Dr. Scott BradyThe Brady Institute for HealthFlorida Hospital Celebration

407-876-1888www.BradyInstitute.com

The EPIDEMICThe EPIDEMIC• An August 2003 survey by The Florida Pain Initiative

(FPI), confirmed that Florida has a pain epidemic, with four out of five Florida households containing at least one member who experienced at least monthly pain.

• 57 percent of Americans suffer from chronic pain or recurrent pain saying they suffer pain on at least a monthly basis in survey results released by Research America in September 2003

CHRONIC PAIN EPIDEMICPhilosophical Problems

“The fundamental difficulties in treating disabling chronic pain lie in the philosophical and structural underpinnings of medicine. Cartesian Cartesian dualism and notions of the ‘body as dualism and notions of the ‘body as machine’machine’ permeate the culture of contemporary medicine.”

Jacobson and MarianoConsiderations of Chronic Pain, p.242Textbook of Pain, 2000

Renes Descartes (1596-1650)

• A French mathematician, philosopher and anatomist, Descartes is considered the founder of modern philosophy.

• Descartes mode of thinking is called Cartesian. This proposes a basic division between mind and

matter. "There has to be a rational explanation for this!"

The Cartesian “Split”(Philosophical underpinnings of modern-day Body Medicine)

BODY

Mind

Spirit

The DOCTOR

The Psychologist

The Pastor

MIND MIND BODYBODY (Thoughts and Emotions) (Physical Symptoms)(Thoughts and Emotions) (Physical Symptoms)

Family Death (GRIEF) Stomach Ache Loss of Appetite

Work Stress (ANXIETY) Tight ShouldersTension Headache

Marital issue (ANGER) Migraine HeadacheBowel’s Cramp

The MIND-BODY Connection

Mind-Body DisordersMind-Body Disorders(What the Studies are Showing)

Cardiac: HTN, CVDSkin: Acne, PsoriasisPsych: Depression, AnxietyGI: Irritable Bowel, GastritisImmune: Cancer, ?Rheumatologic (RA)Muscles: Chronic PainNeuro: Headaches

Mind-Body Health IssuesMind-Body Health Issues

Heart Muscles

SkinG.I.

Immune System Neuro

PsychMortality

HEARTHEARTDepression & Heart Disease

Study: 7,893 people for 10 years

This study found that depressed women faced a 73% higher heart disease risk than non-depressed women. Depressed men had a 71% higher heart-disease risk and were 2.3x more likely to die than non-depressed men.

Archives of Internal MedicineMay 2000

HEARTHEARTAnger and Heart Attacks

Study: 13,000 adults for 6 years

People who are anger-prone are nearly three times as likely to have a heart attack. The connection between anger and heart attacks held true even after researchers took into account other major risk factors such as HTN, High Cholesterol, Smoking and Obesity….

Federichi, WilliamsCirculation 2000

Mind-Body Health IssuesMind-Body Health Issues

Heart Muscles

SkinG.I.

Immune System Neuro

PsychMortality

SKINSKINIt is only recently that Western physicians are rediscovering

the link between thought and health…. Most of the Most of the common SKIN problems such as adult acne, rosacea, common SKIN problems such as adult acne, rosacea, eczema, psoriasis… may be directly influenced by the eczema, psoriasis… may be directly influenced by the patients thoughts and emotions.patients thoughts and emotions. Mind-body interventions can improve SKIN conditions and, in most cases, quality of life.

Arch Deratol. 1998

Mind-Body Health IssuesMind-Body Health Issues

Heart Muscles

SkinG.I.

Immune System Neuro

PsychMortality

PsychoNeuroImmunology(PNI)

Studies the influence of psychological factors (esp. STRESS) on many conditions:

• Immune System Function• Cancers• Rheumatologic conditions• Cardiovascular disease• Arthritis• Infections

Mind-Body Health Issues

Heart Muscles

SkinG.I.

Immune System

Neuro

PsychMortality

Life-ExpectancyLife-ExpectancyOptimists vs. Pessimists

(Survival Rate over 30 years)

“A pessimistic explanatory style, as measured by the Optimism-Pessimism scale of the MMPI, is significantly (19% increase) associated with mortality”

Mayo Clinic Proc. 2/2000

What about the Spirit?

BODYBODY

MINDMIND

SPIRITSPIRIT

MIND-BODY-MIND-BODY-SPIRIT SPIRIT CONNECTIONCONNECTION

Medical Studies show that “Spiritual Health” impacts…

• Blood Pressure Reduction• Heart Attack recovery• Immune System function• Depression recovery• Chronic Pain recovery• Arthritis recovery

Physical Health & Spiritual Health

• An Additional 350 studies have examined religious involvement and health. The majority of these have found that religious people are physically healthier, lead healthier lifestyles, and require fewer health services … adding 7-14 years to life.

JAMA 10 / 2000

The Problem with BODY MEDICINE

• Back Pain > 30 days 100 Million– Chronic Lower Back Pain 10 Million– Chronic Upper Back Pain (Neck & Shoulder)

• Sciatic nerve Pain• Fibromyalgia 5 Million• Migraine Headaches 45 Million• Tension Headaches 35 Million• Irritable Bowel Syndrome 30 Million• Insomnia 20 Million

??? WHERE’S THE CURE ???

MY StoryMY Story–Lower Back PainLower Back Pain – Buttocks/Hip Pain– Heart Burn– Abdominal Cramps– Insomnia

Multiple diagnoses & RxMultiple diagnoses & Rx(but no CURE)(but no CURE)

– Degenerative Disk Disease (DDD)– Scoliosis– Sciatic Nerve Pain– Gastritis– Irritable Bowel Syndrome– Insomnia– Early Fibromyalgia

RECOVERYRECOVERY

• Dr. John Sarno - NYU• Mind-Body Paradigm• PAIN FREE in 6 week

The Brady Institute for Health est. 2000

BODYBODY

MINDMIND

SPIRITSPIRIT

Brady Institute StudyAOS Complaints

1. Lower Back & Sciatic Pain 50%2. Fibromyalgia 20%3. Chronic Neck & Shoulder 20%4. Myofascial Pain 8%5. Sciatic Nerve Pain only 2%

*Brady Institute Study**Brady Institute Study*Results

ImprovementImprovement 8 weeks8 weeks 6-months6-months 80-100%80-100% 78%78% 81%81% 60-79%60-79% 6%6% 7%7% 40-59%40-59% 4%4% 2%2% 20-39%20-39% 6%6% 5%5% 0-19%0-19% 6%6% 5%5%

Autonomic Overload Syndrome

Autonomic – The Autonomic Nervous System (ANS) is the main driver of the symptoms

Overload- A build-up of Stress, Repressed Emotions, Pressure & Responsibility “Overload” the ANS

Syndrome - When this happens, you can get many different symptoms.

*AOS Definition*

Autonomic Overload Syndrome is a group of chronic pains and other symptoms caused by harmful levels of stress, pressure, and repressed strong negative emotions that have built up in the subconscious mind.

The AOS Pain Catalogue

• Lower Back Pain• Upper Back Pain

(Neck & Shoulder)• Sciatic nerve Pain• Fibromyalgia• Migraine or Tension

Headaches• Irritable Bowel

Syndrome (IBS)

• Myofascial Pain Syndrome

• Plantar Fasciitis• Achilles tendonitis• Tennis Elbow• Psoriasis and other

skin conditions• Insomnia• Heartburn or reflux

The BrainThe Brain

SUBCONSCIOUS BRAIN SUBCONSCIOUS BRAIN #1#1

Controls the Autonomic Nervous System

What’s turning the ANS up?What’s turning the ANS up?

2. The Subconscious Brain is the Storehouse of REPRESSED Emotions – created from Stress, Pressure, Life events, and your Personality

STRESS StudySTRESS StudyStress Is Damaging when there is:

• Too Much Stress • Too Frequent Stress (it accumulates)• Not enough time between Stressors

McEwen, BruceN.E.J.M. 1/15/1998

REPRESSION

Unmasking YourPain-Prone Personality

• Are you a Perfectionist?• Are you a People Pleaser?• Are you a Legalist?• Are you a Stoic?• Are you a Fear Prone?

PERFECTIONISTPERFECTIONIST• Driven , Highly Motivated, Self Critical• Responsible , conscientious, guilt-laden• Set “impossible” standards and goals• Hates being wrong or corrected• All or Nothing • A CONTINUOUS SOURCE OF ANGERSOURCE OF ANGER SINCE WE

AND OTHERS CAN NEVER REACH IT … AND IF WE DO, WE MUST DO IT AGAIN TOMORROW!!!

The Perfectionist MottoI must be perfect and right … I refuse to be average.

Others should watch what I do and say – and then follow my lead

There are two ways of doing things in life: my way and the wrong way.

If I do fail, I’ll just try harder … I hate it when I make mistakes.

I cover up my faults, my failures, and my inadequacies.Life is hard, my lists are long, and I live with constant

pressure.Life is fun when I can get everything done – the right way.

People PleaserPeople Pleaser• The need to be “good”, liked by everyone• Helpful, sacrifices own needs for others• Doesn’t like stress in relationships• Usually Happy, Sweet, non-confrontational• A CONTINUOUS SOURCE OF ANGERSOURCE OF ANGER; TAKES

ENERGY TO BE NICE, MUST REPRESS “UGLY” THOUGHTS... RELATIONSHIPS INVOLVE CONFLICT, STRESS, AND DISAPPOINTMENTS.

People Pleaser MottoI must be good, and nice … I’m not a bad or selfish person.I will be happy, pleasant, and liked by everyone.Whatever you do, please don’t reject me.I will put others before myself, because that’s the good thing to do.Of course, it takes a lot of energy to smile and be nice all the time,

but I can usually swallow my anger and or bad thoughts I have.Close relationships are hard for me – because I hate conflict.If I told people what I really think , they’d be shocked!

*5 Step Treatment Plan**5 Step Treatment Plan*1. Make the Mind-Body Connection (5 min)2. Take Control over your subconscious

mind (5 min)3. Depth Journaling (20 min)4. Prayer and Meditation (daily)5. Physical Activity (resume)

1. Make the Mind-Body 1. Make the Mind-Body ConnectionConnection

• Acknowledge the Psychological cause– Close the door to the Physical explanations– Open the door to the Psychological

• Think of your symptoms in terms of your Repressed Emotions ONLY

• Take your “Mind’s eye” and look DOWN

3. Write About Your Emotions3. Write About Your Emotions

Depth-Journaling - Depth-Journaling - Focus your attention Focus your attention ENTIRELY on Repressed Negative ENTIRELY on Repressed Negative Emotions buried in your subconscious mindEmotions buried in your subconscious mind

Anger / Irritation / Frustration / Anxiety / Fear / Guilt

• What Pressure do I feel?• What Responsibility do I feel?• Do I feel out of Control?

Where are the Emotions?

THE PRESENTLife’s outside Pressures

• Negative AND Positive pressures• Work• Family - Being the perfect parent / spouse• Money Issues , Debt • Illness • Taking care of family members• Aging , your own mortality• ANY changes - GOOD OR BAD• Not being IN CONTROL !!!

ANGERBothered

Disappointed Hurt FrustratedIrritatedTicked-OffAngryEnraged !!!

4. Prayer and Meditation4. Prayer and Meditation• How is my Spiritual Health?• Father, what’s in my Heart?

Meditation: What do you think about when you’re not thinking about anything?

Whatever is Good and Lovely and excellent and

Worthy of Praise.

Spiritual Health:A Connectedness and trust in God that

involves confession, forgiveness, and belief – and results in a pervasive sense of hope, peace, comfort, meaning, and release from

guilt, fear, and pressure.

“My guilt has overwhelmed me … my wounds fester … my back is filled with searing pain. There is no health in my

body … My strength fails; even the light has gone from my eyes …. My pain is ever with me ….. I am troubled by my sin….”

Spiritual DistressSpiritual Distress-GuiltGuilt - Shame- Shame-AnxietyAnxiety - - CondemnationCondemnation

King David: Psalm 38

Spiritual HealthLegalism vs Grace

“You who are trying to be justified by law have been alienated from Christ; you have fallen away

from grace.”Galatians 5:4, NIV

“What happened to all your joy?” Galatians 4:15, NIV

*Benefits of Spiritual Health*Benefits of Spiritual Health * *

With Healthy Spirituality: • Fear is replaced with HOPE. • Condemnation is replaced with LOVE.• Anxiety is replaced with INNER PEACE.• Inner turmoil is replaced with COMFORT.• Isolation and loneliness is replaced with

CONNECTION WITH GOD.• Meaningless is replaced with MEANING IN

LIFE.• Doubt and uncertainty are replaced with

assurance about YOUR LIFE.

Koenig. Duke University

Whole Person Health

BODYBODY

MINDMIND

SPIRITSPIRIT

Thank You

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