Tag Archives: emotions feelings

Why counseling does not take.

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

Therapy

Therapy.
Photo courtesy of Pixabay.com

4 Reasons counseling does not work for you.

You go for counseling and while you are there in the counseling room everything seems better. You know what you need to do. You are ready for a change. Only over the next few days the vision of recovery you had in that counseling room fades and the things you thought you understood all get lost.

Why can’t you hold onto what happened in the counseling room when you get back to that real life?

Personally, I am skeptical of counseling that goes on for years with nothing changing. How long the process of change will take you depends on where you started your journey and how far you need to go to reach your recovery.

If you are not making the progress you think you should be making, discuss this with your counselor. I learned early on that it is not exclusively what happens in the therapy hour that helps clients but what they are doing to practice these new life skills in the other 167 hours each week that they are not in therapy.

As a cognitively oriented therapist, I like to suggest practice sessions, a form of homework, which clients need to do each week between sessions so that when we meet again we can talk about how to improve their recovery not just go over the same ideas again.

Here are some reasons that your work in the therapy session may not be transferring to the out of therapy world.

1. You can’t learn to swim in the classroom.

A long time ago the preferred method of teaching swimming and scuba diving was to show lots of classroom movies and have slide shows and demonstrations of how to swim and how to put on your scuba gear underwater.

What the trainers quickly discovered was that what people learned in the classroom did not translate well into the water.

The best way to learn is under real-life conditions. So if you get your instruction on swimming in the pool each thing you do is quickly reinforced.

Lots of cognitive therapy is about learning life skills and perfecting those skills takes practice. I encourage clients to come to the session and talk about the times they tried to use their new skills outside my office and how that worked out for them.

In some situations, therapists have needed to go out into the field and help the client walk through the new life skill under real conditions.

So whatever you are trying to change about yourself practice between therapy sessions and then discuss the results the next time. Do not leave the lesson in the office.

2. Insight does not change you.

Many people come to counseling wanting to know why they are doing things. I can’t fault you for wanting to learn all you can about yourself. Getting to know you is a lifelong adventure.

The fallacy in this approach is that having once come to understand your inner workings you may still keep doing the things the same way you always did.

Several stories about this topic come from the realm of substance abuse. More than one alcoholic has gone for psychoanalysis, sometimes or a long period of time and at a great cost, when their therapy concluded the client was sure that now, understanding their inner workings, they would never drink again. Within days that person was drinking to intoxication again.

Overheard in a bar; one patron was telling the other that they were an alcoholic, the second patron replied, me too. So they sat for a while and discussed why they both were alcoholics.

The conversation concluded, they both ordered another round.

Insight by itself does not result in change. Change takes more than insight. It takes motivation. It takes practice and once those changes have been made change takes maintenance.

3. Venting does not help if you keep filling up the negative emotions.

People like to think that getting it all out will rid them of negative emotions. We used to try this with couples who were having excessive arguments. The couple would yell and scream at each other in the session. Some therapists even had the couple hit each other with foam rubber bats.

The result of this venting was not a reduction in anger. The “venting session” resulted in couples who went home and then hit each other with real bats.

Venting can function as a rehearsal. The more you vent the more you become quickly triggered by anger, depression, or cravings for drugs and alcohol.

4. You never talk about what is really bothering you.

The best predictor of successful therapy is your belief that this person you are talking to can help you. If you do not feel comfortable and really open up then the big stuff that you are holding back will never get taken care of.

One recovery saying is that you are only as sick as your secrets. This is especially true in therapy if you do not feel safe to open up and talk about what is ailing you. If you are not sure what secrets your therapist will tell and what they will keep secret, look back at some of the past posts on this topic or ask your therapist to explain confidentiality to you.

If you are in therapy now or have been to therapy and you did not feel it was helpful these are some of the reasons it may not have “taken” there may be other very personal reasons also. Make sure you tell your current counselor about those past efforts and especially tell them any reasons you felt it was not helpful to you.

An informed therapy client gets more benefit out of counseling.

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

6 Ways to Banish Loneliness.

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

Lonely person

Loneliness.
Photo courtesy of Pixabay.com

Ending Loneliness.

In a past post, we talked about Loneliness first-aid – ways to keep that creature from moving into your life. But if you find that Mr. Loneliness has been a longtime guest in your life – How do you get him to move out?

Here are some ways to Banish Loneliness from your life. Breaking up, when you are in a bad relationship is hard to do. The person who is causing you so much pain will resist leaving. Loneliness is sneaky that way. You send him packing out the front door and you might find him climbing in the window later that night.

Here are ways to get through to loneliness that he is not welcome in your life anymore.

1. Become your own best friend.

Remember back to elementary school. If you had a best friend they did not like it if you started hanging out with someone else. Mr. Loneliness is like that. He never grew up. So if you start hanging out with a good friend he will not want to hang out with your anymore.

What better friend to be with than yourself.

This is hard for some folks. They tell me they have low self-esteem. They are not sure they like themselves and they would not want themselves from a best friend.

This lays out a clear roadmap to becoming happier. Make friends with you.

Get to really know yourself and like yourself. Stop beating yourself up. If no one ever gave you credit for things well done, learn to take a bow when you did something right.

Accept yourself and forgive yourself. Become the model of a best friend and start by becoming your own best friend.

It is hard for other people to like to be with us if we do not like ourselves.

2. Reconnect with old friends.

Loneliness wants you to forget about people who have been supportive and rely only on him. Look through your phone list and call someone. Call someone or email them every day. Chances are that since you stopped staying in contact with that old friend loneliness has been hanging around their door also.

3. Make some new same-sex friends.

When people are lonely the first suggestion loneliness makes is to find a new lover. Loneliness knows that the high of a new love feeling will only last a short while. Sex with a new partner can leave you alone sleeping with Mister Loneliness faster than anything else.

The loneliest time for most people is after a close relationship ends.

So if you want to avoid the new sexual partner trap Mister Loneliness has set for you, make new friends who are the same gender as you. That takes the mating ritual stuff out of the picture for most people.

If you are gay or lesbian, forget what I just said and work on making more friends of the opposite sex. The idea here is to develop social connections that can chase off Mr. Loneliness without falling into the new relationship trap.

Those hormones in the brain love releases last 6 to 18 months. If you haven’t learned how to be happy without your partner there all the time, then as that new love turns into an everyday routine you will start dating Mr. Loneliness again.

4. Get out there.

You need to get out of the house and do things. Nothing makes you and Mr. Loneliness closer than you isolating from other human contacts.

Now by “get out there,” do not think you need to hit the clubs and bars. That is a good way to run into Mister Loneliness again. He likes to dress up as an alcoholic or an addict. The man who looks like Mister Right probably has some drug habits and a few ex’s, baby’s mommas, and the like.

What you need to do is get out there around other happy positive people.  If you have an interest in a sport, join a team or league. If you like reading, join a book club. If you have a religious or spiritual faith, get active in that group.

5. Learn friend-making skills.

Learning to make friends is a skill, not an ability. Some people just seem naturally better at making friends but a few of those naturals have confided in me about the process they went through to get good at making friends. Watch those people who are good at making friends and see how they do it.

Do not start telling yourself that you could never do what they do. Maybe not exactly what they do in their way. You are you after all. But you can pick up a few pointers by watching the popular people.

Ask one of them how they do it and you may get a helping hand you never expected.

When in a new place learn to put your hand out and introduce yourself. Ask about others and wait to be asked about yourself. Do not regurgitate your whole life story but offer up small tidbits to keep the conversation moving.

Keep telling yourself you can get better at making and keeping friends.

5. Learn the skills to be alone but not lonely.

Being all alone should not mean being lonely. If you have done the work on yourself, become your own best friend learned the things you like, and the things that are not ok with you, then being alone some of the time should be a good thing.

6. Take yourself on a date.

Do nice things for yourself. Go to places you like to visit. Try out new foods and new positive experiences.

Where would you take a tourist who was visiting your town for the first time? Many people have never seen the top tourist spots in their own city. Take yourself there. If you really like the place invite a friend to go back with you.

Ask people you know for recommendations of places to visit. If they come up with suggestions ask them if they have ever been there and either way, ask them if they would care to join you. If they say no do not take this as a rejection of you. We all have busy lives these days and sometimes people are just not available to go places and do things when you might invite them.

Those are six ways to get Mr. Loneliness out of your life. There are many more. Have you found any that work for you?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Will walking make you smarter?

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

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

Walking.
Photo courtesy of Pixabay.com

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

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

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

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

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

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

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

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

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

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

7 Dos and Don’ts of loneliness first aid.

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

Lonely person

Loneliness.
Photo courtesy of Pixabay.com

The do’s and don’ts of loneliness.

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

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

1. Do practice thought-stopping.

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

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

2. Do reach out to people who are supportive.

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

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

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

Know who will support you and in what ways.

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

3. Do pull out your gratitude list.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Drug kills your mental health before it kills your body.

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

Full ashtray

Smoking cigarettes.
Photo courtesy of Pixabay.com

Nicotine  – The killer drug.

Of all the drugs out there, legal or illegal one drug alone accounts for the bulk of the drug-related deaths each year. That drug is Nicotine and the predominant ways it gets into your body is by smoking or second-hand smoke.

We have known for 50 years or more that Tobacco and smoking were harmful to our physical health but we are only now seeing the extent of the connection between smoking and other societal problems such as mental illness and homelessness.

For every one person that dies of an illegal drug Nicotine kills 200 people. That is not an argument for legalizing other drugs. We have seen highly publicized drug deaths recently from illegal drugs. Heroin and prescribed Opiates can kill quickly and with alcohol in the bloodstream the overdose death rate sores.

Deaths from tobacco happen far more slowly. There is a gradual progression of a variety of diseases before the final death.

What we have been overlooking in all of this is the significant connection between mental illness, other drug addiction, and smoking. Mental health treatment providers have been slow to recognize the connection and slower yet to attempt any form of smoking cessation treatment with the mentally ill clients.

While in withdrawal from Nicotine clients can become agitated, restless, and harder to manage. Providers have suggested that they needed to work on the “bigger” issues of drug withdrawal, alcoholism, depression, and other mental disorders.

What has been missing from this approach is a clear view of the ways in which Nicotine may be causing and maintaining a mental illness.

Research studies have suggested that between 44% and 50% of all the cigarettes consumed in America are smoked by those with a mental, emotional, or behavioral health diagnosis (a DSM diagnosable condition.)  Researchers have detailed the efforts of the Tobacco companies to market to the mentally ill (Prochaska, Hall, & Bero, 2008; Lasser et al., 2000; Apollonio & Malone, 2005, cited in Wigand, 2009.)

One consequence of the heavy smoking by the mentally ill is that they commonly live twenty years less than those without a long-term mental illness.

Despite the apparent connection between Nicotine and the creation and maintenance of mental illness most providers have been reluctant to include smoking cessation in their programs.

This connection between smoking and mental health issues is particularly problematic among women. Jessup Et al. on their study of women smokers reported “Smokers had significantly higher rates of Post Traumatic Stress Disorder (PTSD), past year depression and anxiety, suicidality, past year substance abuse, and co-occurring disorders.

Jessup further reports that women who smoke two packs per day are more than twice as likely to suffer from Major Depression. Those with Post Traumatic Stress Disorder were 4-5 times more likely to be heavy smokers. In this study, smoking women were much more likely to be unemployed than nonsmokers and even if they lived with a partner the smokers were more likely to not have enough money to meet their basic needs.

The connection between smoking, drug, and alcohol use disorders, and mental illness has been reported in study after study.

Those disorders that seem to be highly correlated include substance use disorders, PTSD, Depression, Anxiety disorders, and Psychosis. There have been some suggestions that smoking has helped those with serious mental illness manage their symptoms, even though this is at the cost of a shortened lifespan. The research seems to report that smokers report more, not fewer, symptoms of mental illness. The “smoking solution” is making symptoms worse, not better.

This connection between smoking, mental illness, and a substance use disorder also resulted in increased rates of unemployment, no medical insurance, and a high need for treatment. Those at the highest need of physical health services were the least likely to be receiving those services other than through free programs or hospital emergency rooms.

Studies have also reported that smokers are twice as likely to have had recent thoughts of suicide as non-smokers.

One difficulty with adding smoking cessation treatment to substance abuse, mental health, and co-occurring treatment programs is that the majority of people in treatment are in the stage of change we call “precontemplative” meaning they had not even thought about quitting. For this group, the most effective intervention may be education about the connection between smoking and their other co-occurring issues.

We are hopeful that the expansion of health care will result in more services for those who have co-occurring disorders and that smoking cessation treatment may be included in those services.

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

10 Rules for recovery after an affair.

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

Emotional Affair

Recovery after an affair.

The common perception is that once the affair is discovered the couple is headed for divorce. The truth is that up to 70% of married couples stay together, for a variety of reasons, after they discover that partner was having an affair.

Among those who do divorce, many will later regret making that first impulsive decision.

Your family and friends may be telling you to kick him, or increasingly her, to the curb. But should you call it quits? What does it take to recover from an affair? How can marriage counseling play a role in mending the pain?

1. Don’t make sudden decisions when you discover an affair.

Give both of you time to think it through. You have a lot of time and emotions invested in this relationship. You owe it to yourself to see if it can be repaired before you junk it.

2. Both of you need to process how the affair affected you.

Both partners in the relationship may need therapy to work through their feelings about the affair, their relationship, and how it reached this point.

Therapists recommend that the non-affair partner write a letter to the affair partner telling them how they feel and how this has affected them. This is the kind of letter you need to write but do not need to send. Process these feelings first in your own therapy. Eventually, you may be able to read this to your relationship partner and help them to understand how this has affected you.

3. You need to create empathy for the non-affair partner.

Many people who have had affairs have very little understanding of how this has affected their partner. They will say in counseling that they have ended the relationship and that should solve the problems. Having them listen to the non-affair partner talk about how they were hurt by the affair and what feelings this created in that person can increase empathy and understanding.

4. Avoid staying together after the affair and ending up living two separate lives.

Some couples arrive at this point as a result of unspoken feelings. They will stay together for the children, for the economic needs, or because of the problems of splitting assets. What they don’t plan on is having an emotionally close relationship ever again. Most of these efforts fail as the two people involve find that they are living a life devoid of love and affection.

Even if the couple plans to try to make this relationship work, avoiding having those tough talks about their plans goals and future may result in a relationship that feels like to unrelated people living in the same house.

5. Rebuilding trust after an affair is a long hard process.

The most devastating part of finding out your partner had an affair is the feeling of betrayal of your trust. It takes a long time and lots of effort to rebuild that trust. You need to let each other into both your lives and make sure neither is hiding anything. Do not tell your partner you are going to get gas for the car and then turn up several hours later with leftover takeout food. If you plan on several stops tell your partner if plans change, call them and let them know, or stick to the plan and make a second trip some other time.

6. Do not use counseling or therapy as a way to get even with your partner.

Trying to use marriage counseling as a way to get even with the affair partner makes things worse. No amount of beating them up will erase what happened and it will result in fresh wounds that may never heal.

7. Give the non-affair partner all the information they need but no more.

Many partners want to know every detail, what did you two do in and out of bed. It is important to stop keeping secrets but beware of giving more details that requested. Non-affair partners can suffer from symptoms similar to Post Traumatic Stress Disorder. After hearing about sexual activity between the partner and the affair partner the non-affair partner can experience intrusive thoughts. They may imagine graphic images of their partner engaged in sexual activity with another person.

8. Make post affair counseling a repair effort.

Give the partner that had the affair a chance to show their intentions. Do they do small things to make it right but quickly slip back into old behaviors? Let them know that you hope for and expect the best but they will need to prove their desire to change and make it right by making visible changes in their behavior.

9. Get extra honest with each other to rebuild trust.

Affairs are about the fights you never had. If there are problems in the relationship talk them through. Work on expressing your feelings, being careful to ask to have your needs met rather than run your partner down. “I feel disrespect when you do not help clean up after dinner.” Not “You are such a pig!” You never clean up after yourself!”

One key characteristic of affairs is the need to keep secrets. The non-affair partner sometimes feels then may have contributed to the affair by not asking what the other person was doing and feeling. Some people who have had affairs tell me that they felt they had a sort of permission to have the affair a “don’t ask don’t tell” code.

Couples may need to have a lot of those talks about sex and relationships they did not have before they entered this relationship. Women frequently have a different definition of an affair than a man will. She thinks that flirting and emotional closeness with another woman is cheating. He may think that anything short of intercourse is OK. That attitude and some alcohol have led to a lot of one night stands.

10. Avoid the problematic use of drugs and alcohol.

Drugs and alcohol lower inhibitions. People with an untreated substance use disorder are at increased risk to engage in affair behavior. Drinking and using places encourage sexual activity. People who abuse alcohol and drugs may accept those kinds of behavior as a part of the “Partying” lifestyle.

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

Grieving bad relationships?

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

Grieving a bad relationship.
Photo courtesy of Pixabay.com

Do you grieve over the end of a bad relationship?

When a relationship ends we all grieve, each in our own way. Grieving is a process and that process can be different for each person. It makes sense to grieve over the loss of someone we love, but many people find themselves going through a period of grief at the end of a bad relationship, and the stages of grief they go through can be a lot like the process for the loss of a loving relationship.

This has occurred not once or a few times in my clinical practice. If it was one person I would not be telling this story out of respect for their confidentiality. But this has happened frequently in the lives of people I see and it is reported in the research on ending relationships.

Bad relationships happen in the romantic area and they happen in our families of origin. There is pain from that unfulfilling relationship whether it involved an unloving or abusive parent or a romance gone bad.

New relationships often start with huge hopes and expectations. A large number do not live up to those expectations. We invest a piece of our heart in every intimate relationship we have ever been in.

Couples get together, with or without the benefit of marriage. They expect this relationship to make them happy. Then the reality sets in they are not happy in this relationship. Many times they find they are miserable.

There may be abuse, addiction, domestic violence, and arguments. In the course of those conflicts, people say things to each other that they can never take back. The relationship hurts.

Ending the relationship does not end the pain.

You may have grown up in an unloving home. The parent was addicted, abusive or just unable to provide the affection you wanted and needed. Depressed parents, parents with their own mental or emotional issues may not be able to give those things they do not have themselves. The cycle of emotional unavailability can pass down through generations.

Children who were abused by parents, placed in foster care to protect them, still may miss that parent.   More than one of these youth, upon reaching adulthood will leave the foster care system to return to the family that abused them.

What they miss is not the reality of unloving parents but the loss of that dream that someday somehow they will be reconciled to those parents and find love.

Couples often grieve not for the loss of the relationship that never was good but for the loss of that dream that in this relationship they might find the loving other that would make them happy.

What many find out is that this other can never make them happy, happiness is an inside job. No amount of effort will make some troubled relationships whole. Often times ending a relationship is the best thing for both people involved. Other times they end the relationship and discover that they are still unhappy.

When any relationship ends, good or bad what we most grieve is the loss of potential, the end of the dreams that someday, somehow this relationship will meet our needs. We grieve when we lose a good relationship and we grieve when the troubled ones end.

We grieve mostly at the end of each relationship over the loss of what might have been.

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

Tobacco is the ticket to mental illness and addiction

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

Smoking cigarettes.
Photo courtesy of Pixabay.com

Tobacco and Mental Illness.

Early Cigarette smoking is strongly linked to developing a mental illness or an addiction

The younger you start smoking the riskier it is. In our efforts to teach kids about drugs and addiction we have been neglecting to focus on the one drug that seems to be the ticket to later-life mental illness and addiction.

That drug is nicotine.

Most young people with a drug or alcohol problem began to smoke between the ages of 11 and 13. Early use of alcohol is also a factor. For now, let’s talk about the impact of smoking cigarettes on teen’s development of a mental illness or an addiction.

Among adult smokers, over 80% began smoking in the early teen years.

What has gone unnoticed for so long is the connection between this early smoking, the development of addiction to other drugs, and the development of a mental illness.

Fortuna Et al. reported on a study of adolescents in a residential substance abuse treatment program. You need to have developed a serious problem to get into residential treatment in most places these days. What they found was disturbing.

An occasional smoker, those “social” smokers, can develop a dependency on Nicotine in as little as 4 weeks. Kinney reported in a drug treatment book that after smoking just one cigarette, once they light up that second time, a young person has an 85 % chance of becoming a daily smoker. That is an extremely addictive substance.

Among teen smokers in residential substance abuse treatment, the problems with mental illness were significant. Those with depression and anxiety, both common across the lifespan, they were twice as likely to develop nicotine dependence as those without a mental illness.

People with Bipolar Disorder and or Schizophrenia are three times more likely to be nicotine dependent. Even the rates of smoking among those with ADHD are reported as significantly higher than those with no mental illness diagnosis.

Being the victim of, or being exposed to trauma, domestic violence or other abuse and neglect also correlate with an increase in smoking and nicotine dependency.

It is worth noting that from the design of these studies we can’t be sure of the exact nature of the connection. Does smoking increase the risk of developing a mental illness? It looks likely. It also looks likely that those with a preexisting mental illness are more likely to take up smoking. Either way teen smoking is a whole lot more troubling than anyone recognized in the past.

What Fortune et al. did conclude in their study was that a teen’s cigarette smoking significantly increased the risk of them developing a serious drug or alcohol addiction. They also report that those with co-occurring disorders, addiction, and a mental illness are much more likely to become nicotine dependent if they start smoking.

In this study, the only drug that teens had used first more often than smoking tobacco was smoking marijuana. We have known that route of administration significantly impacts the way the drug affects a user. It seems to me that any drug that is smoked can lead to dependency faster than other routes of administration. Even so, the conclusion that more teens with co-occurring disorders began by smoking marijuana is a concern.

Alcohol use was a close third in the drug that teens who later developed an addiction had used first. This suggests that parent use, societal approval, and ready availability are all factors in teen’s first picking up a drug and then in progressing to a more serious substance use disorder.

Most of this kind of research looks at those who develop problems and then looks back at what route the followed to get to addiction. We can’t be sure what percentage of teens that smoke cigarettes, do marijuana, or drink alcohol will go on to develop a substance use disorder or a mental illness. Still, it seems clear that those who do develop an addiction or a mental illness, most of them started abusing the readily available substance at an early age.

In studies of teens in drug treatment, Fortune et. al especially notes this, smoking is so common, almost every teen is a smoker, it is hard to see the differences between the smokers and the nonsmokers.

Lawrence et. al, looked at the connection between smoking and mental illness in a large sample of youth, not in treatment. Their conclusions were similar. Teens with a mental illness were far more likely to start smoking at an early age, smoke on an everyday basis, and be heavy smokers. They clearly identified a link between teens who smoke and mental illness.

It is important that in addressing teen mental health issues and substance abuse issues we not overlook the role of nicotine and early smoking. We also need to keep an eye out for the emergence of increased marijuana use as the first indicator of a teen mental health issue.

Other research and treatment protocols have looked at the need for a different form of treatment for those whose primary drug of choice was Marijuana and who had self-reported this as being a problem. For more on drug-specific treatment of Marijuana look at the SAMHSA publication on Brief Counseling for Marijuana Dependency (BCMD.) This publication is free.

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

Emotional healing takes several tries

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

Emotional healing.
Photo courtesy of Pixabay.com

Emotional Healing.

Some pain and trauma are just too intense to get past the first time around.

Getting over things is a process. Some things need time to heal. It is hard for others to sit and watch you suffer but sometimes you just need that space to get past it. What you can’t do is pretend it never happened and hope the pain will go away.

People come for counseling and they expect the pain to end right away. It can’t always happen that way. We find that pain, from trauma or grief and loss, takes time, and repeated attempts to get better.

Clients who have suffered a severe loss, someone close to them has died, find it hard to talk about that person at first. In the beginning, it is mostly about the pain of the loss and the tears.

Over time, the process of recovery is like the way you might peel an onion. You strip away an outer layer and then you cry. Then as your tears dry you strip away another layer. Eventually, you reach the core.

In the early stages of grief, all you can feel is the pain. What can happen if you keep working on the process is that with time you can let the pain recede and begin to remember the good things, the treasured memories, you have of that person.

People mean well when they tell you to just get over it but what they often do not understand is that getting over it is a process, not a destination. Some things in life we never get over, not completely, but we can reach a place of peace with what happened.

In counseling, we find that to push the client to talk about things before they are ready can cause more trauma rather than aid healing. Some clients come for a while, go as far as they can, and then go off to live their lives for a while. Some find that they need to return to continue or finish the process. Others have the drive to get the painful part over with as soon as possible. You may find that the pain keeps reminding you that help is needed and you can’t let it go until you finish the project.

Either way, I hope that if you are feeling the pain of a loss, a death, a trauma, a life disappointment, that you will find someone to work with on this issue that helps you move through the pain by leading you along not by forcing you to go faster than you are ready to go.

Therapy should heal the emotions not create new wounds.

If you are only partway along in your healing process, keep moving forward and know that eventually, you can reach a point of finding the meaning in the loss. Not having someone now should not take all those happy memories from you. Having suffered a terrible trauma need not rob you of your future.

The road of recovery can be difficult, but recovery is worth the effort.

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

Who should treat mental illness?

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

Therapist

Therapist.
Photo courtesy of Pixabay.com

Who should treat mental illness, where, and how should it be treated?

The mental health field is changing. A host of events and forces have intersected to influence our feelings on the proper response of society to this thing we are calling mental illness. Lots of things are happening or about to happen in this mental health field.

Here in America, the very ground underneath mental health treatment is moving.

In 1900, here in America, less than 10% of doctors had ever been to college. Until 1914 drugs were legal and you could openly buy them anywhere. As late as 1950 there were no meds to treat mental illness and those who were given a diagnosis could be tucked away first in barns and attics and later in sanitariums.

The talk therapies are just past their hundredth birthday and many people have still never been to see a therapist. Three months ago more Americans were without health care than there were those who had coverage. The few who did have health insurance here in America did not have coverage for mental illness or substance abuse. Treatment of these disorders while improving is still not on an even footing with most physical illnesses.

Less than a year ago the American Psychiatric Association released the new DSM-5 which redefined, reclassified, and altered our understanding of what is and is not a mental, emotional, or behavioral disorder. The new version of the International Classification of Diseases is due out soon which will change the field of treating mental health problems also.

This alteration in the landscape of the treatment of mental disorders is not solely confined to the United States of America. Blog readers and commenters from all over the world are asking similar questions and telling similar stories of their efforts to recover from an emotional or mental problem. They are also telling tales of less than helpful services.

The very mention of mental illness can evoke some pretty strong emotions. Some cultures, religions, and even professions still are denying the existence of such a thing as a Mental Illness.

People leave comments and they send me emails. The comments of every reader of counselorssoapbox.com are valued. Some of them I answer briefly as soon as I can. Others require longer blog posts to give them the space they call for. A few are so angry or personal I have hesitated to approve them.

Some of you have left comments or sent me emails about how we are doing things here in America and how that might differ from the way things are done in other places. I have been having an interesting ongoing conversation with Ellen in the U. K. about how they do things there. I will fill you all in on that discussion as soon as possible.

Let me offer this invitation to all of you out there to share your experiences and how the mental health delivery system works in your part of our planet. I will share my clearly limited perspective from here in Fresno, California, one of the more diverse places in this United States of America. I feel sure the view of the mental health landscape will look a lot different from other points of view.

We should be talking about how we have been treating mental illness, how we should be treating it, and how we get from where we are to where we need to be.

That discussion also implies some understanding of what “mental illness” is and how people develop a mental disorder. What a mental illness is, implies a view of what causes it, how it progresses, how to treat it. The view you take of this phenomenon also influences your view of the possibility it could be cured and if so how.

Knowing what mental illness is and what needs to be done about this leads us to the answer to my first question about who should be treating this problem.

We also have the added problem that no matter how sure we are of causes and treatments we need to know who is going to pay for these efforts. How treatment is delivered is strongly controlled by those who handle the money.

Let’s take a look at some of these questions and together see if we can find some solutions.

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