Dr. Scott Brady
The Brady Institute for Health
Florida Hospital Celebration
407-876-1888
www.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 Mariano
Considerations 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 Headache
Bowel’s Cramp
The MIND-BODY Connection
Mind-Body DisordersMind-Body Disorders(What the Studies are Showing)
Cardiac: HTN, CVD
Skin: Acne, Psoriasis
Psych: Depression, Anxiety
GI: Irritable Bowel, Gastritis
Immune: Cancer, ?Rheumatologic (RA)
Muscles: Chronic Pain
Neuro: 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 Medicine
May 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-Expectancy
Optimists 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 Study
Stress Is Damaging when there is:
• Too Much Stress
• Too Frequent Stress (it accumulates)
• Not enough time between Stressors
McEwen, Bruce
N.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
FrustratedIrritated
Ticked-OffAngry
Enraged !!!
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
www.BradyInstitute.com