Your autobiography as therapy.

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

Your autobiography as therapy.
Photo courtesy of Pixabay.com

Where did all this emotional stuff come from?

Most businesses take inventory every year. It is good to see what you have and also what is missing. For many businesses there is a step that needs to be taken before we can even begin to take that inventory, it involves cleaning up the warehouse.

Businesses accumulate a lot of junk. There are boxes and bags tucked here and there and no one remembers what is in them and where they came from. Our emotional lives get like that also.

We have an “insecurity” here and a “resentment” there. Something that is said at work triggers a memory of another time we were told that same thing and it made us feel really awful. Only we can’t remember when that other time was and how that happened. We have boxes and baggage but we don’t know what it goes to.

Before you get to the point of taking an emotional life experiences inventory, which is coming up soon, it pays to try to figure out what this stuff you are feeling is and where it came from.

In a previous post, I talked about how our minds have at least two memory systems. We have a verbal, story type memory which is stored as words, this happened and then that. We also have an emotional, feelings memory which is stored as pictures and sensations. Very likely there are other memory processes but let’s just work with these two for now.

So you see something, a single fresh flower lying on the floor next to an empty beer bottle. What does this mean? Some people will think nothing of it, pick the bottle and the flower up and maybe put some water in the bottle for the flower. Others of you will get upset, start to cry, and run away without touching a thing.

Past experiences have conditioned a response to this scene. You have learned from experience what this will mean to you emotionally and you have launched into an automatic response.

One way to begin to find these past events, to make some sense of them, and see why those past experiences are continuing to influence you today is to write out your autobiography. In the beginning, it is not necessary to figure out everything.  Just write the memory down.

Some people start trying to interpret things from the start. Do not fall into that trap. You remember being in a room with a particular decor and you were scared. Don’t run for the “was I molested” trap. Just know that you were there and you were scared. That experience increased the risk that when you see that decor again you will feel scared again whether this is a dangerous situation or not.

So write down the first thing you remember in life, then the next. I recommend for this using a loose-leaf book. You may find every time you write about something you will remember something else. There may be gaps in your memory. At this point all that matters are you are exploring you. Finding out what feelings you have had and where they may have originated.

In a later post, I will talk about how to do an inventory of these experiences and emotions. For now just work on getting back in touch with you, who you are what you have felt and how did you come to be you.

Some of these remembered experiences will provide insight. You always knew this; you just never invested the time in yourself to think this through. Some experiences in your life are just that, experiences. No emotional content. Some have left lifelong scars even if you have not been consciously aware of them.

Please don’t only look for the sad, the painful experiences. Along the way find the things that were happy times. Maybe the memory will be of a pet or a special person who was in your life if only for a while. If you had that pet, for a while, and then you lost them, think of the time when you had them. How did you feel? What did you do?

If you can find that reflected crystal of joy from that time then you can tuck it away and recreate it at will. That time you were so happy, that special place, you can get back there again when you need to.

This project, taking a look at you and how you became the person you are, will take some time. We will want to return to it again and again. Tuck those pages away and keep adding to them as you think of more you remember.

In a future post, we will look at the process of inventorying those feelings that these memories and stories produced.

So far this year, we have done a lot of work on finding out who we are, what we value, and how we became the people we are. You have also thought about who you want to be, the place you are going to find that happy life. This might be a place to take a break.

Some posts on other topics are coming up along with some answers to reader questions. But keep working on your autobiography and your other projects in the meantime. We will get back to the self-improvement program soon.

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

Would a Genie help? Happiness by magic

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

Happiness by magic wand.
Photo courtesy of Pixabay.com

Magic is about to happen.

In this quest for a happy life, it is easy to get confused, lost, and turned around. Sometimes we stumble over an obstacle or two or even end up in a deep hole. We lose sight of where we are going and get stuck in just getting by each day. The solution to our problems may be just around the other side of that big rock over there or behind any tree but if you are tired and discouraged, then it is hard to keep going.

Time for the Genie

Genies are magical creatures that can clap their hands, wave a wand, and change things instantly. Wands used to be exclusively for use by fairies but that was back when fairies were predominantly heterosexual. These days Genies have taken up using magic wands. Wands appear to work regardless of your sexual preference.

So imagine with me that you have just encountered a Genie carrying his magic wand. Because you and you alone have seen him he grants you 3 magic wishes. You must use them now or lose them. There are no “do-overs” and wishing for more wishes is not allowed.

What would you want?

This magic wish question is helpful in discovering our real desires. Not the things we say we want or the things we know we are supposed to want, but what do you really want?

I have asked this question of people young and old, on crisis psychiatric units and in residential treatment. The answers I get are amazing.

Some children list things – lots of things, that new video game and a better smartphone and – and –and. Other kids say things like “I wish my parents didn’t fight.” They want a safe place to live or food to eat. They are wishing for the things that are the necessities of life in my book.

So what three wishes do you have for this Genie?

Write those wishes down. Pull out the list of values you made earlier. If you are just joining us we made a list of values, things that really matter to us earlier. You can look back at that post if you chose.

Make sure these wishes are consistent with your values. Now keep that list of wishes. Take it out on a regular basis and see if you are any closer to these goals. Be forewarned that just accomplishing a goal will not make you happy. Happiness is an inside job. But you will never move forward if you don’t have a clear vision of where you want to go.

An example of progress towards happiness may help.

Let’s say that your values were that you wanted to have a better relationship with your kids. Your religious and spiritual values are really important to you. Right now you are stressed out from work and overcome with bills. That financial and job stress is making you so upset that you can’t really be present when you are with your kids. You find that when you are around them you are short-tempered and grouchy. So two of your wishes to the Genie were; that you had a less stressful job and that your bills were paid off.

Now you need to have a conversation with the Genie.

He could eliminate the job stress by getting you fired. No job, no stress – is that what you want?  Or he could give you some magic herbs that reduce stress. Careful here, lots of people opt for the herbs. You say herbs; the Genie has done his work and is gone. Now, what happens when the herbs run out? Lots of people reach for drugs or medications to relieve stress and discover they have become dependent on them. We call that addiction.

He could solve the bill stress. Get you evicted, no home, no more water, and power, or rent bills. Is that what you had in mind?

What else could the Genie do for you? Maybe he teaches yoga and meditation part-time. He could teach you relaxation techniques. Or he might also moonlight as a CBT therapist and teach you how to avoid “stressing yourself out” over work. Learning ways to reduce your stress at work might be just what the Genie ordered.

The Genie could also get you transferred to another department. But you don’t need him for that. You can put in for that transfer all on your own.

So what you have done here is develop a list of things that you would like the Genie to change. You have also thought about the how, the way in which you want him to make the changes.

For each change you want the Genie to make in your life, record the way in which he would do this and the steps that would take.

You might decide you want a new career. You need more education and training to get that new job. That means going back to school, which means applying to get in and taking a placement test. Don’t overload yourself. You did not give the Genie a time deadline to get this done. You just want him to start making the changes and so you need to know what the steps are that will make up those changes.

Wait – before you run out the door and start making all these changes. The Genie is trying to tell you something.

You are at the crossroads in your life and there is always danger at the crossroads. You need to hear what the Genie says about those dangers.

Next post I will tell you what the Genies warning was.

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

Must psychologist report patient planning a crime

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

More about when the therapist breaks confidentiality Reader Question #1

Please with crime scene tape

Do therapists have to report a crime?
Picture courtesy of pixabay

Most of the time therapists, counselors, and psychologists do not report past crimes. If the crime may occur in the future, then we have a problem. How does the treating professional balance the duty to protect the public with the need to maintain a trusting relationship with the client?

In past posts, I talked about some of the standard exceptions to confidentiality. Things like child abuse or an intent to harm themselves or others. If the client tells me about a plan, to harm or otherwise abuse a child, or kill their partner and them themselves, I feel both ethically and legally bound to intervene and try to stop this. How I go about intervening may be a matter of my best “clinical judgment.”

But this planning a crime issue, that is tricky.

One thing every professional should do is have a place they can go to for legal and ethical advice. This is one of the reasons I am a member of both CALPCC (California Associations for Licensed Professional Clinical Counselors) and CAMFT (California Association of Marriage and Family Therapists.) Professional associations often offer services to answer or refer you to answers for ethical and legal questions. CAMFT has lawyers on staff who can answer these kinds of questions if you are a member.

So a counselor who is presented with this situation may well consult with a legal or ethical adviser. While doing this consultation they would use the minimum amount of information needed to get an answer. They should not give the client’s name or identifying info but only the nature of the crime the client says they might commit and then ask if they legally or ethically need to make any kind of report.

I mentioned also that it matters who is paying this counselor. If you go to a government psychologist and are planning on cheating disability by lying about your symptoms, that professional is working for the government and will report your effort as fraud. The point of the interview is to see if you are disabled. Even if your treating clinician does not disclose something you said they will not lie by leaving out things that would affect the decision someone else is making.

So what kinds of crimes can I think of that might need to be reported?

If my client was thinking of burning down a building or planting a bomb, I might need to report that and warn people near that building because of the high risk that someone would be hurt. If they were planning to set a fire and they shoot first responders, I feel that this is absolutely reportable.

We do encourage clients to talk with us about anything and everything so we can help them and I would want to try to help my client find other ways to accomplish their goals without committing a crime.

Generally, financial type crimes, writing bad checks, or cheating on your taxes, we don’t have to report clients for that. But we do want to work with them on why that lifestyle may lead to worse things. What a counselor should not do is help the client plan ways to get away with a crime.

One last exception to confidentiality no one ever seems to talk about is if the client is a terrorist. If they are plotting a terrorist attack, even if no person is likely to be harmed, the treating professional may be required to divulge that information. Homeland security can require treating professionals to disclose certain things.

But honestly, this is not a big problem for counselors; suicide bombers probably do not see therapists. Around here we aren’t likely to hear about any Homeland security related issues. There are not many terrorist attacks on cattle feedlots or vegetable growers.

Yes, I live in California, but remember that a large part of this state is a long way from the ocean.

Not sure that really answered the question, but I know that the worry about how much to tell and how much you need to hold back from your counselor is on a lot of client’s minds. If you can’t trust your therapist it is hard for them to be able to help you.

When in doubt ask the person you are seeing and judge by their answer if they will try to help you while staying inside the law and ethical guidelines.

This has been a general discussion of legal and ethical issues involved in a client and counselor discussing the client’s plan to commit a crime. Remember I am a counselor, not a lawyer and legal issues vary from jurisdiction to jurisdiction. For your specific situation, you may need to talk to a lawyer.

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

Body remembers what the mind forgets

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

The body remembers what the mind forgets.
Photo courtesy of pixabay.

We don’t have just one memory system.

Seems that memory is a lot more complicated than we used to think. Like computers with different operating systems, our brain has a lot of different ways in which memory is saved, processed, and recalled. This may explain some of the problems we have with sudden unexplained reactions to things that we didn’t know would affect us that way.

People with a history of trauma may respond in extremely strong ways to seemingly minor things. This is not an “over-reaction” but this unusually strong reaction to a small cue in the environment may be connected to the way they have stored that memory.

Let me try to explain this one and see if I can get this memory stuff right.

One way we remember things is by creating a story about the events. This is called the “verbally accessible memory system (VAM.)” These memories can be saved accurately when we are paying full attention to what is going on. This is the kind of memory that is most useful for the student sitting in class listening to the teacher and taking notes.

The second form of memory is called Situational Accessible Memory and is largely a compilation of the sensory data that is stored in a second redundant memory system. So this memory system will be recording how the person felt during that lecture. Was it boring, did their back hurt? If the lecture was boring they may store the bodily sensations they experienced while in class. If the lecture used humor and stories the student may remember laughing and enjoining the class.

These memories are not stored in one system or the other but in both. Which system holds the most detailed and important memories depends on a whole lot of what was going on at the time things happened.

Many people will tell us that their first memory in life was a picture of something they saw often combined with other sensory data such as smells, tastes, or tactile experiences. As we get older we develop more of a vocabulary and are able to record more of the verbal story elements. We come to know that the brown thing was a cookie and those dots were chocolate chips and that smell was mother baking. The sensory data is transformed into the story of mom’s Christmas chocolate chip cookies.

Sometimes, times in later life, when emotional events happen or we experience a trauma, the body shuts off or restricts that verbal channel, and as a result that emotional event is stored as a highly emotional sensory memory.

Levels of various chemicals in the bloodstream and in the brain, which is largely filled with blood, determine the way in which these memory systems interact. Hang with me here because some of this may explain why we remember or don’t remember aspects of trauma.

Our human brains also include some primitive structures and processes. One system governs those basic survival skills we share with other animals. So the lizard’s reaction to stress and ours is a lot alike.

The lizard sees your hand coming, he tries to hide by freezing and not moving. Maybe if he does not move you won’t see him. This protective mechanism functions automatically just like your heart that keeps beating all night even though you are asleep. So regardless of what you plan, there is likely to be a hesitation when an emotionally charged event occurs. During that hesitation, we, just like the lizard, tend to freeze. Police officers and combat troops need to be overtrained to respond in order to reduce that hesitation.

Next, as the hand continues the reach for the lizard, he will suddenly spurt as fast as he can go to get away. This behavior we call flee. During that flee process all resources will be focused on escape. So during this process, verbal memory will stop or reduce recording. People who have experienced trauma might describe this as “blind fear.” So while they are running they may not remember where they went, what they leaped over, or what sound was coming over the radio, still, some other sensory data may be stored at a magnified volume.

Lastly, the poor lizard in our story, cornered with no way out, will turn and flare out to try to make themselves as large as possible. They prepare to fight, even knowing they may die, but they are going to get their licks in and hope when they bite you, you will drop them in pain. Humans sometimes report that when they got far into fear or anger they began to attack even though there was little hope of winning the fight. This is sometimes described as a “red out” meaning the anger got so strong that most other verbal memory processes and rational thought shut off.

In higher mammals, there is one other stress response here that has a bearing for humans. The puppy when under attack may roll over on its back, exposing its stomach or neck and in effect giving up. They are saying to the attacker go ahead do what you want I give up. We might call this behavior “placating.” In a human that rolling over and playing helpless or dead is often accompanied by some form of dissociation. This could be a momentary blank spot in the memory recording or a longer dissociation.

So during all these automatic behaviors, the verbal memory system will be turned down and the sensory memory system will be turned up.

This result of shifting memory systems may explain why a seemingly unrelated sensory trigger can set off an episode of fear and stress. The victim of a previous assault may see a yellow car and suddenly be overcome by fear. Last time an assailant chased them they ran full speed until they ran into a yellow car, seeing that same color car causes the sensory memory to spring back to work and recall the full trauma, stress hormones, and all.

Hope that explains some of the potential relapse triggers for emotional conditions that may be present in the sensory memory even if not available consciously in the verbal memory system. My apologies to any memory researchers out there if I have gotten any of this theory incorrectly.

So have any of you ever experienced a sudden emotional response that came out of nowhere?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Does a little alcohol make you more productive?

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

Bottles of alcohol.

Alcoholic Beverages.
Photo courtesy of Pixabay.com

Alcohol’s effect on productivity – Morning Question #28

Alcohol is not likely to make you more productive. People used to believe that alcohol was a stimulant and increased your productivity. It is not a stimulant, it is a depressant.

What alcohol does do is reduce the function of parts of the brain; as a result, people lose their inhibitions. So people who put things off and avoid things because of anxiety and shyness may do things while they have alcohol in the bloodstream that they otherwise would not do.

Taking more chances can be good if it helps you overcome inhibitions and gets you to try something for the first time. But it can also be bad if the thing you try that one time has harmful consequences, like sex with a new partner or drugs. Having to use chemicals to overcome anxiety also increases the risk you will become dependent on that chemical to cope with that problem the next time it arises.

This false belief in alcohol’s ability to increase productivity resulted in a lot of authors, newspaperman, and other creative types abusing alcohol and resulted in a lot of alcoholism.

There is no magic substance to make you more productive or creative.

Good health practices, some exercise, and reducing the internal censor that inhibits you from trying new things can go a long way towards increasing your productivity.

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

What is Situational Memory?

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

Memories.
Photo courtesy of pixabay.

Situational memory.

Situational memory sometimes called “Environmental context-dependent memory” refers to an ability to remember information when in one situation that you are unable to remember in another.

This condition is a lot like state-dependent learning but involves location rather than drug level in the bloodstream as the cause of difficulty in retrieving previously learned information. The existence of situational memory raises the question “Does situational memory influence recovery for those who have been in residential treatment or the hospital?”

Do rehab classes while someone is incarcerated result in knowledge they can use after release?  A simple example of the problem:

During the course of the week, I use several different computers in offices at varying locations. Sitting down at a particular computer workstation “cues” the memory for the password that is needed at that site. From one office I emailed myself a password-protected file that needed more work that night. Once home I found I was unable to remember the password.

The following day, back at the original location I was able to quickly open the file without hesitation despite the lack of anything in the room that contained or reminded me of the password. Simply moving from desk to desk cued my memory for the password.

In a classic example of this phenomenon, researchers found that students who were taught deep-sea diving skills in a classroom on dry land were unable to remember the skill once in the water (Godden, D.R.; Baddeley, 1975). To improve recall the skills needed to be learned under realistic conditions. The effect of context on memory has been one criticism of separating recovering people from their real work environment for treatment.

Do skills learned in rehab or hospitals continue to be remembered after return home?

Current practice is to include ongoing aftercare or relapse-prevention classes after the recovering person returns to the community. Situational memories may also affect those who suffer from PTSD.

Veterans who return to the scene of their service are likely to be “flooded” with returning memories. Watching a motion picture that includes events similar to these memories can also revive painful memories. Treatment for anxiety-based disorders which are triggered by re-exposure to places where a trauma occurred, especially obsessive-compulsive disorder, is likely to use an Exposure and Response Prevention method in which cues to the original memory are invoked while the person is supported in tolerating the distress this causes.

Situations, where we move from one location to another, can result in cases of situational memory or situational forgetting the “Doorway Effect.” Being cognitive misers we humans tend to save memory space by only retrieving knowledge in a situation where it is likely to be needed. Solutions to situational forgetting include over practice and rehearsal of skills and creating secondary memory assistance in the form of written lists or reminders placed where we will see the needed information when needed.

Many people in recovery display the serenity prayer or the twelve steps as a reminder to use their recovery skills in all situations.

It is not just the external situation that affects memory, the internal situation makes a difference also. Depressed people remember mostly negative depressing events. Laughing, smiling, and telling jokes, reduces the ability to access depressing memories. The neighborhood you are in when you are in your own head comes with a landscape full of memories. Since memory has situational components, avoiding the place in which you learned something can result in forgetting of the things learned there.

Recovering people are well-advised to avoid old people, places, and things. Anything that cues urges to use or to engage in other behavior that interferes with recovery can be reduced by substituting new positive cues for the old negative ones.

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

O.C.D. or Obsessive-Compulsive Personality Disorder?

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

What is the difference between OCD and Obsessive-Compulsive Personality Disorder?

Obsession

Obsession.
Photo courtesy of Pixabay.com

There are two different mental disorders that share the OCD designation. It seems odd that we have two disorders that share the OCD part of their labels. The way I read the DSM they are rather different disorders.

The result of this dual use of the OCD label is that the two conditions may be getting confused and that people with Obsessive-Compulsive Personality Disorder may not be getting diagnosed or treated the way they should be.

People with Obsessive-Compulsive Disorder have high levels of anxiety and they have rituals they feel compelled to perform that relieve the anxiety.

Think of obsession as not being able to stop thinking about something, in the case of OCD this thing they can’t stop thinking about is usually connected to some perceived danger. This is beyond just being over-anxious about a real danger. Like PTSD there are images that keep popping into the head. Having these thoughts upsets the person. The person with OCD knows these are their own thoughts and that the thoughts are excessive.

The compulsive part has to do with the inability to withstand the thought and the need to do something to relieve the tension. These obsessions are not things like avoiding the alligator, which might keep you safe. They involve things like washing of hands over and over, praying for a long period of time repeating phrases or counting.

The description of OCD reminds me of impulse control disorders like gambling or addiction and has some similarities to overeating disorders.

OCD is a more generalized condition than what you might see in someone who has difficulty controlling only one obsession or compulsion as in an alcoholic who keeps thinking about drinking until they give in and drink. In OCD the compulsions don’t have that direct a relationship.

That is a very over brief description of OCD from the DSM-4-TR.

For more on OCD and its treatment, I would refer you to another site here on WordPress called ocdtalk.

How is OCD different from Obsessive-Compulsive Personality Disorder?

This description of Obsessive-Compulsive Personality Disorder is taken from the proposal for the DSM-5 since it will become final very soon and Obsessive-Compulsive Personality Disorder is one of the personality disorders that the DSM-5 kept.

Obsessive-Compulsive Personality Disorder involves a SIGNIFICANT impairment in self-functioning. Someone with Obsessive-Compulsive Personality Disorder does not just have a few symptoms about one thing but that is the way they are all the time.

Someone with Obsessive-Compulsive Personality Disorder gets their self-worth, their sense of purpose in life from their work or productivity. They are compelled to do something all the time. They have overly high rigid standards and are “inflexible” about meeting these standards. This sounds like that old “black and white thinking” to me.

Someone with Obsessive-Compulsive Personality Disorder is overly moralistic or conscientious. As a result of these excessive standards, they may be unable to complete projects unless they can be done “correctly” or perfectly.

People with Obsessive-Compulsive Personality Disorder lack empathy for others and will put work or moral standards before relationships.

If you are not perfect the person with Obsessive-Compulsive Personality Disorder will not want you for a friend. If you think you are perfect then you may well have Obsessive-Compulsive Personality Disorder or another mental illness.

Other traits of a person with Obsessive-Compulsive Personality Disorder include rigid-compulsive perfectionism and negative “affect.” Meaning they are negative about everything all the time.

A person with Obsessive-Compulsive Personality Disorder is also likely to practice “perseveration” meaning they can’t let something go. They will keep trying to get something just right even after it no longer matters.

I get the picture here of someone who is very “puritanical.” I believe sitcoms call them “anal-retentive.”

People with Obsessive-Compulsive Personality Disorder do not end up in treatment very often, at least not for the personality disorder, but they do drive others around them to therapy.

Did that explain the difference? Feel free to leave a comment. I always feel compelled to reply.

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 does “an expectation not an exception” mean when applied to co-occurring disorders?

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

Mental illness and addiction go together.
Photo courtesy of Pixabay.com

Are Co-occurring disorders to be expected? – Morning Question #24

Most substance abusers also have some form of mental illness. The two are seen together so often we need to begin by assuming the client could have both and then assess as if both disorders were present. Many substance users had a mental illness before they began using drugs or alcohol. Depression, Bipolar Disorder, and Anxiety are all common among those with an addiction.

People who use and abuse substances are at risk of developing mental health issues as a result of the using experience.

Substances can also alter the brain, resulting in mental illnesses while under the influence, while withdrawing, or after use. Mental illnesses that are the result of drug or alcohol use are called drug-induced illnesses.

Anyone who works with the mentally ill or substance abusers should expect that they will see both of these problems and others on a frequent basis.

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 creative people anti-social?

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

Original

Creative.
Photo courtesy of Pixabay.com

Are highly creative people, writers, and artists, also anti-social?

Some occupations require lots of time working alone. Artists and writers, in particular, need to spend a lot of time by themselves. Do these occupations attract people who want to avoid people?

Is there a mental health problem or personality type that is over-represented in the creative fields?

From a counselor’s perspective, people who work alone or prefer to spend time by themselves are not anti-social. We reserve the label of anti-social as in Anti-social Personality Disorder for people who have no empathy for others. An anti-social person takes advantage of others because they don’t care. They are the ones who get the label of psychopath or sociopath.

People who prefer to avoid others may have some form of anxiety as in social phobia or they may have an attachment style that results in avoiding others but neither of those personality features involves harming others on purpose.

An avoidantly attached person does not expect others to meet their needs and seeks to get their needs met by solitary activities. A creative person might be avoidant and prefer to avoid all contact with people but that is likely to be rare. To be successful at a creative activity as an occupation they will need to go out and spend time marketing and promoting their efforts. Avoidant people are not likely to be willing to do that and are likely to believe that others will not like them anyway.

Someone with social phobia would like to be around others but because of fear, they are unable to be in situations that trigger their anxiety.

Anti-social personality, avoidant attachments, and high levels of anxiety are not conducive to the risk-taking the artistic person needs to genuinely create something novel.

But an artist and those of an artistic temperament are more likely to have one particular emotional issue. Many artists are moody.

One mental health issue does appear to be correlated with creative temperaments. Kay Redfield Jamison in her book “Touched with Fire” describes the connection between Bipolar disorder and creative endeavors. Those episodes of above-average energy and times when the person is “in the zone” fuel creativity. Uncontrolled these episodes can turn into manic or hypomanic episodes and result in the creative person losing control and engaging in risky dangerous behaviors.

There are plenty of stories of famous artistic and creative people who had periods of high energy sometimes coupled with risky behavior followed by periods of deep depression. The energetic periods may fuel creativity but in the full-on manic episodes, the person is no longer able to stay focused long enough to complete projects.

The artistic fields have had a disproportionate share of individuals with mood swings who became alcoholics, addicted, or suicidal. The really productive artists, in the long run, learn to manage their moods with or without help and they keep their emotions in bounds.

See also posts on Hyperthymic Temperament, Bipolar Disorder, and Mania.

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 men fear marriage counseling.

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

Couple

Why men fear marriage counseling.
Photo courtesy of Pixabay

Why men would rather ship out to a combat zone than go to marriage counseling.

There are a whole lot of reasons that men cringe in terror when they hear those dreaded words “we have a problem” or “we need to go for marriage counseling. They have good reasons to be terror-struck. I would want to avoid it also if I were in their shoes, except that I am a Licensed Marriage Therapist and have to do this sometimes. Here are some of the reasons men avoid marriage therapy.

Men do not talk about problems, they fix them.

Men, many of them, come from a culture that does not talk about feelings. When they feel sad or frustrated they do not talk – they do.  No young boy is taught that when he misses a shot in basketball he should sit and have a good cry and talk about it for a while. He is told to shake it off and get back in there and try again.

If he stopped to engage his feelings even his own mother, a man’s blueprint for how to be around women, might call him a sissy and tell him to knock it off and be a man. Then he gets married and his wife wants him to be more like a woman and have feelings and sit and talk about them.

For most men experiencing feelings, like crying in front of others is the equivalent of being asked to cut off a couple of inches. The man’s answer is if the board is too big, let’s just make the shelf longer, but I am not cutting off anything.

Marriage counseling traditionally was a tag-team sport and the man got the beating.

Most marriage therapists are women. In California, the typical marriage counselor is a 55-year-old woman, who works 20 hours a week in private practice and mostly focuses on children and women’s issues. When I graduated there were only three men and row upon row of women getting their marriage counseling degree.

There are some great women therapists, unfortunately, there are also some who became therapists to fix themselves and they have the view that the problem is always the man.

A lot of men have come into my office and told me that the last “Marriage therapist kept telling their wife that the man was the problem and she should just leave him. You can take just so much of this tag team beating before you need to draw the line.

A good marriage counselor should never take sides. But under the circumstances, it happens way too much. The man is already being asked to be more sensitive, use his intuition, and talk about his feelings.

They expect to hear that who and what they are is not acceptable.

When a man gets an email that the boss needs to see him for a talk, what he hears is that he is about to get chewed out.

Women do not “invite” men to marriage counseling for fun. By the time it is said it is because the problem has reached the crisis stage. This request is likely to sound more like an invitation to a flogging than a request for a problem-solving session.

Most couples, members of both, even multiple sexes, want to find a solution to a problem for which there is no solution. Gottman found after studying what couples fight about, that the majority of things over which couples are fighting about are things that can’t be changed.

She liked how “exciting” he was, only now she wishes he would be more “responsible.” He liked how “stylish” she was; now he is complaining about how much she spends on makeup and clothes.

When one party in the relationship says we have a “communication problem” what they really mean is you are not doing what I want you to do.

Men, most of them, do not have a strong tradition as good communicators. No NFL player stops the talk over the possession of the ball.

Men are more accustomed to the idea that the more they talk over a problem the more they will lose.

The idea that there can be win-win solutions, activities, and exercises that help both parties get their needs met rather than one winning and the other losing is not something men expect to find in marriage counseling.

Even their mother wouldn’t do this to them.

Mothers, the good ones that inhabit myths and legends, love their sons unconditionally. They watched him grow up and know his weaknesses. Mom gave up trying to get him to stop burping at the table and leaving his dirty underwear on the living room floor a long time ago.

The wife is sure she married a fix-it-up-project and has begun from day one to try to make changes in her new acquisition.

Men can’t understand why that woman who loved him unconditionally a few weeks ago is now on the way home from the honeymoon trying to change every nook and cranny of her new possession.

Does this mean it is over?

By the time the couple gets to the marriage therapist’s office many times one or the other party has already decided that they want out. What the man may be hearing is that she set this up so she could have a witness to how unreasonable he is and why she should leave him.

Now what?

How do you get the man or woman in your life to go for relationship counseling before the train wreck? Is there really a way to get that man to come and talk to make things better?

Yes, there are ways to find a professional who can help you work through those issues and help make your relationship happier. The key is to find the right marriage counselor for you and your partner.

In an upcoming post, we will explore how to find a marriage counselor that can help you both find ways to meet your needs by staying in the marriage instead of running for the exit.

See also: Will marriage counseling help?

Finding a marriage counselor who can help 

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