← The Peter Attia Drive

#15 - Paul Conti, M.D.: trauma, suicide, community, and self-compassion

Sep 17, 2018 2h 9m 20 insights
<p>In this episode, psychiatrist Paul Conti, M.D. discusses the impact of untreated trauma, the rising rate of suicide, and the influence of modern society on mental health, to name a few important topics covered. Paul also talks about how to deal with these challenges for yourself, your loved ones, and the community at large.</p> <p>We discuss:</p> <ul> <li>Paul's background, and what drove him to psychiatry [5:00];</li> <li>How silent bravado and incessant striving can lead to a functional (and actual) death, and why Paul is critical of the current state of psychiatry [14:45];</li> <li>Psychedelics, psychotherapy and the dissolution of the ego [20:30];</li> <li>How current society may be contributing to the increasing amount of suffering [25:00];</li> <li>The ubiquity and impact of untreated trauma [31:45];</li> <li>The rising rate of suicide, parasuicide, and "accidental" death [35:30];</li> <li>Types of trauma, why we minimize it, and Peter's introduction to Bridge to Recovery [44:00];</li> <li>Triggering shame and fear, childhood trauma, and why trauma doesn't care about time [48:00];</li> <li>The impact of the brain on the body, and overcoming trauma with self-awareness [55:00];</li> <li>How to recognize and stop the cycle of shame transference [1:04:30];</li> <li>Peter's profound experience at Bridge to Recovery, and the importance of finding shared experiences with others [1:11:15];</li> <li>How to identify and deal with our own personal trauma [1:19:00];</li> <li>Finding meaning in struggle, why we are less happy than ever, and the impact of an isolated society [1:25:30];</li> <li>What steps can we take as a society to make an appreciable impact on the rising sense of desperation and misery? [1:43:15];</li> <li>Resources, book recommendations, and things you can do [1:56:15]; and</li> <li>More.</li> </ul> <p> <span> Learn more at <a href="http://www.peterattiamd.com/"><span><u>www.PeterAttiaMD.com</u></span></a></span></p> <p> <span>Connect with Peter on <a href=""> <span> <u>Facebook</u></span></a> | <a href=""> <span> <u>Twitter</u></span></a> | <a href=""> <span> <u>Instagram</u></span></a>.</span></p>
Actionable Insights

1. Cultivate Self-Compassion for Healing

Engender compassion for yourself to overcome shame and hidden struggles, as this is a crucial step before seeking help and addressing underlying trauma.

2. Encourage Vulnerability & Seeking Help

Actively fight against silent struggle by being vulnerable and seeking help, as the inability to express oneself can be profoundly draining and harmful.

3. Prioritize Happiness for Longevity

Recognize that an obsession with living longer is meaningless without happiness, as misery is often self-imposed and can be a significant ‘disease of civilization’.

4. Consider Trauma-Focused Inpatient Treatment

If you suspect your pain or actions are driven by early life trauma, contact facilities like The Bridge to Recovery for an intake interview, especially if standard therapy isn’t enough.

5. Monitor Inner Dialogue & Seek Psychotherapy

Pay close attention to your inner dialogue, as negative self-talk can be profoundly damaging. Consider psychotherapy for better self-understanding and connection, as ’every damn human on the planet should have psychotherapy'.

6. Practice Vulnerability as Shame Antidote

Engage in environments that foster vulnerability, such as 12-step meetings, as this shared human experience is a powerful antidote to shame and a beginning to healing.

7. Counteract Self-Differentiation & Isolation

Be aware of how you differentiate yourself from others, as this reflex often stems from a need to escape shame but ultimately leads to loneliness and prevents genuine human connection.

8. Broaden Social Connections Beyond Spouse

Recognize the fallacy that one person can be everything to another in a relationship. Cultivate a broader set of connections with friends and community to meet diverse emotional needs and avoid unrealistic expectations.

9. Define Personal Values Beyond Perseverance

Reflect on and define what truly gives your life meaning beyond endless striving and achievement, as valuing oneself solely by perseverance can become hollow.

10. Acknowledge Weakness from Trauma

Dispel the myth that ‘what doesn’t kill us makes us stronger.’ Acknowledge that bad experiences can make us weaker and cause lasting hurt, which must be addressed rather than suppressed.

11. Understand Trauma’s Generational Impact

Recognize that trauma’s effects are often transferred across generations in orthogonal, unexpected ways, not necessarily through the same root cause, making it crucial to understand and address.

12. Cultivate Active Listening and Humility

Seek out situations where you can listen without needing to be the expert or center of attention, allowing for a sense of shared humanity where your status doesn’t matter.

13. Reframe Altruism for Self-Healing

Understand that helping others is not a false dichotomy with helping oneself; often, the most beneficial actions for others also serve as a search for personal healing and soothing.

14. Engage in Mutual Community Support

To survive and thrive as a society, engage in mutual community support, where everyone helps each other, whether through resources or shared wisdom, fostering a sense of being ‘in it together’.

15. Support Local Community Centers

Advocate for and utilize community support centers that facilitate human connection, mental health education, and basic support, as these are inexpensive yet vital for societal well-being.

16. Question High Achievement as Defense

Be suspicious of very high levels of achievement as they can often be a defense mechanism, masking underlying vulnerabilities or unresolved issues.

17. Connect Openly with Close People

Make an effort to talk more openly and deeply with people close to you, as most individuals have more capacity for open communication than they currently utilize.

18. Read “The Plague” by Camus

Read Albert Camus’ “The Plague” to reflect on the shared human experience of affliction and the universal need for community and mutuality in times of threat.

19. Read Catherine Mansfield’s Short Stories

Explore Catherine Mansfield’s short stories to gain insight into the subtle nuances of human interaction and to identify more deeply with your own humanity.

20. Laryngitis Remedy: Gargle Hot Water & Aspirin

To alleviate laryngitis, gargle with hot water and crushed baby aspirin, an old-school trick taught by Paul Conti’s grandmother.