Life is choked with transitions.

Hallway of transitions
Photo courtesy of Pixabay.com

Life is choked with transitions.

By David Joel Miller, MS, Licensed Therapist, Counselor, and Certified Life Coach.

Over the last few years, my practice as a therapist and counselor has shifted. Some of that is because of COVID and learning to work remotely online, doing telehealth. I’ve found that my practice has shifted from working mainly with young people starting out in life to serving an ever-increasing number of older people.

I hesitate to call these people elderly since most of them are younger than me, but I’m sure that I am the exception that proves the rule. I feel fortunate that, despite being 77 years old, I can still work and be productive.

Two things stand out in my online practice, which are different from what I saw when I worked for the county or in an office in private practice. I am seeing far fewer children or couples, and many more single adults and older adults. While the specific mental health diagnoses vary a great deal, what I see most often is people struggling with life’s transitions.

When the challenges life throws at you are overwhelming, you’re very likely to develop high anxiety, severe depression, a substance use disorder, or some kind of dysfunctional behavior.

For better or worse, I have personally gone through a pretty large number of life transitions. I tell my clients that I have learned a lot more about life’s problems, particularly aging, than I ever wanted to know. I’ve spent a lot of time studying the challenge of transitioning from one thing to another, both by reading the research and by living the experience.

I mentioned these things not because I want anyone to feel sorry for me, but because I’ve developed a special sensitivity to the role that transitions play in all our lives.

There are certainly developmental transitions, and some people experience difficulty navigating those. Progressing through school involves its share of developmental challenges. Graduating, whether it’s from high school or college, and then entering the workforce can be a major transition for many people. In my role as a clinical counselor, I have studied career counseling and the challenges of finding the right job. That task deserves an entire series of posts.

Getting into and out of relationships involves a great many painful as well as joyous transitions. I believe that the increasing lifespan has led to more people ending one relationship and starting another than at any other time in human history. I intend to talk about the changing nature of human relationships in an upcoming post.

At some point, most of us will go through conflicts with our spouses, and some people will experience breakups or divorces. If you live long enough, you may experience the death of a spouse. An increasing number of family members are struggling with a loved one who is in Hospice and dying, or living in a long-term care facility. There’s also the transition of the person who loses individual functioning. Dementia has become more common and causes a great deal of suffering both for the person with dementia and for those who encounter the dementia sufferer.

For something to be considered a mental illness, it has to affect a person in four basic areas. If your problem interferes with social functioning, your ability to have relationships with family and friends, including your romantic partner, then it’s a reason for your problems to be considered a mental illness. Any problem which is severe enough to interfere with occupational functioning is also diagnosable. By occupation, we don’t just mean paid employment. We also would include school or the duties of parenting if that were a full-time activity.

The third criterion for diagnosing someone with a mental illness is that it causes them subjective distress. If something is so upsetting to you that you just can’t stand it, and the pain of this event or condition is unbearable, then we call that a mental illness. And lastly but not least, if what you’re dealing with interferes with your ability to function in some other area that is important to you, even if it is a hobby or a recreational activity, it may qualify as a mental health diagnosis.

From that brief description of reasons why something might be diagnosed, I think we can all see that transitions or changes in any one of those areas can be overwhelming.

Eventually, I will probably get around to discussing most, if not all, of these issues. But being very action-oriented, I thought I’d start with a brief description of what I understand to be the main ways in which people cope with and sometimes overcome the challenges of life’s transitions.

The next stop in our journey of understanding the nature of life transitions and how to overcome them will be a brief review of the two major theories about how to navigate life transitions.

Does David Joel Miller see clients for counseling and coaching?

Yes, I do. I can see private pay clients if they live in California, where I am licensed. If you’re interested in information about that, please email me or use the contact me form.

Recently, I began working with a telehealth company called Grow Therapy. If you’d like to make an appointment to work with me, contact them, and they can do the required paperwork and show you my available appointments. The link for making an appointment to talk with me is: David Joel Miller, LMFT, LPCC 

Life coaching clients must be working toward a specific problem-solving goal. Coaching is not appropriate if you have a diagnosable mental health problem. Also, life coaching is not covered by insurance. If you think life coaching for creativity or other life goals might be right for you, contact me directly.

Staying in touch with David Joel Miller.

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For more information about my writing journey, my books, and other creative activities, please subscribe to my blog at davidjoelmillerwriter.com

Seven David Joel Miller Books are available on Amazon now! And more are on the way.

For more about my books, please visit my Amazon Author Page – David Joel Miller

For information about my work in mental health, substance abuse, and having a happy life, please check out https://counselorssoapbox.com

For videos, see: Counselorssoapbox YouTube Video Channel

Reasons to see a counselor before the breakdown.

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

Counseling questions

Counseling questions.
Photo courtesy of Pixabay.com

Reasons to seek out a counselor before the breakdown.

Some people describe the onset of a mental health challenge as a “breakdown.” Breakdown implies that your problem came on suddenly. Most of the time problems develop slowly over time. You get yourself in trouble, not because of a sudden breakdown, but because you pretended you did not have a problem way too long.

You don’t have to wait for your car to break down for you to get it serviced. And you don’t need to wait for your life to fall off the rails before you get a check-up on your emotional life. High-performing athletes have coaches. Top executives often see life coaches, and many writers have writing coaches. While you can see your life, a therapist sees many people and can be helpful in identifying what you may be going through and how other people have solved that problem

Often people who noticed that they are feeling differently, forgetting more things, go to see a medical doctor. Sometimes that forgetfulness is a medical issue, but often it’s just that you have a lot on your mind. Lack of energy might signal an oncoming medical issue, but it can also be a symptom of depression or other emotional disorders. It’s always a good idea to get your physical health checked out first, but if the doctor doesn’t find anything significant, consider seeing a counselor or therapist to see how your emotions might be affecting your physical health.

What kinds of challenges might benefit from seeking counseling or coaching even when you do not think you have any mental illness?

You feel confused a lot.

Confusion is a good reason to look for help. Assuming you have ruled out medical issues like dementia and fatigue, you may be in a situation where you just do not know what you want to do or what the choices are.

People who are under a lot of stress, find that a large part of their mind is occupied trying to cope with that stress. Stress can be good, or it can be bad. If you find that your life is in transition, seeing a counselor can help you get some of that confusion clarified and make sense of what you’re going through.

Choice – You need to choose between A and B.

Most choices are not clear-cut.  If you pick A, it comes with good and bad parts.  The same for alternative B.  Often both choices involved things you would like to have and things you’d like to avoid.  While a counselor can’t tell you which choice to make, they can help you to sort out the good and bad parts of the two alternatives.  Sometimes it helps to have an outside objective party to talk things over with.

Most of us start off by talking to family and friends. Sometimes they can be very helpful. Everyone needs a support system. Unfortunately, family and friends aren’t always objective. If you’re considering taking a job, this may mean, you’ll leave co-workers who have become friends. They may want you to stay, but this may not be the best thing for your career. Decisions about going to school or back to school, often affect others in our lives. They will have their opinions about what they want you to do, but what you may need is help in sorting out what is best for you

Change can be very difficult.

Now, may be a time when your life needs to change. Change happens whether we want it to or not. Sometimes it’s a good thing; sometimes it’s a bad thing, but many times it just is. Everybody experiences times when their life changes.

You grew up, and it became time to leave home and start your life. You look for a job, or a career. Sometimes you need help finding a job, deciding on a career. Once you have that job, it’s easy to get stuck there. There may come a time when you decide you need to make a change.

Some people make the transition from young adult to parent easily. Other people struggle. There will be challenges and changes as your children grow. Some of these challenges can be made easier by seeing a counselor.

Many people find that the biggest changes in life come in the time’s past children. The children grow up and start their own lives. You may be somewhat involved in their lives and the lives of your grandchildren, but eventually, you should let that go to allow your children to become parents. The change to an empty nest is hard for some people. The change from your working years to retirement can also be difficult.

You may be facing a challenge.

When you are faced with a challenge and do not know if you have the abilities needed to reach your goals it may be helpful to talk with the professional. Sometimes what you need is to identify your strengths and your weaknesses especially in the emotional realm.

Counselors can help you learn the skills you need to face this challenge. Often counselors can see your potential even when you have your doubts.

If you’re struggling with your emotions or your life, now might be the time to enlist the services of a counselor or therapist.

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

Success, happiness and contentment

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

Success

Success.
Photo courtesy of Pixabay.com

How do you get what you want out of life?

Just what is success, how do you measure it and how do you achieve it? Will more success create happiness and contentment or is there something more needed to get where you want to go in life?

I just couldn’t resist sharing this with all of you who have followed my musings here on http://www.counselorssoapbox.com