The School of Greatness - Neuroscientists Reveal How To Heal Your Mind [MASTERCLASS] EP 1353

Episode Date: November 25, 2022

Today’s Masterclass episode is all about healing your mind to help yourself overcome struggles with pain, stress, anxiety and depression. Four experts share their insight into how we can utilize our... minds to respond better to adverse experiences and to properly heal from those experiences.In this episode, Andrew Huberman, neuroscientist and professor at Stanford University, shares how our minds have an impact on our bodies and how we can utilize dopamine to stay motivated.Dr. Caroline Leaf, neuroscientist and best-selling author, explains how dysfunctional patterns such as anxiety and depression are intrinsic aspects of the human mind and how we can reconceptualize traumatic experiences in our brain to enable our own healing.Dr. Rahul Jandial, brain surgeon, neuroscientist and best-selling author, illuminates the immediate benefits of meditative breathing on our brains.Dr. Wendy Suzuki, neuroscientist and author, offers strategies for how to intervene in your struggles with anxiety and depression as well as methods to overcome past trauma and loss.For more, go to lewishowes.com/1353Full Episodes:Andrew Huberman: https://link.chtbl.com/1015-podCaroline Leaf: https://link.chtbl.com/1079-podRahul Jandial: https://link.chtbl.com/1249-podWendy Suzuki: https://link.chtbl.com/1160-pod

Transcript
Discussion (0)
Starting point is 00:00:00 There is one way in which subjective thought and deliberate thought is very powerful over states of mind and body. Thoughts happen spontaneously all the time. They're popping up like a poorly filtered internet connection. But thoughts can also be deliberately introduced. Welcome to the School of Greatness. My name is Lewis Howes, a former pro athlete turned lifestyle entrepreneur. And each week we bring you an inspiring person or message to help you discover how to unlock your inner greatness. Thanks for spending some time with me today. Now let the class begin.
Starting point is 00:00:42 To what extent does our subjective narrative, the story we tell ourselves, actually mean something for the body? And to what extent does the body actually mean something for the subjective narrative? So this gets into some areas of work that we're doing now. And so I do want to highlight that it's ongoing work. But I think, you know, the old narrative, meaning a few, 10 years ago, was that if you're feeling depressed, just smile. Well, if that worked,
Starting point is 00:01:12 we would have a lot less depression than we see out there. Now that does not mean- Most people actually who are depressed just aren't smiling as well. Like when you change your physiology, doesn't it also start to change the way you think about yourself a little bit? The reason I call it a brain-body contract early on is that the brain and the body are constantly in dialogue. So, you know, the idea that when we're depressed, we tend to be in more defensive type postures.
Starting point is 00:01:38 When we're feeling good, we tend to be in more like relaxed and extended postures. All true. But it does not mean that just by occupying the extended posture that I'm gonna completely shift the mind. That's a first step. Think about like two interlocking gears. It's one gear that turns the other,
Starting point is 00:01:52 but then they need to kind of dance together before you can get the whole system going. And so- So how do you get it to dance together? Exactly. So subjective, there is one way in which subjective thought and deliberate thought is very powerful over states of mind and body. Thoughts happen spontaneously all the time.
Starting point is 00:02:09 They're popping up like a poorly filtered Internet connection. But thoughts can also be deliberately introduced. For instance, right now, I can say, okay, have a thought that just decide to write your name. And you can do that. I'm, just decide to write your name and you can do that. I'm gonna decide to write my name and you can do it. So that's a deliberate thought, which says that you can introduce thoughts. So I think it's very hard to control negative thoughts
Starting point is 00:02:33 directly by trying to suppress them. Generally they tend to just wanna continue to geyser up all the time. But we can introduce a positive thought. Can you think of two thoughts at the same time? Probably not. So you can only have thoughts at the same time? Probably not. So you can only have one thought at a time. Right, but they come very fast.
Starting point is 00:02:48 But it comes and goes. You have to constantly be intentional and deliberate about what you think. Otherwise a spontaneous thought will pop back in. Based on your experience, based on sensory, based on how you're feeling or perceiving something, your environment, it's just gonna keep popping in. So how do we deliberately have a positive thought more often? Right, so I'm a big fan of wellness
Starting point is 00:03:13 and I think it's a great community, but it tends to run in absolutes and there aren't a lot of operational definitions, as we say in science. And what I love about your question is you're asking for, really getting to the meat of things, asking for the operational definitions. One of the most dangerous ideas in wellness
Starting point is 00:03:28 and in popular psychology is that your body hears every thought you have. What a terrible thing to put on people. You know, what a challenging thing. I don't think people should try and suppress their negative thoughts. I think there is great value, however, to introducing positive thought schemes.
Starting point is 00:03:44 Now the reason is not because I think it's just because I think so, but because there's actually a neurochemical basis for controlling stress and actually making stress more tolerable and extending one's ability to be in bouts of effort. And that relates to the dopamine pathway. So the molecule dopamine is a reward. It's released in the brain when you win a game, you close a deal, you meet the love of your life. Someone likes your photo. Someone likes your photo, the great love of your life,
Starting point is 00:04:13 you complete something. But most of our dopamine release is not from achieving goals. It's actually released when we are in route to our goals, where we're in pursuit of our goals, and we think we're on the right path. This is why a lot of people get depressed after they achieve a big goal because they feel like,
Starting point is 00:04:31 I'm supposed to feel something greater. I felt this thing for two minutes, and now that's it? That's right. High achievers know to attach dopamine to the effort process. To the pursuit, the day-to-day tasks, the growth, the lessons, the losses, like everything, right?
Starting point is 00:04:46 Well, and it can be to some wins along the way, but growth mindset, which is the academic discovery and laboratory discovery of my colleague, Carol Dweck at Stanford, is the hallmark of growth mindset is really two things. One is I'm not where I wanna be now, but I'm capable of getting there eventually. The other is to attach a sense of reward to the effort process itself. where i want to be now but i but i will i'm capable of getting there eventually the other
Starting point is 00:05:05 is to attach a sense of reward to the effort process itself in fact don't reward the result reward the effort that's right and if you look at true high performers people that are consistently good at what they do they don't peak and go through the postpartum depression and crash and come back and their life is a cycle of ups and, but really people who are on that upward trajectory consistently, those people attach dopamine to the effort process. And actually Carol's, one of her original studies on the discovery of growth mindset was these kids that love doing math problems that they knew they couldn't get right. So it's like the people love puzzles, but in this case they knew they couldn't get it
Starting point is 00:05:43 right but they love doing it. And incidentally or not so incidentally, these kids are fantastic at math when there is a right answer because they feel some sense of reward from the effort process. Now, the cool thing about dopamine is that it's very subjectively controlled. We can all learn to secrete dopamine in our brain in response to things that are in a purely subjective way. Our interpretation. Our interpretation. But it has to be attached to reality. So one should never confuse- What is real? Right. So if you're thinking about the effort you're expending, so let's say somebody right
Starting point is 00:06:24 now is financially back on their heels and they're setting up a new business, for instance, and it's hard. If they can take a few moments or minutes each day to reflect on the fact that the effort process is allowing them to climb out of their hole potentially, that it's giving them an opportunity, that it's somehow they are on the right path or if they're not in movement along that path or at least oriented on the right path, they're not lying in bed all day, back on their heels. They're taking a step forward. They're taking a step. If they can reward that process internally, two things happen.
Starting point is 00:07:00 First of all, the brain circuits that are associated with building subjective rewards and dopamine get stronger So you get better at that process and second and most importantly Dopamine has an amazing ability to buffer adrenaline and buffer epinephrine And what I mean by that is there was a study that was published in the journal cell Excellent journal cell press journal a couple years ago showing that with repeated bouts of effort we use and we release more and more epinephrine it's kind of adrenaline but in the brain with more effort every time every time you put in effort so every time you make for this let's keep it if i were to keep it in the business context every time you make write that
Starting point is 00:07:39 email every time you let's see it's a person who's a craftsman or a craftswoman every time you're working in the in the shop and doing that every bit of effort you're Taking a little bit of money out of this epinephrine account. You're spending up an effort at some point Those levels of epinephrine get high enough that you you feel like quitting it feels exhausted This was done in a beautiful study actually where? They control the visual environments and they have the subjects exert effort and they can control the visual environment. So sometimes the effort of taking steps and moving forward is actually kind of pushing forward and kind of swimming motion would give them the sensation that they were actually making progress. And other times it was an exercise in futility
Starting point is 00:08:25 where they would just keep the visual world stationary and they would expend effort and they didn't think they were going anywhere. Epinephrine is climbing, climbing, climbing, and eventually they quit. Now dopamine is able to push back on that epinephrine and give you, anyone, the feeling that you could continue and maybe even the feeling that you want to continue.
Starting point is 00:08:46 And you've seen this actually, like football is a good example. Two teams play, say the Super Bowl, both teams are max effort the entire time. Max effort. The team that wins suddenly in a moment has the energy to jump all over the place, party for days.
Starting point is 00:09:03 They can talk. I mean, they have energy. They're exhausted right before then. That's right. Well, that wasn't glycogen or stored energy of any kind, except it was neural energy. And what happened was effort is this adrenaline, adrenaline, adrenaline, adrenaline. Eventually people quit. They just quit. The dopamine is able to suppress that. And so then you're expending effort, but you're doing it from a place of feeling like you have energy for it. So we need dopamine to keep the effort going. Is that what I'm hearing you say? That's right. Dopamine is not just about reward. It's one of the biggest misconceptions. Dopamine is about motivation and drive. It's like a jet that propels you along a
Starting point is 00:09:39 path. How do we get more dopamine? You practice subjectively releasing dopamine in your mind. Like how? Okay, so that's a great question. First of all, there are ways you can get more dopamine release through thoughts or through drugs or through supplements. I want to be really clear. There is a drug, there are two drugs actually, that will cause massive release of dopamine. They're called cocaine and methamphetamine. That's what gets us addicted because it feels so good.
Starting point is 00:10:04 The problem is, exactly, the problem is cocaine and methamphetamine. That's what gets us addicted because it feels so good. The problem is, exactly, the problem is cocaine and methamphetamine stimulate so much dopamine release that the drug becomes the only source. It becomes the goal and the path. It becomes the path and the destination. And you look at people's lives when they do a lot of cocaine and methamphetamine and that baseline on their life goes down very, very fast. Because there's no reason to work hard at anything else because you feel good. That's right. lives when they do a lot of cocaine and methamphetamine and that baseline on their life goes down very fast. Because there's no reason to work hard at anything else because you feel good. That's right. And that's the greatest feeling you'll have so why do anything else when you can have
Starting point is 00:10:33 that feeling? That's right. If you think about, remember these neurochemical systems, adrenaline, cortisol, dopamine, epinephrine, they weren't designed to keep us safe from tigers and to hunt and gather or to build Fortune 500 companies. They were designed to keep us safe from tigers and to hunt and gather or to build Fortune 500 companies. They were designed to do anything. They were designed to be generic so that depending on our circumstances, we could adapt. So in an animal context, an animal that let's say is hunting or it needs food for its young,
Starting point is 00:11:02 it's going to feel agitation. That's stress. That's cortisol. It's gonna feel agitation, that's stress, that's cortisol, it's like hunger. My babies might not eat, I might not eat. Maybe it's looking for a mate. It's gonna feel agitation and start looking and roaming and searching. Foraging is called in the animal behavior world.
Starting point is 00:11:16 It's foraging. At some point, it might catch a smell of something, a potential mate or berries or a stream if it's thirsty. At that moment, dopamine is released and now it has energy to continue along that path. Whereas there's a specific pathway in the brain that's involved in depression and disappointment that if it goes to that place
Starting point is 00:11:38 and it turns out it was the wrong path, there's a signal that actually suppresses dopamine so that you don't repeat that mistake again. So you don't give up. That's right. You just don't repeat it again. That's right. And those events that-
Starting point is 00:11:49 So it reminds you like that's not the path to go down. That's right. Interesting. And we're sort of veering towards neuroplasticity here, which is the brain's ability to change itself in response to experience. Dopamine is one of the strongest triggers of neuroplasticity because it says those actions led to success
Starting point is 00:12:05 previously you're gonna repeat those those actions led to failure previously and don't repeat those so dopamine triggers us to stay on the right path that's right so you asked how do you do this so to really make it concrete and is there too much is there too much thing is there such thing as too much dopamine well if you're not on drugs? So cocaine and amphetamine are bad because they lower the baseline on life. They make people very focused on things outside of themselves.
Starting point is 00:12:33 That's the other thing that dopamine does. It can be positive or negative. But when we have dopamine in our system, we tend to be outward facing and in pursuit of things in our environment. You can look at somebody on cocaine and realize that that's the extreme version of that. But I love social media for the reason
Starting point is 00:12:49 that you see the molecules in the memes. So it's like, get after it. What do sharks do on Monday? Or I can't remember the specific things. Or then they're the, like sometimes it's just time to chill. Well, that's a different molecule. That's serotonin, right?
Starting point is 00:13:02 And then dopamine is the get after it molecule. And epinephrine is effort. So if we were going to break this down really concrete, we'd say adrenaline and epinephrine are about effort, just effort with no subjective label on them, good or bad effort, whether or not stress or you're pursuing something you want to do. It's just, it's exerting effort. Dopamine is about reward, but more so about motivation and pursuit of rewards. So how do we learn to reframe our mind or rewire our mind so that we can have inner peace when there is trauma or pain around us? Brilliant question. It's a skill that we learn.
Starting point is 00:13:45 So that's really nice to know. It's never too late to start, but the sooner we start, the better. The biggest thing with the mind and managing mind, Lewis, is to accept that depression, anxiety, even the scary words like bipolar and schizophrenia, and then going to the more sort of things like that we can accept grief, anger, et cetera. These are not illnesses. This is the biggest message that I probably have. The second biggest, the first is that mind is the source. And if you don't get mind right, everything else, you can read all the great books you want and go to all the great seminars and self-help. But unless your mind is right, you won't ever use that stuff. It's data and so you do these that's there's another step missing and it's understanding that autonomy that sense of agency that we have to manage what's
Starting point is 00:14:31 going on around us and to accept part of mind management is not to make the bad stuff go away but to know how to live in the bad stuff because it's not going away so despair anger depression anxiety these are all completely normal responses in fact they're very helpful they're helpful messengers and warning signals as opposed to being scary illnesses they are not neuropsychiatric brain diseases like we've been told they are actually responses and because they are responses of our mind in in the world we only use our brain and body to express them because we've got the mind has to have the brain and body to build the thoughts. And then we use that to speak.
Starting point is 00:15:08 We're using our physical to store what we've processed and to convert and then to speak. So obviously, if our mind's a mess, our brain and our body will be a mess. But because our brain's neuroplastic and if we manage our mind, we can change our brain. We can change our DNA. Literally, that's what I've shown in my research. You can literally change your DNA, your blood markers, literally. If you change your brain we can change our dna literally that's what i've shown in my research you can literally change your dna your blood markers literally if you change your mind if you change your mind you can immediately influence your biomarkers so for example if you in acute trauma for example and you go through just okay let me explain it in a very simple way i'm testing
Starting point is 00:15:38 testing out a glucose continuous glucose monitoring device and for some research purposes and i happened to while I was wearing it because you wear it and then you you know you track your levels and I wanted to see for in terms of mental health and the neuro cycle that I've developed I wanted to see the impact and I happened to be going through experience of very acute trauma in our family over December and in the moment of the trauma I happened to see on my glucose monitor that my glucose had shot up to 240. Now that's heart attack level. And I immediately managed my mind through the neurocycle, which is the concept that I've developed, which is just a system, anyone can learn it. And I dropped my
Starting point is 00:16:16 glucose levels within seconds back down to a normal level. And as it cycled up, it cycled, I could manage it. And if glucose is at that level your cortisol's shot up at that level your dhea is dropped your homocysteine's up all that means is that your immune system is going crazy exactly you've got a cytokine storm like we talk with covid and in fact your your brain's immune system and your body's immune system will recognize that traumatic event or that established trauma or that mismanagement of whatever that it will recognize that traumatic event or that established trauma or that mismanagement of whatever that it will recognize that as an invader like a virus like COVID. So you get the same response to a mind thing, a thought, which is the consequence of mind. Think, feel, choose, you build
Starting point is 00:16:57 thoughts. Thoughts are made of roots and trees, branches, which are the memories. So thoughts are made of memories like trees are made of branches. This is toxic. It will stimulate the same response in the immune system as if I had COVID or if I had a flu virus or if I had measles or something or any kind of damage in my body. The immune system sees that as threatening survival because we are wired for survival. So this is not survival.
Starting point is 00:17:21 So your immune system says, hey, that's a threat. Let's send out the army, T lymphocytes, B lymphocytes, macrophages. Let's go fix this thing. And it creates inflammation, which is a temporary state of healing. So initially, inflammation is to isolate and fix. To protect. Yeah, yeah, yeah. Exactly.
Starting point is 00:17:36 Isolate and fix. And then you're supposed to fix this up and sort this out and find the root cause. And then this goes away. And then the anti-inflammatory factors come in and the inflammation goes away. But if we don't deal with the stuff and we don't deal with our past traumas and we don't deal with those patterns in our life that we are enacting, that the constant arguments or these certain, you know, we all have these toxic patterns.
Starting point is 00:17:59 No one's immune. And the signals of those are things like depression and anxiety and those are simply telling you, hey, there's a pattern. It's either a trauma-based pattern or it's a toxic habit you've developed. But that pattern is actually putting your body under tremendous stress, even to the point where your DNA is affected. And I showed in my research that, you know, if you think of the DNA ladder, if you pull out a chromosome, it looks like an X. And where you see my fingernails, pink fingernails, for those of you that are listening, the pink fingernails would then represent what we call telomeres. And telomeres are a proxy for how you are managing your mind. Very interesting. Aren't they also based on how long you'll live as well?
Starting point is 00:18:40 Exactly. Totally correct. So those are under attack and dying. You're probably physically going to die as well. Exactly. That's exactly what I showed. So we had subjects at the beginning of my clinical trial that I put in this book. We had subjects, and I've actually got a picture of this person's, one of the subjects' brains. This is inside, looking inside their brain. And the blue represents someone who's totally depressed, flatline, brain flatline, literally.
Starting point is 00:19:06 And this person's, all their biomarkers were up there, cortisol, inflammation, et cetera. But this shows that the energy levels in the brain are very flat. Blue means a very, very depressed. And this person was. Their narrative was tremendous trauma in their life. They were offline. They were battling with work, relationships, a lot of stuff. Everything was off. Everything was off. Sleep, you name it. They were at with work, relationships, a lot of stuff.
Starting point is 00:19:25 Everything. Everything was off. Everything was off. Sleep, you name it. They were at, like, ready to check out. What page is this on? This is on page, I should tell you, I should know the page off my heart, 161. Okay, cool, yeah. I think you've probably got it in black and white in that version that you've got there.
Starting point is 00:19:43 So this person's telomeres when we looked at their dna and we looked at their telomeres they will tell you how the shorter they are the weaker your cells the shorter your life span the more vulnerable you are to disease so they were sitting so that will show in terms of your biological age so their telomeres were short and unhealthy they their ages were in this particular subject, and we had a group like this as well that's similar. Their chronological, their actual age was in their mid-30s. But their biological age. Like 70 or something.
Starting point is 00:20:15 Yes, a sickly 70-year-old. That's crazy. Crazy. Within nine weeks of mind management. Note, I don't use drugs. Within nine weeks of mind management, note, I don't use drugs. I do talk about diet and stuff, but in this particular clinical trial, it was pure mind management, just the neurocycle.
Starting point is 00:20:32 Just get your mind under control. And that gray means that their brain stabilized, that the brain waves that they were actually managing. So here they were saying, I am depression. I am hopeless. All the biomarkers, DNA. Here they're saying, I now know why I feel depression. I'm not depression. I am hopeless. All the biomarkers, DNA, here they're saying, I now know why I feel depression. I'm not depression. I now know why.
Starting point is 00:20:54 And depression is simply a signal of an underlying cause. It's not who I am. It's not an it. It's not an illness. By 63 days, and these numbers are very significant, they were actually seeing behavior change in their life. They were saying, okay, so I know I'll still get depressed, but I know why and I know what to do. And there was changes in their behavior. They were back at work.
Starting point is 00:21:11 They were back sleeping, 25% improvement in sleep. And I mean, all kinds of like the relationships, not suicidal anymore. And I mean, that's, I can go on and on and on. Wow. This subject over here was in the control group. So they got no mind management. And what you'll see is a lot of red and a lot of chaos and that red shows complete brain that is like a tsunami in your brain which the biomarkers were
Starting point is 00:21:31 terrible this person's dna telomeres were very short and so with mind management in nine weeks we showed how you can literally change your telomeres which are your markers for aging and for health mental health and physical health. And that's pretty unusual because most of the work on telomeres has been done around diet and exercise, which are very significant. Right, right. It's all about leafy greens and plant-based. Exactly, which is significant. And also there's been some work on meditation, but there's been no, I think this is the first study that's been done on actually doing deliberate intentional mind work to change.
Starting point is 00:22:07 And then we saw significant drops as well in inflammation markers and blood markers. But the biggest thing was their narrative, the person's story. So if we go away from the biology for a minute and we listen to the person's story, that person was offline. They were online. They were living again. And they had also had this acceptance. And this is what I wanted to kind of circle back to when we started, was life and managing your mind doesn't mean that it's going to be one big rosy, you know, put on rose-tinted glasses. That's crazy. It is actually the ability
Starting point is 00:22:34 to be okay and at peace with having moments of depression and actually looking for the message and seeing them as helpful. We have this really weird philosophy, which has been about 40 years in the West now, where we look at depression and anxiety and those kinds of things as illnesses and neuropsychiatric brain diseases and as bad symptoms that we must suppress, like cancer symptoms you must suppress. So it's been lumped, or misery of life has been medicalized, to quote a brilliant psychiatrist, Joanna Moncrief. So we've got to really watch out for that. But actually, the real truth is that those depression and anxiety are not illnesses.
Starting point is 00:23:13 They are just survival instincts. It's telling you, hey, pay attention. There's something going on. You need to go and unpack. Something's not working. Something's not working. Something's not working. And it's manifesting as a pattern that needs to be addressed.
Starting point is 00:23:24 And that'll block the greatness. So are you saying, am I hearing, did I hear you say that there isn't a mental health disease? It's more of just a pattern or something that we should be mindful of, but it's not an actual disease? No, it's not a disease. And I know this counters the current philosophy, but if you look at the science, there's a large body of science. as the current philosophy, but if you look at the science, there's a large body of science. In fact, if you interpret all the science around this field and you really look at what's being tested, you actually will see it's not a, they've been looking for the neurobiological correlates.
Starting point is 00:23:54 They've been looking for where in the brain is depression. And for years, we've been told about the serotonin imbalance causing depression. I mean, that's not even, it was a theory never proven, great for marketing, for telling drugs, and also a simplistic way of telling someone, hey, you're depressed, don't worry, it's chemical imbalance, let me give you a drug to fix it. You know, we want this quick fix mentality. So as medicine has advanced and technology has advanced,
Starting point is 00:24:18 so we've become very caught up in the quick fix. But life's not like that, mind is not like that. Mind is separate from brain and body. You can apply that kind of thinking, not quick quick fix but you can apply a symptomatic diagnosis treatment approach to body to physical brain and body but when it comes to mind that that there's this this gravitational field this force this think feel choose thing it's not going to go in a medication is not going to change how you're thinking feeling and choosing it's not going to get rid of this it's just going to numb your brain so maybe you don't feel this for while
Starting point is 00:24:49 it's working but at the same time as then when that drug wears off this is still there this is still being recognized by the immune system of your brain as a problem so this is increasing your bone the longer it's there the more you increase your vulnerability to disease oh my gosh you know and this is what gets you stuck. And these are the patterns. So, no, it's not an illness. It is a normal human response. Here, we have a pandemic. We all know that everyone's going on about the next pandemic is mental health.
Starting point is 00:25:15 Mental health has always been an issue. Notice from the beginning of time, mankind has battled with life, with issues, with death, with fighting, with war, with whatever. So mental health is not on the rise. But the mismanagement of mental health, making it a disease, has created a whole new problem. Wow. So here we sit with, before the pandemic, they started doing a population study in the mid-90s. And this is when I was still practicing, early days of my practicing, sort of 10 years into
Starting point is 00:25:41 my work. And I started seeing this trend of, and I was watching the study, where people were, where the decades-long trend of people living longer. So we know, we all hear this message. This is what we've heard. People are living longer because of the advances in medicine and technology. None of us question that. But something happened in 96 that did start questioning that. By the mid-2000s, it was an established, researched fact that we don't live longer anymore, that the trend of people living longer has actually reversed, and that we have a pandemic of deaths of despair,
Starting point is 00:26:14 where people are dying from preventable lifestyle diseases, and the age group most being affected are between 24 and 65. So people at the beginning of their career and the prime of their career and through that age group are dropping down dead like flies. And it's considered death of despair by preventable lifestyle diseases. So we have to look at the lifestyle disease means that there's something in our body that's weaker. Why? Lifestyle, which is mind-driven. How am I eating, drinking, sleeping?
Starting point is 00:26:47 But more than that is what's my mind behind all of that? How am I actually managing the day-to-day moments? How am I managing the patterns, the traumas, the established toxic habits? What am I doing about that stuff? And that's when we ignore all of that because this current trend of science is saying, oh, those don't matter. What matters is the symptoms. Let's just look for the symptoms checklist diagnose label when you label someone you chop you you chop up to 10 years more of their life you know it's like it's adding on
Starting point is 00:27:14 they've shown studies of people with a mental health diagnosis have a chop their 20 years of up to 20 years of their lifespan people on psychotropic drugs because of all the complications and the changes in the brain and the body chopping up to 25 years of their lifespan. People on psychotropic drugs, because of all the complications and the changes in the brain and the body, chopping up to 25 years of their life. I mean, this is serious. So here we have this already existing, then the pandemic hits. Now in other years, they say that there's an additional year being chopped off people's lives. But there's such a contradiction because they're saying, hey, there's this adverse circumstance, grief of loss of people, uncertainty, medical, and not knowing if you're going to live or die and how long is this isolation going to go on
Starting point is 00:27:48 and economic impact and whatever, the whole lot. That's trauma. And they're saying that when they're saying, but this is the way to treat it. Let's label it. Let's diagnose it. Let's medicate it. So here we've come into COVID with a problem, with that stupid philosophy that's created such a lot of problems.
Starting point is 00:28:05 And scientifically, this has all being researched and shown. And now we've got the pandemic and now they want to carry on that system that didn't work to this, which is going to make it even worse. So we've got to shift our narrative completely. And we've got to stop saying that mental illness is on the rise and that there's one in four people on antidepressants who are depressed. A hundred percent of people are depressed and anxious and concerned about this COVID pandemic. A hundred percent of people in the world at some point in their life have and will be anxious and depressed and in grief and sadness and terror and despair and one of the others. A large percentage of the population, and I'm not sure the exact percentage because no one's really done this kind of research but estimates it's probably 30 40 percent of people will have extreme trauma of it from abuse war trauma that kind of stuff where they'll go down the continuum
Starting point is 00:28:56 to sort of the minus 19 8 9 10 if you look at a continuum of 0 to 10 0 to minus 10 and have things like psychotic breaks and hearing voices and extreme states of distress, mental distress, which are still not diseases. They are simply in that traumatic situation, you're having a traumatic response. Think of someone who's a war vet. I just interviewed a Navy SEAL the other day who was trained snipers. And I mean, the things that he had to do and that his teams had to do, you know, they come back and try and – we all know the problem of trying to, you know, reconcile back into civilian life after you've gone through – Very challenging, yeah.
Starting point is 00:29:31 I mean, you know, this is what they're experiencing all day long, stuff that's completely against survival, completely against our human nature. And now they – instead of them being allowed to process this trauma, they're coming back and being told that they're diseased. And he would tell me that what they do with a lot of – don't hear this sort of thing but he told me this they they they will inject things like risperidone which is an antipsychotic into the spines of war vets because they're a bit psychotic and they and they're psychotic for a reason it's their coping they they how do you deal with this of course you're going to be angry you're going to be frustrated you're not going to be able to love like you did you have to be able to embrace process and reconceptualize giving them a drug's not going to make it it's not going to help able to love like you did you have to be able to embrace process and reconceptualize
Starting point is 00:30:05 giving them a drug's not going to make it it's not going to help it in fact it constrains the brain it restricts the brain you can't there's no chemical cure for that this this is that's not that's just going to add fuel to the fire because your mind's got to work through the brain so now you put chemicals in and now that's not going to that's not going to facilitate change we have to do something so it's like a narrative do you feel like there i mean is there such a thing as a chemical imbalance in some people uh you know when they say oh i have a depression it's a disease or bipolar or i have this mental health disease or i have a chemical imbalance i was treated with this don't try to say i don't because this is who I am.
Starting point is 00:30:52 Do some people have that or is that? That's a result of the narrative of I have a chemical imbalance and my depression is from chemical imbalance is a narrative that is the only explanation that people are being given. They're not given an alternative reaction. I mean, an alternative narrative. So the most important thing is that anyone listening to this podcast, I want to validate your depression, your anxiety, your grief, your despair, your PTSD, whatever label you've been given. I want to validate that that doesn't need to be validated with a disease label. You're not diseased. You're not a broken brain.
Starting point is 00:31:22 Your brain isn't defective. You are going through something. So you aren't something. You aren't that. You are going diseased. You're not a broken brain. Your brain isn't defective. You are going through something. So you aren't something. You aren't that. You are going through something. You're experiencing something. You're experiencing something. And you're experiencing and you've coped in the only way that you could cope in that moment.
Starting point is 00:31:35 So it created this adverse response because it was an adverse situation and you were just trying to cope. So what we have to do is go through a process of embracing and processing and reconceptualizing so the important thing here is to recognize that chemical imbalance isn't the cause of your despair the cause of your despair is what you've gone through and what you're going through and learning how to not knowing how to manage it and how to deal with those thoughts that are driving you crazy and those flashbacks and the and the trauma of the flashbacks and going back into those situations of the rape or the abuse or the war trauma. It will drive a person crazy. And that's not crazy in the sense of illness. It's crazy in the sense of your mind is like this erratic tidal wave around you
Starting point is 00:32:18 and it's going through your brain and you've got these and your immune system and everything's screaming out to you and saying hey let's fix this so a disease label invalidates it and for a moment it might be nice to know okay well there's a label to how i feel because it kind of gives us a bit of feels like we've got a bit of control so initially that gives you comfort but don't see yourself as that it's better to say i'm experiencing post-traumatic stress issues because of what I've been through versus I am PTSD or I have the sickness of PTSD. It's better to say I'm experiencing symptoms of bipolar, these intense swings because of my whole story than saying I have bipolar, I have a chemical imbalance. I mean, just researchers coming out the other day showed that we've got to stop saying this. The top psychiatrists that lead this field will tell you we've got to stop saying
Starting point is 00:33:08 this, that there's no ways that serotonin imbalance, you can't even measure that. There's no gene for, there's no genes or serotonin imbalance causing it. It's what you've experienced that's the cause. And then that moves through your brain and your body. So obviously your brain and your body respond. So we will see changes in the brain and the body we will see neurochemical chaos not necessarily serotonin imbalance that's just one sometimes it's dopamine and if dopamine's down serotonin's off and then in anandamide's off and then i mean i can give you a list of big chemical terms and that's going to change every function in the structure of your brain and your your dna and your telomeres and400 neurophysiological responses are off.
Starting point is 00:33:48 So, you know, that's the response, though. And that doesn't mean that you have this thing hidden inside of you, this scary thing that's controlling you. And that invalidates. If someone comes back from war or someone's had a sexual trauma, to tell them that the depression or anxiety they're feeling is an illness is an insult to what they've gone through. But if I say to you, gosh, that's terrible. Tell me about it. I want to hear your story. I want to support you.
Starting point is 00:34:17 Your depression and anxiety that you're feeling is a signal that there's stuff going on. There's an origin story. There's a source. So can I listen? Can I help? Can I support you in trying to recognize the signals and go through the process to find the origin story and then to reconceptualize it?
Starting point is 00:34:35 And that takes time. It's not a 15-minute appointment where I can give you a label. That takes time. That's also not the conditioning kind of treatments that are in place that some of them work if they're used in the right place. But to try and put a veteran who's gone through something back into the situation to try and condition them, you can't condition, you have to reconstruct. So it's kind of like an algebraic equation. X is the situation. Y is how you should want, you want to function for mental peace. So you've got X plus Y. And so here we are in our X situation where we are the sort of human experiencing life. We're
Starting point is 00:35:12 supposed to be at Y. And you put the two together. And what the current treatment says is that, okay, now we're going to create Z. We're just going to ignore X and Y. We're going to create a new thing. And that new thing is you're diseased. But that doesn't work. It's actually X plus Y equals XY. X is what you're going through. Y is where you want to find mental peace. And you want to put the two together to live together so that you can change how the past plays out into your future.
Starting point is 00:35:38 Oh, man. What's the best way to train the emotional part of the brain so that we have a personal power over it. That we're in control. Or more. It depends on the situation. We can turn it up or turn it down. Depending on what's going on.
Starting point is 00:35:58 Maybe we need to be more emotional in a moment and not be chill and relaxed when there's an attack. Maybe the moment is so big, man. Of course you're just emotionally over the top so but that but that leaves you a flexibility and it also leaves you without feeling bad like oh i was emotional then now i'm not an i'm not a person that has emotional regulation you don't have this brain the same forever it's a constant trimming of the sails modulating tone to me it's a little bit of work if you're in a good spot like hey don't this ain't guaranteed yeah but it's also so much power and opportunity that if you're if you're uh not in a good spot like tomorrow can
Starting point is 00:36:37 be better and if not tomorrow then the month or the year after right so emotional regulation the shortcut so now we're getting to like is there a tip you know because I hope people feel like wait a second this everything is possible but it's going to take a lot of work but are there shortcuts because I love shortcuts with LA freeways or whatever right ways is good yeah but there are there is one that has stood the test of time and that I can now explain to you based on things that we do as surgeons. And that's, I refer to it as meditative breathing in my first book,
Starting point is 00:37:17 but really it's pacing your breath. And so what does that do? And that's something you study with actual scans or? No, no, no. It's even, it's wilder than that. How are you studying this? I've got a direct feed of the true electricity from the surface of your naked brain. While they're breathing. Yeah. While they're sitting there. What are you seeing on the brain activity recordings? The same thing that we see when we give Valium, which is an anxiolytic, their anxiety level goes down, their electricity goes from fast to medium. Remember we started this and we're talking about athletes not wanting to be in
Starting point is 00:37:51 fast, we want to be in the flow state. Meditative breathing led to direct changes in the electricity of their brain as measured, not with a sticker on on the forehead but with a grid on the surface of the naked brain it's on the brain it's true measurable changes in the electricity there for the mind so meditative breathing that for thousands of years people have said can help you chill out is an anxiolytic and break anxiety well we have proof of that now and I think that's important for people to know that it's not just some you know it's just not a concept that's being thrown around too casually that through awake direct electrophysiologic recording of seizure planning surgery at elite centers while looking for the
Starting point is 00:38:40 seizures there's a lot of data coming out about let's play video games, let's do meditative breathing, let's read, and then what changes. And so that's what I love in book one that I shared was that's raw data, that's real data. And there's an explanation behind how that happens. And so what I would say to people is that's something you have that's free, because I'm not selling anything. Breathing. And the pace of breathing and what's the pace that works best I mean there's lots of different techniques of meditative breathing they found you know it doesn't matter you know people say through your nose or mouth and that's kind of the confusing stuff that's out there well the nose and the mouth connect before they get to the trachea and it goes to your lungs. So it doesn't matter how, but it's about slowing the cadence
Starting point is 00:39:27 and making the cadence more methodical. A deep breath in and a deep breath out. It's no different than what we do in surgery when you feel the case getting a little out of your control. What do you do? Well, the first thing is, I just slow my breathing down. And that doesn't mean the solution will arise but i know that puts me in my most calm and focused state to find the solution for the problem in
Starting point is 00:39:53 front of me and likely that's what athletes that thrive do as well you don't want your brain surgeon to be like well exactly but that's what stress does it makes you hyperventilate right but if you just that's that's a great point If you just hyperventilate just because you're just doing it for whatever reason, you'll get physically jittery. You will give yourself anxiety by just doing that. Yeah, I felt that just for a second. I'm showing you the proof on the other side. Do the opposite of hyperventilation and you'll make yourself less frenetic. opposite of hyperventilation and you'll make yourself less frenetic. One of the experiments that I did in my lab this last year was trying to find the most, the easiest, shortest intervention that we can do with students that would decrease
Starting point is 00:40:40 their very high levels of anxiety. What was that? And so we tested many things, just to walk outside, chair yoga, all these things they can do online. This was all virtual. But one of the things that was very effective that I was so excited about is a mindful conversation. So what we did is we didn't go deep. We didn't want to have them reveal some deep dark secret.
Starting point is 00:41:07 But what we did is my student researchers had a script. They shared a real story about a favorite vacation, why it was favorite. It was real. They were really trying to share this experience with them, and then invited the student who they didn't know, who was our experiment team, to share the same thing. And in that year where everything was virtual and it was, you know, professors just said, okay, now learn this five chapters, go ahead, go do it. And to
Starting point is 00:41:35 have somebody there listening to their story, listening deeply and asking real questions, because they were, it was only 10 minutes completely decreased their anxiety really by them sharing and someone listening or by them also listening to someone else's story you know i think it was really the sharing and have somebody else listening because the first part the my my students always went first. They didn't know what exactly was going to happen. So that was just to lay the groundwork. And I think the interaction and the good feelings started to develop when they started to open up, sharing this story and seeing, oh my God, somebody is really listening to me. They're asking me a question about this event that meant something to them.
Starting point is 00:42:30 And that just shows how powerful social interactions are. And even this short 10-minute thing between we thought about, should we get two friends to try and have a conversation? That was too hard to control. But I could control, we could control exactly the protocol of this stranger student and the kind of interaction they have interesting yeah do you is there any research on if men or women are more anxious is there any research around this like um i know men have more anxiety or stress or women have more anxiety or stress? I think the stat, I should know this.
Starting point is 00:43:09 Are we just all messed up equally? I think we're all messed up equally. There's more women with depression. Depression and anxiety are related but have different symptoms. But I think it's pretty equal for anxiety. The reason I'm curious is because when I was studying about masculinity years ago, I wrote a book called The Mask of Masculinity, which is kind of the mask that men wear to project and protect themselves from showing emotion and revealing themselves.
Starting point is 00:43:40 And when I was on tour talking about it, I would always ask in every city, and about 50% men and women would show up, and I would always ask, like, okay, for the ladies here, raise your hand if you have a girlfriend or girlfriends that you talk to once a week about your stress, your worry, your challenges in life, your work issues, your body issues, whatever it might be dealing with, that you have someone, one or multiple girlfriends you speak with on a weekly basis. And pretty much the entire room of women raised their hand and said, yes, every week I have at least one person. And I said, keep your hands up if you do this every day. You call a girlfriend on the phone, you have lunch, you're just talking about something for a few minutes. And I go, how does it make you feel to be able to talk about these things from like it feels great Yeah to be able to share yes this yeah I say okay from the men in the room raise your hand if once a month
Starting point is 00:44:32 You get together with a guy friend and you talk about your vulnerabilities your insecurities your body issues your your your challenges at work And you really open up to this other male friend. Yeah, maybe one or or two guys out of hundreds would raise their hand. And I would say, you guys are part of a church group, right? Where you meet once a month and you say, for an hour and you do these things. And you're like, yes. And I say, okay, I go back to the ladies in the room. I say, ladies, imagine not being able to do this once a month, only doing this once a month. How would it make you feel? They're like, I'd feel more anxiety, more stress. And I go, imagine these men who never do this in the room.
Starting point is 00:45:11 They never share these things. Not saying all men, but a lot of men don't feel like they have one guy friend they can open up and reveal to. And I feel like maybe there's another symptom, maybe it's just like they just wall themselves up and don't share emotion. And there's other internal factors or physical ailments that they're caused from that stress. But I think it's, yeah, either way, I think it's important for everyone to learn how to share these things.
Starting point is 00:45:37 And based on that study you did, I think it's when we share, whatever it is, even if it's five, 10 minutes, it decreases the stress and the anxiety. It seems like it goes down. And I feel like we've got to create better friendships or relationships or therapists or whatever that we can connect to and have that consistent communication stream. Because otherwise, when we hold on to it, just bad things happen. Yeah, yeah. Bad things happen. Yeah, yeah. Bad things happen. So how does that work? What is the change that we need in raising boys and talking to boys?
Starting point is 00:46:18 This is a whole, I mean, this is a dynamic. I mean, I grew up in the 80s and 90s. I was born in 83. This is a dynamic. I mean, I grew up in the 80s and 90s. I was born in 83. And it was just not accepted to show emotion in elementary school, middle school, high school. It wasn't acceptable, especially as an athlete growing up in Ohio. It just wasn't.
Starting point is 00:46:35 Maybe in some part of Beverly Hills or some posh school in New York City, I don't know, maybe in pockets, there's some more acceptability of younger boys showing this type of emotion. I don't know what it's like in 2021, but I just know that you were laughed at, you were made fun of if you cried, if you showed emotion. I remember wanting to put my arm around like guy buddies of mine and them pushing me away and saying, don't be gay, you know, or just don't be a little girl. Don't be whatever the term is that was associated around something negative for them. And so you learn in order to fit in to wall yourself or to not share the things that people won't like about
Starting point is 00:47:19 you. And I'm not saying that's okay. we all have our responsibilities but as young boys growing up when we're conditioned that way it was hard to break that for me personally and it took me a long time until I realized like wow this isn't working for me I have more stress and anxiety it was really decades of stress and anxiety and not being able to sleep at night, that was the thing, the catalyst that you talked about that was like enough is enough. Maybe for you it was a social anxiety, but finally as a teacher, like, okay, I've got to show up differently to not stress all the time. And so eight plus years ago, I finally started to reveal myself.
Starting point is 00:48:02 I was just like, okay, I can't live like this anymore. So everyone can know everything about all my shame because I'd rather that happen and be alone because I feel so much stress all the time. And then it gave me a lot of peace. And then I learned the process of healing and therapy work and workshops and all that stuff. And just healthier relationships in general.
Starting point is 00:48:24 I don't know the solution. I don't know the solution. I don't know the solution, but I know I'm trying to be a better model for other men to witness. That's beautiful. I'm trying to bring other men on and have these types of conversations so that younger men could see like,
Starting point is 00:48:38 oh, okay, here's someone that maybe I like what he does or what he's better. He's an athlete and I can understand and relate to that. Hopefully I can start to do this with my own life or maybe with my girlfriend or my guy friend yeah try to have some of these conversations but I just think it's challenging in general yeah it's challenging when you're younger and you're trying to have a few friends and they don't accept it yeah exactly that's tough yeah yeah because no kid wants to be alone no no they want to just hang out and go on the playground and just be with
Starting point is 00:49:06 their buddies. Yeah, so it's It's really challenging. Yeah, I don't know. Do you have kids? No, I don't yeah I don't have that. I don't know solution that but I think as a you know, I don't have kids either But if I was a parent I would just encourage showing emotion with Mike with my sons or daughters and be the example, be vulnerability with them. Allow myself to feel, allow myself to cry
Starting point is 00:49:32 if I'm watching a movie or something happens in my life and I'm feeling it to not wall up, but to allow myself. I mean, we're going off another topic here. We're going off another topic here for another conversation. But as an academic, as a neuroscientist and a study of psychology and the brain and all these things, you've come from a very academic approach to your research. But a year ago, you unfortunately lost your father and your brother around the same time. And while you were writing the book, and so you had to kind
Starting point is 00:50:03 of shift some of the stuff writing the book because you were writing the book and so you had to kind of shift some of the stuff right in the book because you were experiencing on an emotional level what you were kind of researching yeah yeah can you share more the biggest lessons you learned from these types of losses for yourself and how you emotionally had to navigate it when maybe you didn't have the answers yeah and what did you learn from those that experience yeah, so it really was the week that I was about to dive in and start writing the real chapters of this book, Good Anxiety. And that was when my younger brother passed away completely unexpectedly. Younger brother.
Starting point is 00:50:44 My younger brother passed away completely unexpected. Younger brother. My younger brother. Just three months after our father had passed away. So we were just healing, still raw from losing my father, our father. And then he had an unexpected heart attack. Really? And so first just that pain and grief that I was experiencing is not the same as anxiety. It shares some of those negative emotions. This was just grief, sadness. It was so painful. Like how could this happen? It feels like a different reality.
Starting point is 00:51:28 Everything looked the same, but it just felt so different. And it forced me to explore these feelings that I'd had inklings of in the past, but never to this extent and kind of in this wave of first my dad and then my brother. And I slowly came back from it. And I used some of the tools that I talk about in the book that were already in place for me. Morning meditation. So I do a morning tea meditation. Tea meditation. A tea meditation, which I describe in the book, which is a meditation over brewing and drinking tea.
Starting point is 00:52:06 For me, that was the magic bullet for meditation because there's a sequence for brewing tea. You boil the water, you put it in the tea leaves, you let it seep, and then you pour it out and then you drink it. And that kind of sequence kept my meditation going. I always had something to do. I was waiting for the tea to do. I was waiting for the tea to brew. I get to drink the tea now. I get to be mindful about how does the tea feel? How hot is it? How does it taste? And I really came to appreciate that there is this moment. And yes, everything on the outside of my meditation feels like it's different
Starting point is 00:52:45 but this moment still feels like every other moment that i enjoyed my tea meditation so that that helped me help me come back to i am alive i'm so lucky to be alive and yes perspective yeah so lucky to have the family that's still with me. Yes, yes. And exercise, my first book, Healthy Brain, Happy Life, was all about the transformative effects of exercise on the brain. So after I meditate, I do my workout in the morning. And it was really one day I was doing my workout. It's a video workout. And the trainer said, it was a hard workout.
Starting point is 00:53:28 the trainer said, it was a hard workout, and she said, you know, in working out with great pain comes great wisdom. Oh, I love that. And I was like, oh my God, that is what I need to hear, not just for working out. I have just gone through the worst pain in my whole life, the worst pain in my whole life. And I do have more wisdom. That wisdom is based in the love that was left behind. And not just left behind, that sounds like it's leftovers. The love that is here, that's still here from my brother and my father. And that's when I started to think about this book, Good Anxiety, in a different way. Because anxiety is an everyday kind of pain and suffering that we all go through. And what if that leads to wisdom? What does that look like? And I needed as much wisdom and power that I needed. And so the book became searching for the power and the wisdom in everyday anxiety. It never would have been that if I hadn't had this event happen. I hope you enjoyed today's episode and it inspired
Starting point is 00:54:44 you on your journey towards greatness. Make sure to check out the show notes in the description this event happened. I hope you enjoyed today's episode and it inspired you on your journey towards greatness. Make sure to check out the show notes in the description for a full rundown of today's episode with all the important links. And if you want weekly exclusive bonus episodes with me personally,
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Starting point is 00:55:19 told you lately that you are loved, you are worthy, and you matter. And now it's time to go out there and do something great.

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