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GUEST SERIES | Dr. Paul Conti: How to Understand & Assess Your Mental Health

Sep 6, 2023 3h 42m 14 insights
This is episode 1 of a 4-part special series on mental health with psychiatrist Dr. Paul Conti, M.D., who trained at Stanford School of Medicine and completed his residency at Harvard Medical School before founding his clinical practice, the Pacific Premiere Group. Dr. Conti defines mental health in actionable terms and describes the foundational elements of the self, including the structure and function of the unconscious and conscious mind, which give rise to all our thoughts, behaviors and emotions. He also explains how to explore and address the root causes of anxiety, low confidence, negative internal narratives, over-thinking and how our unconscious defense mechanisms operate. This episode provides a foundational roadmap to assess your sense of self and mental health. It offers tools to reshape negative emotions, thought patterns and behaviors — either through self-exploration or with a licensed professional. The subsequent three episodes in this special series explore additional tools to further understand and improve your mental health. For the full show notes, including articles, books, and other resources, visit hubermanlab.com.
Actionable Insights

1. Systematic Self-Inquiry (Pillars)

Engage in a spirited and systematic inquiry into the 10 components of the ‘Structure of Self’ (unconscious mind, conscious mind, defense mechanisms, character structure, self) and ‘Function of Self’ (awareness of ‘I’, defense mechanisms in action, salience, behavior, strivings) to understand oneself and identify areas for change.

2. Cultivate Self-Awareness of ‘I’

Actively engage in practices like contemplation, meditation, or looking in the mirror to strengthen the realization and awareness of your individual ‘I’ and your personal responsibility for it.

3. Make Unconscious Defenses Conscious

Identify and understand your personal defense mechanisms (e.g., avoidance, rationalization, projection) by observing your automatic reactions and patterns in various situations. This process helps to bring unconscious processes into conscious awareness for potential change.

4. Shift Negative Internal Narratives

Actively manage your attention by shifting focus away from repetitive, negative internal dialogues and images towards more positive thoughts and reflections, consistently reinforcing new neural paths.

5. Identify Repetitive Negative Patterns

Recognize and explore recurring self-defeating behaviors or situations, especially those where you ‘know better’ but continue to make the same mistakes, to uncover underlying unhealthy defenses or trauma-driven motivations.

6. Apply Self-Role Modeling

Leverage successful behaviors and mindsets from areas of your life where you thrive (e.g., professional decisions) and consciously apply those healthy approaches to areas where you struggle.

7. Make Conscious Behavioral Choices

Actively decide whether to engage in desired behaviors (e.g., exercise) or not, and accept the trade-offs of those choices, rather than procrastinating or engaging in self-deception.

8. Reframe Projection, Focus Control

When experiencing feelings like hostility or frustration towards external situations (e.g., traffic), identify the internal source of these emotions and then focus on what aspects of the situation you can control or change.

9. Implement Routines for Prevention

Establish simple, consistent routines (e.g., always putting keys in the same place) to prevent activating negative defense mechanisms or emotional states that arise from minor stressors.

10. Engage in Challenging Learning

Incorporate daily activities like reading scientific papers or challenging books, especially early in the day, to prime your generative drive and experience an immense sense of satisfaction and energy.

11. Seek Therapy or Trusted Support

Utilize professional therapy (e.g., BetterHelp) or engage in open conversations with trusted friends and loved ones to gain insights into your internal processes; medication can be considered to facilitate this process by reducing distress.

12. Engage in Weekly Therapy

Consider making weekly therapy a consistent practice, viewing it as a vital way to enhance mental health, similar to physical exercise for physical health.

13. Use Meditation/Yoga Nidra App

Utilize a meditation app like Waking Up for daily guided meditation sessions, mindfulness trainings, or yoga nidra to improve mood, reduce anxiety, enhance focus, and boost memory.

14. Download ‘Pillars of Self’ PDF

Access and review the provided PDF framework of the ‘Structure of Self’ and ‘Function of Self’ (available via show notes) to aid in understanding and applying the concepts discussed.