YCH Enterprise Yoakum County Hospital Plains Clinic.

YCH Enterprise

Yoakum County HospitalPlains Clinic

•Has your use increased over time?

•When you stop, do you experience withdrawal?

•Difficulty controlling your use?•Continued use despite negative

consequences?•Desire to cut down?•Spending significant time or

emotional energy to obtain, use, conceal, planning, or recovering from your use?

Are you an

addict?

Prefrontal Cortex

Thalamus

Cingulate Cortex

Amygdala

Prefrontal Cortex

Thalamus

Cingulate Cortex

Amygdala

Management of Diabetes

Diabetes

Diet

Exercise Medications

Stress and Lifestyle

Management

Management of Diabetes

Diabetes

Diet

Exercise Medications

Stress and Lifestyle

Management

Management of Hypertension

Hypertension

Diet

Exercise Medications

Stress and Lifestyle

Management

Management of Obesity

Obesity

Diet

Exercise Medications

Stress and Lifestyle

Management

Management of Fibromyalgia

Fibromyalgia

Diet

Exercise Medications

Stress and Lifestyle

Management

The Disease Model of Addiction

• Addiction is a stress induced defect acting on a genetic vulnerability in the reward learning areas in the midbrain and the emotion choice areas of the frontal cortex.

Physical

Psychological

Social

Spiritual

Left Prefrontal

• Logical• Reasoning• Language• Factual• “File Cabinet”

Right Prefrontal

• Experiential• Emotional• Non-verbal• Imaginative• “The CEO”

Left Brain

• Drinking and driving is bad

• Smoking is not good

• Eating the whole pizza = muffin top

Right Brain

Physical•Lab•Exercise•Diet/

Supplements•Genetics/

Epigenetics

Psychological• Stress Management• Coping Skills• Attachment Disorder

Spiritual• Prayer and Meditation• Understanding “Who You Are”• Growing Maturity

Social•Support Group•Community

Group•Case Manager

YCH Enterprise

Orientatio

n

•1 ½ hour presentation

•“What they’re getting into”

Exam and Labs

•Very extensive lab workup

•Physical exam and biometrics

Meetings

•Weekly meetings (3 hours)

•Didactic, group discussion, experiential exercises, physical exercise session

Phase 2

•Three months to implement what they learned/experienced

•Repeat labs and biometrics

Phase 3

•Monthly refresher sessions

•Community team

Challenges

Many Moving Parts• Huge learning curve• Challenging the traditional

The Lonely Road• No prepackaged product to purchase• Ground up is hard• Few providers have the time

On Thin Ice

Not timid to incorporate functional medicine• Leaky gut syndrome• Gluten intolerance• Sugar is the Devil

Group approach to emotional healing• “Unchain Your Brain” – Amen Clinic• “Restart” and “Thrive” material by Life Model Works• Epigenetics (MTHFR gene defect, inheritable behaviors, etc)

Insanity is . . .