WEBVTT

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 All right, morning everyone.

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 We're going to get going.

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 We're continuing our class about vocation, about faith and work.

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 And this morning Janet Leidenker is going to be speaking with us about faith, work, and mental health.

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 Janet works as a psychology researcher and she may tell a little bit more about that.

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 So let's pray for her as we begin.

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 Lord, we thank you for gathering us here this morning.

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 We thank you, Lord, for the wisdom that you give to us through your word, through your spirit.

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 Lord, as we learn through the different experiences that you lead us through in our lives.

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 We pray that we would benefit from what Janet has shared with us this morning.

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 Pray that you would empower her with your spirit.

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 We pray these things in Jesus' name. Amen.

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 Amen.

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 There we go.

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 All right.

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 Well, thank you all for being here.

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 I am going to talk about faith, work, and mental health today.

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 So I am going to walk through some of my experiences being a psychologist and being a Christian

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 and how I thought about integrating the two over the years.

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 I am going to start by explaining exactly what it is that I do

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 and then talk about a little bit of why I chose my profession

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 and my approach to treating patients and work-life balance

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 and some of the professions that are facing me and also my profession.

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 So by way of background, I am a counseling psychologist.

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 I work as an assistant professor in the Department of Psychiatry at the Yale School of Medicine.

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 And virtually no one knows what that actually means.

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 So I will try to explain a little bit about what that really is.

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 So I did my doctoral training in counseling psychology,

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 which is an offshoot of clinical psychology.

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 That means that during graduate school, I was trained to treat patients,

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 to conduct clinical research, and to teach,

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 and then to advocate for patients and do leadership in that sense.

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 So psychologists specialize in psychological or behavioral treatment.

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 So unlike psychiatrists who prescribe medication,

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 we do what's commonly known as talk therapy.

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 Our daily work ends up looking very similar to most mental health professions,

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 but we do have this additional element of clinical research

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 as well as advocacy and leadership in it.

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 So counseling psychologists have a particular identity within the field of psychology.

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 So we, like I said, are an offshoot of clinical psychology

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 that expanded the patients that we treat

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 and also our approach to how we do treat them.

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 So we see patients across the full severity spectrum,

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 so from normal life stressors all the way up through serious mental illness,

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 and across the full lifespan as well.

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 So I've literally seen patients between the ages of one and we'll go with over 80.

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 And I'm primarily trained as a child psychologist,

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 but with the idea that anyone in the full age spectrum is someone who I should and can treat.

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 As an approach, the difference between counseling and clinical psychology

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 is that we do emphasize the strengths of patients, including diversity.

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 So we have an additional emphasis on multicultural competence.

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 And then trying to pull from a person what their individual strengths are

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 in order to overcome some of their difficulties.

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 Advocacy is a big part of who I am as a professional

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 in terms of advocating for patient groups

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 and then also empowering individuals to advocate for themselves.

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 So that, like I said, is who I am as a professional.

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 So I wanted to spend a little bit of time now talking about vocation

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 and why I chose to do what I'm doing.

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 So back in college when I was trying to figure out what I wanted to do as a career,

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 I wanted to help people.

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 And I thought that my personality and some of my skills

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 would be best suited to helping people through therapy.

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 And I do thoroughly enjoy helping people in this way.

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 But I struggled a lot with the idea of calling.

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 So after college, I worked for a couple of years

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 to try to figure out for sure what it is I wanted to do.

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 I knew I wanted to go back to school,

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 but I didn't know what kind of training I wanted to do.

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 And calling is or was something that I certainly struggled with

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 because of some of the inherent problems

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 in thinking about what a career actually is.

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 So if you think about a helping profession,

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 there's a lot of meaning in being able to help people.

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 But I think that's different from a calling.

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 I think wanting to do something

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 and feeling like you'd be good at doing something

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 are both very different from feeling as though

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 God is asking you to actually do a certain type of work.

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 In helping professions,

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 I know a lot of people,

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 the majority of psychologists,

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 are not Christian or have any faith of their own.

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 And yet still will say that they do what they do

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 because of the meaning that's part of it.

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 And because they like being able to help people.

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 So I struggled with,

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 well, that's not all that it could be

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 to feel like this is a calling.

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 And yet I did feel called to do the work that I do.

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 I was also surrounded by people in my faith communities

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 at the time who were doing jobs

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 that weren't helping professions

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 and that didn't have an obvious way

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 that people would say,

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 oh, well, clearly I'm doing the work of God.

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 And so it felt like a privilege to be able to say,

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 well, I'm helping people.

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 So therefore, it is a calling.

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 So I came across this verse, Isaiah 6, 8,

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 and this helped me a great deal

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 in how I reframed my idea of what calling was.

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 So I'm going to read the passage from the beginning.

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 For context, Isaiah is having a vision

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 where he's in the throne room of God

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 and ends by having a commission from God.

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 So this is Isaiah starting in chapter 6.

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 In the year of King Uzziah's death,

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 I saw the Lord sitting on a throne,

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 lofty and exalted,

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 with the train of his robe filling the temple.

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 Seraphim stood above him, each having six wings.

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 With two he covered his face,

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 with two he covered his feet,

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 and with two he flew.

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 And one called out to another and said,

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 Holy, holy, holy is the Lord of hosts.

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 The whole earth is full of his glory.

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 And the foundations of the thresholds trembled

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 at the voice of him who called out

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 while the temple was filling with smoke.

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 Then I said, woe is me, for I am ruined,

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 because I am a man of unclean lips,

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 and I live among a people of unclean lips.

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 For my eyes have seen the King,

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 the Lord of hosts.

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 Then one of the seraphim flew to me

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 with a burning coal in his hand,

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 which he had taken from the altar with tongs.

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 He touched my mouth with it and said,

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 Behold, this has touched your lips,

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 and your iniquity is taken away,

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 and your sin is forgiven.

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 Then I heard the voice of the Lord saying,

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 Whom shall I send, and who will go for us?

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 Then I said, Here am I, send me.

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 And after this, Isaiah gets the prophecy

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 that he's to deliver to people.

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 So the reason why this helped me is it shifted my idea of calling

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 as something that was a very specific call

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 that God had made exactly for me

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 to something that was much more flexible.

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 So there's a list of tasks that God wants and needs done

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 that will address a lot of the brokenness in the world.

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 And it's not about me or being selected and singled out to do something,

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 but it's a task that, in a way, I'm volunteering for.

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 And someone else could have built the space,

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 but it is still a calling.

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 It's still working for the Lord.

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 So at the time when I was deciding to go to graduate school,

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 this verse really helped me be able to say to myself

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 that this was the calling that I was choosing to do.

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 So I specialize in the treatment of eating disorders and obesity.

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 And I specifically chose to specialize in this

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 when I was starting to go to graduate school.

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 You have to pick an area of specialization,

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 but people vary in terms of how much they focus on it

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 versus how much they learn more of the general practice of psychology.

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 I'm highly specialized, even more so as I've gone throughout the years.

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 So as I started learning about eating disorders,

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 I took classes in college

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 and really had a fascination by some of these disorders.

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 And eventually when I started working with patients

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 with some of the extremes of how they were expressed,

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 I started to see eating disorders as conditions of ungrace,

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 of not being willing or able to accept self-compassion

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 or compassion from others or forgiveness from yourself or from others.

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 which is not to say that Christians can't have eating disorders.

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 I think they are a sign of brokenness that we're all susceptible to.

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 But when I'm sitting across from my patients,

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 this is a very glaring manifestation of brokenness

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 where some of the rigidity and patience

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 and the perfectionism seems to,

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 and the desire to be personally in control of everything,

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 just seems to make it impossible

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 or seemingly impossible for these individuals

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 to accept any sort of compassion towards themselves

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 or from anyone else.

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 Which really, which spoke to me.

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 And that I remember when I first started thinking about this

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 and was fascinated by it,

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 it just felt so wrong.

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 It really spoke to the advocate in me

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 and the compassion in me

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 that this was something that I wanted to be invested in

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 and work to try to help fix.

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 So, I'm often asked,

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 often asked whether I share my faith with my patients.

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 And this to me is a very difficult question.

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 I'm often at a loss for how to answer it.

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 In part, it's because there's a fundamental misunderstanding

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 of psychological treatment in the question,

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 but in part, it's something that I still wrestle with

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 and it's a case-by-case, individual-by-individual question.

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 So, my job as a psychologist

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 is to take the best treatments we have,

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 the ones with the most evidence,

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 and to deliver them as faithfully as possible to individuals.

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 So, I have to know what the areas are

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 where there is flexibility

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 and also the areas where there isn't

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 and where there are active ingredients in the treatment.

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 So, some particular intervention,

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 some way of working through

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 some of the thoughts and emotions that are problematic

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 that we know works and stick to that

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 because I know that's what all the evidence says

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 is going to help.

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 The areas of flexibility tend to be around

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 motivation and encouragement and coping skills

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 and how people think about themselves

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 and how to overcome their barriers

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 and make use of the different skills that we're working on.

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 So, in terms of sharing my faith,

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 I don't often have the place

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 where I would share my own personal experience,

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 but I do work with what patients put out there

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 in terms of their own faith,

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 and it almost always comes up.

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 And I think one of the biggest differences

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 between a Christian psychologist

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 and someone who isn't

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 or between me and my colleagues

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 who don't have any personal faith

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 is a willingness to sit with the faith of the patient

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 and to help them figure out

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 what that means for them

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 and how that works with

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 some of their psychopathologies,

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 some of their struggles,

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 and how we can maximize

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 the resources they have,

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 both personally,

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 thinking about how they cope

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 and how they pray

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 and how they think about the world,

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 and more instrumentally,

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 so thinking about the social support

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 and the other forms of support

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 they get through religion.

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 And that's not small.

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 So, even though it's not a main part

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 of an intervention that I would do,

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 I think a lot of my patients

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 who I've seen

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 and who have engaged with me

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 on using their faith

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 to try to reinvent

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 who they would be as a person,

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 that's been very powerful.

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 What is more difficult

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 is when the patient

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 doesn't have any faith of their own,

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 and a lot of times they get asked,

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 well, why wouldn't you just share

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 the gospel with them

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 if you know that that's what they need

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 and what would fix them?

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 And, again,

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 psychological treatment is difficult.

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 It's one of those challenging times

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 when people are so vulnerable

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 and have so much pain

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 and avoidance

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 of many parts of their lives

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 that it's difficult

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 to be too proactive

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 about something as important

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 and as integral to identity as faith.

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 So, there is quite a strong potential

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 for more harm than good

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 with trying to be overly aggressive

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 and sharing faith.

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 So, again, it's case by case,

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 it's individual by individual,

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 and it's something that I struggle with.

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 But, ultimately,

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 I end up praying a lot for my patients

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 and hoping that God is planting seeds

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 and growing them

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 in a way that I can't necessarily plan to do.

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 There is a lot of hopelessness

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 in eating disorders,

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 excuse me,

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 in eating disorders and obesity,

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 where eating disorders in particular

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 are the hardest

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 among the mental health conditions

00:16:13.559 --> 00:16:14.240
 to treat

00:16:14.240 --> 00:16:19.139
 and have the highest mortality rate

00:16:19.139 --> 00:16:20.559
 of any mental health disorder.

00:16:21.899 --> 00:16:22.439
 And obesity,

00:16:22.720 --> 00:16:24.299
 which is my other area of specialty,

00:16:24.740 --> 00:16:26.519
 is such a chronic condition

00:16:26.519 --> 00:16:28.700
 that we really don't know anything

00:16:28.700 --> 00:16:31.360
 about how to help individuals

00:16:31.360 --> 00:16:32.279
 who are working on it,

00:16:32.679 --> 00:16:37.819
 but really don't have any powerful treatment

00:16:37.820 --> 00:16:39.379
 for either of these conditions.

00:16:40.340 --> 00:16:40.920
 And so,

00:16:42.080 --> 00:16:44.260
 some of the,

00:16:44.560 --> 00:16:46.800
 some of the problem

00:16:46.800 --> 00:16:49.920
 that we have for both of these

00:16:49.920 --> 00:16:51.640
 and the reason why it's harder

00:16:51.640 --> 00:16:53.360
 to make advances with individuals

00:16:53.360 --> 00:16:54.600
 and more broadly

00:16:54.600 --> 00:16:56.920
 is the stigma that comes

00:16:56.920 --> 00:16:59.940
 with both obesity and eating disorders.

00:17:00.400 --> 00:17:03.400
 And this, in more recent years,

00:17:03.460 --> 00:17:04.500
 in the past few years,

00:17:04.559 --> 00:17:06.100
 has become a major focus

00:17:06.099 --> 00:17:07.799
 what I do on a day-to-day basis.

00:17:08.599 --> 00:17:09.379
 So if you think about

00:17:09.379 --> 00:17:10.959
 mental health conditions broadly,

00:17:11.500 --> 00:17:13.779
 there's a lot of stigma about,

00:17:14.000 --> 00:17:14.719
 a lot of fear

00:17:14.719 --> 00:17:16.679
 directed towards patients,

00:17:16.899 --> 00:17:17.679
 a lot of blame.

00:17:19.319 --> 00:17:20.959
 You must have done something wrong,

00:17:21.019 --> 00:17:22.879
 your parents must have done something wrong.

00:17:23.240 --> 00:17:24.399
 The list goes on and on

00:17:24.399 --> 00:17:27.259
 about how we do blame individuals

00:17:27.259 --> 00:17:28.439
 with mental health conditions.

00:17:29.119 --> 00:17:30.639
 We see this quite a bit

00:17:30.639 --> 00:17:31.679
 with eating disorders.

00:17:31.919 --> 00:17:33.559
 I can't tell you the number of patients

00:17:33.559 --> 00:17:35.059
 who have come to me and said,

00:17:35.059 --> 00:17:36.839
 well, my uncle said I needed to

00:17:36.839 --> 00:17:38.440
 stop being so vain

00:17:38.440 --> 00:17:39.599
 and stop looking in the mirror

00:17:39.599 --> 00:17:40.599
 and I could be all set.

00:17:40.839 --> 00:17:41.720
 Or my mother said

00:17:41.720 --> 00:17:42.740
 I just grew out of it.

00:17:43.139 --> 00:17:43.599
 It really,

00:17:43.879 --> 00:17:45.240
 there are lots of

00:17:45.240 --> 00:17:47.639
 hurtful and misunderstood

00:17:47.639 --> 00:17:50.619
 messages that patients get

00:17:50.619 --> 00:17:52.139
 and that really deeply

00:17:52.139 --> 00:17:53.559
 come into

00:17:53.559 --> 00:17:55.539
 how they see themselves

00:17:55.539 --> 00:17:58.079
 in a way that's,

00:17:58.079 --> 00:17:59.460
 it's hard to uproot.

00:18:00.519 --> 00:18:01.559
 And it's very discouraging

00:18:01.559 --> 00:18:02.679
 discouraging for me

00:18:02.679 --> 00:18:03.579
 as a provider

00:18:03.579 --> 00:18:04.799
 trying to fight

00:18:04.799 --> 00:18:05.700
 this environmental

00:18:05.700 --> 00:18:07.899
 challenge as well

00:18:07.899 --> 00:18:09.259
 as help individuals

00:18:09.259 --> 00:18:11.440
 with their particular struggle.

00:18:11.980 --> 00:18:13.139
 We see the same thing

00:18:13.139 --> 00:18:13.759
 with obesity.

00:18:14.220 --> 00:18:15.619
 We're actually seeing it

00:18:15.619 --> 00:18:17.859
 more and more

00:18:17.859 --> 00:18:18.940
 even as rates

00:18:18.940 --> 00:18:21.220
 of obesity increase as well.

00:18:21.720 --> 00:18:22.859
 There's a lot of blame

00:18:22.859 --> 00:18:24.599
 for individuals saying,

00:18:24.779 --> 00:18:26.159
 well, why don't you just eat less?

00:18:26.279 --> 00:18:28.019
 Well, why don't you just exercise more?

00:18:28.599 --> 00:18:30.339
 We need to have more self-control.

00:18:30.339 --> 00:18:35.919
 And that's just not true.

00:18:36.059 --> 00:18:37.799
 It's just an oversimplification.

00:18:38.539 --> 00:18:40.339
 If that were all that it took,

00:18:40.439 --> 00:18:42.259
 we wouldn't have this problem

00:18:42.259 --> 00:18:44.139
 that we have in the United States

00:18:44.139 --> 00:18:46.139
 and now actually around the world.

00:18:46.819 --> 00:18:48.599
 There are so many other factors

00:18:48.599 --> 00:18:50.539
 that are outside of people's control,

00:18:50.759 --> 00:18:51.839
 including genetics,

00:18:52.019 --> 00:18:54.279
 but many, many, many beyond that,

00:18:55.019 --> 00:18:57.259
 that make it difficult

00:18:57.259 --> 00:18:59.240
 for people to lose weight

00:18:59.240 --> 00:19:00.900
 and to treat their obesity.

00:19:01.940 --> 00:19:04.700
 So a big part of my professional identity

00:19:04.700 --> 00:19:08.680
 is to try to help people

00:19:08.680 --> 00:19:11.039
 become aware that stigma's there

00:19:11.039 --> 00:19:13.440
 and to help patients understand

00:19:13.440 --> 00:19:16.019
 that they don't deserve

00:19:16.019 --> 00:19:17.099
 to be treated this way,

00:19:17.180 --> 00:19:18.000
 that it's unfair,

00:19:18.339 --> 00:19:19.400
 that people will say

00:19:19.400 --> 00:19:22.680
 these particular criticisms to them

00:19:22.680 --> 00:19:23.840
 and help them to advocate

00:19:23.840 --> 00:19:25.220
 for their own rights.

00:19:27.980 --> 00:19:29.540
 Potentially, most painfully,

00:19:29.660 --> 00:19:31.540
 we do see it in healthcare a great deal.

00:19:32.600 --> 00:19:33.940
 So again, I can't tell you

00:19:33.940 --> 00:19:35.300
 how many patients have said,

00:19:35.480 --> 00:19:38.600
 well, I really don't want to go to my doctor.

00:19:38.700 --> 00:19:39.480
 I know you're telling me

00:19:39.480 --> 00:19:40.720
 that my blood pressure is high,

00:19:40.840 --> 00:19:41.700
 but when I go,

00:19:41.980 --> 00:19:43.540
 they just make me feel horrible

00:19:43.540 --> 00:19:45.040
 and tell me I need to lose weight

00:19:45.039 --> 00:19:48.920
 and I need to stop eating junk food

00:19:48.920 --> 00:19:50.019
 and then I wouldn't have

00:19:50.019 --> 00:19:51.099
 a blood pressure problem.

00:19:52.579 --> 00:19:53.659
 And it's well-meaning.

00:19:54.359 --> 00:19:56.940
 It's trying to help the patient

00:19:56.940 --> 00:20:00.440
 understand the importance of their health,

00:20:00.960 --> 00:20:03.639
 but it's often when patients

00:20:03.639 --> 00:20:05.359
 are seeing either in treatment,

00:20:05.500 --> 00:20:06.759
 so they're making every effort

00:20:06.759 --> 00:20:08.359
 that they can to lose weight

00:20:08.359 --> 00:20:10.039
 or to get their weight

00:20:10.039 --> 00:20:11.839
 in a healthy range

00:20:11.839 --> 00:20:13.879
 in the case of eating disorders.

00:20:15.039 --> 00:20:16.359
 And so hearing that

00:20:16.359 --> 00:20:17.779
 they're just not doing enough

00:20:17.779 --> 00:20:20.460
 is damaging

00:20:20.460 --> 00:20:25.099
 and will cause patients

00:20:25.099 --> 00:20:27.960
 to not go back to their providers.

00:20:28.700 --> 00:20:30.680
 So again, a lot of my job,

00:20:30.680 --> 00:20:32.720
 and this comes from

00:20:32.720 --> 00:20:36.899
 my professional identity,

00:20:37.079 --> 00:20:38.319
 but also from my faith,

00:20:38.799 --> 00:20:39.960
 is to help people realize

00:20:39.960 --> 00:20:41.920
 that they do have dignity as a person

00:20:41.920 --> 00:20:45.039
 and that no matter what

00:20:45.039 --> 00:20:46.759
 their mental or physical health condition,

00:20:46.860 --> 00:20:47.640
 that they do deserve

00:20:47.640 --> 00:20:49.440
 to be treated with compassion

00:20:49.440 --> 00:20:50.380
 and with understanding

00:20:50.380 --> 00:20:52.019
 and certainly with respect.

00:20:53.940 --> 00:20:55.600
 So psychology is hard.

00:20:56.660 --> 00:20:58.880
 One of the major themes,

00:20:59.019 --> 00:20:59.940
 one of the major things

00:20:59.940 --> 00:21:01.560
 I've thought about over the years

00:21:01.560 --> 00:21:03.519
 is the idea of this to happen

00:21:03.519 --> 00:21:04.420
 and of rest.

00:21:04.420 --> 00:21:10.620
 Freud called the profession of psychology

00:21:10.620 --> 00:21:12.100
 an impossible profession

00:21:12.100 --> 00:21:15.080
 and said, in a nutshell,

00:21:15.240 --> 00:21:17.259
 that no one who delves so deeply

00:21:17.259 --> 00:21:18.660
 into human suffering

00:21:18.660 --> 00:21:20.680
 can come out unscathed.

00:21:21.440 --> 00:21:22.820
 And that's true.

00:21:23.440 --> 00:21:26.200
 We have this idea of compassion fatigue

00:21:26.200 --> 00:21:31.759
 where it is exhausting

00:21:31.759 --> 00:21:33.900
 and it's traumatizing to some extent

00:21:33.900 --> 00:21:35.360
 to hear people suffering

00:21:35.360 --> 00:21:36.620
 over and over and over

00:21:36.620 --> 00:21:38.740
 if you're not taking care of yourself

00:21:38.740 --> 00:21:39.700
 at the same time.

00:21:40.759 --> 00:21:42.880
 So I started looking into the Sabbath

00:21:42.880 --> 00:21:44.259
 in college.

00:21:44.460 --> 00:21:47.580
 My small group decided to observe the Sabbath

00:21:47.580 --> 00:21:50.960
 and we looked a little bit

00:21:50.960 --> 00:21:52.400
 at some of the writings

00:21:52.400 --> 00:21:54.140
 and some of the scripture on it.

00:21:54.140 --> 00:21:56.380
 I'm sure you all remember this

00:21:56.380 --> 00:21:57.460
 from earlier this summer

00:21:57.460 --> 00:21:58.980
 in Exodus.

00:21:59.540 --> 00:22:01.920
 We are commanded to keep the Sabbath,

00:22:02.300 --> 00:22:04.100
 to take a day of rest

00:22:04.100 --> 00:22:07.220
 once in the course of a week.

00:22:08.900 --> 00:22:11.759
 So in college,

00:22:11.820 --> 00:22:14.960
 when I first started studying the Sabbath,

00:22:15.320 --> 00:22:17.759
 I have a very vivid memory

00:22:17.759 --> 00:22:19.120
 of a paper that I wrote

00:22:19.120 --> 00:22:20.500
 for a psychology class.

00:22:21.180 --> 00:22:23.100
 It was a very humbling experience.

00:22:23.099 --> 00:22:25.439
 So I started from the perspective

00:22:25.439 --> 00:22:29.279
 of believing that we were called

00:22:29.279 --> 00:22:31.299
 to observe the Sabbath

00:22:31.299 --> 00:22:33.639
 as an act of obedience

00:22:33.639 --> 00:22:34.859
 and a discipline,

00:22:35.500 --> 00:22:36.539
 but that it was something

00:22:36.539 --> 00:22:39.980
 that God would honor our faithfulness,

00:22:40.119 --> 00:22:42.019
 but it wasn't quite rational.

00:22:42.139 --> 00:22:43.480
 It didn't really make sense.

00:22:44.539 --> 00:22:48.039
 I was coming from all of the many years

00:22:48.039 --> 00:22:50.419
 of being told not to procrastinate,

00:22:50.420 --> 00:22:52.500
 that if you have a certain amount

00:22:52.500 --> 00:22:54.279
 of stuff to do,

00:22:54.380 --> 00:22:55.680
 then you spread it out

00:22:55.680 --> 00:22:57.039
 over as much time as possible

00:22:57.039 --> 00:22:58.080
 because if you condense it,

00:22:58.140 --> 00:22:59.100
 you have too much stress.

00:22:59.240 --> 00:23:00.140
 And so I thought,

00:23:00.800 --> 00:23:01.380
 well, of course,

00:23:01.500 --> 00:23:02.580
 it would be the same principle.

00:23:02.759 --> 00:23:03.980
 If you work for six days

00:23:03.980 --> 00:23:04.740
 instead of seven,

00:23:04.820 --> 00:23:06.120
 you're going to have more stress

00:23:06.120 --> 00:23:08.100
 and you're going to be worse off,

00:23:08.160 --> 00:23:08.900
 and yet we're called

00:23:08.900 --> 00:23:10.440
 to be obedient in this

00:23:10.440 --> 00:23:14.180
 and to give up some of that control

00:23:14.180 --> 00:23:16.019
 and be faithful to God.

00:23:16.019 --> 00:23:20.960
 I could not have been more wrong.

00:23:21.400 --> 00:23:22.259
 So like I said,

00:23:22.299 --> 00:23:23.519
 it was a psychology paper,

00:23:23.720 --> 00:23:26.279
 so I looked at all the science

00:23:26.279 --> 00:23:30.099
 that goes into this idea of resting.

00:23:30.920 --> 00:23:32.259
 They wouldn't call it the Sabbath,

00:23:32.639 --> 00:23:36.039
 but it is a direct correlate.

00:23:36.740 --> 00:23:38.139
 So we have this idea

00:23:38.139 --> 00:23:40.500
 called the self-regulatory hypothesis,

00:23:40.500 --> 00:23:46.359
 and basically it says

00:23:46.359 --> 00:23:48.859
 that self-control is like a muscle,

00:23:49.380 --> 00:23:52.220
 that it's something that you work,

00:23:52.420 --> 00:23:54.160
 you exercise over and over and over.

00:23:54.279 --> 00:23:55.579
 You try time and time again

00:23:55.579 --> 00:23:56.740
 to have self-control,

00:23:57.019 --> 00:23:58.259
 to stick to those habits,

00:23:58.480 --> 00:23:59.400
 stick to those practices

00:23:59.400 --> 00:24:00.599
 that you want to stick to,

00:24:01.319 --> 00:24:04.019
 and then you need to rest it.

00:24:04.279 --> 00:24:05.299
 So like with exercise,

00:24:05.539 --> 00:24:06.299
 like with a muscle,

00:24:06.740 --> 00:24:07.740
 you break it down

00:24:07.740 --> 00:24:10.480
 and you get the additional strength

00:24:10.480 --> 00:24:11.720
 in that rest period

00:24:11.720 --> 00:24:13.220
 when the muscle builds back up.

00:24:14.220 --> 00:24:15.799
 So self-control is the same way.

00:24:15.980 --> 00:24:17.380
 So being able to do work

00:24:17.380 --> 00:24:18.319
 is the same way.

00:24:18.579 --> 00:24:21.440
 Being able to think about

00:24:21.440 --> 00:24:22.559
 difficult problems

00:24:22.559 --> 00:24:25.380
 to write and to keep going,

00:24:25.900 --> 00:24:27.940
 to give of yourself to patients.

00:24:28.019 --> 00:24:30.240
 All of the many tasks that you do

00:24:30.240 --> 00:24:32.740
 fall under this idea of self-control,

00:24:32.900 --> 00:24:34.599
 that if you don't take that rest,

00:24:35.079 --> 00:24:36.740
 you are just continually draining

00:24:36.740 --> 00:24:39.000
 and you end up with

00:24:39.000 --> 00:24:40.880
 what we now call compassion fatigue,

00:24:41.039 --> 00:24:43.420
 that you're just kind of flat and dead

00:24:43.420 --> 00:24:46.220
 and can't pull up resources

00:24:46.220 --> 00:24:47.599
 that no longer exist.

00:24:49.740 --> 00:24:52.839
 So that was understandably

00:24:52.839 --> 00:24:54.720
 convicting to me,

00:24:54.720 --> 00:24:57.819
 that we have this idea in Scripture

00:24:57.819 --> 00:24:59.420
 that we should be keeping the Sabbath

00:24:59.420 --> 00:25:01.099
 and science supports it,

00:25:01.599 --> 00:25:03.900
 that from both directions,

00:25:03.900 --> 00:25:05.840
 it really does seem to be

00:25:05.840 --> 00:25:10.380
 what is best for our well-being.

00:25:11.320 --> 00:25:13.640
 So I have tried

00:25:13.640 --> 00:25:16.140
 over the years,

00:25:16.280 --> 00:25:17.880
 in particular in graduate school,

00:25:18.080 --> 00:25:19.040
 to keep the Sabbath,

00:25:19.220 --> 00:25:20.200
 so to take a day

00:25:20.200 --> 00:25:22.000
 in the course of a week

00:25:22.000 --> 00:25:23.240
 when I don't do work.

00:25:24.380 --> 00:25:25.180
 Keeping the Sabbath

00:25:25.180 --> 00:25:26.440
 means a lot of different things

00:25:26.440 --> 00:25:27.620
 for a lot of different people.

00:25:27.840 --> 00:25:28.620
 There are some who

00:25:28.620 --> 00:25:29.840
 don't do chores,

00:25:30.060 --> 00:25:30.680
 don't cook,

00:25:30.680 --> 00:25:32.860
 don't spend money.

00:25:33.400 --> 00:25:34.660
 There are lots of different ways

00:25:34.660 --> 00:25:36.380
 to express this.

00:25:36.480 --> 00:25:36.960
 For me,

00:25:37.519 --> 00:25:39.460
 where I spend so much of my time

00:25:39.460 --> 00:25:41.279
 writing and doing

00:25:41.279 --> 00:25:41.940
 and thinking

00:25:41.940 --> 00:25:43.220
 and doing work,

00:25:43.940 --> 00:25:48.100
 I just don't do my job

00:25:48.100 --> 00:25:49.380
 for one day a week.

00:25:50.820 --> 00:25:52.140
 I like the way

00:25:52.140 --> 00:25:54.060
 Tim Keller talks about Sabbath.

00:25:54.360 --> 00:25:56.320
 He has really great writings

00:25:56.320 --> 00:25:57.660
 and sermons on it

00:25:57.660 --> 00:26:00.820
 where the bigger picture

00:26:00.820 --> 00:26:02.960
 is that not being able

00:26:02.960 --> 00:26:03.740
 to take a rest

00:26:03.740 --> 00:26:04.920
 is a form of slavery

00:26:04.920 --> 00:26:05.759
 or oppression.

00:26:06.560 --> 00:26:08.380
 So even as we're called

00:26:08.380 --> 00:26:09.040
 to obedience

00:26:09.040 --> 00:26:11.060
 and resting for one day a week,

00:26:11.200 --> 00:26:12.920
 it's also a freedom

00:26:12.920 --> 00:26:13.800
 and it's something

00:26:13.800 --> 00:26:15.300
 that we can take delight in

00:26:15.300 --> 00:26:16.320
 and take joy in.

00:26:17.100 --> 00:26:18.660
 And my experience

00:26:18.660 --> 00:26:19.580
 has certainly been

00:26:19.580 --> 00:26:21.600
 that having that day off

00:26:21.600 --> 00:26:23.860
 has been the time

00:26:23.860 --> 00:26:24.560
 when I've had

00:26:24.559 --> 00:26:26.419
 the resources

00:26:26.419 --> 00:26:28.519
 to put into relationships

00:26:28.519 --> 00:26:30.539
 to actually think

00:26:30.539 --> 00:26:31.779
 and spend time with God

00:26:31.779 --> 00:26:34.200
 and I don't think

00:26:34.200 --> 00:26:35.480
 I've ever regretted

00:26:35.480 --> 00:26:37.500
 taking some time off.

00:26:39.319 --> 00:26:40.500
 But I also,

00:26:40.960 --> 00:26:42.299
 I don't know

00:26:42.299 --> 00:26:43.460
 that that's totally true,

00:26:44.159 --> 00:26:46.740
 I also think

00:26:46.740 --> 00:26:47.579
 it has made

00:26:47.579 --> 00:26:48.720
 a lot of my work

00:26:48.720 --> 00:26:49.839
 the other six days

00:26:49.839 --> 00:26:51.059
 or five days of the week

00:26:51.059 --> 00:26:52.179
 more productive

00:26:52.180 --> 00:26:54.140
 and with greater insight

00:26:54.140 --> 00:26:55.340
 and ability

00:26:55.340 --> 00:26:57.460
 to focus

00:26:57.460 --> 00:26:59.720
 and to work hard

00:26:59.720 --> 00:27:00.920
 and conscientiously.

00:27:01.980 --> 00:27:02.840
 I also think

00:27:02.840 --> 00:27:03.460
 that the Sabbath,

00:27:03.720 --> 00:27:04.460
 just like I had

00:27:04.460 --> 00:27:06.279
 rationally hypothesized

00:27:06.279 --> 00:27:06.820
 at the beginning,

00:27:07.080 --> 00:27:08.000
 is a nice way

00:27:08.000 --> 00:27:08.880
 to remind myself

00:27:08.880 --> 00:27:09.620
 that it doesn't

00:27:09.620 --> 00:27:10.680
 just rely on me.

00:27:11.180 --> 00:27:12.340
 That taking a day off,

00:27:12.440 --> 00:27:12.840
 nothing,

00:27:13.480 --> 00:27:15.480
 nothing is really

00:27:15.480 --> 00:27:16.640
 a problem

00:27:16.640 --> 00:27:17.259
 on the day

00:27:17.259 --> 00:27:18.240
 when I don't show up

00:27:18.240 --> 00:27:18.640
 to work

00:27:18.640 --> 00:27:19.240
 or on the day

00:27:19.240 --> 00:27:20.299
 when I don't

00:27:20.299 --> 00:27:21.120
 try to push things

00:27:21.119 --> 00:27:21.939
 a little bit further

00:27:21.939 --> 00:27:23.359
 that it really isn't

00:27:23.359 --> 00:27:24.459
 about me.

00:27:28.559 --> 00:27:30.079
 So this is

00:27:30.079 --> 00:27:32.500
 my verse for the year

00:27:32.500 --> 00:27:33.159
 and it comes

00:27:33.159 --> 00:27:34.759
 out of both

00:27:34.759 --> 00:27:35.619
 the two ideas

00:27:35.619 --> 00:27:36.559
 that I've been talking about,

00:27:36.619 --> 00:27:37.839
 the idea of vocation

00:27:37.839 --> 00:27:38.659
 and then also

00:27:38.659 --> 00:27:40.279
 the idea of rest.

00:27:41.579 --> 00:27:43.859
 So 1 Corinthians 15, 58,

00:27:43.859 --> 00:27:45.139
 therefore,

00:27:45.679 --> 00:27:46.740
 my beloved brethren,

00:27:47.119 --> 00:27:48.099
 be steadfast,

00:27:48.379 --> 00:27:48.819
 immovable,

00:27:49.579 --> 00:27:50.579
 always abounding

00:27:50.579 --> 00:27:51.119
 in the work

00:27:51.119 --> 00:27:51.699
 of the Lord,

00:27:52.119 --> 00:27:53.139
 knowing that your toil

00:27:53.139 --> 00:27:54.459
 is not in vain

00:27:54.459 --> 00:27:55.839
 in the Lord.

00:28:00.039 --> 00:28:00.599
 So,

00:28:00.839 --> 00:28:02.500
 we've talked about

00:28:02.500 --> 00:28:03.839
 compassion fatigue,

00:28:04.059 --> 00:28:04.979
 we've talked about burnout,

00:28:05.699 --> 00:28:06.179
 where,

00:28:06.500 --> 00:28:07.619
 without taking care

00:28:07.619 --> 00:28:08.240
 of yourself,

00:28:08.240 --> 00:28:10.779
 we just don't

00:28:10.779 --> 00:28:11.539
 have the ability

00:28:11.539 --> 00:28:12.559
 to help others

00:28:12.559 --> 00:28:13.299
 as well.

00:28:14.240 --> 00:28:15.559
 We've talked about

00:28:15.559 --> 00:28:16.339
 the idea

00:28:16.339 --> 00:28:17.019
 that

00:28:17.019 --> 00:28:19.680
 we do work

00:28:19.680 --> 00:28:21.200
 for the Lord,

00:28:21.319 --> 00:28:21.940
 whether it's

00:28:21.940 --> 00:28:22.859
 a specific calling

00:28:22.859 --> 00:28:23.420
 or something

00:28:23.420 --> 00:28:25.099
 that we've decided

00:28:25.099 --> 00:28:25.759
 to do

00:28:25.759 --> 00:28:26.859
 with a more broader

00:28:26.859 --> 00:28:27.579
 understanding

00:28:27.579 --> 00:28:29.259
 of calling.

00:28:30.620 --> 00:28:31.579
 It has

00:28:31.579 --> 00:28:32.259
 an additional

00:28:32.259 --> 00:28:33.680
 importance,

00:28:34.000 --> 00:28:34.859
 an additional value,

00:28:34.960 --> 00:28:35.859
 because we're working

00:28:35.859 --> 00:28:36.539
 for the Lord

00:28:36.539 --> 00:28:37.299
 and not just

00:28:37.299 --> 00:28:38.159
 showing up

00:28:38.159 --> 00:28:38.879
 and doing

00:28:38.879 --> 00:28:39.440
 what we can

00:28:39.440 --> 00:28:40.220
 for purpose.

00:28:44.519 --> 00:28:45.519
 A lot of,

00:28:45.680 --> 00:28:46.159
 when we talk

00:28:46.159 --> 00:28:47.159
 about burnout

00:28:47.159 --> 00:28:48.359
 and meaning

00:28:48.359 --> 00:28:49.899
 within the profession,

00:28:50.059 --> 00:28:50.680
 we talk a lot

00:28:50.680 --> 00:28:51.659
 about self-care

00:28:51.659 --> 00:28:53.599
 as well as

00:28:53.599 --> 00:28:58.359
 what our daily

00:28:58.359 --> 00:28:59.379
 habits are

00:28:59.379 --> 00:29:00.759
 and daily patterns

00:29:00.759 --> 00:29:02.019
 are that will

00:29:02.019 --> 00:29:02.960
 help us

00:29:02.960 --> 00:29:03.859
 be more productive.

00:29:04.579 --> 00:29:05.500
 I think that

00:29:05.500 --> 00:29:07.019
 this verse,

00:29:07.259 --> 00:29:08.059
 the three parts

00:29:08.059 --> 00:29:08.480
 of it,

00:29:09.059 --> 00:29:09.640
 I do love

00:29:09.640 --> 00:29:10.180
 how they come

00:29:10.180 --> 00:29:10.700
 together

00:29:10.700 --> 00:29:13.480
 to ground

00:29:13.480 --> 00:29:13.880
 me

00:29:13.880 --> 00:29:15.779
 in how

00:29:15.779 --> 00:29:16.319
 I approach

00:29:16.319 --> 00:29:16.720
 work.

00:29:17.940 --> 00:29:18.660
 One thing

00:29:18.660 --> 00:29:19.079
 we haven't

00:29:19.079 --> 00:29:19.660
 talked about

00:29:19.660 --> 00:29:21.119
 too much

00:29:21.119 --> 00:29:22.380
 is

00:29:22.380 --> 00:29:23.579
 academia

00:29:23.579 --> 00:29:24.299
 itself,

00:29:24.380 --> 00:29:24.799
 which is a

00:29:24.799 --> 00:29:25.519
 very challenging

00:29:25.519 --> 00:29:26.119
 environment.

00:29:26.660 --> 00:29:26.920
 So,

00:29:27.420 --> 00:29:27.960
 even in the

00:29:27.960 --> 00:29:28.640
 midst of treating

00:29:28.640 --> 00:29:29.160
 patients,

00:29:29.299 --> 00:29:29.799
 there's this

00:29:29.799 --> 00:29:31.059
 additional level

00:29:31.059 --> 00:29:31.539
 at a medical

00:29:31.539 --> 00:29:32.579
 school or in

00:29:32.579 --> 00:29:33.119
 academia

00:29:33.119 --> 00:29:34.939
 where everything

00:29:34.939 --> 00:29:35.639
 is about

00:29:35.639 --> 00:29:36.419
 your reputation.

00:29:36.739 --> 00:29:36.839
 So,

00:29:36.919 --> 00:29:37.519
 everything is

00:29:37.519 --> 00:29:39.399
 about how

00:29:39.399 --> 00:29:40.119
 well you're

00:29:40.119 --> 00:29:41.079
 known for

00:29:41.079 --> 00:29:41.500
 the work

00:29:41.500 --> 00:29:42.179
 that you do

00:29:42.179 --> 00:29:43.139
 locally or

00:29:43.139 --> 00:29:44.479
 more broadly,

00:29:44.959 --> 00:29:46.119
 whether it's

00:29:46.119 --> 00:29:47.379
 being a fantastic

00:29:47.379 --> 00:29:48.459
 clinician or

00:29:48.459 --> 00:29:49.759
 being known

00:29:49.759 --> 00:29:51.139
 for research

00:29:51.139 --> 00:29:51.579
 and for

00:29:51.579 --> 00:29:52.019
 publishing.

00:29:52.519 --> 00:29:53.179
 There's this

00:29:53.179 --> 00:29:54.139
 idea that

00:29:54.139 --> 00:29:54.859
 everything

00:29:54.859 --> 00:29:55.979
 comes down

00:29:55.979 --> 00:29:56.839
 to your name,

00:29:57.159 --> 00:29:58.379
 which makes

00:29:58.379 --> 00:29:58.939
 it an

00:29:58.939 --> 00:30:00.059
 environment of

00:30:00.059 --> 00:30:01.039
 ego threats.

00:30:01.039 --> 00:30:01.680
 so a

00:30:01.680 --> 00:30:02.420
 place where

00:30:02.420 --> 00:30:03.460
 there's a

00:30:03.460 --> 00:30:03.740
 lot of

00:30:03.740 --> 00:30:04.359
 defensiveness

00:30:04.359 --> 00:30:06.539
 because if

00:30:06.539 --> 00:30:07.019
 you lose

00:30:07.019 --> 00:30:07.359
 your name

00:30:07.359 --> 00:30:07.680
 or if you

00:30:07.680 --> 00:30:08.180
 don't hold

00:30:08.180 --> 00:30:08.759
 up whatever

00:30:08.759 --> 00:30:09.599
 standard you've

00:30:09.599 --> 00:30:09.879
 set,

00:30:10.000 --> 00:30:11.240
 then you

00:30:11.240 --> 00:30:12.159
 are failing.

00:30:12.940 --> 00:30:13.259
 So,

00:30:13.359 --> 00:30:14.180
 these pressures

00:30:14.180 --> 00:30:15.139
 of wanting

00:30:15.139 --> 00:30:16.139
 to help

00:30:16.139 --> 00:30:17.500
 people and

00:30:17.500 --> 00:30:18.279
 also wanting

00:30:18.279 --> 00:30:19.379
 to succeed

00:30:19.379 --> 00:30:23.039
 can feel

00:30:23.039 --> 00:30:23.819
 hopeless at

00:30:23.819 --> 00:30:24.279
 times.

00:30:24.700 --> 00:30:24.819
 So,

00:30:24.960 --> 00:30:25.539
 this verse

00:30:25.539 --> 00:30:26.359
 has been

00:30:26.359 --> 00:30:28.019
 helping me

00:30:28.019 --> 00:30:28.879
 in terms

00:30:28.879 --> 00:30:31.660
 of sticking

00:30:31.660 --> 00:30:33.000
 to doing

00:30:33.000 --> 00:30:33.559
 the actual

00:30:33.559 --> 00:30:33.839
 work,

00:30:33.940 --> 00:30:34.859
 being steadfast

00:30:34.859 --> 00:30:36.059
 and immovable

00:30:36.059 --> 00:30:37.279
 and remembering

00:30:37.279 --> 00:30:38.079
 that it is

00:30:38.079 --> 00:30:39.039
 work for the

00:30:39.039 --> 00:30:39.259
 Lord.

00:30:39.460 --> 00:30:39.599
 So,

00:30:39.720 --> 00:30:40.400
 abounding in

00:30:40.400 --> 00:30:40.879
 the work for

00:30:40.879 --> 00:30:41.180
 the Lord,

00:30:41.259 --> 00:30:41.619
 not just

00:30:41.619 --> 00:30:42.220
 abounding in

00:30:42.220 --> 00:30:42.460
 work,

00:30:42.639 --> 00:30:43.019
 but in

00:30:43.019 --> 00:30:43.379
 the work

00:30:43.379 --> 00:30:45.200
 that I

00:30:45.200 --> 00:30:45.839
 have that

00:30:45.839 --> 00:30:46.259
 additional

00:30:46.259 --> 00:30:47.920
 value within.

00:30:49.099 --> 00:30:50.500
 And I

00:30:50.500 --> 00:30:51.039
 really like

00:30:51.039 --> 00:30:51.400
 the last

00:30:51.400 --> 00:30:51.759
 part of

00:30:51.759 --> 00:30:51.960
 this,

00:30:52.019 --> 00:30:52.299
 that it's

00:30:52.299 --> 00:30:52.680
 not in

00:30:52.680 --> 00:30:52.879
 vain.

00:30:53.000 --> 00:30:53.180
 So,

00:30:53.259 --> 00:30:53.559
 if you're

00:30:53.559 --> 00:30:54.019
 working for

00:30:54.019 --> 00:30:54.500
 the Lord,

00:30:54.980 --> 00:30:56.700
 then it's

00:30:56.700 --> 00:30:57.080
 not in

00:30:57.080 --> 00:30:57.259
 vain.

00:30:57.420 --> 00:30:57.819
 It won't

00:30:57.819 --> 00:30:58.400
 come to

00:30:58.400 --> 00:30:58.720
 nothing.

00:30:59.940 --> 00:31:00.519
 What it

00:31:00.519 --> 00:31:00.940
 does come

00:31:00.940 --> 00:31:01.620
 to is

00:31:01.620 --> 00:31:02.440
 unclear,

00:31:02.920 --> 00:31:05.559
 but it

00:31:05.559 --> 00:31:05.900
 won't be

00:31:05.900 --> 00:31:06.180
 nothing.

00:31:07.000 --> 00:31:07.380
 When I

00:31:07.380 --> 00:31:07.940
 first started

00:31:07.940 --> 00:31:08.259
 seeing

00:31:08.259 --> 00:31:08.940
 Patience,

00:31:09.240 --> 00:31:10.480
 my church

00:31:10.480 --> 00:31:11.220
 where I

00:31:11.220 --> 00:31:11.500
 went to

00:31:11.500 --> 00:31:11.920
 grad school

00:31:11.920 --> 00:31:12.420
 was doing

00:31:12.420 --> 00:31:12.920
 a series

00:31:12.920 --> 00:31:13.720
 on hope

00:31:13.720 --> 00:31:16.039
 and we

00:31:16.039 --> 00:31:16.539
 had this

00:31:16.539 --> 00:31:17.059
 definition

00:31:17.059 --> 00:31:17.799
 of hope

00:31:17.799 --> 00:31:19.779
 from biblical

00:31:19.779 --> 00:31:20.420
 scripture as

00:31:20.420 --> 00:31:20.880
 opposed to

00:31:20.880 --> 00:31:21.259
 modern

00:31:21.259 --> 00:31:21.880
 understanding,

00:31:22.480 --> 00:31:22.920
 which I

00:31:22.920 --> 00:31:23.519
 still hold

00:31:23.519 --> 00:31:24.000
 on to.

00:31:25.299 --> 00:31:26.340
 Hope is,

00:31:26.339 --> 00:31:26.759
 what I

00:31:26.759 --> 00:31:27.099
 have written

00:31:27.099 --> 00:31:27.359
 here,

00:31:27.439 --> 00:31:27.919
 the confident

00:31:27.919 --> 00:31:28.659
 expectation

00:31:28.659 --> 00:31:29.279
 that God's

00:31:29.279 --> 00:31:29.819
 work will

00:31:29.819 --> 00:31:30.619
 be successful.

00:31:31.199 --> 00:31:31.740
 I love

00:31:31.740 --> 00:31:32.459
 this definition.

00:31:32.799 --> 00:31:33.079
 So we

00:31:33.079 --> 00:31:33.599
 think about

00:31:33.599 --> 00:31:34.099
 hope in

00:31:34.099 --> 00:31:34.519
 the modern

00:31:34.519 --> 00:31:35.139
 understanding

00:31:35.139 --> 00:31:36.519
 where it's

00:31:36.519 --> 00:31:36.919
 more of a

00:31:36.919 --> 00:31:37.199
 wish.

00:31:37.559 --> 00:31:38.299
 So wishful

00:31:38.299 --> 00:31:38.779
 thinking,

00:31:39.459 --> 00:31:40.439
 something

00:31:40.439 --> 00:31:41.259
 seems like

00:31:41.259 --> 00:31:41.939
 it's unlikely,

00:31:42.159 --> 00:31:43.019
 maybe possible,

00:31:43.159 --> 00:31:43.639
 and I wish

00:31:43.639 --> 00:31:44.039
 that it would

00:31:44.039 --> 00:31:44.379
 happen.

00:31:44.539 --> 00:31:44.959
 That's how

00:31:44.959 --> 00:31:45.419
 we think

00:31:45.419 --> 00:31:46.039
 about hope.

00:31:46.879 --> 00:31:47.179
 But in

00:31:47.179 --> 00:31:47.599
 a lot of

00:31:47.599 --> 00:31:48.019
 the verses,

00:31:48.279 --> 00:31:48.980
 there's more

00:31:48.980 --> 00:31:49.720
 of a confidence

00:31:49.720 --> 00:31:50.319
 in it and

00:31:50.319 --> 00:31:51.159
 an expectation

00:31:51.159 --> 00:31:51.799
 that you can

00:31:51.799 --> 00:31:52.619
 rely on God

00:31:52.619 --> 00:31:53.059
 that,

00:31:53.619 --> 00:31:54.539
 just like this

00:31:54.539 --> 00:31:55.159
 verse says,

00:31:55.220 --> 00:31:55.819
 it's not going

00:31:55.819 --> 00:31:56.179
 to be in

00:31:56.179 --> 00:31:56.500
 vain,

00:31:56.839 --> 00:31:57.419
 that efforts

00:31:57.419 --> 00:31:57.899
 will come

00:31:57.899 --> 00:31:58.559
 through because

00:31:58.559 --> 00:31:59.240
 God's behind

00:31:59.240 --> 00:31:59.480
 it.

00:32:00.279 --> 00:32:02.099
 So that is

00:32:02.099 --> 00:32:02.700
 something that I

00:32:02.700 --> 00:32:03.599
 use very often

00:32:03.599 --> 00:32:04.279
 with patients,

00:32:04.480 --> 00:32:05.319
 but also in

00:32:05.319 --> 00:32:06.000
 how I think

00:32:06.000 --> 00:32:07.220
 about the

00:32:07.220 --> 00:32:07.879
 work that I

00:32:07.879 --> 00:32:08.939
 do and

00:32:08.939 --> 00:32:09.720
 trying to

00:32:09.720 --> 00:32:10.619
 figure out

00:32:10.619 --> 00:32:12.019
 career path

00:32:12.019 --> 00:32:12.919
 and what that

00:32:12.919 --> 00:32:13.639
 actually looks

00:32:13.639 --> 00:32:13.960
 like,

00:32:14.119 --> 00:32:14.319
 which is

00:32:14.319 --> 00:32:15.099
 always changing.

00:32:15.099 --> 00:32:18.419
 So,

00:32:18.419 --> 00:32:20.459
 some of the

00:32:20.459 --> 00:32:20.919
 challenges

00:32:20.919 --> 00:32:23.219
 that I

00:32:23.219 --> 00:32:24.319
 believe I

00:32:24.319 --> 00:32:24.899
 face and

00:32:24.899 --> 00:32:25.500
 my profession

00:32:25.500 --> 00:32:25.980
 faces,

00:32:26.199 --> 00:32:26.719
 I've tried to

00:32:26.719 --> 00:32:27.480
 outline here,

00:32:27.699 --> 00:32:28.559
 and these

00:32:28.559 --> 00:32:29.779
 are also my

00:32:29.779 --> 00:32:30.579
 prayer requests.

00:32:31.719 --> 00:32:32.379
 So personally,

00:32:32.659 --> 00:32:33.599
 I think the

00:32:33.599 --> 00:32:34.099
 themes we've

00:32:34.099 --> 00:32:34.639
 talked about,

00:32:35.319 --> 00:32:36.139
 so having

00:32:36.139 --> 00:32:37.139
 continued awareness

00:32:37.139 --> 00:32:38.799
 of calling and

00:32:38.799 --> 00:32:39.639
 what that means

00:32:39.639 --> 00:32:40.459
 in terms of

00:32:40.459 --> 00:32:41.359
 career path and

00:32:41.359 --> 00:32:41.839
 how it's

00:32:41.839 --> 00:32:42.339
 expressed,

00:32:42.339 --> 00:32:43.500
 there are

00:32:43.500 --> 00:32:44.599
 really infinite

00:32:44.599 --> 00:32:45.740
 possibilities for

00:32:45.740 --> 00:32:46.319
 how it could

00:32:46.319 --> 00:32:46.959
 come out,

00:32:47.279 --> 00:32:49.799
 and my

00:32:49.799 --> 00:32:50.579
 prayer is that

00:32:50.579 --> 00:32:51.939
 I continue to

00:32:51.939 --> 00:32:52.720
 pay attention

00:32:52.720 --> 00:32:53.259
 to it.

00:32:53.980 --> 00:32:54.359
 And then

00:32:54.359 --> 00:32:54.779
 continued

00:32:54.779 --> 00:32:55.399
 encouragement

00:32:55.399 --> 00:32:56.659
 amidst all

00:32:56.659 --> 00:32:56.899
 of the

00:32:56.899 --> 00:32:58.299
 challenges and

00:32:58.299 --> 00:32:59.039
 wisdom about

00:32:59.039 --> 00:32:59.839
 what work-life

00:32:59.839 --> 00:33:00.720
 balance really

00:33:00.720 --> 00:33:01.559
 means and

00:33:01.559 --> 00:33:02.099
 what rest

00:33:02.099 --> 00:33:02.659
 means and

00:33:02.659 --> 00:33:02.959
 how to

00:33:02.959 --> 00:33:03.339
 incorporate

00:33:03.339 --> 00:33:03.859
 that.

00:33:05.419 --> 00:33:06.139
 For my

00:33:06.139 --> 00:33:07.000
 individual

00:33:07.000 --> 00:33:07.819
 patients in

00:33:07.819 --> 00:33:09.159
 my patient

00:33:09.159 --> 00:33:09.599
 groups,

00:33:09.799 --> 00:33:10.359
 so individuals

00:33:10.359 --> 00:33:11.079
 with obesity

00:33:11.079 --> 00:33:11.979
 and or

00:33:11.979 --> 00:33:12.819
 eating disorders

00:33:12.819 --> 00:33:13.479
 more broadly,

00:33:14.159 --> 00:33:14.719
 that God

00:33:14.719 --> 00:33:15.599
 would protect

00:33:15.599 --> 00:33:16.000
 them from

00:33:16.000 --> 00:33:16.339
 harm,

00:33:17.179 --> 00:33:20.299
 including but

00:33:20.299 --> 00:33:21.139
 not limited to

00:33:21.139 --> 00:33:21.659
 harm that

00:33:21.659 --> 00:33:22.519
 comes from

00:33:22.519 --> 00:33:23.719
 these societal

00:33:23.719 --> 00:33:24.519
 attitudes that

00:33:24.519 --> 00:33:24.919
 are so

00:33:24.919 --> 00:33:25.500
 pervasive,

00:33:26.399 --> 00:33:28.759
 where stigma

00:33:28.759 --> 00:33:29.740
 and blame

00:33:29.740 --> 00:33:30.359
 and criticism

00:33:30.359 --> 00:33:31.579
 is compounding

00:33:31.579 --> 00:33:33.240
 some of the

00:33:33.240 --> 00:33:35.079
 attitudes that

00:33:35.079 --> 00:33:35.500
 they already

00:33:35.500 --> 00:33:36.099
 have towards

00:33:36.099 --> 00:33:36.859
 themselves that

00:33:36.859 --> 00:33:37.059
 they've

00:33:37.059 --> 00:33:37.879
 internalized.

00:33:37.880 --> 00:33:39.860
 and then

00:33:39.860 --> 00:33:40.700
 for my

00:33:40.700 --> 00:33:41.220
 colleagues,

00:33:42.240 --> 00:33:42.860
 psychology,

00:33:43.780 --> 00:33:45.040
 even among

00:33:45.040 --> 00:33:45.500
 the mental

00:33:45.500 --> 00:33:46.280
 health professions,

00:33:46.460 --> 00:33:46.820
 I think,

00:33:47.360 --> 00:33:48.240
 is particularly

00:33:48.240 --> 00:33:48.880
 secular.

00:33:50.040 --> 00:33:51.340
 So very few

00:33:51.340 --> 00:33:52.660
 Christians are

00:33:52.660 --> 00:33:53.620
 psychologists.

00:33:54.660 --> 00:33:56.040
 I was fortunate

00:33:56.040 --> 00:33:56.600
 enough in

00:33:56.600 --> 00:33:57.220
 graduate school

00:33:57.220 --> 00:33:58.700
 to have an

00:33:58.700 --> 00:33:59.720
 unusual number

00:33:59.720 --> 00:34:01.400
 of peers in

00:34:01.400 --> 00:34:02.100
 my cohort

00:34:02.100 --> 00:34:03.360
 who were

00:34:03.360 --> 00:34:03.820
 Christian,

00:34:03.820 --> 00:34:04.940
 and we

00:34:04.940 --> 00:34:06.240
 certainly talked

00:34:06.240 --> 00:34:06.820
 about and

00:34:06.820 --> 00:34:07.720
 struggled with

00:34:07.720 --> 00:34:08.340
 how faith

00:34:08.340 --> 00:34:09.220
 and work

00:34:09.220 --> 00:34:11.619
 interacted in

00:34:11.619 --> 00:34:12.480
 the brutal

00:34:12.480 --> 00:34:13.179
 challenges of

00:34:13.179 --> 00:34:13.860
 graduate school.

00:34:14.619 --> 00:34:15.340
 But I think

00:34:15.340 --> 00:34:16.380
 broadly for the

00:34:16.380 --> 00:34:16.860
 profession,

00:34:17.599 --> 00:34:19.480
 I would pray

00:34:19.480 --> 00:34:21.340
 that my

00:34:21.340 --> 00:34:22.019
 colleagues would

00:34:22.019 --> 00:34:22.940
 have a

00:34:22.940 --> 00:34:25.360
 grounding for

00:34:25.360 --> 00:34:26.000
 their identity

00:34:26.000 --> 00:34:26.480
 and something

00:34:26.480 --> 00:34:27.320
 more than

00:34:27.320 --> 00:34:28.639
 just academia

00:34:28.639 --> 00:34:30.199
 and would

00:34:30.199 --> 00:34:32.159
 start to see

00:34:32.159 --> 00:34:33.679
 a need or

00:34:33.679 --> 00:34:34.220
 a potential

00:34:34.220 --> 00:34:36.019
 for what it

00:34:36.019 --> 00:34:36.480
 would mean if

00:34:36.480 --> 00:34:36.960
 they had a

00:34:36.960 --> 00:34:37.320
 faith in

00:34:37.320 --> 00:34:38.000
 Christ for

00:34:38.000 --> 00:34:38.639
 their work

00:34:38.639 --> 00:34:39.880
 with patients

00:34:39.880 --> 00:34:40.420
 and then

00:34:40.420 --> 00:34:41.440
 more broadly

00:34:41.440 --> 00:34:41.900
 in the

00:34:41.900 --> 00:34:42.440
 practice of

00:34:42.440 --> 00:34:43.000
 psychology.

00:34:44.579 --> 00:34:45.179
 And it

00:34:45.179 --> 00:34:45.800
 will actually

00:34:45.800 --> 00:34:46.300
 end there

00:34:46.300 --> 00:34:46.780
 since I'm

00:34:46.780 --> 00:34:47.199
 losing my

00:34:47.199 --> 00:34:47.480
 voice.

00:34:48.940 --> 00:34:49.940
 I had some

00:34:49.940 --> 00:34:50.780
 discussion

00:34:50.780 --> 00:34:51.539
 questions over

00:34:51.539 --> 00:34:51.900
 the three

00:34:51.900 --> 00:34:52.199
 points,

00:34:52.300 --> 00:34:52.659
 but I wanted

00:34:52.659 --> 00:34:53.240
 to open it

00:34:53.240 --> 00:34:55.280
 up to

00:34:55.280 --> 00:34:56.260
 questions about

00:34:56.260 --> 00:34:57.199
 anything that

00:34:57.199 --> 00:34:57.559
 I talked

00:34:57.559 --> 00:34:57.940
 about or

00:34:57.940 --> 00:34:58.619
 anything more

00:34:58.619 --> 00:34:59.360
 broadly about

00:34:59.360 --> 00:35:00.940
 psychology or

00:35:00.940 --> 00:35:01.760
 eating disorders

00:35:01.760 --> 00:35:02.340
 deserve this

00:35:02.340 --> 00:35:02.620
 faith.

00:35:03.940 --> 00:35:04.420
 Are there

00:35:04.420 --> 00:35:04.920
 any questions?

00:35:07.080 --> 00:35:07.340
 Yeah.

00:35:07.580 --> 00:35:08.340
 Thank you for

00:35:08.340 --> 00:35:08.680
 your talk.

00:35:10.360 --> 00:35:11.400
 Obviously, it

00:35:11.400 --> 00:35:11.940
 relates to your

00:35:11.940 --> 00:35:12.400
 last prayer

00:35:12.400 --> 00:35:13.080
 request, but

00:35:13.080 --> 00:35:14.440
 I think it's

00:35:14.440 --> 00:35:15.000
 very commendable

00:35:15.000 --> 00:35:16.140
 that you are

00:35:16.140 --> 00:35:17.000
 a person of

00:35:17.000 --> 00:35:17.640
 faith in the

00:35:17.640 --> 00:35:20.080
 psychology field.

00:35:20.640 --> 00:35:21.280
 From a

00:35:21.280 --> 00:35:22.160
 patient standpoint

00:35:22.160 --> 00:35:22.760
 or a patient

00:35:22.760 --> 00:35:24.140
 advocacy standpoint,

00:35:24.280 --> 00:35:24.620
 I've definitely

00:35:24.620 --> 00:35:27.120
 seen providers

00:35:27.119 --> 00:35:28.039
 who are

00:35:28.039 --> 00:35:29.059
 apathetic at

00:35:29.059 --> 00:35:29.699
 best to

00:35:29.699 --> 00:35:30.920
 faith or

00:35:30.920 --> 00:35:32.359
 antagonistic and

00:35:32.359 --> 00:35:33.500
 dismissive at

00:35:33.500 --> 00:35:33.799
 worst.

00:35:34.460 --> 00:35:35.239
 So I

00:35:35.239 --> 00:35:36.279
 appreciate your

00:35:36.279 --> 00:35:36.659
 position.

00:35:36.960 --> 00:35:37.339
 I'm wondering

00:35:37.339 --> 00:35:38.619
 how do you

00:35:38.619 --> 00:35:39.339
 balance your

00:35:39.339 --> 00:35:40.139
 faith with

00:35:40.139 --> 00:35:41.460
 treating and

00:35:41.460 --> 00:35:42.139
 leveraging someone

00:35:42.139 --> 00:35:43.039
 who is not a

00:35:43.039 --> 00:35:43.259
 Christian?

00:35:43.440 --> 00:35:44.019
 Say someone who

00:35:44.019 --> 00:35:45.259
 is a devout

00:35:45.259 --> 00:35:46.159
 Muslim or a

00:35:46.159 --> 00:35:48.000
 Jewish, somebody

00:35:48.000 --> 00:35:48.659
 who their faith

00:35:48.659 --> 00:35:49.259
 is important to

00:35:49.259 --> 00:35:50.119
 them in a

00:35:50.119 --> 00:35:50.639
 similar way that

00:35:50.639 --> 00:35:51.219
 yours is important

00:35:51.219 --> 00:35:51.480
 to you.

00:35:51.579 --> 00:35:52.119
 How do you

00:35:52.119 --> 00:35:53.099
 balance?

00:35:53.199 --> 00:35:53.440
 Sure.

00:35:53.679 --> 00:35:54.420
 So as a

00:35:54.420 --> 00:35:55.339
 patient, if

00:35:55.339 --> 00:35:55.799
 they were sitting

00:35:55.799 --> 00:35:56.319
 across from

00:35:56.319 --> 00:35:56.900
 you, yeah.

00:35:57.119 --> 00:36:00.460
 I think my

00:36:00.460 --> 00:36:01.460
 approach is that

00:36:01.460 --> 00:36:03.639
 there are far

00:36:03.639 --> 00:36:04.659
 more similarities

00:36:04.659 --> 00:36:06.739
 with people who

00:36:06.739 --> 00:36:07.519
 have faith than

00:36:07.519 --> 00:36:07.859
 there are

00:36:07.859 --> 00:36:08.359
 differences.

00:36:09.179 --> 00:36:10.460
 And a lot of

00:36:10.460 --> 00:36:12.299
 the ways that I

00:36:12.299 --> 00:36:14.279
 would help

00:36:14.279 --> 00:36:15.219
 people make use

00:36:15.219 --> 00:36:15.759
 of a Christian

00:36:15.759 --> 00:36:16.559
 faith are

00:36:16.559 --> 00:36:17.599
 certainly applicable

00:36:17.599 --> 00:36:18.579
 to other

00:36:18.579 --> 00:36:19.739
 faiths, Judaism,

00:36:20.039 --> 00:36:20.859
 Muslim, any

00:36:20.859 --> 00:36:22.679
 other faith.

00:36:23.380 --> 00:36:24.279
 I do think

00:36:24.279 --> 00:36:26.279
 I've worked

00:36:26.280 --> 00:36:27.080
 over the

00:36:27.080 --> 00:36:27.460
 years to

00:36:27.460 --> 00:36:27.740
 have an

00:36:27.740 --> 00:36:28.420
 awareness of

00:36:28.420 --> 00:36:28.860
 what that

00:36:28.860 --> 00:36:29.260
 means,

00:36:29.380 --> 00:36:30.480
 particularly for

00:36:30.480 --> 00:36:31.380
 eating disorders

00:36:31.380 --> 00:36:32.100
 and obesity.

00:36:33.000 --> 00:36:35.860
 So when I

00:36:35.860 --> 00:36:36.340
 have a

00:36:36.340 --> 00:36:37.460
 patient, for

00:36:37.460 --> 00:36:38.740
 example, who

00:36:38.740 --> 00:36:41.019
 practices Islam

00:36:41.019 --> 00:36:41.820
 and who observes

00:36:41.820 --> 00:36:42.940
 Ramadan, I

00:36:42.940 --> 00:36:45.519
 work to try to

00:36:45.519 --> 00:36:46.160
 ask and be

00:36:46.160 --> 00:36:46.880
 sensitive about

00:36:46.880 --> 00:36:47.820
 what that means

00:36:47.820 --> 00:36:48.680
 for eating

00:36:48.680 --> 00:36:49.440
 patterns and

00:36:49.440 --> 00:36:50.220
 for body image,

00:36:50.260 --> 00:36:51.660
 and there are a

00:36:51.660 --> 00:36:52.560
 lot of complications

00:36:52.560 --> 00:36:53.320
 with that.

00:36:53.320 --> 00:36:54.460
 So I think

00:36:54.460 --> 00:36:55.019
 part of the

00:36:55.019 --> 00:36:55.940
 respect for

00:36:55.940 --> 00:36:57.820
 patients is

00:36:57.820 --> 00:36:59.200
 showing an

00:36:59.200 --> 00:36:59.880
 interest and

00:36:59.880 --> 00:37:00.920
 being aware of

00:37:00.920 --> 00:37:01.539
 what their

00:37:01.539 --> 00:37:02.360
 faith means to

00:37:02.360 --> 00:37:02.660
 them.

00:37:07.120 --> 00:37:08.360
 You distinguish

00:37:08.360 --> 00:37:09.380
 eating disorders

00:37:09.380 --> 00:37:10.200
 from obesity.

00:37:10.500 --> 00:37:11.140
 I do.

00:37:11.320 --> 00:37:12.039
 Do you see

00:37:12.039 --> 00:37:13.120
 that in a

00:37:13.120 --> 00:37:13.740
 different level

00:37:13.740 --> 00:37:14.500
 of culpability?

00:37:16.500 --> 00:37:17.740
 Not culpability,

00:37:17.739 --> 00:37:20.859
 but they are

00:37:20.859 --> 00:37:22.179
 two distinct

00:37:22.179 --> 00:37:22.859
 fields.

00:37:24.559 --> 00:37:25.659
 We struggle

00:37:25.659 --> 00:37:26.299
 a lot with

00:37:26.299 --> 00:37:27.199
 this as

00:37:27.199 --> 00:37:28.579
 psychologists

00:37:28.579 --> 00:37:29.399
 but also as

00:37:29.399 --> 00:37:29.899
 providers.

00:37:30.719 --> 00:37:31.119
 So eating

00:37:31.119 --> 00:37:31.759
 disorders and

00:37:31.759 --> 00:37:32.739
 obesity, if you

00:37:32.739 --> 00:37:33.299
 imagine a

00:37:33.299 --> 00:37:33.919
 Venn diagram,

00:37:34.239 --> 00:37:34.679
 they are too

00:37:34.679 --> 00:37:35.459
 distinct, but

00:37:35.459 --> 00:37:35.979
 there's a big

00:37:35.979 --> 00:37:37.059
 area of overlap.

00:37:37.519 --> 00:37:38.039
 We actually

00:37:38.039 --> 00:37:38.559
 have much

00:37:38.559 --> 00:37:39.099
 more of an

00:37:39.099 --> 00:37:40.559
 overlap these

00:37:40.559 --> 00:37:41.359
 days than I

00:37:41.359 --> 00:37:42.039
 think we were

00:37:42.039 --> 00:37:43.079
 aware of even

00:37:43.079 --> 00:37:44.379
 10 or 20

00:37:44.379 --> 00:37:45.000
 years ago.

00:37:45.000 --> 00:37:48.300
 my particular

00:37:48.300 --> 00:37:50.940
 specialty these

00:37:50.940 --> 00:37:51.800
 days is the

00:37:51.800 --> 00:37:52.639
 overlap between

00:37:52.639 --> 00:37:53.940
 the two and

00:37:53.940 --> 00:37:54.739
 patients who

00:37:54.739 --> 00:37:55.420
 have both

00:37:55.420 --> 00:37:56.539
 obesity and

00:37:56.539 --> 00:37:57.860
 some form of

00:37:57.860 --> 00:37:58.619
 eating disorder

00:37:58.619 --> 00:38:00.940
 and how they

00:38:00.940 --> 00:38:02.679
 manage both

00:38:02.679 --> 00:38:03.159
 of them.

00:38:03.760 --> 00:38:04.519
 So in terms

00:38:04.519 --> 00:38:06.980
 of what it

00:38:06.980 --> 00:38:08.619
 looks like to

00:38:08.619 --> 00:38:09.980
 have obesity or

00:38:09.980 --> 00:38:10.280
 an eating

00:38:10.280 --> 00:38:11.159
 disorder, there's

00:38:11.159 --> 00:38:11.940
 just a spectrum

00:38:11.940 --> 00:38:13.300
 for each of

00:38:13.300 --> 00:38:13.679
 them.

00:38:15.000 --> 00:38:18.039
 both, they

00:38:18.039 --> 00:38:19.880
 can be minimal

00:38:19.880 --> 00:38:20.539
 and more

00:38:20.539 --> 00:38:21.519
 developmental all

00:38:21.519 --> 00:38:21.900
 the way up

00:38:21.900 --> 00:38:22.420
 through very

00:38:22.420 --> 00:38:23.380
 severe for

00:38:23.380 --> 00:38:23.800
 each.

00:38:25.019 --> 00:38:25.860
 But when both

00:38:25.860 --> 00:38:26.619
 are there, I

00:38:26.619 --> 00:38:27.199
 think there are

00:38:27.199 --> 00:38:27.820
 additional

00:38:27.820 --> 00:38:28.679
 struggles and

00:38:28.679 --> 00:38:29.139
 additional

00:38:29.139 --> 00:38:30.340
 pressures that

00:38:30.340 --> 00:38:32.960
 make it more

00:38:32.960 --> 00:38:33.460
 complicated.

00:38:34.300 --> 00:38:34.579
 Does that

00:38:34.579 --> 00:38:35.059
 answer your

00:38:35.059 --> 00:38:35.820
 question?

00:38:37.420 --> 00:38:37.599
 Yeah?

00:38:37.820 --> 00:38:38.519
 So in the

00:38:38.519 --> 00:38:39.599
 field of

00:38:39.599 --> 00:38:41.579
 eating disorders,

00:38:42.340 --> 00:38:43.239
 has there been

00:38:43.239 --> 00:38:43.639
 more of a

00:38:43.639 --> 00:38:44.259
 correlation over

00:38:44.259 --> 00:38:44.839
 the years

00:38:44.839 --> 00:38:46.440
 correlated to

00:38:46.440 --> 00:38:47.139
 developmental

00:38:47.139 --> 00:38:48.719
 trauma and

00:38:48.719 --> 00:38:49.879
 neglect and

00:38:49.879 --> 00:38:51.259
 people over

00:38:51.259 --> 00:38:52.359
 compensating their

00:38:52.359 --> 00:38:53.099
 adult lives?

00:38:53.599 --> 00:38:53.859
 Yeah.

00:38:54.079 --> 00:38:54.379
 What's your

00:38:54.379 --> 00:38:55.440
 neglect?

00:38:55.920 --> 00:38:56.259
 Yes.

00:38:56.599 --> 00:38:57.440
 I don't think

00:38:57.440 --> 00:38:58.400
 it's increased,

00:38:58.559 --> 00:38:59.139
 but it's always

00:38:59.139 --> 00:38:59.799
 been there and

00:38:59.799 --> 00:39:00.460
 we're certainly

00:39:00.460 --> 00:39:01.239
 more aware of

00:39:01.239 --> 00:39:01.659
 it now.

00:39:01.900 --> 00:39:02.339
 So eating

00:39:02.339 --> 00:39:03.359
 disorders are

00:39:03.359 --> 00:39:04.940
 highly related

00:39:04.940 --> 00:39:06.460
 to childhood

00:39:06.460 --> 00:39:07.239
 and adult

00:39:07.239 --> 00:39:07.679
 trauma.

00:39:07.679 --> 00:39:09.139
 part of it

00:39:09.139 --> 00:39:09.619
 gets at that

00:39:09.619 --> 00:39:10.079
 idea of

00:39:10.079 --> 00:39:10.980
 personal control,

00:39:11.199 --> 00:39:11.799
 so feeling

00:39:11.799 --> 00:39:12.679
 out of control

00:39:12.679 --> 00:39:13.139
 or having

00:39:13.139 --> 00:39:13.960
 emotions that

00:39:13.960 --> 00:39:15.359
 are in

00:39:15.359 --> 00:39:16.039
 chaos or

00:39:16.039 --> 00:39:16.639
 overwhelming

00:39:16.639 --> 00:39:17.419
 and feeling

00:39:17.419 --> 00:39:18.279
 like, well,

00:39:18.519 --> 00:39:19.679
 I can control

00:39:19.679 --> 00:39:20.619
 what food I

00:39:20.619 --> 00:39:21.259
 put into my

00:39:21.259 --> 00:39:23.940
 mouth or I

00:39:23.940 --> 00:39:24.719
 can escape by

00:39:24.719 --> 00:39:25.419
 eating either

00:39:25.419 --> 00:39:26.960
 direction and

00:39:26.960 --> 00:39:27.739
 having that be

00:39:27.739 --> 00:39:28.379
 as part of the

00:39:28.379 --> 00:39:29.159
 response.

00:39:30.279 --> 00:39:31.339
 There are

00:39:31.339 --> 00:39:32.199
 patients who

00:39:32.199 --> 00:39:32.659
 will benefit

00:39:32.659 --> 00:39:33.359
 from treating

00:39:33.359 --> 00:39:34.099
 trauma and

00:39:34.099 --> 00:39:34.699
 those who

00:39:34.699 --> 00:39:35.419
 need eating

00:39:35.419 --> 00:39:36.219
 disorder treatment,

00:39:36.219 --> 00:39:36.959
 so it varies

00:39:36.959 --> 00:39:38.159
 on what

00:39:38.159 --> 00:39:38.939
 seems to be

00:39:38.939 --> 00:39:39.539
 the presenting

00:39:39.539 --> 00:39:40.959
 problem, but

00:39:40.959 --> 00:39:42.139
 they are highly

00:39:42.139 --> 00:39:42.539
 related.

00:39:42.839 --> 00:39:43.359
 There are some

00:39:43.359 --> 00:39:44.219
 professionals who

00:39:44.219 --> 00:39:44.679
 will say that

00:39:44.679 --> 00:39:45.239
 every single

00:39:45.239 --> 00:39:45.839
 eating disorder

00:39:45.839 --> 00:39:46.539
 patient has

00:39:46.539 --> 00:39:47.000
 had some

00:39:47.000 --> 00:39:47.439
 form of

00:39:47.439 --> 00:39:47.779
 trauma.

00:39:49.000 --> 00:39:49.799
 It's certainly

00:39:49.799 --> 00:39:50.519
 up there, I

00:39:50.519 --> 00:39:51.059
 think, saying

00:39:51.059 --> 00:39:51.739
 eating

00:39:51.739 --> 00:39:52.439
 bristle is

00:39:52.439 --> 00:39:54.000
 far too

00:39:54.000 --> 00:39:54.980
 far, but

00:39:54.980 --> 00:39:56.439
 it's highly

00:39:56.439 --> 00:39:56.819
 related.

00:40:01.359 --> 00:40:01.879
 Other

00:40:01.879 --> 00:40:02.419
 questions?

00:40:02.899 --> 00:40:03.039
 Yeah.

00:40:03.659 --> 00:40:04.139
 Do you have

00:40:04.139 --> 00:40:04.599
 thoughts on

00:40:04.599 --> 00:40:05.480
 how can

00:40:05.480 --> 00:40:06.860
 we as a

00:40:06.860 --> 00:40:07.619
 church be

00:40:07.619 --> 00:40:08.280
 helpful to

00:40:08.280 --> 00:40:09.920
 those within

00:40:09.920 --> 00:40:10.420
 the church who

00:40:10.420 --> 00:40:10.800
 are struggling

00:40:10.800 --> 00:40:11.240
 with eating

00:40:11.240 --> 00:40:11.940
 disorders or

00:40:11.940 --> 00:40:12.639
 with obesity?

00:40:13.740 --> 00:40:14.019
 Are there

00:40:14.019 --> 00:40:16.579
 positive things,

00:40:16.679 --> 00:40:17.159
 you know, you

00:40:17.159 --> 00:40:17.599
 mentioned some

00:40:17.599 --> 00:40:17.960
 of the negative

00:40:17.960 --> 00:40:18.380
 things that

00:40:18.380 --> 00:40:19.320
 people can do

00:40:19.320 --> 00:40:19.960
 or sort of

00:40:19.960 --> 00:40:21.320
 like thoughtless

00:40:21.320 --> 00:40:22.000
 comments people

00:40:22.000 --> 00:40:22.780
 make or something,

00:40:23.019 --> 00:40:24.240
 but are there

00:40:24.240 --> 00:40:25.579
 biblical truths

00:40:25.579 --> 00:40:26.119
 that are helpful

00:40:26.119 --> 00:40:26.760
 for Christians

00:40:26.760 --> 00:40:27.480
 that are struggling

00:40:27.480 --> 00:40:28.480
 with those things

00:40:28.480 --> 00:40:29.619
 that you've seen?

00:40:30.280 --> 00:40:30.619
 Are there ways

00:40:30.619 --> 00:40:31.300
 that we as

00:40:31.300 --> 00:40:32.559
 fellow believers

00:40:32.559 --> 00:40:33.219
 in Christ can

00:40:33.219 --> 00:40:35.099
 that is a

00:40:35.099 --> 00:40:36.179
 great question.

00:40:36.379 --> 00:40:36.959
 So how can

00:40:36.959 --> 00:40:37.500
 we help

00:40:37.500 --> 00:40:38.480
 patients with

00:40:38.480 --> 00:40:39.339
 eating disorders

00:40:39.339 --> 00:40:40.279
 as a church?

00:40:40.959 --> 00:40:42.119
 I do think

00:40:42.119 --> 00:40:42.839
 the primary

00:40:42.839 --> 00:40:43.439
 thing we can

00:40:43.439 --> 00:40:45.539
 do is not

00:40:45.539 --> 00:40:48.139
 try to go

00:40:48.139 --> 00:40:48.879
 overboard and

00:40:48.879 --> 00:40:49.719
 push too far

00:40:49.719 --> 00:40:50.639
 and try to

00:40:50.639 --> 00:40:51.500
 offer advice.

00:40:53.679 --> 00:40:54.799
 Particularly with

00:40:54.799 --> 00:40:55.480
 severe eating

00:40:55.480 --> 00:40:56.000
 disorders,

00:40:57.279 --> 00:40:59.159
 assuming the

00:40:59.159 --> 00:40:59.779
 person's in

00:40:59.779 --> 00:41:00.519
 treatment, which

00:41:00.519 --> 00:41:01.579
 is probably a

00:41:01.579 --> 00:41:02.099
 big way that

00:41:02.099 --> 00:41:02.460
 the church

00:41:02.460 --> 00:41:03.000
 could help

00:41:03.000 --> 00:41:04.380
 if they

00:41:04.380 --> 00:41:05.699
 identify an

00:41:05.699 --> 00:41:06.319
 eating disorder

00:41:06.319 --> 00:41:07.000
 that needs

00:41:07.000 --> 00:41:07.940
 treatment, is

00:41:07.940 --> 00:41:10.400
 trying to get

00:41:10.400 --> 00:41:11.679
 the individual

00:41:11.679 --> 00:41:12.420
 engaged in

00:41:12.420 --> 00:41:12.719
 treatment.

00:41:13.199 --> 00:41:13.739
 But if they

00:41:13.739 --> 00:41:14.360
 are, they're

00:41:14.360 --> 00:41:15.440
 dealing with a

00:41:15.440 --> 00:41:15.679
 lot.

00:41:15.920 --> 00:41:16.199
 So the

00:41:16.199 --> 00:41:16.900
 treatment process

00:41:16.900 --> 00:41:18.099
 is intense.

00:41:18.739 --> 00:41:19.980
 And so forms

00:41:19.980 --> 00:41:20.960
 of social support

00:41:20.960 --> 00:41:21.420
 and coming

00:41:21.420 --> 00:41:22.340
 around someone

00:41:22.340 --> 00:41:24.659
 in a way that

00:41:24.659 --> 00:41:25.739
 gives them

00:41:25.739 --> 00:41:26.679
 space, so not

00:41:26.679 --> 00:41:27.500
 watching everything

00:41:27.500 --> 00:41:28.199
 that they eat,

00:41:28.739 --> 00:41:29.960
 but also makes

00:41:29.960 --> 00:41:30.639
 them feel like

00:41:30.639 --> 00:41:31.639
 they're loved

00:41:31.639 --> 00:41:32.259
 and supported

00:41:32.259 --> 00:41:33.299
 by people who

00:41:33.299 --> 00:41:33.920
 aren't just

00:41:33.920 --> 00:41:34.599
 their therapist

00:41:34.599 --> 00:41:35.480
 or their family

00:41:35.480 --> 00:41:36.400
 who's entrenched

00:41:36.400 --> 00:41:37.039
 in the treatment,

00:41:37.619 --> 00:41:38.779
 I think goes

00:41:38.779 --> 00:41:41.420
 so far and

00:41:41.420 --> 00:41:41.719
 wide.

00:41:42.059 --> 00:41:42.719
 Often my

00:41:42.719 --> 00:41:43.679
 younger patients,

00:41:43.819 --> 00:41:44.379
 my adolescents,

00:41:45.000 --> 00:41:45.960
 will talk about

00:41:45.960 --> 00:41:46.539
 how their whole

00:41:46.539 --> 00:41:47.299
 life becomes

00:41:47.299 --> 00:41:48.179
 treatment and

00:41:48.179 --> 00:41:49.219
 they just want

00:41:49.219 --> 00:41:50.199
 to talk to

00:41:50.199 --> 00:41:51.000
 someone about

00:41:51.000 --> 00:41:51.719
 something that's

00:41:51.719 --> 00:41:52.839
 not exactly

00:41:52.839 --> 00:41:53.480
 what they ate

00:41:53.480 --> 00:41:54.119
 or whether they

00:41:54.119 --> 00:41:54.599
 moved their

00:41:54.599 --> 00:41:55.559
 leg in order

00:41:55.559 --> 00:41:56.079
 to burn some

00:41:56.079 --> 00:41:56.699
 calories after

00:41:56.699 --> 00:41:57.059
 lunch.

00:41:57.059 --> 00:42:00.559
 so almost

00:42:00.559 --> 00:42:01.759
 being a

00:42:01.759 --> 00:42:02.259
 respite.

00:42:05.779 --> 00:42:06.299
 You've

00:42:06.299 --> 00:42:08.259
 talked about

00:42:08.259 --> 00:42:08.799
 some of the

00:42:08.799 --> 00:42:11.360
 challenge is

00:42:11.360 --> 00:42:12.880
 for these,

00:42:13.400 --> 00:42:14.340
 the needs are

00:42:14.340 --> 00:42:15.119
 so profound,

00:42:15.320 --> 00:42:15.900
 so deep,

00:42:15.980 --> 00:42:16.559
 you're involved,

00:42:16.679 --> 00:42:17.480
 you're compassionate,

00:42:18.480 --> 00:42:19.860
 you can feel

00:42:19.860 --> 00:42:20.779
 yourself drawn in

00:42:20.779 --> 00:42:21.719
 and then as a

00:42:21.719 --> 00:42:22.079
 Christian,

00:42:22.719 --> 00:42:23.179
 this sort of

00:42:23.179 --> 00:42:24.259
 demand for

00:42:24.260 --> 00:42:25.540
 neighbor love

00:42:25.540 --> 00:42:28.520
 could get

00:42:28.520 --> 00:42:28.960
 you to pour

00:42:28.960 --> 00:42:29.480
 yourself out

00:42:29.480 --> 00:42:29.940
 completely.

00:42:30.420 --> 00:42:31.180
 You talked

00:42:31.180 --> 00:42:31.540
 about the

00:42:31.540 --> 00:42:31.960
 tension of

00:42:31.960 --> 00:42:32.340
 just kind of

00:42:32.340 --> 00:42:34.160
 self-preservation,

00:42:34.580 --> 00:42:37.900
 but are there

00:42:37.900 --> 00:42:40.040
 concrete things

00:42:40.040 --> 00:42:41.040
 that you do

00:42:41.040 --> 00:42:41.920
 in the midst

00:42:41.920 --> 00:42:42.740
 of all of

00:42:42.740 --> 00:42:43.460
 these needs

00:42:43.460 --> 00:42:43.860
 to help

00:42:43.860 --> 00:42:44.520
 calibrate

00:42:44.520 --> 00:42:46.140
 what does

00:42:46.140 --> 00:42:46.720
 love call

00:42:46.720 --> 00:42:47.380
 me to do,

00:42:47.540 --> 00:42:48.120
 but what does

00:42:48.120 --> 00:42:49.400
 wisdom call

00:42:49.400 --> 00:42:50.000
 me to refrain

00:42:50.000 --> 00:42:50.400
 from,

00:42:50.840 --> 00:42:51.420
 just any

00:42:51.420 --> 00:42:52.440
 practical tips

00:42:52.440 --> 00:42:52.920
 on how to

00:42:52.920 --> 00:42:53.640
 navigate if

00:42:53.639 --> 00:42:54.019
 we find

00:42:54.019 --> 00:42:54.400
 ourselves,

00:42:55.179 --> 00:42:56.239
 as we all

00:42:56.239 --> 00:42:56.719
 do in some

00:42:56.719 --> 00:42:57.199
 sense in a

00:42:57.199 --> 00:42:57.799
 fallen world,

00:42:58.219 --> 00:42:58.879
 in which the

00:42:58.879 --> 00:42:59.500
 need around

00:42:59.500 --> 00:43:00.519
 us is ubiquitous

00:43:00.519 --> 00:43:01.400
 and deep,

00:43:03.139 --> 00:43:03.900
 and the

00:43:03.900 --> 00:43:04.359
 call to

00:43:04.359 --> 00:43:04.739
 love,

00:43:05.079 --> 00:43:06.119
 like the

00:43:06.119 --> 00:43:06.679
 Samaritan,

00:43:07.480 --> 00:43:09.039
 is profound,

00:43:10.000 --> 00:43:10.440
 and yet we

00:43:10.440 --> 00:43:10.960
 find that

00:43:10.960 --> 00:43:12.319
 challenge of

00:43:12.319 --> 00:43:12.839
 how do we

00:43:12.839 --> 00:43:13.819
 not just

00:43:13.819 --> 00:43:14.259
 completely

00:43:14.259 --> 00:43:15.059
 trust ourselves.

00:43:15.440 --> 00:43:15.619
 Yeah,

00:43:15.900 --> 00:43:16.440
 absolutely.

00:43:17.059 --> 00:43:17.539
 I can tell

00:43:17.539 --> 00:43:18.420
 you what I

00:43:18.420 --> 00:43:18.920
 do.

00:43:19.920 --> 00:43:20.819
 I don't know

00:43:20.819 --> 00:43:21.859
 how prescripted

00:43:21.859 --> 00:43:22.379
 it would be,

00:43:22.380 --> 00:43:23.140
 but I can

00:43:23.140 --> 00:43:23.480
 certainly

00:43:23.480 --> 00:43:24.260
 describe it.

00:43:26.119 --> 00:43:26.840
 In the

00:43:26.840 --> 00:43:27.240
 moment,

00:43:28.000 --> 00:43:28.960
 sitting across

00:43:28.960 --> 00:43:29.720
 from someone,

00:43:30.280 --> 00:43:31.200
 it's been a

00:43:31.200 --> 00:43:31.860
 hard lesson,

00:43:31.960 --> 00:43:32.240
 but an

00:43:32.240 --> 00:43:32.960
 important one

00:43:32.960 --> 00:43:33.960
 to learn

00:43:33.960 --> 00:43:34.579
 that I

00:43:34.579 --> 00:43:35.360
 can't

00:43:35.360 --> 00:43:36.539
 actually help

00:43:36.539 --> 00:43:37.019
 them more

00:43:37.019 --> 00:43:37.380
 than they

00:43:37.380 --> 00:43:37.860
 want to be

00:43:37.860 --> 00:43:38.140
 helped,

00:43:38.280 --> 00:43:38.800
 so I

00:43:38.800 --> 00:43:39.480
 often find

00:43:39.480 --> 00:43:40.380
 myself trying

00:43:40.380 --> 00:43:41.880
 to go that

00:43:41.880 --> 00:43:42.559
 extra mile

00:43:42.559 --> 00:43:43.140
 and help

00:43:43.140 --> 00:43:44.079
 them despite

00:43:44.079 --> 00:43:45.140
 some barrier,

00:43:45.380 --> 00:43:46.480
 some unwillingness

00:43:46.480 --> 00:43:47.260
 to change,

00:43:47.760 --> 00:43:48.760
 and that's

00:43:48.760 --> 00:43:49.200
 a problem,

00:43:49.199 --> 00:43:49.779
 and that

00:43:49.779 --> 00:43:50.419
 is probably

00:43:50.419 --> 00:43:50.919
 the biggest

00:43:50.919 --> 00:43:51.519
 source of

00:43:51.519 --> 00:43:52.199
 drainage or

00:43:52.199 --> 00:43:52.699
 exhaustion.

00:43:54.500 --> 00:43:55.439
 So that,

00:43:55.559 --> 00:43:57.019
 I would say,

00:43:57.119 --> 00:43:57.619
 is the wisdom

00:43:57.619 --> 00:43:58.199
 in the moment

00:43:58.199 --> 00:43:58.839
 and certainly

00:43:58.839 --> 00:43:59.799
 consulting with

00:43:59.799 --> 00:44:00.500
 colleagues to

00:44:00.500 --> 00:44:01.219
 figure out,

00:44:01.679 --> 00:44:02.099
 well, do I

00:44:02.099 --> 00:44:02.559
 go further,

00:44:02.859 --> 00:44:03.399
 is this the

00:44:03.399 --> 00:44:03.879
 time when I

00:44:03.879 --> 00:44:04.519
 step back and

00:44:04.519 --> 00:44:05.099
 give them some

00:44:05.099 --> 00:44:05.699
 space to

00:44:05.699 --> 00:44:07.259
 hopefully create

00:44:07.259 --> 00:44:07.819
 some change

00:44:07.819 --> 00:44:08.379
 in that way?

00:44:09.519 --> 00:44:10.000
 Personally,

00:44:10.219 --> 00:44:10.960
 so outside of

00:44:10.960 --> 00:44:11.419
 the therapy

00:44:11.419 --> 00:44:11.839
 room,

00:44:12.599 --> 00:44:14.399
 I do a lot

00:44:14.399 --> 00:44:15.599
 around this

00:44:15.599 --> 00:44:16.359
 idea of rest

00:44:16.359 --> 00:44:16.879
 and stepping

00:44:16.879 --> 00:44:17.319
 away,

00:44:17.320 --> 00:44:18.180
 so trying

00:44:18.180 --> 00:44:18.920
 to have

00:44:18.920 --> 00:44:21.039
 boundaries

00:44:21.039 --> 00:44:23.120
 from leaving

00:44:23.120 --> 00:44:23.539
 work at

00:44:23.539 --> 00:44:24.100
 work and

00:44:24.100 --> 00:44:25.340
 being outside

00:44:25.340 --> 00:44:26.059
 of work when

00:44:26.059 --> 00:44:26.440
 I'm not

00:44:26.440 --> 00:44:26.800
 there,

00:44:27.680 --> 00:44:28.519
 which is

00:44:28.519 --> 00:44:29.340
 mostly

00:44:29.340 --> 00:44:30.019
 successful,

00:44:30.240 --> 00:44:30.800
 but not

00:44:30.800 --> 00:44:32.140
 ever completely.

00:44:33.240 --> 00:44:34.220
 I do

00:44:34.220 --> 00:44:35.720
 appreciate

00:44:35.720 --> 00:44:36.640
 the commute,

00:44:36.960 --> 00:44:38.300
 so when I

00:44:38.300 --> 00:44:39.660
 walk home

00:44:39.660 --> 00:44:40.100
 or when I

00:44:40.100 --> 00:44:40.660
 walk to

00:44:40.660 --> 00:44:40.920
 work,

00:44:41.000 --> 00:44:41.640
 part of that

00:44:41.640 --> 00:44:42.460
 is in order

00:44:42.460 --> 00:44:42.980
 to have a

00:44:42.980 --> 00:44:43.480
 separation

00:44:43.480 --> 00:44:44.340
 between

00:44:44.340 --> 00:44:46.400
 what happens

00:44:46.400 --> 00:44:46.760
 at work

00:44:46.760 --> 00:44:47.040
 and what

00:44:47.040 --> 00:44:47.900
 happens outside

00:44:47.900 --> 00:44:48.340
 of work

00:44:48.340 --> 00:44:49.040
 and being

00:44:49.040 --> 00:44:49.520
 able to

00:44:49.520 --> 00:44:50.240
 separate that

00:44:50.240 --> 00:44:50.640
 with the

00:44:50.640 --> 00:44:51.200
 time and

00:44:51.200 --> 00:44:51.480
 the head

00:44:51.480 --> 00:44:52.620
 space of

00:44:52.620 --> 00:44:53.980
 being in

00:44:53.980 --> 00:44:54.440
 two different

00:44:54.440 --> 00:44:54.980
 locations.

00:44:56.000 --> 00:44:56.600
 I had a

00:44:56.600 --> 00:44:58.860
 friend when I

00:44:58.860 --> 00:44:59.680
 did my residency

00:44:59.680 --> 00:45:00.440
 in Charleston

00:45:00.440 --> 00:45:02.040
 who had a

00:45:02.040 --> 00:45:03.480
 amazing bridge

00:45:03.480 --> 00:45:04.500
 that goes over

00:45:04.500 --> 00:45:05.020
 one of the

00:45:05.020 --> 00:45:05.700
 rivers there,

00:45:06.200 --> 00:45:06.860
 and every time

00:45:06.860 --> 00:45:07.500
 she crossed the

00:45:07.500 --> 00:45:07.980
 bridge, she

00:45:07.980 --> 00:45:08.580
 just turned

00:45:08.580 --> 00:45:09.660
 off work and

00:45:09.660 --> 00:45:09.980
 said,

00:45:10.080 --> 00:45:10.360
 well, no,

00:45:10.440 --> 00:45:10.940
 now I'm done.

00:45:11.120 --> 00:45:11.800
 I'm past this

00:45:11.800 --> 00:45:12.340
 bridge, and I

00:45:12.340 --> 00:45:13.080
 love that idea

00:45:13.080 --> 00:45:14.220
 of having that

00:45:14.220 --> 00:45:15.000
 visual marker.

00:45:15.000 --> 00:45:18.519
 Now I'm

00:45:18.519 --> 00:45:19.079
 leaving this

00:45:19.079 --> 00:45:19.400
 there.

00:45:20.519 --> 00:45:21.239
 I also guard

00:45:21.239 --> 00:45:21.900
 my mood

00:45:21.900 --> 00:45:23.539
 pretty strictly,

00:45:23.820 --> 00:45:24.400
 so in terms

00:45:24.400 --> 00:45:24.920
 of media

00:45:24.920 --> 00:45:25.480
 consumption,

00:45:26.360 --> 00:45:27.860
 I have a

00:45:27.860 --> 00:45:28.320
 hard time

00:45:28.320 --> 00:45:29.179
 reading books

00:45:29.179 --> 00:45:29.699
 or watching

00:45:29.699 --> 00:45:30.360
 movies that

00:45:30.360 --> 00:45:30.719
 are very

00:45:30.719 --> 00:45:31.199
 depressing,

00:45:31.460 --> 00:45:32.099
 because I

00:45:32.099 --> 00:45:35.579
 just need a

00:45:35.579 --> 00:45:36.539
 time without

00:45:36.539 --> 00:45:37.280
 some of that

00:45:37.280 --> 00:45:38.820
 setness and

00:45:38.820 --> 00:45:39.920
 seriousness.

00:45:39.920 --> 00:45:41.539
 I do things

00:45:41.539 --> 00:45:42.200
 like that where

00:45:42.200 --> 00:45:42.920
 I pay attention

00:45:42.920 --> 00:45:44.400
 to, well, if

00:45:44.400 --> 00:45:45.059
 I do this, if

00:45:45.059 --> 00:45:46.079
 I consume this,

00:45:46.460 --> 00:45:47.019
 how will I

00:45:47.019 --> 00:45:48.059
 feel after

00:45:48.059 --> 00:45:49.480
 and try to

00:45:49.480 --> 00:45:50.119
 separate out.

00:45:50.119 --> 00:45:58.380
 thank you, Janet.

00:45:59.659 --> 00:46:00.299
 Let's pray for

00:46:00.299 --> 00:46:01.159
 Janet and for

00:46:01.159 --> 00:46:01.460
 some of the

00:46:01.460 --> 00:46:01.819
 prayer requests

00:46:01.819 --> 00:46:02.059
 that she

00:46:02.059 --> 00:46:02.339
 mentioned.

00:46:04.339 --> 00:46:04.980
 Father, thank

00:46:04.980 --> 00:46:06.059
 you for Janet

00:46:06.059 --> 00:46:06.599
 this morning.

00:46:06.880 --> 00:46:07.579
 We pray for

00:46:07.579 --> 00:46:08.059
 your continued

00:46:08.059 --> 00:46:09.420
 guidance on

00:46:09.420 --> 00:46:10.519
 her personally

00:46:10.519 --> 00:46:11.759
 and her work

00:46:11.759 --> 00:46:13.159
 and her resting

00:46:13.159 --> 00:46:14.359
 and her personal

00:46:14.359 --> 00:46:14.739
 life.

00:46:15.339 --> 00:46:15.980
 Lord, we pray

00:46:15.980 --> 00:46:16.460
 that you would

00:46:16.460 --> 00:46:17.519
 guide her in

00:46:17.519 --> 00:46:19.480
 her career path

00:46:19.480 --> 00:46:20.539
 and her desire

00:46:20.539 --> 00:46:22.000
 to do all

00:46:22.000 --> 00:46:23.079
 that she is

00:46:23.079 --> 00:46:24.219
 doing for

00:46:24.219 --> 00:46:25.099
 your glory

00:46:25.099 --> 00:46:26.420
 and in honor

00:46:26.420 --> 00:46:26.900
 of you, Lord.

00:46:27.559 --> 00:46:28.139
 We pray also

00:46:28.139 --> 00:46:28.699
 for the patients

00:46:28.699 --> 00:46:29.059
 that she's

00:46:29.059 --> 00:46:29.559
 working with,

00:46:29.599 --> 00:46:29.980
 for those who

00:46:29.980 --> 00:46:30.780
 are struggling

00:46:30.780 --> 00:46:31.179
 with eating

00:46:31.179 --> 00:46:31.880
 disorders or

00:46:31.880 --> 00:46:32.219
 obesity.

00:46:32.440 --> 00:46:33.719
 We pray that

00:46:33.719 --> 00:46:33.960
 you would

00:46:33.960 --> 00:46:34.559
 protect them

00:46:34.559 --> 00:46:35.380
 from harming

00:46:35.380 --> 00:46:36.079
 themselves, even

00:46:36.079 --> 00:46:37.500
 when they feel

00:46:37.500 --> 00:46:38.059
 like they want

00:46:38.059 --> 00:46:38.539
 to do that.

00:46:38.740 --> 00:46:39.199
 Lord, that you

00:46:39.199 --> 00:46:39.619
 would show them

00:46:39.619 --> 00:46:40.199
 a better way,

00:46:40.599 --> 00:46:41.139
 that you would

00:46:41.139 --> 00:46:43.159
 restrain them,

00:46:43.199 --> 00:46:43.480
 and that you

00:46:43.480 --> 00:46:45.380
 would also pour

00:46:45.380 --> 00:46:45.880
 out your grace

00:46:45.880 --> 00:46:46.420
 upon them.

00:46:46.800 --> 00:46:47.539
 Lord, that they

00:46:47.539 --> 00:46:48.019
 would know

00:46:48.019 --> 00:46:50.519
 your kindness

00:46:50.519 --> 00:46:52.460
 and that we

00:46:52.460 --> 00:46:53.320
 don't have to

00:46:53.320 --> 00:46:53.940
 deserve that

00:46:53.940 --> 00:46:54.440
 and that we

00:46:54.440 --> 00:46:54.980
 never will,

00:46:55.079 --> 00:46:55.480
 and yet you

00:46:55.480 --> 00:46:56.300
 pour out your

00:46:56.300 --> 00:46:57.340
 kindness to us

00:46:57.340 --> 00:46:57.800
 every day,

00:46:57.900 --> 00:46:58.739
 even in preserving

00:46:58.739 --> 00:46:59.900
 our bodies

00:46:59.900 --> 00:47:01.460
 and our souls.

00:47:01.619 --> 00:47:02.119
 Lord, we pray

00:47:02.119 --> 00:47:04.539
 that many people

00:47:04.539 --> 00:47:05.800
 would know

00:47:05.800 --> 00:47:06.659
 and be transformed

00:47:06.659 --> 00:47:07.840
 by the grace

00:47:07.840 --> 00:47:08.360
 of Christ.

00:47:09.639 --> 00:47:10.039
 And Lord, we

00:47:10.039 --> 00:47:10.340
 pray for

00:47:10.340 --> 00:47:11.039
 Janet's colleagues.

00:47:11.199 --> 00:47:11.980
 We pray particularly

00:47:11.980 --> 00:47:13.420
 in a field

00:47:13.420 --> 00:47:14.480
 that is very

00:47:14.480 --> 00:47:14.880
 secular.

00:47:15.280 --> 00:47:15.980
 Lord, for

00:47:15.980 --> 00:47:16.460
 openness,

00:47:16.460 --> 00:47:17.760
 for openness

00:47:17.760 --> 00:47:19.440
 to conversations

00:47:19.440 --> 00:47:20.139
 about faith,

00:47:20.220 --> 00:47:20.699
 for openness

00:47:20.699 --> 00:47:22.800
 to the

00:47:22.800 --> 00:47:24.079
 importance of

00:47:24.079 --> 00:47:25.280
 a patient's

00:47:25.280 --> 00:47:26.159
 faith in God,

00:47:26.820 --> 00:47:28.460
 for openness

00:47:28.460 --> 00:47:29.220
 to conversations

00:47:29.220 --> 00:47:30.199
 with Janet

00:47:30.199 --> 00:47:31.260
 about what

00:47:31.260 --> 00:47:32.579
 faith means

00:47:32.579 --> 00:47:33.179
 to her, Lord,

00:47:33.240 --> 00:47:34.800
 and for her

00:47:34.800 --> 00:47:35.380
 colleagues to

00:47:35.380 --> 00:47:35.800
 sense their

00:47:35.800 --> 00:47:36.440
 need for you,

00:47:36.920 --> 00:47:37.440
 Lord, to see

00:47:37.440 --> 00:47:42.240
 that though

00:47:42.240 --> 00:47:43.420
 psychology and

00:47:43.420 --> 00:47:44.019
 counseling are

00:47:44.019 --> 00:47:45.300
 helpful in many

00:47:45.300 --> 00:47:46.380
 ways and can

00:47:46.380 --> 00:47:46.920
 be instruments

00:47:46.920 --> 00:47:47.240
 of your

00:47:47.240 --> 00:47:47.880
 common grace,

00:47:48.019 --> 00:47:48.300
 Lord, that

00:47:48.300 --> 00:47:49.780
 they cannot

00:47:49.780 --> 00:47:50.940
 save us at

00:47:50.940 --> 00:47:51.300
 the deepest

00:47:51.300 --> 00:47:51.660
 level.

00:47:52.600 --> 00:47:52.980
 Lord, that

00:47:52.980 --> 00:47:54.820
 her colleagues

00:47:54.820 --> 00:47:55.580
 would long

00:47:55.580 --> 00:47:56.920
 for what only

00:47:56.920 --> 00:47:57.380
 you can give

00:47:57.380 --> 00:47:57.640
 us.

00:47:58.660 --> 00:47:59.740
 And we pray

00:47:59.740 --> 00:48:02.440
 for Janet

00:48:02.440 --> 00:48:03.160
 that as your

00:48:03.160 --> 00:48:03.519
 word says

00:48:03.519 --> 00:48:04.039
 you'd be ready

00:48:04.039 --> 00:48:04.460
 to give an

00:48:04.460 --> 00:48:05.039
 answer to

00:48:05.039 --> 00:48:06.340
 everyone who

00:48:06.340 --> 00:48:08.360
 asks the

00:48:08.360 --> 00:48:08.940
 reason for the

00:48:08.940 --> 00:48:09.880
 hope that we

00:48:09.880 --> 00:48:10.220
 have.

00:48:10.800 --> 00:48:12.280
 Lord, that you

00:48:12.280 --> 00:48:13.120
 would sustain and

00:48:13.120 --> 00:48:14.080
 strengthen that

00:48:14.079 --> 00:48:14.860
 hope within

00:48:14.860 --> 00:48:16.679
 her and give

00:48:16.679 --> 00:48:17.360
 her opportunities

00:48:17.360 --> 00:48:18.420
 to share that

00:48:18.420 --> 00:48:19.840
 with people who

00:48:19.840 --> 00:48:20.759
 would desire to

00:48:20.759 --> 00:48:21.319
 know more about

00:48:21.319 --> 00:48:21.519
 that.

00:48:22.279 --> 00:48:23.000
 We pray all

00:48:23.000 --> 00:48:23.440
 these things in

00:48:23.440 --> 00:48:23.920
 Jesus' name.

00:48:24.079 --> 00:48:24.259
 Amen.

00:48:24.259 --> 00:48:24.360
 Amen.

00:48:36.699 --> 00:48:37.400
 We're not going

00:48:37.400 --> 00:48:37.940
 to set up any

00:48:37.940 --> 00:48:38.119
 tables.