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

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

Mistakes and errors

Mistakes.
Photo courtesy of Pixabay.com

Why your brain may be hiding things from you.

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

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

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

1. How has health and wellness affected your life?

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

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

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

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

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

2. What are your bad qualities?

What would you say are your flaws?

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

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

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

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

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

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

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

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

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

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

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

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

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

5. What are your greatest life regrets?

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

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

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

National Problem Gambling Awareness Week

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

Problem and problem solving

Problem-solving.

This week, March 3-9, is National Problem Gambling Week.

Problem Gambling is currently described as Pathological Gambling in the Diagnostic and Statistical Manual of Mental Disorders (DSM-TR-4.) Pathological Gambling is one of a group of disorders that currently are considered “impulse control disorders.”

Pathological Gambling is one of a group of disorders that currently are considered “impulse control disorders.”

DSM-5 Update.

In the DSM-5 this is named Gambling Disorder (F63.0) Essentially the same features.

Other impulse control problems not classified as an addictive disorder.

Other impulse control problems are intermittent explosive disorder, kleptomania, pyromania, and trichotillomania. Intermittent explosive disorder gets treated by far the most, but many more people need to get treated for pathological or problem gambling than are currently receiving help.

In California, this week-long effort to make people aware of the difficulties people may have with problem gambling is spearheaded by the California Department of Drug and Alcohol Programs via their Office of Problem Gambling. In a few other states Gambling issues are treated by separately trained and licensed counselors.

One reason for the interest in problem gambling among drug and alcohol counselors is the tendency for clients in early substance abuse or addiction recoveries to “switch addictions” and now off drugs and alcohol, to develop a new problem with compulsive or pathological gambling.

The similarities between addictive disorders and pathological gambling are so large that it was proposed that Pathological Gambling be moved to the addictive disorders rather than the impulse control disorders when the new DSM-5 comes out. We will need to look at that again in the future when the DSM-5 is available.

One of the controversies among treatment professionals is about the choice between trying to control an issue like drug use or gambling and the need to stop doing that activity completely.

If we view drinking excessively or pathological gambling as an addiction then we would expect the client to need to totally abstain. If it is an impulse control issue then we might reasonably try to teach the client to control the impulses and drink or gamble in moderation.

Most people who self-describe as addicts or alcoholics will tell you that control is an illusion. For them, the only answer is complete abstinence.

One reason for the conflict is that funding for treatment often comes from the people who make the most profit from the activity. The alcoholic beverage manufacturers would like counselors to teach people to drink responsibly not tell them to stop drinking altogether. The same issue occurs when problem gambling programs are funded by casinos.

So if you are one of those people who are able to control your drinking or gambling and for whom it is mostly just a source of entertainment, then problem gambling week is not of much interest to you.

But if you are one of those people who have lost the ability to control your gambling or your drinking consider getting help. If you live with someone who has a Pathological gambling problem, consider getting help for yourself as well as for them.

The web address for the California initiative is www.problemgambling.ca.gov

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

Finding a marriage counselor who can help.

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

Old car

Getting better marriage mileage.
Photo courtesy of Pixabay.com

How do you select a marriage counselor?

Picking the right counselor for you can be difficult when you are dealing with your issues, but in couples counseling, there are added factors to consider.

The heat of the conflict between two people can make the whole process of agreeing to see a marriage therapist difficult, selecting that helping person, can take some effort at negotiation also. Here are some suggestions.

Make the counselor choice when both of you are feeling calm.

The middle of a fight may be the time one of you says for the first time “We need to go for counseling.” This might be the time to agree that you will go but it is not the best of times to make that selection.

Plan a time to sit down and discuss the selection process when you both are feeling less angry.

If your partner feels forced or manipulated into seeing a counselor you have chosen they are likely to be resistant to the process.

Don’t keep putting the problem off because some days things go better.

If you are having relationship problems the sooner you begin to work on these problems the more likely you are to find solutions that will work for both of you. Too often couples wait until the wreckage of repeated fights leaves them both convinced that even if the situation changes they still would want out of this relationship.

Every relationship has its ups and downs. When you are having that rough patch one of you may be thinking the worst. The times that you are able to talk with each other rationally are the best time to make progress.

Relationship counseling does not always need to be a long-drawn-out process. If you both approach it with the desire to work out your problems things may improve more quickly than you expect. Sometimes it is a matter of learning new skills or getting another perspective.

Don’t go to counseling to prove who is right or wrong.

A good marriage counselor will not solve the problems for you. They should never take sides. You will waste lots of time and money trying to be right and the result will be that both parties will leave the relationship angry and bitter.

Figuring out who is right is the job of a judge when you go to end the marriage. If you are stuck on making your partner the cause of the problems then you can’t focus on the solution.

The goal of counseling should be to find common ground, things you can agree on.

Repairing the damage is far more important than beating your partner into submission. Couples who stay together learn to see things from their partner’s viewpoint rather than becoming good at making that partner wrong.

Pick a counselor you both think can help you.

The best predictor of success in therapy is the client’s belief that the counselor can help. Pick someone you both feel will be helpful. If you don’t know a marriage counselor research those in your area. Some people travel long distances to see a really good therapist.

It is perfectly acceptable to interview the counselor when you call. Make sure you also feel comfortable with the office staff; can you call and reschedule an appointment? Is the receptionist helpful? Do they return calls?

How does this therapist help couples?

Some professionals believe every couple who comes for therapy should stay married; they may call themselves divorce busters. Other professionals may recommend divorce to a high percentage of their clients.

There was a time when therapists mainly listened to you without comment. Is that what you want? Other practitioners are more directive, they do exercises or activities in session, have you rehearse skills, and assign homework for you to do out of session. Which approach sounds most helpful to you?

Be honest with the therapist and yourself.

If you have decided you want a divorce but have been afraid to say so being in the room with a neutral mediator may help.

If your choice is to stay married? What are you willing to change about yourself to make this work? There are ways to influence your partner (see getting others to change post) but the fastest way to see things improve is often to change yourself. Changing you may require giving up that resentment you use over and over to beat your partner into submission.

Many couples come in unsure if they want to stay together. They know there are things about their partner that drew them together and things that are pushing them apart. One day they want to stay married and the next they think it is over. In couples like this, the “leaver” and the “stayer” may shift back and forth from day-to-day.

What do you think? If you have been for marriage counseling what was helpful and what was not?

For more on this topic also see:

Why men fear marriage counseling 

Will marriage Counseling 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

Should I tell my therapist about Porn? Morning Question #21

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

Should he tell?
Photo courtesy of Pixabay.com

Talk to the counselor about porn?

Why? I would think they already know about it. The better question is – are you or your partner having a problem with porn? If this is something that is causing you problems then yes, by all means, tell the counselor about it.

Another reason to disclose the use of porn is if you and your partner are having relationship problems. Even if one partner does not think porn is a problem the other partner may. Viewing sexually explicit materials can create a false sense of reality. Internet porn is about pixels, not people. So if one partner in a relationship looks at porn and there are problems, sexual or otherwise, between the two of you, that porn watching activity is very relevant to individual and couples counseling.

Don’t be afraid or ashamed to talk about anything relevant to your problem. If you are having relationship issues of any kind then what you see portrayed as relationships in any media is relevant. If your therapist is unable to talk with you about this or is excessively moralistic or judgmental, then you just might have the wrong therapist for you.  See also Counseling as a novel relationship and posts about What the counselor can and can’t tell. The post about threesomes was written about bringing an addiction into your relationship but it is very relevant to porn or internet addictions also.

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 are Morning Questions?

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

Counseling questions

Counseling questions.
Photo courtesy of Pixabay.com

Morning Questions?

Sometimes a question or comment comes in or someone uses a search term that needs a short answer but not a post. Occasionally in the early morning, I will post answers to those questions.

Here is the most recent list of morning questions. You should also be able to reach them from the list of categories to the right of the posts.

Morning Question # 1 – MFT trainee or MFTT?

Morning Question # 2 Does Methcathinone help you get big in the gym?

Morning Question # 3 What stimulant drug causes mental illnesses?

Morning Question # 4 – Is there a mental illness you can’t recover from?

Morning Question # 5 How often and how long should you see a therapist?

Morning Question #6 – Could a father’s meth use cause Schizoaffective Disorder?

Morning Question #7 – Toxicology not picking up bath salts?

Morning Question # 8 – Which personality Disorders can’t read other people?

Morning Question # 9 Is Substance abuse or mental illness first?

Morning Question #10 Do counselors report crimes?

Morning Question #11 Adjustment disorder, depression & mania

Morning Question #12 – Double Depression

Morning Question #13 Is anxiety a mental illness?

Morning Question #14 Is Dysthymia better in the morning or worse?

Morning Question #15 Blackouts -common or rare?

Morning Question #16 Can one person be a support system?

Morning Question #17 Should LPC interns tell people they are interns?

Morning Question #18 Is stress a diagnosable reason for time off from work?

Morning Question #19 What if a client tells you they had sex with their last psychotherapist?

Morning Question #20 Side effects by being impregnated by a Methcathinone user?

Hope this helps you find what you are looking for. If you have other questions or suggestions please drop me a line.

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 have to report a crime?

By David Joel Miller.

Do therapists have to report a crime?
Picture courtesy of pixabay

Do counselors report crimes? Morning Question #10

The general answer is NO! The more you can talk to a therapist about the more likely you will be helped to change your behavior. Therapists have a legal and ethical duty to NOT repeat what you say. Any exceptions to that rule are determined by law. See my posts on “How Much Should You Tell a Therapist?” or “Why pay a therapist when you can just talk to a friend?

So could a government somewhere make a law that the therapist had to report a crime? Sure could.

There are laws in many places that protect patient and psychotherapists communication, very similar to doctor and patient privilege. The relationship between a patient and a psychotherapist is held to be special, like that between a person and a religious priest.

The principle exceptions to not having to report crimes are, abuse of children, the elderly, and the disabled, (see – Does abuse of seniors and the elderly get reported?), and if you are suicidal or plan to kill someone else. Also if you are being investigated by homeland security we may have to report. As long as homeland security confines their investigations to known terrorists I am OK with this, as it falls under that duty to protect other intended victims. Some therapists have worried that this could be interpreted as needing information of a particular religion or political party and we would mostly be opposed to that sort of reporting.

Short answer: past crimes usually do not get reported, future and ongoing crimes like abuse or a plan to kill probably will be reported.

See also – How much should you tell a therapist?

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

Reasons Counselors and Therapists Lose Licenses

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

Therapist

Therapist.
Photo courtesy of Pixabay.com

Why do Counselors lose their license?

There are three main reasons counselors lose their licenses and a few minor ones. Frankly, most Counselors who “lose” their licenses don’t actually lose it. Everything here about counselors also applies to psychotherapists, therapists, psychologists, and related professions in most places.

Remember that as serious as these reasons are, most, almost all, counselors do this kind of work because they want to help people. The FEW that get their licenses revoked is just that – a very small number.

If a counselor or therapist is accused of committing a serious offense the licensing board investigates. Should the accusation turn out to be true the license board “revokes” the license. That revocation can then be “stayed” meaning the license is not gone yet but the counselor has to do certain things to get the license cleared.

One thing they have to do is pay back the licensing board for the cost of the investigation and any fines or fees. Second, they have to go through classes or additional education. They will also need to work for a period of time under the supervision of another licensed counselor just like when they were an intern or trainee. The hardest part of all is the requirement that they tell each and every client they are being supervised and by whom.

Sometimes the counselor will decide to give up or surrender the license rather than go through all this.

The three biggest reasons for revocation of a license are:

Sex with a client.

This is never OK. Forget all those stories about falling in love with the therapist or teacher. Most of the time this happens because both people are having problems and the relationship is never one of two equals. For someone who has a position of authority to become sexual, betrays the client’s trust.

Frequently the counselor loses their license over this and then the relationship breaks up, creating two ruined lives. This has happened a lot with substance abuse clients and then the client relapses leaving the counselor out of work and in a relationship with a using addict.

In California we are required to have a copy of the book “Professional Therapy Never Includes Sex” with us whenever we counsel and give a copy to any client who says they had sex with a previous provider. This book is available free at the California Board of Behavioral Sciences website.

Most other states and countries have similar regulations. Check the website for the agency that licenses counselors in your jurisdiction.

Being impaired.

This mostly means being arrested and often involves the use of drugs and alcohol. Since most counselors believe in recovery we like to see impaired professionals go for treatment. What is not good is for them to continue to see clients while using and drinking.

Counselors also get licenses revoked for committing crimes that result in jail or prison time.

Dual relationships involving money.

The big dual relationship is number one – Sex with clients. But lots of counselors fall for number three also. Your therapist should not borrow money, get into a business deal or otherwise be involved in your finances other than to help you decide what to do. If they stand to make a buck on you for any reason other than the rate they charge per hour this is looking bad.

Insurance fraud.

Mostly this involves a counselor billing public insurance for work they didn’t do or for way more time than they actually spent with the client. It is really suspicious if one counselor bills the state for a thousand dollars a month worth of work and another counselor bills – say twelve million. For a big lie like that, you get to lose your license, go to jail, and get the stupid person of the year award.

Remember the vast majority of counselors and therapists do NOT get their licenses revoked. The few professionals who do harm clients by doing the things that cost them their licenses make things bad for everyone, especially for their clients.

Hope that answered the question “Why counselors lose licenses” and helps people to find honest ethical help in their local area.

For more on this subject see:

5 Rules for Picking the Right Therapist

What to do if Therapy is not helping

How to Spot a Bad Therapist

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

Is counseling supposed to hurt?

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

Counseling questions

Counseling questions.
Photo courtesy of Pixabay.com

Does counseling need to make you feel bad to work?

Sometimes counseling involves looking at painful things. Clients don’t like doing things that will hurt. I don’t like making them hurt either. I want them to have a happy life, not a pain-filled one. But sometimes the counselor needs to take you there if they are going to help you.

Clients come to see the therapist like an accident victim, they are covered in bruises. Handling them roughly just increases the pain for no good reason. No counselor should add to the client’s pain for the sake of “being honest” with them or getting them to face problems. But if your counselor wants you to heal, they made need to help you walk through the pain. Sometimes the burn victim needs the wounds cleaned if they are to heal even when the wound cleaning process makes them hurt.

The client’s life may be like an old refrigerator, full of things they should have thrown out a long time ago, things that smell and are messy. A good counselor helps you clean that stuff out. They aren’t horrified by the discolored things or the smelly ones. If the whole cleaning out process becomes too much we may need to leave some things untouched for a while until you are feeling well enough to let go of some more of the rotten things from your past.

If you have a wound, physical or emotional, it needs cleaning. It may hurt more if you leave it. Long untended wounds take the most effort to heal. You may not be up to feeling all that pain at once. Like peeling an onion you may need to work at your pain until you cry and then next time peel away another layer.

Doctors know when it is better to open up a wound, feel the pain, and then let that wound heal slowly from the inside out. A good counselor should be able to work with you on that type of emotional healing.

The beginning counselor may try to quickly cover up the pain, get you to look away and avoid the thing that could lead to your healing. I would love to end each session with a few words of encouragement, tell the client everything will be fine. I know sometimes that is not true. They need gentle honesty.

Often that one hour of therapy is the hour we operate on the longstanding pain. I see them for that one hour. The rest of the week that client has to carry that burden for 167 hours until I see them again. The real healing happens in that other time outside the therapy hour when the client heals slowly from the inside out without the burden of the memories that we have let out during our session.

Counseling doesn’t always need to hurt, sometimes we clear up confusion or we help clients talk through a choice in life. The kind of counseling where I get to teach new life skills or coach someone to improve their game of life, those make me happy.

But sometimes I know I need to sit with the client while they let out that pain from the past and begin their healing journey.

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 you tell that to a friend or a therapist? – Part 2

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

Therapist

Therapist.
Photo courtesy of Pixabay.com

Talking to a Friend or therapist – part 2.

I think I misread this question the first time. My first thought after reading the question was:

“Why should a client go to a therapist they have to pay rather than just talking to a friend?” That is from the client’s point of view and describes why a client would be better off getting a professional therapist rather than relying on a friend.

I wrote a blog post about “Therapist of Friend” which is up at counselorssoapbox.com. That post got some really good comments from readers and they suggested some additional reasons they found going to a professional therapist helpful.

After rereading the question I think they were asking:

“What if your friend is also a therapist? Or as a therapist what do I say, to my friend. Do I set boundaries and keep my roles as friend and therapist separate?”

Remember some of the readers of this blog are consumers but some of the readers are professionals or aspiring professionals.

Here is my opinion of what an ethical therapist should do.

The law’s that created LMFT’s and some other therapist and counselor professions defined what professionals do as “applied psychotherapy.” We are able to bill for services provided to a client’s medical insurance. We have to keep the practice of our medical specialty separate from what we do on a non-professional friend basis.

Consider a doctor and his wife, a therapist; who go to dinner at the house of a couple who are casual friends. The friends proceed to describe some chest pains the husband has been having.

The doctor could ask a couple of follow-up questions, make a diagnosis, and whip out his prescription pad and write out a prescription. But should he? Most likely he will tell his friend you should see a doctor. That needs to be checked out and you need some tests and lab work.

Now the wife changes the subject and tells this couple all about the problems they have been having with their teenage son. What should the therapist do? Listen empathically? Ask more questions to define a diagnosis? Suggest some interventions that the parents could try? Or should this therapist, for the same reasons as the doctor, suggest politely that lots of kids these days have problems and the family might want to consider getting him some counseling? Counseling doesn’t mean he is crazy, just he may need help with some of the growing up tasks that he needs to do. And often it is hard to listen to suggestions from family members whom you want to please and you have a history with.

But wait a minute, aren’t those also reasons why the couple may not be totally honest with their therapist friend? And could you make things worse if you suggested interventions or treatment and you had an incomplete diagnosis because your “friend” left out some embarrassing details in front of their spouse and guests?

Once you learn a skill it is hard to unlearn it or know when to put it aside. If the friend had a heart attack the doctor would most likely intervene and do some emergency procedure or he might call an ambulance. The therapist would do the same if the person was suicidal. But beyond emergency situations, therapists need to put their therapist hats by the door and just be friends.

Remember no one likes a car salesman who comes to your house for dinner and spends the whole meal trying to sell them a car. No one likes a psychotherapist who is trying to psychoanalyze everyone they meet.

The difference in the relationship between a friend and a professional therapist lies in the professional’s ability to diagnose or define the problem and then institute interventions to make a change. Even professional coaches are allowed to make criticisms of the client that a friend would not be permitted.

In a past blog post, I wrote about reasons a client might want to see a professional for therapy rather than just talk to a friend. Now, look at those same reasons from the therapist’s point of view. Your liability insurance won’t cover you. They get no confidentiality or privilege. You may need to make a child protective service report on your friend. And most importantly because of dual relationships, you lose a friend.

Here is what I suggest you tell your friends who bring up problems that are in a therapist’s scope of practice.

1. This sounds like something that a counselor could help you with.

2 I make it a rule not to do therapy with friends.

3. We are not supposed to have a second relationship like a friend, with our clients and I would hate to lose you as a friend.

4. I can give you the names of some therapists who could see you if you like.

If you do other things such as coaching or teaching there is no problem in having a friend attend your class or coaching them on more effective communication but be sure that this is a separate activity from your therapy or counseling practice. And remember, in coaching or teaching you never ever give a diagnosis or conduct an intervention designed to treat a mental, emotional, or behavioral problem.

Hope that clarified the issue from the therapist’s perspective.

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 pay a therapist when you can just talk to a friend?

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

Therapist

Therapist.
Photo courtesy of Pixabay.com

Therapist or friend – what is the difference?

1. Friends may keep your secrets; therapists are required to keep them.

Some friends are so close you can tell them anything. Well, almost anything. Most of us have secrets which we were sure we could never tell anyone. Friends are usually friends because we have things in common. If you tell them everything can they, will they, keep the secret? What effect might their knowing the secret have on your friendship? What if you two have a falling out? Some things are just too embarrassing to tell a friend.

There are two concepts that keep a therapist from revealing secrets. Confidentiality, which means that they can’t talk about what you say unless it fits those very few exceptions like you are suicidal or talk about abuse of a child. Other than that what you say there stays there.

Also, there is what is called patient-provider privilege. That means some things may be protected even if police or lawyers come around asking questions. Friends don’t get legal protection to keep your secrets.

You are only as sick as your secrets – Friends shouldn’t have to carry some secrets

2. Friends can help you solve today’s problem – counselors can help you learn to solve your own problems.

Counselors often work with clients to help them learn skills to solve life’s problems. Friends may tell you what to do in a given situation but that does not help you with the next problem.

You want help that will help you become more independent not more dependent. Therapists are taught they should help you be independent not foster dependency.

3. Friends may not want to hurt you but sometimes you need to hear the truth.

A professional person can give you their honest opinion. You paid for it and you deserve it. Friends may be afraid to tell you the truth for fear of losing a friend.

4. Friends get tired of listening to your problems, therapists do this for a living.

Ever meet someone who was really needy. Every time you talked to them it was all about their problem of the day? When you are going through something difficult you need to talk about it. Friends can get talked out. Don’t burn out friends and damage friendships by asking friends to become very involved in your problems.

5. Friends have a good heart. They want to help with your problems. That doesn’t mean they always known how.

Therapists have many years of schooling and specific training in how to help people like you with problems. They study not only diagnosis and treatment but how to help with particular problems.
It is that kind of expertise that you need in your corner when that problem overwhelms you.

6. Friends can play the game with you, but counselors and coaches can help you improve your game.

When the team is losing all the players are going to talk to each other. They know what it feels like to lose. What they don’t always know is how to change that losing streak. That is where a new coach can come in and help turn a team around. Counselors, therapists, and professional coaches can do that for your life problems.

That does not mean you should avoid friends or peer support groups. Both are vital parts of your support system. Millions have recovered from alcoholism in A.A. But if you find that when you talk to your friends about your problem, that they don’t know how to help you or that the solutions they offer are not helping, consider that you may have a second problem, a mental health problem and seek professional help.

Those are some reasons that you might decide to see a therapist rather than talk with a friend. What if your friend is a therapist? What if you are a counselor? In the next post, I want to talk about reasons to keep that friendship and that professional relationship separate.

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