Did psychology and psychiatry get a divorce- or are they just separated

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

Divorce.
Photo courtesy of Pixabay.com

Why talking about mental health, mental illness and personality are so confusing.

Psychology and mental health treatment started out in a pretty close intimate relationship. Over the years the two disciplines have drifted apart.

Freud and Jung started us on the path to using talk therapy to help people overcome life problems and to treat mental illnesses.

The longer we have been on this path the more the disciplines of psychology and mental health have diverged. Today it seems that they are not even talking as we use very different language to describe the same or similar situations.

One place this results in confusion is when people tell their mental health practitioner about a symptom using psychology terms to describe what they are going through. One definition of Psychology is an academic and applied discipline that involves the scientific study of mental functions and behaviors.

This is quite different from the study of mental illness through the two may at times overlap. Both fields are struggling with finding and measuring mental wellness.

Psychiatry is mostly about diagnosing an illness.

In this way of thinking, you are sick or you are not. Some of this distinction comes from the ongoing division between categorical approaches, you have A or you do not have A, and continuum methods in which you move from mild symptoms to more severe symptoms and at some point, they get severe enough to need treatment.

Psychology talks a lot about how your brain works and how people make decisions. So one group of practitioners gives you one label and another gives you a different one. They aren’t even talking about the same things.

I see things in posts about being an ENTJ or similar designation. This comes from psychology’s effort to classify people’s basic personality. You will not find these designations in the DSM-5 which the mental health community uses to diagnose an illness. This results in some extreme frustration on the part of clients when we say there is nothing wrong with them and they know they are suffering.

An example.

You say you are shy. There is nothing called shyness in the DSM, therefore you are not mentally ill.  You say “but you don’t understand, I am very very shy.” Sorry, that is not a mental illness and your insurance company or the public system will not pay to treat your personality. They also do not pay for personal development or growth experiences. You need to be sick to get treated.

You say but I am so shy I can’t leave my house to work. I am afraid of being around people and I can’t see my friends anymore. My shyness is keeping me a prisoner in my own home. Your clinician says sorry, shy is not a mental illness we can’t treat that.

WAIT A MINUTE – Did you say you can’t leave the house? That could be Agoraphobia. You can’t be around people – could that be Social Phobia? While we can’t treat shy we can treat Agoraphobia or Social anxiety disorders.

See how the difference in terminology can cause problems?

Hyperthymic vs. Bipolar.

This came up in my series of posts on Hyperthymia. In mental health, you have Bipolar I, Bipolar II, Bipolar NOS, or Cyclothymia. Hyperthymia is a personality type, not a mental illness so we don’t treat personality types.  We consider most types of personality as just the way you are. So until it gets severe and we can give you a diagnosis this is not an illness and this is, from our viewpoint not serious.

Personality “Disorders” are whole other creature, again only loosely related to these personality types people learn in psychology classes.

In past posts, I have talked about the research on Hypothermia. Most of this is academic research and they see hypothermia as on a continuum. You could have varying levels of Hyperthymia. Some Hyperthymia is severe and needs treatment in their book. But since it is not in the DSM we therapists types look at this as one of those “just how you are” things. We don’t treat it until it gets severe enough to be reclassified as a disorder on the Bipolar spectrum. Once we call it something else it gets treated.

In upcoming posts, I want to talk about Delusions. For mental health practitioners delusions are symptoms of a relatively few mental illnesses. For the psychology researchers there are delusions and delusion-like experiences and so on. Since we have varying definitions and criteria this material may take a little translating. Hence I have tried to explain in this post why the various sorts of similar professions may not agree about what the research says and means.

Until next time stay happy or on your path to happiness and let’s see where this adventure we call recovery may take us.

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

Happy Happy Day

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

Happy faces

Happiness.
Photo courtesy of Pixabay.com

Happy Happy Day.

This day should especially be devoted to being happy. My longtime readers know that the basic premise of my blog has been that despite the challenges of mental illness and substance abuse, sometimes both, it is possible to recover and to have a happy life.

It is not my intention to take sides in any particular religious disagreement, but many of you, of the Christian persuasion, are today celebrating Easter Sunday. This day is particularly different from other holidays on our calendar.

This day is connected to the lunar calendar and to the older Jewish tradition of celebrating Passover. The result is that rather than falling on the same date each year it can move about the calendar dramatically. It is also celebrated on different dates depending on your particular religious tradition.

Some writers also connect this day with older pre-Christian (pagan) celebrations. In this year of 2013, the Spring or March equinox falls on 3/20 followed by the March Solstice on March 21. It is said that in ancient times our forbearers celebrated the point in the spring when the days became longer than the nights and there was ample evidence that the sun was not deserting us. This time period reaffirms the continuance of life here on planet earth.

The use of the term March Equinox has begun to be used more commonly to avoid or reduce our all too common northern hemisphere biases.

Whatever your tradition or beliefs this time period is a chance to celebrate one more transition in our planet’s life cycle as we move in the northern hemisphere to more hours of daylight, from the long periods of darkness.

Those of you south of the equator, you are now moving into winter and an increase in the nighttime. Get plenty of rest.

However, you chose to interpret this day it remains a confirmation of the continued life here on our planet. The cycles of our seasons continue and so do the cycles of our lives.

Today is a good day to savor what has been positive in our lives and to plan for a more positive next cycle in our existence.

So here is wishing you a happy whatever this day means to you. For those of you who take no special note of this day may I make a suggestion to spend some time at this point in the change of season’s reflecting on what your higher power means to you? Consider also how you will move yourself towards happiness and help move our planet as a whole to the place where all people are able to continue their pursuit of happiness.

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

counselorssoapbox.com most read posts – March 2013

Counselorssoapbox.com

counselorssoapbox.com most-read posts March 2013

By David Joel Miller.

Here are the most-read posts here at counselorssoapbox.com  for the month of March 2013.

How much should you tell a therapist? 

Is nicotine a stimulant or a depressant?

What is the difference between Depression and Major Depressive Disorder?

Do people really forget what happened when drinking? – Blackouts

Levels or types of Borderline Personality Disorder  

Which border is Borderline Intellectual Functioning on?    

Why can’t we forget the painful past?

Do therapists have to report a crime?

6 ways to recover from Complex Trauma or Complex PTSD   

Are you Hyperthymic?

Thanks to all of you who have read a post, become a follower, and especially an extra helping of thanks to those who have left a like or comment.

Thanks again.

David Joel Miller

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Do the mentally ill go to jail? Should they?

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

To the mentally ill go to jail?
Picture courtesy of Pixabay

Why do so many mentally ill people end up in jail?

Mentally ill people are not supposed to end up in jail simply because they are mentally ill. Unfortunately, our jails and prisons are clogging up with the mentally ill because our systems can’t always find appropriate housing and treatment options.

At this point, I need to point out that we are finding more and more that there are NOT two distinct groups – the mentally ill and the “Normal People.”  People with mental illness can have episodes where they get better or worse. Some mentally ill do recovery. There are also a lot of people who look normal for most of their life and then something happens that they can’t cope with and they find themselves in the mentally ill group.

The person who finds out their partner is cheating may “flip out.” And show up at that worksite with a gun. Before they found out about the affair they were apparently normal people but once they start shooting up the workplace they get reclassified as “mentally ill.” In that respect, people with long-term mental illnesses get a bad rap. The chronically mentally ill are more likely to be victimized than to attack others. They are also way more likely to get murdered than to kill anyone.

There are three principal reasons that law enforcement comes in contact with the mentally ill.

1. The person is thinking of harming themselves or they are so disabled they can’t care for themselves.

While completing suicide is illegal in most places, the person who has tried to kill themselves really does not belong in jail.

Most places have a system called involuntary commitment that allows this person to be placed in a mental hospital BRIEFLY for observation and treatment. Unfortunately, once they stop wanting to kill themselves they get released. We can offer services but it is difficult to impossible to make that person stay in treatment for any length of time.

Additionally, in far too many places there is a shortage of resources for these people and often waiting times to access services.

Just because the person is suicidal does not make this an easy situation for first responders. The suicidal person may harm a bystander in their efforts to end their life, especially if authorities try to stop this attempt. There is also the risk that they will threaten law enforcement, resulting in the increasingly more common “suicide-by-cop.”

2. They are doing something illegal or causing someone a problem.

Police encounter the mentally ill in all sorts of situations. They try to sleep in people’s yards and use their water. Unfortunately, there are a whole lot of mentally ill that have ended up homeless. Add together the distortions in thinking that come from their disorder and the life skills homeless people need to develop to get by and they come into conflict with authority a lot.

When the mentally ill get too loud, don’t move along when told to do so, or act hostile and scare someone, the police get called. Usually, after a confrontation, the only alternative is to take them in.

Even if the police would prefer to not keep this person many communities just have no other place to house them. So minor lawbreakers, vagrants, petty shoplifters, and the like, with mental illnesses, end up in jail for a period of time.

Sheriffs from two of our larger American cities have been quoted recently as saying they are now the largest residential housing facility for the mentally ill in their state. There just is no place to put many of these folks.

3. They are under the influence of drugs and alcohol.

Anyone who does drugs and alcohol to excess can have a problem. The mentally ill are at high risk to abuse substances. In our American culture, those without a diagnosed mental illness are also at high risk to abuse substances.

There is a huge overlap between mental illness and substance abuse. Some mentally ill use alcohol or drugs to mask their symptoms while others started out drinking and drugging and now have developed symptoms of a mental health disorder as a result of their substance abuse.

It is also worth noting that a whole lot of people are in jail for drug and alcohol-related offenses. Those who are fortunate enough to end up in rehab programs are often found to have a mental or emotional disorder.

Incarcerating people in jails has not been working to reduce either mental illness or substance abuse. More treatment options are desperately needed.

Shockingly the most common response from the politicians and the general public is to get tough on all these people and lock them up. The proponents of more incarceration hold that view until they or someone in their family ends up in jail or prison and then they ask why there were not more treatment options available earlier.

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

Running out of gas, when your self-improvement program stalls.

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

Have you run out of fuel?
Photo courtesy of Pixabay.com

Has your self-improvement plan run out of gas?

We see this in all the creative professions. Writers complain about writer’s block. Artists run out of creative ideas. Businesses become stale and stagnate. Why is it so hard to stay creative, to keep making progress on your recovery? What can you do about those out of gas episodes?

As a counselor, I see a similar phenomenon. The client who is making lots of progress and then suddenly after one particularly great session they return and this subsequent session seems to go nowhere. What happened to the resolve to change?

We have different words to use to describe these occurrences but the common thread is that after a period of successful activity there is a period of needing to rest, relax, and recharge your batteries. One thing we learn in mindfulness is that you can’t fix a car when it is being driven at 65. The creative mind needs some time of rest if the creativity is going to keep coming.

Sometimes when we open up and reveal the true us, in counseling or in relationships, we fear we have gone too far in changing, gotten ahead of where we are comfortable and we need to pull back and reevaluate.

The client who has breakthroughs, who achieves insight, sometimes feels they have overdone, over shared, and the next time they are in the office they retreat to a safer, less involved place. The challenge is to not let this pullback, this need to recharge, become an end to our efforts to make things better.

How, if you are making significant progress on an issue do you sustain that effort? What keeps this uncomfortable place from becoming a place of permanently stuck?

How does the creative person recharge their batteries and pick up the process without long periods of being unproductive? Most writers have had episodes of writer’s block but if those episodes last too long then you stop being a writer. The writer writes, the creative business person conducts business and the parent needs to keep on parenting even when they run out of answers.

One reason that your productivity declines after a period of accomplishment are that your interest in the project or the field has decreased. We see this in college majors frequently. The first year and into the second the student wants to learn all they can. By the last year, they just want to get done and get a job. Somewhere along the way, for many of us, the passion ends long before the relationship.

A novelist starts out wanting to tell the story. Partway through the story, the essential ingredients are all down on paper, the plot the characters, and so on. From then and there the author knows how the characters will respond to events, the outcome becomes more predictable. The writer’s problem is to maintain the level of interest in what will happen and in telling the stories of his characters that he had at the beginning.

This same phenomenon happens to businesses. They grow and expand in the early stages and then the owners, having put in all that effort begin to lose interest, the fire of desire has gone out and the new innovative ideas stop flowing. Recharging brains helps but relighting the fires of interest is what is really needed.

We know that good relationships, romantic, parental, or relationships with self, do not just happen. To keep that relationship alive you need to invest some time and effort in maintaining those relationships.

What we all need to learn to do is to spend some time maintaining that one relationship that will last a lifetime, our relationship with ourselves.

What have you done recently to put the fun back into your life? How will you choose to take care of yourself? What specific actions will you take to maintain your relationship with your partner and with your children? How will you find ways to make that job you do, that career or business you own, fun again.

To put that creative spark back in all you do you first need to put the excitement back into what you are doing and how that will get done.

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 sure are you about that goal?

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

Hitting a target

Goal.
Photo courtesy of Pixabay.com

Is your goal taking you in the right direction?

Lots of self-improvement books talk at length about how to set goals and how to achieve them. Rarely do you see anything about how to test a goal? Is this a goal you should be trying to achieve? Will it really be something you will want once you reach it? Lots of people spend a chunk of their life working towards a goal only to decide once they get there that they picked the wrong objective.

1. Is this goal worth doing?

People set off to accomplish something and never ask themselves if they are successful at getting there will they really feel that this was worth doing.

Many a student signs up for a training program without ever asking if there are any jobs in that field.

If you accomplish this goal will it have been worth the effort? Is this about being selfish? Doing something to be better than someone else? Will you really feel good about yourself if you defeat a one-legged man in a race?

Ever heard the one about the girl who went to great length to take a boyfriend away from a rival only to find out that he was not worth having?

2. Is this goal really possible?

It is possible to devote your life to trying to do something that really can’t be done. Consider if it is possible and consider further getting some advice from people you trust about whether this is a doable goal.

There are those who have accomplished things that the rest of the world told them could never be done. The one thing they had that changed that whole equation was an unshakable belief that this was possible. If you don’t have that belief and can’t convince yourself then you are probably devoting your efforts to a losing cause.

3. Are you the person to do this?

Sometimes there are things that need doing, great important things, but they require giving up other things. If you spend years of your life trying to accomplish something only to find there were other people with more talent already doing this you will be setting yourself up for failure.

We see this often in business. There is an opportunity, there is a need for a product, and this might be profitable. So a small company starts out to do this. But they find that some other much larger company, the one with lots of money behind them, is already opening stores to market this product.

Now if you have a different slant on the problem, you will do it differently, then you have a chance. But if your plan depends on working harder or cheaper, the end result may be that the goal will not be worth doing.

4. What will get in your way?

The first thought in setting off on a journey is how great this will be, how wonderful it will be to accomplish this goal. What we often neglect to consider is what will get in our way.

Does this goal take more money than we have or can raise? Will it take too much time?

5. What will you have to do to get past those obstacles?

Will you need a lot more education? Will you need to raise some money? Will you need to turn over control to someone else? Will you have to do things that violate your morals or ethics to reach this goal? Will it cost you, friends, or family?

Having difficult obstacles in your way should not deter you if the goal is really worth doing, but you need to know what is required to overcome those obstacles.

What you do to get past the obstacles will have a price. You always need to consider if that price is one that is worth paying or having given up that much will you resent the price even if you get to the goal.

6. If you try and don’t get this can you still be happy for having made the effort?

Some goals are only worthwhile if you can be successful. For other people the pursuit of the goal is sufficient. Be clear if doing your best will be good enough or if you need to reach the goal to feel good about your journey.

7. When you get it all done will the pursuit of this goal have been worth the price you had to pay to get there?

Every time you do something there are one or more other things that you can’t do. If you go away to school you spend time away from your family. If you stay at home then you can’t attend that prestigious school somewhere else.

Those lost opportunities, things given up to pursue a life goal can add up after a while. It is worth thinking about all those possible losses before you embark on a course that you can’t easily change.

This Goal testing process is not particularly new or original. It is found in several of the old mental improvement texts. Many of these older self-improvement books are available online and free if you find the right source. They inspired me to think about this subject and to write this post.

What goals have you set for yourself and have you tested them before you embark on the journey to be sure that you will want the result when you get there?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Why practice makes perfect is the wrong advice

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

Mistakes and errors

Mistakes.
Photo courtesy of Pixabay.com

What you should be practicing.

Do you think that if you keep practicing you will get better at what you want to improve? There are 2 reasons why this does not work.

1. We tend to practice what we like to do.

We enjoy doing the things we do well. It is human nature to keep practicing the things you are good at over and over trying to improve your game.

What many an Olympic contender or professional athlete knows is that victories are not won by constantly practicing only the things you are good at. Certainly, you need to continue to practice your strengths a little to keep them up to par but there is something more important to practice.

To improve your game, practice the things you are poor at. The consistently successful people find the things that they do poorly and work on improving them. A small amount of improvement in a flaw will result in a significant improvement in your overall performance.

Are there things you don’t do well and therefore avoid? Anything you feel you are not good at should be an opportunity to improve your overall game. Work on your weaknesses to build more strength.

2. You will not improve if you practice doing things incorrectly.

This is where we can be our own worst enemies. We tend to know what we do well and as we saw in point one above, we practice those things repeatedly. What we fail to recognize are the things we are doing that are not up to par.

Highly successful people frequently have a coach or adviser that can spot the areas that need improvement and get you motivated to work on those areas.

Even the best at things frequently have flaws that they never notice. One of the worst things you can do is to repeatedly practice doing something incorrectly. If you don’t get advice from others who know how it should be done you are at risk to continue practicing your mistakes until they become an integral part of the way you do things.

So if you want to take your game to the next level, whether that game is business, your recovery, or your relationships, you need to listen to advice from people who can help you improve and you need to be willing to tackle the things you do not do correctly. This way you can spot your flaws and work to improve the things that are not up to par.

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 do you do if your therapist cancels?

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

What do you do if your therapist cancels?
Photo courtesy of Pixabay.com

How should you respond to an unavailable professional?

One thing that counselors are supposed to avoid is “creating dependence” on the part of their clients. Our goal should not be to tell the client what to do but to help them learn what they need to learn to get through life. But many clients come to expect that they will get to see their therapist at a given time and place and they are likely to experience extra life difficulties when the counselor they are used to seeing is not available.

Some simple cases first.

The counselor is just not in the office today.

This problem is especially difficult for clients who have “trust issues.”
One thing counselors try to do is engage in a “corrective emotional experience.” You did not learn some things, emotional lessons, because the people you lived with did not teach you correctly or because when they did, you got the lesson wrong.

If when you needed a caregiver they were unavailable or abusive, you grew up insecure. Now to have your therapist do this to you is extra traumatic. Why does this happen and what should you do about it?

Begin by thinking about the counselor; this is probably about them not you. Counselors are real people and real people have lives. Unless you live with them, and then they should not be doing therapy on you, there will be times they will not be available. Your regular counselor may be on vacation, out sick, or may have had a family emergency.

This plays out differently in private practice than in a large agency. In private practice, the counselor does not get paid if they do not see clients. They have a lot of financial incentive to see you. They also do not routinely have co-workers who can cover for them when they are out. So they will make an extra effort to be there or to reschedule your appointment.

In an agency, you are the client of that agency not necessarily of that particular counselor. When one person is out sick then someone else should call you and reschedule or you may get assigned a new person to see you.

As much as administrators want high productivity, meaning keep everyone busy as much as they can, too many changes of provider are not good for a client. You see someone and then after telling them your secrets, they are out sick the next week. Do you really want to repeat your whole life story to a new person?

In an agency, people go on vacation, get transferred to a new department, move or change workplaces and sometimes they retire or die. The agency should arrange for you to see someone else.

In private practice, your therapist should make a plan for who you can talk to and who you will see if they are not available. If they are no longer available you can choose to find someone else.

What if you are in crisis?

Relying on seeing your counselor when you are in crisis is a bad idea. Most counselors either have a recording or an answering person who will tell you that if you are in a crisis situation you need to call your local emergency number first. In my area, this would be 911.

There may also be talk lines or crisis lines in your area. Sometimes there are peer support lines or “warm lines” that are very useful if this is not a full-fledged emergency.

In a crisis, the counselor can’t always be there and even if they were at some point this needs to move from their office to a place where you can be stabilized.

What if you have a problem, it is not a crisis but it is getting to you, you just need to talk?

Some therapists are able to take a few calls from clients when they are having difficulties. They can’t take every call, from every client, every day, or they become a phone counselor.

Consider if you can wait till the next appointment, does this conversation need to happen now? Also, consider if this is a crisis situation? Now if it is not a life and death situation and you have tried all the tools you have been taught to cope with this problem then this may be a time for using your “support system.”

One thing your counselor should be moving towards from the very first session is called termination. That is the point when you can manage your life, problems, and all, without needing to come to see a professional every week.

There are some people who do need lots of help; they may even need weekly sessions for a long time in order to keep them stable and out of a psychiatric hospital. But even then the provider should be trying to get that client to a place of needing professionals less and less.

The fastest way to take control of your recovery is to develop a personal support system.

That support system may be other recovering people or a support group meeting. For recovering alcoholics and addicts this may include a 12 step group meeting. It may also include family members, friends, or romantic partners. Sometimes this includes online support groups, which is fine as long as they are about recovery and not about other ways to keep your disease.

So at times, your provider is not available and you have determined that this is not an emergency, call or visit your support system.

Lastly, if your provider keeps canceling and rescheduling, consider whether you need to change providers. This is easier for people seeing private practice providers. They vote with their feet. If they don’t get what they need from the person they are seeing they make an appointment with someone else.

In an agency setting, you may need to talk this out with your counselor, their supervisor or request a transfer to a different clinician.

There is a lot more I could say on this subject but this is getting long so, for now, I need to close.

Here is hoping that this helped those of you who have been asking search engines about what to do if your counselor is not available.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Why you want them to criticize you.

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

president

Important people s day.
Photo courtesy of Pixabay.com

Do people criticize you? A little or a lot?

Having people criticize you may be a better thing than you think. I have concluded that having people out there criticizing me is a good thing much of the time.

I know that this idea that “being criticized is a good thing” will trouble some people. They are used to thinking that they need to be perfect all the time. So for them, any criticism is unsettling. We looked in a previous post at why being ordinary has its advantages and being original may get you in trouble.

Let’s look at how being criticized factors into success and happiness.

Did you know that we have a president here in America? Anyone know his name? Did someone in the last row say, President Obama? Do you ever hear anyone say anything bad about him? Does he get criticized?

Did he have to run against someone else to get that job? This may be trickier. Fewer people will remember that other candidate’s name. Try Mitt Romney?  Did anyone say anything bad about him? Did he get criticized?

Did both the major party candidates have to run against other people to get nominated? And did all those people get criticized? Being criticized must be part of being a politician.

Ever hear about that guy that lives near Rome Italy, in a place called the Vatican? What do they call him again? Oh, yeah “The Pope?” If you are a non-Catholic you may remember Pope John Paul II and not many other popes but you get my point.

Has anyone ever said anything bad about a pope? Do the leaders of the world’s religions ever get criticized?

So when you tell me that people should not criticize you, that you can’t take criticism, are you trying to tell me and yourself that you are more important or special than the Pope or the President?

Doesn’t it follow that people who do great things, who rise to high offices, they all get criticized? The only people who escape criticism most of the time are people who do nothing.

Are you willing to do things, valuable things, even if you get criticized?

One trainer who teaches marketing people how to be successful said one time that if no one is telling you that your prices are too high then your prices are too low. Even if you sell things below cost there are still people who would complain.

So consider that if you are not getting your fair share of criticism you just might not be doing enough of anything worthwhile for anyone to care enough to criticize you.

Is what you are doing important enough to get you criticized?

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

Five ways to sabotage your self-improvement or recovery program

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

Inebriated people.

Alcoholism.
Photo courtesy of Pixabay.

Five ways to sabotage your self-improvement or recovery program.

1. Giving up undermines recovery.

Nothing will so surely end any self-change effort as to lose hope. Highly successful people will often tell you that they kept going when others stopped trying.

It pays to do your homework before tackling a project. Is this what you really want, can it succeed, and are you committed? But once that decision is made, stick to your efforts and believe that this can happen for you if you just keep moving forward.

It is also helpful if you make sure you are on the right path.

2. Telling yourself you can’t prevents recovery.

Negative self-talk will end any chance of success. The mind believes what we tell ourselves repeatedly. You can even make yourself sick by believing that you will get sick and acting accordingly. (See the Nocebo effect.)

3. Making excuses sabotages recovery.

Saying you are too old or too sick, any form of excuse-making, will prevent you from moving forward on your efforts to change. Tell yourself you can, but be realistic about your progress. Going too fast can set you up for failure and so can saying you can’t.

In this modern age, more than ever, people return to school, change careers, and start new lives at ages that would have stopped them in previous generations. I can tell you from experience that some of the best students, the most productive new employees, can be older people who have started a new life direction.

Eventually, the children grow up. Partners may leave, but you will be you. You will live your allotted time whether you try or not.

When someone says they are too old to do something they have always wanted to do, I ask them how old are you now? How old will you be in ten years if you don’t try? Will you be any older if you do try?

I am not a believer that being unhappy and not trying in this life will make you worthier in the next. We all should be seeking to have the happiest life possible and to learn all the life lessons we need to learn. That way you can reach the end of this earthly life with no regrets or fewer ones anyway.

A happy life, for the record, does not mean one that is selfish and self-indulgent. Doing for others can also make you happy. Doing the things you believe to be right adds to that happiness. Doing the right things for all the wrong reasons, helping others for their recognition, does not lead to happiness.

Do not put off doing something good today.

4. Expecting results overnight devalues recovery.

Change takes time. Really changing requires a commitment to keep trying over the long haul. Don’t let your brain overload the rest of you.

People set unrealistic goals for themselves in early recovery. They expect to lose lots of weight that first month. They expect to give up drugs and suddenly get an education, a good job, and the good esteem of all their family or friends. Repairing damaged relationships takes a lot of time.

Take this process of change, one day, one minute at a time. Make little baby steps. And see how far you will have gotten.

5. Going too fast gets you ahead of your recovery.

Anything that you can do in a day can disappear overnight. Slow consistent progress will take you a lot farther than one sprint followed by weeks of inactivity.

Any process of change requires maintenance. You need to change your habits. Habits made you overweight, an alcoholic, or another problem sufferer. It takes time to create a habit. It takes, even more, time to change that habit into a new functional way of living.

There you have the short list: 5 ways to sabotage your recovery. To improve the chances of success don’t do these things.

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