1. The Brady Institute for Health Florida Hospital Celebration
Dr. Scott Brady
The Brady Institute for Health
Florida Hospital Celebration

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 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

4. Renes Descartes ( )
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
(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. 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 heart-disease risk and were 2.3x more likely to die than non-depressed men.
Archives of Internal Medicine
May 2000

10. 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

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. Optimists vs. Pessimists
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 Million
Chronic Lower Back Pain Million
Chronic Upper Back Pain (Neck & Shoulder)
Sciatic nerve Pain
Fibromyalgia Million
Migraine Headaches Million
Tension Headaches Million
Irritable Bowel Syndrome Million
Insomnia 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 Study AOS 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
Improvement 8 weeks 6-months
80-100% 78% 81%
60-79% % %
40-59% % %
20-39% % %
0-19% % %

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. 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

31. The Brain

32. Autonomic Nervous System
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 Is Damaging when there is:
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 Your Pain-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 PRESENT Life’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. Whatever is Good and Lovely and excellent and
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.

51. Spiritual Distress Guilt - Shame Anxiety - Condemnation
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 - Shame
Anxiety - Condemnation

52. “What happened to all your joy?”
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

53. *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

54. Whole Person Health
MIND
BODY
SPIRIT

55. Thank You