Upload
kelly-gervase-harrington
View
216
Download
0
Tags:
Embed Size (px)
Citation preview
A Medical and Spiritual Perspective
on Depression toDismantle the Stigma
Mind
Spirit
Body
Integrating Integrating Mind, Body Mind, Body and Spirit and Spirit
HELP! I prayed, took meds, and love
my mother!I’m DYING
Psychological Defect-Tell me
about your mother!
Sin- Have more Faith!
Disease- Take your MEDS!
Copyright 2012 - Lighthouse Network 2
TodayToday’’s Goalss Goals
• Know how the Bible and Science relate• 3 Sphere SMB Model for Behavioral Health
Issues• Powerful Spiritual Discipline of Decision-
Making– Emotions
• Depression– Why and Treatment
• Practical Equipping for You– Personally, Ministry to others– Today– Matrix Moments
Copyright 2012 - Lighthouse Network 3
Why is this Important?
Copyright 2012 - Lighthouse Network 4
StatisticsStatistics
• 9 % adults with Significant Depression this year13.4% female 6.7% male F:M = 2:1
• 17% lifetime adult prevalence Major Depression20-26% F 10-13% M
• 28 % lifetime prevalence Minor Depression
• 20% Adjustment DO with Depressed MoodCopyright 2012 - Lighthouse Network 5
StatisticsStatistics
• 2% lifetime prevalence Bipolar Disorder
• 4% lifetime prevalence Dysthymia
• WHO: 2010 Depression is #1 YLD (yrs living with disability)
• WHO: 2010 Depression is #1 DALY (lost years due to premature death + disability years)
Copyright 2012 - Lighthouse Network 6
Suicide Epidemic
1. Heart disease: 5952. Cancer: 574 (Lung 158, Blood 55, Colon 52,
Breast 41)3. Chronic lower respiratory diseases: 1384. Stroke (cerebrovascular diseases): 1295. Accidents (unintentional injuries): 1186. Alzheimer's disease: 837. Diabetes: 698. Nephritis, nephrotic syndrome, and nephrosis:
50.59. Influenza and Pneumonia: 5010.Intentional self-harm (suicide): 38
Copyright 2012 - Lighthouse Network 7
Jeremiah 29:11Jeremiah 29:11
For I know the plans I have for you, declares the Lord, plans for welfare and not for evil, to give you a future and a hope.
Copyright 2012 - Lighthouse Network 8
1 Corinthians 6:19-20
“Or do you not know that your body is a temple of the Holy Spirit within you, whom you have from God? You are not your own, for you were bought with a price. So glorify God in your body.”
Copyright 2012 - Lighthouse Network 9
Romans 12:1-2Romans 12:1-2“I appeal to you therefore, brothers, by the
mercies of God, to present your bodies as a living sacrifice, holy and acceptable to God, which is your spiritual worship.”
“Do not be conformed to this world, but be transformed by the renewal of your mind, that by testing you may discern what is the will of God, what is good and acceptable and perfect.”
Copyright 2012 - Lighthouse Network 10
Isaiah 61:1Isaiah 61:1
The Spirit of the Lord GOD is upon me, Because the LORD has anointed me To bring good news to the afflicted; He has sent me to bind up the brokenhearted, To proclaim liberty to captives And freedom to prisoners.
Copyright 2012 - Lighthouse Network 11
SpiritualSpiritual WarfareWarfare
Copyright 2012 - Lighthouse Network 12
Science and FaithScience and Faith
• Darwin and Freud
• Faith: Now faith is the assurance of things hoped for, the conviction of things not seen.
• Definitions Collide• Do they work together?
Copyright 2012 - Lighthouse Network 13
Science and FaithScience and Faith
Science is:–The study of what God made–How it works–How we can maximally steward it for God’s glory and our ultimate growth/fulfillment in Him
Copyright 2012 - Lighthouse Network 14
God’s Great God’s Great CreationsCreations
MindFree Will: Decision Making
Copyright 2012 - Lighthouse Network 15
Science is a tool.Science is a tool.So let’s not ignore the science.
Science is a tool.Science is a tool.So let’s not ignore the science.
Your wish Your wish is my is my
command!command!
SOLOMONSOLOMON1 Kings 3:5, 9-11
The Most Important The Most Important Spiritual Discipline:Spiritual Discipline:
Copyright 2012 - Lighthouse Network 18
Deuteronomy 30Deuteronomy 30
10 The Lord your God will delight in you if you obey his voice and keep the commands and decrees written in this Book of Instruction, and if you turn to the Lord your God with all your heart and soul.
Copyright 2012 - Lighthouse Network 19
11This command I am giving you today is not too difficult for you to understand, and it is within your reach.
Copyright 2012 - Lighthouse Network 20
19Today I have given you the choice between life and death, between blessings and curses. Now I call on heaven and earth to witness the choice you make. Oh, that you would choose life, so that you and your descendants might live!
20 You can make this choice by loving the Lord your God, obeying him, and committing yourself firmly to him. This is the key to your life. And if you love and obey the Lord, you will live long in the land the Lord swore to give your ancestors Abraham, Isaac, and Jacob.
Proverbs 4:23Proverbs 4:23
Keep your heart with all vigilance, for
from it flow the wellsprings of
life.
Copyright 2012 - Lighthouse Network 21
2 Corinthians 10:3-62 Corinthians 10:3-6For though we walk in the flesh, we do not war according to the flesh, for the weapons of our warfare are not of the flesh, but divinely powerful for the destruction of fortresses.
We are destroying speculations and every lofty thing raised up against the knowledge of God, and we are taking every thought captive to the obedience of Christ, and we are ready to punish all disobedience, whenever your obedience is complete.
Copyright 2012 - Lighthouse Network 22
KarlKarl’’s s StoryStory
Why did I become a
psychiatrist?
Copyright 2012 - Lighthouse Network 23
Copyright 2012 - Lighthouse Network 24
Copyright 2012 - Lighthouse Network 25
S.P.E.C.T. ScansS.P.E.C.T. Scans
A sophisticated nuclear medicine study that looks directly at cerebral blood
flow and indirectly at the brain activity (or metabolism)
Copyright 2012 - Lighthouse Network 26
SinglePhotonEmissionComputerized Tomography
Normal Brain: TopNormal Brain: Top
Copyright 2012 - Lighthouse Network 27
All of the following slides are used with
permission from “Images Into
Human Behavior - A Brain SPECT Atlas” by Daniel
Amen, M.D. © Copyright
2000
Normal Brain: FrontNormal Brain: Front
Copyright 2012 - Lighthouse Network 28
Normal Brain: Normal Brain: BottomBottom
Copyright 2012 - Lighthouse Network 29
Normal Brain: Active Normal Brain: Active ViewsViews
Copyright 2012 - Lighthouse Network30
Motorcycle AccidentMotorcycle Accident
Copyright 2012 - Lighthouse Network 31
Alzheimers DiseaseAlzheimers Disease
Copyright 2012 - Lighthouse Network 32
20 yr Heroin Addiction (39 20 yr Heroin Addiction (39 y/o)y/o)
Copyright 2012 - Lighthouse Network 33
2 Yrs of Frequent Cocaine Use (24 2 Yrs of Frequent Cocaine Use (24 y/o)y/o)
Copyright 2012 - Lighthouse Network 34
10 Yrs of Mostly Weekend 10 Yrs of Mostly Weekend Marijuana Use Marijuana Use
(28 y/o)(28 y/o)
Copyright 2012 - Lighthouse Network 35
17 Years of Heavy Weekend Alcohol 17 Years of Heavy Weekend Alcohol UseUse
(38 y/o)(38 y/o)
Copyright 2012 - Lighthouse Network 36
27 Yr Daily Heavy Cigarette & Coffee 27 Yr Daily Heavy Cigarette & Coffee UseUse
45 y/o 45 y/o
Copyright 2012 - Lighthouse Network 37
Depression Depression
Copyright 2012 - Lighthouse Network 38
Before Treatment After Treatment
Paranoid Schizophrenia:Paranoid Schizophrenia:Before and After Before and After
Medication/TherapyMedication/Therapy
Copyright 2012 - Lighthouse Network 39After Treatment
PTSD, Depression, and PTSD, Depression, and Anxiety Anxiety
Before and After St. JohnBefore and After St. John’’s Wort and s Wort and EMDREMDR
Copyright 2012 - Lighthouse Network 40
Images of PMSImages of PMS
Copyright 2012 - Lighthouse Network 41
Day 2 of Cycle (Worst Time)
Day 10 of Cycle (Best Time)
Hardware SummaryHardware Summary• Our brains are dynamic organs• Our brains can be injured or diseased easily -
Biological problem = Disease• Our brains can be strengthened or renewed• Our brains affect and are affected by other
factors – not just born this way
Copyright 2012 - Lighthouse Network 43
How does the brain How does the brain malfunction?malfunction?
We need a system that addresses all three spheres
Copyright 2012 - Lighthouse Network 44
Mind
Spirit
Body
Body, Mind, & SpiritBody, Mind, & Spirit• Body : mechanical, physical, and
biochemical functions
Copyright 2012 - Lighthouse Network 45
Mind: mental processes and behavior
Body, Mind, & SpiritBody, Mind, & SpiritInner Spiritual• Immaterial• Our eternal part • Allows relationship
with God• Encodes our
uniqueness• Differentiates us
from other animals• Allows unique
relationships with others
Outer Spiritual• Trinity• angels• Satan• Heaven• Hell
Copyright 2012 - Lighthouse Network 46
Spirit, Mind, & Body Spirit, Mind, & Body IntegrationIntegration
• Spirit: inner/outer; Owner/Designer
• Mind: Operating System
• Body: Physical Hardware
Copyright 2012 - Lighthouse Network 47
Goal = Mind of ChristGoal = Mind of Christ
Jesus’ Brain = Perfection!
1.Perceived everything from a Godly perspective
2.Responded with Biblical skills
Copyright 2012 - Lighthouse Network 48
BrainWorksBrainWorks Research Research
Skin
GI / Cardiac
Panic Disorder Study
Copyright 2012 - Lighthouse Network 49
Heart Heart of Transformation: of Transformation: Decision-MakingDecision-Making
• No biological Intervention• But Brain Chemistry Improved/Renewed
Decision-making is exercise for brain• Good decisions = stronger brain• Bad decisions = injured brain
Copyright 2012 - Lighthouse Network 50
What determines accurate Perception and Response?
Integration is Key!Integration is Key!
Copyright 2012 - Lighthouse Network 51
Mind
SpiritBody
Decision-Making Decision-Making ==
Spirit, Mind, & Body
IntegrationIntegration
Integration is Key!Integration is Key!
Decision-Making = Science and Spirituality working together
• God’s instruction manual (the Bible) tells us how to perceive accurately and respond appropriately
• Human instruction manuals harm our abilities to perceive accurately and respond appropriately
Copyright 2012 - Lighthouse Network 52
Copyright 2012 - Lighthouse Network 53
SPEARSSPEARS• All the elements• Right sequence• Requires thought• Requires intention• Requires practice
Copyright 2012 - Lighthouse Network 54
Stimuli
Perception
Emotion
Assessment
Response
Summary Thought
What word do you see?What word do you see?
Copyright 2012 - Lighthouse Network 55
EmotionsEmotions
Copyright 2012 - Lighthouse Network 56
God has lots of God has lots of emotions!emotions!
• Anger – Mat 23, Mark 3, John 2, 2 Kings 24• Jealousy – Exodus 20, Deut 6• Sad/Wept – Luke 19, John 11, Heb 5• Troubled – John 12• Forsaken – Matt 27• Abandoned – Matt 27• Tempted – Matt 4• Worried – Luke 22
Copyright 2012 - Lighthouse Network 57
EmotionEmotion• Warning system• Not a decision-
making system• Distort reality
- Court- Doctors
• Volume Buttons
Copyright 2012 - Lighthouse Network 58
Stimuli
Perception
Emotion
Assessment
Response
Summary Thought
Sadness Sadness or or
DepressionDepression
Copyright 2012 - Lighthouse Network 61
Psych MedsPsych Meds• Cure or Heresy• Our Purpose - 1 Corinthians 6:19-20• Symptom Relief
– Temporary Renewing – Decrease Emotional Volume– Cleaner Lenses
• Diabetes or Heart Disease• Facilitators
Copyright 2012 - Lighthouse Network 62
Romans 12:1-2Romans 12:1-2
I appeal to you therefore, brothers, by the mercies of God, to present your bodies as a living sacrifice, holy and acceptable to God, which is your spiritual worship.Do not be conformed to this world, but
be transformed by the renewal of your mind, that by testing you may discern what is the will of God, what is good and acceptable and perfect.
Copyright 2012 - Lighthouse Network 63
2 Corinthians 10:3-62 Corinthians 10:3-6
For though we walk in the flesh, we do not war according to the flesh, for the weapons of our warfare are not of the flesh, but divinely powerful for the destruction of fortresses.
We are destroying speculations and every lofty thing raised up against the knowledge of God, and we are taking every thought captive to the obedience of Christ, and we are ready to punish all disobedience, whenever your obedience is complete.
Copyright 2012 - Lighthouse Network 64
SummarySummary
• Science and Spirituality do fit together well• Matrix Moments• Learned a sound SMB Integration model• Decision-making is the key spiritual discipline
and core competency everyone needs to learn
• Decision-Making is the exercise of the brain• Need a Strategy – SPEARS DM Model• Emotions – role• Renewing the Mind – temporary and ongoing
Copyright 2012 - Lighthouse Network 65
Lighthouse Lighthouse Network Network HelplineHelpline
• Finds addiction and MH treatment options.• Expertise about all elements of the system• Free to client• Saves the clinician incredible amounts of time• We find great options for struggling people
877-562-2565 x:101
Copyright 2012 - Lighthouse Network 66
Any Questions?Any Questions?
Copyright 2012 - Lighthouse Network 67