Dr. Scott Brady
The Brady Institute for Health
Florida Hospital Celebration
407-876-1888
www.BradyInstitute.com
The 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 EPIDEMIC
Philosophical Problems
“The
fundamental difficulties in treating disabling
chronic pain lie in the philosophical and structural
underpinnings of medicine. Cartesian
dualism and notions of the ‘body as
machine’ permeate the culture of contemporary
medicine.”
Jacobson and Mariano
Considerations of Chronic Pain, p.242
Textbook 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)
Mind
BODY
The Psychologist
Spirit
The DOCTOR
The Pastor
The MIND-BODY Connection
MIND
BODY
(Thoughts and Emotions)
Family Death
(GRIEF)
(Physical Symptoms)
Stomach Ache
Loss of Appetite
Work Stress (ANXIETY)
Tight Shoulders
Tension Headache
Marital issue (ANGER)
Migraine Headache
Bowel’s Cramp
Mind-Body Disorders
(What the Studies are Showing)
Cardiac:
Skin:
Psych:
GI:
Immune:
Muscles:
Neuro:
HTN, CVD
Acne, Psoriasis
Depression, Anxiety
Irritable Bowel, Gastritis
Cancer, ?Rheumatologic (RA)
Chronic Pain
Headaches
Mind-Body Health Issues
G.I.
Heart
Immune
System
Mortality
Skin
Muscles
Neuro
Psych
HEART
Depression & 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 heartdisease risk and were 2.3x more likely to die than
non-depressed men.
Archives of Internal Medicine
May 2000
HEART
Anger 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, Williams
Circulation 2000
Mind-Body Health Issues
G.I.
Heart
Skin
Muscles
Immune
System
Mortality
Neuro
Psych
SKIN
It is only recently that Western physicians are rediscovering
the link between thought and health…. Most of the
common SKIN problems such as adult acne, rosacea,
eczema, psoriasis… may be directly influenced by the
patients thoughts and emotions. Mind-body
interventions can improve SKIN conditions and, in most
cases, quality of life.
Arch Deratol. 1998
Mind-Body Health Issues
G.I.
Heart
Skin
Muscles
Immune
System
Mortality Psych
Neuro
PsychoNeuroImmunology
(PNI)
Studies the influence of psychological factors
(esp. STRESS) on many conditions:
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Immune System Function
Cancers
Rheumatologic conditions
Cardiovascular disease
Arthritis
Infections
Mind-Body Health Issues
G.I.
Heart
Skin
Muscles
Immune
System
Mortality Psych
Neuro
Life-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?
MIND
BODY
SPIRIT
MIND-BODY-SPIRIT
CONNECTION
Medical Studies show that “Spiritual Health”
impacts…
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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
– Chronic Lower Back Pain
– Chronic Upper Back Pain (Neck & Shoulder)
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Sciatic nerve Pain
Fibromyalgia
Migraine Headaches
Tension Headaches
Irritable Bowel Syndrome
Insomnia
100 Million
10 Million
5 Million
45 Million
35 Million
30 Million
20 Million
??? WHERE’S THE CURE ???
MY Story
–Lower Back Pain
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–
–
–
Buttocks/Hip Pain
Heart Burn
Abdominal Cramps
Insomnia
Multiple diagnoses & Rx
(but no CURE)
–
–
–
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Degenerative Disk Disease (DDD)
Scoliosis
Sciatic Nerve Pain
Gastritis
Irritable Bowel Syndrome
Insomnia
Early Fibromyalgia
RECOVERY
• Dr. John Sarno - NYU
• Mind-Body Paradigm
• PAIN FREE in 6 week
The Brady Institute for Health
est. 2000
MIND
BODY
SPIRIT
Brady Institute Study
AOS Complaints
1.
2.
3.
4.
5.
Lower Back & Sciatic Pain
Fibromyalgia
Chronic Neck & Shoulder
Myofascial Pain
Sciatic Nerve Pain only
50%
20%
20%
8%
2%
*Brady Institute Study*
Results
Improvement
80-100%
60-79%
40-59%
20-39%
0-19%
8 weeks
6-months
78%
81%
7%
2%
5%
5%
6%
4%
6%
6%
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 Brain
SUBCONSCIOUS BRAIN
#1
Controls the
Autonomic Nervous System
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 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 Your
Pain-Prone Personality
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Are you a Perfectionist?
Are you a People Pleaser?
Are you a Legalist?
Are you a Stoic?
Are you a Fear Prone?
PERFECTIONIST
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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 ANGER SINCE WE
AND OTHERS CAN NEVER REACH IT … AND IF
WE DO, WE MUST DO IT AGAIN TOMORROW!!!
The Perfectionist Motto
I 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 Pleaser
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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 ANGER; TAKES
ENERGY TO BE NICE, MUST REPRESS “UGLY”
THOUGHTS... RELATIONSHIPS INVOLVE
CONFLICT, STRESS, AND DISAPPOINTMENTS.
People Pleaser Motto
I 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*
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
Connection
• 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 Emotions
Depth-Journaling - Focus your attention
ENTIRELY on Repressed Negative
Emotions 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 PRESENT
Life’s outside Pressures
• Negative AND Positive pressures
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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 !!!
ANGER
Bothered
Disappointed
Hurt
Frustrated
Irritated
Ticked-Off
Angry
Enraged !!!
4. 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.
King David: Psalm 38
“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 Distress
-Guilt
-Anxiety
- Shame
- Condemnation
Spiritual Health
Legalism 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 *
With Healthy Spirituality:
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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
MIND
BODY
SPIRIT
Thank You
www.BradyInstitute.com