Copyright 2012 - Lighthouse Network1. For if you remain silent at this time, relief and deliverance...
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Transcript of Copyright 2012 - Lighthouse Network1. For if you remain silent at this time, relief and deliverance...
Copyright 2012 - Lighthouse Network 1
• For if you remain silent at this time, relief and deliverance for the Jews will arise from another place, but you and your father’s family will perish. And who knows but that you have come to your royal position for such a time as this?
Copyright 2012 - Lighthouse Network 2
Copyright 2012 - Lighthouse Network 3
Integrating Science and Faith to Renew Your Mind
What God taught me through my psychiatric training and my own addiction
Karl Benzio, MD
Copyright 2013 - Lighthouse Network
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 6
Science and FaithScience and Faith
• Darwin and Freud
• Faith: the assurance of things hoped for, the conviction of things not seen.• Science: Hard Data, Measurables• Definitions Collide• Do they work together?
Copyright 2012 - Lighthouse Network 7
Science and FaithScience and Faith
Science is:• The study of what God made
• Understanding how He designed it to work
• Learning how to maximally steward it for God’s glory and our abundant living
Copyright 2012 - Lighthouse Network 8
God’s Great God’s Great GiftsGifts
MindFree Will: Decision Making
Copyright 2012 - Lighthouse Network 9
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.
What is Addiction?
Copyright 2013 - Lighthouse Network
DSM 4 TR… Substance Abuse
One or more of the following:• Failure to fulfill major obligations at work, school or
home • Use when physically hazardous • Recurrent legal problems • Recurrent social or interpersonal problems
Copyright 2013 - Lighthouse Network
DSM 4 TR…
Substance Dependence (Addiction)
Three or more of the following:• High or increased Tolerance• Withdrawal• Consumption of larger amounts over longer
period of time than intended
Copyright 2013 - Lighthouse Network
DSM 4 TR…
Substance Dependence (Addiction)
Three or more of the following (cont):• Unsuccessful efforts in cutting down• Significant time spent obtaining, using, thinking about or
recovering from the substance• Substance time replaces social, occupational, or
recreational activities• Continued use despite adverse consequences physical,
psychological (spiritual)
Copyright 2013 - Lighthouse Network
DSM 5: Substance Use Disorders
• Not using the word ‘addiction’• Behavioral Category – gambling(was Impulse DO)• Considered Sex, Eating, Caffeine, Internet• Internet Gaming and Caffeine Use DO will be in
the appendix• Use same 11 Criteria but:• Craving will be added, Legal issues dropped• 0-1, 2-3, 4-5, 6+
Copyright 2013 - Lighthouse Network
American Society of Addiction Medicine Addiction is a primary, chronic disease of brain
reward, motivation, memory and related circuitry.
Dysfunction in these circuits leads to characteristic biological, psychological, social, and spiritual manifestations.
This circuitry and resultant manifestations lead to the individual pursuing reward and/or relief by substance use and other behaviors.
Copyright 2013 - Lighthouse Network
American Society of Addiction Medicine
•Inability to consistently Abstain;•Impairment in Behavioral control;•Craving•Diminished recognition of problems with one’s behaviors and interpersonal relationships; and•A dysfunctional Emotional response.
Copyright 2013 - Lighthouse Network
5 Levels of SA/Addiction• EXPERIMENTAL USE: trying substance once or twice.• RECREATIONAL USE: using a substance socially, only with friends or
at a party• CIRCUMSTANTIAL USE: using a substance to escape or avoid
personal problems or life circumstances OR using a substance to get through a challenging situation (e.g.: taking caffeine-laced pills to stay awake to study for exams).
• INTENSIFIED USE: increasing over a long period of time. This describes the regular user who experiences on-going symptoms because of their drug use (physical, psychological, emotional, spiritual).
• COMPULSIVE USE: True addicts who can’t “voluntarily” give up their substance abuse. They can no longer choose not to use, and suffer significant life and heath disruption because of their addiction.
Copyright 2013 - Lighthouse Network
Bible Definition• Exodus 20:3 You shall have no other gods
before Me.• Exodus 20:4,5 You shall not make for
yourself an idol, or any likeness of what is in heaven above or on the earth beneath or in the water under the earth. You shall not worship them or serve them; for I, the Lord your God, am a jealous God,
Copyright 2013 - Lighthouse Network
Bible Definition
• Mark 12:30 – Greatest Commandment
• Ezekiel 14 Idols of the heart lead to destruction. God condemns
Copyright 2013 - Lighthouse Network
Real Addiction• Rom 7:15 For what I am doing, I do not understand;
for I am not practicing what I would like to do, but I am doing the very thing I hate
• 17So now, no longer am I the one doing it, but sin which dwells in me. 18For I know that nothing good dwells in me, that is, in my flesh; for the willing is present in me, but the doing of the good is not. 19For the good that I want, I do not do, but I practice the very evil that I do not want. 20But if I am doing the very thing I do not want, I am no longer the one doing it, but sin which dwells in me. Copyright 2013 - Lighthouse Network
Real Addiction
• Goes deeper than behavior or brain chemistry.• Worship is: Perceiving God accurately and responding
appropriately• Addiction: Misplaced Worship, Worshipping the wrong
thing• Addiction: Promoting something other than Jesus to the
center of your life/heart• Solomon: all is vanity, under the sun
Copyright 2013 - Lighthouse Network
Real Addiction• Why Addiction: coping skill to ‘help’ deal with life/stress– Circumstantial Use
• We all have behaviors to help us cope with life/stress that qualify as addictions that grow out of the idols in our heart
• Benzio Definition of Addiction: – Choosing or pursuing something other than God (or Him +
the healthy solution He provides) in a habitual, patterned, or repetitive way to get a particular need/needs met
– A Coping mechanism not focused on God
• We’re ALL addicted to ……….. ComfortComfortCopyright 2013 - Lighthouse Network
Real Addiction
• Addiction Role = Coping skill for stressor management
• Addiction Goal = COMFORT
• Addiction Object = the element we turn to thinking it delivers the comfort we desire– Usually a process rather than a concrete object
• Trading addictions • Treatment: Needs to get at the root issues that cause
discomfortCopyright 2013 - Lighthouse Network
KarlKarl’’s s StoryStory
Why did I become a
psychiatrist?
Copyright 2012 - Lighthouse Network 24
Karl’s First Karl’s First BeerBeer
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Copyright 2012 - Lighthouse Network 26
Hardware!
Copyright 2013 - Lighthouse Network
Copyright 2013 - Lighthouse Network
Copyright 2013 - Lighthouse Network
S.P.E.C.T. Scans
• Single Photon Emission Computerized Tomography
• A sophisticated nuclear medicine study that looks directly at cerebral blood flow and indirectly at the brain activity (or metabolism)
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
Copyright 2013 - Lighthouse Network
Normal Brain-Top
Copyright 2013 - Lighthouse Network
Normal Brain-Bottom
Copyright 2013 - Lighthouse Network
Normal Brain-Active Views
Copyright 2013 - Lighthouse Network
Motorcycle Accident
Copyright 2013 - Lighthouse Network
Alzheimer’s Disease
Copyright 2013 - Lighthouse Network
25 year Heroin Addiction - 39 yo
Copyright 2013 - Lighthouse Network
10 yr Heroin then 7 yr Methadone - 40 yo
Copyright 2011 - Lighthouse Network
16 Years of Daily THC (Tetrahydrocannibinol) Use 32 yo
Copyright 2013 - Lighthouse Network
2 Years of Daily Marijuana Abuse - 16 yo
Copyright 2013 - Lighthouse Network
10 Years of Mostly Weekend Marijuana Use 28 yo
Copyright 2013 - Lighthouse Network
2 Years of Frequent Cocaine Use - 24 yo
Copyright 2013 - Lighthouse Network
17 Years of Heavy Weekend Alcohol Use 38 yo
Copyright 2013 - Lighthouse Network
17 Years of Heavy Weekend Alcohol Use 38 yo
Copyright 2013 - Lighthouse Network
27 Year Daily Heavy Cigarette and Coffee Use 45 yo
Copyright 2013 - Lighthouse Network
PolySubstance Abuse and then 1 yr Clean
Copyright 2011 - Lighthouse Network
Depression
Copyright 2013 - Lighthouse NetworkBefore Treatment After Treatment
PTSD, Depression, and Anxiety Before and After St. John’s Wort and EMDR
Copyright 2013 - Lighthouse Network
Images of PMS
Copyright 2013 - Lighthouse NetworkDay 2 of Cycle (Worst Time)
Day 10 of Cycle (Best Time)
Hardware SummaryHardware SummaryDisease AspectDisease AspectOur brains are dynamic organsOur brains are dynamic organs
• Our brains can be injured or diseased easily
• Our brains can be strengthened or renewed
• Not just born this wayCopyright 2012 - Lighthouse Network 49
Hardware SummaryHardware Summary
How does the brain malfunction?
We need a system that addresses all three spheres:
SpiritMindBody
Copyright 2013 - Lighthouse Network
Body, Mind, & Spirit
• Body – mechanical, physical, and biochemical functions–Above and below the neck
• Mind - mental processes and behavior, the mind, heart, will, personality, cognitions, emotions, executive functions
Copyright 2013 - Lighthouse Network
Body, Mind, & Spirit• Spirit – Inner– immaterial–our eternal part – allows relationship with God–encodes our uniqueness–differentiates us from other animals– allows unique relationships with others
• Spirit – Outer– Trinity, angels, Satan, Heaven, Hell
Copyright 2013 - Lighthouse Network
Spirit, Mind, & Body Integration
• Spirit – inner/outer; Owner/Designer
• Mind – Operating System
• Body – Physical Hardware
• External Events – Software, Viruses
Copyright 2013 - Lighthouse Network
Mind of Christ!
Jesus’ Brain = Perfection!
1.Perceived everything from a Godly perspective
2.Responded with Biblical skills
Copyright 2013 - Lighthouse Network
BrainWorks – My Brain
Based on new scientific research, my brain does 2 things
1. Perceives2. Responds
Copyright 2013 - Lighthouse Network
BrainWorksBrainWorks Research Research
Skin
GI / Cardiac
Panic Disorder Study
Copyright 2012 - Lighthouse Network 56
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 57
What determines accurate Perception and Response?Holy Bible – God’s Instruction Manual
DM: Science and Faith Meet
Integration and DM are Key!Integration and DM are Key!
Copyright 2012 - Lighthouse Network 58
Mind
SpiritBody
Decision-Making Decision-Making ==
Spirit, Mind, & Body
IntegrationIntegration
AddictionAddiction
• Everyone struggles• Everyone has a Go-To coping skill• Spiritual issue– Processing stress poorly
• Psychological Issue– Poor decision: Looking in the wrong
place
• Biological circuit damage
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SummarySummary• BH Revolution• Society, Life Mngmt Revolution• You are a catalyst• Science and Faith need to be combined• Addiction is a deep issue, not just a
behavior• SMB Integration is key to understanding• DM is the intersection of Science and
Faith, as well as SMB
Copyright 2012 - Lighthouse Network 60
Any Questions?Any Questions?
Copyright 2013 - Lighthouse Network