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@Dr. Russell Kennedy : 我认为现代社会焦虑如此普遍，主要是因为不确定性。我们应对不确定性的能力因为过度使用手机等事物而分散，而童年时期的创伤会使不确定性变得更加难以忍受。焦虑实际上是身体的警觉状态和头脑中的担忧的结合，它们相互作用形成一个恶性循环。童年时期未处理的创伤会储存在身体中，身体会通过“内感受”向大脑发送警报信号，从而引发负面思维。担忧实际上是为了转移我们对身体警报的注意力，这种警报通常源于童年时期的创伤经历。因此，我们需要走出头脑，关注身体的感受，解决身体中的警报，才能真正治愈焦虑的根源。 @Chris Willx : 我认为人类追求的不是幸福，而是摆脱不确定性。幸福只是在不确定性暂时消失时产生的副产品。在不直接沟通情绪的环境中长大，可能会导致对他人细微动作的过度关注，这既可能导致高度的同理心，但也可能导致误判。在焦虑或脆弱的家庭环境中长大，会使人过度关注他人的情绪，甚至是不存在的情绪。过度关注他人情绪的人可能会内化“如果对方不好，我就不好”的信念，并压抑自己的情感。

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我最近与神经科学家Russell Kennedy博士进行了一次深入的访谈，探讨了现代社会焦虑盛行的根源以及有效的应对方法。访谈中，我们深入探讨了焦虑的本质、成因以及疗愈途径，让我对焦虑有了更深刻的理解。

焦虑的根源：不确定性和童年创伤

Kennedy博士认为，现代社会焦虑如此普遍，主要源于不确定性的增加。我们这个物种在进化过程中经历过许多不确定性，但如今，我们被手机等科技产品过度占据，应对不确定性的能力被削弱了。更重要的是，童年时期的创伤经历会放大这种不确定性带来的负面影响，使之变得难以忍受。

他指出，焦虑并非单一现象，而是身体警觉状态和头脑中的担忧的结合。童年时期未处理的创伤会储存在身体中，通过“内感受”机制，身体不断向大脑发送警报信号，大脑则会根据过往的恐惧经验编造各种担忧和最坏情况的假设，形成一个恶性循环。担忧的实质是试图转移我们对身体警报的注意力，而这个警报的根源往往是童年创伤。

担忧：逃避不确定性的机制

访谈中，我提到了一个有趣的观点：人类追求的不是幸福，而是摆脱不确定性。幸福只是在不确定性暂时消失时产生的副产品。 这与Kennedy博士的观点不谋而合。担忧正是我们试图摆脱不确定性的一种方式，它让我们在混乱中获得暂时的确定感，即使这种确定感是负面的。然而，这种暂时的确定感会强化恐惧，导致担忧不断升级，形成一个难以打破的循环。

童年经历的影响：情绪表达与过度关注

在缺乏直接情绪表达的家庭环境中长大，会培养出对他人细微情绪变化的过度敏感。这种敏感性一方面可能带来高度的同理心，另一方面也可能导致误判，将不存在的负面情绪解读为真实的威胁。在焦虑或脆弱的家庭环境中长大，更容易内化“如果对方不好，我就不好”的信念，并压抑自己的真实情感，以取悦他人来获得安全感。这种模式在成年后可能表现为讨好型人格和共依赖关系。

疗愈焦虑：身心结合的途径

Kennedy博士强调，单纯依靠认知疗法（例如CBT）不足以治愈焦虑。我们需要身心结合的疗愈方法。他建议关注身体的感受，找到身体中储存警报信号的部位（例如，他提到的位于胸腔深处的“红色、炙热、紧绷”的区域），通过触碰、呼吸等方式，与身体中的“受伤的孩童”建立连接，从而化解警报，最终治愈焦虑的根源。

他认为，传统谈话疗法有助于应对焦虑，但无法真正治愈。我们需要更深入地探索潜意识，改变那些根深蒂固的负面模式。他提倡结合躯体疗法、内部家庭系统疗法等方法，从身体层面入手，解决焦虑的根本原因。

男性与女性焦虑的表现差异

焦虑在男性和女性身上的表现形式有所不同。男性更容易表现为易怒和压抑情绪，而女性则更容易陷入反复的消极思考和自我批判。他建议男性学习表达情绪，例如通过哭泣或其他方式释放压力。

结论：疗愈而非应对

总而言之，Kennedy博士的观点强调了疗愈焦虑的必要性，而非仅仅应对焦虑的症状。我们需要关注童年创伤、身体警报以及身心连接，才能真正摆脱焦虑的困扰，过上更健康、更充实的生活。 他的方法并非一蹴而就，需要耐心和坚持，但它为我们提供了治愈焦虑的全新视角和有效途径。

Modern Wisdom⋅1d ago

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00:12 现代社会焦虑如此普遍，是因为不确定性。

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00:41 我们应对不确定性的能力因分心而减弱，童年创伤使不确定性更难以忍受。

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00:56 不确定性是焦虑的燃料。

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01:21 童年时期的不确定性经历会影响我们对不确定性的承受能力。

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01:40 童年时期不确定性经历会降低我们对不确定性的承受能力。

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02:04 焦虑包含身体的警觉状态和头脑中的担忧，两者相互作用形成“警觉-焦虑循环”。

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02:36 未处理的童年创伤储存在身体中，身体通过“内感受”向大脑发送警报信号，引发负面思维。

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03:02 大脑接收到身体的警报信号后，会产生最坏的设想，试图理解这种感觉。

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03:28 担忧使不确定性显得更确定，从而产生多巴胺，使人上瘾。

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03:37 担忧通过在脑海中构建潜在确定性的小窗口，来缩小可能发生的各种情况的范围。

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04:24 人类追求的不是幸福，而是摆脱不确定性。

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04:37 杏仁核没有时间感，所以过去被欺负的经历会让我们在类似情境中重温当时的身体状态。

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05:04 过去的身体状态会麻痹前额叶皮层，使我们更情绪化，无法理性思考。

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05:21 童年时期未修复的创伤经历会使我们更容易情绪化。

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05:47 经历过创伤并得到修复的孩子，比没有经历过创伤的孩子拥有更强的神经系统。

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06:03 讨好型人格源于对被抛弃的恐惧。

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06:29 讨好型人格源于童年时期未被满足的需求，通过满足父母的需求来获得认可。

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06:58 讨好型人格会让我们过度关注他人的需求，忽略自己的感受。

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07:50 对他人细微动作的过度关注可能源于在不直接沟通情绪的环境中长大。

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08:19 对他人细微动作的过度关注可能导致高度的同理心，但也可能导致误判。

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08:45 对他人情绪的过度关注可能导致对情绪的误判，并引发灾难性的想法。

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09:09 在焦虑或脆弱的家庭环境中长大，会使人过度关注他人的情绪，甚至是不存在的情绪。

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09:35 过度关注他人情绪的人可能会内化“如果对方不好，我就不好”的信念，并压抑自己的情感。

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09:51 人们会将熟悉的事物等同于安全感，并在成年后无意识地重现童年时期的熟悉模式。

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10:18 重复性强迫会导致人们选择与过去相似的伴侣，即使他们知道这对自己不利。

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10:45 在不确定性中长大的人会寻找确定性和安全感，大脑的确认偏误会不断寻找支持这种感觉的理由。

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11:12 不确定性可能以多种不明显的方式影响人们的生活，例如女性的过度警觉和男性的易怒。

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11:25 过度警觉是指女性会考虑所有可能发生的坏情况。

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11:42 焦虑在男性中通常表现为易怒。

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12:07 由于社会更容易接受易怒，许多男性会通过易怒来释放焦虑。

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12:15 责备他人会让人感觉良好，因为这可以转移注意力，减轻自身的负面情绪。

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12:41 责备的神经科学原理表明，它能降低杏仁核和HPA轴的活性，从而改善情绪。

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13:01 Seligman的习得性无助理论并未得到复制。

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13:52 人类天生具有希望，培养乐观心态是一场持久战。

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14:15 培养乐观心态是一场持久战，是敏感人类的内在特征。

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14:47 焦虑症患者通常有受害者心态，这会麻痹他们。

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15:16 焦虑与默认模式网络有关，默认模式网络会在人们不专注于任务时进入重复性的自我意识状态。

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15:30 默认模式网络中的自我意识通常是负面的，包括内在批评。

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15:47 当大脑进入默认模式时，会产生负面想法，例如自我批评和对失败的担忧。

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16:10 长期处于默认模式网络中会影响生活质量，即使人们善于伪装。

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16:20 意识到自己处于默认模式循环中，并找到摆脱它的方法至关重要。

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16:48 为了改变默认模式网络，我们需要接受它，感受它，并处理它。

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17:36 担忧是为了转移人们对身体警报的注意力，这种警报通常源于童年时期的创伤经历。

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17:46 治疗焦虑的第一步是走出头脑，关注身体的感受。

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18:06 担忧的作用是转移注意力，使其远离身体中的警报。

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18:31 身体中的警报是未解决的童年经历的体现，这种能量仍然存在并影响着思维。

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18:59 焦虑是头脑中的担忧和身体中的警报之间的连接，它们通过默认模式网络相互作用。

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19:08 解决身体中的警报，才能真正治愈焦虑的根源。

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20:34 沉思可能是有用的，因为它能让人获得暂时的喘息。

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20:52 沉思可能是有用的，因为它能让人获得暂时的喘息和确定感。

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21:19 沉思通过想象最坏的情况来消除不确定性，但同时也强化了恐惧。

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21:47 担忧会不断升级，以应对最初的恐惧和警报。

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22:12 焦虑会让人回到童年时期无法逃脱的困境。

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22:33 焦虑是一个感觉问题，不能仅仅通过思考来解决，需要通过身体来修复潜意识。

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22:58 解决焦虑的根本问题，才能摆脱担忧。

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23:22 即使童年时期没有创伤，某些情况仍然会引发焦虑。

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23:45 即使童年时期没有创伤，某些情况仍然会引发焦虑，例如与伴侣分手后担心孩子。

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24:19 童年时期有创伤经历的人更容易患上创伤后应激障碍。

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24:47 童年时期的稳定经历可以减轻成年后负面事件的影响。

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25:10 童年时期的创伤经历是慢性焦虑的一个重要因素。

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25:33 每个人都会错误地将其他情绪误认为是焦虑，或者将焦虑误认为是其他情绪。

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26:00 人们常常对自己不透明，需要治疗师的帮助来识别潜意识的线索。

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26:27 许多所谓的焦虑实际上是未解决的悲伤，它会停留在身体中，无法得到处理。

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26:35 解决警报才能解决焦虑。

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27:03 我们过于依赖认知疗法，而忽视了躯体疗法的重要性。

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27:27 我们需要允许自己感受警报，并首先找到它。

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28:04 找到引发焦虑的事件，并体验那种恐惧和焦虑。

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28:41 扫描身体，找到感觉强烈的地方。

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29:13 找到与焦虑相关的颜色和感觉。

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29:48 将手放在感觉强烈的区域，深呼吸，感受它，可以提供一些安慰。

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30:11 身体中的感觉与未解决的童年经历有关，不能仅仅通过思考来解决。

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30:21 允许自己感受身体中的感觉是自下而上的方法。

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30:42 当我们尝试感受身体中的感觉时，头脑会试图通过担忧来分散我们的注意力。

00:00

Why is anxiety so common in the modern world of all of the different emotions, even all of the negative ones? Why does this seem to be the one that people are zeroing in on? I think it's uncertainty. 语法解析

00:12

You know, we've grown, our species has grown in uncertainty. But now we're so distracted by our phones, the wherewithal we would have used to be able to deal with the uncertainty in the past, all our cash is full. We don't have a whole lot of extra room. So when uncertainty comes up, and anxiety can sometimes be described as uncertainty intolerance, because so many of us as children, if you had trauma, if you had wounding, if you had stuff that was unrepaired, 语法解析

00:41

that uncertainty becomes unbearable. So rather than just sort of sit in uncertainty, we worry about it. Talk to me about why uncertainty is a fuel, a potent fuel for anxiety. 语法解析

00:56

Well, I think there was a lot of uncertainty in our childhoods, especially with my dad. Like I grew up with a dad who had schizophrenia and bipolar and he was never abusive or violent, but he would lose his mind. And for a young boy and a young teenager, seeing your father lose his mind. And my dad was the one of the two of us that was really kind of loving and connected when he wasn't psychotic. 语法解析

01:21

My little joke is my mother was neurotic and my father was psychotic, so my own psyche didn't stand much of a chance. So I think it's just understanding that uncertainty is something that we don't tolerate well as people, especially if you had a lot of uncertainty in your childhood. 语法解析

01:40

I'm trying to draw the link between what anxiety is, what its function is, and uncertainty. Can you try and sort of fold these things together for me? Yeah, sure. Well, I think anxiety isn't one thing. It's actually two things. And I talk about this in my book. It's basically the state of alarm that's held in your body and this 语法解析

02:04

worrisome, the warnings, what-ifs, worst-case scenario your mind comes up with. So each one energizes the other in something I call the alarm-anxiety cycle. 语法解析

02:14

So, the short version is you had a trauma that's too much for you to bear as a child. It got pushed into your unconscious mind. And because the body is a representation of the unconscious mind, the body keeps the score. And that trauma gets stored in your body. And it sort of has this nature of it. And through this process called interoception, the brain is always reading the body. 语法解析

02:36

So if the brain reads this sense of alarm, it's not going to make up stories about cookies and picnics. It's going to make up stories that are your worst fears. And as Goggin says, you know, your mind has a tactical advantage over you. So when you get this alarm and something triggers you in your internal or external environment, you're likely to go back into this worst case scenario thing and to try to make sense of it. I think people worry because what worry does is 语法解析

03:02

in my opinion, is it makes the uncertain appear more certain. Now that certainty can be abhorrent. We don't want that certainty, but in our brains, we get that little dopamine hit from, oh, I'm on the right track. This makes sense. If my daughter doesn't come home, oh, did you get hit by a car? That makes sense in your brain. You get a little shot of dopamine. So worry becomes addictive. You're collapsing the potential options of what could have happened by coming up with 语法解析

03:28

small windows of potential certainty in your mind that are completely consistent with what you've been scared of in the past. 语法解析

03:37

That's interesting. There's a ChatGPT screenshot. I follow a few ChatGPT Instagram accounts. These are people getting interesting insights from ChatGPT. This one was, give me one truly deep, novel, out of distribution and mind-blowingly simple insight about humans that only very few or none of us are aware of. It cannot be generic, vague, be flashy or slop corporate stuff. That's a pretty good prompt. As engineering goes, that's pretty good. Sure. 语法解析

04:06

Humans never genuinely pursue happiness. They only pursue relief from uncertainty. Happiness emerges momentarily as a byproduct whenever uncertainty briefly disappears. I haven't been able to stop thinking about that. It's so funny that you said uncertainty as one of the key drivers. I haven't been able to stop thinking about that. 语法解析

04:24

because what was the uncertainty in your childhood? You were bullied, that was one. So when we go back to that place, the thing is the amygdala in our brains has no sense of time. So when we hear someone being bullied, 语法解析

04:37

We may go into this bodily state that was the same as the bodily state we had when we were eight years old and we were being bullied. And then that alarm comes up in our system, paralyzes our prefrontal cortex. So we start thinking emotionally rather than rationally. So not only do we make more worries when we're lit up, but the rational part of our brain that would tell you, hey, those worries, they're never going to happen. That gets shut off. So we get double whammied. 语法解析

05:04

So the thing about uncertainty there, I think, is just that uncertainty is one of those things that triggers us emotionally. And if you didn't get repair when you were younger, so if you're in an environment where your parents fight or whatever, and they come back and they say, you know, mom and dad had a fight, it just happens that way. 语法解析

05:21

the children are probably going to have a better, more resilient and more capable nervous system than children that don't have any trauma, that don't have any wounding. It's not so much the trauma, it's the fact that it wasn't repaired. And if it's repaired, the child learns, oh, shit can go down in the hood, but I'm still okay. My nervous system is still okay. Yeah. So that sounds a lot like fear of abandonment in one form or another. 语法解析

05:47

Yeah, and I think looking also at you, when I've listened to you talk many times, and you have this people-pleasing thing for women, the white knight syndrome, right? And I think that comes from a very deep-rooted sense of abandonment, fear of abandonment. 语法解析

06:03

Because what we try and do, and I think what people pleasing comes from as children is we don't get our needs met by our parents. Our parents, for some reason, they're busy with other stuff. They have their own issues. My dad was severely mentally ill. So we find a way to get our needs met by getting our parents' needs met. So if I meet my parent need and they throw me some crumbs, then I get this sort of imbued sense of, oh, you know, I am worthwhile. 语法解析

06:29

But it comes at a cost. It comes at a real cost. So we start learning how to read our parents really, really well. And that translates to reading other people really well. So if they're not doing well, neither are we. So we're so afraid of them leaving us that we try to make them feel better. And in trying to make them feel better, we're actually trying to make ourselves feel better. But it's a loop that never closes. Yeah, I certainly think that if you've grown up in an environment where 语法解析

06:58

direct communication about emotions wasn't particularly common if people didn't say that thing made me feel x if they sort of gesture toward it with shadow sentences or passive aggression or or sternness or or by storming out of a room or something like that um actually not even storming out of a room because that would probably be too much of a a 语法解析

07:21

a plain signal of what's going on. Oh, that's anger. It's always a second or third order sentence that's supposed to get you toward a thing. A lot of people will become attuned to, okay, I know that this thing is what was said, but what does that really mean? What does that thing with that body language where they turn to the side and that deep breath in before they spoke and that side, I think. So this level of obsession over micro-movements is, 语法解析

07:50

can cause people to be yeah very detail-oriented very focused very empathetic you know because you notice in someone their uh attempt to hide something that they're struggling to get out it's like dude you're not you don't seem you don't seem too good today is there anything up no no i'm good it's like hey man like look you can talk to me like i can tell that there's something wrong all right yeah you know me and the girlfriend have been whatever um but on the flip side of that the 语法解析

08:19

That smoke alarm principle means that you're going to misdetect things. A lot of that, well, why was there no kiss at the end of that text? What does the no kiss at the end of that text mean? Oh, it's been this long since they replied. Or I noticed that they didn't hug me in the same way that they used to. That was a shorter hug or a longer hug. Maybe this means that some catastrophe is going to occur. So you tune up that level of attention. Yeah. 语法解析

08:45

that you pay because that was the way that you learn to interpret signals as a child. So I can totally see how that would be the case. And then if you fold that in with an anxious parent or a fragile parent or somebody that needs looking after or a distant parent, what you end up getting is a situation where you are overly receptive to emotions, even ones that aren't there in other people. 语法解析

09:09

And then you internalize the lesson. I'm not okay if you're not okay. That your emotions are my responsibility and that I need to subjugate myself. I can't be me. I can't be sad. I can't be angry. I can't be anything. Because if I am anything that isn't okay, that makes you not okay. And if you're not okay, that's a big problem because you can't handle it. If you're not okay, I'm not okay. That's the child. It's the most common pattern. 语法解析

09:35

And it becomes a pattern too. And there's that Freudian repetition compulsion as well. So what was familiar to you in your childhood, human beings equate familiarity with security. So what was familiar to you in childhood, you will unconsciously reproduce in your adulthood. 语法解析

09:51

So I would see this when I was a family doctor. I would see people who had alcoholic parents pick alcoholic partners. And they knew consciously, what am I doing? What am I doing? I had this one woman who is, I write about it in the book, she's really brilliantly attractive and had all these attention from men, but she would only pick the effusive alcoholics. And then she would come in and she would say, I did it again. I picked another one. 语法解析

10:18

And it's just that, that repetition compulsion, I think really runs our lives, especially if you grow up in, in uncertainty, you know, you, you look for certainty, you look for safety and that feeling of alarm that's in your system, the confirmation bias that your brain has, it's always looking for a reason and it will always find one. Like Brene Brown says that like, don't go looking through the world for reasons why you don't belong because you'll always find them. Mm-hmm. 语法解析

10:45

What are some ways that uncertainty might show up in people's lives that they might not notice it straight away? You know, uncertainty with my child was an hour late getting home from school. Like that's kind of maybe an obvious one. What are some of the less obvious ways that uncertainty can creep in and could sort of chip away at that anxiety response? I think hypervigilance. Hypervigilance in women and irritability in men. 语法解析

11:12

Explain those two terms for me. So hypervigilance is all the possible permutations. What could happen? What could happen? This could happen. More of a female response than a male response, but there's both. 语法解析

11:25

So women tend to start looking at all the different possibilities. Men tend to, and this is a gross generalization, they tend to get activated. And often with men, anxiety, uncertainty, intolerance shows up as irritability. 语法解析

11:42

And because irritability is so much more accepted in our society than anger or rage, that becomes the path of least resistance for a lot of men is they just become these irritable, irritable people. And I hear that from wives all the time of the guys that I work with who are anxious. It's like, he's always cranky. He's always irritable. And it's like, well, that's his pathway out. That's his way of trying to discharge energy out. 语法解析

12:07

And the same with blame. And I think one of the reasons why our society is suffering so much these days is because blame actually feels good. 语法解析

12:15

If you look at the neuroscience of blame, you're taking yourself out of the default mode network, this sort of constant negative self-appraisal, negative self-evaluation, and you're putting it out onto somebody else. And when you do that, your amygdala drops in energy, your HPA axis drops, your cortisol drops. You just feel better. And then so you get this thing in the States where the Democrats hate the Republicans and both go back and forth, but it feels better. 语法解析

12:41

better than just staying in your own default mode network, which is likely lit up by the uncertainty. Two things that that makes me think of. First off, I found out from Scott Barry Kaufman that Seligman's learned helplessness theory hasn't replicated. 语法解析

13:01

It's been replication crisis. So for the people who weren't aware, Martin Seligman either analyzed or actually conducted experiments where they shot dogs in cages. And over a period of time, when the dogs realized that they couldn't do anything about it, 语法解析

13:16

Uh, they just curled up in the corner and allowed the shocks to be there, even though in future they were able to do things that could stop it from happening. So they had this sort of externalized locus of control. I can't enact any change in my environment. And this was used to be ported across onto humans. I think they did it with rats and stuff too. Uh, 语法解析

13:33

Turns out that's not true. Turns out that humans have, it's, you come into the world being hopeless and you have learned hopefulness as opposed to learned helplessness. And Scott's position is, look, if you feel like 语法解析

13:52

Getting yourself into a positive sum, optimistic, I can do this mindset is always an uphill battle. That's not some personal failing of yours. This isn't some individual curse that's been bestowed only on you. This is a built-in feature of being a sensitive human being. And it's… 语法解析

14:15

a permanent battle for the rest of your life for you to learn hopefulness, but learned helplessness is something that it seems to not be so true. Well, and I think what 语法解析

14:27

shows up with in humans is victim mentality because I haven't met anybody with a significant anxiety disorder that didn't have an underlying victim mentality they'll deny it but if you look at their behavior if you look at the way they look at the world and that victim mentality kind of paralyzes us and and I think it's also involved with this default mode network this is what I what 语法解析

14:47

What I do every day is I read about two hours of study, two hours of neuroscience, and I'm putting together this theory of anxiety that it really is this default mode network that's at the hub of all of it. And when you're locked in that default mode network, which is basically what your brain does, like in a daydreaming state or when you're not in the central executive network, when you're not actually focused on a task, your brain will default into this repetitive state 语法解析

15:16

reproducible kind of self-awareness. But the self-awareness is typically negative. There's part of the development network, no network, that really looks at how negatively you look at yourself. 语法解析

15:30

And it's like the inner critic is part of this default mode network. So if you're not actively involved in something and you're going and you're just driving somewhere and your brain is going into default mode, it may go into like, you're not a very good person. You can't do this. Why are you trying to do this? You're never going to succeed. 语法解析

15:47

And while we stay in that default mode network, we kind of live our lives. And I lived my life like this for many, many years in this sort of default autopilot state. I would go to movies. I would go into social events. I was anxious as hell. I could fake it. And a lot of anxious people are really good at faking it. But we're stuck in this kind of default loop where we can't get out of it. So I'm learning more. 语法解析

16:10

more ways that we actually become aware that we're in this default loop because there is a feeling to it. There is an alarm feeling to it. And how do we get ourselves out of it? 语法解析

16:20

And on top of that, we have to actually spend some time in the default mode network where we learn all these negative things about ourselves, or we can actually change it. We have to accept that default mode network. We have to accept that that's what happened to us, and it keeps getting replayed like a broken record in our heads so that we can actually feel it and stay with it and then process it. And once we process it, we're not locked into it anymore. There was a lot there. No, I'm just thinking about this sort of… 语法解析

16:48

link between uncertainty, which again is after, it's so funny, ChatGPT marionetting me. This is the beginning of the AI takeover, by the way. ChatGPT infecting me with a really cool idea that I can't stop thinking about. Uncertainty, anxiety. I'm just trying to add in worry. What worry is 语法解析

17:07

is as a part of that is it uh markedly different is it importantly different to anxiety and uncertainty in some sort of a way from a neuroscience perspective why do we worry why do some people worry more than others i think what happens is that we have this alarm in our system so we have this trauma that's too much for us to bear i don't like using the word trauma too much but you have this wounding typically from our childhood that's too much to bear typically anxious people are sensitive 语法解析

17:36

So there's this wounding, this alarm that lights up in our system that we're not even aware of. And that's one of the first things that I treat people with anxiety is I say, get out of your head. 语法解析

17:46

The worries that are there, the only reason the worries are there is they're trying to pull your attention away from this alarm that's stuck in your body. That is one of the functions of worry. So the worries tend to have to get worse and worse and worse and more intense to keep up their ability to keep you out of that alarm in your body. 语法解析

18:06

And really, once you see that alarm in your body is a version of your younger self. And believe me, as a medical doctor and a neuroscientist, it sounds so woo and I want to have a bit of a seizure when I say this. But really, that alarm is this unresolved part of you that didn't get the repair that you needed when you were younger. And that energy is still stuck in you and it's still reverberating through your mind. So anxiety, one more thing. Anxiety is these worries of your mind. 语法解析

18:31

and then this alarm in your body and they link together. And I think they link together through the default mode network to just sort of put a pin into it. And when we realize that we're in this default mode network, we can separate the thoughts of our mind from the feeling of our body and realize, put your hand over it, feel it, really feel that alarm because that alarm is the younger version of you and it's driving your anxiety. If you get rid of your worrisome thoughts, you're still going to be worried because you're still going to have this alarm in your system. 语法解析

18:59

But if you actually heal the alarm that's in your body, you're healing the root cause of what's creating the worries and the separation from yourself in the first place. 语法解析

19:08

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19:34

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20:03

A checkout. Interesting… 语法解析

20:05

about the fact that if we are distracting ourselves, if the worry allows us to get a brief piece of respite, why does rumination feel good? How is this serving you? That's a great question for people to ask. It's like, hey, your thoughts are running away. Are you always thinking about this slight that occurred, this mean or nasty thing? Are your worries worried about whether your partner really cares about you or you're on this sort of cycle, repeated cycle 语法解析

20:34

You have to ask yourself a question. Okay, I understand this doesn't feel good. You don't like it. You're being tortured by your thoughts. But just for a moment, imagine in what ways is this useful to you? In what ways is this helping you? Because it's doing something and it is distracting you. 语法解析

20:52

Uh, it is giving you a sense of certainty. I don't know if my mom's health is actually going to be okay. Well, if I imagine all of the ways that it could be horrible because we have a negativity bias, so you really think about the ways that it's going to be good, but imagine all of the ways that it's going to be horrible. The uncertainty goes away. Um, but it's interesting. But it comes right back. It boomerangs. Of course. But you would self-reinforcing, right? You're reinforcing the fear because you're the certainty, uh, 语法解析

21:19

helps to remove the uncertainty, but it reinforces the fear. Yeah. So you have to redouble your worries to try and catch up, to try and get ahead of the original fear, the original alarm that you had. So that's why worries tend to get worse and worse and worse and worse because they serve a purpose. They distract you away from the ultimate cause of your anxiety, which is this alarm that's stuck in your body. And then 语法解析

21:47

You do that since you're a child because when we're children, we can't escape. If we have an abusive parent, if we have an alcoholic parent, if we have a parent who's severely mentally ill, we can't get out of there. So we are trapped in that. And I think part of us, when we go through these anxious phases, goes through this emotional time travel where the amygdala, which has no sense of time, takes us back to that eight-year-old that's walking home from school wondering if mom's going to be drunk. 语法解析

22:12

And if we realize that this is a feeling issue more than a thinking one, because we're so left hemisphere driven in this society, we think that we can think our way out of a feeling problem and we can't. And Huberman talks about that too. Like you can't fix the mind with the mind. You have to actually use the body to fix the mind, at least the subconscious mind. 语法解析

22:33

Because that's the subconscious mind is what's running the show in the first place. So if you get to the root of the problem, you don't have to worry anymore because you've actually solved the root of the problem, which is this unresolved alarm, which is the younger version of you that didn't get the attention and connection and repair that they should have. Surely though, people who are going through, you get some sort of anxious stimuli. A child doesn't 语法解析

22:58

doesn't come home for one hour, that is going to induce anxiety, regardless of whether or not your inner child has been healed. So I'm trying to work out the difference between this is something from your past that is unresolved and it is existing in the body. And this is a situation which induces anxiety. And let's say, for instance, that you had 语法解析

23:22

Perfect childhood. You did rupture and repair with your parents very well. You were made to feel safe. You were made to feel reassured and you were soothed when you were sad and all of those things. And then you go through a messy breakup with your partner and you're worried when your son or daughter goes over to your partner's house about whether or not they're being fully taken care of with their new stepdad or stepmom or something. Yeah. 语法解析

23:45

That is going to induce anxiety, especially if it's over a protracted period of time, regardless of what happened in your childhood. So I'm trying to sort of work out that I had a pretty great childhood. And this doesn't seem like Dr. Russ is talking to me. I'm trying to sort of pass that bit now. Perfect. Yeah. I think that and what I usually use in this scenario is combat veterans. 语法解析

24:10

So combat veterans that go through the same firefight, the ones that will show up with PTSD are the ones that had the childhood trauma most of the time. 语法解析

24:19

So it's almost like the seed is set when you're younger. If you're younger and you have repair, if you have stable, you had a stable childhood, when you go through that breakup, you're unlikely to really completely lose it or it's going to be time limited. You know, you're going to go through a really difficult time for two weeks or a month or whatever, rather than if you did have that track in your system from old unresolved wounds, because I don't want to make everything into trauma because it's not. 语法解析

24:47

But if you had that pre-existing kind of discrepancy in your nervous system, you're much more likely to take things harder and you're much more likely to worry longer and worry more intensely than those that had that sort of balance in their childhood. But I don't want to make everything into childhood trauma because it's not, you know, it's just, but it's a huge feature in chronic anxiety. 语法解析

25:10

How many people do you think mislabel other emotions as anxiety or how many people mislabel anxiety as other emotions? Like how many people are actually angry, but they say that they're anxious? So how many people are frustrated, but they say that they're anxious? And how many people are anxious, but say that they're angry and say that they're bitter or say that they're tense or whatever? Yeah, I think everybody. 语法解析

25:33

I think we are not, as Jordan Peterson says, we're not transparent to ourselves. We have severe blind spots. That's why we need therapists. I heard you talk about this too, and that you can do all the, you know, the meditations and the breath works and all that kind of thing. But if you don't have somebody else there to kind of say, hey, this is kind of a thought that, you know, be aware of fleeting thoughts. This is kind of a thought that comes up a lot, you know, and it's kind of your subconscious giving you a little clue. But 语法解析

26:00

But I do believe a lot of quote-unquote anxiety is unresolved grief. Unresolved grief is huge, actually, for anxiety. And it just gets stuck in your body, and it just never really gets processed because every time we go into that feeling of anxiety, or more correctly, alarm, we shoot up into our heads and start to worry because it works. And it works in this sort of short-natured, 语法解析

26:27

kind of place that doesn't really provide you with any resolution of the alarm. You have to fix the alarm to fix the anxiety. 语法解析

26:35

And I think we're in this society where we believe that we can heal everything with cognitive therapy. And that's why I think somatic therapy is so important. Not that you can do one or the other. I think that you need to do both. You need to do bottom up and top down. And I think in our society, we're so rigid on top down understanding, oh, if you have the insight as to what happened to you as a child, the pieces will just go back together. It doesn't work that way, in my opinion. 语法解析

27:03

What way does it work then? I think we need both. So we need to allow ourselves to feel that alarm, find it first. And this is what I do with all my anxiety people is I say, okay, think of something that really troubles you, causes you a lot of anxiety. Let's go through this, but let's go through it at a pace where people at home can sort of follow along. Sure. Okay. So I… 语法解析

27:27

I would get you to pick an event in your life that causes you anxiety. Not the worst event of your life, but something that causes you some anxiety. Something recent from childhood? Doesn't matter. Okay. And you don't have to share it with me, but what I would do is go, okay, see if you can bring that to mind right now. So maybe close your eyes, relax your shoulders, relax your jaw, and just in your mind's eye, see if you can really experience that fear, that anxiety. Okay. 语法解析

28:04

Now scan your body somewhere between your chin and your pubic bone and see if there's an area that feels like painful or pressure or nausea or hot or cold. Is there sort of a place between your chin and your pubic bone that feels kind of intense? And where is that? So kind of solar plexus area. So would that be kind of superficial or deep? Deep, I'd say. Deep. Okay. Would it have a temperature? Would it be cool or hot or? Hot. Hot. Okay. 语法解析

28:41

How about a color? It may not have a color, but first impression, is there a color there? Red. And is there a sensation that comes along with it? Is it prickly or is there something that you feel that it just feels odd in that area? Tight, like a twisting. Tight. Okay. So what I would suggest, and I'm shortening this quite a bit, is this sort of deep, hot, red tight is where you hold your alarm. 语法解析

29:13

And I would suggest that when you get worried about something, that this area lights up. But because we get so focused on the thoughts, we start trying to fix a feeling problem with a thinking solution. So what I usually do is get people to put their hand over that area and breathe into it and just stay with it for a second and see if it provides you with some comfort just putting your hand over it. Because the woo-woo part of it is that's younger Chris. 语法解析

29:48

That's the part of you that had something that wasn't quite resolved when you were younger. And again, not everything is trauma, but you're a sensitive person. Sensitive people often download stuff into their body and it shows up there. And then we get into this illusion that we can solve it by thinking about it. No, it's not a thinking problem. It's a feeling problem. 语法解析

30:11

So, so often the bottom-up approach is to can we really allow ourselves to feel that hot red sensation? 语法解析

30:21

And notice that our mind is going to go nuts trying to pull us out with worry, trying to start saying, oh, let's do this. Or this could be a reason. That could be a reason. Because it's a childhood coping mechanism to leave the alarm and go into your mind. A lot of people that I see and have been in therapy for many, many years 语法解析

30:42

They don't even know they have alarm in their body. They just assume it's in their mind. And that's the reason why they haven't gotten better is because you're not treating, you're treating a symptom. The worries are a symptom. The alarm is the underlying cause. So we need to start treating the alarm in the system. And then the worries just don't have anything to feed them anymore. And you break what I call the alarm anxiety cycle because each one worsens the other. 语法解析

31:07

What is, I mean, how healing is it to bring up a painful memory in a safe way, put your hand over the space and breathe into it? Is that, over time, is that going to get rid of it? Is that the way it works? It'll help. It'll help for sure. There's things that I create for my anxious people and they're called hypno-meditations. So what I do is I take your particular alarm 语法解析

31:35

And we feed that to you in a way that we get you into this relaxed state, relax your jaw, feel the surface pushing up on you with equal and opposite force that you're pushing down on it. The surface is supporting you. Now, can you feel that area and allow it to be there? And then often what I will do is I'll take people into the best part of their lives. What was the time that you felt amazing? You felt great? 语法解析

32:00

It's like, well, I was, you know, maybe when you first started club promoting or something like that, you really felt like you're on top of the world. Now there's a feeling sense that goes along with that. So what I would do with you is I'd say, okay, grab that feeling sense that felt really good. Close your eyes, relax your shoulders, relax your jaw. Just really get into that feeling sense of this is really amazing. I'm really loving this. 语法解析

32:20

And then we go back into that place in the solar plexus, that red hot place, and we sort of go back and forth between the two. So a lot of people say, oh, you have to sit in your pain. It's like, no, you don't. Actually, you can really make yourself worse if you have that sort of mandate for yourself. I've got to just sit in there, you know, and deal with it. 语法解析

32:38

And really, you need a way out. You need a way to change it. So often I will get people to breathe into it, to put some pressure over the area, sometimes tapping over it makes a difference. So what I'm trying to do is I'm trying to change the brain's representation of that alarm, which is held in what's called the insular cortex. The insular cortex is a part of the brain that kind of maps the body onto the mind. So 语法解析

33:04

It also links into the default mode network. So if your body has this sense of alarm, it goes up to your brain, enters the right side of the brain first, right insula, and the right insula sends a message to the default mode network, we're in trouble. And then this whole default mode network thing, machinery starts up and it goes into this loop. And part of the default mode has this sort of self-appraisal 语法解析

33:26

self-worrying part of it. It's protective, but it, so you get into this loop and that's why I call it and anybody who's dealt with anxiety and I know you have, and it's stuck around for hours at a time, you're in this kind of autopilot loop that I believe is in the default mode network. And we need to pull you out of that default mode network. And we do things by improving your, and 语法解析

33:49

anterior cingulate cortex, which I call the Goggins cortex because it's the self-disciplined cortex. It's the ability to say, hey, you right now are drowning in worry. And what we need to do is we need to change your focus from internal 语法解析

34:05

This is what I was saying earlier about why we're in such difficult shape in the world, because when we put our focus externally, it feels good when we blame somebody else, but we're just creating more alarm in the long run. So it's really finding this alarm when you're worried. 语法解析

34:23

realize that this is coming from your body. It's not coming from your mind. Your mind is a symptom. It's not the underlying cause. So we can help fix some of those symptoms, but you're never going to heal from anxiety just by fixing your mind. This episode is brought to you by Gymshark. Gymshark makes the best gym wear on the planet. Their hybrid shorts in onyx gray and navy are a 语法解析

34:47

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35:14

And if you don't like it, you can just send it back. Plus, they ship internationally. Right now, you can get 10% off everything from Gymshark site-wide by going to the link in the description below or heading to gym.sh slash modernwisdom and using the code modernwisdom10 at checkout. That's gym.sh slash modernwisdom and modernwisdom10 at checkout. How would you advise people who are going through an anxious moment? 语法解析

35:38

to better deal with it because you know it sounds like bringing up something from the past relaxing your jaw feeling the ground pressing up with equal force to your pressing down on it these are things that you do when you're in a good place and sane uh but what about when those thoughts come careening into consciousness and you didn't choose them like the bully has come and found you on the playground as opposed to you going and finding him absolutely 语法解析

36:04

And that takes practice. The thing that makes anxiety so difficult to recover from is there's nothing that really helps it right away. Like if there was something that helped it right away, we would just do that. 语法解析

36:16

But I find breathing exercises, physiological sigh is really great. Going outside, moving your eyes back and forth, it dampens the amygdala response. Getting into your body, trying to move your attention from internal pain to something external like you can observe. 语法解析

36:35

But again, especially if you've worn this anxious groove for decades sometimes, it's not going to feel better right away. So that's why I make these meditations for people so that they get into their unconscious mind, their subconscious mind, and we start changing things at a deeper subconscious level, at the level that the anxiety itself is encoded. 语法解析

36:57

Because these superficial things, like when I see people on Instagram about, oh, do this breathing technique for anxiety or do this tapping technique. Now it works, but in a way we're kind of dangling people over the gates of hell because we're giving them these instantaneous little bouts of relief. 语法解析

37:14

But we're never really dealing with the underlying cause, which is this alarm that's stuck in our system. And that's why anxiety is so hard to treat. The other reason why it's so hard to treat is because since you're a child, the worry has seemed to be protective for you. The worry, when you go into your head, you don't feel the alarm in your body so much. 语法解析

37:33

So you train yourself to worry and it becomes your coping strategy. So when I, when I try and help heal, heal you from anxiety, it sounds like a really, I'll heal you from anxiety. When, when I help heal anxiety, I'm kind of taking away your special friend because your special friend, when you were a child, worry was all you had going into your head and escaping the alarm in your body was all you had. So there's a real resistance for people to actually heal from anxiety. 语法解析

38:02

And that's what I find so kind of frustrating. But I tell people when I work with them, you're not going to want to do the meditations. You're not going to want to. And especially when people start feeling better, they stop doing it. So it's really something you want to do these meditations. You want to do this connection with yourself while you're still feeling okay. When you're impaired by the anxiety and the alarm, okay. 语法解析

38:27

the amount of benefit you're going to get from doing these techniques is relatively minimal. Then it's going to seem like nothing I do is going to help me because breathing will help you in an acute crisis for sure, but it's not really going to take it to the point in five minutes where it's like, “Oh, I feel so much better.” Well, you don't make battle plans during war. You try to construct some sort of battle plans beforehand. I like that. Yeah. One of my favorite quotes of yours about we're addicted to uncertainty. 语法解析

38:55

And this is part of that cycle, right? It's a cope. It's a way to do this. Alain de Botton's got this fucking smasher of an insight where he says, in childhood, if a parent stops loving a child, the child doesn't stop loving the parent. The child stops loving itself. And then that goes into the default mode network because there's a part of the default mode network called the posterior cingulate cortex. 语法解析

39:21

And that's thought to be involved in self-referential thought. So if your childhood wasn't that great and children tend to blame themselves, they stop loving themselves and they create all sorts of reasons why they're not lovable, that sticks in that posterior cingulate cortex. And then so when you default into that, 语法解析

39:39

And then that's your go-to. Your unconscious go-to is to tell yourself that you're… You deserve this. You deserve it. You're a piece of crap. Nothing's going to happen. You're not worthy. If that's your default, it's going to be really difficult for you to kind of live a healthy life. And the thing with me is I've lived in my default mode network most of my life. And I've really felt like I've wasted so much of my life in this sort of… 语法解析

40:06

default mode, like sitting in a movie theater, just so anxious that I can't, I can barely keep, keep it together. And so I kind of see my role in the world and is sort of being a trailblazer. It's like, I, I went, I went, I'm the sacrificial lamb. I figured this out. I've used my background in developmental psych and neuroscience and medicine to kind of, I kind of figured this out. It's really stuck in your default mode network, which, 语法解析

40:31

You know, here's the funny thing. It's like people say, you know, anxiety or alarm is stuck in your body. Trauma is stuck in your body. Now, it may actually be stuck in the brain's representation of the body. But still, for all intents and purposes, it's in the body. So when we realize that 语法解析

40:47

This is the true cause. This is the root cause of what anxiety truly is, is this alarm that's in the body. We have to fix this alarm. We have to fix this bottom-up alarm. We can do top-down strategies as well because I noticed that after I did a whole whack of somatic therapy and I started being really grounded, all of the stuff that I learned in cognitive therapy made perfect sense to me. 语法解析

41:09

But until I got out of the lion's den of being in alarm all the time, I wasn't able to have the wherewithal to kind of see what I was doing wrong and the fact that I was so addicted to my own worry. And I think there's biochemical reasons why we get addicted to worry. Dopamine, I think the periaqueductal gray in the brain secretes like endorphins and enkephalins. We get rewarded. If we scare the crap out of ourselves, we actually get in the brain. We get rewarded for that. 语法解析

41:35

So it's, it's, it's that's, and that's another reason why it's so hard to heal from anxiety, but you can do it. You just have to do it the right way. What do you make of the role of talk therapy, traditional talk therapy? Someone's feeling anxious. They're going to go in and, and, and sit down and, and say, I feel anxious all the time and I don't know why. And let's talk about what's going on in my life and what went on in my past. Yeah. Yeah. 语法解析

42:04

I think there's a limited amount of benefit you get. I think it's valuable, but I don't think it's going to heal you. It's the same with science-based therapy. When I see science-based therapy anywhere, I think, okay, coping strategy. What's science-based? I've not heard of that. Science-based therapy? It's quite common in… 语法解析

42:22

ironically, in the mental health field. You know, CBT is the gold standard, what we're talking about, in anxiety therapy. And CBT, in my practice, doesn't have a whole lot of penetration. It helps. It really is, I find it really helpful for victim mentality. 语法解析

42:39

CBT is one of the best things for victim mentality. But again, unless you go at the alarm, unless you go at this somatically, unless you feel it, unless you allow yourself to go back and visit that time that you were abused or abandoned or neglected. I have this acronym I call ALARM. I got through med school with acronyms and it's called ALARM. So if you experience abuse, physical, emotional, sexual abuse, 语法解析

43:03

Loss, loss of parents, loss of divorce, abandonment is the A. R is a rejection or bullying. M is anything that made you mature too early. So if you had to become the man of the house or the woman of the house too early, and then the S is for shame. And these things, if they're not repaired, 语法解析

43:20

form this state of alarm in your body and that alarm in your body is what's actually creating the worries the what-ifs the worst case scenarios in your mind as a way of protecting you from the alarm so if you go right at the alarm you're healing the source of the problem and this is what psychotherapy doesn't really do like how have you found cbt as far as your anxiety 语法解析

43:42

Uh, we haven't been working on anxiety all that much. I'm actually now doing ACT therapy as well, which is interesting. Um, it's, I certainly like the fact that it feels practically applicable. Um, one of the issues that I had with twice weekly psychotherapy for a year was, um, 语法解析

44:04

I left feeling like I had lots of insights, but also lots of open loops and no kind of direction for how to move forward. The problem with CBT is that it is a fucking ton of homework. It is anybody that think if you think that you've been consistent with your training in the gym and you know, you've been training for a decade or so, three, four, five days a week, push ball, leg split. Uh, 语法解析

44:33

try and do a month of CBT and see if you stay compliant because the sessions are shorter, but it is like when I looked at the reminders on my phone, I had this absolute cathedral of like an orchestra of bullshit going on. Most of it, you know, not bullshit, like it's good and important and I had to do it. But you end up looking at your day as being this sort of series of bits of 语法解析

45:00

cognitive interjections that you're having to do to yourself, right? Which, and this may be the price that you need to pay the brain is a slippery, negatively predisposed bastard. And perhaps this is the volume of effort and consistency and work that you need to put in. But, 语法解析

45:19

Holy fuck. Like, yeah, if you're going through, it's like, I'm going through a bit of a tough time. I would really like to alleviate that. It's like, Hey, here's 15 things you need to do every single day. It's tough. So, uh, I'm still on with it pivoted slightly from CBT to act, but, uh, I'm, I'm on with it. Yeah. And again, I think it's really about this default mode network. I've done a ton of research on this. Um, 语法解析

45:42

going to AI and saying, okay, how does the habenula react with the default mode network? Habenula, Huberman talks about too, like the disappointment nucleus, right? So it knocks off, it slows down the serotonin and the dopamine in your brain. So dopamine is involved in movement. You don't have dopamine, you have Parkinson's. 语法解析

46:01

So, when you don't have movement, when you don't have dopamine, you lose your motivation and you also freeze, like physically freeze. So, when you're in your bed and you can't move and you can't get out, and I've heard you talk about this too. 语法解析

46:16

That's the habenula. It's freezing you in this state that you can't move. And then you're kind of pinned to the bed with all these negative thoughts. And really, it's the shittest version of sleep paralysis ever. Totally. And then being able to say, like, for me, what's really, really helped me is going, okay, I'm 语法解析

46:37

I'm frozen right now. It might be my habanula. You know, it's nice. I always think that. I always think when I'm frozen that it's my habanula. But it's fun because, you know, and this is what I talk about because a lot of what I talk about is kind of healing from the spirit side. I mean, I know a lot about neuroscience. I know a lot about the default mode network, the insular cortex. And I think the insular cortex is going to play a huge role in healing anxiety as we go through life that we're not really even aware 语法解析

47:04

to tip the scale on how big the insular cortex is. The insular cortex is basically what maps the body onto the brain. And the posterior part of it deals a lot with physical pain. The anterior part of it deals with a lot of emotional pain. It also has a direct link into the fault mode and the amygdala. So it kind of gets you into this. If you feel this alarm, this is what I'm saying. If you feel this alarm in your system, this insula through interoception picks it up 语法解析

47:31

says, okay, we're in danger. Let's shut everything down. So it shuts everything down through the default mode network. And then you stay in that default mode network. And then you loop in the posterior cingulate part of the thing. I don't want to get too complicated, but I love this stuff. It starts feeding you all this negative shit about yourself. 语法解析

47:49

And then you get trapped in there. So this is why things like the anterior cingulate, gratitude, meditation, doing the hard things, you know, the Goggins nucleus, the ACC anterior cingulate, the anterior cingulate can actually recognize, hey, you are stuck in the default mode right now. You need to get out and go for a walk. You need to do something differently. That's why action is a good antidote to anxiety. It takes you right out of default mode. 语法解析

48:17

As soon as you connect, and this is one of the other things that I say, and this is a little more woo, is that anxiety, all anxiety is separation anxiety. And it's mostly separation from yourself. It's separation of your adult self from your child self. The adult doesn't want to go back and visit the child because the child holds all the pain. And it's a separation of your mind from your body. So you wind up living life neck up. You're living your life in the default mode network, which is not fun. 语法解析

48:43

So it's understanding that when you can connect with that younger version of you, you connect with the part of you that's alarmed. And when you heal the alarm, you actually heal the underlying cause of the anxiety so that the worries aren't there so much anymore. Or in my case, they still come, but I just don't give them any credibility anymore. And I think that's one of the things about healing anxiety that most people, 语法解析

49:05

programs, most university programs, they're almost all cognitive. There's very little about the somatic part of it because it's very difficult to reduce the somatic part of it, the emotional somatic part of it, into something that can be reproduced and studied. How effective is medication? 语法解析

49:26

Well, it depends. I mean, some people do very well on medication. Some people don't. A lot of people get side effects. So I've prescribed antidepressants thousands of times. And I wasn't so concerned about them when they didn't work. It's when they did work because a lot of people will just stay on the medication. I have nothing against medication. But I think in this environment, as a medical doctor, 语法解析

49:51

We're not trained in trauma. We're not trained in psycho. And we don't have the time for it either. So it's more likely my uncle is Scottish and he calls it the order of the rotating pen. So if you go into your doctor's office with complaints of anxiety or depression or what sound like that, you're probably going to walk out of there with a prescription. And I don't know if there's much totally wrong with that, but 语法解析

50:17

the medical profession doesn't have the time and they don't have the training or the inclination to really go into the deeper parts of it. I had this patient when I was in Vancouver, downtown Vancouver, who came in with recurrent urinary tract infections. And my spidey sense has told me that she had significant sexual abuse in her past. So energetically, she's more predisposed to getting these chronic… Now, I can't bring that up in a 15-minute interview. 语法解析

50:46

But I was able over the course of time to say, hey, you know, you should look into, you know, something there. There might be something in your past that's causing some sort of maybe some weakness in this area, you know, and she never did. But it is one of those things that for me, what was difficult about being a medical doctor is constantly just masking symptoms, you know, giving people something for their acid reflux. When I could see that so much of their physical, physical, 语法解析

51:12

issues were emotionally driven and that's being a family doctor you see you know the same kind of illnesses fibromyalgia migraine headaches irritable bowel syndrome run through families and there is this thing called visceral hypersensitivity i think dr k talked about this too when you had him on and uh there are people and i think through the insula i know i'm going on here 语法解析

51:34

Through the insula, I think that some people just feel their bodies more and they just feel the pain in their body and they feel the alarm more and they're much more likely to develop anxiety, depression, eating disorders, OCD, all this sort of stuff because they just feel more. 语法解析

51:50

Sorry, I just babbled there. No, dude, it's fascinating. This is a fucking seminar I've got going on. It's lovely. In other news, you might have heard me say that hold luggage is a psyop meant to keep you poor and late. And while that's true, it turns out that when a brand puts hundreds of hours into 语法解析

52:05

into design and organization and durability, suddenly checking a bag doesn't feel quite so much like a trap. It actually feels like an upgrade, which is what Nomadic's done with their new method check-in luggage. It's been designed from the wheels up to be lighter, stronger, and hold more. It's got best-in-class materials, 360-degree silent glide wheels, patent-pending micro-welding technology, and integrated TSA locks. Basically, you can pack anything. 语法解析

52:30

for between one and two weeks of clothes. It's got a full perimeter expansion for even more space and it's lighter, so no more panic attacks every time that you wear your bag. And their new carry-on can hold up to 20% more than other carry-ons, which means you can fit nearly a week's worth of clothing without checking a bag. And they'll last you a lifetime with a lifetime guarantee. Plus there's a 30-day money-back guarantee, so you can buy your new luggage, try it out for a month, 语法解析

52:54

If you don't like it, I'll give you your money back. Right now, you can get a 20% discount to see everything I use and recommend by going to the link in the description below or heading to nomadic.com slash modern wisdom. That's nomadic.com slash modern wisdom. I'm interested in how much people can actually undo chronic anxiety. You know, you've got these learned patterns. You've got these very, very well laid down patterns. 语法解析

53:19

commonly accessed areas of thought. I've heard about epigenetic activation and the expression of genes being turned on because of stresses in the environment. Maybe it was in childhood and then you've worsened it through adulthood. And a lot of people live with this as their reality. You know, they just look at this as their reality. How much can you actually reverse or undo 语法解析

53:47

change kind of reality yeah it's almost like you know those hypnosis shows where you see people go and then the guy takes up the hypnotist takes up 30 people and eventually winds up with 10 to do this to do show like some people are just more subcortically or unconsciously amenable to movement 语法解析

54:09

Some people are more rigid in their patterns, and some people can surprisingly be moved. But we have to try. We can't just do this from a cognitive lens. All the therapy, the talk therapy in the world doesn't really get at these deeper, subcortical, unconscious programs that have been in there since we were younger. 语法解析

54:32

So it's all about doing the right thing. And this is one of the reasons why I get really on my soapbox is that traditional therapy for anxiety helps you cope, but it really doesn't help you heal. And we really have to show people how they heal themselves and they heal themselves by reconnecting adult self to child self and mind to body. That's how we heal. 语法解析

54:54

And I think there's a tremendous amount of healing that can occur with that. I've seen people with crippling anxiety, crippling health anxiety. They'll never be fully rid of it, but their lives are so much more livable now. They're not constantly being tortured all the time. And I think you have to go at it the right way. And that's kind of why… 语法解析

55:14

why I was so excited to talk to you is that I think we're going at it the wrong way. We're believing that if we worship the mind, we can change the mind with the mind. And it doesn't really work that way. We need to actually get in there and start moving the subconscious mind around. And some people are much more amenable to that than others, but we have to try. We have to get in there and give them a chance. And this is where I believe psychedelics play a role as well, in that we are actually getting into these 语法解析

55:43

below the cortex nonverbal areas of the brain that we can start changing because this is this is basically what psychedelics do is they paralyze the default mode network so if your default mode network is telling you you're a piece of shit and you take this you know psilocybin or whatever it is and all of a sudden that voice is gone 语法解析

56:03

It's like, oh my God, this is a brave new world in here. It's like the movie The Sixth Sense. Once you've seen it once, you can't see it again because you know that he's dead all the way through it. Sorry, spoiler alert for a 30-year-old movie. But it's really important that we're not doing the right therapy for people. Talk therapy is valuable, no question about it. 语法解析

56:23

But unless you go and get the alarm in the system, that's truly what's causing the anxiety in your mind is this alarm, this old unresolved wounding that's stuck in your system, in your body, or your brain's representation of your body. This is the core. And if we don't treat this, we're just basically coping for the rest of our lives. And people… 语法解析

56:43

People feel like they're broken. People feel like this is a life sentence. I'm never getting out of this anxiety. So once you start showing them that there is a way out and they start gaining some agency, they may still be anxious for another year or so, but at least they know they're on the right track. Is it necessary to heal our past? Or can we just move beyond it? Can we just… 语法解析

57:03

Like, forget it and move on. That's kind of like the Joe Dispenza thing. It's like, there's no past. We just change the future. Right? I think, like everything, there's a combination of both. I think it's coming to terms with the self-reproach that we hold for that child who was abused, abandoned, neglected, whatever, because… 语法解析

57:22

There is this sense in us that it was our fault. And if that child's at fault, we're going to blame that child. We're going to separate from that child. And how do you think that child, if that child is in charge of the alarm, how do you think they're going to react? They're going to get more alarmed. So it's really treating the younger version of you. And then once you show the younger version of you, that you, adult you, is there to help them. 语法解析

57:48

And you start seeing some progress in that and some connection in that because all anxiety is separation anxiety. So if we have that connection within ourselves and we start feeling like, oh, I may not be perfect right now. I still go through anxious periods, but I'm on the right track. Like I know I'm not just sort of going to therapy for an hour a week and trying to, I used to have this joke when I did stand up about, you know, if you had a leak in your house. 语法解析

58:11

and you had a plumber come by every week, and five years later that leak was still going, would you still keep paying that guy? So it's really about doing the right type of therapy. I'm not against cognitive therapy. We need it. We have these huge prefrontal cortices. But unless we come at it from bottom up as well, which isn't rewarded in academia, which really isn't understood by science, 语法解析

58:34

We're not actually helping people heal. We're helping them cope. And there's, you know, but again, helping them cope sometimes is dangling over the gates of hell because you're not really showing them how you actually get out of this. You're just showing you how to deal with it while you're in it. How does anxiety show up differently for men and women? Men, as I said earlier, often it will show up as irritability. 语法解析

58:55

Uh, in women, it's, it's usually rumination. Women usually get into this real rumination. They really have this negative self view. They echo their, if they had a parent who criticized them in some way that goes on loop over and over. Uh, women are notorious for replaying conversations over and over and over from 20 years ago. 语法解析

59:15

Men, it shows up more with irritability. It shows up with the inability to really feel. And Lisa Feldman Barrett wrote this great book called How Emotions Are Made. And in that book, she says, the more emotion words you know, the more emotionally literate you are, and the more balanced your psyche is. And I think there's some truth to that. Men don't know a whole lot of emotion words. Women know a ton of emotion words. 语法解析

59:40

So as Dr. K was saying, we have to get men into their bodies. We have to get them into the feeling part of it. And the other thing that I think is really valuable for men is to start embracing tears as, you know, as alarming as that's going to be. I mean, you don't have to do it in front of your woman. 语法解析

59:57

For sure. I have this thing I call car screaming. So I try and have some tears about every six months and it just doesn't come. Like it's really hard for me to get into some tears. So I will watch sad dog videos or the other thing I'll do is what I call car screaming. So I go into my car and I go to a remote area and I just start screaming. 语法解析

01:00:19

And I don't cry out of sadness. I will cry out of frustration. Like if I'm really frustrated, and I think a lot of men are like this, is that when you get to that frustration point and you've been pushing it down and pushing it down and pushing it down, you really have to release it through your body. And it's got to be something that you feel like you have some agency or some control over. 语法解析

01:00:42

I know a bunch of people who don't seem to cry when they're sad, don't seem to cry sometimes when they're sad, rarely when they're happy, but a ton of times when stuff gets overwhelming. It's like, oh, this catastrophe has occurred and the response is to cry. 语法解析

01:01:02

And that's when the emotion comes out. It's usually stacked up. It's usually it's like one frustrating thing is that but once you get three or four in there, that's usually what tips them over. And the thing about tears is they're adaptive in the brain. The reason why I think this is like a hard truth. The reason why I think men kill themselves much more often than women do is women have tears. 语法解析

01:01:21

So your dog has still died. You're still getting a divorce. But for some reason, those tears change your perception, your subjective perception of what you're going through and make it easier on you. And if you can't have that, I think it just bubbles up to the point where it just overwhelms your brain completely. And the only way out you see is suicide. And suicide isn't so much about wanting to die. It's basically trying to do anything you can to escape the pain. 语法解析

01:01:51

It's interesting. Do you think it's a blessing or a curse to feel things very deeply? I remember you saying that. Well, as Jordan Peterson says, I think the only way out is through. I really do think that you have to get to know yourself and allow yourself to feel because so much of anxiety basically is not allowing yourself to feel. There's a little meme that says, you know, overthinking is under feeling. So if you can't feel yourself, and this is consistent with my theory of alarm, if you can't feel yourself, 语法解析

01:02:18

You're going to have to do something to just try and discharge that energy. And that comes typically from overthinking and rumination, which gives you the illusion that you are hiding from this alarm, but you're not. It is one of those things that just you're dangling yourself over the gates of hell and 语法解析

01:02:35

And it's understanding that you really have to allow yourself to feel this stuff. And this is why therapy is so important, especially for men and especially in men's groups where you can feel this through your body and see other men feeling the same thing. 语法解析

01:02:50

Because the crisis with men now is so massive and then it just gets stuffed down and stuffed down and there's so much self-reproach and there's so much negativity towards men that men use the internet to sort of hurt themselves because there's just so much negativity out there about men. 语法解析

01:03:08

And if you don't have a way of releasing that, either through play, sports is great. Play is another great way of releasing trauma because when you're traumatized as a child, you activate both your parasympathetic, your shutdown nervous system, and your activated nervous system at the same time. 语法解析

01:03:24

There's not really a whole lot of other ways in the world that that happens. When you go into play, you're doing the same thing. You're doing that same co-activation. The sympathetic nervous system and the parasympathetic nervous system are both active at the same time. You get a chance to reprocess that old slush fund of stuff that never got processed. Play, tears, being emotionally open. Here's another thing that I've heard on the podcast. 语法解析

01:03:52

Your thinking brain, your writing brain, and your speaking brain are three different brains. So if you can journal, if you can say it out loud, and you can think it, you're kind of spreading out the trouble into different areas. And 语法解析

01:04:09

a lot of what happens is that these disparate parts of our brains start running the show. So the more links you can get between all these things, the more sort of a buffer that you have. So journaling, I think, is great. I think speaking is great. When you get these things out, I think you had a guest on there too saying, I think it was Paul Conti, like when you get it out, it's out. But if you can get it out and you can write it out and you can think it out, 语法解析

01:04:37

That's you're sort of, you know, hedging your bets and getting the most sort of objectivity on the thing that's really troubling you as opposed to just trying to go at it with speaking. Let's say that someone is listening to this and thinks this is me being described down to a T. I've given it a crack with a bunch of other bits and pieces and some have worked a little, but it kind of still feels like my anxiety runs me as opposed to me running my anxiety. What would be your prescription for them? 语法解析

01:05:07

I would go to traumahealing.org and look at somatic therapy specifically. I use a version of somatic therapy and some internal family systems work. I'd like to work a little more with psychedelics, but it's not legal yet, so that's an issue. But this sort of talk therapy thing, you're not broken. You basically just don't have the right therapy. And 语法解析

01:05:31

The environment, the society is telling you that, “Oh, go to therapy. Go to therapy. It's going to help you.” Well, talk therapy probably isn't going to help you that much. It'll help you cope, but it's not going to help you heal. So it's finding something that gets into that somatic route. If you're a man, see if you can find a men's club. There's all sorts of men's retreats that go out and often for men, that's a better introduction to expressing your feelings than going to a typically female therapist. 语法解析

01:06:00

Because there's a lot that gets lost in translation there. And men don't have the verbal acuity to talk about emotions the way that women do. So they feel like they're playing basketball without arms. And I've heard that there too. So it's really if someone's listening and go, yeah, this anxiety, actually, yes, it is my body. It is the alarm in my body. We have to address that alarm in your body. So 语法解析

01:06:25

I have a course that I created. I make it $97. My business people say you should charge a ton of money. And I don't want to because, like you, I don't have a lot of material desires. I want to get my work out to as many people as possible because I think this alarm anxiety cycle is at the root of 90% of anxiety out there. And if people are just getting therapy for the anxiety part, the mind part, 语法解析

01:06:54

they're just kind of dangling themselves over the gates of hell and they're not really getting at the root cause. And of course they're going to feel like they're broken and they're never getting it fixed because you're not actually getting at the root cause of the problem. You're treating a symptom 语法解析

01:07:07

So if you have an infection and you have a fever, you can treat the fever with Tylenol, but it's not going to do anything for the underlying infection, which is kind of the analogy that they draw with this, is that you really have to go in there and allow yourself to feel the old trauma. You don't have to go in and dissect it completely. 语法解析

01:07:26

And this is what people ask me. It's like, well, do I have to know where my trauma comes from? Do I have to talk about it? It's like, no, you don't. But you do have to have a sense, like what I was talking to you about before with that sort of the red, deep, tight, 语法解析

01:07:38

place in your chest, we do have to come in to bear with that. We do have to feel that. And when we feel that, we can get connected with the part of us that got the wounding in the first place. And I've got one more thing. I have this acronym that I call SHOULD. So this is what you should have got when you were younger. So you should have been seen 语法解析

01:07:58

You should have been heard by your parents. You should have been open to your parents should open to you and, and, and make it okay to express your needs and have, and to see that their needs are expressed should have been understood, loved and defended. So seeing, heard, open to, understood, loved and defended. This is what you should have got when you were younger. You can give that to yourself. Now, if you find your alarm, you're actually finding the younger version of yourself. So see them. 语法解析

01:08:23

Hear that child. Open to them. Understand them. Love them. Defend them. If your parents didn't show an interest in knowing you and understanding you, 语法解析

01:08:33

you probably won't have a big interest in knowing and understanding yourself. And then you're so at risk of codependency because you never really got to know who you were. What you did was you got to give other people what you perceived they needed, and you probably got pretty good at it too. And then you get rewarded for that. So we're sort of operantly- It just shows up as paper. 语法解析

01:08:53

people pleasing and gladiatorial. Absolutely. Codependency. Absolutely. And that codependency makes you lose even more of yourself, separate even more from yourself. The alarm goes up even more and then you kind of redouble your efforts at trying to help other people when you really need to connect with yourself. If you don't connect with yourself, you're not going to heal from anxiety. Just period. 语法解析

01:09:14

Heck yeah. Dr. Russell Kennedy, ladies and gentlemen, the course that you mentioned and everything else that you've got going on, where should people go to check that out? Yeah, my website, theanxietymd.com. That's my Instagram as well, at theanxietymd.com. Everything is the anxiety, not the anxiety doctor, but the anxiety MD. And it's really about trying to look at anxiety in a completely different way because the way we're doing it now isn't working. 语法解析

01:09:42

Plus new book. 语法解析

01:09:44

And the new book came out, yeah. So that new book came out on September 17th. So AnxietyRx sold over 100,000 copies so far, which is pretty happy about that. Highest rated anxiety book on Amazon.com, as far as I know, when I checked about a month ago. I think it has an 82% five-star rating, which for a self-help book is pretty good. And it just gives people a very different idea of what their anxiety is so that they have some sense that they're not fighting this indomitable giant. 语法解析

01:10:12

and not making any progress at all. And anxiety makes us feel weak. And that goes into the default mode network as well. It just sort of works. You're weak. You're never going to get out of this. And it's like, no, you're actually not weak. You're actually pretty strong. You have to do everything that everyone else does. You know, raise your kids, go to school, but you got to do it with a hundred pounds of fear on your back. And, you know, you need to give yourself a lot more credit and connect with yourself because 语法解析

01:10:37

Because that's really what soothes the alarm. And it's the alarm that causes the anxiety. We're in this society that we believe that the anxiety is the thoughts. The thoughts are just a symptom. They're just, and they're the obvious, they're the tip of the iceberg. So we can see the thoughts quite clearly, but we don't see the alarm that's underneath it, that's feeding it. Thank you. Russ, I appreciate you. Until next time. I appreciate you. Thanks so much. 语法解析

01:11:04

If you're wanting to read more, you probably want some good books to read that are going to be easy and enjoyable and not bore you and make you feel despondent at the fact that you can only get through half a page without bowing out. And that is why I made the Modern Wisdom Reading List, a list of 100 of the best books, the most interesting, impactful and entertaining that I've ever found. Fiction and nonfiction and real life stories. And there's a description about why I like it and there's links to go and buy it. 语法解析

01:11:29

And it's completely free. You can get it right now by going to chriswillx.com slash books. That's chriswillx.com slash books. 语法解析

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