Dr. Gabor Maté: The Shocking Link Between ADHD, Addiction, Autoimmune Diseases, & Trauma

Hey, it's friend Mal and welcome to the Mal Robbins podcast. [MUSIC] You know, when I started this podcast, I sat down and I made a list of dream guests. And I am so excited that you chose to listen to this episode because today, one of those dream guests is sitting here in our Boston studios. His name is Dr. Gabor Mate. Now, Dr. Mate is a five-time New York Times bestselling author. He is one of the world's most respected and prolific experts on childhood development, trauma, and the impact that it has on who you become as an adult, and his work has profoundly changed my life. Around the world, he is considered the people whisperer because when he talks about the connection between your childhood and the things you struggle with right now as an adult, you're going to feel so seen and so understood. And today, he's here to share a very provocative opinion. Dr. Mate believes that you are not born with conditions like ADHD or addiction or an autoimmune disorder or the inability to say no or being a people pleaser. Dr. Mate says, "These are conditions that are created by your childhood experience." Now, one of the things that I love about his work is that not only does he bring the science, he also removes the shame. None of what you experienced and how it impacted you is your fault. And when you understand the factors in your childhood that create people pleasing ADHD, addiction, and health issues, and all the research and science that supports it, you're going to have a completely different roadmap to your own healing. In fact, you're going to leave this conversation with five questions that Dr. Mate will tell you. You need to ask yourself that are going to help you take the very first step. Hey, it's your friend Mel. I am so excited that you're here with me today. It is always an honor to be able to spend some time with you, to be together, to learn together. If you're brand new, I want to take a moment and welcome you to the Mel Robbins podcast family. Super excited that you're here. And because you chose to listen to this episode, I know something about you. You're the type of person who values your time. And you're also in learning about simple ways that you can improve your own life. And I absolutely love that. And you know what I also love? I love that you and I are going to get to spend time today learning from the extraordinary Dr. Gabor Mate. He's a world renowned physician and New York Times bestselling author and a renowned addiction expert who dives deep into childhood development and the impact of physiological and psychological trauma and how it shapes our mental and physical health over your lifetime. And today specifically, you and I are going to dive deep with Dr. Mate into how ADHD people pleasing addiction, your inability to say no and autoimmune disorders are not things that you're born with. They were created by your childhood. So please help me welcome Dr. Gabor Mate to the Mel Robbins podcast. Thank you. It's so nice to be here. It is such an honor to sit down with you and spend some time together today. Thank you. I'm really excited about the topic today and your work around how childhood conditions and experiences in your childhood are connected to ADHD addiction and autoimmune diseases and disorders. And I have so many questions I want to ask you, why don't we start with just your definition of what you're talking about when you mean childhood conditions so that as the person is listening to us today and spending time with us together, we're all using the same words and concepts and we kind of start on the same page. So child conditions include the physical conditions, nutrition, housing, comfort, protection, but they also include the emotional conditions, which it has to do with a child's sense of being accepted or being loved or not just his love but actually being seen understood. And also in the parents emotional states, other parents stressed, other parents struggling with economic difficulties, other parents caring, traumas that they hadn't worked through yet. Like I had when I was a young parent, other parents in a marriage that's relatively peaceful. There's a lot of conflict, there's a lot of instability, there's unpredictability. What kind of immune support there is, is there an extended family that can spell off the parents and give them some kind of emotional support or they were isolated. Are you single parent struggling to make a living in ways of child? So all these conditions affect the personality and the brain development of the child. I know you wrote the original book on childhood development in ADHD scattered minds 25 years ago. It is still on the bestseller list when it comes to ADHD topics. Yeah. I don't know if I'm going to say this correctly, but is it fair to say that your opinion is that your childhood and the conditions and the experiences that you have directly create or cause ADHD addiction and auto immune issues? Yes, along with certain genetic predispositions. Okay. But I can talk about genetics later, but what I want to say about them now is a predisposition is not as a theme as a predetermination. Okay. So you can have predispositions, but then depending on the environmental conditions, those predispositions can be expressed one way or another way. So you can have animals with the same genes or humans with the same genes, they'll have very different outcomes depending on the kind of conditions under which they're early years were spent under. So that's what I'm saying, yes. And the first recognition of that in my life came when I was diagnosed with ADHD, ADHD, 53 or 52 or something. So I was diagnosed with ADHD at the age of 46. Okay. When our son, Oakley, was going through the process of going through neuropsych evaluations for schools and IEPs and as they were doing as evaluations, I started going, oh, wait a minute. That's that's a lot like me. Yeah. And then I went through the formal process of being evaluated and diagnosed dyslexia ADHD. And I had never, ever, ever heard anyone connect your childhood and adverse conditions or conditions where you didn't get your needs met. Yeah. Being a contributing factor or a cause of ADHD. How is that even possible? Well, it's possible because Western medicine separates the mind from the body. So they tend to look at things with purely from biological point of view. So ADHD is considered to be a genetic disease that you inherited. Here's the problem with that. Number one, if that's the case, why are the numbers going up? Jesus don't change in a population over 10, 20 or 30 years. So something's going on in the environment that's affecting the child development. Number one, number two, even if you look at the physiology of the child's brain, was not understood by most physicians because it's not taught in the medical schools but is firmly and completely unequivocally and uncontroversially established in brain science is that the brain is a social product that the brain development of the child depends on the emotional conditions on the research that child lives from in utero onwards. And so that the very circuitive of the child's brain is programmed by the action of the environment on the genes. So different environments will like differently on the same genes. No, if you look at ADHD, what's the medication that we give? I took it for a while, stimulants. What do stimulants do? They elevate the level of a chemical called dopamine in the brain and dopamine is essential for motivation and therefore for focus. And that's what Ritalin and Dexter Dwayne and Maduro are in all these medications. Elevate. Now, the dopamine is the child's brain develops in interaction with the environment. And this is what most people who deal with ADHD just don't look at, even though it's just a pure scientific fact. You know, in the summary from Harvard University, point out that the child's brain develops in interaction with the environment, especially the emotional relationship with the nurturing adults. Now dopamine is the brain chemical. We have receptors forming in our brain, receptors are molecules where the dopamine can land and do its job. The number of dopamine receptors in the child is affected by stress on the mother already in pregnancy. Let alone afterwards. If you take mice and you isolate them, the number of dopamine receptors will go down. If you're being back back into companionship, the number of dopamine receptors will elevate. In other words, the brain is a social organ. It's interactive with the environment, all our lives, and therefore environmental conditions affect the brain, especially doing its phase of early development. It's just pure science. It's not even controversial. So the problem here is the tendency of the medical profession in which I was trained is to survey the mind from the body and to look at brain biology in isolation from the life circumstances that shaped that brain biology. So that's the one problem. So. So I'm going to try to distill what you just said, because I've never heard it explained quite like that. And I believe you. What you're saying is that your brain is a social organ that is developed in partnership with your relationship to the adults around you when you're literally inside your mother's womb all the way until you are developing as a little kid. And if you are in a condition, whether it is the condition of being inside your mother's womb and your mother is depressed or experiencing racism or abuse or poverty or any of these things that create chronic stress on a human being, it impacts the development of your brain. And what you're also saying is that ADHD and the way that it is treated is typically through prescription drugs that flood the brain with the opening. And that is what helps your underdeveloped brain or whatever we want to call it, or the brain that's been impacted by stressful conditions during your childhood or your development in room and that the stressful conditions are what has interfered with the brain development. And continues to know. Can I ask you a quick question? So I understand that when as a human being, you're experiencing stress or you are experiencing a threat or you're feeling isolated and lonely and like you're invisible or nobody cares about you, that your body naturally switches from being present and in the prefrontal cortex to the amygdala taking over and you're now in like fight or flight. When you're in fight or flight and you're kind of in that stress response state, does it interfere with dopamine? I didn't visit dopamine and it's a visit cortisol. It has effect on the memory centers in the brain like the hippocampus, it affects the amygdala, all those things. And if you look at children in poverty or who experience racialized circumstances, they're more likely to be diagnosed with ADHD. The children of women with postpartum depression are more likely to be diagnosed with ADHD. The children of women who are stressed in pregnancy are more likely to be diagnosed with ADHD. And there's this myth about it being genetic because it tends to run in families like your diagnosed, your kids are diagnosed, I was diagnosed, a couple of my kids are diagnosed. But it's not because the so-called disease, personal, it's not even the disease, but it's not because of so-called disease, what's passed on, but because of the conditions that created the brain. That created the brain. They created the European. We're also then repeated in your children's childhood as in mind. So something running in a family says nothing about genetic causation and going back to the flight or flight thing, if a child is feeling stressed, then by the way, I think there's something genetic here, I'm just genetic here, sensitivity. And the most sensitive kids are the more they feel what's going on around them. So if the family, if the parents are stressed, the child feels the stress. Can the child escape or fight back? No. What did they do? They tune out. But when did they tune out? They tune out when the brain is developing. So that gets wired into the brain. And now they're told you got this genetic disease. No, you don't. It's an adaptation. That began as an adaptation. And as with many of these shoted adaptations, later on they create problems. So they served a purpose, but now they are wired in and not to mention, if you look at the traits of ADHD, which is the absenteinness to tuning out. And then the other traits of ADHD are poor impulse regulation, which means that when you want to do something like, I might have an impulse to do something. There's nothing with nothing wrong with the impulse. But there's something wrong with me acting out the impulse. But impulse regulation depends on certain circuitry in the brain. No baby is any impulse regulation. It has to develop. For anything that's developmental, the conditions have to be right. If a plant in your backyard wasn't growing, the way you expected it, you'd look at what's missing here. Nutrition, sunlight, irrigation, the same with kids. When they've got these challenges, let's look at the conditions that shaped their development. So impulse regulation is another brain circuitry that doesn't develop well in people with ADHD. And incidentally, in people who are addicted, which is why there's such a great link between addictions in ADHD. And then the third one is, which is sometimes they're not always hyperactivity. Yeah. More things to do, they're more involved. Boys, not girls, yep. And regulation of the body is a function of the midfrontal cortex. That has to develop. So under conditions of stress, given that the brain is a social organ and it's also a historical organ. Do you know that does the name Bruce Perry mean anything to you? Yes, he and Wisconsin, I don't know where he is, but is there where you are on the Toronto circuitry? Yes, he's, I believe he's in Milwaukee, Wisconsin, I think. But don't quote me on that. Did he write the book with Oprah Winfrey? He wrote the book. What happened here? Okay. And he says the brain is a historical organ. So it stores the impacts of life experiences. So when we look at brain biology, let's not think that the biology is somehow distinct and separated from life experience. So there's no fault laying here. And sometimes I do get accused of blaming parents. It's the last thing I want to do. I don't hear you blaming parents. I hear you talking very factually. No, but but but there's a farewell known ADHD psychologist who goes on YouTube and says I blame parents. And I don't actually I think parents do their best. They love their kids, but their best is limited by their own particular challenges and limitations. You know, there's no parent blaming here. But we have to recognize the importance and the impact of early experiences. So what I'm saying is that ADHD is the result of all that stress and its impact on the brains of especially sensitive genetically sensitive kids. That's what's in her head is a sensitivity. But if there's only the sensitivity and optimal conditions, they never have ADHD. So it's not the ADHD that's in her head. It's the sensitivity. That's the good news. If you were a parent with the kidney of the ADHD and if I was a doctor, and I said to you, Madam, you got your kids got this genetic condition. And brain biology, not doing it, but here's some medication. Or if you said to you, Mel, you know, your child's got this condition, your child's very sensitive, very responsive to the environment. And even now at age eight or age 16, or whenever, if we can go in different conditions, the brain can still develop in different ways. Which message would you rather go with? The second? Yeah, of course. This is so much for optimistic and much more science-based attitude. But unfortunately, again, given the dominance of pharmaceutical companies and the biological mindedness, or what they call biological psychiatry, which is just fixating on the biology and fixing it rather than looking at the conditions that shape the biology, we're very much stuck in the state where hundreds of thousands and millions of kids are being medicated. And I'm not against medications. I prescribe them. I've taken them, but they're not the answer. What's fascinating is that when you really wrap your brain around it, it makes a lot of sense. I'm sure you're familiar with that metaphor. It's not the most elegant metaphor that the genetics loads the gun. But the environment that pulls the trigger, which means you come into this world predisposed to certain things, but it's the environment that either deactivates or activates what you're predisposed to. So that makes perfect sense. And the other thing that makes perfect sense in terms of my lived experience is being diagnosed with ADHD late in life and also having a son and two daughters that have ADHD. We were in Boston in a very competitive public school system in the Go Go Go, both spouses working, running to the club sports, doing this, doing that busy, busy, busy, busy, busy. When we moved to Southern Vermont, open space, it's changed. You change because the environment changes. And if you just think about being on vacation, you leave the Go Go Go Go Go Go Go Go Go of your day to day and your work and your social and all that stuff and you step away to a space that typically has a little bit more open space and a different pasture life, you change. That's right. And so I feel, because I was about to ask you, well, why does this matter to know this? And I feel that it matters deeply because if environmental conditions can shape your brain as a child and we know that the brain develops and grows and changes through neuroplasticity through your entire life, then environmental changes, I suppose, also help you change and address these conditions. Absolutely. And so when a family with ADHD child will come to me once they have this recognition, I would say, well, we can consider medication in the short term if we need to, but it's not the first step. It's never should be the only step. Can we look at the family atmosphere? Can we look at the relationship between the parents? Can we look at the stresses on the family? Can you understand the child's behavior in a way that doesn't blame the child? Because these kids tend to be blamed a lot for how they behave. Now, we talk about this phase acting out. Kids are acting out, which usually means they're being a strappers, oppositional, defiant or non-corporate or rude or something. It means they're not doing what the parent wants to do. Yeah, but let's look at the phase acting out is English meaning. We have something out when we don't have the language to say it in words. In the game of charades, we're not allowed to speak. What do you have to do? Act it out. Act it out. These kids' behaviors are simply acting out their emotional needs and dynamics. It's up to the parents to understand that rather than just to respond or react to the behavior in a controlling or punitive way. Let's understand what is being acted out, which is one of the reasons I wrote that book, is I want parents to understand what is being acted out in the child's behavior. And if you change the relationship to the child, the child's behavior will change. So it's not behavior control. It's actually promoting different conditions that'll support the child's healthy development. You know, this reminds me of something that's always really just made me feel very heartbroken about the state of society in the world, particularly in the United States. And that is when I was going through this experience where my husband and I were having our son go through the process of all the evaluations. The school kept saying this is behavioral behavior. And we were like, I don't think so. I don't think so. And so we were in a position to be able to have him tested here in Boston at Mass General outside the school. And just three years prior, we would not have been able to afford to do that. And that diagnosis and understanding that his brain and the way that he learned and the development of his brain was just different. That's right. And change the trajectory of his life in my life. And before I did what I do now, my earlier in my career, I was a public defender in Manhattan doing criminal defense work. Yeah. The statistics of people who are incarcerated with the HD. Yes, with ADHD, with learning differences who were never diagnosed, who when you trace it back to what you're saying, childhood conditions, a parent who is absent chronic racism, which is a form of trauma, it makes very depressing and sad and unfair sense. And I think a lot about the fact that it's simply because we were able to at that moment in our lives to be able to afford a test that sent him in one direction when kids who don't have that are sent in a different one. Yeah, we actually hurting people for having been hurt. Yes. And then I thought that hurt and then we blame them for it rather than understand what that's all about. Let me say something else. The diagnosis doesn't explain anything. What do you mean the diagnosis doesn't mean anything? So male or gal or heavy ADHD, how do we know? Well they absent minded, they have poor and post-regulation and they're hyperactive. Why are they absent minded and of course, in post-regulation and why do they have activity because they're ADHD? How do we know they have ADHD? Because they're hyperactive, they tune out and they have poor and post-control. Why do they? It's circular. Yes. It's not an explanation. It's a description. Medical practice tends to mistake descriptions for explanations. They're not. If you want to know why they're active, they have a reactive or a lacking post-regulation or tend to tune out, you've got to look at their lives as those lives acted on their genes. That's the explanation. The diagnosis describes something but it doesn't explain anything. But understanding this helps you also understand the role that environment and how this happened. I think descriptions are helpful because most of them mistake them for explanations. That's all. That makes a lot of sense. Dr. Mate, let's take a quick pause. I would love our sponsors to have a chance to say a few words. And while you're listening to the sponsors, please share this episode with somebody that you care about. Absolutely. I'm hoping that you know and love deserves this information because once you kind of understand things, you are now empowered to make them better. And don't go anywhere because we're going to be waiting for you after a short break. Stay with us. Hey, it's Mel. I'm coming in here with my own ad. I am beyond excited to tell you that my new book, The Let Them Theory, is available for preorder. Holy smokes. I have never worked harder on anything in my entire life. I have never been more proud of something that I have done. I wrote every single word in this book. It's about the most powerful tool I've ever discovered. The Let Them Theory. And right now, go to letthem.com, preorder your own copy. And this book, it's going to change how you think about your entire life. And finally, stop you from getting in your own way. Letthem.com, you won't regret it. Welcome back, it's friend Mel Robbins. And today, you and I are spending time with the extraordinary Gabor Montet. And we're learning all about how your childhood impacted who you became as an adult. So I have another question for you. You mentioned addiction. And there is a lot of research that shows a direct link between ADHD and addiction. And what is your research and experience show about your childhood experience and conditions? And the connection to addiction. So for 12 years, I worked in Vancouver, British Columbia's downtown East Side, which is North America's most concentrated area of dog use. We have more dog users there and a few scrub operators than anywhere in the States or in the Wilson Canada. In fact, anywhere in Europe. Wow. And so I was there for 12 years. And I significantly understand to my patients clearly at ADHD that had not been diagnosed. Now, let's look at the commonalities. First of all, both addicts and people with ADHD lack impulse control. Like somebody said about addiction is that the problem with addiction is not lack of free will, but lack of a free won't. Lack of a free won't. Won't. Oh, they have nothing to say no with because that's certainly didn't develop. Okay. Number one, number two, addictions all work on a dopamine system, which is what is affected in ADHD as well. So stimulant addicts like crystal methodics, cocaine addicts, nicotine addicts, caffeine addicts, they're literally boosting their dopamine levels, which is precisely what's the issue in ADHD is as well. So if you look at the studies, something like about 30% or more of stimulant addicts actually are diagnoses will be the ADHD. But again, this is this study then reported, but not much is done with it in medical practice. Furthermore, all addictions, no matter what they are, they work on the dopamine circuitry. I will define addiction for you as manifested in any behavior in which a person finds temporary relief or pleasure and therefore quaves, but then suffers negative consequences as a result of and doesn't give up despite the harm. So craving pleasure relief in the short term, harm in ability to give it up. That's one of the addiction is. Now, let me just go sideways a little bit. Let me ask you a question. Yeah. I mean, I already answered it, but according to that, in order to say, "What drugs?" I said, "Any behavior?" Yeah. No. If I speak the room of a thousand people and I give that definition and I say, "I'll go into that definition," which is not controversial, if you ever had an addictive pattern in your life, just raise your hand. A lot of a thousand, 99. Yes. Well, raise your hands and this one liar who won't, you know, but basically it's almost everybody. So, here's the second question. And I don't care what your addictive patterns were, whether they were to alcohol, which you mentioned, or to whatever else. No, it was wrong with it. But what was the right about it? What did it give you in the short term that you wanted? So, what did it give you? Oh, well, with alcohol, it was like a sense of belonging and relief and it was a way to turn my brain off and to escape. Okay. When do people need to escape? When they're stressed. They're suffering. Yeah. Okay. So, the addiction wasn't the disease that you had. It wasn't your primary problem. It wasn't the tend to solve the problem of emotional pain and isolation. So, my mantra in the addiction is, "Don't ask why the addiction asks why the pain." And if you want to stand the pain, look at the person's life, rather than just their genes. Okay. So, both people are addicted and people who they really usually often share this genes for sensitivity, which means they suffer more when circumstances aren't right. And so, the most, obviously, the conditions will go together. And furthermore, to go back to dopamine, the shopping addict, the gambling addict, the pornography addict, the social media addict, the social media addict. And I have had my behavior addiction. The gaming addiction addict, the busyness. You know what they're after? You're after a hit of dopamine in the brain, which they get to seeking that behavior. And then you feel bad though that you did it. Well, yeah. And I had my behavior. addictions, but what I'm saying is it's all based partly on the dopamine circuitry. Which didn't develop. Which didn't develop the way it should have. Because of your childhood. Exactly. It's not you have to get your dopamine hit through pornography. And if you do brain scans on pornography addicts, they get multiple spikes of dopamine hits in a brain when they're just like a drug addict. Yeah. Yeah. It makes absolutely perfect sense. How do you what do you do if you're listening to this and you either you yourself are recognizing this is you or you're like you are describing my spouse or my adult child or my parent or whomever in my life like what do you do with this particular information of the connection between childhood conditions and development and ADHD and addiction. May I just say one more thing about the brain please? Yeah. Opiates. Okay. So people get addicted to heroin or oxycontain or dilated hydromorphone or codine or whatever you know fentanyl unfortunately which is a very dangerous one. These are opiates. They're come from the opium plant in Afghanistan or they're human manufactured copies of the same molecule. No. Why do opiates? Why does a plant from Afghanistan work in the human brain here in the States? I don't know. Well because the opiate molecule we have receptors for it in our brains which means we have an internal opiate system. This is just pure brain science and the opiate system is called endorphins endorphin means endogenous internal morphine like substance. So we have an opiate system in our bodies which affects many functions in our body from the gut to the immune system. But what are they doing in the brain? If we understand the opiate addiction we have to understand what do endorphins do in the human to jectory. First of all they provide pain relief both physical and emotional pain relief or internal endorphins do that. We have to have pain in life because without pain we don't survive because we can hurt ourselves but we also have pain relief. So endorphins relief pain but not just physical pain also emotional pain because the part of the brain where people experience physical pain the suffering of physical pain it's also they experience the suffering of emotional pain. So the endorphins the opiates work there that's their first role. The second role along with dopamine is to give you a sense of pleasure, elation and joy. But that's rather important in the human life because human life is difficult so we have to have some expectation of pleasure, joy relief. That's what the opiates do. That's the second thing they do. The third thing they do they facilitate the little thing called love endorphins help to feel as connected to other people and particularly they help feel parents connected to their kids without which the child doesn't survive. And if you take little animals and you knock out their opiate receptors they will not call for their mothers on separation. What would that do to them? It would kill them in the wild. So that's what important to the opiates are. Now, who are these people that develop opiate addictions? People whose lives have undermined their opiate circuitry. And I had a sex trade worker in the downtown east of Vancouver. I asked her what did they do for you. She said the first to my dear one, it felt like a worn soft hug. So just like the alcohol which gave you more sense of belonging, it gave you a sense of being loved, a sense of warmth. That's why people get addicted. It's because they suffer that early pain and that trying to escape from. And because the brain circuitry was affected by adverse conditions so that these circuits didn't develop optimally and now they have to substitute. So that's a shini on addiction. It's not an inherited disease. It's a response to the environment and it's not genetic contrary to a 99% of physicians believe. The reason why this is so important is because there is so much shame in self-blame. When you have an addiction or you have something that you're struggling with like ADHD and when you understand the brain circuitry and the connection to brain development and human development and childhood conditions and experiences and how that has a direct impact on the working and wiring of the functioning of your brain, you can separate yourself as a human being from the thing that caused this. That's the whole point. And then that allows you from that moment of separation and detachment and objectivity to go, "Wait a minute, I'm not to blame for this." That's right. This is a circuitry and a conditioning problem. It's my responsibility. And now it's my responsibility. Exactly. Yeah. To do what I need to do with this. Yeah. To heal it and make it better. Exactly right. And do about your question about, now what do we do with this information? If you are parents of a child who's been diagnosed with the ADHD, then make a considered decision about whether you want to kid-medicated or not. Medication can sometimes help something because side effects. No child should be forced to be in medication because no child at any age should be get the message that they're only acceptable to the adults when their brain is sedated. You don't want to give that message to any child. But they can help sometimes to mitigate symptoms. They don't know nothing for brain development in the long term. So then the question is, can we create in this family better conditions for that child's brain to develop in more optimal ways? And yes, we can. And that has a lot to do with the emotional atmosphere and the family. And the degree of understanding and connection, not love because that's already there. But they actually understand and connection between the parents and the child. And I mean, that book's been out 25 years and I've been told by so often that it totally changed the family just to be that book. You know, and it totally changed their children. Well, it's very empowering because I think if you're the person struggling with the addiction or ADHD or a condition like that, you feel deficient. You feel that you've done something wrong. That's right. And you can never heal while you're punishing yourself at the same time. And the world is punishing you. Yes. Teachers are punishing you. It's true. Your parents are exasperated with you. Yes. When it comes to treating addiction, then it's very complex. But the person, again, needs to understand there's nothing wrong with them. They weren't born with any kind of disease. That addiction is a perfectly normal response to abnormal circumstances. Let me look at all the veterans who are traumatized and they become alcoholics or opiratics. And then there's the opposite study about the veterans from Vietnam who were using opioids in Vietnam. All over there. But then came home to a supportive environment. Exactly. And we're not addicted. Exactly. I caught that study in my book on addiction because it's such a salient fact. In fact, it's been done with laboratory rats. You know, where they took laboratory rats and exposed them to different environmental conditions. And they tried to get them addicted to opioids. No, those rats that were stressed and isolated and under adverse conditions, they were easily became addicted to opioids. The rats have good conditions. You couldn't even make them addicted to opioids. It doesn't matter how much you gave them. But the main thing is that if the environment is actually creating the conditions in your brain and body for addiction and ADHD, then the environment is a huge piece of you healing this and growing in new ways and figuring out new adaptations for how to heal. Well, and I think it's not a visual process. It should be for most of the children. Yes. You need the social help. That's where the 12 step groups are. I have my critiques of them, but the 12 steps themselves, I think are wonderful. And the group process is wonderful. Where people can share themselves and be heard compassionately and not be shamed. They can declare their so-called dysfunctions and be accepted. So I think it's not just an individual process, but I think what's missing from the 12 step groups, unfortunately, is awareness of Trump, which is interesting because Bill W. The one original founder was an abandoned child. I traumatized. And for some reason, trauma hasn't entered the conversation of the 12th of the moment as much as I like to see it done. But again, healing should not be just seen as an individual process. You should be seen as a social process. And people that deal with addictions, they need to understand trauma. Good boy. I've never heard it explain like that. That makes so much sense. And this feels like a good time to take a quick pause so we can hear a word from our amazing sponsors. And while you're listening to our sponsors, take a moment and share this with somebody that you care about because there's no doubt in my mind that this can help change somebody else's life. And don't go anywhere because we have so much more to dig into with you and we're going to be waiting for you after a short break to stay with us. Welcome back. It's your friend Mel Robbins. And today you and I are with the extraordinary Dr. Gabor Mate. So Dr. Mockday, I have another question. What do you think is missing from the conversation that women need to know when it comes to diagnosing and supporting women who are largely getting latent life. like now sees of ADHD? - Yeah, I have to think here. I think what happens is when we get older, they tend to get a bit less repressed. And the tendencies are in them that they try to control in order to be acceptable and to fit in. It becomes intolerable for them, particularly, a pair of men and posthly, it becomes a little chore format and just to continue to fit the stereotype in which they were molded. I think whatever is in them is more likely to show up. And I would say to them what I say to anybody, they get curious about what is being manifested in this condition. - You know, in your book, Hungry Ghosts, you mention your own struggles with addictions to praise, even to classical music. - Not to the music, sorry, to shopping for classical music. - Oh. - There's a distinction. - Yes. - I love the music. But that doesn't make me an addict. That just means the music lover is the shopping. I would drop a $3,000 in a music store and go back two hours later. 'Cause I had to get the next one. Typically, I did the baby. So it's the shopping that I was the twisty, not the having, but to the acquisition. And that's, and you know what? When I was in the classical music store, I had no idea. I had high dopamine levels. I was focused. I can almost remember which record did I buy in which store? You know, which CD that is so, so just to make the distinction. It's not the music is the shopping I was addicted to. - I love that distinction, 'cause I can relate to it. I think in the biggest moments of crisis in my life, like facing bankruptcy, - Yeah. - Literally about to lose it all. If I had a tiny bit of money, - Yeah. - I would go to them all. - Yeah. - As an escape. - Yeah. - And I would say given that daily addiction, whether it's the mom pouring a couple glasses of wine at night or it is just scrolling for three hours or it is mindlessly shopping or whatever it may be. - Yeah. - What strategies have you found most effective in really either controlling or managing through these tendencies or patterns of behavior that so many of us have? - Well, here's what we have to make distinction. I mean, drug addictions and behavior addictions. - Yes. - Because drug addictions are become a very chemical problem and people go through withdrawal and as to be managed and all that. Not the behavior addictions, by the way, also go through withdrawal, but it's less noticeable. Like with my work addiction, my work autism, when I was at home, I'd go through, I'd be irritable and depressed. That's withdrawal, 'cause the dopamine wasn't flowing. You know, so, but obviously it's more easily manageable. So I say two things. One is, let's look at the need that is serving in your life. What is the need it is serving in your life? - Yeah, sorry. - Well, Doom scrolling for me, the need is to tune out. - No, that's not the need. What is the need for tuning out serving your life? - Oh boy. - Scrolling out of this. - Oh, I have no joy play or real accent. - Okay, so you don't know how to, you're not comfortable with yourself. You need to, you can't just be, you have to be doing and the attention is to be external. - Yeah. - Now that goes back to each outfit. It means that you won't comfortable and you develop that comfort with the self. You develop that sense of your own goodness and validity. And so that when you're alone and you're not doing something, there's distress and you might as well go all over the place. - Yeah. - You know, so that's the need that is serving. So then you say, well, it's meaning, it's need to escape from myself. How can I learn to be with myself? So what techniques, what could I do? And this way is to do that. I mean, I have many suggestions in my books, but essentially it's recognizing the need that's being met, not invalidating the need, validating the need, but recognizing that the behavior itself only temporarily suits it, but it doesn't meet the need. - Well, I feel like I've been fixing the wrong problem. Because I'm focused on, don't drink the drink, don't pick up the phone and what you're saying is, no, no, no, no, you're like over here looking at this thing. There's a deeper issue about just learning to be with yourself, about learning to be in the five to seven PM time zone and be okay with all that comes up. And know that you can move through it without pouring a drink. - That's the whole point. And there's nothing wrong with saying don't drink, I mean, all that is only that it doesn't deal with the fundamental needs. - Yeah. - So let's recognize the need. Those needs are valid. You need for social contact or not being isolated, social isolation, which you interpret as rejection and your husband points out, you're not being rejected, they're just, you know, something else, but your childhood program entails that it's rejected. - It's true. - So does everything come back to our childhood? - Yes. Pretty much. That's when we're shaped. Look, have you ever had a puppy dog? - Yes. Two. - Okay, well, tell me about them. I mean, how you treat that puppy? Well, I'm not defined to a significant degree. What kind of creature they're gonna be? - It's true. - Yeah, well, here means something more complex than puppy dogs. And it's totally true. So what I'm saying is recognize the need, validate the need, but then ask the question, okay, how can I meet that need in ways that I'm not harmful? - One of the things that you're talking a lot about is the connection between childhood conditions and experiences, how they shape you, and the significant rise in autoimmune disorders and diseases in women. - So you know, there are 80% of people, 80% of autoimmune disease, which are diseases where the immune system attacks the body that is supposed to protect. - What are a few examples of an autoimmune disease? - Multiple sclerosis, rheumatoid arthritis, systemic lupus, probably fibromyalgia, conic fatigue, ulcerative colitis, conic disease, forms of psoriasis, autoimmune eczema, sclerodrama, I could go on and on, there's about a hundred or so of these, and 80% of them happen to women. - Why? - So in my medical practice, I began to notice, and here's my advantage over my specialist colleagues, is that they know a lot more about certain body parts and systems as they should, but they don't know the patient. I knew people before they got sick, and I knew them in their context of their families of origin and the extended family very often. So I got to see who got sick and who didn't, and when I was in palliative care, again, I saw who ended up in palliative care and who didn't, and these people had four significant characteristics. One is, they tended to put other people's emotional needs ahead of their own, and they tend to ignore their own. Number one, number two, they tended to identify with duality role and responsibility rather than the needs of the self. Number three, they tended to be very nice, which means they repressed healthy anger. The healthy anger is a boundary difference. And these people tend to be very nice. And number four, these people tended to believe that they're responsible for other people's feel, which is a point that you address in your book, let them. And they just believe that there was never a disappoint anybody. Now, those beliefs lead you into not saying no to the demands of the world, and you're constantly taking on stuff and stress, and other people's stress, you get stressed. That stress undermines the immune system, which then turns against you. Now, and I could explain the physiology of it, and by the way, people, because the immune system and the hormonal apparatus and the nervous system and the emotional system are one system. They're not separate. They're wired together in a whole lot of chemical and neurological ways. I'm not making this up. This is science. Science is called psycho-normontology, with psychology and neurology. Immunology. And endocrinology, the hormones, it's all one system. People that repress healthy anger, they're suppressing their immune system. Biologically. No. If you understand that it's all one system, and we ask why, well, what is the role of healthy anger? It's a boundary defense. What is the role of the immune system? It's mental ed in what is good and nurturing. Keep up what is toxic and dangerous. When you're suppressing your emotions, you're also messing with immune system, because it's all one system. It's almost like you're training your immune system not to protect you from the outside. That's what happens. And auto-tune against you. Like anger that you repress turns against, you know, from depression or self-loathing. The same way that your negative thoughts, where you think you're to blame for all of the stuff going on when you're a child that are not your responsibility, turns into the negative self-talk that's aimed against you. Same way that you mean the system turns against you. Wow. That's so much sense. Physiological is just the fact. Now, why is it women? Because who in this culture is programmed to always look after your mental emotional needs, taking everybody's stresses, identify with the duties in their role, be nice all the time, not be angry in an healthy way, and to take responsibility for other people's things. It's women. It's not a gender issue. It's a cultural issue. And of course, the more stress is the women experiences. go either to the risk of autoimmune disease. So if you look at minority women. They have a higher percentage because they're women and they're minority. I was just about to ask you whether or not there were studies for minority women and people that are in first responder roles. Many studies. Many studies. And in Canada. It makes sense. In Canada, an indigenous woman has six times the rate of rheumatoid arthritis than somebody else. And this is in the population that never used to have rheumatoid arthritis. By the way, again, are we blaming people here? No, we're not. Because we have to look at what happened here. What happened here is the child is born with all these emotions wired into their brains. But the child has two big needs here. The need for attachment for belonging, for being held, for being accepted, supported and so on. That's the need that you have. It's not negotiable. Without it, there's an infant, there's a young child. You die. You die. Yeah. So that's one need. But you have another need as well. You have to take a lot of authenticity, which means you've been connected to your emotions and you've got feelings. Now in any audience, when they ask people, have you had the experience of having a strong gut feeling about something, ignoring it and being sorry afterwards, most people put their hands up? You probably would. No. Gut feelings were programmed into us by evolution. We evolved out in nature. For millions of years, hundreds of thousands of years, we lived out in nature. How long does any creature in nature survive? If they don't pay attention to their gut feelings. Not until the end of the day. Like you're a goner. That's the point. So we have just two need attachment and authenticity being connected to ourselves. Now, if the child gets the message that they're being authentic with their emotions and so on, they're not acceptable to the environment. Guess what's good? Being the contest between us and-- Oh, you get trained to not trust your instincts. Yeah. And you're trained to disconnect and you're trained to push down your feelings. So we give up our authenticity for the sake of attachment. Now, in your book, there's an example of this guy who's about to get married. Yes. And so all these misgivings. Yes. And then he's afraid whatever he also thinks. Yes. And you tell-- and you're wishing he would say no to the wedding. Yes. You know, what's going on is stuck in this tension between attachment, which is the need to be acceptable and authenticity being himself. Women are caught in that trap in the society. So are many men, of course. It's not just a gender issue, but overwhelmingly it's women who have to choose the attachment of being acceptable over authenticity. That's why they have much more ordinary and disease. Wow. And often, I'd say for a lot of us, we choose attachment rather than staying connected to ourselves. As a whole point, as a child, you have no choice. The question is, as an adult, can we develop a touch choice? Do I have to keep choosing the attachment over the authenticity? Well, you also, your doctors say that all of these autoimmune disorders, diseases, whatever you want to call them, flare up in moments of stress, in moments of overwhelm. And the main thing that they're treated with is-- Sterate. Yes. And take better care of yourself. Oh, yeah, yeah. Press. No, but here's what's interesting. Typically, for these conditions, we give cortisol. A stress hormone? Yeah. Like, if you go into the dermatology of the lymph-name skin, they're going to give you steroid cream. Cortisol. If you go to gastroenterologist within the inflamed intestine, at some point, it gives you cortisol. Stress hormone. If you go with an inflamed nervous system, multiple sclerosis, they can give you a stress hormone. Cortisol. I could go on. But we never ask ourselves, gosh, we're getting stress hormones to people. Is it possible that stress may have some to do with their condition? So doctors know that in cases of acute stress, that can flare up a disease. That's clear. Right. But they don't recognize those emotional patterns that I'm talking about, which stress people chronically, but in less dramatic ways. Because it's what's it like to always have to repress your anger to be pleasing other people. It's awesome. And that's what the stress that I think often instigates. You've abandoned yourself, and now your body function is abandoning you. Is there good news here? Yeah, the good news is if you change these patterns, you can actually significantly affect the course of your illness. And I know lots of examples of that. How can someone find the root cause of the emotional pain? Or the, like, how do you begin the process of healing? And because you've now painted this landscape that helps us really understand the connection between childhood experiences and conditioning. How that shapes your body, your brain function, your physiology, your immune system, and how continued environmental stress and continued abandonment of self for the sake of being accepted to other people. By other people. When you see all this, it's incredibly empowering. What is one step that you would want someone to take if they're having an awakening or they've been sent this episode by somebody who loves them and they're like, "This is me." Okay. So let's take one example. Okay. Very simple one. Prior to your awakening and transformational journey that you under took some time in your forties. How easy did you find it to say no to other people's expectations? Oh, I couldn't. Okay. So you couldn't say no. No. All right. So I ask people this question. In your life, they have difficulty saying no. It shows up in two areas, work and in personal life. Okay. The second question I ask people is, what's the impact on you or if you're difficulty saying no? It's exhausting. I don't like my own behavior. Yeah. So it's this shame. Lack of control. Lack of control. Lack of control. Lack of control by the way. Anger. Blaming other people and making it their fault that I can't say no. That's right. And lots of control is one of the most significant triggers for stress, by the way, according to the stress literature. Well, that makes sense because we have a biological hardwired need for safety. Exactly. Which we try to achieve by controlling everything in everyone around us. Only because we learned in childhood that if we didn't, there'd be no safety. If we learned that there was safety, we would trust to rule the law more and we will never to control. So nobody's a control freak. Nobody's born to control freak. It's an adaptive trait is what that is. But it's what I'm saying. So that going through this exercise, so what's the impact it would identify? Some impacts could also be frequent calls, illness and so on. The third question is, what's your belief that keeps you from saying no? So when you had trouble saying no, what's the story? What was the belief? I would get fired from my job and then we wouldn't be able to pair bills and then we would lose our house and then on and on and on and on and on and on. They wouldn't like me or my mother would be mad at me. Or this would happen or that would happen. As a way to the world on my shoulders. Exactly. So then the fourth question is, how did you develop the story that if I see no I'll be rejected. Where did you learn that? I'm sure for me, even though I don't quite remember, it was that I had, it was my job to make sure everybody was okay in the house and that everybody was happy. That was you learned it. And that made me feel safe. In other words, you learned it when you're two or three or four years old or five. Yes. And now you're adult, as you're saying. My book, that's why this has been such a game changer because when I say, let them, I separate someone else's emotions and their expectations from what's my responsibility. You're choosing authenticity over attachment. That's what you're doing. Oh, I love that. You're right. I'm staying connected to myself. That's the whole game that's what I'm talking about here. So once you understand that you learned the story when you were hypnotized into it as it, by the way, three or four years are in hypnotic states. That's where they believe that when they're playing monsters, they're actually monsters. So those hypnotic influences are really powerful. They stay with us. So then the next question is, who would you be if you didn't believe that you couldn't, that you mustn't say no? Who do you be then? Free. Exactly. Do that exercise once a week? Five questions to free. It's in the methanol. What does it trap on it? There's a sixth question. What is the sixth question? Well, you're not saying yes. Oh my God, everywhere to free time to play, to enjoy, to creativity, to rest. Well, that not saying yes is as harmful as they're not saying no. To those two little words, just that little exercise that once a week, it changes people's lives. You just find that the sixth question, what are you not saying yes to? That one made my heart interact a little. Because that's where I really saw truly what I'm missing out on. Where are you not saying yes? To play. I'm not saying yes to me. And you know, so Bartol was and you know, so Bartol was and you know, so Bartol was and you know, so Bartol was helped me drop these help me drop these patterns and I'm still working on a is because I love this relationship on a reenit. relationship on a reenit. and. I don't want to be this person who was not saying yes. I mean, 80. You know, again, when you look at the top five regards of dying people, you know, that book that I mentioned in another conversation, this was written by a palliative care nurse who worked with dying people. The top regard was that I didn't have the courage to be myself. And the third regard was I didn't have the courage to express my emotions. And the fifth regard was, and I neglected my friends. I thought I'd go ahead and then the fifth one, I think, was I, I wish it hadn't worked so hard. I wish I had played more. I wish it had given more scope for the creativity and playfulness and childlike self that I am. You know, so I'm still looking for that one to develop it more. I'm a whole lot better than I used to be. Well, we're a whole lot better than we used to be because of what we're learning from you. Well, thank you. Gover, Mante. Wow. Any final things you want to say? Everybody's got capacity to heal. As long as it's consciousness, there's the capacity to heal. And for some people it's tougher because they don't have the resources. But you know, you can go on YouTube. Lots of my talks on YouTube, people have told me that it's changed their lives to the better. They haven't cost a penny. And I'm not just my talks, by the way. Talks by other wonderful teachers. My colleagues, some spiritual teachers, that doesn't cost any money to watch that. You can take books that are a library that doesn't cost a penny and they can be very helpful. You can learn to meditate and be with yourself and observe your mind. That can be very helpful. This fee meditation instruction on an underlying or in the many books. Those people that can afford therapy, if it's so very kind of therapy, they can address these issues. They can connect with nature. Nature's got a huge healing capacity. As our indigenous people really know, we can learn a lot from them about connecting with nature. Those people that have the capacity to get out of the city or even to go to a park and connect with the plants and the trees and the flowers. That sounds funky. It's hugely healing, exercise, giving your body what it needs, eating the proper food if you can afford it. And most people may not be able to afford the best foods, but they could probably afford to eat better than they do if they pay attention to themselves. So all those things are not inaccessible. So, in other words, healing is possible. So, we're able to all of us and it just takes the decision to embark on that path. Well, you've empowered us to make the decision today. Yeah. Thank you. Thank you. Oh, thank you. It's amazing to spend time with you. Yeah. Thanks. There are so many people that I want to share this episode with. I feel empowered and excited for you. And so I just want to thank you for listening all the way to the end and sharing this with people that you love. And I also wanted to be sure to tell you, in case no one else tells you, that I love you and I believe in you. And I believe in your ability to create a better life. And listening to this today is certainly going to help you take the steps to create it. And I will be waiting for you in the very next episode. I'll see you there. So, Dr. Oh my God. Okay. And then I look at the bottom and it's like, wow, wow, wow, thank you. Wow, fantastic. I'm the one that's fantastic, great. Okay, do you need me to do those? Okay, great, great. Okay, great, great, great. Well, I'm actually-- Well, I'm actually-- Yeah. Kale Nen. I'm sorry, does that hair look up to the-- That's okay, we're in it, but I was like, I was just like, wait, wow. Fantastic. We did it. We did it. You like that? Okay, great. All right. That's it. We're wrapped. Well done. Oh, and one more thing. I know this is not a blooper. This is the legal language. You know what the lawyer's right and what I need to read to you. This podcast is presented solely for educational and entertainment purposes. I'm just your friend. I am not a licensed therapist and this podcast is not intended as a substitute for the advice of a physician, professional coach, psychotherapist, or other qualified professional. Got it? Good. I'll see you in the next episode. Stitcher.