Transcript What do you see?

Emotional Wellness
• James 5:14-15
– ‘Is anyone of you sick? He should call the elders of
the church to pray over him and anoint him with
oil in the name of the Lord.’
What do you see?
Introduction
• Matthew 22:37
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Love the Lord your God
with all your heart and
all your soul and
with all your mind
Where is Balance?
Soul Spiritual
Mind
Psychological
Heart
Physical
Causative Model
Biological
Psychological
Social
DSM I
1952
DSM II
1968
DSM III
1984
DSM IV
2000
Diagnostic and Statistical Manual of Mental Illness
DSM 5
2013
Categories for talk
Affective Disorders
Anxiety Disorders
Psychotic disorders
Addiction disorders
Personality Disorders
Affective (Mood) Disorders
Depression
Bipolar
Virginia Wolf
The beauty of
the world,
which is soon
to perish, has
two edges,
one of
laughter, one
of anguish,
cutting the
heart asunder.
• DEPRESSION
Depression
• Terminology
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Endogenous
Reactive
Major depression
BURNOUT
• Etiology
– Chemical imbalance?
– Causes: Bio-psycho-social
• Comorbidity
– Looks like, hides and goes with
The ‘common cold’ of emotional life: Tan/ Ortberg; Coping with depression
Major Depression: Diagnostic Criteria Used
Depressed
or
Irritable
Mood
Sleep
Anxiety
Appetite
Pain
Anhedonia
Lack of interest
or pleasure
Lack
energy
Psycho
motor
Hypersomnia
Worthless
Guilt
Cognitive
Sexual Dysf
Suicide
Vasomotor
Symptoms, brain areas and neurotransmitters
Depressed/ Irritable
• All neurotransmitters
Anhedonia/Lack pleasure
• Dopamine/ Noradrenalin
PFC
PFC
NA
VMPFC
amygdala
VMPFC
amygdala
hypothalamus
VMPFC
amygdala
hypothalamus
Bipolar Disorder
• Two poles:
– Depression
– Mania / Hypomania
• Needs manic /
hypomanic episode to
make diagnosis
• Strong Family history
• Over diagnosed
• Strong Biological basis
Bipolar I and II
• Mania / Hypomania
• At least 7 / 4 days
• At least 3 of following:
– Increased self-esteem/
grandiose
– Decreased need for sleep
– Increased talkativeness
– Flight of ideas
– Distractibility
– Increased goal directed
activity
– Increased involvement in
activities with painful
consequences
Suicide
• Barriers to detection
– Stigma, secrecy, failure to
seek help, lack of
knowledge and awareness.
• Protective factors
– Employment, children,
strong religious beliefs,
sense of responsibility, life
satisfaction….
• Risk factors
– Age, gender, medical,
family, past behavior,
psychiatric symptoms or
illness, personality traits
• Management
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Medical emergency
Care / support
Listen
Ask questions
Refer
TREATMENT
SPIRITUAL
PSYCHOTHERAPY
EXERCISE
PHARMACOTHERAPY
DIET
ALTERNATIVE
Questions?
• When is it not a chemical imbalance?
– When is it Spiritual
• What can we offer?
– Action Plan
• When do we refer and to whom?
– GP, Social worker, Psychologist,
Psychiatrist
• What is my stance on medication?
– No not the solution / Yes till the
recovery.
The Bible and ‘the mind’
• What does GOD ask of us?
– Love
– Serve
– Steadfast
Mat 22:37
1Chr 28:9
Is 26:3
• How do we go about it?
– Set mind on things above
– Prepare for action
• Clear
• New in attitude
• Transformed
– Prayer
– With others….
Col 3:2
1 Pt 1:13
1 Pt 4:7
Eph 4:23
Rom 12:2
1 Cor 14:14
1 Cor 1:10, Acts 4:23
1 Cor 2:16 “…We have the mind of Christ…”