Aug. 12, 2023

Exploring Loneliness: Understanding its Impact and Finding Solutions

Exploring Loneliness: Understanding its Impact and Finding Solutions

Are we really alone in our loneliness? Today, we draw a focus on the silent epidemic that's sweeping the globe - loneliness. As a recognized public health crisis, it's essential to understand not just the definition, but the impact it has on our bodi...

Are we really alone in our loneliness? Today, we draw a focus on the silent epidemic that's sweeping the globe - loneliness. As a recognized public health crisis, it's essential to understand not just the definition, but the impact it has on our bodies and minds. We go beyond the surface, exploring how Covid and other societal stressors exacerbate this isolation. But this isn't a voyage into despair, it's a journey of hope as we uncover solutions to this pervasive problem, and ways we can all take action.

Ready for a loneliness intervention? In the heart of our discussion, we explore a variety of strategies to help mitigate loneliness. Cultivating healthy habits like good nutrition, regular exercise, and practicing self-kindness can be game-changers. We'll dive into the power of getting involved with volunteering, social clubs, classes, and even how technology can serve as a lifeline. Paying special attention to our teenagers, who often wrestle with intense feelings of isolation, we remind everyone that patience is a virtue, especially during life's challenging moments. Tune in, and together let's navigate a path towards managing and treating loneliness in our society today.

Choctaw Medical Group, Inc.
Healthcare Quality Leadership Education Group

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The Host, Dr. William Choctaw; MD, JD, is a healthcare leadership expert, possessing a Medical Doctorate from the Yale University School of Medicine, and a Jurist Doctorate from Western University. Over a span of 50 years practicing medicine, he has served as Chief of Staff, Chief of Surgery, and as a member of the medical executive committee at Citrus Valley Medical Center over a 10 year period. Also, while practicing at Citrus Valley Medical Center, he served as Chief Transformation Officer, (developed a Robust Process Improvement/Lean Six Sigma program). Dr. Choctaw lectures nationally and internationally on medical leadership issues for hospital staffs, executives, and managers. He served as a Physician Surveyor on the Joint Commission. He's the author of 2 books, "Medical Malpractice: A Physician's Guide to the Law" and "Transforming the Patient Experience: A New Paradigm for Hospital and Physician Leadership, published by the Springer Publishing Co. He’s the President of Choctaw Medical Group, Inc., a clinical practice and medical legal consulting firm for medical staff executives, physician leaders, and hospitals.

Transcript
100:00:00,480 --> 00:00:02,404Speaker 1: Welcome to the healthy, wealthy and wise 200:00:02,524 --> 00:00:08,064podcast with Dr William Chokta, mdjd. Our mission is to empower 300:00:08,125 --> 00:00:11,897you with the knowledge and the tools you need to thrive in all 400:00:12,099 --> 00:00:16,184aspects of your life. Join us now as we discuss everything 500:00:16,285 --> 00:00:19,823from nutrition and exercise to money management and personal 600:00:19,862 --> 00:00:24,713growth. Dr Chokta will provide insightful advice on how to 700:00:24,774 --> 00:00:28,064improve your physical and financial health, as well as 800:00:28,103 --> 00:00:31,460your emotional and mental well-being. Whether you're 900:00:31,481 --> 00:00:35,930looking to boost your energy levels unlike financial freedom 1000:00:36,252 --> 00:00:40,247or cultivate a more positive mindset, we've got you covered. 1100:00:41,880 --> 00:00:45,901Get ready to become the best version of yourself? So let's 1200:00:45,941 --> 00:00:50,487get started. Here's Dr William Chokta, mdjd. 1300:00:51,090 --> 00:00:54,246Speaker 2: Good morning. Today, we're going to talk about mental1400:00:54,246 --> 00:00:58,125health issues. Welcome to the Healthy, wealthy and Wise 1500:00:58,206 --> 00:01:03,247Podcast. This is part of our Leadership Masterclass series, 1600:01:03,427 --> 00:01:08,426and our intent is to provide youwith information that can make 1700:01:08,486 --> 00:01:12,079your life better. I always like to start off with my beliefs. I 1800:01:12,141 --> 00:01:15,281believe life is about being of service to others. I believe 1900:01:15,361 --> 00:01:20,000knowledge is power. I believe leaders can change the world. As2000:01:20,000 --> 00:01:23,349always, we always like to give you an outline, and the outline 2100:01:23,429 --> 00:01:26,066is we're going to start off withan anatomy of the brain and the2200:01:26,066 --> 00:01:29,834mind. We're going to talk aboutmental health issues as 2300:01:29,894 --> 00:01:32,602compared to mental health illness. We're going to talk 2400:01:32,643 --> 00:01:39,658about symptoms and signs of mental health, and then we'll 2500:01:39,798 --> 00:01:44,204answer questions that you might have. Well, the brain is a very 2600:01:44,266 --> 00:01:47,483complex organ in the body. Indeed, it's one of the areas 2700:01:47,503 --> 00:01:52,219that we, as physicians, still donot completely understand. But 2800:01:52,260 --> 00:01:55,588if we were to take a look at thebrain, it's divided into 2900:01:55,688 --> 00:02:01,435multiple areas. If we were to doa sagittal cut of the brain, we3000:02:01,435 --> 00:02:03,602would note that in the frontal part is what's called the 3100:02:03,703 --> 00:02:08,986frontal lobe. The frontal lobe is for thinking, memory and 3200:02:09,087 --> 00:02:14,283movement and behavior. Next to that is the parietal lobe, and 3300:02:14,324 --> 00:02:19,304that's speech and language In the occipital lobe, which is for3400:02:19,304 --> 00:02:24,454sight, the cerebrum, which is for balance and coordination, 3500:02:24,759 --> 00:02:27,901and below that is the brainstem.What is unique about the 3600:02:27,942 --> 00:02:31,800brainstem is that, regardless ofwhether we are conscious or not3700:02:31,800 --> 00:02:36,570, the brainstem functions and allows us to breathe and allows 3800:02:36,691 --> 00:02:39,824our hearts to continue to beat, and it helps to regulate the 3900:02:39,884 --> 00:02:42,371temperature in our body, even though we're not conscious. 4000:02:43,560 --> 00:02:46,706There's a more medial lobe called the temporal lobe, and 4100:02:46,747 --> 00:02:50,081we'll talk about that a bit later. The second issue that 4200:02:50,122 --> 00:02:56,580comes up about the brain is where is the mind M-I-N-D? Is it4300:02:56,580 --> 00:03:00,943located in the brain? Is it somewhere else? To be honest 4400:03:00,984 --> 00:03:03,631with you, we don't really know, but the belief is that it's 4500:03:03,711 --> 00:03:07,765probably in the brain, probably located somewhere in the frontal4600:03:07,765 --> 00:03:12,520lobe, depending on your philosophical position. What's 4700:03:12,539 --> 00:03:15,948important is that, as we look atthe undersurface of the brain, 4800:03:16,368 --> 00:03:22,026that's a very unique section or part of the brain, if you will, 4900:03:22,086 --> 00:03:29,800called the amygdala, the amygdala A-M-Y-G-D-A-L-A, the 5000:03:29,920 --> 00:03:33,974amygdala, and one of the reasonswhy the amygdala is so 5100:03:34,034 --> 00:03:37,981important is that it is considered to be the emotional 5200:03:38,141 --> 00:03:43,516center of the brain. Some call it the happiness center of the 5300:03:43,557 --> 00:03:46,951brain, and we'll get to that a bit later, but let me 5400:03:47,032 --> 00:03:50,241parenthetically say that when wetalk about mental health issues5500:03:50,241 --> 00:03:54,699. You notice, I say I use the term issue and not illness or 5600:03:54,780 --> 00:03:59,537disease, because we may all havesome mental health issue, but 5700:03:59,676 --> 00:04:04,465we obviously do not all have mental health disease or illness5800:04:04,465 --> 00:04:09,139. Issues can be anything relatedto how we think and how we feel5900:04:09,139 --> 00:04:13,435and how we behave. For instance, basic fear and anxiety can be 6000:04:13,515 --> 00:04:19,151an issue. One may be afraid of heights as an issue, but as long6100:04:19,151 --> 00:04:22,298as that does not interfere withyour normal activity in life, 6200:04:22,999 --> 00:04:26,511then that's not considered an illness for you, and so it's 6300:04:26,571 --> 00:04:31,658important that we consider how we function and that we 6400:04:31,718 --> 00:04:36,863differentiate between mental health illness and mental health6500:04:36,863 --> 00:04:42,396issues. And when we talk about mental health illness, it's 6600:04:42,456 --> 00:04:46,023important to understand that mental health illness is nothing6700:04:46,023 --> 00:04:49,392to be ashamed of. It is basically a medical problem, 6800:04:49,413 --> 00:04:54,560just like heart disease or liverdisease or kidney disease or 6900:04:54,680 --> 00:04:59,091any other type of malady that may affect the body, and one of 7000:04:59,110 --> 00:05:03,838the things that it interferes with our ability to care for 7100:05:03,899 --> 00:05:08,331patients who have actual mental health illnesses is that we tend7200:05:08,331 --> 00:05:14,199not to understand the illness itself or the problem itself, 7300:05:14,600 --> 00:05:18,865and that makes us many times notcare for these patients as 7400:05:18,946 --> 00:05:23,132quickly and as thoroughly as we should. So when we go back to 7500:05:23,774 --> 00:05:27,879the amygdala. The amygdala, again, is a part of the brain 7600:05:27,899 --> 00:05:32,932that's located in the area of the hippocampus, and some even 7700:05:32,992 --> 00:05:36,379call it the happiness of the reward center. It is the part of7800:05:36,379 --> 00:05:39,632the brain that affects how we feel. Let me say that again, the7900:05:39,632 --> 00:05:43,041amygdala is the part of the brain that affects how we feel, 8000:05:44,451 --> 00:05:48,639and those feelings are controlled by hormones that have8100:05:48,639 --> 00:05:53,225an impact on this particular part of the brain that can 8200:05:53,266 --> 00:05:56,132result in a whether we're happy or whether we're sad, and one of8300:05:56,132 --> 00:05:59,567those hormones is dopamine, andanother one of those hormones 8400:05:59,586 --> 00:06:03,656is serotonin. And so, indeed, one of the ways that various 8500:06:03,716 --> 00:06:07,406types of illnesses that involve the brain, ie mental illness 8600:06:07,466 --> 00:06:13,016like depression and others, are treated is with medications that8700:06:13,016 --> 00:06:18,846manipulate or change the impactof a number of these hormones 8800:06:19,346 --> 00:06:24,857that occur in the brain. So if one were to have a high dopamine8900:06:24,857 --> 00:06:29,245level dopamine one of the hormones in the brain one would 9000:06:29,305 --> 00:06:34,596be happy, motivated, alert, focused. Likewise, if, if the 9100:06:34,637 --> 00:06:38,702dopamine level is low, those patients tend to be tired, 9200:06:38,975 --> 00:06:43,540unmotivated, unhappy, mood swings, sleep problems and 9300:06:43,600 --> 00:06:47,040difficulty concentrated. It's really important to understand 9400:06:47,120 --> 00:06:52,420that much of how we interpret how we feel really depends on 9500:06:52,500 --> 00:06:56,278who we are and what our backgrounds are Even more 9600:06:56,358 --> 00:07:00,716specifically, as a book once said some time ago, men really 9700:07:00,817 --> 00:07:04,156are from Mars and women really are from Venus, meaning that 9800:07:04,298 --> 00:07:09,766even though we're both human, but because of the various types9900:07:09,766 --> 00:07:15,822of sex hormones in our body, wemay interpret or relate 10000:07:16,223 --> 00:07:19,769differently in terms of our moods and in terms of how we 10100:07:19,829 --> 00:07:25,125feel. Likewise, when we look at children who may have mental 10200:07:25,165 --> 00:07:30,975health issues, children many times are not little adults and 10300:07:31,055 --> 00:07:35,079we should not consider them little adults. So mental illness10400:07:35,079 --> 00:07:39,357in children is a very unique area of specialty that should be10500:07:39,357 --> 00:07:43,755treated by child psychologists and child psychiatrists. Let me 10600:07:43,855 --> 00:07:47,605also, parenthetically, say that I think it's very important that10700:07:47,605 --> 00:07:52,500we keep in mind again that boysand girls are different in 10800:07:52,521 --> 00:07:59,437terms of how they act and in terms of their behavior. This 10900:07:59,497 --> 00:08:03,507has to do with their particular age and their particular area of11000:08:03,507 --> 00:08:06,959development. But I think it's important to be very cautious 11100:08:07,079 --> 00:08:11,576about how we attribute certain things to children, particularly11200:08:11,576 --> 00:08:16,416as it relates to mental type issues. I personally think that 11300:08:16,456 --> 00:08:25,029the phrase or the definition or the term attention deficit, 11400:08:25,855 --> 00:08:32,557hyperactive disease or ADHD is overused in children. I think 11500:08:33,759 --> 00:08:39,057many times it'll be a situation where in a maybe elementary 11600:08:39,096 --> 00:08:43,684class, or maybe in preschool, oreven beyond preschool, 11700:08:46,575 --> 00:08:52,097elementary class or in high school or junior high class. One11800:08:52,097 --> 00:08:54,725group of students may be very quiet and very attentive. 11900:08:54,815 --> 00:08:59,025Another group of students may bevery in a reactive and not very12000:08:59,025 --> 00:09:03,264attentive. It's not uncommon. Many times that boys in my 12100:09:03,384 --> 00:09:09,542experience have been, I think, unfairly classified as having 12200:09:10,023 --> 00:09:16,120ADHD or some type of behavioral disorder, when they're actually 12300:09:16,139 --> 00:09:18,515just boys and when you compare them with girls, there's 12400:09:18,615 --> 00:09:21,740obviously a difference. So my point is be very, very careful 12500:09:21,780 --> 00:09:26,245and have a professional evaluatethem, a healthcare professional12600:09:26,245 --> 00:09:31,865evaluate them and decide whether indeed there is a mental12700:09:31,865 --> 00:09:34,620type of issue and certainly anything that might require 12800:09:34,841 --> 00:09:38,158treatment, like Ritalin and other types of medication that 12900:09:38,220 --> 00:09:41,798are frequently used with children. My point is just be 13000:09:41,857 --> 00:09:46,298very cautious in terms of what you do. One of the great things 13100:09:46,418 --> 00:09:49,886about healthcare and mental health issues is that there is 13200:09:49,995 --> 00:09:53,921medication that's available for treatment. For many, many years 13300:09:54,182 --> 00:09:57,302there was not very, very good medication with minimal side 13400:09:57,341 --> 00:10:01,782effects. That is no longer the case. So I would encourage you, 13500:10:02,615 --> 00:10:06,826if there's a suggestion in yourself or maybe a family 13600:10:06,885 --> 00:10:09,783member, that you seek out a healthcare professional 13700:10:10,174 --> 00:10:15,395psychologists or psychiatrists to assist with that problem. Let13800:10:15,395 --> 00:10:18,865me just say a word about a particular type of mental health13900:10:18,865 --> 00:10:26,836illness. Now, this is not a mental health situation but an 14000:10:27,037 --> 00:10:31,283actual illness. Let's take a look at the illness called 14100:10:31,342 --> 00:10:35,263depression. Depression is very, very serious and very, very 14200:10:35,403 --> 00:10:40,065unique. Usually these patients have what I call the hopeless, 14300:10:40,495 --> 00:10:47,024helpless, worthless syndrome. They feel things are bad for 14400:10:47,063 --> 00:10:50,517them and that there's no hope that they will get better. They 14500:10:50,557 --> 00:10:53,970feel the things are bad for themand no one can help them make 14600:10:54,010 --> 00:10:58,261things get better. Some even getto the point where they feel 14700:10:58,282 --> 00:11:02,035that things are bad for them andthey actually deserve it. My 14800:11:02,135 --> 00:11:06,725point is that if you see someone, or you know someone, or 14900:11:06,767 --> 00:11:11,376yourself have any of those thoughts, particularly if they 15000:11:11,417 --> 00:11:16,346begin to migrate toward self-harm and even the thought 15100:11:16,447 --> 00:11:23,024of suicide, immediately seek help so that individuals can get15200:11:23,024 --> 00:11:27,419the appropriate treatment. You would be amazed at how common 15300:11:27,921 --> 00:11:32,639the thought about self-harm and suicide is. So, even if 15400:11:32,759 --> 00:11:37,639individuals appear to be joking,I would encourage you to go to 15500:11:37,740 --> 00:11:41,225the free hotlines that are available and to make sure those15600:11:41,225 --> 00:11:45,298individuals get proper treatment. So, in summary we 15700:11:45,337 --> 00:11:48,505talked about mental illness is amedical problem. Like heart 15800:11:48,546 --> 00:11:52,322disease, mental illness is treated with medication that 15900:11:52,383 --> 00:11:56,302regulates many times dopamine and serotonin hormone levels. 16000:11:56,835 --> 00:11:59,740Men and women are fundamentally different in terms of how they 16100:11:59,980 --> 00:12:06,018act when they may have mental abnormalities, and the children 16200:12:06,057 --> 00:12:10,903are very, very unique. All of these maladies should be treated16300:12:10,903 --> 00:12:15,160by healthcare professionals. So, in conclusion, thank you very 16400:12:15,221 --> 00:12:19,697much for spending a valuable time with us. We will continue 16500:12:19,736 --> 00:12:26,147to provide interesting topics about healthcare and others as 16600:12:26,687 --> 00:12:33,905the time moves on. Have a wonderful day and be the change 16700:12:33,985 --> 00:12:35,327that you want to see in the world. 16800:12:37,816 --> 00:12:39,779Speaker 1: Thanks for listening to the Healthy, Wealthy and Wise16900:12:39,779 --> 00:12:44,620podcast with Dr William Choctaw, MDJD. We hope you enjoyed this17000:12:44,620 --> 00:12:48,578episode. In fact, if you found this episode helpful, you can 17100:12:48,639 --> 00:12:52,884support and subscribe to the podcast on your favorite podcast17200:12:52,884 --> 00:12:57,378platform with the keywords Dr William Choctaw, and you'll find17300:12:57,378 --> 00:13:02,322it very quickly. Also, subscribing helps ensure that 17400:13:02,422 --> 00:13:06,717you don't miss any future episodes. And then take the next17500:13:06,717 --> 00:13:10,426step of action and share it with your family, friends and or17600:13:10,426 --> 00:13:14,657your co-workers. They'll be glad you did so. Until the next 17700:13:14,697 --> 00:13:19,187time, live your best possible life the best possible way. 17800:13:19,615 --> 00:13:21,918You've been listening to the Healthy, Wealthy and Wise 17900:13:22,019 --> 00:13:24,783podcast with Dr William Choctaw,MDJD.