Welcome to "Wonderfully Made" 00:00:35.25\00:00:37.04 Today, we have Dr. Neil Nedley with us 00:00:37.07\00:00:38.98 And I think my first exposure to Dr. Nedley was through 00:00:39.01\00:00:41.74 some of the books he has written... 00:00:41.77\00:00:42.97 "Proof Positive," and one on depression... 00:00:43.00\00:00:45.49 I've also heard you lecture, Dr. Nedley, 00:00:45.52\00:00:47.65 and I hear that you give some depression recovery programs. 00:00:47.68\00:00:51.75 Yes, in fact, that's part of the most gratifying things that 00:00:51.78\00:00:56.09 we have accomplished, I think, is the 00:00:56.12\00:00:58.25 "Depression Recovery Program" 00:00:58.28\00:00:59.62 It's actually being utilized in many cities throughout 00:00:59.63\00:01:03.43 the U.S., as we're speaking here today. 00:01:03.46\00:01:05.73 It's an 8-part series, an 8-week series 00:01:05.76\00:01:08.82 It's one night a week for 8 weeks. 00:01:08.85\00:01:10.58 And, it actually has been shown to be much more effective 00:01:10.61\00:01:14.72 than medications in depression recovery 00:01:14.75\00:01:17.03 In fact, a lot of people are able to get off of their 00:01:17.06\00:01:18.79 medicines after completing the educational component 00:01:18.82\00:01:22.66 in depression recovery... 00:01:22.69\00:01:24.65 what we're putting into our body, 00:01:24.68\00:01:25.96 and what we're doing with our body. 00:01:25.99\00:01:27.18 That's incredible... One thing that I really 00:01:27.21\00:01:29.34 appreciate about you, as a physician, is your 00:01:29.37\00:01:32.63 effort to educate the public, and give them information 00:01:32.66\00:01:36.18 to actually help them prevent making an appointment 00:01:36.21\00:01:39.02 to have to go see you. 00:01:39.05\00:01:40.61 Yes, there is a lot of good scientific information 00:01:40.64\00:01:43.40 that's been out there, and published by 00:01:43.41\00:01:45.57 major universities, but the average citizen just doesn't 00:01:45.60\00:01:48.53 know about it... Right 00:01:48.56\00:01:49.60 It might get in medical journals 00:01:49.63\00:01:51.19 It may get in some obscure nutritional journal 00:01:51.20\00:01:54.14 And, it may be a landmark study... 00:01:54.17\00:01:56.22 and unless they hear about it from us... 00:01:56.25\00:01:58.62 who are actually treating patients, 00:01:58.65\00:02:00.18 and educating the patients, they won't be able to alter 00:02:00.21\00:02:02.54 their lives and positively benefit from it... 00:02:02.55\00:02:04.73 So, we need to get this information out... Absolutely! 00:02:04.74\00:02:07.42 To introduce our subject today, I just want to share with you 00:02:07.45\00:02:10.14 a quote that I can relate to a little too well... 00:02:10.17\00:02:13.06 It's from Mark Twain, and he said, 00:02:13.07\00:02:14.87 "I have been through some terrible things in my life, 00:02:14.90\00:02:18.08 some of which actually happened" 00:02:18.11\00:02:20.08 And I don't know about you, but sometimes we can have some 00:02:20.11\00:02:22.72 distortional thinking, and yet it affects our reality 00:02:22.75\00:02:26.43 in such a real way... 00:02:26.46\00:02:27.71 And I think the title of the subject today is... 00:02:27.74\00:02:31.02 "The truth will set you free" 00:02:31.03\00:02:32.43 Absolutely... in fact, that's one of the most 00:02:32.44\00:02:35.00 exciting things that has been done in the last generation 00:02:35.03\00:02:37.76 in regards to mental health research... 00:02:37.79\00:02:40.17 is the type of therapy that can actually improve 00:02:40.20\00:02:44.19 brain function significantly is NOT traditional psychotherapy 00:02:44.22\00:02:48.31 Traditional psychotherapy is what many of us learned in 00:02:48.34\00:02:51.13 college, and you know, the Emerson theory, 00:02:51.16\00:02:55.09 and the Freud theory, and there is all of the 00:02:55.12\00:02:57.63 great psychotherapists in the past... 00:02:57.66\00:03:00.26 and the reason why they're called "theories" 00:03:00.29\00:03:01.76 is because they were never proven in practice 00:03:01.79\00:03:04.66 to be better than taking a placebo 00:03:04.69\00:03:06.70 In fact, every time their studies have been put into 00:03:06.73\00:03:10.40 a randomized trial, no better than placebo 00:03:10.43\00:03:14.46 In fact the current issue of "Scientific American Medicine" 00:03:14.47\00:03:17.32 ...the current textbook states that traditional psychotherapy 00:03:17.35\00:03:20.92 has never been shown to be superior to taking a placebo 00:03:20.95\00:03:23.73 in treating depression, or other mental illnesses 00:03:23.76\00:03:26.48 And so, it's something that is exciting... there is a type of 00:03:26.51\00:03:30.36 therapy that can help, and that therapy is called 00:03:30.39\00:03:34.41 "cognitive behavioral therapy" 00:03:34.44\00:03:36.08 Tell me a little bit about cognitive therapy... 00:03:36.11\00:03:39.57 Well, a cognition is a thought. 00:03:39.60\00:03:42.51 And so, what our viewers are thinking right now 00:03:42.54\00:03:45.68 is actually their cognitions... 00:03:45.69\00:03:48.65 And we have them analyze their thoughts 00:03:48.68\00:03:51.92 ...their silent self-talk 00:03:51.95\00:03:55.54 That's the first step of cognitive behavioral therapy 00:03:55.57\00:03:58.11 is to analyze your thoughts 00:03:58.14\00:04:00.43 And then the second step is to try to detect 00:04:00.46\00:04:04.94 distortions in those thoughts. 00:04:04.97\00:04:07.50 And, of course, in order to do that, 00:04:07.53\00:04:09.35 you have to be taught the 10 common cognitive distortions 00:04:09.38\00:04:13.56 that are done by people throughout the world 00:04:13.59\00:04:15.81 ...to see if those thoughts are distorted. 00:04:15.82\00:04:18.69 And then after we find out if those thoughts are distorted, 00:04:18.70\00:04:22.41 which often they are, we then line up those thoughts 00:04:22.44\00:04:25.53 with what is accurate, 00:04:25.56\00:04:26.56 and we re-phrase those thoughts into an accurate setting 00:04:26.59\00:04:29.49 and that requires, a lot of times, where people habitually 00:04:29.52\00:04:32.33 having distorted thoughts, they'll have to write down... 00:04:32.36\00:04:34.35 "Okay, what is the accurate thought"... 00:04:34.36\00:04:35.71 they'll write it down, and then every time they 00:04:35.74\00:04:38.30 think the distorted thought, they'll say... 00:04:38.33\00:04:39.65 "No, that's distorted, I'm going to think this instead" 00:04:39.68\00:04:42.76 And they will think the accurate thought 00:04:42.79\00:04:45.24 And as that becomes a practice, they will significantly 00:04:45.27\00:04:49.24 improve their depression, and a number of other 00:04:49.27\00:04:52.68 mental illnesses can improve with 00:04:52.71\00:04:54.63 cognitive behavioral therapy 00:04:54.66\00:04:55.96 So the truth that's going to set us free make come from 00:04:55.99\00:04:59.43 an external source to try to give us the correct picture 00:04:59.46\00:05:02.66 of what we are actually thinking lies about in our own 00:05:02.69\00:05:06.16 thought processes... 00:05:06.19\00:05:07.66 Yes, it can come from an external source 00:05:07.69\00:05:10.82 It's actually good to study some absolute truths 00:05:10.85\00:05:15.47 in order to be able to pick up the micro truths 00:05:15.50\00:05:18.38 And I think that's why Scripture fits so well with 00:05:18.41\00:05:22.29 cognitive behavioral therapies because there is macro truths 00:05:22.32\00:05:25.35 that are there... 00:05:25.38\00:05:26.51 And as we start focusing in on things that are true 00:05:26.54\00:05:29.51 in principle all the time, we can more easily pick up 00:05:29.54\00:05:34.39 the micro errors that we can have in our thinking 00:05:34.42\00:05:39.32 Why do you think we develop this kind of 00:05:39.35\00:05:41.09 distortional thinking? 00:05:41.10\00:05:42.76 Well, part of it is because our brains are a little bit flawed 00:05:42.79\00:05:47.24 You know, genetically, there is no such person with a 00:05:47.27\00:05:50.65 perfect brain 00:05:50.68\00:05:51.82 And so, we are prone to that from genetics 00:05:51.85\00:05:54.42 We're prone to that from our environment to some extent 00:05:54.45\00:05:57.04 and how we've been programmed or raised, or not raised 00:05:57.07\00:06:01.09 in a particular manner 00:06:01.12\00:06:02.76 And then also, we often foster 00:06:02.79\00:06:05.54 these distorted thoughts ourselves, and we dwell on them 00:06:05.57\00:06:08.09 and we can perpetuate them 00:06:08.12\00:06:09.60 to greater heights than they would be otherwise. 00:06:09.61\00:06:12.69 So this negative thinking that we allow ourselves to 00:06:12.72\00:06:15.74 maybe either hear or that we generate ourselves, 00:06:15.77\00:06:18.95 strengthens that distortional thought process 00:06:18.98\00:06:21.70 Yes, particularly if the negative thinking is out of 00:06:21.73\00:06:25.13 proportion, or magnified. 00:06:25.16\00:06:27.66 It's NOT JUST negative thinking in and of itself that's bad 00:06:27.69\00:06:30.63 I mean, there are some things... 00:06:30.66\00:06:31.74 there are everyday inconveniences that occur 00:06:31.77\00:06:34.34 with everyone, but how we describe those everyday 00:06:34.35\00:06:37.60 negative events in our own thoughts, 00:06:37.63\00:06:39.18 and what we think about them, has a lot to do 00:06:39.21\00:06:41.83 with our future mental health. 00:06:41.86\00:06:44.33 So, we're talking in abstracts now... let's bring it together 00:06:44.36\00:06:47.19 and let's get some specifics... What are some of these 00:06:47.22\00:06:49.30 distortional ways in which we think? 00:06:49.33\00:06:51.25 Well, there are 10 cognitive distortions... 00:06:51.28\00:06:54.43 You know, there are 10 commandments 00:06:54.46\00:06:56.08 that the Bible talks about... 00:06:56.11\00:06:57.35 And there are also 10 ways of distorted thinking. 00:06:57.38\00:07:03.80 Distortion #1 is All or nothing thinking. 00:07:03.83\00:07:07.19 All or nothing, that's like when you use words like 00:07:07.22\00:07:10.34 "you NEVER" and "always" That's right, absolutely. 00:07:10.37\00:07:13.85 I have to admit that I'm at fault for 00:07:13.88\00:07:16.25 using some of those words. 00:07:16.28\00:07:17.42 You know, an example is someone who came to my office 00:07:17.46\00:07:20.28 ...he was quite high in our community, 00:07:20.31\00:07:22.40 in fact, he was a state representative... 00:07:22.43\00:07:25.73 actually a state senator, and he was running for 00:07:25.74\00:07:28.12 the U.S. representative which would be a national 00:07:28.15\00:07:30.78 Washington DC office... 00:07:30.81\00:07:32.41 And he was part of the majority party and he got the nod 00:07:32.44\00:07:35.92 from his party to run, and so it seemed like he was going to win 00:07:35.95\00:07:38.51 Well, he didn't win, and he came in and looked at me 00:07:39.43\00:07:45.22 and said, "Dr. Nedley, I've lost the race for congress, 00:07:45.25\00:07:49.07 I am a BIG ZERO" Ohhhh 00:07:49.10\00:07:51.82 And I could tell by the look on his face, he wasn't joking 00:07:51.85\00:07:55.56 He thought he was a big zero because he had lost the race... 00:07:55.59\00:07:59.55 Now was that true? No 00:07:59.59\00:08:01.43 No, just because you lose a race just because you fail a test, 00:08:01.44\00:08:05.15 just because you have a divorce... 00:08:05.18\00:08:09.20 just because... anything bad happens, you lose your job, 00:08:09.21\00:08:13.81 doesn't mean that you're a big zero 00:08:13.84\00:08:15.84 But yet, that's where all-or- nothing thinking will lead to 00:08:15.87\00:08:18.61 And, it can also work the other way... 00:08:18.64\00:08:20.71 You know, many of the athlete people tend to have the side 00:08:20.74\00:08:23.98 of things where if they had a homerun to win the game, 00:08:24.01\00:08:26.31 they think they're the greatest in the world 00:08:26.34\00:08:28.19 and that can set themselves up for mental problems as well 00:08:28.22\00:08:31.34 Pride is one of the greatest... 00:08:31.35\00:08:33.68 Actually, probably the foremost mental health problem 00:08:33.71\00:08:40.49 is self-pride, and that's what produces over-sensitivity 00:08:40.50\00:08:46.22 It's what produces exalted feelings of yourself 00:08:46.25\00:08:52.63 ...as well as highly opinionated things over things 00:08:52.64\00:08:55.60 that you really shouldn't be opinionated about 00:08:55.63\00:08:57.44 ...those are all pride issues. 00:08:57.45\00:09:00.57 People that are argumentative, difficult to get along with, etc 00:09:00.58\00:09:04.78 ...a lot of those are... the basis of it is pride 00:09:04.81\00:09:08.11 and one of the basis of pride is the "all-or-nothing" thinking 00:09:08.14\00:09:11.08 And it seems like you set yourself up when you're 00:09:11.11\00:09:14.90 extremely PROUD, or you have that kind of 00:09:14.93\00:09:17.24 distortional thinking... 00:09:17.25\00:09:18.25 because as soon as someone attacks anything in which 00:09:18.28\00:09:22.01 you feel your pride is based upon, 00:09:22.04\00:09:23.99 then you're down to the nothing... That's right 00:09:24.02\00:09:26.72 Exactly, and that's why people, in fact... as I've helped 00:09:26.75\00:09:30.42 many people with depression... 00:09:30.46\00:09:31.57 ...in fact, we have run many depression recovery programs 00:09:31.60\00:09:35.80 and then we do follow-up 00:09:35.83\00:09:38.30 programs and they will, to a 00:09:38.33\00:09:40.76 person... And voluntarily themselves, I'm not actually 00:09:41.07\00:09:44.78 trying to get them to say this, but they'll say... 00:09:44.81\00:09:46.47 "You know, what I realize now that I'm a whole lot better 00:09:46.50\00:09:48.91 is what led me into this... was pride" 00:09:48.94\00:09:52.14 And so they will start seeing some of the foundational issues 00:09:52.17\00:09:55.40 that produced the distorted thoughts. 00:09:55.43\00:09:57.53 That's wonderful... So you're able to lead these 00:09:57.56\00:10:00.77 people to the truth in acknowledging maybe where 00:10:00.80\00:10:03.64 their distortional thinking is originating from... Exactly! 00:10:03.65\00:10:07.38 Yeah, unless you get the ax to the root of the trees, 00:10:07.41\00:10:10.63 so to speak... It will grow back.. That's right 00:10:10.66\00:10:14.08 You know, a lot of these things that psychotherapists 00:10:14.11\00:10:16.91 have been dealing with are FRUIT and not root 00:10:16.94\00:10:20.13 And if we really want to change what the tree is producing 00:10:20.14\00:10:23.99 we have to change the root... Cut it down... Yeah that's right 00:10:24.02\00:10:28.47 and that's why dealing with just the fruit which is a lot of this 00:10:28.51\00:10:32.93 so-called "traditional psychotherapy" 00:10:32.96\00:10:34.06 doesn't really work that well 00:10:34.09\00:10:35.53 So what's the next one? 00:10:35.54\00:10:36.82 The next one is... Over-generalization 00:10:36.85\00:10:39.91 Now an example of this actually occurred when I was in college 00:10:39.94\00:10:44.30 A good friend of mine who was a pre-med student 00:10:44.33\00:10:47.30 was shy... a nice-looking young man but shy, 00:10:47.31\00:10:51.42 and he had his eye on a girl for about 6 months 00:10:51.45\00:10:53.68 before he had enough courage to ask her out 00:10:53.69\00:10:56.05 He told us how he was going to ask her out... 00:10:56.08\00:10:59.14 And we thought he had a high likelihood of success 00:10:59.17\00:11:01.69 and he comes back to the dorm ... his head is down 00:11:01.72\00:11:04.82 ...he's walking slowly Ohhhh 00:11:04.85\00:11:06.98 He was turned down! That's right 00:11:07.01\00:11:09.81 And I said, "Glen, what happened?" 00:11:09.84\00:11:12.02 And he said, "Neil, I'm destined to be lonely and miserable 00:11:12.05\00:11:16.53 the rest of my life. " Ohhh 00:11:16.56\00:11:18.21 And, what he did was, he over-generalized in 2 areas 00:11:18.24\00:11:22.11 In fact, I even asked him, "What did she say?" 00:11:22.14\00:11:24.38 And, he said, "She said, that she had another event to go to 00:11:24.41\00:11:29.94 and couldn't come with me. " Hmmmm 00:11:29.97\00:11:31.72 So, it was a legitimate reason! 00:11:31.75\00:11:33.10 Legitimate reason, and so I said, "And so you think that?" 00:11:33.13\00:11:38.11 And he said, "Well Neil, I got to thinking about that, 00:11:38.14\00:11:41.18 and I thought that if she just thought HALF as much 00:11:41.21\00:11:44.68 about me as I think about her, she would have changed 00:11:44.69\00:11:48.02 that event and gone along with me... so I'm destined 00:11:48.05\00:11:50.88 to be lonely and miserable the rest of my life. " 00:11:50.91\00:11:54.16 Well, he over-generalized in 2 areas... 00:11:54.19\00:11:55.75 The first area he over-generalized was 00:11:55.76\00:11:57.52 ...Because she turned him down once, 00:11:57.55\00:12:00.04 he assumed, she was always going to turn him down. 00:12:00.07\00:12:03.87 And, he didn't really know that... that was an assumption 00:12:03.90\00:12:07.29 The second over-generalization he made was that 00:12:07.32\00:12:10.18 100% of eligible women had identical taste to hers 00:12:10.19\00:12:15.37 and, thus, he would be endlessly rejected... Right 00:12:15.40\00:12:18.15 People with over-generalization may 00:12:18.18\00:12:20.10 have a fear of trying new things... 00:12:20.13\00:12:22.71 They do have a fear of rejection 00:12:22.74\00:12:25.49 and it can hamper their ability to succeed 00:12:25.52\00:12:28.37 If the creator of the light bulb, Thomas Edison, 00:12:28.40\00:12:33.74 started to over-generalize after his 10th failure... 00:12:33.77\00:12:36.89 we wouldn't have light today 00:12:36.92\00:12:39.36 and you wouldn't be watching this... That's right 00:12:39.39\00:12:41.76 And so, we have to beware of over-generalizing 00:12:41.77\00:12:45.21 ...it's a very common cognitive distortion 00:12:45.24\00:12:47.13 It seems like a common factor in both the all-or-nothing 00:12:47.16\00:12:50.27 and the over-generalization is that identity is so much 00:12:50.30\00:12:55.12 caught up in whether it was for him... 00:12:55.15\00:12:57.72 this lady receiving him, and accepting him and desiring him 00:12:57.75\00:13:01.39 or the other illustration you give... the man with his job 00:13:01.42\00:13:05.13 Especially for men, their identity is so 00:13:05.16\00:13:06.93 wrapped up in their career, or in our relationships 00:13:06.96\00:13:10.39 Yes, absolutely... 00:13:10.42\00:13:12.14 The 3rd cognitive distortion is "mental filter" 00:13:12.15\00:13:15.02 An example of this was a nice Asian medical student who 00:13:15.05\00:13:19.55 was in my class at Loma Linda University Medical School 00:13:19.59\00:13:24.06 ...and after that first semester, we were studying 00:13:24.09\00:13:25.97 anatomy, histology, embryology, gross anatomy, 00:13:26.00\00:13:30.01 and then they have a final test over all of this with the 00:13:30.04\00:13:32.41 cadavers, and you have to look at anatomy under the microscope 00:13:32.44\00:13:35.10 Very difficult, it's probably 00:13:35.13\00:13:36.11 the hardest semester that I recall in my training... 00:13:36.14\00:13:39.78 And, at the end of that test, I got out a little later 00:13:39.81\00:13:44.56 than she did, but I noticed a group of 00:13:44.59\00:13:46.74 students there, and she was crying... 00:13:46.78\00:13:47.89 And I thought, boy, something bad has happened... what went on 00:13:47.93\00:13:51.77 And so I started listening to her, and she started 00:13:51.80\00:13:54.83 talking about the questions that she had missed 00:13:54.86\00:13:56.87 She could think of 17 questions that she had missed 00:13:56.90\00:13:59.37 and she hadn't even gone back to her textbooks yet 00:13:59.40\00:14:01.77 But she knew of 17 questions already.. that she had missed 00:14:01.80\00:14:06.24 and so she knew that there were a whole lot more 00:14:06.27\00:14:09.20 that she didn't realize yet 00:14:09.23\00:14:11.25 She started going over some of these, 00:14:11.26\00:14:12.60 and I recognized that I had missed some of those too 00:14:12.63\00:14:15.75 And so I started to worry a little bit 00:14:15.78\00:14:17.94 But she went home and told her family that 00:14:17.97\00:14:20.42 she was not cut out to be a doctor... 00:14:20.45\00:14:22.97 that she had failed this test... 00:14:23.00\00:14:24.31 That's why she was crying with the other students... 00:14:24.32\00:14:26.24 She told them she had bombed it and failed the test 00:14:26.27\00:14:28.50 ...No use coming back to medical school 00:14:28.53\00:14:30.42 All of her dreams and aspirations, her family's dreams 00:14:30.45\00:14:33.61 were crushed, and finally someone in the family 00:14:33.64\00:14:36.62 said, "You know, why don't you go back for the 00:14:36.65\00:14:39.10 winter semester, biochemistry, physiology, 00:14:39.13\00:14:41.58 maybe you can retake that next semester, 00:14:41.61\00:14:45.25 and just go a year behind, they'll let you do that 00:14:45.28\00:14:47.60 sometimes in medical school, or at least see what you got. 00:14:47.63\00:14:51.50 She didn't want to go back, she was so sure... 00:14:51.53\00:14:53.63 But she finally did, and she brings her test out 00:14:53.66\00:14:57.82 and there it was... minus 17... 83% 00:14:57.85\00:15:01.87 This is, by far, the highest grade in the class! A+ WOW 00:15:01.90\00:15:07.00 And so, all of that focus on the 17 questions that she did 00:15:07.03\00:15:10.81 through that Christmas break ruined her emotional health 00:15:10.84\00:15:13.91 ...her parents' emotional health 00:15:13.94\00:15:16.08 It affected many of the students around her, 00:15:16.11\00:15:18.34 and that's what the mental filter does... 00:15:18.37\00:15:20.89 when we just focus in on the negative... 00:15:20.92\00:15:22.41 And, you know, in life, there's always going to be 00:15:22.44\00:15:24.12 negative things... that we can talk about, 00:15:24.13\00:15:26.11 that we can discuss Yes... there is 00:15:26.14\00:15:27.91 And when we start focusing in on that, 00:15:27.94\00:15:30.95 we become quite imbalanced, 00:15:30.98\00:15:32.96 and it can affect many other areas of life. Um hm 00:15:32.99\00:15:36.53 Sometimes I think it helps when we do have that 00:15:36.54\00:15:39.44 distorted mental filter on, to take a step back 00:15:39.47\00:15:42.98 from that situation, and to try to even find humor 00:15:43.01\00:15:46.83 in it to lift that STRESS that just seems to be wanting 00:15:46.86\00:15:51.33 to suppress the ability for us to think clearly... Absolutely! 00:15:51.36\00:15:56.04 So, what's the next one? 00:15:56.07\00:15:57.08 The next one is... "disqualifying the positive" 00:15:57.11\00:15:59.23 That's distortion #4 00:15:59.24\00:16:01.73 Now "mental filter" was focusing in on just one aspect 00:16:01.76\00:16:04.70 "Disqualifying the positive" 00:16:04.73\00:16:07.49 recognizes there is the positive 00:16:07.52\00:16:10.43 and actually acknowledges it, but then DISCOUNTS IT 00:16:10.44\00:16:13.72 ...that can be even worse 00:16:13.75\00:16:15.61 An example of how bad this can get... 00:16:15.64\00:16:17.81 This was a patient who was in the behavioral medicine unit 00:16:17.84\00:16:20.42 that the psychiatrist asked me to see for nutritional reasons 00:16:20.45\00:16:23.40 so I could try to improve her brain chemistry from a 00:16:23.43\00:16:26.71 nutritional standpoint 00:16:26.74\00:16:27.92 And so, I was talking to her about that, 00:16:27.95\00:16:31.15 and we got her on a better program for a day or 2, 00:16:31.18\00:16:34.13 and then all of a sudden, she said she was going home 00:16:34.16\00:16:37.11 And I started asking her some frank questions, 00:16:37.14\00:16:42.46 and she started giving me some frank answers 00:16:42.47\00:16:44.46 And she said, "Dr. Nedley, there is NO ONE in this world 00:16:44.49\00:16:48.04 who cares a whip-stitch about me" Hmmmm 00:16:48.07\00:16:51.08 She didn't use the term "whip-stitch, 00:16:51.11\00:16:53.09 but it was somewhat equivalent 00:16:53.12\00:16:55.49 It actually gets into another cognitive distortion 00:16:55.52\00:16:57.89 that she also had on top of that. 00:16:57.92\00:16:59.67 And I said, "You know, that's not true... I care about you, 00:16:59.70\00:17:03.70 I wouldn't be here if I didn't care about you... 00:17:03.73\00:17:06.94 there are other things that I could be doing" 00:17:06.97\00:17:09.57 "I notice the staff... they care about you" 00:17:09.60\00:17:11.47 "They actually like to be in your room... they talk 00:17:11.50\00:17:13.56 to me how they enjoy you being in here" 00:17:13.57\00:17:15.56 And she said, "Dr. Nedley, those people don't count" Hmmm 00:17:15.59\00:17:19.51 ...Because they're not part of the real world. 00:17:19.54\00:17:21.49 "Anyone who is part of the real world... 00:17:21.52\00:17:23.19 doesn't care a whip-stitch about me" 00:17:23.22\00:17:25.87 And then I started talking to her about her friends 00:17:25.90\00:17:28.09 I noticed her friends had come in and visited with her 00:17:28.12\00:17:29.89 I noticed her family had been there... 00:17:29.92\00:17:31.48 They had enjoyed being with her 00:17:31.51\00:17:33.20 And she said, "Those people don't count, Dr. Nedley, 00:17:33.23\00:17:37.10 because they don't know the real me" 00:17:37.13\00:17:39.57 "Anyone who knows the real me, recognizes I'm rotten 00:17:39.60\00:17:42.43 to the core, and they can't think anything positive about me 00:17:42.46\00:17:45.62 Well, here she acknowledged those people, 00:17:45.63\00:17:48.12 but then she discounted it, 00:17:48.15\00:17:49.76 and so I called her psychiatrist and told him 00:17:49.79\00:17:52.84 I didn't think she was ready for discharge yet 00:17:52.87\00:17:54.75 It was more than just nutrition she needed 00:17:54.78\00:17:57.57 Nutrition was an important part to help the 00:17:57.60\00:18:00.54 brain chemistry along, 00:18:00.57\00:18:01.71 but she needed cognitive behavioral therapy 00:18:01.74\00:18:03.85 to recognize the distortions in her thoughts. 00:18:03.88\00:18:05.99 I think there's a lot of people out there who are afraid 00:18:06.00\00:18:10.28 of maybe revealing their true selves because they 00:18:10.31\00:18:13.17 fear just that very thing... 00:18:13.20\00:18:14.80 If they really KNEW what I was like, they wouldn't like me... 00:18:14.83\00:18:17.51 No one would be around for me. Yes, that's right, 00:18:17.54\00:18:19.95 and that's bordering on that disqualifying the positive, 00:18:19.98\00:18:24.04 or actually IS breaking that cognitive distortion 00:18:24.07\00:18:27.76 Actually, we have much better relationships when people 00:18:27.79\00:18:31.30 do know the real us... 00:18:31.33\00:18:32.46 And it's only when we try to cover... that we get ourselves 00:18:32.49\00:18:35.63 into trouble... That's right, because 00:18:35.66\00:18:37.90 really, our relationships of love and intimacy 00:18:37.93\00:18:40.80 shouldn't be based on how good I am at ANYTHING 00:18:40.83\00:18:44.42 it's just that I'm a person, and can receive and return 00:18:44.43\00:18:49.19 that love... Absolutely 00:18:49.22\00:18:51.01 So the next one... 00:18:51.04\00:18:52.51 The next one... Distortion #5... Mind-reading 00:18:52.54\00:18:56.95 That distortion comes under a category called... 00:18:56.98\00:18:59.52 "Jumping to conclusions" 00:18:59.55\00:19:00.89 Ohhh... we can be good at that, 00:19:00.92\00:19:02.18 especially in marriages, can't we? 00:19:02.21\00:19:04.16 We just feel like we KNOW what the other person is thinking 00:19:04.19\00:19:06.52 That's the most common exercise that the average American gets 00:19:06.55\00:19:11.43 It should be physical jumping, but it's actually jumping to 00:19:11.46\00:19:14.26 CONCLUSIONS! 00:19:14.29\00:19:16.61 And how we do that and one of the ways is mind-reading 00:19:16.64\00:19:19.62 and we ASSUME that we know what that person is thinking 00:19:19.63\00:19:23.44 And this happened in New York City... 00:19:23.47\00:19:25.24 We had the privilege of going into New York City 00:19:25.27\00:19:27.79 after September 11... 00:19:27.82\00:19:28.82 We put on the first public 00:19:28.85\00:19:30.00 "Grief and depression recovery Program" there 00:19:30.03\00:19:31.99 at the Midtown Hilton in Manhattan 00:19:32.02\00:19:34.59 and we had the people actually express... 00:19:34.62\00:19:36.97 This is a kind of another program, but there was a lot of 00:19:37.00\00:19:39.09 grief and loss occurring at that time 00:19:39.12\00:19:41.20 And it's actually better often for people to write about 00:19:41.23\00:19:43.92 that loss, so that they can log it and then go on 00:19:43.95\00:19:49.15 But when they don't write about it... 00:19:49.18\00:19:51.04 they think they're going to miss an important part 00:19:51.07\00:19:53.32 in the past, or whatever, and they're 00:19:53.35\00:19:54.93 continuing to dwell on it... 00:19:54.96\00:19:56.21 So we had them write about some of their experiences 00:19:56.24\00:19:58.82 and what was happening 00:19:58.83\00:20:00.03 And one of the ladies actually wrote about how she 00:20:00.06\00:20:04.33 met a person, a good friend of hers on the street 00:20:04.36\00:20:08.37 He passed her up, looked her straight in the eye, 00:20:08.40\00:20:10.51 didn't say "hello" didn't say "hi" 00:20:10.54\00:20:12.50 and just kept on walking 00:20:12.53\00:20:14.34 And she said, this is what's happened to people in N.Y. 00:20:14.37\00:20:17.55 They are just NOT normal anymore 00:20:17.58\00:20:22.24 And this is how bad things have gotten... 00:20:22.27\00:20:24.63 Well, she was already planning on how she was going to 00:20:24.66\00:20:27.35 retaliate against this person when she met him again 00:20:27.38\00:20:30.61 for how he treated her on the street. 00:20:30.62\00:20:32.91 Well, I don't know if you've ever been to N.Y.C, 00:20:32.94\00:20:34.90 Rise, but... twice, but I call it sensory overload 00:20:34.93\00:20:39.40 when I walking down the streets of N.Y. 00:20:39.43\00:20:41.69 There's a part of me that likes it because I love people, 00:20:41.72\00:20:43.46 and I'm just like... Yeah, all the ENERGY! 00:20:43.49\00:20:45.33 But then when I leave there, I'm glad I don't live there. 00:20:45.36\00:20:48.76 So, we asked her to check it out... 00:20:48.79\00:20:50.87 We said, "You need to check this out... 00:20:50.90\00:20:53.18 this could be mind-reading" 00:20:53.21\00:20:54.98 And so, she checked it out, and sure enough... 00:20:55.01\00:20:57.09 He had had an announcement at work... 00:20:57.12\00:20:58.87 He had never seen her that day. 00:20:58.88\00:21:01.48 He was thinking about that announcement 00:21:01.51\00:21:03.38 And he wasn't even really looking at anybody 00:21:03.41\00:21:07.55 So once she found out about THAT, 00:21:07.58\00:21:09.17 and what had happened to him, she was much more 00:21:09.20\00:21:11.09 understanding, and I'm glad she didn't start out 00:21:11.12\00:21:13.29 with the retaliation component 00:21:13.32\00:21:14.96 because that could have affected the relationship adversely. 00:21:14.99\00:21:17.99 And so, that's an example of mind-reading 00:21:18.02\00:21:20.03 So communication seems to be such a key in preventing 00:21:20.06\00:21:23.66 that kind of distortional thinking from coming up. 00:21:23.69\00:21:25.85 I know, sometimes, even with my husband, 00:21:25.88\00:21:27.45 he can be REALLY focused on something... 00:21:27.48\00:21:29.52 and I think, "Oh, I've been trying to talk to him... 00:21:29.55\00:21:31.88 he's not interested in what I have to say" 00:21:31.91\00:21:33.82 and after when I try to communicate, I realize 00:21:33.85\00:21:36.96 what's REALLY taking place in his mind 00:21:36.99\00:21:38.69 and then I don't have to take it so personally, 00:21:38.72\00:21:40.65 and feel offended and hurt.. Yeah, absolutely 00:21:40.68\00:21:42.96 And then you realize he truly is interested in you as well 00:21:42.99\00:21:46.39 The 6th one is "fortune teller error" 00:21:46.42\00:21:50.34 This is in people with panic disorder 00:21:50.37\00:21:53.85 have fortune teller error 00:21:53.88\00:21:55.10 They will tell me that when they are feeling that way, 00:21:55.13\00:21:57.74 they're either going to pass out or go crazy... Hmmm 00:21:57.77\00:22:00.32 And I'll say, "Well how many times has this happened?" 00:22:00.35\00:22:02.47 "Oh, many times, Dr. Nedley" 00:22:02.50\00:22:04.45 How many times have you passed out when you felt this way? None 00:22:04.48\00:22:08.04 How many times have you gone crazy? 00:22:08.07\00:22:11.07 "Well, I really haven't gone crazy" 00:22:11.10\00:22:13.07 And so then I'll say... 00:22:13.10\00:22:14.52 "Well then, obviously, that's not a true thought... 00:22:14.55\00:22:16.50 to say that you're going to either pass out or go crazy" 00:22:16.53\00:22:19.42 You need to replace that thought with what is true... 00:22:19.45\00:22:22.07 Let's accurately describe this... 00:22:22.10\00:22:23.89 And as they more accurately describe it, 00:22:23.92\00:22:25.85 it actually HELPS the panic disorder... 00:22:25.88\00:22:27.81 Cognitive behavioral therapy is one of the things that 00:22:27.84\00:22:29.78 helps panic disorder 00:22:29.81\00:22:31.85 Fortune teller error is also assuming that if you do 00:22:31.88\00:22:35.35 something... for instance, you leave a message 00:22:35.38\00:22:36.93 on someone's machine... tell them to get back with you 00:22:36.96\00:22:38.86 ...they don't get back with you, 00:22:38.89\00:22:39.90 you think about calling him again, but you think... 00:22:39.93\00:22:41.80 "Well, they weren't interested, and they're just going to 00:22:41.83\00:22:45.88 think I'm obnoxious"... that's the fortune teller error 00:22:45.91\00:22:48.79 "They're going to THINK I'm obnoxious, 00:22:48.80\00:22:51.00 so I won't call them back" 00:22:51.04\00:22:52.08 And then 2 weeks later, you find out that his 00:22:52.11\00:22:53.68 answering machine wasn't working, 00:22:53.71\00:22:55.25 and he never got the message 00:22:55.28\00:22:56.37 ...And it would have been helpful for you to call back 00:22:56.40\00:22:58.78 And so, that's a fortune teller error 00:22:58.81\00:23:00.58 Another example of a fortune teller error 00:23:00.59\00:23:02.24 is suicidal thoughts. 00:23:02.25\00:23:03.45 People who are suicidal think they know more about 00:23:03.48\00:23:05.82 their future than God does... 00:23:05.85\00:23:07.56 And they DON'T... they think they know their future 00:23:07.59\00:23:10.55 but they have the fortune teller error 00:23:10.58\00:23:12.61 and it's very important for suicidal patients to 00:23:12.64\00:23:14.88 understand this cognitive distortion 00:23:14.89\00:23:16.68 because it will clear their suicidal thoughts once 00:23:16.71\00:23:19.79 they think accurately 00:23:19.82\00:23:21.35 So they start predicting a future event 00:23:21.38\00:23:23.91 and assume that is their reality... That's right, yes 00:23:23.92\00:23:27.14 And don't see any other options out there... That's right 00:23:27.17\00:23:30.74 In fact, that's one of the things that this 00:23:30.77\00:23:32.17 Depression Recovery Program is very helpful in... 00:23:32.20\00:23:34.68 is helping people that have had those suicidal thoughts 00:23:34.71\00:23:37.85 or currently toying with the fact 00:23:37.88\00:23:39.82 because this will bring them hope 00:23:39.84\00:23:41.96 They'll realize there are all sorts of modalities 00:23:41.97\00:23:44.54 they had never any clue of that can help them significantly 00:23:44.57\00:23:48.41 and improve their life from hereon out. 00:23:48.44\00:23:50.20 I think that that can be the greatest benefit 00:23:50.23\00:23:53.96 in facing any one of our distortional thought patterns 00:23:53.99\00:23:58.03 and that is HOPE or FAITH 00:23:58.06\00:24:00.05 and BELIEVING that something positive can actually 00:24:00.06\00:24:03.38 be out there... 00:24:03.41\00:24:04.73 You know, maybe this person ignored me... 00:24:04.76\00:24:07.00 but well maybe he had a reason 00:24:07.03\00:24:09.18 There might have been something positive 00:24:09.21\00:24:11.12 that was taking place in relation to myself, 00:24:11.15\00:24:13.17 rather than always negative... Exactly, yeah, very important 00:24:13.20\00:24:16.82 The 7th cognitive distortion is "magnification or minimization" 00:24:16.85\00:24:21.44 This is where we get things out of proportion 00:24:21.47\00:24:24.64 People that use, what I call the "HTAs"... 00:24:24.67\00:24:27.99 ...the horrible, terrible, awfuls... Oh yeah! 00:24:28.02\00:24:31.66 That is magnification 00:24:31.69\00:24:33.85 And, often they'll use these terms in 00:24:33.88\00:24:36.57 everyday negative events 00:24:36.60\00:24:38.02 It sounds SO GOOD.. you're really describing the event! 00:24:38.05\00:24:40.68 ...HORRIBLE, AWFUL Yeah! 00:24:40.71\00:24:42.81 But that actually has an impact on the brain 00:24:42.84\00:24:46.31 ...On that own individual's brain, 00:24:46.34\00:24:48.40 as well as impacting others 00:24:48.43\00:24:49.79 So the expression deepens the negative impression... Exactly 00:24:49.82\00:24:53.50 And it's good to utilize the correct terms.. 00:24:53.53\00:24:56.42 It may have been an inconvenience... 00:24:56.45\00:24:57.74 It may have been something that the person didn't prefer 00:24:57.77\00:25:00.12 But, you know, let's use those terms accurately 00:25:00.15\00:25:03.28 And when people start getting into curse words... 00:25:03.31\00:25:06.19 that's even a worse magnification or minimization 00:25:06.22\00:25:10.28 If you notice the curse words and how they are used, 00:25:10.31\00:25:13.15 they're WAY OFF the scale in regards to what actually 00:25:13.18\00:25:16.46 took place 00:25:16.49\00:25:17.49 And my father, although he probably didn't know 00:25:17.52\00:25:20.31 cognitive behavioral therapy, or the 10 cognitive distortions, 00:25:20.34\00:25:23.71 he taught me growing up... 00:25:23.74\00:25:24.76 He said, "Anyone who uses curse words... it's a sign of 00:25:24.79\00:25:27.75 a limited vocabulary" 00:25:27.76\00:25:30.65 And actually, it is limited, because they are not 00:25:30.66\00:25:33.39 accurately describing things well at all. 00:25:33.42\00:25:36.44 And so, even my own children, I've had to teach them 00:25:36.47\00:25:41.95 ...People with magnification or minimization also have 00:25:41.98\00:25:45.25 low frustration tolerance... 00:25:45.28\00:25:46.94 That's a key of breaking that 7th cognitive distortion... 00:25:46.97\00:25:50.37 We call it... "LFT" 00:25:50.40\00:25:51.69 And the ability to tolerate the everyday frustrations 00:25:51.72\00:25:55.80 of life is really due to breaking the 7th 00:25:55.83\00:25:59.93 cognitive distortion 00:25:59.96\00:26:01.41 And recently they were out on the ball field 00:26:01.44\00:26:03.24 and had their emotions get out of control 00:26:03.27\00:26:07.55 and I didn't let them leave that ball field until they 00:26:07.56\00:26:09.89 sang a song that said, "I-don't-like-it, 00:26:09.92\00:26:14.09 I- don't-like-it... It's-okay, it's-okay... na-na-na-na-na-na 00:26:14.12\00:26:16.84 I- can-stand-it-anyway... 00:26:16.87\00:26:20.88 I'm-all-right, I'm-all-right" 00:26:20.91\00:26:22.32 It took them a while to learn it because their 00:26:22.35\00:26:23.56 emotions were out of control, 00:26:23.57\00:26:25.21 but when they learned that, 00:26:25.24\00:26:27.18 it was helpful for them to realize there are things 00:26:27.21\00:26:30.35 that we don't prefer happen, but we CAN stand it 00:26:30.38\00:26:34.56 ...and when we tell ourselves we CAN'T stand it 00:26:34.59\00:26:36.79 which isn't really true, we get ourselves into deeper problems 00:26:36.82\00:26:40.27 It's probably just communicating... 00:26:40.28\00:26:41.28 rather than saying... "bleepity-bleep-bleep" 00:26:41.32\00:26:43.05 just saying, "I'm disturbed... That disturbed me deeply 00:26:43.08\00:26:45.18 because such-and-such took place" 00:26:45.21\00:26:49.14 That at least gives us an outlet Right... 00:26:49.17\00:26:51.58 Sometimes I think people use the curse words 00:26:51.59\00:26:53.02 just so they can express their frustration 00:26:53.03\00:26:55.19 but there are other ways and I think you taught your boys 00:26:55.22\00:26:57.47 They would be much more effective if they described it 00:26:57.48\00:26:59.32 accurately 00:26:59.35\00:27:00.48 The 8th one is "emotional reasoning" 00:27:00.51\00:27:02.45 Emotional reasoning goes like this... 00:27:02.48\00:27:04.14 "I feel like a dud, therefore, I am a dud" 00:27:04.17\00:27:06.46 Procrastinators have emotional reasoning... 00:27:06.49\00:27:08.36 "I don't feel lie doing anything right now... so I won't" 00:27:08.39\00:27:10.99 And so, we need to recognize 00:27:11.02\00:27:13.28 feelings come and feelings go 00:27:13.31\00:27:14.75 Feelings are deceiving! Yes! 00:27:14.78\00:27:16.73 And so, that's the answer to the 8th cognitive distortion 00:27:16.76\00:27:21.41 And the 9th cognitive distortion "labeling or mislabeling" 00:27:21.44\00:27:24.41 This is when we use terms for ourselves, or for others 00:27:24.44\00:27:27.39 that are not really accurate and can get us out of control 00:27:27.42\00:27:30.87 We've had people with obesity label themselves as pigs 00:27:30.90\00:27:34.08 and then go into the refrigerator and eat the 00:27:34.11\00:27:36.03 whole half-gallon of ice cream! 00:27:36.06\00:27:38.25 And so, that's not helpful. 00:27:38.28\00:27:40.08 "Personalization" is the last one. 00:27:40.11\00:27:42.36 ...And that's where we confuse INFLUENCE with CONTROL 00:27:42.39\00:27:45.54 And we think we have control... 00:27:45.57\00:27:47.20 But we really have influence, and we can really 00:27:47.23\00:27:49.39 get that out of proportion. 00:27:49.42\00:27:51.58 Thank you, Dr. Nedley, again for a wonderful program... 00:27:51.61\00:27:53.85 My pleasure, Rise! 00:27:53.88\00:27:55.49 You know, the Bible says that... 00:27:55.52\00:27:56.63 "As a man thinks in his heart, so is he" 00:27:56.66\00:27:59.27 And I hope that today's program will help you not only 00:27:59.30\00:28:01.95 in maybe identifying some distortional thought patterns 00:28:01.98\00:28:04.75 you might have, but also in finding 00:28:04.78\00:28:07.10 the truth that will set you free... 00:28:07.13\00:28:09.50 I'm so glad you joined us today! 00:28:09.53\00:28:10.85 Until next time... 00:28:10.86\00:28:11.86