Copyright 2012 - Lighthouse Network1. For if you remain silent at this time, relief and deliverance...

• 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?

Integrating Science and Faith to Renew Your Mind

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

Karl Benzio, MD

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!

Science and FaithScience 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?

Science and FaithScience 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

God’s Great God’s Great GiftsGifts

MindFree Will: Decision Making

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

What is Addiction?

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+

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.

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.

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.

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,

Bible Definition

• Mark 12:30 – Greatest Commandment

• Ezekiel 14 Idols of the heart lead to destruction. God condemns

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

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

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

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

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

Motorcycle Accident

Alzheimer’s Disease

25 year Heroin Addiction - 39 yo

10 yr Heroin then 7 yr Methadone - 40 yo

16 Years of Daily THC (Tetrahydrocannibinol) Use 32 yo

2 Years of Daily Marijuana Abuse - 16 yo

10 Years of Mostly Weekend Marijuana Use 28 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 and then 1 yr Clean

Depression

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

Images of PMS

Day 10 of Cycle (Best Time)

Hardware SummaryHardware SummaryDisease AspectDisease AspectOur brains are dynamic organsOur brains are dynamic organs

• Our brains can be injured or diseased easily

• Our brains can be strengthened or renewed

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

AddictionAddiction

• Everyone struggles• Everyone has a Go-To coping skill• Spiritual issue– Processing stress poorly

• Psychological Issue– Poor decision: Looking in the wrong

• Biological circuit damage

SummarySummary• 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

Any Questions?Any Questions?

Copyright 2012 - Lighthouse Network1. For if you remain silent at this time, relief and deliverance...

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