Addiction: Sin, Disease, or Psychological Defect? What God taught me through my psychiatric training...

Addiction: Sin, Disease, or Psychological Defect?

What God taught me through my psychiatric training and my own addiction

HELP! I prayed, took meds, and love

my mother!I’m DYING

Psychological Defect-Tell me about your

mother!

Sin- Have more Faith!

Disease- Take your MEDS!

Your wish Your wish is my is my

command!command!

SOLOMONSOLOMON1 Kings 3:5,9-11

The Most Important Spiritual Discipline:

Science and FaithScience and Faith

• Darwin and Freud

• Faith: the assurance of things hoped for, the conviction of things not seen.

• Science: Hard Data• Definitions Collide• Do they work together?

Science and FaithScience and Faith

Science is:–The study of what God made–Understanding how it works–Learning to maximally steward it for God’s glory and our ultimate growth/fulfillment in Him

God’s Great God’s Great CreationsCreations

MindFree Will: Decision Making

Science is a tool.Science is a tool.So let’s not ignore the science.

Overview• Addiction - Basics and Definition• Identify who Addicts are• Addiction - Cause and Model

Spirit, Mind, Body Integration• The Key Spiritual Discipline – DM• Treatment Strategy – SPEARS

– Help you– Help you help others– Today

DSM 4 TR… Substance Abuse

One or more of the following:• Failure to fulfill major obligations at work, school or

home • Use when physically hazardous • Recurrent legal problems • Recurrent social or interpersonal problems

DSM 4 TR…

Substance Dependence (Addiction)

Three or more of the following:• High or increased Tolerance• Withdrawal• Consumption of larger amounts over longer

period of time than intended

DSM 4 TR…

Substance Dependence (Addiction)

Three or more of the following (cont):• Unsuccessful efforts in cutting down• Significant time spent obtaining, using, thinking about or

recovering from the substance• Substance time replaces social, occupational, or

recreational activities• Continued use despite adverse consequences physical,

psychological (spiritual)

DSM 5: Substance Use Disorders

• Not using the word ‘addiction’• Behavioral Category – gambling(was Impulse DO)• Considered Sex, Eating, Caffeine, Internet• Internet Gaming and Caffeine Use DO will be in

the appendix• Use same 11 Criteria but:• Craving will be added, Legal issues dropped• 0-1, 2-3, 4-5, 6+

5 Levels of Substance Use• EXPERIMENTAL USE: trying substance once or twice.• RECREATIONAL USE: using a substance socially, only with friends or

at a party• CIRCUMSTANTIAL USE: using a substance to escape or avoid

personal problems or life circumstances OR using a substance to get through a challenging situation (e.g.: taking caffeine-laced pills to stay awake to study for exams).

• INTENSIFIED USE: increasing over a long period of time. This describes the regular user who experiences on-going symptoms because of their drug use (physical, psychological, emotional, spiritual).

• COMPULSIVE USE: True addicts who can’t “voluntarily” give up their substance abuse. They can no longer choose not to use, and suffer significant life and heath disruption because of their addiction.

American Society of Addiction Medicine Addiction is a primary, chronic disease of brain

reward, motivation, memory and related circuitry.

Dysfunction in these circuits leads to characteristic biological, psychological, social, and spiritual manifestations.

This circuitry and resultant manifestations lead to the individual pursuing reward and/or relief by substance use and other behaviors.

Real Addiction• Goes deeper than behavior or brain

chemistry• Exodus 20:3 You shall have no other gods

before Me.• Mark 12:30 – Greatest Commandment• Ezekiel 14 Idols of the heart lead to

destruction. God condemns

Real Addiction

•Worship is: Perceiving God accurately and responding appropriately•Addiction: Misplaced Worship, Worshipping the wrong thing•Addiction: Promoting something other than Jesus to the center of your life/heart•Solomon: all is vanity, my kingdom come

Real Addiction• Why Addiction: coping skill to ‘help’ deal with life/stress

– Circumstantial Use • We all have behaviors to help us cope with life/stress that

qualify as addictions that grow out of the idols in our heart• Benzio Definition of Addiction:

– Choosing or pursuing something other than God (or Him + the healthy solution He provides) in a habitual, patterned, or repetitive way to get a particular need/needs met

• We’re ALL addicted to ………..

KarlKarl’’s s StoryStory

Why did I become a

psychiatrist?

Karl’s First Karl’s First BeerBeer

HARDWARE!

S.P.E.C.T. Scans

• Single Photon Emission Computerized Tomography

• A sophisticated nuclear medicine study that looks directly at cerebral blood flow and indirectly at the brain activity (or metabolism)

All of the following slides are used with permission from “Images Into Human Behavior - A Brain SPECT Atlas” by

Normal Brain-Top

Normal Brain-Bottom

Normal Brain-Active Views

Alzheimer’s Disease

25 year Heroin Addiction - 39 yo

2 Years of Daily Marijuana Abuse - 16 yo

2 Years of Frequent Cocaine Use - 24 yo

17 Years of Heavy Weekend Alcohol Use 38 yo

27 Year Daily Heavy Cigarette and Coffee Use 45 yo

PolySubstance Abuse, then 1 yr Clean

PTSD, Depression, and Anxiety Before and After St. John’s Wort and EMDR

Images of PMS

Day 10 of Cycle (Best Time)

Hardware SummaryHardware SummaryOur brains are dynamic organsOur brains are dynamic organs• Our brains can be injured or diseased easily

– Toxins + Poor Decision-Making• Our brains can be strengthened or renewed

– No Toxins + Good Decision-Making• Not just born this way

Hardware SummaryHardware Summary

How does the brain malfunction?

We need a system that addresses all three spheres:

SpiritMindBody

Body, Mind, & Spirit

• Body – mechanical, physical, and biochemical functions– Above and below the neck

• Mind - mental processes and behavior, the mind, heart, will, personality, cognitions, emotions, executive functions

Body, Mind, & Spirit• Spirit – Inner

– immaterial– our eternal part – allows relationship with God– encodes our uniqueness– differentiates us from other animals– allows unique relationships with others

• Spirit – Outer– Trinity, angels, Satan, Heaven, Hell

Spirit, Mind, & Body Integration

• Spirit – inner/outer; Owner/Designer

• Mind – Operating System

• Body – Physical Hardware

• External Events – Software, Viruses

Mind of Christ!

Jesus’ Brain = Perfection!

1.Perceived everything from a Godly perspective

2.Responded with Biblical skills

BrainWorks – My Brain

Based on new scientific research, my brain does 2 things

1. Perceives2. Responds

BrainWorksBrainWorks Research Research

GI / Cardiac

Panic Disorder Study

Heart Heart of Transformation: of Transformation: Decision-MakingDecision-Making

• No biological Intervention• But Brain Chemistry Improved/Renewed

Decision-making is exercise for brain• Good decisions = stronger brain• Bad decisions = injured brain

What determines accurate Perception and Response?Holy Bible – God’s Instruction Manual

DM: Science and Faith Meet

Integration and DM are Key!Integration and DM are Key!

SpiritBody

Decision-Making Decision-Making ==

Spirit, Mind, & Body

IntegrationIntegration

19Today I have given you the choice between life and death, between blessings and curses. Now I call on heaven and earth to witness the choice you make. Oh, that you would choose life, so that you and your descendants might live!

20 You can make this choice by loving the Lord your God, obeying him, and committing yourself firmly to him. This is the key to your life. And if you love and obey the Lord, you will live long in the land the Lord swore to give your ancestors Abraham, Isaac, and Jacob.

Proverbs 4:23

Keep thy heart with all diligence; For out of it flows the wellspring of life.

As a man thinks in his heart, so is he.Proverbs 23:7

Romans 12 : 1-2Romans 12 : 1-2

I therefore urge you, brothers, in view of God's mercies, to offer your bodies as living sacrifices that are holy and pleasing to God, for this is the your spiritual act of worship.

Do not be conformed to this world, but continually be transformed by the renewing of your minds so that you may be able to determine what God's will is-what is proper, pleasing, and perfect.

1 Peter 1:13-151 Peter 1:13-15 Therefore, prepare your minds for action,

keep a clear head, and set your hope completely on the grace to be given you when Jesus Christ is revealed. As obedient children, do not be conformed to the passions of your former ignorance,

but as he who called you is holy, you also be holy in all your conduct.

Casting down imaginations, and every high thing that exalteth itself against the knowledge of God, and taking every thought captive to the obedience of Christ

2 Corinthians 10:52 Corinthians 10:5

• The Holy Spirit is perfect, We are not• New creation, but no brain transplant.• DM is the key Spiritual Discipline• Specific strategies for everything, but usually a

vague one for DM• Nobody ever teaches us mechanics about

decision-making skills. • Bible squeezed by Science

There is a strategy to There is a strategy to transform!transform!

SPEARSSPEARS• All the elements• Right sequence• Requires thought• Requires intention• Requires practice

Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

StimuliStimuli• Stimuli is anything

that acts on or mobilizes your coping mechanisms

• All stimuli is neutral

• God is sovereign

Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

What word do you see?What word do you see?

TestTest

• How many squares are there?

• Hint: What is the most important question?

Perception ExercisePerception Exercise

• Things are not always as they seem: 84!

• Assumptions• Jumping to

conclusions• Knee-jerk reactions

PerceptionPerception• Perception is what really

drives the decision-making process

• Subconscious• We are usually unaware of

perception because it occurs so fast in the decision-making process

Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

PerceptionPerception• Satan gets to us as early as

possible, when we are most gullible

• Our brains our easily influenced as kids (neuroplasticity)

• Relationships• Maturity is seeing life clearly

Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

FiltersFilters

EmotionsEmotions

God has lots of God has lots of emotions!emotions!

• Anger – Mat 23, Mark 3, John 2, 2 Kings 24• Jealousy – Exodus 20, Deut 6• Sad/Wept – Luke 19, John 11, Heb 5• Troubled – John 12• Forsaken – Matt 27• Abandoned – Matt 27• Tempted – Matt 4• Worried – Luke 22

EmotionEmotion• Warning system• Not a decision-

making system

• Distort reality• Court• Doctors

• Volume Buttons

Network78

Perception

Emotion

Assessment

Response

Summary Thought

Stimuli

AssessmentAssessment• Options• Pros and Cons

• Weigh pros and cons using the filters (GPT, GPN, LDO, C, M)– SMB Damage/growth– Motivators

Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

ResponseResponse• We need a relationship

with God • We need to put on the

Armor of God• Is this helping me or

others become more Christ-like?

• WWJD?• Mark 12:30

Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

Summary ThoughtSummary Thought• After review of each

element• Celebrate our successes,

and learn from our failures• Are my responses working• Heart Change• Self-reflection and

assessment is paramount• Autopsy

Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

Driving Force for DysfunctionDriving Force for Dysfunction

Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

Deconstruction/Deconstruction/ReconstructionReconstruction

• Retrospective - Autopsy• Journaling• Thinking about it more – then real time

use• Skills need Practice• Behavioral Change• Examination of Heart• Heart Change leads to Real

Transformation• Motivators for Change

• We all have pain and develop dysfunctional patterns to cope – addictions (SMB)

• To understand and renew the mind we must look at all 3 spheres - God’s design– Science and religion: DM is the meeting place

• Decision making is the exercise for the brain– Grows all 3 spheres SMB

• You can use and teach SPEARS strategy for every decision in life to treat almost anything– Slow life down, Reflect, Every Thought

Key PointsKey Points

Lighthouse Network Lighthouse Network HelplineHelpline

• Finds addiction and MH treatment options.• Expertise about all elements of the system• Free to client• Saves the clinician incredible amounts of time• We find great options for struggling people

877-562-2565 x:101

LighthouseLighthouse NETWORK NETWORK ResourcesResources

• Within Reach: Disciplines for Real Life Change– 10+ Hours of DVD– 140 Page Workbook

• Edging Forward: Godly Decision Making • Parenting: Early Childhood and Teens (DVD)• Can Psych Meds Help Christians? (DVD)• Addiction: Sin vs. Disease DVD• kbenzio@lighthousenetwork.org• www.LighthouseNetwork.org• Stepping Stones Daily Devotional - Free

Any Questions?Any Questions?

Addiction: Sin, Disease, or Psychological Defect? What God taught me through my psychiatric training...

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