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

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.

The Art of Offending God

SinfulInside1

“Oh, how often they rebelled against him in the wilderness
    and grieved his heart in that dry wasteland.”

Psalm 78:40, NLT

“For forty years I was angry with them, and I said,
‘They are a people whose hearts turn away from me.
    They refuse to do what I tell them.’”

Psalm 95:10, NLT

“And do not grieve the Holy Spirit of God [do not offend or vex or sadden Him], by Whom you were sealed (marked, branded as God’s own, secured) for the day of redemption (of final deliverance through Christ from evil and the consequences of sin).”

Ephesians 4:30, AMP

I must say, we instinctively know how to offend God.  No one has to teach us how it’s done, we just know how to do it. We have the amazing ability to sadden God. Our sins, and our rebellion causes God to tremble and weep. Disobedience, in any form affects the very essence of God’s well-being.

As a believer in Jesus, I know that sin is never permanent. It is not like getting a spiritual tattoo on our hearts. Our faith prevents sin from completely attaching itself to our hearts. But my sorrow or grief over my sin, must drill itself directly into my heart. I should come to the point where I can not sin against Him who loves me hysterically.

To turn back to Him involves “contrition.” To be contrite is to imply a very simple acknowledgment of our sin– and the rebellion that is often seen within. Somehow this is possible. I do not understand the mechanics of it all. But I am very glad it is there. God loves a heart that is contrite.

God is very offended by our sin. But somehow we do not grasp this. More or less this is a bit intangible. In our mind, we go don’t ever stop sinning against Him. We feel that we are getting away of something, which isn’t true at all.

As a closet-Lutheran, I propose the Lutheran Church which also has its own act  of contrition, which is said during Holy Absolution. The following version, taken from the Lutheran Service Book (2006), says:

    O Almighty God, merciful Father, I a poor, miserable sinner, confess to you all my sins and iniquities, with which I have ever offended you and justly deserved your punishment now and forever. But I am heartily sorry for them and sincerely repent of them, and I pray you of your boundless mercy, and for the sake of the holy, innocent through many bitter sufferings and death of your beloved son, Jesus Christ, to be gracious and merciful to me, a poor sinful being.

I can say nothing more than this. I will simply rest in this kindness that isn’t me at all. He loves each of us, as if we were the only ones. Thank you Father.

Y

ybic, Bryan

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Comparing Our Differences

“Do not insult the deaf or cause the blind to stumble. You must fear your God; I am the Lord.”

Leviticus 19:14, NLT

“I served as eyes for the blind and feet for the lame.”

Job 29:15, NLT

Our disabilities can give us a rough time of it. Being mentally ill– whether with depression, schizophrenia, bipolar, autism spectrum, etc can create many challenges. In some sense, those of us with physical or mental issues are all in the same boat. Many of us are physically, mentally, or developmentally disabled.

Or are we? I suspect that there are a million permutations (or more) of disability. One is in a wheelchair and suffers from migraines and depression. Another has severe anxiety. Others have little or no self-control and is becoming a drunkard, and yet another is just a child but diagnosed as autistic.

The fact of  labeling people often diminishes them into categories. A young child with Downs Syndrome is often labeled, and they seldom have the opportunities that ‘normal’ children receive. This is usually an unconscious reaction to their handicap.

In Nazi Germany, those with a mental or physical illness were rounded up and sterilized or euthanized (murdered) to achieve an ‘Aryan superiority.’ Systematically, untold thousands of disabled people were executed. We call this “eugenics” and it still is alive and well in the 21st century. It is rampant in a world that embraces “social darwinism” as its ideology.

We must remember these things. We also need to understand that we shouldn’t compare people with people. And we dare not pass judgement on anyone who is different. Disabled people should not wear labels, especially when ‘normal’ people slap it on us. A person’s perceived value should never, ever be part of a Christian believer’s agenda.

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ybic, Bryan

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