Below is my wish to everyone. To print out, go to http//drmikemiller.com/peace.html
May You Develop
SIGNS and SYMPTOMS of
INNER PEACE
* Frequent overwhelming periods of gratitude
* A tendency to react spontaneously rather than in
reaction to fears
* An increasing tendency to go with the flow and let
things happen
* A lessening inclination to interpret the actions of others
* A decreasing involvement in conflict
* A feeling of contentment and oneness with man
and nature
* An increasing tendency to enjoy each moment
* An increase in the ability to receive love from others,
as well as the ability to give it
* A lessening of the motivation to worry
* Frequent attacks of smiling
drmikemiller.com
This looks nice on the fancy papers you can buy in office stores. You can also change the font to your liking.
HAPPY HOLIDAYS,
Mike
Monday, December 22, 2008
Saturday, December 13, 2008
Holiday Inventory
The Holidays are difficult for many - missing lost ones, anniversaries of deaths around those times, dealing with job loss/financial difficulties, not being where you want to be in life, etc. Even when life is in the groove, many of us stress over finding the "perfect gift," dealing with difficult family members, and/or being unable to afford what we would like to do for our loved ones.
For many, the Holidays are just another day, without special meaning. For Christians, it is a time to celebrate the birth of Christ. Regardless if one believes in virgin births, etc., Christmas can be a time to aim to be born anew. This does NOT mean preaching to others or evangelizing. Rather, I take it to mean to look at yourself everyday and see what you think you can do better. Are you loving enough to your family and those around you? Do you make a point to treat others better (if there is a need)? How is your patience? Do stupid things needlessly upset you?
Of course, people of other or no faith tradition can also take inventory and work on themselves. My one remaining uncle proclaims himself to be an atheist. He is one of the most decent and loving people that I have had the privilege of knowing. All of us can work on being more loving and better people. For a very humorous reminder, revisit Bill Murray in Scrooged.
Take inventory on how you treat others, including yourself. Work on having more patience with self-centered or otherwise difficult people, rather than responding to them in kind. Contact family and friends who are overdue a call, visit, card, etc. Make a decision to work on your poor habits and to begin any changes that you know you should make. Not only be kind to others, but also be kind to yourself. In doing these things, we renew and deepen ourselves and our relationships. These things also help bring meaning and enjoyment to us and those around us.
HAPPY HOLIDAYS,
Mike
For many, the Holidays are just another day, without special meaning. For Christians, it is a time to celebrate the birth of Christ. Regardless if one believes in virgin births, etc., Christmas can be a time to aim to be born anew. This does NOT mean preaching to others or evangelizing. Rather, I take it to mean to look at yourself everyday and see what you think you can do better. Are you loving enough to your family and those around you? Do you make a point to treat others better (if there is a need)? How is your patience? Do stupid things needlessly upset you?
Of course, people of other or no faith tradition can also take inventory and work on themselves. My one remaining uncle proclaims himself to be an atheist. He is one of the most decent and loving people that I have had the privilege of knowing. All of us can work on being more loving and better people. For a very humorous reminder, revisit Bill Murray in Scrooged.
Take inventory on how you treat others, including yourself. Work on having more patience with self-centered or otherwise difficult people, rather than responding to them in kind. Contact family and friends who are overdue a call, visit, card, etc. Make a decision to work on your poor habits and to begin any changes that you know you should make. Not only be kind to others, but also be kind to yourself. In doing these things, we renew and deepen ourselves and our relationships. These things also help bring meaning and enjoyment to us and those around us.
HAPPY HOLIDAYS,
Mike
Sunday, November 16, 2008
Mental Health Parity Law
Included as part of the recent financial rescue/bailout bill signed by President Bush, was the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act. This will end health insurance benefits inequity between mental health/substance use disorders and medical/surgical benefits for group health plans with more than 50 employees. This means that equity in coverage will apply to all financial requirements, including lifetime and annual dollar limits, deductibles, copayments, coinsurance, and out-of-pocket expenses, and to all treatment limitations, including frequency of treatment, number of visits, days of coverage and other similar limits.
The new law will go into effect on 1/1/10, in order to give insurance companies time to change their policies. Medicaire and Medicaid are exempt. Medicare co-payments for mental health services are currently at 50%, while medical co-payments are at 20%. However, a Medicare parity bill passed last summer, so in 2014, mental health co-payments will be reduced to 20%. This bill was vetoed by President Bush, but the Congress overwhelmingly overrode the veto.
Forty-three (43) states have enacted parity laws. While some of these laws provide for strong parity protections, most are not as comprehensive as the new federal law.
Parity will not effect the millions of Americans who are still uninsured.
Best wishes,
Mike
The new law will go into effect on 1/1/10, in order to give insurance companies time to change their policies. Medicaire and Medicaid are exempt. Medicare co-payments for mental health services are currently at 50%, while medical co-payments are at 20%. However, a Medicare parity bill passed last summer, so in 2014, mental health co-payments will be reduced to 20%. This bill was vetoed by President Bush, but the Congress overwhelmingly overrode the veto.
Forty-three (43) states have enacted parity laws. While some of these laws provide for strong parity protections, most are not as comprehensive as the new federal law.
Parity will not effect the millions of Americans who are still uninsured.
Best wishes,
Mike
Friday, September 26, 2008
The How of Happiness (Pt 1)
There has been a relatively recent and growing movement referred to as "Positive Psychology." Much of this has grown from the work of Martin Seligmann, PhD author of Learned Optimism and other books. Historically, most psychology studies focused on depression and other problems. There was a movement beginning in the late 50's called "Humanistic Psychology." Positive Psychology focuses more on "everyday" people and giving them tools to beat negative thinking and living more fully, while Humanistic Psychology has focused more on "extraordinary people and topics such as self-actualizing and peak experiences.
The How of Happiness. A Scientific Approach to Getting the Life You Want by Dr. Sonja Lyubomirsky, PhD was published in 2007. Dr. Lyubomirsky is a researcher at Stanford University. The findings of her and others' researchers on happier people is summarized below:
1. "They devote a great amount of time to their family and friends, nurturing and enjoying these relationships.
2. They are comfortable expressing gratitude for all they have.
3. They are often the firs to offer helping hands to coworkers and passersby.
4. They practice optimism when imagining their futures.
5. They savor life's pleasures and try to live in the present moment.
6. They make physical exercise a weekly and even daily habit.
7. They are deeply committed to lifelong goals and ambitions (e.g., fighting fraud, building cabinets, or teaching their children their deeply held values).
8. Last but not least, the happiest people do have their share of stresses, crises, and even tragedies. They may become just as distressed and emotional in such circumstance as you or I, but their secret weapon is the poise and strength they show in oping in the face of challenge.
(pages 22 - 23)
The How of Happiness. A Scientific Approach to Getting the Life You Want by Dr. Sonja Lyubomirsky, PhD was published in 2007. Dr. Lyubomirsky is a researcher at Stanford University. The findings of her and others' researchers on happier people is summarized below:
1. "They devote a great amount of time to their family and friends, nurturing and enjoying these relationships.
2. They are comfortable expressing gratitude for all they have.
3. They are often the firs to offer helping hands to coworkers and passersby.
4. They practice optimism when imagining their futures.
5. They savor life's pleasures and try to live in the present moment.
6. They make physical exercise a weekly and even daily habit.
7. They are deeply committed to lifelong goals and ambitions (e.g., fighting fraud, building cabinets, or teaching their children their deeply held values).
8. Last but not least, the happiest people do have their share of stresses, crises, and even tragedies. They may become just as distressed and emotional in such circumstance as you or I, but their secret weapon is the poise and strength they show in oping in the face of challenge.
(pages 22 - 23)
An interesting and worthwhile read. Dr. Lyubomirsky also has a blog on happiness at http://blogs.psychologytoday.com/blog/the-how-happiness
Best wishes,
MikeFriday, September 5, 2008
Drugs vs. Therapy
As I touched on in my previous posting about depression, there are interesting studies comparing the treatments of medications and psychotherapy/counseling. One sees medication ads almost any tie you turn on the TV, look in a magazine, etc. Research proves that the advertising works. Increasing numbers of people are taking medications for depression, stress, etc. The number of people seeking counseling may be decreasing.
Many of the studies with depression, even severe depression, show them to be about equally effective. Therapy has been shown to have greater durability, with lower relapse rates following the end of treatment. There are also lower drop-out rates for therapy, due to medication side-effects. It is common practice for people to receive both treatments. One might think this to be more potent than either treatment by themselves. Some studies do support this, but other studies do not.
There is some evidence that therapy may be the better choice for those experiencing panic attacks. One study "found higher treatment effect sizes, lower attrition rates, and favorable cost profiles for talk therapy as compared to medication treatment for this disorder." There are fewer studies for panic than for depression. Therefore, one should be slower to declare a conclusion.
It may be surprising (including to many mental health professionals) that therapy can also be very helpful in the treatment of schizophrenia. An examination of many studies (a meta-analysis) "found that people treated with talk therapy in addition to medication were significantly better off than those treated with medication alone."
There are several other interesting findings from the huge muti-site research on depression. More effective therapists focus less on medications. Also, that the relationship with the psychiatrist is predictive of how helpful medication will be. There was a parallel with some behavior therapists, years ago. The parallel is that the medication or behavioral treatment are what is important and that the relationship is not. Behavior therapists have come to understand this. Some psychiatrists still have this lesson to be learned.
What can one conclude? First, that treatment works for most people. Second, the relationship with any mental health (and probably non mental health) providers is critical. Third, that the drug companies have great influence on what treatments people seek. This posting is not intended as anti-medication. I have encouraged numerous individuals to try medications for a variety of conditions. Rather, medications are not the only choice and sometimes the lesser choice. Lastly, if you are unhappy with your provider, try to make your complaints known to that person.
Best wishes,
Mike
For full report: http://www.talkingcure.com/archives.asp?id=129&fragment=0&SearchType=AND&terms=depression+relapse
Many of the studies with depression, even severe depression, show them to be about equally effective. Therapy has been shown to have greater durability, with lower relapse rates following the end of treatment. There are also lower drop-out rates for therapy, due to medication side-effects. It is common practice for people to receive both treatments. One might think this to be more potent than either treatment by themselves. Some studies do support this, but other studies do not.
There is some evidence that therapy may be the better choice for those experiencing panic attacks. One study "found higher treatment effect sizes, lower attrition rates, and favorable cost profiles for talk therapy as compared to medication treatment for this disorder." There are fewer studies for panic than for depression. Therefore, one should be slower to declare a conclusion.
It may be surprising (including to many mental health professionals) that therapy can also be very helpful in the treatment of schizophrenia. An examination of many studies (a meta-analysis) "found that people treated with talk therapy in addition to medication were significantly better off than those treated with medication alone."
There are several other interesting findings from the huge muti-site research on depression. More effective therapists focus less on medications. Also, that the relationship with the psychiatrist is predictive of how helpful medication will be. There was a parallel with some behavior therapists, years ago. The parallel is that the medication or behavioral treatment are what is important and that the relationship is not. Behavior therapists have come to understand this. Some psychiatrists still have this lesson to be learned.
What can one conclude? First, that treatment works for most people. Second, the relationship with any mental health (and probably non mental health) providers is critical. Third, that the drug companies have great influence on what treatments people seek. This posting is not intended as anti-medication. I have encouraged numerous individuals to try medications for a variety of conditions. Rather, medications are not the only choice and sometimes the lesser choice. Lastly, if you are unhappy with your provider, try to make your complaints known to that person.
Best wishes,
Mike
For full report: http://www.talkingcure.com/archives.asp?id=129&fragment=0&SearchType=AND&terms=depression+relapse
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