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

Understanding Mental Illness and Achieving Mental Well-being with Dr. Choctaw

Understanding Mental Illness and Achieving Mental Well-being with Dr. Choctaw

In this episode, we explore the intricate world of mental health with a leading expert in the field. Dr. William T. Choctaw; MD, JD  breaks down the complexities of the brain, explains the difference between mental health issues and mental illness, a...

In this episode, we explore the intricate world of mental health with a leading expert in the field. Dr. William T. Choctaw; MD, JD  breaks down the complexities of the brain, explains the difference between mental health issues and mental illness, and discusses the importance of empowering conversations about mental health.
He also shares his insights on self-care and self-improvement. He provides a cheat sheet on how to maintain a healthy balance between the two, and offers practical advice on positive thinking, self-reflection, and stress management. He also discusses how hormones can affect our moods and feelings.
This episode is not just an exploration of mental health—it's a roadmap to becoming the best doctor you can be. It's packed with insights and practical advice that you can start using today.
So what are you waiting for? Tune in and embark on this enlightening journey to improved well-being!
Here are some of the key points that will be covered in this episode:

  • The difference between mental health issues and mental illness
  • The importance of empowering conversations about mental health
  • How to maintain a healthy balance between self-care and self-improvement
  • Positive thinking, self-reflection, and stress management
  • How hormones can affect our moods and feelings

This episode is for anyone who is interested in learning more about mental health and how to improve their well-being. Whether you are a medical student, resident, or practicing physician, this episode is for you.

So tune in and join us on this journey to improved well-being!

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 --> 00:01:55,588 if we were to take a look at the brain, it's divided into 29 00:01:55,688 --> 00:02:01,435 multiple areas. If we were to do a sagittal cut of the brain, we 30 00:02:01,435 --> 00:02:03,602 would note that in the frontal part is what's called the 31 00:02:03,703 --> 00:02:08,986 frontal lobe. The frontal lobe is for thinking, memory and 32 00:02:09,087 --> 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 00:02:27,942 --> 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 --> 00:02:42,371 temperature in our body, even though we're not conscious. 40 00:02:43,560 --> 00:02:46,706 There's a more medial lobe called the temporal lobe, and 41 00:02:46,747 --> 00:02:50,081 we'll talk about that a bit later. The second issue that 42 00:02:50,122 --> 00:02:56,580 comes up about the brain is where is the mind M-I-N-D? Is it 43 00:02:56,580 --> 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 --> 00:03:12,520 lobe, depending on your philosophical position. What's 47 00:03:12,539 --> 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 00:06:03,716 --> 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 concentrated. 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 --> 00:07:15,822 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 in a reactive and not very 120 00:08:59,025 --> 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 --> 00:09:21,740 obviously a difference. So my point is be very, very careful 125 00:09:21,780 --> 00:09:26,245 and have a professional evaluate them, a healthcare professional 126 00:09:26,245 --> 00:09:31,865 evaluate them and decide whether indeed there is a mental 127 00:09:31,865 --> 00:09:34,620 type of issue and certainly anything that might require 128 00:09:34,841 --> 00:09:38,158 treatment, like Ritalin and other types of medication that 129 00:09:38,220 --> 00:09:41,798 are frequently used with children. My point is just be 130 00:09:41,857 --> 00:09:46,298 very cautious in terms of what you do. One of the great things 131 00:09:46,418 --> 00:09:49,886 about healthcare and mental health issues is that there is 132 00:09:49,995 --> 00:09:53,921 medication that's available for treatment. For many, many years 133 00:09:54,182 --> 00:09:57,302 there was not very, very good medication with minimal side 134 00:09:57,341 --> 00:10:01,782 effects. That is no longer the case. So I would encourage you, 135 00:10:02,615 --> 00:10:06,826 if there's a suggestion in yourself or maybe a family 136 00:10:06,885 --> 00:10:09,783 member, that you seek out a healthcare professional 137 00:10:10,174 --> 00:10:15,395 psychologists or psychiatrists to assist with that problem. Let 138 00:10:15,395 --> 00:10:18,865 me just say a word about a particular type of mental health 139 00:10:18,865 --> 00:10:26,836 illness. Now, this is not a mental health situation but an 140 00:10:27,037 --> 00:10:31,283 actual illness. Let's take a look at the illness called 141 00:10:31,342 --> 00:10:35,263 depression. Depression is very, very serious and very, very 142 00:10:35,403 --> 00:10:40,065 unique. Usually these patients have what I call the hopeless, 143 00:10:40,495 --> 00:10:47,024 helpless, worthless syndrome. They feel things are bad for 144 00:10:47,063 --> 00:10:50,517 them and that there's no hope that they will get better. They 145 00:10:50,557 --> 00:10:53,970 feel the things are bad for them and no one can help them make 146 00:10:54,010 --> 00:10:58,261 things get better. Some even get to the point where they feel 147 00:10:58,282 --> 00:11:02,035 that things are bad for them and they actually deserve it. My 148 00:11:02,135 --> 00:11:06,725 point is that if you see someone , or you know someone, or 149 00:11:06,767 --> 00:11:11,376 yourself have any of those thoughts, particularly if they 150 00:11:11,417 --> 00:11:16,346 begin to migrate toward self-harm and even the thought 151 00:11:16,447 --> 00:11:23,024 of suicide, immediately seek help so that individuals can get 152 00:11:23,024 --> 00:11:27,419 the appropriate treatment. You would be amazed at how common 153 00:11:27,921 --> 00:11:32,639 the thought about self-harm and suicide is. So, even if 154 00:11:32,759 --> 00:11:37,639 individuals appear to be joking, I would encourage you to go to 155 00:11:37,740 --> 00:11:41,225 the free hotlines that are available and to make sure those 156 00:11:41,225 --> 00:11:45,298 individuals get proper treatment. So, in summary we 157 00:11:45,337 --> 00:11:48,505 talked about mental illness is a medical problem. Like heart 158 00:11:48,546 --> 00:11:52,322 disease, mental illness is treated with medication that 159 00:11:52,383 --> 00:11:56,302 regulates many times dopamine and serotonin hormone levels. 160 00:11:56,835 --> 00:11:59,740 Men and women are fundamentally different in terms of how they 161 00:11:59,980 --> 00:12:06,018 act when they may have mental abnormalities, and the children 162 00:12:06,057 --> 00:12:10,903 are very, very unique. All of these maladies should be treated 163 00:12:10,903 --> 00:12:15,160 by healthcare professionals. So , in conclusion, thank you very 164 00:12:15,221 --> 00:12:19,697 much for spending a valuable time with us. We will continue 165 00:12:19,736 --> 00:12:26,147 to provide interesting topics about healthcare and others as 166 00:12:26,687 --> 00:12:33,905 the time moves on. Have a wonderful day and be the change 167 00:12:33,985 --> 00:12:35,327 that you want to see in the world. 168 00:12:37,816 --> 00:12:39,779 Speaker 1: Thanks for listening to the Healthy, Wealthy and Wise 169 00:12:39,779 --> 00:12:44,620 podcast with Dr William Choctaw , MDJD. We hope you enjoyed this 170 00:12:44,620 --> 00:12:48,578 episode. In fact, if you found this episode helpful, you can 171 00:12:48,639 --> 00:12:52,884 support and subscribe to the podcast on your favorite podcast 172 00:12:52,884 --> 00:12:57,378 platform with the keywords Dr William Choctaw, and you'll find 173 00:12:57,378 --> 00:13:02,322 it very quickly. Also, subscribing helps ensure that 174 00:13:02,422 --> 00:13:06,717 you don't miss any future episodes. And then take the next 175 00:13:06,717 --> 00:13:10,426 step of action and share it with your family, friends and or 176 00:13:10,426 --> 00:13:14,657 your co-workers. They'll be glad you did so. Until the next 177 00:13:14,697 --> 00:13:19,187 time, live your best possible life the best possible way. 178 00:13:19,615 --> 00:13:21,918 You've been listening to the Healthy, Wealthy and Wise 179 00:13:22,019 --> 00:13:24,783 podcast with Dr William Choctaw, MDJD.