Ten Percent Happier with Dan Harris - Gabor Maté: Five Steps To Stop Scrolling, Bingeing, and Self-Medicating — And Reclaim Your Brain
Episode Date: April 6, 2026Practical tools to break "automatic habits" and take back your agency. Gabor Maté is a retired physician who, after 20 years of family practice and palliative care experience, worked for over a de...cade in Vancouver's Downtown East Side with patients challenged by drug addiction and mental illness. The bestselling author of five books, including the award-winning In the Realm of Hungry Ghosts, Gabor is an internationally renowned speaker highly sought after for his expertise on addiction, trauma, childhood development, and the relationship of stress and illness. In this episode we talk about: Practical strategies for dealing with both our addictive tendencies and scattered minds The real question to ask yourself when it comes to addiction Maté's relationship with ADHD The relationship between ADHD and addiction Tools for conscious harm reduction The practice of "Compassionate Curiosity" "Re-parenting" practices for your nervous system And more Related Episodes: Modern Life Is Making You Sick, but It Doesn't Have To Get the 10% with Dan Harris app here Sign up for Dan's free newsletter here Follow Dan on social: Instagram, TikTok Subscribe to our YouTube Channel Additional Resources: Rethinking ADHD The Myth of Normal Scattered Minds Join Dan and Emmy Award-winning journalist Allison Gilbert at 92NY on May 17th for a live conversation about how mindfulness can deepen connection and combat loneliness, available in person and via streaming. Register here. Join Dan, Sebene Selassie and Jeff Warren for Meditation Party, a 3-day immersive retreat at the Omega Institute in Rhinebeck, NY, October 16–18, 2026. Register here. To advertise on the show, contact sales@advertisecast.com or visit https://advertising.libsyn.com/10HappierwithDanHarris
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This is the 10% Happier Podcast. I'm Dan Harris.
Hey, hey, everybody. We're back today with a fascinating and somewhat controversial guest, Dr. Gabor Mate. We're going to talk about his argument that childhood stress is at the root of some very common problems, specifically two problems that all of us deal with. The first is our addictive tendencies, and this can range from full-blown addictions all the way down to everyday addictions like scrolling and overeating.
So that's one of the problems we're going to discuss.
The other is our scattered minds, our distractibility.
And again, there's a spectrum here as well, from diagnosis of ADHD to a sort of garden variety, distractibility that I think many of us deal with.
Again, Dr. Mate's assertion here is that both of these very common maladies, addictive tendencies and scattered minds, have their roots in childhood stress or trauma.
Now, not everybody agrees with Dr. Mante's assertion.
assertion here, and you will hear me challenge him on this, but I don't spend too much time on the
scientific debate because what I really wanted to talk to him about is how we deal with our
addiction prone and scattered vines. And in my view, on this score, he very much delivers with
lots of practical tools, including a five-step recipe that you will hear him walk through in
great detail. A little background, Gabour Matte is a retired physician who has worked in a variety
of areas, including family practice and palliative care. He also worked for over a decade with
inner city patients in Vancouver dealing with drug addiction and mental illness. He's written many,
many bestselling books, including in the realm of hungry ghosts and the myth of normal.
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Dr. Gabor-Monte, welcome back to the show.
Pleasure. Thank you. I really appreciate you taking the time. Okay, let me set an overall frame on this discussion. You have written a lot about how the stuff that happens to us in our childhood, i.e. childhood trauma, can be the source of both our addictive tendencies and our scattered minds in its most extreme form, ADHD. I want to both explore this argument and then also get into what we can do about it. So how does that sound as a lot of
an overall framework here. Sounds very necessary, the word it sounds like. Well, I would agree with
you there. Before we get into the sort of what we can do about it, I want to ask some clarifying
questions. When you argue that childhood trauma is at the root of addiction and ADHD,
does that argument scale to the less extreme cases? So instead of full-blown addiction,
would what happened to me in my childhood explain my tendency?
to overeat or scroll or binge on Netflix.
And similarly with ADHD,
would your argument about childhood trauma also scale to the fact that we generally have
scattered minds, even if we don't have a diagnosis?
Well, so first of all, in my book in ADHD,
which is the first book that I wrote after I was diagnosed with myself,
I don't even use the word trauma.
Although I'm accused of saying that trauma is the cause of ADHD,
if you read the book 105,000 words,
trauma has been drunk four times and never is the cause.
So it's a bit more sophisticated than that.
And when it comes to addiction,
and you talk about a range of addiction,
a whole spectrum of it,
from a full-bone heroin addict to somebody who scrolls the Instagram all the time.
And there's a continuum.
So human beings are on a spectrum, on a continuum.
And the whole idea that there's sort of one normal
and then there's deviations from the normal is totally false.
My most recent book is called The Myth of Normal.
So when it comes to addiction, let me begin by giving you a definition, first of all,
which I think will help to cover your question.
And by the way, as a medical doctor, I worked in North America's most dire and concentrated
and desperate area of drug use, which is the downtown east side of Vancouver, British Columbia.
We're in a few square block radius.
We have thousands of people ingesting, inhaling, injecting drugs of all kinds, and dying
and falling sick as a result.
And I wrote there for 12 years.
At the same time, when I worked there with these really desperately ill and driven human beings,
I could recognize in myself very similar addictive drives, not to the same extent.
So it's a continuum.
That's the first point.
The second point is I'll give you a definition of an addiction.
I don't think it's controversial.
So an addiction is manifested in any behavior in which a person finds temporary relief and pleasure
and therefore craves,
but then experiences negative consequences
as a result of
and doesn't give it up despite the harm.
So craving pleasure, relief in the short term,
as to first dynamic,
the second one is harm,
and the third is inability
to give it up despite the harm.
Now, notice that my definition said nothing about drugs.
It certainly includes drugs.
Could be legal drugs like nicotine or caffeine.
alcohol, could also be illegal substances like heroin, cocaine, crystal meth and so on,
but could also be internet scrolling, work, shopping, eating, bulimia, self-cutting, extreme sports,
pornography, gaming. So the issue is not simply the behavior, but one's relationship to it.
So, for example, you could eat in a non-addictive way, or you could be addicted to eating,
depending on how you're using it.
So as to your question, what I'm saying is it's a whole spectrum, but what the whole spectrum of addiction shares is behaviors that cause temporary relief, cause harm, and we don't give it up.
And what I'm saying is is a universal addiction process in the brain and in the psyche that all people addicted share.
It doesn't matter what the target of the addictions.
If that makes sense to you, allow me to ask you a question, if I may.
Yes, of course.
According to that definition, I'm not going to ask what, but have you had an addictive pattern in your life?
Because if you ask me, yes, I have.
How about you?
Many of them, yes.
Okay, so let me ask you this.
Not what's wrong with the addiction, which is obvious, what's right about it.
What does it give you in the short term that you want?
You made a nod at this in your last answer, which is it gives me temporary relief from some sort of
afflictive emotion.
Okay, so it gives you relief for some kind of pain.
Yes.
That's my whole point.
Addictions are not a choice that people are making, and it's not a disease that they've inherited.
It's an attempt to solve the problem of human suffering.
And what happens is that the suffering comes first, then the addiction comes along to transude the
suffering.
Hence my mantra.
Don't ask why the addiction, ask why the pain.
If you want to ask why the pain, yes, that goes back to childhood experiences.
Now, childhood experiences can be of different intensity, and people can experience them differently
depending on how sensitive they are.
So the more sensitive you are, the more things will hurt you.
But in the downtown East Side, where I wrote for 12 years, I never had a single female
patient who had not been sexually abused as a child.
And if you look at the large-scale studies on substance addicts, that's what it shows,
that severe childhood experiences potentiate addictions later on life.
It's not even vaguely controversial.
But children can be hurt not just by terrible things happening to them, but also by their needs not being met.
And so there's a whole range of experiences that can wound a child that can later lead somebody to seek relief from the pain.
And that's all addictions are.
is an attempt to seek relief from the pain.
I've said a mouthful, but that's how I see it.
No, it's fascinating.
This is a podcast.
Mouthfuls are encouraged.
So your argument that addiction is a spectrum,
and at the root of all of it is...
Some degree of pain, incurred in childhood, yeah.
Is that also true for ADHD in the sense that,
while I personally don't have an ADHD diagnosis, I am definitely prone to being distractible.
And so would you say the same thing is true that there's a range, a continuum of attentional faculties and attentional faculty challenges,
and that the same thing is true that those challenges have their root in childhood?
Yes. So I have an ADHD diagnosis. I was diagnosed in my early 50s.
And that's when I wrote my first book, Scattered Minds,
which I wrote it 26 years ago,
but even a few months ago,
it was a New York Times bestseller.
ADHD is another one of these conditions
which medical ideology says
is an inherited disease.
No, it isn't.
It runs in families.
A couple of my kids were diagnosed,
but things can run in families
without genetic transmission.
So here's what I'm saying.
If you take the harm
or ADHD, which is tuning out absent-mindedness.
It's not a disease.
It's actually a coping mechanism.
If I were to stress you right now
and you'd have the options of leaving,
just hanging up on me,
or fighting back and saying,
no, you can't talk to me that way.
But if I were to create stress for you
and you couldn't escape and you couldn't change the situation,
one way that your brain will deal with it
will be to tune out to dissociate.
to protect yourself from the stress.
What I'm saying is when genetically highly sensitive infants
are living in a highly stressed environment,
which is not a question of necessarily the parents being abusive or bad or unloving,
but just the parents are stressed themselves,
which increasing is the case in this culture,
these kids are stressed, and how they cope with it?
It's by tuning out.
It's a coping mechanism.
And when does that happen?
When the brain is developing?
And so if you look at the brain science or brain development,
I could quote you an article from Harvard University, and this is an article published in 2012
from the Harvard Center on the Developing Child, which is the world's leading child developmental institution.
The article appeared in a major medical journal of Pediatrics, which is the official journal of the American Academy of Pediatrics.
If I may read you two sentences from this article, which summed up decades of brain research,
which unfortunately is not taught in the medical schools.
So the average doctors have got no clue
how the brain actually develops, which is astonishing.
Here's what they say.
The architecture of the brain is constructed
to an ongoing process that begins before birth,
continues into adulthood,
and establishes either a sturdy or a fragile foundation
for all the health, learning, and behavior that follow.
so that the architecture of the brain is constructed by a process that begins before birth,
which means that already the emotional stresses of the mother when she is pregnant
is affecting the brain development of the child.
And in my most recent book, The Myth of Normal, does the chapter on that
about how stresses on women in this society, which there's plenty,
affect the brain development of infants already in the womb.
There's oodles of scientific evidence for that.
That's the first sentence.
The second sentence is, the interactions of genes and experiences literally shapes the circuitry of the developing brain
and is critically influenced by the mutual responsiveness of adult child relationships,
particularly in the early childhood years.
And what they're saying there is that the actual circuitry of the brain is shaped by the environment acting on the genes,
how the genes are turned on and off by the environment,
and the most important aspect of that environment
is the quality of emotional relationship
between the child and the nurturing adults.
Now, if you have a society like ours,
which puts so much stress on parents,
for economic and political and racialized reasons,
for reasons of unresolved trauma,
for reasons of increased isolation,
less social support, less community, less cohesion,
a lot of parents are really stressed.
And these kids who are generically very sensitive
they pick upon the stresses of their parents,
and that affects how their brain develops,
which goes back to addiction as well,
so that essential brain circuits that are involved in addiction
and or in ADHD have been affected by stresses
or in some cases traumas in early childhood years.
It's pure brain science, that's all that is.
Let me say a few things to the listener, Dr. Monta.
Dear listener, you may have heard Dr.
Mate refer to the myth of normal, his most recent book. I will drop a link in the show notes,
not only to the Amazon link, if you want to check out that book, but also to the last time Dr.
Mante was on the show when we talked about that book in an extensive way.
Second thing I want to say to the listener is I'm going to get to Dr. Mate's practical advice soon,
but let's just take a minute to talk about this assertion about ADHD and difficulty in
childhood, whether you call it trauma or whatever you want to call it.
called stress, okay?
Stress, sure.
You've tangled with lots of folks over this claim, so I want to just note that, but also
to ask you, you know, I believe there are some twin and adoption studies where twins, one twin
stays with one family and the other twins stays with another family.
And some of these studies show or seem to indicate that actually there may be a genetic
influence here for ADHD.
Yes.
And in both my book on ADHD, Scattered Minds and in my book in Addiction, in the
Rome of Hungarose, I show how useless those studies are. And I'll tell you why. They make an assumption.
The assumption is that, first of all, identical twin studies are the gold standard because they're
the same genes, right? So if they have the same genes, they should have the same condition,
theoretically. Well, the twin studies show that if you take identical twins, separate it at birth,
and you bring them in different environments, the concordance, which means the ratio by which, if one is
diagnosed, so will the other is about 70%.
So if one kid, identical twin is ADHD,
but they're brought up in a different family from the other twins,
the other twin will have a 70% chance for having ADHD.
Now, what does that tell you?
It tells you it can't be genetic.
Because if it was, it should be 100%.
They have the same genes.
So it's that 30% difference that we should be understood in.
Number one, number two, there's a false assumption.
The assumption is that these kids were brought up in different environment.
But what did I just read you?
I just read you an article from Harvard University
that says that the brain starts
to develop in the womb.
So these kids shed nine months in the same womb.
And by definition,
any woman that's going to give up a baby for adoption
is a stressed woman.
If she wasn't stressed, a single mom,
a poor mom, an abused mom,
an addicted mom, a traumatized mom,
an unsupported teenage mom,
she wouldn't have to give up the baby for a doctor.
So for nine months, both those twins have the hormones of stress, cortisol, not relevant,
affecting their brain development.
So share the same environment.
They both had the shock of being separated from the biological mother, which is a huge shock
to the baby.
So to say that they didn't have the same environment is utter scientific nonsense.
And there's a whole book been written called the fallacies of twin studies.
So those twin studies are simply false flags when it comes to generating information about genetic causation, number one.
And number two, even if it was true that there was a 70% inheritance, we can't do anything about people's genes.
How about that 30% that isn't genetic?
That's what we could work with is the environment.
Okay, one other question on this score.
if ADHD is based in childhood stress,
what do we make of the fact that stimulant medications
appear to reliably improve symptoms
and those medications aren't going right at the stress,
as I understand it?
Well, now, wait a minute now.
Remember, I talk about brain development.
No child is born with attention.
Every matter of one day old,
they don't have no tension span whatsoever.
It has to develop.
Another feature of ADHD is poor impulse regulation.
Believe me, I know that one.
My wife could tell you.
No child is born with impulse regulation.
It has to develop.
The circuits of motivation and curiosity and seeking, they have to develop.
And the chemical that they run on is dopamine.
And those dopamine have to develop.
As soon as you talk about development, we have to talk about
which circumstances will support healthy development and what will not.
So, yes, the ADHD brain has got poor attention skills,
poor impulse regulation, and difficult deconcentration.
That's biological.
But here's the whole point that people miss.
I just read you two sentences from Harvard University and brain development.
The biology of the brain is shaped by the environment,
acting on the genes.
So it's not surprising environments are stressed
or in some cases traumatic.
The brain doesn't develop properly biologically.
Same thing happens in the addicted people.
You bring along a chemical that helps to regulate the biology,
you're going to get good results.
But the original cause of the biology going awry
was the stress or trauma during that period of brain development.
If you had a plant in your garden
that wasn't going properly,
your first idea wouldn't be that
there's something generically wrong.
You'll be asking yourself,
what conditions are lacking,
irrigation, sunlight, and so on.
So that's what we have to look at
is what conditions do we need
to support healthy, biological brain development.
So I've taken stimulant medication,
and they helped me write my first book.
When I wrote my last book, I didn't need it anymore.
My brain had developed differently.
That's the whole point.
How to be promoted healthy brain development?
So that something is biological doesn't mean that it's genetic.
Coming up, Gabur Mata talks about some practical strategies for dealing with your addictive tendencies and your scattered mind,
the practice of compassionate curiosity and a five-step mental framework for breaking unhealthy habits.
Let's talk about some of your practical advice for dealing with both our addictive tendencies and our scattered minds.
my understanding, and I believe this applies both to our addictive tendencies and our scattered minds,
my understanding is one of your top line recommendations is something you call compassionate curiosity.
Can you describe what that is, compassionate curiosity?
Sure. People would both with ADHD, by the way, and with addiction. And there's a huge link
between tourism, because very often people's addictions are actually
in that attempts to deal with their ADHD, like people that are addicted to stimulants, like cocaine
and crystal meth or nicotine and caffeine, they're trying to elevate the levels of dopamine
in their brain, which is exactly what you get from maritaline or dexidine. So a lot of addictions
or self-medications. In one study, 40% of male out of the alcoholics met the criteria of
ADHD. Why? Because alcohol suits the hyperactive brain. This is a huge link between an
addictions and ADHD. So both conditions carry a lot of shame, a lot of self-blame. That's the
result of child with stress or trauma. But people are very hard on themselves. And I've seen this
in my work with hundreds of people with ADHD or with addictions. And you know, I've shared it
myself. And there tend to be a self-accusation. Why am I doing this? What's wrong with me? Well,
if I was talking to you and if I said to you, why are you doing this?
What would your emotional response be?
Fight or flight?
Exactly.
Defensive.
What if I said to you, hey, Dan, I'm curious.
I wonder why you're doing this.
Can we talk about it?
What would your response then be?
Approach state, like openness.
Yeah, that's the whole point.
So if we can have that developed this compassionate curiosity about ourselves,
My colleague and friend Bruce Perry wrote a book with Oprah called What Happened to You?
Not what's wrong with you, but you know, what happened to you?
So if we can start compassionately asking ourselves, well, how did they come this way?
Somebody wrote me an email yesterday.
They at ADD, they said, I was a hellish child.
Nobody is a hellish child.
But that means she took on a negative view of herself that her parents had of her,
who didn't understand her.
Nobody's a hellish child, nobody's a bad child,
nobody's a rotten apple, nobody's damaged goods.
So if we can ask, why, what happened?
With a sense of curiosity,
there's a spiritual teacher who said that
only when compassion is present
will people allow themselves to face the truth.
So we want people is to help them explore
what is the truth of their lives,
and for that you need compassion.
And so I teach self-compassion as an essential step towards self-awareness.
And once you start asking questions compassionately for yourself and for everybody else,
then the answer starts coming.
So take me into a moment where we can think about how to apply this for ourselves.
So I've just reached the bottom of a pint of ice cream,
or I've just finished 90 minutes of scrolling on TikTok when I had a deadline.
And I'm tempted to go into a shame spiral.
If I can channel Gabour Matte, what would be a healthier move?
Well, four weeks ago, three weeks ago, Gabon Matte deleted Instagram from his cell phone
because he was spending too much time scrolling on it.
But true, I did that.
But I have to jump in.
I never interrupt my guest, but I just want to tell you, I did the same thing three weeks ago myself.
I deleted Instagram.
Comrades in arms then.
So here's the first question.
Ask yourself, not what's wrong with the addiction, was right about it.
In other words, from this nine minutes of scrolling or from this spider ice cream, what did I get?
And the answer is going to be, I got relief.
I got relief from some emotional attention, from some emotional pain, for some stress.
And I'll say, good for you.
Good for you that you're seeking relief from your stress.
Can you find some other ways of doing so without harming yourself?
Are you understood in that?
So that's the next question.
And also, are you interested in exploring where that stress came from?
Here's the thing about stress.
It's a part of life.
There's no life without stress.
There's no life without pain.
that's not negotiable.
We're all going to have grief.
We're all going to have losses.
We're all going to have setbacks.
We're going to have failures.
We're going to have people not treating us well.
Disappointments.
That's just a part of being a human being.
Ideally, as we develop properly,
we learn how to handle those stresses, those setbacks, those disappointments.
What happened that I didn't learn how to do that?
So that, again, calls for compassion and curiosity.
And then what support can I get, what conditions in my life can I create, where I can relieve my stresses in ways that are not harmful to me?
So that's the nutshell response.
So those questions that you just laid out, including, you know, what did I get from this pond of ice cream?
That seems like a really great reframing in the moment.
Are there further steps that I should pursue because I'm not quite.
quite sure that fully pulls me out of the shame just by reframing it?
Well, it doesn't fully perhaps, but the next question is,
how is it that I'm not able to handle stress differently?
Well, what happened to me?
So that calls for an inquiry,
because stress regulation,
which is one of the circuits that's impaired in addiction,
is a developmental attribute.
No infant, no sort of regulate their stresses.
You know, infants regulate their stresses?
They cry and they're picked up,
and their parents regulate their stresses.
That's how infants regulate stress.
So as Dan Siegel, the psychiatrist said,
infants use the mature circuits of the adult brain
to regulate their own immature circuits.
That's assuming that the parents have mature circuits.
So nobody's born with stress regulation.
Given the right environment,
stress regulation,
and the circuits of stress regulation,
and I'm pointing to them right here,
will develop properly.
So you can ask, well, what happened to me
that my stress regulation circuitry
did not develop properly?
It's not my fault,
and I'm not here to blame anybody,
but what happened to me?
And the next question is,
actually, you know what I would say
to somebody with the ice cream example?
Asking these questions may not stop you next time,
but the next time you're stressed
and you want to eat ice cream, do it.
but do it consciously.
Say to yourself,
I'm stressed right now.
I don't know how to regulate my stress.
That's not a skill or a brain circuit
that I've developed yet.
So I'm going to use the ice cream now,
but I'm going to use it very consciously.
I'm going to enjoy each bite of that ice cream
and I'm going to be conscious.
I'm eating ice cream right now to regulate myself.
That's called harm reduction.
Believe me, if you do that a few times,
your tendency to go to ice cream will diminish.
And then, you know,
You might need to join a group or go to a therapist or engage in some kind of practice to help you regulate yourself.
And there's plenty of those.
But the point is to do so consciously and compassionate.
When you talk about eating ice cream consciously, I believe you've written about the power in this regard of mindfulness and bare attention.
Yeah, that's right.
Yeah, say a little bit more about that if you're up for it.
Bear attention is our capacity to be aware of something without any judgment or without any agenda.
Just be aware.
The reason it's important to develop that capacity is that when you ask yourself,
well, what part of me or who in me can pay bare attention without reaction, without judgment, without agenda,
that's your tour as deep as self.
if you can observe yourself and your impulses,
for example, you might say,
I need to eat ice cream right now.
Actually, you don't need tears right now.
All you need to do is breathe.
You can live without water for a while.
You can leave without food.
You can't leave without breath.
The only thing you ever need is breath.
So it's not true that you need to eat ice cream.
But bear attention would tell you,
I have this belief that I have to eat ice cream.
right now. That's already very different. Now, you've separated yourself from that impulse.
So I recommend exercises to strengthen our capacity for bare attention.
I assume those would include meditation. Yeah. Well, as I said in one of my books, I say this,
that I have a very profound relationship with meditation. I think about it every day.
With my EAD brain, meditation is like a goon show.
You know, if I can sit there for 20 minutes and 30 seconds, I'm actually conscious.
I'm doing well.
So I do recommend meditation.
I also acknowledge that for me and lots of people like me, it's a heck of a job.
The Buddhists talk about, or the Hindus ancient, talk about the monkey mind.
Well, it's a spectrum.
Everybody's got this monkey mind.
And in this culture, that monkey mind is encouraged by the social media and so many other influences.
The ADHD mind is an extreme example of the monkey mind.
It's a spectrum.
The ADHD is like on one end of that spectrum of the monkey mind.
So meditation for me is a real challenge.
I have a lot of sympathy for that.
For people like you who either really,
struggle with meditation or just don't feel like meditating, how can we develop
bare attention or mindfulness in other ways? First of all, feeling like or not feeling like
doesn't get you through life very well. If you're like getting up in the morning, some mornings you
don't. But you're going to do it because you have to. It's necessary. Do you feel like brushing
your teeth? I never feel like brushing my teeth, but I happen to know the consequences of not doing so.
I do it twice a day, you know, flossing my teeth.
Who feels like flossing their teeth, you know what?
So I'm not sure that feeling like it is a way to approach is meditation can be approached
the same way, just as teeth brushing is dental hygiene.
Meditation is mental hygiene.
So if we can go to dental hygiene, we can go to mental hygiene as well.
So feeling like it doesn't quite cover it.
But are there other ways?
Yeah, there are other ways?
Conscious movement.
conscious walking, connecting with nature, there's tremendous unity,
oneness, serenity, and coherence in nature.
That can help to create coherence and settling in your own mind.
Breath practices, which don't take the sitting stillness of meditation,
active yoga, not just the physical movements of it,
but consciously doing the movements.
That can make a big difference as well.
I'll tell you for me, swimming is essential.
I swim almost every day.
And when you're swimming, you're taking deep breaths,
and you're calming a nervous system.
You don't want to talk to me if I haven't swam for two days.
So there's all kinds of ways.
Music, not every fan of music,
some kind of music is very agitating.
And sometimes you might want that.
But there's also music that can soothe and concentrate and calm.
So there's lots of practices.
You have some quite practical strategies for dealing with, I don't know, what you might want to call them, maladaptive habits, difficult urges.
You describe them as the four steps plus one.
Can you walk us through what those are?
Sure.
So these steps, actually, I, with permission, adapted them from the work of a psychiatrist at UCLA called Jeffrey Schwartz.
And Schwartz wrote a book on OCD, obsessive compulsive disorder, which is similar to addiction.
in some ways and that you engage in behaviors that are harmful and you can't stop yourself.
The difference is the person with OCD does not crave these behaviors, whereas the addictive one does,
but a lot of the features are similar.
And so I asked Dr. Schwartz, is it okay if I adapt your four steps to dealing with behavior
addictions or more broadly to any self-deprecating thought or habit?
He said, yes, so here they are.
with gratitude to Dr. Schwartz,
he had four steps, I added a fifth one.
In step one, it's called relabel.
So I already actually referred to that.
I talked about this thought,
I need to have ice cream.
The re-label is,
I don't need to have an ice cream right now.
I have a thought that I need ice cream right now.
So that way, it's no longer a reality that I need to.
It's just a thought.
You've created some separation.
between yourself and the impulse.
That's called relabel.
Or take a thought like, I'm worthless.
A lot of people have those thoughts.
When you do this exercise, it's not that I'm worthless,
it's that I have a thought that I'm worthless.
I have a belief.
That's already a big step forward.
So that's called relabel.
The second step is called reattribute.
In this step, you put the blame exactly where it belongs,
which is on your brain.
So when you reattribute, you say,
this thought that I'm worthless
or this thought that I need to have an ice cream right now
is just my brain sending me a false message.
That's all it is.
But it's not true.
But your brain is programmed with it,
programmed with it a long time ago.
So just your brain sending you an old message.
That's the reattribute.
And this is an exercise,
that people can do once a week or once a day in writing.
If they do that regularly, it makes a big difference to them.
That's the second step, is reattribute.
The third step is refocus.
And in a refocus step, you just buy yourself some time.
So I have this thought that I need to have ice cream right now.
This thought is, my brain sending me an old message.
For five minutes, I'm not going to do it.
For five minutes, I'm going to go for a walk,
put on some music, arrange some flowers,
make a cup of coffee,
but I'm not gonna put the attention on the impulse.
After that, if you wanna go and have the ice cream, go have it.
It's the same thing.
This thought that I'm worthless,
it's not true that I'm worthless,
it's my brain sending me an old message.
Think of all the times that you've been kind,
that you've been present, that you've been present,
you've been helpful, where life has meant something to you.
Write that down.
There's an antidote to the worthlessness.
The fourth step, it's called re-value,
but it could also be called re-evaluate.
In fact, you could call it devalue,
because what has been the actual value of this compulsion of mine,
to eat ice cream when I'm stressed?
The value has been that's put fat on my belly,
It's giving me diabetes or it's made me feel ashamed.
That's the actual value of it.
Write down.
This thought that I need to the ice cream,
here's what it's done to my life.
Or this thought that I'm worthless.
What's been its actual value?
It'd be feel ashamed.
I studied it from people.
Interfered with relationships.
Stop me from expressing my truth.
Stop me from developing myself.
That's its actual value.
When you're doing these steps, Dr. Schwartz says, anticipate and accept, anticipate that these beliefs or these patterns will come back.
Why would they come back?
Because you're a human being.
So anticipate that they will and accept that that will happen.
But you can keep working on improving your impartial observer, your bare awareness.
I added the fifth step, which is called recreate.
I just read that to you.
Life up till now has created you.
You've been acting out of ingrained mechanisms wired into your brain
long before you had any choice in the matter.
And it's out of those automatic mechanisms
and a long-ago program believes that you created the life you have now.
It's time to recreate, to choose a different life.
So what kind of life would you like?
So write down, what kind of life would you create if you would create?
A life of meaning, a life of connection,
a life of purpose, a life of truth, a life of authenticity, life of creativity.
Write it down.
That doesn't mean you're going to create it immediately,
but here you're moving into the position of being a creator of your life
rather than just being the effect of the past.
So those are the five steps.
Coming up, Godborg talks about placing blame versus taking responsibility,
re-parenting practices for your nervous system, and much more.
So these five steps, just to restate them,
relabel, re-attribute, refocus, re-value, recreate.
You'll tell me if you think I'm correct about this.
They sound to me like a recipe for agency over automaticity.
That's the whole point.
Thank you for seeing that.
And we talk about the A's of healing,
and the first one is agency.
We all want agency in our lives.
And agency means rather being at the effect, like so much of my behavior, if I look at my past, has been the effect of previous events.
I didn't have as much agency as I thought I did.
And so it's all about gaining agency.
And this is an exercise that you can do that will help you regain, or at least gain or develop a sense of agency.
I'd love to hear a little bit more from you about how to actually bring these five steps to bear in the moments we need them.
Do you think the smartest use case is to get them into your molecules by turning it into a writing exercise so that when your zombie arm is reaching into the fridge or reaching for your phone, you're kind of trained to be able to handle that urge in a different way?
Yes. Let me ask you a question. Do you play any sports at all?
When I was a kid, I played sports.
Okay. So let's say somebody plays pickleball or somebody plays tennis. When is the time to practice, when you're in the moment?
middle of the game or before the game.
Yes.
You better not start practicing.
If you're going to play Al-Koraz or Djokovic or Nadal or Federer on a tennis court,
you better not start practicing when you step on the court.
You better practice before.
So this is a written exercise to be practiced daily or weekly or as often as you're up to
it so that when you're against the moment, you have something with you.
So yes, it's a practice.
That makes a ton of sense to me.
It is really all based in the word we used at the jumping off point for this practical part of our conversation, which is compassion.
It is just this is kind of a warm relationship to yourself that helps you behave in healthier ways.
Yes, the American psychotherapist, Carl Rogers, called it unconditional positive regard,
which means that you accept somebody with all their flaws, however they are, but you accept them.
And that's what parents need to give their kids.
And so when it comes to ADHD, for example,
rather than trying to control the behaviors of the child
or simply to medicate the behaviors of the child
as if it was a disease,
not that I'm against medications,
but what environment can we create
in which healthy development can unfold
in the family, in the schools,
in all the institutions that kids are cared for?
And so that compassionate approach
to what are the needs,
of me as an adult or what are the needs of my child?
How do I understand the internal dynamics that drive me or that drive my child?
How can I create conditions that will promote healthy development?
Those are the essential questions, whether you're dealing with ADHD or addiction or anything
else.
And that's what my books address as best they can.
Let's talk about parents for a moment.
I'm going to ask this question from two angles.
one, I as a parent, and I'm sure many other parents can hear this argument about ADHD and addiction, really having its roots in childhood stress and feel like a little defensive.
Are you saying, you know, if my kid has X or Y problem, it's because I was a bad parent.
That's one aspect. I know you're not, but I'll let you explain that in a moment.
Then the second part of the question is I can imagine if I am, and I think this describes everybody, if I have any addiction tendencies or any.
attentional challenges, I might just blame my parents and not take any responsibility.
So can you address both of these canards?
Sure. I'm telling you in each of my books, I explain how it's unscientific, inappropriate,
and cruel to blame parents. Look, I was a parent. I passed on some of my traumas to my kids.
I never woke up one morning and said, I'm going to screw up my kids. I just couldn't help it.
That's why I was, given of what I knew at the time. No parent that I know,
wakes up and says, I'm going to screw up my child.
So there's no blame whatsoever.
It's in the nature of stress and trauma that is multigenerational.
Georgetown University psychiatrist Marie Bowen and Michael Carr called the multigenerational
emotional family process.
And that didn't begin with anybody in particular.
So, yes, it's true.
Had I been more conscious, more aware, more present, more healed,
I would have been a parent who would have done things differently.
But there's no blame there.
There's just an understanding of what happened.
So forget this idea of blame and forget this idea of guilt.
Nobody's guilty and nobody's to be blamed.
It's a question of understanding what happened.
Let's say you come to me with a five-year-old with ADHD.
Which would you rather hear that your kid's got this genetic disease,
there's nothing we can do about it except control his behaviors and maybe medicate him.
temporarily help, but in the long term, they won't help. That's what the study shows. Or if I said to you,
you know, then your child is probably very hypersensitive genetically, which means they pick up a lot
on the environment. And if you can create a family environment that's calmer, less stressed,
more understanding, your child can develop in healthy ways. What would you rather hear? Which message
could you actually work with? And so, I don't blame parents.
I don't mean myself, I'm just trying to show scientifically how stress, trauma, psychological traits can be passed on through the environment, and the more we can understand it and work with that environment, the more we can promote our healing.
And the good news is there's something called neuroplasticity, which is the capacity of the brain to develop new circuits in response to new experiences.
To give my personal example, when I wrote Scattered Minds, my first book, I took medication.
When I wrote my most recent book, The Mental Normal, much more complex, much longer,
took much longer to write, much more research.
I didn't need medication.
My brain is different now because I've created some new conditions.
Now, if you've got a 5-year-old or a 12-year-old, boy, you've got lots of time to work with.
So I'm saying to you, no blame, but responsibility.
don't take on blame,
but take the responsibility
of working with the environment
to promote healthier pathways.
Okay, so let's talk about the flip side of the question
that goes right to that word of responsibility.
I can imagine some people listening to this conversation
could weaponize it in ways that would not work to their benefit
in that they would just go into the mode of blaming their parents
for whatever problems they have
as opposed to taking responsibility of themselves.
It feels to me like both things can be,
true. Sometimes our parents screwed us up, but it's also true that this is our life and we have to
take responsibility. Yeah. So here's the deal. My eldest son and I, Daniel, are writing a book together
and all called Hello Again, a fresh start for parents and not our children. It's only a fact
that in a lot of families, kids have been hurt. In my family, my children have been hurt. That's just a fact.
So our child might have anger about that.
That anger is totally legitimate.
I've said to my kids,
I'm not worried you be anger with me.
I'm worried you won't be angry enough.
I want them to feel the anger.
That's healthy.
But there's a difference between blame and anger.
Anger is a healthy, natural human emotion.
Blame is a story.
That you did this and you did this deliberately
and you could have done differently
and you're a bad person.
That's not true.
So people have the right to their anger,
and in fact, if it's there,
I encourage them to experience it
because if they suffer it down,
they're going to get depressed
or suffer some physical disease.
But that's different from blaming.
So if anybody weaponizes my words,
they just don't understand what I'm saying.
So taking responsibility means to be response able
in the present,
not to take on blame about the past,
but how can I respond to the present,
needs of myself or my child or my spouse or whatever, how can I respond in a way that'll make a
positive difference? That's what responsibility means. And parents can acknowledge, yeah, you know what,
had I known better, had I been different, I would have been done it differently. That's healthy
remorse. But that's not blame. And unfortunately, we live in a society that's addicted to blame.
So if there's something wrong, let's find somebody to blame. I don't like that. I don't agree
that it makes no scientific sense, it makes no psychological sense.
So I think in part what you're saying is it can be helpful for us to ask the question,
what happened to us, you know, what happened to you.
But understanding your past does not absolve you from taking responsibility.
No.
It doesn't.
If an adult child says, I'm this way because my parents did this to me and I can't be any
different, then they're playing victim.
I don't promote victimhood
because victimhood says, I'm helpless.
Now, whatever your parents did,
it's not your responsibility to do what you can't
support yourself, you know, psychologically, emotionally, whatever.
So that understanding what happened in the past
does not absolve your responsibility
unless you want to play the victim,
which will keep you stuck.
I don't recommend victimhood.
So recognizing that, yes, I was hurt,
and those hurts or those either the mistakes or the omissions of my parents have had an impact on me,
recognizing that helps you understand yourself.
But then saying, it's their fault that I'm not any different and I can't be any different,
then you're playing victim.
The responsibility is now yours.
Even if your parents acknowledged, which some parents do, and I hope many can,
they wish they had done things differently, that wouldn't heal you.
the responsibility of healing is still on you in the present moment.
Before I let you go, I want to go back to ADHD
and what you've learned yourself through painful experience.
You know, we talked about the four steps plus one,
but are there any other practical tools that you've picked up
in learning how to manage your own ADHD
that might be worth sharing with the audience?
Well, I mean, I wrote a whole book on the subject,
And a lot of it is to help people understand what happened to them and how the brain works
and what parents can do in a home environment or schools can do in the school environment
to create new conditions for healthy development of children.
So that's a big part of what I write about.
When it comes to adults, mostly what I talk about is reparenting.
Because your parents are not going to create the conditions for you anymore, but you can.
So I do talk about that.
I talk about how to understand the ADHD relationship.
If one of the partners is the ADHD, what do they have to understand?
Or if you have ADHD, what to understand about how your partner experiences you
so you can take some responsibility for that.
I talk about meditation.
I talk about the various ways to look after yourself.
I mean, look, there's no way around it.
If you have ADHD, you're likely to be addicted to junk food because it's very soothing.
It calms the brain.
It's designed to be addictive, by the way, junk food is.
You're going to have to eat properly.
You're very hypersensitive by nature.
That's your genetics.
You're going to have to protect yourself from harm as best you can.
I talked about nature.
I talked about various practices, getting help, getting therapy, getting support.
All these are ways of re-parenting yourself,
giving yourself conditions for health development.
And, you know, I've been working at that for a long time.
What you're saying reminds me of something, an expression that I've heard from Kristen Neff and Chris Germer, the two leading researchers, pioneers really in self-compassion yet.
One of the questions that they recommend people ask themselves all the time is, what do I need right now?
And that strikes me as in the realm of reparenting.
Exactly.
I've talked with Christine and great Evaluble work, but I had heard her teach my students one time, not long ago.
This has been phenomenal.
I'm really, like I said at the beginning,
very grateful to you for taking time.
I know how busy you are.
Will you, when you release Hello Again,
would you and your son come back on the show?
I'd be more than delighted.
Thank you.
That should be next year sometime.
Also, I'll mention that on May the 12th,
I'll be giving a free webinar on ADHD,
a 3R webinar along with a colleague,
and we're going to cover many of this in much more details.
So anybody is interested.
They can look at my Instagram,
for notice about that or at my website, but there'll be a totally free online event on ADHD.
We'll drop a link to that in the show notes. We'll also drop links to your Instagram and your books
and your prior appearance on this show, all things, Gabor Mate. In the meantime, I just want to say
thank you again. Really appreciate it. Thanks for having me. I'm always grateful for an opportunity
to speak about what matters to me. So thank you. Thank you again to Dr. Gabor Mote. I love talking to him.
Also, please don't forget to check out our new app, 10% with Dan Harris.
You can get it at danharis.com.
There's a free 14-day trial if you want to try before you buy.
Finally, thank you so much to all the people who work so incredibly hard to make this show.
Our producers are Tara Anderson and Eleanor Vasili.
Our recording and engineering is handled by the great folks over at Pod People.
Lauren Smith is our managing producer.
Marissa Schneiderman is our senior producer.
DJ Kashmir is our executive producer.
Nick Thorburn of the band Islands wrote our theme.
