We Can Do Hard Things with Glennon Doyle - REAL Self-Care: Burnout Is Not Your Fault & the Way Out with Dr. Pooja Lakshmin (Best Of)
Episode Date: July 6, 2025REAL Self-Care: Burnout Is Not Your Fault & the Way Out with Dr. Pooja Lakshmin Psychiatrist Dr. Pooja Lakshmin shows us how to tell the difference between the Faux Self-Care we’ve been sold vers...us the Real Self-Care we desperately need. Discover: How to incorporate boundaries through the power of the pause and how to navigate the post-boundary ick with ease; A simple tool to know whether you are being driven by your goals or driven by your values (and how to find and start living by your values today); and Whether you might be in ‘martyr mode,’ and the key to getting out of it. About Pooja: Dr. Pooja Lakshmin is a board-certified psychiatrist, author, keynote speaker, and a contributor to The New York Times. Her debut book, REAL SELF-CARE: Crystals, Cleanses, and Bubble-Baths Not Included, is an NPR Best Book of 2023 and a national best-seller. Pooja serves as a clinical assistant professor of psychiatry at George Washington University School of Medicine, and maintains an active private practice where she treats women struggling with burnout, perfectionism, and disillusionment, as well as clinical conditions like depression, anxiety and ADHD. She frequently speaks, advises and consults for organizations on mental health and well-being. Pooja writes the weekly Substack newsletter, Real Self-Care. IG: @poojalakshmin To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
Transcript
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Well, loves, welcome back to We Can Do Hard Things.
Today we are going to prove to you that everything you know, and we've been sold about self-care is horseshit.
Okay?
We are going to figure out why we have the wrong ideas about self-care, what we can do
to replace those wrong ideas and get some things in place that will really make us feel
like we are caring for ourselves.
Okay.
The person who's going to help us do that.
Cause we sure as hell know I am not going to lead us in that discussion is Dr.
Pooja Lakshman, who is a board certified psychiatrist, author, keynote speaker,
contributor to the New York times, her debut book, Real Self Care, Crystals, Cleanses, and Bubble Baths Not Included.
So good.
Don't turn this off.
You get to keep your crystals.
Okay?
So just stay with us.
Real Self Care is an NPR best book of 2023 and a national bestseller.
Pooja serves as a clinical assistant professor of psychiatry at George Washington University School of
Medicine and maintains an active private practice where she treats women
struggling with burnout, perfectionism, disillusionment, as well as clinical
conditions like depression, anxiety, and ADHD. You are in the right place. Pooja,
thank you for being here. Thank you so much for having me, both of you.
I'm so excited to be here.
How would you like us to refer to you?
You know what? Please call me Pooja.
I like to be Pooja.
Okay, great.
Okay, so Pooja, let me tell you how I found you.
My therapist sent me an interview that you had done.
Okay?
Yes, so I was on a therapy session sent me an interview that you had done, okay?
Yes, so I was on a therapy session
and I had spent a lot of time complaining to my therapist.
I hold her responsible for all self-care problems
because I feel like, so she,
I was talking to her about how I feel like
self-care is like recycling.
There are these huge forces and companies that are destroying our planet, and they could
change and our planet would not be destroyed.
But because they don't want to change, they instead create little programs for us, like
a triangle about recycling.
And then I lay in bed feeling guilty that I didn't put my glass bottle in the right bucket
and that's why the planet is burning.
There are forces and industries
that are profiting off the planet's demise.
And the way they abdicate themselves of responsibility
is by making it feel like it's an individual problem.
And I feel like that's what self-care is.
You know, they say most of the world has support systems
and America has women.
The fact that we're all exhausted maybe
is not because we're not drinking enough green juice.
It's maybe because there are larger forces
that are exhausting us.
Is self-care like recycling, Puja?
Yes, 100%.
And I love that you were starting off
this whole conversation with that metaphor
because it's the perfect metaphor.
It's the way in which all of the structures that we live in
have exonerated themselves from responsibility
and put everything onto the individual.
The perfect example is the patient that comes in to see me and she says, you know, Dr. Lekshman,
I'm stressed out, I'm burnt out, I'm not eating well, I'm not sleeping well, and I feel like
it's my fault because I have the meditation app.
I have the meditation app that I know I'm supposed to be using,
but the last thing I want to do at the end of the day is meditate.
Like all I can do is just binge watch Netflix.
That's like all my brain is capable of.
And I kind of feel like I'm constantly screaming at my patients,
like, it's not your fault. It's not your fault.
One of the other things that I like to say is that you can't meditate your way
out of a 40-hour
work week with no child care. That's not how wellness is supposed to work. And we live in a
country where 30 million Americans don't have health insurance. Good luck finding a therapist,
right? Oh my gosh. Nobody's taking new patients. It's impossible right now. We experienced that
recently. It's so hard if you're even lucky enough
to have insurance that will reimburse you. And one out of four workers can't even take a paid sick
day, right? Like it's, it's just outrageous. We don't have paid parental leave. And so the
fact that we're kind of told, especially as women, oh, like they're there, here's some essential oils,
like take a bath, you're fine. I mean, it's condescending at best.
And at worst it's manipulative and predatory.
Yes, thank you for saying that.
It is condescending at best.
You're a woman listening,
you're taking care of your parents,
you're taking care of your kids,
you don't have leave,
you are carrying the mental load of your family
and you're laying in bed and you're like,
why am I so tired?
And then you beat yourself up because, well, it's probably because I didn't make it to yoga today. Because that family and you're laying in bed and you're like, why am I so tired? And then you beat yourself up because,
well, it's probably because I didn't make it to yoga today.
Because that's what you're being told.
And by the way, all of these things
that were being told will make us feel better
also cost money.
Yep.
So there's an industry created.
What really most people need is some financial help.
Instead they end up buying more things to get the piece.
So tell us what is faux self-care?
Let's just frame it.
What are the things we have been told we have to do
that will be called self-care
when in fact maybe we need to say not that?
Yes, before we go there, I want to take a pit stop, though,
and just give a shout out to sort of the lineage of self-care
and the lineage of what I'm calling real self-care.
When I was writing the book, I was doing research on this term
and trying to figure out what is the academic basis.
And it's actually really interesting,
because there's two lineages.
One is the social justice movement.
So black queer thinkers like Audre Lorde,
Bell Hooks, who in the 1950s and 1960s
really put this on the map in particular
for marginalized communities that were,
Audre Lorde said, self-care is self-preservation.
And that takes on a very specific meaning,
especially if you're a black person or a queer person
living in a world that is like actively trying to kill you. That means something different. And this part was really
fascinating to me. The other lineage or place that self-care was used was actually in psychiatry,
shockingly. In the 1950s, psychiatrists started using the word unlocked inpatient units for the decisions that patients, involuntary
patients could make in their lives while they were on the unit. So picking out your clothes,
what are you going to eat? What exercise are you going to do? And I just thought that was
so fascinating because on both sides, if we get back to what is real self care, it's about
even in this world that is terrible, that is like stacking so
much against us, where your choices are limited, what is the kernel of agency that you have?
That's what it is, agency. Because when I read that in your book, I was like, okay,
so I was in a mental hospital for a while. And when people started talking about self-care in like the
zeitgeist, I've told Abby, I know that I did that. I was in a place where each morning they taught us, okay, let's decide what you want to eat. Let's decide what you're going to put on your body.
Let's think about your feelings, point to this thing. How do you feel? What are we going to do
about it? It is how to human. And in the real world, we're not taught to how to human.
We're taught how to adult.
They don't want us to human.
They don't want us to human.
If we human, we would slow down.
We would stop being so productive.
We would stop buying stuff.
We would stop buying stuff.
So it's not like it's just missing from the culture.
It's actually purposefully not taught.
So, okay, the origins of self-care were psychiatry,
and then Audre Lorde Bell Hooks, the idea of caring for myself is not self-indulgence, it is self-preservation, and that is an act of political warfare. So, these very important self-preservation human ideas are then capitalism comes in.
So like how would Audre Lorde feel now? If Audre Lorde was like,
oh don't worry here we figured out we have all these crystals in bubble baths. She'd be like,
what the f- how did that happen? Right? Okay. So then what happens?
So now we're here, right? Where it's like Instagram and it's like the juice cleanses
and the essential oils and the bubble baths. And so I wanted to break this down into two buckets.
And I call it faux self care, which is the juice cleanses, the bubble baths,
also the yoga and the meditation. And before anybody like comes at me,
like we're gonna talk about it.
It's not that those things are bad.
Right?
We're gonna talk about it.
Yes.
But those, right, I call those faux.
And I say faux because it's coming from the outside.
It's something that you have to do.
It's another thing on your to-do list, right?
So it's a product, it's a service.
It's something that's prescribed.
You know, you listen to a podcast and they're like,
hey, why don't you try this bullet journal?
And you kind of feel like,
oh, okay, let me just do the bullet journal
and then everything will feel okay.
Yes.
And the thing is with the faux self-care,
if you have the resources, right, this all takes money,
it works for a little bit.
It's not like it's nothing, it does work for a little bit,
but then once life gets busy or you kind of fall off
and then it doesn't help anymore.
The other thing about faux self-care
is that it doesn't do anything,
not only to change the systems, like the larger structures,
it also doesn't do anything to change the dynamics
in your relationship, like with your partner
or with your kids or the people that you take care of.
It keeps things static.
That's right.
Whereas what my thesis, what I'm saying real self-care is, is actually an internal decision making process
that's threaded through all of the decisions in your life, the little decisions and the big decisions.
And it comes from you, only you know what it is.
And we'll go through the principles, boundaries,
compassion, values, and power.
It's not prescribed from the outside.
It has to come from you.
It's different for everybody.
It also changes in different seasons of your life.
What worked for you in your 20s is not gonna work for you
in your 40s and your 50s.
And it always shifts the dynamics of power
in your relationships.
And then that has the potential, not always,
but it does have the potential to be a seed
that can shift larger systems,
like in your workplace and bigger structures.
There's one other piece here that I wanna mention,
cause I know this is a little bit heady.
That's the other thing, like this is harder.
This is harder than doing a full test.
This is why everybody goes towards folk self-care is because this one is harder. Yes.
When you're talking about. Yes. So I want to kind of break it down from a psychological place as a
psychiatrist. We can think of faux self-care as tools, right? A specific tool that helps you for
a very specific problem. Running helps me feel more energy.
Yoga helps me feel more flexible, right?
It's a very specific tool that you use for a circumscribed problem.
It's not bad, right?
But it's a tool.
Whereas real self-care is principles.
And principles are non-specific.
They're timeless.
They are a way of thinking and looking at the world.
So boundaries, compassion, values, power,
that's what real self care is.
And that's why we feel so bogged down,
not only because of all of the capitalism
selling us more and more stuff at Nauseam,
but also because we keep trying to band-aid ourselves
with these tools and we're not doing that inner work to understand what we actually
need.
I'll give one more example here.
And I think hopefully this will like really kind of make it crystal clear.
So imagine the person that goes to a yoga class and I use yoga because I feel like when
we think about wellness and self-care, that's like, everyone's like, well, just do some
yoga.
Somebody goes to yoga class and they spend the whole time in yoga, just like worried
that they're not wearing the right Lululemon leggings.
They don't have the right mat.
The person next to them can hold a headstand and they like can't do crow pose.
And they're just like, oh my gosh, they do yoga, but they feel worse at the end of the class
than they did in the beginning.
This is me.
This is totally me.
No, no, Abby's not you.
But imagine somebody else goes to yoga
and they have had a hard conversation with their partner
and they've said, hey, you know what, hon,
Wednesday nights, I want you to do bedtime
because I know that I'm just such a better parent
if I go to yoga on Wednesday nights.
And they've talked about the mental load and they've been really kind of like having those hard conversations about the division of labor.
And they're compassionate with themselves in yoga. They're not beating themselves up. They're okay with where they are, where their body is.
They've named values. They understand like, okay, what does that yoga actually do for me?
It makes me feel connected to my body. Or maybe for them, it's like,
when I go to yoga, I feel like I'm part of a community.
It's different values for everybody.
And then they understand that this is you grabbing back power
from these oppressive systems.
That person actually takes in the medicine of yoga.
That person is actually there receiving
the self care in that class.
But on paper, both of those people went to yoga, right?
So it's not about the thing.
It's actually about all of this internal stuff
that you do to get to the thing.
Because if that person, if her principle was,
I need alone time, I need to pass off responsibility.
I need an hour of the day to whatever.
It wouldn't matter what was happening in that hour,
as long as whatever she felt like doing in that hour
honored that principle.
So it's not about the yoga,
it's about the principle that drives you to yoga.
And is it also like, we use these things,
we use these tools as breaks from our life,
from our shitty lives.
And like, what real self-care is making the actual life less shitty so that you don't
need these constant escapes.
Yes.
And the caveat that I would say, or like the reframe that I have is that we all need breaks.
We all need the escape.
Right?
So it's not that it's bad or wrong. It's that what I'm asking folks to do is like take a step
back and reflect on the things and reflect on what it's
bringing to your life.
I don't know if you know, but I used to play soccer and no, no, I
didn't know.
And so I've kind of gone through this really interesting process
over the last seven or eight years since I retired
Where I went from there was principles around why I was playing but as a athlete ages
You start to lose a little bit like what am I doing? Why am I doing this over?
Thousands and thousands of practice so it became this external force
Kind of pushing me to do these things that felt out of alignment with my values, right?
And so then I retire and I had to completely rewrite and figure out
how to have this come from inside of me. The first couple of years
I didn't do any self-care actually because I just needed a full reset and then the last couple of years
I've been learning this exact idea
of figuring out what really I want.
So I was the kind of person that just used all the methods.
Give me every tool and I will do it.
I'm very disciplined when it comes to stuff
and I will do it to a fault,
but I wasn't reaping the kind of rewards
that I thought I was supposed to.
And so now I think, okay,
there are things that I do on a daily basis
that I don't feel motivated to do,
but it's in line with my values.
And doing that, it becomes self-care.
So going to the gym five days a week,
really it's hard for me,
but it really is about maintaining my health,
all of the things that come from working out. So you're not doing it in a punishing way.
When we say, and I believe you about the no bubble baths, no crystals included, what I would say
about that is because my therapist was afraid to send me this interview because she was
like, just keep going. I know you love your baths. I know you love your baths and your
yoga. Okay. Is it possible that the bath, the quiet time, the candles, all those things
are some people's only time where they give themselves the moment to excuse themselves from the chaos
of their families, of the world, and just sit quietly.
Because in order to figure out what we need,
what boundaries do we need,
where do we need to have self-compassion,
we actually need the stopping moments.
Most of us are morning to night, going, going, going,
especially women, that are those things maybe women know,
it's not really about the freaking candle,
like I don't need this $27 candle,
but maybe it's the signal to myself and to my family
or to whomever that this is my quiet time with myself.
And that is a value.
Yeah, absolutely.
That's why I don't think that it's either or necessarily,
because especially when you're a caregiver,
the demands are so high and loud
that even to set that boundary, to take the bath
or to go on a walk or whatever it is,
that is you pushing back.
I guess what I'm saying is that if you don't do
that inner work of the boundaries, the compassion,
the values, the power, and understand what it means for you,
then it's just a bandaid.
Because we all know that person
that kind of just stays in that loop, right?
And they do the bath,
but then they're still just rageful at their partner and cranky with their loop, right? And they do the bath, but then they're still just rageful at their partner
and cranky with their kids, right?
And that they're stuck in that cycle.
And the thing is that in order to see that,
in order to do this real self-care work,
you have to be able to remove yourself from the chaos
and the fight or flight that you're living in currently.
Because really it's about decision-making and how you spend your time. And when you're living in currently. Because really it's about decision making
and how you spend your time.
And when you're in it, you can't see
because you can't really feel, right?
Because you're just like that.
And so you need to use those moments of escape.
They are escape, yes.
And what do you do with that escape?
Are you just kind of like scrolling Instagram?
And I say this with full disclosure of like, I have plenty of nights where I sit on the couch and I'm just scrolling Instagram.
That's all I can bring myself to do. And that's okay, right? This isn't meant to be punitive
or shaming. It's more like to start a new type of conversation with yourself so you
can get to the next place.
Let's go to the next place because, and also I just want to say to everyone listening,
that I think that we can all be forgiven for bowing to the God of wellness
because it's hard to buy all this shit and add all these things to our day, but it's
not as hard as actually looking at our lives.
So as someone who is extremely cult susceptible, that's one of my major traits, I am constantly
looking outside of myself for somebody to tell me how the
hell to make any of this, how to feel better, how to make any of this easier, how to do
life right. And so it does not surprise me about myself that I would accidentally now
find myself in a wellness cult. Okay. So if that is you and you're just realizing right now maybe I'm not going to green juice my way to peace.
And so maybe we have to do the impossible thing, which is be really still and look at how we're living our lives.
Even in the midst of this shit show world and where we can find some agency.
So let's start talking about the four principles of real self care.
What's the first one?
Yes.
So the first principle is boundaries.
Oh God.
Is there an easier one to start with?
I know.
I know.
I'm so sorry.
Stay with me because my take on boundaries is a little bit different than what folks
might have heard before.
So I had this aha moment. This was back
in 2016. I just graduated my psychiatry residency and got my dream job on the faculty at GW in
George Washington University in DC. And my mentor, she took me out for lunch and she was like,
Pooja, I have a piece of advice for you. And I was like bright-eyed and bushy-tailed and thought
she was going to give me some magic secret about dosing SSRIs or, you know.
And instead she was like,
Pooja, you don't need to answer your phone.
You can let it go to voicemail,
listen to what they want, decide,
and then call them back.
And that was mind boggling to me at the time
because I had just gone through medical school
and residency when in those days you had like pagers
where the pager would go off and you would have this like PTSD response and call
back right away.
And I was like, oh, the boundary is the pause.
And then you can say yes, you can say no, or you can negotiate.
Yes, pause is the boundary.
Yes, no, or negotiate.
Because the truth is that no always has a cost.
It always has a cost, whether it's emotional, financial, interpersonal,
it always has a cost. And so no is not always accessible, but the pause,
you can do the pause. And so for me, it was like, Oh,
maybe it's the front desk and they have some paperwork for me to sign and I can
say, Oh, I'll come around at the end of the day, but maybe it's a patient.
And I know that her ADHD is so bad that if she misses her adderall for one day, like she literally might get fired or she might get into a car
accident. Okay, I'm going to call that in for her, right? You get to decide and respond.
And let's say in the situation that you're in, you can't say no for whatever reason, maybe it's
financial or maybe you do the calculus, you can't say no. Then you bookmark for yourself.
You say, okay, one year from now,
I wanna be able to be closer to saying no.
And I really like this because one,
we don't pretend that no is free.
Right.
It's not free.
But you know, you're actually looking at the cost.
You're taking back your agency.
The pause is the agency.
I love this.
I'm like so bad at setting strong, serious boundaries
with relationships and people that like,
when you just said you might not be able to say no
because it has a cost and then you can bookmark it
for a year later to be like, I
want to be closer to being able to say no next time. That is fucking incredible. Like
that just alleviated so much in my body. Whoa. Okay. Cause you don't have to be the best
boundary setter right this second. You can be working towards it.
Yeah.
That's great.
Okay.
So when we respond quickly, when we respond immediately,
first of all, there's a power dynamic.
The other person has just made a request.
We are in a powerless position.
We are just trying to, so then all of our conditioning kicks
in, our people pleasing, our fear, all of our,
we have no agency.
We are knee-jerk responding.
That's why later we get off the phone and we're like,
why did I say that? Because there's a pause. There's always a pause. It's just often after
we've responded the way we don't want to. We're just moving the pause into the middle.
And then you can gather what you're, you can remember your values in that pause. You can,
creativity enters into that pause because you can think of different ways to respond
to honor both of you.
So good.
Can you talk to us a little bit
about the cognitive diffusion?
Yeah, yeah, yeah.
That to me, that's just happened to me.
I just want you to explain that a little bit
before I tell you my story around it.
Yes, yes.
So usually for most of my patients,
once you pause, you immediately afterwards,
after you hang up the phone, you start to feel guilty.
So cognitive diffusion is a technique from acceptance
and commitment therapy act for short,
that is a tool to work with your mind, right?
To help you deal with hard feelings,
feelings that feel bad.
So whether it's like guilt, sadness, anger,
and the whole concept is that we are not our thoughts,
that your thoughts exist in your mind,
but that your mind is actually separate from your thoughts.
So there's two kind of ways that I explain this to patients
and I talk about this.
One metaphor is the sushi train metaphor. This
isn't mine. This comes from acceptance and commitment therapy. So it's sort of like, imagine
you're at one of those sushi restaurants, the type where the sushi comes off the conveyor belt and
it's kind of going around in a circle. So there's the chef in the middle. So in this metaphor,
the chef is your brain and the plates of sushi are your thoughts, your feelings, your memories, your desires, your ideas.
And they're just rolling around.
They're rolling through your mind.
And we all know with sushi, right?
Like there's some things that are really appetizing.
Like for me, it's like spicy tuna roll.
I love spicy tuna rolls.
Every time I see them, I'm like, yes, please.
And then other things that are like kind of gross or scary,
like I really don't like shrimp that have the head on.
And so like naturally as humans, we wanna push away
from the hard aversive things
and the things that look appetizing,
we wanna gobble them up.
And so cognitive diffusion says, no, don't push it away.
Don't gobble it up, just let it move.
Just let it move, just let it go.
And again, it creates distance.
You are not your thoughts.
It's just your thoughts are moving through.
The place that I see this come up so often
is with feelings like guilt and anger.
And the other way that I like to talk about it
is especially with guilt,
because my kind of conceptualization about guilt
is that it's not actually ours.
It's coming from the toxic systems.
All the things we talked about, capitalism, white supremacy, colonialism.
So the guilt lives outside of us, or it's coming from outside because we're all sold
to these completely contradictory expectations, but we internalize it and make ourselves the
bad guy. So whenever you feel guilt, imagine it as a faulty check
engine light on your car dashboard. So you know how like you take your car to get service
and the oil change, like everything's good. And then all of a sudden there's like the
light that's flashing. I hate that light so much. It doesn't really give you any meaningful
information. It doesn't tell you anything. It's just there. It's going off.
So you can just let it be in the background. Guilt doesn't need to be your moral compass.
Yes. Okay. So we talked about this recently about there's two kinds of guilt. And one of them is you
did something wrong and something against your values. That's a good kind of guilt. You're like,
oh, this feels bad because it went against my values.
There's another kind of guilt
where you went with your values,
but you went against the cultural value.
So I said no to that PTA meeting.
Actually, that's with my values.
I know I need quiet time tonight.
I know I don't wanna be involved in all of the things.
I know I blah, blah, blah.
But I feel that check, that light anyway, because I have gone against the cultural expectation that I will be everything to be involved in all of the things. I know I blah, blah, blah. But I feel that check, that light anyway,
because I have gone against the cultural expectation
that I will be everything, be everywhere, do everything.
It's a good guilt, but it comes from the discomfort
of rejecting a cultural idea that's been placed on me.
So it's like a growing pain kind of guilt.
Yes, yes. Right?
It's a good, good, good guilt.
I love that, it's a growing pain kind of guilt, yes.
And if you've never done it before,
it will be really loud, it'll make you feel nauseous,
you'll wanna throw up, you'll hate it.
Yes, yes.
So you talk about this kind though,
because, and correct me if I'm wrong,
but I feel like there was a place in the book
where you were talking about boundaries
in a brand new way that I hadn't heard of before, where you said, if you say no, okay, I'm making this example
up, your mother-in-law calls, come over.
You did not answer the phone.
You're listening to this voicemail.
Okay.
Yes is a tool, no is a tool.
But a value is I actually take a pause in between.
So it's not, I always say yes or I always say no.
My value is, I take a minute, I take a pause.
So you have taken a pause, you call back
and you say, I can't come.
Great, you did your boundary.
What if you think about it all night
and you feel so guilty, but also you're mad at your mother-in-law and your brain for even putting you in this situation,
and you don't actually pay attention to your life for the whole night because you're gone in this guilt spiral?
Is that a good holding of a boundary, Puja?
So, a couple thoughts. a couple thoughts there. The first thing that I will say is when you set boundaries, there's two processes going on.
There's the very tactical operational communicating the boundary and figuring out for you.
Is it better with this person over text message?
Maybe it shouldn't be a phone call.
Maybe it needs to be in person or email, right?
All of that.
But then the other process that's going on is the feelings part. And that's what
you're describing, the feelings of guilt, of frustration, of anger. And the thing is,
the person that you're setting the boundary with cannot take care of your feelings about setting
the boundaries. You need a third party, whether it's, you know,
a friend, a coach, a therapist,
you need to take those feelings somewhere else.
A journal, right?
A journal.
You can't expect the person that you've told no to
to then come back and make you feel better.
And when you find yourself in that place where you're kind of obsessing and ruminating,
and if it's really impacting your quality of life
or your ability to function,
that's one of the places where in the book,
I say when to seek professional help,
when to talk to a professional, right?
Those are the types of things
that therapy can be really helpful for
to untangle all those pieces.
Cool.
But I would say that for most folks,
if you haven't set these boundaries before,
we can't sugarcoat it.
It's hard, but I like what you said, Glenn,
and about growing pain, because it's the type of work,
it's the type of hard that is worth doing.
I just was speaking to a group of students in grad school,
and I was like, you
know, learning to set boundaries actually is just as important as the next board exam
or the grades that you get in the next class.
It's actually, it's a life skill that should be taught.
And again, going back to what we were talking about in the beginning of the conversation,
capitalism, it's not taught.
Why would they want to teach that?
Yeah, why the hell would they want to teach that? For a reason.
Yeah, why the hell would they want to teach boundaries
to a bunch of women?
That's the last thing.
Also, if you are someone who's just starting this,
it might be an interesting thing.
You know, you said working out after the boundary
because the feelings come.
The hard part about boundaries is not setting them.
It's the withstanding the discomfort
after the boundary is set.
That's what I have found.
You could deal with those feelings
by writing down those feelings
and trying to figure out whether they are a result
of having abandoned yourself and your own value,
or having abandoned a cultural mandate
that you are trying to abandon.
I mean, you could figure that out for yourself in a journal
and then try to grow that muscle
that is the one that is
withstanding the discomfort of abandoning a cultural idea.
You really could figure out
what the guilt is coming from A or B, right?
Correct.
And I think with that,
I love making little notes on my phone,
like using the notes app and kind of keeping a log
of these types of situations so that you remember,
because our brains always forget, right?
We're just moving from the next one to the next one.
So if you write down in your notes app,
oh, that time when I said no to making cupcakes for my kids'
school, I felt like this. And then two days later, I felt like that. Right? That's a nice
reminder for yourself for the next time something else comes up and you're wanting to push back
against the social expectations, you can remember, hey, I've done this before. And it felt bad
that last time, but then after a couple of days, it felt a little bit better. And that's how you train yourself, right? Because a couple days, it felt a little bit better.
And that's how you train yourself, right?
Because it really is.
It's a type of training.
It's a type of working out.
Mm-hmm.
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Do we make our boundaries before we decide what our values are though?
Because don't you have to figure out what your values are before you know what boundaries
go with your values?
Yeah, let's dive into values.
Perfect.
Because I think values actually is the hardest one.
And that's why it's in the middle.
Because first you have to do the boundaries to kind of pull back space.
Then you have to work on compassion so that you talk to
yourself a little bit better. And then it's the values.
So one of the things that I've found is the way that people talk about values actually
isn't totally accurate because when I ask people or patients, you know, what are your
values? Well, sometimes people just get really mad at me because they're just like, Pooja,
like I don't have time. I have to figure out what's for dinner. Like who has time to sit
around and think about their values?
Good point.
That's why you have to have boundaries first.
You need space to think about your values.
Exactly.
The other thing that happens,
if you ask someone what are your values and they say,
well, I value my family.
Well, I value my kids.
I value my parents.
And it's like, that's actually not helpful. We all value our kids. We all value my kids. You know, I value my parents. And it's like, that's actually not helpful.
We all value our kids.
We all value our families.
Like, we're actually trying to go somewhere sort of
different and deeper.
And so I've found that actually you have to come
to values indirectly.
Otherwise your brain automatically goes to like the shoulds
and the social kind of answers that you're supposed to do.
Yeah, yeah, yeah, family first.
Family first.
I have a toddler and I love him.
Casey ever listens to this.
A value is, it's something to embody.
It's a verb or an adverb.
It's not a noun.
So it's like a value is courage,
boldness, risk taking, curiosity, learning.
Those are values.
I go through this exercise in real self care.
It's called the dinner party exercise.
Can we do it?
Please.
Okay, awesome.
So imagine that you have $200
and you're gonna throw a dinner party.
What is that dinner party gonna look like? Who are you going to invite? What's the food going to be like? Where is
it going to be? Is it going to be in your house? Is it going to be outside? Pretty immediately
you understand with that example that every single person on the planet is going to have
a different dinner party. And there's no best dinner party either. Is it it gonna be a potluck where you have your friends
bring over food from the last country they visited?
Or do you have a friend that's in a band
and you're gonna have him come play?
Or does your mind immediately go to,
I want it to be outside and I want everybody to be dancing
or playing a game.
Or are you thinking about like the place settings
and the aesthetics?
So you kind of just like let your mind percolate on that.
And I know that this sounds silly,
but it's silly for a reason.
Because again, we have to get away
from like the social conditioning.
So you let that percolate and then you just pull out
the verbs and the adverbs, like what comes out.
Some of the other things that are helpful here
is like thinking about,
do you care more about the people or the food?
Do you care more about what people are doing
or what they're eating or where they are, right?
There's just so many different ways that you can take this
and nothing is right or wrong.
So you pull out the verbs and then maybe a verb
that comes out is like silliness, humor.
You wanna look around and see everybody laughing.
That's one of your values.
And then the real self-care work is to take that value and to thread it into your life.
So you could apply that to your wellness tool.
Maybe you're somebody who's really into running, but your running has turned to be kind of
competitive and to achievement oriented because you have your spreadsheet.
So maybe you want to inject more silliness and fun, or maybe you want to inject more community into your running. Maybe you want to find a running partner,
but then you can do the same thing also with really big life decisions, like decisions
around what do you want to do for work? Where do you want to live? Who do you want your
life partner to be? One of the things with real self care is that so much of this is
kind of open ended, because as we'll talk about, there isn't just one answer. It can't come from your therapist. It can't
come from an exercise program. It needs to actually come from you. And so pulling those
values out is the way to kind of make the map.
The last thing I'll say on this is, I almost wish that there was another word
that we could use besides values
because I think values is like too serious.
You'd say values and you think of the Bible,
you think of like religion
and I couldn't figure out another word,
but maybe it's like we say values with a little V
because there's no best
and like the blueprint for Glennon's top three values
and then Abby's top three values
are gonna be totally different.
And they're also gonna always be in movement.
They're gonna be changing every week too.
And certainly like every season of your life.
So there's gonna be some that stay the same,
but then there's gonna be some
that are always moving around and that's okay.
That's great.
Like I kind of think we don't need to be so serious about it.
I think people get this because when you're talking, I'm thinking about the seven million
things that went around that was like, look at this word search.
And the first four words you see are your vibe for 2024.
So I probably did eight of those.
I love those.
But it's interesting, right?
Because we understand what is my word of 2024.
It's like, that is what we're getting at.
We're getting at this, what do I want to embody?
That is a vibe.
That is like, instead of saying,
what do I want to do each day?
How do I want to feel each day?
It's an embodied way of being.
And it's easier to say, well, I value my children.
I value my family.
But those are things outside of ourselves.
You can value your children the most and suck them dry.
If your vibe is love, freedom, understanding, compassion,
and I bring that to any person I'm with,
then that would be great for my kids.
But what you keep coming back to
is that real self-care is something
that comes from inside of us,
as opposed to something outside that we are clinging to,
whether it's a person or an ideology or a system.
I wanna think about those.
I wanna think about what are our-
Verbs and adverbs.
Verbs and values.
So good. Okay, what are yours, Pooja?
And do they change?
Yeah, they change. They change. So one that's really stayed consistent has been creativity.
I love to create, like put things together and understand what they mean. I mean, I became a psychiatrist, so I love to see what's going on.
Self-expression.
And since becoming a mom, I think that it's interesting
because a lot of those things,
normally you think of those as like solitary values,
and I've been learning how to incorporate them
into parenting, which I'll say parenting a toddler, you know, not easy.
I remember.
Do you have any values that come up on the top of your head?
I mean, I also, creativity, self-expression,
I also think the whole crystal world,
that that is what people are kind of getting at too.
It's like a reminder of magic.
Adulting world is so, just,
the real life in real world is so un-magic sometimes.
And so these little reminders of magic,
that's what creativity feels to be.
It's like this place that I can go to
that feels just like this other realm.
And I think allowing is a very important one
for me right now. The word allowing,
I would say, as I try to undo all the control that has kind of gotten me in trouble in my
personal life and raising older kids. I think just allowing and seeing them for who they
are and not projecting and not controlling and allowing people to be who they are
is super hard for me. That's so interesting. I'm just like having like kind of an epiphany right
now that one of my values is, I don't know if this is the correct way that you would categorize it,
but like one of the things that I value is creating and helping our children grow up.
Parenting as a verb, you know?
Like it's a value of mine.
And so as they've gotten older and they need us less
or in different ways,
I do actually think that my feelings get hurt
because I feel like my values aren't being utilized.
I know that that sounds a little bit wonky, but like-
No, I hear you.
I feel a little like my feelings get hurt
more than they probably should
because I might need to have that conversation with myself.
Maybe my values need to shift a little
around what the parenting means.
Yeah, allowing means, and parenting is a whole thing, right? It's a tool. All we can do is
do what Pooja is saying and embody the values that we hope eventually they'll take on. But
that's even a better argument for just doing that, right? Because they're just watching
what we do.
Oh God.
Well, you know what? I was just thinking, can I just
riff here for a second? Please, please.
I was just thinking what I heard from both of you
actually was some version of being with.
Yes.
Being with either yourself or being with your kids
and sort of witnessing, right?
Not trying to put the control on,
not trying to put your agenda, but just being with. That to me sounds like
a value. Abby, I would also say that I don't know that your value is wrong. It might just
be that you're in a transition where it's like uncomfortable. Like you don't have the
homeostasis yet, right? Like you're just trying to get your feet. And so of course, when we're
like wobbly, we feel crappy because we don't have mastery.
I value homeostasis I think.
I think that I swear to you when you were talking,
I was thinking, what do you value?
And I value like normal.
Sameness.
Peace.
Balance, yeah.
Balance, just like really.
I love that.
I'm gonna think so much about that.
Okay, so we're gonna figure out our values we're going to create our boundaries around those values. And boundaries are really,
we think about boundaries as things I'm not going to let other people do, but boundaries are what
we're going to do and not do. So it's not like a boundary would be, I'm always going to wait
to respond to someone who asks something for me. It's like what it's rules for yourself, right?
Correct. Okay. You actually can't control the other person's reaction. Right. In reality.
I'm slowly trying to believe that. Okay. So self-compassion, how does this fit in?
Yeah. So self-compassion is it's the way that you talk to yourself, right? It's that voice that's
with you all the time, the narrative. And for some people, it's a voice, some people it's like images or associations, right?
And I include a statistic in the book, it was from Weight Watchers, ironically,
where they looked at 2000 women and found that nearly half started criticizing themselves,
even before 930 in the morning. So as women, like we're just so crappy to ourselves.
So self-compassion is essentially talking to yourself right.
The cognitive diffusion helps there, right? Where we're recognizing that we are not our
thoughts, we are not our bad feelings, and we can let them pass. I like to really call attention to
martyr mode, you know? Because I think especially for caretakers, you are so busy kind of pouring into everybody else
that you really neglect yourself.
And I think that martyr kind of imagery is so interesting because it's often the woman
who is taking care of everybody else, but just like seething with anger and waiting
for somebody else to come save her
and to come tell her that she can rest.
So for me, martyr mode is when you feel like
you need to earn your compassion.
Yes.
When you believe that only somebody else
can bestow compassion onto you,
that you have to get it from the outside.
And it's just so toxic. And I also say that with like,
I totally find myself in martyr mode all the time.
And I found myself in martyr mode,
quite frankly, with my book tour,
of just going, going, going,
and then feeling sort of like,
oh my gosh, there's nothing left.
And you're waiting for somebody else to tell you,
okay, Pooja, you can stop.
But the reality is we have to give that to ourselves.
We have to give it to ourselves.
I think of martyr mode as literal.
It's like a martyr is someone who dies for an ideology.
So whenever I think about or see people in martyr mode,
I always think what ideology are they dying for right
now.
Womanhood being to serve and smile and smile through the gaslighting and just don't require
partnership, true partnership, just suck it up, just do all the things.
It is a true ideology that has been passed down to us.
And there are a lot of people that are actively dying from it.
So it makes me think of when you're talking
about self-compassion,
it makes me think of bell hooks actually,
because I think I remember reading that bell hooks said
that self-love or self-care,
if you don't know where to start,
you think about what you're dying for somebody to give you.
You think about what you are daydreaming or imagining
that someone will show up and love you that way.
What would they do?
Would they feed you?
Would they take all your work away and let you rest?
Would they hold you?
And then you find a way, come hell or high water,
to give some of that to yourself.
That's good. And that is what I hear you saying. find a way come hell or high water to give some of that to yourself.
That's good. And that is what I hear you saying.
Do you have any like IRL examples of how somebody would do that?
Like if you were sitting with someone that was like, okay, all right.
I trust Pooja and bell hooks.
No pressure.
Two trustworthy people.
We're going to trust anybody. Do you have any stories of people who actually made that work in their life?
Yes.
In little or big ways?
So I have one story of somebody who didn't, and it's kind of outrageous, so I want to
share that first.
Great.
Love it.
And then I'll also share the ways to make it work.
So a couple years ago, I had a conversation with a woman who she had a couple kids, very
busy life, but had a lot of privilege, upper middle class, fortunate. One day her neighbor,
who was a chef, offered to drop off a steak dinner for the whole family. He was like,
Oh, I have this new recipe. I really want to try it out. I would love to bring it over
for you guys. And literally her mouth was watering as she said no.
Like as she was like, no, we couldn't, no, no, no.
And to me that was just such a powerful example
of how because we are so conditioned
to view asking for help as a weakness.
This woman, she actually turned away a bid for connection
from her neighbor.
That was a bid from her neighbor to create community.
He would have gained so much from doing that
and being generous and kind of knowing that he got to help.
And in turning that away, she was actually, she was rejecting that community. And I kind of share this as
my answer to how do we do it is you actually do it when you don't really need it. You start
doing it before you're crumpled up in a ball of mess on the floor. You start doing it when the stakes are low.
So, you know, a patient,
this is kind of an example from my practice
of a patient who had a young child,
her partner was gonna be going on a business trip.
It was only gonna be a night.
Her sister lives in town.
Her sister was like, let me come over.
I'll come over and help with bedtime and bath.
And she was like, no, no, no, it's fine. It with bedtime and bath. And she was like, no, no, no, it's fine,
it's just one night.
And I was like, no, let's stop, let's stop, let's say yes.
And that exercising, that receiving,
in real self care, I call it micro dosing,
your capacity to receive.
Because you have to practice, it's the same as boundaries.
You have to practice being able to receive.
And it also really fits in with the conversation
you all had with Amanda about the dinner
with her law firm friends, you know,
where it's like to create community.
Because really, like what every single piece of data shows
is that having authentic relationships
is what makes a good life. Pooja.
Right?
That is the thing.
And so to do that, you need to make time for it and you need to be willing to receive help
and ask for help.
Okay.
But that, what you're saying right now, it's like creating boundaries.
Great.
A lot of us are okay with that actually.
But the loosening of boundaries is also a part of this.
And okay, here's what I think.
Is it whiteness?
Is it white?
Like because when Bell Hooks and Audre Lorde
and all of the, self-care was like a ferocious
determination of your own dignity in relation to others.
All of these examples you're giving is allowing community, a togetherness, a we.
But wellness is all individual.
Like I can go through every single wellness strategy that I have been sold, Puja,
and do it all the time and never leave my house and never speak to another human being.
It's, oh yes, oh yes, I can do my cold plunge, I can do my green juice, I can do my whatever,
I can, they're so crazy individual. I never have to ask for help. I never have to meet another human being.
I never have to enter into the struggle for social justice outside this four walls.
Is it like, did whiteness get in and just teach us how to be so individual and disconnected
from each other?
Yeah.
We're going to go there, I guess.
We're going to go there.
You know, my thesis is, and I was, I'm not a sociologist, I'm a psychiatrist for a reason,
I'm not an economist, I'm not a historian, but I do, I think it is
white supremacy and capitalism, which are intertwined, right? And in the United States,
like our whole, everything is built on slavery. And the
commodification of a group of people who were deemed to be less than and this caste system,
right? So it's absolutely structural. It's absolutely economic. I think that's why we need to
go back and look at ways of being that center humanity
and also do it in a way that is respectful.
It certainly is an effective way
of keeping classes separate,
of keeping white women away from everyone else,
of keeping whatever, however it's happened,
it's an effective way of making us feel like
we can better ourselves
and perfect ourselves as individual perfection projects,
as opposed to entering into the struggle for all
to make the world more equal.
Correct.
And it allows the person who is higher up
to stay sort of pristine to not get messy.
Pure purity.
Right, pure, yes.
When the reality is that the things that again and again
make a life worth living are the human things,
the human bits, but in order to be able to do that,
you actually have to trust
yourself to make room for it. Because it all, it takes time. Right? It takes time. It's
not, you can't just check it off the list like the juice cleanse.
Pooja, it's so good. You know what I want to do? My poor sister, who was so excited to talk to you, is so-
I was so excited to talk to her too.
We might have to beg you to come back again
and dig in this more, but also she is so sick right now
and she wanted to come.
And I was like, if you show up for Dr. Pooja sick
and she's teaching us about self care,
it'll be humiliating to me.
She's just wanted me to tell you
that your book meant so much to her.
And I think either we will do a follow up with this
or we will figure out our values and do one
with just the three of us.
But I think it's so important what you're doing.
You all listening, if it's just a little place to start,
just find some quiet time, think about your values.
Just think about a couple words maybe
or a couple ways of being that we could embody
and maybe send them to us.
I don't know.
And you can bookmark a year from now
and work on being a little bit closer to saying no easier
or yes easier, whatever it is.
So much self-compassion.
So good.
I love this conversation.
Thank you so much.
And by the way, Pod Squad, I just want to tell you this.
If you're wondering if you can trust this lady here with us,
I asked her to come on this podcast in December, I think.
And I got a message back from Pooja's people saying
she's actually in self care mode right now or she's taking her break.
And so she can't do it. And I thought, wow, I mean, Pooja, I'm gonna tell you,
I don't think anyone has said no to the podcast yet.
And I was like, oh, I believe her.
I was amazed.
Yeah, and also it gave you a new way of saying no.
I know I was so, I was actually really deeply moved by it.
I know, we talked about it.
She's like, this was so important
and what a beautiful exercise and modeling for Glennon,
for me on like a beautiful way of saying no.
But it was like not now.
The pause.
It was so great.
But like no pod squatters that when you do say no,
there is a ripple effect.
Like people watch and think, oh my God, you can do that?
Yes.
Wait, what?
No's can be freaking inspiring, is all I'm saying.
And that's what it was, for sure.
Thank you, Pooja.
Well, thank you for that.
And just know that I was,
my heart was beating out of my chest when I said that.
That was an edge for me, certainly.
And I'm proud of myself for it.
You should be.
I'm proud of myself for it.
So thank you.
Well, the vibration taught us a very valuable lesson.
So it was really great.
All right, Pod Squad, go forth and say no.
Go forth and say no. See you next time. Bye.
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