Big Pharma’s Most Dangerous Lie and the Dark Truth About Weed
📄 Extracted Text (16,128 words)
[00:00:00] Thank you, doctor.
[00:00:02] You study the brain. Um, not just
[00:00:04] emotions, but but the the physical
[00:00:06] brain, the actual biology of the brain.
[00:00:08] Um, I've got a lot of questions for you
[00:00:10] about that, but let's just start with
[00:00:13] cannabis.
[00:00:14] What are the effects of cannabis on the
[00:00:16] brain, marijuana on the brain? So I
[00:00:18] published a study on a thousand
[00:00:21] marijuana users, compared it to our
[00:00:24] healthy group. Every area of their brain
[00:00:28] was lower in blood flow and activity.
[00:00:32] And then just this year,
[00:00:34] >> measurably
[00:00:35] >> measurably on the imaging study we do,
[00:00:39] which is called Specton
[00:00:43] emission computed tomography. It looks
[00:00:46] at blood flow activity but also looks at
[00:00:50] mitochondrial function.
[00:00:54] [Music]
[00:00:58] [Applause]
[00:00:59] [Music]
[00:01:07] [Applause]
[00:01:07] [Music]
[00:01:12] I have to ask you so pardon my
[00:01:13] ignorance. mitochondrial function.
[00:01:15] >> So the mitochondria are the little
[00:01:17] energy powerhouses in your cell. They um
[00:01:23] activate and keep the cell energized and
[00:01:27] alive. And 49% of the tracer that we do
[00:01:32] this study with is actually taken up by
[00:01:35] the mitochondria in the brain. So when
[00:01:38] we see low activity, that's really low
[00:01:43] activity along with decreased blood
[00:01:46] flow. And then there's a new study by a
[00:01:50] completely separate group than ours on a
[00:01:52] thousand young marijuana users and the
[00:01:56] areas of the brain involved in learning
[00:02:00] and memory were low in blood flow and
[00:02:03] activity. So, it's not just me because I
[00:02:07] have a problem with marijuana. It's
[00:02:09] other scientists as well saying
[00:02:12] marijuana is not great for the brain.
[00:02:17] >> What are the effects of less
[00:02:19] mitochondrial activity and lower blood
[00:02:22] flow?
[00:02:23] >> So, it can go with tiredness. It can go
[00:02:27] with low motivation. It can go with
[00:02:30] depression over time. It can go with
[00:02:33] more anxiety because your brain can't
[00:02:36] settle it down. And in vulnerable
[00:02:40] people, it can go with an increased risk
[00:02:43] of psychosis. Huh. How does that work?
[00:02:47] We're all of a sudden seeing because
[00:02:49] marijuana is not a drug. It's a
[00:02:51] medicine. We've been told it's the most
[00:02:53] healing medicine ever discovered. It's
[00:02:55] quote natural. God made it. Um and it's
[00:02:59] the answer to most of our physical and
[00:03:01] psychological problems. And now all of a
[00:03:02] sudden there seem to be all these
[00:03:04] studies showing a direct connection
[00:03:06] between heavy marijuana use and
[00:03:08] psychosis.
[00:03:10] Is that connection real? And if so, how
[00:03:13] exactly does that happen? Do we know?
[00:03:15] >> Well, it's absolutely real. And people
[00:03:19] who have a certain genetic makeup are
[00:03:22] more vulnerable to becoming psychotic.
[00:03:26] one gene in particular, if you have a
[00:03:31] combination of an abnormality in that
[00:03:35] gene, you have a 7fold, so that's a 700%
[00:03:41] increased risk of becoming psychotic if
[00:03:44] you are a heavy user of marijuana. So,
[00:03:49] not for everybody, right? But for
[00:03:52] everybody, the risk is somewhere between
[00:03:55] 2 to four times. Um, especially if you
[00:03:58] start young. And now it's the young that
[00:04:01] are suffering from the idea that
[00:04:06] marijuana is innocuous because it's not
[00:04:09] innocuous. But because they think it's
[00:04:11] inocuous, I think psilocybin is going to
[00:04:14] go the same way. When the perception of
[00:04:17] the dangerousness of a drug goes down,
[00:04:19] its use goes up. And that's what we've
[00:04:23] seen. And teenagers who use have a
[00:04:27] higher incidence of anxiety, depression,
[00:04:31] suicide, and psychosis in their 20s.
[00:04:35] And so you're taking a developing brain
[00:04:39] and altering how that brain develops.
[00:04:44] And
[00:04:46] what what we're seeing is the highest
[00:04:49] incidence of brain and mental health
[00:04:52] problems in young people we have ever
[00:04:54] seen. Study from the CDC, 57% of teenage
[00:04:59] girls report being persistently sad.
[00:05:04] >> 57%
[00:05:05] >> 57% 32% thought of killing themselves.
[00:05:09] Think of that. of all girl this is a
[00:05:12] whole population
[00:05:13] >> girls teenage um girls 32% have thought
[00:05:17] of killing themselves
[00:05:18] >> 32% of all teenage girls in the United
[00:05:20] States
[00:05:21] >> yes 24% have planned to kill themselves
[00:05:26] and 13% have tried
[00:05:29] we're in this mental mess and we have to
[00:05:33] go why and and it's more complicated
[00:05:37] than just marijuana but marijuana is
[00:05:40] clearly part of it and part of it are
[00:05:44] the societal lies that I've seen from
[00:05:48] the 80s. So I started my psychiatric
[00:05:53] residency in 1982 and I trained at the
[00:05:55] Walter Reed Army Medical Center in
[00:05:57] Washington DC and 1987
[00:06:03] video games started to come out and
[00:06:05] they're like oh these are so exciting
[00:06:10] with no neuroscience study on what do
[00:06:13] video games do to development and it's
[00:06:16] not good. There's not been great studies
[00:06:19] that say, "Oh, yeah, these are really
[00:06:20] great for brain development." And then
[00:06:23] in the early '9s, alcohol is a health
[00:06:26] food, right? My first clinic is in
[00:06:28] Northern California. I have 11 clinics,
[00:06:32] and it was right outside the Napa
[00:06:34] Valley. And the Napa Valley produces a
[00:06:37] lot of wine in the United States. Was so
[00:06:39] excited. You should have a glass or two
[00:06:42] every night, and that's good for your
[00:06:44] heart.
[00:06:46] No, it's bad for your brain.
[00:06:49] And now the
[00:06:50] >> a glass or two of wine is bad for your
[00:06:52] brain.
[00:06:53] >> The American Cancer Society came out
[00:06:55] four years ago against any alcohol
[00:06:58] because any alcohol is associated with
[00:07:01] an increased risk of eight different
[00:07:03] cancers.
[00:07:05] And then, you know, we did a prize fight
[00:07:09] between marijuana and alcohol and it
[00:07:12] went 12 rounds.
[00:07:15] Alcohol causes a lot of devastation,
[00:07:19] perhaps more than marijuana. But the
[00:07:21] idea in society is alcohol is a health
[00:07:25] food. It's a lie. And then
[00:07:30] pain is the fifth vital sign. It's you
[00:07:34] need opiates if you're in pain. Well,
[00:07:37] that sort of didn't turn out well. No,
[00:07:39] it didn't
[00:07:39] >> for us. Or benzo or mommy's little
[00:07:42] helper. Um, and that didn't turn out
[00:07:46] well.
[00:07:46] >> So, these are all trends just in the 43
[00:07:48] years since you've been practicing
[00:07:50] psychiatry. These are all trends that
[00:07:52] you've lived through.
[00:07:53] >> Little lies that I see, not little, huge
[00:07:56] societal lies. And then, and I'm also a
[00:08:00] child psychiatrist. And so I would often
[00:08:02] see 16 year olds, 17 year olds, and
[00:08:05] parents would bring him in because I
[00:08:07] think he has ADD. And I'm like, okay.
[00:08:11] And as I would scan them, cuz that's
[00:08:14] what I do at Aean Clinics. We look at
[00:08:16] your brain. The brain looks toxic. And
[00:08:19] and it shouldn't look toxic in a 16 year
[00:08:22] old. And initially you ask the child,
[00:08:26] you know, are you using any drugs? Of
[00:08:28] course not. And then I'm like, "But you
[00:08:31] have a toxic brain." And then they start
[00:08:33] crying because I I teach them how
[00:08:35] important their brain is. Your brain is
[00:08:38] involved in everything you do, how you
[00:08:41] think, how you feel, how you act, how
[00:08:44] you get along with other people. And
[00:08:46] when this works right, you work right.
[00:08:48] And when it doesn't, you don't.
[00:08:52] >> And it looks toxic. So, you can tell,
[00:08:55] again, pardon the dumb questions, but
[00:08:57] you can tell
[00:08:59] >> from a brain scan of a 16-year-old
[00:09:00] whether that child's using drugs.
[00:09:03] >> I can tell whether or not it's toxic.
[00:09:06] And then I have to find out, well, why
[00:09:07] is it toxic?
[00:09:09] >> And it could be toxic from drug use. It
[00:09:11] could be toxic because they live in a
[00:09:13] mold-filled home. It could be toxic
[00:09:15] because they have Lyme disease and the
[00:09:19] infection is causing their brain to look
[00:09:23] older than they are. But but that's all
[00:09:26] evident in the scan.
[00:09:27] >> That's all evident in the scan. It's
[00:09:30] toxic. Now it's my job then to figure
[00:09:33] out why. And so when I see the toxic
[00:09:36] scan in this ADD 16-year-old who did not
[00:09:41] have ADD or ADHD when he was seven,
[00:09:45] right? It's not something you just pick
[00:09:47] up. If you really have ADHD,
[00:09:51] you had it your whole life. If it just
[00:09:54] shows up, you either had a head injury,
[00:09:56] you're doing drugs, or you're living in
[00:09:58] a mold-filled home. There's a reason
[00:10:02] why. And stimulants are not the answer
[00:10:05] to
[00:10:08] drug use,
[00:10:10] but they often get
[00:10:11] >> poor drug use is not the answer.
[00:10:14] >> It's not the answer. And so I'll show
[00:10:17] the kid their scan and then go through
[00:10:20] this exercise with them and they'll
[00:10:21] start to cry and they go, "You won't
[00:10:24] tell my mom." And I'm like, "No, I'm
[00:10:27] pretty sure we should
[00:10:31] because otherwise, how are you going to
[00:10:34] get the help you need?" And they're
[00:10:36] like, "Well, stop. I promise."
[00:10:39] And the scans are so helpful for me. A
[00:10:43] little bit like a lie detector because
[00:10:46] it's really hard to say, "Oh, no. I'm
[00:10:49] not using." when your brain looks toxic
[00:10:53] and there's not another good reason that
[00:10:56] it looks toxic. And that's and that's
[00:10:58] why
[00:11:00] marijuana is innocuous. I'm like, well,
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[00:11:05] 43 years. So, the beauty of Thanksgiving
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[00:12:32] pick up a bag because they're great. So,
[00:12:35] have have you noticed since you do treat
[00:12:37] children as well, an increase in damaged
[00:12:40] brains that you can attribute to
[00:12:42] marijuana use?
[00:12:43] >> Absolutely.
[00:12:45] An increase from when we started.
[00:12:48] So, that seems like a public health
[00:12:50] concern. It's totally a public health
[00:12:53] concern. We should be completely freaked
[00:12:55] out. And uh people are like, "Marijuana
[00:12:59] is innocuous. Marijuana is innocuous."
[00:13:01] And it's like, "Why are you saying that
[00:13:04] when increase for a minute probably.
[00:13:06] >> Well, the marijuana industry, which
[00:13:08] hates me, um, spends $3 billion a year
[00:13:13] on marketing. So, how is how are they
[00:13:15] different from the Sacklers at Purdue
[00:13:16] Pharma then?
[00:13:19] Like lying to people about the health
[00:13:21] effects of the drug they're profiting
[00:13:22] from.
[00:13:24] I mean, it seems like the same. It's a
[00:13:27] weapon of mass destruction.
[00:13:29] >> Marijuana.
[00:13:30] >> Marijuana.
[00:13:32] And the the the weed industry hates you.
[00:13:35] >> Of course.
[00:13:37] >> Have they attacked you
[00:13:38] >> all the time? Really? What do they say?
[00:13:40] >> If I post something on one of my social
[00:13:43] media sites, they'll call me a charlatan
[00:13:46] and hysterical and that I should get
[00:13:48] high.
[00:13:51] They should take my medical license and
[00:13:53] all sorts of things.
[00:13:54] >> Take your medical license.
[00:13:55] >> Yeah. For because they'll do anything to
[00:13:59] try to shut me up. But it's like, how do
[00:14:02] you not talk about the truth? And it's
[00:14:04] like, well, how do you know? It's like,
[00:14:06] well, I look at the brain, and if your
[00:14:08] brain is not right, well, you're not
[00:14:12] right. Yeah. I just didn't know until we
[00:14:16] had breakfast a minute ago that that
[00:14:19] kind of damage was so or any kind of
[00:14:21] damage to the brain was was more subtle
[00:14:23] damage, not, you know, head injury
[00:14:24] damage, but damage from drugs, for
[00:14:26] example, was detectable on a brain scan.
[00:14:32] Yeah. So interesting. Um so spec the
[00:14:36] study we do gives you this really
[00:14:39] beautiful 3D look at activity and a
[00:14:44] healthy scan shows full even symmetrical
[00:14:48] activity with most of the activity being
[00:14:51] in the cerebellum. So the cerebellum is
[00:14:54] the back bottom part of the brain. Um,
[00:14:57] cerebellum is Latin for little brain.
[00:15:00] It's 10% of the brain's volume, but has
[00:15:04] 50% of the brain's neurons. And alcohol
[00:15:08] is directly toxic to the cerebellum.
[00:15:11] Well, so is marijuana. And that's why
[00:15:13] you shouldn't drive
[00:15:16] when you're high.
[00:15:17] >> And so, what is this? What happens in
[00:15:18] the cerebellum?
[00:15:19] >> So, so many interesting things. It's
[00:15:22] sort of the Rodney Dangerfield part of
[00:15:24] the brain. and it gets no respect. Uh
[00:15:27] >> this would be the lower brain we
[00:15:28] referred to, not the higher brain.
[00:15:30] >> Well, it's it's so important because
[00:15:33] it's connected to the the rest of the
[00:15:35] brain. And it used to be thought that
[00:15:38] the cerebellum was involved in
[00:15:40] coordination, physical coordination.
[00:15:43] Well, now we know it's also involved in
[00:15:46] thought coordination. How quickly you
[00:15:49] can integrate new information. And
[00:15:52] marijuana slows the function of the
[00:15:55] cerebellum. So your thoughts become
[00:15:58] slower. And you're less coordinated,
[00:16:02] which is why you shouldn't drive if
[00:16:04] you're high.
[00:16:06] Interesting. Um, I mean that was all
[00:16:09] kind of known when I started smoking
[00:16:12] marijuana uh right around 1982
[00:16:16] uh or 81 and it was like the classic
[00:16:20] profile of the stoner. Hey man, you
[00:16:23] know, slow,
[00:16:25] you know, molasses pace uh cadence to
[00:16:28] the language, droopy eyes,
[00:16:31] eating lots of snack food, kind of not
[00:16:33] doing anything. Like people sort of knew
[00:16:35] even then when weed was way less potent
[00:16:37] than it is now that it slowed you way
[00:16:40] down. But that's because it slows your
[00:16:42] brain down. Because it slows your brain
[00:16:45] down. It certainly alters your brain. It
[00:16:49] works on um CB1 receptors. So there are
[00:16:55] cannabis receptors in your brain uh
[00:16:59] endockinabonoid receptors.
[00:17:02] And it activates dopamine which means
[00:17:08] you feel high
[00:17:10] >> it feel rewarded want to do it again
[00:17:14] >> for sure
[00:17:14] >> and in vulnerable people it actually
[00:17:17] disrupts dopamine. So it doesn't work
[00:17:21] consistently effectively and if it
[00:17:24] disrupts it if it goes too high then for
[00:17:28] vulnerable people you can become
[00:17:30] psychotic. you can begin to lose touch
[00:17:33] with what's real and what's not real. So
[00:17:37] if you think of psychosis, that's the
[00:17:39] definition of psychosis is you begin to
[00:17:42] have trouble differentiating
[00:17:44] what's real and what's not. You might
[00:17:46] have delusions, hallucinations,
[00:17:50] um, and it triggers uh psychosis that in
[00:17:56] some people will turn into
[00:17:57] schizophrenia.
[00:17:59] uh which is arguably the worst
[00:18:01] psychiatric illness. Um
[00:18:03] >> arguably the worst illness there is,
[00:18:04] period. I can't think of anything worse
[00:18:07] than that.
[00:18:08] >> No, it's awful. Um and so why would you
[00:18:13] use something if you didn't know your
[00:18:15] genetic risk
[00:18:18] that could flip you into not knowing
[00:18:22] what's real or not
[00:18:25] because you had no idea it was risky.
[00:18:28] And you don't love your brain. See, I'm
[00:18:31] I heard President Trump talk at the
[00:18:34] Department of Justice. He had a
[00:18:35] conversation with the Mexican president
[00:18:39] about why Mexico exports drugs, but
[00:18:43] they're not a big drugusing
[00:18:46] country, which I thought was really
[00:18:48] interesting. And she said, "Well, family
[00:18:50] is really important to us." And he's
[00:18:52] like, "Well, family is important to us."
[00:18:54] and she said, "And we have a wicked drug
[00:18:57] education campaign." And he's like, "Oh,
[00:19:01] we should do that." And so I wrote my
[00:19:04] friend at the White House. I'm like,
[00:19:06] "You have to teach people to love their
[00:19:08] brain first before you tell them
[00:19:12] something's bad for them." Because as
[00:19:14] soon as you tell them something's bad
[00:19:16] for them, they want to do it. Right? In
[00:19:19] the book of Genesis, God says, "Don't
[00:19:22] eat from the tree." The next scene,
[00:19:26] they're eating from the tree. So, if I
[00:19:30] was God, and I never try to play God,
[00:19:32] but if I was God and I was counseling
[00:19:34] God, I'd like, tell them if they eat
[00:19:37] from the tree, she's going to have to
[00:19:39] wear clothes
[00:19:42] and that they're going to get kicked
[00:19:44] out. It's like, tell them, ask them what
[00:19:46] they want.
[00:19:48] And then well what's the consequences?
[00:19:52] And so the first thing is teach them to
[00:19:56] love their brains. And if you love it
[00:20:00] because it controls everything you do.
[00:20:04] >> Well, why would you hurt it unless you
[00:20:06] were not that smart?
[00:20:08] But it's got you got to have that
[00:20:11] foundational step. Um I call it brain
[00:20:14] envy. I always say Freud was wrong.
[00:20:17] Penis envy is not the cause of anybody's
[00:20:20] problem.
[00:20:22] Got to love your brain. It's the only
[00:20:24] organ in your body where size really
[00:20:27] does matter. It's your brain because it
[00:20:32] controls everything.
[00:20:32] >> Size does matter.
[00:20:33] >> Size matters. You don't want a smaller
[00:20:38] brain.
[00:20:40] Huh. and alcohol,
[00:20:43] marijuana,
[00:20:44] being overweight,
[00:20:47] they all decrease the size of your
[00:20:50] brain. So Christmas is almost upon us.
[00:20:53] Before you get caught up in all the
[00:20:54] shopping and the presents and the
[00:20:56] travel, it's worth reminding yourself of
[00:20:58] why we're doing this in the first place.
[00:21:00] Because of Jesus, his birth. That's what
[00:21:03] Christmas is. And that's one of the many
[00:21:05] reasons that we recommend the Hallow
[00:21:07] app, which is amazing. So this advent
[00:21:10] experience the same peace that Mary
[00:21:12] found in her Bethlehem manger through
[00:21:13] Hallow's pray 25 advent challenge. The
[00:21:17] whole program revolves around quiet and
[00:21:19] calm being still. All of us, especially
[00:21:22] me, could use more of that. Spending
[00:21:24] less time on to-do lists and online and
[00:21:27] more time in prayer in silence with God.
[00:21:30] Psalm 49, be still and know that I am
[00:21:32] God. That is the idea behind this prayer
[00:21:34] challenge. You're going to follow along
[00:21:36] in my house every day. We talk about it
[00:21:38] every night. Dive into the story of the
[00:21:40] nativity like never before. Experience
[00:21:42] the stillness of the Holy Family amidst
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[00:21:58] Being overweight decreases the size of
[00:22:00] your brain.
[00:22:00] >> Yeah. Horrible study. Um, out of the
[00:22:04] University of Pittsburgh. My friend
[00:22:05] Cyrus Rajie published it. He looked at
[00:22:08] MRI scans of people who are healthy
[00:22:12] weight. So a BMI between 18.5 and 25
[00:22:16] overweight 25 to 30 BMI or over 30
[00:22:22] obese.
[00:22:24] The people who were overweight had 4%
[00:22:28] less volume in their brain. So less
[00:22:31] brain tissue and their brains looked 8
[00:22:34] years older than they were. People who
[00:22:37] were obese had 8% less volume. Think
[00:22:42] about that. And their brains look 16
[00:22:45] years older. I looked at my healthy
[00:22:48] group that um
[00:22:51] we have at clinics and cuz when we were
[00:22:55] looking at healthy, we weren't looking
[00:22:56] at weight. And after that study came
[00:22:58] out, um, we saw exactly the same thing.
[00:23:02] And then I did a big NFL study and I
[00:23:05] looked at my healthyweight NFL players
[00:23:07] and my overweight NFL players. And the
[00:23:10] overweight NFL players had significantly
[00:23:13] lower activity in their frontal loes. So
[00:23:17] the frontal loes is the most human
[00:23:20] thoughtful part of your brain. Uh, it's
[00:23:23] um 30% of the human brain, 11% of the
[00:23:27] chimpanzee brain, 7% of your dog's
[00:23:30] brain, 3% of your cat's brain, which is
[00:23:33] why cats need nine lives. Anyways,
[00:23:36] significantly
[00:23:38] lower blood flow and activity in their
[00:23:42] frontal loes. What weight does,
[00:23:46] excess weight increases something called
[00:23:49] inflammatory cytoines. So, the fat on
[00:23:52] your belly is not your friend. It
[00:23:57] decreases blood flow. It increases
[00:24:00] inflammation. It prematurely ages your
[00:24:03] brain. Um, it takes healthy testosterone
[00:24:07] and flips it into unhealthy
[00:24:10] cancerpromoting forms of estrogen, which
[00:24:13] is why being overweight increases your
[00:24:16] risk of 30 different cancers.
[00:24:20] >> Really? And it lowers your testosterone.
[00:24:22] >> Lowers your testosterone.
[00:24:26] >> And is it Wow, that's that's
[00:24:28] unbelievable. Is that widely known?
[00:24:30] >> Yes.
[00:24:32] >> Usually the last widely known in
[00:24:34] scientific circles that obesity is
[00:24:38] associated
[00:24:40] with at least 30 different medical
[00:24:43] conditions, but including cancer.
[00:24:45] >> What does marijuana do to testosterone
[00:24:47] levels?
[00:24:50] lowers it.
[00:24:51] >> Conclusively, you can say that.
[00:24:53] >> Yes.
[00:24:54] And there's and you know, we have this
[00:24:56] younger generation who have low
[00:24:59] testosterone levels. They've been
[00:25:00] getting lower and lower. And we have to
[00:25:02] ask them, so why is that? And part of it
[00:25:08] is, this is going to sound really crazy,
[00:25:10] but I believe it. The dermatologist won.
[00:25:14] They made us afraid of the sun. And now
[00:25:17] we have these record levels of low
[00:25:21] vitamin D levels, but we also have
[00:25:24] record levels of toxins being put on our
[00:25:27] bodies. So mom thinks she's really being
[00:25:31] a great mom if she lathers her son or
[00:25:36] her daughter with sunscreen. And now
[00:25:39] you've seen in the last couple of years,
[00:25:41] sunscreens have come under um a lot of
[00:25:44] scrutiny because of the
[00:25:48] toxins they have in them that if you put
[00:25:51] it on someone's skin, it goes into their
[00:25:53] body.
[00:25:54] >> What kind of toxins?
[00:25:56] >> Like parabens
[00:25:57] and phalates. was a brand new study
[00:25:59] where they looked at cord blood and um
[00:26:04] autism and pe moms who had higher levels
[00:26:08] of phalates had five times increased
[00:26:12] risk of having an autistic child. So
[00:26:16] when Secretary Kennedy says we're going
[00:26:19] to look at toxic exposure and autism,
[00:26:24] I'm like we absolutely should look at
[00:26:26] that. Um I wrote an op-ed piece in the
[00:26:29] New York Times recently. Um it was
[00:26:31] actually in response to Alan Francis who
[00:26:35] was in charge he's a psychiatrist very
[00:26:38] famous was in charge of the DSM4
[00:26:40] committee. So the DSM the diagnostic and
[00:26:43] statistical manual its fourth version
[00:26:46] changed the diagnostic criteria. hugely
[00:26:49] significant book,
[00:26:50] >> huge. Um, and he said, "Well, that's the
[00:26:55] reason for the rise in autism." And I
[00:27:01] wrote, "That's sort of like the fox
[00:27:04] guarding the hen house. It's, you know,
[00:27:08] autism clearly has exploded and it's not
[00:27:12] just due to different diagnostic
[00:27:15] >> or older fathers or
[00:27:17] >> it's it's due to a gene environmental
[00:27:23] bomb. Something has happened in our
[00:27:26] society where in California now it's
[00:27:30] insane. One in 12 boys uh will meet the
[00:27:35] diagnostic criteria for autism. That
[00:27:38] should just scare us to our core. And so
[00:27:42] what is different? Is it Tylenol? Is it
[00:27:48] phalates? Is it parabens? Is it
[00:27:50] aspartame? Um it's this crazy study on
[00:27:54] aspartame which is in diet sodas and
[00:27:58] many diet products. aspartame is in
[00:28:00] 5,000
[00:28:02] uh diet products. So, they did this
[00:28:05] study on rats and they gave rats
[00:28:08] aspartame and it made them insanely
[00:28:10] anxious and then they gave them volume
[00:28:14] and it calmed them down. It's like,
[00:28:17] okay, that was pretty crazy. But the the
[00:28:20] part about the study that bothered me
[00:28:22] the most
[00:28:24] was their babies who had never been
[00:28:27] exposed to aspartame were anxious and
[00:28:30] their grandbabies were anxious. It had
[00:28:35] generational
[00:28:37] consequences.
[00:28:38] >> Does that mean it had a it altered the
[00:28:40] genetics of the rats?
[00:28:41] >> The epigenetics.
[00:28:43] >> Epigenetics.
[00:28:43] >> So epigenetics is
[00:28:47] >> on top of your genes. They're switches
[00:28:50] and you can turn them on or off based on
[00:28:56] what you're exposed to.
[00:28:59] And so imagine this when you have a baby
[00:29:04] girl. So in our family, we have five
[00:29:08] girls. Um yes, I have five sisters. God
[00:29:12] hates me. And
[00:29:14] >> you have five sisters.
[00:29:15] >> I have five sisters and five daughters.
[00:29:17] and I love them all dearly. But when a
[00:29:21] baby girl is born, she's born with all
[00:29:24] of the eggs in her ovaries she will ever
[00:29:28] have.
[00:29:28] >> Yes.
[00:29:29] >> And what happens to her is turning on or
[00:29:33] off those switches,
[00:29:36] making illness more or less likely in
[00:29:41] her babies
[00:29:43] and in her grandbabies. because if she
[00:29:46] has a baby girl, that baby girl is born
[00:29:48] with all of the eggs she'll ever have.
[00:29:50] And I think we should teach every
[00:29:53] teenage
[00:29:54] girl and boy that your decisions have
[00:29:58] generational
[00:30:00] consequences. I'm a huge advocate for
[00:30:03] teaching brain health early
[00:30:06] because and it it all goes down to one
[00:30:09] question that I love so much. I used to
[00:30:13] play a game with my daughter Chloe when
[00:30:16] she was two and I'm like, "Hey Chloe,
[00:30:19] good for your brain or bad for it?" And
[00:30:21] if I went avocados, she'd go, "Two
[00:30:24] thumbs up. God's butter." If I said
[00:30:28] blueberries, she'd put her little hands
[00:30:29] on her hips and go, "Are they organic?"
[00:30:32] Because non-organic berries hold more
[00:30:34] pesticides than almost any other fruit.
[00:30:37] If I said hitting a soccer ball with
[00:30:39] your head, oh, so stupid. um or talking
[00:30:43] back to your red-headed mother. Very bad
[00:30:46] for your brain.
[00:30:47] >> Dangerous in fact,
[00:30:48] >> but it's that question, what I'm doing
[00:30:51] right now, is this good for my brain or
[00:30:55] is it bad for it? And if I can answer
[00:30:58] that with information and love, I just
[00:31:00] tend to do the right thing because most
[00:31:03] of us have self-interest in mind and I'm
[00:31:06] like, activate it, right? What do you
[00:31:09] want in your relationships? What do you
[00:31:12] want in your work? What do you want in
[00:31:13] your money? What do you want in your
[00:31:14] physical health, your emotional health,
[00:31:17] your spiritual health? And so, when you
[00:31:20] really get to what you want, you don't
[00:31:24] really want the substances
[00:31:26] because they don't get you what you
[00:31:28] want, right? Like, but I want to feel
[00:31:30] better. Okay. Well, there's probably 30
[00:31:34] other ways to feel better. We just don't
[00:31:37] teach any of them. in school. Like, how
[00:31:40] crazy is that? Like, one of the things I
[00:31:42] teach my patients, how to kill the ants.
[00:31:44] And stands for automatic negative
[00:31:46] thoughts. Thoughts that come into your
[00:31:48] mind automatically and ruin your day.
[00:31:51] And I was 28 years old in my psychiatric
[00:31:55] residency when a professor said, "You
[00:31:57] have to teach your patients not to
[00:31:58] believe every stupid thing they think."
[00:32:01] And I'm like, "But I believe every
[00:32:03] stupid thing."
[00:32:04] >> Right. Most of us do. It's like, you
[00:32:07] mean I don't have to believe the noise
[00:32:10] or the nonsense that my brain creates?
[00:32:14] They should have taught me that when I
[00:32:16] was a second grader, how to manage my
[00:32:18] mind. Um, I'm friends with Paul Simon
[00:32:21] and I Paul's song Kodchrome is one of my
[00:32:25] favorites. Starts with when I think back
[00:32:27] on all the crap I learned in high
[00:32:29] school. It's a wonder I can think at
[00:32:30] all.
[00:32:31] >> Yes.
[00:32:32] And I'm like, why can't we be more
[00:32:37] effective? Hate to brag, but we're
[00:32:39] pretty confident this show is the most
[00:32:41] vehemently pro- dog dog podcast you're
[00:32:44] ever going to see. We can take or leave
[00:32:46] some people, but dogs are
[00:32:48] non-negotiable. They are the best. They
[00:32:51] really are our best friends. And so, for
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[00:34:05] wallet will thank you. Well, I mean, you
[00:34:08] you said that the president of Mexico
[00:34:11] said that Mexico doesn't have uh, you
[00:34:14] know, pervasive drug pro use drug use
[00:34:16] problems because even though their
[00:34:18] economy is based on selling drugs,
[00:34:20] Mexicans don't use drugs at the rate
[00:34:22] Americans do because they have a very
[00:34:23] aggressive drug education program.
[00:34:26] We also have a drug education program
[00:34:28] run by the drug peddlers that is super
[00:34:32] effective. I mean I I think if you ask
[00:34:34] people about marijuana, the first the
[00:34:38] first instinct is why are you judging
[00:34:39] me? Settle down. You're too uptight.
[00:34:42] And the second is it's way better than
[00:34:44] alcohol and like you got to get lit on
[00:34:47] something and so you might as well
[00:34:48] choose weed over booze. And the third is
[00:34:51] unlike alcohol, cannabis is actually a
[00:34:54] like a real medicine, effective
[00:34:56] medicine. It can save people's lives.
[00:34:59] That I mean that is the story that we
[00:35:00] hear every day. Assess the last part. Is
[00:35:03] marijuana a medicine?
[00:35:06] Well, I think when used properly, it can
[00:35:09] be helpful. So, for example, my
[00:35:13] mother-in-law, who I love dearly, um had
[00:35:17] stage four lung cancer and wasn't
[00:35:21] eating.
[00:35:21] >> Mhm. And I'm like, absolutely. Let's see
[00:35:26] if uh
[00:35:29] marijuana will help her. Um for certain
[00:35:33] people with glaucoma, it can be helpful.
[00:35:35] >> Did Did it help her?
[00:35:36] >> Yes.
[00:35:38] um
[00:35:43] but not for much else. And if you're
[00:35:45] using it for anxiety, it's going to make
[00:35:48] you more anxious.
[00:35:49] >> So yes, um so glaucoma, which is
[00:35:53] swelling of the eye, maybe.
[00:35:54] >> Yes.
[00:35:55] >> Okay.
[00:35:56] >> Increased intraocular pressure.
[00:35:59] >> Okay.
[00:36:00] >> And um and to help with appetite. Okay.
[00:36:04] It can help with pain, but if you start
[00:36:09] using it for pain, you're not going to
[00:36:11] stop.
[00:36:13] And um
[00:36:14] >> why do you say that? What does it mean?
[00:36:16] >> Well, if you're using it for pain, it's
[00:36:19] going to suppress the pain. And when you
[00:36:21] stop using it, it's going to come back.
[00:36:24] So, if you don't go to the origin of the
[00:36:28] pain,
[00:36:29] >> Yes. and pain.
[00:36:32] I have a new book coming out in
[00:36:33] December, Change Your Brain, Change Your
[00:36:35] Pain. And I talk about this in the book.
[00:36:38] If you have chronic pain, um, say you
[00:36:40] have pain for 3 weeks or four weeks,
[00:36:44] well, pretty soon it's no longer in your
[00:36:46] back or just in your back. It's actually
[00:36:49] in your brain. That your brain with pain
[00:36:53] becomes remodeled.
[00:36:54] >> Yes.
[00:36:56] And pain is now felt
[00:36:59] in your back, but it's in your brain.
[00:37:02] And if you're really going to go after
[00:37:04] that chronic pain, you have to get your
[00:37:07] brain healthy. And so if you're using
[00:37:11] marijuana for the chronic pain, it's
[00:37:14] suppressing those pain centers, but it's
[00:37:17] not getting your brain healthy. And so
[00:37:21] when you stop the marijuana, the pain is
[00:37:23] just going to come back. And it's very
[00:37:27] important in the book I talk about the
[00:37:30] doom loop where you have pain for any
[00:37:33] reason which then triggers the suffering
[00:37:36] circuits in the brain that actually are
[00:37:39] the same ones for anxiety and
[00:37:41] depression. anxiety, depression, pain,
[00:37:43] the same circuits in the brain, which
[00:37:46] then triggers this flood of ants,
[00:37:48] automatic negative thoughts. I need
[00:37:50] surgery. I'll never be well, I'll always
[00:37:53] be in pain. Um, which then triggers
[00:37:56] muscle tension, which increases the pain
[00:38:00] and leads to bad habits. Uh,
[00:38:04] so not just marijuana. uh it could be
[00:38:08] overeating because of the marijuana and
[00:38:11] you end up into this cycle of the doom
[00:38:14] loop.
[00:38:15] >> Familiar to anyone who's had back
[00:38:17] problems.
[00:38:18] >> I'm sorry.
[00:38:18] >> That's familiar to anyone who's had back
[00:38:20] problems. You described it I think very
[00:38:22] well.
[00:38:23] >> But so marijuana is in your opinion as a
[00:38:26] physician helpful for a few
[00:38:30] just specific illnesses. glaucoma
[00:38:35] and low appetite. Why wouldn't the
[00:38:38] answer be to isolate whatever the
[00:38:40] compound is in marijuana that helps with
[00:38:42] appetite and glaucoma and and literally
[00:38:45] medicalize it, put it in a pill or some
[00:38:47] pharmaceutical form and then, you know,
[00:38:49] sell it like you would any other
[00:38:50] pharmaceutical.
[00:38:51] >> Well, they've done that for a long time.
[00:38:53] >> Oh, okay.
[00:38:54] >> I'm not the first one to think of that.
[00:38:56] Okay, so we have that. So, we have that
[00:38:58] and so why
[00:39:01] does it need to be legalized for
[00:39:04] everything
[00:39:05] and are we better off
[00:39:09] than we were before we did that? And the
[00:39:13] answer is absolutely we're not better
[00:39:14] off. We're in the worst mess that we've
[00:39:18] ever been and we need to be honest with
[00:39:20] ourselves. And I just I remember this
[00:39:25] crazy debate. So, it was a Democratic
[00:39:28] debate uh in 2020 um where
[00:39:33] um they asked Joe Biden whether or not
[00:39:35] the federal government should legalize
[00:39:38] marijuana and he said no. He said, "I
[00:39:41] don't think there's been enough study."
[00:39:43] And on national television, Cy Booker
[00:39:47] shamed him and he said, "Man, are you
[00:39:51] high like the science is settled and
[00:39:55] you're just crazy because you don't
[00:39:58] believe that." So a US senator is
[00:40:03] basically saying, "The science is
[00:40:05] settled. We should all get high." And
[00:40:07] I'm like,
[00:40:10] that was just such a terrible moment for
[00:40:12] me. I think I was screaming at the
[00:40:13] television.
[00:40:14] >> But I mean, does Cy Booker know
[00:40:19] like some science that you don't know?
[00:40:22] >> I No, you don't think so? You don't
[00:40:24] think?
[00:40:26] >> Yeah. Cory Booker.
[00:40:27] >> And I'm just a fan of the truth, of
[00:40:29] course.
[00:40:30] >> And my interest is to help you have a
[00:40:33] better brain because if you have a
[00:40:35] better brain, your marriage is better.
[00:40:38] You're a better dad. You make more
[00:40:40] money. Well, since you are a
[00:40:42] psychiatrist, I mean, what is the effect
[00:40:44] of like chronic marijuana use on
[00:40:46] marriages?
[00:40:48] >> Well, I just released a podcast with
[00:40:50] Julius Randall, um, NBA superstar. I
[00:40:54] love him. It's public knowledge now that
[00:40:56] I've been his doctor. It was ruining his
[00:41:00] marriage because his wife said he wasn't
[00:41:03] present,
[00:41:04] >> right? That he
[00:41:05] >> They already say that about men. So like
[00:41:07] you don't need encouragement to be more
[00:41:09] vacant or distant.
[00:41:12] >> Yeah, it's true that it had just changed
[00:41:15] his soul in the sense that he just
[00:41:17] didn't care about the things that were
[00:41:20] actually really important to him after
[00:41:24] he stopped and he asked himself those
[00:41:28] questions. What do I really want? It's
[00:41:31] no, I want to be married. I love my
[00:41:34] wife. I want to be a good dad. I want to
[00:41:36] be a present dad. And yes, I want to be
[00:41:40] great at my craft. Um, but there's so
[00:41:43] much more to me than just basketball.
[00:41:46] And when I met him, I learned that it
[00:41:50] was legal for NBA players
[00:41:53] that they just don't test them. So, they
[00:41:55] can be
[00:41:56] >> The league allows NBA players to use
[00:41:58] marijuana.
[00:41:59] >> Yes. So, there's no restriction on it.
[00:42:03] And you know, I guess it the only
[00:42:05] restriction is well, how do you play?
[00:42:08] And Julius thought he played better when
[00:42:12] he used, but in fact, he played better
[00:42:15] when he didn't use. He just had to be
[00:42:18] able to learn how to manage his mind.
[00:42:22] So, I'm not going to make fun of him for
[00:42:25] thinking that because people addicted to
[00:42:27] all kinds of substances become totally
[00:42:29] convinced that they operate at a higher
[00:42:31] level when they use those substances.
[00:42:34] You've seen that, I'm sure, a lot. Yes.
[00:42:36] And um
[00:42:40] once they s they generally don't believe
[00:42:42] it anymore.
[00:42:44] >> Fair.
[00:42:44] >> But you have to always ask when
[00:42:46] someone's using
[00:42:49] any substance. It's why,
[00:42:51] >> right?
[00:42:51] >> And there are biological reasons why
[00:42:54] they use it because it may decrease
[00:42:56] pain. Um there psychological reasons. It
[00:42:59] does decrease the chatter
[00:43:01] >> in your head. There social reasons
[00:43:04] because you fit in with the group you're
[00:43:06] using.
[00:43:07] >> Well, it wasn't that long ago that many
[00:43:08] Americans thought they were inherently
[00:43:10] safe from the kinds of disasters you
[00:43:11] hear about all the time in third world
[00:43:13] countries. A total power loss, for
[00:43:15] example, or people freezing to death in
[00:43:17] their own homes. That could never happen
[00:43:18] here. Obviously, it's America.
[00:43:22] People are recalculating, unfortunately,
[00:43:24] cuz they have no choice. The last few
[00:43:26] years have taught us that. Remember when
[00:43:28] the power grid in Texas failed in the
[00:43:30] dead of winter? Yeah, it happened and it
[00:43:33] could happen again. So, the government
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[00:43:37] they would be. And the truth is the
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[00:44:43] to shop the grid doctor for power you
[00:44:46] can trust this winter. Lastount
[00:44:49] supply.com. Can we stop on the second
[00:44:52] one? That it decreases the chatter in
[00:44:54] your head. I've had a couple uh very
[00:44:57] smart just high IQ friends who use
[00:45:00] marijuana for that reason and say they
[00:45:04] become more fluent, clearer thinking,
[00:45:07] more able to focus.
[00:45:10] You're suggesting that could be real.
[00:45:11] They're not making that up.
[00:45:13] >> No, it could be real, especially in the
[00:45:16] short run.
[00:45:18] >> Probably not in the long run.
[00:45:23] And I I always want people to do things
[00:45:26] that help them feel good now and later
[00:45:31] versus now
[00:45:33] but not later.
[00:45:35] >> Yes.
[00:45:36] And so, are there other ways
[00:45:41] to optimize your brain? And that's what
[00:45:45] I get so excited with players like
[00:45:49] Julius and some of the other people I've
[00:45:50] worked with is
[00:45:53] how can I help you be the very best you
[00:45:57] can be? So, it's not about taking broken
[00:46:00] people and putting them back together.
[00:46:02] It's about taking awesome people and
[00:46:04] helping them be more awesome. And
[00:46:08] looking at the brain for me, it
[00:46:11] literally changed everything in my life
[00:46:14] from the time I go to bed at night to
[00:46:17] what I eat to um
[00:46:22] what I do to make myself happy. It's I
[00:46:25] always want it to optimize my brain
[00:46:28] rather than steal from me. You know, I
[00:46:32] have six kids and I love them all
[00:46:34] dearly, but I never want to have to live
[00:46:36] with them. And so, you know, I covet my
[00:46:40] independence.
[00:46:42] And as I get older, I'm like, I need to
[00:46:45] be more serious because did you know 50%
[00:46:49] of people 85 and older, 50% of people 85
[00:46:54] and older will be diagnosed with
[00:46:56] dementia of one form or another. And it
[00:46:59] means if you're blessed to live to 85,
[00:47:02] you have a one in two chance of having
[00:47:06] lost your mind. And marijuana increases
[00:47:11] the risk of dementia.
[00:47:13] >> Really?
[00:47:14] >> Yeah. There's studies now and its use is
[00:47:19] skyrocketing in older people. So in
[00:47:23] Canada there was a study where 15 years
[00:47:27] ago um 5% of people over 50 used
[00:47:33] marijuana.
[00:47:35] Now it's 21%.
[00:47:38] The government of Canada, the government
[00:47:39] of the United States is encouraging
[00:47:41] that. Why would they be doing that?
[00:47:46] >> I don't know. It's just wrong thinking.
[00:47:49] >> Yeah.
[00:47:50] >> Because at best,
[00:47:52] >> we we don't want dementia increasing in
[00:47:56] the population. Alzheimer's is expected
[00:47:58] to triple by 2050.
[00:48:04] No. It's like, no. And I wrote a book
[00:48:07] many years ago called Preventing
[00:48:09] Alzheimer's and got no end of grief from
[00:48:12] it. Published it the year Reagan died.
[00:48:15] And
[00:48:16] they're like, "You can't do that. That's
[00:48:18] a false promise." And last year in the
[00:48:21] Lancet, there a review article came out
[00:48:25] and said 50% of Alzheimer's disease is
[00:48:28] preventable. And I'm like, I'm so
[00:48:31] excited. It's like yes, but in order to
[00:48:34] do that, you have to love your brain and
[00:48:36] take care of it.
[00:48:37] >> What are what are the without getting
[00:48:39] too technical,
[00:48:41] you know, steps that a layman can
[00:48:42] understand to reducing your risk of
[00:48:44] Alzheimer's would be what?
[00:48:45] >> So, I have an acronym I like called
[00:48:47] bright minds. You want to keep your
[00:48:48] brain healthy or rescue it, you have to
[00:48:50] prevent or treat the 11 major risk
[00:48:54] factors. And just quickly, B is for
[00:48:57] blood flow. Low blood flow is the number
[00:49:00] one brain imaging predictor of
[00:49:03] Alzheimer's disease. So what lowers
[00:49:05] blood flow? Hypertension
[00:49:07] being sedentary, alcohol, marijuana,
[00:49:12] nicotine,
[00:49:14] much caffeine, right? A little bit is
[00:49:17] fine, much not a good idea. Um R is
[00:49:21] retirement and aging. The older you get,
[00:49:23] the more serious you need to be. And you
[00:49:25] need to know what promotes aging.
[00:49:27] Marijuana promotes aging. And now new
[00:49:31] studies out that if you're under 50 and
[00:49:33] you use marijuana, you have a 600%
[00:49:37] increased risk of having a heart attack.
[00:49:39] So we know it has a
[00:49:41] >> 600%
[00:49:42] >> 600%.
[00:49:44] >> That seems significant.
[00:49:45] >> It seems significant. And um so we know
[00:49:48] marijuana has a negative impact on blood
[00:49:51] vessels,
[00:49:53] retirement and aging. Why is
[00:49:54] inflammation a major cause of depression
[00:49:58] and dementia? And so pro-inflammatory
[00:50:02] foods, so the ultrarocessed foods, low
[00:50:06] omega-3 fatty acids, and not flossing.
[00:50:09] Like of all things, a brain health
[00:50:12] strategy is floss every night.
[00:50:15] >> Floss your teeth.
[00:50:16] >> Floss your teeth. Do not get gum
[00:50:18] disease.
[00:50:18] >> You don't want low-grade infections in
[00:50:20] your mouth. And you don't want
[00:50:22] inflammation in your mouth. So it alters
[00:50:24] the microbiome or all the bugs in your
[00:50:27] mouth which then have a negative impact
[00:50:31] on your whole body. G is genetics. No,
[00:50:34] what's in your family? Like I have
[00:50:36] obesity and heart disease in my family,
[00:50:40] but I'm not overweight and I don't have
[00:50:42] heart disease. Why? I'm on an obesity,
[00:50:45] heart disease prevention program every
[00:50:48] day of my life because I don't want
[00:50:51] those things. We adopted our nieces
[00:50:55] because their parents were addicts and I
[00:50:59] tell them I said, "You have addiction in
[00:51:01] your family. You have need to be on an
[00:51:03] addiction prevention program."
[00:51:05] >> Amen.
[00:51:06] >> Every day of your life. And when I found
[00:51:08] the older one vaping, I grounded her for
[00:51:11] six months. I mean, we're like very
[00:51:14] serious about if you want to go that
[00:51:18] way.
[00:51:19] That's up to you, but I'm not going to
[00:51:21] do anything in my power to help you. Um,
[00:51:25] the second one, and this is so
[00:51:28] important, or the next one is H, head
[00:51:30] trauma. A major cause of psychiatric
[00:51:33] problems, but it's also a major cause of
[00:51:35] substance abuse. Because if you damage
[00:51:38] your frontal loes, which happens in 90%
[00:51:41] of people who who have head trauma, 90%
[00:51:44] of them, their frontal loes are
[00:51:46] involved.
[00:51:48] It decreases impulse control. Yeah.
[00:51:50] >> So you might know this isn't good for
[00:51:53] me, but if you want it, you do it rather
[00:51:57] than if you want it, you distract
[00:51:59] yourself. You make a better decision for
[00:52:03] yourself.
[00:52:05] Tea is toxins. Uh drugs,
[00:52:09] um alcohol,
[00:52:12] mold in your home can damage your brain
[00:52:15] and make you decrease your decision
[00:52:18] making. Um
[00:52:21] general anesthesia is toxic to your
[00:52:23] brain. And then the products we put on
[00:52:25] >> general anesthesia is toxic to your
[00:52:26] brain.
[00:52:27] >> General anesthesia. And like I'm a
[00:52:30] psychiatrist. Why do I know that?
[00:52:32] because one of my patients um who is an
[00:52:36] alcoholic who had a terrible looking
[00:52:38] brain. She got clean. Her brain looked
[00:52:40] great. She then had knee surgery calls
[00:52:43] me up crying. She goes, "I think I have
[00:52:46] Alzheimer's disease." And I'm like, "Did
[00:52:48] she relapse?" And so I scanned her. Her
[00:52:50] brain looked terrible again, but she
[00:52:52] didn't relapse. It was the effect of
[00:52:54] general anesthesia. And then I went to
[00:52:57] the literature and I'm like, "What does
[00:52:59] the literature say? The general
[00:53:01] anesthesia is hard on the brain and can
[00:53:05] increase the risk of dementia. And it
[00:53:08] doesn't mean you don't get surgery. It
[00:53:10] means probably should do some
[00:53:12] rehabilitation work if you have to get
[00:53:15] general anesthesia.
[00:53:17] >> So avoid it if you can. Don't take it
[00:53:19] lightly.
[00:53:20] >> Well, like people like in the pain book,
[00:53:23] this the one statistic that blew me away
[00:53:25] that really sort of nudged me to write
[00:53:27] the book.
[00:53:30] If you have back pain,
[00:53:32] >> yes,
[00:53:34] >> um, and you get an abnormal MRI,
[00:53:37] well, that scares the socks off of you,
[00:53:39] triggers the doom loop, and you're more
[00:53:42] likely to get surgery. Been there.
[00:53:43] >> But head to head against um,
[00:53:47] conservative care, surgery is no more
[00:53:50] effective, and it has a 21fold increased
[00:53:53] risk of side effects.
[00:53:56] And then this is the statistic
[00:54:00] people my age um 70
[00:54:05] 70% of us have abnormal backs who have
[00:54:09] no pain at all. H people who are 50 who
[00:54:12] have abnormal MRIs 50% of them have
[00:54:16] abnormal back MRIs and no pain at all.
[00:54:21] That means just because you have an
[00:54:24] abnormal
[00:54:25] MRI on your back or your neck or your
[00:54:28] shoulder
[00:54:30] doesn't mean surgery should be the first
[00:54:33] thing you do. But because there's an
[00:54:36] industry
[00:54:38] around surgery, that's often the first
[00:54:41] thing that's recommended.
[00:54:43] And I argue, well, let's do the
[00:54:46] conservative things with a brain boost
[00:54:49] first and then if you need it, you need
[00:54:51] it. Right? I'm not opposed to it. I'm
[00:54:54] just opposed to that's the first and
[00:54:57] only thing you do.
[00:55:01] Why aren't public health authorities
[00:55:03] um federal and state sounding the alarm
[00:55:06] about cannabis?
[00:55:08] Or are they?
[00:55:09] >> They're not. um state of California
[00:55:12] >> or at least in my state they're not
[00:55:15] because it's a revenue source because
[00:55:18] there's a political lobby. Um
[00:55:22] and
[00:55:24] it's shameful. I I I don't know how else
[00:55:27] to say it when when you really
[00:55:29] understand the research and now even
[00:55:32] more emerging research on anxiety,
[00:55:36] depression,
[00:55:38] suicide and psychosis. I think we should
[00:55:41] be
[00:55:43] much more concerned from a public health
[00:55:46] standpoint.
[00:55:47] >> When was the last time you heard a
[00:55:49] public health authority in the state of
[00:55:50] California say, you know, legalizing
[00:55:53] marijuana has been a disaster and here
[00:55:55] are the numbers on it?
[00:55:57] >> I don't think they say it because of the
[00:56:00] pressure um that's put on them not to
[00:56:03] say it.
[00:56:04] >> California is the largest marijuana
[00:56:07] growing state in the country. maybe the
[00:56:09] world. Certainly the highest potency,
[00:56:12] the best weed is grown in California,
[00:56:14] Menescino, Humble counties, all that
[00:56:16] famously. It's a huge part of the
[00:56:18] state's economy. And you think that's
[00:56:21] why they won't say it's bad.
[00:56:24] >> Yes. It's money and influence.
[00:56:30] >> So like we used to make fun of the, you
[00:56:33] know, congressman from Kentucky because
[00:56:36] he wouldn't say smoking caused cancer.
[00:56:39] How is that?
[00:56:39] >> It's the same thing.
[00:56:43] >> Yeah. You just look at power and power
[00:56:47] has to do
[00:56:49] with money
[00:56:52] and it's killing us and it breaks
[00:56:57] my heart to have all these young people
[00:57:00] think it's innocuous.
[00:57:02] And now along with the marijuana
[00:57:05] parties, they're having mushroom parties
[00:57:07] because I think mushrooms is going to go
[00:57:09] the same way as video games and we
[00:57:11] didn't talk about social media and cell
[00:57:13] phones. All of this stuff just unleashed
[00:57:16] on the population. Uh
[00:57:18] >> psilocybin mushrooms,
[00:57:19] >> but now psilocybin. Uh we have a
[00:57:22] daughter that's 22 and she's like, "Dad,
[00:57:27] um they're not drinking as much, but
[00:57:30] they're using mushrooms because they
[00:57:32] think they're innocuous, but the visits
[00:57:36] to emergency rooms for psilocybin
[00:57:40] psychosis has gone up significantly.
[00:57:43] It's a little harder to tell yourself. I
[00:57:45] mean, I smoked marijuana all through my
[00:57:47] childhood. I also hate a lot of
[00:57:48] mushrooms and but it's a little harder
[00:57:51] to tell yourself that mushrooms are like
[00:57:53] no big deal because you can flip right
[00:57:55] out on mushrooms. Like they eat enough
[00:57:57] and they're hallucinogenic. They inspire
[00:57:59] actual hallucinations.
[00:58:01] >> So how do you and maybe you're totally
[00:58:03] for that or maybe you're not but you
[00:58:06] can't say it's like drinking a cup of
[00:58:09] coffee. That's a profound thing. You see
[00:58:11] things that aren't there. That's by
[00:58:13] definition a big deal. No,
[00:58:14] >> it's absolutely a big deal. and uh
[00:58:18] they're studying it for PTSD and they're
[00:58:21] studying it for depression and and I'm
[00:58:26] for that. What I'm not for is it's good
[00:58:31] medicine.
[00:58:32] We should all do it
[00:58:34] >> that I think it
[00:58:36] >> No, it's kind of like weed in glaucoma.
[00:58:38] Okay, if it reduces your glaucoma
[00:58:39] symptoms, I mean, who how could you be
[00:58:41] against that? But there's a a huge
[00:58:45] distance between that conclusion and
[00:58:47] hey, it's totally safe. Everyone should
[00:58:48] use it,
[00:58:49] >> right?
[00:58:50] >> Like you'd take chemo if you had cancer,
[00:58:52] right? But you're not absolutely
[00:58:53] >> You wouldn't recommend your 8-year-old
[00:58:54] had chemo.
[00:58:55] >> Would hurt my brain.
[00:58:56] >> Right.
[00:58:58] >> Right. But then but I have to have chemo
[00:59:00] or I'll die. I get it.
[00:59:02] >> And so I need to rehabilitate my brain.
[00:59:05] And it's probably from the almost
[00:59:07] 300,000 scans I've done, the biggest
[00:59:11] lesson is I'm not stuck with the brain I
[00:59:14] have that I can make it better and I can
[00:59:17] prove it. Now I can also make it worse
[00:59:19] and I can prove that too, right? Every
[00:59:22] day I am making my brain better or I'm
[00:59:26] making it worse based on the choices
[00:59:30] that I make. And that's so exciting. And
[00:59:33] everybody gets really excited about
[00:59:35] neuroplasticity. Neuroplasticity is you
[00:59:38] can remodel
[00:59:41] your brain. But neuroplasticity goes
[00:59:44] both ways. Whatever you repeat,
[00:59:48] you model in your brain. Whatever you
[00:59:52] repeat becomes tracks
[00:59:55] that force you into that road, if you
[00:59:59] will. And so when I go to a restaurant
[01:00:03] and the first thing they ask you is, "Do
[01:00:07] you want a glass of alcohol?" when you
[01:00:10] go no over and over and over again.
[01:00:13] Well, no becomes strong in your brain.
[01:00:16] And so the temptation is low. If you say
[01:00:19] yes over and over and over again, that
[01:00:21] then becomes an automatic response. And
[01:00:25] so we're wiring our brains for health or
[01:00:30] illness
[01:00:32] um by the choices we make.
[01:00:36] >> Back to psilocybin really quick. Are
[01:00:38] what do we know about the risks of using
[01:00:40] it?
[01:00:41] >> That it can unbalance you.
[01:00:44] >> That is true. I can verify that deeply I
[01:00:47] mean completely unbalance you.
[01:00:49] >> Yes. Um that you want to use it again.
[01:00:52] Although alcohol, if you use alcohol,
[01:00:56] there's a 15% chance you'll get hooked
[01:01:00] on it.
[01:01:00] >> Really?
[01:01:01] >> 15%. If you use marijuana and you're
[01:01:05] young, there's a 17% chance. If you're
[01:01:09] older, it's only nine according to the
[01:01:12] latest research. So, alcohol
[01:01:16] and marijuana in the young have an
[01:01:19] addiction potential for sure. If you're
[01:01:22] older, alcohol is worse than marijuana.
[01:01:26] Um, psilocybin, that's one of the risks,
[01:01:30] although less so, it seems, than either
[01:01:34] alcohol or marijuana.
[01:01:35] >> Well, you can't function when you're
[01:01:37] tripping. So, it's not like you could,
[01:01:40] you know, eat four grams of mushrooms or
[01:01:43] whatever and like go to work. You can't.
[01:01:45] >> Well, and the doses in the studies, this
[01:01:47] is very important. It's 25 milligrams in
[01:01:51] the studies on depression
[01:01:54] and many people I know who micro dose
[01:01:57] are doing like 300 milligrams or 400
[01:02:00] milligrams. And so it is the wild west.
[01:02:07] I am a fan of lion's mane mushrooms.
[01:02:10] They have cognitive benefits and do not
[01:02:12] make you see things.
[01:02:14] What's
[01:02:16] so another one of what I call a weapon
[01:02:20] of mass destruction. Um
[01:02:24] it is an opiate agonist which means it
[01:02:29] increases the availability of opiates in
[01:02:33] the brain. It's clearly addictive and
[01:02:37] it's legal and it's often shown in it's
[01:02:41] often sold in gas stations and places uh
[01:02:48] like that.
[01:02:49] >> Yeah. The Indians run the gas station 50
[01:02:51] yards from here. It's it's only cratom
[01:02:54] for sale behind the counter. What I mean
[01:02:57] is it I've never tried it. Is how
[01:03:00] serious is it?
[01:03:02] Well, I've had a number of patients. Uh,
[01:03:05] in fact, I just did this great segment
[01:03:09] on KTLA in Los Angeles. So, um, I
[01:03:13] scanned, uh, Casey Mononttoya, who's the
[01:03:16] weather person. She, um, loves me and
[01:03:21] >> wanted to experience my work. And so, I
[01:03:23] scanned her and scanned her producer.
[01:03:25] >> And then we did them a year later. And
[01:03:28] they both did what I asked them to do.
[01:03:31] Casey's brain was better, like really
[01:03:34] better, but the producers's brain was
[01:03:38] worse. And it sort of broke my heart
[01:03:40] because, you know, I get attached to how
[01:03:42] brains do. And I'm like, why is it
[01:03:45] worse? He goes, I don't know. I've done
[01:03:46] this and I've done that. And
[01:03:50] then he texted me. He said, the only
[01:03:53] thing I did differently
[01:03:56] between the first scan and the second is
[01:03:57] I picked upratom.
[01:04:00] And I'm like, why did you pick upratom?
[01:04:03] >> Pick up mean started using.
[01:04:04] >> Started using
[01:04:06] and uh he was anxious something and he
[01:04:11] said friend told him it would be
[01:04:13] helpful. I'm like you need to stop
[01:04:15] because it's clearly damaging your brain
[01:04:21] and there's no it doesn't seem to be
[01:04:23] regulated in most places.
[01:04:24] >> It's not. No, it's in this sort of gray
[01:04:26] period where clearly it's legal. They've
[01:04:29] tried to ban it a couple of times, but
[01:04:31] theratom lobby uh gets to the regulators
[01:04:37] and uh I I'm hoping that at some point
[01:04:42] this administration looks at it.
[01:04:45] H
[01:04:47] um so compare the attitudes toward drugs
[01:04:50] in the United States just broadly vibe
[01:04:52] check in other words in 1982 compared to
[01:04:55] the attitudes you see now.
[01:04:58] I think in 1982 we were
[01:05:01] much more concerned about the long-term
[01:05:05] negative impact of drug use uh marijuana
[01:05:10] psilocybin
[01:05:12] uh
[01:05:14] than we are now. I I think just this
[01:05:17] sort of general lie
[01:05:20] that uh
[01:05:23] and we unleash these things without
[01:05:25] long-term neuroscience study because
[01:05:29] marijuana was banned. It got banned in
[01:05:31] 1937.
[01:05:33] uh
[01:05:35] they couldn't study it sort of like
[01:05:37] psilocybin
[01:05:39] and uh
[01:05:43] it it is just uh
[01:05:46] I see this as a psychiatrist and it just
[01:05:49] blows my mind how we unleash these
[01:05:52] things without actually taking the time
[01:05:54] to study them.
[01:05:56] >> Do other psychiatrists feel that way?
[01:05:59] >> Uh many of us do. I have 60
[01:06:02] psychiatrists that work with me at Amon
[01:06:04] Clinics and we all
[01:06:08] believe this and um
[01:06:11] there
[01:06:12] >> has the American Psychiatric Association
[01:06:14] taken a position on
[01:06:15] >> it. It's not a huge fan of marijuana as
[01:06:20] medicine. Um
[01:06:23] and most addiction societies are very
[01:06:28] concerned about it.
[01:06:32] Could you roll it back in the state of
[01:06:33] California right now?
[01:06:34] >> No,
[01:06:35] >> you couldn't. Oh, it's just it's that
[01:06:38] powerful. Not with the current
[01:06:39] administration,
[01:06:40] >> right?
[01:06:41] So are you suggest if there's going to
[01:06:43] be a different administration
[01:06:46] um
[01:06:48] it it will be hard but but I think the
[01:06:51] more we start caring about our brains.
[01:06:56] So the most important thing I'm doing
[01:06:58] right now is I'm working on creating a
[01:07:02] national brain health revolution. My
[01:07:05] goal is for everyone to ask themselves
[01:07:08] this one question. whatever I'm doing
[01:07:11] now, is it good for my brain or bad for
[01:07:15] it? And if I can accomplish this, then
[01:07:21] I think people will really start to ask
[01:07:24] themselves that question. Um,
[01:07:29] is it good for my brain or bad for it?
[01:07:31] And the thing most pressing is
[01:07:34] marijuana, psilocybin,
[01:07:36] cell phones, social media, AI
[01:07:40] that there's a brand new study out from
[01:07:42] MIT that evaluated
[01:07:46] uh smart kids who use AI to write their
[01:07:52] papers rather than just doing it
[01:07:54] themselves or just using Google had
[01:07:58] significantly less brain function.
[01:08:01] while they were doing that task. What
[01:08:03] that means is if I go to the gym and I'm
[01:08:06] used to lifting 25 lbs, so I could have
[01:08:09] strong arms. Um, it's now I go to the
[01:08:11] gym and I only lift 2 lbs. So, I'm not
[01:08:14] going to have strong
[01:08:14] >> Well, you don't go to the gym at all and
[01:08:16] you just sit in your chair and eat
[01:08:18] Doritos and
[01:08:19] >> farm it out, right? You're faring out
[01:08:22] the exercise. And we should be concerned
[01:08:26] >> about AI.
[01:08:27] >> About AI. Yeah. I mean, it's here and if
[01:08:31] you use it responsibly, it can be a
[01:08:33] helpful tool,
[01:08:36] but it's going to cause a lot of pain, I
[01:08:39] believe, and a lot less activity in the
[01:08:42] brain. And what's the thing that
[01:08:44] protects us against dementia?
[01:08:46] It's work. Brain work. The more I'm
[01:08:51] learning new things, the more I'm
[01:08:53] pushing my brain, well, the healthier
[01:08:56] it's going to be.
[01:08:58] It's in many ways like a muscle. And so
[01:09:03] I'm really good at reading brain scans.
[01:09:05] If I just kept doing that, I'm not
[01:09:07] learning new things. But if I figure out
[01:09:10] new and exciting ways to read the scans,
[01:09:13] well, that's good for me. Or I learn a
[01:09:16] sport or I learn um a language just to
[01:09:20] put it into a larger governance context.
[01:09:23] So like let's say you had a population
[01:09:24] that had been promised it was control it
[01:09:26] you know had control of its own
[01:09:27] government owned its own country and
[01:09:30] then for I don't know like 50 years you
[01:09:32] did nothing to serve their actual
[01:09:34] interests and you started to worry that
[01:09:35] they would rebel against you in some
[01:09:37] sort of violent revolution and you
[01:09:39] didn't want that wouldn't you do
[01:09:41] everything you could to make them dumber
[01:09:43] and more passive lower their
[01:09:44] testosterone
[01:09:45] levels lower their brain activity have
[01:09:49] someratom have some SSRIs here's a benzo
[01:09:52] go
[01:09:54] get fat. You're like, why wouldn't you
[01:09:56] want that if you wanted people to be
[01:09:58] docel?
[01:10:00] So, I wrote another book called The End
[01:10:02] of Mental Illness. And in it, I imagined
[01:10:07] if I was an evil ruler and I wanted to
[01:10:11] create mental illness,
[01:10:14] what would I do?
[01:10:15] >> What would you do?
[01:10:16] >> All of those things you just mentioned.
[01:10:19] Um, I would have little girls selling
[01:10:23] Girl Scout cookies. In fact, in the most
[01:10:28] brilliant evil ruler strategy, there was
[01:10:30] a Girl Scout who set up her cookie stand
[01:10:33] outside a pot dispensary in San Diego
[01:10:37] and within a span of like 3 hours
[01:10:41] completely sold out and had to get more
[01:10:44] product. And I'm like, that is brilliant
[01:10:48] evil ruler strategy stuff. It's got get
[01:10:52] little girls that are really cute to
[01:10:55] sell you sugar with trans fats in them
[01:10:59] to people who are smoking pot. I'm like,
[01:11:02] and and the marijuana with the highest
[01:11:06] level or one of the highest levels of
[01:11:09] THC is called Girl Scout cookies.
[01:11:14] So, it's so funny how, you know,
[01:11:16] Pavlov's principle just it holds true
[01:11:19] always. The second you say Girl Sky
[01:11:21] cookies, I was just carried away with
[01:11:22] thoughts of thin mints.
[01:11:24] I was the texture, the taste,
[01:11:28] >> but they don't love you back.
[01:11:30] >> No, they don't.
[01:11:32] >> So, I was at a
[01:11:34] >> I was at a lunchon recently with Lisa
[01:11:36] Trout, and
[01:11:38] >> I love Lisa Trout.
[01:11:39] >> Lisa and her husband, Kenny. um own
[01:11:43] raceh horses and they own Justify.
[01:11:46] >> Couple from Dallas, very nice people,
[01:11:49] >> love them. And I'm sitting next to her
[01:11:52] and I just had to do it because Justify
[01:11:55] run won the Triple Crown. And I'm like,
[01:11:59] "Would you ever feed Justify junk food?"
[01:12:03] And she rolled her eyes at me. Um she
[01:12:06] goes, "No." I said, "Would you ever get
[01:12:08] him stoned?" And she goes, "Of course
[01:12:11] not." I said, "Would you ever get him
[01:12:13] drunk?"
[01:12:15] And she just looked at me and I'm like,
[01:12:18] "Why?"
[01:12:20] He would never live up to his potential.
[01:12:27] So whatever you eat or whatever you
[01:12:31] drink or whatever you put on your body,
[01:12:35] I just another one of those questions.
[01:12:39] Do you love it? And does it love you
[01:12:42] back?
[01:12:44] Because if it doesn't love you back,
[01:12:47] don't do it.
[01:12:49] Right? And this is all about
[01:12:51] self-interest because I've learned you
[01:12:53] can't just tell people no because then
[01:12:55] like in the Garden of Eden, they're of
[01:12:57] course at the tree. It's like, but
[01:12:59] what's the goal? And people go, "Come
[01:13:02] on, Daniel. How can you have any fun?"
[01:13:05] And I'm like, "Well, who has more fun?"
[01:13:08] Right? cuz it what do you really want in
[01:13:11] your life? And I think most people are
[01:13:13] like me. They want energy. They want
[01:13:16] memory. They want clarity. They want
[01:13:18] creativity. They want passion.
[01:13:21] Well, that takes a great brain. And so
[01:13:25] it's like, "Oh, but you should just have
[01:13:27] a glass of wine." I'm like,
[01:13:30] "Well, I might love it, but it doesn't
[01:13:33] love me. So why would I engage in
[01:13:36] behaviors that don't love me back?
[01:13:40] I think there are spiritual effects of
[01:13:42] all of this. Dulling people physically,
[01:13:46] emotionally,
[01:13:48] you know, mentally, reducing their
[01:13:50] cognitive power, everything that you've
[01:13:52] just described makes it makes a person
[01:13:55] less likely to ask transcendent
[01:13:56] questions. I think
[01:14:00] >> less likely to ask any questions because
[01:14:02] they are
[01:14:04] their habit centers are in control
[01:14:08] rather than their purpose centers.
[01:14:12] >> What's a habit center?
[01:14:14] >> So it's the dopamine
[01:14:17] loop in the brain. So there's an area
[01:14:20] called the nucleus encumbent which is
[01:14:22] what responds to dopamine and gives you
[01:14:25] pleasure or pain. and um it's connected
[01:14:31] to the basil ganglia. It's part of the
[01:14:34] basil ganglia. If that takes over your
[01:14:38] life, you're just going to give in to
[01:14:40] whatever those habits created that. And
[01:14:44] it
[01:14:45] >> is that are you describing craving
[01:14:47] there?
[01:14:48] >> Well, there's a difference between
[01:14:51] wanting something
[01:14:53] and liking something. An addiction often
[01:14:57] goes to you want it but you don't
[01:15:00] necessarily like it anymore.
[01:15:02] >> Yes.
[01:15:03] >> And there's really this dance I often
[01:15:07] say between the elephant and the writer.
[01:15:10] So the elephant is your emotional brain
[01:15:14] and the writer is your prefrontal
[01:15:16] cortex. It has to
[01:15:19] control
[01:15:21] or break your emotional brain. So the
[01:15:25] four-year-old in you is not always in
[01:15:29] control. And when you hurt your frontal
[01:15:31] loes, so think of hitting soccer balls
[01:15:33] with your forehead repeatedly. That'll
[01:15:35] hurt your frontal loes or playing tackle
[01:15:38] football. Um now all of a sudden free
[01:15:42] will
[01:15:44] goes from perhaps 80%.
[01:15:48] To 40%.
[01:15:51] And then when you get stoned, well, now
[01:15:54] it's at 10%. Or you get drunk.
[01:15:59] It's this beautiful dance between your
[01:16:02] frontal loes and your emotional brain
[01:16:05] that often become disconnected in
[01:16:09] addiction.
[01:16:11] How hard is it to get off marijuana?
[01:16:14] Um, easier than some things. Julius got
[01:16:19] off after he saw a scan. I see that a
[01:16:22] fair amount when people go, "Oh, this is
[01:16:25] not really helping me. It's damaging
[01:16:28] me." Um, so he gets off or anyone gets
[01:16:31] off who's a daily user. They're millions
[01:16:34] of daily users. But what happens next?
[01:16:37] >> Well, it takes a while. It takes a
[01:16:39] couple of months, I think, for that to
[01:16:42] fully get out of their system. And it
[01:16:47] depends on do they get off and
[01:16:51] substitute brainhealthy behaviors that
[01:16:54] help rehabilitate their brain and that
[01:16:59] combination makes it easier to get off.
[01:17:02] If they get off and then replace it with
[01:17:06] vaping or replace it with sugar, um
[01:17:12] they're much more likely to relapse. And
[01:17:14] when you go to AA meetings, I always
[01:17:16] found this very interesting. They'd have
[01:17:19] the donuts and everybody's smoking and
[01:17:22] they're eating donuts and coffee with a
[01:17:24] lot of sugar. And I'm like, maybe we
[01:17:27] could replace those things with
[01:17:29] healthier things, healthier choices.
[01:17:31] >> People who get off uh particularly
[01:17:33] alcohol tend to go bonkers with sugar.
[01:17:37] What is that?
[01:17:38] Well, they're just trying to replace
[01:17:40] feeling good because sugar works on the
[01:17:42] dopamine centers of your brain as well.
[01:17:46] And I always thought, why isn't brain
[01:17:48] health part of addiction treatment
[01:17:51] centers? I wrote a book with David
[01:17:54] Smith. So David is the founder of the
[01:17:57] Hate Ashberry Free Clinic in San
[01:18:00] Francisco. He's the considered the
[01:18:02] father of addiction medicine. And um we
[01:18:07] wrote a book together called Unchain
[01:18:08] Your Brain: Breaking the Addictions That
[01:18:11] Steal Your Life. And in it, we put a
[01:18:13] brain healthy program for addiction
[01:18:17] treatment centers. And many of them
[01:18:19] around the country use that, which I'm
[01:18:22] so excited about. But um I rewrote the
[01:18:26] 12 steps in one of my books. I have a
[01:18:30] book called Your Brain Is Always
[01:18:31] Listening.
[01:18:32] >> That's audacious.
[01:18:33] >> I'm sorry. That's audacious to rewrite
[01:18:35] the 12.
[01:18:36] >> I thought it was a big deal, but I'm
[01:18:37] like, they haven't been rewritten since
[01:18:39] the 1930s.
[01:18:41] >> I said, what if a neuroscience
[01:18:42] >> at the Old Testament next
[01:18:45] rewrote the 12 steps? Well, I wouldn't
[01:18:48] start with step one. Step one is my life
[01:18:50] is out of control. Yeah.
[01:18:51] >> I would go step one is what do you want?
[01:18:55] Relationships, work, money, physical,
[01:18:58] emotional, spiritual health. What do you
[01:19:02] want? And step two
[01:19:05] is, is your behavior getting you what
[01:19:08] you want? Obviously, it's not. Step
[01:19:11] three, let's go get your brain healthy.
[01:19:15] Brain health is three things. Brain
[01:19:17] envy, got to care about it. Avoid things
[01:19:19] that hurt it. Know the list. Do things
[01:19:22] that help it. Know the list. That's got
[01:19:27] to be the next step. Because with a
[01:19:30] healthy brain, you're less likely to
[01:19:33] relapse. Or if you relapse, you don't
[01:19:36] see it as a failure. Because every day,
[01:19:39] and this is what Julius and I did, every
[01:19:41] day you win or you learn is you take a
[01:19:45] curiosity mindset into the problem
[01:19:49] rather than a shame mindset into the
[01:19:52] problem. I failed. It's like, well,
[01:19:55] let's look at it. Um, and if you can
[01:19:58] understand, do you know when people
[01:20:00] relapse? When they have low blood sugar,
[01:20:03] when they've gone too long without
[01:20:06] eating, they're more likely to relapse.
[01:20:09] >> That's 100% true.
[01:20:10] >> So, like carry nuts with you um or just
[01:20:16] something with you all the time so you
[01:20:18] don't get hungry.
[01:20:21] And
[01:20:22] >> why why does hunger cause relapse, low
[01:20:24] blood sugar? is it lowers blood sugar.
[01:20:26] When you get lower blood sugar, you have
[01:20:28] lower frontal lobe function. Really,
[01:20:31] it's so interesting. And there's this
[01:20:33] fascinating study where they took 107
[01:20:36] couples at married couples and they
[01:20:40] measured their blood sugar right before
[01:20:42] bedtime and then they gave them voodoo
[01:20:44] dolls and they asked them to rate
[01:20:49] their feelings about their partner with
[01:20:53] pins in the dolls. And so they measured
[01:20:56] their blood sugar. And the people who
[01:20:58] had the lowest blood sugar had more than
[01:21:00] twice the number of pins in the voodoo
[01:21:03] dolls. I thought that was fascinating.
[01:21:06] >> That is fascinating.
[01:21:07] >> Yeah.
[01:21:09] >> So, you listed the things that make your
[01:21:12] brain smaller and less functional. What
[01:21:14] are the things that make it bigger and
[01:21:16] better?
[01:21:17] >> So, if we go back to bright minds, blood
[01:21:20] flow, it's clearly exercise. Um, and I
[01:21:24] think coordination exercises and
[01:21:28] strength training are both really
[01:21:30] important for blood flow, retirement,
[01:21:33] and aging is learn new things. And
[01:21:36] everybody should get blood work every
[01:21:37] year, I think. And one of the tests you
[01:21:40] should always get is feritin. So ferotin
[01:21:42] is a measure of iron storage. And if
[01:21:45] your iron is high, it promotes aging.
[01:21:49] Um, and you should donate blood twice a
[01:21:52] year. So, donating blood twice a year
[01:21:55] for people who have high veritin levels,
[01:21:57] good for their brain, good for the
[01:21:59] >> So, there was something behind the whole
[01:22:00] leech idea.
[01:22:02] >> Well, it's so funny. Tana and I were in
[01:22:06] uh Istanbul. Uh, we went to the spice
[01:22:09] market and they had leeches for sale in
[01:22:11] the spice market. And I'm look at my
[01:22:13] wife and I'm like, why did they have
[01:22:15] leeches for sale here? and she's a
[01:22:18] neurosurgical ICU nurse and she said cuz
[01:22:22] they suck blood and it can help wounds
[01:22:26] heal and it also takes off excess iron.
[01:22:30] Now, if your iron levels are low, it's a
[01:22:33] very bad thing. Don't do that. Um,
[01:22:36] >> so you wouldn't recommend leeches for
[01:22:38] everyone?
[01:22:39] >> No.
[01:22:41] Uh, as far as inflammation, omega-3
[01:22:43] fatty acids, I think everybody should
[01:22:45] probably take fish oil or an omega-3
[01:22:48] supplement, um, healthy, uh, fish.
[01:22:52] People who eat grilled or baked fish
[01:22:54] once a week have more gray matter in
[01:22:57] their brain. I think you should floss
[01:23:00] regularly, take care of your teeth. Uh,
[01:23:03] curcumin is a wonderful
[01:23:06] anti-inflammatory supplement. also
[01:23:09] saffron for so many reasons. Um
[01:23:12] >> what's curcumin?
[01:23:13] >> Curcumin is a spice from turmeric. So
[01:23:18] turmeric
[01:23:18] >> also called cumin.
[01:23:20] >> Not called cumin. It's different.
[01:23:22] Curcumin. Uh very popular in India and
[01:23:27] curries. Uh curcumin is one of the
[01:23:30] components of it that has specific
[01:23:33] anti-inflammatory
[01:23:35] effects. And there's studies showing it
[01:23:38] decreases depression because depression
[01:23:41] and inflammation, inflammation is one of
[01:23:43] the causes of depression. Um, from
[01:23:48] genetics, like know what your risks are
[01:23:50] and be on a prevention program every
[01:23:52] day. Don't text and drive so you have a
[01:23:55] head injury and avoid toxins. Right? So,
[01:23:59] I'm not a fan of drugs or alcohol, but
[01:24:02] there's an app I like called Think
[01:24:04] Dirty. It allows you to scan your
[01:24:06] personal products and it'll tell you on
[01:24:08] a scale of 1 to 10 how quickly they're
[01:24:10] killing you. And so just start reading
[01:24:13] the ingredients. What are personal
[01:24:15] products? Like
[01:24:16] >> shaving cream. Like for years I shaved
[01:24:19] with Barbol. And when I scanned it, um
[01:24:23] zero is live a long time. 10 is die
[01:24:26] early. Barbasol's a nine. And I'm like,
[01:24:29] "Oh, I don't want to do that." And so I
[01:24:32] now shave with something called Kiss My
[01:24:34] Face. Used it this morning and it's a
[01:24:37] two, right? It doesn't have toxic toxins
[01:24:40] in the personal product. So think
[01:24:43] deodorant, shampoo, body wash, lotions,
[01:24:47] things along that line. Read the labels.
[01:24:50] Right? Most people are smart enough now
[01:24:52] that they're reading food labels. They
[01:24:54] need to read product labels. Um the M,
[01:24:58] we didn't talk about the M, but that's
[01:24:59] mental health. If you're depressed as a
[01:25:02] woman, it doubles your risk of
[01:25:04] Alzheimer's disease. If you're depressed
[01:25:07] as a man, it quadruples your risk of
[01:25:11] Alzheimer's disease. And now we know new
[01:25:14] studies, SSRIs increase the risk of
[01:25:17] dementia. Like holy smokes. And so, but
[01:25:22] significantly
[01:25:23] >> significantly head-to-head against SSRIs
[01:25:27] or head-to-head against
[01:25:28] anti-depressants.
[01:25:30] Walking like you're late for 40 minutes,
[01:25:33] 45 minutes, four times a week, equally
[01:25:36] effective. Taking fish oil equally
[01:25:40] effective to anti-depressants in a study
[01:25:42] from New Zealand was actually more
[01:25:44] effective. Um, learning not to believe
[01:25:47] every stupid thing you think. Cognitive
[01:25:50] behavior therapy works for depression.
[01:25:52] Pushing away those thoughts,
[01:25:55] not pushing them away, engaging them. I
[01:25:58] teach you how to do it. It's really fun.
[01:26:00] And then Saffron is a brand new study
[01:26:03] out. They looked at um 192 studies on
[01:26:08] 17,000 people looking at what
[01:26:10] supplements actually had scientific
[01:26:13] evidence that they worked for
[01:26:16] depression. And saffron in many studies
[01:26:19] was equally effective to
[01:26:21] anti-depressants. And if you added zinc,
[01:26:24] >> saffron,
[01:26:25] >> saffron, if you added zinc and
[01:26:27] curcumans, even more effective. And the
[01:26:30] supplement Sammy, they those were the
[01:26:33] ones that had good scientific evidence
[01:26:37] that they were effective. And I love
[01:26:40] saffron and I've taken it every day for
[01:26:43] six years. Why? Studies for mood. I'm
[01:26:46] I'm not depressed, but I'm happy to be
[01:26:47] happier. Studies for memory, and it's
[01:26:52] pro-sexual
[01:26:53] rather than SSRIs, which sort of numb
[01:26:57] your sex drive and make it harder to
[01:26:59] have an orgasm. So, I'm like, so what
[01:27:02] would I do? Prozac or saffron, zinc, and
[01:27:06] curcumins? I'd do saffron. Um,
[01:27:10] immunity infections, we haven't talked
[01:27:11] about this. I would know your vitamin D
[01:27:14] level and I would optimize it. 60 70% of
[01:27:19] the population in America has suboptimal
[01:27:22] levels
[01:27:22] >> and that's because they don't go outside
[01:27:24] or they're
[01:27:25] >> sunscreen.
[01:27:26] >> Yeah.
[01:27:26] >> And because they're not going outside,
[01:27:29] >> but we've been told that skin cancer is
[01:27:31] the real threat.
[01:27:32] >> Yeah. But since we've been told that
[01:27:34] skin cancer has gone up, not down.
[01:27:37] Now I think
[01:27:38] >> Well, how does that work? Not not well,
[01:27:42] >> right? No way. It's like the
[01:27:44] dermatologist won. They made us afraid
[01:27:47] of the sun,
[01:27:49] >> but we need the sun. We were made in the
[01:27:52] sun or we evolved in the sun and we need
[01:27:56] our vitamin D level to be at a healthy
[01:28:01] range. Now, don't go crazy with it cuz
[01:28:03] then you'll end up with kidney stones.
[01:28:06] But you want to know it, right? You
[01:28:09] can't change what you don't measure.
[01:28:12] You want to know it and then work to
[01:28:14] optimize it either by getting more sun
[01:28:18] or supplementing it. It's so important.
[01:28:22] And eating garlic, mushrooms, and onions
[01:28:27] help support immunity. So the second eye
[01:28:30] in bright minds is immunity and
[01:28:32] infections. And I believe infectious
[01:28:35] disease psychiatry, it's going to be a
[01:28:38] major branch of psychiatry in 50 years.
[01:28:41] And like CO for example,
[01:28:44] flamed the brain. It was so interesting
[01:28:48] cuz when CO first started, I mean, I
[01:28:50] have all these patients and they would
[01:28:53] get COVID and they get anxious or they
[01:28:54] get depressed or they get psychotic.
[01:28:57] You could see it on their scans where
[01:28:59] their emotional brains became
[01:29:01] dramatically
[01:29:03] overactive and if you have long co it's
[01:29:07] damaging your brain. You can actually
[01:29:09] see it on skin. CO I mean I think that's
[01:29:12] true. I mean it's true anecdotally in my
[01:29:15] life get people at the you know the low
[01:29:18] point of COVID were depress people who
[01:29:20] had COVID and those few days were you
[01:29:23] know it can get difficult. It affected
[01:29:25] their emotional condition a lot. Why?
[01:29:30] >> So if you get CO
[01:29:32] in the next six months, you have a 25%
[01:29:35] increased risk of having a new onset
[01:29:38] psychiatric illness. And what our scans
[01:29:41] taught us, it caused inflammation
[01:29:44] that targeted your emotional brain. And
[01:29:48] so the way to help that is omega-3 fatty
[01:29:54] acids decrease inflammation. Curcumans
[01:29:58] decrease inflammation. Queretin, another
[01:30:01] supplement, decreases
[01:30:03] inflammation. And then make sure you're
[01:30:07] on an anti-inflammatory
[01:30:09] diet where you're not eating processed
[01:30:11] foods, much sugar, or much simple
[01:30:15] carbohydrates. This is a fascinating
[01:30:17] study from the Mayo Clinic where they
[01:30:19] looked at people who had a fat-based
[01:30:22] diet. So, think avocados, nuts and
[01:30:25] seeds, green leafy vegetables, salmon,
[01:30:29] healthy oils,
[01:30:31] um 40% less risk of getting Alzheimer's
[01:30:35] disease. People at a simple
[01:30:37] carbohydrate-based diet, bread, pasta,
[01:30:39] potatoes, rice, fruit juice, sugar, a
[01:30:43] 400% increased risk of Alzheimer's
[01:30:47] disease. The D in bright minds is
[01:30:50] diabetes. You do not want that. It's a
[01:30:53] combination of being overweight and
[01:30:56] having high blood sugar. It's a disaster
[01:31:00] for the brain. So, when I get my
[01:31:01] overweight, pre-diabetic patients, I'm
[01:31:04] like, if you want to love your life for
[01:31:06] the rest of your life, we got to get
[01:31:08] this under control. Um, the N is neuro
[01:31:12] hormones. Talked about testosterone a
[01:31:14] little bit. And the S is sleep. So, all
[01:31:17] of those things are the bad things and
[01:31:20] the good things to do for your brain,
[01:31:22] but it all boils down to is this good
[01:31:25] for my brain or bad for it?
[01:31:28] You can tell if someone is pre-diabetic,
[01:31:32] overweight. It's evident on the brain
[01:31:34] scan.
[01:31:36] >> Yes. Their brain scans look older than
[01:31:39] they are.
[01:31:41] >> And that's reversible.
[01:31:44] Absolutely.
[01:31:46] Now, the earlier you get it, the better,
[01:31:48] right? If you have somebody with stage 4
[01:31:50] Alzheimer's, I'm probably not going to
[01:31:51] make the biggest difference in their
[01:31:54] life. But if they have stage one or two
[01:31:57] or they have mild cognitive impairment,
[01:32:00] it's like let's go. Let's go after.
[01:32:03] >> Really?
[01:32:04] >> My favorite story, one of them is Nancy.
[01:32:07] So I did a big NFL study at a time when
[01:32:10] the NFL was sort of lying about
[01:32:12] traumatic brain injury in football was
[01:32:15] 2007, 2008, 2009. And Ray White was one
[01:32:20] of our players. He played linebacker at
[01:32:24] um for the San Diego Chargers and he
[01:32:27] joined my study so I would see his wife
[01:32:29] who had frontal temporal lobe dementia
[01:32:31] which is wicked dementia and at a young
[01:32:35] age
[01:32:36] >> she was in her mid-50s
[01:32:39] and um the doctor at UC San Diego told
[01:32:43] her told Rey you should find a home for
[01:32:45] her.
[01:32:46] >> Oh gosh. because within a year she is
[01:32:48] not going to know your name. And he was
[01:32:52] mad and he was sad and he said, "Could
[01:32:54] you just tell me your opinion?" And we
[01:32:56] scan Nancy
[01:32:58] and she had frontal temporal lobe
[01:33:00] dementia. You could see it on the scan.
[01:33:02] The whole front part of her brain was
[01:33:04] severely low in activity.
[01:33:08] And I said, I agree with the diagnosis,
[01:33:11] but if she was my wife and I like my
[01:33:15] wife, I would do all these things,
[01:33:19] basically all the Bright Minds
[01:33:20] interventions, plus put her in a
[01:33:22] hyperbaric chamber, make sure she stops
[01:33:24] drinking, alcohol, optimize her
[01:33:26] hormones.
[01:33:28] 10 weeks later, they came back and I
[01:33:30] scanned her. Her brain was better.
[01:33:32] Wasn't normal, but it was dramatically
[01:33:35] better. And Ry had lost 30 lbs. in those
[01:33:38] 10 weeks. And I'm always getting trying
[01:33:40] to get my NFL players to lose weight.
[01:33:42] And I'm like, "How did you do that?
[01:33:47] How did you lose 30 lbs?" He said, "I
[01:33:51] knew if I modeled a brainhealthy life,
[01:33:56] she would do it, too."
[01:34:00] And it just hit me that sometimes
[01:34:03] motivation is about love. He loved his
[01:34:05] wife.
[01:34:06] >> Yes. And as he got healthy, she did
[01:34:09] better. Now, frontal temporal lobe
[01:34:11] dementia is awful. And it was a war. But
[01:34:16] 5 years later, she was still home. Wow.
[01:34:20] And I thought that was a huge win.
[01:34:24] So you you're confident that this
[01:34:26] intervention slowed the progression?
[01:34:28] >> Absolutely.
[01:34:31] >> What causes frontal temporal lobe
[01:34:33] dementia?
[01:34:34] >> We don't know. Um, sometimes it's
[01:34:37] repetitive trauma, sometimes it's an
[01:34:40] infection. Um, but by and large that's
[01:34:42] one of the ones we don't know what
[01:34:44] causes it.
[01:34:47] Why is Alzheimer's sometimes referred to
[01:34:49] as diabetes type three?
[01:34:52] >> Because if you have diabetes and you're
[01:34:54] overweight, you're much more likely to
[01:34:57] have Alzheimer's disease. Do you think
[01:35:00] that the rise in Alzheimer's which is
[01:35:02] also I think real we can say it's not
[01:35:04] just a matter of you know extended
[01:35:06] lifespan or improved diagnosis but
[01:35:08] there's actually more Alzheimer's right
[01:35:10] >> yes
[01:35:10] >> is that directly related to food I think
[01:35:13] it's directly related to all 11 of those
[01:35:16] risk factors
[01:35:18] so for example if you have sleep apnoa
[01:35:21] where you snore loudly you stop
[01:35:22] breathing at night you're tired during
[01:35:24] the day that triples your risk of
[01:35:28] Alzheimer's
[01:35:29] I I I think it's all of these things
[01:35:32] going together and we bought this huge
[01:35:35] lie that Alzheimer's is caused by an
[01:35:39] increase in beta amaloid plaque
[01:35:41] formation in the brain. Um but when they
[01:35:45] develop medicines and vaccines against
[01:35:48] beta amalloid that didn't work and we
[01:35:51] have a couple that are now FDA approved
[01:35:53] but they don't work very well and
[01:35:55] they're very expensive. It's you have to
[01:35:59] go after all the risk factors as early
[01:36:03] as you can. I think all of us should be
[01:36:06] on an Alzheimer's prevention program
[01:36:08] which is the same program to prevent
[01:36:10] depression.
[01:36:12] H and it's basically it's healthy
[01:36:14] living.
[01:36:17] It's basically answering that one
[01:36:19] question. Whatever you're doing today,
[01:36:21] good for your brain or bad for it.
[01:36:24] So that goes to food. It goes to the
[01:36:27] time you go to bed. It goes to your
[01:36:28] interactions. And it also goes to not
[01:36:31] believing every stupid thing you think.
[01:36:34] So, we talked earlier about pushing away
[01:36:36] the bad thoughts. I don't want you to
[01:36:37] push away. I want you to write them
[01:36:39] down.
[01:36:40] >> Write them down.
[01:36:41] >> Write them down
[01:36:42] >> where no one can see them.
[01:36:43] >> Well, that's up to you. Um,
[01:36:47] but it's like, and that just go, is it
[01:36:51] true? I don't know if you know my friend
[01:36:54] Byron Katy. She's got this elegant way
[01:36:57] of killing the ants, the automatic
[01:36:59] negative thoughts. So, my wife never
[01:37:02] listens to me. I've had that thought.
[01:37:07] And if you don't question a thought, you
[01:37:10] believe it. And then you act as if it's
[01:37:12] true, even if it's a lie. And so, my
[01:37:17] wife never sort of listens to me. Write
[01:37:18] it down. Is that true? No.
[01:37:23] I've written 19 public television
[01:37:25] specials. She's listened to every script
[01:37:27] now. Maybe only once, but that's all I
[01:37:29] need to.
[01:37:31] >> Um, the second question is, is it
[01:37:34] absolutely true with the 100% certainty?
[01:37:37] You know that thought's true?
[01:37:39] >> No. How does that thought make you feel?
[01:37:43] Terrible.
[01:37:45] Isolated, alone.
[01:37:48] How does it make you act distant,
[01:37:50] irritable with her? What's the outcome
[01:37:52] of that thought? She'll not listen to
[01:37:54] you.
[01:37:56] Um, the fourth question is, how would I
[01:37:58] feel if I didn't have the thought?
[01:38:02] Fine. How would I act? Normal. What's
[01:38:06] the outcome? Happier.
[01:38:09] The fifth question is my favorite one.
[01:38:11] take the original thought, Tana never
[01:38:14] listens to me, and turn it to the
[01:38:16] opposite,
[01:38:18] Hannah does listen to me, and then I
[01:38:21] could list all the times she does. And
[01:38:24] that way, rather than allow the thought
[01:38:26] to fester, see, if you just push it
[01:38:27] away, it's still there, but now I've
[01:38:31] gone into the heart of it and I've
[01:38:32] killed it
[01:38:34] and it doesn't bother me. It's so
[01:38:37] effective and I have my patience. If you
[01:38:39] just do that 30 times, take the worst 30
[01:38:43] thoughts that come in your head.
[01:38:48] Like one of my patients, I'm a
[01:38:49] pedophile.
[01:38:51] Like, whoa, is that true?
[01:38:55] Well, I have those thoughts.
[01:38:58] Well, is it absolutely true? Says, I've
[01:39:00] never touched anybody.
[01:39:03] How does that make you feel like a
[01:39:05] criminal? Well, how would you feel if
[01:39:07] you didn't have the thought? Normal.
[01:39:12] What's the opposite of that thought? I'm
[01:39:13] not a pedophile.
[01:39:15] You have any evidence of that? So, I've
[01:39:17] never touched anyone inappropriately.
[01:39:20] Right. Just because you have a thought,
[01:39:24] it's like all of us have crazy thoughts.
[01:39:27] Yes. All of us. Like this is going to
[01:39:31] sound really crazy, but
[01:39:34] we have two dogs and I love them both.
[01:39:38] But the German Shepherd loves my wife
[01:39:40] like way more than me.
[01:39:42] >> Yeah.
[01:39:42] >> I come home and he's like, "Hey, dude.
[01:39:44] What's up?"
[01:39:46] >> She comes home. It's like, "Oh my god, I
[01:39:50] love you so much. This is where have you
[01:39:52] been? I've been longing for you." I
[01:39:55] mean, she's just nuts.
[01:39:57] and he was in my office cuz when she's
[01:40:00] not around, he loves me and he comes
[01:40:02] hanging out with me. And then I just had
[01:40:05] the thought, you know, if I killed my
[01:40:07] wife, he would love me more.
[01:40:09] >> Yeah, that's that's a that's a one
[01:40:11] answer for sure. And then I'm like,
[01:40:16] yeah, but no,
[01:40:19] no, we're not killing her. And it's just
[01:40:25] your brain. Jerry Seinfeld said this.
[01:40:28] Your brain is a sneaky organ. We all
[01:40:31] have weird, crazy, stupid, sexual,
[01:40:36] violent thoughts that nobody should ever
[01:40:39] hear.
[01:40:41] And just because you have a thought has
[01:40:43] nothing to do with whether or not it's
[01:40:44] helpful, whether or not it's true. Um,
[01:40:47] and it may not even be related to what
[01:40:49] you want at all. Not at all. And there's
[01:40:53] a verse in the New Testament I like.
[01:40:56] Romans 12:2,
[01:40:58] be transformed by the renewing of your
[01:41:01] mind. And most Christians know that, but
[01:41:04] they don't know the second part of it.
[01:41:06] Then you can test to see if it fits
[01:41:12] God's good, perfect, and pleasing will.
[01:41:16] And murdering Tana does not fit God's
[01:41:19] good, perfect, or pleasing will. And in
[01:41:22] fact, will not make me happy cuz I love
[01:41:24] her so much more than I love the dog.
[01:41:26] >> Of course,
[01:41:27] >> right? But just having a thought, it's
[01:41:31] just like the weather. It's like, oh,
[01:41:35] it's a storm and I can take that thought
[01:41:38] captive
[01:41:40] and I don't have to believe it. There's
[01:41:42] nowhere in school where we teach kids to
[01:41:46] manage their minds. And so if they get
[01:41:49] these crazy thoughts,
[01:41:52] they think they're bad
[01:41:56] and they don't know how to deal with it.
[01:41:58] So they smoke, but
[01:42:01] to manage it and then that becomes the
[01:42:04] habit loop of their life.
[01:42:07] It's a familiar
[01:42:09] familiar process I think for most people
[01:42:11] listening.
[01:42:13] One question that arises where do those
[01:42:14] thoughts come from?
[01:42:17] >> It's a great question and because the
[01:42:21] thoughts may actually not be yours.
[01:42:22] >> Well, that's my distinct impression that
[01:42:25] we're under we're under, you know,
[01:42:27] attack or at least outside influence.
[01:42:29] >> Well, it came from a different
[01:42:30] generation.
[01:42:32] There's a book I love called It Didn't
[01:42:34] Start with You. And on our podcast,
[01:42:37] Change Your Brain Every Day, we
[01:42:38] interviewed Mark Woolen and he talks
[01:42:41] about how trauma gets passed down
[01:42:45] through generations.
[01:42:47] That trauma causes epigenetic changes,
[01:42:51] these little switches on your genes, and
[01:42:54] it makes you more vulnerable to anxiety,
[01:42:56] depression, and the thoughts that are
[01:42:58] associated with those things. And it may
[01:43:01] have nothing to do with you um
[01:43:03] >> or any experience that you have had
[01:43:05] >> or any experience you
[01:43:06] >> So are you saying that that it like you
[01:43:09] arrive in this world with it encoded in
[01:43:11] your genes?
[01:43:12] >> Yes. That we're not blank slates that
[01:43:15] what happened
[01:43:18] in the people before us. So like
[01:43:21] aspartame can affect generations.
[01:43:25] So can trauma. And there was a lot of
[01:43:29] study done on this of children and
[01:43:32] grandchildren of people in the Holocaust
[01:43:35] and how it changed the chemistry in
[01:43:38] their bodies making them more vulnerable
[01:43:42] to having depression, anxiety, and PTSD.
[01:43:45] It's also been found to be true for the
[01:43:47] children of the soldiers who enter Iraq
[01:43:50] and Afghanistan that they have a higher
[01:43:53] incidence of mental health issues. But
[01:43:55] what you're saying is not just that they
[01:43:56] picked it up at the dinner table. You
[01:43:58] know, mom and dad are traumatized,
[01:43:59] therefore I am too. It's something that
[01:44:02] is physical in origin. It was genetic.
[01:44:05] >> Yes. That it's biological and
[01:44:08] psychological. So all those circles,
[01:44:11] they all work together all the time.
[01:44:15] >> Why do you fix that?
[01:44:18] >> Well, what you recognize those thoughts
[01:44:19] aren't you?
[01:44:20] >> Yeah. is you just write them down and
[01:44:24] you evaluate.
[01:44:25] >> Do you ever have those nonsense
[01:44:27] thoughts? Evaluate them and find them
[01:44:28] true like there is a monster under the
[01:44:30] bed.
[01:44:30] >> Well, sometimes. Well, sometimes, right?
[01:44:34] >> All your fears come true
[01:44:35] >> cuz the goal is never positive thinking.
[01:44:39] That's not the goal. The goal is
[01:44:42] accurate thinking with a positive spin.
[01:44:47] I just published a huge study on 7,500
[01:44:50] people on negativity and negativity is
[01:44:54] bad for your brain. Negativity actually
[01:44:58] causes your prefrontal cortex frontal
[01:45:00] loes to be lower in activity. And so um
[01:45:06] so I'm not a fan of negativity, but I am
[01:45:10] a fan of being honest. And that just
[01:45:14] resonates the the most with me. Um, so
[01:45:21] the pedophile, he he wasn't a pedophile.
[01:45:24] It was the worry. It was the thought.
[01:45:26] >> Of course, it's like jumping off a tall
[01:45:27] building, you know? It's like, I don't
[01:45:29] want to get near the edge. I could jump,
[01:45:31] >> right? It's just a rogue thought has
[01:45:34] gone wrong. And one of the exercises I
[01:45:36] give my patients is give your mind a
[01:45:39] name so you can gain psychological
[01:45:43] distance from the noise in your head. I
[01:45:46] learned that from my friend Steven Hayes
[01:45:48] and he was on our podcast and I'm like
[01:45:50] give your mind a name. I'm like well
[01:45:52] what would I name my mind? Be
[01:45:55] interesting to hear what you'd name your
[01:45:56] mind but I named mine after my pet
[01:45:58] raccoon. I had a pet raccoon when I was
[01:46:00] 16 and I loved her. Um, but she was a
[01:46:05] troublemaker. She teepeeed my mom's
[01:46:07] bathroom. Oh, yeah. She um ate all the
[01:46:10] fish out of my sister's aquarium. She'd
[01:46:13] leave raccoon poo in my shoes. And
[01:46:16] that's my mind. So, I named my mind
[01:46:19] Hermy. That was her name because I
[01:46:21] didn't know it was a girl when I got
[01:46:22] her. And I just watched the movie The
[01:46:24] Summer of 42. And Hermy was the main
[01:46:26] character and I loved him. And
[01:46:29] whenever my mind starts to act up
[01:46:32] metaphorically,
[01:46:34] I'll put her on her back and just start
[01:46:36] tickling her. I'm like, "Come on, we can
[01:46:38] do better than this." So, I'm not
[01:46:41] punitive to myself. I'm a cheerleader.
[01:46:44] And I realize I am not my thoughts.
[01:46:48] >> Don't Don't take yourself too seriously.
[01:46:50] >> Absolutely not. And and does it fit?
[01:46:53] Right. It's another one of those
[01:46:54] questions.
[01:46:56] Does this thought
[01:46:58] fit my goals or does it fit God's good,
[01:47:03] perfect, or pleasing will for me? I'm
[01:47:06] like, killing my wife doesn't fit.
[01:47:09] There's like nothing about that that
[01:47:11] fits. And I'm not a bad person cuz I had
[01:47:14] the thought cuz it's just a thought,
[01:47:16] right? I didn't control it. I'm a bad
[01:47:19] person if I do something bad. This one
[01:47:21] of the reasons that nursing mothers go
[01:47:22] crazy is they have thoughts of harming
[01:47:25] their own children whom they love more
[01:47:26] than anything.
[01:47:27] >> Yes.
[01:47:28] >> I'm sure you've dealt with that.
[01:47:30] >> Absolutely.
[01:47:30] >> That's common.
[01:47:34] >> It's very common.
[01:47:35] >> And they hate themselves for having
[01:47:37] those thoughts.
[01:47:37] >> They hate themselves and they would
[01:47:40] never do anything
[01:47:41] >> of course not
[01:47:41] >> to harm the child unless
[01:47:45] their brain is damaged or their brain is
[01:47:48] disrupted. So, I've scanned over a
[01:47:52] thousand convicted felons, over a
[01:47:54] hundred murderers. Um, we got this scan
[01:47:58] of Kip Kinkle who murdered his mom and
[01:48:00] dad and then went to his high school and
[01:48:02] shot 25 people. His brain was so
[01:48:04] damaged.
[01:48:06] >> It's um well, he murdered his mom and
[01:48:09] dad so he never really knew. Likely had
[01:48:12] anoxia or lack of oxygen at birth. and
[01:48:17] my hero story. So, when I first started
[01:48:19] doing scans,
[01:48:21] I loved it. I was so excited about it.
[01:48:24] And then I had um I'm a distinguished
[01:48:28] fellow of the American Psychiatric
[01:48:30] Association. But then so many people
[01:48:32] there started to hate me. They said,
[01:48:34] "You shouldn't be scanning people. It's
[01:48:36] not part of our tradition. That's not
[01:48:38] what we do." And I'm like, when I was
[01:48:41] growing up, I had a father whose two
[01:48:43] favorite words, um, first one was
[01:48:45] [ __ ] The second one was no. And I
[01:48:49] heard that over and over again. And so
[01:48:51] when they told me I shouldn't be doing
[01:48:52] what I loved, I'm like, [ __ ] No,
[01:48:54] I'm going to do it. But I became very
[01:48:57] anxious because I I didn't like powerful
[01:49:01] people telling me I shouldn't do
[01:49:03] something. And it was really painful
[01:49:06] emotionally. And then in 1995, I got a
[01:49:09] call late one night from my
[01:49:11] sister-in-law
[01:49:13] who told me my 9-year-old nephew Andrew,
[01:49:16] um, who's my godson, who I loved,
[01:49:20] attacked a little girl on the baseball
[01:49:22] field that day for no reason. And I'm on
[01:49:25] the other end of the phone. I'm like,
[01:49:28] that's awful. What else is going on? She
[01:49:31] said, Danny, he's different. He's mean.
[01:49:34] He doesn't smile anymore. I went into
[01:49:37] his room today and I found two pictures
[01:49:39] he had drawn. One of them he's hanging
[01:49:42] from a tree in a suicide attempt, 9
[01:49:45] years old. The other one he's shooting
[01:49:48] other children and that's the scariest.
[01:49:50] >> And I'm like,
[01:49:52] >> I want to see him tomorrow because I'd
[01:49:54] been scanning people for 4 years and I'd
[01:49:56] already correlated violence, at least in
[01:49:59] some people, to the left temporal lobe.
[01:50:01] your left temporal lobe is damaged,
[01:50:03] you're more likely to have dark, evil,
[01:50:06] awful thoughts. And so they brought him
[01:50:09] up to see me the next day. They lived 8
[01:50:11] hours away. And I'm like, "Buddy, what's
[01:50:14] going on?" He said, "Uncle Danny, I
[01:50:16] don't know. I'm mad all the time." I'm
[01:50:18] like, "Is anybody teasing you?" He said,
[01:50:20] "No." Says, "Is anybody hurting you?"
[01:50:22] No. Is anybody touching you in places
[01:50:24] they shouldn't be touching you? He said,
[01:50:26] "No."
[01:50:28] 999
[01:50:30] child psychiatrists out of a thousand
[01:50:33] would have put him on medicine and put
[01:50:36] him in therapy. And I'm like, I have to
[01:50:38] look at his brain cuz how do I know
[01:50:41] unless I look, right? That's like one of
[01:50:43] the taglines of my life. How do I know
[01:50:45] unless I look? Why are psychiatrists the
[01:50:47] only medical doctors who virtually never
[01:50:50] look at the organ they treat?
[01:50:53] And I went, great question.
[01:50:56] I went to the scan center and I held
[01:50:59] Andrew's hand while he held his teddy
[01:51:02] bear and got scanned. And afterwards, my
[01:51:06] mentor Jack Pauly, we're look, the image
[01:51:09] comes up on the computer screen, he's
[01:51:11] missing his left temporal lobe. And I
[01:51:14] looked at Jack, his first time I've seen
[01:51:15] it. I've seen it almost 200 times since.
[01:51:18] Um, he writes down, so mom won't hear,
[01:51:22] cyst, stroke, tumor.
[01:51:26] and later that day got an MRI. He had a
[01:51:28] cyst the size of a golf ball occupying
[01:51:30] the space of his left temporal lobe.
[01:51:36] I called his pediatrician. I said, "You
[01:51:38] find somebody to take this out or drain
[01:51:40] this thing." He called three
[01:51:42] neurologists. All of them said they
[01:51:43] wouldn't touch the cyst. They didn't
[01:51:45] think it had anything to do with his
[01:51:46] behavior. And they wouldn't they
[01:51:49] wouldn't recommend surgery until he had
[01:51:51] real symptoms. At which point I lost my
[01:51:54] mind and start screaming at the
[01:51:56] pediatrician. I'm like, I have a
[01:51:58] homicidal suicidal child. What do you
[01:52:00] think are real symptoms? So there's this
[01:52:02] incredible divorce between psychiatry
[01:52:05] and neurology. And I thought to myself,
[01:52:08] neurologists,
[01:52:11] neurosurgeons, neurosurgeon, what I
[01:52:13] really want. So I called the chief of
[01:52:15] pediatric nuros surgery at UCLA, Jorge
[01:52:18] Lazerov. Um, and he was already famous
[01:52:20] because he'd separated the Guatemalan
[01:52:22] twins or connected at the head. And he
[01:52:25] said, "Dr. Ammon, when these cysts are
[01:52:28] symptomatic,
[01:52:30] we drain them. He's obviously
[01:52:32] symptomatic."
[01:52:33] And after surgery,
[01:52:36] I got two phone calls. First one was
[01:52:38] from my sister-in-law who said the
[01:52:41] surgery went really well.
[01:52:44] And then she burst out into tears and
[01:52:46] she said
[01:52:48] when Andrew woke up from surgery, he
[01:52:50] smiled at me. She said, "Danny, he
[01:52:53] hadn't smiled in a year." Oh. And then I
[01:52:56] got a call from Dr. Lazer, who said, "Oh
[01:52:59] my god, Dr. Aman, that cyst was much
[01:53:02] more aggressive than we thought. It
[01:53:04] actually thinned the bone over his
[01:53:06] temporal lobe." So it thin the bone of
[01:53:08] his skull. And he said, "If he would
[01:53:10] have been hit in the head with a
[01:53:12] basketball, would have killed him
[01:53:13] instantly. Either way, he would have
[01:53:15] been dead in 6 months."
[01:53:19] And it was that moment I lost all of my
[01:53:22] desire for the American Psychiatric
[01:53:25] Association to like me, for my
[01:53:27] colleagues to love me. I'm like, if you
[01:53:29] don't look, you don't know. How many
[01:53:32] people are like Andrew? have brains that
[01:53:34] aren't right that do bad things that we
[01:53:37] just label as bad rather than as sick.
[01:53:42] And um I mean there was that moment that
[01:53:45] caused me to lose my anxiety and go to
[01:53:47] war.
[01:53:48] >> Did he improve?
[01:53:49] >> He got so much better. And today he's
[01:53:53] >> got his own business and his dad and
[01:53:56] he's married and he has kids and
[01:54:01] >> Yeah. And we've seen almost 200 cis
[01:54:04] since then.
[01:54:06] >> Well, there are a couple famous cases.
[01:54:07] Charles Whitman most famously at
[01:54:09] University of Texas,
[01:54:10] >> right? Uh but of murderers who were
[01:54:14] clearly driven to it or their brain
[01:54:18] tumor or cis played a role in it
[01:54:19] obviously,
[01:54:20] >> right? It's not that uncommon.
[01:54:22] >> And how would we know
[01:54:24] unless we looked? And so Dosski said,
[01:54:28] "You can tell about the soul of a
[01:54:31] society, not by how it treats its
[01:54:34] outstanding citizens, but by how it
[01:54:37] treats its criminals."
[01:54:38] >> Yes.
[01:54:40] And
[01:54:42] it it just I I want
[01:54:45] to rehabilitate people who do bad things
[01:54:48] or at least try, right? We should look
[01:54:51] at their brains and see,
[01:54:54] can we get them better? Can we get them
[01:54:55] to love their brains so they don't go
[01:54:57] out and use drugs? And I was involved in
[01:55:00] a program in Washington state where they
[01:55:03] actually screen for ADHD and learning
[01:55:06] disabilities, made them go through a
[01:55:08] 14-week course to learn about what they
[01:55:10] had, and it cut recidivism from 69% to
[01:55:15] 29%.
[01:55:17] Now, I think this is a conservative
[01:55:19] idea. that is
[01:55:21] >> that if you invest
[01:55:23] in true rehabilitation,
[01:55:26] they're going to get out and they're
[01:55:28] less likely to come back, which means
[01:55:30] they're going to get out, they're going
[01:55:31] to work, they're going to take care of
[01:55:32] their families, they're going to pay
[01:55:33] taxes, they're going to be a more
[01:55:35] important part of society
[01:55:39] rather than we just house them and
[01:55:42] punish them further.
[01:55:48] your new book, Change Your Brain, Change
[01:55:50] Your Pain. Dr. Amon, thank you. That was
[01:55:53] amazing.
[01:55:55] >> Thank you so much.
[01:55:57] [Music]
[01:56:00] >> So, it turns out that YouTube is
[01:56:02] suppressing this show. On one level,
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[01:56:08] With everything that's going on in the
[01:56:09] world right now, all the change taking
[01:56:11] place in our economy and our politics,
[01:56:13] with the wars we're on the cusp of
[01:56:15] fighting right now, Google has decided
[01:56:17] you should have less information rather
[01:56:20] than more. And that is totally wrong.
[01:56:23] It's immoral. What can you do about it?
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[01:56:27] waste of time. We're not in charge of
[01:56:29] Google. Or we could find a way around
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