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Dr Gabor Maté on Trauma, Illness and Healing in a Toxic Culture #294

Sep 13, 2022 2h 6m 20 insights
Today I’m excited to welcome Dr Gabor Maté back to the podcast for a third time. Gabor is a fellow physician, author, speaker and friend who brings warmth and wisdom to every conversation we have. He’s a renowned expert on addiction, trauma, stress and childhood development – and someone with a unique understanding of how our spiritual, emotional and physical lives are connected.   Gabor’s latest book The Myth of Normal: Trauma, Illness and Healing in a Toxic Culture is quite simply a masterpiece, which has the potential to help people the world over. It connects two of the most important factors in modern health – individual trauma and the pressures of modern-day living.   During this conversation, we discuss the prevalence and nature of addiction. We ask what ‘normal’ means these days when it comes to health. And why it is that success rarely equates with contentment.   Gabor defines childhood trauma and we discuss how parents can be aware of what causes it – but, importantly, why they shouldn’t look back and feel shame or blame. He shares some very personal insights that demonstrate that he’s as human as the rest of us, and how he’s found peace today.   We talk about self-awareness as a key factor in being a good doctor; why ‘psychosomatic’ should be a diagnosis not a dismissal, and how stress burdens the body, undermines immunity and causes emotional distress. Gabor shares some fascinating new research on the different personality traits that link to chronic disease. And he gives his view on why 80% of all autoimmune disease is seen in women.   This was a very special conversation, one which I hope you will find comforting, motivating and full of hope. Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. Order Dr Chatterjee's new book Happy Mind, Happy Life: UK version: https://amzn.to/304opgJ, US & Canada version: https://amzn.to/3DRxjgp Show notes https://drchatterjee.com/294
Actionable Insights

1. Prioritize “Why the Pain?”

When addressing addiction in yourself or others, shift the focus from “why the addiction?” to “why the pain?”. This approach targets the underlying emotional distress, which is the true driver of addictive behaviors, enabling deeper healing.

2. Cultivate Self-Compassion for Truth

Practice compassion towards yourself and others to create an environment where truth can be seen and healing can begin. This fosters openness and allows individuals to honestly examine their experiences without judgment.

3. Address Unmet Needs, Not Symptoms

If you find yourself seeking temporary dopamine spikes from behaviors like pornography or excessive consumption, identify the underlying unmet needs (e.g., belonging, feeling alive). Actively seek healthier ways to fulfill these needs, such as community engagement or physical activity, to address the root cause of the craving.

4. Shed Behavioral Adaptations for Peace

Identify and release behavioral adaptations (like extreme competitiveness or people-pleasing) that were developed to fit into your environment, rather than being your true nature. Letting go of these can lead to a profound sense of inner peace, contentment, and a natural reduction in addictive tendencies.

5. Embrace Authenticity for Well-being

Prioritize being authentic and true to yourself, even if it means not always gaining external approval. Pay close attention to your internal feelings, as aligning with your authentic self is a direct path to a deeper sense of well-being and health.

6. Heal Internal “Holes” from Within

Recognize that attempts to fill internal “holes” (e.g., lack of self-love, acceptance, courage) with external validation or material possessions are temporary and unsustainable. Focus on cultivating these essential qualities from within, as they cannot be truly satisfied by external means.

7. Parents: Deal with Your Trauma

Actively work on healing your own traumas and emotional issues, ideally before or while raising children. This self-work is crucial to avoid unconsciously passing on unresolved issues and to foster a healthier environment for your children’s development.

8. Parents: Trust Innate Instincts

As a parent, listen to your innate instincts and your heart, rather than blindly following all expert advice that contradicts these natural promptings (e.g., sleep training). Prioritize unconditional acceptance and emotional presence to minimize potential childhood trauma.

9. Release Guilt, Be Present

Release guilt and self-blame for past mistakes or perceived failures, as guilt is unproductive and keeps you “locked” in the past. Your children, and indeed anyone in your life, need your present and aware self more than your guilt.

10. Practice Compassionate Self-Inquiry

When reflecting on your own behaviors or mistakes, adopt a stance of compassionate curiosity by asking “Hmm, I wonder why I did that?” instead of a judgmental “Why did I do this?”. This approach fosters understanding and growth without self-condemnation.

11. Redefine Competition as Self-Improvement

Reframe your approach to competition by aiming to manifest your personal best and compete with yourself, rather than striving to beat or dominate others. This fosters personal growth and avoids the negative aspects of cutthroat competition.

12. Separate Self-Worth from Outcomes

Avoid rigidly identifying your self-worth or validation as a human being with the success or failure of your projects, work, or goals. This separation reduces anxiety and helps maintain core happiness regardless of external results.

13. Cultivate Healthy Anger as Boundary

Develop healthy anger as a boundary defense mechanism, allowing you to assertively say “no” when your space, boundaries, or well-being are being violated. This protects you from being trampled on without resorting to rage or chronic resentment.

14. View Disease as a Teacher

If facing chronic illness, consider viewing it not just as something to eliminate, but also as a potential teacher. This perspective can prompt an inquiry into where in your life you may not have been authentic, empowering you to make transformative changes.

15. Embrace Agency in Your Healing

Take an active role in your health and healing by investigating how aspects of your life (e.g., emotional patterns, relationships) may have contributed to your condition. This empowers you to be an active participant in your recovery, rather than a passive recipient of treatment.

16. Physicians: Acknowledge Emotional Factors

As a physician, even with limited consultation time, acknowledge the potential link between emotional factors and physical illness to patients. Offer to refer them to resources or specialists who can help them explore these relationships, empowering them with awareness.

17. Let Go of Ego for Curiosity

Cultivate genuine curiosity by consciously letting go of the ego’s need to “know everything” or to be right. This openness allows for deeper learning and a more expansive perspective, especially in areas where current understanding is limited.

18. Align Life with Core Values

Regularly evaluate your core values and ensure your daily life and choices are aligned with these stated intentions. This practice helps ensure that your actions genuinely reflect what is most important to you, leading to greater fulfillment.

19. Recognize Societal Impact on Health

Understand that societal values (materialism, individualism, aggression, competition) and systemic stresses (e.g., economic uncertainty, lack of community) profoundly impact individual and collective health. While individual action is important, recognizing these broader influences provides crucial context for well-being.

20. Embrace Healing Principles for Transformation

Actively integrate the core healing principles of alignment (authenticity), contentment (acceptance of what is), agency (personal control over health), and healthy anger (setting boundaries) into your daily life. These principles are fundamental for personal transformation and well-being.