Speak The Truth

Episode Notes:"We, in biblical counseling, we do acknowledge that our story shapes our heart. Our story does have a shaping impact on the struggles that we might be dealing with." -Jeremy Lelek, Speak The Truth, EP. 51 Unpacking Diagnoses: Paranoid Personality Disorder (importance of data gathering - context added)DSM Criteria:Pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following: • Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him/her. • Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends/associates. • Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him/her. • Persistently bears grudges, i.e., is unforgiving of insults, injuries, remarks, or events. • Perceives attacks on his/her character or reputation that are not apparent to others and is quick to react angrily or to counterattack. • Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner.Biblical Explanation:The Bible is very clear in stating: “The fear of man brings a snare, but whoever trusts in the Lord shall be safe” (Proverbs 29:25). Additionally, Paul attributes evil suspicion and strife to those who do not “consent to wholesome words, even the words of our Lord Jesus Christ, and to the doctrine which is according to godliness…” (I Timothy 6:3- 5). With no fear of the Lord in their hearts, these individuals may engage in (Romans 3:18): • Devising wicked schemes in their hearts (Proverbs 6:18) • Having feet quick to rush into evil (Proverbs 6:14) • Bearing false witness (Proverbs 6:19) • Pouring out filthy lies (Proverbs 6:19) • Stirring up dissension (Proverbs 6:19) • Grumbling against others (James 5:9) • Having mouths full of cursing and bitterness (Romans 3:14) • Fearing man and not God (people will see, hurt, or reject me, Welch, 2000) (Proverbs 25:29; Romans 3:18) • Slanderous accusations (Proverbs 10:18) • Allowing a “root of bitterness” to spring forth which defiles many (Romans 12:15) • Bearing grudges (Leviticus 19:18)Resources From Episode:When People Are Big And God Is Small - Ed Welch

Episode Notes:DSM-IV Criteria for “Personality Disorder (general)”Enduring pattern of inner experience or behavior that deviates markedly from the expectations of the individual’s culture including the areas of • Cognition • Affectivity • Interpersonal functioning • Impulsive controlThe pattern is enduring and inflexible as well as pervasive across a broad range of personal and social situationsEnduring pattern leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning.The pattern is stable and of long duration and its onset can be traced back to at least adolescence or early adulthood.Pattern is not accounted for by another mental disorder.Pattern is not due to direct physiological effects of a substance. American Psychiatric Association: Diagnostic and statistical manual of mental disorders, Fourth Edition, Text Revision. Washington, D.C.: American Psychiatric Association, 2000.Biblical Explanation for: “Personality Disorder (general)”The so-called “Personality Disorders” (i.e. paranoid, narcissistic, etc.) are simply descriptions of long-term behavioral, emotional, interpersonal, and thought patterns developed by an individual over a period of time.The Bible clearly articulates the influence of depravity and sin on a person’s behavior, thinking, and feeling. Therefore the influence of the “law of sin” must be a focal point for individuals citing these labels (Ephesians 2:3).Following the flesh always leads to further corruption, death, and darkness (Ephesians 4:22-24, Romans 8:5).Adams (1979), citing II Peter 2:14, discusses the idea of “habituation” in which sinful patterns spawn (and reinforce) sinful patterns (p. 243).Powlison (1996) highlights the fact that people don’t “have” disorders, they “do” what the so-called “diagnoses” (to the left) describe (p. 3). This is especially so, it seems, as it relates to “Personality Disorders”. This is an imperative conceptualization that will shape one’s approach when dealing with such individuals.Episode Resources:James K.A. Smith - You Are What You Love

Episode NotesDSM CRITERIAHyperactivity • Often fidgets with hands or feet or squirms in seat. • Often leaves seat in classroom or in other situations in which remaining seated is expected. • Often runs about or climbs excessively in situations in which it is inappropriate • Often has difficulty playing or engaging in leisure activities quietly • Is often “on the go” or often acts as if “driven by a motor” • Often talks excessively Impulsivity • Often blurts out answers before questions have been completed • Often has difficulty awaiting turn • Often interrupts or intrudes on others (e.g. butts into conversations or games)BIBLICAL EXPLANATIONBIBLICAL DESCRIPTORSHyperactivity • Lack of self-control • Struggles with an anxious heart • Disrespect for authority • Low view of obedience • Fatigue due to lack of rest • Personal Weakness • Rebellion • Selfishness Impulsivity • Quick to speak, slow to listen • An unrepentant heart • Impatience • Disrespectful • Self-centered or selfishTweetable: "children that typically stand out under the diagnoses of this umbrella once they enter into a school system are young boys because boys are wired to active and once they get in the confines of a classroom for the first time, they're going to run into some struggles that our culture has decided to label as a disease." Jeremy Lelek - Speak The Truth Podcast EP. 49 Unpacking Diagnoses: ADHD Part 2Episode Mentions - Resources:Am I just My Brain - Sharon Dirckx 

Psychiatric explanation of ADHD by DSM-IV-TR Inattention (6 symptoms that persisted at least six months)Often fails to give close attention to details or makes careless mistakes in schoolwork, or other activities • Often has difficulty sustaining attention in tasks or play activities • Often does not seem to listen when spoken to directly • Often does not follow through with instructions, and fails to finish school work, chores, or duties in the workplace • Often has difficulty organizing tasks and activities • Often loses things necessary for tasks or activities (e.g. toys, assignments, pencils, books, or tools). • Is often easily distracted by extraneous stimuli • Is often forgetful in daily activitiesHyper activityImpulsivityBiblical explanation Spiritual issues that could be contributingInattention (Potential heart issues) • Depravity/Folly/Law of Sin • Personal weakness (spiritual/physical) • Self-centeredness or selfishness • Disrespect for authority • Lack of consideration for others • Habit of laziness • Lack of understanding regarding the importance of obeying authority figures • Failure to grasp the significance of worshipping God in “whatever you do” (I Corinthians 10:31) • An anxious heart • Craving for attention • Lover of pleasure • Conscious rebellion • Confusion • Anger

DSM-IV Criteria for DSM-IV-TR Criteria for “Manic Episode” “Manic Episode” 1. A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week. 2. Inflated self-esteem or grandiosity 3. More talkative than usual or pressures to keep talking. 4. Flight of ideas or subjective experience that thoughts are racing. 5. Distractibility 6. Increase in goal-directed activity (either socially, at work or school, or sexual activity). 7. Excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g. engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments). American Psychiatric Association: Diagnostic and statistical manual of mental disorders, Fourth Edition, Text Revision. Washington, D.C.: American Psychiatric Association, 2000. Biblical Explanation for Biblical Explanation for “Manic Episode” Following are biblical descriptors that more accurately describe the spiritual issues that foster behavior and thinking:  • Anger/Fits of Rage  • Pride  • Anxiety  • Selfish Ambition  • Fear  • Self-Control  • Drunkenness  • Sexual Immorality/Adultery  • Foolishness/Folly  • Idolatry such as:   Control Significance  Pleasure  Acceptance  Approval  Security  PowerResources Mention: Elyse Fitzpatrick & Laura Hendrickson: Will Medicine Stop the Pain?: Finding God's Healing for Depression, Anxiety, and Other Troubling Emotions 

Episode NotesDSM-IV Criteria for DSM-IV-TR Criteria for “Manic Episode” “Major Depressive Episode”  1. Depressed mood most of the day, nearly every day, as indicated by either subjective report (feels sad or empty) or observations made by others.  2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day.  3. Significant weight loss when not dieting or substantial weight gain.  4. Insomnia or hypersomnia nearly every day.  5. Fatigue or loss of energy every day.  6. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day.  7. Diminished ability to think or concentrate, or indecisiveness, nearly every day. 1. Recurrent thoughts of death...recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan of attempting suicide American Psychiatric Association: Diagnostic and statistical manual of mental disorders, Fourth Edition, Text Revision. Washington, D.C.: American Psychiatric Association, 2000. Biblical Explanation for Biblical Explanation for “Manic Episode” “Major Depressive Episode” Following are biblical descriptors that more accurately describe the spiritual issues that foster behavior and thinking:  • Depression  • Hopelessness  • Worry  • Selfishness  • Double-Minded  • Misplaced Trust  • Pride  • Depravity/Sin  • Grief  • Idolatry such as:   Peace at all Cost  Significance  Symptom Relief  Security   Control If you're a member of ABC, The unpacking diagnoses forms and handouts are in the back office at christiancounseling.com 

The disclaimer is to help pastors, biblical counselors, and lay leaders to engage the culture with this material.– Understanding the DSM and its terms– Not feeling intimidated by labels– Diagnostic damnation - the label becomes the person’s identity– Everyone has a worldview, a lense, a conceptual lens in which they view everything– Secular psychology pushes, what does my theory say - so our theory informs our methodology– The DSM is the bible of Psychiatry – when we encounter these labels, we’re not counseling them, we're counseling the heart - according to scripture

Episode Notes:◎ There will be 4 pre-conference sessions     ◎ John Henderson (Author Of The Equipped To Counsel Curriculum)     ◎ Elise Fitzpatrick - Author of numerous books     ◎ Lee Lewis     ◎ Panel Discussion◎ Conference Theme    ◎ The Kingdom is at hand - Mk. 1:15     ◎ Whats the location we find ourselves counseling, its in the Kingdom of God.     ◎ Counseling with eternity in mind. ◎ There are 7 Tracks and each track has 8 sessions   ◎ Introduction To Biblical Counsleing    ◎ Addictions   ◎ Anxiety   ◎ Depression   ◎ Domestic Abuse   ◎ Post Traumatic Stress Disorder   ◎ Marriageregister at www.calledtocounsel.com 

Episode Notes: ◎ Not doing life with one another is all too often the case with most of the believers.◎ Heb. 10:23-25◎ Are there believers in our life that have the right to examine our life; when we’re with counselee’s, we want to gather enough data to make sure we know what the reality is of our counselee’s relational church-life. ◎ we need people in our lives who will speak to what we need to hear rather than what we want to hear. ◎ we need to encourage our counselee’s to find someone who can come into the counseling room with them if those they choose will walk with them outside the counseling room. ◎ being persecuted isn’t always provoked by others, but it's saying no to things of this world that don't promote spiritual growth. ◎ What do our counselee’s need to say no to so they’ll be spiritually fit to promote their relationships, both vertically and horizontally.  ABC Conference ClipWelcome to Speak The Truth, and before we get into our next episode, I’d like to share with you the 2020 Called To Counsel National Conference brought to you by Association of Biblical Counselors - The conference kicks off April 23-25 at Doxology Bible Church located in Fort Worth, TX. This year's specialized tracks include -   • Introduction to Biblical Counseling • Depression • Domestic Abuse • Addictions • Post Traumatic Stress Disorder • Marriage • AnxietyRegistration is open, register today at calledtocounsel.com 

Episode Notes: The Lord’s Prayer ◎ “And when you pray, do not heap up empty phrases as the Gentiles do, for they think that they will be heard with their many words. Do not be like them, for your Father knows what you need before you ask him. Pray then like this: ◎ Our father in heaven, hallowed be your name. Your kingdom come, your will be done, on earth as it is in heaven. ◎ Give us this day our daily bread, and forgive us our debts, as we also have forgiven our debtors. ◎ And lead us not into temptation, but deliver us from evil. ◎ God Is: ◎ Father◎ King◎ Provider◎ Forgiver◎ Deliverer ◎ A.C.T.S. Acronym◎ Adoration◎ Confession◎ Thanksgiving◎ Supplication Episode Resources: Prayer of Jesus - Hank Hanegraaff The Lord's Prayer - Thomas Watson