Could you have a Mental Illness?

By David Joel Miller.

You think you might have a mental illness, what should you do?

Could you be mentally ill?

What Causes Mental Illness?

Have you ever thought that you were someone close to you might have a mental illness?  Being faced with mental illness doesn’t mean you’re crazy or have lost your mind.  Many people go through episodes of depression, or you may have excess anxiety.  Sometimes the stress of life just is overwhelming.  Or you may be having conflicts with your family, your spouse, or your children.  If you are having difficulties with your thinking, feeling, or behavior you may be at risk of developing a mental illness.  If so what should you do in this situation?  Below are some do’s and do not’s for people who are at risk for emotional problems.

Don’t ignore it, get help.

Just like physical illnesses, mental, emotional, or behavioral problems don’t get better without attention.  Pretending you don’t have an illness doesn’t keep you healthy.  There’s no great virtue in toughing it out and suffering.  Seeking help when under stress can help prevent more serious emotional problems from developing.

Discuss your problem with someone who feels safe.

If you are thinking your problems have gotten out of control, now is the time to find someone safe you can talk to about it.  Sometimes that trusted person will be your friend or family member.

Talk about your symptoms with your medical doctor.

Whenever you’re feeling out of sorts, the first thing you need to do is talk to a medical doctor. Physical problems can often look like mental health symptoms.  It is important to make sure that your feelings of sadness or depression are not a physical illness.  Sometimes prescription medications can create symptoms that look like emotional disorders.

See a counselor or therapist.

Going to see a counselor or therapist does not mean that you have given in to a mental illness.  Professional athletes have coaches because they can help them improve their performance.  In the emotional area, it helps to see a counselor to work on your stress and issues before they turn into something more serious.  Counselors are specially trained to listen to what’s going on in your life, evaluate your symptoms, and decide whether what you’re experiencing is normal or qualifies for a mental illness diagnosis.

Reduce your stress.

A little bit of stress is good for you.  We exercise to keep our bodies in top condition.  But holding onto too much stress over too long a period of time can overwhelm our emotional system.  Often it is not a huge overwhelming stress the causes people difficulty, it’s the accumulations of lots of little stress day after day.  Work on ways to reduce those little stressors and learn to stop stressing over the things that don’t really matter.

Increase your self-care.

Failing to take care of yourself is not a value.  Learn to take good care of yourself physically and emotionally.  Get plenty of sleep, exercise, and eat as healthy a diet as possible.

Work on solving those other life problems.

Often emotional crises are the result of failure to deal with other real-life problems.  Work on career problems.  Get some help with financial issues.  Tackle those legal problems you’ve been putting off.

Consider taking medication for your problems.

Taking medication to help you live a healthy life is a reasonable thing to do.  It doesn’t matter whether those problems are physical or emotional, medications can sometimes help.  Have that talk with your doctor, and see if there’s some medication which might help you deal with your depression, anxiety or other emotional issues.

Taking inventory of where you are at.

After looking at all the possibilities listed above if you’re thinking that you might be experiencing a mental, emotional, or behavioral issues, something we might call a mental illness, now is the time to take action.  I hope some of the suggestions in this blog post are helpful.

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.

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Do the mentality ill need to stay sick?

By David Joel Miller.

Mental health care is caught in a bind.

Mental Health or Mental Illness

Mental Health or Mental Illness?
Photo courtesy of Pixabay.com

What are we to do about the mentally ill? Our systems of care are stuck on the very sharp points of a modern dilemma. Most of those care systems are set up to care for the sick. We assume that there are two kinds of people, the “normal” ones and the mentally ill ones. Despite all the evidence that across the lifespan the two groups are largely indistinguishable, our programs are primarily focused on, sometimes restricted to, treating the ill.

We have systems in place to treat the sick. Often these programs are poorly funded and access is limited to only the most severely impaired. Despite their inadequacies programs do exist. Unfortunate our systems of care aren’t always prepared for people getting well.

The traditional mental health treatment paradigm consists of identifying a problem that could respond to our available treatments. Give them meds, give them therapy, manage their lives for them. Sometimes the system expects to cure them, a few of them, and send them away.

Only we know that paradigm stopped working in physical health a long time ago. Most health problems, mental or physical, do not get cured. They are chronic. You don’t get cured of diabetes, you get your symptoms under control. Then if you are no longer critically ill we need to move you out of the treatment facility.

Mental health systems only treat the ill.

Despite much evidence that people with mental health and substance abuse disorders recover, we insist that if they are to continue to see the doctor they need to remain sick. If their current care does not meet “medical necessity:” then they are not eligible for services. Keeping someone well, supporting their wellness is just not in the program.

Once you “flip out” and try to kill yourself or others you are eligible for help. Until that time no services for you.

Preventive medicine has not yet reached mental health.

Repeated studies have demonstrated that for every one dollar we spend on substance use treatment we save seven dollars in incarcerations and criminal justice costs. But until you commit a crime and do your time you are not eligible for rehab.

Strength-based recovery works so no one pays for it.

Treatment plans begin with current symptoms. The assessment form may start off with a history of the present illness, not what life problems has this person had to overcome and what strengths have they been using so far.

The biased assumption of this approach is that there is somehow something wrong with this person. The possibility that life and its stressors have overwhelmed you rarely comes into play.

If you want treatment you need to stay chronically ill.

Generally, once the symptoms subside the client gets discharged. The recommendation is when you feel like killing yourself again, call us. What is missing is what can we do to help you get well. If you want help you need to stay sick. Get too healthy and your encouragement gets withdrawn.

The system perpetuates itself by encouraging people to think that they cannot and shouldn’t get better. Disability rather than a temporary support has become an all-or-nothing program. Stay sick and we will help you. If you decide to get better you are on your own.

There are some exceptions To the stay-sick requirements.

I realize that there are some exceptions to this paradigm, that you need to be very, very mentally ill before you can get coverage for your mental health issues. Some non-profits try, a few governmental programs are designed to help people stay well and continue to have productive lives. But those few programs are the exceptions. They are constantly hampered because they need to find funding sources to pay for prevention and rehabilitation services. Most funding streams are only available to treat illness and to get help in these places you need to stay ill.

What is needed to improve mental health?

What is sorely needed in the mental health and the substance use disorder field is a seamless system of care. People need accesses to brief counseling when they are going through life’s difficulties before those problems derail their life.

We also need mental health systems that assume people will get better and can have a happy productive life. Those systems should be able to offer help and encouragement during the difficult times without requiring you to prove you are permanently mentally ill to qualify for treatment.

Most importantly, systems of care ought to emphasize helping people reach their own happy life goals rather than requiring them to stay sick if they want help. Episodic and preventative care needs to replace the current program of requiring people to prove they are seriously mentally ill and will promise to stay that way in order to receive help. Outcome measures need to focus less on how many severe symptoms you have and more on how you are progressing on having the best life possible.

Wellness and recovery needs to move from being a slogan to being a reality.

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.

Mental Illness or Mental Health?

By David Joel Miller.

Do people have a mental illness or are they in poor mental health?

Mental Health or Mental Illness

Mental Health or Mental Illness?
Photo courtesy of Pixabay.com

The language we use influences the way we think about things. Talking about mental illness or talking about mental health is a prime example of this issue. While the two expressions turn up in much of what is currently being called “Behavioral Health” literature the implication embedded in these two terms influence what we expect and how we react to the people being referred to.

The mental illness paradigm.

The older, traditional way of looking at the subject of mental illness was to assume that there were two types of people – the “normal” folk and then those other “mentally ill” people.

One implication of this concept was that people with a mental illness were not able to do things other people could do. The result was programs and policies that assumed those with a diagnosed mental illness would need lifetime help to manage their lives.

There was a time when those with a mental illness were lumped together with those who had significantly lower I.Q., once called the “mentally retarded” or “developmentally delayed.”

If we think in terms of mental issues being a disease or disorder then the first line of treatment as with physical illnesses, should be medication and surgery, the standard treatments of choice for physical illnesses and conditions.

Despite over half a century of treating mental illness with medication and surgery the number of people who are diagnosed with a mental illness continues to rise. Fewer seem to be getting cured but everyone now gets diagnosed.

The Mental Health option.

If we think in terms of mental health, then many other things follow. Many of the things we have been referring to as mental illnesses become a matter of degree rather than an illness that you have or do not have.

Something bad happens to you, you lose a family member or a job, you become sad, a normal human emotion, then eventually you should get over sadness no treatment needed. Should you become too sad or the sadness persist too long then the label and the corresponding treatment would change.

Sadness or grief becomes Major Depressive Disorder when it gets out of hand.

Another example – Anxiety.

We have a range of Anxiety disorders. Now anxiety is a close cousin to afraid or scared. So if people are shooting at you I think you should be scared and duck behind something. That scared, anxious, avoidance of things may save your life.

But should that anxiety begin to get out of control, every time you hear a car door slam or see someone on the street, if you become too anxious to leave your house, that is a problem.

Clearly, most of the things professionals diagnose as an anxiety disorder are much more severe than the things we consider normal but it is easy to see how the two overlap.

Wellness and recovery.

The concepts of wellness and recovery have challenged the way we think about this issue. If we allow that people can move back and forth on the continuum of mental health then there would be times when a particular person was mentally ill and other times when they were in better mental health.

Rather than thinking exclusively in terms of mental illness and diseases we should be thinking about mental health as similar to physical health. There are times we are in better health than at other times. Someone could have “poor mental health” and be in need of prevention or restorative services long before they reached the point of what we have been calling a mental illness.

The Mental Illness Violence dilemma.

The news has been full of accounts of people who became violent and harmed others. The common discussion revolves around whether they were “mentally ill” and why no one had detected their illness beforehand and prevented that violence.

What if that person had been in poor mental health for some time and then eventually their mental health deteriorated to the point it could have been diagnosed as what we are currently calling a mental illness?

Could an intervention have been conducted while this person was in the pre-mental-illness stage that would have prevented their condition from deteriorating to a mental and a behavioral issue?

If the mentally ill are somehow different from the normal people then no, no prevention is possible but if there is such a thing as mental health that gets better and then gets worse and then better again there are things that can be done to prevent relapses into active mental illness.

We have had that violence – mental illness connection wrong.

A little more on the mental illness violence connection. Those with a mental illness are far more likely to be the victim of crime rather than the perpetrator.

Most of those workplace and school shootings? Those were often the result of someone who appeared normal or close to it until they were fired from their job, served with divorce papers or found out their partner was cheating on them.

Remember, as reprehensible as it is that even one child died in a school shooting, each year for every child who dies in a school shooting, from ten to twenty children are shot at home by a biological parent who then shoots themselves.

Rather than having had a long-term diagnosable mental illness I believe there is good evidence that many of these violent incidents were the inability of this person to cope with an identifiable stressor. Their problem was not a long-term severe mental illness but their inability to cope with stress that pushed them into a poor mental health state.

Many have suggested that the mental illness is just the way they are not to blame them for their having a disorder. I agree that they are not to blame for having gotten a mental illness. I doubt that anyone chooses to be sick mentally or physically.  That does not mean that the mentally ill have no hope and need to resign themselves to always being too sick to function. Recovery can happen. We see it happen every day.

Throughout the year I want to talk more about some of the tools that can be used to keep yourself mentally healthy and to reduce the impact of illness when it does occur.

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.

5 Reasons Mental Illness and drug use hangout together.

By David Joel Miller

Why do so many people have both Substance Use Disorders and a Mental Illness?

No Drugs

No Drugs
Photo courtesy of Pixabay.com

Having multiple problems is so common today that we are surprised when someone shows up looking for help for one and only one problem. People who have a mental illness often abuse drugs or alcohol. People with a Substance abuse disorder frequently have one or more mental illnesses.

The overlap is so common we have come to expect that someone who has one life problem is at risk to develop another. When people have more than one problem it is hard to recover from one unless the other gets treated.

The old method was to ask the mentally ill to give up drugs and alcohol, stay clean 30 days and then they could get help for their mental illness. Substance abuse clients were told to go get their depression or anxiety treated and then come back for drug treatment. The result was people with multiple problems who were ping-ponged back and forth between providers and many never got the help they needed.

The newer approach is to treat multiple problems all at once and improvements in one life area help recovery in other areas. So why are mental health problems so very common among those with substance use disorders? Here are some of those reasons.

A prior Mental illness puts you at risk to abuse substances.

Having a mental health problem puts you at risk to use substances to cope with your issue. Someone with anxiety finds that alcohol or drugs help them get past the anxiety and be more outgoing. The more of a drug they do the better they feel. Before long this use is out of control and becomes first a habit and then an addiction.

A person with Post Traumatic Stress Disorder will find that chemicals, alcohol or drugs, numb the symptom. Some people drink to forget the depression. All of these uses of chemicals to cope with a mental health issue could fit under the idea of self-medication. Using drugs and alcohol can help the person cope for a while, but since this is an unsafe coping strategy eventually the person’s solution becomes a second problem.

Common stressors and environments increase risks for both.

Living in poor neighborhoods increase the risk that you will have life difficulties. More crime more mental health issues and more drug and alcohol abuse in your neighborhood. Poverty is depressing and substances are a way to cope, temporarily, with poverty and unemployment.

Substances change your brain and induce mental health disorders.

People try drugs for all sorts of reasons. Many people have had the experience of a hangover. After that experience, a common treatment for the hangover is the hair of the dog that bit you, more alcohol.

Substance use progresses from experimentation to habitual use. The more of a drug someone uses the more their brain chemistry changes. At some point, not a planned occurrence, this habit becomes a mental need, a psychological addiction to the substance. Eventually, this progresses to a psychical addiction, a chemical dependency.

Excessive substance abuse results in long-term changes in the functioning of the brain. Depression, anxiety or even psychosis may develop as a result of using, being under the influence and withdrawing from substances.

Life experiences from either increase the risk of the other problem.

People with serious mental illnesses are more likely to be the victim of crime than the perpetrator. Being mentally ill makes you vulnerable. Having a mental illness increases the risk that you will be unemployed, have a psychical illness and die at an earlier age. All of these are risk factors for substances abuse.

The life experiences that drug users have, poor neighborhoods, crime, and poverty are all risk factor for poor mental health. The drug using experience increases the risk for traumatic experiences. Rapes, robberies, assaults, and incarcerations all can accompany substance use disorders.

The experience of having a substance use disorder increases the risk for a mental illness. Trying to live with a mental illness increase the risk that you will abuse substances.

Giving up a drug of choice is painful.

For most substance abusers their drug of choice becomes their best friend. Women come and go but Sherry is always waiting in the bottle for you. A man may leave you but Jose and Jack will always be in the bottle when you need them.

Crystal is always ready for your next date with the pipe.

People become closer to their drug of choice than to their family or friends. Giving up drugs or alcohol means losing that best friend. This loss of a friend and support system can leave the substance user alone with no coping mechanism and at high risk to develop a mental health problem or return to active use.

Hope that these 5 ideas will help to explain why having both a substance use disorder and a mental illness at the same time is so very common. If you or someone you know has one or both of these issues help is available. If that person has both conditions, look for a treatment provider who is comfortable with working on both issues at the

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.

Today is World Mental Health Day

By David Joel Miller

Raising awareness of mental health issues.

Today is the official World Mental Health Day. Each year on October tenth a day is set aside to remind people about the importance of good Mental Health and Mental Wellness. World Mental Health Day is an initiative of the World Federation of Mental Health and is supported by WHO (World Health Organization.)

The theme for 2014 is “Living with schizophrenia”. Last year’s theme, 2013, was Mental Health and Older Adults.

In North America, Mental illness is the largest single health issue. Days of work lost and impairment in functioning as a result of mental illnesses exceeds the disability burden of both cardiovascular disease and cancer (WHO.)

Depression is the largest single cause of disability. The good news is that today the emphasis in the treatment of mental illness is on wellness and recovery. Many people who have had episodes of serious mental illnesses have gone on to have happy and productive lives.

Consider today how your life or the life of someone you know has been affected by a mental illness. What would it mean to you if you or someone close to you could recover from that condition? No one should have to face a mental illness alone. There is help available in many places. We hope that this day, World Mental Health Day will focus awareness on the need to do more to help those who are currently experiencing a mental illness.

Remember World Mental Health Day.

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.

Reduce Stress by saying NO!

By David Joel Miller.

Ways to say no and cut down on your stress.

Just Say No

Just Say No
Photo courtesy of Flickr (vlauria)

There will always be more to do that there will be time to do it. The ability to say no and keep the stress in your life to a minimum is an important component of good mental health. Other people, of course, want you to do the things they want and so they take your yes for a given. Not telling people no can become the same as saying yes. Learning to be more assertive and to tell people no can help you keep your emotional life in balance.

Saying yes too much steals time from the things you really want to do. We would all like to make others happy. Sometimes it feels uncomfortable to say no to others. Every time you say yes or more importantly fail to say no you give up a little bit of you.

You get 168 hours of time each week. Spend them wisely. There will always be competing requests for your time. Your boss wants some, so does your spouse or partner. If you have kids they want all of your time they can get, at least until they become teens.

Your friends and family will also want some of your time. So do these people who call you on the phone or pound on your door wanting to sell you something.

Each time you let them have some time because you do not want to be rude or curt, you risk giving away some of the time you had planned to spend on something else.

When your life is over-full there is no room for new people or new activities.

If you let casual acquaintances take up your time, you spend that precious resource on them. If those people in your life ask you for money, whether you have it or not, remember that most of us have to give up some of our time to get that money. The more they ask of you the less there is for yourself or others.

If you have people in your life that take up your time and do not add value to your life, they are taking the place that could belong to someone else. Until you end a bad relationship there is no time or room in your life for a new one.

You can’t start something new till you end something you are doing now.

Any new activity will take time. Going back to school, starting a hobby, doing some traveling, they all require time.

You will not get any younger

Doing things you do not want to do spends your time. You will run of that time reserve eventually.

Saying yes comes at a cost.

Saying yes creates an obligation, to yourself and others. The more the obligations the less the resources you have for you and the things that really matter. No not create obligations and then develop resentments because those other people are taking up your time.

Saying no does not make you a bad person.

If you feel that saying no is selfish or makes you a bad person think again. There are lots of good reasons to tell others no. Having good boundaries protects you and it protects others. Your children need to learn the word no and who but you is better qualified to teach them the power of no?

Giving reasons for your no sounds like you want to be talked into it.

If you have decided that the answer to this request should be no, state that answer and leave it at that. Offering reasons why you would like to do something but can’t just open the door for the other person to offer ways you can do what they requested.

Ever tell a salesman you do not have the money for something right now? And did they suggest using a credit card or time payments? See how your no’s may sound more like “talk me into it’s?”

Offer choices if you might want to do something another time or way.

In getting out of things, offering alternative choices can be a close cousin to saying no. The answer may be more like “I can’t do what you are asking but I can do —.” Consider this option if you do have something you would like to do with or for the person making the request but the original request is something you chose to not do.

Give yourself time to think it over.

You do not have to give everyone an answer the moment they ask the question. Many people have one of two default responses. They either say no to everything and regret it or they say yes to everything and regret a lot of those yes’s.

You can answer that you need time to think it over and then make that decision at your leisure.

Talk or write the decision out.

If you find it hard to make a decision and then stick to it consider writing out the request, the possible options and then what will happen if you say yes, no or yes with some changes and qualifications.

Writing things out can often bring the correct responses into focus. Talking things out with a trusted friend or adviser can help clarify both the right decision and why it may be difficult for you to tell this other person the “No!” you are really feeling.

Do you have difficulty telling people no? How might your life be different if you practiced the “saying no” skill?

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.

How to cure low self-esteem – 19 ways to higher self esteem

By David Joel Miller.

Ways to boost your self-esteem.

Don’t feel good about yourself? Here are some ways to solve the low self-esteem problem.

1. Stop putting yourself down – negative self-talk causes low self-esteem

More Self Esteem

More Self Esteem
Photo courtesy of Flickr (Riude)

If you tell yourself you can’t then you won’t. Telling yourself negative things will keep you stuck. Putting yourself down will not protect you from failure it will protect you from success.

Continued self-criticism is the surest way to lower your self-esteem. Don’t do that to you and don’t put up with others doing it either. Don’t repeat the negative things you have been told to yourself.

2. Do something.

High self-esteem is based on what you accomplish. The more you try, the more you learn how to do things. The more you do the more you will accomplish and the more you have to make you feel good about your life. Make sure you tally up the successes, not just the errors.

3. Stop rating yourself.

Accept yourself as you are. The process of rating yourself points out where you are less than perfect. No one is perfect. There is always room for growth and improvement.

Remember that half-empty glass. Concentrate on doing, not measuring, and you will find that you will have less need of boosts to your self-esteem.

4. Stop discounting the positive.

Learn to give yourself credit for the things you do well. Practice accepting praise and compliments from others. If you do not count your successes then the tally will be only failure.

5. Write out a gratitude list.

Knowing the things that make your life good, paying attention to those things can help you to feel better about yourself.

6. Don’t listen to the haters.

There are plenty of haters in the world who need to pull you down to feel good about themselves. There are those evil trolls under every bridge. Do not listen to them. Do not believe them. Do not waste time on them.

Arguing with haters brings you nothing but pain. Sinking to their level can only destroy your self-confidence.

7. What would your best friend say about you?

Don’t dismiss the things your real friends and loving family might say about you. They know your good and your bad and they like you anyway. What are the good things they see in you? Not sure? Ask them what they see as your skills and abilities. You may be surprised to find how much others think of you while you have been thinking you are coming up short.

Don’t have family or friends that would see the good in you? Work on developing a positive support system.

8. Watch who you are comparing yourself to – looking over your shoulder.

Focus on what you are doing. Constantly comparing yourself to others will cause you to become discouraged. No one wins all the time. Do not compare your everyday life to someone else’s lifetime achievement.

9. Start over each day – past successes and failures do not count today.

Stop beating yourself up for the mistake of yesterday. Each day you start out fresh. Do your best to make today better than the day before.

10. Pick friends that support you.

Surround yourself with people who like you the way you are and will support you. Being surrounded by people who like you is a great way to boost your confidence.

11. Look for the evidence – are you really stupid?

Do not discount all the evidence that you are a worthwhile person. If you only count up the negatives you miss all the evidence that you are a person of value. Not enough evidence that you are accomplishing things? Do more, not less, and you are likely to do some worthwhile things.

12. Avoid emotional reasoning.

If you are sad that does not mean things are going poorly. Just because you feel down right now does not make you a failure. We can all have times when we are discouraged. Being discouraged means you need to take another look at what you are doing. It does not mean that you are not a worthwhile person.

13. Compliment others.

Get in the habit of noticing the good in others. Tell them what you like about them. Cultivate a positive good-seeing vision and you will be more able to see the good in yourself.

14. Accept compliments.

Do not dismiss compliments. You know when people are sincere and when they are buttering you up. Being able to accept compliments and say thank you helps you to feel good about yourself. Stop chasing the positive away from your door.

15. Tell yourself you can – positive affirmations.

Start out each day by saying good things, positive affirmations, and your brain will work on making them come true.

Restart your day at any time by telling yourself that this is a good day. You are a worthwhile person and you do not need to do or say anything to be acceptable.

16. Have a successes resume.

It is easy to remember failures and harder to remember successes. Make up a list of the things you do well. Write them down. Review that list periodically and add to it. You will be surprised how many things should be on that list that you may forget otherwise.

17. Do things.

The more you do the better you will feel about yourself. Do things for the sake of doing not for the success points. The more you do the better you will feel.

18. Play your own game, not the old family role.

Families have roles. You may have been handed the “stupid” hat or the “black sheep” hat when you were born. You can change that role. Stop living down to the things others tell you and the names you may have been called. Stop saying you are stupid or bad and try on a new role. You just might like the “OK person” role.

19. Stop keeping score all the time.

Life only happens for so long and then it is over. A hundred years from now no one will remember your mistakes. Life is about having the experience, not the score. Enjoy the trip.

Really your worth as a person does not depend on your algebra test score or your golf score.

There are my suggestions – 19 ways to cure low self-esteem. Most involving putting away the tape measure and accepting yourself the way you are. Do you have any other suggestions? What has helped you to feel good about yourself and the things you do?

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

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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.