Multitude of Counselors

Obsessive-compulsive Disorder

Three Angels Broadcasting Network

Program transcript

Participants: Jennifer Jill Schwirzer Robert Davidson (Host), Christina Cecotto, Paul Coneff, Shelly, Wiggins


Series Code: MOC

Program Code: MOC000008A

00:28 Welcome to A Multitude of Counselors.
00:32 My name is Jennifer Jill Schwirzer
00:34 and I am so thankful that you chose
00:36 to tune in today to our program.
00:39 We devote this program to raising awareness
00:41 about mental health and we also like
00:44 to provide viable practical solutions
00:46 as well as deeply spiritual answers
00:48 for some of life's most difficult questions,
00:50 those that pertain to emotional
00:53 and behavioral and psychological issues.
00:55 So today, I'm going to first introduce
00:58 my treatment team.
01:00 I wanna welcome each one of you,
01:01 joining us today for this show.
01:03 First of all, we have Paul Coneff.
01:05 He's from Texas.
01:06 Paul is a marriage and family therapist.
01:09 He has a ministry, he operates a ministry called,
01:13 "Straight to the Heart."
01:15 It's a prayer and discipleship ministry
01:17 and he likes to take a special method
01:19 that he's developed, that leads people to the Cross
01:22 and he likes to take that method
01:24 and help people cope with loss, suffering, addiction,
01:27 abuse recovery and so forth.
01:29 Marvelous program, so glad to have you here, Paul.
01:31 Then there's Christina Cecotto from Georgia.
01:36 She works at Wildwood Lifestyle Center.
01:40 She is a licensed Masters in Social Work
01:43 and she likes to help people with anxiety
01:46 and disorders and phobias,
01:48 and we're so glad that you're here to offer
01:50 what you have to offer, Christina, which is so special.
01:53 And we also wanna welcome Shelley Wiggins.
01:56 My friend and colleague, she's from Michigan,
01:58 runs a ministry / counseling practice called,
02:02 "Driftwood Counseling."
02:04 And Shelley likes to work with people on issues
02:07 such as addiction, anxiety and abuse recovery,
02:11 where she uses not only traditional
02:13 counseling / talk therapy
02:15 but she uses Equine therapy with horses,
02:17 which is very unique and very special.
02:19 And you are very unique and special person
02:22 and I'm glad to have you here.
02:23 And I also wanna welcome my co-host, Rob Davidson.
02:26 Rob is from the DC area and he does counseling with me
02:31 in ABIDE Counseling Network and he has a private practice
02:34 and he likes to help all kinds of people
02:35 with all kinds of things
02:37 including coaching men in servant leadership,
02:40 biblical integrity and that kind of thing
02:45 and that's such a great need that we have today,
02:47 because the world is going crazy
02:49 and we need more men that are servant leaders
02:52 in a true sense of the word.
02:53 Today, we're going to be talking about OCD
02:55 or Obsessive Compulsive Disorder.
02:59 I don't know if any of you had that experience
03:01 with obsessive compulsive disorder
03:03 but let me just give symbolic points.
03:04 First of all, let's define OCD.
03:07 OCD is a disorder characterized
03:09 by intrusive unreasonable thoughts
03:11 which provoke anxiety
03:13 and compulsions used to control the anxiety,
03:15 so let's look at the symptoms of OCD again.
03:19 Intrusive, unwanted thoughts, generally not perceived
03:22 as real or true
03:24 and those are called obsessions.
03:25 In other words, the person has these thoughts,
03:28 kind of appear in their mind and in general,
03:31 they don't perceive those thoughts as true
03:33 and they don't like those thoughts
03:34 and they don't want those thoughts
03:36 but they just seem to come in, unbended.
03:38 It's really very sad. Those are called obsessions.
03:40 And then often, not always but often the person responds
03:43 to those obsessions with repeated behaviors
03:46 engaged in for the purpose of alleviating anxiety
03:50 and those are called compulsions.
03:52 So OCD is an anxiety related disorder
03:55 involving these invasive thoughts
03:57 that raise the anxiety level
03:59 and then the person typically acts out with compulsions
04:03 that temporarily lower the anxiety level.
04:05 However, there's a principle in psychology
04:09 and that is that the more we avoid something,
04:11 the more afraid we become of that thing.
04:14 And so the compulsions are an avoidance behavior
04:17 where people are actually afraid
04:19 of the thoughts themselves
04:20 and engaging the compulsions to lower the anxiety level
04:23 about the thoughts, but the more they avoid,
04:26 the more the anxiety takes hold and so OCD compulsions
04:31 don't really work to alleviate the anxiety at long term.
04:36 So some of the common themes we see in OCD are things like
04:40 fear of contamination, constant checking or counting
04:44 and fear of harming or being harmed,
04:47 so classic presentation of OCD is hand washing,
04:52 out of fear of contamination
04:54 and sometimes people wash their hands
04:56 until they are raw and red
04:58 and it can be a very sad thing, very sad and deep.
05:01 What about the prevalence of OCD?
05:03 World wide life time prevalence rates at about 1-2%,
05:07 that's quite high actually.
05:09 And it's among the top twenty causes of disability.
05:13 What about the cause of OCD?
05:14 Of course, that concoction of genetics and environment,
05:18 raised with a certain genetic mix,
05:21 I mean, you're born with a certain genetic mix
05:23 and then you're raised in a certain environment,
05:24 sometimes those things can work together
05:26 to produce a disability but I think often OCD
05:30 is also triggered by a life event.
05:34 I would say that, the trauma or something very disturbing
05:37 can kind of trigger an episode of OCD.
05:39 The prognosis for OCD
05:42 as with all our prognosis, is what?
05:44 Good. Good.
05:45 Because Jesus heals and we wanna give you
05:47 some practical steps that will help assist
05:49 in that recovery process.
05:52 The treatments are many, lifestyle changes can help
05:56 because lifestyle changes
05:58 can may bring chemistry more healthy
06:00 and that can help a word off
06:01 or take the edge off many disorders.
06:04 Sometimes medication is necessary,
06:06 we're chatting about medication,
06:09 sometimes people just need medication.
06:11 What would you guys say?
06:12 In what cases is medication really called for?
06:16 I think in the situation of suicide ideation.
06:21 Yeah.
06:23 If people are having compulsive thoughts
06:26 that are leading to plans
06:28 that potentially could lead to actions
06:29 or they have the means, they have, you know, guns
06:32 or, you know, they've been gathering the tools,
06:35 so to speak.
06:36 It's a very dangerous life threatening situation.
06:44 Yeah, I think that's probably are...
06:45 Medications have side effects
06:48 and they don't do the whole job.
06:50 We were talking a bit ago, about the fact that
06:52 often people will just take the medication thing
06:54 and this is the magic pill and I'm gonna be fine
06:56 but what we need to do is couple that medication
06:58 with treatment, with counseling
07:01 and maybe other forms of treatment
07:03 to help balance that out
07:04 and often people will be able to get off of their medication,
07:06 a lot of these medications
07:08 really work best in the short term.
07:09 To help a person cope, so if a person is extremely,
07:12 really down for the count suicidal
07:14 or sometimes people just have brain disease
07:17 and they really can't function.
07:18 The brain is a physical organ,
07:20 just like any other organ in the body.
07:21 And there can be imbalances and deficiencies,
07:24 just in brain chemistry.
07:25 Postpartum depression. Right.
07:27 Okay.
07:28 You know, it can be another one
07:29 and if they're not getting a lot of sleep
07:31 because they're wound up
07:32 and their brains going, going, going.
07:34 They may need to medicate him for a while
07:35 before they'll often, you know, when they check them in,
07:38 if they have to put him in a psychiatric ward
07:40 or, you know, in-patient for seven to ten days,
07:42 they're gonna give him medication,
07:44 just so they can rest,
07:45 so that when they begin reasoning with him,
07:47 counseling and they can talk to a person at rationale,
07:49 'cause the brain is worn out.
07:51 Right. That's right.
07:52 You can't reason with them, not because they don't want to
07:55 but they're not able to.
07:56 When people will say, "Well, you know,
07:58 the whole medical industry's all about money
07:59 and there's all this corruption and that may be true
08:02 but God also gave wisdom to people,
08:04 to be able to come up with these ways
08:06 in which we could cope,
08:07 sometimes pass the point of suicidal ideations,
08:10 so the person lives into the future
08:11 and let's thank God for that and use it appropriately.
08:13 I don't know anybody in the counseling field
08:16 that never, never we'd consider medication,
08:19 I think most of us
08:20 have a certain amount of caution toward it
08:22 and we wanna make sure the person is a replacing,
08:24 learning good coping mechanisms with medication.
08:26 So the classic treatment for OCD is what we call,
08:30 Exposure and Response Prevention.
08:33 Exposure and response prevention
08:35 is simply having that person face this trigger,
08:39 be it germs or the iron is still on
08:41 or whatever it is and not respond
08:44 with the compulsions and often if they can learn
08:47 how to refrain from that compulsion,
08:48 they realize, "Hey, this isn't gonna do the damage to me
08:53 that I thought it would."
08:54 These racing thoughts about how afraid I am at these germs,
08:57 they don't kill me, it's uncomfortable,
09:00 I don't like it but I can get passed
09:02 and I eventually do calm down.
09:04 Right, so it's correcting the belief system once again.
09:07 That's why I have been talking about as well, yeah.
09:08 Okay.
09:10 And then also, of course,
09:11 developing the appropriate response.
09:12 How do they want to respond to,
09:14 instead of how they have been responding to it.
09:17 And now we're having a good base
09:18 of those positive coping skills before they're out.
09:21 They go out and are exposed to that challenge
09:23 so that they can overcome it and continue to.
09:26 Now, what did you say a little while ago,
09:28 there's a certain patient you had,
09:30 realize that she did not have to obey her emotions
09:33 and when she realize,
09:35 she could use reason instead of emotions.
09:37 That was sort of the turning point for her.
09:39 Right, many times, I find that,
09:41 that is a huge turning point for patients, they realize that
09:44 their emotions don't have to be,
09:47 sometimes entirely trusted and also that
09:51 they don't have to allow their emotions
09:52 to control their lives.
09:54 And so once they realize, they can actually decide
09:58 how they want to feel,
09:59 they can decide what they want to think,
10:01 that is a huge turning point for many people.
10:03 It's empowering.
10:04 Yeah, and I know for me, like getting past depression
10:07 and some of the stuff I've dealt with,
10:08 I had to realize that I was engaging
10:11 an emotional reasoning
10:12 where I thought the emotions were evidence of something
10:14 and I had to learn how to take a step back
10:16 for my emotions and say,
10:18 the emotions themselves are not evidence.
10:20 I have to look to external evidence
10:22 to know what's true.
10:23 Right, right.
10:24 Evidences are very, very huge
10:26 and with anxiety, as well depression,
10:30 many of the mental health issues.
10:31 That's great.
10:33 So what do you think is going on?
10:34 You're kind of the resident pastor, Paul,
10:36 so what do you think is going on with OCD,
10:38 on a spiritual level?
10:40 I'm sorry to spring that on you,
10:42 but you always seem to have million of those.
10:43 I'm shocked.
10:46 You know, Christina already mentioned the thoughts
10:49 because we know, "As a man thinks in his heart, so is he."
10:51 So we have these thoughts raising,
10:52 they build on each other,
10:54 they'd come up four lane and free way.
10:56 And they just take as, it's like a train, you know,
10:58 run away train but I also believe
11:00 that some of the thoughts our own
11:01 but, you know, Jesus said Satan is the father of lies.
11:03 So there can be spiritual warfare,
11:05 in the sense that we're getting hammered from the outside,
11:08 that these thoughts are coming but, I mean,
11:10 a lot of this is we're trying to protect ourselves
11:12 from facing something, right?
11:15 This is really diversionary tactic.
11:16 I'm gonna wash my hands 10 times, 20 times a day
11:21 to avoid dealing with something.
11:22 So for me, I wanna know, you know,
11:25 what is it that they would really like
11:26 for their life to be like?
11:27 I mean, what is their preferred future,
11:29 so to speak and what is keeping them from that?
11:31 Because if they can learn to face what they're afraid of,
11:34 like you were saying and deal with those thoughts
11:38 and feelings, you know,
11:39 it can be a big difference in your life.
11:42 For example, you know,
11:44 if we're gonna talk about helping them understand
11:46 that their feelings and thoughts
11:48 may not be consistent with reality,
11:50 where does that come from?
11:51 And, you know, did Satan attack Jesus to...
11:54 Bible says, He was tempted like us in every way,
11:57 suffered being tempted,
11:59 which means there were real temptations.
12:00 I mean, he's being hammered throughout his life
12:02 especially to get some recovery.
12:04 So if we can help them begin to see not only or not alone,
12:08 but they've got, Jesus is going through it,
12:10 maybe as they begin heal,
12:12 maybe God can retransform in their minds
12:15 and thoughts and they can see a bigger picture.
12:17 Do you think also there's an element
12:19 of depending on self,
12:21 apart from God to regulate emotion
12:23 and part of the battle is a person learning
12:26 how to depend on God to regulate their emotions,
12:29 in other words, OCD is an effort for me,
12:32 to make my emotions positive
12:34 all the time using these rituals and so forth.
12:36 Don't you think there's a pendency issue
12:38 there and you have to kind of accept negative emotion
12:41 and then give it over to God
12:43 and let Him take it from that point.
12:45 I have a very good discussion
12:46 because we're trying to do something in our own strength
12:48 to solve a problem.
12:50 And like you said before,
12:51 when we're trying to solve our own problems
12:53 at our own strength, guess what?
12:54 I make it worse. Worse, exactly.
12:56 And I guess...
12:58 I've tried to do many things in my own strength
12:59 and it's never worked out.
13:01 You know, I was talking to Rob really,
13:02 I've tried to help God out more than once
13:04 and it never works.
13:05 Now look at the classical example of that, Abraham,
13:08 who thought, "Well, you know, God isn't coming through
13:09 on His promise to give me a son,
13:11 so I'll just, you know, I'll do God's will, man's way.
13:14 I'll fix this thing that God can't seem to fix."
13:17 And then he got himself in to all that trouble
13:19 and you're so right that the trend is for us
13:22 to try to solve our problems in our own human strength,
13:27 apart from God.
13:28 It's not that we shouldn't use our will,
13:30 it's that we use our will apart from God
13:31 and that's the problem.
13:33 And when we do that or really effectively living
13:35 under the Old Covenant,
13:36 all that thou said we will do
13:38 our whatever I need to do
13:39 in terms of regulating my emotions, I will do.
13:41 Yes, scripture says,
13:43 "I can do all things through Christ,
13:46 through Christ who strengthens me."
13:48 So I need to turn to Him and have Him help me navigate,
13:51 face what I need to face,
13:53 instead of trying to comfort myself,
13:55 distract myself, create that sense of safety
13:58 or security in my own strength.
14:00 And to me freedom is continued.
14:02 To the degree I'm depending on Christ, I'm free.
14:04 To the degree I'm depending on myself
14:06 and I'm developing pattern, just to have protection,
14:08 I'm moving away from freedom.
14:09 Amen. Can I just add to that, Paul?
14:13 When we're talking about moving towards our fears,
14:16 step by step, we have to be very careful
14:18 to move toward our fears with Christ, as you're saying.
14:20 Exactly. Amen.
14:22 And He's walking step by step towards this
14:23 and sometimes as we see that Footprints poster
14:27 or you'll see that one set of footprints on the sand,
14:29 it's sometimes Jesus is actually carrying us,
14:32 even closer to our fears.
14:33 But we've mentioned too before hypnosis is not good
14:36 because one of the reasons I don't like hypnosis
14:38 is it bypasses your human will.
14:40 That's right.
14:41 And then you could open the door to them
14:42 facing traumas, they're not ready to face.
14:44 So if we're walking there, like Rob said,
14:46 the point you're making is very good.
14:47 If you're walking with them and it may seem slow
14:50 from a human perspective
14:52 but if we're walking with Him, with Jesus,
14:53 it may take a little while but here is the thing,
14:55 Jesus is not going to retraumatize him
14:58 and moving faster than they can go.
14:59 That's right.
15:00 When you try and, you know,
15:02 manufacture things like hypnosis,
15:04 you'd have to get past that, to move along,
15:07 you can open the door and they can be really retraumatized
15:10 and all of the sudden,
15:11 now this pain they've been avoiding is there
15:13 and it can be totally overwhelming to them.
15:15 I think God gave us an unconscious mind
15:17 for a reason in the Garden of Eden
15:19 because we couldn't face all of our stuff, all at once.
15:22 We had to learn to abide in Christ
15:23 and trust in His righteousness
15:25 before we could face it
15:26 and that's the sanctification process.
15:28 And so these methods that unnaturally,
15:31 unleash the unconscious mind, like you said,
15:33 can traumatize people, I think of psychoactive drugs.
15:37 And when I was a teenager in high school,
15:39 everybody's doing LSD.
15:41 And I think LSD just opened the gates
15:43 of the unconscious mind
15:45 and would come flooding into people's conscious mind
15:47 and they would experience what they call "The bad trip"
15:50 and some of them never recovered from it.
15:52 That's really scary, so I think
15:54 what you're kind of zeroing in on
15:56 is the need for patience in working with people
15:59 and I think some of these methods
16:00 are born of really in-patients.
16:02 You know, again to biggy pattern
16:03 what Rob was saying, we need to honor the process
16:07 and the speed at where's the person is going
16:08 and not hurry it.
16:09 Exactly. Yeah.
16:11 It's not my job to get somebody from point A to point B,
16:13 it s my job to walk with them in that journey.
16:17 So I'm not turning the person into an agenda
16:20 where I've got a few or better as a therapist or a pastor
16:23 because I'm moving them along.
16:24 That's awesome.
16:26 What I've noticed...
16:27 Oh, go on. Sorry.
16:28 What I've noticed is that patients tend to move
16:30 quicker toward healing
16:32 when they allow God in the process
16:35 and the more attuned they are to His voice,
16:37 actually the quicker they are able to recover.
16:41 Are you very ready get into the presenting problem
16:44 or do wanna throw in a comment before he jumps in.
16:47 Oh, I'll add it later if it fits.
16:49 Okay, is that all right? Oh, absolutely.
16:50 We wanna give you a chance to shine, girl.
16:52 No, no. We're good.
16:53 All right.
16:55 All right, the presenting problem
16:56 is an African American William,
16:58 is a high school senior from upper middle class family
17:02 presenting with symptoms of what he believes is OCD.
17:05 His girlfriend broke up with him
17:07 because he was completely obsessed with body building
17:10 and had no time for her or inclination to engage
17:13 in any kind of normal relationship.
17:15 With her gone,
17:16 he doubts the value of his perfect biceps,
17:19 his perfect triceps and perfect quads.
17:21 Yet cannot seem to let himself be a normal person.
17:24 The psychiatrist prescribed an SSRI drug
17:27 and can you explain that?
17:28 SSRI drugs.
17:30 Selective Serotonin Reuptake Inhibitor drug
17:32 which allows more serotonin to remain in the synaptic gap
17:38 which basically raises the level of the mood
17:40 elevating serotonin in the brain,
17:41 so people feel better.
17:43 Go ahead.
17:44 Okay, so the psychiatrist prescribed it
17:46 but it did little good, a few weeks into counseling,
17:48 the psychiatrist prescribed Vyvanse for ADD.
17:51 And it did revolutionized William's life.
17:54 He said he could focus for the first time in years
17:56 and was starting to actually
17:58 be able to have conversations with people.
18:00 So what was going on with William?
18:02 Interesting situation...
18:04 Now this could go into another full hour discussion.
18:06 Yeah.
18:07 You know, as we look at the chemistry of the brain.
18:09 Yeah.
18:11 And sometimes people have a chemistry
18:13 that's just going so fast,
18:16 that they need a stimulant to slow it down.
18:21 Isn't that weird? It is.
18:22 Isn't that weird that ADD medication is a stimulant.
18:25 But apparently it gets people there,
18:27 more circulation going in the cerebral cortex,
18:29 the fore brain and that helps them focus.
18:33 Right.
18:34 I think the most important note on medication
18:36 whether your pro medication or against medication
18:40 is to make sure you're taking it in compliance
18:44 with how the doctor has prescribed it
18:46 and to never go off with these medications abruptly.
18:49 Yes. That's right.
18:50 I've lost a personal friend
18:52 to that when they went off drastically
18:56 and you just don't wanna play with it,
18:59 so if you're gonna go the medication route,
19:02 be committed to it and make only the changes
19:04 that you're doctor is gonna make.
19:07 And never go off abruptly 'cause, you know,
19:09 half life can kind of coast
19:12 and then all of a sudden without you knowing it,
19:13 it can drop off.
19:14 That's right.
19:16 So, you know, go into the medication issue educated.
19:19 So...
19:20 You be educated but also
19:22 none of us are prescribing physicians,
19:24 so when we encourage our client to go on medication,
19:26 we always work through a prescribing physician,
19:29 either a psychiatrist or a primary care doctor
19:33 and they understand those medications,
19:34 and we encourage the client
19:36 to comply with what the doctor is doing with them.
19:40 And we also encourage them,
19:42 if we're gonna encourage them to try alterative methods,
19:45 we encourage them to run that by their doctors will
19:48 because we can't prescribe herbs
19:50 and supplements and so forth.
19:51 But I have found with OCD, I know a couple of people
19:54 that have benefited from Inositol,
19:56 which is a B vitamin and it's, you know, it's a powder,
20:00 they put it in a liquid and they drink it
20:02 and they up the dose gradually
20:04 and it seems to take the edge off
20:05 and I've had that happen,
20:07 a three times now with people that I've been aware of.
20:10 I'm not prescribing and I'm not saying to try it,
20:12 I'm just saying to consider it and go to your doctor and ask,
20:15 if maybe this would be an appropriate thing to try.
20:18 I have another loved one who's using inositol
20:21 and St John's-wort, a combination of those things,
20:23 it seems to take the edge off and he does.
20:25 He can stay off of medication
20:27 which he wants to do if he possibly can
20:29 'cause medications do have side effects
20:30 and he doesn't notice any side-effects
20:32 from those supplements and herbs,
20:34 so, I think there's a lot of things we could try
20:36 but I don't know if you've run into this with medication,
20:39 it's different for each person, not everything works.
20:40 Absolutely.
20:42 Think I've learned a perfect science.
20:44 Seriously tried one serotonin,
20:46 it didn't work and they tried another one
20:48 and all of the sudden, he's able to focus,
20:49 concentrate and start connect with people.
20:51 Amazing.
20:53 Lifestyle changes also help with OCD and ADD,
20:57 so depending on whatever they're experiencing,
21:00 that can also help with developing self control
21:02 when it comes to thoughts.
21:04 So do you have any experience
21:06 in the Lifestyle center with ADD, OCD?
21:09 Have you treated anyone for those things?
21:11 Not so much ADD but with OCD, yes.
21:15 But one of the primary...
21:17 PA's there,
21:19 had experience treating ADD and he says lifestyle changes
21:22 is something that really works with ADD.
21:24 With OCD,
21:25 I have found those simple eight laws of health,
21:29 actually, help a lot with that.
21:31 And then I know a thing is simply surrendering,
21:34 surrendering those thoughts,
21:36 deciding I'm not going to worry about those things anymore
21:39 and allow and be able to trust in God.
21:45 Christina, could you remind us
21:46 what those eight laws are, really quickly?
21:48 Sure, yeah.
21:49 Nutrition, exercise, water,
21:53 sunshine, temperance, air,
21:57 trusting God, did I miss one?
21:58 Rest.
21:59 Rest, okay, and that one's important, right?
22:01 Can't forget that one.
22:02 'Cause sleep deprivation can send a person into psychosis.
22:04 It's just everything.
22:05 Yeah, crucial.
22:07 Everything goes wrong with sleep deprivation,
22:08 so basically you're talking about good body care
22:10 and good brain care, 'cause guess what?
22:12 The brain is part of what? The body.
22:14 So it's a physical organ, we've got to care for it
22:16 like we care for the rest of our body,
22:18 so whatever helps the body be healthier
22:20 is gonna also help the brain, that's awesome.
22:23 And sometimes just those simple things
22:24 will turn a person around.
22:26 What do you guys do with ADD apart from medication?
22:31 How do you help people with ADD
22:34 if they're not gonna go the medical route?
22:37 Any input on that? Okay. Relaxation exercises.
22:39 You know, to be poignant and focus,
22:42 that at this time everyday,
22:44 I'm going to do this specific thing,
22:47 whether it's walking, stretching,
22:49 deep breathing, you know.
22:51 Prayer.
22:52 Prayer, journaling, but something that's active,
22:56 something physically active to kind of dissipate
22:59 that adrenaline that's building up in the body.
23:02 Okay.
23:04 You know, like that analogy,
23:06 if you take the trash out everyday,
23:07 by the end of the week, it's not overflowing,
23:10 so make some room for that reserve,
23:12 create some margin in your life.
23:14 What about the...
23:16 That's really helpful.
23:17 What about the relationship between lifestyle
23:19 'cause I get the sense
23:21 that not everybody is just like born with ADD,
23:23 that has ADD, I think that it can kind of be cultivated
23:26 and a lot of it is situational
23:28 because we have so many distractions
23:30 in the environment, constant, you know,
23:32 the engagement thought like electronics and so forth.
23:34 And sometimes, you know,
23:35 kids have that from the moment they're born practically,
23:38 so people never really stretch their attention span,
23:41 they never really cultivate the ability to focus,
23:44 so what do you do in cases like that
23:45 to help people develop focus?
23:48 Sometime in nature,
23:50 go sit out in the field and journal or pray.
23:53 And that has a lot to do with self disappointment,
23:55 you know, having the person go out
23:58 and actually do that and say, "Okay,
24:00 maybe you can only do five minutes at first.
24:01 Well, let's see if you can stretch it
24:03 for a little bit longer,
24:04 " and it's kind of pushing those limits.
24:07 You know, scripture says, "Be still and know God."
24:09 And all of our electronic devices
24:11 can help us very well,
24:13 I mean, right now satellite can send this program
24:16 all over the world, there's lot of blessings
24:18 but it's also creative culture
24:20 where we're really disconnected,
24:22 where we don't know how to stop and be still.
24:24 Right.
24:26 And we're going, going, going the whole time
24:29 and then our brain gets that pattern going
24:31 and it doesn't know how to rest.
24:32 We have a practice that I do with my friends
24:35 when we go out to eat.
24:36 Everybody puts their cell phone in the middle of the table
24:38 and the person that picks up
24:40 and looks has to buy desert for everyone.
24:41 I love it.
24:42 Because, you know, what we're doing
24:44 is like constantly disengaging from one another,
24:45 instead of looking in each other's eyes
24:47 and truly communicating and bonding.
24:49 So I wonder about the relationship
24:51 between bonding and things like ADD,
24:54 if there was a viable emotional connection
24:57 in the home perhaps,
24:59 then that person would be more motivated to focus.
25:02 Just a thought but you need to recap for us,
25:04 if you don't mind?
25:05 Sure.
25:07 Let's see what we've gone over today.
25:11 We started talking about medication that may be needed,
25:14 doesn't always have to be, everybody is different.
25:17 But we've mentioned some cases where it might be needed,
25:19 we're talking about suicide, brain disease,
25:22 postpartum depression,
25:23 we're talking about coming back into balance.
25:26 Medication doesn't have to be for the rest of our lives.
25:28 But we also talked, in some cases perhaps so,
25:31 but we also talked about the need for,
25:33 if you're gonna have medication,
25:35 make sure we have some good therapy going on too,
25:37 at the same time.
25:38 It's not just all about medication.
25:41 Exposure and what was the other?
25:43 Response prevention.
25:44 Response prevention, it is the treatment of choice, yeah.
25:45 Treatment of choice.
25:47 And what that it really means
25:48 is being exposed to our fears little by little by little.
25:51 And not acting out. Yeah.
25:54 Clients can learn and decide how to respond,
25:57 emotions can be controlled.
25:59 That was an excellent point.
26:00 Good.
26:03 There can be spiritual warfare going on.
26:05 We have to be, as Christian counselors,
26:06 we have to be cognizant of, you know,
26:08 we need to get their full stories.
26:11 But that's not always the case.
26:14 We need to look at how Jesus was tempted,
26:16 we need to look at His story too,
26:17 because that will help us to feel like we're not alone.
26:20 Jesus was tempted on many points
26:22 but He did not do things in His own strength, did He?
26:25 He relied upon His father and this is an example for us.
26:28 We can't do things in our own strength.
26:30 We need to bring Christ into the picture
26:34 and do trainings through Christ.
26:36 Amen.
26:37 We need to constantly move closer to our fears,
26:40 being patient with our clients,
26:42 not trying to hurry them through their stories.
26:45 Chemistry of the brain,
26:48 sometimes that just needs to be slowed down
26:50 and medication can help,
26:51 but if medication is in the picture,
26:53 we need to be in contact with the doctors.
26:56 We need to know what's going on.
26:58 Natural remedies can also be very helpful,
27:00 we talked a little about that.
27:02 We talked about the eight laws of nature.
27:05 And surrendering our thoughts are so important, and Jenn,
27:10 I would like you to go ahead and close this out.
27:12 Thanks.
27:13 So Paul said in Romans 8: 38-39, "I am persuaded,
27:19 that neither death, nor life, nor angels, nor principalities,
27:23 nor powers, nor things present, nor things to come, nor height,
27:27 nor depth, nor any other creature,
27:29 shall be able to separate us from the love of God,
27:33 which is in Christ Jesus our Lord."
27:34 And in the package of that love comes healing, comes grace,
27:40 comes freedom from bondage and comes healing
27:44 for all of our diseases including our mental diseases
27:46 and I wanna encourage you to reach out after Jesus
27:49 and also find a good Christian counselor
27:51 if that's called for, in your situation.
27:53 Thank you for coming to our program.
27:55 And may God bless you abundantly.
27:57 Tune in next time to A Multitude of Counselors.


Revised 2016-11-07