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How Brain Health Leads to a Disciplined Mind ft. Dr. Daniel Amen // Michael Porter Jr


Chapters

0:0
4:39 Ever Have a Concussion or Head Injury
6:51 Moment of Truth
7:19 Example of a Healthy Scan
10:24 Caffeine Decreases Blood Flow
12:9 Myelinization
19:26 The Hippocampus
21:37 Everything in Moderation
31:2 Things To Avoid

Whisper Transcript | Transcript Only Page

00:00:00.000 | [MUSIC]
00:00:09.020 | >> Here with another episode of Curious Mike,
00:00:10.860 | I'm sitting here with Dr. Amen.
00:00:12.340 | Appreciate you being on the podcast my bro.
00:00:14.380 | >> Thank you so much.
00:00:15.760 | >> Yeah. So we just got done.
00:00:17.540 | I just got done with my brain scan.
00:00:19.940 | I've been wanting to do something like this for a while.
00:00:22.740 | But you actually, you worked in the army for 10 years,
00:00:26.300 | and then you were helping on the medic side.
00:00:28.460 | So you've always wanted to help get people better.
00:00:31.400 | How did you get into the more this side of it,
00:00:34.000 | looking at people's brains and helping people get better from that standpoint?
00:00:37.300 | >> So when I was an infantry medic,
00:00:39.960 | about a year into doing that,
00:00:41.900 | I realized I didn't like being shot at,
00:00:44.440 | that it wasn't for me.
00:00:46.460 | Some people like it,
00:00:48.020 | and I got retrained as an x-ray technician,
00:00:50.860 | and developed a passion for medical imaging.
00:00:53.860 | As our professors used to say,
00:00:55.340 | how do you know unless you look?
00:00:57.300 | Then I got out of the army,
00:00:59.460 | went to medical school,
00:01:00.780 | and when I was a second year medical student,
00:01:02.660 | someone I loved tried to kill herself.
00:01:05.140 | I took her to see a wonderful psychiatrist,
00:01:07.420 | and I came to realize if he helped her,
00:01:09.300 | it wouldn't just help her,
00:01:10.740 | that ultimately it would help her children and her grandchildren.
00:01:14.100 | So I fell in love with psychiatry because I realized it can change generations of people.
00:01:20.000 | But I fell in love with the only medical specialty that never looks at the organ it treats.
00:01:24.700 | Most people go, "I'm depressed," and they get medicine,
00:01:27.300 | with nobody looking at their brain,
00:01:30.060 | and I'm like, "That's insane."
00:01:31.660 | So we started looking at the brain about 30 years ago,
00:01:35.860 | and it's been so exciting.
00:01:37.940 | Because what I learned is depression is not one thing,
00:01:41.700 | or having ADD, it's not one thing,
00:01:43.980 | or people who are anxious,
00:01:45.460 | sometimes it's from a head injury,
00:01:47.380 | or sometimes it's from toxic exposure,
00:01:49.660 | or sometimes it's because no one knows how to manage their mind.
00:01:53.340 | But if you don't look, you don't know.
00:01:57.500 | And then I realized, well, your brain's an organ like your heart's an organ,
00:02:03.260 | so you've got to keep that healthy,
00:02:05.220 | or you're more vulnerable to not being your best.
00:02:08.780 | Right, and we went through kind of my stuff.
00:02:12.540 | Self-control was an area I wanted to get better at.
00:02:15.100 | But a lot of people, like you said, deal with depression, anxiety,
00:02:18.980 | making poor decisions, whatever it is.
00:02:21.900 | You get judged for what you do,
00:02:23.740 | and a lot of people just will tell you,
00:02:25.260 | especially, you know, we're both men of faith,
00:02:28.220 | like the church a lot of times will judge people and say,
00:02:31.180 | "You know, just don't do this."
00:02:32.500 | But you're saying there's a deeper issue,
00:02:34.860 | and it can stem from a head injury,
00:02:37.100 | it can stem from toxins in your body,
00:02:39.620 | all this stuff that could be affecting your brain.
00:02:41.420 | So you're looking at it from a completely different standpoint
00:02:44.500 | and saying, "No, like, when your brain gets more healthy,
00:02:47.580 | "you'll be able to go out and live better
00:02:49.500 | "and do the things you want to do more effectively."
00:02:52.700 | And what roadblocks do you think you have?
00:02:57.100 | What do you think could be better?
00:03:01.300 | Um, I think... I was just talking to them about this,
00:03:04.100 | but I think I'm very, like, disciplined in some areas,
00:03:07.780 | but then in other areas...
00:03:08.940 | Like, when it comes to, like, my workouts and my health
00:03:11.180 | and all this different stuff, I'm very disciplined.
00:03:13.500 | But then other areas, I'm sometimes not consistent,
00:03:16.580 | and then that plays a toll on my mental
00:03:19.060 | because I feel like when you...
00:03:21.500 | A lot of it is your systems, like, you know,
00:03:23.860 | getting on a schedule and then maintaining it
00:03:26.700 | and, you know, consistently making the right choices.
00:03:31.900 | And then, obviously, you're more mentally, like, there.
00:03:34.700 | When you're making mistakes or things you don't want to do,
00:03:37.660 | then it can take a toll on your mental, I feel like.
00:03:41.180 | So I feel like some of those things, for me,
00:03:44.660 | that's something I want to improve on,
00:03:45.740 | like consistency off the court.
00:03:49.060 | Consistency as far as the decisions you make...
00:03:51.460 | -Decisions... -...on what you eat
00:03:52.820 | or what you drink or...
00:03:54.900 | Not... Nothing at all with health
00:03:58.660 | or what I put in my body or things like that,
00:04:01.180 | but more, like, you know, consistency,
00:04:05.260 | practicing, like, my faith,
00:04:06.380 | like, getting into my Bible every day
00:04:08.380 | or consistency, you know, hanging around the right girls.
00:04:12.180 | Things like that, for me, are kind of like a hindrance at times.
00:04:17.540 | Like, I don't feel like I have an addictive personality
00:04:20.140 | as far as, you know, drugs or alcohol,
00:04:23.300 | but some of the other stuff, like,
00:04:26.300 | I just have a certain pull towards it
00:04:28.420 | that I wish wasn't there, you know what I mean?
00:04:32.180 | -And so if you had a bit better self-control, that would help.
00:04:37.700 | -Yeah, that'd definitely help.
00:04:39.740 | -Ever have a concussion or a head injury?
00:04:43.380 | -I didn't have a concussion.
00:04:46.900 | Never had a concussion, I don't think,
00:04:48.420 | but I hit a car with my head.
00:04:50.700 | I don't know if you can see that scar right there,
00:04:52.900 | the little scar right there.
00:04:54.700 | Yeah, this is when I was young, young,
00:04:57.660 | probably 12 or 13-ish.
00:05:01.860 | 10, 9, 10, probably 9 or 10,
00:05:04.700 | and I'm riding with my friend on a bike,
00:05:06.900 | and I'm looking back at him,
00:05:08.660 | and his mom was with us, and his mom was like,
00:05:10.460 | "Michael, look," so I turn, and that car,
00:05:12.500 | like, a parked car is right there,
00:05:14.700 | and I hit it with my head right here,
00:05:17.180 | and I, like, flip over the car.
00:05:19.060 | Ended up going to the emergency room and everything.
00:05:23.660 | Just had stitches.
00:05:24.460 | I don't know how severe it was, but I definitely hit my head.
00:05:27.980 | That's the only, like, major head trauma that I've had, though.
00:05:32.220 | -You have a scar there.
00:05:34.460 | What's that from, the other side?
00:05:35.940 | -Right here? -No, in your eyebrow.
00:05:38.020 | -Oh, right here? That's just swag.
00:05:40.860 | -Oh, that's purposeful.
00:05:42.380 | -That's swag, yeah.
00:05:44.980 | That's just swag.
00:05:47.500 | -Your brain controls everything you do,
00:05:50.540 | how you think, how you feel, how you act,
00:05:52.980 | how you get along with other people.
00:05:55.380 | It's the organ of intelligence, character,
00:06:00.180 | and every decision you make,
00:06:03.180 | and when your brain works right, you work right,
00:06:06.420 | and when your brain is troubled for whatever reason,
00:06:10.020 | you have more trouble in your life,
00:06:12.420 | and it's easy to judge people.
00:06:15.220 | It's harder to go, "Why?"
00:06:18.700 | -No doubt, and I know, like, even for me,
00:06:22.020 | doing this whole session right now was so --
00:06:24.660 | It, like, it almost lifts a weight off your shoulders
00:06:27.100 | 'cause you realize, no, not everything is your fault.
00:06:29.660 | You could have gone through some trauma
00:06:31.620 | or something that caused you to be the way you are,
00:06:35.140 | but, like you showed me,
00:06:37.540 | there's a way to reverse some of this stuff,
00:06:39.060 | and there's a way to heal and things like that.
00:06:42.220 | So, for me, looking at my brain and everything,
00:06:45.980 | what did you see was, like, my kind of issues
00:06:50.020 | and how I can get better?
00:06:52.140 | -Okay, moment of truth.
00:06:54.500 | -Let's do it.
00:06:56.060 | -So, we did a study called SPECT,
00:06:59.740 | and SPECT looks at blood flow and activity.
00:07:03.140 | It looks at how your brain works,
00:07:05.660 | and it basically shows us three things.
00:07:08.460 | Good activity -- you have a lot.
00:07:11.580 | Too little activity --
00:07:13.460 | there's some going on we have to talk about.
00:07:15.660 | And too much, and that's not the issue.
00:07:18.540 | So, here's an example of a healthy scan.
00:07:23.300 | We're gonna look at it in two ways.
00:07:25.260 | This looks at the outside surface,
00:07:27.580 | and it should be full, even, and symmetrical.
00:07:33.020 | So, this view, we're looking underneath the brain.
00:07:36.180 | Top is the front part of the brain.
00:07:38.140 | Bottom is the back.
00:07:39.780 | This is your cerebellum,
00:07:41.340 | which I would expect in an NBA player to just be great.
00:07:46.380 | Here, blue is average activity.
00:07:48.940 | Red and white are the most active parts of the brain,
00:07:51.900 | which should be back here.
00:07:53.820 | This is the cerebellum.
00:07:56.460 | And then the visual cortex here.
00:08:00.140 | We look at your scan.
00:08:03.780 | I don't like it so much.
00:08:06.220 | It's low in activity.
00:08:09.540 | And is that from trauma?
00:08:11.580 | I think part of it,
00:08:12.660 | 'cause I can actually see here in the back,
00:08:15.300 | your head got whacked.
00:08:16.900 | And as you described it,
00:08:18.820 | you're going on a bike, and you're turned this way,
00:08:21.900 | and someone says, "Hey, Michael,"
00:08:23.780 | and you go here, boom, and then you flip.
00:08:27.340 | That's a lot of force.
00:08:29.380 | Your brain is the consistency of soft butter,
00:08:33.220 | tofu, custard, somewhere between egg whites and Jell-O.
00:08:36.820 | And if you look inside a skull,
00:08:39.700 | it has sharp, bony ridges.
00:08:41.900 | So I've asked God many times,
00:08:44.060 | "Why haven't you put bumper guards?"
00:08:46.500 | He goes, "Who knew they would play football?"
00:08:48.740 | But it got whacked at some point.
00:08:54.380 | So if I can make this better,
00:08:56.660 | and I'm gonna show you how to do that,
00:08:59.340 | you're gonna have more mental horsepower.
00:09:01.740 | And when you go, "I want to make this decision,"
00:09:05.900 | you'll be more likely to follow through.
00:09:07.940 | But we need to fix this, 'cause five years from now,
00:09:13.100 | let's say you didn't care about your health,
00:09:15.980 | and you went out drinking and not sleeping,
00:09:19.340 | and some of the things you see other NBA players do,
00:09:23.080 | you won't make good decisions,
00:09:26.780 | which means you won't last as long, right?
00:09:31.500 | Now, here, blue is average activity.
00:09:35.380 | Your cerebellum is awesome, it's healthy.
00:09:39.500 | I like that.
00:09:40.900 | Emotional brain's up a little bit,
00:09:42.980 | but I'm not concerned about this.
00:09:44.620 | If I fix this, you will love me forever.
00:09:47.280 | - So there's supposed to be no holes?
00:09:50.260 | - Supposed to be no holes.
00:09:51.720 | With the holes, and you don't have holes in your brain.
00:09:55.020 | How I make these pictures is I tell the computer
00:09:57.580 | I want to see a certain level of activity.
00:10:00.540 | Anything below it shows up as a hole or a dent.
00:10:05.540 | But what it means is your brain isn't healthy,
00:10:09.420 | and we need to fix it.
00:10:10.820 | If I get you a healthy brain,
00:10:11.960 | you'll have the best season you've ever had, right?
00:10:14.700 | 'Cause it's about consistency, and decision-making,
00:10:17.700 | and mental energy, right?
00:10:22.700 | And with blood flow, caffeine decreases blood flow,
00:10:27.500 | so I'd limit it.
00:10:28.420 | - Everybody wanna say caffeine's good for 'em.
00:10:31.780 | - Yeah, it's not.
00:10:32.700 | - I knew it.
00:10:34.400 | - Nicotine, not good.
00:10:37.700 | Do you vape?
00:10:39.300 | - I don't.
00:10:40.140 | - Good, don't.
00:10:41.620 | So, for probably a couple of different reasons,
00:10:46.460 | when you were eight or nine,
00:10:48.700 | your head hit another car, right, in a bike accident.
00:10:52.540 | That mattered, I mean, I can still see evidence of that.
00:10:56.060 | You've had heavy metals in your body,
00:10:59.600 | and you had general anesthesia.
00:11:02.020 | All of that led to lower blood flow.
00:11:05.240 | And the cool thing is we're gonna reverse that,
00:11:08.540 | but it'll make you struggle more,
00:11:11.340 | and you don't want to, right?
00:11:15.020 | 'Cause you and I both never wanna be normal.
00:11:18.620 | We wanna be optimal.
00:11:20.300 | And in order to be optimal,
00:11:22.360 | the computer has to work right, right?
00:11:24.920 | So, I almost think of it like hardware and software.
00:11:27.820 | If we get the physical function of your brain
00:11:30.860 | as healthy as it can be,
00:11:32.600 | you can then be the best you can be.
00:11:35.020 | - Gotcha.
00:11:36.140 | So, like I've heard it all the time,
00:11:39.020 | like around 25, your brain stops,
00:11:42.080 | like you're fully developed.
00:11:43.480 | But you show me some brain scans of people who are 55,
00:11:46.860 | and then you scan 'em again at 65,
00:11:48.500 | and their brain is more healthy.
00:11:50.460 | So, where does that come from?
00:11:51.660 | And like what stops happening at 25?
00:11:54.260 | And then like what is there you can do after that?
00:11:58.340 | - So, for girls, their brains
00:12:02.500 | are pretty much fully developed at 25.
00:12:05.260 | For boys, we're always behind.
00:12:06.940 | It's more like 27 or 28.
00:12:09.060 | So, there's this process in the brain called myelinization
00:12:13.740 | where nerve cells get wrapped
00:12:17.040 | with a white fatty substance called myelin.
00:12:20.620 | And when they get wrapped, they become more efficient.
00:12:24.220 | They work like 100 times faster.
00:12:27.340 | And myelin starts to be deposited in little kids
00:12:30.660 | at two months in their visual cortex in the back,
00:12:34.060 | and then slowly, about 25,
00:12:36.820 | finishes myelinating their frontal lobes.
00:12:40.980 | And that's why early drug abuse is a disaster
00:12:44.820 | because it stops that beautiful developmental process
00:12:49.180 | that's what maturity is about, right?
00:12:50.860 | Maturity is you just don't make
00:12:52.180 | the same stupid mistakes you made before, right?
00:12:54.860 | You're learning.
00:12:56.380 | But if the organ of decision-making isn't healthy,
00:13:01.060 | it's not properly developed, that's a problem for you.
00:13:06.060 | Now, we have a lot of experience
00:13:08.420 | of taking brains that are troubled
00:13:10.660 | and making them better.
00:13:12.700 | And so, every day, your brain is becoming better or worse
00:13:17.700 | depending on how you slept, what you ate,
00:13:23.140 | the nutrients you took, the amount of stress you're under.
00:13:26.880 | I was on TV yesterday, it was just terrible.
00:13:29.940 | A new study came out.
00:13:30.980 | Depression in children doubled during the pandemic
00:13:35.660 | because of the isolation, the fear, the social unrest,
00:13:39.860 | the political divide.
00:13:41.580 | And it's just horrifying.
00:13:43.740 | We need to teach children to love their brains,
00:13:46.900 | take care of it, and then discipline their minds, right?
00:13:51.020 | People think of physical discipline.
00:13:52.760 | You're a professional athlete.
00:13:54.540 | It's not something you do once.
00:13:56.140 | It's something you do over and over and over again
00:13:59.320 | so you can maintain a high level of performance.
00:14:01.640 | Well, mental discipline's the same way.
00:14:03.900 | We have to do that over and over and over
00:14:06.060 | so we can maintain a high level of mental performance.
00:14:10.380 | - That makes sense.
00:14:11.660 | And you just, I actually was gonna get into this,
00:14:13.540 | but you're saying, you said before COVID and after COVID,
00:14:16.500 | you've seen a big difference
00:14:18.060 | in especially young people's brain,
00:14:20.460 | but general population, it's a big difference
00:14:23.920 | that you've seen?
00:14:24.760 | - Big difference, in part because of the stress.
00:14:28.860 | And we also talked about COVID.
00:14:31.060 | And COVID can activate the emotional centers of the brain
00:14:35.540 | and put people at higher risk for emotional issues.
00:14:39.420 | - That makes sense.
00:14:40.540 | So obviously not everybody has the money or the time
00:14:43.140 | to come scan their brain, although everyone should.
00:14:46.020 | So what's like, for the majority of brains you saw,
00:14:48.980 | especially for young people, and then we'll go to old people,
00:14:52.500 | what are some practical things everyone can do
00:14:55.100 | to keep their brain as healthy as possible
00:14:58.620 | without even scanning it?
00:14:59.860 | Like what's some day-to-day things?
00:15:01.140 | - Well, I mean, the first thing is to love your brain.
00:15:04.700 | And nobody loves their brain, why?
00:15:07.420 | Because you can't see it.
00:15:08.960 | You can see the wrinkles in your skin
00:15:11.500 | or the fat around your belly,
00:15:13.180 | and you can do something when you're unhappy with it.
00:15:16.160 | But because most people never look, they don't care.
00:15:19.980 | When I looked at my brain first time in 1991,
00:15:24.260 | I was the top neuroscience student in medical school.
00:15:28.620 | I'm a double board certified psychiatrist,
00:15:31.400 | and I didn't care at all about my brain.
00:15:33.640 | And then when I saw it and it wasn't healthy,
00:15:36.460 | 'cause I played football in high school, I had bad habits,
00:15:40.360 | I'm like, no, I have to care about this.
00:15:43.460 | And then I've spent the last 30 years making it better.
00:15:46.600 | So one, you have to care about it.
00:15:50.460 | That's the first thing.
00:15:52.060 | And then avoid things that hurt it.
00:15:53.980 | You just have to know the list.
00:15:55.860 | I went to my daughter's second grade class
00:15:57.780 | and I put 20 things on the board.
00:15:59.740 | And I go, okay, you tell me,
00:16:01.300 | good for your brain or bad for it.
00:16:03.500 | Football, everybody put bad for it.
00:16:05.860 | Hitting soccer balls with their head, bad.
00:16:08.780 | Smoking, bad.
00:16:10.100 | Marijuana, bad.
00:16:11.140 | Even the second graders know it, right?
00:16:13.140 | I mean, there's this whole discussion in society,
00:16:15.340 | but second graders know it's not good for your brain.
00:16:18.180 | Alcohol, bad.
00:16:20.440 | Ice cream, they love it, but bad.
00:16:23.840 | The only thing they missed was orange juice,
00:16:28.900 | which they put in the good category,
00:16:31.520 | but it's way too much sugar.
00:16:33.220 | Whenever, eating the sugar from six oranges,
00:16:36.780 | how does that make any sense?
00:16:38.540 | Eat the orange, don't drink the juice.
00:16:41.900 | - Eat the orange, don't drink the juice.
00:16:43.300 | I actually, that's surprising to me
00:16:45.220 | 'cause I'm someone that eats a lot of fruits and vegetables
00:16:47.820 | and I was always told like the sugar between the two
00:16:50.500 | are a lot different.
00:16:51.340 | So I thought that oranges
00:16:54.500 | would actually be good for your brain, like orange.
00:16:56.500 | - Oranges are good for your brain, not the juice.
00:17:00.540 | So whenever you unwrap sugar from its fiber source,
00:17:05.540 | it turns toxic in your body.
00:17:09.580 | So fructose can actually give you fatty liver.
00:17:14.340 | It's really interesting.
00:17:15.780 | There's a wonderful YouTube video
00:17:17.580 | called "Sugar, the Bitter Truth" by Robert Lustig.
00:17:21.660 | If you watch that, you'll never drink fruit juice again.
00:17:24.940 | - That's crazy.
00:17:25.780 | Yeah, I came in here knowing
00:17:28.500 | that some things were toxic for your brain.
00:17:30.380 | Obviously like alcohol or getting hit in the head
00:17:33.540 | that's bad for you or going to McDonald's every day,
00:17:36.500 | certain foods are bad for you.
00:17:38.460 | But there's like a big debate going on,
00:17:40.220 | especially now like all these places
00:17:42.660 | have legalized marijuana and are saying,
00:17:44.460 | all these studies are coming out
00:17:46.820 | saying it could be beneficial for you
00:17:48.420 | 'cause of this or that.
00:17:49.700 | But you look at the brains.
00:17:51.060 | Like all these people that are making these assumptions
00:17:52.860 | about what it does,
00:17:53.900 | they're not looking at what it does to your brain
00:17:56.500 | and you've done extensive research
00:17:58.660 | and you're saying like no,
00:17:59.500 | marijuana's definitely a negative for your brain.
00:18:03.180 | - So when I first started scanning people,
00:18:07.580 | I would see people who were using marijuana,
00:18:10.020 | their brain looked toxic.
00:18:11.740 | It looked older than they were.
00:18:14.940 | And now, is it bad in every situation all the time?
00:18:19.700 | For my father-in-law who had cancer
00:18:22.660 | and it was terminal, it helped him eat.
00:18:28.140 | That was good.
00:18:29.100 | Some people with resistant seizures seems to be helpful.
00:18:34.100 | But to just say it's innocuous is a lie.
00:18:38.500 | I published a study on 62,000 scans on how the brain ages.
00:18:42.940 | It's the largest imaging study ever.
00:18:45.740 | And then we looked at, well, what accelerates aging?
00:18:50.380 | And having schizophrenia was the worst.
00:18:53.100 | Your brain looked 10 years older.
00:18:56.180 | Marijuana was the second worst.
00:18:58.380 | It surprised me.
00:18:59.580 | It ages the brain and I don't know about you,
00:19:04.540 | but I want a young brain.
00:19:05.860 | I don't want an older brain.
00:19:07.820 | And Miley Cyrus is one of my patients
00:19:12.220 | and that came out public last year and I love her.
00:19:16.060 | But I couldn't get her to stop smoking pot
00:19:17.780 | for the longest time.
00:19:19.460 | It's not good for you.
00:19:21.060 | And then I figured out the secret.
00:19:24.720 | There's a part of your brain called the hippocampus.
00:19:28.240 | It's on the inside of your temporal lobes.
00:19:31.900 | And the hippocampus is Greek for seahorse.
00:19:35.360 | And every day, it's one of the few areas of your brain
00:19:40.020 | that produces stem cells.
00:19:41.420 | So it actually makes new cells every day,
00:19:45.220 | like 700 new cells every day.
00:19:49.620 | And I was telling her, it's like your brain
00:19:52.780 | is making 700 new baby seahorses.
00:19:56.620 | And her eyes got big 'cause she knew what I was doing.
00:19:59.700 | And she's an animal lover.
00:20:00.820 | She said, "Dr. Raymond, it's so unfair."
00:20:03.040 | I said, "You're murdering the seahorses, right?
00:20:07.900 | "If you wanna grow your brain, you can grow your brain.
00:20:12.420 | "You have to put it in a healing environment."
00:20:15.820 | And the problem with marijuana, it's fat soluble.
00:20:19.080 | What that means is if you smoke today
00:20:23.280 | or you do an edible today, we can measure it for 30 days.
00:20:28.280 | So it's like you make this one decision today,
00:20:31.360 | you're sort of making this decision for a month.
00:20:33.840 | - That's a good point.
00:20:34.720 | I asked you this earlier, but I was like, okay.
00:20:38.080 | So say you're not an alcoholic or you don't drink a ton,
00:20:41.600 | but you do certain things and you say,
00:20:44.680 | oh, it's just a balance.
00:20:45.680 | Like I'm gonna be good most of the time,
00:20:48.000 | but then I'm gonna make certain decisions
00:20:49.400 | like once in a while.
00:20:50.720 | Or I'm gonna eat bad once in a while.
00:20:52.560 | Or smoke once in a while.
00:20:55.000 | But some of these things, even though you do 'em
00:20:57.400 | once in a while or as a balance,
00:20:59.800 | they have lasting impacts on your brain.
00:21:02.120 | And we talked earlier about is it helping heal my brain
00:21:07.120 | or take away from it?
00:21:09.480 | Or what's the consequences of doing these things?
00:21:13.880 | And I thought that that was pretty interesting
00:21:15.520 | 'cause I know a lot of people,
00:21:17.240 | especially young people,
00:21:18.160 | like they'll justify making certain decisions
00:21:21.920 | 'cause they've been doing good for a while
00:21:23.600 | and now they just wanna wild out for a night,
00:21:25.680 | whatever it is.
00:21:26.520 | But it has lasting impacts for your brain.
00:21:28.680 | - Well, and there's the little lies that,
00:21:31.600 | I would call 'em the little lies
00:21:32.920 | that make people fat, depressed, and feeble-minded.
00:21:35.840 | And one of the little lies is everything in moderation.
00:21:39.440 | Everything in moderation is the gateway thought to hell.
00:21:43.020 | Because it's like, well, I'll cheat this
00:21:46.360 | and then I'll do that.
00:21:47.640 | And then I'll, and I'm like, it's my brain.
00:21:50.840 | I don't wanna be in moderation.
00:21:53.080 | I want to love my brain.
00:21:55.640 | And actually doing the right thing
00:21:57.920 | is never about deprivation.
00:22:00.000 | So Drew Carey, the famous comedian,
00:22:02.440 | he lost a lot of weight and he kept it off.
00:22:05.080 | And there's this quote that I knew he would keep it off.
00:22:09.360 | He said, "Eating crappy food isn't a reward.
00:22:14.360 | "It's a punishment."
00:22:16.080 | Because he knew what it did to his body.
00:22:19.320 | And so when you go, I wanna reward myself,
00:22:23.240 | it's like, well, it's something that you love
00:22:25.880 | that loves you back.
00:22:28.720 | That if I ever open up a restaurant,
00:22:30.280 | I wanna call it loves you back
00:22:32.240 | because I love the shake I have in the morning.
00:22:36.560 | I generally love a big salad with protein on it,
00:22:40.640 | with veggies, and I love that stuff, right?
00:22:43.520 | I pick things I love.
00:22:46.000 | Like I make a brain-healthy hot chocolate every night,
00:22:49.120 | raw cacao, unsweetened organic, vanilla almond milk,
00:22:54.120 | little chocolate stevia in it.
00:22:58.400 | It tastes great.
00:22:59.800 | I love it.
00:23:01.160 | And cacao's a superfood.
00:23:04.240 | I love it back.
00:23:05.680 | It loves me back.
00:23:07.040 | - There's plenty of good things you can find,
00:23:09.440 | especially nowadays.
00:23:10.360 | People are becoming more health conscious
00:23:12.200 | than they used to be.
00:23:13.200 | There's so many good restaurants that have healthy food.
00:23:15.960 | My next question is, you see,
00:23:19.960 | like what are the biggest outwardly things
00:23:23.160 | that people struggle with or that they do
00:23:25.600 | in a bad brain that you see versus like a very healthy brain?
00:23:28.480 | What is the outward difference in how they live,
00:23:31.560 | their mood, like all those things?
00:23:33.320 | What's the biggest few outwardly things?
00:23:36.600 | - Well, with a healthy brain, you're a better friend.
00:23:40.000 | You don't interrupt as much.
00:23:43.040 | You listen.
00:23:44.240 | You care about what's going on with the other person.
00:23:47.940 | You're better at managing your money.
00:23:50.420 | You're more thoughtful.
00:23:54.060 | People sort of like you more because you're consistent,
00:23:59.920 | reliable, reasonably on time.
00:24:03.280 | The things that sort of make life work
00:24:05.840 | come with a healthier brain.
00:24:11.280 | - A lot of people these days,
00:24:12.840 | they try to separate like science and faith.
00:24:18.560 | And one thing we talked about earlier
00:24:20.120 | was how you take mind, body, spirit,
00:24:23.960 | all these different things and you put them all into one.
00:24:26.760 | How do you kind of do that?
00:24:29.520 | Like how do they all come together?
00:24:31.320 | And you were saying earlier like your brain helps you
00:24:34.880 | even with your relationship with God
00:24:36.280 | or how you hear him or how you can be effective for him
00:24:41.120 | in your purpose, how do you put all those things together?
00:24:44.240 | 'Cause a lot of people will try to put one.
00:24:46.200 | If they're struggling in life,
00:24:47.400 | they'll be like, oh, let me just get in the gym,
00:24:49.160 | work on my body, then I'll be happy after that.
00:24:51.960 | And then they find, no, I got super fit
00:24:54.040 | and I'm still not all the way happy.
00:24:55.840 | Or they'll try to fix just their diet
00:24:59.000 | and then they like, but like how do you,
00:25:00.840 | what do you need to put all of them together?
00:25:03.040 | - So when I was a young medical student,
00:25:06.920 | our dean drew four big circles on the board.
00:25:10.640 | And he's like, never think of people as their diagnosis.
00:25:13.240 | Always think of them in four big circles.
00:25:15.440 | And this actually prevents burnout.
00:25:17.920 | It's what's the biology?
00:25:19.840 | So that person that's unhappy that's going to the gym,
00:25:22.800 | that's a good thing.
00:25:24.160 | But it's only a piece of it.
00:25:26.700 | It's they're getting physically healthy.
00:25:29.300 | So there's a biological circle.
00:25:32.220 | There's also a psychological circle,
00:25:34.960 | which is how do you think?
00:25:36.940 | And what was your development like?
00:25:40.980 | People who grew up with a lot of trauma,
00:25:43.860 | it's hard for them to be happy
00:25:45.700 | because they're always watching
00:25:47.060 | for some bad thing to happen.
00:25:49.340 | Because a lot of bad things happen.
00:25:51.820 | So I call them ants, automatic negative thoughts
00:25:56.300 | that just come into your mind automatically
00:25:58.340 | and ruin your day.
00:26:00.780 | I'll never be my best or whatever the negative thought is.
00:26:05.780 | So learning how to kill the ants is what I talk about.
00:26:08.980 | There's a social circle, which is how do we get along
00:26:12.220 | and what's going on in our society and our level of stress.
00:26:15.540 | So being effective at living is really helpful.
00:26:20.420 | Being effective in relationships.
00:26:22.020 | And just one tip is if you notice what you like
00:26:26.020 | five times more than you notice what's wrong,
00:26:29.620 | your relationships are gonna be better.
00:26:31.940 | So you notice in my office I have penguins.
00:26:34.580 | There's a whole story around that.
00:26:37.020 | And then there's a spiritual circle,
00:26:38.740 | which is why do you care?
00:26:39.780 | What is your sense of meaning and purpose?
00:26:41.820 | Purposeful people live longer.
00:26:45.300 | They're healthier.
00:26:47.180 | They have a reason to do the right thing.
00:26:49.760 | So for my patients, I'm like,
00:26:51.300 | so why do you wanna be better?
00:26:53.180 | How's your life gonna be better if your brain is better?
00:26:56.660 | - And as you go on this journey,
00:26:59.660 | you just gave me a lot of things that I could do
00:27:02.060 | to get better, but everyone has bad days.
00:27:05.140 | And you show me the graph of there's this program
00:27:10.140 | that you put people on, but they have dips.
00:27:12.260 | But if they stick with the program, they'll see change.
00:27:14.740 | And if you scan your brain later, it'll be better.
00:27:17.220 | But another part you brought up
00:27:19.540 | was how you deal with the bad days.
00:27:21.460 | Like gives you data and you don't look at bad days
00:27:23.820 | as like, oh, I just have a bad day.
00:27:26.880 | And I know a lot of people, me included,
00:27:29.860 | like I'll look at a bad day and then get guilty.
00:27:32.060 | But those bad days can turn into multiple bad days.
00:27:35.180 | But you were saying earlier how you turn it into data.
00:27:37.900 | Okay, why was this a bad day?
00:27:39.700 | Like why did I make this choice that I didn't wanna make?
00:27:42.540 | So talk a little bit about that,
00:27:44.780 | 'cause I think especially people that watch this
00:27:47.460 | and okay, I wanna make a change.
00:27:49.380 | And then they try it for a while
00:27:50.580 | and then they have a few bad days.
00:27:52.060 | It might turn into like a bad month or a bad year.
00:27:54.700 | How do you--
00:27:55.540 | - And then they'll go to the doctor
00:27:56.860 | and end up with Lexapro or Adderall or sleeping pills, right?
00:28:01.860 | Because they didn't learn.
00:28:06.900 | So there's a phrase I love.
00:28:09.180 | Be curious, not furious.
00:28:12.820 | So many people, they'll make a bad decision
00:28:14.980 | and then they'll hate themselves
00:28:16.660 | and then they'll continue to make the bad decisions.
00:28:19.380 | So I have a patient, a good example is
00:28:20.980 | I have a patient that has an eating disorder.
00:28:22.780 | She has bulimia and she's doing really well.
00:28:26.660 | And then she came in and she was ashamed of herself
00:28:29.480 | because she relapsed.
00:28:31.260 | And I'm like, curious, not furious.
00:28:35.500 | Walk me through the day.
00:28:37.580 | And she hadn't eaten anything.
00:28:40.180 | And went out with her friends and had a drink
00:28:44.340 | and then a plate of nachos.
00:28:46.580 | So she came into that vulnerable time,
00:28:51.420 | more vulnerable 'cause she had a super low blood sugar,
00:28:54.380 | 'cause she hadn't eaten.
00:28:55.660 | And then the alcohol lowered it further
00:28:58.540 | and then the nachos, she hated herself,
00:29:00.740 | made herself throw up.
00:29:02.020 | I'm like, so yes, you can shame yourself if you want to,
00:29:05.780 | it's just not helpful.
00:29:07.620 | What happened?
00:29:08.860 | So what we need to do is eat during the day
00:29:12.340 | so that you have a healthy blood sugar
00:29:14.500 | so when they offer you the alcohol you can go, not for me.
00:29:17.740 | And we just learn.
00:29:21.180 | And it's like someone's struggling with an addiction.
00:29:24.300 | You don't shame them with a relapse
00:29:26.060 | is you go, what happened?
00:29:28.060 | What's the goal?
00:29:29.100 | And what can we learn from it?
00:29:32.020 | So that you can be what you want.
00:29:35.020 | And that's what I want.
00:29:35.860 | I want people to be clear with what they want
00:29:39.740 | and then just go, is my behavior getting me what I want?
00:29:42.940 | - But you gotta be open too.
00:29:44.140 | Like you can't just relapse and then feel ashamed
00:29:46.260 | and keep it all inside.
00:29:47.100 | You gotta like have people in your life
00:29:49.260 | that you can tell, be all the way open.
00:29:52.700 | No, like I relapsed there.
00:29:54.020 | Even if I relapsed seven days in a row.
00:29:56.660 | Like you gotta have people in your circle
00:29:59.060 | that you can talk to.
00:30:01.020 | How important is--
00:30:01.860 | - And nobody's perfect, which is why Jesus died on the cross.
00:30:04.940 | - Exactly.
00:30:07.340 | How important is having people to be all the way healthy,
00:30:11.980 | having people you can talk to
00:30:13.540 | about when you're having those bad days?
00:30:15.460 | - Yeah, people are contagious.
00:30:17.180 | So you have to be careful who you surround yourself with.
00:30:21.380 | So choose wisely.
00:30:23.740 | They're as contagious as COVID.
00:30:25.900 | But you wanna nurture your circle.
00:30:31.460 | So be careful with who you pick.
00:30:34.060 | But then you wanna nurture it.
00:30:37.180 | So important.
00:30:38.500 | 'Cause we're connected as a species, right?
00:30:41.020 | Polar bears, they're good at being by themselves, right?
00:30:45.420 | Unless they're making a baby polar bear,
00:30:47.100 | they don't need anybody
00:30:48.500 | because that's not how they were made.
00:30:51.220 | We were made in connection.
00:30:54.740 | And it's essential.
00:30:56.900 | - I just got a couple more questions for you, my guy.
00:30:59.140 | So if you had three things to avoid
00:31:04.140 | and three things to do for everyone,
00:31:07.660 | what would be the top three things
00:31:11.340 | that you would pick for both?
00:31:13.420 | - Three things to avoid.
00:31:15.860 | I have a new book called "Your Brain is Always Listening."
00:31:19.980 | And I would avoid the oblivious bad habit dragon.
00:31:23.780 | That's the first thing I'd do.
00:31:25.140 | I mean, I get conscious about loving my brain.
00:31:29.820 | Too many people, they're just oblivious
00:31:33.420 | that whether it's the air they breathe
00:31:36.060 | or the water they drink or the food they eat
00:31:38.740 | or the thoughts they think,
00:31:40.380 | there's just, they have no control.
00:31:44.740 | And so I'd get rid of being oblivious.
00:31:49.100 | And then I'd be intentional about food
00:31:53.060 | 'cause food is so important.
00:31:55.500 | I think 30% of the mental health problems in America
00:32:00.500 | are due to the standard American diet,
00:32:03.340 | which spells sad, standard American diet.
00:32:06.420 | It's pro-inflammatory.
00:32:08.460 | Happy meals are not happy.
00:32:10.140 | They're sad meals.
00:32:11.700 | When you think about it, it's like, no.
00:32:14.740 | And I turn off the gadgets and move.
00:32:18.100 | That the gadgets are causing us to be more sedentary,
00:32:22.180 | more overweight.
00:32:23.460 | - Totally agree.
00:32:24.740 | - So for do, it's purposeful.
00:32:27.700 | Love your brain and move and eat.
00:32:32.580 | - Gotcha.
00:32:34.380 | Was that three dos or was that three don'ts?
00:32:38.140 | - Well, love your brain, move, eat, right.
00:32:42.940 | And avoid the oblivious bad habit dragon.
00:32:48.180 | And watch the digital addiction
00:32:51.860 | and the standard American diet.
00:32:54.180 | - Gotcha.
00:32:55.500 | Last question.
00:32:56.340 | - But it comes down to this one question.
00:32:58.380 | I worked with B.J. Fogg at Stanford for six months.
00:33:02.340 | He created something called tiny habits.
00:33:04.780 | What's the smallest thing I can do today
00:33:07.820 | that'll make the biggest difference?
00:33:09.820 | And we have 50 tiny habits.
00:33:11.940 | But the mother tiny habit is just ask yourself
00:33:16.140 | as you go through your day,
00:33:17.980 | is this good for my brain or bad for it?
00:33:21.340 | And if you can answer that with information and love,
00:33:26.180 | love of yourself, love of your mission,
00:33:29.260 | why you're on the planet, love of your family and friends,
00:33:32.780 | begin making better decisions.
00:33:35.420 | - Right, no doubt.
00:33:38.180 | My last question for you is obviously
00:33:40.020 | you've already made such a huge difference in the world.
00:33:42.780 | A lot of celebrities who have been addicted,
00:33:45.860 | all this stuff, you've helped heal them.
00:33:47.620 | What is your overall goal and what you wanna do
00:33:52.180 | and where do you see the world?
00:33:55.100 | What's your main goal for the world?
00:33:57.580 | - So it's gonna sound crazy,
00:34:00.140 | but I wanna stand mental illness.
00:34:04.100 | I hate the term mental illness.
00:34:07.100 | It shames people, it's stigmatizing, and it's wrong.
00:34:11.060 | These are brain health issues.
00:34:13.380 | Call someone mental, you shame them.
00:34:15.820 | Call someone brain, you elevate them.
00:34:18.500 | So I wanna end mental illness
00:34:20.500 | by creating a revolution in brain health.
00:34:25.500 | And what I wanna do with my influencers
00:34:30.580 | is I want you to help me figure out
00:34:33.220 | how to make brain health cool.
00:34:36.620 | - No doubt.
00:34:37.460 | - And so for me to take an NBA player
00:34:41.100 | that is masterful at his craft and go,
00:34:44.060 | "Yeah, let's make brain health cool."
00:34:46.180 | A lot of people pay attention to that.
00:34:48.340 | - No doubt.
00:34:50.180 | Well, I think you can do it because I know,
00:34:52.300 | I mean, the world's already moving
00:34:53.460 | in more of a health conscious state.
00:34:56.180 | The brain is a little ignored,
00:34:57.700 | but I think you got it going on
00:35:00.700 | and I see it firsthand, the benefits.
00:35:04.100 | You know, I thought everything was cool in my brain.
00:35:06.340 | I did a brain scan and then I kinda told you
00:35:08.220 | about my issues beforehand and my brain
00:35:10.700 | showed the things that I was,
00:35:12.300 | and it's just, it's cool to look at it from that angle
00:35:14.100 | and I think it's super important.
00:35:15.940 | I think you can do it.
00:35:17.060 | - Well, let's make your brain the best it can be.
00:35:20.420 | - Let's do it.
00:35:21.540 | That's a wrap though.
00:35:22.700 | Another episode of Kids, Mike.
00:35:24.020 | Appreciate it.
00:35:24.860 | (electronic music)
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