Tag Archives: relationship

Can you force a teenager to go for therapy?

Posted on by
25

By David Joel Miller.

How do you get a teen to go for help?

Sad teenager

Can you force a teenager to go for therapy? Photo courtesy of pixabay.

The question of getting a teen, or any other person for that matter, to go for mental health treatment is always problematic. With teens, you sort-of can and sort-of can’t. Let’s see why.

First, it depends on what you mean by “force.” With children and teens no matter what they may think, they are still minors and under someone’s supervisor. So technically yes parents can most of the time require a child to go for any kind of treatment even if the child does not want to go.

From here on out let’s call teens “children” because parents have responsibilities for the child regardless of the child’s wishes and teens are for most legal purposes still “minors” until they turn 18. I will let you know if there are reasons to separate teens from children.

Exceptions to making a child go for treatment would come from legal issues. Are you divorced? What does the custody agreement say? Is there legal involvement? What do the courts and Child Protective services say?

Even if the custody order says you can make those decisions for the child, most therapists will want both parents to sign giving consent for treatment. We, professionals, like to stay out of court as much as possible, and seeing a child without one parent’s permission opens you up to all sorts of legal risks that may not be worth taking if you do not have to.

One aside here, the child may consent for themselves if there are crisis issues or if they say you are abusing them, then they can seek outpatient treatment with or without parental approval in some places. This all gets complicated and most times the counselor will already be on the phone with someone for legal advice before they start seeing this child. If the child was suicidal whoever has the legal authority to put them on an involuntary hold and send them for evaluation or treatment can also do that whether you want your child’s suicide attempt treated or not.

Back to our original question. You want this teen to go and they do not want to go. How far can you go to force them?  Physical force is not a good idea. For counseling to work the person receiving the treatment needs to talk and they need to think that there is some reason that this person can help them.

People forced to treatment do not get as much work done and it takes longer. Any good counselor will spend the first few sessions trying to build a relationship with this teen so the teen decides that this might be a good thing. At that point please do not start asking the counselor to betray the teen’s trust and tell you everything they have been up to.

I hope it does not surprise you that teens who are abusing drugs and alcohol and those who are very violent and oppositional do not show up for treatment a lot of the time.

Rather than call this treatment “forced” I like to think of it as encouraged.

One rule of parenting I like to tell clients about is that “Parents need to be parents and children need to be children.” Letting kids decide if they need counseling or any other treatment procedure may violate that principle. How can an emotionally disturbed teen make a good decision about going for treatment?

Do you let drunks drive your car? That would be risky for you regardless of who they were. So if you suspect that your child is abusing drugs or alcohol you may find it difficult to get them to go for treatment but one way to motivate them to attend sessions is to take away or restrict their use of the car, or something else they care about if they will not go for counseling. This making the cost of not going higher than the cost of going for treatment works some of the time but not all the time.

If they refuse even with the car taken away, you will need to go to more drastic measures. Also if once you take the car keys away and they do take the car and drive you may be forced to call the police and report the car stolen. Either that or explain to your insurance company and the police why you let a child you suspected of abusing drugs or alcohol take your car and then you did nothing about it.

If you have any reason to think your teen or younger child for that matter, needs to see a counselor or therapist and it is legal for you to take them in, by all means, have them go. The best case is that the counselor will tell you they do not see anything out of the ordinary and what your teen is going through is just a normal part of being a teen. So you spend a little money on an office visit for some peace of mind.

But if after that visit they suggest that your child needs to keep coming, make a serious effort to get that teen to the appointment.

If the teen refuses to go you will need to enlist the help of anyone and everyone who can get that kid into treatment before they get in serious trouble.  Try to do this before you need the help of his parole or probation officer and before he has harmed himself or others.

Ignoring mental health problems does not make them go away. In plenty of cases, people saw that there was something wrong with a teen or younger child and yet the child did not get treatment until they did something that ended up on the news.

A few early interventions with teens in distress could save a lot of pain for them and for other people down the road.

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

Five ways to sabotage your self-improvement or recovery program

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8

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

Inebriated people.

Alcoholism.
Photo courtesy of Pixabay.

Five ways to sabotage your self-improvement or recovery program.

1. Giving up undermines recovery.

Nothing will so surely end any self-change effort as to lose hope. Highly successful people will often tell you that they kept going when others stopped trying.

It pays to do your homework before tackling a project. Is this what you really want, can it succeed, and are you committed? But once that decision is made, stick to your efforts and believe that this can happen for you if you just keep moving forward.

It is also helpful if you make sure you are on the right path.

2. Telling yourself you can’t prevents recovery.

Negative self-talk will end any chance of success. The mind believes what we tell ourselves repeatedly. You can even make yourself sick by believing that you will get sick and acting accordingly. (See the Nocebo effect.)

3. Making excuses sabotages recovery.

Saying you are too old or too sick, any form of excuse-making, will prevent you from moving forward on your efforts to change. Tell yourself you can, but be realistic about your progress. Going too fast can set you up for failure and so can saying you can’t.

In this modern age, more than ever, people return to school, change careers, and start new lives at ages that would have stopped them in previous generations. I can tell you from experience that some of the best students, the most productive new employees, can be older people who have started a new life direction.

Eventually, the children grow up. Partners may leave, but you will be you. You will live your allotted time whether you try or not.

When someone says they are too old to do something they have always wanted to do, I ask them how old are you now? How old will you be in ten years if you don’t try? Will you be any older if you do try?

I am not a believer that being unhappy and not trying in this life will make you worthier in the next. We all should be seeking to have the happiest life possible and to learn all the life lessons we need to learn. That way you can reach the end of this earthly life with no regrets or fewer ones anyway.

A happy life, for the record, does not mean one that is selfish and self-indulgent. Doing for others can also make you happy. Doing the things you believe to be right adds to that happiness. Doing the right things for all the wrong reasons, helping others for their recognition, does not lead to happiness.

Do not put off doing something good today.

4. Expecting results overnight devalues recovery.

Change takes time. Really changing requires a commitment to keep trying over the long haul. Don’t let your brain overload the rest of you.

People set unrealistic goals for themselves in early recovery. They expect to lose lots of weight that first month. They expect to give up drugs and suddenly get an education, a good job, and the good esteem of all their family or friends. Repairing damaged relationships takes a lot of time.

Take this process of change, one day, one minute at a time. Make little baby steps. And see how far you will have gotten.

5. Going too fast gets you ahead of your recovery.

Anything that you can do in a day can disappear overnight. Slow consistent progress will take you a lot farther than one sprint followed by weeks of inactivity.

Any process of change requires maintenance. You need to change your habits. Habits made you overweight, an alcoholic, or another problem sufferer. It takes time to create a habit. It takes, even more, time to change that habit into a new functional way of living.

There you have the short list: 5 ways to sabotage your recovery. To improve the chances of success don’t do these things.

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

Why worry may not be a bad thing.

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3

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

Man worrying,

Worried.
Photo courtesy of Pixabay.com

Do you worry too much or too little?

Self-help books and common wisdom tend to equate worry and anxiety. It would appear that the two are not the same thing and that sometimes a little worry can be good for you.

We saw in previous posts that words, especially words about feelings, do not mean the same thing to everyone. One person’s worry may not be another’s in the same way that my purple may be your fuchsia. While dictionary definitions make the definitions of worry and anxiety much the same, researchers think they are quite different and that sometimes worrying can be good for you.

Anxiety is about heightened awareness or hyper-vigilance. An anxious person is hypersensitive about things and may overreact to things that have little or no real danger. In that sense, anxiety is related to fear. Anxiety’s role is to keep us on the lookout and avoid things that might be dangerous.

Worry has the connotation of constant thinking about something. Researchers think anxiety and fear are more visual or emotional reactions while worry is a mental and verbal rumination.

Worrying about things can keep them in your mind and this can result in perpetuating fear and anxiety. But there can be good results from worry in addition to the bad ones if worry is not accompanied by excessive anxiety or fear.

Think of worry as being like my very old computer. Sometimes my computer slows down because an operation takes a lot of CPU memory. I get those little warning messages in the corner of my screen saying high CPU usage by and it names a program that is using all that memory.

Worry does the same thing to my mind. It uses up a lot of memory capacity, thinking about the thing that is worrying me. The result is that I slow down on what I am doing and devote more of my thinking ability to the task of worrying.  At this point, worrying is impairing my mental efficiency.

As my mind slows down and devotes more resources to the task that worries me, there is increased attention to that one thing and all other mental tasks are neglected. The result is that as a byproduct of worrying I may do fewer things but I am likely to devote more attention to the one thing I am worried about. Worriers make fewer errors on the task they worry about as a result of that increased attention. So worrying can be useful in reducing error rates by having a task fully occupy your mind.

Worrying results in a trade-off between the time needed to do the routine tasks I need to do and an increased accuracy as I try to avoid making any errors. If accuracy is imperative worrying makes sense.

Worry is not solely about the task or challenge I am facing, it is also about making plans, contingency plans for what I will do if – and here I may worry about both high probability occurrences as well as low probability ones.

As a result of all this worrying and contingent planning, I may react to situations faster than someone who has not thought about this possibility at all. So if you might be faced with a sudden unexpected need to do something and the risk of making an error would be catastrophic, worrying may be just the ticket to allow you to make an instant lifesaving decision.

Worrying can be seen as a symptom of some mental illnesses. It is especially viewed as a process that maintains Generalized Anxiety Disorder (GAD) in the same way that nightmares maintain Posttraumatic Stress Disorder PTSD.)

If you suffer from an anxiety disorder, then worrying is probably going to do you more harm than good. But if you are a relatively normal person and are faced with some really important life-changing decisions then some worry, thinking through all the possibilities and what could go wrong, may be just what you need.

If your worry has gotten out of hand, if you worry needlessly about small things and things that are very unlikely to happen, then improving your worry ability is not for you. If excessive worry has interfered with your job or fun activities it is a problem. If your friends and family avoid you or are concerned about all the worrying you do, then you may need help sorting out what is important and what is just an unproductive loop of constant worry.

If you have a major life change coming then do a little worrying and planning about what might happen and what you will need to do.

But if worry has gotten excessive and is making your life unhappy and out of control, consider getting some professional help for that out of control worry monster that has taken over your life.

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

Learning to hear – Do you need to relearn?

Posted on by
7

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

All radios

Hearing.
Photo courtesy of Pixabay.com

Who taught you to hear?

Hearing

Hearing (Photo credit: Keturah Stickann)

Most of us think of hearing as something you are born with, no need to learn how to hear.  Hearing can become more useful when it is trained just like any other sense. Hearing can also be lost through abuse.

In a previous post, I talked about the need to turn the sound off sometimes and make sure we are noticing the nonverbal things in the environment. Now we need to talk about the use and misuse of sound. Most of the time we are so flooded by loud and constant barrages of sound that over time we tune the small and the soft sounds out. The result of this desensitization to sound is that we begin to only appreciate sound when someone is screaming.

As any married woman will attest, poor hearing is more likely to occur as a result of a lack of attention to what your partner is saying than from any organic hearing loss. Married men over time develop a special disability known as selective deafness.

Learn to pay more attention to sounds and you too can become an expert at hearing things other people miss. This may also keep you out of some relationship problems.

Life’s pleasures are often about what you have experienced before. If you grow up listening to one kind of music you will likely have a preference for that kind of music.

Music appreciation classes ought to be more than simply listening to a favorite song. We need to learn how to listen, what to listen for, as well as practice that listening. Someone who wants to become a musician needs to learn to listen to music in the same way a writer needs to read, to learn what is good and what is not.

Most of us hear sounds all the time but rarely have we had any training that has taught us how to make more out of that hearing. Two simple exercises can improve your ability to notice sounds and then to make use of what you hear.

1. The ticking watch teaches good hearing.

Find one of those old fashion wind-up watches or alarm clocks. Wind it up and place it on a table. Listen to the pitch and tempo of the clock ticking.

Walk a few steps away. How does the clock sound now?

Continue to move away until you can no longer hear the ticking sound. Now move back a step or two until it becomes clear again. Practice this exercise a little each day. You will, over time, notice that you become sensitized to the ticking sound and will pick it out from other sounds even if you are quite a ways away.

Of course, if you notice any problem in doing this exercise, if you can’t hear when you think you should or if you are not able to pick the ticking out from surrounding noise, consider seeing a doctor to have your hearing checked.

Most people will discover that by practicing they become more attuned to the sound of the clock and notice not just this clock but others throughout their day. (See my previous post on the expert effect for more on this topic.)

Good mechanics will often be able to tell from the sounds an engine makes what the problem is. They have become sensitized over time because they have needed to find a noise and then determine why this engine made a sound that other engines do not normally make.

Practice being sensitive to sounds and you will see that these small sounds are all around you every day. Become mindful of the sounds you live with.

Hearing exercise two.

Find a place where you can hear others coming before you can see them. At work, you may be able to hear footsteps before the person comes into view.

Pay particular attention to the footsteps coming toward you. Are they quick and vigorous or slow and plodding? Does this walker make a particular sound by putting more weight on the toes or the heel?

When this person comes into sight glance at them and their shoes. Over time you will find that you can recognize who is coming down the hall by the rhythm of their footsteps. With more practice, you may find that you can identify the type of shoe the person is wearing even when you do not know that person.

Why is recognizing footsteps important or useful? By itself, it may not be important unless you sell shoes for a living. But at times recognizing someone from their step may be useful. Becoming more aware of sounds can help to improve your memory and your thinking efficiency.

Repeated efforts to fine-tune your hearing by the clock exercise or by attuning to the sound people make when walking will improve your ability to focus on sounds. Couple this with our earlier exercise on sitting and being aware of the information from all your senses and you will find that you are becoming more alive, more mentally efficient and that your memory for people and events has improved.

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

Without the sound can you tell what is going on – Nonverbal communication

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2

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

Angry child

What is he feeling?
Photo courtesy of Pixabay.com

You hear them talking but you don’t believe them, why?

What do we do when the words don’t match the gut feeling we have? Do you trust yourself or do you think you must be wrong?

Your gut is telling you something and it should be getting more of an audience. In day-to-day life the sound is so overbearing we forget that more than half of all human communication comes via nonverbal channels. If you haven’t practiced paying attention to the other part of communication you are at a serious disadvantage.

Some small children seem to know this. Words telling them to come over here, I just want to talk with you, do not match up with the clenched fists, and the obvious signs of anger. They avoid people like that. Somewhere along the way most of us lose this ability to make use of the non-verbal parts of communication.

Here are some exercises to make you more aware of body language, nonverbal communication, and what the real meaning may be behind the words.

Exercise 1

Find a Television show you do not normally watch or rent a movie of a type that is not on your regular viewing list. Turn the sound down and begin to watch the show. What do you think is happening here? What are people feeling?

Make a few notes as you go along. Can you tell what the emotions being portrayed are from just the pictures? Can you spot when the director introduces a bad guy? How can you tell that? Most shows use a lot of music to cue up the feelings. Watch for a director that can tell the story with the pictures only. Did this come through in the story you are watching, or did you need words to tell if the characters liked each other or were enemies?

Next replay the same story with the sound up. Check what you see now with the notes you made. Do you get the same feelings now? Why or why not?

Exercise 2

Observe a couple or family through a window or in a public place, somewhere where you can be far enough away you can’t hear the words they are saying.

Watch for a while and begin to develop a theory about who these people are and why they are together.

Is this a family? Have they been together a long time? Do they like each other? Or is this the weekly visit from the absent dad? Are all the children from the same family or are some neighbors?

Are mom and dad still very much in love or is this mom or dad’s new partner out to meet the kids?

What do you think the relationships are like between the children? Do they get along normally or are they making an extra effort to get along today?

In this setting, you will probably not be able to confirm or deny your conclusions. Be willing to not know and to entertain possibilities.

A writer could construct a whole novel from this exercise but then the novelist does not need to stick to reality. Can you tell a playful tussle from a case of child abuse?

Conducting a few of these experiments trying to make meaning from situations can greatly improve your skills at reading nonverbal cues. It can also help you see how someone who is not able to read cues could miss read situations completely and acting on these misinterpretations get themselves into trouble.

Certain mental health disorders are characterized by an inability to read other people, not recognizing anger from facial expressions for example. Can you see how misreading what people mean or over-reliance on the words they say but missing the body language and the gestures could result in misunderstandings or even put you at risk for danger?

But poor nonverbal skills can hamper any of us.

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 why you can’t make up your mind – Doubt and uncertainty fog memory

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2

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

Reasons why your indecision harms your memory.

Can’t make up your mind?
Photo courtesy of pixabay.

There are reasons why you may not be able to make up your mind. When there is an emotional storm going on in your mind it is difficult to make a clear choice. Here are 6 reasons why you may be having difficulty making up your mind and as a result are fogging up your memory.

1. You have to Choose and do not know which is the right choice.

Having to make a choice between two or more alternatives can be exhausting. If you have two potential jobs which one do you pick? Some of you are saying I would like to have to make that choice. Problem is that once you pick one the other is out.

This is especially a problem in relationships. Lots of men have a problem making a commitment. Once they pick one person to be with all the others start looking more attractive. You start second-guessing yourself and wondering if you made the right choice.

What people in this situation often do is try to avoid making a choice. That is also a choice. Some of the most life-changing decisions occur when we fail to make a choice and as a result, a whole world of possibilities closes to us.

If you don’t give the company who offered you that job a yes, they may proceed to offer that job to someone else. If you don’t go to a college you may forever wonder what would have happened if you had gone there.

You can only walk down one road at a time and no matter how fast you walk the outcomes change if you picked one thing and not the other.

There are three kinds of choices. Good and Good, Bad and Bad, and the worst kind Good-Bad verses Bad-Good. These are referred to in the language of psychology as approach-approach, avoidance-avoidance, and approach-avoidance choices.

Good-Good choices.

Pick between two dinners you like and no matter which one you pick it should be good. This decision does not get much thought. Either way is enjoyable and you get pleasure either way. Usually, over time we get our default pattern of making this choice. We either have one favorite meal we pick most of the time or you become someone who always looks for something new on the menu.

Fail to make this choice, say you can’t decide which person to marry, you may date a lot, but you don’t get to have the experience of watching children grow up as part of a family.

Bad-Bad choices.

Pick between two things both of which are bad and we try to pick the “lesser of two evils.” Most of us think of the elections every couple of years as this sort of choice. Most of the time there are things we don’t like about both candidates but we have to pick one or the other or let some idiot pick for us.

The good with the bad versus the bad with the good choices.

These can be tough choices. If you make either choice there may be some pleasure followed by paying some costs.

Choices between getting into drugs and alcohol fall into this category. There can be some fun and there can be some pain. The question is how much is good and when does the pain begin.

These approach-avoidance verses avoidance-approach choices may result in paralysis and failing to do anything as we have seen is also making a choice. Sometimes that choice is that the fear of being wrong keeps us from getting in on something good. Sometimes giving us some pleasure protects us from some pain. The problem is to figure out which is which.

Fail to make this choice, say you can’t decide which person to marry and you may date a lot but you don’t get to have the experience of spending your life with someone you love and who love you.

Pick the wrong person, have lots of exciting sex and you are stuck with a babies-parent that you don’t want to be around. Children’s parents are for life.

Balancing this “you need to make a decision” with the consequences of the decision in the short-term and the long-term can be challenging.

2. Confusion when you don’t know what your choices are.

A classic example of this is the high school senior picking a college and a major. Once you pick a college it gets harder to change that decision. No one has the time or energy to check out all the schools and often this decision, despite its life-changing consequences, is made with less than adequate information.

You can change your major more easily but plenty of people find after they graduated that there are few or no jobs for their major. Too many people make decisions on majors on very little information.

The worst outcome of this occurs when you get a degree and then find you don’t want to have to do that kind of work all day long.

3. None of the choices are what you want.

Sometimes this is called artificially limiting your choices. You pick between two schools the one you want and the one your parents want without looking to see if another one would have been better.

This also happens when people jump into a relationship with someone because they think no one will want them and if they pass up this one person who is showing an interest then they are destined to be alone.

4. Emotional contents buried in your decisions.

Some of us make decisions with our feelings when we should be making them with our heads. Just because something is scary does not make it dangerous. Also because something is safe and comfortable that does not mean it is the right choice.

Sometimes life is about stretching and trying on something new so that you can see who you can become given the opportunity.

Don’t settle for being less than you were meant to be because trying for something better will be scary.

5. Your heart is not in it.

If your heart is not in something, no matter how much you think this is the right decision you need to reconsider. If you can’t work up some enthusiasm when you begin on a life course then what will there be left when you get along the path?

6. It may not be time to chose yet.

One last problem with making choices. Sometimes we rush into making a decision when we don’t have the information we need, and the time is not yet ripe.

Think about this before making any decision with which you are uncomfortable.

Is this something you are afraid of or is it something you don’t need to decide just yet?

Did that confuse you totally or are you ready to make that life-changing decision?

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

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

Story Bureau.

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

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

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

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

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

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

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

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

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

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

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

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

For videos, see: Counselorssoapbox YouTube Video Channel

Are Wiccans Schizoid? Are African-Americans?

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

Who is Schizoid?

These kinds of search questions come up periodically. Sometimes I feel like these questions need to be answered even at the risk of making some people mad. I think we need to look at Schizoid personality disorder and other psychosis and its relationship to religious and racial minorities even at the risk of making a whole lot of people angry.

Wow, religion and race in one post, guaranteed to piss someone off!

Particular religious groups have been connected with various mental illnesses from time to time. In fact, even in professional trainings, Wiccans, members of a particular recognized religion, get connected with mental illness especially Schizoid personality disorder or Schizotypal disorder frequently. There was a time that minority races were mostly considered to suffer from mental illnesses also.

So first let’s look at what is Schizoid personality disorder and then why races and religions get connected to particular disorders.

At this point, before the hate mail starts arriving, I would like to point out, for better or worse, that I do indeed know people; some yes are even friends, of both the Wiccan and the African-American persuasions. As an aside I have also made the acquaintance of a few assorted Muslims, Christians, Atheists, Israelis, Palestinians, an Icelander, and one person who might be described as a genetic Republican. Most of whom I consider more or less friends through no fault of theirs. I have left a few others out of this post because I could not spell their race or religion.

This issue of who or what is Schizoid is somewhat clouded by the way in which classification of personality disorders will change when the DSM-5 comes out in May. Some disorders stay, some go and then we reenter the whole question of are any diagnosis real? This is the old Categories versus dimensions controversy. Some people clearly have enough symptoms to get a diagnosis but what about people with only a few symptoms are they normal? Do they have a slight disorder? Or will we need to create a billion or so individual symptom severities to fit each and every one? I will leave that one to the authors of the DSM-5.

DSM-5 update.

Mostly they left the personality disorders alone.

What we currently think of as Schizoid personality characteristics is a person who:

Is detached from social relationships and has a restricted range of expressing emotions in interpersonal situations, and this has been going on since they reached adulthood. (I am crudely paraphrasing from the DSM-4-TR here) and they have 4 or 7 characteristics listed below and they do not have another mental illness that explains their symptoms.

You math majors out there will note that 4 of 7 symptoms allows for 840 possible combinations of symptoms. We clinician types also get to interpret whether you have or do not have any one of these symptoms which can result in a lot of disagreement between clinicians.

The seven symptoms to choose from are:

1. Does not enjoy or want close relationships including being part of a family

In addition to schizoid personality disorder this might fit people who have faced abuse or discrimination and as a result, avoid close relationships.

2. Almost always chooses solitary activities

These criteria could also fit gamers and those who are addicted to the internet.

3. Has little interest in having sex.

This could be the result of past aversive experiences.

4. Takes pleasure in few if any activities

This sounds a bit like depression so does the lack of interest in sex above, this will make it harder but not impossible for gamers to get this diagnosis.

5. Lacks friends other than first-degree family members.

Lots of victims of discrimination and immigrants could fit this criterion.

6. Appears indifferent to praise or criticism of others.

This fits lots of people with learned helplessness and those who live in non-affirming environments. Why seek praise or affirmation if when you expose your emotional self you will not be liked for who you are.

7. Shows emotional coldness, detachment, or flattened affect.

People who face discrimination may hide their true selves and restrict their emotions in public situations. If you get abused for your differentness you may keep your feelings inside even at home.

Now someone with a true personality disorder has these symptoms, most or all of them all the time and not just when in social settings. But can you see how someone who has faced discrimination or is a member of a religion with unusual beliefs could try to avoid expressing those feelings around others who might attack or punish you for being who you are?

Can you see how mental health could be used to punish people who were different racially or religiously and then when they try to keep who they are a secret to avoid that discrimination they could be labeled withdrawn and uninterested in others?

Sure some people with certain mental illnesses could be attracted to certain religious or political causes, but to move over into thinking that people of any one religion or race are probably suffering from any one mental illness is wrong and potentially dangerous.

Besides, I think the people who wrote these search terms probably had Schizoid personality disorder and Schizotypal personality disorder confused. Schizotypal probably fits some rock and rollers and celebrities better than it fits Wiccan and African-Americans but it also gets thrown on anyone who is different way too often.

Schizotypal people wear funny clothing like straw hats and suspenders – or are those farmers? See how easy it is to think that people who are different from you must be sick in some way?

Before we start thinking that people who are different must somehow be mentally ill, think back to those basic criteria. Does this person’s problem or behavior interfere with their ability to work, have friends and family or does it upset them? If not they shouldn’t get a mental health diagnosis just because they are different.

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

5 things you need to ask yourself about mistakes to avoid making them again

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

Mistakes and errors

Mistakes.
Photo courtesy of Pixabay.com

Why your brain may be hiding things from you.

The theme of this blog is recovery and having a happy life. But we can’t create that happy life by hiding from the pain of the past.  No introspection or inventory would be complete without a look at some of the negative or the less than positive memories.

In a previous post, we explored some of the happy times in your life, now it is time to look deeply at some other aspects of the you and see what is there – deep inside you.

I recommend writing the answers to these questions down if at all possible. Creating a journal or instruction book for your life gives you a reference book to look back at. The process of writing things down helps get things out and often we find that things come out in writing we never realized until they appear before us on paper.

1. How has health and wellness affected your life?

When have you faced prolonged illness or health challenges and how has that affected your happiness? If you haven’t had the experience of being sick how has your good health affected your moods and what have you learned from that?

Many a person’s life has been shaped by a period of illness they experienced in childhood. If you were sick for a while, what did you do during that time? Did you have a caretaker that you spent time with? How did they affect you and how do you remember that time? Did the things that person said and did with you affect who you became.

If you were seriously ill and spent time in the hospital, how have those experiences influence who you became? Did you face those challenges with a family member or friend or did you feel very alone?

Did you have a family member that had health challenges? Did you help care for them? How has being a caregiver in childhood affected you?

What lessons did you learn and what did you tell yourself as a result of these experiences?

2. What are your bad qualities?

What would you say are your flaws?

Some gemstones are made more beautiful by their flaws. Your defects of character are there for a reason and your life task is to see what use you can make of those qualities others may not appreciate.

You can’t change things you are not aware of.

Asking people about their bad characteristics is a common interview question. It is surprising how many people have no idea of either their strengths or their weaknesses. Even fewer people have faced their weaknesses and done something to overcome them.

3. If you could change one thing about yourself what would it be?

Would you change your appearance? Would you change your hair? Would you be taller or shorter? Can you accept you just the way you are?

Would the change you make be on the inside? Would you be willing to give up anger or shyness?

Some recovered people do not regret anything about their past. They have come to terms with their failings and now can see how those problems from their past have made them stronger and better people as a result.

Can you truly say that you do not regret your past, even the mistakes? Can you also say that while you may not regret the past or want to change it, you would not want to repeat those mistakes or have to live through those hard times again?

4. If you could change three things about yourself what would these things be?

Are these things like height and appearance that really can’t be changed all that much or are they things like weight and education that you might be able to change if you put in the effort?

You may not be able to make yourself smarter but you can get more education. The smartest people are not always the ones who achieve the most in life. People who take an honest look at themselves and change what they can, while accepting what they can’t change, go a lot further in life.

We often make the mistake of thinking that if we could change things on the outside, where we live, how much money we have, our job or our partner, change that and then we would be happy.

What sometimes happens is that we change ourselves, do the work of real inner change. As a result of those changes on the inside we become happy and content and then the things on the outside, our external things begin to change.

5. What are your greatest life regrets?

If you got some “do-overs” what things would you want to go back and do differently? Are there things that you would not change but that you hope you never have to undergo again? If your today-self could tell your five-year-old-self something what would that be? You can repeat this exercise for various ages and see what advice you can now give to the you’s that used to be.

Lastly ask yourself what the person you will be in the future, at retirement age or beyond, what advice would that older-self give the you that exists now? Consider taking some of these pieces of advice from the current self to the childhood self and from the future older self to the present person you are. How would following that advice change the way you are living now?

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

February 2013 happenings on counselorssoapbox.com- Top posts

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Counselorssoapbox.com

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

Thank you for reading counselorssoapbox.com both those of you that have been with me for a while and those of you that joined me over this past month.

So far this year I have been keeping up with my plan to post at least once per day. While I am not able to do counseling or offer personal advice over the internet I have tried to answer questions of a general nature as they came in.

I appreciate all your comments.

Here are the top ten posts over the last month. A few are old, a few are new, and most fall somewhere in between. Stay tuned for a whole new series of posts over the next month. Most of March’s posts are written and in the final editing stage.

February’s top 10 counselorssoapbox.com posts.

How much should you tell a therapist?

Do people really forget what happened when drinking? – Blackouts

What is the difference between Depression and Major Depressive Disorder?

Why can’t we forget the painful past?

Do therapists have to report a crime?

Is nicotine a stimulant or a depressant?

6 ways to recover from Complex Trauma or Complex PTSD

Which border is Borderline Intellectual Functioning on?

Are you Hyperthymic?

Levels or types of Borderline Personality Disorder

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 this thing we call friendship? Being and having friends

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

Friendship.

Friendship.
Photo courtesy of Pixabay.com

Hard to define, easy to know when you have it, this thing called friendship.

Reflecting today on this thing we call friendship that means so many different things to each of us. Today on this day we call a “day off” I had the chance to read some of the posts by other bloggers. A recurrent theme was about friendships, what they mean, and how we know if we are a good friend or if we have one.

No relationship is so important, so needed and so misunderstood as friendship. When we have friends we may wonder if they are worth the effort, but when we are without them even briefly we wish they were here.

Friends are not here on earth like a prepaid credit card to use when we need them. There are those people who treat or mistreat others in the name of friendship by constantly asking from them and then being unwilling to reciprocate.

Friendship is of course not ever fully reciprocal. The more you struggle in life the more you need friends. What is reciprocal is the caring about each other, not the doing for each other.

Anyone who seeks out a friend for what they can do for you is being short-sighted and probably abusive. The things friends do give us are intangibles that can’t be measured in money or acts. A friend cares about you when you can’t care about yourself. They love you, sometimes because of, not in spite of, your flaws.

True friends do not keep ledgers. Friendship is not a trade. They do not do 3 things for you because you did 3 things for them. Friendship is about caring sometimes even when you can’t do anything for that friend except care.

Friendships usually start around shared experiences and time spent together. We go to school together and we become friends. We work together and we become friends. We may have church friends, club friends, or blogger friends.

Real friendship grows beyond those shared activities. Many of us have been blessed to have friends with whom we keep up relationships long after the time to share an activity has ended. People in their senior years tell me about friends they have had since kindergarten. Somehow these friendships survive years of separation punctuated only by an occasional greeting card or email.

Some couples describe their mates as their best friends. The best romantic relationships often include two people who were friends first. Some couples even fall out of love but not out of friendship.

There is nothing lonelier than a person without friends. Family, you are stuck with but friends you chose and they chose you.

Life is a journey. We move along in time as well as space. Along that route, we meet friends. Some friends are with us for only part of the journey and others, their path crosses ours repeatedly throughout our lifetime.

To have friends it has been said, we must first be a friend. Being that friend takes effort. It means investing in that relationship.

If you have friends you know how very important and necessary they are. If you have few or no friends you most likely already know what is missing. What you may not know is how to go about making those friends.

Approach each new person as a potential new friend until they prove otherwise. Treasure those friends you have and nurture those friendships. Keep those friendships safe in the warmth of your heart.

Put your hand out in welcome and see who responds.

To have many friends you must befriend many.

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