Maumelle Adjustment Disorder

Adjustment Disorder Counselors and Therapists in North Little Rock, AR (Maumelle)

We All Need Purpose (A Lesson in Cognitive Behavioral Therapy)

I retired from the US Army back in 2014 and decided to open a counseling practice. What I didn’t know back then was how difficult it is to transition from military life to civilian life. I am certain now that opening our new business probably kept me from falling into deep depression. It gave me purpose. What I didn’t know was how to maintain purpose.

This article is really about fighting off depression (feeling of sadness and hopelessness) and preventing anxiety (debilitating stress and worry).

Ask yourself…

Do you struggle to belong? Do you feel left out? Do you miss the good old days when you were in school, at your former job, or surrounded by people you enjoyed?

Have you stopped doing the enjoyable things you used to do? Have you found little or no motivation for visiting friends, enjoying hobbies, up to and including a lack of sexual desire from time to time?

If you answered yes to some or all of the questions above, then you could be at risk of depression. The most typical symptom that is a combination of the issues listed above is called anhedonia. Anhedonia is a two dollar word that means you no longer get pleasure out of the things you used to love. Here is my story. See if it sounds familiar. Look for the three sides of the cognitive-behavioral triangle (cognition, behavior, and emotion). See if you can figure out what I was missing.

In the military I was very competitive. I was in excellent shape physically and mentally. I was confident, strong, and highly motivated. I was a paratrooper early on. I was an engineer next and then a logistics officer for many years. During my last deployment, I was the commander of over one hundred Soldiers responsible for logistics in Afghanistan. I volunteered to go down range as the first Police Mentor Team Chief in the District of Shajoi, Zabul Province. It was a very dangerous place, and I was charged with training the local militia to fight the Taliban. It was a very exciting time and it changed me.

I returned home after twelve months overseas, and I was no longer the Police Mentor Team Chief. That was a combat-specific job. My previous job, as the commander, was filled by another officer. I came home and my unit had actually relocated to another city about two hours south. In short, I was a man without a job. I still got paid. I still had a boss. I just didn’t see anyone I knew, and I didn’t have a mission. It was like coming home from a long trip and finding an empty house. It was painfully stressful (anxiety). I felt like Kevin Costner in Dances with Wolves.

I started looking for things to do. It was maddening. I ran a lot of PT (Army physical training). I made phone calls and volunteered for small assignments where I had to travel. What I didn’t realize was that my very identity was unraveling. I was alone. Without troops, I felt empty. Most good therapists would call this “adjustment disorder.” I juggled anxiety and depression. It felt like hell.

I was desperate for purpose, so I took a job that wasn’t very exciting. I had to find about two million dollars’ worth of lost/misappropriated military gear left in Afghanistan. It got me out of the office and interacting with two amazing Soldiers. I felt better for a time. I was recognized for my efforts and given awards. When it ended, I fell back into despair. I decided to check on some of my troops from the last deployment. Many were doing well. Some were not. A few were struggling with drugs, alcohol, abuse, violence, indebtedness, and unemployment. It seems they didn’t adjust well either. I wanted to help them. I didn’t realize that I was also secretly or unconsciously trying to find help for myself.

I looked up the symptoms we all shared. They fit the basic definition for adjustment disorder as follows: “An adjustment disorder with depressed mood means that you feel hopeless and sadder than would be expected after a stressful event. Many kinds of events can cause stress, such as moving, changing schools or jobs, marriage, the birth of a child, the loss of a relationship, or a severe illness.” It is interesting that it doesn’t say anything about returning from deployment, but the reference to changing jobs was close enough. It made sense.

I now had a mission. I had purpose. I decided to go up the chain of command and bring my revelations to light. Guess what happened. No one above me really knew what to do about these things. They kept saying the VA handles mental health problems after war. I had some marginal support, but for the most part, no one wanted to do the work required to build a new system or fund a new system to help Soldiers. I suppose it is to be expected that people avoid change. I searched high and low and made it all the way up the chain to the General. He was interested. It didn’t go any further, even after I approached a few congressmen and the governor. Again, they felt systems were in place and Soldiers would be fine.

Well, I was at the end of the mission again. I picked up a few more chores. I was largely dissatisfied. I became angry and depressed. My work suffered. My superiors showed concern but were less than helpful. Those who cared didn’t want to see my career end with a mental health stigma attached, and those who didn’t care just wanted me gone. I was at the end of my career. I had twenty years of service. I was due for promotion to Lieutenant Colonel, but it seemed pointless so I retired. I decided to open a business helping people with depression and anxiety. It seemed to fit.

I know that all sounds like a wonderful ending, but it was hard, and far from over. I relocated our family to Arkansas where my wife had been raised. I left my friends and family behind in South Carolina. I went to work building Thriveworks Counseling. It kept me busy. It gave me purpose. It was pretty much all I focused on. Within a few years, we were doing well in the business. We had clients and employees. My wife and I had built systems that really worked well, and I all but worked myself out of a job. I was at the end again. I ran out of purpose. The mission was pretty much over, so we built another office in the next city. I was back on top again, but that mission ended too, and I realized I wasn’t happy. I was working and managing to get by, but I wasn’t happy.

At this point, if you see a long series of behavior stimulated by need for emotional change, then you have two sides of the triangle. Behavior, emotion, and cognition all affect each other cyclically. When I was highly engaged DOING things, I felt empowered. My behavior affected my emotional state. When I had no purpose, behavior dropped off and I felt like crap (depressed). I then stressed until I found things to do (anxiety).

Do you see these elements in your life? When you were having a blast in school were you emotionally on top of the world? When you had purpose did you feel driven? Did the thought of graduating from high school or college keep you focused? What about that dream job or that one group of friends that felt like heaven? These are all behavior-driven emotional circumstances. It feels like a coincidence when it happens, but we can build this system if we understand it.

So what about the third side of the triangle? What can we do with cognition?

I realized that I felt better when I was active. I realized that behavior changed my emotional state. The more I thought about it (cognition), the more I learned I could set myself up for success. Cognition is the process of thinking and metacognition is thinking about thinking. I started thinking that I needed to plan for behavior, so I could enjoy a better emotional state. I needed to be prepared for the “end of mission blues.” I am now able to predict the onset of the various symptoms associated with depression and in particular adjustment disorder. Can you?
In very simple terms, we must learn to see the train coming, hear its horn warning us, and be able to get off the tracks in time to avoid a catastrophe. If you can see it and hear it coming, then you too can cognitively prepare, establish habits in behavior, and enjoy fewer emotional lows. Lastly, we absolutely must recognize the high points. We need to share our successes with a friend, post on social media, and even dance a little jig when we are happy. Celebrate the victories! This is a cognitive exercise that reinforces those good habits in behavior and ultimately changes our emotions.

If you would like to learn more about beating depression, avoiding anxiety, and ultimately practice these skills with an expert, then give Thriveworks Maumelle a call. Call us today at 501-404-9737 for a location near you.

By Curtiss Robinson

Thriveworks Counseling Maumelle

People Love Our Providers!

Overall Rating: 5★★★★★ based on 16 5 1 16 reviews. See all reviews
Thriveworks Counseling Maumelle

Better than I imagined!!!

★★★★★
I cannot say enough good about this place. They honestly do strive to get you in to see a practitioner quickly. And the importance of being seen soon to someone who is at a bad psychological point cannot be understated. It can, literally, mean the difference between life and death. After years of no longer being able to trust mental health providers due to so much misdiagnosis I reached out to Thriveworks. I asked for a particular practitioner, and they had me in to see her the following day. Kristy's approach was welcoming, empathetic, friendly, and down-to-earth. She did not speak down to me as a patient, but she made a comfortable effort to connect from the beginning. Gaining my trust over several weeks she was able to start showing me some things no one ever took the time to extract. She found me at the precipice of a terrible situation and worked me back from the ledge. Her input to Zack, along with his personable and empathetic personality, finally got me on medications that actually have improved my situation more than I could have ever imagined. The combination of her therapy and the medications have me, for the first time in decades, recognizing a hope for the future. All I can say is if you are that person who has lost hope and feels as though you have no purpose, let the Thriveworks team have a chance to show you a you even you didn't know existed. Without hyperbole I can honestly say I owe my life going forward to Kristy and Zack.
Thriveworks Counseling Maumelle

Review

★★★★★
After working with Zack for a year I would say that he is very dependable and does show concern for his patients. There is never any problem with following hospital policy. Always a good man to have on your team.
Thriveworks Counseling Maumelle

Zack’s Great

★★★★★
Zacks a wonderful guy to see. He really listens to all your concerns and explains your treatment options in detail. Anyone that sees him is going to feel comfortable talking to him and not have that feeling as if your talking to a stranger.
Thriveworks Counseling Maumelle

Relief FINALLY

★★★★★
I've dealt with severe anxiety and depression for as long as I can remember, and have seen multiple providers to try and get control of my emotions. I thought I was a lost cause until I found Zack. He was the first "medicine guy" that I met with that actually got me! He has a calming demeanor and had me very comfortable from the very first appointment. He's easy to work with and actually cares about how I'm feeling! Seeing Zack was the best decision I could have made. Now I'm feeling much better and finally feel like I can breathe. Thank you Zack and Thriveworks for all you do!
Thriveworks Counseling Maumelle

Awesome

★★★★★
I would like to thank you for helping out a family member in need. North Little Rock isn't far away and that made everything easy for a depression/anxiety patient. Office was easy to get to.
Thriveworks Counseling Maumelle

Speaking engagement

★★★★★
Curtiss Robinson gave an excellent presentation at the Senior Services Network meeting this month. He was very engaging with the group and we all learned something to improve our relationships.
Thriveworks Counseling Maumelle

Senior Network

★★★★★
We had the privilege of having Curtiss Robinson speak at our Senior Services Network lunch, he did a great job. Excellent speaker, kept everyone engaged, his message on building relationships was timely and practical.
Thriveworks Counseling Maumelle

Ms. Buffington Works

★★★★★
Ms. Tenethrea Buffington is the best! I went in telling her that I didn't believe in coaching/therapy, well I was wrong. She help me in my difficult situation and I could not be more happy with where I stand with it.
Thriveworks Counseling Maumelle

Curt robinson

★★★★★
Curt was very helpful when helping me cope with my problems. During our sessions he helped me gain my confidence back and not only helped me with my codependency especially but also helped keep my head up while trying to find employment
Thriveworks Counseling Maumelle

Priceless

★★★★★
Outstanding! Curtiss helped me navigate my way through a challenging career melt down. He taught me how to create a successful positive out of a negative situation...a valuable life skill...I can't than him enough for all he did to help me find my inner calling .
Thriveworks Counseling Maumelle

New location

★★★★★
extremely excited the new location is opening this week.
Thriveworks Counseling Maumelle

Most Talented Coach in America

★★★★★
I have worked closely with Curtiss as my Coach for 2 months. Curtiss is the most talented individual I have ever met. He has the skills, employs them in his life, and knows how to transfer his skills and abilities to make it relevant and fun. The administrative aspects of Thriveworks, such asheduling is excellent, efficient and accessible. Anyone is privileged to be able to work with Curtiss and his staff. I consider myself most fortunate to be working with Curtiss.
Thriveworks Counseling Maumelle

Healthcare Media Specialist

★★★★★
My experience with was excellent! I had a neighbor that was in desperate need of assistance. We brought her to and they were able to get this lady pointed in the right direction very quickly. I have also recommended to some of my co workers for family and life coaching. This company really cares and I would recommend them to anyone. Great Job Thriveworks.
Thriveworks Counseling Maumelle

really cares!

★★★★★
One of the things that stands out to me about is how much they care about their clients. Being able to book an appointment within 24 hours is exceptional service. I'm so glad they opened up a new office in Maumelle.
Thriveworks Counseling Maumelle

Business Coaching

★★★★★
Curtiss Robinson and his staff at are very professional and treat me with courtesy and respect each time I go for an appointment. I have used many times for business coaching sessions, and their personalized plan not only grew my business, but also helped with time management in other areas of my life.
Thriveworks Counseling Maumelle

WORKS!!!

★★★★★
One of the most important factors when searching for counseling is finding counselors who are genuine and who truly care. The team has always been dedicated to each clients fullest potential in improving their outlook on their every day life. Each client is treated with utmost respect and hospitality. Each coach/counselor works with each client to build personal, multiple step, processes to reach each goal set into place. You will not find a more dedicated team to assist with anything and everything that you may be experiencing.
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Thriveworks Counseling

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  • 102 Country Club Pkwy a
    Maumelle, AR 72113

  • Mon-Fri:6AM-11PM
    Saturday:6AM-5PM
    Sunday:7AM-4PM

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