Unlearn Negative Thoughts & Behaviors Patterns | Dr. Alok Kanojia (Healthy Gamer)
Watch on YouTubeVideo summary
Dr. Alok Kanojia and Dr. Andrew Huberman explore how shifting focus from willpower to changing underlying tendencies can transform behavior, personality disorders, depression, and trauma without requiring constant effort or self-control. They discuss how high standards set in childhood often lead to internalizing pressure as capability rather than overwhelm, but also note that excessive emotional awareness has sometimes been hijacked by the ego for manipulation through victimhood narratives. The conversation highlights transdiagnostic factors like perfectionism and rumination that increase vulnerability to multiple mental health conditions, while emphasizing the critical decline in distress tolerance—the ability to sit with discomfort—as a key driver of rising anxiety and mood disorders today. The dialogue delves into Eastern concepts such as samskaras (lingering emotional imprints from past experiences) and sankalpa (a conscious resolve set during Yoga Nidra), which are presented not as mystical ideas but as neuroscientifically grounded mechanisms for reprogramming the subconscious mind. Dr. Kanojia explains how intense emotions focus attention like a laser, allowing traumatic associations to sink into memory, whereas calm states allow new patterns to take root. He describes Yoga Nidra as entering an edit mode of consciousness where one-pointedness enables rewriting deep-seated beliefs without relying on willpower or external validation. Practical tools for nervous system regulation are central to the discussion, including cardiac coherence breathing with specific ratios (inhale 16 seconds, hold 64 seconds, exhale 32 seconds) and alternate nostril breathing that aligns with natural autonomic rhythms observed physiologically every 90 minutes. These practices aim to induce states beyond ordinary flow or emotion—what Dr. Kanojia calls "divine" intuition experienced by elite athletes and musicians—to access deeper levels of focus for healing and transformation. The hosts also address how shared emotional experiences, such as watching a movie on a first date or walking across unstable bridges together, foster genuine connection more effectively than superficial dating app profiles that prioritize metrics like height or income unrelated to relationship success. The episode further examines societal shifts toward victimhood culture and the misuse of psychological terminology around boundaries and feelings, noting how these trends can reinforce narcissistic patterns rather than promote growth. Dr. Kanojia shares personal anecdotes about his upbringing as a gifted child in an academic environment shaped by immigrant parents who viewed medicine as destiny, illustrating how early identity formation tied to ego later complicated college performance until he found balance through gaming and eventually therapy. He also reflects on falling for someone while intending monastic life, underscoring that love arises from shared vulnerability rather than curated online personas or rigid self-improvement hacks. Ultimately, the conversation bridges ancient yogic traditions with modern neuroscience, validating practices like Yoga Nidra not as woo but as empirically sound methods supported by emerging research into autonomic function and brain plasticity. While acknowledging limitations in current science to fully explain subjective spiritual experiences like shunya or past-life memories, both hosts agree that personal exploration remains irreplaceable—even if mechanisms remain elusive for decades—because no external authority can replicate inner transformation. They conclude with encouragement to skeptics: try the tools grounded in physiology first; let evidence accumulate over time while engaging directly with practices that resonate personally, trusting that mastery comes from consistent application rather than waiting for perfect understanding before beginning.
Read the full video transcript
Everyone's focused on changing behavior.
Everyone's focused on increasing
willpower to overcome this tendency. And
it's like, why not just change the
tendency? That sounds so simple, but
that's literally what we do in
psychotherapy every day. When we come in
and someone has a narcissistic
personality disorder, this is
personality. This is who they are. And
we can psychotherapize them to be
someone else. For their natural thoughts
to change, for the way that they see the
world to change, for their behaviors to
change on its own. It doesn't require
willpower is necessary when you are
trying to not be narcissistic. It is not
necessary when you are no longer
narcissistic. So, we've done it in
psychotherapy. We know that if your
self-esteem changes, if your sense of
being changes, treatment-refractory
depression will change. Trauma, PTSD
will change. Welcome to the Huberman Lab
Podcast, where we discuss science
[music]
and science-based tools for everyday
life.
>> [music]
>> I'm Andrew Huberman, and I'm a professor
of neurobiology and ophthalmology at
Stanford School of Medicine. My guest
today is Dr. Alok Kanojia, also known as
Dr. K. Dr. K is a psychiatrist and
online mental health educator. He has a
very unique background, having trained
and earned his medical degree in the
United States, but also having studied
as a monk for 7 years. Today, we discuss
powerful tools for increasing your
self-understanding and mental health,
and for rewiring your nervous system.
Specifically, how you can unlearn
unhealthy thought patterns and behaviors
and replace them with ones that truly
serve you and those around you. Much of
today's discussion centers around
differences between Eastern and Western
concepts of things like the ego and what
makes up our self-concept. That portion
of the conversation will no doubt have
you rethinking why you do what you do in
virtually everything, and he provides a
roadmap for clearly defining your best
goals and for increasing things like
your energy and drive, not through
hacks, but by tapping into deep
intrinsic motivation. In fact,
throughout today's episode, Dr. K
explains specific practices that you can
use to help rewire your nervous system,
resolve traumas, and come to a much
clearer understanding of how best to
apply your efforts in work, school, and
relationships. We also discuss social
media, dating and relationships,
addiction and pornography. So, there are
a lot of topics covered. And I have to
say, this is a conversation unlike any
other that I've had on or off the
podcast. Dr. K offers a completely new
perspective on how to resolve common
struggles that we all face. And in doing
so, he offers a lot of practical tools.
So, this should be a very valuable
conversation for anyone wishing to
better understand themselves at the
theoretical and psychological level, but
also who wishes to implement specific
tools to improve some or all aspects of
their life. Before we begin, I'd like to
emphasize that this podcast is separate
from my teaching and research roles at
Stanford. It is, however, part of my
desire and effort to bring zero-cost to
consumer information about science and
science-related tools to the general
public. In keeping with that theme,
today's episode does include sponsors.
And now, for my discussion with Dr. Alok
Kanojia.
Dr. K, welcome. Andrew Huberman, thank
you for having me. So interested in in
you and the knowledge you you hold.
Today, we're going to talk about
a number of things. I mean, Ayurveda and
East-West medicine, motivation and
dopamine, but I want to start
with the internet. Okay. You had an
interesting upbringing, so very
different than mine, not just because of
our age difference.
But you grew up on the internet. Yeah.
And so, you really have an empathy for
people on the internet, on social media.
Now, everyone's on the internet.
What was it that drew you to screens and
that interface
with such a a of magnetism? You know, I
was like a gifted kid growing up
and I think that one of the things that
we don't really appreciate is
um how school moves at the pace of the
slowest kid.
So, school was incredibly boring for me.
Um and then I was also uh young, so I I
was a year ahead. And um so I was like
early on when I was a 5-year-old in in
first grade and I was competing against
7-year-olds like on the playground or in
in in gym class.
I sucked at sports. So, the the one
thing that I really got addicted to was
this idea of like a computer game where
like when you beat level one, like level
two is there. You know, and then if you
beat level two, like level three is
there. If you fail at level three, you
get to try level three again. So, it was
the only activity that was like
cognitively to my pacing.
Um and and so that really drew me in and
I didn't realize that until years later.
Uh you know, my parents were big fans of
putting us into school like young and if
you can skip grades, like that's great,
right? Cuz life is a race and and the
faster you finish, the better things
are.
Um but I I didn't realize how
developmentally challenging it is to be
like a 5-year-old or a 6-year-old in in
school with like 7-year-olds or
8-year-olds. So, I think that's what
originally drew me in. If you don't mind
me asking, so you
were
first-generation immigrant parents from
India.
>> Yep. Um I mean, I grew up in the South
Bay in Palo Alto, so I'm familiar with
intense academic environments.
>> Yeah. Increasingly so in the last, you
know, 10, 20 years, but even when I was
there, it was you it was intense. Did
you feel that as pressure? Absolutely. I
mean, I I I my earliest memories of are
of my grandmother telling me I'm going
to make a great doctor one day.
Um and when I was like 15 years old,
people would ask me like I'd go to like
a party, right? With my parents and
their friends and people would ask me,
"What do you want to be when you grow
up?"
And so I was like, "I'm going to be a
doctor. And everyone was like, "Wow,
impressive." You know, so my 15-year-old
brain was like
looking at this this like amazing idea
of what a doctor was. And both my
parents are doctors. My dad was an
amazing doctor.
Um
I suppose my mom is too, but my dad was
one of the seminal researchers in like
graft-versus-host disease. It's how he
landed his job at MD Anderson. So he
like came from India and like was an
oncologist.
Um and so I also remember like he used
to back then HIPAA wasn't I I think
there wasn't even a HIPAA law. So he
would have, you know, patients over to
our house and stuff like that. He would
throw a Thanksgiving party every year
where like he would invite all of his
patients, all cancer survivors and and
things like that. Um and so my my dad
was really like a mythical figure.
Uh incredibly charismatic.
And so I I was like oh yeah, I'm going
to be that.
And so it became a huge part of my ego.
Um and then it turns out that ego is not
a great way to motivate Well, it can be
a great way to motivate yourself.
Um but then I ran into trouble when I
hit college because I had never learned
how to study. So either I like absorbed
everything and did well on the test. So
I went straight from like A's to F's.
And then got addicted to video games,
failed out of college.
But your original question was Was I
into computers and and why? And that's
probably has something to do with that.
>> Well, it sounds like you were so into
computers you eventually went over the
cliff of computers with this addiction.
But I want to talk about the addiction,
but I think this is a perfect frame and
maybe we'll jump back and forth as we
move forward. Um
this is a perfect frame
for
what I have heard and wonder about a
lot, which is, you know, I'm Gen X.
Okay. You're Millennial. Yeah. And I'm
told
that the generations right behind Gen X
um
perhaps had more
uh love and encouragement to feel their
feelings, um notions of what trauma and
addiction were, but maybe that there
wasn't this universally high standards
set for all of them. That's the
narrative that you see in the in the
news right now. Oh, you know, this
coddled generation, etc. You had high
standards set for you.
When you look out on your peers and you
look out on the internet for millennials
and younger,
do you think that we can make it a
general statement about Oh, yeah, you
know, all all this appreciation and
understanding about what addiction and
trauma and feelings are, um you know,
that just was foreign to my generation,
frankly, that it helped or hurt to have
this this awareness of of kind of self
and what one needs and and all of that.
Do do you think that it Yeah, do you
think it helped or or it hurt um
development?
Well, so Andrew, I'm delighted to be
speaking to a scientist um because I
think it helped and hurt.
Right? So so this is as you know, things
are multifactorial. It's rarely one
thing or another thing. So I think a lot
of people picked up ground with
awareness of feelings. As a
psychiatrist, you know, I work with
people who were unaware of the family
dynamics going on in in their life, in
their household, unaware of their
emotions, um growing up with things like
avoidant attachment and having
difficulty forming connections. So I
think it is always good to be more
aware. I think actually awareness is
probably the single factor that
correlates the most with like success
and happiness.
The challenge, the really subtle thing,
is that talking about emotions
isn't the same as actually being aware
of them. So I think what started to
happen is a lot of this dialogue around
trauma, a lot of this dialogue around
feelings, has actually been hijacked in
very subtle ways by other parts of our
mind, other parts like for example our
ego.
And so
it's kind of like this therapy speak has
like
and this happens and you can look at any
population. And if you have someone
who's like sociopathic or if you have
someone who's histrionic or narcissistic
and everyone is talking feelings, they
will do that too but in a sociopathic
way. Feelings have now started to be
used as a form of manipulation, right?
So people will use like I see this all
the time, speaking of the internet in
its modern incarnation.
We all talk about boundaries, but people
have started to use boundaries as a form
of control for other human beings. You
know, my boundary is that you don't text
anyone after 8:00 p.m.
My my boundary is that, you know, every
time I call you, you need to answer the
phone. So it's really bizarre how like
the basic like psychological
stuff can hijack
like our our psychological patterns can
hijack like we
all this mental health speak. Another
really good example of this is
so I remember I was I was
seeing a an assault victim in the
emergency room at at Mass General
Hospital many years ago. And so the MIT
chief of security was campus security
was there. And so I was talking to them
a little bit about, you know,
because there were other students with
with the student who had been assaulted
and and they were kind of talking to me
about safety and I I remember something
that the MIT chief told me that I I've
never forgotten.
We're talking about safety and he's
like, my job is not to make people feel
safe. My job is to make people safe. And
there's actually a big difference.
And so something interesting has
happened. We have all become more
narcissistic because that's what the
internet does to us. And so now if I am
hurt that is no longer my
responsibility, that is because you did
something wrong. Does that make sense?
Like fundamentally if I feel hurt, that
is often times tied to you doing
something wrong.
So there's this tendency towards
victimization,
where you'll see even people who are
like like playing the victim card, which
which doesn't mean that
we shouldn't be believing victims. I
think that's exactly what happens is we
started to realize that we're not taking
victims seriously, but then all the
chameleons in our society were looking
at this pattern, and they were
realizing, "Okay,
the fastest way for me to get ahead is
to claim to be a victim."
So, there are all kinds of weird
permutations
that are happening right now with this
sort of emphasis on feeling.
Um one more evidence-based example of
this is, you know, we're seeing
the prevalence of mood disorders,
anxiety disorders, addictions, body
dysmorphia. Basically, everything is
getting worse.
And so, one weird thing that started to
happen is as we've talked more about
feelings,
there is something called a
transdiagnostic factor, which we can get
into. I don't know if you're familiar
with these or not, but
so, if you look at like all of the
mental illnesses,
there are certain attributes
that are risk factor for multiple mental
illnesses. So, a good example of
transdiagnostic factors are
perfectionism
and rumination.
So, rumination
doesn't make you depressed. Doesn't
necessarily make you anxious. But, if
you have a high index of rumination, you
are more likely to have a major
depressive disorder, you're more likely
to have an anxiety disorder. Does that
kind of make sense?
>> Mhm. If you are perfectionistic, you are
more likely to be depressed, you are
more likely to be anxious.
So, there's one interesting
transdiagnostic factor which has gotten
way worse, which is something called
distress tolerance.
So, human beings' capacity
to sit with things and tolerate things
that they do not find comfortable is
starting to tank. And as that starts to
tank,
we're seeing
an
just an explosion of mental illness.
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o o v v {dot} com {slash} The moment you
said that we're seeing a a a reduction
in distress tolerance, I heard in my
head voices on the internet
saying, "Oh, so we're just supposed to
push our feelings aside? Like we're just
supposed to accept everything that
happens to us? We're supposed to, you
know, and of course
I don't actually believe that, but I can
empathize a bit with that with that
notion, right? Like there's these things
are always uh on a continuum. It's a
it's a push-pull, right? I mean, I was
going to raise the same thing around the
standards that were set for you. Some
people who grow up with very high
standards set for them by parents,
teachers, or coaches might internalize
that as, "Oh, that must mean I'm very
capable." In fact, in one of my favorite
books, The Last Lecture by Randy Pausch,
he talks about um he was a computer
scientist at Carnegie Mellon, he
eventually died, and he gave this last
lecture, which is an incredible lecture,
and he he said, "The moment that your
parents, coaches, and teachers stop
pushing you is the moment you should
worry because they've given up on you."
But, you if you're pushed, people
believe in you, that there's a chance
you might actually accomplish something.
They believe in you.
But, you could also internalize it as
overwhelm.
Yeah. Like And so, I think this notion
of distress tolerance, like what are
what are the standards, what are the um
standards for distress tolerance, for
performance, for being a {quote}
functional member of society while also
{quote} honoring one's feelings. About
feeling one feelings, there's there's no
road map,
I believe,
to
how to navigate that. What you said,
there is no road map. That happens to be
true and it happens to be wrong. So I
know it's confusing, so let me explain.
So here's the first thing to understand.
The way that we collect information,
this is why I love being a clinician.
So like, you know, you talked about the
last lecture. So this person was saying
if people don't push you, that means
that they don't, you know, care about
you, they're not invested in you, they
don't the moment that you give up on
someone is the moment that you stop
pushing them, right? Makes perfect
sense.
And then there are also people who have
been pushed to the point where they like
crack under pressure. That's actually
way more common. And so so generally
speaking, pressure,
you know, just like any other part of
biology, exert pressure on some part on
some joint, on some part of soft tissue,
will develop a callus. It'll become
tough.
So,
this is where the the the reason there's
no road map is because people aren't the
same.
Right? So we all have unique genetics,
we all have unique experiences, we all
have a unique internal dialogue. And so
the whole point of personality, and we
can define personality like by the
technical terms, which is it is the way
that you interpret information, the way
you perceive the world, your internal
reactions, and the behaviors that you
engage in.
So you can take literally,
you know, two different human beings in
the exact same situation. I've worked
with a couple of survivors of like
genocidal conflicts. And the really
interesting thing about that is not
everybody gets PTSD.
Which is like really weird, right? Like
if you think about this is like a
genocidal conflict. So we have tons of
people who all experience the same
thing, but their reactions to them are
really different.
That's what's fun about being a
clinician. What I try to focus on and
what I learned I looked for a roadmap.
And what I found is that there's not a
roadmap. There are thousands of
roadmaps.
And those roadmaps come down to and this
is I think a huge problem
in the information
based world we live in. So everyone has
problems, right? And they're looking for
solutions, which is great.
The problem the biggest mistake that I
see
people make especially high performers
is a problem of misdiagnosis.
So really good example of this I had a
a patient come into my office, worked in
finance, was at a very very successful
firm.
Came in and was like I have really bad
anxiety. Like it's really starting like
I can't eat. Like I can't sleep. My wife
is really worried about me. So he's
like, you know, I've got really bad
anxiety.
So we start talking about it and he's
like you know, I'm afraid I'm going to
get fired.
And we work together for about uh 12
months and then he realizes this
environment is not where he's happy.
And the reason he's going to get fired
is because he doesn't fit in.
And he decides to quit.
So what's really interesting is if we
had just solved that if we'd made his
anxiety go away
he would have perpetuated in an
unhealthy system.
And and this is the thing that I think
we forget when we're talking about our
emotions.
Like
Andrew, which part of the brain does
anxiety come from? It's a circuit wide
phenomenon. Sure. If we had how is it
taught? If you had to teach someone
who's taking an undergraduate
neuroscience class and maybe you
wouldn't teach it this way. But if you
had to localize it to somewhere where
would you localize it?
>> To one structure? Yeah.
>> everyone would say amygdala. I teach
neuroanatomy to medical students. So or
I did until very recently. So
>> I'm totally with the limbic limbic
system as a whole, right? But the
amygdala. And the really interesting
thing is like
crocodiles have amygdalas.
Right? So So we sometimes forget that
these negative emotions are actually
really important for us. They're really
healthy for us.
One other really interesting example of
this is
you know, I work with a lot of like
gamers on the internet. So sometimes
they'll try to
engage in mating behaviors.
And And they'll creep people out. And
one of the really interesting things
that I I realized is embarrassment
is the best way to not creep someone
out. So if I violate one of your
boundaries
and then I express embarrassment, that
signals to you
that I realize I did something wrong.
So if I violate one of your boundaries
and then I express embarrassment, that's
a really important empathic signal. And
now we have all of this like content on
the internet telling people to be
relentlessly confident. And when they
become relentlessly confident, they no
longer express embarrassment.
Embarrassment is a really important
signal to send. In the example you gave,
it's very clear that somebody violated
somebody's boundary. They felt
embarrassment. Showing that
embarrassment shows that they have some
sort of empathic attunement or awareness
that makes them perhaps a little less
creepy and a little bit safer as opposed
to if they just kept Exactly. going
forward, right? However, if it was a bit
vague, like let's say that they did
something
a flirtation and it wasn't really clear
what it was and the other person said,
"Hey, like that doesn't feel good to
me." And then they acted very
embarrassed and the person who said it
didn't feel good to them
would quite understandably think, "Oh,
it must have been really bad." Right?
Oftentimes the dynamics are subtle where
people don't really know how they should
feel about something. At the extremes we
know. So I'm going to reverse Russian
doll us because I I was all over the
place. So you asked about a road map,
then I gave the example of anxiety, then
I gave the example of of embarrassment
as another emotion that's helpful. And
you're Now you're asking a question, so
we're going to do it in reverse order.
Sure. But I want to get back to that
road map because I think it's a
beautiful question. I wrote it down. We
haven't forgotten.
>> Great. Let's talk about the ambiguous
interactions. This is fascinating. So, I
I saw a really cool study where
when two people are flirting and that's
taped and a neutral observer is watching
it, they accurately detect flirting only
about 30% of the time. Different studies
show 24 to 42%. You're saying ambiguity
is a problem. No, ambiguity is is
exactly what's supposed to happen. So,
if you think about what flirting is,
flirting is
a way to preserve plausible deniability.
It's a way to make you feel safe, right?
So, if I if I am really Andrew, I'm
really interested in your body, bro. But
if I say that, it it's it's you know,
unless you're matching that energy, it's
not going to be safe. It's not going to
be good. It'll ruin our relationship.
So, flirting by nature is supposed to be
missed.
So, this is another thing where you're
saying like, yes, there's ambiguity. It
could be interpreted this way and it
could be interpreted this way. That's
not bad. That's good. That's that's how
human beings actually interact.
Um so, Winnicott, you know, described
this beautifully cuz flirting is a form
of play. It's that's literally what it
is. And play is about a potential space.
When I'm playing like dolls with my
daughter, it's not defined. And the
whole point is for it to be not defined.
So, in that absence of definition, which
now everyone is sort of like we're
seeing a social skills atrophy. So, you
know, that the parts of our brain that
interpret tone, body language, things
like that. Like people are are becoming
like, you know, we're seeing a rise of
like ADHD and everyone also feels
subjectively like they're autistic. It's
because they're they're losing some
degree of social skills because we text
back and forth. And our brains don't our
our occipital cortex is not interpreting
visual information of people's facial
expressions. So, that part of our brain
like literally kind of shuts off.
So, people are having a lot of
difficulty with ambiguity. You know,
people are saying like, oh, this person
is sending mixed signals. Like that's
the point.
In a relationship, you are going to have
mixed signals. In a friendship, you will
have mixed signals. We all have
ambivalence within us. I I want to eat a
healthy lean protein during lunch and I
also want to eat a fried protein during
lunch. Right? So ambiguity is actually
not something to be avoided. The really
interesting thing, another
transdiagnostic factor, really important
one, the intolerance of uncertainty.
So human beings who are capable of
tolerating uncertainty
better mental health outcomes, um more
resilient, improved quality of life.
Right? So everyone needs defined
answers. So I'll pause there for a
moment just to address your quotation
example, but you're spot-on. We can tell
what the signals are
at either end. The point of human
interaction is that way we can adapt to
each other.
You know, if I put my arm around you,
then how do you respond to that? Do you
get up and go to the bathroom or do you
lean in? So these are how human like
these are how how human interactions
actually happen. There's a lot of back
and forth. Fascinating. A lot of younger
guys talk to me about their challenges
in the dating scene. And one of the
things that they seem very challenged
with is the fact that they feel like
whatever happens on a date is shared on
the internet. Yeah.
>> Um and this is of course not related to,
you know, assault or or them acting
highly inappropriate or, you know, this
is really like they're reported as a
good or bad kisser. They're reported as
a
they pay or they don't pay and and, you
know, and so I think that the room to
explore ambiguity
um to them, this is what I hear, feels
very dangerous. It feels like a slippery
slope where they have to perform
perfectly on every measure. And I'm sure
women feel the same way, right? I just
hear from more or men.
>> Yeah, it's it's very tricky. So I think
what we're seeing in the in the dating
world and and I guess we're this is what
we're talking about. Maybe it's top of
mind for me because I just
uh
did a bunch of content on it, but um so
what's interesting in the dating world
is that now we're sort of adding the
internet to the equation, right? Which
you had sort of talked about. So let's
just understand a couple of things about
the internet.
So the first is what the internet, in my
opinion, this is sort of like a
clinician's perspective having read
about 200 papers on various aspects of
how the internet affects our brains and
our psychology.
Um first thing to understand is that the
internet selects for emotional
activation. It's not even dopamine, in
my opinion. So if you look at like
internet, right? So it's not just fun
and games. Actually, the most engaging
content is emotionally engaging.
Arousal. Arousal, absolutely.
>> Adrenaline.
>> And then the other interesting thing is
that
in order to maintain arousal,
you need a dichotomy of emotions.
So I need to scare you,
and then I need to make you angry,
and then I need to show you a cat video,
and then I need to scare you again, and
then I need to tell you how AI's going
to steal your job, and then I want to
show you this birthday party where this
baby did the cutest thing.
So this is literally how it they
maintain engagement.
And so what's really interesting about
this is as our emotion as our limbic
system is like hyperactive over and over
and over again, that's one of the
biggest cognitive drains that we have.
So like I think the top three cognitive
the things that drain our willpower the
most
suppressing emotion, repressing emotion,
even just feeling emotion is like very
exhausting.
The internet is selecting for the most
emotionally activating things. So who
which tweets get engaged with? The ones
that are the most polarizing.
So, then what happens is is people are
dating and now you've got a problem
because
and here's the real tragedy is people
will have a perception
that if I don't say the right thing,
this will get posted online. That is not
what happens most of the time. Right?
But this is where we as human beings
have certain cognitive biases where the
extreme example, like we get trained in
this in medical school is, you know,
once you miss a cancer diagnosis once,
it doesn't mean that every patient after
that has cancer. But that's what the
brain is designed to do. Our brain is
designed for survival, which means that
if we get food poisoning from a
restaurant even once our brain doesn't
look at that probabilistically. It takes
the worst examples
and that's what we have to base our
behavior on.
Right? Like if I'm at work and I want to
if I'm attracted to a co-worker
even though there's a 90% chance that if
I express some romantic interest in
them, I'm going to be fine, I can't make
a strategy based on that. I have to base
my strategy on the worst possible
outcome. That's what we're seeing in
dating.
You said that suppressing emotion is
cognitively draining.
Did I also understand correctly that
being in constant arousal through
different emotions is also cognitively
draining? I don't know if I would use
the word cognitive there, but it's
absolutely draining, right? So, periods
of extended arousal and this is where
like I'm when I mean cognitive draining,
I'm referring to a you know, paper
that's looking at the anterior cingulate
cortex. So, I and that's where when the
anterior cingulate cortex and your
frontal lobes are
suppressing your limbic system, that's
very draining.
But I think high levels of arousal,
right? Through the reticular activating
formation and and things like that, just
being on emotionally, hyperactivation of
your limbic system is absolutely
exhausting is the word that I would use.
You mentioned distress tolerance is a is
a valuable skill to have. It feels
appropriate to say, "Okay,
um distress tolerance, I totally agree.
Great to be able to,
you know, tolerate distress to a point,
but
that sounds like it's very cognitively
and generally draining. So, how would
you encourage someone to develop healthy
levels of distress tolerance, but if
that involves, you know, constant
suppression of of an impulse to to
shout, to react, that sounds like it
could get very unhealthy. So, I realize
we're we're taking we're sort of staying
on this tangent, but I feel like what
defines healthy distress tolerance? If
pushing back an emotional reaction or
pushing down an emotional reaction is
not good for us. So, distress tolerance
doesn't only include emotional
suppression.
Right? So, what's really interesting
about distress tolerance is a key a
feature of distress tolerance is not
even suppressing, is the opposite. Is
accepting your emotions. It's actually
moving in the opposite direction.
Feeling your feelings.
>> Feeling your feelings, right?
Recognizing that you feel your feelings.
>> What if um somebody feels extremely
angry
and they want to feel their feelings.
What is a healthy way for them to do
that?
>> Three things. Okay, so if you want to
learn how to
control your emotions. You want to be
tranquil in the face of your emotions,
is what I would say.
Three things you can do. The first thing
is
um putting words to your emotion.
So, the moment that So, right now if you
I don't know if this kind of makes
sense. The more angry you are, right?
The more your amygdala is like
hyperactive.
It is drowning out every other part of
your brain.
So, the first thing that you have to do
is put words to it. And when you put
words to it, you can't put words to
ah
There's no word there. So, the moment
that you try to put words to it, it has
to calm down. In order for your
linguistic centers, Broca's area, and
all these In order for them to like
articulate it, you have to understand
it.
So, Freud understood this like over 100
years ago, and there's something
powerful about processing emotions by
putting them into words. In order to put
words to it, we have to tone it down
some. So, that's the first thing.
The problem is that people often times
think that that is sufficient. Right?
So, people will say journal, go see a
therapist, and talk about your feelings.
Man, the number of times that I've had
like I had this patient who came in if I
can tell a story.
>> Please. You know, and so like I was a
third-year resident. I'd done maybe like
100 hours of 200 hours of psychotherapy.
So, I I I had a guy come in. He'd been
in the clinic for 8 years, had
depression, was a dude in his 40s. He
came in and he would tell me about why
he was sad every day.
Like every week he'd come in and he's
like, "I got I got written up at work.
People are complaining because I snapped
at them. You know, one of the patients
is complaining because I didn't give
them benzos."
And so, he'd come in
every every week. He'd talk about why he
was depressed. I'd be like, "Why are you
depressed, bro?" And he'd like tell me
some story about something bad that
happened in his life. And then we did
this for 6 months. And like
I didn't know cuz I I'm like learning
psychotherapy, right? So, I'm like I'm
supposed to be supportive, and I'm
supposed to be like, "Okay, like that
must be hard for you. How does that make
you feel? That must be so hard for you.
How does that make you feel? That must
be so hard for you." We do this dance
for like 6 months. And one day he comes
in and I'm kind of getting frustrated.
I'm like, "Hey, is this helping?"
And he's like, "What do you mean, is it
helping?" I'm like, "Is it helping? Do
you feel any better than when you came
in 6 months ago?" And he's like, "I
thought this is what we're supposed to
do. I'm just supposed to come in every
week. I tell you about how I'm sad, and
then
you tell me what's like isn't that what
psychotherapy is?" And it was a huge
light bulb moment for me because talking
about your feelings, especially for men,
is not enough a much of the time.
Fascinating neuroscience and
endocrinology behind that.
Putting words to it is just step one.
Second thing, this is a really important
skill. Cultivating additional emotions.
So, if you look at people who are
resilient, if you tunnel down into the
internal dialogue of people who are
resilient, you'll notice that they do
something some some interesting things.
So, my patients who are very severely
ill, right? And literally what I try to
do with them over the course of weeks
is this thing happened
and I feel overwhelming shame.
The moment that you start cultivating
additional emotions. So, I I've been
dumped by my boyfriend or my girlfriend.
I'm really, really depressed. I'm going
to be alone for the rest of my life.
They start to catastrophize. They have a
lot of negative emotion.
And it's really easy in that moment to
forget that okay, I had 3 years of
wonderful experiences with this person
before things went downhill.
It's really easy to forget all of the
positives. It's really easy to realize
that 3 years of experience followed by
let's say 1 year of a toxic relationship
is going to actually protect you from
the next toxic relationship.
So, cultivating additional emotions is a
huge fundamental part of EQ.
And as you don't just have to tolerate
it or suppress it. These are the
additional things that you can do.
And this is really important. It's not
just cultivating positive emotions when
you're feeling negative emotions. It's
the other way around as well.
I've seen more relationships ruined by
falling in love than anything else. And
you just fall in love with the wrong
person.
You're in a relationship and you fall in
love with somebody else.
So many people I've worked with, you
know,
I have this great business idea and I
get so excited about it and they're
like, I'm going to start this AI
company. That's the time that you
actually want to cultivate negative
emotion. Cultivate a little bit of
anxiety. What could go wrong? Make sure
you ask yourself that question. Like
literally in addiction psychiatry, we we
have a cool technique that we use with
people where it doesn't really work so
much anymore, but
we tell people to play the tape through
to the end. You're really excited right
now and you want to do this thing, but
play the tape through the end. What are
all of the negative things that could
happen?
So, that cognitive flexibility, that
emotional flexibility is really
important.
We have to understand what emotions are.
So, a lot of times, you know, this is
going around on the internet where like
feel your feelings, right? Like I'm just
going to authentically I'm going to be
authentic with my feelings today, which
means that
you're an Andrew, and I'm just
this is my truth, right? So, we've
started like speaking our truths
as excuses to being Like
that's what's happening on the internet.
It's what's happening in in real
relationships because people are
watching social media and they're like,
I should speak my truth, right?
So, the other thing that's really
important is to understand that an
emotion is not a behavior.
An emotion is literally from an
evolutionary perspective, and you may
know this better than I do,
is it information
and is motivation. That's what emotions
are for.
So, when you feel fear, when you're
walking outside,
go into the walk into the outhouse in
the middle of the night, and you feel
fear, that is all this all this sensory
input is being processed in parts of
your brain that you have no conscious
awareness of. The first thing that
happens is that you feel emotion before
you have any logical idea of what are
you even scared of. That is your brain
telling you something.
The other thing is it's motivation,
right? I feel like running away. And
this is where unfortunately our brain
evolved for a world that we don't live
in anymore.
So, you know, back when I used to feel
fear because I was being hunted by a
tiger, the natural impulses that our
fear encourage us to do don't work when
you've got to pay rent at the end of the
month, or you've got to pay your
mortgage, or you've got to do well on
your performance review. So, often times
what we do is we think that feeling
authentically means letting our emotion
run the show. We don't want to do that.
We want to ask ourselves, what is this
emotion telling me? Why do I feel fear?
What am I you know, what am I afraid of?
And I don't even think what am I afraid
of is the right question. It's way too
like
self-help. Mhm. It's It's way too
psychotherapy for me. It's what is my
fear telling me? What is the information
and motivation that it signals?
>> Yeah, and then what is it what is it
telling me to do? Like your client who
is feeling very anxious all the time, um
by exploring that emotion, eventually it
sounds like him to the understanding
that it wasn't the job for him. Perfect,
right? That this is not there And And so
he's trying so hard, right? So the
anxiety is like clinging onto his job,
but actually once you understand the
emotion,
it's actually walking away.
And so once you have mastery over your
emotions in this way, and I think
mastery is maybe a better word, it makes
life like so much better.
Right? That That's what we talk about
distress tolerance, like that's what I'm
talking about. It's not just
suppression. Wonderful. I I so
appreciate your answer, the thoroughness
of it, the clarity of it. Distress
tolerance is putting words to emotion,
adding additional language to it, and
exploring the the reverse context that
that
as well, the negative aspects of
positive emotions, the positive aspects.
So sounds like it's broadening the the
the time domain, like thinking about
this in going forward, what does this
represent in the past, present, and and
future, and then really thinking about
what the emotion is signaling. What a
beautiful description of distress
tolerance, because it's also um
operational. People can put this to to
work. Thank you. That's fantastic.
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to get started today. The road map.
If we could go back to the road map,
Yeah. if you could spell out for for us,
what do you think of as the road map to
to navigate this very complex landscape
that we exist in now? Okay. And this
could be relationship with this person.
It could be um be a doctor go to an Ivy
League school versus be an artist or,
you know, um
any number of different examples where
we have to make the distinction of
what's
wished for us and expected of us versus
what is true to us on the inside.
Okay.
>> That seems to be where to me where the
where the friction of life exists.
>> Absolutely. That to me is the most
interesting question in life, frankly,
you know? Let me just make sure I
understand your question.
The friction and joy of life is the rest
of the world
wants me to do all of these things.
And sometimes this
doesn't want to do those things.
Sometimes it does want to do those
things. When do I listen to this and
when do I listen to everything that?
Yes. Right? Okay, beautiful question.
So,
this is where I'm going to lean into the
Eastern stuff for a second. So, I spent
7 years studying to become a monk.
And uh then I I went to medical school
and I became a psychiatrist. And the
really interesting I had a really weird
experience of training in psychiatry.
Because everyone was teaching me how the
mind works, okay? And this is like good
teachers at like the Harvard Medical
School. And they're like, here's how the
mind works and this is what the
subconscious is and like there's
cognitive behavioral therapy, right? So
they're like Aaron Beck taught us that
there's like thoughts, emotions, and
behaviors and all these things these
things connect. And the really
fascinating thing, my most instinctive
response
when people would tell me how it is is,
no it's not.
So in the East, they have a completely
different conception of mind.
And here's the big problem with the
Western conception of mind.
You're scientists, right? How do you
learn about something, Andrew?
You
have a question. Okay, good.
>> You pose a hypothesis.
>> Excellent. You design an experiment.
>> Good.
>> Where you isolate variables. Okay.
>> And you either
um
refute or you
in some
sense support your hypothesis.
>> Okay. And then you design another
experiment.
>> Great. And then you improve, right? And
ask another question. You just you just
keep going.
>> Andrew, you get tenure and then you
start a podcast.
>> Beautiful, right? So so so yeah. Just
kidding. No, no. So so let me ask you
this. How do you study the mind?
Yeah.
>> Here's what's really interesting, right?
So so here's what's really fascinating.
Like do we have any scientific evidence
of the existence of thought? We could
define thoughts as some pattern of
network activity.
>> What I mean is like if we literally look
at it, we have no instrument that can
detect a thought.
That's right. Right? So we have we have
no proof.
We cannot measure a thought. Like it is
like literally impossible. We can
measure blood flow to the brain. We can
measure electrical activity in the
brain. We can induce thoughts. Mhm.
Right? We can we can do that.
But we have we have no idea that a
thought exists. So like psychiatry is
weird because
every other part of medicine and
science, we can measure what we are
studying. Mhm.
In psychiatry, we can't do that.
So, along came Freud and he made a
fascinating discovery, which is when a
human being speaks,
we understand something about what's in
their mind.
And the whole reason we get trained and
the reason that we we can measure mental
we can ment measure your mind, right?
So, we have validated scientific
instruments using things like factor
analysis and stuff like that where we
can use the back depression inventory,
which will tell you how depressed you
are. We have good ways to measure stuff.
So, there's a lot of science in
psychiatry. The basic problem though is
that we have a fundamental problem. We
cannot We have no insight into what is
in someone's We have insight into
someone's mind, but we can't detect the
mind. That is a fundamental problem with
science, okay?
Here's the cool thing.
We have no scientific measurement of
thought.
But, we as human beings have measurement
of thoughts. Can I ever know what you
are thinking using any instrument of
science? You're the psychiatrist, so I'm
tempted to say yes, but no. No. Right?
Can you know what you're thinking? I
would like to think so, but I'm guessing
I'm guessing I mean I I can ask myself
what's going on in there, but I don't
necessa- necessarily have the ability to
put language to it in a way that
captures what what I'm thinking.
>> capable of observing your thoughts. Mhm.
You are capable of I'm not capable of
observing your thoughts. But, you can
whether you detect all of them, whether
they're right or wrong, that's question
is separate. Just the fundamental idea
of like you can measure an axon. You can
You can detect your thought, right? We
all live in this way, right? So, that we
can get to the edge cases later.
So, here's the cool thing. So, when I
went to India, and I I studied for 7
years,
the difference between the psychology
that was developed from the
contemplative traditions is it's it's
foundation is internal observation.
So, yogis are capable We're all It's not
like some special ability, but they
based their theory of mind on what they
could observe.
Whereas in the West, that is not
something we have access to.
So, their theory of mind is very
different. So, when I was training to
become a psychiatrist, people were like,
"This is how the mind works." And I'm
like, "No, that's not true." Right?
There is a different way. So, here's one
example getting to the road map. So, the
biggest thing that I think is different
is the ego.
So, in the East, they have the concept
of a part of our mind that is the ego.
And in the West, we use the word ego.
Freud defined it in some way. We all
have this intuitive sense of identity,
but in the same way that
logic and emotions interact in a very
mechanistic and defined way, in the
West, our model does not include this
piece. And the road map that you're
talking about has to do with that piece.
So, if the rest of the world cuz things
get complicated, right? That's why it's
so exciting for you and so challenging.
Things get complicated as everyone wants
you to be something. And then we make a
big mistake because we do this thing
called internalize.
And the moment that you internalize, now
is it coming from the outside or is it
coming from you?
Is this something that I have been
conditioned to want or is it something
that I truly want? Which then begs the
question, what the hell is truly want?
Is there a difference between want from
over here and want from over there? And
the yogis will say that the answer is
yes. So, once you understand the ego,
and the ego functions in a couple of
ways. If I ask you, Andrew, who are you?
What would you say?
Andrew. Okay.
Is that it?
I mean, I have a list of roles that I
occupy in life.
>> Very good. I mean,
>> Are those you?
They're facets of me. Okay. Right? So,
anything that you can use to describe
tenured professor at Stanford. Right. I
wouldn't put that first, but that
happens to be true. I'm a brother.
Brother. I'm a boyfriend. Skater. Once a
skater, always a skater, but yes. I'm a
public educator. Great. I'm a son. A
friend. All of that stuff is ego.
Mhm. Okay. So, ego is anything when you
say I am {dot} {dot} {dot}
anything that defines you after that is
actually part of your ego. Mhm.
And And the interesting thing is that
it's not that the ego is bad. This is a
common misconception, but like ego, we
all need ego to function in in the
world. Um if you are okay not
functioning in the world and you're
moving towards enlightenment, then you
no longer need ego.
But generally speaking, we need ego.
So, you know, if you're looking for a
road map of what you truly want in life
and what is healthy for you and not
healthy for you, when you say you're
Andrew, right? There's a lot of other
people who can claim to be Andrew, but
they're not you. You're talking about a
a fundamental internal experience of the
self. And you were Andrew before you
were a a boyfriend. You were Andrew
You've always been a son. Um but you
actually you were Andrew before you even
knew you were a son. Mhm. Right? You
were still Andrew. So, there's a
fundamental like bundle of experience.
That's really what you are. And I think
that the best road map, if you're trying
to figure out what to do in life,
try to peel away the layers of your ego.
And I know that's getting complicated.
But if we sort of think about like, you
know, what is it that like practically
gets us jammed up in life, is when I try
to be something. Mhm. I know this is
going to sound weird. I'm sure you have
ambition. But I don't think you are
where you are because of your ambition.
I think you are where you are because
you listen to this internal voice, not
try to live up to external expectations.
>> 100%. I I can truly say that every
choice I've made to get into, you know,
fish and animals when I was a kid,
obsessed with birds and fish, and then
skateboarding, and then biology and
science, and and where I'm at now, has
has been some sense of an internal
passion, and something pulling me from
the outside, and it's just a
I just go. Right.
>> Those choices were always made because I
knew in my heart's heart there was no
other option in in the positive sense.
Yes.
>> I'm going. Like I'm I'm pulled toward it
and I'm driven and I'm driven toward it.
>> Right. So so you are listening to a part
of you,
right? So it is an internal thing that
the world then meets you halfway, so it
it makes it possible or there's a whole
thing about that. For me, it's a
physical energy. Fine. If I feel
physical energy coming up in my body and
I want to move toward something, and for
some reason I feel it more in my left
arm than anywhere else, as has always
been true, I I'll have a thought, and I
know and that's when I go, "Oh my
goodness, I'm going to do this thing.
I know I'm going to do it, and there's
no backing out because it it has to
happen. That's that's how it feels.
Yeah. Yeah. Right. So so so any desire
that you have that comes from the sense
organs
is probably not this thing.
So the the sense organs can trigger
something within you, but if we look at
like, you know, social media,
half the problem is that uh
the hardest problem I have as a
psychiatrist is convincing people that
they don't really want the things that
they say they want.
It's like so crazy, right? Like we're
being programmed. We're being
conditioned.
And and I realized this the other day
when like I was like, "Man, like I wish
I talked to my agent about like like
doing more talks. Like I want to go
someplace and like get like paid
speaking engagements." And I realized I
actually hate that. I
I don't like that. It's just what I
thought people like us do. And I've done
a couple of them, which have been really
fantastic and I really enjoy that, but I
like sitting with people, right? So,
we're we're trained and just think about
it. Like anyone who's listening to this,
think about all the that you've
seen that you think you want.
But you don't really want. You just like
look at other people and you're like,
"Yeah, I want that thing."
It can be a particular kind of
relationship. It can be a particular
job. Like, you know, we all want like
all this random stuff. It's all coming
from our sense organs, right? This is
why advertising is a thing.
So,
stepping away from sense organs is
really important for that roadmap.
Second thing is anything that you want
that is a comparison.
That is born of the ego. The ego is what
defines you, right? So, we can say
a
tenured professor.
We can say associate part-time
instructor.
And so, any comparison requires a
definition. Does that kind of make
sense? Like, so all of the gold
medalist, silver medalist, bronze
medalist, that's a comparative thing. If
I say I'm a silver medalist, then my
desire for the gold medal can come out
of the ego. Does that kind of make
sense?
>> Yes, it makes The reason I'm I'm sort of
uh with my hand below my lip is because
I I
I I'm so struck by this because I've had
this feeling for a while now
that most of the danger in life
um
comes from the need the feeling that we
need to prove something to others or to
ourselves. Yep. And yet, I know it's
healthy to prove things to myself. Like,
it's felt good to be able to accomplish
certain things. You know, I did that.
Like, I could do other difficult things.
But the origin of of all of that work
it for in my mind, it's only healthy, at
least for me, if it's not by virtue of
trying to prove something. It's like
there's a difference between a genuine
heart's desire, for lack of a better way
to put it, and what you're calling a a
pursuit of of trying to win at some game
in one's head. It's like a video game
that that isn't real. Yeah.
It's it's not that it's not real, right?
So so I I I I agree with you 100% and I
think there's a couple of important
things. So you know, proving yourself is
not
wholly wrong.
But understand that it is the ego.
That's what it's going to gratify.
Right? So if you have an ego of I am a
loser by all means, so this is part of
the the process. I have people in my
office who are losers for lack of a
better term. 29 years old, living at
home, playing video games all day,
watching pornography, no job,
dropped out of college. And and so what
they want more than anything else is to
be a winner.
And so my work involves two steps. What
First, let's help you be go from loser
to winner, and then let's abandon the
whole paradigm.
>> [snorts]
>> Because I've also had people in my
office who are billionaires. And finally
get to retire at the age of 52 after
having sold their amazing third company.
And then after retirement, it's not
enough. They want to make another
billion. They want to do something else.
So like, you know, that that loser to
winner, like your mind will continually
move the goal posts. If you were
hungry before you got it,
the thing won't fulfill your hunger. It
may for a little while, and then you
have to take another step of like, okay,
losing and winning is now done, right?
And I I I I think you've gone through
that. I can hear it in your words, and
people can probably hear it, too. Like,
the way that probably at some point in
your life
being a tenure prof I don't know why I'm
That's just the thing that That is the
thing that people are the lustiest for,
right? In the world that I think we come
from. It It felt good to get.
>> Right. And I won't lie, it felt good to
get out of place like Stanford, even
though there are many fantastic Yep. and
extremely challenging places to to
achieve that. It felt like the um
culmination of, you know, 20 years of
very hard work that I enjoyed, but that
you know, it represented an important
milestone for me. But I knew, I'll just
say, and of course we're just we're
talking about this example, but
hopefully people are thinking about
examples in their own lives,
but I knew, for instance, I never want
to be a department chair. Yeah. Tons of
work doing administrative stuff. I
remember when they told me you'll be
vice chair and then I was like, "Oh my
gosh, what do I have to do to avoid
that?"
>> Yeah. I also knew that I didn't care
about being
a member of the National Academy. A
close childhood friend of mine was just
elected to the National Academy of
Sciences. We've been friends since we
were seven and I was I'm so happy for
him
because he's doing exactly what he
loves, but I never aspired to be a
member of the National Academy. Ever.
Why? Because
what came after
tenure in order to go there was a
divergence from what I really wanted to
do. Yeah, so I I think this is the key
thing about the road map, right? So like
we get conditioned by our sense organs.
So like just to keep it super practical,
if you're trying to figure out what you
should do,
is this coming from my sense organs? If
your sense organ triggers something
that's always been been within you,
right? So if you see like a frog and
like like you really want to be
interested, like you want to figure out
how the frog works. But the interesting
thing about the difference between the
sense organ thing and an internal drive
is your internal drive will find
multiple objects in the outside world.
Right? So first it was biology, then it
was frogs, now it's neuro-ophthalmology,
now it's this. So I don't know if that
this kind of makes sense. The drive is
always the same and then it'll encounter
different things in the world.
>> Yes. What is that drive? We'll get to
that in a second, okay? So first thing
for practically is like if you're trying
to figure out what should I do,
first ask yourself how have you been
conditioned by social media, move away
from that. Second thing is be careful
about any comparisons you make. Any
motivation that you have to because of a
comparison, it can lead to success. You
can be successful, but you won't be
happy.
Because this is what it's so annoying,
right? So when when I want like I I work
with a lot of influencers and and
YouTubers and stuff. And so it's like,
"Oh, we want our first million." And if
you're not careful, the moment that you
get your first million, like you want a
second million. And then you want a
third million. And then it's even
scarier, right? So like, "Oh, I got 3
million subscribers. Awesome." But then
you know what's really terrifying,
Andrew? It's a guy who started after me
is getting followers faster than I'm
getting them.
Right? And so the ego is never going to
be satisfied. The ego by its nature is
comparative. And even if you're number
one, people think the the most anxious
people I've ever worked with not
actually true, but Among them. Yeah.
It's people who get to the top and you
think that you're done. You're not done.
Then you're looking behind you at all of
the people who are younger, harder
working, have the benefit of AI tools,
have the benefit of of the the path that
you have carved, who are catching up on
you and and will overtake you soon
enough. So one good example of why we
get why we compare
is the more you are judged, the more
your ego grows and the more you will
compare.
Right? So this is almost like we're
taught how to When people judge us, we
judge ourselves and we get judged based
on ranking.
And and so, you know, this is what we
see on the internet as social media as
we start to get judged more and more and
more, we become more and more
narcissistic. This is the narcissistic
defense that tries to protect us from
judgment.
Um and so it's happening to everybody
and it's escalating. The rate at which
it's happening, people are more
egotistical than they've ever been. Do
you think that's
um especially true for people who have
large followings on social media.
>> Absolutely. I mean so so I work with
with um
influencers and was so curious about the
work that I was doing that I tried to
develop a program. So we now have like a
creator coaching program where we're
like collecting data about whether it's
effective or not.
Um and and so the really interesting
thing is I think it's a unique
like a factor on our psychology. The
closest thing is like you know a lot of
celebrities are like really messed up.
And and that's because they have so many
eyes on them. And people don't realize
just as a simple example
the brain just doesn't think
probabilistically.
So you can have a thousand people love
the work that you do. But all it takes
is one person who's really nasty. That
is what your brain is going to focus on.
It's going to highlight it's amazing. I
can be looking at like chat that is
scrolling during live streaming. There
are messages that are faster than I can
read. But if someone says something that
is dangerous, my mind will flag it. Wow.
It's like a predator on the horizon.
>> Absolutely. So so we have these circuits
with which
were designed to look at a jungle and
see a single pairs of tigers' eyes. And
so the danger scanning mechanism makes
it so that the bigger that you get and
the more eyes that are on you the more
paranoid you have to be. The more
narcissistic you will have to become.
Because when someone turns to you and
says you are ugly, you are stupid
in order to defend against that you have
to say no, I'm not. I am beautiful. I am
intelligent. And the more times that you
say that to yourself
it's this is where things get
complicated, but you don't that doesn't
result in confidence.
So I I don't know if this makes sense,
but
if you are confident you don't need to
say that I'm smart
or that I'm beautiful. Does that kind of
make sense? What about the uh you know,
to each their own mindset? Like some
people will like the content I tell
myself this, you know, some people will
like the content and the way I frame it
and um will look at it on the whole
that, you know, some episodes more than
others,
etc. you know, certain things and others
won't. They'll they'll hate it for
whatever reason or hate me for whatever
reason and
I'm okay with that. Yeah, so I think
you're doing a really important thing
which is like a key takeaway. So, when
someone dislikes what you do, you think
about them and not you.
That's the opposite of ego.
Right? So, if we take someone who's very
narcissistic and they receive a
criticism,
they say, "No, no, no, I'm great."
Right? So, so this is where like
literally I I don't know if this is too
abstract, but I'll give kind of like
maybe a simpler example of this. So,
um I you know, I trained in Boston and
there was a lot of K2 use. So, K2 is
like synthetic marijuana.
And um so, like sometimes like you walk
into the emergency room, there's there's
a dude who's like high on meth or like
high on K2. Like, you know, he's just
saying all kinds of terrible things.
That has nothing to do with me. Mhm.
Right? And the way that you framed
some people are going to like what you
do and some people are not going to like
what you do.
That's on them.
So, if we want to step away from the
ego, we have to understand that don't
take it personally. Like literally,
that's the colloquial phrase, right? But
it's hard to do. So, if if you're
someone at home trying to figure out,
"Okay, how do I connect with my true
self?
How do I
step away from my ego?" Notice your
reaction to criticism.
Is your reaction of criticism, are you
considering are you actually being
empathic?
Right? So, what empathic really means is
are you putting yourself in someone
else's shoes? And the other person, hey,
maybe not everybody likes pineapple on
pizza.
Or are you taking it personally? Do
their insults determine your value as a
human being?
And the moment that that starts to
happen, the friction that you're talking
about, which can be so fun, becomes
torture.
Because now you have to make them happy
in order to feel good about yourself.
You have to make the people around you
happy.
So interesting. I
I think some of us grew up or somehow
internalized the idea that if somebody
is angry
or is criticizing us
and it's being delivered in a certain
way
that it must be true.
Versus the ability to just really step
back and assess, you know, no, it could
very well be they're in a bad mood, they
didn't sleep well. Um,
you know, I grew up in a community of
academics, some athletes, mostly
academics. So everyone around me wasn't
necessarily hyper verbal, but you know
this from training in Boston. There was
a way of delivering a criticism
that felt like a poisoned dart. Yeah.
That would get right to the to the heart
of it without calling somebody a name.
This is actually a very prized skill in
academia and medicine.
>> I think it's one of the more sinister
aspects of of higher education and
medicine.
Um, but it exists in every field. But
people aren't going to say,
"Oh, dude, you you know, like that was
stupid." They're going to find a way to
to kind of thread that that heat-seeking
missile, right? And I think that
sometimes get into this thing about
emotion versus language.
The more primitive the expression, the
"I hate you, eff you" like
it's easier, like you said in the with
the with the person in the clinic on K2,
it's easier to say like, "They're crazy.
They're on drugs. They are ill."
But when something is delivered in a way
that's um very articulate or calm
we tend to give it more credit as likely
to be true. So on the internet I see
most of what comes at me that's negative
as I I like to think there's also
learning there, but if the way it's
delivered, the way I've noticed them is
get past my force field
is
I go, "Oh, wait, wait, wait." Like
they'll say like a PubMed ID. You don't
know what you're talking about. Give me
a PubMed. Then I'll go to the paper. I'm
like, "That actually doesn't say that."
But but in my mind I thought, "Oh my
goodness, I must have screwed up, right?
They're not just telling me I'm wrong.
They're telling me um that I'm wrong
because of something on the Library of
Congress PubMed." So, do you see what
I'm saying? So, I think that knowing
what our
what our fences are good at filtering
and not good at filtering is hard. It
takes time. It takes years to cultivate.
No, I would hope [laughter] that it
could be quicker, but it took me Excuse
me. Uh it took me many years to
cultivate.
>> Yeah, let's just understand. So, it's
it's hard to cultivate. It took years
for you to cultivate because you didn't
have a teacher.
Right. Right? So, let's be let's be a
bit precise here. So, like
And And this is the key thing. So, I I
think I I hope people are following this
because this is how you develop Like so,
one of my uh you know, colleagues in
residency
talked about this concept of a Teflon
Buddha.
Right? Like you know, like this idea of
like being like impervious. So, how do
you become like psychologically
impervious? And what you're talking
about when you say a heat-seeking
missile I is your linguistic cortex is
doing wonders.
Because it What a poison dart, right?
What they're doing, the reason it's so
effective, Andrew, it is not just
because of the anger. We'll get to the
anger in a second. But they are figuring
out where your weak point is.
>> Mhm. And they're they're attacking that
weak point. It's not about the size of
the missile. It's about the precision.
Even in your language, you were talking
about a precise attack. So, that
precision is In academia, people are
really good at detecting other people's
vulnerabilities. And they go for the
nuts, right? That's what they do. Like
psychologically, they go for the nuts.
>> Mhm.
And And there's there's all kinds of
other things going on here, but let's
let's be simple. So, it is
when someone has a high anger attack,
okay?
This means their amygdala is through the
roof.
So, they are thinking in black and
white. Their attack is in black and
white. A black and white attack is
easier to repel because it's not
nuanced. Mhm. Okay? So, like when
someone is angry, you're right. It is
easier to dismiss their anger. And
you're also correct that but it it it's
almost like a not a
Everything you said is correct, but I'd
say that the model that you're assuming
is that these are two opposite things.
They're not. The other thing is so So,
when someone is not angry,
they're not black and white. If they're
not black and white, it is not easy to
dismiss. Mhm. Just because it's not
black and white, that doesn't activate
your anger. It doesn't activate your
black and white thinking, right? So,
when someone is coming at me angry, my
empathic circuits are going to activate
my own amygdala. I'm going to get angry
back. You did this. No, I didn't.
Right? So, the most
psychotic denial, psychotic or
delusional denial, that's a better word.
The most delusional denial that you'll
ever hear is when someone's angry.
No, I didn't do that. I never did that.
I never did that. I never did that. I
never And they can believe it because
that's what happens. The amygdala makes
your thinking black and white.
You know, when we have adrenaline
collapsing or running through our
system, it collapses peripheral vision
down to a 30-degree cone.
So, we can only see this thing. So, this
is the first element of why heat-seeking
missiles work. When they come at you
angry, you're going to get angry. If
you're going to get angry, it doesn't
matter if they're right, doesn't matter
if they're wrong, you're going to say,
"No, it's it's incorrect." Doesn't
matter the truth of it. So, this is the
first element of it, right? So, is that
that they don't approach you. They
approach you in an articulate way. When
they approach you in an articulate way,
it doesn't activate your amygdala. It
does in a different way, but then then
the the issue is their finesse.
And you said a poison dart. Really
interesting imagery. It's something that
hurts a little bit and then flows
through your veins. So, I can even
imagine when they said that PubMed ID,
your first thought was
not a big deal. I know my And then
the poison goes into your mind, well,
maybe I don't know my stuff. Oh my god,
what if there is a paper that I missed?
What if there is something that I And
And then that that injury will grow in
your mind.
And And so, all of your And this is the
stuff, right? Like, the stuff that hurts
us when people insult us, what hurts are
the things we believe about ourself. You
know, we all have these doubts because
we're not perfect human beings, because
we make mistakes.
And when someone figures out, oh my god,
this is this is this person's weak
point. And the really scary thing is
that humans have evolved to do this.
All you have to do is go to any
recess in the fifth grade,
and kids will figure out what hurts, and
then they will say it to you again and
again and again and again.
But I I think it's really important to
remember,
you know, if something hurts, that's
your own insecurity. And And insecurity,
remember, if you say, I am a loser, I am
fat, I am ugly, those are all part of
your ego. So, there are certain things
that you can do, and this goes back to
the what is that voice on the inside.
So, the the this is where, you know, in
the Eastern system, there is a self
beyond the mind.
So, the mind is not what you are. The
mind is an organ that you can observe in
the same way that you can observe your
hand. In the same way that your hand can
change, your mind can change. Your mind
changes every day. What's the best way
to learn to observe one's mind? Is it
meditation? Probably the best way to
observe your mind is actually
psychotherapy. You'll get better insight
into your mind there. But if you want to
move beyond mind, and I don't mean that
in like a Let's move beyond mind. What I
mean is that if you look at your
experience of existence,
there is more to you than thoughts,
emotions, and ego.
And so, if you want to get to that and
step outside of your ego, meditation is
the best thing for that.
And there are lots of studies that
suggest that meditation shuts off the
default mode network. Default mode
network is our sense of like self. Um
there are also many studies that show
that you can predict the therapeutic
benefit of a psychedelic trip based on
an ego death experience. So, if someone
has an ego death experience when they're
using psychedelics, there is a greater
likelihood that they heal from it. Which
has to do with deactivation of the
default mode network.
>> When you say psychedelics, are there
particular psychedelics that tend to
promote ego death more than others? I
don't know the answer to that question,
but I would say that most of the studies
that I've seen are in psilocybin. But
there that that's just because there are
more studies on psilocybin, I think.
Um arguably, you know, MDMA will do it,
too, because MDMA is an empathogen and
will help people form bonds and
kind of changes their perception of the
self, right?
Um so, meditation is the best way to
dissolve your ego, like that I believe.
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Meditation
potentially in a
safe clinical setting, maybe exploring
ego dissolution through psychedelics,
although they're still schedule one
drugs, so we have to have to be
thoughtful in how I communicate this,
not just to protect myself, but No, no,
no, yeah, yeah, yeah, I
I I I I I I I I I I I I I I I I I I I I
I I I I I I I
I always just raise it just to be clear
what we're talking about. I I I I
understood your your position on that.
The thing inside that we know as our
true heart's desire that allows us to
navigate the external pressures and the
the roles these these ego labels that
we've given ourselves and that others
have given us. Um
do you know any practices to help
cultivate
being in touch with that?
>> Yeah, absolutely. So, the meditation
that I like the most for this kind of
thing is meditations around something
called shunya. Shunya means void.
So, if you really look at like all of
the attributes of you,
right? So, I'm a man, I'm a husband, I'm
a son, whatever.
Boyfriend.
All of those things are like qualities.
Even a loser is like the presence of
something, right? I'm a loser, I'm
pathetic. That is
the existence of a negative thing, a
negative valence thing.
So, if you really look at what you are,
imagine Andrew for a moment, this is
going to be hard, but imagine that you
only existed
for 10 seconds.
What would you be?
Like, you'd be almost nothing, right?
You just get this flash of experience,
but you have no narrative identity, you
have no sense of self. All you are is
just a raw receiver of an experience.
And like I sometimes empathize with a
child when they're first being born,
that first shock of awareness, and you
don't know what the hell is going on,
and you start crying, right? You have no
idea who you are, what you are, you're
just a chunk of receiving.
So, there are shunya practices which
allow you to connect with the void
within you. And the void within us is
actually the most basic part of what we
are. It's actually what's at the bottom.
And and so I I there are some ways to
sort of understand what this is. Like,
so if you think about,
you know, watching a beautiful sunset,
and
you cease to exist. You're just soaking
in the sunset. You don't have any
thoughts, you don't have any worries. It
feels incredibly peaceful,
right? And you are there, you're not
comatose,
but you don't have a personhood in that
moment.
Another really great example of this is
like
if you really need to to pee,
and you're like waiting you're to use
the bathroom, and then finally you get
your turn, the moment you start peeing,
you cease to exist, whether you've got
mortgages, or you need to get a
Valentine's Day present, or you have to
do this, you have all those thoughts.
You just you were just there as an as a
nothing. So, these shunya practices are
a little bit you have to do them with a
little bit more caution. There's some
like introductory practices.
One example is
if you close your eyes for a moment,
this is going to sound kind of weird,
but like where do you feel your body?
Like so, think about proprioception,
right? So, like pay attention to your
arms, Mhm. your head,
your nose. So, what I want you to do is
focus on the area of the solar plexus.
>> us.
And look for like an absence of feeling
there.
Like as you breathe in and out, like you
can feel your rib cage expands. Maybe
you can feel your your heartbeat. But if
you really pay attention to just the
area of solar plexus, there's going to
be
a feeling of emptiness.
And so, as you meditate upon that,
you'll get closer to shunya.
The other really interesting easy way to
get
taste of shunya is close your eyes.
I want you to
breathe in,
and then breathe out.
And then when you're ready, breathe in
again.
And when you're ready, breathe out. Just
just breathe nice and slow.
And now what I want you to do
is pay attention
to
the time between breaths.
Between your breaths, you will have
stillness.
Not during the breathing. During the
breathing, you exist.
Inhalation, exhalation.
But in between
exhalation and inhalation, there's a
very beautiful stillness.
For people who are having trouble
feeling that, I I love this cuz there's
a interesting cognitive technique.
Catch the moment where inhalation
becomes exhalation. Mhm. In your normal
breathing,
not absence of breathing, cuz you're
normally breathing in and out, in and
out, in and out. Catch the moment where
one becomes the other.
That'll help you find shunya. And shunya
is defined as the void. Void. It's also
zero.
Emptiness.
Yeah, there's no thought of roles or
anything else.
When that And here's the beautiful
thing, like
once you find shunya, you can go into
it. Mhm.
So, it's like as you practice this,
right? So, I'm sure that there's some
neuroplasticity going on where your
brain is wiring. And then like when bad
things happen to you, it's a flowing
happening to my body, it's happening to
my mind. In here,
there's nothing.
So, I I I I tested this when my dad
passed away.
So, I remember like going to the the
funeral and seeing his body. I remember
touching his skin, like his face,
and shocked at how cold he was. Like it
was like my dad, but he's like he's like
ice.
And so, I was grieving and I was sad and
I was crying, but I was like, is that
thing still there? And I found that
thing was there and
I felt at peace.
Like it is the mind that is sad,
but I'm not sad.
You know, the body is grieving, but I'm
not grieving.
That's really what I am. It's just
that's just emotion. It's not really me.
When we become identified with our
emotion,
right? When when we were going through a
breakup and we're like, "Oh my god, I
become sadness. I become sadness
incarnate." But then when you step away
from sadness, when you are watching
sadness from the outside, it can
actually be wonderful.
And that's why we like sad movies. We
feel sad, but we feel great.
The differences are you the sadness
or are you watching the sadness?
And what is doing the watching? Because
the sadness is in the mind, there's
something outside of the mind observing
it.
That shunya will help you find that
thing.
And that's how you become I mean that's
the core of resilience.
So when I work with these influencers
who are being
stalked
and you know just just no matter what
they do, someone is there unhappy with
it, right? Cuz you're talking about the
internet where they're they're literally
people out there who are delusional, who
are projecting all kinds stuff on the
you.
They've never met you, Andrew.
And then they say that you're the
incarnate of evil.
And like how are they making that like
they're living in a in a corner of the
internet.
And so in order to withstand that,
in order to withstand the judgment, in
order to withstand the poison darts,
right? The interesting thing if you want
to be impervious to the poison dart is
you are inside.
The poison dart hits your ego. It hits
your body. And the poison flows through
you and it hurts, but you are actually
even beyond that.
He seems to come up almost every
episode, but my good friend Rick Rubin
who you would absolutely enjoy spending
time with and he with you. I I'm certain
of that just
talking with you today and knowing him
very well.
Um
has talked a lot and written a lot about
how this um
getting beyond or outside or separate
from the ego is is the essence of of
really the work he does with creative
artists. It's really getting them
outside of the perceptions of others.
It's what one of the reasons why um
when he's worked with artists when
they're not yet famous, they're in their
Yeah.
>> They might be ambitious, they might want
some of that, but they're they're just
doing their art. They're not filtering
it through feedback. And there's
something so beautiful about that. Then
it gets contaminated. And then the work
over time is to ask whether or not
people can get beyond that, but you're
talking about shunya, is that how you
pronounce it? Accessing this void uh
getting away from the ego as a practice
for everyone everyday life, not just
people not just influencers and on the
internet. You're talking about the kid
on the on the playground, the the person
on social media going with comparison or
at the game looking at what the the
other kids' moms or dads have or are
doing, wearing, et cetera. Yeah, I'm
talking about the older sister whose
younger sister is getting married first.
I'm talking about
the sibling whose older sibling got it
admitted to an Ivy League university and
they didn't.
I'm talking about the two of y'all that
started the job at the same time and
your friend gets promoted and you don't.
And all that stuff hurts.
Right? And the the real tragedy here, I
worked with so many people who are
incredibly successful is sometimes when
we get that hurt, we adapt. We become
ambitious. We say, "I'm going to be that
thing."
And it leads us to success, but we pay
the price of happiness.
And the real tragedy is that some people
believe that you get one or the other.
You can be ambitious or you can be
happy.
But I think you are a great living
breathing walking example of when you
tap into what really drives you,
then you can be successful. I don't know
if you're happy. I I actually am very
happy and very peaceful at this stage of
my life. I am. I mean, I struggle like
everyone else with having to do work to
clear the the contaminants in my own and
you know, working on myself certainly.
One thing that I've done that I wonder
I'd love your thoughts on if because
perhaps it offers a
a useful tool for people is whenever I
feel I'm not as in touch with that part
of myself as I would like, I feel like
I've drifted from it or I'm just kind of
caught in the current of whatever it is
I've signed up for in life, which I
enjoy, but now it's contaminated and
there's sewage floating next to me so to
speak.
I find some way to bring things into my
home environment that remind me of that
feeling when I was a kid. So recently
for instance I converted a art gallery
into a living space. This is something I
can now do in my life that I certainly
couldn't do some years ago and I love
fish tanks so I
brought in aquaria and I've got my fish
tanks and I've got a pet octopus and my
girlfriend brought for Valentine's Day I
got her flowers.
I said oh there are the flowers we got
back from dinner they were there and she
goes I got you some plants and I turned
around and the place was like filled
with plants and I I love animals and
plants. I was like oh my god. So she
clearly gets me and I was like oh my
goodness. And now when I wake up in the
morning like I love those plants. I need
her to take care of them because I walk
near a plant and it dies. Fish and
animals I'm good.
Um
but
when I'm surrounded by things that just
feel really good and wholesome and just
kind of basic to who I know myself to be
at a certain level
then I feel like I can take that energy
into everything I do and it it serves as
a filter.
Like shows up as at
that point. People's issues show up as
their issues.
Real criticism that I need to
internalize I like to think still gets
signal above the noise.
So
I tend to put things outside me to
reawaken that but I love
love love love that you're offering
tools that have nothing to do with
building something buying something
because those things are still external
to me. This meditation is really about
accessing it from within
first and I um
so anyway that's just a a reflection.
Yeah so so I want to point out
I think that this is it's such a
masculine thing. So so I I I can
So you know, men are really interesting.
So, we're trained to not manage our
internal environment internally.
So, I I had a patient who was um
I I saw in a jail. He was 19.
And he'd been in he'd been jail like
three or four times.
And so, I was talking to him about, you
know, how he like wound up here cuz he's
like 19. And so, he was, you know,
telling me that when he was 12, um his
dad passed away. He's got three sisters,
all older, and a mom. And um
what they told him is like, "You're the
man of the house and you have to
provide."
Heavy. And And so, he was like, "Okay,
this is what I have to do." Like so So,
men do this thing, it's really
interesting. We do emotional regulation
through our environment. So, if my
environment makes me feel a certain way,
if my mom, dad, brother, sister, boss
make is upset with me and makes me feel
bad, if I make them happy, they will no
longer be upset with me. And if they're
no longer upset with me, I will be
content.
We shape our internal emotional
environment through our external
environment. And the scariest place I
see this is when when men I work with,
and it's not that women this doesn't
happen to women as well. This is more of
the way we're socialized, and there's an
effect of testosterone and estrogen here
as well.
Um there's a biological element to this.
But then they they fall into this trap
of like their emotions are
determined by the environment.
>> Mhm. So, men are just just the way that
they solve their internal emotional
problems is by interacting with their
environment. That's just very common.
So, it doesn't mean that we shouldn't
utilize the outside space.
Right? So, I'm not suggesting I mean, if
you really want to be if you're pursuing
enlightenment, then don't get aquaria.
But like, most of us aren't doing that.
So, I think we should utilize shape our
external environment. There's tons of
evidence that changing your environment
is critical from recovering from
addiction, right? If you're still If
you're still hanging out at a bar, it's
going to be really hard to be sober.
So, we want to utilize those things, but
we don't want to become dependent on
them.
So, shape your environment for your
benefit, but also
be stable enough internally to where you
don't need your aquaria to feel stable,
which I'm I doubt you need Yeah.
>> I raised that example. I see exactly
what you're saying, and no, I use that
example because it's like the ability to
get in touch with a a piece of oneself
that feels very true, very um wholesome,
and um and not
for lack of a better word, contaminated
by anything external. Yeah. Feels good,
and I think it's the energy that one
takes away from that that that I take
away from that that excites me. Yeah, so
so I I I I think it's a great point,
right? So, I think we sometimes forget.
So, I I was giving a talk for executives
about work-life balance, and I was like,
"There's no such thing."
So, I I think we we
we try to work is over here, and balance
like, you know, home is over Sorry,
yeah, life is over here. That's not how
it works. You as a human being carry
yourself between both situations.
When things are bad at work is when
people have affairs.
If things are bad at home, you're not
going to be at your your best at work.
So, I I I think you're you're you're
really tunneling down into I think the
most important part of it, which is that
look at how you get shaped, and look at
the person that you carry
into your next thing.
There's a whole science behind that, uh
which I think we probably don't have
time for, but like this idea of
samskaras, which is like almost like
learning. So, if you sort of look at
every experience that you have, you
learn something, and you carry yourself
forward, right? Into the next
experience, into the next experience.
That's what we call learning. Well,
let's talk about samskaras, because um
years ago, 2017, I was exposed to Yoga
Nidra. Okay. The guy that taught me
Nidra said, "The whole purpose of Nidra
is yes, to learn how to relax the body
with an active mind, etc. to make up
sleep that perhaps you didn't get the
night before, become a better sleeper,
all that stuff." But he said, "The
purpose is to burn the samskaras down to
the roots. You're supposed to um, these
are like weeds that come up in your life
and you're supposed to burn them down
and Nidra is one way that you you
you rid yourself of of these things." Is
he totally off base? No, so we we have
to be careful because you love aquaria
and you love frogs. Now we're getting to
what I want. Great. Okay. Great. I
prefer that.
>> Let's understand what Yoga Nidra is and
what a samskara is. So, one of the
biggest challenges that I have as a
psychiatrist, my job is not in teaching
people things. It is in helping them
unlearn.
So, if you look at what trauma is, if
you look at ambition, if you look at
ego,
you know, you you kind of said, "You try
to connect to this childlike energy." I
forget if it was like Leonardo or
Michelangelo or or someone who was like,
"You know, it took me my whole life to
learn how to paint like a child."
So, if you look at literally what
happens with the human psychology is we
accrue these micro traumas as we go
through life. We accrue associations.
I had a patient who was absolutely
traumatized. So,
was dating someone, engaged to a dude,
okay?
Discovered that her fiance had been
lying.
So, he was in med school, failed out.
Uh, for 2 years he pretended to go to
class every day.
And then then when he graduated, he got
a job. But he didn't really graduate.
>> He didn't really graduate. Here's the
scary thing. So, he would leave
in the morning, drive to his parents'
house, spend the day there. Parents
would deposit money in their account.
And so, for years, like then so, one day
I think I think what happened is she
went to his parents' house and she saw
him there cuz she like, you know, went
>> in on the Yeah, they were in on the lie.
Yeah, yeah, yeah. Right? So they were in
on the lie. And so she is just like
like, "What are you doing here?" And
then then she discovers not only him,
but her parents have been depositing
money into their account every month.
And so she discovers this betrayal. I'm
shocked. It's insane. It's absolutely
insane. The the the lengths that people
will go to to to deceive you. Oh,
believe me. I've experienced somebody
creating a world that was a complete
fabrication. And eventually it all came
tumbling down for them. But I remember
being like,
"Oh my
god."
>> Yeah, right? So when you're about to
marry this person,
it leaves scars.
So then what happens is she goes into
her next relationship and she has an
immense amount of distrust. Is paranoid
about her next partner. Next partner
didn't do
And this guy is getting like like
there's so much paranoia, right?
So if you look at life, life is a series
of like bad stuff that happens to us and
then we adapt.
But the way that the human mind adapts
is the same way that the human body
adapts. Which is if something is in if
we get really damaged, we get a callus.
We get scar tissue. Scar tissue is not
functional. It's protective, but it's
not functional. So most of our
adaptations become maladaptations later
on.
Okay?
So this is what a samskara is. So it's
like this emotional energy that lingers
with you and shapes the way that you see
the world.
So it's really fascinating because we
have all this like trauma processing and
the yogis were talking about it for
thousands of years as samskaras. And now
you were talking about, you know, this
thing down there that needs to be
burned. So let's understand that for a
second.
If you look at your mind,
stuff pops up, right?
Have you ever wondered why certain
things pop up? No. Right? Have you ever
thought like, why aren't you interested
in
the scent of a rose?
Like, a certain like it's so weird. Like
our our mind just generates thoughts.
And everyone is trying to learn
discipline and willpower. I think it's
terrible.
Willpower is so bad.
Because why not just shape yourself to
have the right desires? Then you don't
need willpower.
This is what the process of yoga is
really about. This is what samskara
generation is about. Did you learn a
sankalpa when you did yoga nidra? Well,
they talk about it. I confess that
um
I maintained a very regular yoga nidra
practice, but I've not explored the
these aspects of it.
>> I'll explain to you the mechanism of a
sankalpa and like literally it's it's
wild. This is reprogramming your
subconscious mind so that the things
that your subconscious mind puts into
your conscious mind you can control.
Okay? So, in the case of trauma, all
kinds of weird stuff gets put into our
subconscious mind. Like, I can't trust
people. Then what happens is that floats
to the surface. In my patient's case,
every time her second fiance,
she doesn't know where he is,
she's like, maybe he's scamming me,
right? Like that's what she thinks. So,
I don't know if that makes sense. That's
a thought in her conscious, which is
being born out of something in her
unconscious. We in neuroscience call
this learning, right? So, we're learning
certain things.
So,
in psychotherapy we try to get rid of
that bad stuff. But let's understand how
stuff goes in. Because if we can
understand how the mind is programmed,
and this is it's so simple, so
neuroscientific, okay? Or maybe you can
tell me it's not neuroscientific, but
I'm pretty sure it is.
Okay.
The first thing is the one-pointedness
of the mind
allows things to sink in. So, if I'm
trying to study optic nerve anatomy
and I'm in a burning building with
people yelling at me, I can have my eyes
look at the paper, but I'm not going to
learn anything.
This is the really crazy thing.
Is a lot of people study repetitively,
right? So, I read the paper again and
again and again and again, but it's not
like each time I read the paper, I get
10% of the knowledge. If you really pay
attention to your mind, when you are
focused, when your mind is one-pointed,
you just need to read it once. What
we're basically doing is we're rolling
the dice. Am I focused this time I read
the page? Am I focused this time I read
the page?
This also I we have studies on things
like writing. So, when you write, it
improves your capacity to focus. So,
that's when things enter your memory a
little bit more.
So, one-pointedness of the mind
is what leads to things being learned.
Now, this is how trauma works. So, when
we when you are intensely emotional, it
actually focuses your mind. Yeah, and as
you mentioned before, and I'm so glad
you did, as a visual system
neuroscientist, when adrenaline levels
are high,
the visual field narrows, our depth
perception change everything becomes a
microscope view of the thing in front of
you.
>> Absolutely, right? And and when when
we're having an argument because you
didn't get me what I asked for for
Valentine's Day, and then I tell you,
"Andrew, you've you've never gotten me
what I want for Valentine's Day." That
laser focus, that one statement that I
make, even though I tell told you right
before that I love you, and right after
I'm sorry, that thing sinks in. It's
that poison dart, right? It sinks in and
that's what you remember. Because you
are focused on it.
So, when we are emotional, we are
focused. So, the way that I want you to
think about your mind is like a pool of
water that has a lot of waves. And when
the water is still, something can sink
down to the the bottom. But when the
water is really active, nothing sinks
in.
So now we get to Yoga Nidra.
So in Yoga Nidra, what we are doing is
attaining a state of consciousness
that is
what's called in the yogic yogic
scientific literature, a hypno-yogic
state.
So it's not hypnosis,
but it's not pure active consciousness.
It is a very dormant awakeness, if that
kind of makes sense. Right? You're in
this trance.
And so in that trance,
you you're in the edit mode for your
unconscious mind. So this is where a
sankalpa comes in. So a sankalpa is a
resolve that you put in there.
And then I I I don't know how to explain
this except in this way. So when I work
with a patient who has anxiety,
and they have this subconscious
programming, we when we have a
therapeutic breakthrough, which there's
tons of evidence for, right? So even
Freud noticed this that you have to
activate the emotion in psychotherapy.
Like my patient that I talked about a
while ago who was like comes and he
talks about how he's depressed,
didn't do for him.
What we have to talk about is why he's
angry.
How he's been screwed in life, all the
people that he's ang- So then once once
that emotional energy activates, we
become one-pointed, we activate that
energy in the in the unconscious, and
then if we vent it out, it disappears.
That's how you burn away the things by
letting them out. And in Nidra, um
is there an opportunity for emotion?
Um you're very it's a deeply relaxed but
mind active state, right?
>> no yeah. So you don't want emotion in
Nidra. You are actually so emotion
collapses a scattered mind to one point.
But there is a state of consciousness
even beyond one-pointedness that would
we we use in studying, where if you talk
to people who like engage in not even
the flow state, but beyond the flow
state.
So there are people who like the best
term I know it's going to sound hokey,
but people who like channel divinity.
That I think divine is the best
scientific term.
So, there is there are some human beings
and everyone has experienced this where
like you're not you. You're like
something else. Tell me more. I think
the Greeks thought of genius is not a
person is like something you channel.
Something coming through somebody.
>> Some some something coming through.
>> I think uh most readily in musicians.
Musicians, athletes. Mhm. Right? So,
there are sometimes like I work with
like e-sports athletes and some of them
know that they're going to win. They see
the game that they're going to play in
their they they know exactly what's
going to happen. And the crazy thing
it's not a calculation. It's an
intuition. I'm sure that on some level
they're calculating. So, we call this
stuff divine. I'm not saying it's
divine. I'm not saying it comes from
God. I'm saying that the subjective
experience is qualitatively fundamental
different from like a regular logical
experience. So, this is a state of mind
that is even beyond emotion. It's in the
edit mode. In scattered mind emotion
brings us down to some amount of focus,
but then there's even a level of focus
that's deeper. And that's where the
rewriting comes in.
>> That's where the rewriting comes in.
That that's when that and then when you
implant something there, that's what a
sankalpa is. So, when you do yoga nidra
the physiological elements of this is
what's like
not bad, but is a necessary step with
where we are with science.
All the weird mystical stuff I think is
real.
But
we have to start with the basic science,
right? So, the way that science works is
like we start with okay, like let's look
at cortisol production.
And then let's look at what happens next
and let's look at what happens next and
let's look at what happens next. So,
yoga nidra, whether you're talking about
cardiac coherence breathing, so there's
the first stage of what we call Nadi
Shodhana Pranayama, which is alternate
nostril breathing. But, then there's a
text called um
Vashishtha Samhita, which talks about a
particular kind of cardiac coherence
breathing with a a uh ratio of 1:4:8.
So, you breathe in for 8 seconds.
Actually, you breathe in for 16 seconds.
You hold for 64 seconds, and then you
exhale for 32 seconds.
If you do the Vashishtha Samhita version
of cardiac coherence breathing, the
subjective experience is completely
different.
You will feel prana. You will feel chi.
With that pattern of breathing?
>> that pattern of breathing. Those are
long inhales, holds, and exhales.
>> yeah. So, it's it's hard to get to. But,
like literally the subjective experience
that you will have is like a sense of
vibration
on like at the periphery of your body.
That's what it feels like to me.
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If I may, just a brief editorial about
why I also
believe that science needs to go down
through the physiological first. My lab
has done some clinical studies on
breathwork. We called it respiration
physiology for a reason. It's important
to be able to fund studies and also to
be able to communicate
the that information to colleagues who,
if they just hear breathwork or
meditation or that the it's it's a
separator, right? The the the field of
science can't go into the mystical right
away. But what's so interesting is
nowadays there are discussions about uh
meditation that are starting to get into
the deeper layers, but it took 20 years
or more of formal science to do. I'm I'm
not arguing with you. I just I think
some people will say, "Why not just cut
to the chase?"
>> No, no, no, no, no. I mean, I You know,
I completely agree with with everything
you're saying. I think there are ways of
editing the nervous system that are
non-pharmacologic, that are behavioral.
You're describing some of the the the
the more ancient ones. I do believe that
yogis were and are neuroscientists. They
come in through a different avenue.
My recollection from Nidra is that um
there are some There's an encouragement
to uh two things that I would love your
your your comments on. One is there's an
instruction in the Nidras that I've done
to move away from thinking and doing
to being and feeling. You're trying to
get out of the state of planning, out of
that Is there some shift that's
critical? And then the other one is I am
statements. There There's this
instruction to give uh
like talk about one's deepest heart's
desire as if it's already happened. Is
that BS or is that or is that real?
>> but we have to understand mechanisms.
So, let me talk about the science bit
for a minute. I have a far I not
simpler. I'm a clinician. I think
there's a reason we have to start with
physiology because when a patient comes
into my office, if I tell them do yoga
nidra, what is the effect size of the
intervention? We need to know that.
Right? So, here's the problem with
studying meditation and the benefit of
studying with meditation this way.
The problem is that we're teaching
people to swim for 8 weeks. That does
not show us what an Olympic athlete is.
So, our science of meditation is in its
infancy. The reason why this is really
important is because not everybody is a
Buddha.
So, the reason we have to start with
physiology is because we need we're
we're doing scientific studies to make
predictions. Why are we making
predictions? At least for me, it's to
help a human being. So, it I don't care
that you know, there's some Yogi who's
been in the cave in the Himalayas for 60
years and attains some weird channeling
of divinity. What I want to know is like
when a human being comes into my office
and I tell them to meditate,
how much can I pull back on their SSRI
if they've been sticking with the
practice? Right? So, you have to start
Science is about reliability, not about
possible That sounds so new age, but
it's it's about what we can reliably
predict. And that's a really important
place to start.
Going back to the nidra thing,
this is the thing to understand. So, if
you think about planning, planning is a
higher order cognitive function
that depends upon other baser cognitive
functions. And I'll just give you a
simple example. If I care about parties,
my mind will automatically plan parties.
If I care about avoiding other people, I
will automatically plan how to avoid
other people. So, the planning that you
do is whatever, but which things are you
planning? That comes from the deeper
stuff, for lack of a better term. That's
why So, these people, they're not doing
the the sankalpa in the most classic
form, but they're getting there. Because
a being statement is the pluripotent
stem cell
of where you want to go. Okay? So, what
what do I mean by that? It's like So,
like like let's be precise. And I'm I
know it sounds new age-y, but there's
like science here, okay? So, let's look
about look at something like
self-esteem.
So, self-esteem is an assessment of
yourself. And think about all of the
ways if I have high self-esteem or low
self-esteem, that will result in so many
different like like manifestation
not It's the word, right? That will
manifest in your life in so many ways.
How do you respond to feedback? If
someone asks too much of you, can you
set a boundary? And this is the problem.
The core of the work that I try to do is
I try to help people get to their
fundamentals.
Everyone's focused on changing behavior.
Everyone's focused on increasing
willpower to overcome this tendency.
And it's like why not just change the
tendency?
And that sounds so simple, but that's
literally what we do in psychotherapy
every day when we come in and someone
has a narcissistic personality disorder.
Andrew, this is personality. This is who
they are. And we can psychotherapize
them to be someone else. For their
natural thoughts to change, for the way
that they see the world to change, for
their behaviors to change on its own. It
doesn't require Willpower is necessary
when you are trying to not be
narcissistic. It is not necessary when
you are no longer narcissistic.
So, we've done it in psychotherapy. We
know that if your self-esteem changes,
if your sense of being changes,
treatment-refractory depression will
change.
Trauma, PTSD will change. Do you have
your patients do nidra? Some of them.
So, I also have a whole I mean, I I just
started this research and then left
academia, but I was trying to develop
evidence-based protocols for particular
diagnoses for certain kinds of
meditation practices. Beautiful. Right?
So, for narcissism, I would lean into
shunya practices. For trauma healing and
specifically the patients who come in
who need a fundamental belief change.
If they just didn't believe this thing
about themselves. So, I had one patient
who had a lot of trauma.
And the sun gulpa that she came up with
or that we came up with together is, I
deserve to be whole. Not I am whole.
And then if you think about a sun gulpa,
that's a compass that you will navigate
life with. So, the main thing is once it
gets into her mind, I deserve to be
whole. If people even her own she had a
lot of self-sabotaging behaviors. And
it's like, no. I deserve to be whole.
Right? That is something that she
And this isn't telling yourself. This is
the problem. This is I want to be
precise. I know it sounds weird, but
telling yourself is like there's a lot
of mental activity and you're trying to
say something from the outside.
Like you can tell yourself, "Hey,
Andrew,
I'm going to remember this mathematical
formula." Doesn't work.
You can tell yourself all kinds of
things, but like telling yourself is
very surface-level mental activity.
That's not how change happens.
So, when we're talking about like
narrative reconstruction post-trauma,
and this is what's so terrible about
social media. Everyone's like consuming
this like,
you know,
"Tell yourself every single day that
this is true." That's not how you change
your beliefs.
That's science of how beliefs change
isn't by telling yourself things over
and over and over again. That's
gaslighting yourself.
It's just trying to drown what you
really believe with like it's like
taking a piece of dog poop and putting
icing on top. It's not how
neuroplasticity works.
>> I mean, I can say that with a 100%
confidence that my
as a neuroscientist and you know, I
don't claim any relationship to the work
my but my scientific great-grandparents
won the Nobel Prize for neuroplasticity.
It is a process that has certain
requirements.
They have to happen in a certain order
and at a certain depth of of the nervous
system, which is what you're describing.
And so no amount of of repeating a
phrase,
positive or negative, is going to
engage neuroplasticity. Yeah. And I wish
I wish that people knew that because it
would provide them a filter through a
lot of So I think this this
Sankalpa idea and this idea of like, you
know, focus on being statements because
being statements are like more
primordial and they will
they will result in the mental
fluctuations of your mind in a different
way, right? So they'll automatically
result in a certain kind of desire and a
certain kind of planning and a certain
kind of inclination. They're your most
natural tendency.
And like I'm lazy.
Like people don't realize this, but like
I'm lazy. I'm still the degenerate
gamer, you know, I don't like to work. I
I work 7 days a week, but it's not work.
The only way I can work 7 days a week is
to
shape my experience of the thing.
And this is [clears throat] what a lot
of people don't realize. There's a
fascinating theory that I think is
somewhat true called the theory of
constructed emotion.
So I forget who's the person who's the
pioneer of it, but it's sort of this
idea that like we think that, you know,
when something happens to us, the
emotion is automatic, but we actually
construct that emotion.
We have a hand in how we receive the
world around us.
Right? So you can people can criticize
you.
But you can take it constructively. The
way that you mentally respond to
something is huge.
So when we when we are doing a Sankalpa,
when we're doing Yoga Nidra, are we
burning away some scars? Sure. The some
scars the negative emotional
programming, then the adaptation that we
made. So it'll burn that stuff away, so
you will be free of that stuff, but
that's not what I would do do practice
for.
It's really to put a positive thing in
there.
And by having a being statement, it may
somehow counteract. I think this is
where like my science head, I can't be
precise enough. I sort of know that how
a sun cup works. I've used it for
myself. I've used it for many patients.
It really is about attaining that
neuroplasticity. It's about attaining
that state of mind. And if you don't get
there, it doesn't work. Then you're just
repeating things to yourself.
Which is why there's such an emphasis on
the physiology because in order to enter
into that state of mind, we have to be
really precise with what we're doing
autonomically, physiologically.
Do you think that liminal states between
sleep and awake are also a valuable
opportunity for people to rewire their
beliefs about themselves um
and engage neuroplasticity? Absolutely.
So hypnagogic hypnopompic hallucinations
are like good examples of this. That
state is really weird. So there is one
of the 112 techniques that will bring
you to enlightenment is to catch the
moment of sleep.
Beautiful technique. Incredibly hard to
do. So this is something that people
need to understand. When we're talking
about meditation, I want y'all to
understand that this is a technique that
I did for 12 years before seeing a
single result.
And this technique will give you an hour
going completely off the rails, okay?
Uh will give you a lot of insight into
your past lives.
So there's something and we we can get
into the science of that if you want to.
Um but like there's something like when
people come to me and they say, "Hey,
like I want to learn about my past
lives." The technique that I give them
is to focus on the liminal state between
consciousness and sleep. And
specifically to catch the moment of
sleep. To So to see yourself fall
asleep.
>> So I do that in Nidra.
I can
observe myself falling asleep and I'm
aware that I'm falling asleep, but I'm
not lucid dreaming.
I'm I'm watching myself sleep. Um it's a
and it
and I literally feel like I'm falling.
It's probably some deactivation of the
vestibular system or something going on
there. Um Proprioceptive hallucination.
>> Yeah, so some something going on. Um
I mean, what we're talking about here is
to really just break it down is
deeply relaxed state. So so autonomic
tone is very parasympathetic,
but a little but alert enough to observe
the self. So this is an unusual state,
right? Cuz I normally think about the
autonomic nervous system like a seesaw,
parasympathetic, sympathetic. So alert,
stressed, panic, or asleep, coma,
dead, right? You know, and it's going
back and forth the entire time we're
alive. But what we're talking about here
is a weird kind of bending of the
seesaw, where we're both very relaxed
and very alert. And in that state, the
the brain is more available for for
instruction, for for for editing. Many
people, I think,
use psychedelics
trying to achieve this state.
But that's one avenue. I I think it
it'll be amazing if there were more uh
faster entry points. 12 years is a long
time.
I hear that. Other people hear that
like, "Oh you know, that's that's
a lot of meditating before I get where I
want to be." But do you think that
there's opportunity for Nidra and um
excuse me, I'm uh Shunya,
the void meditation, to be valuable in
the short term as well?
>> This is one of the 112 tantra
techniques.
>> that technique.
>> yeah, that that's a really hard one
because it has no preparatory practice.
It has no physiology to it. It's just
catch the moment of sleep. That's it.
Mhm. So that's where, you know, that
technique is normally, if you've trained
yourself, then you can do it, but it's
really hard to do just off the cuff.
Nidra is very helpful from the get-go,
right? So from an autonomic nervous
system standpoint, very helpful. We tend
to be hyper sympathetically activated,
so yoga nidra is very good for
parasympathetic activation. Yoga nidra
is also very good for the rotation of
your somatosensory cortex. So, you know,
like we have this idea of the
homunculus, that's not really what it
is. And we can if I'm
>> of self, yeah.
>> Yeah. Right? So, so really what it is
there your somatosensory cortex is
plastic. And when you do rotations of
awareness through your body, it's really
good for you.
Really helps with things like chronic
pain.
Um so, in chronic pain, what happens is
patients, their somatosensory cortex is
literally locked into the part of the of
their body that's in pain. People think
that and it's a it's a
you know, it's a self-reinforcing thing
where something hurts, so your brain is
thinking about it. And the more that
your brain thinks about it, the more
that it hurts.
So, nidra is really good from the
get-go. And and that's where I sort of
think about the benefits of meditation
as
first of all, scientific to woo-woo.
This we know works, this we have no
clue.
Um
in my personal journey, it's been really
weird. So, I was brought to this weird
mystical stuff like kicking and
screaming.
Where, you know, once you're you're
meditating one day and you have
a memory from your past life, like you
sit there and you're like, "What the
is that?"
Like, is this a hallucination? Is this
some form of genetic memory? Like, is
this epigenetic memory? Like, what is
this? I have no idea. So, I'm not saying
that past lives even exist. All I'm
saying is that there are things that
maybe some people can do that will give
you the illusion of a past life. That's
all we know. Right? There's no And this
is why I think a lot of people are very
unscientific because they say, "If I
have a memory of something that didn't
happen, that means it hap- No, it
didn't. The human brain constructs
memory all the time. Most of our memory
is stuff that didn't happen, actually
technically. I have to say, I I don't
want to interrupt your flow, but I just
have to say because I'm I'm feeling it
and I'm I'm not saying this to make you
feel good, but if it does, uh great. I
mean, you're one of the more
intellectually supple people I've ever
encountered. I hope that lands cuz it
you know, I've been around a lot of
well-educated people and a lot of
practitioners. Everything from former
Mr. Olympias to Rick Rubin to David
show. I mean we've I mean
Martha Beck, I mean who has three
degrees from Harvard but talks about
spiritual downloads and
I have to say like
I feel what's missing from
health
public health, mental health, physical
health, performance, you know, the
broadly speaking is this ability to
understand how the ancient practices are
really of benefit
where the neuroscience and other forms
of science can explain it
but also to acknowledge
that even where we don't have
mechanistic understanding, there's value
in the practices. Like if you know, I
really believe that the healing
that everyone wants so badly for
themselves and for the world, I really
believe that most people want that
resides in this business of going inward
that only we can only do for ourselves
and seeing where our is
burning it down
and unlearning the stuff that makes us
unkind to ourselves and others and
unproductive. You know, I think one of
the dangers in discussions around yoga
and and
uh these things is some people will
think
okay, this is navel-gazing. This is all
me stuff. This is you know, you just got
to you know, get out into the world and
do stuff. But when we hosted a James
Hollis, 84-year-old Union analyst, he
said there two things that are critical
to a good life.
Of if I may. He said
every day you have to shut up. These are
his words. He said you got to shut up
meaning no whining.
Be grateful.
You need to suit up meaning you need to
prepare for your roles in life and then
you need to show up to your roles in
life. But you also need to spend some
time getting out of stimulus and
response,
going inward, and really touching in
with what he called your genuine heart's
desires.
And when he said that, I thought like,
perfect. This is the the ambition, the
doing, the getting things done in life
that we have to do, because no one wants
to be the loser you described earlier.
Like, no one wants to be that person.
And at the same time, no one wants to be
many people think they want to be,
got the marriage and the kids, and is
miserable,
because they took a path that wasn't
really for them. That they should have
done that with someone else. They
literally have the wrong No one would
say they have the wrong kids, but they
have the wrong life, right? And so, I
think that what you're describing is the
road map,
and it involves this going inward.
And I think that the the language around
yogic practices for Westerners is the
separator. It's where people brace, and
they go, what are they really talking
about here? This is this And so, as as a
practitioner in the West with this
Eastern mindset woven in,
how do you bring that to your patients?
How do you How do you convince them that
this is the path?
Because I really believe it is the path,
and I think it's actually the
the most important thing that any of us
can do for ourselves. First thing is I
don't try to convince anyone of
anything.
So, convincing is not
an objective that I have.
So, I love research, consume a bunch of
research, but there's a basic problem
with science.
Which is when we do a randomized control
trial, we learn about a population. We
don't learn about a person.
So, we can say that SSRIs improve major
depressive disorder by about 50%, let's
say.
But, if a patient walks into my office,
I have no idea if an SSRI is going to
help them.
Does that kind of make sense? So,
there's a basic problem of external
validity of all of our science, all of
our medical science anyway. I'm not sure
about opto or neuroscience, but
it when you apply it to a person some
stuff works and some stuff doesn't work.
So
my focus is on helping like a person.
And then the you don't need the woo
stuff. I think the the the the important
thing is like understanding your ego.
Like that's a fundamental thing that is
missing from Western psychology. But we
all intuitively understand that this
person is egotistical. Right? Second
thing is like things like perception.
Understand your perception. Your
perception and you were talking about
the internet. The basic problem with the
internet it is that it has allowed human
beings to no longer live in the same
world.
This is where AI is even worse. So the
more algorithmic you are
so the problem with an algorithm is it
shapes your perception.
It it it radicalizes your perception. So
an algorithm shows you thing one and
then it'll only show you things in that
tunnel. Does that kind of make sense? So
you go further and further down the
tunnel and you are living in a different
world than everybody else is living in.
AI is even worse at this is which is why
it's really scary, but there's a first
case report of really AI induced
psychosis in a patient that did not have
any history of psychosis. How does that
even come about? What are they talking
to the AI about?
>> I we can get into that if you want. It's
actually really scary, but we know the
mechanism. So here's the cool thing
about this case report. This person got
hospitalized for psychosis, was started
on an antipsychotic, psychosis resolves.
They get discharged, stop the the the
antipsychotic, start to use AI again and
become psychotic again.
It's really scary and the basic problem
is that AI is so sick of antic.
Our reality testing of the world
requires contrary opinions.
Right? So like when you're like, "Hey, I
have this idea I want to test throw
something by you. And then I say, no.
Mhm. So how do we know what reality is?
Because we have this perception, but
this person has this perception, this
person has this perception. So we
modulate our perception. Hey, I I I got
you a gift. No, you didn't.
What? I told you yesterday that I was
going to pick this up. No, you didn't
tell me that. So we stay in reality
because we get signals from reality. The
thing about the AIs is they're language
learning models. They don't actually
know anything.
All they do is scrape the internet. Um
this is a simplification. I'm not a data
scientist or AI engineer, but here's my
understanding cuz people wanted to build
like a Dr. K chatbot and I tried to get
into understanding the mechanism.
What an AI does is it just says a word
and then it
it tries to figure out which words are
going to make you happy. That's how it
knows what's right or wrong. The user
satisfaction is the ultimate thing that
they're they're going for. So there's a
lot of data that shows that literally
there's a really cool paper I can I can
send it to you later, but that shows
that the number of statements that you
have, the the more psychophantic it
becomes and the more paranoid people
will become. So like you know, there's a
another case of someone who um
murdered their mom and then committed
suicide because as they expressed
concerns about their mom, the AI
reinforces that and says, yeah, you're
right. Like these people are leaving you
out. Right? Cuz it's like trying to make
you feel
>> they kill themselves?
>> I don't know the full details of the
case. And and this is what's really
scary about the AI stuff is like people
will say, right? So like a lot of people
will make the claim, oh yeah, like if
you're mentally unwell and then you use
AI. So a lot of AI companies will say
it's people who are high risk will use
the AI and it it activates their
delusions. But Andrew, here's what's
really scary.
In order to make that, I don't know if
this makes sense. Like maybe this is
kind of read my mind question, but in
order to say only at risk people
will become psychotic from AI, what data
do you need to make that statement? I
think you need people to be harmed by AI
to have
to have that basis. Yeah, so in in my
mind from a clinical perspective, in
order to make the claim that AI only
makes
vulnerable people psychotic, mentally
ill people psychotic, you need to
have
your control group, which is people who
are not mentally ill. You need to have
your intervention group, which is people
who are mentally ill. You need to give
them an intervention, and you need to
measure their psychosis at the other
end. No AI company I've ever heard of
has ever done that. Does that make
sense? Like fundamentally, they are not
determining ahead of time whether this
person is mentally ill or not. And they
don't they're not they're not monitoring
psychosis. Well, I think the studies
that have not been done, at least not
until recently, that needed to be done
and desperately need to be done is to
evaluate what are the neuroplastic
changes that are caused by social media
and AI. I mean, these are the the
digital anvils that we're shaping,
especially young brains on. And now
we're surprised, like, oh, you know,
from 2010 to, you know, 2025, everyone's
been, you know, using progressively more
social media online more and oh, we got
brain rot and oh, we And and surprise,
surprise, like, well, no, there's this
thing called plasticity that we knew
about. It's just we didn't understand
how the brain gets modified on these
platforms, on these algorithms. And
instead, we looked at
It was like we were so focused on the
content, but not the
the algorithmic underpinnings of the
content.
>> Excellent. So so, I am convinced there
is not great data because it's early,
but I am convinced that basically, cuz
we know this from like basic psychology,
right? Like AI is basically like a cult
of one.
You get indoctrinated in your own
thoughts.
So, whatever you say to the AI is what
the AI will tell you back. This is the
narcissism.
What you described before, the the AI
becoming more sycophantic, the person
getting more paranoid. You know the
image that was in my mind?
>> What? Was an eccentric billionaire who
can control everything in their
environment, but is terrified and is
controlling of everything because they
feel like they're vulnerable if they
don't.
That's exactly what you described AI is
doing to essentially everyone. And and
and we'll see it also like not only in
the in the billionaire. So the and there
there there are some cool studies that
show
basically like who's at risk. So it's
really fascinating what the risk factors
are.
The amount of usage is huge.
Um so the more you use AI, the more
likely this is to happen to you. But I I
kid you not, I'm really I'm not trying
to be alarmist.
As a psychiatrist, when someone comes
into my office, I ask them, "Do you use
meth?" Because I'm trying to assess
their risk of becoming psychotic based
on something that is not like
schizophrenia or type one bipolar
disease. Now I'm starting to ask people,
"Do you use AI? How much?" So I'll ask
them these questions. "How much do you
use AI? Do you customize the AI to be
more effective for what you want?" So
this is what's really scary is like this
is what people call prompt engineering,
right? Do you train the AI to give you
more effective answers?
Um do you use the AI for mental health
issues?
And do you find that the AI's answers
are far superior to humans?
And these are the These are four of the
seven proposed risk factors
for like
bad outcomes from AI. And the crazy
thing is like this is the use case.
Right? Like we want people to be using
AI more. We want The whole point is that
AI is better than other people. I'm
going to use prompt engineering. And I
you know, in my community there's a lot
of mental illness and a lot of a lot of
mental struggles. So a lot of people
will use AI.
And it's really scary that like the use
case
is the risk factor.
And I really think that there's a chance
I don't think AI is evil or all bad or
anything like that, but I think we
really could be looking at like
like 60 years from now we're going to be
looking back and we're going to be
talking about AI the way that we talk
about nicotine
and tobacco.
I'm letting that sink in. When I
think about the algorithm being the
thing that shapes the brain,
um the analogy that pops to mind
is, you know, if I want to change a
nervous system
I don't care if it's a rat, cat, monkey,
bat, or human. I know what you're going
to say. Yeah. I'm going to spike
adrenaline and I'm going to provide an
experience. I mean, these experiments
have been done by James McGaugh and and
and others over many years. Like, I can
give an animal or a person a terrifying
experience
give them a beta-blocker
and their memory for it what their
memory for it will be will be meager if
if any. If I don't, they're going to
have a very salient memory. It's that
one-pointedness that you referred to.
So, spiking adrenaline is the
opportunity to create plasticity. Turns
out so is spiking dopamine. So is
spiking acetylcholine. Turns out that
there's this kind of
uh equality to all the neuromodulators.
If you can create high amount of arousal
or a unusual state, you can modify the
brain for some period of time. I feel
like what was never
thought about until recently
is that when we scroll social media or
we are on the internet, we're getting
pulsed, like you said earlier, we're
getting pulsed with
typically norepinephrine epinephrine,
right? And so, it makes perfect sense
that the plasticity is both for what
we're observing, but also for the action
of scrolling and going through that the
the the wheel of experience that you
described earlier. The the puppy, the
the explosion, the you know, the
political thing, the opportunity to make
money, the relationship thing, and then
and then repeat. And surely the the
platforms knew this and I don't think
they're diabolical in the sense that
they wanted to harm humanity. I don't. I
think that they are businesses and they
want to make money. They want to drive
engagement.
>> So so many people are don't like what I
say about AI because they like AI. Mhm.
And and I I'm also with you. Like I
don't think the platforms are evil. I
think they're just not looking at that
dimension, right? So like no one at an
AI company is designing a clinical trial
to be run through the FDA to measure
like they're just not measuring
like safety issues as far as I know.
Like not at the level that we do when
we're like looking at pharmacology. I
think these people are, you know, so
someone and and I I mean I I've worked
with so many people who like work at
YouTube and and meta and stuff like
that. Twitch.
And I don't think they're like bad evil
people. Like this is a big this is a
very black or white thinking induced by
social media content where like all
these these companies are evil or
they're totally fine. No, it's like
>> No, I know some of the the founders and
and owners of these companies and
platforms well and I think they are
benevolent people. Absolutely. And I I
think a lot of times, you know, they're
just like, "Okay, if I'm Instagram Reels
and I'm like a a programmer or developer
there and someone's like, "Okay, like
this amount of the market share is
TikTok. How do we bring those TikTok
users over here, right?" It's like if I
have a
a
a car and it's like how do I get someone
who buys a different kind of car to buy
my car? That's just what business is.
I don't think they're evil. I think what
they're doing and this is how humanity
works, right? So it's like we invent
something and then we figure out
afterward that it's harmful.
So I don't think people should stop
using AI by any means, but I think that
the health what I'm most concerned about
is that the health effects are a lot
more causal Mhm.
>> [clears throat]
>> as opposed to
uncovering. I think there's like
starting to be like some pretty
startling data
behind that.
So what do you recommend for young men
and women or older uh, men and women
around two things, around
social media use,
AI use,
and
we have to talk about pornography. Okay.
So, let's talk about social media use.
Do you believe that people should have
prescriptions of amount of time, types
of interactions they have or won't have?
Um, I realize it's hard to create a
blanket statement there.
>> It's it's not that it's hard to it's
that this is a whole other podcast. So,
like I've I've studied this
>> going to have to have you back. We've
got a lot of conversations.
>> there's so much nuance to this because
social media is not uniform in the way
that it affects your brain. So,
right? That's the number one thing. Um,
so, just just because all drugs of abuse
are in some way dopaminergic, does not
mean that their effects are uniform on
the brain.
So, first thing about use of social
media,
I think a big thing that people miss,
so, there's some like common stuff
that's like just use it less, bro.
What a lot of people miss is the mental
state that you are in when you use it
determines a lot.
Right? So, if you are feeling bad
and you use social media, you are you're
primed for salience. You will be
programmed more.
Right? So, so, this is where like people
who use it as a form of emotional
regulation, big problem.
Another interesting thing about social
media, when to not use it.
See, you know, you require a certain
amount of frontal lobe function,
executive function, and willpower in
order to fall asleep. You need to be
able to suppress your impulses in order
to be able to go to sleep. Don't use
social media before you go to bed. And
the main reason for that is if you use
social media
to the point where you've missed your
sleep window,
then it's very hard to fall asleep.
Because now your brain doesn't have
enough willpower. And this is what what
happens to people. So, there's a really
interesting study about
procrastination before bed. And what the
study found is that there's two kinds of
procrastination. There's before bed
procrastination, procrastinating going
to bed, and then there's in bed
procrastination.
When you procrastinate going to sleep
after you're in bed. So, don't use it
when you're not feeling good.
Don't use it before bed.
Especially because it's going to you're
going to miss that window and then it's
going to mess you up for the next day.
You'll be more emotionally fried, more
emotionally vulnerable.
>> hour before bed? Yeah, just just nowhere
near bed.
Um there's a blue light stuff, but I
think this
you don't miss your your sleep window.
That's been such a useful clinical
revelation when I'm working with a human
being. Cuz if you get past 10:30 and
you're on your phone, then it's going to
become 12:30. Cuz you no longer have the
the frontal lobe function to be able to
stop yourself.
Um that's the second thing. Third thing
is understand that
your
brain is
How can I say this?
You are developing the standards
for yourself through social media. So,
we're seeing a rise in body dysmorphia.
So, this is interesting because it used
to be that body dysmorphia was like more
common in women than men. We're starting
to see that even out, especially as we
have all these like alpha male
influencers. What you see is going to be
your standard.
>> I'll put alpha in air quotes there.
>> Yeah.
You know, so everyone's expectations for
what they should be. So, I I went to
Germany recently and I had my kids there
and we went to like a like a spa
and there were like a lot of like we
went in the middle of the day. So, like
we were on vacation, but you know,
everybody else is at school and whatnot.
There were a bunch of old German people
there.
And like old German people in swimsuits
are like not the most attractive human
beings on the planet. And and my kids
were like kind of surprised because
there's just a lot of like German people
who are old. But I like this is what
normal people look like. And we've
forgotten what normal people look like.
We've forgotten what normal is. And the
more time that you spend on social
media, the more you will be divorced
from normal. So, I'd say those are like
the three things. And sure, if you want
to use it less, like use it less. The
less you use it, the better off you're
going to be. But, I'm sure everyone has
said that a thousand times.
I think what people don't realize is
that the impact of it is not always
uniform.
That your psychological vulnerabilities
and people know this, if you've ever
stalked your ex on
after they get together with somebody
else, like people know what I mean,
right? Like, you're like your ex is now
dating someone else and then you look at
their pictures and you like look at all
their pictures and you make yourself
like kind of feel worse. Don't use it
when you're vulnerable. That's huge. I
realized that my statement about, uh,
you know, alpha males in air quotes, I
want to be very specific, um, not to
protect feelings at all because no one
I'm about to talk about needs uh
protection for their feelings, but I
think there are some incredible
male educators and examples online, uh,
you know, of people who are showing up
in different aspects of their life in
really spectacular ways. I mean,
good friend Jocko Willink, for instance,
right? I think, uh, he has a ton to
offer. I my friend Ken Rideout has a ton
to offer, you know, um,
there are many, many great examples.
When the people I was referring to in
air quotes or the
was in reference to this kind of newer
trend of looks maxing as as Yeah. it
relates to what you're talking about
about this
you know, over obsession in my opinion
on on looks and on, um, cosmetic
perfection, uh, which I do think is
going to be, if it's not already, very
hazardous for young men. The feeling
that even just, um,
the idea that variation in looks is is
being discouraged, that there's sort of
this need need for everyone to look the
same is so very different than how I
grew up where, uh, I've feel very
fortunate that there was, you know, kind
of a a range of different appearances,
um, within the scope of healthy that,
uh,
that defined people's unique
characteristics. And now it this looks
maxing thing seems to be all about
everyone having like this angle of jaw,
this cheekbone thing, this type of skin,
this type and and that's the part where
I go like hey guys, like please don't
waste your life. Like this is going to
this is a fool's errand. It's going to
destroy them. Here's what's really
scary. So like I'm not a couple's
therapist, but I just made a guide to
relationships because
everyone in my community is struggling
with loneliness. And here's the really
scary thing. If you look at the
research,
looks are not that important for a
relationship. So if you there's some
really fascinating studies on charisma.
So looks are number six
on
if you do a multivariate regression
analysis. Actually, I don't think it was
multivariate, but if if you if you look
at the factors of charisma, looks is
number six.
And and if you look at like the most
charismatic people on the planet, like
no offense, but like you know, Winston
Churchill, amazingly charismatic. Not
the most looks maxing guy out there, you
know.
>> Right. Right. And so I think the really
scary thing is that a lot of this like
information on social media is just
wrong. It's not based in science at all.
Like what we talked about with flirting.
People don't realize if if you're
flirting with someone and they don't get
it, that's actually fine. That's why you
have to make three attempts to flirt
with someone statistically. And then you
should level up like escalate the signal
that you're transmitting. Now the really
interesting data point cuz I'm excited
about this. But um women who are of
average attractiveness and high
signaling are more likely to end up in a
relationship and be approached than
women who are very high attractiveness
and low signaling. Uh could you define
signaling? Yeah.
Making it known that you're open for a
relationship. Eye contact, smiling.
So this is what people don't understand
is like they think like okay, if I'm
hot, things will happen.
That's not how it works at all. There's
a lot about how to flirt, how to
communicate interest, how to be
embarrassed. And all of these things are
like positive things that people don't
understand. That charisma is about
having vision because if you're looking
for a long-term partner and they're
trying to figure out can I be with this
person? They have to have a sense of
your vision of life to see if they fit
with you. It's actually way more
important than looks. The ability to
handle adversity.
Huge element of charisma.
So someone wants to know if stuff goes
south, can I count on you?
Way more important than looks.
So the only thing with looks is that in
online dating specifically people will
judge based on looks, but there are
numerous studies that show not numerous
actually. One study at least that I've
seen that shows that if your profile
indicates purpose, man or woman, it
increases your attractiveness.
So the problem with all this social
media stuff is not that it's wrong.
I work with a lot of incels. I work with
a lot of beta males.
It's not that they're wrong. It's that
they're woefully incomplete. They
haven't done a study of the whole
literature. Sure, if you're more
attractive, it is easier to get dates.
Here's the scariest statistic.
Drive for muscularity is inversely
correlated with length of relationship.
Right? So the more that you if you're
watching social media and you're like I
need to be pumped. I want to be pumped.
I want to be pumped. I want to be
pumped.
That's what
drives people away. It's hard to have a
relationship with with that kind of
person. So by all means get muscular,
but want it less, which is really
interesting because what I see is people
wanting it more. Like looks maxing, I
want this. I want this. I want this. So
deprioritize it. Yeah. Yeah, it's so
interesting. I mean the the drive and
vision thing is um
and purpose thing is is so interesting
because
uh you know, this is one thing where I'm
not saying everyone should go into
science, but in science you you you
apprentice yourself to somebody else and
then to somebody else as a postdoc and
then eventually, whether or not you get
to succeed or not as an independent
scientist is entirely based not on what
you did, that's just proof of an
ability, right? It's based on your
vision. Like is there something
exciting? And that's what That's what we
joke in the in science like every year
there's a prom king and a prom queen on
the on the job market. It's the person
who has the most interesting and
compelling vision. That's who you're
hiring.
And yes, they tend to have been
successful in the past. You need that,
but that's necessary but not sufficient.
So important that that you're raising
this. Do you think that a young men are
indeed falling behind in terms of we
hear this all the time that they're
falling behind their age-matched peers
that are women in terms of just sort of
life progression. Oh, absolutely. I mean
there's no I think there's no question
of that. So
I forget if it was 41% of college
graduates are are men now.
Um so so I think like the it's really
lopsided. I think in 1975
the average age of marriage for a man
was 23.8.
And now it's 30.8.
Uh it's not average, median. So half of
the people are actually older than that.
For women it was 21.1 to 28.4. People
will make um financial arguments around
that. I I see that a lot. People say,
"Well, it's very expensive to you know,
to be able to raise a family, etc."
That's that's often what you hear at
least in California. People say that
they're waiting because they need to
establish a certain level of income. Is
that is that true? Sure. I I mean I I
think that's what people are
subjectively feeling. 50% of people
under the age of adults under the age of
30 live with their parents now. I forget
what the the statistic used to be like
20 years ago. So we are absolutely
seeing like economic difficulties. So
every everything is slowing down, right?
That And but I think that there is the
biggest difference
is
as a society men are the one group of
people that we expect to help
themselves.
So, if you look at like and and there's
like like I'm not I'm not saying women
don't deserve help. So, you know,
there's some examples of this that I
think are not great. So, there are
homeless shelters for every gender and
then there are homeless shelters for
women. There are only there are no
male-only homeless shelters. I think
that's a good example of you don't need
a male-only homeless shelter because
that's an example of like women who are
in every all-gender homeless shelters
are really way more unsafe than if
they're on their own. So, like that's an
example of like I don't think everything
should be equal between all genders, but
I think the challenge is that
you know, if you just talk to men or if
you talk about men, there are many
things that we'll say, "Okay, like the
patriarchy is harmful to both men and
women." Fair enough. But like
what are we going to do societally,
systemically to support the men who are
struggling? So, there aren't even though
only 41% of people who graduate from
college are men, there the number of
male-only scholarships is like really
small.
So, as a society, it's really
interesting. I think we're we're not
really supporting men in the way that we
need to. Now, a lot of people will hear
this as, "Oh, it is my responsibility as
a woman to do things for for my husband
or boyfriend or whatever." I don't think
it's like women's responsibility. I
think that's a big problem historically
that women have been responsible for
certain aspects of men. I I think the
work that I do and the work you do, the
work we do is to try to help men, women,
and everybody else take care of
themselves.
But I I do think there's there's plenty
of data that suggests that
you know, men are falling behind. If you
look at rates of
addiction, um deaths of despair, this is
a really interesting uh
scientific measure that came a lot out
of the UK.
These are basically deaths that relate
to suicide. You know, male suicide rates
are four times what women
what they are for women. So, it's
interesting like
now hopefully this is changing, but when
I was in residency, you know, we had
women's mental health clinics. We didn't
have male mental health clinics.
Do men in relationships
um
you know are they protected from some of
the negative effects that you're
describing?
>> This is fascinating. So, do you know
what takotsubo cardiomyopathy is? Have
you heard of this?
>> This is when people die of a broken
heart.
>> Yeah. So, this is what's really
fascinating. People don't realize this,
but
women are far more likely to initiate
divorce.
So, I think the the interesting
statistic about this is you can look at
gay couples.
Um so, gay men who get married have less
than a 50% divorce rate. I I think they
they get divorced maybe 30% of the time.
Lesbian couples have the highest divorce
rate. So, they get divorced I think
something like 60% of the time. So, it's
even greater than 50%.
So,
I did a lot of work on this because I
I've had so many patients who when they
go through a breakup, like it really
ruins their life. And there's research
on this, okay? I'm not like
misogynist or anything like that.
So, if you look at qualitative research,
if you ask a woman after she goes
through a divorce, what did you lose?
She will say, I lost a relationship.
If you ask a man, what did you lose?
They say, I I lost a life.
So, this is just it's just different.
So,
women will oftentimes form many
connections. So, when they lose their
relationship, they lose a a
relationship.
But, men are by some amount of biology,
by some amount of conditioning, by some
amount of culture, oftentimes will have
one emotional support in in their life,
which is their wife. And I've worked
with plenty of women for whom this is
overwhelming because they become their
husband's therapist because their
husband doesn't know how to manage their
own emotions. That's not good. That's
not healthy. But if we're looking at
outcomes,
the cortisol spike that men get after
divorce is way higher. The amount of
inflammation that they experience is way
higher. Um I think they have an acute
risk of heart attack that elevates. So
some of this is probably biology.
We're we're just wired differently. Like
this is also another thing that's really
interesting. Um the inflammatory
response from a cold is greater in men
than it is in women.
So like when my wife gets sick, she's
able to do stuff, but like my
inflammatory response is actually like
I'm out. And there's a lot of
physiological evidence for why that is.
And it may have something to do with if
you sort of look at like in the animal
kingdom,
you know, a male lion is much more
likely to fight by baboons, much more
likely to get scratches and things like
that. So we need a more robust uh
um immune system.
So we want a stronger immune response.
But yeah, takotsubo car- cardiomyopathy,
I mean the the mortality risk of divorce
for a man is way higher than a woman.
It's interesting because
um and these are individual cases, but
um not population studies, but I've had
a lot of young men and and their parents
uh reach out to me. Like my kid is
really struggling. He
uh you know, he's really languishing and
he's really falling behind. You know,
he's got these issues that that issues.
Um
uh there are all these like loose
correlations that I'll just throw out
there. I often hear, and I'm not saying
this is the cause, but I'll hear, "Oh
yeah, you know, and and even their moms
will know sometimes. They'll say, 'You
know, he's he's had some like really
serious sexual side effects. He was
using these uh anti-hair loss meds. I
wonder, is it that?'" They always want
to find like what's the one thing that
can put them back on track. And I'm not
psychiatrist, so I've talked to them
before and often times we'll uh get a
sense of what's going on more generally.
And I actually have noticed that a
number of these guys have relationships.
They're very close with their
girlfriend. They have very kind, loving,
supportive girlfriends. And the
girlfriends are doing well in life.
They're moving forward professionally,
but the guy isn't. He's sort of stuck.
And that was a surprise to me. I thought
they would be totally alone. They'd have
no access to to, you know, dating or
mates. No, that's not what's happening
in in many cases. They're just they're
sort of just stuck. They can't seem to
find a profession. They can't seem to
get ahead. They're and and they've got
these
very kind, very, very patient
girlfriends that are sitting it out with
them for, I don't know how long. Uh I
don't know if they'll stick around, but
that seems more and more common. So,
they can find the relationship, but they
can't seem to
launch into into being a grown man,
frankly. Yeah, so I think, um first of
all, that was me. So, uh you know, when
I it took me 5 and 1/2 years to graduate
from college. I graduated with a 2.4
GPA.
And then I started med school at 28. I
couldn't support myself financially
until I started residency at the age of
32.
My wife started working at 16 and has
never stopped.
And so, there was a period of like 5
years where like what was I doing? I had
a a research assistant position at
Harvard, but I was basically applying to
medical school.
And so, like I was going nowhere real
fast, and she stuck it out with me,
which is quite amazing. Like I'm I'm
still surprised by her
and her lack of pressure, and also her
like supreme confidence that I was going
to figure it out.
Um so, I been in in in those shoes.
And I I think the big thing for me was I
figured out how I worked. And so, I you
know, we we have this picture failure to
launch, which is a lot of what I deal
with. These are gifted kids
who then hit a wall like I did. So, had
a lot of potential, just never really
comes to it.
They struggle a lot with things like
discipline, motivation. I I think often
times they will look for some kind of
solution, right? Because we as human
beings, we don't realize that most of
life is multifactorial.
That if you do a multivariate regression
analysis, you're not going to find that
it was the hair loss meds.
And so, this is where we kind of come
back to the road map, where I I think
the most important thing and I I I've
I've helped
anywhere between hundreds
to millions, whether you consider
YouTube or not.
And the main thing is they don't know
how they work. See,
men are not taught to understand,
they're taught to do.
Like we we're like, you know, do this
thing. Like get a job, do this. And And
women have all kinds of expectations,
have babies,
um and work, and do everything, all, you
know, exceptionally well.
But But I I I think we're just not
taught how to understand ourselves. So,
the biggest thing that I see is
not a problem of treatment, but is a
problem of misdiagnosis.
And one of the things that you learn, I
think people don't really realize this,
but like most of medicine is not
treatment. Like I don't think treatment
is usually the hard part. I think the
diagnosis is the hard part.
Understanding really what's wrong.
Uh just as another example of this,
I've worked with so many people, young
men,
who are like, "I'm so tired. How do I
increase my energy? How do I increase my
energy?"
And what they don't realize is like if
you think about tiredness,
tiredness is a signal from the brain.
Tiredness is not always low energy.
Tiredness is your brain's way of telling
you that this is not worth doing.
And the interesting thing is there are a
lot of things that we do need to do that
we will feel tired for, but the real
solution to that is sometimes is to
force yourself to to it and kind of get
yourself out of it.
Um you know, there's some studies that
show that exercise is equally effective
to an SSRI, so there's a value to that.
But, I think what a lot of people are
missing is
their conception of the thing is what's
making them tired.
You know, if you think about something
that you haven't done before and you're
like, "Oh my god, I have to do this
thing." And then when you do it, you're
like, "Oh, it's not that bad."
And then you procrastinate on doing the
thing
even though it's actually pretty easy to
do.
So, changing your understanding of what
you are tired to do is the fastest way
to be able to do it.
But, the problem is we don't teach men
what's going on inside them.
Right? We don't teach them about their
emotions. We don't teach them about
motivation.
Um and so when I when I focus on that,
that's really what I focus on doing.
There is a you know, an old Sanskrit
sentiment that avidya
which means ignorance is the source of
dukkha, which is suffering. All of your
suffering in life has nothing to do with
willpower, motivation, anything like
that. It's all a lack of understanding.
And the more I work, the more I've
realized that the most powerful thing
that you can give yourself is
understanding.
Even if I if I were to ask you, you
know, like
the things that are easy for you
are the things that you understand. And
before you understood them, they were
hard.
As someone who's lazy
like understanding what motivates you
is actually more important than
discipline or willpower for me, anyway.
I'm a degenerate.
You know, and I I I think this is what
what a lot of these young men who
failure to thrive, like I had one
patient who
you know, was 31 years old, struggled
with addiction, dropout you know, 2
years later, not only is is he finishing
um therapy school, he's becoming a
therapist, so he's supporting himself,
making about 150k a year. He's also
writing a dystopian novel. Two years uh
Two years later he messaged me that it'd
been published.
Right? And and and it's like
understanding why he behaved the way
that he did.
And the more that you understand how the
system works, then you can make minor
adjustments and you can make it work.
A car is really hard to move if you're
not driving it and you don't know how to
turn it on.
I totally agree. Uh
and I think that the
false message that many people have
received is and that we hear all the
time is that a focus on self, trying to
understand the self, is really just um
indulgent uh focus on one's emotions.
It's the like me culture, navel gazing,
but that's not what you're talking
about. You're talking about doing the
work of
addressing what parts of you are ego,
what do you really want, um
doing a shinya meditation, like learning
to access the void so that you can
really see the difference between who
you really are and what's coming at you
from the outside so you can so you can
steer. I mean, that's what I'm hearing
and I think that the the challenge is
that I don't think that there's a
language for this exploring of self that
makes it very clear
from from the outset in two sentences
that it's not about
just being a victim, not about
just feeling one's feelings so that you
can justify Yeah. everything as a
trauma, right? And I do think there's
trauma out there. I think there are a
lot of traumatized people. I also think
that
you [snorts] know, we've left now the
diagnosis of trauma in the in the
beholder. Like everyone's decided that
they're traumatized by this and that and
and it's created this other form of
trauma, which is that people are are
fundamentally weak. And the people with
real trauma probably aren't getting the
treatment they need and deserve.
So,
you know, I it's interesting that we
keep coming back to men and and boys in
the way that they're suffering. Do
This is probably a good opportunity to
talk about pornography. Um, do you
recommend that
young males just not
look at pornography?
>> I think the majority of people report no
problems from watching pornography.
So, you know, some people will say it's
healthy. I don't know that it's healthy
or not. I think it's like the way that
you use it, just like any other
addictive substance. So, I don't think
it is all bad. That being said, there
are a couple of things that are really
problematic. Um, the first is that
pornography is getting more
neuroscientifically engaging. Here's the
scariest like statistic about addiction.
So, 5% of people under the age of 30 had
erectile dysfunction maybe like 20, 30
years ago. That number has climbed to
like 20%.
And a lot of that erectile dysfunction,
if you define what erectile dysfunction
is, it is inability to maintain an
erection
through the completion of the sexual
act. So, it's not that this is So, a lot
of people think that this means they
can't get hard. It's not that they can't
get a hard. They can get an erection.
It's just they can't achieve orgasm or
climax. So, I I think we're seeing a lot
of problems with pornography. We're
seeing a lot of very young people having
erectile dysfunction, being unable to
achieve climax through penetrative
intercourse.
It's affecting the brain a lot more. So,
the colors are brighter, things are
jigglier, things are bouncier. There's
virtual reality, 8K, 4K.
The bigger problem that I'm seeing um or
the scarier problem
is pornography used to be something of
passive consumption.
So, the porn is over there and I'm over
here.
There's no emotional connection. There's
no parasocial relationship.
The really scary thing is with the
things things like OnlyFans, now the
person
that you're watching pornography for is
interacting with you.
They're saying thank you. They're
appreciating you.
You're asking them and then they're
sending you a picture or making a video
just for you. So, I'm seeing a lot more
scary parasocial relationships develop.
I'm seeing emotional affairs. So, now
like we've added a dimension
of our brain, the empathic circuit, the
social circuits, the relationship
circuits, are now starting to activate
with pornography.
So, that's like a whole different
ballgame.
And then there's a lot of data just
about ease of access and things like
that. I think pornography addiction, you
know, it's interesting a very strong
risk factor is pre-pubescent exposure to
pornography. Young young kids are on the
internet now.
>> Majority of people actually get exposed
to their first pornography now before
they hit puberty, but
there's something about when you when
you get exposed to pornography when your
brain is developing before puberty, it
increases your risk factor for it
increases the risk of developing
addiction later in life.
So, there is something just special
about sex in the way that it affects our
brain. You know, we're talking about
salience and things like that. We've
basically evolved this whole thing to
procreate.
So, when we get visual stimuli, when we
get auditory stimuli, you know, it turns
our brain on and in a very profound way.
Um we see a lot of emotional
suppression. So, what a lot of people
don't realize, I work with a lot of
people who struggle with pornography,
it really the emotional regulation
component is huge. They're not horny.
It's not necessarily a lot of
masturbation, which is what a lot of
people assume.
Um often times it's like second screen
kind of stuff. It's watching pornography
like when you use the restroom and just
like you're not doing you're not jerking
off or anything, you're just like
watching porn. So, sort of a like a
numbing out type of activity.
>> right? So, this is key thing to remember
is in order for something to be
addictive, it needs two things.
It needs to give us pleasure, and it
needs to take away pain.
And as we see addiction, over time it
shifts away from pleasure into taking
away pain. When we become dependent on
something is when we we require it to
numb ourselves.
So, I think we're also seeing more
pornography because
life for everybody, young people
and young men is getting harder.
So, as we become more socially isolated,
as we it's harder to find a girlfriend,
um as we get indoctrinated by social
media, as we become delusional because
of social media, as our social skills
atrophy,
you know, like all of these things are
happening. It's pretty bleak picture.
It is bleak.
And and I think the reason it's bleak is
because we haven't been fighting back in
a very focused way.
So,
you know, part of the reason I I focus
so much on relationships
um cuz I'm not a couple therapist, but
like what I found is that in my patients
I could only do so much without give
like having them have a relationship.
Mhm. Like you can be depressed, you can
be anxious, but if you have a solid
relationship, that is one of the most
important things. Like some point I
really started focusing on this. It was
like like literally I was down the
street or, you know, on the opposite
side of town filming a guide
about like what is the science behind
arousal,
activation, how do you flirt? Like these
are the skills, like like how do we help
people? I think it's like giving them
the skills that we used to learn
organically. Do you think that a lot of
the attention on
the muscle building, on looks maxing is
actually just a safer
um discussion
for young males? Like they can talk
about that, they can talk about, you
know, trying to get body fat percentages
or they're doing like mewing for their
jaw or something, you know, like
and like I think nasal breathing can be
very helpful, but this the whole thing
of looks maxing is so insane to me,
but maybe
it's a way of talking about wanting to
be different because the conversation
about sex, about intimacy, about maybe
someone has issues with porn or or
erectile issues, maybe that's just like
so scary that they have to that it it's
kind of a way of them getting close to
the topic but not like really in the
topics. Because when people have
approached me uh and said, "Hey man, can
you help me out? I'm I'm really having
problems." They're not talking to me
about
what I just described. They're they're
talking about not knowing which career
to have. But, then they're asking me
about how to work out. And then they're
it's sort of like it's almost like
they're they're kind of
I have a feeling there's a lot more
going on. Yeah. So, here's what I'd say.
One of the great things I learned as a
psychiatrist,
the best way
to run away from an unsolvable problem
is to solve something else.
>> [laughter]
>> So, I think you're absolutely right.
There's a displacement.
Because I don't even know where to start
with how to flirt. But, you know what I
can control? Like here's the the thing
about looks maxing. There's no other
humans involved.
There's no possibility like
getting somebody else to fall in love
with me? Like that's so hard. I
don't even know where to start. I don't
even like myself. How am I supposed to
get somebody else to fall in love with
me? When I look in the mirror, I see
disgust.
I cannot
fathom or tolerate the idea of going on
a date and having this person look at
this. So, I'm going to transform myself.
I'm going to solve all of those problems
by solving one problem.
I'm going to turn if I can just do this
one thing. I'm going to take a
multivariate regression analysis and
hyperfocus on one variable. I'm going to
do a very interesting selection bias and
cognitive bias cognitive filtering of
ignoring all of the beautiful people
who
are still single or divorced. And the
other huge cognitive bias that I'm going
to do, when I go to a playground and I
see lots of kids running around and I
look at the parents of those kids,
they're average-looking.
Right? Most people who have
relationships look average. Like
statistically, that's how it works.
But the mind does not know how to grab
the problem is too big.
Where do I start? Do I learn how to
flirt?
I'm creepy. How do I learn how to flirt?
How do I learn how to flirt without
getting rejected? I'm tired of getting
rejected. I don't want to get rejected.
It hurts to get rejected. It proves all
of my insecurities about myself. And
that's just flirting.
So, if you talk to these people, a lot
of times what you'll get is anytime you
tell them to move forward, what they'll
say is, "But how do I solve the next
thing?
That doesn't account for this.
Even if I looksmax, it doesn't do this.
It doesn't do this. It doesn't do this."
And that's why like the more that they
they they go into looksmaxing because
there's this idea that if you're
beautiful,
right? And this is some really
interesting theory of mine.
When they look at the people that
they're attracted to,
in their mind, if someone's a 10 out of
10, I'd date them in a heartbeat. And if
I date them, someone would date me.
So, I think this looksmaxing thing is
like a really great way of displacing
all of our
terrifying, overwhelming feelings of how
do I get another human being to accept
me.
It's way more complicated.
The good news is that I think we can
actually figure it out. Like, I don't
know how many research studies are
published, but I was blown away.
Did you know that half the studies on
charisma are published in religious
studies journals?
It's fascinating. There's so much
science out there. Like, we know so many
things. We literally know like how
people fall in love. We know that one of
the reasons that it's harder to fall in
love is because the feeling of being in
love,
you know that feeling of like when you
just seeing someone and like
you feel amazing.
And like just their presence makes you
feel amazing, floods your brain with
dopamine.
So as our dopamine system gets messed up
by social media, it has literally become
neurochemically harder to fall in love.
So now when I have patients, I tell them
go for a walk for 1 hour before you go
on a date and stay off of any
technology. Love that.
>> Literally your neuroscientific capacity
to fall in love
is increased. May I ask what you think
about this? I'm a big fan lately of
boring breaks in order to stay on task
for things like writing, uh podcast
research, etc. I find that if breaks
between cognitive tasks, which are
demanding, if those breaks are too
engaging,
that it makes it much, much harder to
re-engage in hard work, which I love
hard work,
but I also experience some of the
friction going into a bout of work.
>> what most people do on their breaks
is exhausting.
Literally.
Right? So if you spend time on social
media, your brain will be more tired at
the end of the break.
So boredom is great. There's a lot of
stuff around yoga and boredom and
focusing the mind and and and things
like that. But yeah, I'm I'm with you
100%.
So people don't understand what's
happening to them. They don't understand
also like how to make people fall in
love with you. Like it I don't mean that
in a that's the wrong phrase, but
so human beings have been falling in
love since the dawn of humanity, like
literally.
And there are certain circumstances that
lead to that. There's a cool study that
I cite over and over and over again.
They had couples go on a date
on a stone bridge or a rickety wooden
bridge.
And the the couples that were on the
rickety wooden bridge formed a stronger
emotional bond.
People don't realize that forming an
emotional bond
depends on shared emotional experience.
So I have to feel the same thing. This
is such a problem in rehab. My biggest
problem when I'm running a rehab is an
attending is like people keep falling in
love. Like we're trying really hard.
Like don't fall in love. Don't fall in.
These two are getting together. All the
nursing staff is aware. They went to
their rooms overnight. Like this is
happening. Like you know, we're like
don't no love and no
in in rehab. But it happens over and
over again because everyone is sharing.
Trauma bonding is what people call it
now. But when you share an emotional
experience with someone else, that is
what fosters love.
But nowadays what happens is like dating
is like interviews. Everyone's making
judgments on each other from based on a
profile. None of those things actually
correlate with the relationship success.
Whether you're 6 ft, how much money you
make, doesn't correlate with I mean, I'm
sure maybe correlates on some level. But
if you look at the big variables, it's
not any of that stuff.
And if you think about like how you fell
in love with your girlfriend, how I fell
in love. Like I was I was going to be a
monk.
I told my girlfriend. I didn't know we
were dating. I didn't even ask her out
on a date. I was like, "Hey, you want to
grab food sometime?" I was going to be a
monk. And then I even told her. I was
like, "Hey, I'm going to be
I'm going to be a monk. Like this is a
temporary thing." And she's like, "Yeah,
whatever."
7 years later, you're back from India.
Oh, no. Well, I so I would come back
back and forth. But Um so we like dated
during that time. And the cool thing is
like, you know,
as an educator, right? Like it's amazing
if you teach someone how something
works.
And like love is like not that
complicated actually.
If given the right environment. Internal
and external environment.
>> Yeah, yeah, yeah, right.
>> Yeah, I'm not trying to be academic
about it. But what you described about
an hour off social media before going on
a date, I think that's terrific advice
to people. I think that
this idea that our nervous systems are
somehow able to pivot from one sensory
experience to the next without the
previous sensory experience completely
either contaminating or supporting what
comes next is so obvious in the case of
what you get a great night's sleep, you
wake up the next morning you feel great.
You get a terrible night's sleep the
next morning you feel terrible. Everyone
understands that, but people can't
understand the idea of
dopamine depletion or just over arousal
and then going into the next thing that
should be arousing and it's like under
arousing. And I'm not even talking about
sex here, I'm talking about social
interaction. So when I was looking at
the mechanisms of this, I realized why
going on a movie is a great first date.
You know, people like back when we were
growing up, people would go on movies on
first dates, right? And everyone's like,
why would you go on a movie for a first
date? You're not even talking or getting
to know the other person. Well, it turns
out that movies create shared emotional
experiences, which is why people
organically figured out that you can go
to a movie and it'll actually it's a
great first date. But I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I
the tools to reverse it. So I I think
the cool thing is we do have all of this
information.
And so like we we know how to how to how
to be charming, how to flirt. What are
the situations that you need to create
in order to foster interactions foster a
relationship foster emotional
connection. Um you know, what makes you
charismatic? What makes you attractive?
Things like humor and kindness are
incredibly important. Humor is a huge
signal
that signals both intelligence cuz if
you can make someone laugh
you can read them.
And so it's also a signal of empathy.
And ability like does this person get
me? If they can make you laugh, that
means that they get you.
And and the last thing that I'll kind of
mention is that we were talking about
how you know, the internet is like
people live in different worlds on the
internet. And the really scary thing I I
made a great YouTube video that was kind
of
controversial, but why
why women prefer beta males.
And the really interesting thing is that
a lot of people were really upset by it.
It was about this drive for muscularity
and some of the scientific research. But
the really interesting thing was the
male versus female response to the
video.
That women were like, "Yeah, this guy's
right.
We're actually like these super alpha
guys are like not
actually like like not attractive. Like
I I would run for the hills."
And then a lot of dudes were like, "Oh,
this guy's like he doesn't know what
he's talking about." So, it's really
interesting.
Part of what makes it so hard is not
only do we have these like effects from
pornography and atrophy of the social
circuits of our brain, but then we're
also like we just have bad information.
And in my experience, once you get good
information, I'm sure this is true of
you, too, right? Like once you get good
information and once you start applying
it, once you start practicing it,
you'd be amazed
at how much understanding a system can
give you mastery over it. Oh,
absolutely. I mean, I I can't claim it
in the domains that you're so proficient
in, but I'll never forget as an
undergraduate working in a sleep
laboratory over a summer at Stanford,
and then every afternoon
the entire laboratory would go outside
to watch the sunset. And I asked I I'll
never forget I asked Seiji Nishino, I
asked, you know,
uh Emmanuel Mignot. I These guys
discovered the genes that underlie
narcolepsy and they they
druggable targets now exist and drugs
exist to treat but at the time they
said, "Oh, we do this to entrain our
circadian rhythm. And you need to watch
the sunrise. You need to see sun within
the first hours of your day." This was
um
mid-90s.
And I remember thinking like, "How could
that be?" And I started reading about it
and the the the cells that regulate this
had not yet been discovered. That was in
the early 2000s. Like we didn't even
know which retinal neurons mediated
this.
But these guys knew this from their own
lives and their own practices. And and I
started realizing, "Oh, there's a
mechanism here." And as more became they
got discovered, like, "This changes
mood, mental health, metabolism." I'm We
now just all take this for granted. But
understanding the mechanism behind
something
tremendously empowering. And I share
that story because that wasn't but, you
know,
25 years ago or so. So, what that means
is that
the things that we think are kind of out
there now that are a little bit woo or a
lot woo, I guarantee
in 10 years we're going to understand
the mechanisms.
They'll be called something different or
similar or maybe the same and people
will be putting that to work. And it's
going to improve mental health and in a
major way. In other words, the science
catches up eventually but the practices
that work need to be talked about. And
that's why I again I'm so grateful that
you're willing to go there. I think the
reason there's skepticism, so I'm a
Reiki healer, I'm a crystal healer, I
learned Bach flower remedies, and I
don't talk about any of that stuff
because I think there's no basis for it.
Like maybe the energy healer.
But like
so I've studied all kinds of things but
I think the reason that people are so
skeptical is because there's so much BS
out there.
So the reason I leaned into yoga and
meditation or first of actually
primarily because of certain personal
experiences I had but those have the
best evidence behind them.
And I think the real challenge right
now, so the reason I do it this way is
because
if you look at some of the really
powerful techniques from meditation,
people can't wait.
Like at least the people I work with.
They can't wait 20 years to elucidate
the mechanisms.
You know, when we're talking about
sankalpa and yoga nidra.
So you can get all the autonomic stuff,
great. You can get some neuroscience
stuff maybe, right? That's kind of iffy,
we don't really know.
But then some of this other stuff like I
I think if people are not
achieving what they want,
what I encourage them to do is explore
and be skeptical.
Like don't just believe it but try it,
right? So like like if you're doing
cardiac coherence breathing, that's nadi
shodhana, right? Alternate nostril
breathing.
You know, do it regularly the way that
you were taught and then do it for 8
seconds for the inhalation, 32 seconds
for the hold, and 16 seconds for the
exhalation cuz 60
>> Alternate nostrils.
>> Yeah, alternating nostrils.
>> Can I just insert one thing? Some people
will hear alternating nostril breathing
of plugging one nostril then the other
and they'll go, "Oh my god, this is
crazy."
We had the guy who works on olfaction
and frankly breathing cuz the two go
hand in hand, um Noam Sobel.
And he explained that
every 90 minutes
around the clock
there's a switch in the dominant nostril
through which we breathe. You can
observe this even if you have a deviated
septum but one will be more air will
flow more readily than to the other and
it's the alternation of a
parasympathetic dominant and sympathetic
dominant breathing through the autonomic
nervous system. And so he's a
physiologist and when he said that I
thought, "Okay, this alternate nostril
breathing thing like uh for some many
years frankly I heard about this from
the yogic community and I thought like,
all right, this seems a little little
wacky." And here he's sitting exactly
where you were, where you are now,
excuse me, and he said, "Yeah, there's
absolutely a physiological basis for
this. When you breathe through one
nostril, you get a very different effect
on the autonomic nervous system than you
do through the other nostril and this is
constantly alternating even if you're
not plugging your nostril every 90
minutes from birth until death."
There were certain things I would find
in the yogic texts and then I I ran into
this exact thing where there's I think
they call it an all trading rhythm,
right? That's that Oh, this is like a
physiological thing.
And so I lean towards the practices that
were physiologically
uh sound that there's some evidence for
it cuz I was like, "I'm not going to
waste my time and like nothing's going
to happen. I'm going to do the stuff
that at least I'll get a physiologic
benefit."
And then as you go into advanced
practices like it's wild and the really
scary thing is that
in my mind
there's a lot of this stuff is like
scientifically valid but it's really
hard to study.
And then the really scary thing, the
thing that bothers me the most
is that I think there's a lot of stuff
that's true that is not scientifically
valid.
I I really think it's kind of like
beyond what science is capable of
measuring.
Um at least now and in in the
foreseeable future.
>> Spirituality. Spirituality. And I think
the simple simplest example of this is a
thought.
We have no scientific evidence of a
thought.
The only reason that we know that the
amygdala is where we feel anxiety for is
because we measure what was going on in
the amygdala and then we asked the
person, "What are you feeling when this
part of your brain lights up?"
Well, you may be encouraged to learn
that um the great Anna Lembke, my
colleague at Stanford, right an MD and
psychiatrist like you who wrote Dopamine
Nation has a book
>> Amazing work. Amazing work. She's an
amazing woman at the level of clinician,
human being, just all around and such a
pioneer. She's If you look back, she's
been 5 to 10 years ahead of everybody
else in terms of her
her understanding and beliefs about
where we're going vis-a-vis the
neuroscience impact of
social media, etc.
She has a book that's coming out later
this year
um on spirituality. Hm. So, serious
scientists and clinicians like yourself,
like Anna, are starting to go there
before we have the rat, cat, monkey, bat
then clinical trial and human
work done. So, what I I love about
spirituality personally, it scares me
and it frustrates me, but what I like
about it is it's the only scientific
exploration that no one can do for you.
So, what what I love about it. So, I I
like learning. I'm not really like a
researcher, but I'm a very like
clinically oriented scientist, I guess
you could say, or science-oriented
clinician.
And it's it's the one thing that
you can never like an experience of
shunya.
Like we can you can you can look at like
the brain scan of shunya potentially.
But to experience it to figure it out,
you have to be the scientist.
It is the only kind of subjective
experience, which is what spirituality
is really about, is attaining certain
states, is not something that is ever
transmissible.
And that's why people are hesitant to
talk about because we sound like crazy
people.
You know, it's like if I mention this
technique can give you insight into your
past lives, they're like what this guy
is insane. But here's the struggle that
I had. You're meditating one day and
then you have these memories.
You have you have memories.
But they're not from this life.
And then it's like you're like, what the
hell is that?
And I'm not even saying that past lives
exist. I want to be really clear about
that. But for me it was confusing. It's
like really like destabilizing for your
understanding of like what the world is.
>> Especially as a psychiatrist. Well, I
wasn't a psychiatrist back then.
>> Mhm.
And
and and so then then it's like, okay,
well like now we have to figure this
out.
So if if people are like interested in
scientific exploration,
you know, I think one of the sad things
about the world is like we've explored
the surface. We figured it out.
But but within every single one of us is
a dimension of exploration that only you
can do.
You know, do you think when we're
talking about samskara or sankalpa, the
unconscious parts of your our mind,
these liminal states of consciousness,
we can hear Andrew talk about it, but if
you want to like be there, you have to
go there. No one can go there for you.
And that's ultimately what I think is
like really cool about it.
Man,
you are one of a kind.
>> [laughter]
>> I have to say. And I also have to say
there's so many things
that we didn't cover, but that I would
love to have you back to cover at some
point soon. But I just want to say
you're you're you one of a kind. I
I've been you know, kind of peppering
our conversation with this from time to
time, but uh again, the
the degree
and the depth to which you're able to
think about the practical concerns that
people have, the the real problems, the
real challenges that they face right
now,
and then offer tools that are grounded
in neuroscience, psychiatry, psychology,
and also ancient practices,
um is just it's spectacular. Uh I I'm I
have to say this is one of my favorite
conversations I've ever had on or off
the podcast. I'm I'm totally lit up by
it, and
so grateful for what you do. You're
You're an amazing public educator, and I
just
I can't thank you enough for coming to
talk about these topics, and I know that
there's lots more that we could talk
about, and we will. Yeah. Um I really
want to extend my gratitude. It's It's
been an amazing thing to hear you touch
into these things and to offer practical
tools about ego dissolution, about
distress tolerance, to make that, you
know, operational awareness, to really
define what that is, to talk about
um unlearning is such a critical
component of our health.
The shinier meditation uh example and
and I was able to
get moments of it during that
instruction, even though we it was the
first time I've ever done it. Um
so many people are going to benefit from
this, and I really want to encourage
them to
try these practices, to explore, just as
you said, there's really no uh there's
really no substitute for that
self-exploration. Just thank you. Thank
you for having me.
>> [clears throat]
>> I you know, Andrew, I got to say, you
are also one of a kind.
I feel like you could still go. I'm I'm
wiped.
I mean, I I I got more hours in me if we
need to, but I want to be fair to our
audience and to you.
>> I mean I mean I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I
But yeah, I mean, you're you're really
energetic.
Um and and so it's it's been it's been
awesome being here and and thank you so
much. Thank you. Well, the energy is
only partially intrinsic. It's also the
consequence of of what you offered today
and uh
again, this has been thrilling. So,
please come back again. Sure.
Thank you for joining me for today's
discussion with Dr. Alok Kanojia. To
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