1. Copyright 2012 - Lighthouse Network1

2. For if you remain silent at this time, relief and deliverance for the Jews will arise from another place, but you and your father’s family will perish. And who knows but that you have come to your royal position for such a time as this? Copyright 2012 - Lighthouse Network2

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4. Integrating Science and Faith to Renew Your Mind What God taught me through my psychiatric training and my own addiction Karl Benzio, MD

5. ADDICTION Sin? Disease? Personality Defect? Copyright 2013 - Lighthouse Network

6. 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! Copyright 2012 - Lighthouse Network 6

7. Science and Faith Darwin and Freud Faith: the assurance of things hoped for, the conviction of things not seen. Science: Hard Data, Measurables Definitions Collide Do they work together? Copyright 2012 - Lighthouse Network7

8. Science and Faith Science is: The study of what God made Understanding how He designed it to work Learning how to maximally steward it for God’s glory and our abundant living Copyright 2012 - Lighthouse Network8

9. God’s Great Gifts Mind Free Will: Decision Making Copyright 2012 - Lighthouse Network9 Science is a tool. So let’s not ignore the science. Science is a tool. So let’s not ignore the science.

10. What is Addiction? Copyright 2013 - Lighthouse Network

11. 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 Copyright 2013 - Lighthouse Network

12. 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 Copyright 2013 - Lighthouse Network

13. 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) Copyright 2013 - Lighthouse Network

14. 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+ Copyright 2013 - Lighthouse Network

15. 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. Copyright 2013 - Lighthouse Network

16. American Society of Addiction Medicine Inability to consistently Abstain; Impairment in Behavioral control; Craving Diminished recognition of problems with one’s behaviors and interpersonal relationships; and A dysfunctional Emotional response. Copyright 2013 - Lighthouse Network

17. 5 Levels of SA/Addiction 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. Copyright 2013 - Lighthouse Network

18. Bible Definition Exodus 20:3 You shall have no other gods before Me. Exodus 20:4,5 You shall not make for yourself an idol, or any likeness of what is in heaven above or on the earth beneath or in the water under the earth. You shall not worship them or serve them; for I, the Lord your God, am a jealous God, Copyright 2013 - Lighthouse Network

19. Bible Definition Mark 12:30 – Greatest Commandment Ezekiel 14 Idols of the heart lead to destruction. God condemns Copyright 2013 - Lighthouse Network

20. Real Addiction Rom 7:15 For what I am doing, I do not understand; for I am not practicing what I would like to do, but I am doing the very thing I hate 17So now, no longer am I the one doing it, but sin which dwells in me. 18For I know that nothing good dwells in me, that is, in my flesh; for the willing is present in me, but the doing of the good is not. 19For the good that I want, I do not do, but I practice the very evil that I do not want. 20But if I am doing the very thing I do not want, I am no longer the one doing it, but sin which dwells in me. Copyright 2013 - Lighthouse Network

21. Real Addiction Goes deeper than behavior or brain chemistry. 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, under the sun Copyright 2013 - Lighthouse Network

22. 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 – A Coping mechanism not focused on God Comfort We’re ALL addicted to ……….. Comfort Copyright 2013 - Lighthouse Network

23. Real Addiction Addiction Role = Coping skill for stressor management Addiction Goal = COMFORT Addiction Object = the element we turn to thinking it delivers the comfort we desire – Usually a process rather than a concrete object Trading addictions Treatment: Needs to get at the root issues that cause discomfort Copyright 2013 - Lighthouse Network

24. Karl’s Story Why did I become a psychiatrist? Copyright 2012 - Lighthouse Network 24

25. Karl’s First Beer Copyright 2012 - Lighthouse Network25

26. Copyright 2012 - Lighthouse Network26

27. HARDWARE! Copyright 2013 - Lighthouse Network

30. 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 Daniel Amen, M.D. © Copyright 2000 Copyright 2013 - Lighthouse Network

31. Normal Brain-Top Copyright 2013 - Lighthouse Network

32. Normal Brain-Bottom Copyright 2013 - Lighthouse Network

33. Normal Brain-Active Views Copyright 2013 - Lighthouse Network

34. Motorcycle Accident Copyright 2013 - Lighthouse Network

35. Alzheimer’s Disease Copyright 2013 - Lighthouse Network

36. 25 year Heroin Addiction - 39 yo Copyright 2013 - Lighthouse Network

37. 10 yr Heroin then 7 yr Methadone - 40 yo Copyright 2011 - Lighthouse Network

38. 16 Years of Daily THC (Tetrahydrocannibinol) Use 32 yo Copyright 2013 - Lighthouse Network

39. 2 Years of Daily Marijuana Abuse - 16 yo Copyright 2013 - Lighthouse Network

40. 10 Years of Mostly Weekend Marijuana Use 28 yo Copyright 2013 - Lighthouse Network

41. 2 Years of Frequent Cocaine Use - 24 yo Copyright 2013 - Lighthouse Network

42. 17 Years of Heavy Weekend Alcohol Use 38 yo Copyright 2013 - Lighthouse Network

43. 17 Years of Heavy Weekend Alcohol Use 38 yo Copyright 2013 - Lighthouse Network

44. 27 Year Daily Heavy Cigarette and Coffee Use 45 yo Copyright 2013 - Lighthouse Network

45. PolySubstance Abuse and then 1 yr Clean Copyright 2011 - Lighthouse Network

46. Depression Copyright 2013 - Lighthouse Network Before Treatment After Treatment

47. PTSD, Depression, and Anxiety Before and After St. John’s Wort and EMDR Copyright 2013 - Lighthouse Network

48. Images of PMS Copyright 2013 - Lighthouse Network Day 2 of Cycle (Worst Time) Day 10 of Cycle (Best Time)

49. Hardware Summary Disease Aspect Our brains are dynamic organs Our brains can be injured or diseased easily Our brains can be strengthened or renewed Not just born this way Copyright 2012 - Lighthouse Network 49 Hardware Summary

50. How does the brain malfunction? We need a system that addresses all three spheres: Spirit Mind Body Copyright 2013 - Lighthouse Network

51. 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 Copyright 2013 - Lighthouse Network

52. 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 Copyright 2013 - Lighthouse Network

53. Spirit, Mind, & Body Integration Spirit – inner/outer; Owner/Designer Mind – Operating System Body – Physical Hardware External Events – Software, Viruses Copyright 2013 - Lighthouse Network

54. Mind of Christ! Jesus’ Brain = Perfection! 1.Perceived everything from a Godly perspective 2.Responded with Biblical skills Copyright 2013 - Lighthouse Network

55. BrainWorks – My Brain Based on new scientific research, my brain does 2 things 1.Perceives 2.Responds Copyright 2013 - Lighthouse Network

56. BrainWorks Research Skin GI / Cardiac Panic Disorder Study Copyright 2012 - Lighthouse Network 56

57. Heart of Transformation: Decision-Making No biological Intervention But Brain Chemistry Improved/Renewed Decision-making is exercise for brain Good decisions = stronger brain Bad decisions = injured brain Copyright 2012 - Lighthouse Network57

58. What determines accurate Perception and Response? Holy Bible – God’s Instruction Manual DM: Science and Faith Meet Integration and DM are Key! Copyright 2012 - Lighthouse Network 58 Mind SpiritBody Decision-Making = Spirit, Mind, & BodyIntegration

59. Addiction Everyone struggles Everyone has a Go-To coping skill Spiritual issue – Processing stress poorly Psychological Issue – Poor decision: Looking in the wrong place Biological circuit damage Copyright 2012 - Lighthouse Network59

60. Summary BH Revolution Society, Life Mngmt Revolution You are a catalyst Science and Faith need to be combined Addiction is a deep issue, not just a behavior SMB Integration is key to understanding DM is the intersection of Science and Faith, as well as SMB Copyright 2012 - Lighthouse Network60

61. Any Questions? Copyright 2013 - Lighthouse Network