Is everyone Bipolar?

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

Person with masks

Bipolar.
Photo courtesy of Pixabay.com

Just how common is Bipolar Disorder?

There are people out there with Bipolar Disorder as we currently understand Bipolar. Some people who really have this issue never get diagnosed and miss out on the treatment they need. From some of the things on the web today it is hard to see how anyone could escape getting this diagnosis. For more on this dilemma see the post, Bipolar – Misdiagnosed or missing diagnosis?

If professionals give out a diagnosis too freely then it stops having any meaning. So just how common is Bipolar Disorder and what should we think about people who sort of have it?

Some perspective

Humans are not the only creatures on earth who act “bipolar.”

Think about some of the symptoms. Elevated expansive mood, reduced need for sleep, increased impulsivity and heightened sexuality. Hum—

It is hot here now, but only a few weeks ago it was spring. From the window in my office, I watch the birds in the trees and on the lawn. There are a lot of native doves in my immediate area. For a while, just after Valentine’s Day, those doves woke me up in the morning. They were cooing constantly and then mating – can’t describe that and stay P. G. rated. When pursuing and being pursued by mates their temperament can best be described as irritable. Are doves Bipolar? Are they only Bipolar in the spring time?

Every spring the days start getting longer, the creatures on planet earth respond by becoming more active, they and we humans with them, think about reproduction. If birds breed in February they have babies by Easter. Humans seem to breed just as fast but we take longer to get the babies done.

Then in the fall time, the doves seem to disappear. So do the humans on my block. All those exercise freaks stay indoors. As the days get shorter the mood among humans gets gloomier. This may be one reason we have so many holidays in the fall and winter, Halloween, American Thanksgiving, Christmas and New Years all in a couple of months. We do this to cheer ourselves up. We also see extra depression during those months of less light.

If birds are affected by the changes in weather, humans are affected, and other animals also, it is difficult to go on describing these mood fluctuations as a mental illness.

We know that some people are affected by the seasons more than others. The degree and magnitude of mania and depression vary from one person to another. When have we crossed the line and turned normal human emotions and feeling into a pathological disorder?

There are also milder variations in human behavior we call “personality.” Talking about personality types, wondering why we are the way we are, is an interesting study. One needs to be careful in learning about personality to not make the first year student mistake and start seeing pathology where none exists. Not everyone who is moody, sleepless, irritable, or extra sexual needs to be diagnosed and put on medication.

As a therapist, I know there are lots of folks who would benefit from talking to a counselor about their problems. We also know that insurance wants us to be sure they are mentally ill and meet the criteria for “medical necessity” before insurance pays for the treatment. The challenge is to stick to the criteria and make sure only people with a real mental illness get treated using insurance money, while still trying to help all the people we can. Professionals continue to debate exactly where the lines of a disorder should be drawn.

At this point, we have three for sure reasons why someone’s symptoms get severe enough that they get the diagnosis.

1. Your issue interferes with “occupational functioning,” which includes school, for children and volunteer work if you are disabled.

2. It interferes with “social functioning” which mainly means you have poor or no relationship with family and friends.

3. Your issue causes you “subjective distress,” meaning a whole lot of emotional pain.

Having a personality that is not as you would like it may be painful but I hesitate to throw that in with mental illness. So if you are too introverted, impulsive or have some such personality trait, you can work on that, but you are not likely to be severely enough impaired to be diagnosed with a mental illness.

Some people may have “bipolar trait” or a “bipolar temperament” these are things you may or may not choose to work on in yourself improvement projects. “Hyperthymic Temperament” and Hyperthymic Personality Disorder” is just such a condition. Hyperthymic Personality Disorder is a common name NOT a specific diagnosis. DSM Personality Disorders are far more severe than Hyperthymia.

My thinking is that if you have characteristics like this you may want to consider being screened by a profession and keep an eye out for the possible development of Bipolar Disorder.

One thing we professionals should avoid doing is turning everyone who is different, into a pathological condition.

So is everyone Bipolar? The DSM-4 reports that the prevalence of Bipolar I and Bipolar II combined is more or less 2%.  Irritable, moody, impulsive and sexual people – that is just about all of us.

Staying connected with David Joel Miller

Two David Joel Miller Books are available now!

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

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

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

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

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

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

9 ways to be your own worst enemy

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

Undesirable person

Undesirable person.
Photo courtesy of Pixabay.com

With a friend like that you don’t need enemies.

Do you treat yourself in a way you wouldn’t take from anyone else? Do you Self Sabotage? There are lots of things we do to ourselves that are not very affirming. You should strive to be your own best friend, not your own worst enemy.

Here are some things that you may be doing to yourself that you would never do to a friend and you probably wouldn’t and shouldn’t accept from someone close to you.

Lying to yourself.

Do you lie to yourself? Make excuses for why it is OK to do things that harm yourself? It is easy to let yourself do unhealthy things. We encourage our family and friends to live healthy all the while ignoring our own self-care.

Overdoing and not saying no.

Are you often overworked, overloaded, and behind schedule? Do you have trouble saying no to others and take on more than you should? Sometimes we are afraid to say no to others when they ask us to do things. It is easy to keep saying yes and doing more and more until one day you reach the breaking point. Do you stop and draw boundaries or do you work yourself to death?

Not learning anything new.

Are you uninformed? Do you avoid learning anything that might make you more confident and successful? Self-improvement takes time and effort. Do you invest in yourself or are you so unsure of your self-worth that you neglect to develop and sharpen skills?

Taking time for pleasure.

Is it O. K. for you to enjoy yourself? Do you do things that are just for fun? It is not selfish to take good care of yourself. We all need a little pleasure and relaxation from time to time.

Refuse credit or compliments for things well done.

Do you belittle your own accomplishments and fail to give yourself credit for the things you do well. It is easy to notice and praise others when they do something noteworthy but we often feel uncomfortable accepting praise for things well done.

Put yourself down.

If you repeatedly run yourself down and say negative things about yourself you will start believing those statements. Someone who is called fat and stupid by those around them may begin to think of themselves as fat and stupid. Years later after the bullies and tormentors are gone you may still be calling yourself those names and you may believe that this is the way you really are. If you believe something negative about yourself you may create it happening.

Make sure to say good things about yourself. Do you say good things to yourself every day? Do you praise yourself?

Listen to criticism or let it stop you.

People who are sensitive may be hurt by listening to criticism. Learn how to listen to criticism and decide which things to take and which to leave. Learning to self-monitor and change your behavior are valuable skills. Avoiding criticism may be neglecting to use a valuable source of information.

Let others decide for you.

Do you get your sense of self-worth from outside? People who are constantly looking for others approval look helpless and over needy. You wouldn’t like someone that needy and if you do this you won’t like yourself.

Do anything to get people to like you.

Constantly trying to get people to like you can result in your not being true to yourself and becoming someone so fake that even you would not want yourself around. The more you are acting the way you want to be and the way you want to be is the way your beliefs tell you that you should be the more mentally healthy you will be.

Consider all the ways you may be your own worst enemy and decide to stop self-sabotaging and become your own best friend.

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

You need to make more mistakes.

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

Mistakes and errors

Mistakes.
Photo courtesy of Pixabay.com

Sometimes it’s good to make mistakes.

Inside our minds, left over from childhood, is that nagging voice telling us we made another mistake. Oh no I did that wrong. Why do I even try? It is hard to get that voice to shut up. Even when no one in our lives is telling us we are wrong we still need to beat ourselves up for every little error. I should have done that better; I should have gotten that right, we tell ourselves. NOT SO.

As humans, my guess is that almost everyone reading this is a human, we need to make mistakes (sorry bots.) Our brains are hard-wired to require mistakes. We need to make them, and lots of them if we are to learn. Let me explain why.

When we do something wrong, something dangerous or painful, our brains like to set that up in one of those big fat grooves in our brain. Painful and unpleasant memories are readily accessible to our brains. This is for a good reason, – survival.

Hanson describes this as the stick and carrot. The carrot is nice, we like to eat especially if we are hungry, but the stick, that can kill us. We need to remember that stick from the first time we got hit. Not remembering pain could result in getting hurt again. It could mean death.

But happiness as we discovered last time in the post – Where Happiness Hides – happiness takes effort to remember it and remembering it needs to be practiced.

So why should we make mistakes?

The only people who make no or few mistakes are those who don’t try. The famous, the highly productive, and the successful, make lots of mistakes. You don’t hit home runs unless you swing. A great baseball player gets a hit maybe once every three times at-bat. He misses a lot of times. Now if we let fear of failure keep us from trying we don’t accomplish much. You can’t sink a basket unless you put the ball up in the air.

But there is more.

All creativity starts out as so-called “mistakes.”

Let me illustrate. Let’s say we meet in the hallway at work one day. Every morning for years we have walked by each other. I say Hello. You respond with Hello. Everything is right in the world.

This day is different. I say Hello. You, for some unknown reason, say “How are you doing today.”

Oh my goodness! The world is about to end. What do I do now? I have to actually think of an answer. Not the usual answer, but something new, something original. We just might end up having to have a conversation.

Your “error” in asking how I am doing has resulted in you being creative and me having to learn a new skill.

So “mistakes, errors” are the source of much of the world’s creativity.

Errors and mistakes are not in and of themselves bad. They are “learning opportunities.” Some have called these items “improvement opportunities.” So if we move from an “I need to be perfect and never make a mistake” to “I need to try on new things, learn the things that work and don’t repeat the things that did not work” We become more productive and more competent.”

This learning from mistakes is true for individuals, businesses, and systems.

The important thing is to not keep making the same old mistakes. So if you keep trying new things, yes you will make some mistakes. That is fine. Just keep the size of the mistake down to something you can afford; do not try out something new that might get you or someone else killed or lose your life savings. Do try out new approaches to solving those same old problems.

Have you seen anyone trying to solve a problem in the same old way with the same old thinking?

Don’t we describe the approach of doing the same thing over and over expecting a different result as one form of insanity? So if your old method resulted in a problem, addiction or depression, or lack of productivity, do not keep trying the same thing over again because this is the “right” way to do it. Consider a new approach and learn from the trial.

An economics professor once told the class that if we decided as economists to make predictions make them early and often. Some of them are bound to come true. This approach works in lots of productivity and self-help areas. If you are the first to try something, like quitting smoking, even if you struggle, you are a hero when you succeed. If everyone you know has already quit you don’t get so much credit.

The more new things you try the more likely you are to get some of them right. Keep putting that ball in the air. Just do me a favor and before you blame me for any failures, try to make small mistakes and try to not keep making the same mistakes over and over.

Those who try – make mistakes – they are human, but the important thing is they learn from those mistakes.

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

Where happiness hides.

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

Happy faces

Happiness.
Photo courtesy of Pixabay.com

How happiness becomes invisible.

Happiness is so much harder to find than pain for the majority of humans. This is not a result of some personal failing. Turns out that this bias, to see the bad and the dangerous and to miss the happy and the pleasant, is a built-in feature, a part of the design of humans.

One particular psychological principle explains a lot about the inability of so many people to see happiness even when it is right in front of you. That principle is the “expert effect.”

Let me explain the expert effect and how it hides happiness with a story from my past.

I once had a friend who was into antiques. We decide to meet up for lunch and check out a few antique stores downtown. After walking through one especially well-stocked establishment we paused outside to talk about what we had seen.

“Did you see that Fenton glass? And the shelf of carnival glass over in the corner?” She asked.

I had to admit I hadn’t noticed either of these glass items. They were right there in plain sight.” She commented.  “How could you have missed them?”

I had to admit I had missed them. There was a good reason why. At that point in my life, I could not have told you the difference between a piece of Fenton glass and a fence. I could easily spot the shelves of old books but the glass, not so much.

So after that experience and not wanting to appear so stupid I determined to solve this problem. The next week I went to the library and checked out, and read, some books on antique and collectible glass.  The next time we went antique hunting I did indeed see all sorts of previously invisible collectible glass.

Not only did I see it, but now I slowed down to take a close look and tried to remember what I had read about this particular type of glass. When we did finally talk about what we had seen there was so much more to the conversation.

The principle here is the “expert effect.” If you don’t know what something looks like it is hard to spot. The more you learn about a subject the faster you will identify it and the more meaning it will have when you see it.

Most of us are hard-wired to spot pain but we have never learned to see happiness. This makes the good things in life invisible even when they are right in front of us.

Most of us are naturally able to spot the unhappy, the painful, and the dangerous. You don’t need to be eaten by a lion to know that avoiding lions is a good thing to do. We can learn from others by seeing them get eaten. We might even learn from hearing others tell tales about lions eating people. Getting eaten has a high importance if you live around lions. In my town, we avoid gang members with guns in the same way.

It is much harder to spot others who are happy. And we don’t often hear stories about other’s happy moments. Even when we do see and hear happiness stories they don’t stick in our brains the way lion stories do. This is called a negativity bias.

Rick Hanson author of Buddha Brain, has written and talked about our ability to learn about the negative quickly and our lack of skill in learning to spot and remember happiness. With time our brains can learn most anything but the less you know about the topic the harder it is to learn and the more we will be biased to learning only scary things we need to know to keeps us alive.

So his prescription for learning about happiness? How do you become a happiness expert so you can spot it at a distance and learn to run toward happiness instead of from lions? Hanson suggests that a positive memory needs to be held and savored for 20-30 seconds before it will sink in unlike pain that registers straight off. He calls this 3 step process “taking in the good.”

The brain does not do a good job of storing facts, especially small or unimportant facts.

Did you know that the bulk of all learning, maybe 80% or more, is emotional, not intellectual?

Want to remember something? Turn it into an emotional experience, not a fact. Here is a happiness example.

You are walking along at a fast clip, trying to get your exercise done before sunset. Nice sunset. Nice flower I just passed. Glad when this jogging stuff is over and I can rest. Is that the way many of us do this exercising thing?

What would happen if you stopped and looked at the sunset? How long can you stare at your neighbor’s flowers before she calls the cops? If you pause and look, for as little as twenty to thirty seconds, give this experience time to soak into your brain, you will greatly increase the likelihood of remembering this experience as a pleasant one. Let a few of these 30-second experiences accumulate and you might become a happiness expert.

What – you too busy to spend 30 seconds collecting happiness?

But wait there is more. Hanson also said that besides slowing down and turning the facts into an experience, holding the feeling for the 30 seconds we also need to make a conscious effort to save the experience.

So if you set out to become a happiness expert, invest the time, feel the feeling when it comes, and plan to hold on to it and capture it in your brain.

You too can become a happiness expert and prevent happiness invisibility.

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