Part 1 - Clinical Updates On Mental Health Disorders - Glen Havens, MD - Host - Dr. Freda Crews


Uploaded by timeforhopeministry on 12.07.2011

Transcript:
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>COMING UP ON TIME FOR HOPE:
>WE CAN LOOK AT A SPEC SCAN, AND WE CAN SEE IN THE DEEP RECESSES
OF THE MIND, WHERE DEPRESSION LIVES, THAT IT'S JUST OVER
ACTIVE. WE CAN SEE ANXIETY IN A DIFFERENT PART OF THE BRAIN. WE
CAN SEE ADD, WHICH HAS BEEN SORT OF A VAGUE DIAGNOSIS OFF AND ON
FOR PEOPLE.
>JOIN DR. FREDA CREWS, LICENSED PROFESSIONAL COUNSELOR AND HER
GUESTS AS THEY PROVIDE PRACTICAL SOLUTIONS TO REAL LIFE PROBLEMS
ON TIME FOR HOPE.
>WELCOME AGAIN TO TIME FOR HOPE A FAITH BASED MENTAL HEALTH
PROGRAM. I'M DR. FREDA CREWS, YOUR HOST, AND TODAY I AM JOINED
BY FRIEND AND COLLEAGUE, PSYCHIATRIST DR. GLEN HAVENS MD.
MANY OF OUR VIEWERS REQUEST PRAYER FOR THEMSELVES OR FRIENDS
AND LOVED ONES SUFFERING FROM AN ARRAY OF MENTAL HEALTH DISORDERS
SO WE FEEL COMPELLED TO BRING OUR VIEWERS A CLINICAL UPDATE
RELATED TO THE DIAGNOSIS AND TREATMENT OF THESE EMOTIONAL,
MENTAL, AND SOMETIMES PHYSICAL DISORDERS THAT PLAGUE BOTH
CHILDREN AND ADULTS. IN CONFRONTING THE NEED TO DO THIS
I KNOW OF NO ONE BETTER QUALIFIED THAN DR. HAVENS WHO
WILL BE SHARING HIS KNOWLEDGE, EXPERTISE AND CLINICAL
EXPERIENCE RELATED TO EMERGING BRAIN SPECTIVE IMAGING
DISCOVERIES OF APPROPRIATE MEDICATIONS AND OTHER TREATMENT
MODALITIES. AND I ADD THAT DR. HAVENS, THROUGH THE ARK
PSYCHIATRIC SERVICES IN ROSWELL, GEORGIA SEEKS TO PROVIDE
COMPREHENSIVE PSYCHIATRIC CARE WITHIN A CHRISTIAN FRAMEWORK. I
KNOW THAT YOU WILL WANT TO STAY WITH US.
>AND GLENN IT'S GREAT HAVING YOU AGAIN ON TIME FOR HOPE.
>THANK YOU. IT'S GOOD TO BE HERE.
>YES WE DID, YOU JUST MENTIONED OFF-CAMERA ABOUT SOMEONE SEEING
YOU IN DECEMBER ON TIME FOR HOPE. AND WE DID RERUN A SHOW,
YOU HAD DONE ON DEPRESSION AND THE HOLIDAYS AT THAT TIME. SO
AGAIN TODAY WE'RE GOING TO BE TALKING ABOUT DEPRESSION, OF
COURSE OTHER SITUATIONS, BUT FOR SURE DEPRESSION. AS I LOOK AT
OUR MAIL WHEN IT COMES IN EITHER VIA E-MAIL OR PHONE CALLS OR
WHATEVER, WE TIME AND AGAIN PEOPLE ARE TELLING ME, DEAR DR.
FREDA I HAVE ANXIETY AND DEPRESSION, I'M LOOKING RIGHT AT
IT. ANOTHER ONE SAYS I AM SCHIZOPHRENIC, ANOTHER ONE SAYS
I'M HAVING THOUGHTS OF SUICIDE. AND WE GO THROUGH THE GAMUT OF
MENTAL HEALTH DISORDERS THAT PEOPLE ARE EXPERIENCING. AND
THAT'S EXACTLY AS I'VE SAID IN THE INTRO WHY I HAVE YOU HERE TO
ADDRESS SOME OF THESE ISSUES AND ESPECIALLY RELATED TO EMERGING
TRENDS IN DIAGNOSING, AS I SAID, AND IN TREATMENT WITH THE NEWER
MEDICATIONS SOMETIMES AND APPROPRIATE MEDICATIONS AT ALL
TIMES.
>YEAH IT'S INTERESTING. I WOULD LIKE TO START OFF WITH JUST THE
WHOLE IDEA OF NEORO-IMAGING, WHICH I'VE SPOKEN OF BEFORE.
PSYCHIATRY FOR MANY YEARS DID NOT LOOK AT WHAT IT TREATED. AND
IT'S SORT OF HARD TO TAKE THE LIVING BRAIN OUT AND TAKE A
SLICE OF IT AND LOOK AT IT. BUT NOW WE CAN ACTUALLY IMAGE THE
BRAIN, AS IT'S IN MOTION, SO TO SPEAK. SO WE CAN LOOK AND SEE IF
THE BRAIN IS OVER FUNCTIONING IN SOME PARTS OR UNDER FUNCTIONING
IN OTHERS. INTERESTINGLY ENOUGH, DEPRESSION IS AN OVER
FUNCTIONING. WE TEND TO THINK OF IT AS A LACK BECAUSE YOU LACK
ENERGY AND YOU CAN'T SLEEP, YOU CAN'T EAT AND THAT SORT OF THING
BUT ACTUALLY THERE'S A PART OF THE BRAIN THAT'S OVER ACTIVE IN
DEPRESSION. AND SO THE NEW PARADIGM IS TO LOOK AT THE PARTS
OF THE BRAIN THAT AREN'T FUNCTIONING RIGHT AND TRY TO
BRING THEM BACK TO A MORE NORMAL PRESENTATION. SO INSTEAD OF THE
OLD IDEA WAS THAT IF YOU GAVE PEOPLE MEDICATION YOU WERE
SUBSTITUTING SOMETHING OR PEOPLE SHOULD BE ABLE TO DO IT ON THEIR
OWN. AND WHAT WE CAN SEE FROM NEURO-IMAGING IS THAT YOU CAN'T
CHANGE YOUR BRAIN. SO WHAT WE DO IS LIKE PUTTING GLASSES ON, YOU
CORRECT SOMETHING THAT'S NOT NORMAL. AND THEN WHEN YOU REDO
THE STUDIES ON MEDICATION, WHAT YOU GET IS A MUCH MORE NORMAL
LOOKING BRAIN.
>THERE ARE THREE CLASSES OF CHEMICALS, I GUESS WE CALL THEM
NEURO CHEMICALS, NEUROTRANSMITTERS THAT ARE
INVOLVED WHEN A PERSON IS DEPRESSED
>RIGHT
>DO YOU WANT TO TALK ABOUT THOSE?
>THERE'S ACTUALLY, THERE'S THREE, WELL THERE'S FOUR THAT WE
THINK WE KNOW A FAIR AMOUNT ABOUT. ONE IS DOPAMINE, ONE IS
NORAPRANEPHRINE, AND ONE IS A SEROTONIN, AND ONE IS GABA,
WHICH IS INVOLVED WITH ANXIETY. AND MOST OF THE MEDICATIONS ARE
TARGETED AT INCREASING THE AMOUNT OF THAT NEUROTRANSMITTER
IN THE BRAIN SO IT CAN DO ITS JOB BETTER. IT'S ACTUALLY A
RECEPTOR ISSUE, WHERE THE RECEPTORS FOR THESE
NEUROTRANSMITTERS SHUT DOWN AND WHEN THEY'RE SHUT DOWN WE GET
THE SYMPTOMS. SO WHAT WE DO IS WE FLOOD THE RECEPTORS BASICALLY
WITH THE NEUROTRANSMITTERS. FOR SOME REASON THAT TURNS THEM BACK
ON.
>LIKE A PLUGGING IN OF.
>SORT OF A PLUG IN. YES, LIKE, IT TURNS OFF. AND SOMETIMES
PEOPLE CAN GO OFF MEDICATION FOR AWHILE AND THEN THINGS DON'T
SHUT DOWN, THEY SORT OF COOK ALONG FOR AWHILE AND THEN THEY
START TO SHUT DOWN AGAIN. WE DO KNOW THAT MOSTLY DEPRESSION,
REAL DEPRESSION, IS A CHRONIC PROBLEM. YOU'RE NOT GOING TO
TREAT IT ONCE AND HAVE IT GO AWAY.
>WHAT DO YOU MEAN BY REAL DEPRESSION? BECAUSE YOU KNOW
PEOPLE HAVE THE BLUES, THEY FEEL DOWN, THEY GET DISCOURAGED.
>AND YOU HAVE TO DIFFERENTIATE BETWEEN THAT. WHEN I'M TALKING
ABOUT DEPRESSION, AND WE NEED A NEW LANGUAGE FOR IT, I'M REALLY
TALKING ABOUT A NEUROLOGIC PROBLEM IN THE FUNCTION OF THE
BRAIN.
> SO WE WOULD CALL THAT A CLINICAL DEPRESSION?
>A CLINICAL DEPRESSION. IT REALLY NEEDS TO BE SOMETHING
LIKE SEROTONIN RECEPTOR DOWN REGULATION SYNDROME, OR
SOMETHING LIKE THAT. AND MANIFESTED BY SLEEP, APPETITE,
AND ENERGY, THAT SORT OF THING, DISTURBANCES. THAT IS OPPOSED TO
THE NORMAL FLUCTUATIONS OF LIFE. AND LIFE IS SOMETIMES
DISCOURAGING, AND SOMETIMES DISAPPOINTING, AND THERE'S GRIEF
THAT YOU GO THROUGH WHEN YOU HAVE LOSSES. SO YOU HAVE TO BE
CAREFUL NOT TO JUST TRY TO MEDICATE THE NORMAL RESPONSES OF
LIFE BUT TO TRY TO DIFFERENTIATE BETWEEN A CLINICAL DEPRESSION
AND ONE WHERE THE NEGATIVE FEELINGS WILL GO WAY IF YOU
ALLOW YOURSELF TO PROCESS THEM
>SO WHEN IT'S JUST A NORMAL PROCESS, A NORMAL SOMETHING
HAPPENING AS EVERYBODY EXPERIENCES IN LIFE. DOES THAT
NECESSARILY INVOLVE WHAT WE WERE TALKING ABOUT ABOUT THE CHEMICAL?
>NO, NOT NECESSARILY. AND THERE'VE BEEN SOME GOOD STUDIES
THAT SHOW THAT, THAT THE CHANGES IN THE BRAIN AREN'T THE SAME IN
NORMAL GRIEVING OR JUST A NORMAL RESPONSE. SO THAT'S ONE REASON
THEY SAY, YOUR SYMPTOMS NEED TO GO ON FOR AT LEAST 2 WEEKS
BEFORE YOU CONSIDER THE CLINICAL DEPRESSION.
>SO WHEN YOU SAY CHANGES IN THE BRAIN, BUT IT DOES SHOW THAT
SOMETHING'S GOING ON?
>SOMETHING'S GOING ON IN THE BRAIN, THAT'S RIGHT.
>AND YOU CAN IDENTIFY, WHETHER IT'S DEPRESSION THAT'S GOING ON.
>WE CAN LOOK AT A SPEC SCAN, AND WE CAN SEE IN THE DEEP RECESSES
OF THE MIND, WHERE DEPRESSION LIVES, THAT IT'S JUST OVER
ACTIVE. WE CAN SEE ANXIETY IN A DIFFERENT PART OF THE BRAIN. WE
CAN SEE ADD, WHICH HAS BEEN SORT OF A VAGUE DIAGNOSIS OFF AND ON
FOR PEOPLE. WE CAN ACTUALLY LOOK AT THE BRAIN AND SEE THE FRONTAL
LOBES ARE UNDER FUNCTIONING. THEY'RE NOT SPENDING ENERGY
PROPERLY. AND LITERALLY YOU GET HOLES IN THE FUNCTION OF YOUR
BRAIN.
>ALL RIGHT, LET'S TALK ABOUT ADD. WE GET PEOPLE WRITING US
ABOUT THAT, ALSO ESPECIALLY THEIR CHILDREN SUFFERING FROM
ADD.
>ADD IS OVER DIAGNOSED AND UNDER DIAGNOSED. THERE'S A TENDENCY TO
GO IN AND READ A BOOK OR TO TALK TO SOMEONE AND SAY I THINK I
HAVE ADD AND THEN SOMEONE WILL WRITE THEM A PRESCRIPTION, AND I
THINK THAT'S A MISTAKE. YOU HAVE TO GO BACK AND REALLY TAKE TIME
TO DO A GOOD HISTORY. THE SPEC SCANS ARE VERY USEFUL FROM THAT
STANDPOINT, BECAUSE YOU CAN ACTUALLY SEE THE MALFUNCTION OF
THE BRAIN. AND PEOPLE WITH ADD WHO HAVEN'T THOUGHT ABOUT IT
MUCH HAVE BEEN GETTING TREATMENT. AND WHAT HAPPENS IS
WHEN YOU GIVE THEM A DOPAMINE HELPER, BECAUSE THAT'S THE
NEUROTRANSMITTER INVOLVED AND YOU REDO THE STUDY, WHAT YOU SEE
IS A MUCH MORE NORMAL BRAIN. AND AGAIN NOW IF I COULD DO IT I
WOULD SEND EVERYBODY FOR A NEURO IMAGING STUDY BEFORE THEY EVEN
CAME IN MY FRONT DOOR. BECAUSE YOU CAN SAY WELL THIS PART OF
THE BRAIN SPENDS TOO MUCH, THIS SPENDS TOO LITTLE AND WE NEED TO
BOOST IT OR WE NEED TO TONE IT DOWN. BI-POLAR IN PARTICULAR IS
THE WHOLE BRAIN BEING LIT UP, IT'S OVER ACTIVE AND WE NEED TO
CALM IT DOWN. BUT IT'S NOT A CONTINUUM IN THE TEMPORAL LOBES
TO THE WHOLE BRAIN. ALL OF IT RESPONDS TO THE SAME
MEDICATIONS, BUT WE DON'T CALL EPISODIC ANGER EPISODES, WE
DON'T CALL THAT BIPOLAR. AND I THINK IT WOULD BE BETTER IF WE
HAD A WHOLE DIFFERENT SYSTEM OF NAMING IT BASED ON THE BRAIN
FUNCTION.
>ALL RIGHT, LET'S BACK UP, YOU'VE MENTIONED OCD. LET'S TELL
OUR VIEWERS WHAT OCD IS.
>OKAY THAT'S OBSESSIVE COMPULSIVE DISORDER.
>ALL RIGHT, A LOT OF THINGS GO ON WHEN SOMEONE IS EXPERIENCING
THAT, DON'T THEY?
>THAT'S RIGHT AND ACTUALLY SOME OBSESSIVE SYMPTOMS ARE HEALTHY
AND USEFUL. THE PROBLEM IS WHEN IT GETS OVER INTO, AND EVERYONE
HAS SEEN THE HOARDING PROGRAMS NOW THAT ARE OUT ON TV. AND
THAT'S SORT OF THE END PRODUCT OF A VERY OBSESSIVE PERSON,
WHERE THEY CAN'T LET GO OF ANYTHING. BUT, AND YOU WANT YOUR
SURGEON TO BE A LITTLE OBSESSIVE AND METICULOUS OKAY. BUT OCD,
IT'S INTERESTING, OCD, ADD, TOURETTES, SOMETHING WE CALL
BIPOLAR, WHICH PROBABLY ISN'T BECAUSE THE PROGNOSIS IS MUCH
BETTER AND EVEN AUTISM AND ASPERGERS ARE ALL GROUPED
TOGETHER GENETICALLY IN FAMILIES. SO WHEN SOMEONE COMES
IN WITH ADD, I'M SORT OF LISTENING IN THE BACKGROUND FOR
SYMPTOMS OF THE OTHER DISORDERS AS WELL. I'LL ASK THEM, DO YOU
HAVE FAMILY MEMBERS THAT HAVE ANY OF THESE DIAGNOSES. IT'S
VERY COMMON WHEN SOMEONE HAS ADD TO HAVE OCD SYMPTOMS AS WELL.
AND SO IN ORDER TO GET A, IT'S A DIFFERENT NEUROTRANSMITTER, AND
SO IN ORDER TO STABILIZE THEM YOU HAVE TO USE MORE THAN ONE
MEDICATION. AND THAT'S ONE OF THE BIG CONCERNS PEOPLE HAVE IS
THAT YOU'RE OVER MEDICATING, USING THREE OR FOUR DIFFERENT
MEDICATIONS. AND YET WHAT WE'VE DONE IS GONE BACK TO THE OLD WAY
OF THINKING. THE PHARMACY SYMBOL, YOU KNOW IS THE LITTLE
CUP, WITH THE PESTLE IN WHICH YOU GRIND IT UP. WELL INSTEAD OF
PUTTING A PINCH AND A PINCH AND A PINCH WHAT WE'RE DOING NOW IS
WE PUT A PILL, A PILL AND A PILL. SO WE USE THEM FOR
DIFFERENT REASONS. IF YOU HAVE A DOPAMINE DISTURBANCE, YOU'LL
NEED SOMETHING FOR THAT. IF YOU HAVE A SEROTONIN DISTURBANCE,
YOU'LL NEED SOMETHING FOR THAT. SO, THE RULE OF THUMB IS MORE
MIXED PSYCHOPHARMACOLOGY.
> IS THAT TRIAL AND ERROR, AT ONE TIME IT WAS TRIAL AND ERROR
TO FIND OUT WHICH ONE YOU WERE TO TREAT WHEN YOU TALK ABOUT
DOPAMINE, SEROTONIN. BUT ARE YOU SAYING THE IMAGING HELPS WITH
THAT?
>THE IMAGING HELPS TREMENDOUSLY, BECAUSE YOU CAN LOOK AT IT AND
GO OKAY FOR INSTANCE IF THE BRAIN IS LIT UP. EVEN IF THE
PERSON IS BRINGING SYMPTOMS OF ADD TO YOU, I'M GOING TO TREAT
THE WHOLE BRAIN FIRST AND CALM IT DOWN BECAUSE IF YOU DON'T
THEN YOU'RE GOING TO AGGRAVATE THAT. AND SO THE IMAGING REALLY
HELPS TO SAY WHAT DIRECTION YOU'RE GOING TO TAKE FIRST.
INSTEAD OF DOING A TRIAL AND ERROR, TREATING THE PRIMARY
SYMPTOM, GETTING INTO TROUBLE AND THEN HAVING TO GO BACK AND
CORRECT IT.
>HOW ABOUT ADD? AND I KNOW THAT THERE WAS A NEW MEDICATION THAT
CAME OUT A FEW YEARS AGO FOR OCD, LUVOX I BELIEVE. IS THAT
STILL BEING USED?
>I DO. LUVOX IS A SEROTONIN HELPER, AND ANY OF THE SEROTONIN
HELPERS, PROZAC, PAXIL, ZOLOFT, SULLECTSO, LEXIPRO WILL ALL HELP
WITH OCD IN THE RIGHT AMOUNT. THE BIG MISTAKE PEOPLE MAKE IS
THEY WANT RELIEF RIGHT AWAY AND YOU HAVE TO PUT SOMEBODY ON A
SEROTONIN HELPER AND THEN RUN THE DOSE UP AND LEAVE IT FOR A
WHILE BEFORE YOU REALLY GET RELIEF FROM OCD. THERE'S ONLY
TWO MEDICATIONS MARKETED FOR OCD. ONE IS LUVOX, AND ONE IS
ANAFRANIL. ANAFRANIL WAS THE FIRST ONE THAT CAME OUT.
>I REMEMBER THAT.
>IT'S A MAGIC BULLET. THE FIRST THING THEY EVER HAVE FOR OCD,
AND THEY WORK NICELY IN THE PEOPLE THAT THEY WORK FOR.
>WHAT ABOUT ADD? ARE THERE NEWER MEDICATIONS?
>WELL, THE NEWEST THING IN MEDICATION, IT'S A REVAMPING OF
OLD MEDICATION. WHAT THEY DO IF YOU TAKE MEDICATION AND LOOK AT
IT UNDER THE MICROSCOPE, THE MOLECULES HAVE RIGHT AND
LEFT-HANDED FORMS, AND THEY'RE MIRROR IMAGES. AND THEY'RE MIXED
ABOUT 50-50. ONE ISOMER IS ALWAYS INACTIVE, IT DOESN'T
WORK. SO HALF OF WHAT YOU'RE TAKING IS ONLY GIVING YOU SIDE
EFFECTS. WELL, NOW THEY CAN GO IN TAKE THE ACTIVE ISOMER OUT
AND WHAT THEY DO IS THEY PUT A NEW NAME ON IT AND THEY
RE-MARKET IT. AND IT TURNS OUT BUY IN LARGE THEY'RE BETTER
MEDICATIONS, BECAUSE THE SIDE EFFECT PROFILE IS BETTER AND ALL
THE RECEPTORS ARE OCCUPIED WITH ACTIVE MEDICATION. VIVANCE IS
THE NEWEST ONE FOR ADD.
>YOU KNOW WHAT IT SAYS WE HAVE COME A LONG WAYS FROM BACK WHEN
THEY HAD NO MEDS. THINK OF JOHN BUNYAN, OCD, THINK OF SOME OTHER
PEOPLE THAT HAVE SUFFERED, SPURGEON AND SOME OF THEM.
>IT USED TO BE, THEY JUST PUT PEOPLE INTO MENTAL INSTITUTIONS,
AND IT WAS US AND THEM AND PEOPLE WERE JUST STUCK THERE.
>THEY WERE CALLED CRAZY AND THAT WAS IT. WELL IT'S TIME FOR A
BREAK AND WE'LL BE RIGHT BACK.
>OUR LOCAL NEWSPAPER RELATED THE SAD STORY OF A POPULAR HIGH
SCHOOL COACH WHO WENT INTO HIS GARAGE WRAPPED A ROPE AROUND HIS
NECK AND HANGED HIMSELF. THE ARTICLE WENT ON TO DESCRIBE THIS
MAN'S 20 YEAR BATTLE WITH THE PERSONAL DEPRESSION THAT
ULTIMATELY LED HIM TO DESPAIR. DEPRESSION IS AS OLD AS THE
HUMAN RACE. PRACTICALLY EVERYONE WILL EXPERIENCE SOME DEGREE OF
DEPRESSION DURING HIS OR HER LIFETIME. BUT THERE ARE SOME
PEOPLE WHO ARE ESPECIALLY PRONE TO BE DEPRESSED AND MILLIONS OF
AMERICANS SUFFER FROM A DEPRESSIVE ILLNESS. WOMEN ARE
TWICE AS LIKELY TO EXPERIENCE SERIOUS DEPRESSIVE EPISODES WITH
UP[ TO 10% OF WOMEN GIVING BIRTH SUFFER FROM POSTPARTUM
DEPRESSION ((PPD). SOME DEPRESSED PEOPLE DON'T KNOW WHAT
IS WRONG WITH THEM BECAUSE IT IS OFTEN MASKED BY PHYSICAL
SYMPTOMS. DEPRESSION IS NOT A CHARACTER DEFECT OR A SIGN OF
WEAKNESS. IT IS A MEDICAL ILLNESS THAT AFFECTS A PERSON'S
THOUGHTS, FEELINGS AND BEHAVIOR. IF SEVERAL OF THE FOLLOWING
SYMPTOMS PERSIST LONGER THAN TWO WEEKS, I WOULD ENCOURAGE YOU TO
SEEK PROFESSIONAL HELP. CONTINUOUS FEELINGS OF SADNESS,
GRIEF AND HOPELESSNESS, INTENSE GUILT FEELINGS, SELF DOUBT AND
BEING OVERLY CRITICAL OF YOURSELF, A CHANGE OF APPETITE,
SLEEP DISTURBANCES, LOSS OF SEXUAL DESIRE, FEELING EMPTY,
LACK OF PLEASURE - ESPECIALLY IN ACTIVITIES ONCE ENJOYED,
INABILITY TO CONCENTRATE OR MAKE DECISIONS, CONSTANT FATIGUE,
HEADACHES, NAUSEA AND DIGESTIVE DISTURBANCES, DISTURBED
THINKING, RECURRENT THOUGHTS OF DEATH OR SUICIDE, OR LACK OF
DESIRE TO LIVE. THE GOOD NEWS IN ALL OF THIS IS THAT 80 TO 90
PERCENT OF THOSE WHO SUFFER FROM DEPRESSION CAN BE RELIEVED FROM
SYMPTOMS IF THEY SEEK AND GET PROPER TREATMENT WHICH INCLUDES
APPROPRIATE MEDICATION. A GOOD PLACE TO START WOULD BE WITH
YOUR FAMILY PHYSICIAN WHO CAN DETERMINE IF YOUR SYMTOMS ARE
FROM ORGANIC CAUSES OR CHOOSES TO REFER YOU TO A MENTAL HEALTH
PRACTICTIONER. AND I ENCOURAGE YOU TO TAKE HEART FROM PSA.
107:28-30: "THEN THEY CRIED OUT TO THE LORD IN THEIR TROUBLE,
AND HE BROUGHT THEM OUT OF THEIR DISTRESS. HE STILLED THE STORM
TO A WHISPER...AND HE GUIDED THEM TO THEIR DESIRED HAVEN." I
WILL ADD THAT GOD DOES NOT ALWAYS COME THROUGH IMMEDIATELY,
BUT HIS PROMISES WILL HOLD AND WE MUST REMAIN CONFIDENT UNTIL
WE RECEIVE WHAT HE HAS PROMISED (HEBREWS 10:35-39: HOLY BIBLE.)
>WELCOME BACK TO TIME FOR HOPE. WE APPRECIATE YOUR STAYING WITH
US. OUR GUEST FOR TODAY IS DR. GLENN HAVENS, AND WE'RE TALKING
WITH HIM ABOUT SOME MENTAL HEALTH CLINICAL UPDATES. AND
GLENN I FINALLY GOT IT ALL OUT, RIGHT? THAT'S A MOUTHFUL. AND
WE'VE BEEN TALKING ABOUT SOME OF THE VARIOUS MENTAL HEALTH
DISORDERS, AND YOU'VE GROUPED A LOT OF THEM IN. AND NEXT WEEK
THAT'S WHAT WE'RE GOING TO DO, WE'RE GOING TO TAKE UP THAT
PARTICULAR GROUP THAT YOU MENTIONED THAT AUTISM SPECTRUM
DISORDER. AND YOU NAMED A LOT THAT FIT INTO THAT. BUT WE WILL
BE FOCUSING ON AUTISM AND ASPERGERS FOR SURE.
>YES THAT WILL BE GOOD.
> AND THEN YOU'LL GET INTO THE OTHERS. THERE'S SO MUCH BEING
SPREAD ABROAD.
>THERE'S A LOT OUT ON IT THESE DAYS.
>A LOT OUT ON IT. SO WE WILL MAKE A COMPLETE SHOW NEXT WEEK
ON THAT. IN THE MEANTIME, WE'RE SPREADING IT OUT OVER, AS OUR
VIEWERS ALREADY KNOW, OVER SEVERAL OR AS MANY MENTAL HEALTH
DISORDERS AS WE CAN THINK ABOUT. WE HAVEN'T TOUCHED ON
SCHIZOPHRENIA, BUT WHEN YOU MENTIONED DOPAMINE, IN MY
TRAINING IF I REMEMBER DOPAMINE IS THE ONE INVOLVED WITH
SCHIZOPHRENIA.
>IT'S ACTUALLY THE RECEPTOR FOR DOPAMINE. IT'S LIKE FAULTY
WIRING, YOU KNOW, IN AN OLD HOUSE. IT'S THAT THE INFORMATION
GETS MIS-TRANSMITTED OR SPARKS OFF, AND SO WHAT WE HAVE TO DO
IS ACTUALLY BLOCK DOPAMINE, BECAUSE IT'S OVER ACTIVE IN THE
SYSTEM. AND SOMEHOW IN THE BLOCKING OF IT ACTUALLY IT TAKES
THE SYMPTOM COMPLEX DOWN
>MOST PEOPLE WHEN THEY THINK OF SCHIZOPHRENIA IS THAT SHE'S
SCHIZOID, OR HE'S SCHIZOID. THEY JUST THINK OF SOMEBODY, WHAT WE
CALL A SPLIT PERSONALITY.
> AND THAT'S NOT IT AT ALL. ACTUALLY, THAT'S CALLED A
DISSOCIATIVE IDENTITY DISORDER. THAT'S A WHOLE OTHER CATEGORY OF
ACTUALLY SELF HYPNOSIS, IS WHAT IT IS. BUT SCHIZOPHRENIA IS A
NEUROLOGICAL DISORDER OF THE BRAIN, AND IT'S PROBABLY MORE
ACCURATE TO SAY THERE ARE SCHIZOPHRENIAS RATHER THAN
SCHIZOPHRENIA. THERE ARE MANY DIFFERENT FORMS OF IT. AND A LOT
OF THE RESEARCH THESE DAYS IS DONE ON MEDICATION FOR
SCHIZOPHRENIA, A LOT OF THE RESEARCH FUNDING, AND THE MONEY
IS AVAILABLE FOR THAT, AS OPPOSED TO SOME OF THE OTHER
DISORDERS. SO THERE IS A LOT COMING OUT. IT'S JUST A
FRUSTRATING CHRONIC ILLNESS AND EVEN IF YOU GET THE POSITIVE
SYMPTOMS, LIKE THE HALLUCINATIONS, DELUSIONS DON'T
GO AWAY VERY WELL. THEY SORT OF FADE, BUT THE HALLUCINATIONS AND
PARANOIA, AND THINGS LIKE THAT YOU CAN GET THOSE DOWN, BUT THEY
STILL ARE NOT VERY FUNCTIONAL. THEY REALLY DON'T LIVE UP TO
THEIR POTENTIAL.
>THERE WAS A MOVIE A FEW YEARS AGO, I SAW THAT MOVIE THAT HAD
TO DO WITH SCHIZOPHRENIA.
>THE MATHEMATICIAN, I BELIEVE
>WHAT ABOUT THE HARVARD PROFESSOR, THERE WAS ANOTHER
MOVIE OUT, I DON'T REMEMBER THE NAME OF IT.
>A BEAUTIFUL MIND?
>YES THAT WAS IT.
>AND THEY DID A NICE JOB.
>THEY DID A REALLY GOOD JOB.
>BECAUSE THOSE PEOPLE ARE, THEY'RE FUNCTIONAL TO A POINT
AND THEN THEY JUST LOSE GROUND AND THEY NEVER MAKE IT BACK. AS
OPPOSED TO BIPOLAR, WHERE AT THE ZENITH OF A MANIC EPISODE IT CAN
BE INDISTINGUISHABLE FROM SCHIZOPHRENIA. ONCE THEY'RE OUT
OF THE MANIC EPISODE, THEY RETURN TO A MUCH MORE NORMAL
BASELINE, MORE FUNCTIONAL.
>WE HAVE MANY MANY PROFESSING CHRISTIANS WATCHING TIME FOR
HOPE AND SOME OF THEM OF COURSE IT'S STILL LINGERING IN THEIR
MIND, YOU DON'T GET NEAR A PSYCHIATRIST AND YOU DON'T TAKE
MEDICATION. AND YOU KNOW, I WANT TO GET THEM RELAXED AND
UNDERSTAND THAT PSYCHIATRISTS AND MEDICATION ARE GOD'S
INSTRUMENTS IN HELPING THEM.
>THEY ARE. WE'VE COME A LONG WAY, A LONG WAY FROM US AND
THEM. AND THE NEUROIMAGING THAT I WAS JUST TALKING ABOUT
ACTUALLY WE COULD SEE A LOT OF SYMPTOMS OF SCHIZOPHRENIA ON
THAT AS WELL SO WE LOOK AT CALMING THE BRAIN DOWN. REALLY
WITHOUT MEDICATION FOR SCHIZOPHRENIA, BECAUSE IT IS A
NEUROLOGIC DISORDER, IT JUST GETS WORSE AND WORSE AND WORSE.
AND SO WE'VE GOT A LOT OF EXPERTISE, WE'VE GOT A LOT OF
RESEARCH, AND WE'VE MADE TREMENDOUS STRIDES FOR PEOPLE IN
TERMS OF MEDICATION.
> SO WE CAN ACTUALLY BE THANKFUL TO THE LORD THAT HE GIVES PEOPLE
THE KNOWLEDGE AND THE ABILITY TO MAKE THESE MEDICATIONS, SO TO
SPEAK OR COME UP WITH THE FORMULAS AND THAT WE HAVE WHAT
IT TAKES, WE HAVE THE GIFT OF MEDICATION AS WELL AS
PSYCHIATRISTS, AND ESPECIALLY CHRISTIAN PSYCHIATRISTS, THE
PERSPECTIVE FROM WHICH YOU COME FROM. IT DOESN'T MEAN YOUR
TRAINING IS ANY DIFFERENT.
>NO IT DOESN'T. BUT MY FACE IS DIFFERENT.
>YES, AND.
>THERE'S ALWAYS A SPIRITUAL COMPONENT, AND I HAVE SEEN, THIS
IS ENOUGH FOR A WHOLE SHOW. BUT WHEN I WAS IN THE MILITARY I HAD
A LOT OF EXPERIENCE WITH YOUNG PEOPLE WHO WOULD COME ON ACTIVE
DUTY AND IN BASIC TRAINING WOULD HAVE THEIR FIRST PSYCHOTIC
BREAK. THEY WERE SCHIZOPHRENIA, HAD SCHIZOPHRENIA AND I HAD THE
OPPORTUNITY TO REALLY SEE IT IN THE BEGINNING STAGES OF THE
ILLNESS. AND WITH THE OTHER RESIDENTS I WOULD SEE THAT THEY
WOULD GO RELIGIOUS DELUSIONS. BUT WHEN I SAT DOWN WITH THEM I
WOULD FIND THAT THEIR FAITH WAS VERY INTACT. AND I WOULD GO, YOU
DON'T UNDERSTAND, IN THIS CHURCH, IN THIS DENOMINATION
WHAT THEY'RE SAYING IS NOT PSYCHOTIC, IT'S CRYSTAL CLEAR.
AND SO I COULD SEE WHERE THEIR FAITH WAS INTACT EVEN IF THE
REST OF THEIR MIND WASN'T
> THAT MUST'VE BEEN A GREAT EXPERIENCE FOR YOU EVEN TO BE
ABLE TO BRING SOME HOPE.
>CLARITY TO IT
>CLARITY AND HOPE INTO THEIR WORLD. WHAT ABOUT AND I WANT TO
DO THIS BEFORE WE LOSE TIME, IF YOU COULD PICK ONLY ONE PIECE OF
ADVICE RELATED TO THESE MENTAL HEALTH DISORDERS AND MEDICATION,
WHAT WOULD YOU SAY TO PEOPLE?
>OH, BOY THAT'S A GOOD ONE.
>IT'S YOUR OWN QUESTION.
>NO, IT IS MY OWN QUESTION YOU'RE RIGHT. I WAS THINKING
ABOUT PARENTS AND CHILDREN AT THE TIME, WHICH IS DON'T BE
AFRAID TO ASK. I TELL PEOPLE I THINK WHEN WE'RE DONE, I WANT
YOU TO FEEL LIKE YOU KNOW ALMOST AS MUCH AS I DO ABOUT YOUR
PARTICULAR PROBLEM SO THAT WHEN SOMEONE TALKS TO YOU YOU CAN
EXPLAIN IT. DON'T TAKE THINGS AT FACE VALUE, ASK QUESTIONS. IF
IT'S CONFUSING, THEN YOU SAY TO WHOEVER'S TAKING CARE OF YOU,
THAT'S CONFUSING, AND I DON'T UNDERSTAND THAT, PUT IT IN A
LANGUAGE. AND MAKE SURE THAT YOU'RE YOUR OWN ADVOCATE IN
UNDERSTANDING YOUR TREATMENT, BECAUSE SO MANY PEOPLE JUST GO
IN AND SAY WELL THE DOCTOR, YOU KNOW GAVE ME THIS AND I DIDN'T
LIKE IT SO I STOPPED TAKING IT.
>AND SO THAT COULD GO FOR PARENTS AND IT COULD GO FOR
ADULT PATIENTS AS WELL. I THINK THAT WAS SAID WELL. IT'S TIME
FOR ME TO TELL YOU I APPRECIATE YOUR BEING ON TIME FOR HOPE.
>GLAD TO BE HERE.
> AND I HAVE SOME THINGS I NEED TO SAY TO MY VIEWERS. I HAVE A
LETTER, ACTUALLY I WOULD LIKE TO READ TO YOU AS I USUALLY DO
>AND OF COURSE BOTH DR. HAVENS AND I BELIEVE IN PRAYER. WE
WOULDN'T THINK ABOUT JUST USING NEUROIMAGING AND MEDICATION AND
THE OTHER THINGS THAT HE HAS TALKED ABOUT WITHOUT COMMITTING
OUR SITUATION TO OUR HEAVENLY FATHER. WE KNOW WITH HIM THERE
IS HEALING, WE KNOW WITH HIM THERE IS RECOVERY, WE KNOW WITH
HIM ALSO THERE IS WISDOM AND KNOWLEDGE THAT HE GIVES TO
PEOPLE LIKE DR. HAVENS AND OTHERS. SO WE CERTAINLY HAVE
ALREADY PRAYED FOR THIS PERSON AND WE ENCOURAGE YOU, IF YOU
HAVEN'T SENT YOUR PRAYER REQUEST TO US TO DO SO BECAUSE WE HAVE
AN AWESOME TESTIMONY THAT HAS JUST COME IN, RELATED TO A
PERSON KNOWING THAT WE HAVE BEEN PRAYING FOR THEM AND I'M GOING
TO SHARE THAT WITH YOU.
>OH THE POWER OF PRAYER. AND THIS WAS JUST A TREMENDOUS
ENCOURAGEMENT TO US TO GET THIS. WE HAVE A VISION OF GIVING
PEOPLE LIKE THIS HOPE. THIS IS OUR MISSION, IT'S THE MISSION OF
TIME FOR HOPE AND WE WOULD LIKE YOU TO JOIN US AS A TEAM MEMBER
HELPING US FINANCIALLY. TIME FOR HOPE IS JUST EXPANDING AND GOING
IN PLACES WHERE WE'VE NEVER GONE AND REACHING PEOPLE WE'VE NEVER
REACHED. AND WE WOULD VERY MUCH APPRECIATE YOUR TAKING THE
OPPORTUNITY AND I COUNT IT AN OPPORTUNITY TO HELP US BEAR THE
EXPENSES OF GIVING PEOPLE LIKE WE JUST READ ABOUT HOPE.
>TO ORDER FROM OUR RESOURCE LIST, FOLLOW THE INFORMATION ON
THE SCREEN. UNTIL NEXT WEEK, GOD BLESS
.