Aspire with Emma Grede - Why Doing It All Still Doesn’t Feel Like Enough with Dr. Judith Joseph
Episode Date: December 9, 2025You’re doing it all, the work, the family, the goals, but somehow, it still doesn’t feel like enough. Psychiatrist Dr. Judith Joseph joins Emma to unpack high-functioning depression — the hidde...n burnout behind success. They break down why overachievers feel empty even when they’re thriving, how “pathological productivity” keeps us stuck, and the simple science of finding real joy again. Watch to learn: -What high-functioning depression really looks like -Why ambition can become avoidance -How to feel joy without giving up your drive If this conversation resonates, tell us what part hit home for you in the comments — and make sure to subscribe so you never miss an episode. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
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You know that feeling when you're doing it all, but somehow it still doesn't feel like enough.
You hit every mark and you're still running on empty.
Psychiatrist Dr. Judith Joseph calls it high functioning depression when you look fine,
even successful, but inside you feel nothing.
But here's the thing.
That same drive that is moving you forward might also be what's holding you back.
She calls it pathological productivity and once you see it, you can't unsee it.
What I love about this conversation is that Dr. Judith doesn't just name the problem.
She gives you the tools to stop running on empty and to finally start feeling full again.
Welcome, Dr. Judith Joseph.
I am so excited to have you here on the Aspire podcast.
Thank you for having me, Emma.
I'm so happy to be here.
I love talking about this topic.
Honestly, I love that we get to talk about this topic because I'm,
I read a lot of books, and I was so excited to get an early copy of your book.
And I think that it's so interesting because I think in the world that we're living right now,
we're always looking for really simple answers to highly complex problems.
And what I love about your book is that it's a highly complex problem,
but you have managed somehow to boil down this beautiful solution
and explain the science of happiness in a way that for me,
I literally was like, how do I buy this book for every single person?
Not just woman, every single person I know.
And I don't get that feeling often.
And so I'm so happy that you're here today to really take us through what the science of happiness is.
But one of the things that I got from you was that you can't have happiness without having sadness.
And we all know that that is an emotion all of us feel at sometimes.
And you are an expert on the subject of high functioning depression.
And so I really want to be able to dig into that before we get.
get to this amazing system and these tools that you've created for happiness. But to start,
I know that a lot of your research is actually rooted in your own personal experience. And so
I'd really love to understand just a little bit more about how you came to the research and to
really understand more about you as a person. Well, thank you. You know, I love talking about
happiness because everyone wants to be happy. And when my patients come to my private practice,
The first thing they'll say is, Dr. Judith, I just want to be happy. But when I have patients in my
research lab, you won't find the word happy on any of the rating scales for psychiatry.
So what you'll find are these things called points of joy. If you're tired, when you rest,
do you feel refreshed? When you're hungry, when you eat your meal, do you savor it?
When you're lonely and you cuddle with your kid or your pet, are you feeling connected?
We add up all those points, and that equals happiness. Wow. But in the real world,
people are like, I just want to be happy. And then I ask my patients, okay, well, what does happiness mean for you? And they're like, when I get that job, when I get that partner, when I have that house, the kid. But when people get those things, the science shows us they're still not happy, right? And that can seem so out of reach, that idea of happiness. So I explained to my patients that happiness is an idea. Joy is an experience. Oh, yeah. I love that. So you can get a little bit every day. If you didn't get a point today, you can get a point tomorrow. And this,
The motto of my happiness lab is, understand the science of your happiness.
There is only one Emma.
There will only ever be one Emma in the future of the universe and the history.
So why do we use tools that make other people happy when we don't even understand the science of our own happiness?
And how individual is that?
Because when I read your framework, there's not a page in the book where I wasn't like, I get that.
I understand.
I watch this.
And actually, we have to kind of go back a second because I watch this TikTok video of you over
and over and over again. And it was actually like digging into the idea of what even is high
functioning depression. So will you tell us like, what does it mean and how does it manifest?
So in my lab, I use something called the DSM-5. It's the diagnostic statistical manual for psychiatry.
Oh, one second. You might have to say that one slightly slower for me this time in the morning.
It's the Bible of psychiatry, basically. Okay, I got it. So I pull it out and it's big and you open it and
then you're going down the checklist.
And what we do when we identify depression is we look at symptoms like, okay, for concentration,
low mood, and hedonia, something that means a lack of pleasure and interest and joy,
not being able to feel rested, all these things.
But at the very bottom of the checklist is, is it impairing your functioning?
Or is it causing significant distress?
And what I found in 2020 and beyond is that I would go down the checklist and most of the people
wouldn't check that box. In fact, the people I was treating, they were actually overfunctioning.
So what happens is you go to your doctor, you have all these symptoms of depression, but you don't
check the box of lacking functioning. And they say, well, come back when you break down.
Yeah. It is a broken model. And I truly believe the majority of us are overfunctioning. We're pushing
through pain. We have symptoms of depression that are not being addressed because we haven't broken down.
And we're seeing this in longevity science. You know this, right? Like we're trying to catch the cancer
before it starts. We're trying to catch the heart disease before it causes a heart attack.
We're trying to prevent osteoporosis with the HRT and the menopause treatments.
But in psychiatry, we're like kind of in the dark ages. We wait for you to break down before
we fix you. Wow. I'm trying to change that. Let's identify these high functioning individuals
who push through their pain, who have these symptoms, and let's prevent the breakdown from happening
to begin with. But this is the part that makes so much sense for me. Because when you are, if you are
building a business, if you're in a career, if you are pushing yourself, you're getting stuff
done every single day. You are not sitting in a dark room. You do not relate and put yourself
in that, you know, kind of situation where you're thinking about, I'm depressed. This is something
that's affecting me. But you're actually saying that you can get up every morning, be doing the
absolute most, and have high functioning depression. That is a reality for so many people. It is. And
the thing that gets these high functioning folks like myself into my office and sitting in my couch
in the chair is something's off. Like when I'm not busy, I feel restless. When I'm not working,
I feel empty. And I just don't enjoy things. And I tell them that is something called Ann Hedonia.
It's an old term. And Hedonia. It sounds like an exotic model from like Europe, right? But it's not.
An Hedonia means a lack of pleasure and interest and things that you want.
So this is like pre-burnout. This is not when people say, you know, I've had enough,
I've quit in my job, I'm totally burned out, I've got to reset. This comes way before that.
Yeah, well, burnout is something that's occupational, right? Right. So by definition, and burnout
was only added to the medical literature only like a couple of years ago. Really? Only recently.
Is this part of the medical literature? And hedonia? No, and hedonia and also high-functioning depression.
High-function depression is not in the medical literature because you don't check the box of not functioning.
You're overfunctioning.
Wow.
But you're literally a breaking new ground with this information.
And yet we can all identify with it.
We can.
So simply.
That's incredible to me.
But the Anadonia thing, that's what people, that's what they come to me with.
Like my artists who are like, I'm up there performing and the crowds are going wild,
but I feel kind of like that inside, right?
I don't enjoy it anymore, but I can't stop.
I have to keep going.
It's the person who's like showing up every day at the office and they used to love work.
They used to love their business.
but now it's like, it doesn't excite them anymore,
but they're doing it anyway, right?
It tends to be people who others depend on,
the rock, the entrepreneur, the mom, the teacher, the doctor, right?
You can't slow down.
And so after a while, you don't identify,
you don't tap into depression,
you tap into that feeling of meh or bleh.
And that's a red flag.
That's high functioning.
And what is the difference between high functioning, depression,
and then just like anxiety?
So anxiety and depression our life.
like the flip side of a coin kind of.
You know, it's interesting because in my world, we address the treatment of both the same
because they tend to travel together.
Right.
And also, anxiety is more, I think, acceptable.
Like if you tell someone like, oh, I have anxiety, they're like, oh, yeah, who doesn't?
But if you tell someone that you're depressed, they're like, ooh, okay.
Well, nobody wants that diagnosis, right?
That means, like, I've got to get on medication.
Like, I'm not going to be able to function as usual.
That's why I think that the high function in definition piece of this is, for
me the complete light bulb of it all, right? It's like, that's when you can suddenly be like,
but wait a minute, I'm doing everything and I'm doing it to the best of my ability and I get up
and I go out and I get all of these things down. But actually, there's something not quite
like right here. There's something not quite fusing there. Absolutely. That's why depression needs
a rebrand. It's not someone in bed crying, weeping. It's someone who gets up, shows up,
but doesn't feel excited about life. It's not grasping joy. And that's the an hedonia.
And it's important to identify it and to have names because imagine if you were in this room and someone close the door and turn off the lights and you heard this loud thud.
Some of us would start swinging.
Other of us would run for the door.
But if you turn the light on and you saw, oh, well, that was just a bookshelf.
Yes.
That just kind of felt.
You're like, who, that's why it's important to name and identify the feeling because human beings don't like uncertainty.
We have to have a name for it.
And then when you know, oh, it's, it's anhadonia, right?
I can do something about this.
Then there's that therapeutic relief of anxiety.
So naming the feeling is an intervention in itself.
It's a therapeutic intervention when you can identify what you're struggling.
I mean, and you're a doctor.
So you can identify these things, but could you identify them for yourself?
Like, how did you even come to starting this type of research?
I'm a board-certified psychiatrist award-winning all the things, all the athletes.
I didn't even know when I was depressed.
I remember it was in 2020,
and I was giving this talk to this large healthcare institution,
and they were coming to me for help
because they were freaking out.
They didn't know what was going to happen.
And I remember, like, talking to them and giving them tools.
And then I was like, oh, my gosh, I think I'm depressed.
Like, I felt numb.
I felt overwhelmed, but I couldn't stop.
On the outside, I had just gotten onto this prestigious board
at an Ivy League institution.
I was getting all of these like praises in the press for like helping people.
I had a small child at home.
My husband at the time was a frontline worker.
It looked like I had the perfect life.
No one knew that I was struggling behind this mask of pathological productivity.
But I couldn't slow down.
Would you say that?
Pathological productivity.
It's like a knife.
It's like, yeah.
I feel like that is just the one phrase that I think every, like,
So many people will be able to relate to that.
Pathological productivity.
That is just like a sign of our times, is it not?
Like that is what we're all doing
and how we all feel so much of the time.
It is.
And in my research, I found that it's tied to trauma.
So when you do PTSD studies, like for combat veterans, right?
You look at things like avoidance of triggers, right?
So if someone looks at something and they get triggered, they want to avoid it.
But for us pathologically productive people, we avoid processing
our pain by busying ourselves with work. And that's why we keep adding on the work and the projects.
We know deep down we shouldn't, but we can't because we're running from processing and dealing with
our past. Wow. Wow. So you're in this vicious circle. You're doing too much. And in order for you to
get through that, you just add more things on. And you can't stop. And you cannot stop. And you actually
were your own patient in some way. You're like self-ignosis. You know, I sat. I sat.
there and I was like, if I don't realize that anadonia snuck up on me and I study
anadonia and I'm depressed and I didn't know that, how many people are just like me?
And at first, I was ashamed. Like, I didn't even tell my therapist. Oh, wow. And one of the
symptoms of trauma that's unprocessed is shame. That's why people don't like to talk about the traumas.
They blame themselves. The first thought was, how did I not know this? Why didn't identify
it in myself, right? Shame and blame. And that prevents you from getting help. But over
time I opened up to my therapist and she was like, oh, you know, you can always tell me these
things. And we work through it. We process the trauma. And so I thought I have to make this
available to everyone. I have to do the study. Because there are many people who are struggling who
won't get help because doctors are waiting for them to break down. I can't let that happen.
And we know from the numbers now that the rising rates of anxiety and depression, we have to
prevent these things. We can't wait for them to have to break down. We don't have enough providers.
So is high functioning anxiety actually classified?
as a mental illness at this point?
No, it's not.
High functioning anxiety
and high functioning depression are just not.
And the reason is because
in mental health,
you have to break down.
You got to check that box first.
Right.
It just sounds like,
you're a business woman.
Yeah, I mean, it's so crazy.
And also, why would you go out
and check that box for yourself?
Like, you never would
because by the virtue of you being high functioning,
you're like, no, I'm going to get up
and do something, like, do another thing.
So you're never going to get to that place
where you're like, this is what's happening to me.
in that clearer term, right?
It's just that's not, that wouldn't be right for somebody who's high functioning.
Yeah, it doesn't feel good for them because they've forgotten who they are.
They've tied their identity and their value to their role.
Yes, to their role.
To being successful, to getting more out of the day, to like squeezing one more thing in to exhausting themselves.
And it's so incredibly funny to me because I just, you know, when you say, you know,
get back home and haven't been to the bathroom all day, I'm like, that is me.
I do that all of it.
time, you know. It's just, it's just incredible. I think that what's so fascinating about your book is that
you've really contextualized the idea of what high function in depression is and how it manifests itself
for so many people. But the part that was truly enlightening and so unbelievably exciting for me was
this science of happiness and the way that you kind of had the five bees. And again, I looked at that,
I read it and I was like, this is, this is easy.
This is not complicated stuff.
This makes so much sense.
And I really want you to dig into the five Bs.
But is it that simple?
Because what you're talking about is a really complex problem that takes years and years to create these patterns and, you know, to live a life like this.
So is it that easy to turn off the switch and behave completely differently?
Because your book kind of sets us up in a way that's like, check off these five B.
and you'll be fine. And I just wonder, like, is it that simple? It is. And I think it's simple
because many of us don't understand ourselves. And when I put the framework in my book, I wanted to
democratize this work because a lot of people don't have access to therapists or they don't have time
or they never do it, right? They just wouldn't go to it. Well, I also think that there's still a lot
of stigma. You know, we think that therapy is available to all, but there's still so much stigma,
especially in certain communities of taking the help that you need.
And also if you're high functioning, the part where you admit that you even need help, right?
So there is all of that that, you know, maybe you're not quite there, yeah.
Yeah, and many of us don't have time, right?
And that's the truth of it.
And so trying really hard to fit my therapy appointment in as we speak.
Yes, that's right.
Maybe I don't have time.
That is the actual truth of my morning, this morning.
So when we understand that, okay, there's only one us ever.
understand the science of your happiness. In medical school, every med student knows this. But most people
don't know it. And I wanted to make that available to everyone. So there's a biopsychosocial to every
human being. Our biosecosocials are all unique and different, just like our fingerprints.
Biologically, I always use myself as an example. Biologically, what are your medical conditions
that may be pulling away from your happiness? For me, I have a low thyroid. So if I don't check that,
you know, I could drop into anxiety really easily. Also, I'm in perimenopause. I'm in my early 40s. So I have to think
about how those hormonal fluctuations can pass. We could do a whole episode just on that, right? I mean,
we can add to all the episodes and there still won't be enough episodes on being perimenopause.
Right. For sure. And then the second is the psycho part. So the psychology. I have a history of
scarcity trauma. So I came to America from the Caribbean when I was very young. We didn't have much.
from Trinidad.
Yes, I did.
I love this.
My father's Trinidadian.
So I immediately, I feel like every time there's something about the Trinney connection
in the face and the smile and the eyes.
And as soon as I look at you, I'm like, that's it.
That's it.
So psychologically I had this trauma that honestly I hadn't processed until very recently.
Why couldn't I slow down?
Because I never wanted to run out of resources again.
I never wanted to have a day when I didn't have food or couldn't pay bills.
And when I was very young, I used to stress about those things.
Yes.
But I'd never process that.
So when I'm collecting accolades and opening my third lab,
even though I know I'm going to be okay,
there's always this fair.
We need to how are the money and the resources
because what if something happens, right?
Oh, you're speaking my language.
Yeah, yeah, but I think that's so interesting.
And I think it's so important that you have tracked this research
and this condition back to some trauma happening.
And I think I feel exactly the same.
When you come from a place where there is scarcity,
scarcity in resources,
you're not, you know, you're unsure about the level of care you're going to receive
or if the lights are still going to be on, that stays with you.
It stays with you.
And I'm the same to this day, right?
I know that we're not going to run out of groceries or toilet paper in my house,
but my God, well, I stack them up to such a point where it's almost embarrassing, you know,
and that comes from somewhere.
But if you don't look at that behavior and if you don't process that behavior,
I just wondered, like, I guess my question is, I guess there are just sort of
so many people that don't understand their trauma, they don't get to the place where they can
actually even unpack that. And so is that really where you need to start before you can get to
the point of, you know, being diagnosed as high functioning and move on to the science of happiness?
Have you got to be able to unpack that trauma and figure that part out first? Is that the first
step? It is. It is. It really is important. And many people, like you said, they don't even remember
it. And did you know that one of the symptoms of trauma is actually for
getting, your brain pushes it down. Yes, just doctor. For sure. Yes, your brain pushes it down
so that you can focus on the prize. So you don't even know that these have happened. And so I made
sure to put a very comprehensive list in my book so people can unpack these traumas that they can't
even remember. But that's the first step. And then in the social, part of the biosecocial,
this is your life. This is what's happening every day. So these are your relationship.
are they toxic? Are they healthy? This is your work. Is it supportive? Is it unsupportive? This is like what you eat.
You know, are you eating processed foods? Are you drinking alcohol? You know, what's happening socially? Are you getting
movement? So when you understand your bio-psychosocial, then you understand what's pulling away from your
happiness so you know how to restore your joy. Wow. That is unbelievable. And you did all of that
in this unbelievable work high functioning.
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All right, I really want to dig into the five Vs.
So talk to me a little bit about how we can actually act on the five Vs in our own life,
but maybe we should just like track through them because to me this was the part where I was like,
wow, if you can recognize these symptoms in yourself, then what's next?
Because by virtue of being a high function in person, you want to get to the solutions.
And I love that this book is giving you really concrete solutions.
And I go back to the simplicity of them.
Because as I read these things, I was like, wow, like this is easy.
This is stuff that I can take on every day.
This doesn't feel like something that is another thing on my to-do list.
So start with me with validation because I think women, especially,
we're constantly thinking about everybody else.
There is a tendency to people please.
And one of the things that I talk about all the time is that you can't be a people
pleaser and a leader. And sometimes I can definitely feel like I'm the person that a lot of people
will come to to validate their feelings and what they're going through and who am I speaking to.
And you start, like the first V in your science of happiness is validation. So please tell me a little bit more about it.
Well, the reason I picked five is because most of us have five fingers. Oh, wow. So you're making it easy for us.
Yes. And so when you imagine the five Vs, think about DNA.
in our bodies was made to produce dopamine joy. So it's within our reach. We all have it as humans.
We forget how to access it. So you think of tapping into one of those five days a day. Why do we forget?
We get so busy. You know, you don't have to, you have children. You don't have to teach a three-year-old how to be
happy. You give them a box and a spoon and they'll be rolling around the floor. But with us, we forget.
We forget the basics. So we don't lose the ability. We just forget to do it because of the things are taking priority.
Yes. We get too busy.
We're chasing the idea of happy and we're missing out on the experience of joy.
And the five ease allows us to tap back into that so we can reclaim our joy.
And the validation is the first step because we pushed down our pain all day long.
We invalid ourselves.
Like, I was recently at this convention and there was a room full of 300 women and I asked them,
how many of you all have gone through a full day and you did not pee?
And it was just like an audible laugh.
This is my number one.
all the time. I don't want to think about the state of like my internal organs after I decided
that it was like, that is me, 1000%. Yes, but we invalid ourselves. We feel the pain. We feel the
discomfort. But we're like, okay, just one more meeting. Why? Why would we do that? Because we've gotten
accustomed to pushing down and silencing our voices, our experiences. We're pushing through pain all the
time. But when we ignore that pain, we're missing out on a point of joy and here's why.
It's really difficult to be joyful when you're having discomfort. And also, you're on the Zoom
meeting and your body's saying, hey, hey, we got to empty this. And you're just going right
through it. So go take a break. What's the worst thing that's going to happen if you go and
relieve yourself, right? It sounds so basic. That's why I said it's simple, but we forget.
We're chasing other things like spa days, but it's as simple as tapping into joy and validating
ourselves. So validation is accepting and acknowledging how you feel. The second V is venting.
And venting is important. It's a physics term, but it's also a psychology term, because when you
think of a balloon, and I often do this experiment in my lab where I show people a balloon, and I try to
push it under a tank of water. And what happens when you push it down, it pops back up?
If you don't slowly deflate this balloon and express your emotions during the day, they're going to pop up
where you don't want them to. You're going to snap at your kid. You're going to snap at your team.
It'll pop up in ways like crying when like someone does something like that,
hold the door for you, right? Right. So you have to express your emotions slowly, but do it gradually.
Is that part important? What if you're explosive in that? Like, is that something completely different?
Because I wonder about how you can express that in a way that is healthy, right?
Very important. When you talk about venting, it's like it has to be in a health
healthy and a measured way, I'm sure.
Absolutely.
There's research that shows that...
Asking for a friend, obviously,
who may be prone to some, you know,
validating herself outbursts.
But I guess that with a high functioning person,
you can get to that point where, you know,
you haven't done that.
And so you're just at this tipping point,
and it comes out in the wrong way.
So give me the healthy ways to do it, please.
Yes.
If you're just, like, lashing out,
that's trauma dumping.
That's not venting, right?
So you want to first ask someone, you know,
ask for emotional consent.
Is it okay if I talk to you about this?
Is it, you know, are you willing to hear something right now
because I need someone to talk to?
And then make sure you're doing it with intention.
Don't just trauma them.
Make sure you're getting feedback from the other person, right?
And you don't want to be like a sprinkler and tell everyone.
You want to pick your one or two people to carefully talk to.
Yes.
Well, I'm sure that that is the case with so many, I mean, again,
especially women and thinking from my own point of view,
I know that there's just a handful of people that I feel comfortable,
like truly, honestly, 100% with like nothing, you know, no holes barred venting to.
So I guess you have those people and you are you saying that you need to be, you know,
you need to go to them and say, is it okay that I am using you in this way?
Like I am about to bent or is that just like a regular conversation with one of your best friends?
No, I think you should check in and say, is it okay if we talk about this?
Because you think it sets you up for a different type of conversation.
It does.
and the research shows that when you do it that way,
people are more willing to have empathy for you.
Interesting.
You're going to get better feedback.
You're actually going to feel better.
But when you don't do that the right way,
the research shows that venting in that way,
in the wrong way, can lead,
it's like pouring gasoline on a fire.
You actually feel worse after.
And so if you go home to your husband, again,
asking for another friend,
and you just are pouring out everything that's happened in your day
and this, like, thing that happened with this person at work
and all the things that are on the top of your mind,
that doesn't count as venting.
Yeah, that's not the healthy venting.
That's the unhealthy venting.
So you want to check in.
And you want to be reciprocal.
You want to be that person to be there for that person as well, right?
100%.
That's why it's important to have these conversations.
And not everyone feels comfortable with, you know, venting verbally.
Some people feel more comfortable with crying.
And that's okay.
You're expressing emotions.
Others like to pray.
Some of the artists that I work with love to sing or dance.
Some people express it through their fashion.
You have to find a way that's authentic.
And I would say, think about who you're venting to if you're a verbal venter.
It's okay to vent to your therapist and not check in because you're paying them.
Don't vent to your kids, you know, because your kids will worry about you.
Absolutely.
And people who are under you in terms of power dynamic, your employees, like, they're not going to say no.
They're going to listen because they don't want to get fired.
Totally.
Yeah.
Totally.
But that's a really interesting part of this.
And I think the venting piece for me was a real unlock because I do feel and I would
imagine if you're a high functioning person, you will often.
and be that person that people vent to, that they choose to. And I'm not always ready for that.
I'm not always in the place where I can take that. So what happens if, you know, turn the shoes
on the other foot and you're the person that people are coming to venting all the time? Like,
is it okay to say no? Absolutely. What you want to say to them is, I want to be here for you,
but right now I can't because I'm working on something. It doesn't mean that I don't care for you.
I just want to be able to show up for you and I want to do you justice, right? So maybe consider
or talking to someone else for now, or write it down because you can vent by writing in a journal
and say, here's what works for me. You know, write it down, write yourself a letter, and then when
I'm ready, I'll let you know. So we've spoken a bit about validation. We've spoken about venting.
The next one I love so much because it's about values. I feel that from a very young age,
I felt very clear about my value. So much of that comes from my heritage. It comes from where I
come from and I've always understood kind of intrinsically who I am and what matters the most
to me. But I think it's one of the things that people find very hard to pinpoint. Like,
what are my values? What do I care about? And I think it's part of the culture now. We get,
we're bombarded with information, right? From social to the news to just, you know, the fact that
you could be on social media, you have a lot of people following you, we have a lot of opinions,
we have comments coming in. But the interesting thing about that is that,
we have access to more information and more opinions than ever before.
And yet such a lack of individualism and our own opinion.
And so when it comes to identifying what our values actually are,
it's kind of like this herd mentality, right?
It's like, well, maybe I think this and maybe I think that.
So how do people get down to their true values?
How do you even identify that what matters to me the most?
Ask yourself, are my values, things that are priceless or do they have price tags?
And many of us...
That is a good one.
My dad is a pastor, so I got...
I thought like you were taking me to church there.
I was like, I was about, yes, yes, yes, yes.
Okay, your dad is a pastor.
It shows.
I'm just going to tell you right now.
I'm feeling that pastor, daughter, energy.
Yeah, that's amazing, actually.
So you grew up in the church?
I did.
You did.
Yes.
I grew up in the church and helping people all the time.
Even if we didn't have much, we always helped others.
And it's really why I wanted to become a doctor is to help people.
Yeah, and it's part of your value system.
It is.
But I lost sight of that.
As someone who has been in all these prestigious institutions, I started getting like
the imposter syndrome, like I don't belong.
My peers are richer than me.
What if they find out that I don't have a classic like them?
You know, like, so I just tried to gain the accolades.
Why get just a medical degree?
Why don't I get an MDMBA while I'm at Columbia, right?
Like, who does that?
And like collecting the labs, all the accolades.
I lost sight of why I went into medicine in the first place.
I valued helping people, but I was so busy becoming accomplished that I lost side of it.
And that's why I ended up with Anadonia.
I also used to love to read.
I used to read for days.
And I got stuck reading medical journals and organic chemistry.
And then when I read Michelle Obama's book, Coming, I was like, oh, my gosh, I enjoyed this so much.
I started reading again.
I think it's so interesting that you say that particular book because I think up until that point for me, and again,
I'm a furious reader. I love reading. It is where so much of my joy comes from. But I started to get
into this thing of only reading books that made sense for my business or books that made sense
for my work or books that made sense for my professional growth. And it was that I was like,
why haven't I read something like this for such a long time? I mean, trust it to be Michelle Obama.
You're like, you are all about to be becoming. Like, let's go, you know. It's so interesting.
It was the same book for years. Yeah. So probably same moment in time.
I loved it so much. I listened to it too, like read it and then listen to it. But, you know,
I think for reading that book, like, really hit the core of me because sometimes I felt like,
what am I doing wrong? I'm a mental health professional. I have all these things. Why am I still
so unhappy? When I read her book, she felt at times as if she, you know, everything around her
looked great. Why am I still feeling this way? So I didn't feel alone. And in trauma research,
we learned that when we realize other people have our experiences, we blame ourselves less.
We see it less as what did I do wrong versus, oh, this happens to many of us.
And that's why it's important to talk about these things.
So if you've forgotten your values and you've forgotten who you are, one of the ways that I help
my clients to walk back in time is to think back to a time in your life when you felt full
and fed.
And it sounds so primitive and basic, but full and fed naturally, like spiritually, feeling
as if like you're tapped into purpose.
And one of the cases in my book, I talk about someone who never processed their parents' childhood
divorce. And shortly before the divorce, they used to go camping as a family. But this person is now
an adult living in a city, has no access to nature. And they forgot that they valued nature. So slowly
but surely, we tested the waters. I had that person buy a plant, look at pictures of nature, go to Central
Park. And they started realizing that they could enjoy this value again. Wow. And they found
themselves back to where it all started. So there are other exercises.
in my book that I help people to tap into values,
there are high level values,
there are surface level values.
You want to hold on to things
that give you meaning and purpose.
Priceless, not price tags.
I love this and I think it might be
almost like the most important
of the five Vs, if I could give any of them,
you know, the top gold star.
I think understanding the validation piece
is easy for me.
When it comes to, you know, this,
I really, I really struggle.
And I think a lot of people will struggle because for you to say, you know, go back to a time when I feel fed, go back to a time when I feel full.
I think that's really difficult for people.
And if you work a job, you know, like a regular job where you don't love what you do, but you go into work because that's what you do that pays the bills, do you think that your values have to be tied to what you do or are they about going.
back into your past. I just feel like some people will have such a struggle to get there to say,
what are my values? And do they need to be profound and deep? Or can they be kind of a bit more
surface? Like I just, I just feel like that's the part that like drilling down into your values
will be such an important part of this for people, but it's almost like the hardest one to get to.
Yes. And two things can be true. You can have, you know, you need to pay the bills. You still need to
have a job. But you can have two type of values, but prioritize the ones that keep you full and fed.
For example, think of the single mom who has to provide for her family. She still has to go to work
and she still has to value monetary things, right? No doubt. But the things that she prioritizes
and puts effort into are the things like her kids, right? So when you come home and your kids
on the screen, it's tempting for you to be on the screen too and then you're not talking to each other.
One simple way to tap into your value is sit with your child.
Oh, what are you looking at there?
Oh, who's that?
Just that's connection.
It doesn't cost money.
It doesn't take away from your day job.
But it requires you to be intentional.
And it sounds so small, but those tiny points add up.
And overall, you're teaching your family and the culture that you value each other.
Yes.
That makes so much sense to me.
I love the way you talk about it in this system of points.
Do you go along in your day and be like,
I got a point here and a point here. Do you do that? I actually do. Do you have like zero point days?
Oh, I absolutely do. Okay, good. But the good thing is that if I get zero points one day, I'll say I can at least get a point tomorrow.
You do, you do that. I literally do that. And I just recently did my daughter's homework with her and we were there studying how currency came into play.
And about how back in the day you trade a cow for like a jacket and people realize, wait, a cow is worth more than a jacket, right?
So they had to come up with money. I love that.
shells and rocks and eventually we got to currency. The reason that we tend to get distracted by the
price tags is because human brains quantify. We need numbers. That's survival for us.
So it's back from being a primitive human. And that's why we have these gurus that people follow
because they're enlightened. They're able to see things that are abstract, the things that bring
you meaning and purpose, not quantifiable things. But that's important. And so we have to retrain
ourselves to tap into things that are abstract, like meaning and purpose, because we get distracted
by the things that we can count, right, because we're in survival mode.
A thousand percent.
And that is why I think this values piece is so difficult, because it's so easy to say,
I've got the, you know, it's like I've got the house, I've got the car, I valued those
things.
Those are things that I wanted from my childhood, that they're not your values, right?
And there's two things that are just so, so different.
Like, they really are.
But how do you get away?
Like, what if your value system is a bit skewed?
Because I feel like so many of us have a value system that deep, deep down, if we can get
there, we understand what our values are.
But on the surface, it's like, well, you know, we're valuing different things right now
or at this point in our life or our value system's just a bit off-kilter.
There are different things you can do.
But one thing that I start with is look around you.
Who are you spending your time with?
Right.
Because that shapes your values.
That's why values change.
over time. You said that when you were growing up, you had this community and they valued excellence
and connectivity. But then over time, sometimes you're surrounded by people who only value the money,
right? The clout, the beauty, the superficial things. And that can skew your value system.
So you may have to tap into, you know, people who don't do that or like split your time. And that's how you can
get back into it. Other people, I like to go through history and I ask them, who's a historical figure that
If you could have dinner with right now, who would it be?
For me, I absolutely, I mean, I was obsessed with Harriet Tubman.
Of course.
I know it sounds bizarre.
No, it's nothing bizarre about it at all.
I've watched the movie where Sisley Tyson played her.
A woman called Moses.
I can't even count.
It's a great movie.
But she just seems so brave.
Like, she didn't care.
She was like, I'm going into like this dangerous South and claim my people.
And I'm going to do it over and over again.
I just found her so courageous.
So what does that tell you about your values?
I value courage, bravery, people who stand up for justice, you know.
And so that taught me that I had to start tapping into advocacy.
So I joined advocacy groups.
I worked closely with a congresswoman who focuses on Caribbean mental health,
and we did a special on it.
And that made me feel full and fed.
But we lose track of it because I was chasing the clout and the accolades.
Wow, that's so interesting.
You know, if you were to ask me the same question,
I mean, I'd have a laundry list, but my mind, I'm going to be honest, the first person that popped into my mind was Martin Luther King.
And if I were to track that back to what you're saying and think about this values piece, it makes so much sense.
Because this is somebody that stood up for their beliefs, no matter what.
There was somebody that was there for everyone, right, for a generation of people were also, like, painted this picture of what it would be to be different for things to be better.
and I look at my own life and I'm like, I can really understand and put that together of why
that's the person that flashes into my mind. So I think that's actually a really good,
a really good exercise. I love what you say about nature as well, because I wonder if on this
values piece that it can be, you know, because you've spoken in the beginning of our conversation
about how individual we all are. But are there some values that are just the same for everyone?
Because it seems to me something like nature, for example, is just one that would make sense for
so many people. I always talk about, I start my day in meditation and I will often, because I live
in L.A., go out into the garden and I'll put my feet in the grass. And that is like, for me, it's about
rootedness and connection and grounding. And if I'm by the ocean, which I often am, I have this
constant visualization as I stand in front of the ocean and as it's coming, you know, into me,
as the ocean does, I imagine that like everything that I want and everything that I'm asking for,
it's all coming my way.
And it's something that I have done for years now.
And that is all about a connection to nature.
So is that one that pretty much could work for anybody?
Yes.
And the reason that nature does that for us,
it's because it gives us a sense of awe.
We look at it and we're like,
this is incredibly beautiful.
And the fact that I'm here,
I mean, the chances of a human being coming into existence
are so small.
So it reminds you that you're here for a reason
And the things that you worry about, they're so minuscule.
When you look at the ocean, I mean, we were just talking about this yesterday,
but it's like when you stand opposite the ocean with an problem, it really gets small real quick.
You know, it's like, okay, let me contextualize this.
But I think it's interesting to think that there could be common values that if you have a hard time finding exactly what it is,
there are things that you might be able to go to that just makes sense for all of us.
Because as you say, they're so awe-inspiring.
That makes total sense. All right, we're really chopping through these values and I love them because
for me, tangible is like everything that I look for in life. What's the fourth, what's the full fee?
The fourth fee is vitals. Now, your doctor will tell you the annoying vitals, like make sure you're
sleeping because it clears your brain of toxins. Make sure that you're eating foods that are nutritious
and feeding your brain and not highly processed. Make sure that you're getting movement because
that helps your heart health and also releases endorphins.
but I added three non-traditional vital signs in there that your doctor will never ask me.
Like, when was the last time your doctor asked you if you were in a toxic relationship?
Like, never.
They don't have time for that.
Never.
They have 15 minutes to get you in it out.
Please don't tell me if you're in a toxic relationship.
Move out.
But when you look at the research at Harvard, the number one predictor of longevity is the quality of your relationships.
Oh, yes.
All the studies say so.
Yes, 100%.
So if people are around you and they're toxic, they're literally draining your life force.
So think hard about who you have in your life.
And is that everywhere in your life?
Do you think about that in the context of who do I live with and who do I spend the most time with?
Or is that your colleagues and your wider friend circle?
It's the whole thing.
It's the meaningful relationship.
So if you're in a close-knit office and you see people, I mean, you spend most of your time at work.
Yeah.
And if you're with a toxic boss or a toxic coworker, that can really dream.
You're not thinking about, you know, home when you're home.
You're still, your mind is still at work.
And it's the same for friendships.
It's the same for family members.
Some of us have really toxic family members.
You know, think about how you can't cut them off.
In the crib and you can't cut people off.
You know, you can't do that.
That's family.
Your mom's your mom.
Your family's your family.
They don't go anywhere.
There's not even such a thing as a little family distance.
Thank you very much.
No way.
So what do you do with them?
What do you do with a Caribbean family?
Please tell me.
You can limit them, right?
You could set your boundaries.
Okay, I knew you were going to say that.
I don't know if there's a Caribbean phrase that's understood for boundaries,
but that's a whole different episode, I guess.
And then, you know, the other non-traditional vitals, our relationship with technology.
Think about when you're on Zoom calls or virtual calls, you're looking at yourself.
Human brains were not made to look at ourselves while talking to others, right?
So it distracts us.
It makes us self-conscious.
it taxes our brain, it's draining.
And we weren't made to be on screens all day long.
No, we were not.
But that's not the only part of technology that's like draining and unhealthy.
So, and listen, you're a big social media person.
I've seen you.
You go viral there.
You're out here on the tech top and Instagram.
So what's the balance of that like for you?
Because you still, it's not like you're not partaking.
You're just picking and choosing.
It's, and I have a method called the reset method.
Like you have to realize how it's important.
you, realization, are you spending too much time on the meetings? Is it taking away from your
real life, your personal relationships? Is it making you depressed or anxious because you're comparing
yourself? Is it making you mentally exhausted? So realize how it's impacting you. The next is
educate yourself. We have all this data now on how it impacts children, but we also have
emerging data on how being on screens literally is like depression for some adults. There was a
recent study published on that. So educate yourself about that.
The S is strategy. What is your plan? Are you going to limit it to one time of the day, a certain time of the day? Are you only going to follow certain accounts that feed you spiritually and unfollow the ones that make you feel bad? Have a strategy and a plan for it. You're going to limit it in the home, right? Everyone is off the screens during dinner, things like that. The next E is expectation. What do you hope to get from this? Are you hoping to feel better? More connected, more productive. Have a clear expectation. And the T is, you know, thoughtfulness. Reflect on what you did.
Did you get what you needed out of it?
Do you have to be more flexible or more rigid?
What is a great system?
Is this your system?
Yes.
Oh, it's fantastic.
I think this makes so much sense to me because, again, it's like when you work, how I work,
there is no way that you're saying, okay, no technology, right?
It's just not going to happen.
So it's just about finding, I'm one of these people like I never reach for my phone,
first thing in the morning, because I think it robs me at the morning,
robs me of the person that's sitting next to me
and having a cup of coffee in a conversation
for the 15 or 20 minutes that we might have.
But I think that finding those limitations
and those boundaries are really, really important.
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So we're talking about vitals, and I do really want to make sure,
because you spoke about the obvious vitals,
the things that your doctor would talk to you about,
and then we've got these other three.
So talk me through those.
And the last...
Tell me the last one.
Is the work-life balance?
which just does not exist for many of us.
So we have to be intentional about leaving work at work.
Really intentional.
How do you do that?
But honestly, because you've got so much going on, right?
You're not seeing your patience during the day and then clocking up.
When are you doing your social media?
When are you doing your extracurricular?
How are you here?
So what is the reality of that?
Because I think I'm pretty disciplined.
I leave my office every single day at five.
There is no meeting after four for me.
If you want to talk to me at 505, you better be walking to the elevator with me.
Having said that, I will go home and I'll have dinner with the kids and I'll do bedtime and
bath time and put those babies down.
And then I'll go back to work.
Because, like, how am I going to get everything in?
So how do you draw those boundaries or if they're your boundaries, are they enough?
I have personally what I do is I ask my team for help.
You know, I asked my one of my lab managers, I said,
you're in charge with getting us out the door by 5 p.m.
And you ask my team, that lab is a lot.
It's possible.
It is.
It is because when you tell yourself the work will always be there,
like no matter how much you read that chart,
no matter how much you click that box,
there'll still be more boxes.
There's more charts.
That shift happens.
And you know what?
That's not going to be something I want to do one of my deathbed.
I'm not going to be like, I wish I got five more charts done.
No, I wish I had time with my daughter.
A million percent.
A million percent.
These are the only things that matter.
And I really like to think it's not my own philosophy,
but I watch this incredible video that went viral,
I don't know, four or five years ago,
and it was Jesse Itzler,
and he talks about this concept of time v moments.
You know, it's like you might have 20 years left with your parents,
but if you only see them twice a year,
then actually you're only going to see them 40 times.
And what are you doing with those 40 individual moments?
And I think when you start to contextualize life like that, and it goes back to this idea of, like, you know, checking in with the things that matter and knowing your vitals, like these, those are the things that become really important.
But take me back because I think I feel like we just skipped over the real vitals because the first thing, but when you see somebody that you can immediately say, this person is clinically depressed, right?
The first thing that we go to is they're not taking care of themselves. And so I really want to just sit in those.
things that would be like the stuff that you would probably talk to your doctor about. Because
we, again, if you are in a high power job, if you are somebody that's high functioning,
it's really easy to also forget about those things. And so how do you, as the person you are doing
all the things that you do and now writing this incredible book, how do you keep tabs on like
those basic vitals, on the things that are just like making you get up and making, you know,
your health optimal, like every day.
Like, do you have like tips and tricks to keep ahead of that?
Well, for sleep, it's really important.
And people who are functioning doomscrow,
and the studies show that we do it
because it's our way of controlling bad outcomes.
It's equivalent to...
Doom scrolling is a way of controlling bad outcomes.
Please explain that to me.
How?
One of the symptoms of trauma is trying to put yourself into a tremendous
traumatizing situation to control the outcome. That's why people, when they have trauma,
they'll engage in risky behaviors like drinking too much, speeding, having, you know,
really reckless relationships and so forth. When we doomscrow, we're exposing our brains to all
this bad news with this underlying wish that, like, we can somehow change the outcome, right?
If I just learn about it, then somehow it's going to change it. It doesn't make sense,
but we do it, right? And it also stems from examples.
So at night, please don't keep your phone on after nine. Like, don't expose your eyes to that.
Also, you know, eat foods that are rich in melatonin, like walnuts, bananas, those things actually
nourish your brain so you get rich deep sleep. If you're someone who's in perimenopause,
keep the room cool. Make sure that you're not having too much caffeine during the day.
These are all parts of getting good sleep. And good sleep is critical, isn't it? So critical.
I mean, for me, it's like the sleep piece, it's, you cannot, between somewhere between sleep and nutrition or just eating, these are the two things that are non-negotiables for me.
I cannot function on too few hours of sleep.
There's just no, there's no way.
And it's part almost, the way that I think about sleep is that it's almost part of how I plan my schedule.
Because if I look at my schedule for the week and I can see that I got off a plane last night at 12 and I come here,
at six, and then I'm, you know, leaving the office to go out somewhere. I'm like,
alarm bells go off in my head on a Sunday night when I'm looking at my schedule for the
week ahead if I have a schedule that I think is unsustainable because there's going to be a
lack of sleep. And I just feel like getting ahead of it and knowing, like, and saying,
this is my priority. This is a non-negotiable for me because I won't be able to do what I need
to do this week if I don't get seven hours every night. Yeah, and you make poor decisions when
your brain isn't rested. You are.
impulsive, you eat unhealthy foods. Yeah, it's a slippery slow. Yes, yes. Sleep is important and food
is important. I mean, it's okay to have a cheeseburger like I did last night. Absolutely.
Once in a while, but I mostly stick to salmon, leafy greens, berries, nuts. When you're eating food
that fuels you and fuels your brain. Yes. And there's a field called nutritional psychiatry
where scientists look at diets that can actually help to, you know, support someone who's depressed or who's
anxious and foods that help you think clearer and to have better memories. So food really is
medicine. I know it sounds cliche, but it's so important. No, there's nothing cliche about it
because again, I think for women, it can be such a slippery slope, right? It's like you're feeling
a bit down in the dumps. You're feeling a little overtired. So you have that extra coffee. You
have the extra snack. And then it goes down and down and down and all of a sudden you're, you know,
eating a cheeseburger, not once in a while for a treat, but, you know, three nights a week. And that
end up making you feel worse. And so, you know, you're just on this like horrible, vicious cycle.
And so getting the nutrition, again, it's so much about planning. Because if you can plan these
things and think about them ahead of time, I feel like they go well. And it's when you neglect
those things that, you know, you're in trouble. And yeah, they're within your control. You can't
control everything. They're within your control. Yeah, they really are. And then the other
boring traditional vital is movement. I was recently at a conference and I told them that when I
would go to Trinidad and play in Carnival, we would do this like, you know, whining and the bilateral
stimulation. Oh, yes, I'm so excited for this. I feel like there's like a Trinidad trip coming up
for us to do in Carnival. This is going to be so good. Can we count this as research?
Yes. It's part of, you know, actually the movement is going to make us feel better. It's going
like work on our high function in selves. Like, yes. We're actually writing a protocol for this in our
research. Are you really? Yes, about bilateral beats and movement because when I
give these talks to Caribbean associations.
A lot of times people don't want to come by my booth because they're like, oh, that's mental health.
But I say mental health is ours.
When we do our whining, you know, like that's bilateral stimulation.
We're activating the right and left brain.
So it's healing.
Wow.
So get movement in the way that's authentic for you.
If you don't like to work out, dance.
Wine all the way down to ground because you're getting movement and that's actually healing.
God, that's incredible.
Incredible.
All right.
So the fifth and final thing is vision.
Yes.
Vision is so important to me.
So you talk about this idea of planning for joy, right?
Being able to see the success in your future.
And so I really want you to talk to me about that
because I feel like it's such a huge part of my personality.
When you plan points of joy, it keeps you moving forward
instead of getting stuck in the past.
And it doesn't have to be a big grand plan in the future.
You should plan those too.
but you can also plan points of joy in the day, right?
The near future.
When I get my daughter to school on time every day, I sit in my living room and I brew,
I'm kind of like a coffee snob, so I brew this like Seymart and coffee that I got that's like rum flavor.
There's no rum in it, but it tastes like.
It's like, good morning.
The alcohol has evaporated, trust me.
But it's so yummy.
And I sit there and I'm like, hmm, this is good.
Oh, yes.
I deserve this moment because I got this child this.
school on time she didn't show up with her hair looking like who shot john you know like and i'm
going to have this break before i go to my office and this is for me and i look forward to that every
day and you know i think if you plan points of joy for yourself for your family for your team
it gives us all a mission it's like a mini mission and human beings need that we need something to work
towards it's the experience on that journey rather than the destination that really counts
Is it like it's a moment of mindfulness when you think about it like that?
Is that how you can think about the daily parts of like the daily joy that you get?
Is it a moment where you just like everything slows down?
You slow down, but you tap into what's actually giving you joy in terms of your sensation.
So if you think about it, when you're drinking your coffee and your taste and the flavors,
you're stimulating the sense of taste.
You're stimulating the sense of smell.
You feel the warm cup in your hand. You're tapping on it. You hear, you know, the vibrations on the cup. You're really engaged in present and squeezing as many points of joy out of that experience as possible because you're present and you're not distracted and you're doing this one thing with intention. And when you plan joy, it doesn't have to be like, oh, I'm going to think about my coffee this way every day. But even like when you're finishing a project, how many of us, we finish a project, a deadline. And then,
then on to the next.
Versus like, wow, I just finished that project.
Like, it was big.
Let me just take a pause and let me like, you know, go have lunch outside for once,
not sit at my desk and shove the food in front of my screen.
It's these small things that sends your brain a message that you're worthy,
that you deserve this, that you don't have to continue, you know,
this track of you're a human doing instead of a human being.
It sends a message to your deeper self that you deserve to stay.
slow down. As you say these things, I'm really struck by the fact that we're talking about such
small things, like literally, like, stopping to enjoy your coffee and stopping to appreciate
the moment or an achievement when you've finished a project. What have we lost? Like, why are we
having a conversation about something that should be so innate? Because I feel like, you know,
did 20 years ago, was everyone just sitting there enjoying their coffee and we're not so
much now? We get so busy. In my practice, I treat children, adolescents, and adults, and elders.
And it's so interesting because when I look at the elders and the really small children,
they're very similar, right? They love to sit and, like, really eat. When they eat, they're like,
you know, but like the adolescents and the adults, they're just like, you know, like they just,
we get so busy and distracted by things we think will make us happy, right? That idea? Yes.
we miss out on the actual experiences of joy.
We're in a giant midlife crisis.
It's crazy that you say that.
I just had my mother-in-law staying with me.
And she would, I'm a big foodie, so I love to cook.
And she would sit and eat the meals.
And she'd be like, hmm.
You know, she's 78.
And I'd be like, why are you ooming everything until, you know, like four meals in?
I'm like, she's just having a deline.
You know, she's in California enjoying the ingredients.
Just let her live, you know.
And I'm like, until I can get on to the next thing.
But it's kind of sad that we have to stop and remind ourselves to like just live and breathe and enjoy life and appreciate the moment.
So this is a retraining for so many of us because perhaps a lot of what we need to be happy and to stop experience in our lives of one task after the other after the other.
It's all there.
Nothing that you're talking about is like I don't need to go and buy anything now.
I don't need to go and stock up on any, you know, like anything.
it's all, and this is going to sound so trite, but it's all completely within me and it's all within
our control. Yes, it is in our DNA. It's in our DNA. We have to tap into it every day and reclaim our
joy. It's in our hands. We just don't even know it. We get too busy. So when you work with a patient,
when, like, how long does it typically take for this reframing to actually set in? Like, is it,
because I'm looking at these things and I read it and I thought, this is all quite easy. But do you
suggest that we choose one of the five Vs to work on first, or are we just trying to attack
the lot? Because as a high functioning person, I'd like to just get on with it. Yeah, I recommend
doing one or two at a time, because the research shows us that we shouldn't be multitasking.
Tap into one or two. Start with validation, but if you're not there yet, tap into the vitals.
Right. And try to get at least one or two points a day. Gameify it a bit, you know,
and see if you can switch it up the next day. But don't do all at once.
don't be high functioning, right?
Slow down.
Don't be high functioning about the bees,
which is immediately what I want to do.
I'm going to get 100 points today.
That's not the point.
You're like, get two or three points.
Take care of your sleep and slow it down
and stop to smell the roses and do that.
And see if you can master that for a week.
And then you would move on to something else.
Yes.
And pay attention around you.
People will tell you,
did you do something different what you're here?
There's something about you.
What is it?
And you're like,
I slowed down and I started, I'm no longer a human doing. I'm a human being. They'll want a piece of
what you have too because Anadonia is contagious, you know, but so is joy. And we've all been in
situations where we were working under someone who was like depleted of joy and spread. Yes.
The whole organization was like, but we've also, hopefully some of us have been in situations where,
you know, the leader was joyful and everyone's like, you know, totally. It's contagious.
And not happy all the time, but able to access that joy.
It's contagious.
So look around you as you do it, your family's going to be more joyful.
Your friends are going to be more joyful.
They're going to want what you have.
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The start with yourself tour kicks off on April 15th.
in New York City. Tickets are on sale now at emma greed.com. I wonder, you know, of course,
I employ an enormous amount of people. We're sitting in my studio within my office right now.
Can you apply this to an entire company? Like, I just because I know so much of the work that you do
is, you know, working with, you know, individuals, but can you go into a company and look at
the health of the organisation in that same kind of way? Because, again, where, you know, if
if you have high functioning depression, a lot of that is a symptom of your professional environment.
So is it something that you can actually think about as an enormous, like a group of people?
Because I love that idea of something being contagious, but also that you could work on it together.
Yes, I've given talks like this to major institutions.
I recently gave a talk last year at the White House to the executive office of the president
and taught some of their key people how to access joy on the job.
You know, many of them love their work.
They're like, wow, to be here.
This is awesome.
But two things can be true.
A job can be wonderful and prestigious and an honor, but it can also be hard, right?
It could also, like, cause stress.
So I had to teach people how to do this at the office.
And it was fun because I like to use, like, a desk mock and, like, say, you know, this is how you can practice your values.
You know, keep a picture of a notable figure in my office.
I have Barack and Michelle, little statues from the symphonian.
But, like, you know, we're designers that make you feel proud.
Validate yourself.
For some people, I encourage having mirrors so you look at yourself.
You're like, for me, I'm like, sometimes I'm like, I look tired.
And like, oh, I am tired.
Yes, I am tired.
Yes, I am just tired.
Venting.
Talk to a coworker.
You can practice all of these at work, the vision part.
Plan joy for the corporation.
If you all do something and it's a big project, don't just say, okay, what's the next, you know, deliverable?
you know, celebrate it. Get a lunch. In our lab, we have little lunch parties, little lab parties
to celebrate, you know, small wins. You can do the same. Yeah, it's so, I think it's so important.
And it's so, because we all work, you know, in these silos and we're, you know, in front of
screens. And often there are people that, like, enormous amount of people in my office that
work with headphones on. We built this giant kitchen to say, this is a moment where you get to
take a break and sit together. There are no screens in there. There's nothing that denotes.
work. It's like there's a bunch of snacks, there's a bunch of food, there's a bunch of drinks,
and everybody should take this moment. Because I remember coming up, like, one of the joys of work
was like who you met. You know, I met my husband through work. And so I'm not necessarily saying
that's what we all need to do here. I don't really get me wrong. But this idea of like taking a break
to come together. And when we work in these environments that are so, you know, results oriented and
with this, you know, fixation on growth and moving forward, of which all of the organisation,
I have any part of really are, you have to encourage the behavior to take a moment,
to like connect with one another. And I actually think it has this unbelievable impact on the
organization as a whole. Before we completely move off of the V's, I really want to talk about
what happens when high functioning depression is like undiagnosed because I'm sure there's like
such a flip side. And I really want to encourage people to focus, like read your book first and
foremost because it is so incredibly fascinating and so empowering with these tools that you're giving
us. But what happens if you just ignore this stuff? What happens if you think, you know what,
I'm fine? I've been working like this for years and I'm just going to keep on going.
Well, what happens is you run the risk of possibly dipping into low functioning depression,
right, which is clinical depression. Right. Or your body suffers and you see people going to
the emergency room with like chest pain, panic attacks, and it's actually, you know, mental
stress. Yes. Or you could develop unhealthy soothing mechanisms like drinking too much alcohol,
you know, substance use or, you know, overusing other things to soothe how you feel like
shopping too much, being online too much. All of those things are considered, you know,
what happens when you don't get the treatment and support you need. So we're trying to
prevent those things. And it's also important to honor the mind-body connection. So many of us,
we carry a lot of stress in our shoulders. Like we have grinding in our teeth. We have grinding in our
teeth. I did a social media video where I talked about all the physical signs. And people are like,
oh my gosh. I had that. I never knew that's what that was. Yeah. So like honor the mind-body connection.
And that's why I talk about in my book ways to like relax your shoulders. If you can tense them,
you can relax them. We are given this ability to hold our breaths. We can't tell our heart to stop
beating. We can't tell our liver to stop processing. We can't tell our brain to stop thinking.
But we can tell our bodies to hold our breath. And that's for a real. And that's for a real heart to stop beating. We can't tell our
reason. Yes, it's survival mode reason because if we were thrown into an ocean, we need to
hold a breath to breathe and not drown, or if there were, you know, an explosion or gases,
we want to maintain our oxygen level. But also, our bodies have that ability to help us to
relax with our breath. When we use deep breathing and diaphragmatic breathing, we can actually
calm our fire, or flight and think clear. So, like, access those things. Again, they're free.
They're not rocket science, but they're so easy for us to do.
is it that, and this I find such a disturbing statistic, but why is it that women are twice as likely
to suffer from depression and anxiety for men? It is disturbing, but it's not surprising, right? It's
shocking, but not a surprise. It's absolutely not a surprise because I feel like I grew up and, you know,
with so many women around me that were diagnosed with clinical depression who were medicated
for long periods of their life. Back in those days, you know, everybody was given pro-sac.
and everyone in certainly in my own family were on these, like, kind of very long stints of
being on this medication. And, you know, it was life altering. It was life altering for them.
It was life altering for the people that were around them. And if I think about my own
immediate friend group at one point or another, you know, people are medicated and they have
no choice because they don't see any other reason for themselves. That's only on one side of my
friendship group. It's only with the women.
And it isn't surprising at all, but there's such a sadness that comes with even thinking about that.
And is it changing?
Well, no, the numbers are still there.
Women are twice as likely to have depression and anxiety.
And, you know, if it were just up to medication, we'd all be on Prozac.
And everyone would be happy.
There'd be no sadness, but it's not just medication.
That's why it's important to understand the science of your happiness.
Think bio-psychosocial.
I am going to think bio-sico-social.
Like, this is going to be my new thing.
Biosysocial.
I'm literally going to write it down.
It's going on the bathroom mirror.
So biologically, women have more vulnerable periods in their life.
No doubt.
Childbirth.
Like, we're going through it.
Your literal period.
Oh, that one, every single month.
Like, I'm done having kids.
Can I stop having a period now?
Like, why do they still come every month?
It's like, we're done, please.
And those hormonal fluctuations makes us more vulnerable.
So our periods, you know, can come with something called PMDD, premenstrual dysphoric disorder, postpartum depression, perimenopause, menopause.
So the hormonal fluctuations in themselves make us more vulnerable.
And then we make up 80% of those with autoimmune conditions.
So think about that.
And then psychologically, you know, women, we have trauma.
There's a lot of sexual trauma and girls.
A lot of trauma of not being treated right and being just.
disrespected in the workplace.
And then we have to think about our attachment styles and our attachment figures.
Many of us have very unhealthy attachment figures.
And then socially, you know, things that are happening around us,
we have to work twice as hard and we get paid less.
I mean, that alone, wouldn't you be depressed?
Like, you're depressing me now.
Like, literally, when you list out all of that between, you know,
the hormones, like just that list of things that women have,
have that men don't have. Then we talk about pay parity and then we talk about, like, it,
it to me is, it becomes mad and it, like, even that I ask the question that we're like, you know,
it's like women are twice as likely to suffer. Like, oh, of course women are twice as likely to suffer
from depression and anxiety. That is a laundry list of things that we are going through
that men quite simply are not, and not in the same way. And it's important to list it because
it's validating because many of us feel like, okay, we're not doing enough. I must be doing
something wrong. Well, you're taking care of your parents, your kid, your job, yourself. Like,
it is not your fault. This is something that's happening to many women. And that decreases the
shame and self-blame, right? Because it's not you. It's the situation. I mean, what a player.
I mean, that's just unbelievable to me. I don't think I've ever quite heard somebody list out
everything like that.
I don't think I've ever really contextualized that.
And I don't think I've ever really thought about the women that I grew up with
and that I'm close to knowing, you know,
I could make lists in my head right now of the sexual trauma of things that they
have gone through, of the traumatic instances of, you know,
have just like going through like menopause for five years
and not really even understanding what it was and being told you're imagining things and to go away
and then, you know, having children and, you know, postnatal depression not being recognized.
Like an on and on and on and on and a million different things.
Yeah, I call it a trauma wave.
It's like one thing hits you, but you can't even catch your breath.
Another one.
It's like, and it can't seem daunting.
But if you reframe it and you're like, okay, I understand the science of what's making me unhappy.
Now I know how to add to these areas.
to make me happier. And that's why we all need to read this book. That's why every woman that knows
me is about to get a copy of this book because, you know, I said it in the beginning. I love this.
High functioning, overcome your hidden depression and reclaim your joy. This book is so much more than
that. It's so clear. You've really explained a problem that I think so many people have so clearly.
You've done it in such a beautiful way. And then you've given us the tools. And that's the best thing.
part of all of this. You actually just told us, here are some things that are really simple for you
to grasp, to get a hold of, and to do, and you don't need to do them all at once. You can take
the pieces of these five Vs and start getting ahead of the whole thing before it gets really out of
control. Yes. Give yourself the gift of being curious about yourself. Understand the science of
your happiness. There's only ever going to be one new. So like, take care of yourself. Understand the
science of what's making you unhappy, and then you'll know how to be happier.
I mean, honestly, it's a revelation.
Thank you for explaining the science of our happiness.
I'm so excited we had this conversation.
Before I let you go, there are a couple of questions that we like to ask every single guest
on the Aspire podcast.
So now we're going to do some rapid fire questions.
The first question is, what is the first thing you do when you wake up?
The first thing I do when I wake up is I snuggle my daughter's cheek.
She still smells good, you know, like...
Oh, she does.
Oh, my gosh.
Mine don't.
I love that your daughter's...
My kids are going to kill me, but they don't get any much.
But it's important because when you snuggle and you touch,
you're releasing oxytocin, which is the love and attachment hormone.
So it's really, it's a point of joy.
It's a point of joy.
First thing in the morning.
Yes.
Tick.
You've done it.
You've got one point straight away.
Whatever.
Even if she loses them, you're still going to do the snuggle, so it doesn't matter.
What is the last thing?
you do before you go to bed? The last thing I do is I actually pray. Like, I grew up praying and
in my household with our siblings, we would say this thing to each other. And you're not going to
understand that. Sorry, everything I did to you. But I'm sorry for everything wrong I've ever done to you.
So it was a way of like a clean slate because it was four of us. We fought all the time. Oh, I know the
four. I'm one of four. That is a, that's dangerous territory we're going into right there. But you would
do that every night? Every night with the siblings. And if we'd like not.
Wow.
And it was our way of like this like clearing the day.
So for me it's like I pray and it's not a long prayer.
It's like thank you God for another day.
Yeah.
You know, very short.
But it reminds me that I'm so small in the grand scheme of things.
I'm not a religious person, but I'm spiritual.
And I didn't have to have today.
But I had a day.
You had it.
I pray every night too.
So I love that one.
What are you currently aspiring for in your business life?
Well, right now we're doing FDA regulated studies with,
wow.
psychedelics like psilocybin. And it is so fascinating to me. Fascinating. So many untapped parts of science.
And I used to be afraid to do these studies, but I'm being my Harriet Tubman of science.
Damn right. You are. You and your band of merry women. You are going there. That is incredible.
And what are you aspiring for in your personal life? Well, personally, I just want joy.
Every day. I want to squeeze joy out of it. Like, the people in my life, that's what makes me happy.
like the connection.
And I have a wonderful partner, my beautiful daughter, and my siblings.
Like, we have a group chat.
We chat every.
Oh, the single.
The sibling group chats are really real.
I mean, we won't even go there.
Tell me, I keep saying, you know, I'm such a huge reader, and I feel like your book
is going to change so many people's lives.
Just the understanding that it gives you.
But what is a book that's changed your life?
Oh, becoming.
Michelle Obama.
Wasn't that a great book?
Oh, my gosh.
and then her voice.
Yes.
Well, her voice is just like, I mean, all of her is just so, you know, Michelle is everything.
She is.
I mean, we can't.
Michelle.
I mean, we hear Michelle.
Yes.
Definitely.
What is something you valued when you were starting out your career that you don't now?
Oh, I value slowing down.
I used to be all about, like, getting this study.
My favorite thing to say now is no.
Oh, like, no.
No.
No, no explanation is my favorite.
favorite. Like just now. Yes. Yes. I love that. Um, what is something that you value now that you
didn't then? I didn't value enough. How much I've done. Like, it was always like, what can I do now? I got to do
more. I have to get another degree. I have to. Now I just like, I sit back and I look at everything and I'm like,
dang, girl. You did the thing. Yes. Yeah. I can tell you. I've read your intro. So it's absolutely,
you've done it. You're good. You can relax. I'm good. Yeah.
You're really, really good.
You're someone to aspire to, for sure.
Slowing down is not lazy.
No, it's not lazy.
No, girl, no.
You're just soaking it in.
Reframed.
Immediate reframe.
This is slowing down.
You're just like watching it happen.
You're like, yes, thank you.
I did that.
Yes.
I love that.
Thank you so much.
This has been an incredible conversation,
and I'm so grateful that you've written the book
and that you would come here and speak to us.
Thank you for having me.
I could talk to you for days.
Anytime.
Such a pleasure and an honor.
Thank you, my dear.
If you're loving this podcast,
be sure to click follow on your favorite listening platform. While you're there, give us a review and a five-star rating and share an episode you loved with a friend. We'll be so grateful. A spy with Emma Greed is presented by Odyssey. I'm your host, Emma Greed. Our executive producers are Corrine Gilliott
Fisher, Derek Brown and me. Our executive producers from Odyssey are Maddie Sprung Kaiser, Leah Reese Dennis, Asha Saluja and Jenna Weiss Berman. Stephen Key is our senior producer. Sound design and engineering by Bill Shultz.
Angela Paluso is our Booker, original music by Charles Black,
video production by Evan Cox, Kurt Courtney, Andrew Steele, Carlos Delgado and Argusi,
social media by Olivia Holman.
Special thanks to Brittany Smith, Sydney Ford, my team's at the lead company and WME,
Mora Curran, Josephina Francis, Hillary Schuff, Eric Donnelly, Kate Hutchinson Rose,
Tim Mekyll, Sean Cherry and Lauren Vieira.
If you have questions for me, you can DM me at Aspire with EmmerGre.
Greed is spelled G-R-E-D-E.
That's Aspire A-S-P-I-R-E with Emmergreed.
Or you can submit a question to me on my website, emigreid.migre dot me.
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