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GUEST SERIES | Dr. Paul Conti: Tools and Protocols for Mental Health

Sep 27, 2023 2h 41m 36 insights
This is episode 4 of a 4-part special series on mental health with Stanford and Harvard-trained psychiatrist Dr. Paul Conti, M.D. Dr. Conti explains what true self-care is and how our mental health benefits from specific self-care and introspection practices — much in the same way that our physical health benefits from certain exercise and nutrition habits. He describes how the foundation of mental health is an understanding of one’s own mind and the specific questions to ask in order to explore the conscious and unconscious parts of ourselves. He describes how this process can be done either on our own, through journaling, meditation and structured thought, or in therapy with the help of a licensed professional. He also explains how unprocessed trauma can short-circuit the process and how to prevent that, and the role of friendships and other relational support systems in the journey of self-exploration for mental health. People of all ages and those with and without self-introspection and therapy experience ought to benefit from the information in this episode. For show notes and additional resources, please visit hubermanlab.com.
Actionable Insights

1. Cultivate Deep Curiosity

Embrace curiosity about yourself and life, as it is the fundamental key that opens the door to self-understanding, growth, and all positive outcomes.

2. Construct a Life Narrative

Frame your past, present, and future by constructing a life narrative to understand what has gone right and wrong, and to navigate the best path forward for mental health.

3. Process Traumatic Experiences

Properly understand and process traumatic experiences to prevent them from inhibiting your ability to take excellent care of yourself and move forward.

4. View Trauma as a Walled-Off Abscess

Conceptualize unresolved trauma or difficult experiences in the unconscious mind as a walled-off abscess that, while contained, still detracts from health and requires intentional ‘draining’ or processing.

5. Confront Unconscious Gnawing Issues

If an issue feels too overwhelming to consciously address, it is precisely what needs to be examined, as it is likely already impacting your life at an unconscious level.

6. Understand & Dispel Inner “Phantom”

Identify and understand the unconscious forces or ‘phantoms’ that seem to be driving your life, as gaining this understanding is key to dispelling them and taking conscious control.

7. Avoid Self-Limiting “Specialness”

Resist the human tendency to believe you can achieve success in some areas but not others, as this self-limiting belief can prevent you from pursuing important life goals.

8. Cultivate Self-Understanding & Curiosity

Actively seek to understand what is going on inside you and why, while also being curious about what you don’t yet know about yourself.

9. Ask Good Self-Inquiry Questions

Make asking good questions about yourself a cornerstone of self-care to foster mental health and self-understanding.

10. Engage Brain Beyond Rumination

Actively engage in practices like writing or talking, rather than just repetitive thinking, to bring different parts of your brain online and activate error correction mechanisms for new insights.

11. Internalize Knowledge for Self-Help

Impart knowledge to yourself, especially about concepts like trauma’s impact or self-shame, as your mind will then use this understanding to process and improve your well-being.

12. Balance Forward Action with Reflection

Avoid solely looking forward in life; balance action with reflection on your past and internal state to prevent ’tripping forward’ and ensure stable, effective progress.

13. Question Automatic Daily Behaviors

Deliberately pause and question why you engage in automatic daily behaviors, as this self-inquiry can reveal unconscious motivations and open paths to change.

14. Identify & Alter Maladaptive Patterns

Become aware of and recognize maladaptive behavior patterns in your life, as this awareness is the first step towards actively changing them for the better.

15. Accept Temporary Reduced Functionality

Understand that temporary periods of reduced functionality, such as increased emotional upset or crying during self-inquiry, are a normal and necessary part of the healing process.

16. Prioritize Regular Weekly Therapy

Engage in regular weekly therapy, considering it as important as physical exercise for improving overall health.

17. Seek Clinical Help for Risk

If experiencing thoughts of self-harm, hopelessness, or feeling unsafe, prioritize seeking professional clinical help before engaging in self-inquiry.

18. Engage in Self-Examination Practices

Utilize practices like therapy, specific forms of meditation, and journaling to examine the self and foster better self-care for mental health.

19. Utilize Guided Meditation Apps

Use meditation apps like Waking Up to learn how to meditate and maintain a daily practice, which can improve mood, reduce anxiety, and enhance focus and memory.

20. Try Online Professional Therapy

Consider using online professional therapy platforms like BetterHelp to find a licensed therapist who can provide support and help you gain transformative insights.

21. Attend to Physical Basics

Ensure foundational physical self-care by eating well, staying hydrated, getting enough sleep, and moving your body regularly.

22. Exit Abusive Relationships/Environments

Navigate out of situations that constantly cause fear and misery, such as abusive relationships, as a prerequisite for building true self-care and goodness.

23. Evaluate Your Engagement with Life

Regularly assess how you are engaging with yourself and the world, questioning if your actions are generative or if you are doing things you genuinely don’t want to do, to identify areas for change.

24. Re-engage Loved Activities

Identify activities you love but are not doing, then critically re-evaluate if you truly cannot do them, as often the perceived barriers are not real.

25. Actively Process Grief and Loss

Understand and actively process grief and loss, such as from the death of a person, to prevent prolonged misery and enable adaptive engagement with the world.

26. Document Your Life Narrative

Write down or talk about your life narrative, either alone or with a trusted person, to gain self-understanding and identify patterns of change and impact of external events.

27. Reflect on Past Self-Changes

Use your life narrative to reflect on how you’ve changed over time, identifying periods where you coped better or felt differently, which can guide further self-inquiry.

28. Explore Past Through Photos & People

Review old photos and talk to people from different stages of your life to anchor memories and reflect on past behaviors and feelings, fostering self-understanding.

29. Practice Thought Redirection

Learn and practice cognitive behavioral tactics like thought redirection to consciously steer away from repetitive negative thoughts and reduce associated negative emotions.

30. Ground Yourself to Shift Salience

When feeling overwhelmed or panicked, deliberately ground yourself by focusing on external sensory details (e.g., touching a table, observing objects) to shift internal salience and regain control.

31. Discover Your Optimal Self-Inquiry Method

Reflect on what methods best facilitate your conscious self-inquiry, whether it’s meditation, physical activity, or quiet contemplation, and then actively engage in those methods more often.

32. Recruit Support for Challenging Paths

When facing difficult personal ‘roads’ or challenges, actively recruit support from trusted friends, clergy, therapists, or other reliable individuals to aid in your self-exploration and progress.

33. Choose Allies Reflecting Your Best Self

Surround yourself with people who embody the positive qualities you aspire to (e.g., diligence, cooperation), as your choice of companions reflects your self-worth and impacts your journey.

34. Manage Anger to Stay Effective

Aim to keep anger at low to moderate levels, as high levels lead to volatility and confusion, hindering effectiveness and well-being; lower levels can inform and guide positive action.

35. Listen to All Series Episodes

Listen to all four episodes of the mental health series to glean important, interwoven information and protocols for mental health.

36. Download Mental Health Diagrams

Access zero-cost PDF diagrams from the show note captions to help navigate the material discussed in the episodes.