Rethinking the language of mental illness: From nuts and crazy to irrational and disordered.

Rethinking the language of mental illness: From nuts and crazy to irrational and disordered.

Recently, a husband in a counseling session turned and asked me to tell his wife that she was crazy. In declining to do so I asked if he could tell me what he was feeling when he made his request. He responded by saying that he felt exasperated. Indeed , sometimes we hurl words like nuts or crazy when we are frustrated and don’t know what else to do. When we feel powerless, name-calling is sometimes the only thing we can think of to do. That’s because cutting remarks about the other person makes them appear smaller and makes us feel better .
Apart from the session, it got me to thinking about how his comment , in addition to being hurtful, is a sign that, despite all that we have learned and despite all the progress that we have made, that we still have a long way to go to get beyond the fear and stigma attached to mental health issues.
Part of the prejudice stems from ignorance and a gross misunderstanding of psychological disorders. This confusion has been and continues to be perpetuated, in part, by the common usage of antiquated and misleading terms such as “crazy” and “nuts”.
Today, let’s explore the linguistic origins these hurtful anachronisms and consider better alternatives to use when discussing mental health issues.

S.H.I.E.L.D. : Six steps to protect your brain from Alzheimer’s Disease

S.H.I.E.L.D. : Six steps to protect your brain from Alzheimer’s Disease

This is Alzheimer’s awareness day and here is an acronym that everyone should learn: S.H.I.E.L.D.
SH.I.E.L.D. stands for the six things that everyone can do to help protect their brain from this dreaded disease.
In the past research was aimed at protein build-up (plaques and tangles) but the latest thinking is that INFLAMATION is the culprit.
Here are six life-style changes that can help reduce inflammation in the brain and better protect you from Alzheimer’s disease.

The Absense of Empathy: Psychology’s Take on the Origin of Sin and Evil.

The Absense of Empathy: Psychology’s Take on the Origin of Sin and Evil.

The incessant reports of gun violence has stimulated deeper questions about the very notion of human sin and evil. A recent report in the New York Times interviewed a theologian and a psychiatrist about their understanding of these mysteries. As one who is an ordained minister and also a licensed psychotherapist, I found the discussion fascinating and relevant to modern concerns about why bad things such as mass shootings happen. Further, the dialog provides a good example of the kinds of issues which pastoral counselors address.
In a recent article in the New York Times a theologian and a psychiatrist were asked about their understanding of evil and sin. Specifically, the psychiatrist expressed the widely held view of how modern brain research and psychology understands the concepts of evil and sin. This evolving bio/psycho/social perspective provides a different slant on traditional religious views of evil but, ultimately, is congruent with the fundamental message of biblical beliefs. Here is a look of how science informs and relates to the theological concept of sin.

First Aid for Anxiety : Part II – Anticipatory Anxiety

First Aid for Anxiety : Part II – Anticipatory Anxiety

A few weeks ago, I wrote about how to employ first-aid for anxiety. In that discussion, the type of anxiety being addressed was the kind which was triggered by a perceived external stressor in the person’s environment, such as a having a difficult conversation with a person or receiving bad or threatening news .
— Today I want to talk about a different kind of anxiety which can also produce intense dysphoric symptoms but which originates in the neo-cortex of the brain and comes from an internal-anticipated threat, rather than an actual or immediate one.
— Rather than relying on physical isolation from the distressing stimulus, a technique which I call Sensational Distraction (SD) can be used to disrupt distract the stressful cascade of thoughts and anxious feelings. With SD a person can shift the focus and attention of their immediate experience from thinking thoughts to perceiving sensations in their body and thus stop the flow of disturbing thoughts and calm the distressed state of mind.
— Although many distractors can be used , an especially effective technique for lessening and stopping anxiety I call the Orange. The orange relies on SD and is the first step, after a person realizes that they are experiencing anticipatory anxiety, calming one’s mind. The technique involves four steps and goes like this:

Political attempts to blame the mentally Ill for mass shootings is wrong.

Political attempts to blame the mentally Ill for mass shootings is wrong.

I know it has been a couple of weeks since the tragedies in El Paso and Dayton.  I also know that mass shootings have become so frequent that our ability to really comprehend and feel the horror has been saturated beyond human limitations.

That said, it is important, in addition to not giving up or giving in to emotionally accepting gun violence as a fact of life, that we not fall victim to our fatigue or fall prey to bogus political attempts to offer facile explanations for  complex problems.  Likewise, we must be careful not to blame an innocent population for inexplicable horrors. You may have heard some politicians suggest that mental illness is the cause of these mass shootings. Frankly, those who do this simply don’t know what they are talking about and are wrong. Here is why:

First Aid for Anxiety

First Aid for Anxiety

Anxiety is a serious and complex problem for many people. In some cases, successful treatment requires a combination of psychotherapy and medication. For many, however, employing some basic first-aid can render significant and immediate relief.
Here are four steps which, if followed, can quickly and dramatically reduce the crippling effects of panic and anxiety attacks.

Fear, Anger and the Difficulty of Being Vulnerable in Intimate Communication

Fear, Anger and the Difficulty of Being Vulnerable in Intimate Communication

Intimate communication is a major problem for many marriages. Partners often find it difficult to talk to each other or, that when they do, they feel that what they said is being misunderstood. Specifically, discussions which involve anger or fear are some of the most difficult.
Certainly, learning how to speak in ways which are respectful of one’s partner and are non-attacking is important. However, simply learning to use I-statements is often not enough to enable couples to be able to talk intimately and constructively about their true feelings and desires with one another.
Thus, a major obstacle to good communication, apart from the words we use when we talk, is our state of mind. More specifically, we have a natural fear and aversion to being vulnerable , i.e. emotionally undefended in front of another person.
Nonetheless, only by overcoming these fears can couples achieve truly emotionally intimate communication. Let me explain how this is possible.

NEURO-SCIENCE EXPLAINS WHY EMPATHY WORKS

NEURO-SCIENCE EXPLAINS WHY EMPATHY WORKS

Recently, I have been writing about the impact of brain research on our understanding of psychology and its implications for psychotherapy.

In this segment, I wish to explain how the very old psychological concept of empathy has been validated by modern neuro-science studies and why it is so important for emotional healing and growth.
In brief, stress and a perception of imminent threat shift a person into survival mode which is controlled by the limbic system which disconnects him/her from his/her cortex.

Empathy, one the other hand, conveys a sense of safety, turns off the physiological alarm and allows neuro-pathways to the cortex to be re-connected. This science explains why empathy works to help folks who are experiencing great distress. So, let us look in more detail at how empathy functions …

How Neuro-science Revolutionizes Biblical Notions of Sin

How Neuro-science Revolutionizes Biblical Notions of Sin

As a pastoral counselor , I am often asked about how my psychological training has influenced my Christian beliefs. While I believe that science does not conflict with my fundamental experience of faith or my belief in God, I believe that it can add to and make more comprehensible some of the more mysterious aspects of life and faith.
The notion of sin is an especially good example. You know the traditional Garden of Eden story and how humankind was seduced into sinning by the serpent. According to Genesis, human beings were a created perfection who were corrupted by the temptation of outside influences. Adam and Eve were driven out of Eden and paradise was lost.
There is, however, another way to understand the nature and origin of sin which does not rely on myth and is more congruent with modern science. If God is understood to be love, then any behavior which does not express love is not of God. Sin is the absence of God. Rather than simply blaming Adam and Eve and seeing the source of sin as stubborn disobedience, sin ( which involves disobedience) may be understood as a sense of fear and insecurity which stems from Adam and Eve’s inability to trust God. A basic understanding of brain physiology reveals the structural basis for human fear and insecurity which makes trusting so difficult.
n other words, unlike a traditional, volitional understanding of sin, a scientific view sees unloving behavior as the consequence of fear and panic blocking our capacity to love. We don’t chose sin. Sin ( selfish – irrational behavior) takes us over. Let me explain in more detail.

The Secret of Dr. Jekyll and Mr. Hyde

The Secret of Dr. Jekyll and Mr. Hyde

We all know the story of Dr. Jekyll and Mr. Hyde and how a loving and compassionate doctor who, in trying to research the secrets of mental illness, unleashed a monster that dwelled deep within his own psyche. Modern neuroscience has gone a long way in explaining how such opposite demeanors could belong to the same person. And, rather than being a “strange case”, this seeming contradiction, (that persons could hold within themselves such opposite traits), is built in to the very structure of the normal human brain .. The key to understanding this mystery and what determines which persona is in control is found in the relationship between the limbic system and the cerebral cortex.
Without having to become an expert or get lost in the details , some basic knowledge about brain physiology can help everyone understand confusing, but less extreme, differences in our own behavior and in that of others.
Here are some clues to let you know when your rational brain is being hi-jacked and some tips to get rational brain back.

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