Memorial Day – What are you remembering?

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

Veterans.

Memorial Day.
Photo courtesy of Pixabay.com

Today here in America we are celebrating Memorial Day.

This day, officially called Memorial Day here in the United States of America, is reported to be the descendant of several past holidays where people remembered those who had gone before and had sacrificed to create the life we have.

Established on this the last Monday in May by the Uniform Monday Holiday Act, it occurs on this last Monday in May more as a concession to long weekends than any particular remembrance. It appears to be the most closely related to the former “Decoration Day.”

While we now tend to think of Memorial Day as strictly a remembrance of those who died in Military service in earlier times we are told it was a more general remembrance of people who had established our way of life.

Wikipedia reports that this time of year had long been celebrated as the beginning of the spring good weather and families would gather to hold family reunions often at family-owned graveyards to celebrate those ancestors who created their lives.

Decoration Day came to be a time to remember those who died and were therefore decorated for their war service. It came to prominence after the American Civil War or The War Between the States as it is sometimes called, largely because that war beyond all other American wars touched everyone in the country. There was almost no family who had not had a member that served in that conflict.

Ancestors and those who gave their lives in the Wars of our country are not the only people who should be remembered on this Memorial Day.

The Memorial Day Massacre of 1937.

On May 30, 1937, police opened fire on a demonstration Of Union Members and their families. In the aftermath, 50 were wounded and ten died. Dorothy Day, an eye-witness, reported that 100 demonstrators were clubbed.

Today union strikes are less likely to be met with violence and death but in those days you risked your life as well as your livelihood to become a union member.

Today as we celebrate Memorial Day it is fitting to remember those who made sacrifices so that we could have the lives that we are able to enjoy.

Whether those you remember are Military members who gave their lives, family members who endured hardships to give their descendants a better life, or union, and political activists who sacrificed for those to come, we all should take time, in between the barbecues,  to remember that those blessings we enjoy were won by the sacrifices of those who went before.

Hope you are having a good Memorial Day.

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

How can you tell if a therapist is Christian or non-/Christian?

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

Religious cemetery.
Photo courtesy of Pixabay.com

Christian or Non-Christian?

When this question turned up in the search terms for my blog I had to think about this subject for a while.

It seems like a simple question, but it is not. After a lot of mulling this over, I concluded there might be four reasons the person was typing this into a search engine. If I knew what country it came from that might help, but then maybe not. Here are my thoughts for what they are worth.

Today in America a large number, possibly the majority of people, describe themselves as “Spiritual, not Religious.” When asked for religious preference, my experience has been that the majority of people here in my area will say “Christian” despite having no particular denomination in mind and not having attended services in a long time.

So what might this searcher have in mind by asking this particular question? I thought of four possibilities and they are below.

Remember in the course of this discussion, that counselors are professionals and they want to earn a living. They may prefer to work with a particular population, but most can and do work with people of all faiths. It would be considered unethical to engage a client in counseling and then move from helping them with their problems to trying to convert them to your particular faith. But sometimes that does happen.

So why would you ask about the counselor’s religion?

1. You want a counselor that shared your religious values.

If this is the case I think the question might need to be more specific. Many counselors include in their advertising that they are or practice “Christian Counseling.” Some additionally will advertise that they specialize in working with a particular denomination.

I have seen therapists include in their ads that they work with those of a particular faith, say Seventh Day Adventists, Mormons, or from a Fundamentalist Christian perspective.

If this is your concern, I suggest that you begin your first contact with the therapist by telling them you are a member of the “X” denomination and that you would like to find a counselor who has the same beliefs as you.

Most are likely to tell you that they work with clients of all faiths and that they see nothing in their approach that should conflict with your spiritual values. If you still feel the need for a counselor of a particular faith, say so and they should be willing to make a referral.

2. You are  “Spiritual” and do not want a counselor who needs to convert you.

In this case, avoid counselors who list in their ads a particular faith and tell them upfront that being pressured in a religious way makes you uncomfortable. Can they deal with that? If they say that they believe that your problems would all be solved if you just attended their church, mosque, temple, or whatever, move on.

3. You are of a non-Christian faith and are concerned about discrimination.

Counselors have a duty to maintain confidentiality. It is not just an ethical duty but a legal one also. You would think that they would all rigorously avoid talking about clients outside the session. I wish I could tell you that no counselor ever does this. Unfortunately, some do reveal the client’s secrets.

Every semester when I teach some student comes up after class to ask me about confidentiality. Way too often they have a story to tell about how they or someone they know went to see a counselor and then what they said got out.

So if you are a member of a non-Christian faith, ask other members of your faith who they have seen and see if there is someone who is open to working with you rather than focusing on changing your religious views. This also applies if you consider yourself Christian but your particular denomination has some different beliefs or practices that others might label “a cult.”

There was a time when counselors, especially those of particular religions tried to convert every Gay person to become a heterosexual. That has largely passed, there are openly Gay therapists and there are plenty of straight counselors who work with Gay clients without trying to change them.

I think there are lots of counselors who are willing to work with clients of any and all religions.

4. You are looking to find non-Christian counselors to warn others not to see them.

This reason for me is the most dangerous. I remember a time when there was a belief that no one would vote for or do business with a Catholic because they were “Popest’s.” I think we are largely past this issue since the election of President Kennedy. I do not think we are yet past this when it comes to some other religions.

The ability to find people of another religion and then discriminate against them because of their faith is one long-enduring feature of humans.

I think this last reason to want to know, the desire to punish those of another faith, was what prompted this particular search term use. The original form of the search was how can you tell when a therapist is non-Christian.

But then maybe I am just extra suspicious having been raised in a Sunday School where we were taught that our version of Baptist was the only true Christians and that those Southern Baptists had been led astray by the devil into false beliefs. But then what do I know?

The relationship between your religion, the counselor’s religion, and the needs of both of you to talk about religion or not talk, as a part of therapy, is just one more factor that influences the relationship between you and your therapist. And counseling is all about the relationship.

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

m.

4 Reasons counselors don’t say they like you

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

Counseling and therapy

Counseling.
Photo courtesy of Pixabay.com

Does my counselor like me? Why won’t they say they like me?

Counselors are reluctant to tell clients they like them and for some very good reasons. Most of the time I do like the clients I work with, but there are lots of reasons I don’t say so.

1. We want the client to learn to like themselves.

Many clients report they have “low self-esteem.” As often as I hear that expression you would think it was a specific diagnosis. It isn’t.

One reason for this low self-esteem problem is that too often all of us are looking to outside things to establish our self-esteem. If you need someone, anyone, to tell you that they like you, then your self-worth is dependent on doing and saying things so they will like you. This is a risky place to be.

I do not tell the client I like them. Most of the time I do not encourage them to even worry about what other people think about them. There is a huge danger in basing your self-worth on ratings or other’s opinions.

It is worthwhile to watch and see how you are affecting others. We call this self-monitoring. If lots of people are getting irritated with you, then you may need to take a look at yourself and see what you might improve. What you do not need to do is base your self-worth on what they think. Improve what you can and accept the parts of you that you can’t change.

What I do tell a client is that I think they are worthwhile people. They are the unique them just like everyone else on earth is a unique person. They do not need to do or be anything to be worthwhile. What they need to do is to do those things that will make them happy and that they can be proud of. If they do estimable things they can feel good about themselves regardless of what others think about them.

2. Counselors should not foster dependency.

Counseling is a helping relationship. It is not helping when someone else does everything for you. Rather than doing for clients, we want to teach them to do for themselves.

Rather than being in need of a friend, which increases the risk of becoming a needy person, you should become your own best friend. Once you learn to like yourself, you will find that you are much more likable to others.

Coming every week to see your counselor for another booster shot of self-esteem is not the same thing as recovering from whatever you chose to call your problem.

3. You need to develop an outside support system.

Counselors are professional people but we can’t be there every hour of every day.  Yes, professionals are a part of a person’s support system, but we should not be the whole thing.

If you are in recovery, and who among us is not recovering from something or someone, you need a strong support system that is positive and in your corner.

There are a few people who have become conditioned to use the psychiatric hospital and professional therapists as their one and only support. They are sometimes surprised to find they do not have to go on doing that forever.

Having a positive friend you can call in the evening before bedtime or when you are feeling a little low, beats the heck out of having to call the psych hospital every night before bed for some reassurance.

Providers who create peer lines, which are places people with problems can call and talk to other peers, find there are more people who can function without needing psychiatric hospitals. Those communities that rely on hospitals to provide all the services need more hospital beds.

Peers are an important part of the recovery process.

4. There is a danger of developing a second or dual relationship.

The counseling relationship is special. It should not get mixed up with any other relationship. Counselors who forget those boundaries are at risk to get into friendship, financial or even romantic relationships with their clients. That is very likely to harm the client.

If someone says they like you there is that natural tendency to say you like them back. For a week or vulnerable person, there is the risk of trying to feel that way even if that is not how you really feel. The net result is an unwanted unprofessional relationship.

These second or dual relationships harm clients and they can cost counselors their licenses. Best to avoid this from the start.

Hope that explains this odd behavior we counselors feel obligated to observe with our clients.

David Joel Miller, LMFT, LPCC

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 Alcohol and Drug tolerance?

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

Drugs.

Drugs.
Photo courtesy of Pixabay.

When it comes to drugs and alcohol tolerance is not a good thing!

If your doctor, psychiatrist, or counselor has begun to talk with you about tolerance and your drug use this is a bad sign. The concept of tolerance when applied to drugs, and alcohol is a drug also, is a very different idea than when applied to civil rights.

Alcoholic tolerance does not mean that you are OK with a drunk sleeping on your lawn. It also does not mean that you are good with sleeping on other people’s lawns on the night you are too drunk to get home. Tolerance for the ill person is a commendable thing. Building up a tolerance to a drug of choice is not.

If your body develops a tolerance for the drug, that is a serious problem.

From here on we will use the definition of a drug as “anything that goes into your body and changes functioning or thought that is not food.” So yes Alcohol is a drug and so are prescribed medications whether you have the prescription or not. Remember also that this is written from a counselor’s perspective so if you have questions of a medical or legal nature ask your doctor or lawyer.

Alcoholic tolerance is about the ways in which your body and your mind become accustomed to the presence of alcohol or another drug of choice. As a result of having lots of this drug in your system, you begin to change from the inside out.

Tolerance along with Withdrawal are two of the hallmark, identifiable characteristics of addiction or alcoholism. Doctors might define this as chemical dependency but the concept is essentially the same.

Tolerance is that natural adaptive skill your body has to resist things in you that are not normally there.

So the first time you drink you will have a low tolerance. Once the liver has experienced the presence of alcohol it will ramp up and begin to produce more of the enzymes that break down the alcohol. Each successive time you drink you will need more alcohol to feel as drunk as last time. Over time you will develop a tolerance that means you can “hold your liquor” better and better.

This ability to “Hold your liquor” or other drug is not a good thing. It indicates that your body is already changing as a result of use.

As you develop higher tolerance you will feel less drunk or high than before resulting in a need or desire for more of the drug to get that same effect that you used to get.

For some drugs, this is described as “chasing the high” as users find that they can never recreate that first using experience. Over time you will need more and more drugs to get the same or similar effect and the same amount you used to use will produce less and less of an effect.

This does not mean that the danger from use is declining. Just the opposite.

I have worked with clients whose blood alcohol content (or level) was above .32 (read as point 32). Since .08 is legally drunk in this state, that person is drunk enough for four people.

They were talking and walking around just like any normal person, or close to it. How? Because this person practiced drinking on a daily basis. Does that mean that they were OK? Not a chance.

While they may be able to talk coherently and even walk a line close to the way a non-intoxicated person would, behind the wheel they would hit anything that was out there, on the road or not. In that condition a, person who is driving has been known to drive right into the tail lights of a parked car not recognizing that the car was not moving.

People in this state of high tolerance can and do die without ever realizing the risks.

Lots of heroin overdose deaths are a result of this tolerance phenomenon.

A person has a certain level of Heroin use, over time they need to increase the amount they use as their body builds tolerance. One day they get arrested. They are in jail for a while, say thirty days. Over that time the body resets. Their tolerance to their drug of choice goes down.

Now they get released from jail. When they get home they find that packet of drugs they had tucked away. They use exactly the same amount of the same drug as they were using the day before their arrest. They overdose and if medical attention is not fast enough they die.

Why did this happen? Because over the time in jail while they were not using their tolerance declined.

So if you stay off the drugs for a while then your tolerance will decline and you can start over using a small amount occasionally? Lots of alcoholics think this way. Give them a year of not drinking and they think they are cured and can safely drink again.

What we are told is that once the body increases its ability to neutralize that drug of choice that increased capacity may take a vacation but it is still there. An alcoholic who has not had a drink for 5 years can develop the same tolerance and use pattern they had before they quit in days rather than the years it took the first time.

Tolerance even after a long period of not using comes back fast and strong.

The moral here is that if you have begun to develop tolerance or have used long enough to have this result you will probably never return to safe use.

This tolerance effect explains why some prescribed medications need to be increased in dosage after a period of use. Sometimes doctors have to switch meds if you build up too much tolerance to one medication.

Not every drug results in tolerance at the same rate. Some drugs can be used for years and little or no tolerance develops. With other drugs, tolerance develops so rapidly that if you use the drug one day it will have no effect on you the next day. I won’t tell you which drug that is but those of you who use it know what I am talking about.

I should also point out that most street drugs, drugs of abuse, are much more likely to produce rapid tolerance and the resulting addiction than most prescribed medications but there are exceptions to that rule.

When in doubt about the physical signs and symptoms of tolerance consult your doctor. If you are having behavioral or emotional issues as a result of using to the point of tolerance then consider treatment or counseling.

This discussion about tolerance has focused on changes in physical tolerance. There are also characteristic mental and emotional changes that can occur as a result of drug use. For more on those mental health issues look under co-occurring disorders in the list of topics this blog covers.

David Joel Miller, LMFT, LPCC

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 love and counseling don’t mix – ethical Loophole 4

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

Falling in love in recovery.
Photo courtesy of Pixabay.com

This time love is not the answer.

We thoroughly enjoy our romance. Everyone can connect with the story of Cinderella and the price, wouldn’t it be nice if every commoner girl could find and marry her prince charming?

There is a whole category of books devoted to romance. There are plenty of films that script out the story of someone who finally meets this wonderful person who makes their life complete, and they live happily ever after. It is when we try to bring that fantasy into the real world that things go wrong.

Men, particularly older men have this fantasy, that should some woman, usually, a beautiful younger woman, enter their life, they will have wild passionate sex and live happily ever after. As long as this stays in the world of fiction this may cause few problems.

When these fantasies make their way into the counseling room this looks less like a flowery romance and more like a fatal car crash viewed in slow motion.

It is not unusual for a client to find they are falling in love with their therapist. They may be weak, vulnerable, and needing love and affection. Clinicians are taught to be aware of this and to work on helping the client learn to love again without taking unfair advantage of the client and becoming that new romantic partner.

Some codes of ethics say that a therapist or counselor should never date or become romantically involved. Some set limits, 2 years, five years, or more. The thought here is that after many years of not being in a professional relationship, then should you meet a former client on a cruise or at a school function you might establish a relationship. Even here the counselor is supposed to make a note in the chart indicating they thought about this, that enough time has passed and they believe this will not harm the client.

This is critical; will falling in love with former client harm them? By the way, ending therapy and giving the client a love letter saying call me in two years on date X and then we can date. That is just as bad as starting up the relationship while the counselor is still seeing them.

Given all these warnings why do counselors still engage in romantic and sexual relationships with clients?

Every time the new professional magazine arrives we see a list of professionals whose licenses have been suspended or revoked. Counselors who started using drugs or abused alcohol is always a big one. But right up there, sometimes in first place, are the reports of therapists that engaged in sex with a client.

Why does this happen? What is the ethical loophole that people stick their heads through that ends up strangling them?

Frequently this ethics issue begins with the counselor entertaining the notion that yes sometimes it is possible to fall in love with a client and live happier ever after. No, they would not do it, but they can see how it might be all right sometimes for some counselors and clients.

This can also start with the idea that it is possible for a counselor to develop an outside social relationship or friendship, without it becoming sexual. Sometimes it starts with attending a social event, going to a movie or having dinner together. There are all the usual excuses, the client needs to feel safe going out, we are helping them learn to make friends or socialize.

But having once said that it may be OK to have some dual relationship with a client that sometimes it might be OK for some counselors and clients to fall in love and have a romantic sexual relationship, it becomes possible that this time, they and this client, that is one of those exceptions to the rule.

Once we start making exceptions, looking for loopholes, sooner or later we are at risk to put our heads through that hole. Why should we care if an occasional therapist has sex with a client, maybe the code of ethics is too strict?

We should care because those relationships are inherently unequal and have a serious potential to harm the weaker party, commonly this weaker person is the client.

Falling in love with a client, that one is always a bad idea. Beware the tendency to look for loopholes. Many an unwary counselor has tried to put their head through this one and ended up hung.

David Joel Miller, LMFT, LPCC

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

Should an addict take psych meds?

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

Drugs

Medications.
Photo courtesy of Pixabay.com

How safe is it for someone in recovery from drugs or alcohol to take psych meds?

Many recovering people are worried about the effects of taking psychiatric meds on their recovery. The recovery community has long been divided on this issue. Here is some background on the topic and my thoughts as a professional counselor.

Any decision to take, start or stop any medication should be talked over with your doctor. There can be side effects, withdrawal effects and the effects of the medication can change over time as your body adjusts to the effects. Never make sudden changes to meds without talking to your doctor.

Unfortunately, not all doctors are equally informed when it comes to the area of addiction and psychiatric medication. You need to be an informed consumer. Ask questions and talk these issues out with your doctor. Here are some things to consider in making your decision about taking psychiatric meds.

One long-standing belief in some recovery circles is that if you are taking medication then you are not clean, you are still using a drug to alter the way you feel. I think this is a bogus argument.

If you have a medical condition and there is a med that will help you, by all means, take that med. Diabetics need insulin and using that should in no way interfere with or compromise your sobriety.

Are you taking your meds AS PRESCRIBED!

This question is important. It is not should you take them but are you using them correctly.

Two med compliance issues arise for people in recovery. One they tend to play doctor and one day they take the med then the next day when they feel better they skip the meds. Most meds and psychiatric meds are especially in this group; need to be taken every day. You need a certain level in your bloodstream to be effective. Taking them some days and not others can result in developing tolerance more rapidly, or can prevent building tolerance and can result in them not working correctly when you start taking them again.

Do not do the on and off thing with prescribed meds. Take them as prescribed.

Second problem – If one is good 30 should work better right?

If you find yourself boosting the dose, taking more than was prescribed, this is the dangerous path to addiction and problems. First, most psych meds do not work that way. More is not better. The correct dose is what you need and only you and your doctor working together can figure that one out. If taking more of most psych meds makes you feel better, then this may be more of a placebo effect than the meds. Talk to your doctor and your counselors about those issues.

As a counselor what can I tell you about psych meds and their risk for recovering people? Here are my thoughts based on experience for whatever they are worth. If this gets you thinking for or against, please talk this over with your doctor.

There are four main categories (based on use not chemical formula) of psych meds, Antidepressants, Mood stabilizers (anti-mania), antipsychotics, and Anti-anxiety meds.

Let’s look at these one at a time and let me tell you what clients who have taken them, tell me about the effects they have had on their recovery. I will sneak in a few things from the effects of drugs and alcohol on the body and the brain class I teach. For more on this topic check either “Drug Use and Abuse, Maisto, Galizio and Connors” or “Uppers Downers and All Arounders, Inaba, and Cohen.” Any recent edition has good information.

1. Antidepressants.

These are NOT happy pills. They need to build up slowly over time and it can take 30 or 45 days to have an effect. You must take them every day as prescribed.

No self-respecting addict will take a pill today to feel better a month from now. No one in recovery has told me they had any problem with an antidepressant. If you don’t need them they just don’t do much and pass out of your system.

Occasionally someone will have a sudden, week or ten days, response to an antidepressant this makes me think that the person may have bipolar disorder or that this is a medication-induced hypomanic episode. If that happens, talk it over with your doctor. This is rare in my experience though I suspect psychiatrists see this more than a recovery counselor hears about it.

Either way, I don’t worry about clients in substance abuse recovery taking an anti-depressant.

2. Mood stabilizers (anti-mania.)

Mood stabilizers are used to treat Bipolar and other mood instability problems. I am told they do not make you feel any particular way. They seem to just take the edge off.

Some of these have side effects that people find unpleasant. If you need them you need them if not you will not want to take them. Either way, there is not a lot of abuse potential for recovering people.

3. Anti-psychotics.

There are two main kinds of antipsychotics the older ones or typical and the newer atypical. Some of the older ones are very sedating and they tended to be overused in prisons and institutions to keep people “zombie out.” If you like being stoned and nodding out all the time then you may want to discuss with your doctor taking the newer atypical antipsychotics.

The newer atypical ones, no one has said they like how it feels enough to abuse it. Mostly they do not like the risk of weight gain that comes with these. If you take an antipsychotic invest some time in diet and exercise and try to keep the weight off.

All in all, antipsychotics do not seem to be a big issue for those who are in recovery.

Not taking an antipsychotic if you need one, is a major risk for relapse if you are in recovery.  Getting rid of or managing hallucinations or delusions are best done with prescribed medication and counseling, not street drugs.

4. Anti-anxiety meds.

This one seems to cause the most problems for people in recovery.

If you need them, you really need them, and prescribed meds are a whole lot better than alcohol or street drugs for managing anxiety.

The worry with this group of meds is that many, (probably most) are tranquilizers. People can and do abuse these. So if you are one of those “the more pills the better” people, you will need to have that hard talk with your doctor about the risks and benefits of these meds. Let that doctor know you are in substance abuse recovery and that you are concerned about the effects of meds on your recovery.

Also with anti-anxiety meds take them EXACTLY as prescribed. Do not take extras unless the doctor has said it is OK and if they are to be used when needed try to get through as many things as possible without “needing” to take them.

Anxiety disorders are a time when social supports may be absolutely essential to your recovery. Whenever possible reach for the phone and talk with your support system before you reach for a pill.

There you have it, my opinion on psych meds. Most help and have a low risk of abuse. If you need them, you need them and do not be afraid to take them as prescribed. If you find yourself abusing them, talk with everyone on your treatment team, the doctor, and the therapist about these issues.

One last aside, those who do the best in recovery use every resource they can. Meds help but they will not do the whole job. You need a head change, a change in your way of thinking, and you need a good support system if you want to go the rest of the way in recovery.

Best wishes for your happy life.

David Joel Miller, LMFT, LPCC

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

Pretending to be happy?

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

Happy faces

Happiness.
Photo courtesy of Pixabay.com

How much effort does it take to try to be happy?

Are you one of those people who grew up trying to be happy, trying to look happy for a parent, for friends, or those around you? Were you pretending to be happy but you never really felt it?

After long periods of trying to be happy, of pretending so that you don’t make others sad, you lose touch with how you really feel.

You may have despaired of ever really feeling happy. Happiness for you was something you faked for others, but deep down inside you never really felt it. You began to wonder if you would ever genuinely feel happy the way others appeared to experience it every day.

For this effort to try to feel the way you should, the way others tell you that you should feel, you pay a high price. You lose touch; become disconnected, from how you are really feeling. You begin to doubt that you will ever have a genuinely happy experience the way others do.

You may give up on happiness and opt for not feeling so much pain. You may use drugs or alcohol to numb out or you might disconnect from your feelings altogether.

One cause of this disconnect between your feelings and you, and there can be many causes, is those adults who did not validate your feelings. When you said you were sad they said you had nothing to be sad about. You began to question what you felt and what you should feel.

Most of us know what anger feels like. But you may have been told that it’s not acceptable to feel anger, so you tried your hardest to feel an approved feeling. Before long you need others to tell you what it is you are feeling as you struggle to feel the way you should feel, rather than the way you do feel.

Some of you gave up on the idea of feeling happy or content or accepted. Those positive feelings were beyond your reach. You opted instead to avoid feelings and to try to feel the way those around you told you to feel. You may have thought that you would never get there and tried to accept your lot as one whose role was to make others happy, not to find those feelings for yourself.

Over time this trying to feel the way you should and the denial of what you are truly feeling in favor of pretending to experience the feelings others ascribe to you, these behaviors extract a heavy price. You become increasingly disconcerted from feelings and your inside becomes empty.

There are solutions. You can find happiness. Acting in happy ways, doing things that you find enjoyable can help, but only if you stop pretending and let yourself feel what it is that you truly feel.

The road to happiness runs through you. It requires getting to know you, that fearless and patient path of self-exploration. Finding happiness also requires developing a palate of feelings that bring the color back into your life. With the joy and pleasure, there will also be some pain and discomfort. But accepting that this is a real life and sometimes you will not like it is part of finding out who you are.

Be very cautious when other people tell you who you are, especially family members and those misery-loves-company friends. What they say is only their opinion. You do not have to create the things they tell you.

Other people’s opinions of who you are and what you should feel are things they hand you, nothing more. Like things that they might pass to you in a restaurant, some are worth eating and some are already destined for the garbage. You don’t have to keep everything you are handed in the restaurant for the rest of your life. Some of it goes in the trash on the way out. Some things you use for a while and leave behind. Let other’s opinions of you be like something they pass to you over dinner. You decide if you want this or you will trash it.

Some things others tell us, like a napkin given at the dinner, may indicate they have seen a part of us that needs cleaning up. If two or more people tell you that same thing you may need to look at this part of you. Think about this for a while and see if they are right. But just because they hand you a napkin to wipe the ketchup off your face does not mean that you will have a dirty face forever.

Consider that you determine who you want to be and how you will get there. Along the way you are entitled to feel and think anything you want, as long as you don’t try to impose those thoughts on others.

Get to know yourself, accept yourself as just fine the way you are, but with the potential to be and do more, and you will find that you just might discover that true happiness, the kind you do not have to fake for anyone, around the next life corner.

Are you ready to stop pretending to be happy and begin the hunt for a life worthy of the person you can become?

David Joel Miller, LMFT, LPCC

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

Money and Friendships can cost you – ethical loophole #3

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

Ethics

Ethical loopholes strangle.
Photo courtesy of Pixabay.com

Dual relationships get a lot of counselors and clients into trouble.

Having multiple relationships can mess up therapy.

The big obvious one is sex, we will talk about that one later, but there are a bunch of other dual or “multiple” relationships that can cause problems. Here are some examples.

The client doesn’t have money to feed her kids; can I pay her to clean my house?

This sounds harmless enough. Counselors want to help people, that is why they became a counselor in the first place. So they might try to help out. Maybe give the client a little money. What about bus fare home? What about hiring the client to do a part-time job around the house? All this sounds good until it goes wrong.

You give that client bus fare once. They tell some friends who all ask you for bus fare. You have to start saying no. Now you have to tell that first client no. Then they all complain to your boss. Why does client X get bus fare and I don’t? Why did you give it to me and then take it away when I did not do what you wanted? See how that good deed can come back to get you?

What about paying them to help you? They could mow the lawn or clean your house. What if the lawnmower goes missing right after they cut that lawn? What do you do if your jewelry is missing? Can you make a police report on a client? Doesn’t that violate confidentiality? How can you explain that away?

The client is new to the city and does not have any friends. The counselor invites them, to attend church with them. The counselor goes and picks the client up and takes them to church. What could be wrong with that?

You are their therapist; you have power over their life. They are in a weak vulnerable position and you tell them they need to attend church and you are taking them to yours. Can they really say no? Will you withdraw care, stop seeing them if they say no?

What if their religious or spiritual tradition is one you do not approve of? Will you pressure them to convert? What if they consider your religion a “cult” will they be able to say no?

Think this doesn’t happen? Clients tell me, they have been told that their child protective services worker wants to be sure that their children are being raised in a “good Christian home.”  Does that constitute bias? Can the client say anything if they risk having their children taken away or if they have a mental health issue or substance abuse problems? Could those problems be used against them?

Revealing your religious preference to a provider can result in discrimination, loss of jobs, denial of promotion, or even make you the victim of physical violence. That’s why in this day and age members of some religious traditions still need to use the “decline to state” response to the question about religious preference.

I am not saying that all discussions of religious or spiritual values should be off the table in therapy. People with a spiritual connection do better in recovery. What is a problem is when the therapist crosses the line from listening to the client about what the client believes to doing a sales pitch or enabling the client to follow the counselor’s religion.

Encouraging them to practice a religious or spiritual tradition is a yes. Telling them they need to come to Zoroaster is a no.

Counselors do not have to stop going to church or another religious gathering place because their client attends, but they need to be very careful about transporting or arranging to meet clients there. It is probably an ethical boundary violation to be seeing someone in therapy that you also sit in a religious service and socialize with.

Wow! That new client just told me about this great money-making deal.

Money and client relationships, what a dangerous mix. Yes, we have to think about money. We need to get paid. But when we start thinking about money or other things first this can be a trap.

Investing money in a client’s business or investment opportunity or asking them to invest in one of yours, these are all bad ideas.

Lending money to your therapist is an absolute NO! If your counselor asks to borrow money run as fast as you can. Consider lodging a complaint on your way out to the appropriate person.

Think also about insider trading issues. Do you want to end up in court because you made an investment based on a tip from a client? Clients, do you want your therapist testifying in court about your therapy session and how this investment idea came up in the first place?

All of these ethics issues can start with just that little finger through the ethical loophole. Giving someone bus fare out of your own pocket, paying them a few bucks to mow their lawn, becoming involved in their religious or social activities, all of these can lead to trouble.

Client, I know that you may like your therapist, want to do something nice but remember that their ethics code like a priest vow of poverty may preclude them from accepting gifts, stock tips or other offers by you to do things for them.

For me, as a therapist, the best gift a client can give me is to tell me that something we did in session has helped them have the happy life they want. Hearing that I have been able to help, that makes my day.

Sorry if we can’t hang out or attend some social events together. I like you as a person but I respect our professional relationship and you as a client too much to mess this up by getting into another dual relationship with a client.

Next Friday ethics part 4 – the bad news for all you romantics at heart. Why falling in love with clients or your therapist so often ends so very badly.

David Joel Miller, LMFT, LPCC

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

Do therapists tell parents what kids say?

By David Joel Miller.

How much confidentiality should children get?

Do therapists tell parents what kids say?
Photo courtesy of pixabay

This can be a very touchy issue. Nothing more infuriates a parent than the sense of loss of control over their child’s care. Parents routinely want to know all about what their child is talking about in therapy. Children often ask “Do you have to tell my parents,” before they will disclose something. There are no simple answers.

Two primary questions here.

1. How much should the parents be told?

2. How much are they legally entitled to know?

There are good reasons why parents need to know what is going on with their children. There are also some equally good reasons why they should not be told. Let me try to explain both.

Consider this a general answer and deliberately vague, lots of factors play into this situation and these vary widely from location to location. So the legal practice in one state may not apply in another. From the therapist’s point of view, there are something’s the parents need to know and other things that will interfere with the process if the therapist tells them.

The exact legal requirements are another issue that varies with the jurisdiction.

The parent, therapist, and the child may also discuss ahead of time just what things will be told to the parent and what should be kept confidential.

Some parents want to know everything the child says. They want the counselor to pry those secrets out of their child. They ask us things like “Is he doing drugs?” “Is she having sex?” The great illusion of some parents is that if they knew all their children’s secrets they could better control the child’s behavior and “Keep them from making mistakes or doing something wrong.”

Let me give you a real-life example of a parent’s effort to control their child’s behavior and how it backfired. This particular example is based on a news story, not my clinical practice so parents, if I have seen your child, relax this is not your kid. I have imagined a few things that were likely to happen after the news account left off.

Dad was worried about his daughter staying out late and was suspicious she was having sex with one of the boys from her school. Dad wants to put a stop to this behavior. He gets an adult this girl trust to talk with her. Have that sex talk. She reveals that yes after going to a local hangout she and this boy did go off and have sex. The girl is 17 the boy is 18. So this sex, in my state, would have been illegal as statutory rape but not reportable by the counselor as child sexual abuse.

Dad is told. He becomes enraged. Dad pressures the police and the local D. A. to arrest this older boyfriend for statutory rape. Dad also files a lawsuit against the hangout where the two of them met for endangering the morals of children. Let’s not worry about the merits of a suit like this just now. The boy is in jail, the hangout is fighting to stay in business and now checks all the kid’s ID’s and no longer allows anyone under 18 to enter. Everyone in this small town knows who had the sex that caused the problems for all of the other teens.

The result?

This Girl, now furious with her father, sneaks out her window, goes to another spot, and hooks up with a couple of older guys. She is going to get even with dad. She is now having sex with lots of older guys, not just the one cute potential boyfriend who is away in jail.

A better approach would have been to talk with the girl about love, relationships, and the dangers of unprotected sex.

Parents make the mistake of thinking that they need to control children’s behavior to keep them safe. So very often that “protected” child turns 18 and now all bets are off.

Parents, at some point in your child’s life, probably in the teen years, your role should move from protecting your child to teaching them how to make good choices. That learning to make choices part scares most parents. What if they make a mistake?

Parents fear this because frequently those parents have made all those mistakes themselves.

We all need to live our lives, learn to make choices, for better or worse, and sometimes in the process, we fall down and get hurt.  A good parent can loosen their grip enough to let the child make some decisions and learn from them before they reach the point of having to face those huge, life-altering, decisions all alone.

Lots of teens ask me to not tell their parents things because they know they have messed up. Often the parents are very understanding and can help the teen solve the problem. Embarrassment and the keeping of secrets are not helpful to the teen.

Some reasons parents should not be told what their child says.

If there is a danger the parent will overreact, or harm the child then the counselor may be ethically bound to keep things from the parent.

More than one parent was concerned about what the child was saying because the parent was engaged in illegal activity, used drugs, or had some other secret they wanted to hide.

If you are the parent whose child is in therapy, trust the therapist to tell you what needs to be told, to report what legally has to be reported, and to try to help your child through the process of learning to make their own decisions.

If you are that teen in therapy, have this conversation with your counselor. Ask them what sorts of things they will be telling to your parents and what is confidential. Unless there is a safety issue involved it is generally best to let your parents know what problems you are dealing with and the counselor can help you with the process of telling them. Don’t let embarrassment keep you from getting help. We all make mistakes in life. The smart people know they need to fix those mistakes and sometimes that means asking for help.

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

Desperate for friends? – Signs of a destructive friendship.

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

group of friends.

Friendship.
Photo courtesy of Pixabay.com

5 Ways to evaluate a friendship.

Some friendships are destructive; some drain the life out of you. Why then do we hold on to those friendships even when there is something inside of us telling us this is not right?

Certainly one quality we want in a friend is someone who cares about us and likes us all the time. It is not much of a friendship if their feelings towards us are dependent on us being a certain way or doing a certain thing for them.

If we expect that kind of total acceptance from a friend then we might tell ourselves that we need to be there for them even when it is painful or has its emotional price. How then do we decide if this friendship has become toxic? When do we need to let friends go?

Some of us stay with unhealthy friends out of guilt or duty. We feel we owe it to them to continue the friendship. Others stay in unhealthy relationships because of an inner fear that if we did not have this friend then we might have no one.

It takes courage to look at this relationship and realize that this “friendship” is not healthy. When you spend time with this friend how does this make you feel?

1. Friends should be uplifting.

You should part company with a friend feeling better than when you met. That conversation you had with the friend should make you feel happy and good about yourself.

If you leave your time with that “friend” feeling drained, down or bad about yourself then you should reconsider this relationship.

2. How do you feel when away from this person?

Do you feel relieved that the visit is over? This is clearly a bad sign. Do you dread seeing them again but feel you owe it to them to visit?

A clear sign of a toxic friendship is the dread you get when you think about going to see them.

3. What do you do when you are together?

If the time together is all about the other person, when you are there to cater to their wants and needs, then this is a one-way friendship and they are on the taking end.

Some people are ill. We may take care of them. When we leave this person we may feel a sense of joy at having been able to be helpful. But if that person seems to constantly demand more, then this is not a healthy relationship.

4. What does this person like to do when you are not around?

If this friend’s primary interest is in doing things that make you uncomfortable then this is not a healthy relationship.

People who like to drink, get drunk, or do drugs, want those around them to do those same things. Is there pressure to be like them?

Does being around them place you at unnecessary risk? Are they involved in an illegal lifestyle? Then how healthy is it for them to involve you in their problems?

5. Do you feel pride or shame when you see how they treat others?

If how this person is treating others makes you feel bad, then consider that they are probably treating you that same way but you are avoiding looking at those behaviors.

Positive friends should make you proud, not ashamed of their behavior.

Take a look at your friendships, and the other relationships in your life, look at the unhealthy ones and consider how you can cut these off or limit your contact with people who are harmful to you and your recovery.

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