"Be The Change You Want To See In The World"
July 24, 2023

From Darkness to Light: A Journey through Mental Health

From Darkness to Light: A Journey through Mental Health

Are you ready to unlock the mysteries of your mind? Dr. William Choctaw, our esteemed guest in this episode, guides us through a deep understanding of our complex brain and mind. He skillfully differentiates between mental health issues and mental he...

Are you ready to unlock the mysteries of your mind? Dr. William Choctaw, our esteemed guest in this episode, guides us through a deep understanding of our complex brain and mind. He skillfully differentiates between mental health issues and mental health illness, shedding light on the critical need for compassion when dealing with mental health illnesses. With an insightful look at the role of hormones in shaping our feelings, this conversation is both illuminating and thought-provoking.

Hang on tight as we venture further into our exploration of mental health. Dr. Choctaw shares his profound knowledge on the transformative power of positive thinking, and how it can dramatically impact our mental state. Learn how to foster a healthy lifestyle, develop habits that can change your life, manage stress effectively, and recognize signs of depression. This compelling discourse affirms that mental health is a journey - one that can be navigated successfully with the right tools and knowledge. Listen in and empower yourself to steer control of your mental health journey. Join us on the Healthy, Wealthy and Wise Podcast for an episode that will leave you inspired and informed!

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
1 00:00:00,480 --> 00:00:02,404 Speaker 1: Welcome to the healthy, wealthy and wise 2 00:00:02,524 --> 00:00:08,064 podcast with Dr William Chokta, mdjd. Our mission is to empower 3 00:00:08,125 --> 00:00:11,897 you with the knowledge and the tools you need to thrive in all 4 00:00:12,099 --> 00:00:16,184 aspects of your life. Join us now as we discuss everything 5 00:00:16,285 --> 00:00:19,823 from nutrition and exercise to money management and personal 6 00:00:19,862 --> 00:00:24,713 growth. Dr Chokta will provide insightful advice on how to 7 00:00:24,774 --> 00:00:28,064 improve your physical and financial health, as well as 8 00:00:28,103 --> 00:00:31,460 your emotional and mental well-being. Whether you're 9 00:00:31,481 --> 00:00:35,930 looking to boost your energy levels unlike financial freedom 10 00:00:36,252 --> 00:00:40,247 or cultivate a more positive mindset, we've got you covered. 11 00:00:41,880 --> 00:00:45,901 Get ready to become the best version of yourself? So let's 12 00:00:45,941 --> 00:00:50,487 get started. Here's Dr William Chokta, mdjd. 13 00:00:51,090 --> 00:00:54,246 Speaker 2: Good morning. Today, we're going to talk about mental 14 00:00:54,246 --> 00:00:58,125 health issues. Welcome to the Healthy, wealthy and Wise 15 00:00:58,206 --> 00:01:03,247 Podcast. This is part of our Leadership Masterclass series, 16 00:01:03,427 --> 00:01:08,426 and our intent is to provide you with information that can make 17 00:01:08,486 --> 00:01:12,079 your life better. I always like to start off with my beliefs. I 18 00:01:12,141 --> 00:01:15,281 believe life is about being of service to others. I believe 19 00:01:15,361 --> 00:01:20,000 knowledge is power. I believe leaders can change the world. As 20 00:01:20,000 --> 00:01:23,349 always, we always like to give you an outline, and the outline 21 00:01:23,429 --> 00:01:26,066 is we're going to start off with an anatomy of the brain and the 22 00:01:26,066 --> 00:01:29,834 mind. We're going to talk about mental health issues as 23 00:01:29,894 --> 00:01:32,602 compared to mental health illness, we're going to talk 24 00:01:32,643 --> 00:01:39,658 about symptoms and signs of mental health, and then we'll 25 00:01:39,798 --> 00:01:44,204 answer questions that you might have. Well, the brain is a very 26 00:01:44,266 --> 00:01:47,483 complex organ in the body. Indeed, it's one of the areas 27 00:01:47,503 --> 00:01:52,219 that we, as physicians, still do not completely understand. But 28 00:01:52,260 --> 00:01:55,587 if we were to take a look at the brain, it's divided into 29 00:01:55,688 --> 00:02:00,424 multiple areas, and if we were to do a sagittal cut of the 30 00:02:00,444 --> 00:02:03,501 brain, we would note that in the frontal part is what's called 31 00:02:03,522 --> 00:02:08,986 the frontal lobe. The frontal lobe is for thinking, memory and 32 00:02:08,986 --> 00:02:14,283 movement and behavior. Next to that is the parietal lobe, and 33 00:02:14,324 --> 00:02:19,304 that's speech and language, in the occipital lobe, which is for 34 00:02:19,304 --> 00:02:24,454 sight, the cerebrum, which is for balance and coordination, 35 00:02:24,759 --> 00:02:27,901 and below that is the brainstem. What is unique about the 36 00:02:27,961 --> 00:02:31,800 brainstem is that, regardless of whether we are conscious or not 37 00:02:31,800 --> 00:02:36,570 , the brainstem functions and allows us to breathe and allows 38 00:02:36,691 --> 00:02:39,824 our hearts to continue to beat and it helps to regulate the 39 00:02:39,884 --> 00:02:43,379 temperature in our body, even though we're not conscious. And 40 00:02:43,400 --> 00:02:46,707 there's a more medial lobe called the temporal lobe, and 41 00:02:46,747 --> 00:02:50,082 we'll talk about that a bit later. The second issue that 42 00:02:50,122 --> 00:02:56,563 comes up about the brain is where is the mind M-I-N-D? Is it 43 00:02:56,563 --> 00:03:00,943 located in the brain? Is it somewhere else? To be honest 44 00:03:00,984 --> 00:03:03,631 with you, we don't really know, but the belief is that it's 45 00:03:03,711 --> 00:03:07,765 probably in the brain, probably located somewhere in the frontal 46 00:03:07,765 --> 00:03:12,439 lobe, depending on your philosophical position. What's 47 00:03:12,479 --> 00:03:15,948 important is that, as we look at the undersurface of the brain, 48 00:03:16,368 --> 00:03:22,026 that's a very unique section or part of the brain, if you will, 49 00:03:22,086 --> 00:03:29,800 called the amygdala, the amygdala A-M-Y-G-D-A-L-A, the 50 00:03:29,920 --> 00:03:33,974 amygdala. And one of the reasons why the amygdala is so 51 00:03:34,034 --> 00:03:37,981 important is that it is considered to be the emotional 52 00:03:38,141 --> 00:03:43,516 center of the brain. Some call it the happiness center of the 53 00:03:43,557 --> 00:03:46,951 brain, and we'll get to that a bit later. But let me 54 00:03:47,032 --> 00:03:50,241 parenthetically say that when we talk about mental health issues 55 00:03:50,241 --> 00:03:54,699 . You notice I say I use the term issue and not illness or 56 00:03:54,780 --> 00:03:59,537 disease, because we may all have some mental health issue, but 57 00:03:59,676 --> 00:04:04,465 we obviously do not all have mental health disease or illness 58 00:04:04,465 --> 00:04:09,139 . Issues can be anything related to how we think and how we feel 59 00:04:09,139 --> 00:04:13,435 and how we behave. For instance , basic fear and anxiety can be 60 00:04:13,515 --> 00:04:19,151 an issue. One may be afraid of heights as an issue, but as long 61 00:04:19,151 --> 00:04:22,298 as that does not interfere with your normal activity in life, 62 00:04:22,999 --> 00:04:26,511 then that's not considered an illness for you, and so it's 63 00:04:26,571 --> 00:04:31,658 important that we consider how we function and that we 64 00:04:31,718 --> 00:04:36,863 differentiate between mental health illness and mental health 65 00:04:36,863 --> 00:04:42,396 issues. And when we talk about mental health illness, it's 66 00:04:42,456 --> 00:04:46,023 important to understand that mental health illness is nothing 67 00:04:46,023 --> 00:04:49,392 to be ashamed of. It is basically a medical problem, 68 00:04:49,413 --> 00:04:54,560 just like heart disease or liver disease or kidney disease or 69 00:04:54,680 --> 00:04:59,091 any other type of malady that may affect the body. And one of 70 00:04:59,110 --> 00:05:03,838 the things that it interferes with our ability to care for 71 00:05:03,899 --> 00:05:08,331 patients who have actual mental health illnesses is that we tend 72 00:05:08,331 --> 00:05:14,199 not to understand the illness itself or the problem itself, 73 00:05:14,600 --> 00:05:18,865 and that makes us many times not care for these patients as 74 00:05:18,946 --> 00:05:23,132 quickly and as thoroughly as we should. So when we go back to 75 00:05:23,774 --> 00:05:27,879 the amygdala, the amygdala, again, is a part of the brain 76 00:05:27,899 --> 00:05:32,932 that's located in the area of the hippocampus, and some even 77 00:05:32,992 --> 00:05:36,379 call it the happiness of the reward center. It is the part of 78 00:05:36,379 --> 00:05:39,632 the brain that affects how we feel. Let me say that again, the 79 00:05:39,632 --> 00:05:43,041 amygdala is the part of the brain that affects how we feel, 80 00:05:44,451 --> 00:05:48,639 and those feelings are controlled by hormones that have 81 00:05:48,639 --> 00:05:53,225 an impact on this particular part of the brain that can 82 00:05:53,266 --> 00:05:56,132 result in a whether we're happy or whether we're sad, and one of 83 00:05:56,132 --> 00:05:59,567 those hormones is dopamine, and another one of those hormones 84 00:05:59,586 --> 00:06:03,656 is serotonin. And so, indeed, one of the ways that various 85 00:06:03,697 --> 00:06:07,406 types of illnesses that involve the brain, ie mental illness 86 00:06:07,466 --> 00:06:13,016 like depression and others, are treated is with medications that 87 00:06:13,016 --> 00:06:18,846 manipulate or change the impact of a number of these hormones 88 00:06:19,346 --> 00:06:24,857 that occur in the brain. So if one were to have a high dopamine 89 00:06:24,857 --> 00:06:29,245 level dopamine one of the hormones in the brain one would 90 00:06:29,305 --> 00:06:34,596 be happy, motivated, alert, focused. Likewise, if, if the 91 00:06:34,637 --> 00:06:38,702 dopamine level is low, those patients tend to be tired, 92 00:06:38,975 --> 00:06:43,540 unmotivated, unhappy, mood swings, sleep problems and 93 00:06:43,600 --> 00:06:47,040 difficulty concentrating. It's really important to understand 94 00:06:47,120 --> 00:06:52,420 that much of how we interpret how we feel really depends on 95 00:06:52,500 --> 00:06:56,278 who we are and what our backgrounds are. Even more 96 00:06:56,358 --> 00:07:00,716 specifically, as a book once said some time ago, men really 97 00:07:00,817 --> 00:07:04,156 are from Mars and women really are from Venus, meaning that 98 00:07:04,298 --> 00:07:09,766 even though we're both human, but because of the various types 99 00:07:09,766 --> 00:07:15,802 of sex hormones in our body, we may interpret or relate 100 00:07:16,223 --> 00:07:19,769 differently in terms of our moods and in terms of how we 101 00:07:19,829 --> 00:07:25,125 feel. Likewise, when we look at children who may have mental 102 00:07:25,165 --> 00:07:30,975 health issues, children many times are not little adults and 103 00:07:31,055 --> 00:07:35,079 we should not consider them little adults. So mental illness 104 00:07:35,079 --> 00:07:39,357 in children is a very unique area of specialty that should be 105 00:07:39,357 --> 00:07:43,755 treated by child psychologists and child psychiatrists. Let me 106 00:07:43,855 --> 00:07:47,605 also, parenthetically, say that I think it's very important that 107 00:07:47,605 --> 00:07:52,500 we keep in mind again that boys and girls are different in 108 00:07:52,521 --> 00:07:59,437 terms of how they act and in terms of their behavior. This 109 00:07:59,497 --> 00:08:03,507 has to do with their particular age and their particular area of 110 00:08:03,507 --> 00:08:06,959 development. But I think it's important to be very cautious 111 00:08:07,079 --> 00:08:11,576 about how we attribute certain things to children, particularly 112 00:08:11,576 --> 00:08:16,416 as it relates to mental type issues. I personally think that 113 00:08:16,456 --> 00:08:25,029 the phrase or the definition or the term attention deficit, 114 00:08:25,855 --> 00:08:32,557 hyperactive disease or ADHD is overused in children. I think 115 00:08:33,759 --> 00:08:39,057 many times it'll be a situation where in a maybe elementary 116 00:08:39,096 --> 00:08:43,684 class or maybe in preschool or even beyond preschool, 117 00:08:46,575 --> 00:08:52,097 elementary class, or in high school or junior high class. One 118 00:08:52,097 --> 00:08:54,725 group of students may be very quiet and very attentive. 119 00:08:54,815 --> 00:08:59,025 Another group of students may be very interactive and not very 120 00:08:59,066 --> 00:09:03,264 attentive. It's not uncommon. Many times that boys in my 121 00:09:03,384 --> 00:09:09,542 experience have been, I think, unfairly classified as having 122 00:09:10,023 --> 00:09:16,120 ADHD or some type of behavioral disorder, when they're actually 123 00:09:16,139 --> 00:09:18,515 just boys and when you compare them with girls, there's 124 00:09:18,615 --> 00:09:21,879 obviously a difference. My point is be very, very careful and 125 00:09:21,938 --> 00:09:28,875 have a health care professional evaluate them and decide whether 126 00:09:28,875 --> 00:09:33,725 indeed there is a mental type of issue and certainly anything 127 00:09:33,745 --> 00:09:37,240 that might require treatment, like Ritalin and other types of 128 00:09:37,299 --> 00:09:41,376 medication that are frequently used with children. My point is 129 00:09:41,417 --> 00:09:45,980 just be very cautious in terms of what you do. One of the great 130 00:09:45,980 --> 00:09:49,495 things about health care and mental health issues is that 131 00:09:49,534 --> 00:09:52,475 there is medication that's available for treatment. For 132 00:09:52,495 --> 00:09:56,559 many, many years there was not very, very good medication with 133 00:09:56,639 --> 00:10:01,037 minimal side effects. That is no longer the case. I would 134 00:10:01,057 --> 00:10:06,386 encourage you, if there's a suggestion in yourself or maybe 135 00:10:06,427 --> 00:10:09,783 a family member, that you seek out a health care professional, 136 00:10:10,174 --> 00:10:15,395 psychologists or psychiatrists to assist with that problem. Let 137 00:10:15,395 --> 00:10:18,865 me just say a word about a particular type of mental health 138 00:10:18,865 --> 00:10:26,836 illness. Now. This is not a mental health situation but an 139 00:10:27,037 --> 00:10:31,283 actual illness. Let's take a look at the illness called 140 00:10:31,342 --> 00:10:35,263 depression. Depression is very, very serious and very, very 141 00:10:35,403 --> 00:10:40,004 unique. Usually, these patients have what I call the hopeless, 142 00:10:40,495 --> 00:10:47,022 helpless, worthless syndrome. They feel things are bad for 143 00:10:47,062 --> 00:10:50,517 them and that there's no hope that they will get better. They 144 00:10:50,557 --> 00:10:53,970 feel the things are bad for them and no one can help them make 145 00:10:54,010 --> 00:10:57,980 things get better, and some even get to the point where they 146 00:10:58,020 --> 00:11:01,148 feel that things are bad for them and they actually deserve 147 00:11:01,207 --> 00:11:06,724 it. My point is that if you see someone, or you know someone, or 148 00:11:06,724 --> 00:11:11,376 yourself have any of those thoughts, particularly if they 149 00:11:11,417 --> 00:11:16,346 begin to migrate toward self-harm and even the thought 150 00:11:16,447 --> 00:11:23,024 of suicide, immediately seek help so that individuals can get 151 00:11:23,024 --> 00:11:27,421 the appropriate treatment. You would be amazed at how common 152 00:11:27,922 --> 00:11:32,636 the thought about self-harm and suicide is. So, even if 153 00:11:32,756 --> 00:11:37,645 individuals appear to be joking, I would encourage you to go to 154 00:11:37,745 --> 00:11:41,219 the free hotlines that are available and to make sure those 155 00:11:41,219 --> 00:11:45,298 individuals get proper treatment. So, in summary, we 156 00:11:45,339 --> 00:11:48,505 talked about mental illness as a medical problem. Like heart 157 00:11:48,546 --> 00:11:52,321 disease, mental illness is treated with medication that 158 00:11:52,380 --> 00:11:56,308 regulates many times dopamine and serotonin hormone levels. 159 00:11:56,835 --> 00:11:59,740 Men and women are fundamentally different in terms of how they 160 00:11:59,980 --> 00:12:06,018 act when they may have mental abnormalities. And the children 161 00:12:06,057 --> 00:12:10,522 are very, very unique, and all of these maladies should be 162 00:12:10,562 --> 00:12:13,798 treated by healthcare professionals. So, in conclusion 163 00:12:13,798 --> 00:12:17,746 , thank you very much for spending a very valuable time 164 00:12:17,807 --> 00:12:23,962 with us. We will continue to provide interesting topics about 165 00:12:23,962 --> 00:12:29,538 healthcare and others as the time moves on. Have a wonderful 166 00:12:29,599 --> 00:12:29,840 day. 167 00:12:30,674 --> 00:12:32,517 Speaker 1: And thanks for listening to the Healthy, 168 00:12:32,557 --> 00:12:37,301 wealthy and Wise podcast with Dr William Choctaw, mdjd. We hope 169 00:12:37,341 --> 00:12:40,803 you enjoyed this episode. In fact, if you found this episode 170 00:12:40,884 --> 00:12:45,248 helpful, you can support and subscribe to the podcast on your 171 00:12:45,248 --> 00:12:49,951 favorite podcast platform with the keywords Dr William Choctaw, 172 00:12:49,951 --> 00:12:55,601 and you'll find it very quickly . Also, subscribing helps ensure 173 00:12:55,601 --> 00:13:00,217 that you don't miss any future episodes. And then take the next 174 00:13:00,217 --> 00:13:03,924 step of action and share it with your family, friends and or 175 00:13:03,924 --> 00:13:08,159 your co-workers. They'll be glad you did so. Until the next 176 00:13:08,200 --> 00:13:12,554 time, live your best possible life the best possible way. 177 00:13:13,075 --> 00:13:15,418 You've been listening to the Healthy, wealthy and Wise 178 00:13:15,518 --> 00:13:19,302 podcast with Dr William Choctaw, mdjd.