Video Transcript: Disorders Part 2

Well, it's been a great course, working with you through every topic, every  subject, every quiz. I hope you did really well on it, again, coming right out of the book. If you read it, it should be there. But more importantly, I hope that you  have had an experience with a psychology 101, course that was not only  educational, but transformational, so you can take these terms and put them to  work in your ministry. This last video, we look at the final selection of  psychological disorders. Because really, as I evaluated where to end this  course, and the book of course is extensive on all aspects of psychology, I  thought, when it comes to rubber meeting the road and putting things to work.  Well, we need to understand the human condition, as far as the broken human  condition, how things change, grief, loss, disorders that can come back to order  of the power of Christ. Well, there's more to touch on and also to understand,  and in the last lesson, this will hopefully give you a broad spectrum and broad  knowledge enough to use for your benefit, for doing well in the ministry God has  given to You, the first of the next set of disorders is mood disorders. Mood  disorders. And I love this picture. This young lady is saying, what and earth is  going on with you, young man or brother, sister thing here, right? Well, mood  disorder is a psychological disorder in which the person's mood negatively  influences his or her physical, perceptual, social and cognitive processes, in  other words, a person's mood that really disrupts not only the mood, but a  person's mood that disrupts the relationship and that, and then, don't mean an  outburst once in a while, or, of course, well, that's just Hank, or that's just Sue.  Or, you know, they get really moody, no, we're talking about something that is  diagnosable, that is can be documented, observed that this is a pattern, and  with mood disorders, it's something that is totally, utterly disruptive all day long,  up and down and sideways. Well, what are the different types of mood  disorders? Because there can be good days and there will be bad days, and  there will be in between days. Let's take a look. The first is dysthymia, not very  well known, but this technical term means a condition characterized by mild but  chronic meaning all the time, depressive symptoms that last for at least two  years. Although for some people, I've dealt with many who have this constant  chronic for literally all their life, with the dysthymia, it's just again documentation  that that says we've observed this for on average, two years now, given they get the treatment and the help and the meds and so on, that can hopefully be  discontinued, and hopefully they can rise above it and come out of it with  course, God's help and the help of The doctors to dysthymia. But then there's  also major depressive disorder, a mental disorder characterized by an  intellectual or all encompassing low mood, rather accompanied by low self  esteem and loss of interest or pleasure in normally enjoyable activities. They  check out people who deal in this disorder. They majorly depress their anger  turned inward, which is the proper definition of depression. They don't know why they're angry. They can't express it. They are just checked out, as I mentioned 

earlier. But also they isolate and also remove themselves from going to get that  ice cream cone, to not engaging with the family at all, or with anybody at all and  their best friend is their bedroom or some other space they can shut the door  and shut out the world, and they need help, because it can turn into and spiral  down into suicidal tendencies, not all the time, but many times, major depressive disorder, but also another one that can lead to this issue of suicide, and also  other issues is bipolar disorder, and this has been very much popularized, a well known term, along with, of course, the major depressive disorder, a  psychological disorder characterized by swings and mood from overly high to  sad and hopeless and back again, with periods of near normal mood in  between. I'll say it again. Bipolar is a psychological disorder characterized by  swings in mood from overly high to sad and hopeless and back again, with  periods of near normal mood in between. In other words, a person who has this  has what we call manic episodes to then very depressed episodes. So they can  be on a big high, and they're talking like this all the time, and they a mile a  minute and they and they can't sleep for days on end, and they're just go, go,  go, go, go, high energy, and after that, three four days of going high energy and  no sleep, or maybe five days, some people do 10 days. That's extreme. They  crash. When they crash, they crash big time, and then they go down to a  depressive state. And that's where the feelings of despair, shutting the door  again, disengaging from the world, isolating can lead to that suicidal tendency,  suicidal ideation. Where they have ideas and plans most of the time, they don't  follow through with it. Often the psychiatrist will say, Well, if the person chooses  to disclose that they are suicidal, the doctor will say, just call me when you're  ready to do it. Now, you say, Boy, that's kind of odd. Well, it's just a technique.  Say, okay, because what they call they call the doctor, they admit that, and then  they just don't follow through often. Now others have and tragic, but again, we  look at how there's the high and the low, and there's different treatments and  approaches to this. Our job in ministry is to just come alongside that person  know the triggers and cues and be able to just support the best we can and to  give that person an ear, listen, first, speak next, an opportunity, to help that  person to work through their issues. And that that helps not only 50% of the  time, but 80 to 90% of the time really don't go to that, that suicidal place. They  still deal with the high and the low when it comes to mood swings, and with  other forms of bipolar and bipolar, that means there's, it's like the like the polar  opposites, we say like the Earth. There's a north pole and the South Pole. The  North Pole is that high manic state, high energy and, and very oh and very high  energy and, and positive and, and everything is grand and grandiose, by the  way, to them the and they just crash down to that low. There's no in between.  Some, some, most of the time when that happens and they get to that South  Pole, and things are just never right, and they're just in that depression, with  God's help and the help of others, get them to that in between state where most 

of us are. So they don't migrate back to the high or the low. They stay right here. And that help with medication is great. And some people, all they do. Some  people are they've called bipolar two and as opposed to bipolar one, and one is  again that has more the the depression, rather than the manic. Other, just the  manic and maybe the depression, some of it, and a whole bunch of  combinations, I don't want to get into that today, just to know bipolar is real and  it's one of those mood disorders. Well, then as we look at the high and the low,  we're looking at the low of again, having to do with depression and the cycle of  depression. We've talked about the cycle of addiction and cycle of other things.  Here's a cycle of depression first at the top, it begins with negative cognitions.  I'm no good at anything. Then we go to this next place and see if you resonate  with us, negative emotions, experiencing sadness, depression. And anger  turned inward to then the next stage, negative behaviors towards others that act  out, such as being gloomy and having no fun, and we tend to be a pill, as they  say, a real, real work, a piece of work, as they say, where no one wants to be  around you and you're just morose, a pain in the you think, Ah, how do we help  this person? But then, of course, it goes to another place and to the next part,  where the negative response from others is such as being avoided by others, or  vice versa, where the person is depressed avoids everybody else. And then we  come back to and of course, we're getting help and getting out of it. Well, then  the cycle can continue unless we get out of the cycle again with God's help.  Now for depression, we also then see how depression shows up in a lot of these mood disorders, that there's odd highs and lows and in betweens. But also  depression is characteristic. Another big one is schizophrenia, as it is addressed in your book. And schizophrenia is defined as a serious psychological disorder  marked by delusions, hallucinations, loss of contact with reality, inappropriate  affect, disorganized speech, social withdrawal. Again, there's that depressive  aspect to it, and deterioration of adaptive behavior. Schizo and frenia means  coming from the Greeks, and also the Greek language a split mind. And literally,  as they examine the mind, those who are doctors, we look at the psychological  as well as the biological. Literally, they have seen how the brain tends to be in a  different mode, a different form. And then, of course, psychologically and  behaviorally, there's that split personality I may have used in previous videos.  That example, where I think I'm the president of the United States. Rather  grandiose, some who struggle with schizophrenia kind of go there and they say,  Yep, I'm the president, or I'm the doctor, or I'm the lawyer. I could I can help you  and and I can do everything. I'm Superman. I'm super, whoever is off the chart,  but again, with the help of medication treatment, they come back to reality, and  thank God for the help. What they need from you as a pastor, as a ministry  leader, support, understanding, a lot of listening, but also boundaries. Many  boundaries, because the primary care they get is from the psychiatrist and the  psychologist or the social worker who is also a therapist and so on, because 

they are legally bound and also qualified to give them medications. We of  course, meet the spiritual need. Of course, you could say yes, the spiritual  trumps everything else. But if everything is spiritual, we have to, again, look at  both. Here we should look at the fact that the doctor is is key in helping our  brother or sisters deal with schizophrenia to get that biological help they need  medical that is as well as the other help the psychological help. More  importantly, with your help, prayer, support, a lot of listening, having a lot of  boundaries too, because that helps them to know and to build a better sense of  self as God given to them, then there's psychosis. Psychosis is a psychological  condition characterized by a loss of contact with reality. Some people, they may  be acting out. They say, Oh, they got a bad case of psychosis. What it means is  they have, they have a bad case of being not in touch with reality, and they need help there too. And then, of course, that could spin off into OCD, obsessive  compulsive disorder and other delusions and so forth, well, as well as  hallucinations, which are defined as imaginary sensations that occur in the  absence of a real stimulus, or which are gross distortions of a real stimulus.  Hallucinations are very common with, again, those who deal with schizophrenia, for example, they think that you're out to get them. There's paranoia in there,  and that, with some schizophrenic types, they can be then diagnosed as  Paranoid schizophrenics, where, in their mind, they think everybody's out to get  them, and they have to become that superhero, or super charged person, where they will fight and, or they'll say, You're not real and, or you're the devil, or you're the and these delusions come out, in hallucinations. That's the nature, and as I  mentioned, delusions, false beliefs not commonly shared by others within one's  culture, and maintained even though they are obviously out of touch with reality  where you think it's there, but it's not. You think you are the president, but you're  not, or the Prime Minister, or you think you are, or something is really happening in traffic, where there's 1000 cars around you, there's only a few well, from  delusions, hallucinations, schizophrenia, let's get to one or more foundational  definitions. That is, what is a personality disorder in general? Again, well, in  looking at these contexts, a disorder characterized by inflexible patterns of  thinking, feeling or relating to others that cause problems in personal, social and work situations. And we want to build on this because there are two specific  personality disorders as those other and it's all that we've been talking about is  been really personality disorders or illness of the mind and so on. But we want  to look specifically at two in particular that have become more and more acute  over the past few decades. Here's what I mean. The first one is called borderline personality disorder. I love you, I hate you. Remember, I use that as a as an  opener in the previous video, I love you. I love you. I can't do without you, but I  hate you. They say in the next beat or minute, and you're thinking, What on  earth is going on with her? Why is he acting that way? Again? Do not diagnose,  do not assume, ever. But raise the question. Raise the observation. Ask the 

person when the right time, provide the senior therapist and so on you're aware  of this, or the person that's confided in you about this, but again, don't assume  then maybe just ask some qualifying questions like you ever feel like you can't  do without so and so or or you ever feel like you are up and down and sideways  sometimes? What do you what? How do you feel about that Sue or Tom or Jack  or whoever it may be, Isaac Esther, who do you think? What's going on? That's  a fair way to approach it, as opposed to giving them labels, which we shouldn't  do. But coming back, the psychiatrist and psychologist again, the licensed social worker therapist, they can say, I'm picking up some borderline personality  disorder. Things, behaviors, attributes, characteristics, triggers and cues, signs.  Here again, is BPD. Borderline personality disorder has to do with unstable  moods, intense joy to rage. Stable instability is another way of putting it. In  intense, sometimes wonderful relationships, but then they become traumatic  and sour over time, or maybe even a short amount of time and again. Going  back to defense mechanisms, all described in this image here, as you can see  all the notes where this they split for important things, where important things go from good or bad, or the job, the friend and or the situation or terrified, to abuse  or and they might do extreme things. The definition, again, a borderline  personality disorder is a psychological disorder characterized by a prolonged  disturbance, a personality accompanied by mood swings, unstable personal  relationships, identity problems, threats of self destructive behavior like cutting  and or scratching with someone or themselves rather to the point of blood, fears of abandonment and impulsivity. This disorder is very involved and can be quite  destructive to the person and to everyone else, I encourage you to help guide  those who you suspect may be in this lane, in this place, but again, work in  collaboration with that person, have that person disclose what's going on, or  what the therapist said, or whatever, don't assume be there to pray over them,  support them, listen first and then ask open ended questions. Help them to help  them to help you understand. The final disorder that we look at today is the anti  social disorder. And this is a character from Stanley Kubrick's film having to do  with about, I'm not thinking of the title right now, but, but look this up, you see  this. This character is from film 1970s and he addresses the anti social disorder  issue. And it's called the definition is a pervasive pattern of violation of the rights  of others that begins in childhood or early adolescence and continues onto  adulthood. Again, it's a pervasive pattern of violation of the rights of others that  begins in childhood or early adolescence and continues into adulthood. And  there you have it. Mood Disorders, psychological disorders. Disorders abound,  mentally, physically, unfortunately, due to sin, the brokenness of creation, yet the healing of Jesus, Christ does come in it is real. Jesus is here. He's always here.  And as you turn to Him, He will give you his power for you and for the other as  you minister, as you pray, as you help, as you support, as you listen, and then  respond, and then coach and love unconditionally. God will help you to help 

others. Now that you understand what psychology is all about, so as the basics,  and now begin to put it to work in your ministry. Thank you. God. Bless you, and  I'll see you in another class. You.