The Real Reason You Can't Stop Self-Sabotage | Dr. K

People will say to me, "Doctor K, I have no motivation. That's incorrect. You have a ton of motivation. You have a ton of motivation to stay home. You have a ton of motivation to play video games. There is such a powerful drive to return to the couch." So, identity shapes motivation. He is a psychiatrist, a harbored trained physician, and founder of Healthy Gamer. One of the fastest growing mental health communities in the world. Doctor K, thank you so much for being here. A loser is an adaptation that our mind forms to protect ourselves. If I think of myself as a loser, other people will pick up on that empathic energy. And they will think of me as a loser as well. So a loser never has a posture syndrome. We need to be defiant in the face of the world. We need to be doing stupid action. Not giving up means being an idiot. Let go of the possibility of it ever happening. 99% of karma happens in here. When you have a thought, how do you respond to that thought? That is technically an action. How do we improve our self identity if our identity is holding us back? One of the hardest challenges I have as a psychiatrist who works with high performers is We were just talking maybe for the last hour about our lives and challenges we've overcome and what we're up to in our lives. One of the things that I really care about here on the School of Greatness is helping people unlock their potential. Helping people live more meaningful, harmonious lives, helping people be on mission in their lives, having healthier relationships in their lives and really living from a place of peace rather than pain. And everyone's gone through pain, everyone's gone through some time of trauma or suffering or sadness or loss or grief. And some of these things shape their identities and I truly feel that our identity shapes our view of the world and it can either support us in creating the life we want or it can keep us stuck in feeling more traumatized, victim and things like that. And I'm curious, how do we improve our self identity if our identity is holding us back? I mean my goal and what I try to help a lot of people do is to get rid of identity entirely. So if we look at the function of identity, you're spot on that your identity is the lens through which you view the world. So I've worked with many people who will adopt a negative identity. So the first thing to understand is even a negative identity, like I'm a loser, is not actually a negative identity. So I was struggling with gaming addiction when I was like 18 years old and you know I had hopes, I had dreams and not being able to achieve those dreams is so painful. So one of the ways that we adapt is we become something that is not capable of success. Right. So there are winners in life and there are losers in life and I am a loser. And that thought comes with a lot of a negative emotion. The mistake that a lot of people end up making is they try to get rid of that negative emotion. They try to think like, okay, I'm a loser. Instead, I should be a winner. And there's a lot of value to a positive mindset which we can get to, but like let's understand the fundamentals. First thing to understand is if you have a negative identity, it is serving you in some way. The human brain, our mind has evolved with all of these structures. And one of the simplest ways I know you, I'm sure you've had injuries. Right. When you have an injury, the first thing that happens is we'll form scar tissue. So scar tissue is tough. It's fibrous and it protects us. So the negative identities that we form help us from facing other things. So if I'm a loser, I never have to try anymore. Right. If I am lazy, it's not my fault because there's the people out there who are disciplined and the people out there who are lazy. And I'm one of the lazy ones. I'm unlucky. Then the problem becomes that our identity literally shapes the way that we move through the world. So if I think of myself as ugly and I go on a date, my expectations of the date, the way that I show up is going to heavily affect the day. Because human beings are empathic. So if I walk into a room and I believe of myself, if I think of myself as a loser, other people will pick up on that empathic energy. So you know, if you go into a job interview and you're, you don't think you belong, I see this all the time. It's really interesting. I see a ton of imposter syndrome when I was at Harvard, I would see a ton of imposter syndrome. And you'd think that imposter syndrome is fixed by success. But actually success, we'll get to this. I'm getting a little bit all of it in place. But imposter syndrome is actually created by success. So I know it's weird. So a loser never has imposter syndrome. You get that? Yeah. You only have people only think they're imposter's when they achieve things. It's really bizarre. They don't believe they're meant to achieve. Exactly. Yeah. Right. So when I end up at a place like Harvard, there's a ton of imposter syndrome. And these are with the most successful smartest people in the world. Absolutely. And that imposter syndrome is created when the world views us in one way, but our identity is something else. So the reason we have so much imposter syndrome at a place like Harvard is because you have a bunch of kids who thought of themselves as the smartest kid in the class. And then the moment they get into Harvard, I used to be valedictorian. Now I'm average. I'm a nobody. Yeah. Right. And then you're with all these, you're with your peers. And suddenly used to be number one. Now you're average. And so you feel like you don't belong. And everyone's never been out. Everyone's jockeying to like one up and smarter than. And I know this better than you. Absolutely. Right. So this is it identities a tricky thing. So first thing is negative identity is protective. So the if you have some part of your identity that you think is bad that you want to get rid of wrong approach, ask yourself, what is this? What is this identity doing for me? When I think of myself as a loser, how does that protect me? You mentioned that it's serving, it's serving you in certain ways, but it may not be empowering you to live your fullest potential. Absolutely. And even a positive identity is not going to empower you to live into your spiritual potential. So we're into that. Right. So there are their identities that we have that protect us from some negative things. And then we have positive identities too. So going back to the negative identity, this will shape the way that we perceive the world. So create some kind of filter. Agreed. Yes. So I'm a loser or I'm not beautiful or I'm ugly or I'm stupid. Right. This identity that we speak and believe to ourselves shapes the way we view the world. Yeah. And it also shapes things like our motivation. So if you were, so this is going to get a bit technical for a second. That's okay. But we get motivated based on an action success calculation. So what our brain does is it looks at what the possibilities are. And if the possibility of success is high, it will be motivated towards it. Right. This is why it would be more motivated. If we believe there's a high possibility to succeed, there will be more more motivated. Right. This is why like if we sort of think about, you know, if I tell you, oh, hey, can you get me a glass of water? That's easy for you to do because you can do that. You believe you can do that. You believe you can succeed. It's such a simple task. And we don't even think about motivation for getting someone a glass of water because our perception that we can do it is like 100%. So we automatically do it. We don't even perceive that we're motivated, but it's easy to do. Now, if I don't believe I can do something. And if I can guarantee you that just about every human being who's watching this has something that they're capable of doing, but they don't believe that they can do it. And think about all the things in your life that you can have done that you did not think that you were capable of. And when you don't think you're capable, it becomes so hard because naturally the part of your brain that is telling you whether you can do it or not, you know, if it doesn't believe you can do it, you have to overcome. You're a belief. You're limiting beliefs. Yeah. You have to force yourself. You have to use things like willpower. Right. It's not really you're not really motivated. You have to like, you're motivated to not try. Yeah. Yeah. And you have to force yourself. But that comes from your identity. And then the moment that you believe that you can do it, it becomes easier to do. The big problem here and you were asking a question about identity is in our, you know, if we have some negative identity, that will prevent us from doing certain things. It also motivates us to do other things. So this is what a lot of people don't realize. People will say to me, Dr. K, I have no motivation. That's incorrect. So on the couch, the one on the couch, right? And just think about how motivated you are. If anyone pulls you out of that, there is such a powerful drive to return to the couch. Yes. So identity shapes motivation. Then we get to positive identity. Where a positive identity says, I can do something. I'm capable of doing things. Sometimes, you know, this positive identity can turn into things like ambition. It can even turn into narcissistic tendencies, right? So narcissism is a pretty, particular kind of positive identity. I think I'm great. I think I'm awesome. I'm the best. Other people are not as good as I am. So in Sanskrit, we have this word, a hum-god, which means ego. And there are three kinds of ego. There is a Thamsik ego, which is like a negative identity. That is an identity which keeps you inert. It makes it hard for you to move. Then there is the Rajsik identity. This is the identity that motivates you to act. But this is also the identity that I have to do it. And it's not even that I'm great. I need to do it. I need to accomplish something. I need to help the world. I've worked with so many people who are 52 years old, multi-millionaires, and are working themselves towards a heart attack. Because they have this identity. I need to do it. I need to make people proud. I need to have an impact in the world. I want to do good. And so even in service of that, they will have a lot of motivation. But the really interesting thing is that their motivation keeps them from slowing down. I motivated to always move. I can't rest. I can't sit still. - A lot of high achievers or high performers have that. - Absolutely. - That struggle to slow down, to rest, to take a break. - And we all covet them. I want to be, I wish when I woke up in the morning, I would flagellate myself. I wish I was so consumed by passion that I could work 90 hours a week, 100 hours a week. I wish I was like that. But those people suffer too. They wind up in my office. So this is where there is, you know, we start with a negative identity that protects us from certain emotions. Then there is a positive identity which activates us. But we are always chasing something. And this is the problem with the positive identity. You'll always move the goal posts. - Yeah. - So you get a million subscribers on YouTube? - What's enough? - When's enough enough? - Yeah, when's enough, right? And you always want more, you always want more, you always want more because that's what the identity, the identity feels activated when it is achieving. It is raising the bar that makes you feel really good. And so then the bar, now you actually become addicted to the bar going higher and higher and higher. And we think to ourselves, wonderful. That means I'll get more and more and more and more. But you won't attain peace. You will become a slave to success. - Yeah, there's no harmony there. - Absolutely not. So then we have the third kind of identity, Sattvic Ahamkar. This is the balanced identity. Where you have some amount of inertia, it's a balance between activity and inertia. See, we think that inertia is bad, but it's not. There's a balance between stillness and activity. And ideally what you want to do in my opinion is get rid of all identity. Because remember that the negative identity shapes our perception, the positive identity will shape our perception as well. I work with some people who are problematic gamblers and really believe in themselves. I can win. I can win here. I'm special. - They've lost a lot. But maybe they've won some, so they believe. - No, no, no, no, no, no, no. They've won a lot. They've lost some. - Oh, they've won more than they've lost. - Oh, yeah. - So how's that a problem? If they were always winning and they're not losing. - Because they keep playing. But they can't stop. - Yeah. - Right? So yeah, they do keep winning. And sometimes they lose. Sometimes they have catastrophic mistakes. So this is what's really interesting. One of the hardest challenges I have is the psychiatrist who works with high performers is helping people understand that if you're right 99% of the time, your mistakes are more catastrophic. - Yeah, 'cause you're focused on the losses, right? - Not just that you don't realize you're making a mistake. So if you're right 99% of the time, the 1% of the time that you're wrong, what is your mind gonna be telling you? - Oh, I made this. Oh, maybe I'm not always right or maybe. - And that's why so many people, I don't think we cover this enough. We talk about rags to riches. We don't talk about riches to rags. But there are way more human beings on the planet that go from riches to rags than go from rags to riches. And sometimes people make catastrophic mistakes because of this positive ego, because I can handle it. But you can't. There are so many signals telling you to slow down. There are so many signals telling you, this is a problem. This is not working out. So many people are telling you not to do it. And even your mind is telling you not to do it. But you can't afford to think that way. It is so scary. No, I can do it. - Because I believe in myself. I can do it. I gotta believe. Don't give up. Keep going. And it can be absolutely catastrophic. - So how do you know when you should reinforce the belief that you can accomplish achieve overcome something that you feel pulled or drawn to do? And instead of, oh, I'm not even gonna try it all. - Yes. - How do you, what's the balance there? - It's a problem of perception. So if we look at how identity literally neuroscientifically shapes us, it shapes our perceptions. If I think I'm a loser and someone, I say hi to someone and they just say hi and they look away. Maybe this person lost to their parent this morning. But if I'm a loser, I will take normal data from the world and I will shape it. If I have a positive identity, I will also do that. - It's evidence reinforcing the belief that I have. It's actually not evidence. I shape my belief shapes the evidence. The evidence doesn't shape the belief. - My belief shapes the evidence. So I see something. It could be a neutral event, but then it's shaping the belief. - Yes. And this is a huge problem where, you know, there are so many people I work with who are way too nice and they're compassionate and they're kind and they're forgiving and they get screwed. - Time. - Time and time again. You know, they think to, oh, every human being on the planet deserves to be loved. So I'm gonna let someone walk all over me. - Yeah. - Walk all over me or not even walk all over me. It's I will let someone take advantage of me once and I will forgive them and I will let them take advantage of me again and I will forgive them. - I feel like that for most of my life. - A lot of people do. - I feel like we were talking beforehand off camera about how you went through a midlife crisis in the last few years. I don't know if you publicly shared that, but I feel like my midlife crisis was a couple of years ago as well and it was shedding 95% of relationships in my life that I had had that I felt like were, that I needed to create boundaries in those relationships. - But Lewis, when you shed those relationships, don't you become a mean person? - That's what I believed. - Shouldn't you be a caring person who maintains your, you wanna be someone who maintains relationships, right? That's a good thing to be. That's what I believed and then it drained the life out of me. - Absolutely. - Constantly giving and constantly giving and constantly giving. - Because you are, this is the positive identity. Oh, I wanna be compassionate. I wanna be great, right? We feel so guilty when we step away from our positive identity. - Yeah. - And then that guilt, 'cause I don't like the feeling of guilt. So you know what, I'm gonna let this person take advantage of me again. So the goal, how do you tell? Positive identity will shape your perceptions as well. All identity will shape your perceptions. So what we wanna do is to see the world as it is. Free of all perception. And the only way you can do that is to get rid of identity. Your identity, your hum car, this gets a bit tricky, but if I ask you, Lewis, who are you? What would you say? - Well, my first thought is I'm a loving passionate wise man. - Okay. - Yeah, that's what I would say. - Okay, great, right? So. - I'm a loving passionate wise man. So we identify with all kinds of qualities. So I could say I'm a man, I'm a doctor, I'm a husband, I'm a father. And that's all part of my ego. So I don't know if this makes sense. - I can make the identity, I'm a New York time best selling author, I'm a cockcat. I can identify with accolades. - You could identify with accolades, you could identify with vices. - Yes. - But here's the crazy thing. You were you before any of those things were true. - Yes. - You will be you after all of those things are gone. - Yes. - So one of the most interesting questions that's, you know, I struggled with is when did I become a doctor? Is it the second I get my MD degree? So for me it was being on call and there was one particular instance where there was a, my patient went off and it was something called a rapid response. So a nurse was like, it's like a not quite an emergency. So I go into this room. - That's my emergency. - That's my, about to be, if we don't do something right away, it's gonna be an emergency. So I go into a room and there's a patient who's having a seizure. And so the nurse is there and I walk in and literally like 15 seconds later, my senior resident, Woxen, his name is Ken. He's an awesome guy. So Ken walks to the other side of the patient and he's like sitting there with his arms crossed. And so I start reporting to him because I'm an intern. I've been an intern for two weeks, finished medical school like a couple weeks ago. And so I said, Ken, you know, is a 38 year old woman who started having a seizure. It seems like about 90 seconds ago. And then he looks at me and he's like, mm-hmm. And I said, Ken, the patient's having a seizure. He said, mm-hmm. Ken, what should we do? It's like, what do you wanna do? I don't know. I be lirazapam like one milligram or two milligram. And he's like, which one do you wanna do? One milligram or two milligrams? I'm like, two milligrams? It looks like it's a big seizure. And he's like, sounds good. And so what's really scary is a seizure isn't dangerous for like 60 seconds and Ken is Ken knows that everything is fine But that's where like you know when someone when you're panicking You want him to take over it's like I've been doing this for two weeks But I actually have the information I know the thing you have the but you didn't have the autonomy yet You didn't take over or lie I didn't take the autonomous right but I had the ability yes And so that's why Ken was awesome awesome. I'm sure sure He's being a good leader being a good leader by Not taking the responsibility from me And so you know that was the moment I became a doctor But I knew everything before then if after I retire will I still be a doctor? It's a piece of my identity Yes, but I've always been me even before that so accolades are not bad parts of our identity are not bad per se they're a necessary part of living in the world But we should step away from them as much as possible At the end of the day in this moment. I'm not a doctor I'm just me and what we really under what I really try to help people do is move from negative identity to positive I don't mean that's a step in the right direction But then we want to shed all of that and recognize that we're just humans And you are a wise passionate man you weren't that before In a weird way, but that's okay Right because you had to go through the negative versions of yourself to be the current version of yourself And if you try to hold on to being a wise passionate man, you will be in trouble. That too is a stage So let that go too. Let that go when you're ready. Yeah. Yeah. Let it go Well, that was more for the giving an answer You know, you're like what who are you? I was like okay And this is where you know, I spent seven years studying to become a monk and the answer of who I am is nothing I'm nothing. I'm empty. I'm just I'm just an organism. I'm just a random set of neurons tissue thoughts emotions moving through the world and a soul and a soul. So that's our purest form. Yes, right? So identity is of the mind. It's a part of psychology But and as we practice these you know states of as we achieve states of meditation You will feel emptiness. Yes, and emptiness is a beautiful thing because all of your problems disappear And then when you don't have an identity see if you believe that you are a wise man And then you get some bit bit of information that is contrary to that And so then you're you're struggling right because am I a wise man or am I not a wise man Here's the crazy thing you are a wise man and you are also not a wise man And I'll make mistakes and all you will make mistakes, right? And you will make mistakes that will lead to your wisdom and You will make mistakes that will make you an idiot. Yes I'm brilliant and I'm an idiot to hold multiple identities. I know a lot and I know nothing Absolutely, right? So that's how we transcend. There's this word that gets thrown around a lot So I think the ultimate goal is to transcend identity to move away from all of those things that all those things are a part of you but they're not you Right, it's it's a part of you, but it's not ultimately who you are And when you step away from that that's when you start when you stop thinking of yourself as wise Then you will be able to recognize your mistakes and you will be able to recognize your wisdom. Yes Wisdom is a piece of you. It is not you And so ultimately we're going to step away from all of that stuff. Yes In my opinion if you want to be happy How do you think about identity for yourself living in a material physical world where You have to you know Organize things and strategize the future and bring people together and plan and pay bills and bringing money Yeah, present yourself and have credentials and study like how do you think about identity personally great So this is such a weird thing But what what I want you to understand is that identity is a ritty Ritty is a fluctuation within the mind. Identity is not an object. It is an activity. Yeah, okay So I know going on going and goes away. Yeah, okay, so I want you to literally think about this precisely. Okay When you're taking a dump are you a wise passionate man? I still am I still am but I'm in that moment taking a dump Art how would I know that you were a wise passionate man if I were to Just it would be more of a self-reflection of a knowing but someone else want to know so in that moment You're not a white you're just a dude taking a dump. Yeah, right? So this is what I mean So your identity literally activates and deactivates that's what people need to understand It is it is a it is an energetic pattern So we know this because like we have this thing in you know in psychiatry we talk about the narcissistic defense What is that that is when we pump ourselves up when we feel threatened So if I say you're stupid You say no, I'm not Here all the reasons how I can prove to you that I'm not stupid So that's narcissism if you criticise a narcissist they will put you down They'll attack you back they'll pump themselves up So identity literally if you look at like as you go through the day, right? And maybe I'll use another example So you know, I don't know if this is public or not, but I think you just had a couple kids can I? Yeah, yeah, it's public right so you know when you're holding one or both of your daughters You were just a dad. I'm just present. You're just present right you're not even a dad It's weird we think a dad is everything that you do for your kids When you're holding them in that moment and they're asleep in your arms or you're watching them sleep You're not even a dad you were just an organism that is in bliss Observing right you're just in that moment and when you're doing that like Someone else will see a dad in you, but in your mind there's no identity of dad Right, there's identity of dad when when they take their first steps There's identity of dad when you watch them graduate There's maybe identity of dad if they get married one day that's when there's identity of dad But in the moments that you're with them there's no identity. So identity is something that turns on and turns on so for me And this is what becomes important because we require identities to function in the world Right, I have to have an identity as a doctor in order to be a doctor. I can't let that go So it is important for you to step into identity perfect at different times and then step out of it right when so when someone comes at you You need your ego I'm not I'm not a POS I deserve respect what you were doing is not okay. I deserve better But this is the key thing This I think gets misunderstood a lot because in you know in these contemplative traditions we talk about being egoless The goal is it to be egoless the goal is for you to be in control of your ego Not have your ego be in control of you. Yeah, so I think about my ego and my identity is a guard dog And if I tell it to attack it attacks there are times where it gets and see on its own A stranger comes in and my ego activates But I need to take a step back. I need to tell the dog to calm down You know, this is not when a patient says hey doctor K. I've been coming here for six months and I don't even know if I'm getting better Right, and then I say I have a hardward trained psychiatrist if you are not I have thousands of patients that are getting better You are not getting better. You're the problem. Yeah You are not doing the treatment's property. That's why you know, it's not my fault And then that that naturally arises the narcissistic defense naturally rises and there may be times where I have to defend myself And there may be times where I need to receive that criticism with perceive that in the right way Was is there a part of your identity or ego that still gets the best of you Every day all the time Um, I think for me it's being a loser That's what you believe or think yeah, I am a loser Like I'm like literally I lose every day. I make so many mistakes. Uh-huh, you know Like I failed so many classes I had applied a medical school to 120 times to get in You know took me three years to get into med school Um, even today, you know, I'll make a YouTube video that sometimes has a million views in in 10 days sometimes has a hundred thousand views in 10 days I am a loser So here's the other thing There are parts of the negative parts of our identity are only a problem if we make them a problem And I can accept like of course I'm a loser that doesn't mean I'm not also a winner I have both of these things within me. Yeah, right? I'm a good I'm a good husband Really important and I'm a bad husband. Mm-hmm The moment that I start believing that I am exclusively a good husband is the moment that my wife gets screwed Really? Absolutely. I need to accept that at times I'm a bad husband at times I'm a good husband No one on this planet is perfect. Mm-hmm So there's a lot of data that shows that the more cognitively flexible You are around your identity The better off you will be And I don't know if this kind of makes sense. I know it sounds weird and I know it runs kind of contrary to Some of the stuff that you may say, but I think you do this right? I think you you must in order to achieve what you've achieved You must consider your weak parts. You must acknowledge 100% yeah, right that if I do not at in the right way my base or nature will take control. Yeah Of course, there is an addict a degenerate gamer who lives inside of me. Mm-hmm And if I'm not careful that will come out again. Right. Right. There's an importance of stepping into an identity that is more empowering than disempowering, I believe. Yes. Supposed to, I'm a loser. There's no chance I'm going to win this game. I'm going to mess up. You know, if I'm having a disempowering identity or belief, it's probably not going to serve me. Absolutely. So here's, here's if you think you're a winner, it starts to become other people's fault. Then you're, you're right that it, there's attention because now if you think of yourself as a winner and you get data that you're not winning. Yes. Now your identity is threatened. This is what happened to me also because here, first I was a loser and then I was like, I was picked last, you know, on teams, I was made fun of, I was in special needs classes. So all these things, I didn't have the psychological or emotional tools as an eight year old on how to navigate the emotions of the world and fit into groups and societies and teams. So I just associated, oh, I'm picked last, I'm in special needs, I'm in the bottom of my class, I am a loser, those I am statements I believed. Then I said, let me work so hard to improve this so that I'm never picked last and so that I'm a winner. And I did that for years. And it worked. I started getting picked first. I started being, you know, the best on the team, whatever it is through middle school and high school. But then everything became about winning. It was like, if I don't win, then my identity is going to crumble, right? It was like, now I'm a loser. And so my whole life became threatened with the idea of if I'm not a winner, then I'm a loser that way I have to win at everything. And winning, I associated winning with being right. So if I was wrong, I'm a loser. If I lose, I'm a loser. And so I tried to defend this identity, like you said, by being right and winning in everything sports, business, relationships until I hit about 29 or 30 years old. And I realized life was not about winning and losing. It was about win, win. How do I create a win, win scenario, even if I'm losing in a situation? And that became a part of my process was seeing everything as from a lens of how do I create win, win? What does that look like? This experience. Instead of, I need to be right. I need to win at all costs. So I think it's beautiful because people are probably asking, how do I, how do I get from loser to winner to beyond? And I would even argue that you were doing what I'm saying. So I, and people can even rewind this and pay attention to the subject of your sentences. Yes. How do I create win win? The object is outside of you. I am a winner. I am a loser. So when we transcend identity, we don't focus on the ego. We focus on the action. We actually divorce our identity. We become independent of the action. This is a lesson that I learned the hard way in, in residency because you know, you get trained to, like you think, as a doctor, like I say, "Bloves," right? Like that's a redo. Yeah. Save less. And then you like learn the hard way. Like you can't save life. Yeah. And people die. And people die. On your table. Absolutely. How does that feel? Not to get off. How does that feel when you're told your whole life, I'm going to go and save lives. And then you see someone, whether it be in residency or you're watch someone die after an operation. And you're like, "Oh, we actually didn't save a life." And these are really good doctors around me. How did that feel the first time? Numb. Yeah. So people think it feels bad, but my experience was numbness. I remember, I mean, this is a bit graphic. So I remember I was doing chest compressions on a guy who was having his third code in the hospital. And like, so he's having an arrhythmia. So his heart was not beating. Yeah. So his heart was not beating the way it's supposed to. His heart was fluttering. Fluttering, and so it wasn't able to beat. So he was rather large dude. And I remember like doing chest compressions. And what they don't show you in the shows is that like sometimes when you start doing chest compressions, people will vomit. And so I remember I had gloves on and all I could really remember was like the feeling of the vomit hitting my elbows and then going down the arm and into the gloves. And it's like in your gloves, right? Like it, it's like nasty because like we don't like things that gloves to be good with. Like if you've ever done the dishes, always the gloves is those dumps on your hands. And then that it's vomit. And there's someone dying underneath you. And, and you know, so then it's like, I remember the pressure, the stress of the pressure because like I was pushing and he's like vomiting on me and I'm getting this stuff in my gloves. And like, there's a part of my mind that's like, maybe I should push less. That way he'll stop vomiting on me. But like, no, we're not going to push trying to save the life. We're trying to save a life. And so my experience from that was just after afterward, I was just not like I was just like, what the hell was that? Did he come? Did he, did he, did he hesitate? He didn't make it. He didn't make it. I mean, he was, there was no way he was going to. Yeah. Yeah. I mean, he was gone days before. Yeah. Yeah. And so you just learn real quick, you know, and for me, it happened pretty quickly because I'd had this training, right? Like on yoga and meditation and understanding some of these things. But that, that, and then there was another patient that came in with a couple of gunshot wounds when I was working a shift in the emergency room. And you learn very quickly that you don't have the power of life over death. You know, you just don't have that. It's not something that you're entitled to. You can't save a life. You can do your best to support life and staying. All you can do is act. So there's a, there's a great principle from sort of like Eastern meditative traditions. As a human being, all you're entitled to is your actions, not the fruits of your actions. And this is a beautiful way to get an ego. Yeah. I mean, it's the whole, what's the quote around like planting seeds under, oh, he's of shade that you will not sit in the features. Yeah. Yeah. Yeah. Yeah. I don't know what that did. You know what I'm talking about. Yeah. So it's, you know, the world is a good place when you plant a seed under whose shade shade you'll never sit in. Yeah. It's not something like that. Right. Like putting in this work that you won't get the benefit from. Yeah. But others will. And the beautiful thing is you have been benefiting from everyone else in history for your life now. Yeah. So I think it's more drastic than that. Oh, even. Right. So this is not doing work for shade that will come. You, you're, you're entitled to plant a seed. But even then, you don't know that the shade will be there. That's true. Yeah. So as a human being is a doctor, you don't like, you can do everything. Right. So I work now with people who are like suicidal. And like you can do everything that you can do, but you can never stop a human being from taking their own life. You can try. That's hard as you can go. And that's the huge part. Right. So the moment that you start focusing on your actions, what can I do? Not what happens. Too many people are held back by their ambitions. They're held back by the target. Because we think to ourselves, okay, like if I don't have a goal, how am I going to motivate myself? But you have to be really careful about a goal as a source of motivation. Should we have goals? Sure. Why do you hesitate? So let's think about how the goal affects the motivational system. So I think we should have goals with care. So we have goals without focusing on the outcome of the goal as part of our happiness? Yes. So we should be detached. We should have goals, but we should be detached from our results. Yeah. So a way to put it like I'll kind of give a simple analogy to start because then we're going to get technical. See, it's okay to want, let's say I want to fry chicken sandwich. It's okay to want to fry chicken sandwich. But are you unhappy if you don't get it? So you go to restaurant and you're like, hey, can I get a fried chicken sandwich? They're like, oh, we're out. How do you respond to that? Yeah. So one of the biggest challenges for me, so I was planning on becoming a monk and then met my wife. And then that was like, you know, a lot of you are monk. Yeah. And so I was really like struggling internally because I had this idea of like, okay, I'm going to be like free from attachment and celibacy and I'm not going to be like these other humans. You know, you're all these lustful thoughts. Yeah. No, I need to be better than that. Right? Lust is for animals. I will be greater. So one of my teachers, seven years, you studied to be a monk, but when you were studying to be a monk, I met my wife. You weren't being a monk. You weren't living as a. No, but I told her I was like, girl, look, I'm sorry, babe. This is a temporary thing. You know, this connection that we have. Really? It's temporary. Yeah. Like I'm planning on taking my vows. So it's like, it's fine for us to, you know, hang out and have my life. I just want you to know out of respect. Really? I want you to know out of respect that I'm going to take my vows when, you know, a couple years from now. Why hadn't you taken it yet within seven years? Oh, I tried. So at the age of 21, I went to my teachers and I said, hey, I want to become a monk. They said. And they said, being a monk is about giving up your life. You have nothing worth giving up. Literally. Oh, so you have to have something. Exactly. You're running away. You're running away. You've never achieved anything. So first thing you should do is go back, get a doctoral degree. Wow. And then give it all up. And then give it all. Come back when you're 30. And so they let me come back and they're like, we'll continue teaching you and training you. But you don't get to take your vows until you're 30 years old. and you have a doctoral degree. Those were their two requirements. - Then you could give it up and come live like that. But okay, not everyone has done that to come among though. Some people are younger when they become a monk, right? - Yeah, yeah. I mean, these were my teachers, right? So my teachers were amazing. They also knew me very well. - They're like, "Yeah, you really don't want this." - You know, you don't realize, and they explained something interesting to me. They said that becoming a monk is gonna be harder than anything you do in the real world. So if you can't succeed in the real world, you're not gonna succeed as a monk. - You're a Phyllis monk, yeah. - Right, wow. - So that's how I ended up getting a target of, you know, okay, I'm gonna become a doctor and-- - And do something big that I have to then sacrifice and give up. - Absolutely. So that was also where-- - Then I'll be worthy. Then my ego will be worthy to be a monk. - Not quite, but yeah, a great joke. You know, there's the, so this is what I had at that time. I had the ego of having no ego. - Oh, yeah, yeah, yeah. - I have no ego. (laughing) - I didn't do the same. - I'm so above everyday. - Beyond this. - And speaking of identity, you know, so I was-- - That's what I get at it in itself. - That wasn't, it's an identity where I devalued the things that I had failed at. - Sure. - So like in college, this is pretty classic. I don't know what your college experience was like, but you know, like you're into a girl and you ask her out, and then she says no. And then you tell your bros, you're like, yeah, I wasn't that didn't so anyway. - She's not beneath me anyways, yeah, I didn't really care. - It's like, eh, like, eh. - Whatever. - So we devalued things to protect ourselves. We developed this identity. - So when you're meeting her, you said, I'm gonna be a monk, this is for fun for the next year or whatever, but then don't be too attached to me. - Yeah, I love. - Right, right? 'Cause I didn't wanna hurt her, you know? Like, oh, I didn't wanna hurt her. - Yeah, yeah. - 'Cause like, being in a relationship with me, like when it ends, it's so painful for anybody that I'm with, oh my God. - My compassion. (laughing) I don't wanna hurt you from the parting of me. - Oh, you're so, yeah, and then what happened? - So the first thing is she's like amazing and she knows me well. So she was not worried at all. She's like, you're not gonna become a monk. (laughing) There's no way this is. - Yeah, yeah, yeah. - You know, like, - It's to attach this medical stuff over here, yeah. - So then I, you know, went and decided to go to medical school and stuff like that. And it's really crazy, because I never looked at my grades when I was in med school. And so I got a call from one of my mentors and after graduation, he's like, where are you at the awards ceremony? And I was like, I don't know, I'm like, I'm like, I don't. And he's like, well, I'm presenting you with an award. Like, why aren't you here? He's like, I didn't even know. I had gotten so divorced from the outcomes of my actions. I just showed up and even when I, you know, sometimes when I was in residency, you get all these kids from Harvard who were like, really great, and then they get a B and they're devastated. And I have to do this thing where I try to explain to them, you're not here for grades. Like, you got to understand it. At some point, you're gonna be like in an elevator and, you know, someone is gonna start giving birth when you're trapped in an elevator. - And grades don't matter at that point. - And grades don't matter. You don't get to say, you know, and I'm a psychiatrist, but like, I don't get to say, oh, you're in labor, like, sorry, I'm a psychiatrist, I can't help you. - No, I just-- - You have to do your duty. - You have to, so-- - You're on a plane if you're on a residency. - Residency and medical school is about like learning how to be a doctor because one day someone will depend on you. So it's not about being a great doctor being at the top of your class. It's about focusing on learning the material for its own sake. And I think when you talk about making things win-win, I think if we really were to do like an x-ray of your mental structure, we would see that you would be very focused on action. You'd be altering your perception, right? You're not gonna give yourself some pad on the back and, oh, I'm a winner, and I'm a wise compassionate man, you know? Like, that's not the copium that you're gonna be huffing, which is what the kids say nowadays. - Huffing? - Yeah, huffing copium. - Okay. - Yeah, that's what the kids say. - Sure. - You know, so you're gonna be really focused on, okay, like, how do I integrate this data? This is negative feedback. How do I incorporate this feedback? How do I plan on this feedback? So there's no "you" involved. It's almost like you're, like, you know, it's just information coming in, calculation, change in the outside world. And people may think that that feels really sterile, but the other side of it is when you're holding your child. There's no ego there. There's just you being present. And if we look at action, what's really cool about action is action is what, when you're one with action, that's when you're the most present. So just focus on doing the thing. It is not in your power to have something happen. - Yeah, the results. - The results are out of your hands. - Yeah, focusing on the action today. Or just moment the next best action. - Yes. And this is the problem we were talking about. Goals, the problem with goals is that goals actually get us away from actions. - Really? - Yeah. - How so? - When is a goal? It's a weird question, I know. - When is a goal? - Yep. - If you create a goal with a timeline, you can have-- - Is there ever a goal without a timeline? - Some people have a goal and say, I want to write a book or I want to launch a podcast or I want to be in a relationship. - When is that? - But then I'll say when. - But when is it? Is it now? - They don't say when sometimes, but I think if they say when. - Even if I say I want to write a book, it's not today. - Right. - It's in the future. - Yes. - All goals are things that will happen, ideally. All goals are in the future. When does action happen? - Now or when you take the action? - And when you take the action, when is it? - In that moment. - Exactly. Action happens now, goal is in the future. Fundamental, I know it's a weird, we don't ask ourselves these questions. But so this is the problem with goal. Right, so this is what's really scary is the most ambitious goal is the easiest to procrastinate on. I want to write a book. How long does that take? - I know it takes two years. - Yeah. - Okay, so you're saying it takes like 720 days? Why don't we just do a little bit more work in 719? So goals are really sneaky things. And it's not that they're bad. So our frontal lobes require some way to. - Organized time. - Organized time, strategy, right? So you need that for the sake of a goal. But if you're not careful, a goal will induce procrastination. Because you seem it's too much work. I can't do it right now or it's daunting or. - Yeah, if you're lucky, that's what you feel. Because then you know, oh my God, this is overwhelmed. I need to fix this. What's way more dangerous is, oh, I can take care of it tomorrow. It's not even daunting. - You never take the action. Right, so action is completely independent of goal. And accomplishing big goals involves taking lots of action. So focus on action, not on the goal. The other really interesting scary neuroscience thing is that. - What if someone says, okay, I don't have a goal, but I'm just taking the action, like I'm learning Spanish every day. I'm taking the action to practice Spanish every day. But if I just said, well, I don't have the goal to learn Spanish and be able to speak it, then why am I doing it? Why am I doing the action? If there's no thing that I'm actually looking to step into, just for the action sake? - Great question. - So goal, serve a function. Once again, the goal here is, is not to get rid of this stuff. So in order to be a functional human being, if we're pursuing enlightenment, the enlightened person has no goals. They just exist. - They're just better than all the goals of the world. Their ego is, I bet. - Yeah. They've abandoned all that stuff. They're just chilling. They're not above it all. - They're not, yeah, I know. So goals serve a neuroscientific purpose. They organize our frontal lobes. They allow us to sequence out things. So that's good. But a goal being used to sequence things, I'll give you an example. I'm going to the airport later today. So I had to pack. But packing has, it's not like, it's a goal that I have to do, but I'm not like attached to it anyway. It just helps me organize the sequence of events and then I have to take the actions. There's no identity caught up in it. I'm not like, eh. - Luis. - Look at me. - Cleaned at Hardvard. Back to my own undies. You know, I'm great, bro. So this is where goals are important, but we should never have them serve a greater function than what they really should be serving. - What should they be serving? - Helping us organize action. That's it. - But when you had a, you know, when your monk teacher said, go become a doctor or do something and then come back to us when you're ready to give that thing up. And you said, all right, I'm going to go to medical school and I'm going to become a doctor. You had a goal in mind. - Yes. - You needed to, you wanted to accomplish something. Some type of learning, experience, credibility, and there was a deadline who when you have to accomplish it by, right? - Great. - So how did you navigate the goal and the actions with that? - Yes. So a beautiful example, because it's an example of, I didn't care that I accomplished the goal. This is a really weird thing. - You didn't care if you were to accomplish it or not. - No, so I needed to accomplish it, right? So goals are necessary, but we don't need to get attached to them. We don't need to get hung up. They're necessary steps just like packing. I have to pack. - But you want to attach to the result. - I wasn't attached to the result. - If you became a doctor or not, you want to attach. - Yeah. Well, I mean, I was attached, but I tried really hard not to be. - Gotcha. - Right? And that's why I like, I never looked at my grades. I was like, okay, I'm going to like, someone will tell me if I fail. Like, I'll get an email if I fail, and I didn't fail, so whatever. I'm focusing on learning the truth. - That's good. - Right? So I know it's, I'm love that you're asking these questions, because it's so counterintuitive from the way that we think. Here's the reason that detachment from our goals is really, we want goals we want to be detached. Here's why. If you have a stumble towards your goal and you are attached to it, you are more likely to give up. So your brain says, "Okay, why are we doing this? We are doing this in order to get this." And now we get a bit of information that that becomes less likely. So then our brain says, "Okay, we're not going to achieve the goal." So I see this all the time in the patients that I work with who have early stage sobriety. And so it's really interesting, because when they start to relapse, I've been sober for 160 days. I had one bad night of alcohol, and now it's ruined. I lost all of my sobriety. What do you think they do the next day? Go drink more. Absolutely. Now that it's busted, might as well. Right? It's the self-loathing, like all this kind of stuff. So if you want an outcome and something gets in the way, if you have a setback, your attachment to the outcome is going to cause you to give up. So when someone has a setback, how should they process that setback and continue moving forward towards a goal, whether they're attached or detached to the outcome? Great question. Can I give another example for this? So this is also why people don't get started. So like, you know, I struggle with this a lot. Maybe this is something people can empathize with. If you're not sure you can achieve something, it's really hard to get started. So I would do this thing where if I got, like I had like less than a 2.0 GP, I had failed a lot of classes. So I was like, okay, I need to get straight A's. And you're both. You know me? But you became a medical doctor and I did it. Potato potato. Yeah, exactly. So I did this thing where like, you know, since I needed A's, now I have like a 1.0 GPA. So I need a 4.0 to balance it out. Right? I need to have an A. I can't afford to get a B in order to save my GPA. That's true. So then what would happen is if I got a B on my first test, I would drop the class. Because I can't hit my goal anymore. I'm going to give up. So it's so easy to not get started when we are attached to our goal. Because think about when I'm attached to the goal, I need, I can't ask her out yet, bro, because I need her to, I'm so in love. I can't hit, like I, I wouldn't be able to live with myself. So what I'm, what I'm, what I'm going to do, I'm going to take her to the airport. I'm going to be there for her. But I'm never going to shoot my shot. I'm never going to take that chance. I'm going to take her to the airport. The question is, how do you act if you are attached to a goal? You accept that on this planet, you cannot achieve it. It is not within your power to achieve. You know, there's something that I think is really scary about the society we live in. We started taking things lying down. So like, like nowadays in society, this is going to sound kind of weird. Like when we're on the brink of failure, we don't fight with defiance. Right? We're like, okay, if I'm going to lose, then I'm just going to give up. We've stopped fighting futile battles. And that's so devastating. What do you mean by this? Like if you're going to get screwed, go down fighting. Go all the way. Go all the way. Even if you, even if, like, you know, I got my first 40 rejections to medical school. My next 40 rejections to medical school. My uncle pulled me aside and he's like, bro, this is not working out. Like go get a PhD. Like, go to plan B. Right? Like, come on, man. Like your GPA is not changing. What are you expecting? You're an idiot. You're being stubborn. My uncle's a great guy. Loves me very much. And it's a good advice. Right? You're just repeating insanity over and over and over again. Absolutely. And so like this is where like we need to be defiant in the face of the world. Like we need to keep, we need to be doing stupid action. Yes. You know, like don't, that's what it is. When you say don't give up, what does that mean? Don't giving up, not giving up means being an idiot. You know, I was, I was reading about like, stranger things and how many times stranger things got rejected. Yeah. You know, another good example of this is Harry Potter. Like got rejected over and over and over again. Play squid games also was like 10 years it took for it to settle. Absolutely, right? So, so we have to be really careful about goals because if we, if we attach ourselves to the goal and we get negative feedback, we are going to give up. So focus on the action, right? And this is what's really important. But how do you know when to give up? Like sure, those things, they had a belief that these things should be in the world, these movies, these books, these things should be in the world. In my medical school, I should, that should be happening. But if it goes 20 years and it doesn't happen, keep fighting until you burn everything down. There's, it's so tricky, but beautiful question. Give up with tranquility. So when you are at peace and you want to let something go, that's when you give up. When you feel like I've given everything I can or I'm okay with it, not to me in the world. Right, right. Like I still feel like there's something inside of you. Right. So, like this is a lesson I learned when someone has, so I had a patient who was eight years old had stage four cancer was in the pediatric ICU. I was a medical student. I wasn't even a doctor then. And then you know how do you know when to pull the plug? Like that's where I learned that lesson. Like you can, you can do everything, but you should be at peace. So if you feel, if you feel like giving up is a failure, if you feel like giving up is, is giving into your fear, your internal emotional state will tell you what is right and what is wrong. So if you're giving into fear, don't do it. Right. You know, even if you're overly ambitious, you want to attain a state of tranquility. That's where you should operate from. This is really important. I want to go all is out there. It's in the future. Action is now. Emotion, you have to be careful because we're oftentimes running away. The emotion tries to get you away from the here and now. Right. I want to avoid the anxiety. I'm anxious. How do I not be anxious? So instead what you should do is be as tranquil as possible. Go for a walk, have a nice cup of tea. You know, sit with your thoughts. Stay off of all devices for 24 hours and take a good, long, hard look at your goals and ask yourself, is it time to give up or not? The answer will come from in here. Don't make a pro con list. Don't do anything like just ask yourself. So I went to a Swami, which is like a monk. And after I failed for two years to get into med school and I was like, Hey, I don't know if I should give up or not. What do you think I should do? And then Swami turns to me, it's like, you know, two years is not such a long time in life. Give it another year. It's kind of shrugged, right? So casual, just so simple. And I was like, Okay, fine. I'm not getting, I'm going to give it one more year. That's what I decide. Luckily, I got into one medical school. So tranquil mind, tranquil and then decide. Then you'll know whether it's enough. It's not give up. Even that phrasing is wrong. It implies failure. It's transition. It's, yeah. No, no, but I think it's the right word in the sense that that's what that's the way everyone thinks. Instead, ask yourself, has this been enough? I work with patients who are trying to make it work in couples therapy. And what we get to, what I get to like emotionally is, is this enough? Have we tried enough? Have we tried treatment enough? Is this enough? And if the answer to that question is yes, then let it go. There's a question I wanted to ask you about, capable versus believing. You know, and maybe this ties to goal setting. One point you said, I think you said, there's a difference between we're being capable of achieving something or living into something versus believing you can achieve it. What is that difference of capable versus belief? And are there times when you believe you can do something, but you're not capable? What is that? Due to someone. I think belief and capability are two entirely different things. Belief is your estimation of your ability. Capability is your ability. So the gap between capability, there's a gap between what your estimation of what you can do and what you're capable of. But when someone has the capabilities, but not the belief, then what happens? They doubt themselves constantly. They're insecure. They're afraid. Have the skill, the talent, or the ability to do the thing if they worked at it. Yeah. So I think I mean, this is something we see all the time. Most human beings on the planet are far more capable than they believe. Yes. Right. So our belief, let's understand where this comes from. Belief comes from your own estimation. It comes from your data. It comes from your cognitive biases, your perception, your emotions. You know, your fear will try to protect you by telling you that you can't do it. They'll try to trick you into believing that you are incapable. I don't put much stock in belief personally, personally, for yourself. Just in general. For my patients, I try to help them not put much stock in belief because let's understand what belief is Belief is the absence of knowledge By definition, I believe my keys are in my pocket. I don't know that So belief is literally a mental hypothetical construct. I believe it's possible. I believe in God That's very different from I know God. I've seen God. I felt God Right, so what we'll use this and I'm not trying to be like anti-faith or anything like that But it's kind of interesting right so and because when I sit with people who do have intense faith Sometimes there's belief and there can be there's value to believe too, but in general I think step away from your own beliefs Mm-hmm In general, what you should be doing is collecting data not hypothesizing Belief is in your head So should we not have belief in ourselves that we are capable of Accomplishing goals or dreams. I mean so so I think you should learn Right, and I know this is like running contrary to some of the language that you use I don't think we're I think we end up in the same place. Yeah, yeah, but I think just just learn try Well, okay, I you don't believe in yourself. So what you do believe in yourself. So what? Try Act either way act exactly be independent of all of this stuff. Yeah, yeah, because what is it that correlates? with accomplishment What is it correlates that correlates with success? It's action So we use belief right so this is why it's important to take action exactly Right, so belief helps us take action sometimes But this is where it's like we can do whatever kind of mental gymnastics you want Right, right, right, right, right, right, right, let's get to the root of action and all of psychiatry and psychology and stuff is all these ways of helping people act Garma karma The actions that you take Here's something really interesting what a lot of people don't realize about karma Karma 99% of karma is not visible 99% of karma happens in here when you have a thought How do you respond to that thought that is technically an action? Oh my god, so this morning I was tired. I've been working here for nine days and I didn't want to go to the gym So I didn't go to the gym and then it's a little bit cold outside But I was like, you know what I normally swim about 20 laps and so it's like I don't feel like swimming to my last But I'm gonna swim five I felt like swimming zero Yeah, it's like I'm just gonna get in the water. I'm gonna swim five laps and then I'm done. I got into the water was awful You like how to get out I want to get out. I felt really tired I'm kind of out of shape and like haven't had a great schedule But like the way that we respond to ourselves that's what forms our destiny Everyone thinks karma is our actions out here It's not the most think about how many actions do you take in your head every single day thousands? How do you respond? Oh, I want to eat this. Okay. I'm gonna eat it Oh, I want to pull out my phone. I'm gonna pull out my phone that mental action. Okay. Let me pull out my phone costs you 60 minutes of your day. Mm-hmm A 30-second distraction costs you an hour The way that we respond to the impulses in our mind. This is the most important action I believe I can't do it. Are you going to listen to that belief? This is why like oh believe in yourself not lose That's not the question question is when you believe something. How do you respond to your beliefs? Yeah Do I have a goal? Do I not have a goal? Not the important question When you have a setback in your goal. The problem is that most human beings on the planet react they don't respond automatic There isn't awareness of what's going on there isn't intention And pay attention to your mind you'll be stunned There's a beautiful exercise that I offer people Pay attention to how many thoughts you have that you've had before Hmm So the crazy thing that a lot of people don't realize is most of their thinking is habits It's not even logical. It's not real. It's automatic. It's just automatic. It's not repeat. It's on repeat I'm a loser This won't work I can do it And it's not that these thoughts are good or bad Yeah Right and and I appreciate the perspective. It's not good or bad right or wrong. It's what's is it serving you an empowering way Is it helping you to feel more harmony or not? I mean, I think if people want to be rich and successful they should ask those questions You were better at that. Lewis than I am What I'm about is not even the goal of all of that stuff. Is it empowering or not empowering? I mean, I'm I'm in a step away from that just understand Hmm So in in Sanskrit, you know, they have to saying that a vidia is the source of loop cut ignorance is the source of suffering And this is something is a psychiatrist. I think is very true most of our suffering comes from not knowing what what is going on Why is this happening or not being aware? Not being aware. Yeah So much of our suffering in life comes from our reactions and our automatic patterns. I see this all the time so Can I use profanity? Sure. Okay. So one of my clients came to me and asked me Dr. K. I don't know why I only attract boys And we talked about it for a little bit and we realized you attract everybody You choose Yeah, yeah, yeah lots of great people come up to you and but you're not attracted to them And this is what's so cool like people don't realize when they're suffering in life and life feels hard I mean, I've worked with people who have had polysubstance addictions from the age of nine And then you you live this way for 19 years and you think there's no way you can get better You're at the age of 28 you've been struggling with substances for 19 years Relatively young, but your whole experience has been struggling with this and you think it's impossible But you just don't understand yourself. You don't understand how you are responding to your impulses You don't understand why you're using these substances that you're trying to run away from something is that is inside you And you can try to control your behaviors as much as you want But as long as that black flame that like tar is inside you No way that you're going to control your behavior So understand yourself first. I it's not for me to say you should do this or don't do this or you I can teach you how I can't tell you what direction that's for you to figure out you decide for yourself Why are you so lazy you are one of all the answers from me Go and explore yourself Pay attention to your mental actions Pay attention to the way that you respond to the things around you I think it was Carl Jung who said I forget exactly what the quote is but something about until we make our unconscious conscious We will look at our lives and we'll think it's destiny even when it's in our control I'm butchering the quote but you know, it's crazy how much of our life we actually control But we just have no awareness of How much of our life do we control all of the important parts How much of our thoughts do we control? None We don't control our thoughts no the thought the mind generates thoughts How much do we control our mind? None So do we have any control over our thinking or our mind? We have control over the way that we respond to the thought That's all we control all the only do we generate a thought or as a thought generated automatically What do you think? I'm thinking you're touching my leg. Yeah, did you have control over that the generation of that thought of you touching me? I was thinking Did you can you control that that happened? I can I can think a different thought when it happens. I can shift the thinking I can know that's happening and also think about something else right so but it's all you can control So the the mind I mean, this is the problem is we can't everyone thinks we can control the mind and they try Yeah, it's like trying to swim up a waterfall So when I do psychotherapy with a patient let's say I've got a patient who's got suicidal ideation So they want to kill themselves every single day So they come in and I can't control their thoughts They can't control their thoughts. They don't want to be suicidal, but they the thought comes thought comes thought comes okay So then they don't control their thoughts, but as we do work We change the thoughts that are automatically generated in their mind You do yes, right by responding to the thought I talk to them in certain ways I say certain things to them and then as I say something This is why a good psychiatrist is really important right so the whole point of a good psychiatrist is that they can change your mind You come in your suicidal I engage in an evidence-based practice And I took this principle and turned it into a coaching program because I thought hey We're doing all this stuff for people who are suicidal. Why aren't we doing all this stuff for people who procrastinate Who are stuck who want to write fiction? We can take these evidence-based techniques because someone comes into my office and there are thousands of studies That's why psychiatry's an evidence-based practice They're coming into my thought there's certain things that I can say certain things that I can do That will alter their thinking really absolutely Right so you'll learn this soon enough, but I mean you're married. So, you know, your wife has certain thoughts in her head. She's upset. And you can do things to alter the pattern of her thinking, right? Yes. You can say, "Oh, tell me what's wrong." Right. I love you. Or, yeah, hug her or you can tell her how she can fix all of her problems. Right? And so here's the really wild thing. We as human beings can affect the human beings around us. In fact, they're thinking, which means by definition, her thinking is being shaped by who? Me. Which means that from her mind, her thoughts are being generated by the people around her. You actually don't control your, she doesn't control her thoughts, you control her thoughts, which is wild. And she controls my thoughts. Exactly. So, your influences them. Influences them? Yeah. Yeah. And there are other influences. Right? So, let's be clear. First thing is that thoughts are generated for you. That's why advertising is a thing. Because they figured out if I can generate this thought in your head, then you'll take action. So, everyone is doing thought control. And this idea that, "Oh, I can control my thoughts, bro, you cannot." So, as a harbored trained psychiatrist, then knowing that, what do you do to have better, I don't want to say, control, but better awareness or a handle around the thoughts in your own mind? Okay. That either supports you or don't support you in your life. Yeah. So, what we do control is the way we respond to our thoughts. The way we're aware of our thoughts. So, I, for example, might. Victor Frankl said, you know, it's about stimulus. The space between the stimulus and response. Absolutely. Right? So, this is what a lot of people, so I'll give you a really interesting example of this, a bit tangential. But, so, here's the key thing with thoughts. The key thing that we want to do is have distance from them, which is beautiful, what you said. So, I'll give you a good example of this. If we look at mental illness and we rank the severity of mental illness, what we find is the worst mental illness has no space between stimulus and response. So, when someone has psychosis or is delusional, I've had patients who will say, there is an electronic device in my brain that is shaping my thoughts. This sentence that they say is a thought in their head. But, there is no space between this is a thought and this is reality. They can't separate them. They can. They can. They can. They can. They can. They think things they're doing. Exactly. Right? So, the thought is real. It's delusional. It's delusional. And the nature of delusion is when you believe your thoughts are real. Yes. Literally. And I'm going to show you this beautiful scale. So, there's psychosis, which is the worst. Then there is things like, let's say you have a mood disorder where I think I'm a loser. I'm pathetic. My family would be better off without or level of depression or level of depression. Right? So, as people become really depressed, they believe their thoughts. There's no space between thoughts and anything else. Then as they start to get a little bit better, okay, like, yeah, I feel this way and there are times that I think my family would be better without me. But, you know, I'm beginning to see, okay, maybe that's not the case. Then you're conflicted. Now, there's a little bit of space between those two things. Another good example of this is when you have a panic attack, you don't think you're dying. Then, you know, less severe than panic disorder is like a generalized anxiety disorder. Right? It's not one to one. You can have that generalized anxiety disorder. But when your anxiety is less bad than you're, okay, like, I'm anxious about this, but it may not. I think this is going to happen. Or if I have OCD, my anxiety is something I believe. Unless I flick off the light switch seven times, my house is going to burn down. I believe that there's no space between thought and belief. It's one and the same. And then I get anxious, right? Oh, I think this could happen, but I don't, I acknowledge maybe it won't happen. And then we get to the normal state of mind, which is like, okay, I have thoughts. I believe most of them. I don't believe them. And then we get to you. Which is you're very good at training yourself to disbelieve particular thoughts. That's what all these questions are. How do you empower yourself? Because you have disempowering thoughts and you choose not to believe them. Yeah. Or not. Stop me from taking actions in my life that I can start better actions than worse actions. Exactly. But that's the key thing there is that the thought comes up. Oh, hey, Lewis, can I tell you something, bro? You're 40 42, right? You're going to be 44 45 when you compete in the Olympics. Yeah. Good luck. Yeah. How many, I mean, what do you think about that? Do you think that's going to work out? Does your mind ever tell you, hey, bro, this is like, you know, you're competing against 20 year olds. Yeah. If you're asking me, personally, I think of, man, what about this story that I will get to share? So see the way that this works out or if this works out. So either way, if it doesn't work out, the story of pursuing something that you care about. So that's beautiful. So you're doing some cool mental jiu jitsu. You're like a madador. You didn't even address my question. So here's the scary thing. If you go back and you watch this and you look at your face, that fear is in you. I saw it in your face. Sure. Sure. There's a level of like, I think it's not worth going for unless there's something that's that's all of the way that you were. It's easy. Why would I go for it? The way you respond to your thoughts, the way you disbelieve your thoughts, you know it's hard. I know it's hard. I can say it to you. It hurts to hear it. And you say, yeah, exactly. The way you respond to your thoughts, disbelieving your thoughts, moving away from your thoughts. So this is the spectrum of thinking. Yeah. It's almost like being a coach. It's like seeing yourself as a coach rather than being the critic with the thought. It's like it's rather like, I am this thought. There's no separation of the thought. It's like, no, this is me. If I'm thinking it, it's my identity. That's why I was just wanted to start with the identity of like, if that's who you're identifying as and holding on to it rather than saying, all right, it's a thought coming in. Let me distance myself and kind of observe it. And do I want to be the critic that continues to reinforce that thought or I can hold it there and still take actions and coach myself through it. And that's kind of the process. Beautiful, right? So if you tunnel down in the precision of what you're doing, you are changing the way that you respond to your thoughts. Yes. And now here's the really cool and tricky thing. As you change the way that you respond to your thoughts, your thoughts will change. Yes. But you did not create them. No, really. So we don't create our thoughts. No, all we do is so think about your mind like a garden. We weed, right? So we remove, we don't react to that thought. We don't give into that thought. And over time, it will wither. And then as certain thoughts, you because I don't know if this makes sense, the first moment you started believing in yourself was not something you had to choose. What matters is when you had that thought of self belief, how did you respond to it? You protected it. You got around it. You're like grow, baby, grow, right? You cultivate when you talk about an empowering mindset, what is the mechanism of an empowering mindset? It is responding to certain thoughts in a particular way, but you still don't control them. So over time, because it could be a negative thought comes in. There could be something else, but it's what you nurture. Exactly. You know, I had a patient who was afraid that her fiance was cheating on him. I mean, sorry, on her. And so she was like, I want to check your text messages. And so she thought to herself, if I check his text messages, then I'll know that I can trust him. But as she feels the anxiety, she checks his text and she feels reassured. But the next day when she feels anxious, let me check it down. Let me check again, because she is her brain is learning that the antidote to anxiety is to check it. This is really important to understand whatever we feed in the mind grows. We don't control it, but we choose what we feed and we choose what we don't we feed. We choose we get to control action. We get to control the way you respond. But we don't even get to control what thought comes next. Now you hope that when you're nurturing and watering a thought, that thought will continue to expand and develop and grow more frequently and will pop up in your mind. That's what we get to control. So that there's tons of neuroscience evidence for that the neurons that fire together, wired together. We have habitual patterns of thinking. So when we have and then we can wire our brain to generate thoughts. And literally the goal of my job is to help someone wire their brain so that their brain generates the right thoughts. But I want to be precise here. That doesn't mean you get to control what you think. You can simply plant your garden in a certain way. That's interesting. So it's almost like, you know, tell me if I'm wrong here. But what I'm hearing you say is your mind is a blank canvas or it's a desert. And you can start to respond to the thoughts that come to you and hopefully build a rainforest around you or a garden or some type of scenic thing that supports your your mind in a more beautiful way. Spawn on with the general. Here's the key difference I would say. Your mind is an untended garden. It's not a desert. It's not blank. Because if you think about it, your whole life you've been giving into certain impulses. You've allowed weeds to grow out of control. Sure. Let's say you're a blank canvas when you were born then maybe I don't know. Yeah, you don't know. Yeah. But that's your point of watching this. If you're in your 20s, 30s, 40s, or 50s, your mind is an untended garden. Absolutely. Right. And there might be some beautiful things and there might be a bunch of rocks that you don't want. It's figuring out how to tend to the beautiful things to create more harmony and peace inside of you. Yeah, and things that will support your life rather than hold you down. And the beautiful thing is that when you start doing this you cultivate your mind. Life becomes easy. Yes. Because now when it's hard, it's easy. Absolutely. So we struggle with motivation, but think about it. That's because your mind has this impulse over here and you're trying to wrench it over here. Right? Whereas once you start to do the right kind of reinforcing stuff. Once you start reinforcing the right behaviors, once you start, once you stop giving into certain thoughts, as we won't have them, huh? Doesn't mean you won't have these. It doesn't mean and it's you don't respond to them. Absolutely. Give into them. Yeah. So, so for example, my ego is like really like, it's really messed up because for years, I got bullied for years. I was, you know, I struggled and then I got into Harvard and then I had an ego about that for a while and it's still there. So what I do is I laugh at my ego. I'm like, there's that ego again. Sometimes I'll have fantasy. Great. It's Harvard, Psychiatry, yeah. Yeah. So, so, you know, on the car ride over here, I was thinking about how to make this podcast great. That was one of the questions you asked me. How do we make this great? I was like, there's my ego again. There's me trying to be great. Who am I to be great? Right? I'm, dude, I'm a noob. I'm a failure. I'm a loser and I'm great. So I'm going to show up and I'm going to do the best that I can. Yeah. But it is not for me to be great. It is not for me to decide what is great and what is not great. So my ego is still there after all of these years. It's still there. My wife is hilarious about it because she mocks me so much. Right. So sometimes I'll say something really profound in conversation because sometimes I say things that are really proud. She's like, Oh, wow. Yeah. It's a quote that I think it's a beautiful way to keep your ego in check. Sure. Of course. Right. So the way that I respond. So now my ego is not something to be conquered. It's like, I'm cursed with it. And I've accepted that after so many years of I've been meditating for 21 years. And my ego is still there. It's still there in the background. It still sneaks up. It still makes comparisons. There's no, I'm cursed. Ah, so what? Yeah. Am I going to let it? Am I going to try really hard to get rid of it? No. Yeah. Yeah. It's there forever. So be it. I don't need to change. Yeah. I don't need to be egoless. I'm a new like who am I to be egoist? Am I some great person who should be egoist? No, like I'm some pathetic POS who struggle sometimes and does a good job. And I do right by people. I hold both of those things. Yeah. If we went back to the, you said there was like a scale of mental disorders. I think you call other mental diseases or disorders or I don't know, diagnosis. Yeah. And psychosis is a guess like the highest on the scale of severity. Yes. Severity. And then maybe mood swings or some type of anxiety, you know, would be. Yeah. So like panic disorders, you know, severe depression, then like generalized anxiety. Then there's like the normal level of anxiety. Then there's like the positive dimensions. Right. Of understanding and the highest dimension is understanding that you are not your mind that the mind is just an object. It is your mind. We even say it. My mind, my hand. It is an object of its own that does whatever it wants to do. Just like your body. It's like you don't get to control whether you have diarrhea today, like your stomach is messed up today. Your mind is messed up today. But just like your stomach, you can take care of your mind. Mm-hmm. And so what would you call us the scale of you just making it up the scale of severity around one. Actually, it's what technically is the scale of attachment to your thoughts. Okay. I love this because if because anyone could relate to somewhere on this scale, hopefully not many people relate to the psychosis, but anyone watching or listening can relate to. Yeah. I've had depressed thoughts or anxiety or stress or overwhelm or whatever it might be or feeling of laziness or lack of motivation or I've ADHD or whatever it is. How does someone go from having a tended mind, a beautiful garden or a tended garden in their mind to psychosis or to suicidal thinking over and over again? And is there a way from someone to go back from psychosis or suicidal thinking to a beautiful garden in their mind? Absolutely. What is that process of how they got from mood swings to suicide? And how can someone go back? What is that process? Okay. We're going to teach it to you right now. It's going to take about 30 seconds. Okay. So I want you to close your eyes, Lewis. And I want you to observe your breath. I didn't say breathe. I didn't say change your breath. I didn't say take a deep breath. I said just observe it. You're doing that deep breathing thing again. You're breathing slow. Just observe it. Don't change it. Can you breathe the way that you were when we were talking? Now you're artificially increasing the pace. Right? Little bit. Yeah. So here's the wild thing. The moment you are aware of something, you gain control. Literally the part of your brain that monitors conflict within you is the part of your brain that is willpower. And I was going against what you were trying to have me to do. I was like, no, I'm going to do what feels good to me. But even then you're controlling it. So if you pay attention, it is impossible for you to observe your breath and continue to breathe naturally. Impossible. Try it. You'll notice that the moment that you pay attention to it, it starts to alter. Right? So in physics, this is like, because now I'm paying attention to it as opposed to just being. Right. And when you pay attention, you'll start to control it. You can try. I mean, maybe you can do it. I haven't been able to do it. No, it's yeah, because I was focusing on breathing rather than just talking right now. I'm not thinking about breathing how I'm just right in and out. So it's really cool. Awareness is the first step to control. Why is this thing so hard for so many people who are stuck in their their mind that creates so much stress, anxiety, depression, suicidal thoughts. Why is it so hard then? If it's so easy, why is it so hard where people get stuck for years or decades in this way of thinking they need addictions, alcohol, drugs, medication to try to have some type of control over their thoughts or their their body, their functions. Why is it so hard? Okay. Beautiful question. If you want, we just did right now in 30 seconds awareness. I have it. Okay. Let's be precise with our language. Okay. I never said it was easy. Okay. I just said it was simple. Okay. Biggest thing to understand. Why is it? Okay. The simpler some why is it so hard then? The simpler it is the harder it is, the more complex it is, the easier it is. Okay. The simplest thing is. I should be your wife giving you a little ho ho. Sounds like it. Exactly. Sounds like it. Right. So this this is a really confusing thing. But if you look at like you know a master chef, it's simple for the yeah. Right. So it becomes easy at some point. But generally speaking, this is what's kind of really interesting. The things that are really hard are actually the easier things because there's like 15 different components and then I'm going to do this and I'm going to do this and I'm going to do this. There's a very interesting relationship between simplicity and heart. You know, if we talk about you know, to be a good dad is a simple thing. But you got to do a lot of things. Very hard. Yeah. Yeah. So this is a big thing that we have to understand. The simplest things in life are actually the hardest. How do I love myself? It's simple. It's not complicated. It doesn't have 18 different steps and you do this and you do this and you do this. But it's hard. It's very hard. So I think it takes awareness consistently. Exactly. So that gets to why it's so hard when you're distracted and overwhelmed and responsibilities and let's look at why it's hard. The first reason why it's really hard is because we haven't been trying. I would have thought about it. We've never thought literally literally. Bro, I was 18 years old. I woke up on the morning of I had to set my alarm for 7am. I had a Spanish final at 8am. I set my alarm at 7am and I thought about how when I went to the Spanish final, I was going to be done in 15 minutes because I skipped all the Spanish classes. I didn't know Spanish. So what was I going to do? Serenade a piece of paper for three hours when I didn't know Spanish? I decided not to go. I just skipped my final. If I just showed up, the professor told me if you show up, I'll give you a D. Yeah. Just show up. I don't know anything. I don't know. I was so unaware. I was like, I was not a robot. I felt like I was swept up by my mind. I couldn't control my mind. I would plead with, I would beg in hope tomorrow. Go to class, bro. Go to class. Please, God, just go to class. And it wouldn't listen. Because I wasn't aware. I was trying to get it to do. I was not observing. Right? So my daughter, here's a great example of just how powerful awareness is. My daughter was trying to close the box of a board game. I don't know if you've ever had this problem. You know, if it's a little bit off, you can push down and it'll never close. No matter how hard you push it. And then all it takes is just a little. Just a little. And then it'll slide right down. Easiest thing in the world. So when we don't understand ourselves, when we aren't aware of what the problem is, then we can exert this when you say, why is it so hard? Because everyone is trying to push the door open when you've got a poll. That's life. Understand yourself. understand how you work, understand that a goal can actually inhibit your motivation. If you get a little bit of feedback and the goal now feels harder, your your mind will tell you, "Hey, it's not worth investing in." Now you have to overcome that. Understand that you actually don't control your thoughts. You can never control your thoughts. Imagine for a moment, if you agree with me, if I've made a logical argument and you now understand that you can't control your thoughts, you ask, "Why is it so hard?" Because everyone's trying to control their thoughts. They're trying to swim up a waterfall and you ask why it's hard. You can't swim up a waterfall. Waterfall. Water go down. Water don't go up. So when you go to Harvard day one, psychiatry training and they're like, "One on one of psychiatry training, you can't control your thoughts. Is that something they teach you?" No, so the crazy thing going to Harvard is they were teaching me all this stuff and they were like, "This is how the mind works." And I was like, "No, it isn't." Because I had learned about the mind in India. So they're teaching me what the subconscious is. They're teaching me all the stuff that is just one view of the mind. There's a different view of the mind, which I think is it's not that their view of the mind is wrong. We use both, right? But they're the way that the West studies the mind is problematic for one really simple reason, which is we have no way to actually measure the mind. If we look at how medicine works, how do we learn how to science learn things, science learns things through observation. What's going on on your chest? We're going to x-ray you. What kind of bacteria is in your blood? We're going to do a blood culture. What's the x-ray for the mind? There's none. There's no way to detect the mind. And you can't put a scan on the brain or on the head and get data from the mind. You can't. It's impossible. Right? So how do we know which part of the brain anxiety comes from? Because we do a brain scan. We see some part of the brain is lighting up. And then we ask you, what are you feeling? And we did that a thousand times and we figured, okay, this part of the brain is where anxiety comes from. So in India, the yogis did it a different way. They observed their own thoughts. This is the cool thing. Because you're the only one, I know this is a good sound, look like weird question, Lewis. Am I thinking? Am I thinking being or am I a robot? Am I conscious or am I just a hallucination in your perception? Are you conscious? In my opinion, are you conscious? Yeah. Yeah. How do you know? It's based on my perception of the brain. What do you perceive? I perceive you in front of me. The five senses. The, you know, yeah. So do you have a sense of my thoughts and my consciousness? Do you have a sense that tells you that? Yeah. How? Tell me. Believe. Okay. Believe is different. Perception. Perception. Perception. Perception. What are you perceiving? Pay attention. Can you see my thoughts? You're seeing your reactions and your behavior around. Yeah. But I could be empty about it. It's true. You could be right. I don't know for certain things. So this is, this is insane. Yeah. I had a patient once in the neuro ICU. We got consulted. And so they're like, yeah, we think something's wrong. Like he's depressed. So I go to the neuro ICU guy got hit by a car and was in a coma for a while. Now was doing better. And I'm like, hey, you know, so tell me a little bit about, you know, what's going on? How's your relationship? He's like, oh, you know, my wife is great. She's here every day. How's your relationship with your kids? Seems like kids are fine. What's your recovery look like? He's like, I'm gonna have to do physical therapy. It's hard. You know, it hurts. But like, I'm expected to make a full recovery. What's going on at work? You know, my partners are fantastic. They're like, they're gonna cover things for three months. And I'll go back into the office maybe a month or two. It's kind of like confused. Like everything's gonna be fine. But he had a level of depression or some depression. So I go back day after day after day because once you get consulted, you're responsible. And so, you know, the last day he's going to be discharged. Like, bro, I got to be honest with you. I ask, I come in. I ask you all these questions. You say nothing's wrong. But when I sit here, when I sit in the room with you, you seem depressed. Can you tell? Like, it might just like crazy. Like, what's going on here? And then he kind of starts like breaking down into tears. And then he says, like, you know, it's it's crazy. But when I was in a coma, I lived a whole life. I had a family. I was married to a different person. Come on. I had two sons, not two daughters. And I realized that that was all fake. But like, it hurts. Like, they're gone. I'm never gonna see them again. Different people just a completely different life. Wow. Right. And it's really weird. But like, you know, when I ask you, do I have thoughts? Like, the only person that you know really exists, you could be in a coma right now. That's true. This could all be a hallucination. Because it could be a dream. It could be. Right. So these fundamental things. Is it a dream? We'll find out. At some point. Yeah. I mean, I think it's real. But maybe I'm hallucinating you. Who does? You just a day. Cartel was like, cogito air goes some, right? I think therefore I am at the end of the day. You can't tell the difference to me in a hallucination in a dream. But at least there is something there that is dreaming. Even if it's a dream, even if you're in a coma, there's still someone in the coma. And as we understand some of these basic things, like, this is why it's hard because we don't understand that we're not our mind. You are that which experiences you are mind. And no one else experiences your mind. You are that which experiences your mind. You are the awareness of the experience of your mind. Of course, because you can observe your thoughts. Can you see your eyes? No, I'm not saying have a mirror. You're not seeing your eyes in a mirror. What are you seeing? Reflection. There we go. So what you really are observing it. You are observing. You are observing. I can observe my hand. I can observe my mind. This hand is not me. It is a, it, I own it. It's my hand. But it's not me. Even if I haven't forbidden something happened, I lost the hand. I'd still be me. What is you? That which observes. It's empty, egoless, nothing. It's just the capacity for observation. And so this is what's really cool. You know what's the being of you that observes everything around you. Absolutely. So here's the crazy thing. You want to know what you are. You're not a wise, passionate man. You're the thing that thinks you're a wise, passionate man. You're the thing that believes you're a wise, passionate man. You're the thing that has watched the construction. You have experienced every moment of your life. That's the only thing that makes you you. Ego is outside of that. We can construct the ego. Well done. You constructed a very healthy ego. We need healthy. Yeah. It's nice and rog sick. It seems like you're not having problems with hard tax and stuff. So you may not need to slow down. I'm sure you've learned your professional athlete. You've learned the value of rest. 100% right? So that's okay. So as we understand these fundamentals, life becomes easier. As we start recognizing that don't just chase goals. Don't just get willpower. If you're feeling tired, rest. Rest or recognize, imagine this. If your brain thinks something is a bad idea, how does it let you know? It makes you feel tired. If you really don't feel like doing something, you should really ask yourself, what is my body and brain trying to tell me? I'm just so sad. People are in a relationship that's been dead for years. And the thought of seeing their partner makes them exhausted. That's your brain telling you something. Something's off. Something's off. And it's not that this relationship has to end. You don't have to break up with the person, but you better damn well, make a different relationship with them. Yes. So you don't have to jump to the conclusions that your mind says. But like if you're feeling tired, instead of just taking a supplement and powering through, ask yourself, why am I feeling tired? It's been more time with awareness. Then you'll know how to move the box a little bit and then life becomes easy. You don't have to work so hard. For someone who's going through a mental challenge, do you call it a mental diagnosis, a mental disorder, a mental disease? Depends on what they're going through. I have to tell me what they're going to tell you. I mean, I guess anything from anxiety to psychosis is that is the right thing. So here's the one I want to categorize things the wrong way. So if something is going on in your mind and possibly in your body that impairs your function, then we call it a mental illness. So if it interferes with your ability to work, if it interferes with your ability to do school, if it interferes with your relationships, if it interferes with your physical health, if it interferes with your mental health, if your anxiety is so bad that you can't go see your friends. You can't leave the house. Well, it's not that it can't, it's impairment to function. If it's really hard to leave the house. Yes. Because so many people with depression are functional and empty. Right. Right. Right. Right. So that's a mental illness. That's an illness. So if it impairs function, that's the line. How do you, when you know you've healed a mental illness, and can you heal a mental illness without medicine? When do you know you, you've healed a mental illness? So what we shoot for in psychiatry is no longer impairment to function. So even if you're depressed, if you're able to enjoy life, if you're able to form relationships, go to work, if the depression comes and goes a little bit, that's actually okay. That's not a mental illness anymore. Or it's in remission. Gotcha. Okay. So I personally believe that many mental illnesses can be healed or cured, but that is not something I can say scientifically. Yes. So we'll talk about remission because it can always come back, right? - Sure. - But in my experience, you know, people will be in sustained remission. And that's very common. The majority of people who have a depressive episode only have one in their life. So then that begs kind of a philosophical question. Is it cured or is it just so dormant that and not being triggered because your life isn't healthy? Or is that kind of a sense? - Yeah, yeah, you're just saying. And can you heal a mental illness without medication? - I think so. I know. Without saying it. - Very clear. Medication never heals mental illness. And I think most psychiatrists would agree with me with that. - I don't think most people understand that. They think medication will heal them. - No, medication manages your symptoms, right? That's why, so if you have ADHD and you take a stimulant medication for a month, it's not like your ADHD is gone at the end of the month. - So a medication cannot heal your mental illness? - I do not believe so. - And you're a harbor. There's maybe some exceptions to that. But generally speaking, 99% of medications that we prescribe will manage symptoms. They will not heal anything. - What heals a symptoms so that the illness goes away? Awareness? - No, healing the symptoms. - What alleviates the symptoms? - Symptoms are the fruit of the tree. The illness is the tree. So if we want to remove the symptom or remove the illness. - Well, that depends on you. So the reason people take medication is because they usually don't have the time, energy, or money to do the healing. - Which it takes time to absorb. - Appearance, observe yourself and meditate or do psychotherapy. - Yeah, and do psychotherapy. So I think psychotherapy is the best evidence-based practice for healing something. - What's the difference between psychotherapy and talk therapy? - Psychotherapy is the broader umbrella of things that we call talk therapy. And it's under talk therapy as in psychotherapy. - So much of psychotherapy is talking, but as an example, if you have something like OCD, we'll do something called exposure and response prevention. So if you have a phobia of like if you're claustrophobic, talking about higher claustrophobic. - claustrophobic in that as experiences. - And start to feel calm and peace. - Well, start to feel terrified and then survive terror. And then realize that terror is not to be feared. - Yeah, you're not gonna die. You're not gonna die, right? And you don't die. And then we're gonna put you in that situation again and again and again. - You teach you how to relax, don't you? - Not even to you. Yeah, we're gonna teach you how to relax, but actually we don't have to teach you. All you need to do is just survive. - Wow. - And then you will acclimatize to it. - Sure. - Right? So we're gonna encourage some good neuroplasticity there. - And that's one of the best ways to overcome fears by, you know, I guess, exposing yourself to the fear. - Absolutely, right? So for fear-based things, whether it's social anxiety, you gotta go to that part. - No, no, already, yeah. Right? - Go get rejected by the girl. - Go get rejected, but yeah, absolutely. - You know you're gonna survive. - And know that you're gonna survive. So confidence doesn't come from success. It comes from surviving failure, right? When you believe in yourself and this is it. (laughing) - Right? It's so easy to do it today. - Oh, you're so good. - Wonderful. - Oh, I'm so scared. - I'm gonna kill you. - Oh. - Right. But really, like it's like, so, you know, we can talk about your Olympic aspirations and stuff, right? I know you're gonna charge into that because you have failed and you've picked yourself off the mat. - 100%. - Right? And when I work with patients who have addictions, like their big thing is, you really conquer an addiction when you learn to pick yourself up, not when you avoid falling down. - So when you fail, you know, I've never been drunk in my life and I've never done drugs or any of these things are a bit high. And, but I can assume how hard it could be to overcome the addiction of alcohol for people that have been alcoholics or drinking consistently. I can assume it's extremely challenging without the right tools. Even with the right tools, it's still very difficult. I can assume, again, I've never experienced it. But it's not the person who's been an alcoholic or having alcoholic tendencies that never does it. It's when they relapse and drink and then they pick themselves up and go another 100 days without it or whatever it is. - Yes. So if you think about it, damage control is a skill that you can learn, just like anything else. So I think a lot of these can be, it's not clear how much it can be healed. So I wouldn't, if you were managed. - Managed. - So I think for every person somewhere in the middle, but I think that we have good evidence of healing. So for example, you know, some people who have things like PTSD, like we can sort of like rewire their brain and it's kind of fix that and it kind of goes away. Other examples of this are things like personality disorders. So there are people with like borderline personality disorder or narcissistic personality disorder where we can like do psychotherapy with them for some amount of time. - They also have to want it, right? They have to want to. - Oh yeah, absolutely. - If you're resistant to it and you're not gonna improve. - Yeah, so I think they absolutely have to want it, but even wanting it is a tricky thing. - Sure. - 'Cause it's totally. - Really miss, right? - It's totally fine for a part of you to not want it. - Yeah, you don't want to face these parts of you. - Yeah. - But there has to be some part of you that is willing to do the work, absolutely. I've never seen a case, I'm trying to think if I've ever seen. I've never seen a case of it working without the patient. - Yeah, I've just forcing the patient. - But a big part of what I do is people come into my office and are reluctant. So a big part of it is even if you don't want it, even if because people are afraid, they don't come in wanting it, right? They come in sometimes kicking and screaming. - No one wants to be wrong. No one wants to be like something is wrong and bad with me. We don't want this. - Yes, right. - One to feel like, man, I'm a failure, I've messed up. I've got this thing that I can't figure out on my own. And that's why I have this addictive personality or I smoke or I drink, she eat or pour it, whatever it is. Like I do these things that don't feel good. And I don't want to admit that. No one wants to admit that something's wrong with them. - Yeah, what we all want to do is solve our problems and secret and then come out triumphant. - Yeah. - Or no one even knows we have the problem, I guess. It's like absolutely. We don't want to reveal that to the world because that's shame. - Absolutely. - That doesn't feel good. - But I do think we can heal for the most part. And I think even if we don't, it is in some people's karma to always have a brain that is going to produce depressive thoughts. We know for example that there are some genetic polymorphisms and the serotonin transporters in your brain can be a little bit different. And so if they're a little bit shorter, we're more prone to things like depression. So there are some things about mental illness that are not fixable. - Yeah. - But in my overwhelming, in my career, I've seen over 1,000 patients. There are three that I can think of that I've been basically unable to help in a significant way. - So 99.9% of patients you've seen improve their mental illnesses or mental disorders or mental stresses into having a more empowering mind that it makes them feel better. - And I would even go as far as to say that cure is the wrong target. - It's improvement, right? It's man it is. - Yeah, I think your life doesn't have to be so hard. - Yes. - You don't have to cure it. That's what everybody wants. Everyone wants to be completely free, whereas I think that's once again the goal, right? Like I want to be free if it's forever. I think the challenge in this can be really depressing to hear is like, yeah, this is going to be a part of you. But just because it's a part of you, it's so exhausting right now, but you can learn to live with it. It can be a part of you. I was addicted to video games. It's a huge part of who I am. I had a gigantic ego. You know, and I think this is what's really weird. I've had patients who will be like, "Yeah, cancer is the best thing that happened." I'm like, "What are you smoking?" But this is what's really crazy is life is about all of these things. It's about the good and the bad to be detached from just wanting good and wanting to avoid bad at all costs. That's when we get into trouble. - Yeah. - If all you want in life is the good stuff, you will not be in control of your own actions. Be able to embrace that negativity. Don't run away from it. Then you have control. Control is about being independent of the responses that life sends you away. This thing sucks. I didn't want to go swimming today. It felt bad. It was torturous. - And I did it. - You should do 50 laps or five? - Yeah. You did five, but you were like, "I'm done." - I did five. I forced my ass to get into the pool. - Wow. - I thought you were going to say in the beginning, because we never finished what that story was. You're like, "Okay, I got there. I did five and then I kept going a few more." But you're like, "I'm just doing what I said I was going to do." - Yeah. Oftentimes I will do a little bit more. But today was a day where I was like, I did five and that's enough. - Yes. - It's enough. And I thought about, "Do I want to do more? Do I want to squeeze out one or two more?" And I was like, "Not today." - I'm good, 'cause you've been on the road for nine days, you've been working, you've been eating the extra food here probably. - I actually haven't been eating extra food. That's the problem. - You needed more calories. - Yeah. - Okay. - Yeah. - I love it. I've got a couple of final questions for you. - Sure. - Okay. But I want people to follow you. Healthy Gamer GG on YouTube, Spotify, social media, all the places. And I think it's healthygamer.gg as well. - Yeah. - What's the website for you? - Healthygamer.gg. - Yeah. - And I think you've got millions of subscribers over on YouTube, a lot of great stuff over on Instagram that I've been consuming. Books, all the different stuff. I want people to go check it out, healthygamer.gg. And you have guides to mental health. - Yeah. - And a lot of these things are coming out here in the next month or two. So if people want to get more of this information, they can go to Instagram, Instagram, Instagram, Instagram, and get some of your guides to mental health, topics on love or relationships, et cetera, if they go to healthygamer.gg, you'll get the information on how you can get some of these guides. And I think your guides are like, you know, 20 or 30 bucks or something. I think they're very affordable. So I recommend people going and getting more information on you there. This question is something I call, I ask everyone at the end, it's called the three truths. So hypothetical scenario, even though you are ego lists and form lists and have no identity. But in the future, you've transcended the world. But in the future, let's a hypothetical scenario, you get to live your life in this world, exactly how you want to, okay? For the rest of your life. Okay. You get to create, experience, accomplish, you know, or not accomplish goals, how you want. But it's the last day on this earth for you. Yeah. And for whatever reason, all the content you've created is no longer with us in this world. So it either has to go with you or it's eliminated from the world. But you get to live behind three lessons. From all the work you've done or not done or accomplished or not accomplished, three lessons that you would get to live behind. I call it the three truths. Beautiful. What would those be for you? Number one is understanding is more important than effort. So that one's, and I think about this because I wonder, you know, if I teach all this stuff on the internet and whatnot, but I think about what would I teach my kids? So definitely understanding is more important than effort. I think mistakes are a part of your journey is another huge one. And I'd say the third thing is, the results of your life are determined by your actions. I know we said that we don't control or, but like action is all you've got. So that's the one resource. And kind of related to that, this is a huge thing. I think people don't realize that 99% of the actions that you take are in your head. Hmm. Literally. So an action, the way you respond to your thoughts is an action. Yeah. So how you think about a thought is an action. How you respond to a thought is it another thought? Sometimes that's what people do. Right. They think I'm a loser. And then they respond to it by confirming. Yeah, they spiral. Yeah, yeah, yeah. So when we talk about a thought spiral, that is not controlling our response to thoughts. And literally, literally, the most important thing that you can do is change the way in control the way that you respond to what your mind generates. When lose into win, win, you did it right there. Yeah. And it sounds like if you can train or develop the skill of learning how to respond to your thoughts, you will live a much better life. Undoubtedly. If that is the number one skill that you develop, it's about to respond to your thinking. Undoubtedly. You, it will influence the quality or lack of quality of your life. Yeah. So it'll change your actions. It'll change practically what your life looks like. And it'll change your peace. 100%. It'll impact your emotions too. Absolutely. How you feel. Absolutely. So we, you know, the first, do thoughts influence feelings or feelings influence thoughts? Both. So thoughts, emotions shape our thoughts and thoughts shape our emotions. So usually the first, this is the key thing is, the first emotion we don't have much control over, but what we do with that emotion, that's the key thing. Correct me if I'm wrong. I have a belief that most doctors, professors, extremely intelligent, successful academics think more than they feel. Absolutely. They're more analytical than they feel. Yes. But it sounds like you have this unique experience of practicing yoga, meditation, you know, being with monks for many years and deepening a spiritual more of emotional practice, I would say in your body as well, not only analytical in your mind. Have you been able to navigate the mind, emotion, connection well? Or do you feel like you still have blockages in your body or in your emotions because you're in your head? Both. Yeah. Right. So I think I think it never, the work is never done. Yeah. And you're always going to have problems. And that's okay. Yeah. Right. So we have this idea of like problems are only a problem if you don't know how to deal with that. Yeah. If you stay stuck in them, if you stay stuck in them. Yeah. Right. So you know, falling down is only an issue if you can't get back up. That's what I have to do. So that's the way I respond. They buy even here in my own head to avoid myself from becoming a guru. Yeah. I love kvaba. I would do it. I would give you fees and joy. So well, a lot of people, this is really fascinating. There's a lot of information about intelligence. So one interesting question I had is why isn't everyone a genius? So if you think about like evolution, right? And the way that our bodies evolve and things like that, well, like why wouldn't just everyone be smarter? Yeah. Why not? So it turns out that intelligence is a double-edged sword, especially really high. So a couple of really fascinating statistics. If you look at the top 10% intelligence, those people make way more money than the top 1%. Why? Because they have a more naive also. The top 1%. The top 9% I guess, or more 9%. So if you take the 10 smartest people in a room of 100, they will make more money than the smartest person in the room. So at some point, intelligence becomes harmful. Because it's a lack of action probably, right? Well, it's a couple of things. One is that people who are very smart are actually more prone to depression. Why? Because they realize how screwed they are. They can calculate their problems way easier. Second thing is the more intelligent you are, the more emotionally underdeveloped you become. Because your brain, you solve all your problems with intellect instead of emotion. So oftentimes people who have high IQ have lower EQ. And the reason for this is because if I have a dominant hand, I'm going to use it all the time and my left hand will become weaker. So as intelligence becomes your tool of choice, other parts of your brain will actually be underdeveloped. They become more dormant. Absolutely. Well, and you need both the body, the emotions, the minds, the body, the heart. The healthiest way to be is to use the full capacity of what's at your disposal. People with super high IQ are basically one trick ponies. And so there's some stuff that they're good at and some stuff that they're not good at. And you want to have a range of skill sets. Absolutely. Yeah. I mean, look at you. Right? Curious, intellectual, thoughtful, physically on point. And emotionally connected. And nothing at all. And nothing at all. And you know, an egoless, formless. Yeah, not yet, but you'll get there. One day I'll send to your level. Descend. Descend. [LAUGHS] Yeah, become nothing. Yeah. Final question for you. What is your definition of greatness? I think it's to lean into being fully you. If you look at most people, if you-- this is going to sound kind of weird, but you pay attention to their head, they're running away from themselves. I don't want to be this. I want to be like this. I want to be like this person. I want to be like, you're not being you. And so then you look at what other people are doing. And you're like, oh, this person wakes up at this time. And this person wakes up at this time. If I have time for a story. So I was in my first, the second, third week of medical school. And I saw all my colleagues would study a lot. So we'd go to class and they'd be chugging coffee. And it's 7 p.m., 8 p.m., 9 p.m., 10 p.m., 11 p.m. They're at the library. And I was trying to do that because I was like, I have all the stuff to learn. I just didn't work. So then I did do great on my first set of tests. And I was like, I got a figure of this out. And I was like, I just can't work like these people. So instead, I leaned into my yoga training. I woke up at 4.30 every day, would study for two hours a day, between 5 and 7 in the morning. And then I would go to class, finish class, go home, just do whatever. And then I'd go to sleep. So I only studied two hours a day in medical school. And the right two hours of the day, everything goes into my head. It's fresh. My absorption just drops so much when I'm fatigued. I'm not sleeping well because I had so much caffeine. So lean into who you are. You have a unique set, you're a unique set of genetics, unique set of experiences. You have talents that other people can't even imagine. But as long as you are trying to be someone else, the strategy that worked for somebody else worked for that set of genetics, worked at that time. You know, we were talking earlier about mask of masculinity. It's a book that I think every dude should check out. This is the book that should have been, that people should be writing today. You were too early. You didn't realize. Right. Everyone's talking about masculinity. And now you did it before. It was cool. And so like you have to lean into who you are. Mm-hmm. That's how you're going to be great. Yeah. Can't live anybody else's life. Mm. Stop trying. Okay. Thanks, man. Powerful. Great, dude. I hope you enjoyed today's episode and it inspired you on your journey towards great, great. Make sure to check out the show notes in the description for a full rundown of today's episode with all the important links. And if you want weekly exclusive bonus episodes with me personally, as well as ad-free listening, then make sure to subscribe to our Greatness Plus channel exclusively on Apple podcasts. Share this with a friend on social media and leave us a review on Apple podcasts as well. Let me know what you enjoyed about this episode in that review. I really love hearing feedback from you and it helps us figure out how we can support and serve you moving forward. And I want to remind you of no one has told you lately that you are loved, you are worthy, and you matter. And now it's time to go out there and do something great.