Tag Archives: Happiness

How do people change? Preparation

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

Change

Change.
Photo courtesy of Pixabay.com

Stages of Change – Preparation.

In the last two blogs (Stages of Change – Pre-contemplation, Contemplation) we explored steps one and two of a model of change. Some of you will remember that I was using a weight loss example. The need to change could be weight loss but it might also be an addiction, job or career change, or a relationship event. So to recap past episodes of my little story, I go to a reunion, people tell me I have put on a lot of weight. At first, I deny this, and I argue about it. That stage of change is called pre-contemplation. Next, I do some thinking about it. I weigh myself, ask the advice of others and I do lots of thinking about it. Finally despite all my efforts to avoid having a problem I discovered that in fact, I do have a problem. Now I am faced with a choice.

At this point, I could just accept the fact that I am now FAT!  Accept and go on with my life maybe embrace the idea. Yes, I am fat and proud of it. Since I am fat why not be the best that I can be and let my fatness shine through. Some people accept their problem. Many alcoholics go on drinking until the bitter end. Or – as strange as this may seem to some people I could decide to make a change and face my problem. That brings us to the third stage of change.

Stage of change 3 – Preparation. Some authors call this determination.

So I decide to challenge my fatness or my joblessness or – could be any other problem. I get out the phone book and look up gyms. There is one right around the corner and I call them. Then for good measure, I call a few more. Most gyms have sales on new memberships around the first of every year. Three months for the price of two and so on. They know that lots of us will decide to exercise, get in shape, join a gym as part of our New Year’s resolution. They also know to get the cash now, because by February at the latest most of the new gym members will have stopped coming. But a few people will stay at it and next year they will be that slim trim self I want to be. So how do they do it?

So I go down and tour this gym. I like the place, friendly people and all, so I join. And I get ready. There is a sporting goods store in that shopping center and I go there and buy some new exercise clothing. Notice I still haven’t exercised much but my credit card at this point. But there is more.

I see a video sales and rental place in the center. I go in there and find some exercise videos. I am in whole hog. I buy three videos. Now I take them home and put them in the VCR.  (Update this to DVD or Blue Ray or Hollow-suite program as needed.) I pop a big bowl of popcorn put my feet up and sit and watch these three videos, faithfully for a week. I really like watching exercise videos. Not so sure about actually exercising though. See a problem here?

Pause this picture for a minute. Doesn’t this apply to most any planned change? People buy books, self-help, or AA books, and then they take them home and pile them on the table and balance a drink on them. Other people put that new self-help book under their pillow in the hope that by osmosis the book will change us while we sleep. Unfortunately, change requires more than preparation. Don’t misunderstand here. Getting a list of meetings for AA or weight loss places is good. Joining a gym is good also. But doesn’t it take more than preparation to make a change?

At some point, I need to stop preparing, use that determination, and actually do something. Next blog we will talk about that next fourth stage of change where the rubber meets the road, where we finally start doing some things that result in change. So if you still want to learn about stages of change stay tuned for the next blog post. If you have decided to stay the way you are or to change someone else, skip the next couple of posts and rejoin us for the episode after the change is over. Feel free to share your thoughts along the way.

Other posts on this topic can be found at Pre-contemplation, Contemplation, Preparation, Early Action, Late Action, Maintenance, relapse, recovery, triggers, support system, more on support systems, Resiliency

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

Stages of Change or how do we change? Pre-Contemplation

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

Change

Change.
Photo courtesy of Pixabay.com

Change.

In a previous blog, I wrote about New Year’s Resolutions and how to get out of them. Now occasionally someone argues with me on this and says – no – really – I do want to change. I like to hear that. We, counselors, and therapists are in the business of helping people to change. I like to think of this as the happy life business. Lots of what is here is written for counselors, but if you are interested in change for yourself or others, please read on and see how we think it is that people really change.

Most people who change are able to transform their life by a gradual process, not a one-time resolution. Now I know that there is such a thing as a religious or spiritual conversion and also that some people do make resolutions and as a result change. I would suggest that most of the time that conversion or resolution is part of a process of change. They may make a change of direction but the person needs to do some work on getting to the new behaviors they want.

Every year for New Year’s or other occasions millions of people make a resolution that they will change themselves. Some plan to lose weight, some want to stop smoking or give up drugs. Lots of things they might want to change. Come back a year later and most of them will still be the way they were when they made that resolution. But a few people will really have changed. Why is it that some people are able to carry through and make the change while most people can’t? What happened to the ones that succeeded? These questions resulted in some studies of how people change and at last three guys wrote a book on how all things get changed. The book was “Changing for Good” and the authors were Prochaska, Norcross, and DeClemente. As a result of this book and others, substance abuse counselors, and many therapists are taught the Stages of Change model and they use it to help clients understand how to change.

So here is an example I tell my classes of how someone might change.

One year I attend a reunion and I run into an old friend. He comments on how much weight I have gained since he saw me last. I tell him no, I weigh the same thing I did in High School, well almost, but I am not gaining weight. He shakes his head and changes the subject.

Later that evening I run into an old girlfriend. She tells me she almost didn’t recognize me. “You have gotten so BIG! She exclaims. She is just jealous I think. Look at that skinny little wimp she is with, bet he has an eating disorder or something. I am definitely not gained any weight. I do not have a problem. And even if I have gained a little weight, so what, why would I care, I have no plans to change me.

Later in the evening, someone else remarks about my weight. This suit does seem a little tight. The tight fit is what is making me look fat. Ever since I moved to the desert my clothes have been shrinking. Even the ones in the closet that I don’t wear seem smaller recently. Some of you are thinking here that I am in denial. Maybe so.  The stages of change model calls this Pre-contemplation.

Stage 1: Pre-Contemplation

At this point, I am not thinking about making a change. People around me see a problem but so far I don’t. Now you could argue with me at this point and insist I get on a diet and lose weight. Lots of spouses do that. But if I don’t yet see that I have a problem all your lecturing me about being in denial of my problem will only make me mad.

Substance abuse counselors in the old days used to spend a lot of time arguing with clients, trying to break down denial. So did weight loss and stop smoking professionals. And the result most of the time was that clients stopped listening. So the thing you might do if you were faced with someone who did not think he had a problem would be, provide them with information. If you are reading this and you are already thinking you might need to change something, then you are already past the first of the seven steps that lead to real lasting change.

Often people reach the point of needing to change because of some traumatic experience. Until something happens we don’t even think about the need for change. Lots of people are suddenly confronted with a problem, most try to find a way to avoid change. Divorces or breakups, job loss, forced career changes, arrests and incarceration, and even medical problems can all require people to consider the need for change in their life.

One client told me he did not have a problem. This is typical in pre-contemplation. He just likes to have fun. How can you argue with a fun-loving guy? His wife, soon to be ex, she thinks he has a problem. His last employer told him he had a problem. So did his parole agent and a judge or two. But he was sure he didn’t have a problem.

With any problem, it seems to be human nature to try to find a way to cope without having to change. So we go through all kinds of mental gymnastics to try to not have a problem. Addictions to drugs, alcohol, food, or other substance are especially prone to go unrecognized. Some people also spend lives in bad relationships, sometimes we call them co-dependent or enablers, sometimes they just say they love too much.

People also can become entangled in activities, the gamble till. There is no money left and then borrow or steal money to try to win it all back. Some people are addicted to the process of pulling the lever or turning cards. Other people are addicted to being in a relationship. They would rather be in a bad relationship than none at all. Sex can be an addiction also. Recently we are seeing a rash of problems caused by electronic media. People spend all their time and money on a pornography site, even when it starts to affect their health or their relationships. Some people become addicted to gaming or high adrenalin activities.

So how do you know if the thing you are involved in has moved from you just like to have fun to an out of control life? Counselors have three ways to decide if this is a problem or not.

1. Does it affect your job or income? Has this activity you like to do cause you to lose jobs or promotions? Does it get you in trouble at work? Has it negatively impacted your career? Then this might be a problem.

2. Has the activity you are doing interfered with your relationship with family and friends? Once you start losing friends this is a problem. Especially if you find you are making new friends who agree with you that you’re drinking or drugging is no problem and then they ask you to pay for their drug use. See an issue here?  If both your ex’s thought your fun activity was a problem that should give you a clue. And if your family starts avoiding you and doesn’t want you around anymore you may have a problem.

3. If what you have been doing is starting to bother you. If you feel sad all the time or experience guilt when you do that activity, then it just might be a problem. Professionals call this subjective distress. It is easy to see when it involves depression, anxiety, and loneliness.

One way to understand this is that if multiple people suggest to you that you have a problem, weight loss in this example, then maybe you should check it out and see what they are talking about. At that point, you are ready for the second step in the process of change.

Next time we will talk about our model’s second stage of change – Contemplation.

Other posts on this topic can be found at Pre-contemplation, Contemplation, Preparation, Early Action, Late Action, Maintenance, relapse, recovery, triggers, support system, more on support systems, Resiliency

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

Warning – Gremlins are hiding in the send button!

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

Computer

Internet.
Photo courtesy of Pixabay.com

Why do emails suddenly change after you click send?

Mine keeps doing that. I am getting worried. I need to find a solution to this issue. The email message looks perfect. Nothing underlined in red. Not even a smidgen of green or purple. But let me click send and the whole message changes color and the misspelled words appear. What could be causing this?

I thought there must be something wrong with my computer. So I began my search. It took a while but now I have the proof. My suspicions have been confirmed. There is something wrong with my computer. I don’t want to scare you but this could happen to you also.

It does not appear to be a computer virus. I have checked for all the usual symptoms. No part of my computer’s anatomy is hot to the touch. There are no noxious fluids leaking from any orifice. These are the usual signs of illness in family members and I checked them all first.

Now I know that computers are not flesh and blood but it is reassuring to know that I have ruled out that possibility, still, the problem persists.

When my cat gets sick I take her to the vet. The veterinarian was no help with the computer problem. His commuter is doing the same thing mine is. He referred me to a specialist.

An x-ray of the computer failed to detect anything hiding inside that did not belong. The specialist was baffled. At least that is what I think his email said. Much of it was misspelled and run together. His computer seems to have caught the virus. Can you catch an email virus by sending an email? Checking – Checking.

Carefully I have reviewed my email list. There seem to be some really sick people on the list.

Now I am not talking about clients, I expect them to have problems. But the sickest people on my email list were colleagues. I am especially fearful of anyone with a Ph.D. I have placed their email addresses in quarantine but the problem continues.

If it was just an occasional misspelled word I could cope with it. But the transposed letters have caused some embarrassment, especially when I send them to my boos. He was especially unhappy with once sentence that was supposed to read – not- and the gremlin changed to – Nut. People are also upset with things that come out like “some time of a problem.”  The one where I said I was “thinging about you,” also caused some problems.

Now I have always had difficulty with initial sonsonant counds. Ever since I first learned the story of Finder Cella and the Sgly isters and the Chince Parming mhe seets at the dancy fress ball. Some people call these spoonerisms, others call them mtupid sistakes. But my computer problem seems to be worse than that.

Other people’s computers are speaking a language like “newspeak.” They have words like U for you and LOL for launch our litigation – or something like that. I might be able to cope with learning a new language to be able to email but my computer just is not fat consistent.

I type out the word You – that is clearly what I mean. It looks right – I click send – and now it says ou or Tou or even Uou. Who keeps changing the letters?

Whne I typ nto it comes out not and ot is transposed inot to. It is al merry confusing.

For a while, I thought it might be the mouse. I got one of those new wireless ones. Ever since I got it the cat has taken to sitting on top of the computer and watching the mouse. They yesterday the mouse disappeared. The cat is looking awfully proud of herself but the self-transposing letters continue. I am chalking it up to gremlins.

A quick search of the internet shows that I am not the only one who has suffered an infection of gremlins. Apparently, American Motors Corporation (AMC) had some Gremlin connection from 1970 to 1978. I didn’t read the whole article but I doubt that that Gremlin and the one in my computer are in any way connected.

Still, I thought the severity of this problem required me to warn you.

So should you receive an email from me, or read a blog post in which the letters seem to have been rearranged to make them more nonsensical than usual, you will know it was not my fault. The gremlin did it.

I hope this gremlin warning made you smile. Happiness it one of the greatest cures for much of what ails us. So what makes you happy? How might you achieve a happy life? Till next time.

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

Which foods have joined a group?

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

Food

Food.
Photo courtesy of Pixabay.com

When did Chocolate become a food group? I like that idea. At one point in time, during World War II there were seven groups. Eventual three groups got kicked out when the foods formed a pyramid. For a while, there were just four foods in the group.

What are those four food groups again?

I thought I knew the four food groups, apparently not. This food science major told me that the four main food groups are – this is important now – are you ready? Sugar, salt, fat, and chocolate. This was good to know as I daily consume lots of these items. She explained that these are the items manufacturers add to make food taste better. Why can’t good tasting also be healthy?

One of my clients told me they were making more money these days and could afford to buy all the four food groups now. They are now eating Beef, Pork, Fish, and Chicken.

There are vegans among us. They suggest that there are a variety of ingredients to eat that will increase our health while being humane and healthy. Most of these ingredients are substances I can’t spell or pronounce.

The Plant Protection Society says many species of plants are endangered. The way to preserve them – eat more animals! I just can’t win.

Somewhere along the road to this millennium the powers that be tried to change the four food groups I learned back in school into a taller, shorter, fatter, pyramid. In the process, a lot of people seem to have gotten confused. I am one of those people. The intent, I am guessing, was to convince us that we should eat more of some food groups than others. This worked well for me, I started eating more chocolate.  Then my pyramid typed over.

Worse yet some of the foods on my pyramid have been indicted for assaulting our health. Remember when eggs were bad?  And what about Coffee – is it a food group? I wish it was. For a long time, coffee was on the most wanted list, we were not supposed to drink it. Didn’t they tell us it stunted our growth? I drank a lot of it but my waist grew anyway. Then we heard that coffee had received a presidential pardon because of its efforts in fighting cancer. So far homeland security has not weighed in on the status of coffee. Is it a legal alien?

Well, whatever food groups you chose to engage with this holiday season, try to make peace with them. You will have to live with the things you eat this year throughout most of next year. From looking down at my waist, foods from several decades past still like me and are along for the ride.

Here is wishing you a happy, healthy, and enjoyable year to come.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

You are not playing enough. Neither are your children.

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

Children Playing.

Children Playing.
Photo courtesy of Pixabay.com

How often have you heard “Stop playing around?”

Is some adult’s voice from your past playing in your head right now as you think about that? Do you ever say that to your child or someone else? Well, knock that off.

The truth is we all need to play more and so do our kids. Now I am not talking about the high-pressure play of organized sports. We are hearing about a lot of kids getting injured playing competitive sports. That is not good for them and despite that delusion of our athletic prowess most of us older folks are not up to that stuff either. I am not thinking of the high dollar sports that are now a business and not fun. What I am suggesting is we all need to do more running and jumping, laughing, and having fun.

For a while we had a movement called the “new games” movement which said that games had become too formalized and rule-bound. People watched them instead of playing at them. So they started inventing new games with different rules. The fun was in trying something different.

Now some of you are saying we need to be serious, kids should learn the academics. No time for play in a well-organized society, except for a few professionals we watch occasionally. That would be all wrong. Kids who play around as children very often do better later in life than their serious compatriots. Let me tell you a story.

There was a school that assigned a teacher to a special education class. That class had such a reputation for not behaving that they were banned from the school-wide assemblies. But this teacher thought it wasn’t fair that her class couldn’t go and all the other classes got to. The other teachers made their class’s line up and march to the multiuse room for the assembly. They were certain that those special education kids could never stay in line long enough to get lined up. And if they were able to line up by some bundle of luck, they were sure to move around and disrupt the assembly. The newly assigned teacher had a different idea and she had a solution.

She did not march her class across the school in single file formation as the other teachers did. She had her class run, as fast as they could, laughing all the way, around the entire school grounds. Only when they had run as far as they could, did she line them up for the assembly. And the shock was, that after a good run those kids were better behaved than the other classes. The teacher was Violet Oaklander, and her book “Windows on Our Children” is a classic on the use of art and play as therapy. But there is more to the story of why play is good. We now know it is not only useful for treating children therapeutically. Play is also necessary for normal development.

Children’s unscripted play is important in developing skills that will increase learning in other areas and will be useful in later life. Play is useful for alerting, improving attention, and for helping people organize their thoughts. It is also calming for most people. Some adults are afraid that play might “wind kids up.” It may improve alertness; I wouldn’t recommend it just before bedtime. But before class, it is likely to improve performances not prevent it.

So if we have overactive disruptive students, what do some teachers do? They take away recess and keep the kid in. This is precisely the wrong approach. Please, no emails – you don’t understand – we need to maintain control. FYI, I teach also, I know the problem. But when students get restless then need more breaks and physical activity, not more amphetamine.

What else does play accomplish? Old fashion imaginative play also improves the ability to make use of the senses. It improves balance, fine motor skills needed for writing and the list goes on and on. There are also play activities that improve the auditory and visual senses, just the skills needed for effective learning.

The list of skills that might be improved by active play is too long for me to include here. Even video games when used in moderation, have some benefit in improving hand-eye coordination. Remembering I am not a big fan of robotic video game playing. I have seen too many video game addicts.

But Folks that’s not all!

Play improves the ability to bounce back from life’s stress and trauma. Various play activities have been shown to improve recovery and resilience. There is more to the topic of resilience and the ability to bounce back than just play. One of these days I plan to write more about why some people are able to bounce back from all the bumps in life’s road and others don’t seem to have those skills. I was researching the topic of resiliency and recovery when I came upon all the reports of the benefits of more play.

Hum – just might be a book lurking in that topic. Stay tuned for more on the resiliency angle.

So I hope you have gotten the message. Get out there and play some more. And encourage your kids to play more also. You might even get radical and try playing with your kids.

Is anyone reading this? What do you think about the topic of the need for more play?

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

Am I a quart low on serotonin?

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

Depressed person

Depression.
Photo courtesy of Pixabay.com

Low on Serotonin?

There has been a lot of talk about the way in which neurotransmitters affect the brain. Some of this has been helpful in understanding mental illness and some have not helped at all. On common expression has been that someone had a “chemical imbalance in the brain.” I wanted to talk about that and some other issues related to psychiatric medication in today’s blog. Please keep in mind that this is a highly simplified explanation. Remember I am a therapist and counselor, not a doctor so I need to find simple explanations for clients and myself without misleading them. If you have a background in biochemistry or research skip this blog now. If the doctor has told you to do or not do something please follow the doctor’s instructions or at the least talk with your doctor about these issues. The rest of you let me know if this helps explain things.

The expression chemical imbalance is a bit misleading. The frequent use of that expression has resulted in a lot of people coming in and asking to be tested to see if they have a chemical imbalance and if so what chemical do they need more of.  They get quite upset when we say that we can’t do that kind of test. Here are some of the problems with that approach.

Thoughts in my brain and yours also, are carried from one nerve (brain) cell to another by chemicals. So when I think something, anything, my brain sends out chemicals to carry that message. Once the thought has come and gone the chemicals are broken down and reused or disposed of. So as fast as I can think of something my brain chemistry is changing.

Now different brains may make, transport, and use chemicals at varying rates but we all use chemicals to move thoughts. This is why talk therapies like Cognitive Behavior Therapy can help to change someone’s thinking which results in a change in their brain chemistry. Now medication can also help and research seems to show that doing both medication and therapy for your problems can result in changes that are more rapid and longer lasting than either treatment alone.

Most everyone has heard of anti-depressants. So they think that if I am short on a brain chemical I should be able to take a pill, replace the missing chemical, and – presto – I am cured. Wish it was that simple. Let me give you one exaggerated example of how an antidepressant might work.  The most well known and widely prescribed antidepressants right now are ones called SSRI. SSRI stands for Selective Serotonin Reuptake Inhibitors. This has resulted in a lot of people thinking that the reason they are depressed is a shortage of Serotonin. Let me try to explain how this works. You will need to unpack your imagination for this one.

I once drove a car that had a leaky radiator. At the time money was tight, still is a lot of the time but that is another story. So I kept putting water in the radiator. This is sort of like the way my brain might try to keep putting serotonin into use. But as fast as I filled the radiator the water kept leaking out. So my engine overheated. When I get low on Serotonin my brain overheats (not really don’t get the thermometer to check for depression) and then I get depressed.

So every few miles I had to find a place to stop and put water in the radiator and still it didn’t last long, kept overheating.

So this friend of mine tells me there is this thing you can get at the auto store that stops the radiator from leaking. I get some, put it in the radiator and the leak slows down. A second dose and the radiator stops leaking altogether, well almost stopped but at that point, I only have to put water in the radiator once a week, not every day.  So it wasn’t the amount of that stop leak stuff that mattered. I didn’t need to fill the radiator up with it. It just helped me get more use out of the water I had already put in my radiator.

The SSRI works that way on our brains. It doesn’t put more serotonin in the brain but it slows down the leak so we get more miles or smiles out of the serotonin we already have.

Now, let’s say for illustration purposes here, I am bragging to my friend about what a great job that stops leak stuff did and he doesn’t believe me. So I do a demonstration. I get my trusty old shotgun out. Point it at the radiator and let it rip. Now the radiator starts to leak again. So out comes a can of stop up the radiator stuff and I pour it in. Only this time the stuff doesn’t work. The radiator keeps right on leaking.

This is exactly what happens to the brains of people who are on SSRIs or other antidepressants and then they drink alcohol. Alcohol, remember, is a depressant substance. Why we so rarely call it a drug is beyond me, given that it causes more problems with abuse, dependence, and suicide than all the other drugs. But that is just the way it is.

So the point of this story is that the problem for most people is not that the brain is low on serotonin but that the things we do to our brains use up the serotonin way to fast.  A good diet, plenty of sleep, avoiding drugs, and alcohol can all help you produce more serotonin. So can changing your thinking because happy thoughts release more neurotransmitters into the brain. But calling this problem a chemical imbalance shouldn’t take away the responsibility to get our thinking and our living fixed.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Bipolar doesn’t mean moody

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

Person with masks

Bipolar.
Photo courtesy of Pixabay.com

Bipolar doesn’t mean moody.

Three psychiatric diagnoses (ADHD, Bipolar, and Schizophrenia) have left the scientific literature and taken up residency in the media and in everyday conversation. The problem with these usages is it devalues the term and pretty soon it is being misused more often than it is used correctly. Bipolar is one of those terms.

Kids report that their peers call them or others “Bipolar.” We hear about it on talk shows. Sometimes parents call their children or their partner Bipolar with no clear idea what the term means. Children are being diagnosed with bipolar disorder at younger and younger ages. Early diagnosis and treatment is a good thing; it may reduce a lifetime of suffering. Referring every kid in first grade who is irritable for a bipolar evaluation is probably not warranted.

Lots of parents want their child “tested” for bipolar disorder. I wish there was a simple test, say blood or urine that would detect the disorder. There may be physical signs or markers, but so far no one seems to be able to detect bipolar disorder other than by a psychological evaluation that involves descriptions of mood and behavior. When many parents want to know if their child is bipolar, what they really mean is the child is irritable or difficult and they need help.

People refer to others who are moody as Bipolar. Bipolar disorder does not mean moody! Some people are naturally moody others get moody when something upsets them. Lack of sleep makes most anyone moody and grouchy. Not everyone with sleep disturbances has bipolar disorder by any stretch of the imagination.

When we talk about bipolar disorder we are talking about a condition, not a person. A person may have bipolar disorder that does not make them “bipolar.”

So what is Bipolar – really? It used to be called Manic Depressive disorder. I see client questionnaires where they report they have family histories of both manic-depressive disorder and Bipolar. I won’t go into the politics behind the name change but it is important to note two things. Bipolar is a mood disorder so it is in the same “family” or chapter as Depression and other mood disorders. The second characteristic is that for the problem to be bipolar it must include Mania or its cousin Hypomania.

Update – In the DSM-5 they did away with the term “mood disorders.” More and more professionals are thinking that Bipolar and Major Depressive Disorder are for-sure two separate things. You may have periods of depression for a while before the mania but we need to be careful to separate the Bipolar from the Major depression.

So what is mania? I won’t repeat the whole DSM-4-TR criteria here if you want that please go to the source. But a couple of things that separate mania and therefore bipolar disorder are important. For some clients, this looks like someone on Meth – without the drugs. This is not a little bit thing that comes and goes. When it occurs the person is debilitated.

Mania involves a period of time where the client’s behavior is elevated, expansive, or irritable. In short, they are “off the hook” and this is not deliberate but uncontrollable. During this time frame, they have a bunch of behaviors that are far too excessive. The DSM lists 7 characteristics and the person should have the majority of these symptoms. Not sleeping and not needing to sleep is a red flag. They are up all night doing things and they don’t even feel tired. They are likely to show grandiosity and excessive self-esteem. They talk faster than those around them can listen and they think faster than they can talk. But the thoughts may make sense only to the person with bipolar disorder. They are likely to get “stuck” on things, too much work, buying sprees, excessive sexual activity, and other risk-taking activities.

Since mania is seductive, who wouldn’t like to be able to have fun twenty-four hours a day and not need to sleep, during manic episodes the client with bipolar may be strongly attracted to stimulant drugs like methamphetamine and cocaine. Alcohol abuse is also common which increases the crash when the manic episode ends. And it always ends.

Most people who truly have bipolar disorder are first diagnosed with depression. One indicator that makes me suspicious is when a depressed client takes an anti-depressant and recovers suddenly and now is “better than ever.” A manic episode is about to occur.

So far talking about Bipolar disorder, with its depressive and manic symptoms makes it sound like the person runs from manic (which is not happy by the way) to depressed. That’s not the whole story. Kay Redfield Jamison writes about what we might call mixed states. It is possible, probably more common than we might think, to have both mania and depression at the same time. Think of the shifting moods like a tire on your car. When it is parked we could mark one side of the tire and call that the back, the other would be the front. But once the tire starts to move you don’t drive on the front or the back but the whole tire. So the person with bipolar may experience a mixture of depression and mania at the same time.

Another feature of Bipolar disorder that separates it from moodiness and depression is the tendency for the elevated thinking to become first delusional and then it may progress to include hallucinations. So the person with bipolar disorder is not only thinking odd thoughts but is very irritated with others that they don’t “get them.”

Hope this explanation got you thinking about Bipolar disorder. If you would like more information, check out the Depression and Bipolar Support Alliance.

As always your comments are welcome. If you like this blog spread the word. If not let me know what might improve it. Till next time.

David Miller, LMFT, LPCC

Don’t think about elephants

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

Elephant.
Photo courtesy of Pixabay.com

For the balance of the time you are reading this blog – please do not think about any elephants.

I know this may be difficult for some of you but whatever you do – do not think about the elephants.

No cheating now.

Do not think about African elephants.

Please do not think about those big gray Indian elephants.

It would be especially important to not think about circus elephants or pink elephants or even cartoon elephants like Dumbo.

So how did you do? Did you think about even one little elephant?

Most of you did think about an elephant, didn’t you?

This short exercise illustrates how difficult it is for a person who has a problem, any problem, to avoid the problem by not thinking about it. The very effort to not think about the problem immediately makes us think of – the thing we were trying to avoid.

Lots of people try to solve their other problems in the same way. Let’s not think about them. Substance abusers who try to not think about their drug of choice spend all their day with the thoughts of that drug running through their heads. Dieters have the same problem, the more they try to think about not overeating the more food intrudes on their thoughts.

So what should you do?

You can’t just sit and think about your problems either that is called brooding. The more you ruminate the more depressed and anxious you will become.

There are two approaches to solving the problem of constant unwanted thoughts.

Do something. Many problems grow the longer you avoid them. Sometimes this is described as – while you are inside hiding from the problem the difficulty is outside doing push-ups. The longer you avoid the trouble the large it looms. Financial problems and unhealthy lifestyles are the most likely to grow. The sooner you take action to cut spending, raise your income, take a second job or just accept that your dream house or toy is really out of reach the sooner you can begin making progress towards solving the problem.

The other approach, the one especially recommended for addictions and other habits that seem to own you is stop trying to not think about the bad habit and begin to focus wholeheartedly on positive things. What would your life be like without that elephant you have allowed to live in your living room? Focus on the new pattern or activity you want to replace the unwanted tendency.

How do you decide which method will be most successful?

If you do nothing will the issue you are avoiding eventually destroy you? Addictions will, a mounting debt will. Unhealthy lifestyles, like smoking, will eventually shorten or end your life. Doing nothing should never be an option.

Unhealthy habits like addictions can never be overcome by sitting passively and resisting the urges. As a counselor, I don’t try to take an unhealthy behavior away from someone, which leaves them empty and hurting. Instead, we try to find something desirable, worthy, and uplifting to replace the burden the client is trying to put down.

So, in the end, the best successes for changing your life and improving the self comes not from struggling to avoid something but from finding a new positive goal to move towards.

As many a twelve-stepper will tell you, the greatest progress towards recovery comes in the times when we seek to do something for someone else. Trying to be of services to others, thinking of how we might help them always takes us further away from our own defects of character.

Here is wishing you a happy journey towards whatever happy life goal you decide to pursue.

P. S. The picture is from Wikimedia Commons.

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

Anxiety is like a cat!

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

Stray cat

Feral cat.
Photo courtesy of Pixabay.com

Anxiety is like a cat!

What exactly is anxiety? And what is an anxiety disorder?

Well to some people it looks like a kitten.

And to others, it looks like a lion.

A little anxiety can feel like a small cat rubbing on your leg, a bit of an annoyance but nothing you can’t handle. It can push you to try harder. It is the stage fright that keys up the performer to go all out and give the performance of their life.

For others, Anxiety is the lion that keeps you off the stage of life. It is a terrifying disorder that tries to eat you alive.

Anxiety disorders are the most common emotional problem in America. In any one year, approximately one in five Americans will have an episode of anxiety that is severe enough to interfere with their everyday functioning, an episode so severe they should go for treatment.

Dictionaries define anxiety as a feeling, worry, nervousness, agitation, fear, or apprehension. The symptoms can interfere with every system in the body. Anxiety symptoms are often mistaken for physical illnesses and send millions of people repeatedly to the doctor looking for a physical cause of an emotional problem.

Now if you have a physical problem, by all means, see your doctor. But if the problem keeps changing, if the doctor can’t find anything wrong with you, then the problem may be emotional. That does not mean the problem is “all in your head” it is there, but it is everywhere in your body also, and there are treatments for anxiety.

Robert Sapolsky wrote a really cool book, called “Why Zebras Don’t Get Ulcers” which explains how your fears can essentially hijack your body and show up by making you sick. I highly recommend this book to counselors and therapists who want to understand anxiety and want to help people with this problem. But what if you or your child is suffering from anxiety. And I do mean SUFFERING? What if you just want to get your life back?

There are ways to turn the volume down on anxiety, shrink that cat down to a manageable size. I am not saying to get rid of anxiety altogether. If there is a real live lion chasing you, or a gang banger with a gun, some fear and anxiety is a good thing. Under those circumstances, anxiety might save your life. If your fears are keeping you from having a life, what then?

A good counselor or therapist can help you shrink those fears. There are self-help books that help also. A good counselor can help you learn and practice skills to stop anxiety in its tracks. The difficulty here is they will probably see you an hour a week, now you got 167 hours to go before your next appointment. What now? This is where a good self-help book can help, especially if you talk it over with a professional and practice the skills. A book is also helpful if you need to help a child get over their anxiety.

One book that I find helpful for managing anxiety is Tamar Chansky’s book “Freeing Your Child from Anxiety: Powerful, Practical Solutions to Overcome Your Child’s Fears, Worries, and Phobias.  She has lots of good techniques for reducing and controlling anxiety. She does some creative things like using a “Fear Extinguisher” and a “Fear Thermometer” as well as some of the standbys like creating incompatible emotion states by using humor or relaxation to reduce anxiety.

So is anger a problem for you? How do you reduce or control your anger? And if you are a counselor and work with clients with anxiety – What do you find the most effective approach?

There will be more on this topic to come, and please feel free to comment on this or any other topic in my blog. Till next week. David Joel 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

Here are the Spruce!!

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Counselorssoapbox.com

As promised the counselorssoapbox blog has been spruced up.

So why do we call the spring cleaning “sprucing up”

Like so many other words and expressions we use here in America, we got this one from our Country-Ancestors in the UK. Originally spruce items, like the trees, were things imported or originating in Prussia. One thing Prussia was especially known for in the pre-colonial days was fancy leather goods. So back then to “spruce up” was to put on your fancy leather jacket. Later it came to mean to get dressed up or to fix up your looks. So we have both imported some spruce tree pictures for this occasion and cleaned up the site. For more information on this and other UK expressions that made their way to America please see – phrases.org.uk.

One of the new features on the blog is a section about the books I have been writing. None of the books are published just yet but I wanted to share the process and the progress I was making on these projects. Two of my novels are in the editing and sending to the agent stage, more on them later.

My major non-fiction book project is about all the things beginning counselors need to learn to become helping as opposed to unhelpful counselors. It currently has the working title “How to do counseling” While working on this project I have had to do a lot of research on books for counselors and on books counselors might suggest to their clients. In my own private therapy practice, I sometimes do what we counselor types call “Bibliotherapy” which is suggesting books for our clients to read.

So as the project progresses I would like to tell you about some of the books I have read that might interest you. You will be able to see some short book revues about counseling, therapy, recovery and resiliency, and other “having a happy life” books. As the list grows there will be a list of recommended books and resources.

If you have a particular favorite helping book email me or make a comment on the blog.

Till next time wishing you a happy life. David Miller, LMFT, NCC.

One last Spruce

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