Integrative Mental Health Dr. Catherine Hart Weber AACC 2015 howtoflourish

1. Integrative Mental HealthDr. Catherine Hart WeberAACC 2015 www.howtoflourish.com

2. A lifestyle A healing model Flourish Conferences Flourish Retreats Flourish Intensives www.howtoflourish.com

3. Healthy Sexuality Please add your voice to the research www.sexinchristianamerica.com

4. Best Practices For Prevention and Thriving in Well Being

5. The science of Well Being The science of Human Flourishing - the study of the conditions and processes that contribute to the flourishingor optimal functioning of people, groups and institutions. Gable & Haidt 2005 p.104 Faith And Human Flourishing • the practice of promoting and inviting others into the abundant life in Christ

7. Necessary Changes: Positive Psychology since 1998 • Dirty little secret of mental health. • Mostly symptom relief. Given up on cure. • Psychology became mostly about crisis management – health care is mostly illness care • Cosmetic treatments are reaching a 65% barrier of treatment effectiveness • Mental health science has not been strong in soul care - cultivating wellness and providingprevention and health promotion

8. A pioneer in positive psychology - Harvard psychiatrist George Vaillant, notes that psychiatry is always talking about mental health, but not doing anything about it. psychiatric texts tend to focus solely on mental disease. one leading psychiatric textbook "has 500,000 lines of text [with] thousands of lines on anxiety and depression, and hundreds of lines on terror, shame, guilt, anger, and fear. But there are only five lines on hope, one line on joy, and not a single line on compassion, forgiveness, or love.” Factors that cultivate wellbeing

10. This new psychology will be a smaller and humbler discipline. But it will also be a much more useful one. In such a trans-modern world, psychology would be the handmaid of philosophy and theology, as from the beginning it was meant to be. Paul C. Vitz Theology has once again become more important to Psychology

11. This new psychology will be a smaller and humbler discipline. But it will also be a much more useful one. In such a trans-modern world, psychology would be the handmaid of philosophy and theology, as from the beginning it was meant to be. Paul C. Vitz Theology has once again become more important to Psychology

12. Righteous Will Flourish Like A Palm Psalm 92

13. Welfare of every kind Contentment Delight and pleasure Good and beautiful life

14. Integrative MedicineThe body has a mind / soulIntegrative Mental HealthThe mind /soul has a body Integrative Spiritual Formation The spirit has a mind, soul, body“WHOLE PERSON”

15. Duke Integrative Medicine

16. The doctor of the futurewill give no medicines,but will interest his patients in the care of the human framein diet, and in the causes and prevention of disease Thomas Edison Self care. Nutrition. Exercise. Sleep. Healthy lifestyle. Prevention.

17. INTEGRATIVE MENTAL HEALTH

18. Integrative Mental Health - Wellbeing • Focus is on optimizing health as well as ill- health and disease management • Not just ‘what is wrong’ with you – but also ‘what is right with you’. Strengths. Resilience • Consider all of who you are: body, mind, spirit in the context of a healthy environment • Envision life balance with vitality and joy • According to the World Health Organization: Health is “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”

19. Integrative Mental Health Goals • Enhance the ability of mental health care providers to promote wellness, healing, flourishing and transformation • Raise awareness of evidence-based uses of nutrition, mind-body practices, botanicals, dietary supplements, light, music, spirituality and other techniques as treatments for common mental health problems. • VALIDATING FOR CHRISTIAN SPIRITUALTIY

20. Conventional Treatments • Use synthetic drugs and psychotherapy to reduce symptoms • Psychotherapy • Support Groups • Psychotropic medications • Electroconvulsive therapy

21. Integrative Mental Health CareJames Lake, MD • Complementary and alternative medicine (CAM) and therapies are already used widely to treat or self treat mental health problems. (Herbs, vitamins, nutrition, EEG biofeedback,) (Acupuncture, homeopathic remedies) • Integrative Mental Health care takes into account classic neurophysiological and psychodynamic understandings of mental health illness while being open to other kinds of explanations – functional medicine, brain mapping, spiritual causes and meanings etc.

22. Integrative Strategies • Combines conventional drugs or psychotherapy with herbs, vitamins, nutrition, mind-body therapies, energy healing or other non conventional approaches • More adequately addresses the complex causes of symptoms – than using a single conventional, alternative or complementary modality.

23. Integrative treatment strategies • Collaborate with other specialists: Groups. Naturopath, nutritionist, functional medicine, chiropractor, physical therapist, herbalist, complimentary, integrative medicine • Antidepressants combined with high-potency B complex for depressed mood • Antianxiety medications combined with yoga for generalized anxiety • Bright light exposure, exercise, lithium for bipolar disorder • Spiritual support group, dim blue morning light, kudzu for chronic alcohol abuse

24. Whole Person Integrative Inter/trans Disciplinary Lifestyle Practices • Spiritual Practices. Meditation. Guided imagery • Mind / Body approaches. • Nutrition. Supplementation. Botanicals. Herbs • Exercise. Yoga. Deep breathing. Laughter therapy. • Rest. Sleep. Dream interpretation • Time in nature. Light therapy. Pet therapy • Music. Dance. Creativity. Arts. • Environment. Relationship connections

25. Evaluate Client from an Integrative Perspective • Tell me about your nutrition? • What you do for exercise / physical activity? • Has alcohol or drug use ever been a problem? • Do you have problems sleeping? • Tell me about the stress in your life • How do you manage / cope with stress? • How do you experience your spirituality? • Who are your closest social connections ?

26. INTEGRATIVE SPIRITUAL FORMATION

27. Spirituality and religion belong in the healing paradigm They are determinants of health and they are factors in recovery and well-being and longevity. • Airdre Grant Ph.D. Australia Study published in the Journal of the Australian Traditional Medicine Society

28. Stress and Tranquility SystemStress Recovery Stress Management

29. It is exceedingly clear that the chronic stress of twenty-first century living is not a mere inconvenience, but a major problem that needs to be recognized and treated seriously. Unless we as a society learn to slow down, breathe, examine our values and change our hectic lifestyles, we will continue to suffer from cardiovascular disease, immune deficiencies, depression and a host of other illnesses. Further, we will pass these traits and poor coping skills to our children who could experience even greater suffering given their exposure to severe stress from the first days of life. Jessie Shaw NEWSWEEK

30. What is stress? • Response of the body to any demand. Hans Selye • Over arousal of your adrenal system • Being stretched beyond designed boundaries • Extending too much energy without recovery • Causing inflammation and damage

31. Types of stress • Eustress ‘Good stress’ to cope, react, for fulfillment • Short term Acute stress • ‘Anticipatory stress response’ Worry • Distress • Prolonged stress ‘chronic stress’ * Stress Disease Irreversible damage

32. Stress Accelerates Aging - Illness Causing Irreversible Damage{These women are supposedly the same age}

33. THE STRESS CURVE STRESS COPING Acute StressAbout 4 weeks Chronic Stress • CORTISOL • Mobilizes action • Retrieves glucose • Enhanced feeling • of well-being • -Increased • strength/coping/ • stamina • CORTISOL changes its function – survival takes precedence over feeling good • –Becomes defensive • - Stores glucose (obesity) • Blocks anxiety receptors • Causes Depression • Anger/irritability • Elevated blood pressure etc. START TIME

34. STRESS INTERVENTION • STRESSORS Loss, challenges, illness, conflict , crisis, fears • STRESS Listen to your life. What are the symptoms? What healthy or unhealthy ways am I coping? Further consequences are preventable • DISTRESS (chronic stress) Headaches, high blood pressure/cholesterol, pain, inflammation, illness, anxiety attacks, depression. Reversible • STRESS DESEASE Sudden heart attack, Enlarged adrenals, immune disorders, neuronal damage, hippocampus atrophy. Irreversible

36. 4 Epidemic Effects of Chronic Stress 90% of doctor visits are stress related 75% of diseases are stress related • Increased pain • Reduced endorphins • Increased anxiety • Reduced natural tranquilizers • Increased risk for illness • Reduced immune system • Increased fatigue and depression • Reduced adrenaline resources

37. Metabolic Syndrome Agroup of risk factors that occur together due to stress and increase the risk for: • Large abdominal circumference • High blood pressure • Coronary artery disease • Stroke • Type 2 diabetes • High cholesterol • Addictions, Depression, Burnout.

38. Adrenalin – heart (Protection. Fight or flight) Addicting. Feels good. Clots. Heart disease. High Cholesterol Cortisol – brain(Messenger. Mobilizes) Anxiety. Depression. Diabetes. Depletes immunity. Increased illness. Fat around middle. Panic attacks. Fuzzy brain. Hippocampal shrinkage. Poor memory STRESS MANAGEMENT IS ALL ABOUT MANAGING YOUR ADRENAL SYSTEM

39. Parasympathetic Nervous System REPAIR Sympathetic Nervous System PROTECTION

40. 75 – 90% of diseases and maladies(many caused by stress) are preventable through intentional healthy lifestyleLifestyle MedicineEat well. Exercise. Sleep enough. Pray. Connect. Have Purpose

41. INTENTIONAL WELLNESS LIFESTYLE LIFESTYLE MEDICINE

43. Treating StressIntegrative Whole Person Approach • Look at biological system along with physical,mental, emotional, spiritual, social system. • What are your stressors? • What is your stress response style / skills? • Refer for physical exam, testing • Evaluate lifestyle – nutrition, exercise, sleep, social support • Plan for Resilience and Recovery

44. Integrative Mental HealthMind Body Approaches • Prayer Meditation Mindfulness • Deep breathing Guided imagery • Nutrition Supplements Botanicals Herbs • Progressive muscle relaxation • Exercise Massage Body work • Rest Sleep • Art therapy Music Dance therapy • Time in nature Reading Journaling • Biofeedback Hypnosis Acupuncture

45. REALMS OF BEING LOVE THRIVE PRAY Love God Love Yourself Love Others SPIRIT SOUL MIND STRENGTH RELATIONSIPS HEART BODY BRAIN EMOTIONS

46. REALMS OF LIFE PLAY REST WORK CALLING RENEWAL RESTORATIVE - PURPOSE RECOVERY NICHE PLAY ENGAGEMENT RESTORATION CREATIVITY

47. PRAYheart, spirit

48. The world is going through difficult times, and they may become more difficult still. All the more reason to be rooted in prayer. Thirsting For Prayer – Jacques Philippe

49. NeurotheologySpiritual Neuroscience

50. If you want to achieve maximum health, here are a few things that you should do: exercise regularly, eat nutritious and minimally processed foods, drop those extra pounds -- and PRAY. Regular prayer and meditation has been shown in numerous scientific studies to be an important factor in living longer and staying healthy. Prayer is the most widespread alternative therapy in America today. Over 85 percent of people confronting a major illness pray, according to a University of Rochester study. This is higher than taking herbs or pursuing other nontraditional healing modalities. And increasingly the evidence is that PRAYER WORKS !