Tobacco Use: Putting Down the Cigarette

By Brendan McLean, NAMI Communications Manager

Studies have shown that individuals living with mental illness die 25 years earlier than the general population. Part of the reason is due to smoking related diseases. At the end of July, the Smoking Cessation Leadership Center held a webinar on the importance of quitting smoking.

“Peers Helping Peers: Ways to Quit Tobacco with Rx for Change” consisted of a panel of experts from around the country, including Ken Duckworth, M.D., medical director of NAMI, and discussed the addictive power of tobacco, ways that will help people quit smoking and the role peer counselors can play.

Individuals living with mental illness are disproportionately represented among those who smoke. Forty-four percent of people who smoke have a mental illness. However, this percentage can be much higher when compared to a specific mental illness. For example, studies have shown that between 62 and 90 percent of individuals living with schizophrenia smoke.

This high rate of smoking means that one-half of the 435,000 tobacco related deaths that occur in the U.S. each year are people who have a mental illness. NAMI Hearts & Minds was created to offer resources on quitting smoking and other healthy lifestyle choices that promote wellness in both mind and body.

So why is smoking common among people who live with mental illness? As Frank Vitale, the National Director of the Pharmacy Partnership for Tobacco Cessation, states in the webinar , smoking was often used as a reward in psychiatric hospitals. “The culture has promoted smoking in a sense,” he said. “I remember working in a psychiatric hospital and we were literally told to tell patients that if you take your medication you can smoke. Or if you go to group you can smoke.”

Helping individuals living with mental illness who smoke can produce a number of benefits. As described by Vitale in the webinar, there are six benefits.

  1. It can improve the overall quality of life.
  2. It can increase the length and number of healthy years of life.
  3. It can improve the effects of medication. Hydrocarbons, which are produced when anything is burned, cause the body to metabolize medications faster than you normally would. As a consequence, many people who smoke often need more medication than if they did not smoke. However, if the individual decides to quit, their clinician should be alerted so they can adjust the amount of medication the individual is receiving.
  4. It can decrease social isolation. Many people who don’t smoke are often hesitant to socialize with those who do.
  5. It can save money—lots of money. Cigarette packs cost nearly $8 in D.C. and upwards of $15 in Manhattan. Over the course of 50 years, if a person were to only smoke one pack of cigarettes a day, at $6 a pack, one would spend nearly $110,000.
  6. It helps promote recovery.

The problem is that there has been lack of focus on smoking cessation by mental health providers. Some providers believed that doing so caused an increased risk of relapse: symptoms would worsen or the individual would return to abusing drugs or alcohol. However, research has shown that there is no truth to either of these claims.

The truth, though, is that people want to quit. Nearly 75 percent of current smokers have said they want to quit and 65 percent have tried to quit in the last year. But sometimes you just need a little help. To learn more about the importance of quitting smoking and how peers can help, listen to a recording of the webinar online.

Thank You, Nami

This is a terrific post dealing with a major issue with those of us who struggle so hard, with mental illness. Think this through and let me know what you think. Pastor Bryan can be reached at,  flash99603@hotmail.com

“How I finally quit smoking!” A Great Blog and a Super Post.

http://wp.me/p1rYch-ZN

Hell and Hope

inferno

Sometimes, I feel like a tour guide for believers that are walking through hell. I point out the different strugglers, and urge each one not to linger too long but to keep moving. We look on those trapped (they have no hope within them) but we hope that they are yet to reach out for the Savior. It is distressing, and yet somehow we understand them just a little bit.

Our journey out and down each sad corridor can be painfully disturbing for us. There are so many different types of prisons and chains used to confine and control. Dante wrote his “Inferno” (Italian, for hell), and somehow he in some curious way walks through the different levels (varieties) of hell with us. Virgil (Dante’s own tour guide) takes Dante through some pretty hairy stuff, and they pass through the very gate, which bears an inscription, of the infamous phrase “Lasciate ogne speranza, voi ch’intrate“, or “Abandon all hope, ye who enter here.”

Our own rescue from this dreadful place is based on that singular word, “hope”. Somehow, hope has distilled inside us, and that alone can enable us to walk out as the freed. We have chosen not to abandon hope, but to use it as our passport out of the bottom of hell itself. We show it to each guardian, and then pass through without any hinderance.

  • And so at last the poor have hope. (Job 5:16)
  • Having hope will give you courage. You will be protected and will rest in safety. (Job 11:18)
  • Lord, you know the hopes of the helpless. Surely you will hear their cries and comfort them. (Ps. 10:17)
  • All day long I put my hope in you. (Ps. 25:5)
  • Let your unfailing love surround us, Lord, for our hope is in you alone. (Ps. 33:22)
  • O Lord, you alone are my hope. (Ps. 71:5)
  • Your word is my source of hope. (Ps. 119:114)
  • “Listen to me, all who hope for deliverance— all who seek the Lord!” (Isa. 51:1)
  • And his name will be the hope of all the world.” (Matt. 12:21)
  • Even when there was no reason for hope, “Abraham kept hoping.” (Rom. 4:18)
  • We, too, wait with eager hope. (Rom. 8:23)
  • Rejoice in our confident hope. (Rom. 12:12)
  • The Scriptures give us hope and encouragement as we wait. (Rom. 15:4)
  • Three things will last forever—faith, hope, and love. (1 Cor. 13:13)
  • That you can understand the confident hope he has given us. (Eph. 1:18)
  • Our hope is in the living God, who is the Savior of all. (1 Tim. 4:10)
  • In order to make certain that what you hope for will come true. (Heb. 6:11)
  • This hope is a strong and trustworthy anchor for our souls. (Heb. 6:19)
  • Let us hold tightly without wavering to the hope we affirm. (Heb. 10:23)
  • They placed their hope in a better life after the resurrection. (Heb. 11:35)
  • You have placed your faith and hope in God. (1 Pet. 1:21)
  • If someone asks about your Christian hope. (1 Pet. 3:15)

I suppose we must say (it’s clear) that hope is what sets us free from the difficulty that rests in our minds. Whatever DSM-IV has branded us, whatever a psychiatrist has declared us to be, and whatever our therapist has told us– our hope, that’s in Christ, will open all doors that are closed and locked.

Hope really is the Christian’s freedom from hell. Those of us who have been freed from our incarceration from our mental illness are amazingly liberated. I know the lostness of being very much lost. But hope is everything. When our hope somehow connects with Jesus, our souls are set free. We walk out of hell, with our souls soaring clean.

kyrie elesion, Bryan

*

A Full Quiver, to Press the Enemy

Shoot-an-Arrow

In an old book of prayers, I discovered this list. As I read it, and pondered them, I felt like I had been given a giant pile of treasure. And I want to share the wealth with my friends.

The idea of “arrow prayers” maybe novel to you. I, myself, am a pure novice on these things. I often see the tremendous value, without the real commitment to live it out. I often aspire, but do not attain. (Lord, have mercy on me.)

Arrow praying is identified by a short, piercing exclamation. It has little flourish, and zero frills. Religious people will often not see their value. I’m convinced that believers with a broken life will understand. Broken people will often pray things that the Father hears. We do pray, but short and to the point. That is good.

“And Mary said, Behold the handmaid of the Lord; be it unto me according to thy word. And the angel departed from her.” Luke 1:38

“Glory to God in the highest, and on earth peace, good will toward men.” Luke 2:14

“Lord, now lettest thou thy servant depart in peace, according to thy word:” Luke 2:29

“And straightway the father of the child cried out, and said with tears, Lord, I believe; help thou mine unbelief.” Mark 9:24

““Save me, Lord!” he shouted.”  Matthew 14:30

‘ ‘O God, be merciful to me, for I am a sinner.’” Luke 18;13

“Jesus, remember me when you come into your Kingdom.”  Luke 23:42

“Abide with us: for it is toward evening, and the day is far spent. And he went in to tarry with them.” Luke 24:29

““Give me this water! Then I’ll never be thirsty again, and I won’t have to come here to get water.” John 4:15

“Sir,” they said, “give us that bread every day.” John 6:34

“Lord, to whom would we go? You have the words that give eternal life.” John 6:68

“Lord, your dear friend is very sick.” John 11:3

“Lord, show us the Father, and we will be satisfied.” John 14:8

“Yea, Lord; thou knowest that I love thee.”  John 21:16

“My Lord and my God!”  John 20:28

“Yes, I am coming soon!” Amen! Come, Lord Jesus!” Revelation 22:20

These are all prayers, hidden in something direct and cool. These words which are sudden and aware, and press us into a special sensitivity of godliness. Our own cries, will ride need to ride piggyback on these certain cries, and right into the heart of God.

Let us turn, as much as we are able, to the One who heals the flawed, and all those who are crooked. He loves us constantly, even when we are confused by our twistedness. I tell you, He keeps reaching out for the ungodly, for His glory and by His grace.

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kyrie elesion, Bryan

(Lord, have Mercy on us, the sinners.)

 

Scare the Bullies: Psalms 86

14 O God, insolent men have risen up against me;
    a band of ruthless men seeks my life,
    and they do not set you before them.
15 But you, O Lord, are a God merciful and gracious,
    slow to anger and abounding in steadfast love and faithfulness.
16 Turn to me and be gracious to me;
    give your strength to your servant,
    and save the son of your maidservant.
17 Show me a sign of your favor,
    that those who hate me may see and be put to shame
    because you, Lord, have helped me and comforted me.

Ps. 86:14-17, ESV

This the last of three parts, and we should be impressed with its diversity. There are vista points here, where we can stop and wonder. I remember lounging in the California redwoods, just meandering and soaking it in. It basically undid me. And after awhile, I found it hard to speak. (Itself a minor miracle!)

But scripture can do this as well. When we really start looking, and praying, and meditating we start to appreciate all the Father has done for us. And it’s not just “deep thinkers,” who can do this.  Actually, deep thinking is a liability. It is the simple, the humble, the slow, those who have absurd patience– they are the ones who can do some serious reflecting. Children do it best I think.

Commentary

V. 14, is pretty much David’s reality. He is on Satan’s “hit list.” He has a “contract’ on his life. He must deal with this as he moves through his day. I can imagine that this could be quite corrosive and detrimental to your soul; your heart and your mind. He must have thought, ‘Can I really trust this person, does he have a dagger?’ I would have been a mess, twisted up with paranoia and fear.

V. 15, each word used in this verse is quite precise, each phrase carefully used. This is not David flattering God, it is not “boot-licking” mush. Rather, this verse is an accurate portrayal of the Lord God’s character. It is David’s appraisal of how he has experienced God, the things he has found out about Him. David has a long history with the Father, and he reminds himself of how good God really was.

V. 16, in this verse we see David appealing to God on the basis of relationship. Also, David speaks of a kind of “future grace.” Yes, good things have happened in his life, God things. But that isn’t enough for the present moment, and the future. David needs freshness, a grace tailored just for today, custom built.

David’s source for his survival is in God’s cupboards. He knows this, and boldly steps up and asks for it. Interestingly David doesn’t come as an anointed king, having a majestic aura. When he refers to himself, it is as ”the son of your maidservant.”

V. 17, “The Message” Bible is interesting in how it translates this particular verse:

“Make a show of how much you love me 
      so the bullies who hate me will stand there slack-jawed, 
   As you, God, gently and powerfully 
      put me back on my feet.”

ybic, Bryan

kyrie elesion. (Lord, have mercy.)

_________________

I wrote this on Feb. 21, 2012 and it was posted on my second website, “Psalmslife.com.” If you happen to like this kind of teaching, there is a “whole boatload” on that site, 70-80 posts just on the Psalms. I would be honored if you would check it out.  –B.