Feel Better, Live More with Dr Rangan Chatterjee - Dr Gabor Maté: The 5 Life Lessons People Learn Too Late, Why We Should Stop Trying To Live Longer & How Curiosity Leads To Compassion #440
Episode Date: April 2, 2024Since his first appearance on Feel Better Live More, way back in 2018, Dr Gabor Maté has become a valued friend, as well as a regular guest. I’m proud to say that he recently joined me in London as... a guest speaker on the Prescribing Lifestyle Medicine course that I co-created with Dr Ayan Panja, to teach healthcare professionals the principles of lifestyle medicine. We recorded this conversation - Gabor’s 4th appearance on my show - a couple of weeks ago in London the day before that event, and we both agreed that it is perhaps our favourite conversation to date. For anyone not aware, Gabor is respected the world over as an expert on trauma, stress, addiction and childhood development. He is a physician, speaker and international bestselling author of some truly game-changing books such as When the Body Says No and The Myth of Normal - which has just come out in paperback. As this is Gabor’s 4th appearance on my podcast, I was keen to explore some new ground and different topics. Gabor has worked as a family doctor as well as in palliative (end of life) care. Back on Episode 383 of this podcast, I had a wonderful conversation with Bronnie Ware, author of the book, The Five Regrets of the Dying and I thought it would be interesting to examine each of these 5 regrets, through the lens of Gabor’s thoughts and work. We chat through all five of these regrets and Gabor provides some thought-provoking insights on each of them. He explains why we work so hard to the detriment of time with family and friends. We talk about how disease can be a teacher, why it’s vital children grow up able to express their emotions, and how we wish more doctors were aware of the connection between emotions and physical health. We discuss happiness and if it’s possible to be happy or seek happiness when there is so much suffering in the world. This leads us on to talk about the nature of forgiveness, curiosity, compassion, and also regret. Gabor says that living life with ‘no regrets’ is about learning and understanding from your perceived mistakes, but not being unkind to who you were then. Instead we should recognise that we did the best we could do at the time. Like all of my previous episodes with Gabor, this is a powerful conversation full of compassion, knowledge and wisdom. I hope you enjoy listening. Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. Thanks to our sponsors: https://drinkag1.com/livemore https://calm.com/livemore Show notes https://drchatterjee.com/440 DISCLAIMER: The content in the podcast and on this webpage is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.
Transcript
Discussion (0)
I really think that this longevity movement is a sign of deep social anxiety.
You get these rich people in California with their cryo technology of freezing the body,
hoping that 100 years from now they'll be able to be unfrozen and there'll be treatments for the...
It bores me. All this stuff about longevity bores me to death.
I just don't care.
What really matters is what does this moment bring us or what can we bring
to this moment? Let the future take care of itself. Hey guys, how you doing? Hope you're
having a good week so far. My name is Dr. Rangan Chatterjee and this is my podcast,
Feel Better, Live More. Since his first appearance on this podcast all the way back in 2018, Dr. Gabor Mate has become
a valued friend as well as a regular guest. I'm proud to say that he recently joined me in London
as a guest speaker on the Prescribing Lifestyle Medicine course that I co-created with Ian Panja
to teach healthcare professionals the principles of
lifestyle medicine. Now, we actually recorded this conversation, Gabor's fourth appearance on my show,
a couple of weeks ago in London, the day before that event. And we both agreed afterwards that
this is perhaps our favorite conversation to date. For anyone not aware, Gabor is respected the world
over as an expert on trauma, stress, addiction and childhood development. He's a physician,
speaker and international best-selling author of some truly game-changing books such as When the
Body Says No and his latest The Myth of Normal which has just come out in paperback. As this is Gabor's
fourth appearance on my podcast, I was keen to explore some new ground and different topics
in our latest conversation. Now back on episode 383 of this podcast, I had a wonderful conversation
with Bronnie Ware, author of the book, The Five Regrets of the Dying.
And I thought it would be really interesting
to examine each of these five regrets
through the lens of Gabel's thoughts and work.
So in this conversation,
we chat through all five of these regrets
and Gabel provides some thought-provoking insights
about each of them.
He also explains his view as to why we work so hard, often to the detriment of time with family
and friends. We talk about how disease can sometimes be a powerful teacher, why it's vital
that children grow up being able to express their emotions, how we both wish that more doctors were aware of the
connection between our emotions and our health. And we also discuss happiness and whether it's
truly possible to be happy or seek happiness when there is so much suffering in the world.
We also talk about the nature of forgiveness, curiosity, compassion, and also regret.
Gabor says that living life with no regrets is about learning and understanding from your
perceived mistakes, but not being unkind to who you were in the past.
Like all of my previous episodes with Gabor, this is a powerful conversation
full of compassion, knowledge, and wisdom.
I hope you enjoy listening.
Gabor, you turned 80 a few months ago.
Two months ago, yeah.
How is that for you?
You know, we had a really nice party um and my children came and they wrote us some
songs and they performed them and uh close friends were there it was a very warm we had wonderful
palestinian food uh catered and uh it was a really good time and it felt it felt like I've arrived somewhere, you know? And nobody ever imagines being 80.
I mean, do you imagine ever being 80?
Yeah.
It's funny, as you ask that question,
no, you think about lots of things in life.
I do imagine sometimes what it might be like
when my wife and I are old and what we might do together.
But no, I can't say I've ever imagined actually being 80 years old.
Yeah.
And at some point, it would have struck me as such an impossibly geriatric number.
You know, at this point, it's just a number.
And it's almost meaningless.
Except it's not completely meaningless,
because I know that the time is,
one always knows that the time is limited.
Intellectually, we understand that nobody lives forever,
and we never know when the reaper is going to come knocking on your door.
But at the same time, once you get to be 80,
you realize that whenever it's going to happen,
it's going to happen within a fairly short period of time.
And when I think of when i retired from active medical practice it was um 13 years ago now well will i still be alive
13 years from now and it seems like such a short period of time so when you think about it it's
quite um dramatic but on the other hand from the moment to moment and day to day it
just doesn't make any difference yeah there's something about the number 80 yeah i think
and of course we know it's just another day and it's just a number but does something change
when you wake up and your family and your friends celebrate hey gabriel you're now 80 years
old yeah does it in some way change the way you see yourself or i guess reflect differently on
who you are and where you are in your life on most days i can say this and not on every day for sure
but it's a kind of ease that's entered my life.
Even with all that's going on in the world, I'm just sort of more,
I don't struggle with the way things are so much.
I may like them or not like them.
I may react or not respond.
But there's not a struggle against just the beingness of things.
I'm certainly noticing that.
And people, I had a visitor a week ago who I hadn't seen for a few years
and she says, you've changed.
And I said, oh yeah.
She says, you've become softer, you know.
And if that's true, it's good.
It's a sign of kind of loosening inside.
You used to work in palliative care.
Yeah.
And I think you're familiar with the book
by Bronnie Ware, The Palliative Care Nurse,
The Five Regrets of the Dying.
Yeah.
What I thought would be interesting today
for our fourth conversation on my podcast together is to maybe go through
each of those five regrets, because I'd love to know from your perspective what each of these
regrets says about where we are, who we are, what things are important to us. And so the first of those five regrets is,
I wish I had the courage to live a life true to myself,
not the life others expected of me.
Yeah.
And so let's keep in mind that,
like when I used to work in palliative care,
which I did for seven years,
and this nurse who wrote the book,
she's Australian, she wrote the book about 12
years ago now they weren't talking about people dying at old age they were mostly it's about
people dying before their time and so the regrets that they had um as their terminal illness usually
malignancy or perhaps chronic autoimmune disease um brought them to the end of their physical existence,
what did they regret?
And the top one was, I wish I had the courage to live my own life
rather than the one that people expected of me.
I would reframe that because there's a deep truth in it.
And as you know, and perhaps we've talked about,
from my point of view, very often,
the people that do develop chronic illness
are people that have suppressed their own true selves
for the sake of being accepted to others.
And that self-suppression has deep physiological consequences
on the immune system, on the nervous system, on the heart, and so on.
So that self-suppression is also physiological self-annihilation in some ways.
But when she talks about courage, that's a self-judgment.
They're saying to themselves, I wish I'd had the courage as if it was a question of cowardice.
It isn't.
It's a question of programming.
Like you and I are both parents we know this
no infant is born suppressing themselves no infant enters the first day on this earth trying to
please anybody they're just being purely themselves expressing their joy when it's there expressing
their upset their distress when that's dominant,
but they're purely themselves.
So that what she calls courage or what these people call courage of being myself
is actually a trauma imprint that for some reason they learned early in life
that to be themselves is to court rejection by their environment.
So it's not a lack of courage.
You can't talk about a one-year-old lacking courage or a two-year-old.
It's simply an adaptation.
Later on, they say courage, but really that courage or the lack of it
is a shorthand for something happened to me that I gave up my true self
for the sake of being accepted.
And that cost me.
First of all, it cost them in terms of physical illness,
but also cost them in terms of self-respect and dignity.
It's a major one.
Are you living a life at the moment
that's true to yourself?
I am now.
I sense that I am.
I believe that I am.
That doesn't mean every second I do, you know,
but on the whole I do and it feels really good.
And I know, you know, I dinner last night and and you were telling me
that you're finding yourself far more self-expressed and and and comfortable
with who you are then you used to so that's the good news people is that this
is a process that can continue for a lifetime yeah but yeah um i i really see that people who suppress themselves
really suffer yeah so that first regret i wish i had the courage to live a life true to myself
um i'm really glad you picked out the word courage because that word also stands out to me
yeah it's very interesting to use that word. Yeah.
Well, it's a self-judgment, isn't it?
It is.
Yeah.
You know, I could have done better.
I should have had the courage.
That's right. It's what that kind of says.
Yeah.
It's interesting, Gabby, you said when you turned 80,
or as a consequence of you turning 80,
you realized that, well, 13 years ago,
you gave it your medical practice,
will you be alive in 13 years?
That's very striking.
Are you afraid of death?
In principle, I'm not, you know.
But I don't really know until I have to face it.
I won't know how afraid I am until it confronts me.
At this point I feel healthy and I get to do what I want to do
and I have vigor
and I have interest
and excitement
and love
and likes and dislikes
and I'm quite alive.
What happens
when I have to confront the actuality of it?
I have no idea how I'm going to respond.
So sometimes I get fear around it.
I mean, I don't want to give this up.
I don't want to give up this life.
But other times I say, well, if I do, I've lived,
and it's been good, and there's not much to regret. So yes and no. But I won't really know until I've lived and it's been good and there's not much to regret, you know, so yes and no,
but I won't really know until I'm up against it. You've spoken publicly before about
your journeys with plant medicine. Yeah. Does that change anything for you, I guess, or has that changed anything in terms of how you may view
what happens at the end of human life?
Because many people will say, for them,
it does change how they perceive themselves,
how they perceive death,
how they perceive what this experience of life actually really is.
Well, specifically, as you're probably aware,
they've done studies on end of life anxiety
with psilocybin, so-called magic mushrooms.
And people report spiritual experiences
and people report a significant abatement of anxiety
they had on their diet.
These are people who are terminally ill.
And nothing that the medical profession could offer to reverse the course of their fatal illness.
But they had much less anxiety about dying
as a result of those spiritual experiences
that were induced by taking the mushroom.
For me, I've never faced death in that sense.
When I think of some of my psychedelic experiences,
and if in retrospect I allow myself to sink into them,
I can say in that state that would not be a fate of death.
I'd say that there's a larger reality than the persistence or cessation
of this particular lung represents you know i would say that if i project myself back into
those experiences again how i will face it when it happens or when it becomes inevitable.
I don't know. Yeah.
Society's view or this society's view of people getting older,
80 seems to be the age where we often expect people to be doing less,
you know, being less mobile, less vital. Not everyone,
of course, but many. You seem to be someone who has this love of life, this vigor, this message
you want to share. You seem to be traveling all over the globe at, you know, pretty regular
intervals. You've come into London for four days. You're
going to help me do some teaching with doctors tomorrow, which is incredible.
But a lot of 80-year-olds are not doing that. And the longevity space within medicine has
really exploded over the last few years. people love talking about longevity, right? And I think we're missing
something in our discussions about longevity. Well, I think there's a couple of things.
What do you think we're missing?
I think it depends what you mean by longevity, first of all, right? So yes, some people want
to know how can I not necessarily live longer, but be independent,
mobile, vital as long as I live. So health span versus lifespan. And I get that.
But there's a lot of talk these days about extending lifespan, living to 150 and beyond
and all kinds of crazy stuff. And I don't want to stand in the way of human progress at all.
One of my fears is that in pursuit of living longer,
are we missing something about the beauty and the essence of what life really is?
Life is finite.
The fact that it's finite is what makes it so beautiful.
the fact that it's finite is what makes it so beautiful.
If we could live to 200,
would we have even more of these regrets because we'd keep taking life for granted?
You know what?
You're talking my language because to tell the truth,
to coin a phrase,
all this stuff about longevity bores me to death.
I just don't care.
All this stuff about longevity bores me to death.
I just don't care.
What really matters is what does this moment bring us or what can we bring to this moment?
Let the future take care of itself.
Like Jesus says, take no thought for tomorrow.
And I really think that this longevity movement
is a sign of deep social anxiety.
And especially you get these rich people in California with their cryo technology of freezing the body,
hoping that 100 years from now they'll be able to unfrozen and there'll be treatments for it.
It bores me.
you know it bores me you know what really matters is for me is what makes life meaningful and active and engaged in the present moment and um it's interesting in english we talk about growing older
now that's a very telling phrase because in significant ways when we get older we shrink.
You know, like our bodies, our skin starts to sag, our muscles are no longer as supple and strong as they used to be.
So what does it mean to grow older?
We could just say, like you said earlier, get get older which is just a chronological progression
but growing older implies that the growth is actually possible so in what sense can we actually
grow and i think actually we can actually grow into the present moment and and growing in our
growing our appreciation for life and what matters and knowing what doesn't matter and growing
in wisdom.
Indigenous cultures, they don't talk about elderly.
They talk about elders.
There's a huge difference.
So I think there's a natural reverence for age that senior cultures would respect and
modern society kind of dismisses you
know now do I wish that my hair was blacker and more curly that way it used
to be yeah I do you know and it wasn't gray and my hair wasn't thinning at the
top and I sure I wish that but at same time, I would not want to be as unconscious as I was when my hair was blacker and curlier.
Yeah, this is such an interesting point.
I've spoken to several menopause experts on this show over the past years.
but it's on the show over the past years.
And I remember when doing some research on one of the conversations,
I came across research showing that in cultures
where women are revered as they get older,
their wisdom is respected.
They're seen as really important parts of the community.
Those cultures report less menopausal symptoms.
Isn't that interesting?
Just so I'm not misinterpreted, I want to be really clear.
I'm not saying that that means that all menopausal symptoms would go away if that was the case.
I just find it interesting that when the cultural view of growing old is different,
we perceive ourselves as having i don't know a different
symptom profile if i if i can yeah and and and the degree of suffering is different so that
maybe they have symptoms or maybe they have certain features but the suffering
is not experienced the same way please expand on that because i think some people will go what do
you mean if you're either getting symptoms
or you're not getting symptoms?
Explain what you mean by perception of,
you know, the suffering essentially.
Well, I was talking to somebody else about this today.
So as you and I know,
in Western medicine,
we kind of medicalize everything.
And so we talk about premenstrual syndrome,
which PMS is a syndrome it's a medical entity what is it really is that under the impact of hormonal changes women get more
sensitized so they might have more physical pain and more upset but we could see that as pathological,
or we could actually say that it's a time of truth telling,
that the hormones do sensitize them to things
that are not functioning in their lives,
which the rest of the time they're acculturated
to acquiesce with and to put up with.
But the menstrual ferment in their bodies
makes it less tolerable so instead of seeing it
as a pathology we could see it as a time of insight and what if they actually listen to
their bodies and listen to what their body's saying no to that the rest of the month they kind
of suppress then that could be seen as a time of wisdom rather than a time of suffering. So the
physical things are there, but it doesn't have to be experienced as suffering. It could be
experienced as a time of truth-telling. And actually a lot of women have told me that,
wants to become aware of that. Their relationship to menstruation is totally different. And I think
that's what you're saying about menopause as well. Yeah. This kind of speaks to the second regret, which is, I wish I hadn't worked so hard.
Yeah.
And what I mean by that is, I agree that for many women, and I can think of so many patients like this then their hormonal symptoms
were actually showing them that the way you're currently living is not in harmony with your body
exactly now of course sometimes people struggle to make change it's hard to make change maybe
their life is mega stressful and at that moment they can't change it for whatever reason. And I totally, I empathize with that.
I understand.
Yeah.
But for some people who are able to,
it's sometimes it's one of the best things that has happened to them.
Yeah.
Now this thing of, I wish I hadn't worked so hard.
That's an interesting one because I wish I hadn't worked so hard.
And what do I mean by that?
Like, like, speaking for myself, That's an interesting one because I wish I hadn't worked so hard. And what do I mean by that?
Speaking for myself, and I don't know if this is true for you but I became a physician for some really good reasons.
One of them was I genuinely wanted
to help suffering humanity.
And I thought medicine is a perfect pathway
through which I could help people.
That's genuine
and I meant it.
I also
chose a profession
where I was fairly confident
of making a decent living
so I could support
a life for myself
and my family.
That's legitimate.
But those reasons don't make you work too hard.
They make you work hard,
but they don't make you work too hard.
What makes you work too hard,
and that's what these people are saying,
is you're driven by something
that you're not even aware of.
And what I wasn't aware of
when I went to medical school
and when I was a physician for decades
is how driven I was a physician for decades,
is how driven I was to justify my existence in the world
and to prove that I was important and worthwhile and so on.
And that had to do with the loss of those,
that confidence owing to early childhood trauma.
And so it's not a question,
nobody says I wish I hadn't worked hard
to achieve something in life.
You have to work hard.
They're saying, I wish I hadn't worked too hard.
And that too part, the T-O-O part, comes from being driven by unconscious needs to validate your existence.
Where why should any human being have to validate their existence?
And so that's what they're saying.
And when you're driven to work too hard,
you actually ignore what matters.
And what matters is what you were telling me last night about how much it matters for you to spend time with your family.
So every summer, you take a bunch of weeks away from your podcast
and you just spend time enjoying your kids and
your wife and your family and i didn't do that i for me it was very hard to even take holidays
i always felt i had to keep working if somebody was in pregnant my god what if i would miss their
delivery like the baby couldn't enter the world without me, you know? So that drivenness is what makes people work too hard.
And so not a matter of working hard,
it's a matter of working too hard.
And where does that come from?
Again, that comes from childhood trauma.
A lot of doctors, and I have several friends like this,
they don't take their full allowance of annual leave.
Sounds like you may have been similar.
I had that tendency, yeah.
Yeah, and often people will say,
and I have a friend who says this,
yeah, but my patients need me.
No, they don't need them.
They need medical help.
Yeah.
But I think we have to ask ourselves,
and this is very, very common in medicine, actually.
I'm sure it's common in other professions as well. It's interesting when you don't take your
full allowance of annual leave that your contract entitles you to. It's often paid time off as part
of your job. When you're not taking it, of course, there can be reasons for that. There can be
reasonable reasons. There can be work reasons.
But if you're not, I think it may be worth reflecting on some of those underlying, you know, those real drivers of that.
Well, it occurs to me that what your friend is actually saying is not that my patients need me, but I need my patients to feel okay.
And when I'm not working to help them,
I don't know who I am and I don't feel comfortable.
So I need them.
Now that means get it to a therapist and deal with it.
And not only that,
even your capacity to help your patients over time will be eroded by the way you're stressing yourself and you're not taking care of yourself.
And physicians are notoriously programmed to ignore themselves and there was a very
interesting study that I mentioned in the book the myth of normal they looked
at the fraying of the chromosomes of people and you know when we're born we
were born with certain structures called telomeres.
And telomeres are DNA structures at the end of our chromosomes.
And their fraying and their shortening is a mark of aging and of stress.
And they looked at the telomeres of medical residents compared to other people their age.
They age faster.
They fray faster.
or the people their age, they age faster, they fray faster.
And so physicians are driven to actually not spare themselves and to literally consume themselves in the work in the long term.
That may make you a very popular and very successful doctor,
but in the long term, it's going to be at the expense of your marriage
and of your children and of your own mental and physical health.
For me, if I look at that situation
and I reflect on society and culture,
what I see these days is a very,
it's very me-focused culture
where community has been gradually eroded out yeah and therefore if
we think about a human being a human being needs to feel that they're of value to other people
we need that it's in our tribes you know 50 000 ago, we would have felt of value because we would have a role
and other people would see that role. They would benefit from it and we would benefit from the
things they were doing, you know, whether it's someone's hunting, someone's gathering, someone's
putting the fire on, whatever it might be. In this me-focused culture where it's all me, me,
me, and what are my needs and what do I need to do and how can I better myself, I feel that we often don't feel of value to others. We don't feel
important. And so it makes sense that in that culture, you might overwork. You might keep
pushing yourself because if you're not working and feeling important there then actually you
may not have that sensation in any other aspects of your life well if but if you weren't given the
it's very simple if in early childhood you give in the sense that you're valued
just because you existed your parents welcome you and validate you and value you
and celebrate you just because you are.
Then you don't have to keep proving it afterwards.
But if you don't get that sense, then you have to be important.
So that sense of needing to be important
has to come from missing out on being valued for who you are
or being only valued for your achievements.
You know, you're valued.
Look, my parents bless their souls but they valued my intelligence
you know and so a lot of my persona was caught up in being smart and and proving
my value that way well it's good to be intelligent but your value should doesn't depend on or shouldn't depend
on any one quality whether you're cute or cuddly or handsome or successful or good at sports or
smart in school any of that your value is intrinsic or good innate inherent because you're
a human being in a society as you say it tends to value people for
what they do and so that can become very very addictive but again going back to your friend
who says my parents my patients need me and you think about it and i'm not accusing them of
anything but they're not realizing just egotistical that statement is is as if it dependent on them their patients need
good medical care but they don't need him or her or them specifically which means that they should
be able to take care of themselves as long as they make sure that when they're not there their
patients are receiving the care that they need.
So it's not about us.
And I used to think it was always about me.
If I'm not there for the delivery
of this particular woman's baby, oh my God.
You know, like as if it all depended on me.
It's probably a control issue there as well, isn't it?
That I know how I would do it.
So I need to be there
because I know how I would manage this birth
and that sort of stuff,
which is an inability to let go.
Someone else can probably do this as well.
Yeah, or if they can't do it as well,
so be it.
Yeah.
As I was walking to the studio this morning,
thinking about our conversation,
the word impressive kept coming up for me.
And I've been reflecting on the word impressive because, again, I think culturally, we think it's
a good thing to impress others. That bit of work you did is impressive. But actually, if you really unpick impressive, or certainly if I do it, it implies to me, and maybe this is my own bias because this is what I have done for much of my life, I've changed who I am in order to impress others.
I didn't feel I impressed others by being myself. I impressed them by
changing. So what comes up for you when you hear the word impressive? Have we got it wrong? Has it
been taken to mean something it's not? How do you see the word impressive?
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Impressive, first of all, has to do with what?
It has to do with our impact on other people, how others see us.
So, if I can just be myself and express my own truth and not drive myself into activities that are not good for me
and people are impressed, well, that's great.
But if my intention is to impress other people, if I need for me to make a certain impression in somebody else's mind,
then where am I living?
Then I'm living in their minds rather than in myself.
So the question is, where do I want to live?
Here or in your mind? in their minds rather than in myself so the question is where do i want to live here or
in your mind you know and our society is so um addicted to people being impressive in the minds
of others that means that we live in the minds of others don't more than we live in ourselves so
if i can if you can be yourself,
and if I find that impressive, that's great.
But you're not doing it to impress me.
You're just doing it because you're expressing who you are.
If I'm impressed, great.
If I'm not impressed,
that doesn't take anything away from you.
But to the degree that we're dependent on impressing others,
we're robbing ourselves.
So that's how I see that word.
The third regret that Bronnie wrote about was, I wish I had the courage to express my feelings.
My emotions, yeah.
Which is, I guess, not dissimilar to the first one about living a life that's true to yourself.
No, and again, there's the word courage that shows up. And these people are judging themselves. dissimilar to the first one about living a life that's true to yourself no and it again it again
is the word courage that shows up and these people are judging themselves
a more interesting way to put it is why is it that i didn't express my feelings
you know now here's the thing um again in my writing in the myth of normal, I quote this great neuroscientist
who died in his mid-70s of cancer a few years ago.
Those of us who knew him still mourn him.
His name was Dr. Jak Panksepp,
P-A-N-K-S-E-P-P.
He was from the Baltic states,
whether he was Estonian,
I think he was,
but maybe Latvian, you know.
And he was an effective neuroscientist,
so he studied the neurobiology of emotions.
And wrote a book called The Archeology of the Mind.
It's one of the seminal books of modern science.
And he pointed out that we share certain emotional circuits with other animals
so we have circuits and he capitalized
these circuits, these systems
the C-A-R-E
the care system
and there's a system for anger
system for
fear
for lust
for playfulness, for joy in other words
for seeking which is curiosity for lust, for playfulness, for joy in other words,
for seeking, which is curiosity, grief.
And we share these brain circuits with other mammals.
In other words, these emotions are not luxuries.
They are emotionally, I should say, they are evolutionally determined aspects of who we are.
So, if you take the care system, it's essential because without care, the mammalian infant doesn't survive.
There's got to be something in the parent's brain that drives that parent to take care of the infant.
And something that's in the infant's brain that impels them to connect with the parent in order to to take care of the infant, and something that's in the infant's brain
that impels them to connect with the parent
in order to be taken care of.
That's just evolutionary biology.
So, we have all these emotional systems.
Anger is one of them, as I mentioned.
Fear, grief are others.
And children, one of the emotional needs of children,
when I studied and interviewed experts on child development,
one of the things I learned and write about
is that one of the needs of children
for healthy brain development
is the freedom to experience and express
all the emotions that come up for them.
That's just necessary for health.
Now, what happens in this society
where a lot of parents get the message
that certain emotions on the part of their kids
are not acceptable.
So, you know, a kid might experience a loss,
like a dog might die or grandpa might die
and the child is upset and the parent
can't handle the child's grief so snap out of it it's just a dog or or yeah get over it people die
you know um or a child experiences anger uh because you didn't give them a cookie before
dinner you know and a two-year-old throws a tantrum and you can't handle it i think
you and i have talked about this before then the child gets the message that in order to be
acceptable to the parent they have to suppress their emotions so when these people talk about
that and that suppression of emotion as i've often made the case with you and in my books
actually undermine health and and our physiology in our immune system
so when these people in their dying weeks regret not having had the courage to express their
emotions what they're really talking about is that long time before when they were children
they were forced to suppress their emotions for the sake of being accepted.
Yeah.
And now they regret it because they sense that they were forced to abandon themselves.
And so, again, I would remove the word courage and ask, instead of judging them for lacking courage,
I would say, what happened to them?
Because, again, no infant lacks the capacity
to express their emotions yeah so if they lose it it's because they learned that they had to
in terms of something practical around this point gabble if
if there's any parents listening and their kids, let's say, sometimes get angry or have a tantrum or whatever it might be.
Of course, there is a certain conditioning in our modern, certainly in Western society about what one should do about that.
that. Given your view in terms of what is important for a child and what you've just said,
what would you encourage a parent to do when their child is, I was going to use the word playing up, but that's a ridiculous term because playing up is a societal construct. The child is
just expressing emotions. We're calling it playing up because we don't like, you know, what it's doing
or what the people next door are thinking or whatever it might be, right? The North American
term is acting out. Acting out. Yeah. Do they use that phrase here? Yeah, they do. They use this
phrase here. Yeah. So going back to that, the parent who may be struggling, but wants to be a
better parent, wants to go, actually actually you know what gabriel i really want
to make sure that i allow my child to express their emotions yeah do you have any advice for me
what would you say to them no i do well so you know there's um we can talk about three modes of
parenting one is the permissive parenting where you allow any behavior and you don't intervene.
That's the worst thing you can do.
Kids need to... But that is allowing them
to express themselves.
Yeah, but there's a difference.
They might express themselves
by hitting their sibling, for example.
And you don't allow that.
Kids need to feel
that somebody's in charge.
Parenting is not a democracy. It's a hierarchy um in a hierarchy there's a dominant force the parent dominates
the child not to exploit or to suppress but to nurture and to support you know so that you know
you live in manchester and i don't know how cold it gets in manchester but if you have a
one-year-old child they don't get to vote on whether they get to crawl outside in the wintertime
in manchester you know naked you know the parents says no you don't go outside naked you know you
have to get put clothes on that's just how it is it's a hierarchy it's not a democracy the one
year old doesn't get a vote okay i'm being going into the slush in the snow in the middle of december or
whenever um so that's permissive parenting that's not very good then there's repressive parenting
which some experts that we've talked about advocate that's authoritarian parenting
in between them is the golden mean so this permissive parenting here authoritative parenting here then there's permissive parenting here, authoritative parenting here,
then there's authoritative parenting in the middle.
Authoritative parenting is I'm in charge.
I know what's good for you.
I'm the authority.
So I know what to do with you.
So if a child is upset,
you say, oh, you're upset.
You know, you're angry with mommy.
Mommy, wouldn't I give a cookie before dinner?
Yeah, you're really upset about that. Yeah, well, come here. I know how you're angry with mommy. Mommy, wouldn't I give a cookie before dinner? Yeah.
You're really upset about that.
Yeah.
Well, come here.
I know how you feel.
In other words, you validate the emotion.
You don't punish the child for it.
And you hold the child because the child needs to learn that they can go through these difficult emotions and get through them.
And still be loved.
And still be loved, yeah.
them and still be loved and still be loved yeah now that doesn't mean you let them pull the cat's tail or to break the break the glass you know smash the furniture or hit their sibling but it
doesn't mean you validate the emotions and you hold them and then they learn ah and and actually
and when they and it's also age-specific.
There's no point saying to an angry one-and-a-half-year-old,
let's express it through words.
They don't have the words.
But to a five-year-old, you can say,
can we find some words for your anger?
In other words, you can teach them to express their emotions in ways that are socially appropriate.
So at any age, you have to be age appropriate.
But fundamentally, you validate the emotions
and you hold the child
and you make them feel that
you can have these emotions.
I don't want you behaving that way,
but you can have the emotion
and I'm not going to reject you for it.
It's not that hard.
And people do it intuitively sometimes.
Yeah.
And the impact of parenting like
that will be felt for the rest of that child's life well absolutely and that's the key isn't it
you look at look around society it's very very hard to not make the case that we have to set up
society so that those early years are where the kids get good nutrition,
they have calm environments, they have present parents. You know, I'm always shocked at the
amount of leave that people in America get, or mothers get, in jobs in America. I think
one of my friends' partners in America got two weeks off.
Oh.
Which I thought, what, two weeks off after giving birth?
Well, when I researched the myth of normal, I found that 25% of women in the States go back
to work within two weeks of giving birth, which 25% of women, and needless to say,
this is both economically and racially determined, but it
means that it's a massive abandonment of the child. Because from the point of view of the
development of enzymes in the child, the child's physiological unfoldment, psychological security,
they need the mother for many, many, many, many months. And you try and take an infant away from an orangutan at two weeks and see what happens.
And in fact, they've done some very cruel studies with monkeys that shows the impact of maternal deprivation at those early ages.
Studies that are terrible to read about.
And they prove what?
They prove that love and contact and connection is important,
something we should have known all along.
But the point is that that statistic,
that 25% of women have to go back to work within two weeks of work,
within two weeks of giving birth,
it's a massive abandonment of children,
the impact of which will show up in their mental and physical health decades on.
And then they wonder why there's so many problems.
Tomorrow is the yearly prescribing lifestyle medicine course
that I've been running with a colleague,
Dr. Ian Panja since 2018.
And of course, you're going to be the guest speaker tomorrow.
And I'm really excited that we're going to be the guest speaker tomorrow. And I'm really excited
that we're going to be able to communicate with doctors and share your work and how they can bring
your work into their practice. It's really, really exciting. One of the things I'm hoping
you're going to be able to share with the audience tomorrow is what I think is the biggest hole in medical school training.
If you'd asked me five years ago,
I may have said, oh, nutrition and sleep,
and we need to teach doctors about the importance of this stuff.
And we do.
But if I had to choose one thing that I think
is the biggest hole in medical training today,
for me, it's that a lot of doctors leave medical school without an understanding that our emotions,
Oh, I see what you're saying.
The way we think holding on to anger, resentment, not being able to forgive and move on.
I really don't feel within medicine there's an understanding that this can contribute to ill health.
Yeah, it's such a gap.
And I think both you and I have had to discover it not as a consequence, but despite our medical education.
not as a consequence, but despite our medical education.
And when you're in practice and you, I mean, as a family physician,
we do have an advantage over specialist colleagues in that we know people before they get sick.
So we get to see who gets sick.
And I couldn't help but notice that people's emotional lives
are so intertwined with the physiological health and as you suggest nobody
medical school told me that it's it's a huge gap now it it also has to do with how we relate to
ourselves by the way because the way doctors are trained is very often very stressful and very um
almost traumatic in significant ways so that in that's why I mentioned the word self-care,
because in being trained to stoically ignore ourselves,
we also are dismissing the importance of emotions in our clients.
Yeah.
So that I wish there was more emphasis in medical school
on dealing with our own stuff.
Yeah, for sure.
And in conjunction with that therefore the
awareness of the importance of people's emotional lives yeah and and what's really interesting here
is that some of the great pioneers of medicine have known this all along and they've said it
hundreds of years ago well the jean-martin char, who first described multiple sclerosis, said that this
is related to stress and grief. And it is statistically and according to studies since
then, but he just saw it. And there's a great British surgeon, James Padgett, Padgett's
disease, and he operated on women with breast cancer. And he said that breast cancer is
indubitably related to emotional factors.
That it's so evident that it's hard to ignore.
And so these great pioneers said this
and their teachings have been completely ignored.
Yeah.
Let's be really clear.
This is such a delicate area for people
because many people perceive that as fault and as blame.
I know you don't mean it like that.
I don't mean it like that when I talk about it either.
But often it's like, what are you saying?
That I did this to myself, right?
You must have had that before.
People must have said that.
Just clarify that for them, please.
Well, really we've been talking about it.
That the suppression of emotion,
nobody's born with it.
And it's not a lack of courage or wisdom.
It's a programmed response to childhood experience.
So people have got the message
before they had any choice in the matter,
that if they are truly themselves,
if they express who they are,
their emotions, just like we've been talking about, they won't be accepted. So that's a
programming that people are ingrained in, in their early childhood. How is that their fault?
It's just the way they adapted to the environment necessarily. As a matter of fact,
it was an inevitable and unavoidable adaptation
because the alternative of being rejected by their families or their milieu was not acceptable
to a small child so therefore nobody does this to themselves in any conscious or deliberate sense
what i can tell you is that when people are diagnosed and they become aware of these dynamics, they find that liberating.
Yeah.
So in the myth of normal, I quote the American singer Sheryl Crow, who was diagnosed with breast cancer.
And she said that before the diagnosis, I was always pleasing others and not expressing myself.
And there was always a voice in my head that I'm wrong
and I have to adjust myself to other people's expectations.
I'm paraphrasing her,
but she said, I've learned differently now.
And now I'm really paying attention to myself.
So again, that's this idea of disease as teacher.
Now, Sheryl Crow wasn't born like that
and she didn't choose to be that way.
That was her response to her upbringing.
So nobody's being faulted here.
But we are saying, people, if you allow that disease
to wake you up and to teach you something,
you might have a whole lot better life
than you could have imagined.
Yeah.
Well, I think this is really, really interesting.
We can, first of all, make the case to people
that emotions matter.
The ability to express your emotions is important.
If you repress them, it may well have some quite severe physical consequences.
So let's say that a doctor accepts that and goes, okay, so what do I do with that?
Well, what do doctors do with it?
Well, here's the thing.
It depends how you're oriented.
Like I'm kind of psychologically oriented.
I've always been interested in it.
So for me, it was a natural movement
from strictly focusing on the physical symptoms
to dealing with the whole person.
Another physician may recognize the value of this
but not have the orientation to deal with it.
But at least they can say to their clients,
listen, there's a lot of information.
So when you come in with your rheumatoid arthritis,
so your multiple sclerosis,
so your chronic eczema or chronic migraines
or irritable bowel syndrome
or inflammatory bowel disease or whatever you happen to present with.
There's a lot of information, a lot of scientific information
that shows the connection between, in fact, the unity of mind and body
and the inextricable relationship between the immune system and emotions and so on i'm not
myself trained in that i'm going to deal with the physical aspects of the illness i'm going to
prescribe for you the intent anti-inflammatories or the immune suppressants or the steroids whatever
you happen to need to mitigate the symptoms but can i send you to somebody so you can talk about this
stuff would that interest you you know so you can do that so we're not necessarily talking about
every doctor having to become an expert on this but at least they should be aware of it so they
can steer people to a broader approach to their illness number one number two there's certain
simple things any doctor can ask like one of my books
when the body says no that's the title um and in the myth of normal there's a chapter called
but before the body says no you can ask your client it's a very simple question where in
your life are you not saying no where there's a no that wants to be said but you're not saying it
for the sake of pleasing others.
Can you just consider that one?
Because that simple issue of not saying no
can play havoc with your health.
Because if you're not saying no,
when you're wanting to say no,
you're actually suppressing yourself.
And then you're taking on more stress and more burden.
So those simple questions any doctor can ask.
So it's not as complicated as all that.
Yeah.
But the point is,
the first step is just to be aware of the connection
that you mentioned between emotions and physiology.
Then if the physician wants to take on a deeper study of it,
they can.
If they don't,
at least they can
guide people to to to explore that connection somewhere else yeah i completely agree thank you
yeah fourth regret i wish i stayed in touch with my friends yeah well what we're talking there
is and it goes back to the others about working too hard you know for example what are they
discussing there is the need for attachment for connection for belonging and what these people
are saying is I was too driven by whatever factors impelled me to ignore my personal relationships and to put my attention on things that ultimately don't matter.
My acquisition, my attainment,
my achievement,
rather than the heart-to-heart human contact
with people that matter to me.
And again,
people are driven to be that way
and when they look back on their life
they regret it because
nobody
as often we said
nobody ever on their deathbed
regrets not going
to the office often enough
but they do regret
the hard connection that they
sacrificed
Have you stayed in touch with your friends?
Well, you know, that's where you could say that I haven't.
I mean, I have much more recently.
It matters to me much more now.
But over the years, I put work and my busyness
and my writing ahead of all that.
and my busyness and my writing ahead of all that.
Is it at all balanced out by the fact that your work and your writings
have influenced the lives of millions of people?
I guess what I'm trying to get at is
on a personal level,
you may have sacrificed your friendships, but perhaps the
world has benefited from Dr. Mate doing that. Is that fair to say?
It's fair to say. And to some extent, I accept that, that I've made certain decisions and those
decisions have benefited many. And it means that there's certain things I've made certain decisions and those decisions have benefited many and it
means that there's certain things I've missed out
on
but not completely
and
I'm much more
prone now to
seek out those friendships and to
strengthen them and to celebrate them
and to value them and I have some really good
friends, you know, and the people that really care about me and i care about them and we're there for each
other no matter what you know so that matters to me much more than it used to and to put it to the
real test if i were to choose to live my life over again i wouldn't live it in this way yeah i would
I wouldn't live it in this way.
I would say, yeah, I have some insights,
I have some capacity to articulate some truths that are really important
and I'm not going to let that dominate how I live my life.
And I think it would have been possible for me to express that voice and and and to put those teachings out to the world
that i get the feeling feedback that it does help a lot of people but i could have done that without
the drivenness without the sacrificing of the heart without the and connection that sometimes
that entails so you know again if i could live it, do it over again,
I would do it differently.
And I don't think in the end
that would have detracted from my message.
And if it did, I would accept that.
Yeah.
The fifth one is I wish I'd let myself be happier.
Yeah.
What does that say?
Well, that always reminds me of, because I mentioned Dr. Panksepp and his concept
of the brain circuits.
Yeah.
One of them is for play and joyfulness.
And, do you know Winnie the Pooh?
Yeah.
Okay.
Not personally.
No, no.
The book.
And it's always been one of my favorite books. okay not personally no the book and
it's always been
one of my favorite books
and
I've talked about this before
the end of that book
would bring tears to my eyes
for years
because how it ends
is Christopher Robin
by the way
that's a whole other thing
the relationship between
A.A. Milne
and his son Christopher
was a very fraught and difficult one.
Right.
And Christopher actually resented the books because he felt that his father was buying these toys to write about rather than for his own benefit.
Wow.
There's a photograph of the two of them.
And the kid is looking so alienated.
He had a tough life.
But that's a whole other story.
But in the book in in the
book christopher robin the little boy now has to go to school yeah and he has to learn about
history and factors and mathematics and so on and he's telling his friends the
toy animals that he won't be able to play with them so much anymore and in the end Christopher and
the bear
a little brain
who's the smartest
of the whole lot and they walk off
together and the book ends with the statement
something like
and whatever they do or wherever they go
in the enchanted forest
the little boy and his bear will always be playing
together and that phrase would bring tears to my eyes for years.
Because play is so important.
And joy is so important. And that's what these people
are talking about. And they didn't allow themselves to experience it.
They sacrificed the play and the joy for all these other things.
And so, the good thing They sacrifice the play and the joy for all these other things.
And so the good thing is, you know, I'm in my marriage.
The best thing, you know what the best thing in my marriage is?
The way we play together.
The first time I dated my wife, Ray, I knocked on the parents' door.
And I said, can Ray come out and play?
And we've been doing it ever since. And so I believe what's being described in that last regret is people sacrifice their playfulness, their joyfulness for the sake of being accepted and being successful and all that.
It's a huge one.
Play is built into our brains.
Kids play spontaneously infants play and
in that sense we can all be winnie the pooh and and christopher we can always keep playing in
the enchanted forest and that's just essential i think And that final regret is the word happier.
Yeah.
What does happiness mean to you?
Really, it means the capacity to play
and to be in the present moment.
And, you know, the kids, when my kids play,
they don't worry about the...
appropriately.
They don't worry about the war
or wherever, or climate climate change they're just playing
in the moment they're fully present to themselves in imaginative almost hypnotically imaginative
states so happiness just means being in the present and being allowed to be no matter what
to have the capacity to play a lot lot of people today, Gabor,
and I think you have struggled with this as well,
from what I know,
feel with so much heartache and suffering in the world,
they feel that they have no right to be happy.
What's your take on that?
Well, first of all,
Bob Dylan said somewhere that it's difficult to be completely happy when other people are suffering.
It's true.
So this is a time of terrible suffering.
You know how I feel about Gaza and the terrible things that are happening there.
How can I be completely happy?
I can't be completely happy.
I can't because I can't not think about that
the horror of it um but at the same time and this is why
people might start get weirded out but i'm talking about a psychedelic experience this is three or four years ago i did uh i workedics, both as a healer, but also as a subject.
And I was having a mushroom experience.
And the same thing would happen with ayahuasca once.
And I've always been one that felt that,
how could I be happy when Auschwitz is possible?
When Auschwitz happened, when my grandparents perished there. How can I be happy when Auschwitz is possible? When Auschwitz happened?
When my grandparents perished there?
How can I be happy?
Why do I have to be happy?
If that can happen in the world.
And that did happen in the world.
And both the plants showed me at some point
that happened,
and yes, you can be happy.
That the one doesn't detract from the other.
That the capacity to be empathetic
and to recognize the grief and to hold the grief
does not obviate the capacity to be happy.
And one is not disloyal to the suffering in the world
by allowing myself to be happy.
So there's no necessary contradiction.
And I've seen people on death row who, if they win their appeal, the best thing they can hope for is life in prison without parole.
But they're happy and how
did they become happy meditation working through their traumas having remorse for
what they did connecting with other people and just connecting with the
present moment and I'm thinking my, if people in that situation can be genuinely happy,
which I've seen, I've had contact with the people,
then who am I to say that I can't be happy?
So ultimately there's no contradiction.
Now in this society, there's way too much emphasis on,
you know, don't worry, be happy,
let's ignore all the bad stuff that's going on,
let's just concentrate on how we can make ourselves pleased or, or, or pleasured or
whatever.
I'm not talking about that.
No.
I'm talking about being able to hold both at the same time.
Yeah, you have to.
And this is something I feel I've really grown into over the last few years that I actually
can be very happy and content.
Yeah.
Whilst there is heartache in the world.
Yeah. It doesn't mean I don't care i actually deeply care yeah but i realized that it's a real skill it's an evolution of the self to be able to
hold those two yeah i really do think that i think it's growth that's right i very much love the phrase that's attributed to Gandhi, be the change you want to see in the world.
I try my best to live my life by that.
And why that's relevant to this part of the conversation is,
I said this once at a live event,
I said, listen, if you watch the news and you,
this is a few years ago,
allow the heartache that's going on in,
name the country, right?
To affect you so much so that you develop apathy. You can't interact with your husband,
with your children. You just drink more and more alcohol in the evening to numb your pain.
What does that do? Right? You're no good to the people who are suffering.
You're no good to those people around you.
And that then ripples to everyone around you. Whereas if you can learn to be content where you're at,
if you then do want to go and help in whatever way,
you're much more able to volunteer, send money,
whatever it might be.
So I think this is a really important point for people,
especially the way things are in the world at the moment.
A lot of people feel, I've got no right to be happy.
Yeah, well, I no longer believe, I used to believe that.
And somebody once said to me,
don't be so loyal to your suffering.
And that's a lesson I've had to learn fairly late in life.
Yeah.
And as I quote in the myth of normal,
my friend Bessel van der Kolk, the trauma psychiatrist,
looked at me once, this is about 10, 12 years ago,
we were having lunch and he said,
Gabor, you don't have to drag Auschwitz
around everywhere you go.
And what he meant by that is that you don't have to let that affect your present moment,
that you can be aware of it, hold a memory of it,
but not let it determine your internal states.
And it's true.
And I understood intellectually at that time what he meant,
but it was only later that I was actually able to emotionally let go.
Let's just talk about forgiveness then,
because a lot of the time people say,
you know, I just can't forgive.
What happened to me was wrong.
Yeah.
Now I accept what happened to someone can be wrong,
but it doesn't necessarily follow that you can't forgive.
Yeah.
What's your take on forgiveness well you and i last night we're talking about a woman that we both met and admired tremendously edith egger
yeah and edith as i told you was 16 years old when i was one year old she lived in a town in
what is now southern slovakia then was northern hungary
called kasha or koshitsa and her family were taken to auschwitz and um my grandparents would have
been either on the same shipment to auschwitz or within the next day or so and her parents perished
and she survived with her sister and she's
become this psychotherapist she's written a couple of wonderful books that
I know you've met her and interviewed her and in one of her books she
describes going to the Berghoff in Bavarian Alps where Hitler used to have
his lair and he went there she went there to forgive Hitler. And it doesn't mean that it was okay what he did.
She did that to liberate herself.
She said, I don't want to keep him in this prison
in my heart for the rest of my life.
I've worked too hard to attain happiness and joy,
to let this tension and this constriction control me.
So the forgiveness wasn't making okay
or pardoning Hitler for all the evil
that he perpetrated in the world,
but it's her letting go of the emotions around it
and of the tension and the tightness around it.
So forgiveness is not for the other person.
It's for yourself.
Now,
when I work with forgiveness,
I don't advise people
to forgive.
As a matter of fact,
I do the opposite.
I say to people,
before you forgive,
allow yourself to feel the full anger that's in you.
Let yourself fully experience the anger that's there.
Because once you do,
it'll dissipate.
You'll let go of it.
So don't do it in order to forgive.
Do it in order to liberate yourself.
Now,
let's say I was abused as a child.
But let's say I find myself a fully liberated, present, oriented, in contact with myself,
human being. Then what does that mean? It means nothing was taken away from me.
It means that whatever happened caused me a lot of pain over the years,
but it didn't limit my capacity.
I wasn't robbed of anything.
So what's there to forgive?
So,
and you can also ask yourself
or anybody,
when you haven't forgiven,
what's in your heart? What's in your body body do you like that state that you're in the tension do you like that
is that how you want to be you think that's really helping you so I don't go
out of my way to teach now I know that in a lot of spiritual practices there
are forgiveness practices and I own Buddhist practice and a lot of spiritual practices.
There are forgiveness meditations and prayers.
My mind doesn't go there.
But my mind does say, I just have to experience all the rage, all the hatred, all the anger that's in you and be with it and see what happens to it.
And what happens to it, once you pay attention to it,
it actually dissipates.
And so when Edith goes to the Berghof to forgive Hitler,
she's just saying,
I don't wanna hold onto this stuff anymore.
It's not okay what you did,
but I don't wanna hold onto this stuff anymore.
Yeah, it's fascinating.
I think curiosity is often a very helpful pathway to forgiveness. Because if you get curious about that other person, as to why did they act that way? I'm not talking about Hitler here, I'm talking about anyone.
But even with Hitler.
But even with Hitler.
Yeah, what were the conditions in that person's life that led to that?
If I was that person, I'd be behaving in exactly the same way because I would have had their parents and their childhood experiences
and their bullying, etc., etc.
Exactly.
Once you look at the world through that lens,
your initial approach becomes compassion.
Forgiveness comes as a side effect of getting curious.
That's totally right.
And there's an expression that you may be familiar with.
To understand is to forgive.
And it begins with curiosity.
Yeah.
And I think that curiosity is the essential quality
that actually leads to compassion in the end.
Now, compassion doesn't mean tolerance of bad behavior.
It doesn't mean validating or justifying crimes against nature
or crimes against other human beings.
But it takes away that quality of tension
where you make yourself superior to reality
and you put yourself in a position to judge reality.
You know, I'm above it and I'm in a position to judge.
That's not a comfortable, I mean, actually,
it is comfortable for a lot of people to be there,
but it's a way of not dealing with their own stuff.
So I do think that curiosity is the key.
Just to wrap this conversation up, Gabo,
we've been talking a lot about these regrets, the regrets of the dying. Just to wrap this conversation up, Gabble, we've been talking a lot about these regrets,
the regrets of the dying.
Yeah.
And the final question I want to put to you
is about the word regret.
I have been playing with the idea over the last 12 months
or so that regret is actually a form of perfectionism.
So I actually now very much subscribe to the philosophy of no regrets, but not in the kind
of derogatory way, you know, I'm going to live my life my way, it doesn't matter who comes to my way.
No, with this really compassionate understanding that I've always done the best that I can,
based upon where I was in life at that time.
So even the things that I look back on and go, actually, you know what?
If I was in that situation again today, I would act differently.
I don't see them as regrets.
I see them as situations that happen that have taught me something,
which is allowing me to be a better version of myself today exactly so in my life today there's there is no room for regret anymore and i guess i would
love to know you know right at the end here what's your perspective on the word regret
um i think um chronic regret is debilitating um it's a lack of self-forgiveness.
It's also kind of egotism of that somehow I'm not important.
It's quite something to recognize.
I do recognize that some of the way I parented my kids, the way I showed up, I've often talked
about this in your program too, wasn't the best for them, but it was the best I
could do at the time.
So it's not a question of justifying anything,
but it's also not dwelling
on the past.
Regret is to dwell on the past.
And what's the point?
It's quite something to recognize
that I did things
that had I known
differently, I would not have done the same way.
That's just learning.
Regret is an emotional state that values the past more than the present.
And it accuses yourself of doing things for which you had no consciousness to do otherwise so that's where I stand with the
great yeah okay well you know what a big fan I am off your work it's just incredible to see
the impact you're having on so many people around the world I'm very lucky to consider
you a friend these days likewise Likewise. It's been great
to get to know you over the last few years.
For someone who has heard us speak today,
there's something connected with them.
Something you said spoke to them and they thought,
well, yeah, you know what?
I'm carrying around old stuff with me today.
I don't express my emotions.
I'm not living a life that is true to me.
What are some of your final words for them?
Well, it's the word that you used, curiosity.
So not why am I living this way,
but why am I living this way?
You know, what happened to me?
What am I carrying here?
So the key phrase is precisely the one that you introduced,
the necessity to be curious in a compassionate way.
So you don't do an interrogation of yourself
like you're a prosecuting detective.
Why did you or why did you not?
But compassionately, why did you not?
Why did you?
And if you ask these questions compassionately
and with curiosity, the answers will emerge
as will the capacity for you to make different choices
as you move forward.
So where there wasn't choice before
because you were compelled or driven,
now you can have some freedom
if you're willing to be curious.
So curiosity is the word.
Yeah.
All your books are fantastic.
If someone is at the start of their Gabor Mate journey,
which book would you direct them towards?
Well you know
that depends on what they're dealing with
you know I mean if they're interested in addiction
specifically they should read my book on addiction
or parenting they should read
Hold On To Your Kids
but if they want to get the overall picture
the package you know
it's certainly the most recent
The Myth of Normal
in which I combine
pretty much everything I knew at the time that I wrote it.
And it was only published a year and a half ago.
It's been published now in 40 countries and 38 languages.
It's been a bestseller in a number of countries.
That's the one I would start with.
But if you're interested in specific topics then seek out the like ADHD
you should read
Scattered
you should
I would advise you
to read Scattered Minds
you know
so it just depends
what you're dealing with
but if you want
an overall
immersion
in
what I have to say
it's The Myth of Normal
that's what
I would say
The Myth of Normal
over one million copies
sold it says on this one
it's been a smash hit around the world.
It's a great book.
Gabble, thanks for coming back on the show.
Thank you.
I hope to do it again.
Really hope you enjoyed that conversation.
Do think about one thing
that you can take away
and apply into your own life.
And also have a think about
one thing from this
conversation that you can teach to somebody else. Remember, when you teach someone, it not only
helps them, it also helps you learn and retain the information. Now, before you go, just wanted
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