Tag Archives: Mental Health

What is a blog? Why are you writing a blog?

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

blog

Blog.
Photo courtesy of Pixabay.com

So you ask: “What is a blog and why are you writing one?”

Probably 5 years or so ago, I asked a friend “What’s a blog.” Just recently she commented on one of my posts, an in-person comment by the way not an “at the end of post” comment. Seems she gets my blog delivered to her smartphone daily.

She informed me, back then, that a blog was a “Web Log” a sort of public journal where people talk about things that are important to them and hope those ideas are important to others. This intrigued me.

Finding that people I actually knew were receiving my blog, hopefully occasionally reading it, has me thinking about how I learned about blogs, why am I writing this one, and more importantly why people read these blogs. Clearly, for most of us, it is not about becoming rich or influenzal (Influential?) Bloggers keep hoping their post will go viral right?

Back then I kept running into blogs and occasionally reading about them on the internet. Mostly I seemed to be reading about how people made a lot of money blogging and how if I would just sign up for their program I to could become a world-famous advice-giver blogger. I almost added Blogs to my allergy list at that point.

I am clearly old school. Learning that a computer is something that fits on my desk, not a person to contract with took me some adjusting. But somehow I have learned a thing or two about blogs.

One reason I wanted to write a blog was that there were all these thoughts in my head and that I wanted to get them down on paper (electrons?) and hoped that they would be useful or of interest to someone else. Also, I want to write a book or two and all the writing sites say you need to have a blog and let people know what you are about if you ever want to get them to read your book. So I took the plunge.

Most of my posts are about substance abuse, mental health, counseling and therapy, and the whole recovery process. I wanted to share what I had learned about creating a happy life and about that journey.

The cool thing about this is that I get to write about what interests me and then see if any of you want to read that post. Sometimes I am really surprised. Things I thought were just an oh-by-the-way, have gotten a lot of readers and other posts, ones I worked on really hard, did not get many hits. Clearly, I am still learning.

Reader questions and search terms have gotten me thinking, made me do more research, and spawned some posts. I have learned a lot.

Learning the technology part has sometimes been painful. Anything labeled user-friendly should not include docs (documents) that are longer than a Tolstoy novel.  I am glad that I discovered WordPress since this site has been easier to use. They still have way more features than I will have the lifespan to learn to use, but it is nice to know that I could do more if I was so inclined.

If you who are from a post-big-war era find technical problems or care to make a suggestion please leave a comment. Just make your comment in intelligible English as I still have mastered only third-grade computer speak.

In the process of writing this blog I have read and subscribed to a lot of other blogs, some were really good ones and some not so good. Some blogs strike me as very uneven. One day they are so great and the next post is not so much. I think my blog has that same issue. Coming up with a new topic on a regular basis and then turning out a post takes time and effort and not everyone is a hit.

This blog (counselorssoapbox.com) is now in its third year with over 500 posts published so far. The book has turned into several books and they are all still works in progress. My current plan is to put more emphasis on the books as we head towards 2014 so I may have to miss posting a day or two on the blog.

So there you have it: What a blog is and why I am writing one. Any questions?

Related articles

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

Therapists have therapists – Who do pastors and priests see?

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

Church.
Photo courtesy of Pixabay.com

Who is helping the helpers?

Therapists are encouraged to go for their own therapy. Rather than being a sign that there is something wrong with this professional, having someone you can talk to about your problems is recommended practice, and for good reason.

This got me thinking, wondering, which professionals who help others are encouraged to get help for themselves and who are too embarrassed, ashamed, or arrogant to get help for themselves.

Counselors need to have counselors. 

First, let’s talk about the counselor or therapist who goes for therapy, and then we will inquire about other professions.

Beginning counselors are encouraged to see another professional both as a part of the training process and ongoing after they are licensed. Being a helper is a stressful job and you would have to be pretty arrogant to think that once you become a professional you will not need to see someone for your own stuff.

Clients sometimes ask about this. I see it in the search terms from time to time. There is no reason to avoid a therapist who is going for personal counseling and in fact, we think this is a good thing. Many licensing boards feel it is so important that the counselor work on their own stuff that they allow us to count a certain number of hours of personal counseling towards licensure. This process is so important there is even a bonus of extra credit for some hours of personal therapy.

Many schools require counselors in training to go for their own counseling. Doctors see other doctors. Teachers take classes from other professionals and it just makes sense to take good care of yourself.

Drug counselors need help staying sober.

Substance Abuse Counselors have recognized this for a long time. They are at high risk of relapse by virtue of spending all day talking about drugs with their clients. Sponsors should have sponsors and therapists need to see another mental health professional.

In substance abuse counseling it is common, almost universal for the counselor to be in recovery and often they are still attending meetings.

Mental health staff needs self-care also.

What we do not hear nearly enough about is the number of mental health professionals who are in some form of mental health recovery. Our professional schools are still too under the influence of those Freudians who never self-disclose anything to anyone. But a whole bunch of mental health professionals has told me privately that they have struggled with or are in recovery from some mental illness or other. If not them then they have a relative or friend who has that issue.

Why else would you want to work in this field if you or someone you knew had not had to overcome an issue?

Incredibly that mental health professional who entered the field because someone helped them create a happy life, once they are in the field, becomes too embarrassed to talk about their own issues. Some have even been threatened with the loss of job or friends if they self-disclose this item. Peer counselors and members of self-help groups are at a special risk to think that having “fixed” themselves they can now stop working on themselves and just help others. This is a relapse waiting to happen.

If you work in this field, as a professional, a peer, or even a volunteer, you need to stay connected to a support system that can help your recovery and that may mean you need to continue to go to meetings or see a professional.

So what about other profession’s self-care?

It is Sunday, I wrote this on another day and scheduled it to appear later, but it is being posted on a Sunday. Which brings up the question – who – mostly works on Sundays?

The first thing that comes to mind is what about religious leaders?

One way of understanding churches and similar institutions is that they are hospitals for the spiritually sick. Many recovery programs include spirituality or religion as parts of the life that need to be included in your recovery plan.

So do religious leaders, pastors, priests, rabbis, Imam and so forth ever need spiritual guidance, or are those guys and gals that close to spiritual perfection? Far as I know there are relatively few perfect people on earth and the ones who think they are there, that they have arrived at perfection, they are at the highest risk of taking a wrong turn into thinking that they need to take over and do the job of being God.

Does anyone out there know – do pastors see other pastors? They can’t very well go to church can they, what with having to work every single Sunday.

I know that some denominations have a hierarchy and that the local pastor or priest has to report to a superior. Mostly that looks like running a business. How many viewers did your sermon get and how much was in the collection? What about real spiritual guidance?

Given the number of cases of child sexual abuse and the affairs of the clergy, one has to wonder. Pastors and Priests do, for the record, end up in rehab. We can’t tell you which ones. That is about confidentiality. It would appear that religious leaders have the same prohibition on self-disclosure therapists are encouraged to observe. They just seem able to hide it better than depressed psychotherapists.

What is up with us not wanting to admit that the caregiver sometimes needs help and that needing help sometimes does not disqualify you from being of service to others?

Related articles

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

4 types of addiction

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

Hands with pills

Addiction.
Photo courtesy of Pixabay

Not all addictions are created equal.

The word addiction and the whole concept of addiction have taken on a number of meanings. The result is that when we talk about addiction we are not all meaning the same thing.

As a counselor, I have come to see 4 different classes or patterns of addictions.

The meaning of the word addiction has changed so much it becomes difficult to know when to use the word addiction in one way and when it is being used in another.

My favorite dictionary, a real physical, book type dictionary, is the Century Dictionary from 1889. It defines addiction as “A state of being given up to some habit, practice or pursuit; addictedness; devotion. This definition explains why so very many different patterns of behavior have come to be called addictions.

Modern on-line dictionaries have inserted a first meaning of drug dependency and reduced the notion of devotion to something to a secondary position. Both meanings bring people to the counseling room.

Here are 4 primary types of addiction that may call for treatment or recovery.

Physical tissue dependency on a substance is an addiction.

Doctors might refer to this form of addiction as “Chemical Dependency.” We all know about addictions to chemicals which result in severe withdrawal symptoms when the user stops. The Heroin or opioid user gets violently physically ill when they are without their drug for a period of time. Alcoholics may experience the DTs if they are without a drink for a period of time.

Psychological dependence on a substance is addiction.

This manifests when the addict goes through a rehab, 28 or 30 days, and then, when they leave rehab, they return to drug or alcohol use. Clearly, this form of addiction is in the mind, not the body.

One reason we might develop this variety of addiction is the belief that we should be able to handle our alcohol or that we need substances to have a good time. The idea of heavy alcohol or drug uses is almost synonymous with the concept of a party and with having fun.

When people develop problems, DUI’s or similar issues, from drug use, they think it is their fault, that they should be able to handle their alcohol. We are mostly reluctant to admit that drugs, including alcohol, are inherently problematic.

By the way – it is quite possible to have fun, enjoy yourself – without resorting to drugs or alcohol. And this is one case where more is not better, more is a bad thing.

Process addictions, when doing takes control of the doer.

Some processes are psychologically rewarding and become so reinforcing that people find themselves unable to stop an activity or to regulate the time they spend on this behavior.

Slot machines and gambling are one activity that can form a process addiction. Video games, sexual activity, and shopping can all become repetitive patterns that a person can give themselves over to. The result is an addiction, a loss of control of your life, as a result of over participation in this activity.

Overeating may well be a form of process addiction. Other eating disorders anorexia or bulimia may fall into the psychological dependency category.

Lifestyles can become addictions.

The dope game or criminal behavior can also be addicting. Dope dealers get caught up in the game. The lifestyle provides large amounts of money, status, and recognition within a subgroup. The lifestyle also provides many other personal benefits. Every dope man knows there are plenty of customers willing to trade sex or other illegal activities for more dope.

The great fallacy of this game is that because you can make a lot of money in a short time it is very profitable. Careful studies have shown that many a young man thought he had it made; the cars, women, the bling, and the cash. But when we factor in the fines, the legal fees, and the time locked up and making nothing, it is not unusual for the dope man to make less than minimum wage. The catch is that he makes thousands in a weekend and then nothing for the years he spends in prison.

No doubt I have left out listing examples of other items that might fit these four categories. Have you experienced an over-dependence, a devotion to something that has affected your life? Have you been chemically or psychologically dependent on a substance or developed an excessive reliance on a process or a lifestyle?

If you have any of these issues help is available.

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

Will therapy work even if you don’t believe in it?

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

Therapy

Therapy.
Photo courtesy of Pixabay.com

What is therapy and how do you know if it will work for you?

Interesting question, this came in as a search term and that always gets me thinking about what was on the reader’s mind and what did they want to find. As a therapist, I believe that therapy works, sometimes, for some people, but at other times people tell me that they went for therapy and it did not help them.

Why does therapy sometimes help and sometimes not? Maybe this depends on what therapy really is. I think there are ways it works and ways it doesn’t.

Let’s try some similar questions and see if it helps understand this dilemma.

Does gravity work if you do not believe in it?

Most of us would say a conclusive yes; gravity always works, at least here on planet earth. So if therapy is a force that produces change yes it should always work regardless of whether you think it will or not.

Do cars work whether you believe in them or not? If you just hang around them, but because you do not believe in cars, you never get in one, then no for you, they will not work.

If you think that therapy is a process of change; then for it to work you will need to do some work.  If you do not do the work, your disbelief will prevent the process from taking you anywhere. Disbelief will keep you stuck where you are.

We know that you do not have to be a therapist for what you to do to be therapeutic. We even talk about therapeutic environments. So if you have supportive friends who can listen to you and help you think and talk things out, that might be therapeutic.

The most effective therapy occurs when you believe that the therapist wants to help you and you feel comfortable talking about your problems. The short answer is that counseling works best if the client believes it will. But like gravity, counseling or therapy can work for you if you just temporarily suspend your disbelief and give it a try.

Related articles

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

2013 Midpoint – Top 10 posts

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Counselorssoapbox.com

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

First 6 months of 2013 most read counselorssoapbox.com mental health posts.

David

David Miller. LMFT, LPCC

Can you believe it? 2013 is half gone? Seems like only yesterday we were talking about resolutions, goals, values, and what we might all do to have a happy life.

This year the plan was to aim to average one new post each day. No one has been more surprised than I that a new post has appeared every day.

The theme for this blog has been and will continue to be mental health, substance abuse, co-occurring disorders, and having a happy life.

Along that road to a happy life, however, you might define that, we have talked about a lot of other life issues, the senses, feelings, success and failure, and the like.

Always popular have been the posts around about therapy and counseling, can it help, can I trust them, what will they keep secret, and the like.

Posts on specific diagnoses, depression, Bipolar and the like, substance-related disorders, relationship issues, and parenting have also gotten some attention. For the balance of the year, we will try to fill in some gaps in the topics.

My aim is to cover things that might be helpful in your recovery, successes, and happiness. In that spirit, the goal, not quite a resolution, is to post another 180 items, roughly one per day. Forgive me if I miss a few days here and there, but I will try to make up for that with some extra answers to readers’ questions.

You can all help me out here by leaving comments or asking questions.

Here are the top 10 posts for the first 6 months of 2013, a few new posts are moving up the list but have not made the top 10 yet.

  1. How much should you tell a therapist?  
  2. Do therapists have to report a crime?
  3. Are you Hyperthymic?
  4. Do people really forget what happened when drinking? – Blackouts
  5. Levels or types of Borderline Personality Disorder
  6. Is nicotine a stimulant or a depressant?  
  7. Why can’t we forget the painful past?
  8. Which border is Borderline Intellectual Functioning on?
  9. What is the difference between depression and Major Depressive Disorder?
  10. Hyperthymia, Hyperthymic Personality Disorder and Bipolar Disorder

Best wishes on your journey towards the life you want to be living.

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 a therapist? What do therapists do?

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

Therapy

Therapy.
Photo courtesy of Pixabay.com

Why this word therapy might be confusing.

When I used to tell people I was a therapist they kept giving me blank stares. I got the feeling that they did not understand what I do. Personally, I tend to call myself a counselor more often than I call myself a therapist despite the fact that I am licensed here in California as both a Marriage and Family Therapist (MFC45390) and as a Licensed Professional Clinical Counselor (LPC15.)

One intern asked me why in so many blog posts I seem to use the word counselor rather than the term therapist. I think there are two reasons, I think of myself as doing more “Counseling” and the word therapist seems to need more explanation than the word counselor to avoid misunderstandings.

Both of these words can involve activities outside mental health. Lawyers are referred to as “counselors” for example. There are other professions, financial and lifestyle workers who get to use the words counselors or therapists when appropriately attached to some other description. What we need to do is prevent the term from becoming so generic as to mislead people.

What about Substance Abuse Counselors?

Substance Abuse Counselors also do similar work but they are restricted in most places to only working on the substance use disorders. Mental health issues are outside their “scope of practice” meaning the things they can legally do.

Correctly used both counselor and therapist should be part of a license title rather than standalone names, as in Licensed Counselor, Licensed Clinical Counselor, Mental Health Counselor or Marriage and Family Therapist.

To add to the confusion many School counselors or School Psychologists are often not licensed and work on issues surrounding graduation requirements, getting into college or school behavior rather than treating mental illnesses that are more common than previously thought among school students.

So how did mental health practitioners come to use the title of therapists?

Originally this term was psychotherapists. Many mental health practitioners, Marriage, and Family Therapists, for example, practice “applied psychotherapy.” This is a reference back to the time when most mental health work was being done by psychiatrists who did some form of talk work with their “patients.” Most of this work was psychodynamic or Freudian type work. Today most therapists do briefer more directive work and do not choose to emphasize the “psycho” part of the psychotherapist name.

What about other kinds of therapists?

Two types of therapists,  occupational and physical, get confused with the psychotherapists that do mental health work.

Physical therapists, as the name implies, work on the rehabilitation of the body. So if you are in a car accident and lose a limb they could help you regain your abilities, adjust to a prosthetic limb or strengthen remaining muscles. This is my understanding and if there are physical therapists out there who would care to add to that understanding feel free to leave comments.

That same person, grieving and depressed over the loss of the limb might also see a rehab counselor who would help them with the psychological adjustment to living without that limb. That rehab counselor might also help with career counseling to find that person a new job they could do despite the loss of a body part.

In California rehab counselors as well as Career counselors might elect to get licensed as Licensed Professional Clinical Counselors providing they meet the requirements for that license.

There are also people who function as “occupational therapists.”

This one still confuses me a bit. Per the Bureau of Labor Statistics “Occupational therapists treat patients with injuries, illnesses, or disabilities through the therapeutic use of everyday activities. They help these patients develop, recover, and improve the skills needed for daily living and working.” Most occupational therapists have master’s degrees and work in the offices of physical therapists.

So when I tell someone that I am a therapist they sometimes ask if I know of an exercise that will help their shoulder mobility. No, I do not. That is not the type of therapy that I am licensed to practice.

So has that cleared up the confusion? Or have I just added another layer of mud to the waters?

The point is that you need to be sure that the type of counselor or therapist you are seeing is doing the type of work you need.

Best wishes on your journey to a happy life. (I think of myself as a happy life therapist or counselor but can’t find that listed in any of the statute books.) I do try to stay well within my scope of practice.

Related articles

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

Men don’t only want one thing! Ladies you’ve been misled.

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

Sex?
Photo courtesy of pixabay.

It takes way more than sex to keep a man’s interest.

The spring falling-in-love season is about over, the summer wedding season has begun. The divorce and break up season, that season is pretty much year-round.

Women who come for counseling and they mostly come during and after the breakup, repeatedly tell me, and remember I am a man, that men only want one thing.

Women seem to think that all men expect in a relationship is sex. They are so wrong. Men want sex, yes they do. It is a biological imperative for men to make that contribution to the continuation of the human race. But ladies if you think that is all it takes to keep a man happy no wonder so many relationships are in trouble.

It takes more than great sex to keep a relationship happy and functional.

For your edification ladies, men in after-the-break-up counseling, they say Women only want one thing. What they think women want is way different from what you ladies say they want. I will tell you about what men think is the only thing you women want in a future post.

What do men want other than sex?

Women seem to think, some of you anyway, that you spread your legs apart and the man should be happy. Then when he does not do what you want, you withdraw the sex and say he only wanted one thing. He was settling for the thing you offered but many men want so much more than just sex.

Some women use sex to get the man hooked – The old bait and switch.

Try taking your kids to the amusement park, let them ride the roller-coaster once. Then plan to spend the rest of the day looking at the flowers and the decor. How long till they feel cheated and want to go home.

For men, sex is symbolic as well as physical. If you love me you would want to do that. So they find it hard to believe you genuinely care about them if the sex is not happening. They think you should want to give them this gift. Women, on the other hand, want to feel loved before they are interested in sex. So we do the love dance, do you love me or not and each couple finds the time and place to complete the dance and engage in sex.

Some of you start at the end of the dance and then wonder why neither of you knows the steps to keep it going.

What else do men want?

Men want to know that they can make you happy.

In the courting stage, you let him know he was making you happy.  You laughed at his jokes, smiled when you saw him, and talked about the things he was interested in.

One day after you two are together, you stop laughing at his jokes, you don’t want to hear about his team or his interests, and if he leaves his socks on the floor one more time that will be the end of the sex.

Men hang in there for a while, some longer than others, but if nothing he does pleases you and then you stop telling him you love him in the bedroom, you know the rest.

Men want to be with someone who likes them.

All-day they are out at work. People are critical. then the man comes home and what does his partner and lover do? She tells him all the things he is doing wrong.

When you were dating he thought you liked him. Suddenly he is living with a person who thinks he is an SOS (sack of stuff.)

I know you ladies think you are being helpful telling him all the things he could improve on, but he knows he is not perfect. He just would like to come home to someone who could affirm he is a worthwhile person. He needs someone in his house, his castle, who thinks he is a great guy.

So ladies when you decide you no longer need to affirm his worth, that it is your sworn duty to tell him all his flaws, is it any wonder he goes looking for those affirmations from his therapist or his mistress?

So ladies, if you think all men want, is sex, you are putting your man on an emotional starvation diet. Eventually, you will get tired of giving him the sex and then things will be all over.

Men need affirmation to know they can make you happy, they need appreciation for what they do and they need to know that you still like them and want them. It takes a full course emotional meal to keep a man’s love needs fed.

There is that other secret men keep. Many men are convinced that women only want one thing and it is not always something men have to give. Next post the thing men say is “all women want” in the relationship and why this pushes men away.

Related articles

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 does not cure low self esteem

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

Success

Success.
Photo courtesy of Pixabay.com

Racking up the successes may make your low self-esteem worse, not better.

You would think that people with a string of successes to their credit would feel good about themselves. Often this is not the case.

Olympic caliber athletes get depressed even suicidal; professionals in many fields suffer from low self-esteem.

The cause of this low self-esteem among high achievers is that ancient enemy – perfectionism.

Perfectionism destroys self-esteem.

The highly motivated student, the one with the all “A’s” on their record, if they were to just once get a B that would ruin their perfect record. Needing to be perfect is a way to overcompensate for feelings of inadequacy.

The way this works is one of the sneakiest of all possible manifestations of the fear of failure. Set impossible high goals and then if you fail to achieve them this is not your fault. Who could possibly be expected to be perfect?

The consequence of this setting yourself up to fail but making the goal beyond anyone’s reach is to feel that having not achieved perfection, not being the best at everything, you are worthless and nothing.

We saw in a previous post, it is not the all A student that is the happiest. The good-enough student, the B student, is far happier. So is the student who is self-motivated, who does things to satisfy themselves and learns for the sake of learning not the external motivation of grades.

Dr. Berry at U.C. Berkeley wrote an interesting paper on the causes of failure (Special Feature: Fear of Failure in the Student Experience, Personnel/ and Guidance Journal, 1975.) As I understand this article he understands perfectionists as being high in Fear of Failure.

Refusing compliments lowers self-esteem.

In my experience people who suffer from a strong case of perfectionism discount all compliments. They find it impossible to accept that any form of praise can be sincere and they find themselves unable to accept compliments. The inferences here is that for them to accept an accolade means they are in some way in control of and responsible for their success. If you accept success then you also assume responsibility for your failure and the one thing any good perfectionist does not want to do is set themselves up to have to acknowledge a failure.

Perfectionists do not hear praise, from themselves or others. What they do hear is the criticisms, real or implied. Since good is never good enough and nothing but perfect is acceptable any mention of a success risks being heard as a back-handed compliment. Yes you did well this time, but what did you expect, the task was easy. Or more importantly, what will you do next time? For the perfectionist, failure is nipping at their heels and success is a distant target off on the horizon.

They dismiss out of hand all compliments by hold onto and cherish the negative message that even they are not perfect and eventually will fail.

Dr. Berry tells the story of his experiences as a child, participating in a contest with friends to throw snowballs at a post. They picked a post that was extremely far away. The consequence of setting this impossible target? If you hit it, then it was just luck. If you miss it, it was so far away no one could be expected to hit it. Either way, you were expected to miss and therefore could not fail.

Perfectionists set up just such tests for themselves.

The purpose of aiming for perfection, so this theory of psychology and others goes, is to establish such unreasonably high standards that no one could be criticized for not meeting that goal. The perfectionist keeps on trying to reach perfection until one day they give up trying as impossible and drop out of school or other activities or they finally do fail and then ascribe their lack of success to the impossible expectations of others.

Do you fear failure? Are you setting yourself up with excuses that result in creating the failure you fear? What would it mean to you to set realistic goals and actually meet some of them?

Related articles

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

God needs an anger management class

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

Anger burning

Anger Burns the holder.
Photo courtesy of Pixabay.com

Why is God so angry? Doesn’t God like us anymore?

God is in an evil mood these days, or so I am told. Even allowing for the possibility that there is more than one God this bunch needs some serious anger control training.

God is an equal opportunity hater. He has been quoted as wanting to kill, wound and maim, Christians, Museums, Jews, and Pagans alike. Anyone not fully in compliance with his impossible difficult requirements is at the full risk of his wrath.

God has not been in this vile a mood since the close of the Old Testament.

God is forever getting credit for things. We hear about acts of God. Mostly these consist of things like flood, famine, and pestilence. God would be doing hard time if he just stuck around at the scenes of his crimes but whenever we go looking for this dude he has snuck out the back way before he gets caught.

The Catholic God seems to be out to get the Protestants and the Protestant God is mad at well almost everyone. Even the Muslim guy, Allah, he has been out bombing and killing his followers, Sunni and Shiite alike, or so I have been told. Can’t prove any of this but, I see a whole lot more bombings and funerals than love fests.

Not sure what all them religious leader-types would do if all of God’s followers ever decide to start liking each other. No more religious wars? What will we do? What will we do?

You’re not like thinking there is any risk of this, are you?

Given the current state of wrath on the part of the various deities, what I am proposing is something like a WWE God smackdown. Let all the various Gods wreak havoc with each other and leave us out of the mix.

There is this theory that the problem with God these days is that he is lonely. The Hindus suggest that all the happy Gods have consorts. But then who is listening to the Hindus these days, are they sponsoring any good wars?

If by consort they mean Girlfriends and lovers, that might be what God needs so he gets back into the loving mood. If they are thinking wife, then based on my experience doing marriage counseling, having God get hitched is a bad idea. If you have seen the way married couples fight I am afraid of God and his wife trying to set the world spinning in two opposite directions.

Frankly, this is all very confusing. Why is God, according to his financial advisers, so into wars, hate, and killing?

It is not possible that any of God’s handlers and P. R. staff are spinning his positions on things incorrectly is it?

Just exactly who do we need to be talking to if we need some of that unconditional love stuff? Why then is it so easy for all these God-followers to find someone to hate and try to destroy?

Oh no! I think I have done it now. Someone is sure to write in and tell me that God hates me and wants me dead. I did vote the wrong way in that last water bond election and there is still that unfinished business with that Beatles album I listened to way back when.

These religious enforcers most likely will be more than willing to do God’s work for him, these folk always aspire to be junior Gods themselves, that deciding on who should live and who needs punishing is so much fun.

But really folks, doesn’t God needs some anger management classes, or maybe a marriage encounter group? It just pains me to see that deity person so unhappy. Anyway, could we get a happy God? One that loves us again? I am just saying—

Related articles

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

6 Reasons You Procrastinate

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

Success or failure sign

Success or failure.
Photo courtesy of Pixabay.com

Why do you procrastinate?

Anyone can procrastinate some of the time. Some of us seem to be plagued by more procrastination than others. Procrastination can result in all manner of life problems, from conflicts with spouses to job failure or loss. With so many negative consequences of procrastination, why do so many of us procrastinate and why do some of us procrastinate so much?

Six factors appear to be major contributors to procrastination. No one factor seems to be solely responsible and you may experience one or more of these causes. There are listed in roughly their order of importance based on some rather old research studies but most of us can and do procrastinate for several of the reasons on this list.

1. Fear of Failure fuels procrastination.

As we talk about the fear of failure it is easy to see why being afraid you might fail at something would cause you to avoid doing it. Who wants to have to do something that has a high chance of failure?

Fear of failure is a major reason for procrastinating but it is not the only reason.

2. Lack of energy increases procrastination.

Not having the energy results in putting off things we know we should do but just can’t seem to get to. This is the consequence of over scheduling, having just too much to do. Most of us are guilty of trying to do too much in life.

If you can’t say no and you keep taking on projects for others or at their insistence, you can run out of time and energy. Sometimes you just need to rest and that old buddy of yours, procrastination can help by making time for you to rest by putting off things you say you “should be doing” but the reason for doing this is to please others not yourself.

Depression or other physical and mental health issues can also leave you with too few resources to take on that one more task.

3. Task aversion causes procrastination.

It makes sense that we put off things we do not want to do and we do the things we enjoy or at least the things we find less onerous. Not liking something results in it having a low personal priority.

Ever notice you tend to put off the things others want you to do but find the time to do the things that you most enjoy. Most of us do that. Despite the negative consequences, we may experience for failing to do what others, our boss or partner, want us to do. Most of us will do other things first and put off that requested project.

4. Dependency or conformity justify procrastination.

If you find that other’s requests move to first place, and you are procrastinating about doing things you want to do for yourself, you need to look at your goals and priorities. What are you getting out of sacrificing yourself for others?

Do you fear being different? Conformists avoid criticism. They also do not get noticed. Putting off things that might result in accomplishments may be the result of fear of success making you different from others.

5. Extraversion encourages you to procrastinate.

Extroverts may be procrastinators? Who would have guessed this?

Extroverts like doing things with people and they may go for the fun thing like being around others, attending a party or engaging in social activities, rather than study or do something boring over the weekend.

Extroverts sometimes will put things off because they like to take risks. It is more of a challenge to do the paper the night before it is due. Putting things off adds to that element of risk, that gambler’s instinct, and makes life more exciting.

 6. Rebelliousness expresses its self through procrastination.

Who picked this project anyway?

If you need to do something because someone else said so, one way your brain may protect you from domination by others is to forget to do what you were instructed to do.

So why do you procrastinate? Do you do it for one of these reasons, or do you have your own personal reason for putting things off? Research says that you probably procrastinate some of the time. We all seem to do it at least occasionally. If you are a procrastinator like the rest of us, you probably do it for several of these reasons and some others as well.

Related article

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