Dr. Reef Karim Assistant Clinical Professor, UCLA Semel Institute for Neuroscience Founder, Lumion Center Beverly Hills Psychiatrist, Addiction Specialist, Relationship Therapist Host: Reef Madness Show (ReefMadnessShow.com) DoctorReef.com LumionCenter.com YouTube: Dr. Reef Reef Karim, 2017
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Dr. Reef KarimAssistant Clinical Professor, UCLA Semel Institute for Neuroscience
Founder, Lumion Center Beverly Hills
Psychiatrist, Addiction Specialist, Relationship Therapist
Host: Reef Madness Show (ReefMadnessShow.com)
DoctorReef.com
LumionCenter.com
YouTube: Dr. ReefReef Karim, 2017
Not Using Drugs, Alcohol Not Acting Out / Bad Behaviors Psychiatric Symptom Stabilization Less Emotional Reactivity Fixing Past Wreckage Improving Relationships – Family/Friends/Others Personal Development Work (Lying, Manipulation,
Connection, Expression) Identity Formation (beyond the addict) Spiritual Growth
Reef Karim, 2017
Reef Karim, 2017
1) Addiction is a chronic medical illness similar to diabetes, hypertension and asthma…chronic and relapsing
2) Addictive drugs act on the reward circuitry in the brain – essentially “hijacking” the pathway for natural rewards (eat, sex, emotional attachments)
3) Geneticists working on gene variants predisposing people to addiction; endophenotypes for diagnosis and treatment
Novel Medications – Craving, Impulsivity, Detoxification, Symptom Reduction
Vaccines
Reef Karim, 2017
Reef Karim, 2017
Reef Karim, 2017
Alcoholics Anonymous has 12 essential steps for members to follow – one of the steps says that addicts have “sought through prayer and meditation to improve our conscious contact with God as we understood him, praying only for knowledge of his will for us and the power to carry that out.”
But although some people think of AA as a religious approach, it is actually a spiritual approach to living. Spiritual discipline and character development are emphasized, including humility, confession, amends, forgiveness, acceptance, ongoing moral inventories and being of service to others.
Reef Karim, 2017
The emergence of AA as a potent vehicle for personal transformation has been influential, as it has brought the term spirituality to the attention of both the general public as well as the mental health and addiction treatment providers.
WE SHOULD ALL BE WORKING ON PERSONAL TRANSFORMATION
Reef Karim, 2017
THE GROUP:
A microcosm of the world – identification
To discover and assess defenses
Exchange information
Healthier members instill hope
Modeling healthy communication skills
Awareness that you are not alone in your pain
Feeling accepted for who you are
The power of truth; A feeling of support
Overcoming denial; Mirroring
Reef Karim, 2017
Neural underpinnings of a spiritually focused fellowship
American Journal of Drug & Alcohol Abuse, 2015
20 long term AA participants; fMRI machine with alcohol cues & visual triggers.
AA Prayer (less craving) vs. Newspaper
fMRI data showed increased pre-frontal cortical activation (attention, goal maintenance, voluntary
control of emotions), increased activation of the posterior temporal areas (semantic reappraisal of
emotions) and medial parietal (self-related cognition)
How do you integrate 12 step and/or Eastern Spiritual Practice
with 21st Century Psychopharmacology in Addition
Treatment?
Reef Karim, 2017
In addiction treatment, it can be the difference between mere abstinence
and true recovery…
Reef Karim, 2017
30 yr old white male with complaints of “going through life too fast”, difficulties with relationships, poor self esteem, lots of sexual partners, difficulty being distracted, interrupts other people, loses keys frequently.
Reef Karim, 2017
42 yr old female with episodes of panic where she gets short of breath, heart palpitations and a fear of choking or dying. The episode lasts about 25 minutes.
Reef Karim, 2017
Dr. Reef KarimAssistant Clinical Professor, UCLA Semel Institute for Neuroscience
Founder, Lumion Center Beverly Hills
Psychiatrist, Addiction Specialist, Relationship Therapist
Host: Reef Madness Show (ReefMadnessShow.com)
DoctorReef.com
LumionCenter.com
YouTube: Dr. ReefReef Karim, 2017
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