways of being with others the harder it is to change. Most people with Borderline Personality Disorder continue to have some symptoms even after treatment, though with good care they can and do get much better.

Please check out my other posts on Bipolar disorder and Borderline personality disorder the list of categories is to the right.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Career setbacks and unemployment are top men’s issues

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

Filling out a job application

Job application.
Photo courtesy of Pixabay.com

Being out of work can bring a man to his knees.

Lots of men have had to face the harsh reality that they are no longer the “great provider” they thought they would be.

Among all the issues that bring men to counseling being out of work and unable to provide for their family in the way they are used to providing tops the list.

For more on other men’s issues see the post Top 10 Men’s Issues here on counselorssoapbox.com

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

Does Depression go away suddenly if you have Bipolar Disorder?

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

Person with masks

Bipolar.
Photo courtesy of Pixabay.com

Can people with Bipolar Disorder have a sudden remission of their depression?

Morning Question #23

YES, YES, and More YES. It is common for people with Bipolar Disorder to rebound suddenly from a depressive episode. Taking antidepressants can cause that. So can a lack of sleep. Most likely these sudden recoveries for depression will not take you to “normal” whatever that is. They propel the bipolar person into Mania or at least Hypomania. I suspect that lots of other things can cause that leap from depression.

For more on Bipolar Cyclothymia, Mania or Hyperthymic personality see the categories to the right or check out the blog post – List of Bipolar related posts.  

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 Cyclothymia?

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

Person with masks

Bipolar.
Photo courtesy of Pixabay.com

Cyclothymia, Bipolar, and Substance Abuse.

Cyclothymia is generally seen as a milder, subclinical form of Bipolar disorder. If it is the milder form we would expect to see a lot more Cyclothymia than Bipolar disorder. We don’t. So why and what is Cyclothymia?

A person with Cyclothymia is considered to be “temperamental, moody, unpredictable inconsistent and unreliable” (DSM-4-TR.) Cyclothymia seems to also be related to or overlaps Borderline personality disorder. Genetic risk factors, as well as environment and learning, may all play a role in creating Cyclothymia.

Cyclothymia, per the DSM, is a disorder characterized by chronic mood swings that do not meet the criteria for Bipolar disorder. Most mental illnesses require that the person, in order to get the disorder must experience a specific number of symptoms from a list of symptoms.

To be Bipolar I disorder you must have had a manic episode. For Bipolar Two, there must be a hypomanic (near manic) episode. That means that the person in addition to having an episode of elevated mood for at least 4 days must also have 4 of 7 listed symptoms. What if they only have three symptoms or if they have five “almost” symptoms. The way we count symptoms and who does the counting makes a lot of difference.

Cyclothymia waves the 4-day rule but requires that the mood swings go on over at least two years. (We make that one year in children.)  So for over two years, the person needs to keep having episodes of depression and episodes of almost hypomania but never reaching the full criteria for depressive or hypomanic episodes.

My experience says that no diagnosis, no treatment, unless you have the money to pay and the motivation to push, like having an overly moody child. So rather than wait the whole year for a child or two years for an adult before treatment is begun, people with these almost hypomanic therefore almost Bipolar diagnoses end up with the label Bipolar NOS or Mood Disorder NOS.

The statistics seem to bear that out. Estimates of the prevalence of Cyclothymia run from 4 to 6 people per 10,000. Bipolar One and Two are in the range of 50 to 150 people per 10,000. Meaning that Cyclothymia despite being thought of as mild Bipolar is much rarer. Mostly Cyclothymia gets diagnosed in people who have suffered for a long time – the full two years before something happened that sent them to treatment.

The criteria say someone with Cyclothymia should be experiencing “almost” depression, mania, or hypomania most of the time over those two years. Those episodes should all be just short of the Bipolar or Major Depressive disorder diagnosis but should cause a lot of distress. There also cannot ever be two months when you don’t have mood swings or we don’t think you meet the criteria for Cyclothymia.

To be Cyclothymia you should never have had any psychosis, which includes both hallucinations and severe delusional symptoms. And these symptoms can’t be the result of a medical condition.

Medications and Drugs can cause this.

It is not just street drugs but medications, prescribed and over the counter medications, that can cause Hypomania. Failure to sleep has been reported to cause hypomania and some overlooked products can cause the lack of sleep that induces mania.

Stimulants can interfere with sleep and that includes most of the medications for ADHD. But there is a bigger worry in children.

I feel certain I have seen sleep disruptions and resulting mood disturbances in kids who take in excessive caffeine. Energy drinks are a problem in teens but the little ones, the preschoolers and the early-grade student are also at risk.

Most sodas contain not just obesity causing sugar but massive amounts (relative to body weight) of caffeine. That huge amount of caffeine per pound of bodyweight causes sleep disruption and sleep disturbances which may be causing mood swings and even inducing Bipolar disorder.

The DSM-5 will tighten up the exclusion for any Drug or medication-induced hypomania.

Environmental and learned factors

Some of these symptoms, the swings between depression and hypomania look a lot like what we see in children from abusive, neglectful, or deprived backgrounds. Adult children of Alcoholics report that one time they would do something and be praised or rewarded for a behavior, the next time they might get hit.

An inconsistent environment would encourage you to be depressed and anxious at times and when it was safe to possibly go overboard at seeking pleasure. So being sort of hypomanic could be adaptive in a dysfunctional environment.

Cognitive Behavioral therapy has been reported as effective in treating people diagnosed with Cyclothymia. This suggests to me that some of these symptoms are learned and that there are core beliefs or schemas supporting this fluctuating mood way-of-being.

There are a host of other factors that influence the expression of Cyclothymia. Sleep changes can trigger changes in mood but so can changes in eating. Social support systems and the level of stress all contribute to mood swings.

Studies of Cyclothymia have the same defects as studies of other mood and anxiety disorders. People who act out and get arrested don’t get included in studies. Neither do people with drug or alcohol problems or those who are suicidal. Psychosis and delusions also get you kicked out of research. So those most likely to really be impaired by Cyclothymia are most likely to be excluded.

Information on Bipolar, Hyperthymia, Cyclothymia, Depression, and Other Mood disorders is scattered through this blog and I will continue to add to those posts. Check the categories list to the right. To make Bipolar Family posts easier to find there soon will be a separate post devoted to links on this blog and other places on the subjects of mood disorders.

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

Bipolar, Mania, Cyclothymic and Hyperthymic Posts

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

Person with masks

Bipolar.
Photo courtesy of Pixabay.com

Bipolar, Mania, Cyclothymic, and Hyperthymic Posts.

Here is the most recently updated list of posts and links on Bipolar Disorders and related conditions.

1. What is Mania?

2. Do medications or drugs cause mania or Bipolar disorder?

 3. What is Mania or a Manic Episode?

4. You Know You’re Manic When

5. Lady Diana, Bipolar, and Borderline Personality Disorder

6. Is everyone Bipolar?

7. Does an adjustment disorder produce depression & mania?

8. Tests for mental illness

9. Hyperthymia, Hyperthymic Personality Disorder and  Bipolar Disorder

10. Bipolar Disorder, Alcoholism, and Addiction 

11. Scared or Excited?

12. More depression these days?

13. Bipolar or Major Depression?

14. Bipolar – misdiagnosed or missing diagnosis?

15. Am I Bipolar?

16. Bipolar doesn’t mean moody

17. What is Cyclothymia?

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