Dr. Scott Brady The Brady Institute for Health Florida Hospital Celebration 407-876-1888

1. Dr. Scott Brady The Brady Institute for Health Florida Hospital Celebration 407-876-1888 www.BradyInstitute.com

2. 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

3. CHRONIC PAIN EPIDEMICPhilosophical 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

4. 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!"

5. The Cartesian “Split”(Philosophical underpinnings of modern-day Body Medicine) Mind BODY The Psychologist Spirit The DOCTOR The Pastor

6. The MIND-BODY Connection MIND BODY (Thoughts and Emotions) (Physical Symptoms) Family Death (GRIEF) Stomach Ache Loss of Appetite Work Stress (ANXIETY) Tight Shoulders Tension Headache Marital issue (ANGER) Migraine Headache Bowel’s Cramp

7. Mind-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

8. Mind-Body Health Issues Skin G.I. Heart Muscles Immune System Neuro Psych Mortality

9. HEARTDepression & 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

10. HEARTAnger 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

11. Mind-Body Health Issues Skin G.I. Heart Muscles Immune System Neuro Psych Mortality

12. 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

13. Mind-Body Health Issues Skin G.I. Heart Muscles Immune System Neuro Psych Mortality

14. PsychoNeuroImmunology(PNI) Studies the influence of psychological factors (esp. STRESS) on many conditions: • Immune System Function • Cancers • Rheumatologic conditions • Cardiovascular disease • Arthritis • Infections

15. Mind-Body Health Issues Skin G.I. Heart Muscles Immune System Neuro Psych Mortality

16. 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

17. What about the Spirit? MIND BODY SPIRIT

18. MIND-BODY-SPIRIT CONNECTION Medical Studies show that “Spiritual Health” impacts… • Blood Pressure Reduction • Heart Attack recovery • Immune System function • Depression recovery • Chronic Pain recovery • Arthritis recovery

19. 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

20. 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 ???

21. MY Story • Lower Back Pain • Buttocks/Hip Pain • Heart Burn • Abdominal Cramps • Insomnia

22. Multiple diagnoses & Rx(but no CURE) • Degenerative Disk Disease (DDD) • Scoliosis • Sciatic Nerve Pain • Gastritis • Irritable Bowel Syndrome • Insomnia • Early Fibromyalgia

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

25. The Brady Institute for Health est. 2000 MIND BODY SPIRIT

26. Brady Institute StudyAOS Complaints • Lower Back & Sciatic Pain 50% • Fibromyalgia 20% • Chronic Neck & Shoulder 20% • Myofascial Pain 8% • Sciatic Nerve Pain only 2%

27. *Brady Institute Study*Results Improvement8 weeks6-months 80-100%78%81% 60-79%6%7% 40-59%4%2% 20-39%6%5% 0-19%6%5%

28. 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.

29. *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.

30. 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 AOS Pain Catalogue

31. The Brain

32. SUBCONSCIOUS BRAIN #1 Controls the Autonomic Nervous System

34. 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

35. 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

36. REPRESSION

37. 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?

38. PERFECTIONIST • 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!!!

39. 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.

40. People 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 ANGER; TAKES ENERGY TO BE NICE, MUST REPRESS “UGLY” THOUGHTS... RELATIONSHIPS INVOLVE CONFLICT, STRESS, AND DISAPPOINTMENTS.

41. 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!

42. *5 Step Treatment Plan* • Make the Mind-Body Connection (5 min) • Take Control over your subconscious mind (5 min) • Depth Journaling (20 min) • Prayer and Meditation (daily) • Physical Activity (resume)

43. 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

45. 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?

46. Where are the Emotions?

47. 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 !!!

48. ANGER Bothered Disappointed Hurt Frustrated Irritated Ticked-Off Angry Enraged !!!

49. 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.

50. 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.