Holistic Strategies for Pain and Addiction Patrick Jonas, MD Holistic Family Physician Beavercreek, Ohio

Holistic Skills Training Dr. Jonas NLP, Reflexology, Imagery, Reiki, Accupressure, Chair Massage, Tui Na, Healing Light Energy, Sound Attunement Therapy

Objectives Define Integrative Medicine List four NCCAM categories of CAM Name eight integrative or complementary therapies Discuss the importance of the differential diagnosis in FM Name and discuss three holistic strategies for physicians treating patients with pain and/ or addiction issues

Holistic Strategies for Clinical Success Respect Protect Connect Inspect Correct Reflect

Special Emphasis Today Neurolinguistic Programming Freeze Framer from Heartmath Touch Drumming E-Stim Magnets

Principles of Family Medicine

Biopsychosocial Model 1. Biosphere 8. Nervous System 2. Society-Nation 9. Organs/ Organ System 3. Culture-Subculture 10. Tissues 4 Community 11. Cells 5 Family 12. Organelles 6. Two-Person 13. Molecules 7 Person 14. Atoms/Subatomic Particles

Holistic Strategies= Integrative Medical Practices NCCAM of NIH Integrative medicine : the use of mainstream medical therapies with CAM therapies for which there is some higher quality scientific evidence of safety and effectiveness Alternative medical practices: In place of conventional practices

Alternative Medical Systems Traditional Chinese Medicine Homeopathy Naturopathy Ayurveda Etc.

Mind-Body Interventions Hypnosis Non-directive Imagery Neurolinguistic Programming Breathing Relaxation Response Prayer Placebo Response

Biologically Based Therapies Nutraceuticals Vitamins- multi, B’s Supplements, Herbs Omega 3 Fish Oil Flax Seed Co-Enzyme Q10 Etc

Manipulative and Body-Based Methods Massage Accupressure Reflexology Alexander Technique Tui Na Vibrational Therapies Drumming

Energy Therapies Biofield Therapies- Not Measureable Therapeutic Touch Reiki Accupuncture Hands on Prayer Homeopathy Magnets

Energy Therapies Bioelectromagnetic-Based Therapies –Measureable TENS unit E Stim therapy Magnets Exercise Body ball Pedometer

Respect Self NLP Presuppositions Patient Center/ Ground: Breathing Coherent: Heartmath.com NLP Presuppositions Patient Review Clinical Information Preliminary DDx Context Awareness: BPSM, esp family Goal(s)

Protect Energy Shield Prayer, etc.

Connect Greet and Touch the patient as appropriate Address with pt’s name, +others present Refer to patient expressed value when appropriate Get patient’s theory about health situation “Prove the patient right” NLP for VAK accessing cues for rapport Drumming if needed to get pt/ dr focus

Inspect Using family medicine skills NLP for awareness of VAK Use Biopsychosocial Model

Develop Holistic Differential Diagnosis Use BPSM, VAKOG, SPIT Serious Probable Interesting Treatable

Correct Drumming, NLP, E-Stim, Nutraceuticals Misalignment with VAK goals Misalignment with clinical guidelines Relationship issues with physician, office, system

Reflect Patient situation/ outcome Physician issues Career/ job satisfaction Knowledge, skills and attitudes Close encounter, clear energy/ space NLP presuppositions, Breathing State change NLP, prayer, imagery