Is your story a Fairytale or Nightmare?

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

Castle in the sky

Fairytale world.
Photo courtesy of Pixabay.com

The stories you tell yourself come true.

We all tell ourselves stories. You may not think of them that way, you may have other names for them. You may think that what you are saying is just self-evident truths.  You are shy, clumsy stupid, and so on. You may say your family is cold or that you are all failures.

The things you tell yourself have a way of coming true. If you tell yourself often enough that you are stupid or that you can’t succeed you create that outcome.

Some people think of these stories as life scripts. If you tell yourself you are a loser, you will continue to lose to meet that requirement.

You tell yourself you are a certain kind of person and that means you will have a specific sort of life. You say you are unlucky and you avoid situations that involve risk. The result is that those great wins in life are always just out of reach.

Which kind of stories do you tell yourself?

If you tell yourself you can’t do something your brain will take that for an order and will prevent you from doing what you have forbidden yourself to do. Like that little engine if you tell yourself you can you will find it easier to get over the hill.

Many of you have pet stories you tell yourself. You tell yourself you are too stupid or too weak to do something and then you find you can’t do it which proves that you were right. The great surprise, for many of you, will come when you stop telling yourself that you are stupid and tell yourself that you can learn what you set out to do, and then that new story becomes true.

If you tell yourself that life is awful and that you can’t, then you won’t. If you can change that story and tell yourself that all things are possible, then more opportunities will open up.

Changing your life script story.

Some people have told themselves that they are addicts and so they need to use drugs. If you tell yourself that you are an alcoholic you will need to drink. But you can change that story. You can be an addict in recovery or an alcoholic in sobriety. You can tell yourself that you no longer need to do those things and if you tell yourself that you can live life without drugs or depression or anxiety, then that can become the new story, the new life script for you.

We all tell ourselves stories, who we are, what we can and can’t do. Make one mistake and you may tell yourself you are a failure. Forget something once and you may start telling yourself you are forgetful. The truth is that you do not forget everything and you can change that story.

The person who told you that story could easily be wrong.

Some of these life tales are stories that we were told as children. We hear that we are stupid and we repeat that story. If you heard these stories often enough you may have stopped recognizing that this is just a story, someone else’s story for your life.

If you have learned to tell those stories to yourself, you will find that you can change the endings. You can be and do so much more than you ever thought you could.

What is the new story, the new life script you are creating for the role you will play in 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

Why do people act in Passive Aggressive ways?

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

Passive-aggressive.
Photo courtesy of Pixabay.com

Why must they act Passive Aggressive?

Passive Aggressive Personality Disorder used to be a recognized mental illness. Then in the DSM-4, it was reduced to a condition that may need more study, and most recently it has simply disappeared from our way of thinking of mental illnesses.

Remember that there are times when a person gets criticized for adopting this form of behavior, maybe even referred for psychiatric care and then other people may be praised for adopting some form of passive reaction to an injustice.

So let’s look at why some people may adopt Passive Aggressive Behavior and why we are no longer so sure that it should qualify as a mental illness.

There are legitimate reasons people do not just come out and say what they mean. There are also reasons people may choose to say nothing but fail to carry through on things they were told to do. Passive-Aggressive behavior can be the result of some of those reasons.

People become Passive Aggressive when they have no power or control.

Children, especially if they are in an abusive or non-loving home, may not feel they can say no to their parents. They get out of things, not by saying no or discussing things but by taking excessive time or doing things wrong. If they break enough dishes mom may stop asking them to do the dishes.

The same behavior makes sense in the boss and employee situation. Sometimes you can’t tell the boss no, so you just do not get around to doing things that would be a waste of time anyway. Not everyone does this. Some employees are very conscientious, but the worse the boss in terms of giving arbitrary orders and not allowing people to disagree the more likely this becomes.

Some people use Passive Aggressive behavior more often than others.

If you came from a family where it was not acceptable to disagree with the parents or worse yet where you were not supposed to have any feeling unless they were sanctioned by the adult, you are more likely to hide your anger and then express it in Passive Aggressive ways.

Mental health clinicians used to think that there were things we called “Personality Disorders” and the presumption was that people who had these were always like that and that they were hard to treat and never changed. These premises have recently been called into question. Turns out that people can change their behavior when the situation changes.

One other thing that cuts against the validity of there being such a thing as Passive-Aggressive Personality Disorder is that it is mostly used in situations where there is a weaker person who is unable to disagree with a stronger person or in a close situation like a marriage where sometimes we want to avoid both doing what the other person told us to do and also avoid making this into an argument.

One characteristic that has been used to differentiate Passive Aggressive behavior from something like passive nonviolence is the level of anger or hostility that the person using passive-aggressive behavior is experiencing.

When the non-doing stops being a way of avoiding conflict and becomes a way to harm someone else without having to accept the responsibility that hidden or veiled aggression can drive the most rational person to open hostility.

One aspect of Passive-aggressive behavior that has received a lot of attention is the times when it appears to be motivated by contrariness or oppositional motives. When a youth adopts the position that they will avoid doing whatever the adult asks them to do just for the sake of asserting that the adult cannot control them this can escalate to severe problems.

Frankly, much of what was getting called Passive-Aggressive Personality Disorder looks way more like Oppositional Defiant Disorder when we see it in youths.

Passive Aggressive Personality Disorder shared so many features in common with other personality disorders and with depression and anxiety most professionals only used it when a parent or spouse said that was what the client was doing.

Most of the things we have been thinking of as personality disorders include a lot of antagonism towards others. Sometimes this is because the person’s life experiences tell them that they will not be treated fairly if they openly disagree or resist the will of others.

So while you will still read about Passive-Aggressive people, mental health has largely concluded that this is not a mental illness but is a way that some people cope with not being able to express disagreement. In other words, Passive Aggressive behavior is a symptom of some other problem rather than being a particular treatable disease.

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

4 reasons your self-improvement program will fail

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

Changing your life

Time for a life change?
Photo courtesy of Pixabay.com

Self-improvement programs fail when you set wrong goals.

Another year, another bunch of resolutions, and by now most are headed for the same old failures. The reason most self-change programs fail – wrong, fuzzy, and poorly defined goals.

Most resolutions are made with little or no thought about where you are going and how you will get there. If this new you is not worth the trouble to plan, then it probably will not be worth the effort to take action, and next year, long about this time, you will be in the same place you are now.

What are the specific things you need to think about if you want your plan to succeed?

1. What is your goal?

Set the wrong goal and you end up at the wrong destination or you don’t get anywhere at all. Fuzzy goals lead you around in circles.

A common form of resolution this time of year goes something like:

I want to lose weight, exercise more, get in shape, and improve my health.

Some of these goals may conflict. One easy way to lose lots of weight is to get sick, physically, or mentally. Worry enough or get really depressed and you may stop eating. Good for weight loss but not for getting healthy.

Exercising more may result in that fat being converted to muscle. You will be healthier but may not lose any weight.

Improving your health may involve seeing a doctor, getting your flu shot, and a lot of preventative screening tests. Hard to do when you are starving yourself and running marathons. Severe calorie restriction and aggressive exercise may result in a hospital say, not really what you had in mind when you set your goals.

Second goal problems example.

You decide you want to be wealthier. For most people, this means wanting to be able to afford to buy the things that you or your family wants. So you work harder, take a second job, save some money and then you buy your kids that new video game console they wanted.

One problem – now you are broke again and you are working more hours than before. When most people say they wish they were wealthier what they really mean is they would like to be able to spend more. The wealthier goal self-destructs the closer you get to it.

To build real wealth you need to scale back your consumption and save. That is exactly the opposite of what most people mean when they say they want to be wealthier.

Getting really clear on your goals can improve your chances that this year’s resolutions have some chance of succeeding.

2. How big a priority is this goal?

Many people set goals that sound all nice but they are not really committed to getting there. If you would like to lose weight or get richer, as long as you do not have to actually work for that goal, there is little chance of you arriving there.

To make achieving a goal a reality it needs to be something that you want more than you want other things. Do you want that goal enough to give up time on the couch? Will you forego spending or eating something to reach that goal?

Just how committed are you to this thing and what difference will it really make in your life if you get there?

3. Is the goal consistent with your values?

You value time with family, especially those family get together dinners. That time with family is pretty inconsistent with working more, spending less, and improving your finances. Those entertaining times are also inconsistent with losing weight.

Despite these inconsistencies, lots of people will say they want things mostly because they would like the praise of others for getting to this goal even when that goal is in direct conflict with their personal values.

4. Can you see clear benefits in reaching this goal?

Some things are kind of nice to have but really getting them will not change much in your life. Unless you can picture yourself reaching this goal and visualize how your life will be better off for having made the sacrifices needed to get there, you are not likely to be motivated to do the work.

So consider now, as the first month of 2014 is well underway, what happened to those New Year’s resolutions? Did you get clear on what you wanted and how that is influenced by your values? Can you see this goal becoming a reality? And most of all is this change thing something you are doing for you or is it something you think you should do because of what others will think about you?

Are you one of the rare ones who decide to make a change and then does the work to get there? Maybe we will check back in about a year and see who has made a success of their change plans.

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

Wrestling unruly feelings to the ground.

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

Man with feelings

Managing feelings.
Photo courtesy of Pixabay.com

Getting misbehaving feelings under control is a three-step process.

It would be nice if you could keep these pesky feeling-gremlins out of your house and your life in the first place but somehow they keep getting in.

There are techniques for regulating which feeling you let into your place and which you choose to entertain. Those techniques for controlling access to your life are something that we teach and practice in doing Cognitive Behavioral Therapy. More on that later.

Not all negative or painful feelings need to be banished. Some feelings, sadness, anxiety, or loneliness are like distant relatives, fine in small doses, nice to see occasionally just to remind you who they are, but not someone you want moving in and living with you full-time.

But for now what if you discover that some unnecessary negative feeling has taken up residence in your life and you decide this is not cool with you. What do you do?

1. Find the feeling.

This can be a struggle at first. Unhealthy feelings can be like termites. You do not see them but all the while they are eating away at your mental health house.

We often are unaware of what feelings have moved in and taken over our lives until they have begun to be destructive.

Recognize that you are feeling something is the first step in getting these creatures to do our bidding.

Yes, feelings have their purpose. That pain in the neck feeling is telling you that this person is not a healthy relationship for you. Anxiety, that one is trying to keep you safe. If your anxiety tells you to duck when there is gunfire, then it is doing its job. If it tells you to stay home because leaving the house is too scary, tell that anxiety to take some time off.

Makes sure to check all around your body for those feelings. They may be hiding in the pit of your stomach or in your lower back. Not all of those aches and pains are real, physical pain. Some of those are pesky negative feelings that have moved in and are cramping up your nerve cells.

Get those feelings located and you may be able to get them to move to where they can do you some good.

2. Name that feeling.

Women seem to have a genetic advantage here. They have all kinds of feeling words. We men usually are only acquainted with three feelings by their first name. We are “good, bad, or pissed off.”

Learn the difference between excited and anxious. Get to recognize the difference between rage and it’s younger, smaller, sibling irritated.

Getting the right name on the feeling can help you get them to stay where they belong.

3. Apply your feeling control techniques.

There are whole books on how to control or make use of particular feelings. The one that gets the most press is the feeling of anger and its larger relative rage. Those two do a lot of damage.

Learn those ABC techniques for changing the way you interact with those feelings and you will find them better behaved. SAMHSA publishes a cool book on anger management available free from their website. Lots of programs use that book and others.

In CBT therapy we find that it is not always the feeling that is causing the problem. Your beliefs about why people are doing things may be generating lots of extra negative emotions.

Make sure you invite in lots of positive feelings. Having a huge gathering of happiness, acceptance, and patience makes those anger and anxiety feelings uncomfortable enough that they may leave. At least they will hole up in their room and not bother the rest of your feelings.

Are your feelings well-behaved, or do you need to do some work on emotional regulation, getting those feelings back to working for you instead of the other way around?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Are the mental health problems in children different?

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

Crying child

Youth mental health.
Photo courtesy of Pixabay.com

Age impacts mental health.

A reader asked “You keep mentioning children in your posts, how are their problems like or different from adult mental illness?

There are some differences between the issues children have and adults, but my experiences tell me that there are a lot of similarities.

We used to have a separate section for “Disorders usually first diagnosed in Infancy, Childhood, and Adolescence, in the DSM-4. In the DSM-5 those disorders get moved around. One problem with the old approach was that many clinicians missed the “Usually” part. We tended to think of these problems as something children get and adult problems as something only adults got.

That just is not so.

Some of these early-onset problems get missed or continue to plague people throughout their lives. Stress-related issues are a good example of this. Reactive Attachment Disorder may be easy to see in a small child but the after-effects can result in a bunch of problems that in adults we usually call by other names.

Just like the child develops, the mental health problems of that child may develop and change with time.

Also, it is very possible for children to develop problems that we used to think were only the providence of adults. Remember that “Happy childhood” myth. There must have been a few people with happy childhoods but there were a lot of people who did not get their ration of that one.

So children can and do suffer from depression, anxiety, stress, trauma, and a host of other adult looking problems.

We currently believe, I think for good reason, that the earlier in life we recognize some of these problems and treat them the better the chance that the person will not grow up to have a severe emotional disorder. That treatment, by the way, need not be medication or prolonged therapy.

Lots of other things can help these children. Anger Management and Parenting classes for unprepared parents also help. So do supportive environments like quality preschool or even grandparents or other supportive adults.

A disclaimer here – my perspective on working with children may be a bit different from other clinicians. My work with children has been largely in crisis settings, these kids were brought in because they said they were suicidal or they were way out of control. The other groups of children I worked with were substance abusing or those brought in for an assessment because someone believed this child has a serious emotional problem or a serious mental illness.

My experiences were with a group of children that may be more seriously affected by society’s problems. As a result, some childhood problems were probably not represented and others were way over-represented.

The problems that bring children to the attention of professionals change as they get older. The 3-year-old who is not talking is a way different problem than a 17-year-old girl who has been abusing drugs and is now suicidal because she found out she is pregnant by her 24-year-old boyfriend.

Both may have been the victims of abuse or neglect, so these very different “symptoms” may stem from the same or similar roots.

As a child gets older the way we should be assessing and the way we treat this “child’s” issues should get more and more like the way we treat adults. Mental health has had problems here for years as I see it. Some clinicians continue to treat adult clients as if they were mentally retarded or little kids.

One day you are 17 and you get the “now little girl” treatment and the next day you are 18 and you get the “grow up” lecture.

One other thing to consider when talking about the difference between adults and youth mental health issues is how to tell the difference between normal adolescent issues and those problems that could be the beginnings of a serious mental health issue. Just being a teen is, in and of itself, not a diagnosis.

Recently I attended a training to get certified as a Youth Mental Health First Aid trainer. I can’t begin to cover all that info here. If the issue of how to recognize mental health problems in young people interests you, you might want to check out that training.

The question about how the treatment approaches may differ between a young person with a disorder and a person who has accumulated more years, presumably an adult, that topic needs a whole other post.

Till next time, David Miller, LMFT, LPCC

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

Spiritual but not religious

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

Waterlily

Mindfulness and meditation.
Photo courtesy of Pixabay.com

What exactly does “Spiritual but not religious” mean?

A very large number of people here in America are describing themselves as “Spiritual, not religious.” There is a growing disconnect between religion and people’s day-to-day life.

As a result of this disconnect we are gaining some things, I hope, such as a wider appreciation of our differences, but we are also losing some things.

In secular programs, those run by government agencies, we try to accommodate people of all faiths and those with no faith. Sometimes this is a challenge. We have to ask people what their religious or spiritual belief is without implying that they need to have one or that the belief they have is not acceptable to the agency.

An example of accommodating faiths and other spiritual beliefs

There are a whole lot of people who are vegetarians, do not eat meat variety vegetarians, not because of religious or health reasons but because they view the killing animals for human food as morally wrong.

Our society seems to be doing a better job of accommodating this particular moral belief. More events are offering vegetarian meals.

It gets harder when we take into account that some faiths do not eat pork, some decline beef and some require particular diets as in kosher.

Beyond dietary restrictions, it gets progressively more difficult to accommodate other spiritual beliefs within our increasingly multicultural society.

During intake processes, we are supposed to ask about the client’s race or ethnicity. An increasing number of clients are finding it difficult to answer that question. Some people are reporting 5 or more different ethnicities in their background.

When talking with clients I try to make it a practice to ask about their spiritual or religious beliefs.

Say the client reports that they are African-American. This tells me nothing about their spiritual beliefs. We need to try to stay open to all manner of possibilities.

More and more people are finding it impossible to answer questions about their faith. We have to tread lightly here. I do not want to imply that they need to have a faith or that any particular faith is preferred, but I do not want to completely disregard their spiritual practices in designing their treatment.

Those few who do answer are resorting to one of two responses. I am a Christian or Spiritual But Not Religious. Most who say Christian do not self-identify with any particular denomination. They are not Catholic; they are not Protestant and so on. Some few report attending Non-denominational churches.

Most who self-describe as Christians are reporting, at least in my experience that they do not attend any particular church.

A very large number are reporting as Spiritual but not religious.

So why does all this matter? From a practical standpoint those who self-identify as believing something do better in treatment than those who have no faith. This benefit includes those who self-identify as Atheists if they also report some particular higher law or principle, say right and wrong, that helps them guide their life and is reassuring in times of stress.

One of the gains from this spirituality moment has been sets of values that people take with them day by day in all areas of their lives. I am suspicious of any faith that requires you to be a believer for a couple of hours each week, while in a particular building, but you are free to spend the rest of the week on raping, pillaging, and burning.

One of the things we are losing as a result of this increased emphasis on spirituality and the disconnect from religion is the loss of meaningful shared rituals.

Rituals give meaning to things that would otherwise be everyday actions.

Rituals are not solely the providence of the religious world. Court proceedings, with that robe, the bailiff, and the ritualized language, make the whole process seem more meaningful and as a result, are intended to increase respect for the law and the workings of the court. The ritual gives the process meaning. Occasionally the system debases the meaning when they do not follow the principles of justice these rituals imply.

Graduation ceremonies are a ritual we can all share to make the transition to another life stage. Marriages used to be a way to make the transition from being two separate dating people; to one committed couple. We still have the ritual despite the loss of meaning that a wedding has after having the parties have several children.

Funerals are also a ritual we all share that helps us negotiate the loss of a person who had some meaning in our life.

In places where there is one dominant faith, rituals are shared by virtue of people’s participation in that faith. With the decline of active participation in a particular religion and an increase in self-identified Spiritual But Not Religious, what has been missing are the rituals that used to accompany life events.

Creating new rituals.

People in recovery have resorted to creating new rituals that may help them to share the emotions and resolve the changes in status without invoking a particular religion.

Addicts may write a “Goodbye Letter” to their drug of choice. There are traditions of sponsorship that may replace the “rite” of confession in certain religions. People celebrate the anniversary of their embarking on the road of recovery.

One remaining challenge has been how to create meaningful shared rituals that do not impinge on people’s particular religious faith and allow full participation in the ritual.

Whatever your spiritual or religious tradition, here is wishing you the best possible 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

Top 10 Mental Health Blog posts of 2013

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

Counselorssoapbox.com

Here are the most read mental health blog posts from 2013, at least the most read posts here on counselorssoapbox.com

With over 700 posts now available here on counselorssoapbox.com, a few continue to be read and reread each and every day.

In case you missed any of these Mental Health or Substance Abuse posts the links are below. There are also a whole parcel of other posts, some of them very specialized. You might want to look through the library of past posts or try the search feature to look for things that are of interest to you.

Many of the posts over the last year were inspired by questions that you readers sent in and the comments you left at the end of posts. Keep those comments and questions coming. It helps me to know what you would like me to talk about next.

Every question or comment deserves a reply and please know that I wish I could get back to you all right away but this schedule, having to work and trying to write does not always allow me to post responses as quickly as I would like. Just know that I really want to tell you things that are accurate and that means some time researching things and thinking about them before I post that reply.

The work on the book I have been writing is accelerating and I hope to have more to tell you on that topic in the near future.

Without further delay – the top Mental Health posts on counselorssoapbox.com for 2013 are:

1. How much should you tell a therapist?  

2. Levels or types of Borderline Personality Disorder 

3. Do therapists have to report a crime? 

4. Do people really forget what happened when drinking? – Blackouts   

5. Which border is Borderline Intellectual Functioning on? 

6. Are you Hyperthymic?

7. Hyperthymia, Hyperthymic Personality Disorder and Bipolar Disorder

8. Is nicotine a stimulant or a depressant?  

9. Why can’t we forget the painful past?

10. 6 ways to recover from Complex Trauma or Complex PTSD

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

Seasonal Anxiety?

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

Anxious woman

Seasonal anxiety?
Photo courtesy of Pixabay.

Is there seasonal anxiety?

Officially there is no diagnosis for any seasonal disorder, but the profession does recognize that there is a form of Major Depressive Disorder that is highly influenced by the seasons. We denote this by referring to it as Major Depressive Disorder with a seasonal pattern.

Researchers on a lot of other mental and emotional illnesses are reporting that they find seasonal patterns in their disorders also, so far no one seems to be considering these seasonal influences on disorders like Anxiety.

So what other effects might the weather and the change of seasons be having on Anxiety and other disorders?

People who regularly see their doctors and have their blood pressure checked are more likely to find that they have elevated blood pressure as a result of stress in the winter months than in the summer months.

Yes, we do get stressed out more in the winter than in those lazy days of summer even when we are well into our working lives.

Women, particularly those working as supervisors and in responsible positions, report more anxiety and stress during the winter months than in the summer. They also report more physical ailments at that time of year for which no medical problem is found. Researchers are apt to call those issues “Somatic symptoms even though actual physical illnesses can’t be ruled out.

The bottom line here is, however, you see these complaints, stress, and anxiety are causing these women more problems in the winter than the rest of the year.

Anxiety disorder is worse in winter but Panic Disorder gets worse in the summer.

Several researchers into Panic Disorders have reported that panic disorder gets worse in the summer months. This appears to be related to the heat more than the hours of light.

Dehydration has been reported as a cause of this heat-related panic attack. Some people when out in public avoid drinking water because of the need to find restrooms. Don’t drink enough water and you get dehydrated which can trigger panic attacks.

One corollary to this was an article that reported more people in America are “Sunbirds” than “Snowbirds” that is more people go up north to escape the heat in the summer than go to the south in the winter to escape the snow in that northern tier of states.

There is a season to anxiety disorders and for most people, that season is throughout the wintertime.

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

8 Ways to make the holiday emotionally safe

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

Fall scene

Happy Holidays

Plan now to safeguard yourself in recovery.

The holidays can be stressful times. Recovery, from anxiety, trauma, alcohol or drugs is a precious thing and it takes a lot of work to reach for a recovered life. Keep your recovery and yourself safe this Holiday season by using these tips.

It is easy to get caught up in the “shoulds” and the “musts” and forget to look for the things that will be most helpful to you and your recovery.

Here are some helpful hints for getting through this time of year with your recovery unscathed.

1. Practice saying NO!

There can be a lot of pressure to do and say things that are not good for you. Work on setting healthy boundaries. Tell people no if they try to get you to do things that may be stressful and bad for your recovery.

Learn to tell yourself no also. There is always the temptation to overdo, run about too much, visit too many places, and try to do too much to make this a perfect holiday. Nothing will make the holidays perfect if your recovery unravels.

2. Too much of a good thing is a bad thing.

Even happy times can be stressful. This is especially true if you are recovering from depression, anxiety, or substance abuse. Do not let the good times wear you out and leave you vulnerable to relapse into your particular issue.

Happiness is not a sprint to get to the cookie jar first. A happy life is a long journey of relaxed enjoyment. Trying to put too much pleasure on your plate one day may leave you unable to do the things that might make you happy the next and beyond.

3. Avoid people and places that would undermine your recovery.

Some family is not healthy. Just because they are relatives does not mean you owe it to them to put yourself at risk. Avoid family members who may undermine your mental health. Take a supportive person with you if you will encounter negative people and be prepared to cut your visit short if the stress gets to you or you begin to be overtired.

4. Take exceptional care of yourself.

Get plenty of sleep. Lack of sleep one night can set up the downward spiral that will result in being too emotional wrung out to get up the next day. Overtired can lead to using substances to try to keep going. Cut your sleep short and you are setting yourself up for a relapse.

Drink plenty of water. This reduces the effects of other unhealthy exposures. Being very thirsty sets problem drinkers up to drink alcohol and places people with mental illnesses at risk to drink more than they planned.

Eat healthy food. Avoid excess sugar and take in those calories in moderation. It is a whole lot easier to pass up a few unhealthy treats than it will be to get back in shape in the New Year.

5. Make getting better job one.

Nothing is more important than your recovery. If you have started practices that are furthering your recovery do not put them aside over the holiday season.

Go to the gym, do your journaling, call supportive people. Keep up with your spiritual practice. Prayer and meditation are not tools that should be kept in the drawer this time of year. If you practice mindfulness and meditation make this a do first action.

6. Go for the safe choice first.

Avoid doing things that you “might” be able to handle. Avoid things that are risky and go always for the safe choice first.

Alcoholics should not drop by the bar just to say hi. Do not call people you know will be upsetting.

7. Reach out for help.

Call your support system. If you are a member of a particular fellowship make sure meetings are on your to-do list. Attend religious services if you find this supportive of your recovery.

Every recovering person needs a list of people who are supportive. Make those calls to other recovering people. Sometimes you will find that they needed to hear from you even more than you need to talk with them.

8. Do not push yourself.

Be kind and gentle with yourself. Do not overdo. Do not pile more and more on your plate and expect to get through the holiday season with your recovery intact.

Taking good care of yourself is not being selfish. Be the kind of friend you need. Be your own best friend.

Which of these things do you plan to do? What other techniques have you found that help keeps you safe and in recovery over the holidays?

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 kind of person are you? Can people really change?

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

Change

Change.
Photo courtesy of Pixabay.com

Are people just that way or can they change?

There are certain things about you and about others around you that are just the way people are. There are other things that change with time, with the situation, and with who you decide to be. The trick is to know what about you is just you and what things are possible to change.

There is a world of difference between being an “angry person” and being angry right now.

Some people think that they are always angry, sad, and so on and this provides a rationale for not trying to change. It also can be an excuse for bad behavior.

Someone in your life gets angry, says or does hurtful things, and then later says “that is just the way I am, you know I get angry a lot, deal with it.” It is hard to take that over the long haul. Being always full of negative emotions drives others away.

You may have said that yourself about certain characteristics you see in yourself or others see in you. But is this true or is change possible?

Spoiler alert – I believe people can and do change. They recover from what others have done to them and from what they have done. That change is often not easy and changing may have a price.

One way of understanding this is that who you are and who you can become is the difference between states and traits.

A trait is presumably a stable characteristic.

This can apply to outside characteristics like hair and eye color and to inside qualities like anger or kindness. True you can dye your hair or wear contacts to change your eye color. These efforts to change yourself do not change the underlying you. Some people might say that these efforts fall under the heading of deception or telling lies.

These underlying qualities may change as you get older. One way of explaining this is called gene expression. So the gene that gave someone Black hair in their twenties may give them gray hair in their eighties. Emotional expressions that worked for you at 9 months old will probably not work so well at 90.

Are some people born with particular emotional temperaments? Could you just be born blue-eyed and sad, or brown-eyed and angry? If you were just born that way could you learn to control or regulate those feelings? (CBT therapy and neuroplasticity research tells us this is way more doable than we used to think.)

People are not born with only one feeling. So even the irritable baby who cries a lot sometimes smiles. Angry people have episodes when they are not angry or at least less angry. (Watch for a future post on Reactive Attachment Disorder which talks about the challenges of learning new ways of feeling if you did not learn them at an early age.)

What is causing those feelings to change as situations change?

It is possible for something to “cause” or “trigger” an emotional state. One question that I ask in counseling is “What makes you happy?” And then – “What makes you sad.” Some people can quickly give me lists.

People who say nothing makes me happy, that is a red flag they may have depression.

Research has shown us that the brain continues to grow and create new connections throughout the lifespan. If you learned to be sad or anxious very early in life you can learn new ways of feeling.

Granted if you learn one language as a child and then at eighty try to learn another it is much more difficult but the good part is that no matter what age most people can still learn new information.

Learning to regulate your emotions and to move from an angry state to a calm one is possible if you chose to learn this skill. In fact, you can learn to not get angry in the first place. This does not mean you let people walk all over you and just bite your tongue. You can learn other skills to reduce the causes of your anger also.

If your life is full of anger, anxiety, or sadness you can learn skills to reduce the impact of those feelings on you and to create a new happy life. The cost of this? Some effort on your part and the need to stop making others responsible for how you feel.

To change your emotional life you need to take charge and get to work on new emotional skills. More in upcoming posts on this topic.

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