What does my dream mean?

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

Dreams

Dream On!
Photo courtesy of Pixabay.com

Ever wondered what you dream meant?

Dreams

Dreams
Photo courtesy of Pixabay.com

Many readers email me about what their dream may mean. They want answers and hope I can provide them. Dreams can provide useful information for your awake life. Over simplistic interpretations can be harmful. I have written previously about some common drug using dreams that clients have reported to me and what I and they thought these dreams meant.

Dreams about relationships and life events seem, to me, to be open to a lot more possible interpretations than the common drug use dreams I wrote about in those posts.

Dream interpretation used to get more attention.

First I will offer some thoughts on the topic of dream interpretation, then some suggestions for interpreting your particular dreams.

There was a time when interpreting dreams was a large part of what people in the psychology field did. The key concept in dream interpretation was the Freudian interpretation of mental processes and the role that was ascribed to the unconscious. Jung wrote about the collective unconscious and there are “depth” psychologists today that work in this area.

Interpreting dreams went out of fashion.

Somewhere along the line the study of normal psychology and the study of mental health and mental illness, sometimes called “abnormal psychology” were divorced.

Today the predominant model for treatment of mental illness or improving mental wellness is cognitive behavioral therapy. Rather than looking for answers to life problems in the place of an unknowable and uncontrollable unconscious most therapy and counseling looks at very visible processes like learning and cognitive distortions. The emphasis is on things you think and believe, that are unhelpful, not on things your unconscious mind is making you do.

Most of the cognitive interventions, like reframing and challenging faulty assumptions are relatively straightforward. Interpreting dreams is far more subjective and less certain. While interpreting dreams and exploring your unconscious can be personally rewarding it is not the sort of brief, medically necessary, intervention a lot of insurance companies will pay for.

Personally, I have some dreams. Some of those are a bit disturbing and others are happy memories, so yes I may look at them. I find I need to be careful in interpreting my dreams and feel you should be careful with anyone who offers you a quick interpretation of your dreams. Especially be suspicious of those popular books that list a whole lot of things and if you dream of a lake it means one thing and if you dream of a river it means something else.

One thing does not always have one definite meaning for everyone. I am told that Freud, that believer in all things sexual, once replied that sometimes a cigar is just a cigar. He was, according to some reports, highly addicted to tobacco, so dreaming of cigars makes sense in a drug using context.

Dream meanings are very personal.

Your past life experiences, in real life and vicariously in movies and books can color your dreams. For example, back in High School, I raised some birds, Pigeons, and parakeets, if I dream about those birds it may have one meaning for me and quite another one for a person who was bitten by a bird and as a result is frightened of birds. The important thing is what does this dream mean to you?

Most of us have far more dreams than we remember. Even people who say they do not dream seem to enter dream states when hooked up to machines during sleep studies. Ever had a dream, awakened and ran for the bathroom and when you got back to bed could not remember that dream? The majority of us forget more dreams than we remember. Some people forget almost all of their dreams.

It is the very unusual or frightening dreams that get remembered. If you keep a pad by the bed and write the dream down upon awakening you will discover you are having and remembering a lot more dreams.

From a cognitive perspective, we think that during dreams memories are taken out, processed and then restored. There are opportunities for memories to undergo some alteration as in Lucid dreaming an intervention proposed to help with dreams that maintain PTSD symptoms. 

Things that happen in dreams do not have to follow logic or even the laws of time and space. So you may, in your dream, step out a door and be in another country. So you saw something in your dream, someone did something or something happened to you or a person close to you what does that mean?

Dreams have layers of interpretation.

Recently I read a book on dream interpretation by Jeremy Taylor, Where water runs up hill; he suggests that dreams have many layers of meaning. So the dreams about the parakeets many just be about a fond memory of childhood but it might also have to do with existential things like living, having children and eventually dying, or it might have another meaning altogether.

What he suggests we should do is look at the dream, talk with others you trust about the dream and then look at possible interpretations. What do you think it means at a superficial level, what it could mean at a deeper level and so on. Some of these meanings will not make much sense and some will really speak to you.

So if you comment or use the “contact me” form, I can offer you a possible meaning to two for what you ask about, but I make no pretense that mine is the “correct” interpretation. If when someone tells you that your dream might mean a particular thing and you feel in your gut, your felt-sense, intuition, that this is correct, that meaning is probably part of your truth.

Hope this brief explanation of dreams from purely my perspective might be helpful.

Enjoy your dreams but seek help for disturbing nightmares.

Staying connected with David Joel Miller

Two David Joel Miller Books are available now!

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.

Casino Robbery is a novel about a man with PTSD who must cope with his symptoms to solve a mystery and create a new life.

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

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

Want the latest on news from recoveryland, the field of counseling, my writing projects, speaking and teaching? Please sign up for my newsletter at – Newsletter. I promise not to share your email or to send you spam, and you can unsubscribe at any time.

For more about David Joel Miller and my work in the areas of mental health, substance abuse, and Co-occurring disorders see my Facebook author’s page, davidjoelmillerwriter. A list of books I have read and can recommend is over at Recommended Books. If you are in the Fresno California area, information about my private practice is at counselorfresno.com.

Is it a medical problem or a mental health problem – Axis III

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

Medical record

Diagnosis.
Photo courtesy of Pixabay.com

Which Axis does that go on?

UPDATE

Under the DSM-5 system, mental health professionals no longer separate the information onto five Axis. We do still look for this information.

Several questions have come in on the relationship between medical issues, physical symptoms and the five-axis system of the DSM. This is the lay version of that discussion. For a full discussion, you would need to consult the APA site or the full DSM-4-TR. I see from the search terms coming into counselorssoapbox.com that there are several questions about this.

The mental health profession is focused on mental illnesses. The DSM it the “Diagnostic and Statistical Manual of Mental Disorders” for a good reason. So if the problem is medical it is outside what we are doing. If you have ANY doubt, please see a medical doctor first and get any possible physical illness or condition ruled out before seeing a therapist. The DSM, however, does not see psychical and mental disorders as two separate things even though different professions may treat different aspects.

Some mental disorders can create symptoms that are physical. People who are depressed may not be able to sleep or they may sleep excessively. Nightmares can be a symptom of PTSD. These sorts of mind-body problems can be helped by therapy. Some disorders have elements of both physical illness and learned behavior. If a mental illness is caused by a medical problem it is diagnosed as a mental illness and goes on axis I. The DSM cites a thyroid condition that results in depression as an example of this. Drug-induced hallucinations would be another.

Short answer – Mental illness goes on Axis I

(Axis II if it is long-term or hard to treat like Personality Disorders)

Some physical conditions can affect your mental health even though they are not the direct cause of the illness. If you become depressed as a result of a cancer diagnosis then the therapist and the psychiatrist would want to know about the cancer when treating your depression. Medical conditions affecting your mental health show up on Axis III. Which is a sort of “oh by the way” thing for therapists.

Medical condition that “influences” your mental health – AXIS III

One reader asked about coding Pregnancy. As I see it if I were treating a client for OCD and she gets pregnant, the pregnancy does not have to be coded. If I were treating this same person for depression and anxiety as a result of a rape and now she finds out she is pregnant, well the pregnancy may now have an effect on her mental health.

Sleep disorders are especially troubling. Poor sleep can be a symptom of a mental illness as in depression. Poor sleep can cause mental illness as in a breathing problem (sleep apnea) that prevents good sleep and creates depression or irritability. Intrusive nightmares can be a sign of PTSD. They can also be causing or maintain the symptoms.

There are some sleep disorders listed in the DSM but that list is not as inclusive as the list in the International Classification of Sleep Disorders. Sometimes there is a connection and sometimes people have a mental illness and sleep disorders that may influence each other but are not directly linked.

Sleep disorders are a highly specialized area. If you have a problem with sleep I recommend that you talk with your physician and you may need a referral to a sleep specialist.

In a future blog post or two, I want to discuss some conditions that get mistaken for other things and mixed up with mental health diagnosis.

More on Sleep Paralysis, Hypnagogic Hallucinations (Hypnagogia), Hypnopompic Hallucinations, Lucid Dreaming and their relationship to mental illness in posts to come.

Staying connected with David Joel Miller

Two David Joel Miller Books are available now!

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.

Casino Robbery is a novel about a man with PTSD who must cope with his symptoms to solve a mystery and create a new life.

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

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

Want the latest on news from recoveryland, the field of counseling, my writing projects, speaking and teaching? Please sign up for my newsletter at – Newsletter. I promise not to share your email or to send you spam, and you can unsubscribe at any time.

For more about David Joel Miller and my work in the areas of mental health, substance abuse, and Co-occurring disorders see my Facebook author’s page, davidjoelmillerwriter. A list of books I have read and can recommend is over at Recommended Books. If you are in the Fresno California area, information about my private practice is at counselorfresno.com.