Latest / Hardiness with Dr Paul Taylor / Strategies for Building Healthy Minds with Clinical Psychologist, Dr Tom Nehmy
Transcript
- 0:09Speaker 1: Good to see you again, and I'm glad to see
- 0:11Speaker 1: you alive.
- 0:12Speaker 2: And well, yes, indeed, man, I am out the other side,
- 0:17Speaker 2: as they say, I'm happy to be out the other side.
- 0:20Speaker 1: I'm very glad to hear it. And just if you
- 0:23Speaker 1: don't mind, I don't know all the backstory, but I
- 0:26Speaker 1: know you had surgery, and yeah, are you okay? Is
- 0:30Speaker 1: everything all right?
- 0:32Speaker 2: I am? I am perfectly fine, and I'm a very
- 0:36Speaker 2: very lucky boy. I play soccer with a cardiologist and
- 0:44Speaker 2: because I was I'm in my fifties, I went to
- 0:47Speaker 2: him and I said, hey me, you know what can
- 0:50Speaker 2: I do to get a full check up? I want
- 0:52Speaker 2: the full check up, but I just don't want to
- 0:54Speaker 2: go and get my bloody cholesterol measured, which is a
- 0:57Speaker 2: pretty poor proxy. I want to know what my tickers like.
- 1:01Speaker 2: And he's like, yet, no problem, come in when we'll
- 1:04Speaker 2: do a whole heap of testing. So he did the
- 1:06Speaker 2: you know, the exercise stress test, cardiac MRI, all of
- 1:09Speaker 2: that stuff, sat me down, uh, and then was taking
- 1:13Speaker 2: me through the results. And when you know, fitness wise,
- 1:15Speaker 2: you're great, he says, but we have just found that
- 1:19Speaker 2: you have a congenital heart defect. So I was born.
- 1:25Speaker 2: I was born with a bicuspid aortic valve rather than
- 1:30Speaker 2: try cuspid. So you're for and for the listeners or
- 1:34Speaker 2: maybe anybody doesn't know. Your aorta is the be an
- 1:37Speaker 2: artery that plumps the blood. So the blood comes out
- 1:40Speaker 2: of the left ventricle, it squeezes it and it goes
- 1:44Speaker 2: through the orta and through the all of your body.
- 1:48Speaker 2: And and there's supposed to be a try leaf, a
- 1:51Speaker 2: try cuspid valve. There three leaf thing and it's a
- 1:54Speaker 2: one way valve. So the blood goes through and then
- 1:57Speaker 2: the valve shuts. I was born with the heart defect
- 2:01Speaker 2: of a bicusp but so only two leaves. And what
- 2:04Speaker 2: that means is over time it doesn't shut properly right,
- 2:07Speaker 2: So you then start to get regurgitation, as in blood
- 2:11Speaker 2: leaking back in. And what that does then over time,
- 2:16Speaker 2: because there's blood leaking back in and the ventricles filling again,
- 2:20Speaker 2: it can stretch your heart chamber. And as the cardiologist
- 2:24Speaker 2: said to me, he says, what kind of happens with
- 2:26Speaker 2: people who particularly are into their fitness. They first start
- 2:30Speaker 2: to notice just a fitness is going a little bit here.
- 2:34Speaker 2: I need to work harder, and so you go and
- 2:36Speaker 2: you work harder, and that makes the problem worse. Right,
- 2:40Speaker 2: The other stuff can happen is that the blood pulls
- 2:43Speaker 2: in the bottom and then you can get You can
- 2:47Speaker 2: end up with an aneurysm, or your aorta stretches. The
- 2:52Speaker 2: man was starting to stretch and it can just burst
- 2:54Speaker 2: in in your brown bread. So it was either going
- 2:58Speaker 2: to give me heart failure or or kill me. So
- 3:02Speaker 2: I'm very lucky and I just found this morning I
- 3:04Speaker 2: was reading an article. I'm in very good company. Olympic
- 3:08Speaker 2: four hundred meters silver medalist Roger Black revealed he's just
- 3:12Speaker 2: had open heart surgery. Same issue, exact same issue. He
- 3:17Speaker 2: was born with a by customers, but he knew about
- 3:19Speaker 2: it from the age of eleven, so obviously often it's generic.
- 3:23Speaker 2: Obviously one of his parents had it. He got checked
- 3:26Speaker 2: out at the age of eleven. They knew it. And
- 3:28Speaker 2: it's a watching weight thing until it becomes an issue, right,
- 3:32Speaker 2: and you didn't.
- 3:33Speaker 1: Have any family history or anything.
- 3:35Speaker 2: I didn't know any family history at all around it,
- 3:39Speaker 2: and so it's not always it can just be a freak.
- 3:44Speaker 2: But then I've got to check my kids from up.
- 3:46Speaker 2: Both my kids are getting checked as well, and you know,
- 3:51Speaker 2: but mine was getting to the point my surgeon say
- 3:54Speaker 2: it actually that I had over fifty percent regard sitation
- 4:01Speaker 2: once it hits sixty percent of sixty sixty five when
- 4:05Speaker 2: you get heart failure. So I'm a lucky, lucky boy.
- 4:11Speaker 1: That's absolutely incredible. And I guess a reminder to a
- 4:15Speaker 1: lot of people listening who might think, do you have
- 4:17Speaker 1: done the cholester I've done the blood test, but actually
- 4:19Speaker 1: I've never had a real look under the hood in
- 4:22Speaker 1: terms of cardiac risk. That's a huge lesson. And you
- 4:25Speaker 1: didn't feel.
- 4:26Speaker 2: Anything, No, I didn't feel anything. Looking back, there were
- 4:32Speaker 2: probably some signs, and you know, retrospect, you know, it's
- 4:36Speaker 2: great to be able to look back on stuff, right.
- 4:40Speaker 2: I've noticed just playing this year because particularly I went
- 4:44Speaker 2: I played open age this year because I couldn't play
- 4:47Speaker 2: with the over thirty fives, and just noticed that my
- 4:51Speaker 2: speed was nowhere near like with young guys. And I
- 4:55Speaker 2: just thought, it's just because you're old. But you know,
- 4:58Speaker 2: I was working with half a heart basically, so that's
- 5:02Speaker 2: going to affect stuff like that. And I did actually
- 5:05Speaker 2: start to notice. And when you know about these things,
- 5:08Speaker 2: you more were November December, and especially January, my exercise
- 5:14Speaker 2: capacity was really dropping off quite significantly, and some would
- 5:20Speaker 2: say that was because I was in Belfast for two
- 5:22Speaker 2: weeks reacquainting myself with Guinness, but the badness was out
- 5:26Speaker 2: by that stage. I could definitely feel it in January
- 5:29Speaker 2: and my serge and said, yeah, you were now over
- 5:30Speaker 2: fifty percent. So like in if I hadn't done anything
- 5:34Speaker 2: about it in the next year, I would have been
- 5:36Speaker 2: in trouble.
- 5:37Speaker 1: Wow. Well, I'm so glad to hear you on the
- 5:40Speaker 1: other side of it.
- 5:41Speaker 2: Yeah, and look really interesting because I bumped into somebody
- 5:45Speaker 2: just walking down the street. I bumped into lady I
- 5:47Speaker 2: know he used to be here to hr with I
- 5:50Speaker 2: select and I'd done some business with her and we
- 5:52Speaker 2: were talking with her husband and he had not not
- 5:56Speaker 2: the same thing, but he had ended up having cockages
- 6:00Speaker 2: in his arteries and the same thing. It's us freaking blokes.
- 6:05Speaker 2: He was noticing just when he was out cycling. Oh,
- 6:09Speaker 2: the cold is starting to affect me. It's affected my
- 6:12Speaker 2: breathing and stuff like that. But then he said there
- 6:15Speaker 2: were other symptoms. He was getting a little bit of
- 6:18Speaker 2: chest pain and he just dismissed it. He even got
- 6:21Speaker 2: some jaw paying and he sort of just dismissed that,
- 6:26Speaker 2: and his doc said, geez, you were pretty close to
- 6:29Speaker 2: a big heart attack.
- 6:30Speaker 1: Right, So got to listen to the signs, don't you.
- 6:34Speaker 1: You do?
- 6:34Speaker 2: And so I think for especially for blokes because we
- 6:38Speaker 2: get more cardiovascars, but not exclusively women as well. You
- 6:41Speaker 2: got to know what those signs and symptoms are, right,
- 6:44Speaker 2: and especially if you're noticing your exercise capacity has dropped significantly,
- 6:50Speaker 2: you're breathing harder, don't always just write it off on
- 6:55Speaker 2: the old age and go and get bloody well checked out.
- 6:58Speaker 2: And you've got to push. You got you gotta push, right,
- 7:03Speaker 2: So that's the thing. So yeah, but hey, we're on
- 7:06Speaker 2: the other side. I'm recovering really well and very happy
- 7:10Speaker 2: to be here.
- 7:11Speaker 1: And your gratitude levels are high.
- 7:14Speaker 2: Oh yes, oh yes, very very high. Yeah, I'm extremely
- 7:20Speaker 2: grateful for modern science from a surgeon, for all the
- 7:26Speaker 2: nurses in the hospital who were freaking awesome and stuff
- 7:28Speaker 2: like that. Like, yeah, gratitude levels all are through the
- 7:33Speaker 2: I'm normally a person who's big on gratitude, but yeah,
- 7:36Speaker 2: through the roof now. But interesting, Tom and I've had
- 7:39Speaker 2: this conversation. So I don't want to go too much
- 7:41Speaker 2: into it, but I had this conversation with Craig Harburn.
- 7:43Speaker 2: We're about to release a podcast. A really interesting thing
- 7:47Speaker 2: for me in the lead up was using that whole
- 7:50Speaker 2: stoic principle of meditating on your death. And I think
- 7:54Speaker 2: a big lesson for everybody is just, you know, put
- 7:57Speaker 2: yourself in that scenario, right, imagine that you are that
- 8:03Speaker 2: in six months your brown bread something happens or in
- 8:06Speaker 2: a month, like what would the impact be? What would
- 8:10Speaker 2: the impact be on your family? Have you got your
- 8:12Speaker 2: shit sorted out? But also, you know, if that was
- 8:16Speaker 2: to happen, what would your big regrets be? Right? If
- 8:20Speaker 2: you were taken early and then and then imagine you've
- 8:24Speaker 2: got a second chance, and what would you do with that?
- 8:27Speaker 1: Right?
- 8:28Speaker 2: Because a lot of it spen a shit little time
- 8:30Speaker 2: less on their phone, bringing dooms, grueling, watching shit TV
- 8:34Speaker 2: that spend more time with their family, doing hobbies, all
- 8:37Speaker 2: of that stuff and why weird until you get that
- 8:41Speaker 2: warning shot across the boats.
- 8:43Speaker 1: Yeah, well you know that it's a powerful question what
- 8:46Speaker 1: have you done with your life? And you know, if
- 8:49Speaker 1: we look at Bronnie Were's story, the top five regrets
- 8:53Speaker 1: of the dying. The number one most common regrets she
- 8:57Speaker 1: saw as a palliative carenurse was I wish I'd had
- 9:00Speaker 1: the courage to live a life true to myself, not
- 9:02Speaker 1: the life others expected of me. I wish I'd let
- 9:07Speaker 1: myself be happier. I wish I'd sat in touch with
- 9:09Speaker 1: my friends. Nobody said I wish I'd spent more time
- 9:14Speaker 1: in mindless online social media, or getting up about someone
- 9:20Speaker 1: I worked more in the week, right, yeah, And nobody said, jo,
- 9:23Speaker 1: I'm glad I renovated and got the extra bedroom, or
- 9:26Speaker 1: I've got the European car in the driveway. Nobody said that.
- 9:29Speaker 1: It was all about relationships, doing what matters, not avoiding
- 9:34Speaker 1: what's in our heart, like not, you know, having the courage.
- 9:37Speaker 1: That's the word that stood out to me, the courage
- 9:39Speaker 1: to live a life true to yourself. You know, I
- 9:42Speaker 1: see as a psychologist, the most common unhelpful coping strategy
- 9:46Speaker 1: across the board is avoidance. We find the excuse to delay,
- 9:51Speaker 1: to not take action, to not confront it. And this
- 9:55Speaker 1: is as true for people's fears as it is for
- 9:57Speaker 1: their goals. And so that question, if you were to
- 10:01Speaker 1: die in a month or in six months, what have
- 10:03Speaker 1: you done with your life? It brings everything into sharp focus.
- 10:06Speaker 2: Yeah, it really really does. And I haven't been through
- 10:10Speaker 2: and done that exercise of that meditating on your death.
- 10:15Speaker 2: I really encourage everybody to do it right and then
- 10:19Speaker 2: to just take stock of your life, right, pretend just
- 10:23Speaker 2: pretend you've got a massive second chance, Like what would
- 10:27Speaker 2: you do differently? Right? Yeah, So anyway, we're not here
- 10:32Speaker 2: to talk about me, so you are. Your clinical psychology
- 10:35Speaker 2: has been on before. Some people will have heard you.
- 10:37Speaker 2: If you haven't, I'd highly recommend you go back. It
- 10:40Speaker 2: was probably a couple of years ago actually that we
- 10:41Speaker 2: were on talking about apples for the mind, and it
- 10:45Speaker 2: was a great conversation. Hence your back.
- 10:50Speaker 1: Yeah, and we talked about the top five myths of
- 10:53Speaker 1: mental health and I know some people just really it
- 10:57Speaker 1: resonated for them, these idea that there's we're misled by
- 11:01Speaker 1: this common knowledge around psychology and mental health. And I
- 11:04Speaker 1: loved how much that resonated for people.
- 11:07Speaker 2: Yeah, and just I see that's just rehush. What's a
- 11:10Speaker 2: couple of the big myths? Right, Just let's do a
- 11:13Speaker 2: quick rehush before we get into today. What would be
- 11:17Speaker 2: the big one or two that are the standouts for you.
- 11:20Speaker 1: Oh, the big one or two is being mentally healthy
- 11:25Speaker 1: means I'm going to feel happy. And conversely, if I
- 11:28Speaker 1: feel happy, it means I'm mentally healthy. That's a huge
- 11:31Speaker 1: red herring. Equating your mood with your mental health. It
- 11:34Speaker 1: leads people down the garden path. They assume that there's
- 11:38Speaker 1: something wrong with them when there isn't because they're not
- 11:40Speaker 1: feeling twenty four seven joy and good feelings. I've got
- 11:44Speaker 1: to tell you, Paul, if I met someone who said
- 11:45Speaker 1: they felt good all the time, I think, what disorder
- 11:48Speaker 1: do you have? Because it's not normal to be elevated
- 11:52Speaker 1: in mood continuously. But we also see people pursuing happy
- 11:57Speaker 1: feelings in unhealthy ways. They see that as the holy ground.
- 12:02Speaker 1: But your mood or how you feel, is not the
- 12:05Speaker 1: same thing as your mental health. It's not the same
- 12:07Speaker 1: thing as your will being.
- 12:08Speaker 2: And this is critical for people to understand. Isn't it
- 12:11Speaker 2: that happiness is just an emotion. It's a fleeting emotion
- 12:15Speaker 2: like anger, sadness, that sort of stuff. It's not a
- 12:18Speaker 2: state of being that we can be in permanently. And
- 12:22Speaker 2: I think we've all been, We've been sold this by
- 12:27Speaker 2: marketing people, right them, that we should all be happy. Interesting.
- 12:33Speaker 2: I remember looking at research around what parents most want
- 12:39Speaker 2: for their children, and across the world there was like
- 12:43Speaker 2: thirty different countries and the biggest thing they wanted for
- 12:45Speaker 2: their children was to be happy. Apart from India, and
- 12:49Speaker 2: they wanted their children to be successful more than happy. Right,
- 12:52Speaker 2: that was the one country that bucked the trend out
- 12:56Speaker 2: of thirty or forty of them. Yeah, it's just it's
- 13:01Speaker 2: bullshit that we can be happy all the time, isn't it.
- 13:05Speaker 1: It is bullshit. And I think when parents say I
- 13:08Speaker 1: want my child to be happy, what they really mean
- 13:10Speaker 1: to say is I want them to have well being. Yeah,
- 13:16Speaker 1: I want them to be well liked and I want
- 13:18Speaker 1: them to be successful. That's really what they mean when
- 13:20Speaker 1: they say I want them to be happy. But the
- 13:23Speaker 1: good news is that and working in the air of
- 13:26Speaker 1: preventive psychology, I do a lot of work with parents.
- 13:29Speaker 1: We talk about what are the things to keep in
- 13:31Speaker 1: mind if you're the parent of young child in order
- 13:33Speaker 1: to achieve that. Well, if you want your child to
- 13:36Speaker 1: be happy, you want to cultivate well being. Because you're
- 13:40Speaker 1: absolutely right, we conflate these two things. That one is
- 13:43Speaker 1: a temporary mood state. Moods are by definition transient, and
- 13:48Speaker 1: that is healthy. We don't they're meant to come and go.
- 13:51Speaker 1: That's why I always say emotions are like the weather.
- 13:53Speaker 1: They're meant to come and go. And if you want
- 13:58Speaker 1: your child to be well liked, then model social skills
- 14:01Speaker 1: and coach them on social skills. And if you want
- 14:03Speaker 1: them to be successful, build their capability. So you're not
- 14:06Speaker 1: gonna have a capable child if they never face challenges,
- 14:10Speaker 1: they never have responsibility and they don't have to do
- 14:12Speaker 1: things on their own. Yeah.
- 14:14Speaker 2: Look, I want to do a big dig into that.
- 14:17Speaker 2: But just while we're on that topic of happiness and that,
- 14:22Speaker 2: you know we've been sold as happiness. I think there's
- 14:24Speaker 2: another thing that's a big issue right now is that
- 14:30Speaker 2: And I don't know where this came from, but now
- 14:33Speaker 2: people just a lot of people seem to think that
- 14:36Speaker 2: life is about being entertained, right, and so many people
- 14:43Speaker 2: spend so much of their free time inside four walls
- 14:48Speaker 2: with their head buried in a screen right either scrolling
- 14:53Speaker 2: or on Netflix. And it's like, when did entertainment become
- 14:59Speaker 2: the prime goal of leisure time?
- 15:03Speaker 1: Yeah? Absolutely, And it's a trend that we see not
- 15:08Speaker 1: just across individual behaviors, but also in parenting practices and
- 15:13Speaker 1: really across the board. It goes hand in hand with
- 15:16Speaker 1: the shortening of our attention span, but in particular it's
- 15:19Speaker 1: emotional as well. And it's what I call the great
- 15:22Speaker 1: mistake because if we focus on short term emotions, what
- 15:27Speaker 1: makes me feel happy, what makes me feel calm, what
- 15:30Speaker 1: makes me feel comfortable, over what's good for our long
- 15:33Speaker 1: term development, our long term wellbeing, or what fits with
- 15:38Speaker 1: our values, this is a mistake. So focusing on short
- 15:43Speaker 1: term emotions rather than long term development is a mistake.
- 15:49Speaker 1: It's a mistake in our lives because it stops us
- 15:51Speaker 1: from doing what's meaningful or important in the long term.
- 15:55Speaker 1: And it's a mistake from a parenting point of view
- 15:58Speaker 1: because it causes parents to intervene unnecessarily in a way
- 16:03Speaker 1: that ultimately confers risk upon the child for other problems. So,
- 16:11Speaker 1: you know, we see this in anxiety all the time.
- 16:13Speaker 1: And I know we started with phones and now in anxiety,
- 16:16Speaker 1: but we see this in anxiety because it's really normal
- 16:21Speaker 1: to sometimes feel anxious. So if you do something that
- 16:24Speaker 1: is new, different, challenging, or has a great deal of
- 16:29Speaker 1: responsibility attached to it. How often do you feel perfectly calm?
- 16:34Speaker 2: Not very often, unless you're a not kiss.
- 16:36Speaker 1: Exactly only in that case would right, So it's normal
- 16:40Speaker 1: by definition when you face a challenge, it's normal to
- 16:42Speaker 1: feel uncomfortable. But we've somehow pathologized normal nervousness, normal discomfort.
- 16:51Speaker 1: You know, we could say colloquially, I feel anxious, Okay, fine,
- 16:54Speaker 1: but that doesn't mean you've got an anxiety disorder. That
- 16:56Speaker 1: doesn't mean anything's wrong. And so by pathologizing it, by
- 17:01Speaker 1: reducing our we've lowered our expectations for what we can
- 17:06Speaker 1: and should tolerate. And this has vast repercussions. It's like
- 17:11Speaker 1: we've lowered the bar across the board for what we
- 17:14Speaker 1: should be able to handle. So that has implications for individuals,
- 17:18Speaker 1: but on a population level, and we're seeing this play
- 17:21Speaker 1: out in real time right now, Paul, is on a
- 17:23Speaker 1: population level, it increases vulnerability to anxiety disorders. Yeah, so
- 17:32Speaker 1: if i'm IF, I'm if as a young person, I'm
- 17:36Speaker 1: implicitly or explicitly given the message that I shouldn't have
- 17:40Speaker 1: to tolerate the discomfort of a high pressure exam. For example,
- 17:44Speaker 1: or I shouldn't have to endure the difficulty of telling
- 17:49Speaker 1: my teacher that I didn't do my homework. Then that
- 17:55Speaker 1: then magnifies. There's a cumulative effect of this belief set
- 18:00Speaker 1: and this lack of habituation. We habituate to things. When
- 18:05Speaker 1: we face them, we calm down and we adjust. So
- 18:09Speaker 1: if we don't learn to habituate to everyday challenges, everyday difficulties,
- 18:14Speaker 1: how in the hell are we going to expect a
- 18:17Speaker 1: young person at twenty twenty five, in their first job
- 18:20Speaker 1: doing a university degree, who faces the challenges that we
- 18:24Speaker 1: know are inevitable. How can we possibly expect them to
- 18:28Speaker 1: cope with that difficulty and discomfort if they've never had
- 18:31Speaker 1: to face that difficulty and discomfort with the little things,
- 18:34Speaker 1: the age appropriate things, when they were younger.
- 18:37Speaker 2: Mayor you are singing my song and you're singing it beautifully.
- 18:43Speaker 2: I have been increasingly concerned of what I've seen, both
- 18:50Speaker 2: from seeing my kids and their friends and seeing messages
- 18:56Speaker 2: from schools, but also then seeing the ridiculously increasing medication rates,
- 19:05Speaker 2: especially amongst our young people, and the mental health issues.
- 19:09Speaker 2: And I have long believed that a huge part of that,
- 19:15Speaker 2: In fact, the vast majority of that is that we
- 19:17Speaker 2: are coddling our kids, we are wrapping them up in
- 19:22Speaker 2: cotton wool. We're making the freaking exact same mistake that
- 19:26Speaker 2: happened in the nineteen eighties that came out of America,
- 19:29Speaker 2: where it was all about boosting people's self esteem because
- 19:33Speaker 2: they saw that people who had hire self esteem created
- 19:37Speaker 2: less are made, had committed less crime. So they then thought, oh,
- 19:42Speaker 2: if we just boost people self esteem, there'll be better citizens.
- 19:46Speaker 2: And it turned into a freaking mess. And I think
- 19:49Speaker 2: we're doing exactly the same thing. I mean, I'm a
- 19:53Speaker 2: big fan of discomfort tolerance, right, and you sort of
- 19:59Speaker 2: alluded to it, are like, we have to learn to
- 20:03Speaker 2: tolerate discomfort, both physical and psychological, if we want to
- 20:07Speaker 2: prepare ourselves for life. But as you say, we are
- 20:12Speaker 2: pathologizing stuff like nervousness and discomfort. And then there's a
- 20:17Speaker 2: friggin pill.
- 20:18Speaker 1: For it, which is a really slippery slope. It becomes
- 20:23Speaker 1: a cycle, and it very easily becomes a dependence. So
- 20:29Speaker 1: you can become dependent on avoidance, you can become dependent
- 20:32Speaker 1: on a pill, you can become dependent on reassurance. These
- 20:38Speaker 1: are all what psychologists would call safety behaviors. They make
- 20:41Speaker 1: us feel safe, but they don't actually alter the level
- 20:44Speaker 1: of risk or experiencing in the world.
- 20:46Speaker 2: And they make it worse though in the long run,
- 20:50Speaker 2: don't they both. With all of these avoidance behaviors, it
- 20:53Speaker 2: just gets worse and worse.
- 20:54Speaker 1: Yeah, because we miss the bus. Because we need developmental
- 21:00Speaker 1: to face those challenges, learn to sit with it, tolerate
- 21:04Speaker 1: the discomfort, and habituate. Have the experience of becoming more
- 21:08Speaker 1: comfortable in those uncomfortable situations. This is critical. This is
- 21:12Speaker 1: the principle that underpins exposure therapy. Yes, yes, right, So
- 21:17Speaker 1: you don't take the person. And I've seen this. If
- 21:20Speaker 1: you do it half right, you're not doing it right.
- 21:22Speaker 1: And I've seen this out of this conversation with a
- 21:24Speaker 1: lot of educators in our healthy mind schools is they'll say, well,
- 21:28Speaker 1: we want to get this kid to overcome their school
- 21:31Speaker 1: refusal and their social anxiety. So I had this conversation
- 21:35Speaker 1: with one school and they said, well, we get the
- 21:37Speaker 1: kid to come, and the kid's very anxious, and we
- 21:40Speaker 1: reward them when they arrive. We tell them they've done
- 21:42Speaker 1: a great job. We can tell they're really struggling with it,
- 21:45Speaker 1: but we say, well, we just want you to get
- 21:46Speaker 1: through the door, and we just want you to start
- 21:48Speaker 1: there and then we let them go home. Don't you
- 21:51Speaker 1: think we're doing a good job. And I said, look,
- 21:53Speaker 1: your heart's clearly in the right place. But if I'm honest, no,
- 21:55Speaker 1: you're not doing a good job because what you're doing
- 21:58Speaker 1: is right at the peak of this young man's anxiety level,
- 22:02Speaker 1: right when it's peaking, you're saying you can go home.
- 22:06Speaker 1: So it's conditioning an association of feeling very anxious arriving
- 22:10Speaker 1: at school and being at school, and it's conditioning absolute
- 22:13Speaker 1: relief as you're getting away from school. And that's the
- 22:16Speaker 1: opposite of the learning that we want to occur. We
- 22:18Speaker 1: want him to come to school and have the experience
- 22:21Speaker 1: of calming down and feeling better at school. Now, it
- 22:25Speaker 1: doesn't have to go to zero. We don't expect someone
- 22:27Speaker 1: to be perfectly relaxed. But if you can get that
- 22:29Speaker 1: subjective distress down by half from an eight to a four,
- 22:34Speaker 1: let's say that's a step forward, and then the next
- 22:37Speaker 1: time you do it might be a seven to two
- 22:39Speaker 1: three or something. And then eventually the thing that seemed
- 22:43Speaker 1: overwhelming actually isn't overwhelming anymore.
- 22:47Speaker 2: Just on that school refusal. I mean I'm hearing from
- 22:52Speaker 2: I've done some work with different schools and also listening
- 22:55Speaker 2: to different people that there's been a huge rise in
- 22:59Speaker 2: school refusal. I think I read an article. What do
- 23:02Speaker 2: you think is driving it? Is the stuff? Is it
- 23:04Speaker 2: the stuff that we just talked about before, that that
- 23:07Speaker 2: sensitization because of the coddling of young kids.
- 23:13Speaker 1: Yes, it's this generational shift to over parenting and what
- 23:18Speaker 1: I call the great mistake, the prioritizing short term emotions
- 23:22Speaker 1: over long term development. And it was made much worse
- 23:27Speaker 1: by the COVID pandemic because if you were a kid
- 23:31Speaker 1: who has had a propensity to being socially anxious, a
- 23:35Speaker 1: global pandemic is exactly what you wished for.
- 23:39Speaker 2: Yeah, you can tap out, you can tap out.
- 23:43Speaker 1: And so if you think about these these developmental tasks
- 23:48Speaker 1: that young people have as they grow, it's almost like
- 23:51Speaker 1: they opted out of three seasons of your football or whatever.
- 23:55Speaker 1: They're not going to be in that condition and they're
- 23:58Speaker 1: not going to be on the same trajectory art towards
- 24:00Speaker 1: unless we do something to make sure we remediate that.
- 24:03Speaker 1: Unless we really do the work of exposure and habituation
- 24:08Speaker 1: to overcome those challenges, because the thing is the same
- 24:11Speaker 1: principle that a psychologist will use in therapy to overcome
- 24:14Speaker 1: an anxiety disorder is precisely the same principle by which
- 24:18Speaker 1: someone builds confidence. It is stepping into discomfort, being willing
- 24:24Speaker 1: to feel uncomfortable and staying in that situation long enough
- 24:28Speaker 1: that you start to habituate and you start to feel
- 24:31Speaker 1: more comfortable, and then just doing that repeatedly. So it's
- 24:35Speaker 1: actually not a mystery. But this is not widely known
- 24:39Speaker 1: and it's not widely applied by parents.
- 24:41Speaker 2: Yeah, and I think schools play a huge role in
- 24:45Speaker 2: this as well, And I'm keen to explore what you
- 24:51Speaker 2: guys do when you go in and run programs with schools,
- 24:55Speaker 2: because I'm seeing schools with messaging that is just making
- 25:01Speaker 2: this shit worse, right, where it's all of this it's
- 25:06Speaker 2: okay not to be okay, and giving them easy op
- 25:10Speaker 2: oubts and things like that and talking about it so
- 25:14Speaker 2: bloody much right when you talk about things research and
- 25:19Speaker 2: not the show. And I'm sure you've seen it that
- 25:22Speaker 2: when you are constantly talking to young kids about mental
- 25:25Speaker 2: health issues, it starts to become suggestibility. Particularly they're much
- 25:30Speaker 2: more suggestible than adults.
- 25:31Speaker 1: Right, yes, And this is a huge issue and some schools.
- 25:38Speaker 1: I find schools generally trying to do the right thing,
- 25:43Speaker 1: but are often not in a good position to be
- 25:47Speaker 1: aware of or interpret scientific evidence to understand what that
- 25:52Speaker 1: best practice is from a psychological point of view. And
- 25:55Speaker 1: so yeah, we see it a whole range of levels
- 25:58Speaker 1: of maturity and compas around this. So you know, when
- 26:04Speaker 1: we go into a school and we deliver the Healthy
- 26:06Speaker 1: Minds program, we don't really talk about psychological disorders at all.
- 26:11Speaker 1: We talk about skills. So we teach them skills. It's
- 26:17Speaker 1: a toolkit for managing yourself, understanding where emotions come from
- 26:21Speaker 1: while we have them, that emotions are perfectly functional, as
- 26:24Speaker 1: a reason we have them, how we can manage them well,
- 26:29Speaker 1: and what causes you to have a healthy mind. Now,
- 26:31Speaker 1: this is in contrast. I was invited to visit a
- 26:35Speaker 1: school once somewhere in Australia which I will not name,
- 26:39Speaker 1: and they said, we'd love you to come and just
- 26:40Speaker 1: give us have a bit of an overview of our
- 26:43Speaker 1: pastoral care approach. And they gave me a two of
- 26:45Speaker 1: the school. It's a very very very nice school and
- 26:48Speaker 1: they said, look, this is one of the things we're
- 26:50Speaker 1: doing in year nine. We think it's a real hallmark
- 26:52Speaker 1: of our well being approach is for the year nine,
- 26:54Speaker 1: we're sitting them down and across a semester we are
- 26:59Speaker 1: going through the DSM.
- 27:02Speaker 2: No.
- 27:02Speaker 1: At the time they were and it was we talked
- 27:06Speaker 1: of this week it's psychosis, next week it's this and this. Yeah, yeah,
- 27:11Speaker 1: And they said it was a bit of an awkward
- 27:13Speaker 1: moment because I said, they were very proud of it.
- 27:15Speaker 1: They said, what do you think And I said, I
- 27:16Speaker 1: think this is a terrible idea. Yeah, so, oh my god, that.
- 27:23Speaker 2: Is I said, I wanted to talk about the DSM, right,
- 27:27Speaker 2: and I wanted to get your of you as a
- 27:29Speaker 2: clinical psych So I'm finishing off my PhD in psychology,
- 27:32Speaker 2: but just looking at the d s M. So the
- 27:36Speaker 2: d s M five, I think there's now one hundred
- 27:39Speaker 2: and six and disorders, psychological disorders, not one of which
- 27:48Speaker 2: has a biological trace. Right, So you think about physical diseases, diabetes, blood,
- 27:58Speaker 2: sugar blood, actually you can measure it right, cardiovascar'sase, cancer,
- 28:03Speaker 2: all of them have distinct biological triuses and to my knowledge,
- 28:10Speaker 2: not one single condition, our issue or whatever we want
- 28:16Speaker 2: to call it in the DSM of the one hundred
- 28:18Speaker 2: and six has got a clear consistent biological treas Is
- 28:24Speaker 2: that an issue.
- 28:28Speaker 1: I'm not sure whether I say that as an issue
- 28:30Speaker 1: or not. It's I guess it's a challenge in the
- 28:33Speaker 1: sense of if you want to explain behavior or internal
- 28:38Speaker 1: phenomena like thoughts and feelings through biology, then yes, it's
- 28:42Speaker 1: a challenge. That however, for me, doesn't mean just because
- 28:48Speaker 1: something can't be traced to a biological cause doesn't mean
- 28:52Speaker 1: or signature.
- 28:54Speaker 2: Not necessarily cause, but signature. Right, so something measurable in
- 29:00Speaker 2: the breed. I don't know some handways be and mad
- 29:03Speaker 2: on it, but yeah, But.
- 29:04Speaker 1: I would also challenge the idea that measuring brain activity
- 29:10Speaker 1: is always explanatory. So you can do an MRI and
- 29:14Speaker 1: it doesn't necessarily tell us what's really going on. And people,
- 29:17Speaker 1: if we want to get really deep here, people will say, well,
- 29:20Speaker 1: surely we are here because of our brain, that brain
- 29:23Speaker 1: causes consciousness. I would suggest there's evidence that the brain
- 29:27Speaker 1: inhibits consciousness, and that's another rabbit hole that we can
- 29:31Speaker 1: go down perhaps another day. So we want to avoid
- 29:35Speaker 1: we want to be scientific, but we want to avoid
- 29:37Speaker 1: scientism because if we take a purely materialistic or purely
- 29:41Speaker 1: biological view of the world, it's somewhat limiting. But I
- 29:45Speaker 1: think I get where you're coming from. In terms of
- 29:48Speaker 1: the DSM, we can create categories of phenomenon. We can say, well,
- 29:54Speaker 1: this is what depression is. It's this checklist of diagnostic criteria.
- 29:58Speaker 1: We can say this is what anxiety is, and we
- 30:00Speaker 1: can do that across the board. What this really represents
- 30:04Speaker 1: is a rarefication error. We raify something when we treat
- 30:09Speaker 1: it as if it is real and absolute and concrete
- 30:12Speaker 1: in the world, when really it's just a way of
- 30:14Speaker 1: thinking about something. So I'll give you an example. We
- 30:19Speaker 1: have diagnostic criteria for anxiety, depression, and needing disorders, and
- 30:23Speaker 1: we treat them as if they're separate. Evidence suggests they're
- 30:27Speaker 1: not really that separate. So as a clinician, absolutely, if
- 30:32Speaker 1: someone came to me with anxiety, it would be weird
- 30:35Speaker 1: if they had no symptoms of depression, Or if someone
- 30:39Speaker 1: appeared with BLIMI and IVOSA and they had no symptoms
- 30:41Speaker 1: of anxiety, that would be weird and unusual. And this
- 30:44Speaker 1: comorbidity is normal, Okay. It suggests to us that there
- 30:51Speaker 1: are shared underlying mechanisms and that rather than being discreet
- 30:55Speaker 1: separate entities, they overlap. And the big breakthrough here came
- 31:00Speaker 1: out of Boston University with Professor David Barlow when he
- 31:03Speaker 1: said there's a thing called transdiagnostic theory. And this, to
- 31:08Speaker 1: my great good fortune, I became aware of at the
- 31:12Speaker 1: beginning of my PhD. And it was the thing that
- 31:14Speaker 1: caused us to have a breakthrough in prevention where other
- 31:17Speaker 1: prevention programs failed because trans diagnostic theory says, if you
- 31:23Speaker 1: think of those terms transmitting across and between diagnoses, what
- 31:28Speaker 1: are the things that operate across and between multiple diagnoses,
- 31:33Speaker 1: because they're going to be the clue to broadly and
- 31:36Speaker 1: powerfully impacting mental health. You either look for trans diagnostic
- 31:40Speaker 1: risk factors, So what are the risk factors that operate
- 31:43Speaker 1: across anxiety, depression, and eating disorders? What are the trans
- 31:46Speaker 1: diagnostic protective factors and we've found them, And what are
- 31:51Speaker 1: the transdiagnostic skills? So what are the broad skills that
- 31:54Speaker 1: help someone to have a healthy emotional life or in
- 31:57Speaker 1: other words, how to have a healthy mind. And this
- 32:00Speaker 1: this was the thinking that went into our Healthy Minds program.
- 32:03Speaker 1: In a multi site controlled trial where We proved that
- 32:08Speaker 1: you can prevent the onset of symptoms of anxiety and depression,
- 32:10Speaker 1: and you can do it without talking about psychological disorders.
- 32:14Speaker 1: So the risk factor that we found was unhelpful perfectionism, right,
- 32:19Speaker 1: it operates across all of those pathologies. The protective factor,
- 32:23Speaker 1: and I'm not suggesting there's only one of these, but
- 32:25Speaker 1: the protective factor was self compassion interesting and this broad
- 32:31Speaker 1: toolkit of how the understand and manage your emotions, and
- 32:33Speaker 1: that was what gave us the breakthrough. So the DSM
- 32:36Speaker 1: can say, well, this is what depression is, but it's
- 32:38Speaker 1: just a way of thinking about depression. It's not actually
- 32:41Speaker 1: depression in the real world. We've got to think about
- 32:44Speaker 1: it much more broadly than that.
- 32:47Speaker 2: Is it to you? Just one more question on a DSM,
- 32:49Speaker 2: and then I letic goal just because I've got a
- 32:51Speaker 2: clinical psychologist in front of me. Do you think it's
- 32:55Speaker 2: problematic that the question that they will use for a
- 33:02Speaker 2: diagnosis appear to me to be leading questions. You look
- 33:08Speaker 2: at the questions around anxiety, around depression, K ten, whatever
- 33:13Speaker 2: one you're using, they appear to me to be leading questions,
- 33:17Speaker 2: and particularly when put to a teenager, there can be
- 33:22Speaker 2: a large amount of suggestibility, and if a teenager is
- 33:28Speaker 2: wanting extra time on an exam answering a few questions
- 33:34Speaker 2: in a certain way, we'll get that. And there's now
- 33:36Speaker 2: a rash of you sure you're aware of it, parents
- 33:39Speaker 2: actually pushing doctors to get a diagnosis so that there
- 33:43Speaker 2: are teenagers get extra time. So I know there's a
- 33:47Speaker 2: couple of questions and comments rolled into that, So ticket
- 33:50Speaker 2: however you want, Well.
- 33:52Speaker 1: When parents want to get extra time, I'll give the
- 33:54Speaker 1: kid an easy ride. They're making the great mistake. They're
- 33:58Speaker 1: prioritizing short term emotions of a long term learning and development.
- 34:02Speaker 1: Wouldn't it be better for a child's long term development
- 34:05Speaker 1: for them to learn to handle high pressure situations and
- 34:08Speaker 1: to have the experience of those high pressure situations in
- 34:11Speaker 1: an age appropriate supported way, which is what school is. Right,
- 34:14Speaker 1: it's highly scaffolded. We don't want to we don't want
- 34:19Speaker 1: to mitigate these challenges for our kids. And this has
- 34:22Speaker 1: completely changed the way I view my own parenting, because yes,
- 34:27Speaker 1: I have, just like any other parent, a natural empathy
- 34:30Speaker 1: for my son. If he comes home from primary school
- 34:33Speaker 1: and he's upset because something happened with a friend, I
- 34:35Speaker 1: naturally feel empathy for that, and I want to support him,
- 34:37Speaker 1: of course I do. But there's a part of me
- 34:39Speaker 1: that says, I'm grateful that you had that experience because
- 34:43Speaker 1: you got to live through a day of feeling lonely
- 34:46Speaker 1: or left out. You came home to a loving family
- 34:48Speaker 1: and you're going to learn that you can get up
- 34:50Speaker 1: tomorrow and get on with it. So my concern is
- 34:54Speaker 1: that where parents just see distressing their child and they think, oh,
- 34:56Speaker 1: that's bad, but I want.
- 34:59Speaker 2: To stop it.
- 35:00Speaker 1: Let's instead ask what did they learn? Yeah, so you know,
- 35:05Speaker 1: this might of all the dads you could have in
- 35:07Speaker 1: the world. My son perhaps drew the short straw because
- 35:10Speaker 1: when he was in reception, and it was his reception
- 35:14Speaker 1: class was doing a thing in front of the whole school.
- 35:16Speaker 1: They do it once a year at their assembly. And
- 35:19Speaker 1: he said to me it was bathtime, and he said
- 35:21Speaker 1: to me a couple of days before, he said, Dad,
- 35:22Speaker 1: I'm going to be crook on Friday. He didn't do
- 35:26Speaker 1: a very good job of masking his intent. Now Friday
- 35:28Speaker 1: came around and this was the day of the assembly.
- 35:31Speaker 1: I said, no, you won't mate, You'll be fine. I
- 35:32Speaker 1: just I dropped it. But Friday, I was out of
- 35:35Speaker 1: the house because I was off doing a speaking thing,
- 35:38Speaker 1: and my wife rang me. It was about quarter to
- 35:41Speaker 1: nine and she ranged me and she said, I haven't
- 35:44Speaker 1: seen him like tantrum like this since he was a toddler.
- 35:47Speaker 1: And he's refusing to get dressed. He's got every malady
- 35:50Speaker 1: under the sun. He's very distressed. He's crying, he's screaming,
- 35:54Speaker 1: he's holding onto the door frames. And so I said
- 35:56Speaker 1: to him, sorry, I'm not there to help you deal
- 35:58Speaker 1: with this, and I was secretly thinking, I'm really glad
- 36:00Speaker 1: I'm not there to have to do with it. I
- 36:03Speaker 1: said to her, you know what you've got to do,
- 36:06Speaker 1: don't you, And she said, I've got to get him
- 36:10Speaker 1: to school, and so she handed him over to the
- 36:13Speaker 1: reception teacher, tears streaming down his face. They're really difficult
- 36:17Speaker 1: moments for parents. I'm not trying to minimize this. But
- 36:20Speaker 1: that afternoon been there, absolutely, We've all been there. And
- 36:24Speaker 1: that afternoon I was out doing a workshop somewhere else
- 36:27Speaker 1: and my phone buzzed and it was a text message
- 36:31Speaker 1: with a video clip of him on the stage saying
- 36:33Speaker 1: his lines in front of the microphone. And when I
- 36:35Speaker 1: got home, that night he said, Dad, I did it,
- 36:37Speaker 1: and he was beaming. Now, if we had gone for
- 36:41Speaker 1: the short term emotions, said, well, we just got to
- 36:44Speaker 1: keep him calm. This is overwhelming, it's too much, it's
- 36:46Speaker 1: too hard. We would have denied him that learning opportunity.
- 36:51Speaker 1: And the next year when that came around, he was
- 36:53Speaker 1: still nervous, but not so much. And the next year
- 36:57Speaker 1: he almost enjoyed it. And it's the cumulative effect of
- 37:01Speaker 1: these little folks in the road that make a very
- 37:03Speaker 1: big difference. Yeah, so I don't know if that's answer
- 37:06Speaker 1: to your question, Paul, but.
- 37:07Speaker 2: Yeah, no, no, look, look it certainly has the Actually, interestingly,
- 37:15Speaker 2: my daughter was going through year twelve doing exams and
- 37:20Speaker 2: one of her friends, you know, on the day of
- 37:23Speaker 2: exam was like super nervous and said to Kia, are
- 37:26Speaker 2: you not nervous? And Kira said, why would I be nervous?
- 37:29Speaker 2: And nobody's trying to kick me in the head because
- 37:32Speaker 2: she had competed in karate for years, right and done that.
- 37:37Speaker 2: And actually she actually said to us and to me
- 37:43Speaker 2: and Carly, I'm glad that you guys pushed me in
- 37:47Speaker 2: karate and made me do all of that uncomfortable stuff.
- 37:51Speaker 2: Because I'm now seeing the benefits. Right, that's from an
- 37:54Speaker 2: eighteen year old, which is pretty cool.
- 37:56Speaker 1: Brilliant that is that is really cool. And I lived
- 37:59Speaker 1: at myself as a as a gojuru expose because yeah, yeah,
- 38:04Speaker 1: and just you know, doing a university exam or anything
- 38:09Speaker 1: that comes up, I think, well, I've stood in a
- 38:11Speaker 1: ring with blood on my gee facing a six foot
- 38:15Speaker 1: three opponent and had to keep going. That's obviously in
- 38:19Speaker 1: a tournament that you know that it changes your frame
- 38:23Speaker 1: for what you can handle. And we want our kids
- 38:26Speaker 1: to build an expectation of themselves that they can handle
- 38:29Speaker 1: these things when they come up.
- 38:31Speaker 2: And I think that's one of the major parenting tips, right,
- 38:37Speaker 2: And it's not new this advice. Epictetus two thousand years
- 38:41Speaker 2: ago said we must all undergo a hard winter training
- 38:46Speaker 2: and not enter into lately that for which we have
- 38:49Speaker 2: not prepared, and he was talking about life, right, And
- 38:53Speaker 2: I think it's but I think there's a fundamental driver
- 38:57Speaker 2: of this is that we seem to have an expectation
- 39:02Speaker 2: today that life should be easy and that stress is
- 39:06Speaker 2: bad and that we shouldn't feel discomfort and stress. But
- 39:11Speaker 2: I think if we flip it, and we are to
- 39:13Speaker 2: just teach kids life is hard. You'd better be prepared.
- 39:16Speaker 2: You need to train right, and you and that whole
- 39:20Speaker 2: discomfort tolerance and that, and yes, it's got to be
- 39:26Speaker 2: a principle from exercise training progressive overload, where you're just
- 39:30Speaker 2: slightly extending that person, right, and if you go too
- 39:34Speaker 2: far then you've got to bring it back and sit
- 39:37Speaker 2: down and learn the lessons and stuff like that. Right.
- 39:41Speaker 2: I remember just on this another story when I was
- 39:44Speaker 2: doing helicopter training, and we do progressive overload in the
- 39:48Speaker 2: helicopter training, right, you do a simulator and you know,
- 39:52Speaker 2: the the instructor, we're throwing a few curlyes and then
- 39:56Speaker 2: you go and you do the thing in the aarth
- 39:57Speaker 2: progressive overload. But when we were going through there was
- 40:00Speaker 2: shitty weather and we lost a lot of training and
- 40:04Speaker 2: we ended up having to one night. They said, look,
- 40:07Speaker 2: we're just going to have to go out here. And
- 40:09Speaker 2: it was a it's called the Thirsty War used to
- 40:11Speaker 2: be every Thursday off Plymouth, NATO would run war games,
- 40:15Speaker 2: and that was supposed to be our final flight, but
- 40:18Speaker 2: we were only on flight two, and because we lost
- 40:20Speaker 2: someone's time, they said, look, guys, you're going to have
- 40:22Speaker 2: to go out here and do this. I remember we
- 40:24Speaker 2: took off me and this other guy, Simon, in different helicopters,
- 40:29Speaker 2: and I went up and then you come down and
- 40:31Speaker 2: it's pitch black. You got to turn your radar on
- 40:35Speaker 2: and you've got two radios running, and it was insane,
- 40:41Speaker 2: and the pilots didn't I had contacts all over my radar,
- 40:46Speaker 2: hadn't a clue what was what got This is the
- 40:49Speaker 2: first time I had a complete mental overload and a
- 40:53Speaker 2: massive brillan freeze and the instructor had to get me
- 40:57Speaker 2: out of the seat and I'm sitting there. He took over,
- 41:01Speaker 2: and I'm just sitting there, going, oh, I've so fucked
- 41:04Speaker 2: that up. And then came back and the other guy, Simon,
- 41:07Speaker 2: came in and he was shell shocked as well, and
- 41:10Speaker 2: the instructor satistyan and went, guys, that his mistake. We
- 41:13Speaker 2: shouldn't have taken you out there because it was particularly busy,
- 41:15Speaker 2: but it just showed you that massive overload for us.
- 41:20Speaker 2: And then four weeks later and we ended up in
- 41:23Speaker 2: a thirsty war scenario and we were fine because we
- 41:27Speaker 2: then had the proper progressive overload, so I think, but
- 41:31Speaker 2: that's the critical thing, isn't it. The steps have to
- 41:34Speaker 2: be progressive. We've got to be just outside of our
- 41:38Speaker 2: comfort zone. Yes, we've got to recalibrate, take it all
- 41:41Speaker 2: on board, and then go again. Right.
- 41:43Speaker 1: Yeah, and this, So the psychological equivalent of progressive overload
- 41:48Speaker 1: is graded exposure. Yeah and so yeah, and so it's
- 41:52Speaker 1: precisely the same thing. You have a hierarchy or a
- 41:55Speaker 1: set of steps on a ladder. The goal behavior at
- 41:58Speaker 1: the top is too hard right now, But what are
- 42:00Speaker 1: the successive steps that approximate that goal behavior that I
- 42:03Speaker 1: need to get to? And you start with the one
- 42:05Speaker 1: that's just out of your comfort zone. But you don't
- 42:08Speaker 1: just do it once. You do it repeatedly, and when
- 42:11Speaker 1: that becomes easy, then you go to the next step.
- 42:14Speaker 1: And so with parents, I say, well, clinically we'd say
- 42:17Speaker 1: graded exposure. It's part of therapy. But in parenting, if
- 42:20Speaker 1: you want to build confidence in your child, you do
- 42:23Speaker 1: preemptive exposure. So what is the appropriate level of challenge
- 42:27Speaker 1: that my child needs in order to build or consolidate
- 42:31Speaker 1: this capability? And we can engineer challenges for our kids.
- 42:36Speaker 1: My son wants something from a shop us. This is funny.
- 42:39Speaker 1: Last year, were we went into State just for a
- 42:42Speaker 1: weekend and my son he wanted to order something from
- 42:45Speaker 1: the room service in the hotel and I said, sure
- 42:48Speaker 1: you can, but just you give them a ring. He
- 42:51Speaker 1: was seven, and I said, he said, what do you
- 42:55Speaker 1: want me to pick up the phone and ring? I said, yeah,
- 42:57Speaker 1: I want you to ring them. You want your check
- 42:58Speaker 1: and nuthers, Just ring them, say your name, say the
- 42:59Speaker 1: room and you'd like it. And he said, Dad, I
- 43:03Speaker 1: feel really nervous. My heart's I said, that's okay, there's
- 43:06Speaker 1: no problem. Just give it a go. And he rang
- 43:08Speaker 1: and he ordered his chicken nuggets and he got them.
- 43:11Speaker 1: And so you know, it's just about finding these little
- 43:14Speaker 1: opportunities to build that capability. And they don't seem like
- 43:17Speaker 1: much in the moment, but the cumulative effects is what
- 43:21Speaker 1: really builds our capability.
- 43:23Speaker 2: Yeah, and that reminds me of the whole challenge versus
- 43:28Speaker 2: threat response. And you know, let we take a situation,
- 43:35Speaker 2: doesn't matter what the situation, which could even have been
- 43:37Speaker 2: that one. When people have a threat response and they're
- 43:42Speaker 2: thinking about, oh, this is bad, bad, bad, bad bad,
- 43:46Speaker 2: you know I can't do this. It activelyates cortisol, and
- 43:50Speaker 2: cortisol has a half life of more than an r.
- 43:53Speaker 2: So when our leader, you're still having stress hormones run
- 43:57Speaker 2: through the body. Whereas a challenge response active it's a
- 44:01Speaker 2: fighter flight mechanisms. It's adrenaline nor adrenalin, and they have
- 44:03Speaker 2: a half life of a minute or less. But the
- 44:07Speaker 2: key thing in challenge versus threat is people need to
- 44:10Speaker 2: feel that they have the resources to be able to
- 44:13Speaker 2: achieve it, right. So it brings us back to it's
- 44:17Speaker 2: got to be a step that they feel that they
- 44:22Speaker 2: can just make and then to your point, doing it
- 44:25Speaker 2: again and again and again gives you the confidence that
- 44:28Speaker 2: I can I do it and maybe now I can
- 44:30Speaker 2: take the next step. Right. But that's pretty key, isn't it.
- 44:34Speaker 2: So we can't just throw them into the deep end
- 44:37Speaker 2: and let them sink or swim. It's got to be created, right.
- 44:41Speaker 1: And that's where for every parent and for every coach,
- 44:45Speaker 1: for every teacher, it's the knowledge of the young child
- 44:49Speaker 1: in your care, that young person. You have a sense of, Okay,
- 44:53Speaker 1: where are they at on the ladder? Where is that
- 44:56Speaker 1: boundary for them? And we want to yeah, just tailor
- 44:59Speaker 1: it for each individual. And of course, child developments not linear,
- 45:04Speaker 1: you know, sometimes we have great stride. Sometimes it feels
- 45:06Speaker 1: like at plateaus, we've got to be aware of that,
- 45:10Speaker 1: and if it is too much, we just go a
- 45:13Speaker 1: little bit down the ladder and do that repeatedly and
- 45:16Speaker 1: build that and then step up. So but it's I
- 45:19Speaker 1: think the principle is this is a systematic way with
- 45:23Speaker 1: which we can inoculate kids against anxiety. We can we
- 45:29Speaker 1: can build their confidence and capability, and we greatly reduce
- 45:32Speaker 1: their susceptibility to anxiety. And the sporting field does that.
- 45:35Speaker 1: Sport's great. You got to, you got to pass. Your
- 45:38Speaker 1: heart's racing. You're sweating, you've got to. You're losing, but
- 45:41Speaker 1: you've got to keep trying. It's a microcosm of life.
- 45:43Speaker 1: And so getting kids into school sport is great too.
- 45:47Speaker 2: I think I think it's absolutely critical. In fact that
- 45:49Speaker 2: my list is probably hope. He said this before, But
- 45:51Speaker 2: when our kids were young, we sat them down and said,
- 45:54Speaker 2: you need to do a team sport and a martial
- 45:56Speaker 2: art and we will help you and find the ones
- 46:00Speaker 2: that you like. But that's the house rules, and you
- 46:03Speaker 2: can stop when you want, but you need to find
- 46:05Speaker 2: somewhere else to live. But it's been so good for
- 46:12Speaker 2: both of our kids. Both of them independently, the martial
- 46:15Speaker 2: arts for all of that discipline and particularly competing and
- 46:20Speaker 2: you know what it's like, you know, the managing fear,
- 46:23Speaker 2: managing anxiety, but the team sport in terms of interacting
- 46:28Speaker 2: with other people and and being part of a team
- 46:31Speaker 2: and getting on with people that you don't particularly like.
- 46:35Speaker 2: I think they're really critical. But I wanted to come
- 46:38Speaker 2: back to what you said about those manageable steps and
- 46:40Speaker 2: just for the parents who are out there are and
- 46:44Speaker 2: then closing the loop and and a debrief and like
- 46:51Speaker 2: should they parent be when they've done it gone, hey,
- 46:54Speaker 2: I'm really proud of you you achieve that, and and
- 46:58Speaker 2: bah and give them that positive reinforcement or what schewed?
- 47:05Speaker 2: Is there a a an optimal and bit of feedback
- 47:10Speaker 2: that we should give them when they both succeed and
- 47:13Speaker 2: when they feel so.
- 47:16Speaker 1: I've got a few things to say on that. One is,
- 47:18Speaker 1: I think reinforcement is fine and good, but you're reinforcing.
- 47:23Speaker 2: The effort, yes, yes, yes, yes, yes yes.
- 47:29Speaker 1: The second thing is sometimes there's a lot of value
- 47:33Speaker 1: in just treating things as business as usual because kids,
- 47:39Speaker 1: I've become aware that as parents today we make so
- 47:43Speaker 1: many evaluative statements about our kids. You did great, you
- 47:47Speaker 1: did a good job here. You know, there's so much valuation.
- 47:50Speaker 1: I remember in my youth. I don't recall always being
- 47:57Speaker 1: told you did a great job, no matter what you did,
- 48:00Speaker 1: or there's just there seems to be much more evaluation
- 48:04Speaker 1: these days. And I don't think that's healthy that we're
- 48:08Speaker 1: constantly getting this sense of what did I do? Good
- 48:10Speaker 1: or bad? Because ultimately what really comes from it is
- 48:14Speaker 1: what did you learn? That's really the benefit.
- 48:16Speaker 2: And does that evaluation, suchuration create an expectation that they're
- 48:22Speaker 2: going to be praised.
- 48:24Speaker 1: Yes, praised and evaluated, and neither of those things is
- 48:28Speaker 1: really that healthy. I don't think we need that expectation.
- 48:32Speaker 1: The other thing is sometimes people assume that after they
- 48:37Speaker 1: go through some sort of exposure, so they did the
- 48:40Speaker 1: talk at assembly, or they face their fear, they often
- 48:45Speaker 1: assume that they're going to feel really good. But that's
- 48:48Speaker 1: not always the case. Sometimes people feel strung out, they
- 48:51Speaker 1: feel exhausted. So it's not about how do you feel,
- 48:55Speaker 1: it's about did you do it? Yah?
- 48:58Speaker 2: Nice? I like it? I like it a lot. Yeah,
- 49:03Speaker 2: that's that's no talk about. So we've talked a lot
- 49:06Speaker 2: about kids here, let's talk about the corporate space and
- 49:12Speaker 2: what have you noticed in the corporate well being landscape
- 49:17Speaker 2: since we spoke? Is there are similar things going on
- 49:20Speaker 2: in the corporate world as there are in schools in
- 49:23Speaker 2: terms of that sensitization to mental health stuff or what
- 49:28Speaker 2: else a you're noticing.
- 49:30Speaker 1: Possibly there is a little I'm noticing that in the
- 49:34Speaker 1: corporate space, there's a lot of you know, there's a
- 49:38Speaker 1: lot of challenges around getting people together, particularly when you're
- 49:44Speaker 1: talking about training and things like that, just just time
- 49:49Speaker 1: and overall it's really a fight for people's attention at
- 49:53Speaker 1: the end of the day. That we're seeing that across
- 49:56Speaker 1: the board for sure. So the rise of digital tech
- 50:00Speaker 1: knowlogy and how you use digital technology in a corporate
- 50:03Speaker 1: well being space is one of the key issues of
- 50:05Speaker 1: the day, I reckon.
- 50:07Speaker 2: So what have you So let's talk about digital stuff.
- 50:11Speaker 2: So we are living in this increasingly digitized world which
- 50:16Speaker 2: has lots and lots and lots of problems, but there's
- 50:20Speaker 2: also some potential solutions. So how does well being fit?
- 50:25Speaker 2: I know you're making some strides in this place, so
- 50:28Speaker 2: we what's your opinion on how well being fits into
- 50:32Speaker 2: the digitized world. You know, in terms of what are
- 50:38Speaker 2: the negatives and what are the opportunities.
- 50:41Speaker 1: The negatives are doing it poorly because you know, there
- 50:46Speaker 1: seems to be this assumption out there that if you
- 50:48Speaker 1: just take something, digitize it, add points, badges and a leaderboard,
- 50:53Speaker 1: that you're going to solve all your problems. And that's
- 50:55Speaker 1: not true. So we've been through through this learning ourselves.
- 51:01Speaker 1: So quite a long while ago, we would develop we
- 51:05Speaker 1: would deliver our workshop, which we know people on average love.
- 51:09Speaker 1: It's called Seven Secrets to a Healthy Mind. And people
- 51:11Speaker 1: tend to love this workshop. They get a lot out
- 51:13Speaker 1: of it. But we wanted to move the needle behaviorally,
- 51:16Speaker 1: so we devised this thirty day well being Challenged where
- 51:20Speaker 1: we would just give people one thing to do each
- 51:22Speaker 1: day after the workshop. Now, people loved the idea, but
- 51:26Speaker 1: we noticed over after about a couple of weeks, engagement
- 51:30Speaker 1: just went over a cliff. It just plants.
- 51:32Speaker 2: I to see the thing with my app right, lots
- 51:34Speaker 2: of enthusiasm has start.
- 51:36Speaker 1: And then room, it just drops off.
- 51:38Speaker 2: Right.
- 51:39Speaker 1: Yeah, And so we really my business partner Nicolie and I,
- 51:43Speaker 1: we we spent a lot of time thinking about this
- 51:46Speaker 1: and talking about it. We thought there's got to be
- 51:48Speaker 1: a magic formula. We've got to find a way to
- 51:52Speaker 1: really engage people properly and move the needle. And you know,
- 51:55Speaker 1: I've spent ten years formally studying psychology, many more years
- 52:02Speaker 1: practicing it, and I thought I understood bits and pieces
- 52:06Speaker 1: of human motivation pretty well. But I did eventually come
- 52:10Speaker 1: across what I think is a bit of a magic formula,
- 52:12Speaker 1: and it was a more concise conceptualization of human motivation
- 52:16Speaker 1: than anything mainstream psychology taught me. And it's something called
- 52:20Speaker 1: the Octlysis framework. Was otalisis so its eight core motivational drives,
- 52:29Speaker 1: and it was developed by this gamer, a Taiwanese American
- 52:34Speaker 1: called Ukai Chow. I had the pleasure of learning a
- 52:37Speaker 1: bit from Yukaichow a few years ago before we developed
- 52:39Speaker 1: our mind Fire app. And he was a gamer, and
- 52:44Speaker 1: he spent a couple of years, as the story goes,
- 52:46Speaker 1: playing this game and putting all his time and energy
- 52:48Speaker 1: into this game. And one day he stopped and he
- 52:51Speaker 1: had this epiphany. He thought, oh shit, I've got nothing
- 52:55Speaker 1: in the real world to show for all of this effort.
- 52:57Speaker 1: I've just expended over two years playing this game. And
- 53:00Speaker 1: he thought, if only I had applied that level of
- 53:03Speaker 1: engagement and energy into my study, or my career or
- 53:07Speaker 1: some other in my life. And so it was just
- 53:10Speaker 1: like this lightning bolt, and he committed himself then and
- 53:12Speaker 1: there to analyzing the mechanics of game experiences to apply
- 53:17Speaker 1: them in non game settings.
- 53:18Speaker 2: Nice because the gearmers have got it kneeled right in
- 53:23Speaker 2: terms of engagement and all their strategies they use, they've
- 53:27Speaker 2: just got it kneeled they do.
- 53:30Speaker 1: And so when he came up with and he's widely
- 53:33Speaker 1: recognized as the world's leading gamification expert, and he's a
- 53:38Speaker 1: proponent of what he calls human focused design. And this
- 53:43Speaker 1: is a really profound thing because he says most experiences
- 53:46Speaker 1: are function focused and you see this in the digital world.
- 53:49Speaker 1: Does your app do x y z?
- 53:52Speaker 2: Right?
- 53:53Speaker 1: And this is how most tech people think as well.
- 53:55Speaker 1: But he says, you don't want to think about that.
- 53:57Speaker 1: Don't think about does it do x y z? Think
- 53:59Speaker 1: about why would someone do xyz? And how do they
- 54:02Speaker 1: feel as they're doing it. This is what human focused
- 54:06Speaker 1: design is and it revolutionizes the way you start to
- 54:11Speaker 1: see digital experiences. We've all had the experience of doing
- 54:13Speaker 1: something and just frustrates the hell out of you because
- 54:16Speaker 1: it's not easy to use. And Uki Chow would say, well,
- 54:19Speaker 1: people don't want to use smart products, they want to
- 54:21Speaker 1: feel smart when they're using products, and this is the
- 54:26Speaker 1: essence of it. So we used the Octallysis design process
- 54:31Speaker 1: to build our new corporate well being app, mind Fire,
- 54:35Speaker 1: And I'll give you a really quick overview of the
- 54:37Speaker 1: eight core drives if.
- 54:38Speaker 2: You like Paul, Yeah, yeah, yeah, absolutely, yeah.
- 54:42Speaker 1: So epic meaning and calling, feeling like you're doing something
- 54:47Speaker 1: that's above and beyond yourself. So one of the things
- 54:52Speaker 1: mind Fire does is it raises money to help cure
- 54:55Speaker 1: childhood cancer. Nice, that's a motivator.
- 54:58Speaker 2: Right, yeah, yeah, something bigger than Yeah, I get it. Absolutely.
- 55:02Speaker 1: Development and accomplishment. Feeling like you're progressing. So anytime you
- 55:05Speaker 1: see a progress bar as you're feeling out a form,
- 55:07Speaker 1: that's core drive two. You feel like you're progressing and accomplishing.
- 55:11Speaker 1: Empowerment of creativity and feedback that's the third core drive.
- 55:14Speaker 1: So if you ever have to strategize or answer a
- 55:16Speaker 1: question or use your own choices, that's core drive three.
- 55:22Speaker 1: So we have quiz questions in our app. That's activating it.
- 55:26Speaker 1: Ownership and possession so this drive to collect and accumulate
- 55:30Speaker 1: and organize. So yeah, so if you did get points
- 55:34Speaker 1: or your team's doing well, it's not just about this
- 55:36Speaker 1: feeling of progression, it's also yours. It becomes an ownership thing,
- 55:42Speaker 1: social influence and relatedness core drive five. Now this is huge.
- 55:45Speaker 1: So what we built into mind Fire is not just
- 55:48Speaker 1: that it gives you well being missions. It's not just
- 55:51Speaker 1: that as you do your missions you raise money for
- 55:53Speaker 1: childhood cancer research. It's that you have to work together
- 55:57Speaker 1: with your team of between five night of your colleagues
- 56:01Speaker 1: in order to unlock the next day's mission, and you're
- 56:04Speaker 1: depending on each other. I call this benevolent conformity pressure. Yes,
- 56:10Speaker 1: it's a healthy peer pressure. So you can see if
- 56:14Speaker 1: I'm halfway through the day, I can see on the
- 56:17Speaker 1: app that Paul hasn't opened his mind Fire mission for today,
- 56:21Speaker 1: and I can send you a nudge saying Paul, don't
- 56:23Speaker 1: forget yea and we want to One person on any
- 56:28Speaker 1: given day is the torchholder, and if they don't complete
- 56:31Speaker 1: their mission that day, it breaks the streak which fuels
- 56:35Speaker 1: the donations to childhood cans.
- 56:36Speaker 2: Now I spent like the old streaks thing with Snapchat, right.
- 56:41Speaker 1: Yeah, exactly exactly. So the fact that it's so visible
- 56:44Speaker 1: and we're depending on each other and you can see
- 56:46Speaker 1: what your teammates and colleagues are doing. And to prove
- 56:49Speaker 1: that you've completed your task for the day, you have
- 56:51Speaker 1: to upload what we call a testimony, So it's either
- 56:53Speaker 1: a short selfie video responding to a prompt or a
- 56:56Speaker 1: short written answer and it comes up in a feed.
- 57:00Speaker 1: So you're learning about each other. You're learning about their
- 57:02Speaker 1: responses to a psychological concept, or their values, or what
- 57:06Speaker 1: they did for exercise that day. Core Drive six is
- 57:10Speaker 1: scarcity in impatience, So it's this wanting to get something
- 57:15Speaker 1: we can't have or we can't see, or like a
- 57:18Speaker 1: countdown timer so you've got to get something done by
- 57:20Speaker 1: set time. So it's a black hat motivation. It feels uncomfortable.
- 57:25Speaker 1: Unpredictability and curiosity. You don't know until you get up
- 57:28Speaker 1: in the morning and you click the mission slide. You
- 57:31Speaker 1: don't know what your task is going to be for
- 57:33Speaker 1: that day.
- 57:34Speaker 2: And that is really interesting, that unpredictability.
- 57:38Speaker 1: And we know that.
- 57:40Speaker 2: Small rewards that are not expected release more dopamine than
- 57:46Speaker 2: big rewards that are expected. Right, it's that prediction error
- 57:50Speaker 2: in the Brian Yeah.
- 57:52Speaker 1: So it's the easter egg phenomenon. I've just found something right, Yes,
- 57:56Speaker 1: And so if you randomly wake up and you've been
- 57:59Speaker 1: given a power up something that you can use to
- 58:03Speaker 1: strategize within the mind Fired teams experience, that's an example
- 58:07Speaker 1: of that unpredictable easter egg phenomenon. And the eighth one
- 58:12Speaker 1: is lost in avoidance. We have a drive to avoid
- 58:15Speaker 1: what's undesirable. So if you lose the streak, you have
- 58:20Speaker 1: to take a dollar out of your donation's chest to
- 58:22Speaker 1: buy a key to unlock the next day's mission. So
- 58:25Speaker 1: we want to avoid it's that fear of loss, right,
- 58:29Speaker 1: So you know, this was a great experience. We used Octalysis,
- 58:33Speaker 1: we worked we actually worked with the Octalysis group a
- 58:35Speaker 1: bit to help refine in the design and all the
- 58:39Speaker 1: technical aspects of mind Fire. But we're in the final
- 58:42Speaker 1: phases of testing right now, ironing out the bugs. It's
- 58:45Speaker 1: been four and a half years of development and we're
- 58:47Speaker 1: very close to unleashing it on the world.
- 58:50Speaker 2: That's very cool, very cool. Well, when you've unleased it
- 58:53Speaker 2: and certainly let us know and we can push it
- 58:57Speaker 2: out to all the listeners because there's there's plenty of
- 59:00Speaker 2: corporates and that are right. So what's tell me this
- 59:06Speaker 2: the last question.
- 59:08Speaker 3: What's the big thing that you're concerned about today from
- 59:15Speaker 3: a psychological perspective, and what are you excited about?
- 59:20Speaker 1: My big concern is that we have this good knowledge
- 59:24Speaker 1: about how to reverse the stats around mental ill health.
- 59:28Speaker 1: We now have evidence for preventing the onset of anxiety
- 59:32Speaker 1: and depression. It's just not out there enough. And we've
- 59:36Speaker 1: lobbied the government at the highest levels. We've you know,
- 59:39Speaker 1: I just feel like it's a drop in the ocean
- 59:42Speaker 1: compared to what we need to be doing to really
- 59:44Speaker 1: turn the tide. But the good news is we have
- 59:46Speaker 1: the knowledge to do it. What excites me is all
- 59:50Speaker 1: of the unanswered questions that are out there that we
- 59:53Speaker 1: have the potential to figure out and improve our human experience.
- 1:00:00Speaker 1: I'm just about to publish a study into the treatment
- 1:00:04Speaker 1: of grief and we've This is a whole probably a
- 1:00:09Speaker 1: whole other conversation, but I always felt helpless as a
- 1:00:12Speaker 1: therapist when I encounter grieving people. I don't anymore. We've
- 1:00:17Speaker 1: now come across a therapy thatatic dramatically reduces sadness in
- 1:00:21Speaker 1: a very short period of time, and it's just, I think,
- 1:00:26Speaker 1: a breakthrough and this is my side project that excites
- 1:00:31Speaker 1: me very much that I'm working on around my healthy
- 1:00:33Speaker 1: minds and mind firework.
- 1:00:35Speaker 2: That's very cool, Tom, Thank you for your time. I
- 1:00:39Speaker 2: loved the conversation. Very organic, meandering, but very very useful.
- 1:00:44Speaker 2: I think for anybody out there who has a brillan
- 1:00:49Speaker 2: and especially I think for parents who are struggling with
- 1:00:55Speaker 2: bringing up their kids in and to be mentally healthy
- 1:00:59Speaker 2: in today's very very challenging world. I mean, it's easier
- 1:01:03Speaker 2: in a lot of ways, but it's a shit a
- 1:01:05Speaker 2: little more difficult in a lot of ways because there's
- 1:01:08Speaker 2: a whole heap of challenges that we never had to
- 1:01:10Speaker 2: deal with the kids, most of them in the palm
- 1:01:12Speaker 2: of the bloody heart right.
- 1:01:15Speaker 1: Absolutely. Now, it's been fabulous to catch up with the Poe.
- 1:01:18Speaker 1: I'm glad to see you looking fit and well, and
- 1:01:20Speaker 1: thanks for having me again.
- 1:01:22Speaker 2: Yeah, absolute pleasure. We'll have you on again at some stage.
- 1:01:25Speaker 2: Thanks Tom, Bye for now.