With over ten percent of the US population over the age of six on some form of antidepressant medication a straight forward solution for the challenges of our behavioral health system is imperative. This can only be done with a fundamental outline of what needs to be addressed and then a solution for each of these issues. Following is a concise outline of these challenges and the evidence-based Subconscious Restructuring® solution.

Behavioral Health Challenges

Standardization: The range of guidelines for behavioral health published at different times, in different countries, for different constituencies, with different methodologies, and potentially deriving different clinical recommendations can make it extremely difficult if not impossible for counselors and clinicians to determine which of these guidelines' recommendations best apply to them in their clinical work.

Evidence-Based Data: Current methodologies generate observational, subjective data from the clinician. The primary measurement needs to be focused questions in regard to the emotional state of the client and this data needs to come directly from the client.

Speed of Deployment: The translation of research into clinical practice is to slow. Once an evidence-based process is established, the speed at which it can be deployed and immediately utilized is of critical importance.

Treatment Stigma: The stigma associated with psychotherapy and the contraindications of psychopharmacological treatment creates a significant reluctance to treatment by most people

Remote Implementation & Management: In a corporate or military environment oversight may need to be managed from a central location anywhere in the world

The Evidence-Based Subconscious Restructuring® Solution

SR® Definition: Subconscious Restructuring® is an evidence-based 7 Step behavioral health process designed to reprogram one’s behavior.

Standardization: SR® provides a step by step process which maintains focused, structured, guidelines among all counselors, coaches, and psychiatrists. This ensures a consistently effective and measurable treatment.

Evidence-Based Data: SR® is based on three time proven instruments. The first is an “Emotional Checklist” the second a “Behavior Control Checklist” and third a “Relationship Satisfaction Scale.” Depression, fear, guilt, anger, motivation, and suicidal thoughts and more are all measured within these three instruments. All data from these three instruments is generated by the client and progress is calculated automatically at every session when the SR® online component is used.

Speed of Deployment: Certification in the SR® process can be done in five days and as quickly as two days. A newly certified SR® Counselor will complete their certification and be ready to deploy SR® as soon as their first before and after data with a client is generated and approved. Key personnel within the corporate or military environment who become Master SR® Certified will be able to perpetuate the administration and certification of the SR® Process on a continuing basis.

Treatment Stigma: All students, employees or soldiers, healthy included, may be monitored without actively seeking help with the standardized 22 point questionnaire of SR®. This means SR® could be implemented from age 7 forward as a preventive measure. The online SR® component allows for discrete counseling from any location.

Remote Implementation & Management: The SR® online component facilitates global management of SR® Certifications, individual or group counseling, and private communication between counselor and client. A single SR® Supervisor may monitor the effectiveness of SR® Counselors in multiple locations

The SR® Institute

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If you were to visit a doctor for a serious injury, and the extent of the treatment was analyzing why you had the accident, and reliving the play by play of your mistake, would you continue to pay substantial fees for their services for the next couple of years? Probably not, yet this is the accepted norm for mental health treatments.

Worldwide, mental illness represents more than 15 percent of the disease burden “in established market economies such as the US.” according to NIMH this “is more than the disease burden caused by all cancers.” Approximately 26 percent of adults suffer from a diagnosable mental disorder in a given year. Factor in the families of the ill and the irregular methods by which these problems are reported and the impact of this statistic is far-reaching beyond what is measured.

How many people with mild disorders do not seek treatment and instead laugh it off in a “join the club” culture that recommends numbing the pain with alcohol and drugs? No one should be blamed for not wanting to seek treatment. We have become conditioned to accept the methods of therapy which span for years, and notoriously do not deliver verifiable results or only offer subjective improvements which quickly fade after therapy ends.

To make matters worse, a diagnosis from a professional is likely to amplify existing mental problems by labeling behaviors as a disease, where only a behavior disorder exists.

In some cases, drugs designed to alter the chemical make-up of the brain are prescribed. This is despite recently published evidence, which says 68% of the positive effects are placebo related. Another study, conducted a year earlier, suggests Prozac, Effexor and Paxil “offer no clinically significant benefit over placebos.” [Time.com] The physical risk these pills represent, however, is very real. Such changes in the brain operate in cascading ways, which have yet to be fully understood by anyone, including the doctors writing the prescription. Is it acceptable to be effectively experimenting with the very core function of their patient's lives, especially when these drugs are presented to them as a solid solution?

These problems are compounded by hard science which suggests the mind can be changed, physically, by our own thoughts. In other words, it’s a software problem, not a hardware problem. This notion was inadvertently discovered and showcased in a PBS documentary titled “Depression: Out of the Shadows.”  Dr. Helen Mayberg, who was featured in the special, discovered a region of the brain known as “Area-25,” a critical intersection of the brain responsible for mood, sleep, motivation and drive.  Depression would wreak havoc on this area of the brain while patients who were recovering from depression would consistently show this area “cooling off.” Every form of successful treatment would have the same effect.

Dr. Mayberg then asked healthy volunteers to ponder sad thoughts. Area 25 became overactive while the frontal cortex, responsible for personality, quieted down. When volunteers discontinued sad thoughts, Area 25 returned to normal. As Dr. Mayberg states at the end of the experiment, “And I always say, the machinery is in a state, the software is in a-- is in a bad loop.” The software, however, continues to be largely ignored.

In 2007, CDMRP dispersed 277 million dollars in an attempt to resolve PTSD. There was not one evidence-based program process for changing depression, the primary symptom of PTSD. In the end, despite enormous amounts of money and professional resources, NIMH and the mental health industry remain an observational enterprise, without delivering clinical results. The industry, it seems, continues to mire itself down in theories and experiments, while attacking only the hardware to fix a software problem.

It is time for this to change and to start expecting results. With the amount of information we have to process in the Information Age, these problems will continue to grow. We cannot accept behavior disorders to be the norm, with chemical intervention as the only anticipated treatment. The science is in place to produce different results. We need to start expecting the positive results that any other industry is required to deliver.

The Subconscious Restructuring® Institute

SR® Counseling Certification

SR® Life Coach Certification

SR® Online Counseling & Coaching

Since Sigmund Freud discovered talk therapy and psychoanalysis in the late 1800’s, there has been little advancement in a modality for behavior change that works. One of the reasons for this is a means to measure whether one is making progress with a client. Neuroscientists and psychiatrists claim the processes of the human mind and the physiology of the brain is too complex to measure accurately. This could not be further from the truth if we start by looking at a couple of basic issues and simply ask… “What questions need to be answered in order to resolve the issue of taking control of what controls me?”

The first question of “What controls me?” is uncomplicated. It is the subconscious. Our conscious mind exists solely to receive and deliver everything we have ever seen, heard, felt, tasted or smelled to the subconscious. The subconscious uses this information to determine how we respond emotionally to our world.

This leads us to the next question of “What determines an emotional state?” This is an important question because one’s emotional state determines one’s behavior. The subconscious stores all information one has ever taken in so the answer to this question is simply “the subconscious.” If we can agree thus far the next question would be “How do I get control of the information or programming in the subconscious?” The answer is to understand how the subconscious works.

Once one understands how the subconscious works, one can begin the process of taking control. At this point, one also needs a means of measuring the results and what is most important to measure. To determine these, we simply back up and ask, “What determines human behavior?” As we have already established, what determines human behavior is one’s emotional state. The most important measurement we need to monitor then is our emotional state if we are to have any impact on our behavior.

There are emotional checklists in relatively wide use, with most used to determine whether you are depressed or not. When this is determined, you have just signed up for a variety of pharmaceuticals and therapy that can last years in order to get the right combination to sort of get better. This is not the case with the only evidence-based program process in behavioral health known as Subconscious Restructuring® (SR®). SR® measures one’s emotional state as a baseline and improves on these numbers in as little as four hours*. SR® accomplishes this by guiding one through the process of how to restructure subconscious processes that may put one in an emotional state that does not work.

The bottom line is without asking a couple of very fundamental questions, one will never be able to resolve the biggest issue of our society and this is our mental health. It is time for all in the life coach, counseling and behavioral health disciplines to prove what they say they can produce and to stop guessing.

The Subconscious Restructuring® Institute

SR® Counseling Certification

SR® Life Coach Certification

SR® Online Counseling & Coaching

Every year the use of antidepressants, antipsychotics and many other medications go up exponentially in an attempt to adjust or control one’s emotional state and behavior. As this trend continues NIMH and APA continue to support CBT (Cognitive Behavioral Therapy) as it continues to prove itself more ineffective than effective. Every year there are new stats on the number one cause of death. If you look closely at these stats the number one cause of death in the United States is one’s own behavior. The billions spent each year to support CBT are in part convincing people that it is working all the way to their grave.

The January 2009 New England Journal of Medicine noted that antipsychotic drugs doubled the risk of sudden cardiac death, while another study disclosed in March 2009 by Whang, et. al. found that antidepressant drugs also increase the rate of sudden cardiac death. If CBT or psychoanalysis worked why would there be a need to risk one’s life with a medication.

Children were the leading growth demographic for the pharmaceutical industry in 2009, with the increase of prescription drug use among youngsters nearly four times higher than in the overall population, according to a report by Medco Health Solutions Inc. Out of all the disturbing reports about our decline in behavioral health this one is the most disturbing.

Show Me the Data

CBT claims it is effective for depression with hundreds of studies yet finding one is almost impossible. When one is found it is usually in a structure that includes complex convoluted math formulas that even those who specialize in CBT cannot explain. By its own definition CBT is an experimental, observational, subjective modality. In contrast the only evidence-based program process in behavioral health and the only proven process for depression known as Subconscious Restructuring® have its studies readily available on its website with straight forward numbers generated by the client, not the counselor, therapist or psychiatrist.

From 1996 to 2005 the use of antidepressants doubled and the use of psychotherapy went down. More than 164 million prescriptions were written in 2008 for antidepressants, totaling $9.6 billion in U.S. sales, according to IMS Health. Even if one’s worst subject is math it is not difficult to calculate whether CBT and psychoanalysis is working.

CBT and psychoanalysis are single handedly driving profit up every year for the pharmaceutical companies by causing the illusion that it is effective for issues like depression. This illusion is maintained with billions of dollars spent each year by our government and the pharmaceutical companies.

If someone convinces you to use a medication that may increase suicidal thoughts or increase your chance of sudden cardiac arrest because they do not understand the processes of the subconscious, this can be referred to as a disease. It is time to start questioning CBT and every other behavioral health modality that claims to be effective regardless of how much the government or pharmaceutical companies spend to support it.

CBT is single handedly driving profit up every year for the pharmaceutical companies by causing the illusion that it is effective for issues like depression. The billions of dollars in government funding dispersed each year for CBT research in conjunction with the billions of dollars the pharmaceutical companies spend on advertising easily buys a perception that a disease is a cure.  The conspiracy theorists should have a great time with this one once they get off their medication.

The Subconscious Restructuring® Institute

SR® Counseling Certification

SR® Life Coach Certification

SR® Online Counseling & Coaching

Spanking one's child will produce the equivalent of a junk yard dog. Parent's need to ask themselves if this is the result they want to produce.

Spanking one's child will begin the process of making the equivalent of a junk yard dog. The only reason one would have for spanking a child is there is simply not an alternative.

There is not only an alternative but one that is incredibly simple and produces a long list of benefits for the child as opposed to long list of negatives which is what spanking does.

The question every parent needs to ask is...do I want to make a junk yard dog or do I want to produce a loving happy child/adult? If one does not wish to produce a junk yard dog there is a simple proven alternative form the SR® Institute.

As soon as a child is able to communicate they understand the term '"results.'" Therefore if a parent teaches a child that everything they do produces a 'result' this is the foundation of eliminating one's dictatorial position and the beginning of empowering the child to monitoring their own behavior.

The first question to the child is "Do you want to benefit from everything you do?'" The child will of course say yes. The next thing to do as the parent is lay out the "results" the child will produce if they indulge in a behavior that may endanger them or is otherwise unacceptable. If the child indulges in the behavior the parent implements the 'results' previously expressed to the child that they would produce. You let your child know they are the one who produced the 'result' and ask them if they benefited from their action.

Programming one's child with this basic tool will get them to stop and think about all 'results' they produce from anything they may do. The best way to protect a child is to make them an independent thinker and this is the first step to accomplish this.

As a parent what 'results' do you want to produce in regard to your child?

The Subconscious Restructuring® Institute

SR® Counseling Certification

SR® Life Coach Certification

SR® Online Counseling & Coaching

A Rand study from the Center for Military Health Policy Research titled “Invisible Wounds of War” supports an evidence-based plan for intervention and prevention of PTSD and Suicide in the military. Subconscious Restructuring® or SR® ® has 26 years of research, development and documented results with the primary symptom of PTSD and suicide. The Rand study just confirmed what we have been attempting to convey to the mental health system for almost 20 years.

The Rand study establishes several conclusions that are clearly stated in the SR® plan for the military titled “Implementation of Evidence-Based SR® Process into the Military.” The primary instrument used in the SR® process for data collection is an Emotional Checklist. The Emotional Checklist measures 12 components that are determinants for a depressed state with Fear, Guilt and Anger identified to be the most significant.

The SR® process is based on the reality that all human behavior is emotionally driven and you cannot change an emotional state unless you fully understand how an emotional state comes about. This is afforded by simply answering the following question… “What determines an emotional state and behavior?” One cannot fix it (PTSD) if one does not know how it comes about and one does not know how it comes about if one cannot answer this question. No one in the behavioral health or life coaching disciplines poses this question let alone answers it. The SR® process not only definitively answers this question it has a proven infrastructure to act upon the answer.

The SR® process establishes a precedent in regard to treatment for all disorders in that it looks at how an individual processes information from the deepest level of the subconscious. It then guides the individual through the process of how to recognize, access and change the internal subconscious processes causing the trauma. This is in contrast to current treatments which look for an external event that may have caused the trauma and then guessing how to treat it. This process of guessing can take up to six years to find the right combination of medication and therapy according to a recent PBS special called “Depression Out of the Shadows.”

Rand estimates the cost for PTSD-related and major depression–related costs could range from $4.0 to $6.2 billion over two years (in 2007 dollars). They estimated that evidence-based treatment for PTSD and major depression would pay for itself within two years. Evidence-based care for PTSD and major depression could save as much as $1.7 billion, as well as reductions in the expected number of suicides.

The “Implementation of Evidence-Based SR® Process into the Military” proposal covered every issue and beyond brought up by this extensive Rand study. Following are the four recommendations made by Rand after the study and how they would each be addressed by the implementation of the SR® Process.

1. Increase the cadre of providers who are trained and certified to deliver proven (evidence-based) care, so that capacity is adequate for current and future needs.
Implementation and integration of the SR® process will begin with SR® Certification of selected Military leadership, psychiatrists, psychologists, chaplains, and Family Support Center staff, then proceed to workshops involving PTSD and/or suicidology-identified warriors and their families, then the general unit population, and their families. Master-level SR® Certifiers would initially Certify the leadership and intervention staff, then assist in the warrior/family workshops. Over time, each unit and base will reach a point of self-sustaining competence, and the SR® staff would then both monitor incoming data from completed units and their families, and begin to implement the SR®  program for other units and commands world-wide.

2. Change policies to encourage active duty personnel and veterans to seek needed care.
The evidence-based SR® process is not psychotherapy and therefore would remove the stigma of seeking help. Everyone from new recruits to returning Warriors would go through the SR® Process as part of their entry and exit from the military. A simple Follow-up with the emotional checklist could be done all throughout the term of military service which would eliminate guessing who might need help.

3. Deliver proven, evidence-based care to service members and veterans whenever and wherever services are provided.
As an already proven evidence-based intervention program with most behavioral health problems over some 26 years, the infrastructure put in place by Master SR® Counselors - Coaches would allow all service members to become a self-perpetuating healing and wellness intervention unit over time. This would ensure everyone within the Military that needed help would get it.

4. Invest in research to close information gaps and plan effectively.
The SR® process is based on hard data not experimental observational subjective data. The information generated in the implementation and use of the SR® process would provide unprecedented research data that would close the information gaps and allow for effective planning.

Rand spoke of accountability which is the foundation of the SR® process. They stated that the “black box” of psychotherapy delivered to veterans must be made more transparent, so that providers are accountable for their services. Everyone Certified in the SR® Process is required to implement before - after and follow-up data collection. No one in the behavioral health or life coaching disciplines has or requires this process.

Please visit www.SubconsciousRestructuring.com//compa... for the complete plan for the Military.

The Subconscious Restructuring® Institute

SR® Counseling Certification

SR® Life Coach Certification

SR® Online Counseling & Coaching