Alcohol has a particularly important presence in our modern American culture. We use it to entertain, connect with others, make family gatherings lighter, engage in business with it and rally around our favorite sports teams while drinking it. Multi-billion-dollar industries have been created around beer, wine and spirits, and popular culture has produced a number of timeless celebrity icons who indulge in: Hemingway, the Rat Pack, Keith Richards, Hank Williams…hell, even Ulysses S. Grant.

Our culture is totally schizophrenic around alcohol: it promotes it to no end, and yet ignores the repercussions of consuming it. Domestic violence, broken marriages, infidelity, depression, and divorce, among other things, result in the overindulgence of booze. Socially, it’s really hard to break away from the attractiveness to it. The parties we go to, the people we hang out with and the advertisements we encounter all promote it, and yet it still continues to get us into trouble.

Men tend to avoid their feelings, and therefore, the problems that those hidden feelings create. Alcohol has always been the socially acceptable avoidance strategy for many men. To find and connect together, alcohol as a social lubricant that allows men to do what comes more naturally to women: seek social support. Women have known this, but to prevent isolation and loneliness, men usually only rally around each other when it involves sports or some like-minded activity. Feelings are rarely discussed, but alcohol allows for “loose lips” contact. Men are much more free and open while drinking to connect to other men emotionally, because it’s not something that men do while sober. Culture doesn’t allow for it, so most men don’t do it. Alcohol provides the social bonding outlet, as well as an opportunity to “speak one’s mind”.

Things to think about:

• Do you find your self drinking alcohol to avoid people, situations, or feelings?
• Have you fought with your wife or girlfriend around alcohol? Do you fight more with her when you both been drinking? Is your relationship taking a hit because of your drinking?
• Are there competing voices in your head, one of which says to slow down or quit drinking?
• Have you experienced the blues, feel down, isolated and alone?
• Do you have a family history of alcohol abuse or dependence? Did you have a mother or father that drank heavily?
• Are you lying to cover up your drinking, or minimizing the number of drinks that you consume?

A friend asked me this really great question: “What are the specific challenges that men face in relationships at during each decade?” The question naturally led me to want to blog about it, and share it with you all. I accounted for three periods: 20′s, 30′s and 40′s, as these are generally the periods of life I work with, but feel free to add your own experiences/other decade challenges.

20-30′s: Still settling down, and finding themselves. Work and jobs are sporadic, so lots of long-distance relationships and conflict as a result. Guys in their 20′s are still into hooking up and partying, so they’re looking more for women who fit this bill (generally). Some get married, but are unhappy because the marriage is too early, or it wasn’t right for them (maturity levels low).

30-40′s: Settling down, getting married and having children. Guys have to deal with their lost youth and death of the “wild horse” mentality. Some guys hold onto youthful entrapments, such as partying, alcohol, video games, etc., which creates relationship/marriage tension and fighting this way. This is where the communication problems and issues start to ferment, for problems later into the next stage. Not knowing how to deal with everything: being a new dad, added responsibilities with their work/careers, and juggling it all creates stress and relationship strain. A lot of guys tend to start having problems, because they didn’t learn how to take care of themselves earlier on, or didn’t really have a need to take care of anyone else (e.g. wife, kid) other than themselves.

40-50′s: Kids are growing, and problems have fermented another decade. Couple has drifted away from each other, and the problems that have arisen in the 10-15 years since marriage have been avoided, or not dealt with. Money, things, trips have all been used as “happiness surrogates,” and are employed to stave off dealing with the real problems of unhappiness, sexual problems, loss of love, etc. Some men start to have affairs (although earlier stages, too) or lose themselves in other diversions other than their marriage, because that’s what they know, and that’s what culture encourages (alcohol, sports, video games, porn, etc.). Couple needs to reinvent their marriage, and create a reason to be together, other than “for the kids”. Men will also lose themselves in work and career, which is a socially-sanctioned place to go, yet slowly erodes a relationship over time. A lot of men who over-identify themselves with their work and careers unconsciously avoid their wives and their problems by dedicating themselves to their work. Phsycial problems can start to manifest as a function of problems not dealt with, with leads to depression, stress, pain, fatigue, etc. The body speaks, even when men are not.

Without a rudder, it becomes really difficult to steer our boat. We get tossed about on the seas, swing this way and that. The sense of direction is lost, and our journey is haphazard and without focus momentum.

Finding purpose — whether that be in our relationships, work, play or friendships — is outfitting your boat with a rudder. Actions and behaviors become intentional, and they become filled with a focused purpose. No longer are we just victims of circumstance or of our own lives.

Many people without that purpose, without that inner knowing, enter and exit situations within their lives in a very indiscriminate way. Without purpose, we are left to our impulsive mind to take over. And often times, that impulsive mind makes decisions for us that are not aligned with our deeper and truer purpose. We get into relationships that we look back on and think, “That was really not good for me in the long run.” we take jobs that we don’t really want to take, and spend money in places that we don’t really mean to.

Developing purpose is like bringing a high-powered laser into the equation. We have a very powerful tool in which to create a focus and energy to direct towards those people, places, and experiences that will enhance our sense of purpose, and fulfill those ideas about how our lives should be led, which makes us happier.

Connecting to that purpose — not just identifying it — is just as important. Learning how to connect regularly to that which brings us purpose is critical to our success and our happiness. Creating a regular relationship with those things that bring us purpose reinforces our sense of purpose and continually teaches us how to spend our precious time, energy and resources. What’s just as important is to identify those roadblocks and barriers to finding our purpose, which in some cases, can be just as much of a pursuit as going directly after our purpose.

A lot of counseling clients that I talk with have difficulties knowing how to take care of themselves. They are so busy taking care of work, family, money and other life stressors that they don’t have the time or the know-how to develop and practice good self-care techniques.

One of the most important ideas to understand is your personal threshold point. At what point do you start to show wear and cracks? Can you recognize when you get to that point? More importantly, how can you remedy those issues before they really start to affect your mind and body wellness?

That personal threshold point is different for every person. Developing an understanding and clear self-awareness about when that point arises is the first step in practicing self-care. Some people have a very high threshold for stress; others start to show wear earlier.

For men and women alike, the concept of saying “no” is one contributing factor to practicing better self-care. We live in a very demanding culture — one that expects constant multitasking and perfectionism. Being able to say “no”– even when our environment beckons that we say “yes” – is a practice in honoring and respecting yourself. It’s knowing your limits, and it’s not giving out more than you can give, which erodes one’s ability to give anything at all.

Another way to understand self-care is to know what blocks or barriers come between you and the healthy image of you in your mind. We can all agree that eating well, exercising, practicing spirituality or contemplation, and the like, are all positive pursuits on the road to self-care. But, what’s more interesting is how we limit ourselves from the inside with negative self-talk.

What negative messages or beliefs keep you in a state of procrastination or lack of motivation? How do you undermine your own efforts, and keep yourself from the ideal healthy you in your mind? I think those questions are much more relevant, because we need only to listen to our culture which tells us to eat better, exercise daily, be happy… we know all this, and yet sometimes we don’t always do what we know is best for us in the long run.

Practicing good self-care is very important, but understanding our motivations and intentions, as well as the roadblocks and barriers to our own success, is even more important. If we create the right motivations and intentions, we are laying a solid foundation for the continued practice of good self-care over the course of a lifetime.

Phoenix Men’s Counseling – some of the benefits!

- Learn better communication with your wife/ girlfriend
- Feel more appreciated
- Get “in sync” again with her
- Break the “suffer in stoic silence” mode
- Generate energy, fun and laughter
- Lower stress and reduce tension
- Less “thinking too much” about your problems – get out of  your head
- Get help for your depression & start feeling better
- Stop avoiding!
- Be more productive on the job
- Cool your angry feelings
- Get the respect you deserve from others

I specialize in working with men who are struggling in all aspects of their lives: in relationships, in work, with money and with self-image and self-esteem issues. I am a therapist that understands the unique and complicated issues that men might not feel comfortable talking about with a general counselor. I work with guys in Phoenix, Scottsdale, Tempe, Chandler and surrounding areas. Give me a call, or e-mail directly through my website to find out more information about my services.

(My article appears in the Jewish News of Greater Phoenix Online (and print) in the September 11, 2009 edition)

Dating success, like success in life, is often a function of our attitude. Carry optimism, hope and openness, and your chances of success are infinitely greater than when you’re dragging around negative, limiting beliefs.

As much as most daters don’t care to admit it, they are unintentionally undermining their own attempts at success with internalized and destructive messages, or IDMs, about their dating lives.

IDMs can come in one of two forms: either as negative self-talk (such as how we talk to ourselves about dating) or as critical or judgmental assumptions and beliefs about the potential mates in our dating field. When we listen to IDMs, we either abruptly stop ourselves short, or stop others short, and destroy opportunities that have not yet been created. We shut down and say “no” before we’ve had an opportunity to say “yes” to others or possible dating opportunities.

To date or to be in a relationship is to risk getting burned, and a lot of daters can’t let go of some of those previous fiery experiences they’ve had. They’ve been hurt, and to help prevent themselves from being hurt again, they generate limiting beliefs about themselves or about their potential dates. In some cases, these messages have been there all along, from childhood, in different ways.

Fear and vulnerability drive many IDMs, and keep us caged inside our own heads. We generate unconscious and irrational stories to keep us from having to deal with the pain, anguish and fear that may come up in another dating situation. Dating has not been kind to us, we say to ourselves, and we’ll go to great lengths to see that we’re not hurt like that again.

One popular IDM I hear a lot is, “Well, there are no good men/women out there in the world anymore. They’re all taken.” I find that one disputable, and it’s a negative message that guides all too many people through dating, unfortunately.

The problem is that those destructive messages get communicated either verbally or nonverbally to people in our lives (including possible mates). Others will feel turned off or generally uninterested in learning more if those messages are communicated to them, intentionally or not. Or we may attract other negative people or toxic dates into our lives. Most of the time, though, we are so unconscious about what we speak verbally and say in our body language to others that we end up turning others off.

Maybe you’ve been rejected by a mate, or have suffered a recent divorce. It’s possible that your last relationship was awful, and you’re still nursing your war wounds. If so, IDMs may be floating around inside your mind and ruining the possibility of a relationship. Change your negative beliefs, and you change the way you relate to your dating life. People are far more attracted to people who are positive and open-minded.

If you’re ready and willing, turn around the IDMs, and you’ll attract a whole new kind of person into your life.

Jason Fierstein, MA, LPC, is a counselor for men and couples and practices in Phoenix. Call 602-309-0568, or visit phoenixmenscounseling.com for more information.

People often talk about their moment of clarity when they shift into a higher awareness about how to tackle the problem. Some call it their “aha” moment. Some are less certain about what changes have come about but know something is different in the way that they approach a problem.

This process of illumination is different for all, and as varied as there are people experiencing change. It’s a very personal and subjective experience, but transforms both inner and outer environments in a profound way.

How do you jump from “tree-to-forest” perspective in your own life? Concerning the important changes that you have made in your own life and relationships, what has the illumination process consisted of for you? How have you made the changes in your life that have brought you improved awareness and success?

We know when we have achieved the forest perspective when things in our life (subtle or not) begin to take effect. Our loved ones respond to us differently. Maybe we feel less stressed. We can experience moment to moment happiness for once without mentally living in the future. Or maybe we can learn to stop being so hard on ourselves and develop a little more patience and gentleness.

“Nice guys” in love often find themselves playing the role of the hero, or the savior, to the women that they become involved with in relationship. These nice guys guys often seek out women who are “broken birds,” or relationship partners that are attractive because their flaws create an attractive project to the nice guy hero.

So many men fall into the hero role, and end up creating a lot of relationship misery for themselves. This is not a truly loving relationship; this is a neurotic relationship that serves to reinforce the nice guy’s identity about needing to be needed. When a nice guy is needed by a broken bird, it makes that guy feel wanted, needed, and special.

Broken birds can often never be fixed, although they may look very appealing and beautiful on the outside. The appeal to be with or fix a broken bird blinds most nice guys to what’s really going on. It prevents true relationship, in the sense that two people are relating to each other as full human beings, and not as roles being played. Nice guys and broken birds interact with only versions of themselves, and not as people in love. It may feel like love, but it’s codependency.

As long as the nice guy is committed to trying to fix the broken bird, he is doomed to fail every time. Like I said, broken birds cannot be fixed. But when they do get fixed — if that happens — then that upsets the equilibrium of the relationship. When one person does something different, the whole system is forced into changing itself. What does this mean? Well, if you’re a nice guy with a broken bird, you will be forced into needing to learn how to reinvent your relationship with your partner. Or, just as often, the broken bird will end up mending its wings and flying away, unless the nice guy does first.

That latter scenario would entail a major change in the way a man redefines himself, and that would mean to lose the hero’s cape. He would need to learn how to have a meaningful relationship without needing to fix or man and his partner, and these are structural changes. So long as these structural changes go unattended, the attraction or seduction to engage in a relationship with a broken bird is highly tempting.

Sometimes, for potential clients, the hardest part is working up both the courage to admit that there is a problem in their life that needs attention. For clients, especially guys, it’s easy to avoid admitting or knowing when to admit there’s a problem. That’s the first step. Actually finding a professional therapist is a whole other matter.

People don’t always know who they need – they just know that they need help. When it comes time to research a counselor or therapist, many seek out the recommendations of their friends and family. They trust that they’ll feel safe and comfortable with that professional if those they love vouch for the therapist (like any good service provider).

But if there’s no personal referral, the search for help becomes like hiding your eyes and throwing the dart at the board. You hope for a hit, and you could just as well throw it way off the target.

Knowing who does what is an important start. Here’s a quick primer to get you going, and a simple way to understand the alphabet soup of credentials that your next therapist might have:

LPC = Licensed Professional Counselor. In the State of Arizona, LPC’s are licensed by the state through the Board of Behavioral Health Examiners, and are educated and trained to work with a variety of problems. Many specialize, so it’s important to know which speciality the LPC you are interviewing works with – kids, relationships, depression, trauma? Many generalize, and it’s important to know that yours will have experience working with your unique issues.

PhD/PsyD = Psychologist. These professionals are also licensed, and have a Doctorate in Psychology (as opposed to LPC’s who are Master’s Level in Counseling and Psychology). Psychologists can do individual and couples therapy, and have an advantage of administering tests and batteries, aside from clinical work.

LMFT = Licensed Marriage and Family Therapist. Background in working with families and marriages, and workj in therapy with those populations. These professionals are Master’s level, and licensed by their state’s licensing board.

MSW = Social Worker. Social workers often do therapy with individuals and couples, and are Master’s level in education, trained, and licensed by the state in which they practice.

Life coach = Life coach. Life coaches are newer to the scene, and do not perform psychotherapy. Life coaches are not therapists, but can help you in areas of life management, goal setting and much more. They are not licensed by the State of Arizona, but are certified through private organizations.

MD = Psychiatrist. Many psychiatrists do not do individual therapy much anymore. They are trained medical doctors, who specialize in psychiatry and psychiatric disorders. They are who you want for medications (including antidepressants and anti-anxiety medications) and psychiatric problems and illnesses, and often times refer out for therapy these days.

Hope this little guide to decoding the search for a therapist helps you understand you you need to get to to help you and your problems. Remember: the most important element to counseling is the relationship that you develop with that professional, and it’s important that you know, like and trust the person you are confiding in and opening up to.

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I’m not going to start out by saying that depression is merely a function of not getting what you want. Depression has roots deeper than that explanation. It can be caused, or related to, nutritional imbalances, individual and varying biochemistry, neurochemical reasons (such as serotonin imbalances, or other neurotransmitters), and so on.

Many men I work with, however, experience depression as a reaction to deeply unmet needs. Many times, these men don’t know how to go about getting those needs met, so they will resort to employing the ineffective skills that they have learned growing up, which cause them to sink into depression. For men, being afraid of their anger, or speaking up for themselves, is threatening, so depression becomes “more comfortable” (relatively speaking) than activating their energy and going out into the world to get what they need.

Through poor interpersonal communication skills, a lot of guys can’t simply language what they need, either from a friend, a lover or an employer. The verbal skills aren’t there, and then these depressed men end up creating false assumptions about themselves that they link to that person or event. “Well, if I was worthy enough for their attention, then so-and-so would give me the time of day,” or “Well,if she really loved me, she wouldn’t be acting this way towards me. I must be flawed, or unlovable, and therefore unacceptable to her.” These are examples of the kind of self-talk that puts us in the depressed state.

We end up fabricating evidence based on assumptions we make up about other people’s intentions, that reinforce the negative and critical beliefs we have about ourselves. This perpetuates the cycle of depression, and we continue to look for that “evidence” out in the world, to continually reinforce those beliefs over and over again, getting us more and more depressed. We are creating our own reality, because our beliefs about ourselves are negative, all-consuming, and powerful.

Fortunately, we can change those beliefs, burn out what is not working in our lives, and start to look for “affirming evidence.” The negative messages are not us – as many guys falsely believe – but when we take those messages on as our identity, we end up creating a lot of problems for ourselves, such as depression.