How To ACTUALLY Stay Mentally Healthy
607 segments
All right, guys. Today we're going to
talk about how Dr. K stays healthy. So,
I have a lot of responsibilities in
life. I'm sure y'all do, too. I work as
a psychiatrist and medical doctor. I do
this whole healthy gamer thing, which
sometimes means that people will comment
things on the internet that aren't the
nicest about me. Sometimes people like
the New York Times will write articles
about me. I also take care of five
people over the age of 70 in terms of
certain medical things, winterizing
their house, stuff like that. I've got
two kids at home, so there's like
parenting involved and my wife is just a
touch high maintenance. So, how do I
stay mentally healthy, mentally focused,
excited about the work that I do? I'm
lucky in a lot of ways. So, let's kind
of dive in. So, how do I stay mentally
healthy? First thing is I engage in a
shocking number of bad habits. So, the
first bad habit that I I engage in
purposely, which I think really helps me
a lot, is I sleep with my cell phone
right next to my bed. Now, this is
advice that I have given that you should
not sleep with your cell phone right
next to your bed. It's a bad idea. have
your phone out of reach. There are
studies that show that even having your
phone face down in the same room with
you drains your willpower a little bit.
So why do I do this? Really simple. So
one is because I'm a medical doctor and
because I take care of five people over
the age of 70. Sometimes I get phone
calls in the middle of night. So I need
the phone there. But I discovered
something that's a little bit more
important. See a lot of us try to create
an environment and a habit sort of
structure so that things are easy for
us. So a lot of us go for I want an easy
life and high outcomes, right? So, I
want everything to be efficient. I want
everything to be easy so I can knock it
out of the park. What I sort of
discovered is that there's a whole scale
deconditioning of our capabilities in
society, especially by technology. So,
we're seeing that the more you make
things easy on yourself, the less
capable you become. So, I sleep with my
cell phone right next to me and when I
wake up in the morning about a year and
a half ago, I used to spend 45 minutes
on my phone first thing in the morning.
It's the advice that Dr. K absolutely
says you should never do this. Drains
your dopamine. all this kind of stuff. I
used to do it, too. And so then I
thought to myself, okay, should I like
should I stop doing this because this is
not good for my brain. It's not good for
my dopamine. I said, actually, no. I'm
what I'm going to do is wake up every
morning and I'm going to intentionally
not use it for the first hour of the
day. I'm actually not going to make
things easy for myself. I'm not going to
turn things into a habit. I will wake up
in the morning and I will struggle with
it. So, this does a couple of really
important things. The first is that it
messes up your performance, right? So
there are many days where I would crack
and then my dopamine stores would be
messed up for the rest of the day. But
over time, as I set one really specific
target, I'm just not going to use my
cell phone in the morning. Fail many
days a week. That's okay. About a year,
year and a half later, now I almost
never get on my phone in the morning.
And here's the really, really
interesting thing. As you train yourself
to not use your phone, you don't make it
easy on yourself. You train yourself to
be able to resist. What I found is that
my cell phone use has decreased from
about four and a half hours a day to
about one and a half to two hours of the
day. Strengthening your willpower first
thing in the morning actually translates
through to the rest of the day. So the
first thing that I do to stay mentally
healthy is to stay sort of cognitively
fit. So don't just make everything easy
on yourself and train yourself up in the
particular skills that you're interested
in. Part of the reason that I'm able to
resist my cell phone, and granted it
takes about a year, is because I've done
some amount of mental training. So I I
talk about this in Dr. K's guide to
meditation, but there are two specific
things that I think you guys can look
into if you're having trouble with this.
One is pratihara. Pratiahara means
sensory withdrawal. So basically what
happens is in our attention, in our
mind, our mind will go towards the
sensory objects outside of us. So I like
think about my phone. I want my phone. I
see my phone. I reach for my phone.
There's literally a meditation practice
that is all about withdrawing your
attention from the senses and back into
your mind. When you train in breathara,
I find that it makes it way easier to do
a lot of stuff because it basically
reduces our distraction. I keep seeing
comments, Dr. K, how do I apply this to
a situation in my life? That's literally
why we created a coaching program. Our
coaches are certified on an
evidence-based curriculum designed to
help you get unstuck. This involves
analyzing your patterns, increasing your
understanding, and working with you week
to week to help you develop a plan to
create lasting change. So, if y'all are
interested, check out the link in the
description below. Second thing that I
do is I really think about my energy
like a battery. Now, a lot of us when we
feel tired, we will take a break, right?
Oh my god, I can't work anymore now. I
have to take a break. Once I take a
break, I'm kind of like veging out for a
little bit. Like my mind gets kind of
numb. I'm doing something. A 30-minute
break ends up being an hour, two hours,
and then I come back to work and I'm
even more exhausted. So, one of the
things that I do is I literally pay
attention. This is an exercise that I
learned when I was running this thing
called the smart program, the stress
management and resilience training
program for 600 physicians across the
country in the United States. So,
there's a really cool exercise called
the energy battery exercise, which is
just to ask people what drains your
energy and what gives you energy. As I
go throughout my day, I really pay
attention to what really drains my
energy. So, at the top of the list is
caffeine. So, caffeine does not give you
energy. All it does is block your
sensation of tiredness. So, I noticed
that there are a lot of things that I do
that would let me power through, right?
So, I'm going to drink a cup of coffee
at 4 p.m. because I have all this work
to do. And this is important to
understand. Caffeine doesn't give you
energy. It is a loan against future
energy. There are a lot of things that I
do throughout the day that actually
decrease my energy. Another good example
is the way that we take breaks. So, I
just sort of noticed that when I would
take a break and let's say I pull out my
cell phone or I, you know, browse Reddit
for 15 minutes because I can't focus on
the paper I'm reading or whatever. What
I noticed is that there's a lot of stuff
I do in my breaks that actually drains
me more. And then it gets really like
you get into this cycle that's like,
okay, I'm going to take a break. I'm
going to browse on my phone for an hour.
But then you don't feel like refreshed
and rejuvenated when you go back to
work. The purpose of taking a break is
to recharge your energy levels so that
you can work more efficiently. Instead,
we've got this combination of doom
scrolling and caffeine which is
depleting my energy, allowing me to
finish this work, but is sort of leaving
me completely in tatters at the end of
the day. So, really pay attention to
what can you do during your breaks that
actually improve your energy level. As I
started paying attention, I noticed that
there are also all kinds of other things
that really cost me a lot of energy.
This includes things like social
relationships. So, there were certain
people that would call me just to chat
or sometimes I'd get text message or
invitations. And there like some people
in my life that I just found absolutely
exhausting. Now, I have to maintain a
relationship with these people. I want
to rel maintain a relationship with
these people, but I also don't have to
do it like right when they call. So I
think a greater awareness of through
just asking yourself a simple question
at the end of this what will my energy
level be and focusing a lot on breaks
and recovery is crucial. So for me a
couple of things that I do to increase
my energy level are take naps and walk.
These are the two biggest things. So
naps become a bit tricky because a lot
of people that you know I worked as a
psychiatrist will say like okay if I nap
I end up napping for like 3 hours or 4
hours. I can't take a 20-minute nap. I
can't take a 30-minute nap. So, if you
are sleepdeprived, if you're using too
much caffeine, then a nap may turn into
a 3-hour nap. The other thing that I
learned about napping when I was
meditating is sometimes I would fall
asleep during meditation. You know, I'd
be meditating for an hour, 2 hours, 3
hours. And so, my teachers, and I I
thought this was a problem. So, I'd go
to my teachers and I'd say, "Hey, I keep
on like falling asleep during
meditation. What do I do about this?"
And they said, "Look, if your body is
tired, if you're sleepd deprived, then
you will fall asleep during meditation.
That's okay. It won't last forever." And
what I've noticed about napping
specifically is as I cut back on my
caffeine, as I maintain my energy levels
better, I start to sleep better at
night. And now I'm down to about 20 or
30 minute naps. So I strongly recommend
that you all set a timer for about 20 to
25 minutes. If you're having trouble
with napping and the reason is because
that first 20 minutes is enough for
physiologic recovery. And once we start
entering stage 2, stage 3, stage 4, and
REM sleep, then it becomes really hard
to wake up. Next thing that I discovered
is absolutely fascinating. So, I don't
know if this happens to y'all, but I
noticed that over the last couple of
years, like I would watch a TV show and
I would pull out my phone during the
boring parts of the TV show. I would
also play video games and I was like,
"Oh my god, this video game isn't fun."
I'd check the reviews and be like,
"Okay, I'm 6 hours in or like like I'd
watch a show, right? I'm 6 hours in.
Does it really get better?" So, a good
example of this is like I tried watching
Six Feet Under and I watched a couple of
episodes and I was like, "Okay, does it
get better?" I tried to play like Dune
Awakening and I thought it was like a
really cool game and I really enjoyed
parts of it, but I was like, "Okay, does
it like really get better? I'm not
thrilled with the combat." So, I noticed
something really interesting, which is
that I force myself to power through
entertainment that I don't enjoy. I keep
on watching a show on Netflix to wait
for it to get good. I keep on playing a
video game in order for it to get good.
I was wasting huge amounts of time not
even having fun, even being on my cell
phone when I'm watching a show while I'm
waiting for it to get good. And I looked
at this and I was like, what the hell am
I why am I trying to power through and
force myself to waste 60 hours of my
life? Like, what am I actually doing?
So, I started doing something really,
really simple, which is when I get bored
with a game or a TV show, I stop it. So
it with my Dota friends, they've gotten
a little bit frustrated with me because
I'm kind of this one and done. They're
like, "Well, you just logged on. You're
like, "Hey, do you want to play Dota? We
all logged on now. We're all here
playing one game and then you're
bailing." Fair point, right? So I don't
message those people anymore. If I want
to play a game of Dota, I'm going to
stick around for a couple of games. But
I think it's like really bizarre that we
try to force ourselves to stick with
entertainment in order for it to get
good. I just stopped doing that. Like
the moment that I pull out my cell
phone, I said, "Okay, hold on a second.
I'm not having fun with this. So, I'm
gonna stop and I'm gonna go do something
else. This is really bizarre, but I I
watch TV sometimes in my bed. And so,
I'll just literally turn off the TV. I
will turn to my left side and I will
close my eyes for about 20 minutes. Now,
y'all may have noticed something kind of
interesting. You guys know that when
you're watching TV or you're on your
phone or something, you start to feel
sleepy, right? You're pretty tired. You
don't feel like getting up and then you
turn it off and then you try to close
your eyes and go to sleep because you're
tired. And then something weird happens.
The moment that you put your screen away
or you turn off the TV, you no longer
feel sleepy and your mind becomes
active. So then you're like, "Okay, do I
go back to watching or what goes on?" So
the sequence for me used to be turn off
TV, lay down, try to close my eyes, and
then pull out my cell phone 5 minutes
later. So instead, what I do, I lay down
on my left side for about 20 minutes.
Then what I notice is like I'm
rejuvenated. Like like I don't know if
this makes sense, but when you turn off
the TV and you close your eyes, then you
feel bored and your mind actually turns
on. So, I stay there for about 20
minutes and then I get up and then I
notice that my energy levels are
actually way higher. So, I stop powering
through because it's actually a complete
waste of time to wait to get hooked. And
that's really what we're looking for,
right? Like we're looking to get hooked.
We're looking to want to be consumed
with this thing. But this creates
another problem. And this is sort of
what I've noticed as I stopped doing
this is like now that I'm no longer like
getting hooked to TV and video games,
I'm noticing something really cool,
which is that my enjoyment of other
activities is actually skyrocketing. So,
I've started reading fiction again. I've
started reading non-fiction. And it's
sort of like if I don't force my brain
into falling into dopamineergic crap, it
actually works way better for other
kinds of things. Next thing I do to stay
mentally healthy, I prioritize about one
hour of work a day on passion projects.
So this is really important. So the
standard sequence of things is, you
know, I wake up, I have to go to work, I
go to work, I work there for 8 hours, I
commute back home, I have to take care
of this, I have to take care of that.
We're just wiped at the end of the day.
Okay? And so then there's like all this
stuff that I want to do. Maybe I want to
learn how to play piano. For me, it's
it's learning how to become a better
writer. So there are certain things that
I like want to do. meditation, yoga, all
that kind of stuff. At the end of the
day, we're just tired. So, this is
actually something I started in
residency. So, when I was in when you're
in residency, like you work a lot, okay?
So, you're working 80 hours a week, to
100 hours a week. In psychiatry,
sometimes we would work 60 65. And so, I
sort of noticed that like for a period
of 4 years, like I'm learning
psychiatry, but I'm not advancing in
anything else. So, I started getting up
actually 30 minutes earlier or getting
even getting ready faster. Um, it's not
even 30 minutes. I'd get up like 15
minutes earlier. I just get ready really
fast for the day. I'd plan a little bit
the night before so I don't have to like
pack my lunch or whatever. And then I
would sit down and do like 20 to 30
minutes of like stuff that I wanted to
do. And this is what I noticed is that
when I spend some amount of time ideally
every day, but realistically ends up
being like 4 days a week, including
weekends, doing stuff that I want to do,
doing stuff that I feel passionate
about. Like 2 or 3 days ago, I wrote
1,917
words in 66 minutes. So what happened?
It changes your perception of control
and autonomy in life. There's a lot of
research that shows that feeling out of
control is not actually dependent on
your environment. It is about how many
choices you make. So there's a lot of
research that shows that having control
of your life, having purpose or
direction in your life comes from making
choices. So when we live in a world
where it's like, okay, I have to go to
work and then I come home and then I
feel exhausted, I have no energy, it's
hard to do anything. Three months can go
by and all you've done is go to work and
come home. You haven't made any progress
in anything that you're passionate
about. So, this sounds kind of
counterintuitive because people would
say, "Okay, do the work first. Make sure
you do your laundry. Make sure you do
this. Make sure you do this." But we
live in a world where we're squeezed so
we're squeezed so hard. There's no juice
left. There's nothing left at the end of
the day. The world demands so much of
you. The only way to stay mentally
healthy for me is to do that stuff first
thing in the morning. So at least at the
end of the week, you know, I got to
spend a few hours doing what I love,
growing as a person, improving myself,
and that really pays dividends over the
long run. The last thing that I do to
stay mentally healthy is disbelieve my
mind. So I know this sounds kind of
weird, but like your mind is not a
beacon of truth. In fact, quite the
opposite. Our mind has evolved to have
certain cognitive biases. Depending on
how active our emotional circuitry is,
we start to think in black and white. we
start to catastrophize. We start to make
comparisons. And so, one of the things
that I've sort of noticed that really
helps me stay mentally healthy is that
sometimes my mind is wrong. If we look
at the nature of most mental illness,
the more severe the mental illness is,
the more people believe their mind. So,
if I have psychosis and delusional
thinking, which is generally considered
to be a pretty severe form of mental
illness, my mind tells me that the FBI
is following me and I believe it. If we
look at people who are severely
depressed and are suicidal, they're
people who believe that their loved ones
would be better off without them. That's
what their mind is telling them and they
actually believe it. So if we look at
the process of literally moving from
psychiatrically hospitalized with severe
mental illness to being in remission and
no longer needing psychiatric treatment,
the one thing that changes in basically
every mental illness is our capacity to
disbelieve our mind. So, there are a
couple of things that I look out for.
The first is, is my mind thinking black
and white? So, am I thinking, I'm
screwed. This is going to end in
disaster. This is going to be amazing,
right? This is going to be perfect. This
is everything that we need. Oh my god,
we're going to do this new hire or we
just came up with this new idea for a
video and it's going to be the best
video on the planet. Anytime my thinking
is one, one, 100 or zero, I stop. I take
a step back and I'm like, "Okay, take a
deep breath. Take a walk for a little
bit. Revisit this. Just disbelieve your
mind." The second thing that I
disbelieve my mind with is comparisons.
So anytime my mind makes a comparison, I
take a big step back and I think to
myself, no, this is like not correct.
This is fundamentally not correct. And
here's kind of my reasoning. So I I sit
in a weird space where I'm like a
doctor, I'm a creator, I'm an
entrepreneur, right? And I'm not trying
to like humble brag here, but this is
just where I sit. I'm just sharing the
inside of my mind. Okay? And the thing
is I'm like mediocre at all three of
those things. TBH, right? So I look at
doctors who are better than me. I look
at influencers who are bigger than me. I
look at entrepreneurs who are more
wealthy than I am. So, I know it sounds
kind of weird, but like doesn't matter
where you are, your mind can always make
comparisons. And so, anytime my mind
makes a comparison, I try to take a step
back. I try to think to myself, okay, if
I devoted 100% of my time to being a
physician, could I match that person?
Maybe. If I focused on making a bunch of
money, could I succeed in that? Maybe.
If I focused on becoming the most
popular content creator and I started
making a lot more clickbait content, if
I started doing interviews and and
things like that where there's a lot of
voyers in the audience and I try to make
people cry, could I be more successful?
Absolutely. But do I want to do those
things? Do I want that life? Do I want a
life where I spend 2 hours a day with my
kids on average or do I want to make a
million more dollars a year? Right? What
do I actually want? So, I'm very careful
about believing or disbelieving what my
mind says and recognize that it's just
an instrument that is designed to take
sensory input and then form some kind of
conclusion, but my mind is definitely
not an arbiter of truth. Last thing that
I want to spend a moment talking about
is how limited all of this stuff is. So,
I I think I gain a ton of mileage. I
think it's been very very transformative
for me to do all of these things. is
it's one of the ways that I stay, you
know, mentally healthy and stay engaged
and stay passionate about the work that
I do. It's a way to deal with burnout.
But this way of living is very
luxurious. So, if you look at research
on, you know, mental security and and
financial security and mental wellness,
quality of life, things like that, there
are a couple things that I have going
for me that a lot of people don't. The
first of which is I have a roof over my
head and I'm generally speaking
financially secure. I'm on a financial
path where like I'm not going to be
super loaded or anything like that, but
I'll be able to save for my retirement.
I'll be able to support my children
some. They'll probably have to work in
their life. And so that is a huge load
off of my back. There have been times in
my life where I haven't been sure how
I'm going to make ends meet. There have
been times in my life where I haven't
been sure like where I'm going to live
or where I'm going to end up, you know,
staying. And the cost of that for your
mental cannot be underestimated. It is
huge. The other huge thing that I have
going for me is that I have a nuclear
family that I love and love me in turn.
There's like no abuse or toxicity in my
household, right? I mean, maybe my kids
will disagree when they're older, but
you know, I I spend time doing homework
with my kids. My kids give me a hug
every day. We play Smash Brothers
together. We recently reached a really
cool milestone. So, about a year year
and a half ago, I used to be able to 2v1
them like pretty easily. But holy, like
now when we 2v1, I don't stand a chance.
They just take turns edgeguarding me on
cooldowns and there's like no way for me
to survive. I have a marriage that I
think is relatively healthy. I'm pretty
happy. My wife is pretty happy. And
there's no way to underestimate the
value of that. Part of the reason that
we made the relationship guide and
things like that. I just want to be
clear with y'all that I think all of the
stuff in this video is stuff that you
can do. But make no mistake that there
are such important foundations for your
mental health that are outside of this
stuff. And my hope is by implementing
some of these things, y'all will be able
to move in a direction that helps you
have healthy relationships, be
productive, and be financially secure.
Ask follow-up questions or revisit key timestamps.
Dr. K, a psychiatrist with significant responsibilities, shares his strategies for maintaining mental health. He challenges conventional wisdom by intentionally placing his phone nearby but resisting using it for the first hour, viewing this as a way to build willpower and "cognitive fitness." He emphasizes managing energy like a battery, advising against using caffeine as a substitute for true energy and urging mindful breaks that genuinely recharge rather than drain. Dr. K also advocates for stopping unenjoyable entertainment immediately to free up mental space for more fulfilling activities like reading. Furthermore, he prioritizes daily work on passion projects, even for short periods, to foster a sense of control and autonomy. Finally, he stresses the importance of "disbelieving your mind," recognizing its cognitive biases, black-and-white thinking, and tendency for unhelpful comparisons, especially in relation to mental illness recovery. He concludes by acknowledging that these strategies are luxuries, built upon fundamental foundations of financial and relational security.
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