Prisoners of the Mind

imagine

waking up every day totally consumed by

pain

migraines insomnia and uncontrollable

thoughts of ending it all fill every

minute

you begin to hate watching the sun rise

for everyone else light signals a new

day filled with opportunity

for you memories of joyful moments

continue fading to black

and when the sun sets crawling inside a

bottle is the only thing that seems to

numb the shame you feel from constantly

letting your loved ones down

imagine taking 12 different

prescriptions each day yet finding zero

relief

you were literally a prisoner of your

own mind

and you share a cell with rage

this is the reality of those living with

a traumatic brain injury

after years of blast exposure while

serving on the military bomb squad

combined with years of repeated blows to

the head from combat sports

this was my reality

i watched the man i once was disappear

as i begged doctors for help

they treated me with a mountain of pills

none of which provided any relief

each new pill added to my daily dose

just made the migraines sleeplessness

and suicidal thoughts worse

and in april 2015 after two years of

pleading with countless doctors

and no break from the pain i finally

gave in to my dark passenger telling me

to end it all

i was ready to find my relief inside the

muzzle of my 45

provided instantly with just the trigger

squeeze

a knock on my door and daddy are you

okay

from my four-year-old son was just

enough to stop me from transferring all

my pain directly to him

his tiny scared voice from that night is

permanently etched in my memory

i’m so grateful i didn’t make my son

carry the burdens that were too tough

for me to bear

every time i share this experience with

someone i’m reminded of how lucky i am

to be alive today

and where it’s led me since then

contrary to public perception tbi isn’t

just an injury reserved for soldiers and

athletes

there are 2.8 million new tbi patients

each year

in fact it’s the second leading injury

in the u.s

based on this statistic alone there’s a

good chance that some of you

have suffered a brain injury or know

someone that has

how has your mental health or theirs

been since the injury

many among the most vulnerable parts of

our population suffer from brain

injuries

a meta-analysis of 38 studies spanning

six countries including our own

found that 53 percent of all homeless

have a brain injury 80 of males

incarcerated in the u.s

have a tbi for females incarcerated

that number increases to 99

when i hear these statistics

we think about the friends peers and

mentors that have been locked up

or lost to suicide it makes me wonder

how we go through each day

carefully protecting the hardware and

software in devices designed to connect

us faster like our newest iphone

but we fail to protect the hardware and

software within our own bodies that

truly connects

us even with all of the technology that

we have available today

mental health still remains the only

area of medicine

that fails to get an accurate picture of

the organ they’re treating prior to

intervention

providers rely on patients to report

their symptoms in order to diagnose

and treatments focused on managing those

symptoms with prescriptions

for a patient with a previous brain

injury these prescriptions can actually

worsen their symptoms due to increased

inflammation in the brain

more importantly failing to treat the

root cause of the patient’s symptoms

increases their risk of suicide and

neurodegenerative disease later in life

how we’re dealing with this issue is

just intensifying the dysfunction and

disconnection

shortly after my suicide attempt an

acquaintance

who has since become family to me

noticed the pain i was trying to hide

perhaps it was easy for him to recognize

since he had suffered similarly

together we spent four years researching

tbi

and treatments that could save us from

the same fate many of our comrades have

suffered

after personally experiencing the truly

profound improvements in our own lives

from these treatments

we founded two organizations whose sole

purpose

is to ensure that everyone that’s

affected can access this care

by collecting images of the brain and

other diagnostics

our providers are able to identify and

treat

the root cause of patient symptoms

there’s no doubt in my mind that i’m on

this stage today

because of these treatments and some

amazing people that refuse to give up on

me

it’s because of these people that i’m

finally able to be fully present

in the love that i share with my wife

and the abundance of joy that radiates

from my ten-year-old son

and three-year-old girl

it’s ironic to think that the keys to

deep meaningful connection in my life

actually came from a time when i felt

the most disconnected from everything

we walk through the pains of our life

feeling all alone

but the truth is we never really are

we’re not all that different from one

another we’re all searching for the same

things in this life

to be loved accepted understood

to cherish the things that bring us joy

despite how hard we try to avoid it pain

is also a natural part of our human

experience

this world it breaks all of us at some

point

but it’s our broken pieces that present

the greatest opportunity for us to

connect deeply with others

when we give ourselves permission to

expose the cracks

and holes in our life the light in

others guides us out of the dark

we find it so easy to accept what others

feel insecure

inadequate or broken about so why is it

so hard for us to embrace the perfect

imperfections within ourselves

rising up from the traumas that chain us

down is only possible when we let others

in

so that they can shift our perspective

i share the most vulnerable painful

piece of my life with you today

because i hope it gives others the

courage to share what they’re going

through

whatever you are battling you don’t have

to fight it alone

i know there are many like me among our

most vulnerable that will not have a

chance to truly heal

and integrate back into their

communities

unless they receive effective treatment

this can only happen if we begin to

uncover the pains that we experience

and the solutions that helped us heal

when we open ourselves up like this we

begin to exercise and experience empathy

empathy is what liberates us from the

prisons of our mind

freedom from our own suffering and need

comes from helping others relieve theirs

we spend most of our time on this earth

building walls meant to protect us from

pain

until we finally realize that those

walls also restrict us from the most

significant connections we will ever

experience

when we finally muster up enough

strength to share the afflictions we so

desperately try to avoid

we discover that there are others who

truly understand

and accept all of us

our species is wired with a biological

imperative to connect we need

community in order to survive

when we finally accept the pains that we

experience as a natural part of who

we’re becoming

we give ourselves and others an

opportunity finally to discover the

community that empowers us

the bonds we form from exposing what

makes us most vulnerable

is the very essence of what makes this

life precious

being loved and accepted in these

relationships is what teaches us to love

and accept

ourselves the greatest thing about all

of this

is that it is entirely our choice

we can continue letting our pain

encourage the habits to make us feel

helpless

and hopeless or it can be a resource

that adds value to our existence by

connecting deeply with others

being brave enough to choose the latter

enables us to become the sum of each

other

and it’s our collective effort that has

a compound effect to restoring life with

meaning

[Applause]

you

想象

每天醒来时完全被

疼痛所消耗

偏头痛失眠和无法控制

的结束这一切的想法每分钟都充满

你开始讨厌

为其他人看着太阳升起 光预示着新的

一天充满

了你的机会 快乐时刻的回忆

继续褪色

当太阳落山时,爬进

瓶子里似乎是唯一能让

你感到羞耻的事情,因为你不断地

让你所爱的人失望,

想象一下每天服用 12 种不同的

处方,却发现零

缓解,

你实际上是自己思想的囚徒,

而你 愤怒地共享一个牢房

这是那些在军事炸弹小组服役期间

遭受多年爆炸暴露后遭受创伤性脑损伤的人的现实,

再加上多年的

格斗运动对头部的反复打击

这是我的现实

我看着那个男人 曾经在

我向医生求助时消失了,

他们用大量药丸治疗了我,

没有任何一种可以缓解

我每天服用的每一颗新药丸

都让偏头痛失眠

和自杀念头变得更糟

,经过两年无数医生的恳求,2015 年 4 月,

我终于

屈服于我的黑暗乘客告诉

我结束这一切

我已经准备好在

我 45 岁

的枪口内找到

我的

解脱了 对他来说

,那天晚上他那微小的恐惧声音

永远铭刻在我的记忆中

我很感激我没有让我的儿子

承担

每次我与提醒我的人分享这段经历时我无法承受的重担

我多么幸运

今天还活着

以及从那以后它把我

带到了哪里与公众的看法相反tbi

不仅仅是为士兵和运动员保留的伤害

每年有280万新的tbi

患者事实上这是第二个

仅基于此统计数据,美国的主要伤害

很可能是你们中的一些

人遭受了脑损伤,或者

知道有人

在我们人口中最脆弱的部分中的

许多人遭受伤害后,他们的心理健康状况如何 脑

损伤

对包括我们自己在内的六个国家的 38 项研究进行的荟萃分析

发现,53% 的无家可归

者有脑损伤 在美国被监禁的男性中有 80 人患有脑外伤

当我听到这些统计数据时,这个数字增加到 99

想想

那些被关起来

或因自杀而失踪的朋友和导师,这让我想

知道我们每天是如何

小心翼翼地保护设备中的硬件和

软件

的 和

我们自己体内的软件,

即使使用

我们今天可用的所有技术,也能真正将我们联系起来

心理健康仍然 仍然是唯一

一个在干预之前未能准确了解

他们正在治疗的器官的医学领域,

提供者依靠患者报告

他们的症状来诊断

和治疗,重点是

通过

为患有先前疾病的患者开出的处方来管理这些症状 脑

损伤 这些处方实际上

会使他们的症状恶化,因为

大脑炎症增加,

更重要的是,未能治疗

患者症状的根本原因会

增加他们

在以后的生活中自杀和神经退行性疾病的风险

我们如何处理这个问题

正在加剧

在我自杀未遂后不久出现的功能障碍和断线

一位后来成为我家人的熟人

注意到我试图隐藏的痛苦

也许他很容易认识到,

因为他一起遭受了类似的痛苦

,我们花了四年时间研究

TBI

和可能的治疗方法 将我们从

我们许多同志遭受的同样命运中

拯救出来 red

在亲身体验这些治疗

对我们自己的生活带来真正深刻的改善后,

我们成立了两个组织,其唯一

目的

是确保每个

受影响的人都能

通过收集大脑图像和

我们的提供者能够识别和

治疗的其他诊断方法获得这种治疗

患者症状的根本原因

毫无疑问,我

今天处于这个阶段,

因为这些治疗和一些

拒绝放弃我的了不起的人,

正是因为这些人,我

终于能够完全在场

在我与妻子分享的爱中,

以及

从我十岁的儿子

和三岁的女孩身上

散发出的丰富快乐中 当我

感到与一切最脱节的时候,

我们经历了生活的痛苦,

感到孤独,

但事实是我们从来都不是真的,

我们并没有那么不同

另一个我们在这一生都在寻找同样的

东西

被爱 被接受 被

理解 珍惜给我们带来快乐的东西

尽管我们努力避免它 痛苦

也是我们人类体验的自然部分

这个世界它打破了一切 我们在某些

时候

但当我们允许自己

暴露生活中的裂缝

和漏洞时,正是我们破碎的部分为我们提供了与他人建立深度联系的最大机会 他人的光

引导我们走出黑暗

我们发现它是如此 容易接受别人

觉得不安全

或不安全的事情,那么为什么

我们很难接受

自己内在的完美缺陷

,从束缚我们的创伤中崛起,

只有当我们让他人

进入

以便他们可以改变我们的观点时才有可能

今天与你分享我生命中最脆弱的痛苦部分,

因为我希望它能让其他人

有勇气分享他们正在经历的

一切

我知道,在我们最脆弱的人群中,有很多像我一样的人

,除非他们得到有效的治疗,否则他们将没有

机会真正治愈

并重新融入他们的

社区

这只有在我们开始

发现我们所经历的痛苦和痛苦时才会发生。

当我们像这样敞开心扉时,帮助我们治愈的解决方案 我们

开始锻炼并体验同理

心 同理心将我们从思想的监狱中解放出来

从我们自己的痛苦和需求中解放出来,

来自于帮助他人减轻他们的痛苦

我们花费了大部分时间 在这个地球上

筑起墙来保护我们免受

痛苦,

直到我们终于意识到,这些

墙也限制了我们

与我们将经历的最重要的联系,

当我们最终鼓起足够的

力量来分担我们如此

拼命试图避免的痛苦时,

我们发现 还有其他人

真正理解

并接受我们所有人

当我们最终接受我们所

经历的痛苦时,

我们需要

社区才能生存下来

最脆弱

的是让生命变得宝贵的本质,

在这些关系中被爱和接受

是教会我们爱

和接受

自己的最重要的事情

是,这完全是我们的选择,

我们可以继续让我们的痛苦

鼓励我们 习惯使我们感到

无助

和绝望,或者它可以成为一种资源

,通过

与他人建立深厚的联系

来增加我们的生存价值 用意义恢复生活的效果

[鼓掌]