Transcript
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Speaker 1: Welcome to the
healthy, wealthy and wise
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podcast with Dr William Chokta,
mdjd. Our mission is to empower
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you with the knowledge and the
tools you need to thrive in all
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aspects of your life. Join us
now as we discuss everything
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from nutrition and exercise to
money management and personal
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growth. Dr Chokta will provide
insightful advice on how to
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improve your physical and
financial health, as well as
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your emotional and mental
well-being. Whether you're
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looking to boost your energy
levels unlike financial freedom
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or cultivate a more positive
mindset, we've got you covered.
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Get ready to become the best
version of yourself? So let's
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get started. Here's Dr William
Chokta, mdjd.
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Speaker 2: Good morning. Today,
we're going to talk about mental
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health issues. Welcome to the
Healthy, wealthy and Wise
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Podcast. This is part of our
Leadership Masterclass series,
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and our intent is to provide you
with information that can make
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your life better. I always like
to start off with my beliefs. I
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believe life is about being of
service to others. I believe
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knowledge is power. I believe
leaders can change the world. As
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always, we always like to give
you an outline, and the outline
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is we're going to start off with
an anatomy of the brain and the
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mind. We're going to talk about
mental health issues as
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compared to mental health
illness, we're going to talk
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about symptoms and signs of
mental health, and then we'll
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answer questions that you might
have. Well, the brain is a very
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complex organ in the body.
Indeed, it's one of the areas
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that we, as physicians, still do
not completely understand. But
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if we were to take a look at the
brain, it's divided into
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multiple areas, and if we were
to do a sagittal cut of the
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brain, we would note that in the
frontal part is what's called
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the frontal lobe. The frontal
lobe is for thinking, memory and
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movement and behavior. Next to
that is the parietal lobe, and
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that's speech and language, in
the occipital lobe, which is for
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sight, the cerebrum, which is
for balance and coordination,
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and below that is the brainstem.
What is unique about the
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brainstem is that, regardless of
whether we are conscious or not
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, the brainstem functions and
allows us to breathe and allows
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our hearts to continue to beat
and it helps to regulate the
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temperature in our body, even
though we're not conscious. And
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there's a more medial lobe
called the temporal lobe, and
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we'll talk about that a bit
later. The second issue that
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comes up about the brain is
where is the mind M-I-N-D? Is it
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located in the brain? Is it
somewhere else? To be honest
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with you, we don't really know,
but the belief is that it's
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probably in the brain, probably
located somewhere in the frontal
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lobe, depending on your
philosophical position. What's
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important is that, as we look at
the undersurface of the brain,
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that's a very unique section or
part of the brain, if you will,
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called the amygdala, the
amygdala A-M-Y-G-D-A-L-A, the
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amygdala. And one of the reasons
why the amygdala is so
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important is that it is
considered to be the emotional
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center of the brain. Some call
it the happiness center of the
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brain, and we'll get to that a
bit later. But let me
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parenthetically say that when we
talk about mental health issues
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. You notice I say I use the
term issue and not illness or
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disease, because we may all have
some mental health issue, but
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we obviously do not all have
mental health disease or illness
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. Issues can be anything related
to how we think and how we feel
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and how we behave. For instance
, basic fear and anxiety can be
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an issue. One may be afraid of
heights as an issue, but as long
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as that does not interfere with
your normal activity in life,
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then that's not considered an
illness for you, and so it's
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important that we consider how
we function and that we
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differentiate between mental
health illness and mental health
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issues. And when we talk about
mental health illness, it's
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important to understand that
mental health illness is nothing
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to be ashamed of. It is
basically a medical problem,
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just like heart disease or liver
disease or kidney disease or
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any other type of malady that
may affect the body. And one of
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the things that it interferes
with our ability to care for
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patients who have actual mental
health illnesses is that we tend
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not to understand the illness
itself or the problem itself,
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and that makes us many times not
care for these patients as
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quickly and as thoroughly as we
should. So when we go back to
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the amygdala, the amygdala,
again, is a part of the brain
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that's located in the area of
the hippocampus, and some even
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call it the happiness of the
reward center. It is the part of
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the brain that affects how we
feel. Let me say that again, the
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amygdala is the part of the
brain that affects how we feel,
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and those feelings are
controlled by hormones that have
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an impact on this particular
part of the brain that can
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result in a whether we're happy
or whether we're sad, and one of
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those hormones is dopamine, and
another one of those hormones
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is serotonin. And so, indeed,
one of the ways that various
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types of illnesses that involve
the brain, ie mental illness
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like depression and others, are
treated is with medications that
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manipulate or change the impact
of a number of these hormones
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that occur in the brain. So if
one were to have a high dopamine
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level dopamine one of the
hormones in the brain one would
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be happy, motivated, alert,
focused. Likewise, if, if the
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dopamine level is low, those
patients tend to be tired,
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unmotivated, unhappy, mood
swings, sleep problems and
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difficulty concentrating. It's
really important to understand
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that much of how we interpret
how we feel really depends on
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who we are and what our
backgrounds are. Even more
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specifically, as a book once
said some time ago, men really
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are from Mars and women really
are from Venus, meaning that
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even though we're both human,
but because of the various types
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of sex hormones in our body, we
may interpret or relate
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differently in terms of our
moods and in terms of how we
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feel. Likewise, when we look at
children who may have mental
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health issues, children many
times are not little adults and
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we should not consider them
little adults. So mental illness
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in children is a very unique
area of specialty that should be
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treated by child psychologists
and child psychiatrists. Let me
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also, parenthetically, say that
I think it's very important that
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we keep in mind again that boys
and girls are different in
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terms of how they act and in
terms of their behavior. This
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has to do with their particular
age and their particular area of
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development. But I think it's
important to be very cautious
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about how we attribute certain
things to children, particularly
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as it relates to mental type
issues. I personally think that
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the phrase or the definition or
the term attention deficit,
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hyperactive disease or ADHD is
overused in children. I think
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many times it'll be a situation
where in a maybe elementary
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class or maybe in preschool or
even beyond preschool,
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elementary class, or in high
school or junior high class. One
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group of students may be very
quiet and very attentive.
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Another group of students may be
very interactive and not very
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attentive. It's not uncommon.
Many times that boys in my
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experience have been, I think,
unfairly classified as having
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ADHD or some type of behavioral
disorder, when they're actually
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just boys and when you compare
them with girls, there's
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obviously a difference. My point
is be very, very careful and
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have a health care professional
evaluate them and decide whether
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indeed there is a mental type
of issue and certainly anything
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that might require treatment,
like Ritalin and other types of
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medication that are frequently
used with children. My point is
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just be very cautious in terms
of what you do. One of the great
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things about health care and
mental health issues is that
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there is medication that's
available for treatment. For
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many, many years there was not
very, very good medication with
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minimal side effects. That is no
longer the case. I would
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encourage you, if there's a
suggestion in yourself or maybe
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a family member, that you seek
out a health care professional,
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psychologists or psychiatrists
to assist with that problem. Let
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me just say a word about a
particular type of mental health
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illness. Now. This is not a
mental health situation but an
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actual illness. Let's take a
look at the illness called
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depression. Depression is very,
very serious and very, very
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unique. Usually, these patients
have what I call the hopeless,
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helpless, worthless syndrome.
They feel things are bad for
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them and that there's no hope
that they will get better. They
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feel the things are bad for them
and no one can help them make
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things get better, and some even
get to the point where they
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feel that things are bad for
them and they actually deserve
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it. My point is that if you see
someone, or you know someone, or
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yourself have any of those
thoughts, particularly if they
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begin to migrate toward
self-harm and even the thought
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of suicide, immediately seek
help so that individuals can get
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the appropriate treatment. You
would be amazed at how common
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the thought about self-harm and
suicide is. So, even if
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individuals appear to be joking,
I would encourage you to go to
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the free hotlines that are
available and to make sure those
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individuals get proper
treatment. So, in summary, we
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talked about mental illness as a
medical problem. Like heart
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disease, mental illness is
treated with medication that
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regulates many times dopamine
and serotonin hormone levels.
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Men and women are fundamentally
different in terms of how they
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act when they may have mental
abnormalities. And the children
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are very, very unique, and all
of these maladies should be
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treated by healthcare
professionals. So, in conclusion
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, thank you very much for
spending a very valuable time
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with us. We will continue to
provide interesting topics about
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healthcare and others as the
time moves on. Have a wonderful
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day.
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Speaker 1: And thanks for
listening to the Healthy,
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wealthy and Wise podcast with Dr
William Choctaw, mdjd. We hope
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you enjoyed this episode. In
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time, live your best possible
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You've been listening to the
Healthy, wealthy and Wise
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podcast with Dr William Choctaw,
mdjd.