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Doctor & Therapist To The Worlds Superstars: Justin Bieber, Miley Cyrus, Bella Hadid! - Daniel Amen

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Doctor & Therapist To The Worlds Superstars: Justin Bieber, Miley Cyrus, Bella Hadid! - Daniel Amen

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2876 segments

0:00

Four of my patients have a billion

0:02

followers. Justin Bieber, Miley Cyrus,

0:04

and Bella Hadid. And we looked at their

0:06

brains. And what we found is Thank you

0:10

so much, Dr. Amen. Dr. Daniel Amen. He's

0:13

a clinical neuroscientist, New York

0:15

Times best-selling author, and one of

0:17

America's leading psychiatrists and

0:19

brain health experts. Why do you do what

0:21

you do? I have to do what I do. Someone

0:24

I love tried to kill herself. And she

0:28

would have died. I think I would have

0:31

always been left with a hole in my soul.

0:36

Most psychiatric illnesses are not

0:38

mental illnesses. They're brain health

0:40

issues. When you reimagine mental health

0:43

as brain health, changes everything. So,

0:46

you want to damage your brain? Do not

0:49

engage in new learning. Don't ever eat

0:51

fish, never floss, play football,

0:54

marijuana, alcohol, nicotine, caffeine.

0:57

Coke. It's a drug. You want to keep your

1:00

brain healthy? Takes 3 seconds. So,

1:04

Do you know about the ACE quiz? It's 10

1:07

of the most common childhood traumas. If

1:10

you have four or more, you have an

1:12

increased risk of seven of the top 10

1:16

leading causes of death. If you have six

1:19

or more, you die 20 years earlier. Is

1:23

there something that can be done to

1:25

change it?

1:26

Absolutely. If you came to see me, I

1:28

would have you

1:30

Before this episode starts, I have a

1:31

small favor to ask from you. 2 months

1:33

ago, 74% of people that watched this

1:35

channel didn't subscribe. We're now down

1:37

to 69%.

1:40

My goal is 50%. So, if you've ever liked

1:43

any of the videos we've posted, if you

1:44

like this channel, can you do me a quick

1:46

favor and hit the subscribe button? It

1:47

helps this channel more than you know,

1:49

and the bigger the channel gets, as

1:50

you've seen, the bigger the guests get.

1:52

Thank you, and enjoy this episode.

2:01

Dr. Amen.

2:04

Why do you do what you do?

2:07

It's uh

2:09

part of my soul.

2:11

I have to do what I do.

2:13

Um

2:15

The short story is how I got to do what

2:17

I do is when I was 18,

2:21

Vietnam was still going on, and I had a

2:24

low draft number, and I became an

2:26

infantry medic where my love of medicine

2:29

was born.

2:31

But about a year into it, I realized I

2:33

didn't like being shot at.

2:35

It was irritating. It was horrifying.

2:38

And I got myself retrained as an X-ray

2:42

technician.

2:44

And just developed a passion for medical

2:46

imaging. As our professors used to say,

2:49

"How do you know unless you look?"

2:52

And

2:53

that became a theme for my life. And

2:57

then I got out of the army in 1975,

3:00

and

3:01

finished college. And when I was a

3:04

second-year medical student, someone I

3:06

loved tried to kill herself.

3:09

And I was horrified. I had no idea what

3:12

to do. And I took her to see the chief

3:15

of the Department of Psychiatry where I

3:18

went to medical school.

3:20

And I realized if he helped her,

3:23

it wouldn't just help her,

3:25

that ultimately it would help her

3:27

children and even her grandchildren,

3:30

as they would be shaped by someone who

3:33

was happier and more stable.

3:35

I fell in love with psychiatry, 1979.

3:39

So, 44 years ago, and I've loved it

3:42

every day since.

3:45

But I fell in love with the only medical

3:47

specialty that never looks at the organ

3:51

it treats.

3:53

And even back then, I'm like, "Why

3:55

aren't we looking at the brain?" I mean,

3:56

obviously, the brain is the organ of

3:59

depression. The brain is the organ of

4:01

bipolar disorder. The brain is the organ

4:04

of anxiety. Why aren't we looking at it?

4:07

And they said, "That's the future. We

4:09

will, but not yet."

4:11

And growing up, my dad

4:15

thought I was sort of a pain in the ass.

4:18

He called me a maverick because I didn't

4:20

just accept what he said. And it turns

4:23

out he's shrewd, and I'm pushing

4:28

we should be looking at the brain.

4:31

In 1991, so I've been a psychiatrist

4:34

almost a decade,

4:36

I went to my first lecture on brain

4:38

SPECT imaging. SPECT is a nuclear

4:40

medicine study that looks at blood flow

4:43

and activity. It looks at how your brain

4:46

works.

4:47

And it basically

4:49

shows us three things.

4:51

Good activity, too little, or too much.

4:55

And then,

4:57

it rocked my world. I mean, explosion in

5:01

my world. It's like, I have to look.

5:05

How do I know unless I look? And the

5:07

lessons

5:09

just kept coming.

5:11

That

5:13

the first lesson, most psychiatric

5:15

illnesses are not mental illnesses.

5:18

They're brain health issues. If I get

5:21

your brain healthy,

5:23

well, your mind tends to follow because

5:26

your brain, the physical

5:28

moment-by-moment functioning of your

5:30

brain, creates your mind. And if your

5:34

brain isn't healthy, your mind isn't

5:38

healthy. So, that was the first lesson,

5:40

and I'm like,

5:43

these these are not mental illnesses.

5:45

And when you reimagine

5:48

mental health as brain health, it

5:50

changes everything.

5:52

It changed everything I do as a

5:54

psychiatrist. Most psychiatrists, you

5:55

come you go to them and you go, "I'm

5:57

depressed." And then they'll give you a

6:00

diagnosis with the same name of what you

6:02

just told them. They go, "You're

6:04

depressed." And then put you on an

6:06

antidepressant, which in large-scale

6:08

studies were no better than placebo.

6:10

And I'm like, so next lesson,

6:13

is depression is like chest pain.

6:16

It doesn't tell you what causes it and

6:18

it doesn't tell you what to do for it.

6:21

But we have whole industries built on

6:24

money for medicine for mental health

6:28

conditions.

6:29

And I think it's complete crap because

6:32

they're not looking at the organ. They

6:34

don't know, is it from head trauma? Is

6:36

it from an infection? Is it from a lousy

6:40

diet? Is it from being sedentary? Is it

6:44

because you don't know how to manage

6:46

your mind. And

6:50

I then learned

6:51

that mild traumatic brain injury is a

6:54

major cause of psychiatric problems. And

6:57

nobody knows about it because they don't

6:58

look

6:59

at the brain.

7:01

And I was just like a little kid, so

7:04

excited. I still have 32 years later,

7:07

we've done 225,000

7:10

scans.

7:12

And it's it's it's so fun

7:15

to be in the future

7:18

helping people get well. So, I have to

7:21

do it. I know that's a long answer.

7:23

I like long answers. You'll come to

7:25

learn that. Um

7:27

you've written so many books and you

7:29

seem to have the same energy you've

7:30

always had about this subject matter.

7:33

When you sort of if you were to

7:34

encapsulate or to summarize

7:37

the mission that you're on,

7:38

which is the source of all that energy,

7:41

what is that mission that you're on?

7:44

The mission is to end the concept of

7:47

mental illness

7:49

by creating

7:51

a revolution

7:53

in brain health.

7:55

And

7:57

that mission

7:58

just evolved. You know, my mission when

8:01

I graduated from medical school

8:04

was to be a really good psychiatrist cuz

8:06

it's personal to me.

8:08

And to be a writer. I wrote my first

8:11

book the year I graduated from medical

8:14

school.

8:15

And I found I love the process.

8:20

That writing brings me

8:22

joy.

8:24

That when I can take complex concepts

8:28

and make them really easy to understand

8:31

and that's helpful to someone.

8:34

I love that. That's joyful

8:37

to me.

8:38

And that skill

8:41

has served my career so well because

8:47

my books bring a lot of people to We

8:51

have 11

8:52

clinics around the US.

8:54

And they often come because they've read

8:58

one of my books. So they serve the

9:00

purpose of educating

9:03

and then allowing us to do the work we

9:06

love doing.

9:07

If someone's listening to this and

9:08

they've never really taken the time to

9:10

learn about the brain before because

9:11

they don't necessarily think it's so

9:13

important. They, you know, they

9:14

understand things about dieting or

9:16

whatever else, but the brain they kind

9:17

of just assume it's there, right? Like a

9:19

lot of people do.

9:20

What case would you make to them about

9:22

the importance of

9:25

positive

9:27

healthy

9:28

cognitive functions

9:30

and brain health? What is the case? Why

9:32

does it matter to the ordinary person?

9:34

Say if they don't have a the

9:35

you know,

9:37

predicament. They don't have a mental

9:38

health disorder. Why does the brain

9:39

matter to them? Cuz your brain's

9:41

involved in everything you do.

9:43

How you think, how you feel, how you

9:46

act, how you get along with other

9:49

people. Your brain is the organ of

9:52

intelligence, character,

9:55

and every single decision

9:58

that you make.

10:00

And when your brain works right, you

10:02

work right.

10:04

And when your brain is troubled for

10:05

whatever reason, mold,

10:08

COVID, head trauma,

10:11

um

10:12

not sleeping, chronic stress.

10:14

When your brain's not right, you're

10:16

sadder, sicker, poorer,

10:21

less successful.

10:23

I got to scan

10:25

Tony Robbins, you know, the famous

10:27

success guru. And I love him, and I love

10:30

his work, and I think he's so smart. And

10:34

he said publicly had mercury poisoning.

10:36

He decided he loved swordfish,

10:39

but it didn't love him back cuz it's

10:41

loaded with mercury.

10:44

And when we did a Facebook live, I'm

10:46

like, you are the software

10:49

of success.

10:50

But if the hardware's not working, it's

10:52

going to be really hard to implement the

10:56

wonderful strategies

10:58

that you teach. And I always think of

11:01

people in four big circles.

11:04

Uh first week of medical school, Sid

11:06

Garrett, our um dean, he said, "Never

11:09

think of patients

11:11

as by their diagnosis. Always think of

11:13

them in these four big circles." He went

11:15

to the board, and he drew the first

11:18

circle, which was biology.

11:20

And for me, it's like the physical

11:22

functioning of your brain and body. And

11:25

that's why the scans are so important.

11:27

But then the second circle he drew was

11:30

psychology.

11:32

How's their mind working? How are their

11:34

thoughts? Are they loaded with a term I

11:38

later coined called ANTs, automatic

11:40

negative thoughts. The thoughts that

11:41

come into your mind automatically and

11:44

ruin you.

11:45

And also in this circle is development.

11:48

It's really the quality of your mind.

11:51

And then the third circle, so if you

11:53

think of the brain is the hardware of

11:56

your soul,

11:58

the mind is the software

12:01

that needs to be programmed. So you got

12:02

to get your brain healthy, program your

12:04

mind, and then work on the social

12:06

circle,

12:08

which is So what's going on in your

12:09

life?

12:10

Think pandemic. That was a social

12:13

disruptor.

12:15

But also, how are your relationships?

12:17

How's your job? How's your money?

12:21

And then the last circle that most

12:23

psychiatrists would never touch

12:26

is the spiritual circle. It's like, why

12:28

the heck do you care? What is your

12:31

deepest sense

12:34

of meaning and purpose?

12:37

And so I think assessing

12:40

those four circles and working always to

12:44

optimize them at the same time

12:48

is critical for you being a whole

12:52

healthy person.

12:55

But if your brain's not healthy because

12:59

you played soccer

13:00

and you had four concussions,

13:04

doing all the therapy

13:08

is not nearly as effective

13:10

as getting your brain right and then

13:13

doing the therapy. I mean, cuz I'm like

13:15

a huge fan of therapy and I have my

13:18

therapy patients that I

13:20

love.

13:22

But it's hardware, software, network

13:26

connections, always understanding

13:29

someone's sense of purpose.

13:33

Let's go into those four um

13:35

areas then. Just to pause on that

13:36

though, you mentioned Tony Robbins

13:38

there. When I was reading through your

13:39

story, it became apparent that you're

13:41

quite the celebrity psychiatrist.

13:46

Because a lot of celebrities have come

13:47

out and said that they work with you.

13:51

Give me a Give me a taste. Do some name

13:53

dropping. Give me a couple of examples.

13:56

Um

13:58

It's public knowledge Bella Hadid came

14:00

out and said she stopped drinking

14:02

because of me. And then the newspaper

14:05

tried to take my head off for that.

14:07

Controversial psychiatrist gets Bella to

14:10

stop drinking.

14:11

Um

14:12

Dealing with haters is something I've

14:15

become quite skilled at.

14:17

Uh it's public knowledge my I've been

14:18

Miley Cyrus's doctor for 11 years. I'm

14:21

really proud of her. She had the number

14:23

one song in the world right now,

14:26

Flowers, and it's about self-love, which

14:29

makes me so happy. I'm in Justin

14:31

Bieber's docu-series Seasons because

14:34

I've been his doctor.

14:37

Um

14:39

I love helping them. You know, I often

14:41

say four of my patients have a billion

14:44

followers.

14:46

So,

14:48

it's about influence because if the

14:51

mission is to end mental illness by

14:56

creating a revolution in brain health,

15:00

well, you got to have an army.

15:02

And so you might as well have an army

15:04

with a lot of soldiers. Mhm. And so um

15:08

it's it's a very disruptive

15:11

concept because when when you really

15:13

understand it,

15:15

you realize we're living in a war.

15:18

And I'm serious about this.

15:21

Everywhere you go, someone's trying to

15:23

give you bad food that will kill you

15:25

early.

15:26

Everywhere you go, you hear negative

15:30

news that's driving depression. It's not

15:32

the news. It scares you so they can sell

15:36

you stuff. Um everywhere you go,

15:39

someone's trying to put a gadget in your

15:41

hand or your pocket that will steal your

15:44

dopamine and give them the mind share

15:48

you should have.

15:50

And the incidents of

15:53

diabetes, 50% of the population is

15:56

diabetic or pre-diabetic, obesity, 72%

16:01

are overweight or obese. I published

16:04

three studies that show as your weight

16:06

goes up, the size and function of your

16:08

brain goes down and people go, "Oh, you

16:11

can't talk about that." It's like, "No,

16:12

you can't not talk about that."

16:16

Um

16:17

Alzheimer's is expected to triple and

16:20

depression has gone up 400% since Prozac

16:24

came on the market. So obviously, that

16:26

didn't fix it. And so it's what my wife

16:31

and I often refer to is the Brain

16:34

Warriors Way.

16:36

You want to be armed and prepared

16:39

to win the fight of your life.

16:43

That's so true.

16:44

I'm I'm currently doing this glucose

16:46

test as part of this company called Zoe.

16:48

I had Tim Spector on the podcast. She's

16:50

one of the co-founders. They do

16:51

personalized nutrition. It's this

16:53

incredible company based out in the UK.

16:55

And so because I can see my glucose

16:57

right now on my phone,

16:59

when I went into a gas station the other

17:01

day or a petrol station as we say say in

17:02

the UK, I looked around at my options

17:05

and every single thing was bad for me.

17:07

Every single thing in that gas station

17:09

was

17:10

sugar or processed carbohydrates. The

17:12

only thing I could get in that gas

17:13

station was water and I said to my

17:15

partner at the time, "So if you're

17:17

hungry and it's always if you're

17:18

stressed or tired,

17:20

you are going to eat

17:23

this this this junk. But anyway, going

17:25

back to Unless you plan.

17:27

Unless you put stuff

17:29

in your car

17:31

or in your computer bag.

17:34

And when you really love yourself, you

17:38

take time.

17:39

And like you know, for example, the

17:42

plastic water bottles

17:44

are toxic.

17:45

That you just like turn them over. And

17:47

does it say a two or four or five on the

17:50

recycle? And like those are pretty good.

17:52

They don't leach toxins nearly as bad as

17:57

one, three, six, and seven.

17:59

And just knowing that. See, I always say

18:02

God gave us a big brain for reason.

18:05

It's like when you get motivated,

18:08

this isn't hard. Brain health isn't

18:10

hard. Being sick is hard. Brain health

18:13

is not expensive. Being sick is

18:15

expensive. Um you just plan a little

18:19

bit. That In terms of the hardware then,

18:21

which was the first circle of your four

18:23

circles, what can I do to make sure the

18:26

hardware of my brain, what are the most

18:28

important things to be cognizant of to

18:30

make sure my hardware is in good shape

18:33

so that I have a chance of my psychology

18:35

and my my connections and my spiritual

18:37

circle being

18:39

um successful also.

18:41

So, I I like looking. Um it's like

18:46

the brain is one of the only organs that

18:50

doctors virtually never screen. You've

18:52

looked at a lot of brains, right? I've

18:54

looked at 230,000 brains. And

18:58

I mean, I'm obsessed

19:01

with if you came to see me and you go,

19:04

you know, I'm pretty good.

19:06

But I want to be great. How's my brain?

19:09

And we would look at it

19:12

and is it younger than you are?

19:16

Cuz you have good habits, is it older

19:18

than you are because your habits aren't

19:20

so good or or let's just say it has

19:22

nothing to do with you. Your mom smoked

19:25

when she was pregnant with you or she

19:27

smoked when you were a baby and you're

19:30

inhaling the second hand smoke, which is

19:33

stealing a concept I call brain reserve.

19:37

So, your brain health may have something

19:41

to do with your habits or may have to do

19:43

with the habits of other

19:45

people. So, I think the first thing it's

19:48

a concept

19:50

called brain envy.

19:52

I often say Freud was wrong. Penis envy

19:55

is not the cause of anybody's problem.

19:58

I've actually not seen it once in 40

20:00

years. He was focused on the wrong

20:03

organ. It's the brain. And Freud

20:07

actually in 1895 said the brain science

20:10

of my time is not up to the task of

20:14

explaining patient symptoms.

20:16

Which was true in 1895. So, he went off

20:19

and developed psychoanalysis and

20:21

had a lot of really nutty ideas, but

20:23

some really great ideas.

20:27

But the brain science now can explain a

20:30

lot of your symptoms. So, the first

20:32

thing is to assess it.

20:34

And

20:36

it's 1991. I ordered my first scan. I

20:39

started scanning everybody I know. I

20:41

scanned my aunt who had a panic

20:44

disorder. I scanned my mother who had a

20:46

gorgeous brain, which fit her life. And

20:49

then I scanned myself and it wasn't

20:50

awesome. And cuz I played football in

20:53

high school.

20:55

Had meningitis when I was a young

20:57

soldier. And I had bad habits. Um I

21:00

wasn't sleeping. I ate a lot of bad

21:02

food. And

21:04

I was the top neuroscience student in

21:07

medical school.

21:09

But I didn't care about my own brain.

21:11

And when I saw it, that's when I fell in

21:14

love with it, wanted my mother's brain,

21:17

the idea of brain envy,

21:20

and I've been in love with it ever

21:22

since. And one of my patients said when

21:25

he saw his scan for the first time,

21:28

it was like seeing one of his children,

21:31

and he knew he'd never hurt it again.

21:34

And so, that's step number one. You want

21:37

a healthy brain? You got to care about

21:39

it.

21:40

Step two, you have to avoid things that

21:42

hurt it. And you just have to sort of

21:44

know the list.

21:46

And step three,

21:48

is engage in regular brain-healthy

21:51

habits. Again, you just have to know the

21:55

list.

21:56

And the simplest way, and I love this,

22:01

and I I noticed throughout my books,

22:04

throughout the arc of the evolution of

22:06

my books, the prescriptions get easier

22:09

and easier, cuz I'm always thinking, how

22:12

do I plant it so it takes root and grow?

22:16

And I work with BJ Fogg. I don't know if

22:18

you know Dr. Fogg from Stanford. He's in

22:21

charge of the persuasive tech lab. It's

22:25

basically, how do people change? And he

22:27

said, either they have an epiphany, so

22:29

when I saw my first scan, it was an

22:32

epiphany.

22:34

I didn't want an unhealthy brain, cuz I

22:37

I understand what that means for my

22:39

life.

22:40

Um, but he said, most people, it's not

22:43

the epiphany, it's the tiny habits. It's

22:45

like, what's the smallest thing you can

22:47

do today that will make the biggest

22:50

difference. And it comes down to the

22:52

mother tiny habit.

22:55

It's whenever you come to a decision

22:56

point in your day, like you're at the

22:58

gas station,

23:01

is this you ask yourself this question.

23:03

Takes 3 seconds. Is this good for my

23:06

brain

23:07

or bad for it? And if you can answer

23:10

that with information

23:12

and love, and this is very important,

23:15

love of yourself, love of your mission,

23:20

love of your work, you just start making

23:22

better decisions.

23:24

And it whenever I say, "Well, you

23:26

shouldn't do this and you shouldn't do

23:27

that." Just never works.

23:30

You got to tie into

23:34

I want something special for my life,

23:37

and this is going to get it for me.

23:41

And so if if I'm at the gas station, I'm

23:44

looking at the waters and I'm like,

23:46

"Okay, what's got a non-toxic bottle

23:49

attached to it?" And I'm going for the

23:51

nuts because,

23:54

you know, people who have a fat-based

23:56

diet, nuts and seeds, green leafy

23:59

vegetables,

24:01

healthy fish, healthy oils,

24:04

have 42% less risk of getting

24:07

Alzheimer's disease.

24:09

People have a simple carbohydrate-based

24:12

diet. So, most of the stuff in the gas

24:16

station,

24:18

bread, pasta, potatoes, rice, fruit

24:22

juice,

24:23

and sugar,

24:26

the standard American diet, have a 400%

24:30

increased risk of getting Alzheimer's

24:33

disease. This study from the Mayo

24:35

Clinic. And I I love that you're

24:38

monitoring your blood sugar. I just love

24:40

that so much because

24:44

Alzheimer's disease, people refer to it

24:47

often as type 3

24:49

diabetes. And one of the best things you

24:52

can do for your health is make sure your

24:56

fasting blood sugar's under 90.

24:59

And if it tends to run high,

25:02

you can go, "Oh, I take Metformin for

25:04

that."

25:06

Or you can get rid of the simple

25:08

carbohydrates in your diet.

25:11

So, there's two things I was really

25:12

compelled by as you were speaking in two

25:14

directions I wanted to go in. The first

25:15

is I want to know the list

25:18

when we talk about the things that are

25:20

good and bad for for the brain.

25:22

But just before we get on to that, you

25:24

said about how

25:25

you have to pause during your day when

25:27

you're making decisions and ask

25:28

yourself, "Is this good for my brain?"

25:31

Now, I I often wonder why people know

25:34

information but don't change. You talked

25:36

about the persuasive tech lab. I've

25:38

always wondered what the connection

25:39

between someone's self-worth and their

25:42

ability to do the right thing when

25:44

they're in that moment of making a

25:45

decision for or against them cuz it's

25:47

been my observation, which is completely

25:49

unproven, that people who have I

25:51

wondered if you've seen this in your

25:52

practice, but people that have a

25:55

maybe a more stressed life, a lower sort

25:57

of self-worth, lower sort of self-image

25:59

of themselves, tend to

26:01

make short-term decisions that are less

26:04

um constructive or um

26:06

positive for the brain. But just

26:08

generally in life anyway, and I wondered

26:09

if there's a link there. I often I'm

26:11

asking this question cuz I often wonder

26:13

with some people that are close to me,

26:14

with some of my friends, why they

26:16

continue to make

26:18

decisions that they objectively know

26:20

aren't healthy.

26:22

They're not good for their, you know,

26:24

their life, their long-term prospects of

26:26

relationships, their health, whatever it

26:27

might be. And I just I It's a bit of a

26:29

left-field question, but is there a

26:30

correlation in your view between one's

26:33

self-esteem, their self-worth, their

26:34

self-image, and their ability to sort of

26:36

delay gratification and make the right

26:38

health decisions? So, it's actually

26:41

connected.

26:42

The Do you know about the marshmallow

26:44

test? I do, yes. I read about it when I

26:46

was So,

26:47

uh

26:48

Walter Mischel from Stanford

26:51

would give children, small children,

26:54

three four-year-old children

26:56

an opportunity to either have a

26:59

marshmallow now

27:01

or two

27:03

a bit later.

27:05

And the children who delayed

27:08

gratification

27:10

their self-esteem was better. Their

27:12

success virtually in every area of their

27:14

life was better. Now, he later

27:16

discovered you can actually train the

27:19

ability to delay gratification. There's

27:23

another study at Stanford. I love this

27:26

study so much. Um

27:29

They looked at 1,500

27:32

and 41 10-year-old children in 1921.

27:37

It's the longest longevity study ever

27:40

done. And Lewis Terman, psychologist at

27:44

Stanford um evaluated them and then he

27:47

and others followed them for 90 years

27:51

looking at what goes with health

27:54

success

27:56

and longevity.

27:58

And what he found was a bit shocking.

28:01

That

28:03

the don't worry, be happy people

28:05

died the earliest from accidents and

28:09

preventable illnesses. And I always

28:11

wanted to be that cuz I've never been

28:14

the don't worry, be happy person. I like

28:17

show up on time. I'm driven. I'm

28:20

motivated. Of all my books, they all

28:22

they get turned in a week or two early.

28:25

I'm like, "No."

28:28

Conscientious.

28:30

And what they found

28:32

was people who are conscientious lived

28:34

the longest. What's a don't worry, be

28:36

happy person?

28:38

How do you define that?

28:38

Well, it's my brother.

28:40

And I love my brother. But he's 150 lb

28:43

overweight.

28:44

And he leaves work at 3:00, plays golf,

28:49

he just like doesn't care. And for years

28:54

I tried to help him get healthy. And I

28:57

even set him up with the cutest

29:00

nutritionist who I trusted. And he

29:03

didn't show up. And then I realized I

29:05

was caring more about this than he was.

29:07

And it sort of broke my heart. But it's

29:09

that nonchalant

29:12

attitude that's not taking things

29:16

seriously. And it'll kill him early. And

29:19

that breaks my heart.

29:21

Can you tell me about the journey of

29:22

trying to help your brother because I

29:23

think a lot of people listening to this

29:24

have their own experience with trying to

29:26

help someone that they love. And it's a

29:29

often resentful, bitter, failing battle.

29:32

I've been there myself. So, let me

29:34

switch it to my dad Okay.

29:35

because that has a better ending at

29:38

least now. Um I did not have a good

29:40

relationship with my father.

29:43

When I told my dad I wanted to be a

29:44

psychiatrist,

29:46

he asked me why I didn't want to be a

29:48

real doctor,

29:49

why I wanted to be a nut doctor and hang

29:52

out with nuts all day long.

29:55

And that's just hurtful.

29:59

But I'd already not cared what he

30:02

thought.

30:03

1972, I turn 18, I get to vote.

30:07

George McGovern is who's very liberal is

30:11

running against Richard Nixon. And I'm

30:13

like, maybe I'll vote for McGovern.

30:16

And my dad said if I did, the country

30:18

would go to hell.

30:20

Well, I did and the country went to

30:22

hell, but it had nothing to do with

30:23

McGovern, it had to do with Nixon and

30:25

Watergate and all that

30:27

craziness. So, we were like butting

30:29

heads.

30:33

When I started looking at the brain, I'm

30:34

like, come on, Dad, I want Let me scan

30:35

your brain.

30:37

And he said no until years later.

30:42

And I'm like, Dad, what I'm learning is

30:44

the brain is an organ like your heart is

30:46

an organ.

30:47

We got to get you healthy."

30:49

And he's like, "Oh, great.

30:52

My nut doctor son is now a health nut."

30:55

He's like, "What's with you and the

30:57

nuts?"

30:59

And so for 25

31:01

years,

31:03

I nudged him

31:05

to get healthy. And he belittled me, he

31:08

made fun of me, he would do it publicly,

31:11

and it was

31:13

hurtful.

31:16

But his opinion of me, even though it

31:19

hurt, it didn't matter. I kept doing

31:21

what I do.

31:23

And when he was 85,

31:26

they had mold in their house.

31:28

And he developed a chronic cough.

31:32

And then a heart arrhythmia.

31:36

And then heart failure.

31:40

And I went over his house,

31:42

and I saw he was depressed.

31:45

And my dad didn't get depressed. My dad

31:47

gave depression, but he didn't get

31:50

depression.

31:51

And he looked at me,

31:54

and he said, "Danny,

31:56

I'm sick of being sick.

31:59

What do you want me to do?"

32:01

And he's so stubborn, he did everything

32:05

I asked him to do.

32:07

He texts me a picture of the food. He's

32:10

like, "Can I eat this?"

32:12

And I'm like, "Send me the ingredient

32:15

list." And then I would circle it, and

32:16

I'm like, "In what universe is this good

32:18

for you?" And I'm one of seven children.

32:23

Um

32:23

now he starts talking about me

32:26

to all of them. And they would text me

32:28

and like, "Tell him to like

32:31

not be so enthusiastic."

32:33

And we started working out together.

32:35

He's a beast. He could do a 6-minute

32:37

plank cuz he's so stubborn. And over 6

32:41

months, he lost 40 lb. His energy came

32:45

back. His heart was better. He starts

32:47

driving again. And lived the next 5

32:51

years in love

32:53

with his brain, in love with his body.

32:56

And um

32:58

if he

33:00

would have died

33:03

before those 5 years,

33:05

I think I would have always been left

33:07

with a hole

33:09

in my soul.

33:11

That helped

33:13

repair it.

33:16

And the only reason he did it is cuz I

33:18

did it.

33:19

The only reason he

33:23

got healthy is because I modeled

33:27

the message.

33:29

And ultimately, that's what I tell my

33:31

patients. You never know when they're

33:32

going to turn. Like I still never know

33:35

if my brother will turn. I love him. I

33:38

model. I'm always there with

33:42

a suggestion,

33:43

right? But I'm not caring more than he

33:46

cares.

33:47

What would that hole have been?

33:50

I think

33:52

it's one of the big gifts

33:54

that I was given

33:56

that he looked at me and said, "What do

33:58

you want me to do?"

34:01

Is that

34:03

I'm assuming from hearing that it's

34:04

because that was the moment where he

34:06

kind of accepted you and your worth and

34:08

your job and your

34:10

Yes.

34:11

And he told everybody

34:14

besides me that how proud he was of me.

34:18

Yeah.

34:19

And the first time he told me he loved

34:21

me was when I was 50.

34:25

Which is just nuts when you think about

34:27

it. I mean, he's from a different

34:28

generation and

34:30

um

34:31

but I I just can't even imagine it.

34:39

When we have someone in our lives that

34:41

um

34:42

maybe wasn't fair to us in some way,

34:45

whether it's a parent or an ex-partner

34:47

or whatever,

34:48

how do we how do we not let the

34:50

resentment or the negative emotions or

34:52

the negative experiences, all that

34:54

feeling of injusticeness, that like we

34:57

like this situation wasn't fair?

34:59

How do we

35:01

get to a place of empathy with those

35:03

people so that we can live,

35:05

you know, without the burden of that

35:08

like resentment or you know, regret or

35:11

whatever it might be?

35:12

Well, I have a perfect example. So, I

35:14

started imaging in 1991. I am

35:20

a distinguished fellow of the American

35:21

Psychiatric Association.

35:24

I won a research award. I am respected

35:28

by my colleagues.

35:30

But I start imaging and initially there

35:33

was acceptance and then because the

35:35

imaging doesn't really go with the

35:37

diagnostic orthodoxy, they're like,

35:39

"Shouldn't do that."

35:41

And now I'm caught in a bind. I love

35:45

being connected to my colleagues,

35:47

but there's no way I'm not looking at

35:50

your brain if I can. And so, there's

35:54

this

35:56

tension and for three or four years, I

36:01

feel challenged, I feel belittled, I

36:03

feel

36:04

anxious and I'm starting to become

36:07

ostracized from my group.

36:10

So, I'm anxious and I'm furious. Um

36:15

and then in 1995,

36:18

my 9-year-old nephew Andrew attacks a

36:21

little girl on the baseball field for no

36:23

reason. So, my brother's youngest son.

36:27

And my sister-in-law calls me up and

36:29

she's crying and she said she went into

36:32

his room that day and found two pictures

36:34

he'd drawn.

36:36

One of them he's hanging from a tree in

36:37

a suicide attempt, 9 years old. The

36:40

other one, he's shooting other children.

36:43

So, he's like Columbine

36:46

or Parkland, Florida or Sandy Hook.

36:49

I mean, we're into that kind of

36:50

darkness.

36:52

And 999

36:55

child psychiatrists out of a thousand

36:57

would have put him on medicine

36:59

and put him in therapy.

37:01

But because now 4 years I've been

37:03

looking at the brain, we'd already

37:05

correlated violence to the left temporal

37:08

lobe. Left temporal lobe dysfunction

37:10

often went with violence.

37:12

I'm like, I want to see him.

37:14

And so they drove 8 hours and I'm

37:16

sitting with my nephew who I'm also his

37:18

godfather. And

37:21

I'm like, "Buddy, what's going on?" He

37:23

said, "Uncle Danny, I don't know. I'm

37:25

mad all the time."

37:26

I said, "Is anybody hurting you?" He

37:28

said, "No." I said, "Is anybody teasing

37:31

you?" He said, "No." I said, "Is anybody

37:33

touching you in places they shouldn't be

37:34

touching you?"

37:36

He said, "No."

37:37

And when I held his hand while we

37:40

scanned him,

37:43

when the scan came up on the computer

37:45

screen, he had a cyst the size of a golf

37:48

ball occupying the space of his left

37:51

temporal lobe. It's the first time I've

37:52

seen it. I seen it a hundred times

37:55

since.

37:56

And when the neurosurgeon drained it,

37:59

his behavior completely went back to

38:01

normal.

38:02

It was that

38:04

moment the war began for me.

38:09

It's like, if you don't look, you don't

38:11

know. Stop lying about it. And I became

38:14

a warrior to change

38:17

psychiatry.

38:19

But there's a lot of negativity with

38:21

being a warrior. I I was also in the

38:23

army. I was an army psychiatrist.

38:26

And what I came to realize, there's a

38:28

wonderful psychologist at Virginia

38:31

Commonwealth

38:33

University, Worthington, who came up

38:36

with a method for forgiveness.

38:40

Because when you're holding on to that

38:42

toxicity,

38:43

it's sort of like drinking poison and

38:45

expecting the other person to die.

38:48

And

38:52

he did this method and someone murdered

38:55

his mother. And he said it even worked

38:57

for him when he was dealing with the

38:59

grief of losing his mother to a horrible

39:02

crime.

39:04

And so I can recall the hate that I've

39:07

experienced.

39:10

So that's the R. So recall it in detail.

39:14

The E is

39:16

empathize.

39:17

It's like so what are the haters

39:19

feeling?

39:21

You're doing something they don't know.

39:24

You're doing something that's different

39:26

than them. You're doing something

39:29

that threatens

39:31

them.

39:32

See, if I'm right, and I'm right, I mean

39:35

everything in my

39:36

body knows I'm right. 230,000 scans

39:39

later, this isn't fake. This is real.

39:42

And if you don't look, you miss all

39:44

sorts of important things.

39:46

But they don't know that.

39:48

And

39:51

if they don't know it and they're

39:52

threatened, well, of course they're

39:55

angry.

39:56

I mean, I believe I

39:58

still hold on to they should at least

40:00

come visit. Right? I mean, my work is so

40:04

public.

40:05

The A is altruistically

40:08

give them the gift of forgiveness.

40:12

Cuz

40:13

and I actually don't really pay

40:14

attention

40:15

to them.

40:17

Because, you know, I do what I can. We

40:19

publish studies, but

40:22

I I don't need the negativity.

40:24

So, you altruistically give them the

40:27

gift of forgiveness.

40:29

Commit to it.

40:31

And hold on to it.

40:33

And if you can do that for that

40:35

relationship,

40:38

you have more control over your

40:39

happiness.

40:41

Plus,

40:43

if you're me, you're like, I wonder what

40:46

their brain is like.

40:48

And so, one of the first things the

40:50

scans did for me

40:53

is they increased forgiveness.

40:57

So, I asked my dad to get scanned, 1991.

41:00

My mom came cuz she's like, what can I

41:02

do to support you?

41:04

I don't want to do that. My dad. 12

41:06

years in a row. No, I don't want to do

41:08

that. Why do you want me to do that? No,

41:11

I don't want to do that. And then he

41:12

came.

41:15

And I'd never seen this in a 72-year-old

41:17

person.

41:18

His anterior cingulate. So, we should

41:20

talk a little bit about different parts

41:22

of the brain and how they influence

41:24

work.

41:25

The his anterior cingulate, it's the

41:27

brain's gear shifter. It allows you to

41:29

go from thought to thought, move from

41:31

idea to idea, be flexible, go with the

41:34

flow.

41:36

And when it's busy, and he had the

41:37

busiest anterior cingulate of any older

41:40

person I'd ever seen,

41:43

worry, hold grudges. My dad was

41:46

masterful

41:47

at holding grudges.

41:49

Um,

41:50

argumentative, oppositional. I used to

41:53

joke that I'm like, Dad, why is it every

41:57

time I ask you for something,

41:59

you say no?

42:01

He goes, I don't do that. I'm like, no,

42:03

you do it. Why? He's like, I don't know.

42:06

It's just easier.

42:08

And

42:09

Tony Blair, the Prime Minister of the

42:11

United Kingdom, said, the first hallmark

42:13

of a leader is his ability to say no.

42:16

Well, my dad was just masterful at it.

42:20

But I have to tell you seeing that part

42:22

of his brain so busy

42:24

was helpful for me to forgive him that

42:28

it was a brain

42:29

misfire

42:31

rather than it was a soul

42:34

misfire.

42:37

You talk a lot in your book about how we

42:38

can reverse a lot of these things and we

42:40

can change our brain, which I guess is

42:42

the

42:43

is the hopeful optimistic side of all of

42:44

this. So in the case of your father,

42:46

you see that in his brain.

42:48

Is there something that can be done to

42:52

change it? Absolutely.

42:54

I mean, that's sort of the big exciting

42:56

message of my life. Is you're not stuck

42:59

with the brain you have. You can make it

43:01

better and I can prove it.

43:03

I did the big NFL study when the NFL was

43:05

lying that it had a problem about

43:07

traumatic brain injury in football. Scan

43:10

350 NFL players.

43:13

And high levels of damage, stop lying

43:15

about it. But 80% of my players get

43:17

better when we put them on a

43:19

rehabilitation program.

43:22

And there's a story in the book um about

43:25

a mixed martial artist who

43:28

I was giving a lecture at the clinic and

43:31

he raised his hand

43:33

and he said

43:34

I just really love your work. But you're

43:37

not going to like what I do. I'm like,

43:39

what's that?

43:40

He said, I'm a mixed martial artist. And

43:42

I'm like, well, I can like you, but

43:44

yeah, you're right. I'm not a fan of

43:47

people bashing your head in. And I said

43:51

let's look at your scan and it was

43:53

troubled. Um

43:57

I said, you know, I know these

43:58

supplements work cuz they were the my

44:00

NFL formula.

44:01

But I don't know how fast they work.

44:04

Will you come tomorrow at 8:00? I'm

44:08

going to give you the supplements I give

44:10

my NFL players.

44:12

And then I'm going to scan you 2 and 1/2

44:13

hours later.

44:15

His brain was remarkably better 2 and

44:18

1/2 hours later. Now, it didn't mean it

44:20

would stay that way, right? He had to

44:22

stay on the program and stop doing the

44:25

things that hurt his brain.

44:28

But how exciting is that? To know even a

44:32

couple of hours from now

44:34

if I do the right things,

44:37

my brain can be better.

44:40

And going back to my dad,

44:42

what we found is low levels of serotonin

44:45

go with high activity

44:48

in the anterior cingulate. So, if he

44:51

would have chosen, I could have calmed

44:53

it down and helped him be more flexible.

44:57

Now, he chose not to do that.

45:00

But I just remember my grandmother,

45:03

my mom's mom, when she was 92, she went

45:06

in the hospital diverticulitis. And my

45:09

mom's mom had always been

45:11

mean. She's not kind. When she met my

45:14

wife for the first time, she goes, "Oh,

45:16

you're Danny's next victim."

45:20

Grandma,

45:21

I said, "I'm going to talk bad about you

45:23

after you're dead."

45:27

She had that same brain.

45:29

And when I put her on medicine to

45:32

increase serotonin, she became sweet.

45:36

Which just goes

45:38

to makes you wonder

45:41

how many people end up divorced

45:45

because of a brain dysfunction that

45:47

could be fixed.

45:50

Um it it's just given me great empathy.

45:53

It's easy easy easy to call someone bad.

45:58

It's harder to ask why. In in the case

46:01

of your father or your

46:03

your grandmother, is their brain and the

46:06

the mood kind of disorder that you've

46:07

observed in it, is that a consequence of

46:10

chronic bad habits in terms of brain

46:13

health?

46:14

In your view? It's always both.

46:16

That whenever you give in to saying no,

46:20

you make saying no more likely. Right.

46:23

You develop these ruts in your brain,

46:26

which is why behavior change is hard.

46:28

Because you have these ruts in your

46:30

brain where

46:33

it's after dinner I smoke or it's after

46:36

dinner I have ice cream or it's first

46:38

thing in the morning I have sugar

46:41

cereal. Um And these become like

46:43

pathways

46:44

They become

46:45

ruts, like deep pathways in the brain.

46:49

And and I've had them for years. I mean,

46:51

for a long time before I

46:53

got healthy. You know, I'd go buy Jack

46:55

in the Box and get a diet Coke and

46:58

get a chicken fajita pita and it was

47:01

habit. And so

47:03

sometimes I'll see a Jack in the Box and

47:05

I'm like, oh. And then of course my

47:06

supervisor comes in and like, really?

47:10

And I think of it Your supervisor is in

47:13

your your your

47:14

your better

47:15

better sense.

47:16

Well, I think of it like children.

47:18

Um that too many people are run

47:22

by the four-year-olds

47:24

in their head.

47:26

Like I have five grandchildren and Haven

47:28

is four.

47:30

And Haven

47:31

is funny and smart and sweet, but she

47:34

doesn't get her way, she totally can

47:35

have a fit.

47:37

And the rule in my house is if you have

47:40

a tantrum to get your way,

47:42

the answer's no. It's always going to be

47:45

no. Go for it.

47:47

And so I didn't have tantrums with the

47:50

kids growing up. But too many people,

47:53

the four-year-old in their head is

47:57

running the show. It's like, "No, I go

48:00

by Jack in the Box. I get curly fries

48:02

and a Coke. I want it. I want it. I want

48:05

it. I want it." And their parent self

48:09

doesn't go, "Doesn't fit your goals. You

48:12

don't want it." Right? You crave it.

48:17

And there's a difference between craving

48:19

and wanting. And it's like inhibit

48:23

behavior. And that's where we haven't

48:26

talked about this yet, and I knew I I

48:27

knew we would on this podcast, the CEO

48:30

in the brain. Right? So, the front third

48:33

of your brain is called the prefrontal

48:35

cortex. It's called the executive part

48:38

of the brain. And so, you talked about

48:40

some of your friends who don't make good

48:41

decisions, who don't wait or delay their

48:44

impulses. Their frontal lobes are

48:47

probably sleepy

48:50

or smaller.

48:52

And that'll give them huge problems in

48:55

their lives. In my work, I uh I've seen

49:00

tens of thousands of people have ADD of

49:02

one form or another, and it often goes

49:05

with decreased activity in their frontal

49:08

lobes. Is that Is that nature or

49:10

nurture?

49:12

Nature

49:14

with input

49:16

from nurture.

49:18

Because

49:20

they did this great study in Holland

49:22

where they took 300 ADD kids, put them

49:26

on an elimination diet. So, they

49:27

basically eliminated all the crap in

49:30

their diet. And 3 months later, 72% of

49:33

the children did not have ADD anymore.

49:36

So,

49:37

um but when I diagnose someone with ADD,

49:40

I generally see it,

49:43

you know, coming down their mom's side

49:45

or their dad's side. It generally

49:48

doesn't occur in isolation. It is that

49:51

strongly

49:52

heritable. Um in fact

49:56

if I have a kid who's really ADD and I

49:58

can't find a mom or dad, I look at the

50:01

kid to see if he looks like

50:03

mom or dad wondering if they got

50:05

switched at birth. Just my experience.

50:09

Really?

50:09

And Really? No, not kidding. And

50:14

So say that again. So if if the child's

50:16

brain doesn't resemble the mother or the

50:17

father, you suspect that So I wonder if

50:20

if it's if the child is not related

50:22

switched at Because you're that

50:24

confident Because I'm that confident

50:26

about the heritability of this. Now,

50:28

there are other causes of ADD-like

50:31

behavior like traumatic brain injury. If

50:33

the child fell down a flight of stairs

50:36

and was unconscious even for just like

50:38

15 minutes, that can damage their

50:41

frontal lobes. If the child was a head

50:44

banger, that can damage their frontal

50:47

lobes. And so Psychological trauma. I

50:50

sat here with Gabor Maté.

50:52

Ah, interesting. We're just doing a

50:53

study

50:55

on ACE scores. Do you know about the ACE

50:58

quiz?

51:00

Stands for adverse childhood

51:02

experiences. And it was first done in

51:06

combination with the CDC and Kaiser.

51:10

They looked at 17,000

51:12

people. And they just gave

51:15

people this simple questionnaire. Um and

51:18

it's 10 of the most common childhood

51:23

traumas. So physical, emotional, sexual

51:27

abuse,

51:29

having a parent with mental illness,

51:32

with an addiction, incarceration,

51:36

and you get scored zero

51:40

to 10.

51:41

So I have a one.

51:43

Um my dad could really be nasty

51:46

to me.

51:47

So there's some of that sort of

51:49

psychological abuse. But, I didn't get

51:52

beaten, no one sexually molested me,

51:55

and so on. My wife,

51:57

and she wrote a book about this called

51:59

The Relentless Courage of a Scared

52:01

Child,

52:02

has eight

52:04

out of 10.

52:05

My two nieces, who Tana and I adopted,

52:08

are both nines. And they found if you

52:11

have four or more,

52:14

you have an increased risk of seven of

52:18

the top 10 leading causes of death.

52:21

If you have six or more, you die 20

52:25

years earlier. Now, it's not a death

52:27

sentence if you know it and you work on

52:29

it, like Tana has,

52:32

um,

52:33

you know, you have normal lifespan.

52:37

But, how wild is that? And so, when I

52:40

learned about it, I started giving it to

52:42

all of our patients. And I now have

52:45

10,000

52:46

ACE scores on my patients. And we looked

52:49

at their brains. And what we found is it

52:52

tends to activate the me- medial frontal

52:57

lobe, and they become

53:01

hyper-alert.

53:03

They begin to watch

53:06

what bad thing

53:08

is going to happen. And I love a

53:11

therapy. Have you ever heard of EMDR?

53:14

Yes, I've heard of it. It's a

53:15

psychological treatment for trauma.

53:18

Stands for eye movement desensitization

53:21

and reprocess. My favorite

53:24

psychotherapy. I love doing it with

53:26

patients.

53:27

And when I met my wife, she's beautiful,

53:31

she's smart. I mean, I like fell for

53:34

her.

53:36

And then I'm learning about this. So,

53:37

one of my first gifts to her was 10

53:39

sessions of EMDR, which I know is pretty

53:43

weird.

53:44

But she went for 2 years and and I think

53:47

it changed the trajectory of her life

53:49

because she doesn't live

53:52

with the past still present.

53:56

How did How did it help her? And what

53:57

What exactly does the therapy involve?

54:00

So,

54:02

trust, a good history,

54:04

and then

54:05

So, for example, if you came to see me,

54:08

I would have you write down We do a

54:10

timeline of your life. I just want to

54:12

know for each 5-year period, what were

54:14

the great things that happened to you

54:16

and what were the horrible things that

54:18

happened to you. And I do that

54:20

purposefully so you'll have a balanced

54:23

view. If you just talk about the crap in

54:24

your life, you feel like crap.

54:26

And then I'd have you write down the top

54:28

10 traumas.

54:29

And then it's it's a structured process,

54:33

but I'd have you bring up the worst one.

54:35

We always go for the worst first. And

54:38

while you bring it up, I'll get your

54:40

eyes to go back and forth and we'll let

54:44

your brain direct

54:46

where you need to go. And so initially,

54:49

you could feel relive

54:53

the trauma,

54:54

but then it tends to dissipate. As

54:56

opposed to just talking about the

54:58

trauma, generally, you relive it and

55:01

feel like crap. The bilateral hemisphere

55:04

stimulation

55:06

helps it

55:07

sort of

55:09

just sucks the life out of it. You still

55:12

remember it, but it's not haunting

55:16

you anymore. You can go, "Yeah, that

55:18

happened." But you're not sweating or

55:21

you're not having nightmares. And it

55:24

just takes therapy to

55:26

a whole different level. Um it's sort of

55:29

like doing mushrooms without side

55:33

effects.

55:34

If I wanted to, you know, earlier on you

55:36

said you said

55:37

you gave like three points and the

55:38

second point was you just got to know

55:40

the list. So you said if you want to

55:43

damage your brain, if you want to hurt

55:44

your brain, you've got to know the list.

55:45

If you want to help your brain and have

55:46

a healthy brain, you've got to know the

55:47

list. Going to the the damaging my brain

55:50

part, if I was intent on damaging my own

55:53

brain,

55:54

what would you advise me to do?

55:56

So,

55:57

in the book, I talk about a mnemonic

55:59

called bright minds. You want to keep

56:02

your brain healthy or rescue it, you

56:05

have to prevent or treat the 11 major

56:09

risk factors that steal your mind. So,

56:13

if you want to damage your brain,

56:15

bright minds. The B is for blood flow.

56:18

Low blood flow is the number one brain

56:22

imaging predictor

56:24

of Alzheimer's disease.

56:26

I can

56:27

How do you get low blood flow? Caffeine.

56:29

Oh, [ __ ] Nicotine,

56:31

marijuana,

56:32

alcohol,

56:34

um having a sedentary lifestyle,

56:38

being overweight.

56:40

The R is retirement and aging.

56:43

Can we pause on this low blood flow?

56:47

You are the first person I've ever

56:49

spoken to who has a comprehensive

56:53

and

56:54

very believable

56:56

hypothesis that caffeine has a side

56:59

effect. I've asked my guests over and

57:02

over again because I

57:03

I think people refer to caffeine often

57:05

as like this miracle drug that comes

57:06

with no cost.

57:08

But you're the first one through my

57:09

research that seems to be very clear

57:11

that caffeine is

57:13

does have a significant cost.

57:15

drug.

57:16

It's It's the most common drug. It's

57:18

addictive. I mean, a little bit's fine,

57:22

but more than a little bit is not fine.

57:24

It increases cortisol. You don't want to

57:26

increase cortisol. Puts fat around your

57:28

belly. It shrinks your hippocampus. But

57:31

you know, the reason

57:34

I started really paying attention to it

57:36

is on SPECT, the study I do, which is a

57:40

blood flow study,

57:41

it constricts blood flow 30%. I have all

57:44

my patients hold caffeine the morning of

57:47

their scans

57:49

um because I don't want it to

57:51

artificially

57:52

uh

57:53

show me they have less blood flow than

57:55

they really do.

57:57

Um

57:58

it

58:00

it fakes you out to think you have

58:03

energy. What it does is it blocks

58:05

adenosine, the chemical that tells you

58:08

to go to sleep. And so, often people

58:11

rely on caffeine because they're sleep

58:13

deprived, but it's just this bad cycle.

58:17

And so many of my patients stop and

58:20

uniformly they tell me they feel better.

58:23

They said their energy's better. You

58:25

talk about one particular patient in the

58:26

book who was struggling with um a

58:29

variety of

58:30

difficulties. I think you it was like

58:32

brain brain fog and um memory issues and

58:35

so on. And one of the things you advised

58:36

him to do was to

58:38

cut coffee.

58:40

Jeff, yeah. Jeff, I remember Jeff. He's

58:43

a pilot and I live on caffeine and I'm

58:46

like, you got to get rid of it cuz his

58:48

brain looked terrible. His brain looked

58:50

terrible.

58:51

looked terrible. And he's like, "No, no,

58:53

no."

58:54

And he's like, "All right, I'm going to

58:56

do it."

58:57

And so, he didn't get headaches. We cut

59:00

it down by 5% a day. So, 3 weeks it was

59:05

gone. He didn't have any withdrawal,

59:06

didn't have any headaches.

59:08

And he's like texting me,

59:12

"Unbelievable energy.

59:15

Unbelievable clarity."

59:18

And

59:21

it's a drug.

59:22

And why, you know, I want to teach my

59:24

pill my patients skills. I don't want

59:27

them to just take pills. And caffeine's

59:30

a drug.

59:32

Do you drink caffeine?

59:33

Little bit, not much.

59:35

How much was Jeff having?

59:37

Um Jeff was having about 600 mg a day.

59:40

Jesus.

59:40

Which is two

59:43

Venti Starbucks.

59:45

One Venti Starbucks is 330

59:49

mg of caffeine.

59:54

And you know, we've supersized

59:55

everything in this country. I don't know

59:57

if they do that in the UK, but we

59:58

certainly do it here.

60:00

And it's it's not a a good strategy. And

60:03

so long time restriction of blood flow

60:05

to the brain through these things you've

60:07

described, caffeine, marijuana, all of

60:10

these things has a detrimental impact on

60:12

the development of the brain. Pretty

60:13

straightforward. I I get that. So that's

60:15

the B.

60:17

R is retirement and aging. You want to

60:20

prematurely age

60:22

your brain?

60:24

Drop out of school.

60:26

Do not engage in new learning.

60:30

I mean, you're doing this podcast.

60:31

You're always learning new things, which

60:33

is great for you.

60:36

But the lack of When you learn something

60:39

new, your brain makes a new connection.

60:42

When you stop learning or you start

60:44

doing the same thing over and over

60:46

again, your brain starts to disconnect

60:49

itself.

60:50

Being in a job that does not require new

60:54

learning

60:56

is a risk factor for dementia.

61:00

Being lonely

61:02

is a risk factor

61:04

for dementia.

61:06

So be an ass

61:08

and

61:10

you're more likely to hurt your brain.

61:12

At my workplace, we have the no [ __ ]

61:15

rule.

61:16

So there's a book by a Stanford

61:18

professor called The No [ __ ] Rule.

61:21

Love that book. And the no [ __ ] rule

61:24

as a CEO starts with me. So, I don't get

61:27

to be one, but I'm not tolerating

61:30

anybody who has [ __ ] behavior

61:33

at work.

61:35

And

61:36

if you're not an [ __ ] you're less

61:38

likely to be lonely.

61:41

And loneliness is terrible

61:44

for brain function.

61:45

If you want to prematurely age your

61:48

brain,

61:49

eat a lot of red meat

61:52

as if your iron and ferritin levels are

61:57

high

61:58

because ferritin

62:00

uh

62:01

which is stored iron,

62:02

tends to age the brain.

62:05

Um

62:06

the eyes inflammation. If you want to

62:08

increase inflammation, which is a root

62:10

cause of so many medical and mental

62:12

health issues, never floss.

62:16

Don't really care about your teeth. So,

62:19

you want to love your brain, you have to

62:20

love your mouth. It's absolutely

62:23

critical for you not to have gum disease

62:27

because if you have gingivitis,

62:30

off odds are you're at increased risk

62:32

for heart disease and depression and

62:34

dementia. It's fascinating. Like I

62:37

didn't learn about this and I didn't

62:38

really care about my teeth until I

62:40

started seeing the links between gum

62:43

disease and heart disease, gum disease

62:45

and brain disease. And now I'm a

62:48

flossing fool.

62:50

But if you want to damage your brain,

62:53

don't care about your mouth and your

62:55

about your teeth.

62:57

Don't ever eat fish. People who have

63:00

grilled or baked fish once a week have

63:02

more gray matter

63:04

in their brain.

63:05

Um people have low levels of omega-3

63:08

fatty acids

63:10

have smaller brains. Um and if you want

63:14

to damage your brain, eat the standard

63:16

American diet.

63:19

So, processed food, like eat most of

63:22

your calories from the gas station

63:25

and from the fast food restaurants

63:29

near nearby. And they spend billions on

63:32

getting those foods to the perfect

63:35

crunchiness, the perfect meltiness, the

63:38

perfect aroma, because they hire

63:40

neuroscientists to addict your brain.

63:44

Be suspicious.

63:46

Um

63:48

the G is genetics. You want to damage

63:51

your brain? Blame everything on your

63:54

genes. Like I have obesity and heart

63:57

disease my family, but I'm not

63:59

overweight and I don't have heart

64:01

disease. Why? I'm on an obesity heart

64:03

disease prevention program

64:06

every day of my life.

64:08

Because genes load the gun, it's what

64:11

happens to us and what we choose to do

64:13

that pulls

64:14

the trigger.

64:16

So, I adopted my nieces because their

64:18

parents couldn't stop using drugs and

64:23

I'm like adamant.

64:25

If you want my help, you have to

64:27

cooperate. There's no vaping, there's no

64:30

drug use, there's no alcohol

64:33

and

64:35

it's working.

64:37

I taught them a new word last week,

64:40

squamiting. Have you heard of

64:41

squamiting? I haven't. It's a

64:43

combination of screaming

64:46

and vomiting.

64:48

And because of the legalization of

64:50

marijuana and the increased use,

64:52

teenagers are getting this and in record

64:55

numbers they're in emergency rooms

64:57

screaming and vomiting.

64:59

Called squamiting.

65:01

So.

65:02

Genes load the gun

65:04

but know your risk

65:07

and be on that prevention program. I

65:09

mean, that's just a sign of intelligent

65:11

life. The H is head trauma.

65:13

You want to damage your brain? Play

65:16

football, play soccer, play rugby,

65:19

and box.

65:20

It's and and text

65:23

while you're walking in LA.

65:26

I mean, you're just more likely to have

65:27

a brain injury. Um

65:31

Because you fall over just because in

65:32

case that wasn't clear.

65:34

People are going to think texting is bad

65:35

for their brain.

65:37

The T is toxins.

65:40

So, see alcohol is a health food?

65:43

It's total crap. Uh see marijuana is

65:46

innocuous? It's total crap. I mean, I'm

65:49

happy they legalized it. Please don't

65:51

put people who use marijuana in jail.

65:53

It's a really bad use of resources,

65:55

really stupid. But let's not say it's

65:58

good for us

65:59

because teenagers who use

66:02

have an increased risk of anxiety,

66:04

depression, suicide, and psychosis. That

66:09

that's not okay.

66:11

The brain undergoes wild development.

66:14

And people sort of don't get this. They

66:15

think little kids their brain is

66:16

undergoing wild development. But from

66:18

the time you're 15 to 25, it's gone

66:21

through wild construction. In fact,

66:24

that's when the highways are being

66:27

myelinated. If you've ever heard of

66:29

myelin, myelin is a white fatty

66:31

substance that gets wrapped on your

66:34

neurons. And when a neuron or brain cell

66:37

becomes myelinated, becomes 10 to 100

66:40

times faster. It's more efficient. And

66:45

when a baby's born, there's very little

66:47

myelin in the cortex laid down. When

66:50

they're about 2 months old, their

66:52

occipital lobes, their visual cortex

66:54

becomes myelinated. And when you smile

66:56

at them, they smile back because they

66:59

can really see you. Well, slowly

67:02

myelination goes from the back all the

67:05

way to the front, but it doesn't get to

67:07

the front until you're about 25. So,

67:11

this masterpiece

67:13

building, if you will, is under

67:16

construction

67:18

until you're 25. So many teenagers, it's

67:21

the crappy food. It's just like throwing

67:24

poison into the construction zone.

67:29

Marijuana, it's innocuous. We're going

67:31

to the parties and getting drunk.

67:34

And they're damaging the building.

67:38

And yes, there are ways to repair it.

67:41

But what idiot would damage the most

67:44

beautiful building in the neighborhood?

67:47

And I often say to my teenage patients,

67:49

I said, "Hey, if you had a

67:50

million-dollar racehorse,

67:53

would you ever feed it junk food? Would

67:55

you ever get it stoned? Would you ever

67:57

get it drunk?" And the smart ones would

67:59

go,

68:00

"Only if you were an idiot." But aren't

68:03

you worth so much more?

68:06

And we have a high school course called

68:07

Brain Thrive by 25. We studied it in 16

68:11

schools, decreases drug, alcohol, and

68:13

tobacco use, decreases depression, and

68:16

improves self-esteem.

68:18

And one of the weeks is things to avoid

68:22

to have healthy brain. And at the end of

68:24

the lecture, it's a boy, never a girl,

68:26

that's really irritating, raises his

68:28

hand and goes, "How can you have any

68:30

fun?"

68:31

And we play a game with them called who

68:33

has more fun?

68:35

The person with the good brain or the

68:37

person with the bad brain? Who gets the

68:40

girl and gets to keep her because he's

68:42

not an ass? The person with the good

68:44

brain or the person with the bad brain?

68:46

Who gets into the college they want to

68:48

get into? Who

68:50

has the best life? And ultimately, it's

68:52

the person with the good

68:55

brain.

68:57

So, we're at tea and

68:59

you want to damage your brain, undergo

69:02

general anesthesia

69:04

for

69:05

plastic surgery over and over again.

69:08

General anesthesia is bad for the brain.

69:10

Um

69:11

never read the ingredients

69:15

on your personal product labels.

69:19

Because you know there's an epidemic of

69:22

low testosterone in young males. It's

69:25

crazy. I was reading the stats the other

69:26

day. What is it?

69:27

It's because we're poisoning them. Is

69:29

that why? That's why.

69:30

What is the What is the headline stat

69:32

there regarding testosterone in men?

69:33

It's decreasing, isn't it, year over

69:35

year?

69:36

Year over year, and more than half

69:39

have either low normal or low levels.

69:43

I've never seen anything like it. I've

69:45

been measuring testosterone levels in my

69:47

patients forever.

69:50

And we're poisoning them.

69:52

There's an app I like called Think

69:54

Dirty. It's not what you think it is. It

69:57

allows you to scan your personal

69:58

products, and it tells you on a scale of

70:01

1 to 10 how quickly they're killing you.

70:04

So, for example, I have shaved with

70:06

Barbasol

70:08

for 50 years. And when I learned this

70:11

decade ago,

70:12

um

70:13

I like scanned it.

70:16

One is good, 10 is kill you early. It

70:19

was a nine. And I was horrified.

70:21

Because the parabens and phthalates are

70:25

known hormone disruptors. So, now I

70:28

shave with something called Kiss My

70:30

Face. It's a two.

70:31

Last longer than Barbasol.

70:34

And I do that because I love myself. I

70:37

mean, why would I poison myself unless I

70:39

was not that smart?

70:41

And so, just start reading

70:44

the labels of your toothpaste, of your

70:48

deodorant, of your shampoo, of your body

70:50

wash, of

70:52

your makeup. And what am I looking for?

70:54

Cuz if I read the labels of my

70:56

toothpaste,

70:58

I mean, I wouldn't know if it was good

70:59

or bad. So, you can scan it.

71:02

Scan it with the app. Or EWG, the

71:05

Environmental Working Group, has an app

71:06

similar to that. You just educate

71:10

yourself because it's not just about

71:13

you.

71:14

It's about generations

71:16

of you because the health of your body

71:22

matters when it comes to what babies you

71:24

may make.

71:27

Okay.

71:29

M is mental health.

71:31

Um believe every stupid thing you think.

71:35

Be masterful. You want to damage your

71:37

brain? Be masterful at predicting the

71:40

worst and then making it worse.

71:42

Um How does that have a bad impact in

71:44

the brain?

71:45

Negativity increases stress. Plus,

71:48

negativity drops activity in your

71:50

cerebellum. So, we talked a little bit

71:52

about the CEO, the prefrontal cortex.

71:56

Well, it's intimately connected to the

71:58

processing part of your brain, your

72:00

cerebellum. It's about 10% of the

72:02

brain's volume, but has half the brain's

72:05

neurons.

72:06

And negativity tends to deactivate it.

72:09

So, it actually makes you more confused.

72:12

So, if you think of an athletic slump,

72:15

they're focused on I'm going to miss,

72:17

I'm going to miss, and of course they

72:19

miss.

72:21

Um

72:21

the second I is immunity and infections.

72:25

Um so much to talk about with the

72:27

pandemic,

72:28

but people who have low vitamin D levels

72:32

are much more likely to die from COVID.

72:36

They're actually much more likely to die

72:37

from virtually anything. Low vitamin D,

72:41

which occurs in about 60% of the

72:44

population,

72:45

is associated virtually with every bad

72:47

thing, including a smaller brain. So, if

72:50

you want to have a smaller brain, never

72:52

go in the sun, never test your vitamin D

72:57

level, and never take a supplement.

72:59

Brand new study out just last week,

73:01

people who take a vitamin D supplement

73:03

have 40% decreased risk of getting

73:07

Alzheimer's disease.

73:10

How How do they

73:10

How simple is that? How do they

73:12

establish like causation in these

73:14

studies where you one would also assume

73:16

that people that take vitamin D

73:17

supplements have like, you know, a

73:18

general

73:19

So, this was a prospective study

73:21

where they gave half the group vitamin D

73:26

and then they followed them. It's a

73:28

fascinating study.

73:31

But, there are tens of thousands of

73:34

study on vitamin D and its impact. And

73:38

the darker your skin, the more sun you

73:43

need. So,

73:45

an interesting study from the Bahamas,

73:47

they looked at people who were raised in

73:50

the Bahamas who then migrated to the

73:53

United Kingdom. So, healthy vitamin D to

73:57

no vitamin D because of the weather.

74:00

Botswana to UK.

74:01

So, from Botswana, and the incidence of

74:03

psychosis went up. Interesting. So, and

74:07

how simple is it? It's a blood test. Get

74:10

your vitamin D measured. Everybody

74:13

listening to this, you should know it

74:16

like you know your BMI, like you know

74:18

your blood pressure, and optimize it.

74:22

Either get in the sun more if you can,

74:24

or take vitamin D3 with vitamin K2. I

74:29

mean, it's super simple. And I mean,

74:33

it's like

74:34

that's easy. That's something you can do

74:36

right away. Um

74:40

If I wanted to mess up my immunity,

74:44

I would

74:45

encourage myself to have leaky gut. So,

74:48

I'd encourage myself to damage the

74:51

lining of my gut with antibiotics and

74:56

alcohol and pesticide-laden

74:59

foods

75:00

um and I wouldn't eat any fiber. So, I

75:04

would really lean into the standard

75:08

American

75:09

diet.

75:11

Going back to your point about

75:12

environmental toxins, I've always

75:14

wondered if it was like pseudo-science

75:16

that cosmetic products we have in our

75:18

house are having an impact on our

75:21

hormone levels. You were talking about

75:22

hormone levels there. My my partner has

75:24

always said to me things like be careful

75:26

with what's in that toothpaste, Steve,

75:27

or she'll look at products that I have

75:29

and go, "Nope." Or, "Yes." I'm like,

75:31

"Where's the science?" We talked about

75:33

testosterone and

75:35

The science is huge.

75:37

There's a wonderful book. So, if you

75:39

ever If If you want to get rid of the

75:42

doubt,

75:43

it's called The Toxin Solution by Joe

75:46

Pizzorno, who started Bastyr University.

75:50

He's one of the most

75:51

well-respected naturopaths in the world.

75:55

Now, if you want a shortened version,

75:56

read my book, The End of Mental Illness,

75:59

cuz there's a whole section on toxins

76:01

with about 100 scientific

76:04

references. So, you don't want toxins.

76:08

And And you don't want to think it's

76:09

pseudo-science unless you've actually

76:13

gone to pubmed.gov

76:16

and studied it. So many people called my

76:19

work pseudo-science, and I'm like, "Go

76:21

to pubmed.gov today. You'll see I've

76:24

published 80 studies. And oh, by the

76:26

way, there 15,000 studies on SPECT." So,

76:31

The Oh, I don't know.

76:32

a fan of your sweetheart. Yeah. She I

76:36

She always seems to be right about

76:37

everything. I seem to I

76:40

I'm pessimistic on my way in.

76:43

And then God, this doesn't sound so

76:44

great, but what she says registers and

76:47

then I speak to an expert and they go,

76:48

"Your girlfriend is right." That is the

76:50

story of my life.

76:52

So, she's just a little bit And I'll say

76:53

to her I'll I'll leave this podcast now

76:55

and I'll

76:58

I spoke to him and he said the stuff you

76:59

said about all the cosmetic products I

77:00

use is right." And she'll she'll she

77:01

won't care. She'll go, "Yeah, I know."

77:03

That happens literally every week, like

77:05

three or four times a week. One of the

77:06

things I read in terms of

77:08

cuz the impact of cosmetics on our

77:10

hormone levels was that over the last 20

77:13

years our testosterone levels have

77:14

declined by about 50% on average, which

77:17

is absolutely terrifying. Terrifying. I

77:19

have a lot of friends who are

77:21

in I have a staggering amount of friends

77:24

and people that I know that are in

77:26

sexless relationships and are struggling

77:27

with

77:29

sex and other hormone-related issues.

77:31

I've got a friend that is um

77:34

had a a a challenge with

77:37

It's PCOS?

77:38

PCOS.

77:39

PCOS. Polycystic ovarian syndrome.

77:42

And I just

77:44

have a suspicion

77:46

that it's not nature

77:48

that's causing some of these issues. So,

77:50

when I hear about how the cosmetic

77:52

products we have in our life are

77:54

influencing our hormone levels,

77:56

I go, "Maybe this is the

77:58

maybe this is the guy that's

78:01

stitching us up."

78:01

It's worth making sure someone does an

78:03

ultrasound on her ovaries to see if

78:06

that's in fact the case,

78:08

but uh I have a funny story on PCOS.

78:11

When I first met my wife, um

78:16

she wouldn't attach.

78:18

Um it was more like she was the guy and

78:22

we'd make love and I want to cuddle and

78:23

she's like, "Okay, done."

78:26

And I could

78:27

I'm like I loved her and she'd come and

78:31

she'd go and she's like just make me

78:33

crazy. And then um

78:36

I took her

78:38

to

78:39

our our first fight

78:41

was on the dog we were going to get.

78:43

So,

78:45

I wanted like a King Charles Cavalier. I

78:47

wanted like a lap dog, something cute,

78:49

something I could just have fun with.

78:52

And she wanted a mastiff.

78:56

Or she want she wanted some killer dog.

78:58

And I'm no, it's just not me. And so we

79:02

got into a fight about that. Anyways, I

79:05

get her to see a hormone specialist

79:09

and she diagnoses her with PCOS. And it

79:13

just made such sense. And what she did

79:15

is an ultrasound of our ovaries. They

79:18

were like loaded with these little

79:21

cysts.

79:22

And she treated the PCOS. And so PCOS

79:26

women's testosterone levels tend to be

79:30

higher.

79:31

And their blood sugar tends to be

79:34

higher. And they have more problems

79:36

committing.

79:37

So, she fixes it. And then Tana becomes

79:40

like committed. I love this. But then

79:43

she calls me at work one day and she

79:46

said,

79:47

"I found this pocket poodle in Northern

79:50

California

79:53

that's like 2 lb and I'm like, who are

79:57

you?

79:58

It's like, change your hormones, change

80:00

your dog.

80:02

Do you do you recommend that we check

80:04

our hormone levels frequently? Every

80:06

year. Every year? Every year.

80:08

DHEA, testosterone, thyroid,

80:12

um

80:13

estrogen and progesterone for women

80:16

every year. Because

80:19

for women

80:21

their progesterone drops about 10 years

80:24

before they go into menopause.

80:26

Progesterone's the natural

80:29

anti-anxiety hormone. And when it drops,

80:33

all of a sudden a woman's 40 and she

80:35

can't sleep.

80:36

And she's more anxious, and she's more

80:39

irritable, and it's causing relationship

80:41

problems, and she goes to the doctor and

80:42

gets a prescription for Ambien, for

80:44

Xanax, and for Lexapro. And oh, by the

80:48

way, she's drinking more or using more

80:50

marijuana, and she doesn't know why.

80:53

And you just it's easier to replace the

80:56

progesterone than to deal with all those

81:00

other strategies that help you feel

81:02

better now, but not later. Is that Is

81:04

that what they call perimenopause?

81:06

Per- um it's earlier than that. Yeah,

81:08

perimenopause is sort of for most women

81:10

in like late 40s.

81:13

Um

81:14

Hormones are so important. And if your

81:17

hormones aren't right, your brain isn't

81:19

right. One of the things I talk about in

81:21

the book is that women have a higher

81:24

incidence of Alzheimer's disease. Now,

81:27

part because they live longer than men,

81:29

because they make better decisions.

81:32

Um

81:32

but

81:34

a man's brain is used to not having

81:38

estrogen, right? It's been raised

81:40

primarily on testosterone.

81:44

A woman's brain is used to having

81:46

estrogen. So, when she goes through

81:47

menopause and doesn't have estrogen,

81:50

blood flow in her brain drops, and it

81:54

puts her at greater risk for

81:57

things like dementia. And so, I'm a big

82:00

believer in, you know, the reason your

82:03

hormones drop with age. It's the

82:05

planet's way of eliminating you.

82:08

And I'm not okay with that. I want to

82:11

stick around as long as I can, and so

82:14

hormone replacement can be super helpful

82:17

for people who need it.

82:19

As you might know, the show's now

82:20

sponsored by Airbnb. Absolutely love

82:22

Airbnb, always have, always been a, you

82:24

know, saved my life on so many

82:25

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82:27

got in touch with Airbnb we were talking

82:28

about how most people don't realize that

82:31

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82:33

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82:35

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82:37

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82:39

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82:41

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82:43

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82:44

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82:46

York whenever I left New York, my place

82:48

was on Airbnb and people rented it out

82:49

sometimes for a day, sometimes for two

82:51

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82:53

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82:54

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82:55

looking to go on holiday or you just

82:57

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82:59

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83:00

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83:07

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83:10

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83:11

I suspect it might blow your mind cuz it

83:13

certainly blew mine.

83:15

When I was researching you, I I read

83:17

that you've dealt with patients who have

83:19

chronic difficulty with sleep

83:22

several times in your career.

83:23

Um I've got a lot of friends that

83:26

I always talk about I've got a lot of

83:27

friends. Got a lot of friends uh that

83:29

have struggled with sleep. Um

83:32

often difficult to know what to say to

83:33

them to give them advice.

83:35

What would you recommend in terms of

83:37

improving sleep? And I was quite curious

83:40

cuz I read about your

83:41

hypnosis and hypnotherapy treatment

83:44

which seemed to be quite effective in

83:46

helping people that were struggling with

83:47

sleep. But what would you say to someone

83:48

that struggle with sleep? It's three

83:50

things.

83:51

Sleep envy, don't care about it. Avoid

83:54

things that hurt your sleep and do

83:56

things that promote it. So what hurts

83:59

sleep? And most people know, caffeine.

84:01

Can

84:02

you know, if you have it in the morning,

84:04

it's still in your body at night. And so

84:07

know how you metabolize it.

84:10

Um

84:11

if you're having trouble sleeping, I'd

84:12

kill it. And just see if it has a

84:15

positive impact.

84:18

Um

84:20

a warm room impairs sleep.

84:23

A noisy room, a room with light, they

84:27

all impair sleep. Blue light. So, having

84:31

blue light in your eyes

84:35

after dark impairs melatonin production.

84:40

What about glucose increases in food?

84:42

I'm sorry?

84:43

If I eat before bed.

84:45

You become a non-dipper,

84:47

which is so interesting.

84:50

That if you

84:52

don't eat 3 hours before you go to sleep

84:56

right at sleep, your blood pressure will

84:59

drop as as you go to sleep. If you eat

85:02

right before bed, your blood pressure

85:04

won't dip, won't drop, which puts you at

85:08

a higher risk for heart attack and

85:10

stroke, because it's putting more

85:12

pressure on your blood vessels, and

85:15

trust me, you don't want a heart attack,

85:17

and you don't want a stroke. So,

85:19

whatever you can do to keep your blood

85:21

pressure healthy. And that's sort of a

85:24

simple thing. People who eat before bed

85:26

generally have the habit of doing it,

85:30

which is why I'm a huge fan of

85:32

intermittent fasting, because, you know,

85:34

if you have dinner at 6:00, you won't

85:36

eat again until 10:00 in the next

85:38

morning. But what that really means is

85:40

you won't be eating right before bed.

85:43

Um so, and then things to help sleep.

85:47

Talked about what not to do, what to do.

85:50

Every night when I go to bed, I think

85:53

rituals are wonderful.

85:56

So,

85:57

um

85:58

I say a prayer.

86:00

And then I go, what went well today? And

86:03

I've been doing this for a decade.

86:06

And it's a treasure hunt now. I'm like

86:09

on a mission to find what I liked about

86:13

my day. And so, I start in the morning

86:16

when I woke up and I just go hour by

86:20

hour looking

86:23

for what I liked about the day. And

86:26

usually by early afternoon I'm asleep,

86:28

you know, as I'm going through my

86:29

timeline.

86:32

But I'm busy. And so often awesome

86:35

things will happen and I just sort of

86:38

gloss over them. So it's a time to

86:40

consolidate,

86:42

that's what sleep does, consolidates

86:44

memories. But now I'm focused on

86:46

positive things which set my dreams up

86:49

to be more positive. And people who do

86:52

that for just

86:54

3 weeks

86:57

increase their level of happiness. How

87:00

simple is that?

87:02

It's amazing. You you wrote a book about

87:04

the subject of happiness in 2020. Um

87:06

it's called You, Happier, the seven

87:08

neuroscience secrets of a feeling good

87:10

based on your brain type.

87:12

Now the concept of having a brain type I

87:14

find really compelling. You talk about

87:15

it in this book as well. The idea that

87:17

we have different brain types. Um why

87:20

does it matter to know what brain type I

87:22

have?

87:23

And what are the brain types?

87:25

There's

87:26

There's 16. There's five primary types,

87:29

balanced,

87:30

spontaneous, Yeah.

87:33

persistent, sensitive, and cautious.

87:37

Why do you want to know? Because they're

87:38

going to tell you where you're going to

87:40

suffer.

87:41

And if you know your type and the type

87:45

of your parent of your partner or the

87:48

type of your children, you'll actually

87:50

be able to work on happiness in the

87:53

relationship better.

87:55

And so for example, the balanced person

87:59

really has a pretty healthy brain and

88:00

they tend to be pretty even. And they

88:03

just basically need they need basic

88:06

foundational support.

88:07

You will know that person. I know I know

88:10

know of those people that have a

88:11

seemingly balanced brain. Yeah. And then

88:13

there are the spontaneous people and

88:15

probably know a lot of them as well.

88:17

They are spontaneous, they're creative,

88:20

they're out-of-the-box thinkers. Um

88:24

they also tend to be impulsive, easily

88:26

distracted, disorganized, they tend to

88:29

be late. And they love novelty.

88:34

And they love surprises. Entrepreneurs?

88:38

They're often entrepreneurs.

88:40

And they often marry the persistent

88:44

type. Which is type three. Which is type

88:47

three.

88:48

Which they're like a dog with a bone,

88:52

they stay with stuff.

88:54

Um they're on time, they hate surprises,

88:58

they like ritual, they like routine,

89:01

it's safe for them.

89:03

And so throw them a surprise party

89:07

and they'll be unhappy. They they it

89:09

won't be joyful for them, it will be

89:12

stressful

89:14

for them. The pandemic was really hard

89:18

on the spontaneous people because

89:21

they're often extroverts, where the

89:23

persistent people tend more to be

89:25

introverts and they sort of liked not

89:27

having to deal with a lot of other

89:29

unpredictable

89:31

people. In that way, is the phrase that

89:33

opposites attract quite true? Because

89:36

someone that's a bit spontaneous and

89:37

maybe an entertainer and entrepreneur

89:38

goes for someone who's a bit more

89:40

controlled and rigid and likes a

89:42

schedule. You see it in relationships,

89:44

you see one partner that's typically

89:46

doesn't care about planning the holiday

89:48

and the other person who's done the

89:49

itinerary perfectly and they make for a

89:52

good team.

89:53

They they do initially. Initially.

89:55

And then they fight. Oh. Because the

89:58

persistent person can hold grudges, the

90:01

spontaneous person can say things that

90:04

hurt their feelings and they end up

90:06

seeing me. In fact, I did a study called

90:09

the Couples from Hell study, where I

90:12

scanned 500 couples who failed marital

90:15

therapy, but still wanted to be

90:17

together. And 80% of them, the scan

90:20

showed one or both of them needed a

90:23

tune-up in their brain. In my first

90:26

case, which I still remember, um

90:29

Gary and Judy, um

90:31

and a

90:33

I initially hated them because I knew I

90:35

wasn't going to help them. They brought

90:37

their kids to me. One kid got better,

90:39

the other one didn't. I saw the other

90:40

kid, and I realized he's not getting

90:41

better cuz mom and dad hate each other.

90:43

So, I'm like, I want to see you guys in

90:46

marital therapy. And they said, "Dr.

90:48

Amen, we really like you. We don't do

90:51

well in marital therapy. We tried four

90:54

times, and it always makes us worse."

90:56

And in my head, this was my own

90:59

grandiose thinking, and I'm like, well,

91:01

maybe they just hadn't seen anybody

91:03

really good.

91:04

So, I saw them, and on their first

91:07

visit, they sat on the opposite end of

91:09

each couch.

91:10

It's a bad sign in marital therapy.

91:14

And after about 3 months, I know I'm not

91:17

going to help them. She has a PhD in

91:19

grudge holding. And he's always late,

91:23

says awful, impulsive, stupid things.

91:26

And I'm like, at

91:28

the end of 6 months, I start getting

91:30

physical stress symptoms cuz I hate

91:32

being ineffective. I hate that. And 9

91:35

months, I'm in my shower

91:39

getting ready to come to work, and I

91:40

realize they're on my schedule, and my

91:42

stomach starts to hurt.

91:44

I'm like, today I'm going to tell them

91:45

to get divorced cuz it's not good for

91:47

children to be in a home of chronic

91:49

conflict. But I grew up Roman Catholic,

91:52

and the idea of divorce, especially 30

91:54

years ago, was awful.

91:56

And the voice, the Catholic voice,

91:58

visited me and said, "Oh, great, because

92:01

you're not a good enough therapist,

92:03

they're going to get divorced and go to

92:05

hell."

92:06

I looked at the water faucet and went,

92:09

"How much therapy does this take to get

92:11

over?" And I got out of the shower,

92:12

called my friend who owned the imaging

92:14

center. I said, "Hey Jack, will you give

92:15

me two scans for the price of one?"

92:18

And he's like, "Why?" I said, "Jack, I

92:20

have this couple and they're not getting

92:22

better and it's making me crazy. I want

92:25

to see their brain."

92:27

And he's like, "We could start a

92:29

business and call it brainmatch.com."

92:33

Anyways, they got scanned. Her frontal

92:36

lobes worked way too hard, just like my

92:37

dad.

92:39

He had sleepy frontal lobes and I'm

92:41

like, "How did you miss this?" He has

92:42

ADD, she has OCD tendencies. I put him

92:46

on Ritalin, I put her on Prozac. I just

92:49

read an article, if you believe in

92:50

random chance, the night before

92:53

that Prozac calms down the cingulate

92:54

gyrus.

92:56

And

92:57

they were fascinated and engaged by the

93:00

brain, cuz they knew

93:02

it wasn't working.

93:04

They took the medicine. I told them I

93:06

didn't want to see them for a month, cuz

93:07

I was tired and I wanted them to have

93:10

medicine to work.

93:11

When they came back,

93:13

they sat on the same couch. He had his

93:16

hand on her leg.

93:17

That's a good sign

93:19

in marital therapy.

93:22

And 33 years later, they're still

93:24

married.

93:25

Wow.

93:27

And they don't see therapists

93:29

because they learned what they needed to

93:31

learn.

93:32

Like responsibility and empathy and

93:35

listening and assertiveness and noticing

93:37

what you like more than what you don't

93:39

like, grace and forgiveness. They

93:41

learned it.

93:42

And their brains could process it,

93:45

right? Go back to hardware, fix the

93:47

hardware,

93:48

the software's more likely to take it.

93:50

I I read that you'd you had a divorce

93:53

age 47 and you made a remark that you

93:55

wouldn't get married again unless you

93:57

got to scan your partner's brain.

94:00

It's absolutely true.

94:01

There's no way

94:03

I would marry someone unless I saw their

94:05

brain. It's more important than seeing

94:08

them naked.

94:10

And um

94:12

I met Tana January 1st, 2006.

94:17

And her first scan was January

94:21

24th.

94:22

You scanned her the same month. I

94:24

scanned her I'm I liked her. I liked her

94:26

a lot. And she's she's a neurosurgical

94:30

ICU nurse, so we sort of bonded over the

94:32

brain a little bit, but she said it was

94:36

one of the best lines that I want to see

94:39

your naked brain.

94:41

So, I don't think I actually phrased it

94:42

like that, but that's the story she

94:44

tells. Is there a really

94:47

clear correlation between

94:49

When you think if you were to be a

94:51

matchmaker professionally, you know, if

94:53

that was if you pivoted to the

94:55

matchmaking industry,

94:57

what You talked about the five types of

94:59

brain. What types of brain would you try

95:01

and pair together? Because if type two,

95:03

the spontaneous, doesn't work with the

95:05

persistent because they end up arguing,

95:07

is there a pairing sequence that

95:10

results in an optimal marriage or

95:12

relationship retention? So, balanced

95:14

brains tend to do really well.

95:16

They do, don't they?

95:17

With balanced brains.

95:18

I was thinking about

95:19

Spontaneous brains,

95:21

they need someone that just keeps their

95:24

dopamine

95:25

flowing cuz they have lower dopamine

95:28

levels. So, often getting their ADD

95:31

treated, that will help. Get them on a

95:33

ketogenic diet, which helps steady

95:36

their dopamine levels. That can be

95:39

helpful. I think I'm a spontaneous.

95:41

I'm sorry. I think I'm a spontaneous.

95:43

We'll see.

95:45

Um

95:45

the persistent types um tend to struggle

95:51

because it's the my way or the highway

95:54

part.

95:56

Um

95:57

the cautious persistent types tend to do

96:00

really well because they're anxious

96:01

enough that they're thinking about other

96:04

people's feelings. Uh

96:07

I think we we missed So

96:09

we got to three, didn't we? We got to

96:10

number three, which was the persistent.

96:13

Right. Number four is sensitive.

96:15

Sensitive. Which is

96:16

So they're deeply empathetic often. Um

96:21

insightful, intuitive,

96:24

and uh can be empaths,

96:27

uh but they tend to be prone to

96:29

depression.

96:30

And so they have a lot of ants running

96:33

around unless they discipline them. They

96:35

make great therapists. Um Do they have

96:39

high levels of stress?

96:41

No, that's the cautious type. Which is

96:43

number four five.

96:44

Five, yeah.

96:45

They are loaded with the fortune-telling

96:48

ant. They

96:50

um often will get involved with these

96:51

conspiracy theories. Unfortunately, some

96:54

of the conspiracy theories tended to be

96:56

true. But that's really hard. Like, you

96:58

know, I'm a psychiatrist for 40 years,

97:00

and someone comes in my office and goes,

97:02

"The NSA is listening to my phone."

97:04

And I, you know, I'm thinking

97:05

schizophrenia, do I need drugs? And it's

97:08

like, "No, the NSA is listening to their

97:10

phone calls."

97:13

So it's been an interesting time for a

97:16

psychiatrist, but it's the predicting

97:20

the worst. And I tell my patients, "The

97:22

only people who should really predict

97:24

the worst are contract lawyers." I mean,

97:26

they should protect you from what bad

97:27

things are going to happen. Other than

97:30

that, um you want to predict what's

97:33

going to go right.

97:36

So if I am a spont- spontaneous, which

97:39

of those five brain types, the balanced,

97:41

the spontaneous, the persistent, the

97:42

sensitive, the cautious, should I

97:45

marry?

97:47

Balanced. Okay. You want Now, if you're

97:51

a CEO, Mhm.

97:53

you want a persistent

97:56

you a persistent, cautious type, so

97:58

that's

98:00

that's type 11.

98:03

to manage you. This is a really

98:05

important point. If you are business

98:08

leader and you tend to be spontaneous,

98:11

do not have a spontaneous assistant

98:15

because it'll stress you out and stuff

98:17

won't get done and the IRS will come

98:19

knock on your door. Um

98:23

because you're not going to be filling

98:25

out the paperwork. Right.

98:27

It's really important. You need to know

98:30

your strengths, know your

98:32

vulnerabilities,

98:34

and hire

98:36

to cover your vulnerabilities.

98:39

Too many spontaneous people hire people

98:42

they like that are like them,

98:45

which leads to stress and chaos.

98:50

Mhm.

98:52

That's very true.

98:54

In all of my businesses, I've always

98:55

found managing directors who are

98:57

calmer, more organized, more risk aware

99:02

individuals, and it's always worked

99:03

really well because I tend to be

99:05

very risk um very prone to taking risks,

99:09

and

99:10

l-

99:11

my default position, which I've had to

99:13

learn, so I've had to sort of

99:15

become self-aware and counteract it, is

99:17

to pursue multiple things at once.

99:20

So, I have to have this ongoing

99:21

conversation with my brain to say,

99:24

"Focus.

99:25

You you you you your better self, your

99:27

wisdom knows that focus is your biggest

99:29

um pitfall, so well, a lack of focus is

99:31

your biggest pitfall." And I guess that

99:32

kind of brings me to another point,

99:33

which was this idea you touched on

99:35

earlier on about disassociating from

99:37

your brain.

99:39

I.e., giving your brain a name, as you

99:40

call it in your book, so that you can

99:42

have a conversation with it.

99:44

That sounds like a funny thing to do. If

99:46

I call my brain I'm going to give my

99:47

brain a name. My brain is now called

99:49

I'm going to call it Daniel.

99:51

So, there's Steven

99:52

who is me

99:53

and there's Daniel

99:55

who is me.

99:57

But, my Daniel is my brain and I am

100:00

Steven. And what is the upside in

100:02

creating the separation? Psychological

100:04

distance from the noise

100:07

in your head. So, you don't attach

100:10

to it. So, if it's Daniel

100:13

then you can accept

100:15

what he says or you can reject it.

100:19

Okay. So, when I first heard about this

100:22

from Steven Hayes

100:25

I'm like, "What would I give my name?"

100:27

And I named myself after my pet raccoon

100:30

when I was 16.

100:33

And like my mind Hermie was a [ __ ]

100:36

stirrer. She TP'd my mother's bathroom.

100:40

She ate all the fish out of my sister's

100:42

aquarium. She'd leave raccoon poo in my

100:45

shoes. She's I loved her. I loved me.

100:49

But, my mind is a troublemaker. It'll

100:51

like conjure up all sorts of negative

100:54

scenarios. So, if I separate from it I

100:59

can put Hermie metaphorically in her

101:00

cage.

101:02

And now what I do cuz I love her is I

101:06

put her on her back and I'll tickle her.

101:09

Or I'll cuddle her. I'm like, "It's

101:11

going to be all right."

101:13

You don't have to believe every stupid

101:14

thing you think. Yes, we are going to

101:17

die, but we're not going to die today.

101:21

You know, when you can live in the

101:23

presence

101:25

by managing your thoughts by not

101:29

attaching

101:30

to them, by separating from them, that's

101:34

where peace lives. That's where

101:36

happiness lives when you can sort of

101:38

step outside and just go, "You know, I'm

101:42

not my thoughts."

101:43

My thoughts might come from my dad's

101:46

generation. May have been some of his

101:48

trauma. Or it might come from the voice

101:53

of my mom and dad

101:55

growing up or the voice of the priest or

101:57

my siblings or the music I listened to,

102:01

you know? And just because you have a

102:03

thought has nothing to do with whether

102:06

or not it's true or whether or not it's

102:09

helpful. The brain is a sneaky organ. We

102:13

all have weird, crazy, stupid, sexual,

102:17

violent thoughts that nobody should ever

102:18

hear. I tell my patients this all the

102:21

time. One of my patients goes, "Oh, I

102:24

had an indecent thought about my teenage

102:28

daughter's friend. I'm a pedophile."

102:32

And I'm like, "That's a big leap." Did

102:35

you like climb in bed with her? Did you

102:38

make plans to talk to No, no, none of

102:41

that. I'm like, "Dude, you're not a

102:43

pedophile.

102:44

It's just your brain playing tricks on

102:48

you. Just because you have that thought,

102:51

well, a whole bunch of people have that

102:53

thought, but they don't do anything

102:56

about the thought."

102:59

But people don't understand that

103:02

thoughts are just creations of neuronal

103:05

function and your frontal lobe should

103:08

evaluate. This is a helpful thought. I

103:11

should pursue this thought.

103:13

Stay away from this thought.

103:16

This thought doesn't fit

103:18

my goals.

103:21

If I am a spont- spontaneous brain type,

103:23

then is there anything I can do without

103:24

drugs to become

103:26

a balanced

103:28

brain type? So, first thing, one page

103:30

miracle.

103:31

Write it out. It's an exercise in the

103:33

book. What do you want?

103:37

Just like the CEO of a company, you have

103:39

a business plan and you have quarterly

103:41

goals. Write it out. What do you want

103:45

in your relationships,

103:47

in your work, in your money, in your

103:50

physical, emotional, spiritual health.

103:53

Why write it down? Because you're

103:54

telling your brain what you want. And

103:58

then every day, you sort of know what

104:02

what it is. I mean, you memorize that

104:04

thing.

104:05

And then each decision you make, you ask

104:07

yourself, does it fit? Does my behavior

104:13

fit the goals I have for my life?

104:17

And so, what you're doing is you're

104:19

activating

104:21

your prefrontal cortex. So, the part of

104:24

your brain

104:25

that if you really are spontaneous,

104:26

that's the sleepy part of your brain.

104:29

So, the first thing is intention.

104:33

Have a business plan or have a plan for

104:36

your life.

104:38

The second thing, you have to make sleep

104:40

a priority. Because if you tend to be

104:42

spontaneous, that goes way up when you

104:45

haven't slept. That also goes way up

104:48

when your blood sugar is low. So, it's

104:51

not just high blood sugar is the

104:53

problem, it's often low blood sugar is

104:56

the problem. One of my celebrities who

104:58

kept getting arrested and in trouble, I

105:01

did a fasting blood sugar on him was 49.

105:04

It was way too low. He had hypoglycemia.

105:07

And when I got him to eat four or five

105:08

times a day,

105:10

he never got arrested again. So, make

105:14

sure your diet's right. And my

105:16

spontaneous people tend to do really

105:19

well on ketogenic diets or low simple

105:24

carbohydrate diets. Now, that diet will

105:27

make the persistent type crazy because

105:30

that's a focused diet where

105:33

if you put someone who

105:35

can't stop thinking on a focused diet,

105:37

they think more on the things that

105:39

bother them. So, the diet really depends

105:41

on the type, which we talk about

105:44

in the book. Exercise, intense aerobic

105:47

exercise boost dopamine. And there's

105:50

some simple supplements like L-tyrosine

105:53

or I make something called Focus and

105:55

Energy that's got ashwagandha, ginseng,

105:59

rhodiola, and choline. Things that help

106:02

you focus, but don't amp you.

106:08

Okay, Daniel. So,

106:10

we have a new tradition on this podcast.

106:12

At the end of The Diary of a CEO

106:14

episodes, we ask all of our guests to

106:16

write a question and to put it into the

106:18

book

106:20

The Diary of a CEO. So, you will be

106:22

asked to do the same

106:23

just before you leave. Um, but recently

106:25

what we've done because we understand

106:26

that these conversations foster a sense

106:29

of connection in people because they're

106:30

a little bit more vulnerable than your

106:31

usual conversations and we believe that

106:33

that's the door to connection is we've

106:34

turned some of the questions in this

106:36

book into cards that people can play at

106:38

home. This is a brand new thing we've

106:40

done. So, on here, these are various

106:42

cards that have been written by previous

106:44

guests on the show. If you scan the QR

106:45

code on the back, it takes you to um a

106:48

video of the person who answered it to

106:49

the person that came after them. And

106:51

then on the front, you can see the

106:52

question they've asked with their name

106:54

on it.

106:55

I'm going to lay these cards in front of

106:56

you. I want you to just pick one at

106:57

random. I've just selected some for you.

107:00

Um

107:01

out of the full

107:02

almost I think there's about 70 or odd

107:04

questions in here. I've picked 10.

107:06

So, just pick one at random and I'll ask

107:08

you to answer the question that you

107:10

pick. Is that okay? Sure? You're up for

107:12

it? Cool.

107:18

Who's going for the first one?

107:20

What is one mistake that you have made

107:25

that you have been scared

107:27

to address

107:30

or reconcile?

107:35

You want me to answer that?

107:37

Question, what is one mistake

107:40

that I've made

107:43

that I have been scared to address or

107:46

reconcile.

107:51

That I don't like firing people.

107:54

That it's really hard.

107:57

And

107:59

I came to realize if I don't do it, I

108:01

should fire myself.

108:03

But

108:05

that's the one thing. It's like, why did

108:08

I hold on to that for so

108:11

long?

108:20

It's It's that

108:21

when you have the no [ __ ] rule

108:24

firing people's really harder.

108:27

But yet, I've come to realize

108:31

um

108:34

that it's an essential skill to prune.

108:37

Cuz if you're a CEO, you're like a

108:39

gardener.

108:41

But it it taps into something about me

108:44

being bad

108:46

that I don't like.

108:50

What brain type have you got?

108:53

I'm a balanced type.

108:55

And my vulnerabilities, cuz we all have

108:57

wings, are vulnerabilities, persistent

109:00

and cautious. Okay.

109:03

Can I ask you to pick one more card?

109:14

Who is the person

109:16

you'd most like to say sorry to

109:22

but haven't?

109:35

And I've thought about this. My dad died

109:37

3 years ago.

109:42

And I was so mad at him.

109:47

And would be pretty vocal about how mad

109:50

I was

109:51

of him.

109:54

But when you focus that

109:57

you don't see

110:00

all the good things that happened. I had

110:04

said that my A score was one

110:08

and my wife's an eight.

110:10

He provided

110:14

a level

110:16

of stability

110:19

that I didn't appreciate.

110:21

And so

110:24

he knew the last 5 years that I loved

110:27

him. And we spent a lot of time

110:29

together.

110:30

But I think I would apologize

110:33

to him for holding on to the negativity.

110:37

And that's exactly why we created these

110:39

cards. If you want to get your own

110:40

conversation cards, go to the

110:41

conversationcards.com. That is

110:43

theconversationcards.com.

110:45

And I hope everybody everywhere gets

110:47

their hands on them. I think the world

110:48

would be a better place if we're all a

110:49

little bit more vulnerable with each

110:50

other because that very much is the door

110:52

to connection. Back to the episode.

110:54

Okay, so the question that's been left

110:55

for you in the diary from our previous

110:57

guest is

111:00

what topic is no one talking about now

111:04

that historians will study in the

111:07

future?

111:09

Well, from my perspective, it's the

111:11

insanity

111:13

of the mental health industry that is

111:16

destroying

111:18

the mental health of America. Making

111:21

diagnoses based on symptom clusters with

111:23

no biological data, then drugging

111:26

people. Last year, there 337 million

111:29

prescriptions for antidepressants.

111:32

27%

111:33

of all doctor visits, no matter the

111:36

specialty, 27% someone's leaving with a

111:39

prescription for benzodiazepine, like

111:42

Xanax or Valium. This is an insane

111:46

time, and they call me crazy. And I'm

111:49

not crazy. They're going to be talking

111:51

about this dark period in psychiatry

111:55

for centuries to come. Jesus.

111:58

Daniel, thank you.

112:00

For me, this is very much the

112:01

culmination of so much work you've done

112:03

over a series of books and um your

112:05

life's work, so I would recommend

112:06

everybody, if they have the opportunity

112:08

to go and get it, to go and get it right

112:10

now. It is out, and it's one of those

112:11

real pivotal books that sort of turns

112:13

the lights on to something that

112:15

to a room that I didn't even know

112:16

existed, which is my brain. Um and the

112:21

the brain is obviously the computer,

112:22

it's the driving force, as you said at

112:23

the start of this conversation, of all

112:24

the decisions I get right and wrong. And

112:26

it's my duty to do everything as

112:29

that I can to love my brain. Um and

112:32

that's exactly what your book leaves me

112:33

with as a parting message, is it's this

112:35

message of loving my brain and doing

112:36

everything I can to treat it as if

112:39

um with the respect and love that it

112:41

deserves. Thank you for all of your

112:43

work. Thank you for the inspiration

112:44

you've given me, and thank you for the

112:45

the way that your work has nudged my

112:47

life and the trajectory of my life, and

112:49

therefore, as you say, the trajectory of

112:51

those that come after me's life in a

112:53

little bit more positive, healthy

112:55

direction, cuz that is not nothing. That

112:57

is significant, especially as you zoom

112:58

out. So, thank you so much, Daniel. It's

113:00

a joy to speak to you. Yeah. Thank you

113:02

so much for such a wonderful interview,

113:05

for being prepared

113:07

uh

113:08

to to help me actually go inside myself

113:11

and see how these dots connect and

113:14

helping me spread the word. Um

113:18

I'm

113:20

trying to create a revolution.

113:23

And

113:25

I need people to help. So, thank you.

113:27

Help me Thank you for helping me do

113:29

this.

113:31

I've now been a Huel drinker for about 4

113:33

years roughly. So much so that I ended

113:36

up investing in the company um and I

113:37

play a role on the board of the company,

113:39

but they also very kindly sponsor this

113:41

podcast. And to be honest, I've never

113:42

said this before, but Huel believed in

113:44

this podcast before anybody else. The

113:45

CEO Julian um

113:47

told me before we even launched the

113:48

podcast how successful it would be and

113:50

that Huel would back it. And I

113:52

absolutely have a huge amount of

113:53

gratitude for them for for that support,

113:55

but an even greater sense of gratitude

113:56

for the fact that they've helped me stay

113:58

nutritionally complete throughout the

113:59

chaos and hecticness of my tremendously

114:02

busy business schedule. So, if you

114:04

haven't tried out Huel, which I hope

114:05

most of you have at least given it a go

114:06

by now, try it out. It's an unbelievable

114:09

way to try and stay nutritionally on

114:10

course if you have a hectic busy

114:13

schedule. And let me know what you

114:14

think. Send me a tweet and a DM. Tag me.

114:16

Let me know what you think. Quick one.

114:18

As you guys know, we're lucky enough to

114:19

have Blue Jeans as a sponsor and

114:20

supporter of this podcast. For anyone

114:22

that doesn't know, Blue Jeans is an

114:23

online video conferencing tool that

114:25

allows you to have slick, fast, good

114:27

quality online meetings without any of

114:29

those glitches that you'd normally find

114:31

with other meeting online providers. You

114:34

know the ones I'm talking about. And

114:35

they have a new feature called Blue

114:36

Jeans Basic which I wanted to tell you

114:38

about. Blue Jeans Basic is essentially a

114:40

free version of their top quality video

114:42

conferencing and that means that you get

114:44

immersive video experiences. You get

114:45

that super high quality, super easy, and

114:48

zero fuss experience. And apart from

114:51

zero time limits on meetings and calls,

114:52

it also comes with high fidelity audio

114:55

and video including Dolby Voice. They

114:57

also have expertise great security so

114:58

you can collaborate with confidence.

115:01

It's so smooth that it's quite literally

115:03

changed the game for myself and my team

115:04

without compromising quality at all. So,

115:07

if you'd like to check them out, search

115:09

bluejeans.com and let me know how you

115:11

get on. DM me, tweet me, whatever works

115:13

for you.

115:14

Let me know how you find it.

Interactive Summary

Dr. Daniel Amen, a clinical neuroscientist and psychiatrist, discusses his mission to transform mental health by treating it as brain health. He emphasizes the importance of looking at the brain, the organ of behavior, through imaging to diagnose issues rather than relying solely on symptom-based diagnoses. He introduces his 'Bright Minds' framework to prevent or treat 11 major risk factors that negatively impact brain health, such as blood flow issues, trauma, and lifestyle choices, while offering practical, tiny habits for better cognitive function and long-term health.

Suggested questions

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