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Dr. Paul Conti

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2024-03-21
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  1. Very, very difficult to think with accuracy about, say, possibility so that person may have, say, been striving for a better job. But if they think of themselves differently, I'm not the kind of person who can get ahead and people don't really like me, then they don't strive for a better job. They just take for granted that they can't get it. It won't go well. They'll fail at it. But they never thought that before.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  2. So a cognitive blind spot can occur when we take a lesson inside of us that is a lesson of trauma, not a lesson of truth. And then it changes how we may think about things. So for example, a real and sadly many examples of this that I can bring to mind in people's faces who come to mind as I say it, but someone who felt pretty good about themselves and able to navigate the world and striving for a better job and doing fun things who then is assaulted. And after that assault, the person is much less present in the world and internalizes a bunch of different thoughts about themselves of I don't really like being out. I like being at home better or it never goes well. I don't get along with other people. They think about themselves differently. So there's a cognitive blind spot which makes it

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  3. When we feel less safe and more vigilant or more activated, then we see the climate, so to speak, in the brain change in a way that's less healthy. And you may also see specific aspects of a post-trauma syndrome. So mood regulation areas are not functioning as well, because now there's depression intruding. So we see patterns in the brain that show us this change, although the science hasn't come far enough to pinpoint like at some point we'll be able to do with much greater accuracy.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  4. Brain scan data is more complicated and harder to interpret. You can see different patterns in the brain were not at the point where brain scan science can really can pinpoint, right? But what we do see is parts of the brain that are sort of inflamed, so to speak, by trauma. So the amygdala and pathways around the amygdala, which is a part of the brain that gets called sometimes grand central station for negative emotion, right? We see that pathways involving this part of the brain become more prominent. So we see changes in brain connectivity. Because how our brains function is by communicating from one place to another. They function through connectivity and which pathways are more prominent. So what we see then is pathways that are involved in trust, say, and feeling a sense of safety are less prominent. Pathways that are more activated.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  5. the seduction of the short-term soothing right you feel miserable and you want things to be better take this pill now you're seduced and addicted and at huge risk and you know we've let that happen

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  6. So we started doling out opiate pills with the idea that we're treating pain and isn't that good, but with an absolute inattention to the immense risks of that. And I think it fits with the short-term view of relieving all pain. Like we're human beings, we can't relieve all of our pain, right? Sometimes what there is to do is to work hard to mitigate pain. And that might be pain from a mental health perspective. It might be pain from a physical health perspective. This idea that a pill is going to fix everything and everyone has pain pills and won't be in pain, you know, has resulted in hundreds of thousands of deaths in this country alone from prescribed opiates, let alone illicit opiates. So there's the short-term thinking on the part of our society that then almost lures people into the...

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  7. So how the opiate epidemic really began was with opiates in pill form. So that they would be prescribed for conditions of pain, but conditions of pain that were more chronic conditions or conditions not so amenable to opiates. So if you come out of surgery, an opiate is a great idea, right? Like there's a lot of pain that needs medicine to soothe that pain until the pain decreases. But it's judicious use of a very powerful medicine in high acuity circumstances. What we started trying to do, and part of this was, we know there's a whole story behind the politics and the business of this, was to say, well, people shouldn't be in pain. So there's a short term solution. Right? No one should be in pain. We'll give them pills, right? And opiates do not work in those situations. They soothe a lot early on, but they rapidly build tolerance, addiction, they suppress breathing drives.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  8. And wants to be healthier, but like doesn't really feel that they can stop and ping pong's back on different diets. And, you know, what they're really doing is they learned self-soothing with food in a way that was in the context of really feeling some sense of despair or desperation, the same way that person may have learned that, oh, alcohol sues. Now, again, there are genetic factors and there are all sorts of factors that come into play too, but unhealthy coping mechanisms are beckoning to us all the time, which is why I did a lot of treatment of opiates. And opiate dependence over a number of years. And, you know, it's just outrageous to me that. Opi

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  9. If we're under huge amounts of distress, our perspective of the world narrows, right, very, very dramatically. I mean, if there's an elephant standing on my foot, I only have one thing I'm guessing I would think about, which is the elephant not standing on my foot anymore, right? So when we're under tremendous stress and strength, something that soothes us in the short term becomes acceptable because there's a desperation in us that has us focused on the short term. Like I know that, man, I know that's not good in the long term, but I'm just trying to get through today, right? And it's this lack of perspective in the world and the society around us that if we're not recognizing what trauma does to us, that it can drive us to places of desperation, that is it any wonder that short-term soothing will have a big appeal to us. And that could be soothing through excess eating. And now that person is overweight and has diagnosed.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  10. Yes, yeah, from the brain biology all the way through to very clever psychological experiments. We can see all of this. And it's these signs we should be looking for in ourselves, right? Because it is very obvious if someone who always was an extrovert now won't leave the house. We can tell something's wrong and someone's probably going to come ask something, right? But if we just change in these more subtle ways where we're just less interactive and people notice their friends a little bit different and less outgoing, it's these things that, as you're saying, the subtle ones, the subtle signs and the nuances are often very impactful and indicative of other things going on under the surface that can bring even greater problems.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  11. Really big things or they're subtle things, which is why a life narrative is so important. If you think about changes, like after trauma that changes the brain, we respond differently when we see a new face. So without the trauma, I'm simplifying a little bit, but you see a new face, we might be curious, like, oh, you know, could you be a friend or if someone's romantically interested, like, oh, might that person like me or am I like people are interested and curious, whereas after trauma, there's a difference of feeling a little bit on the back foot. So people tend less to look up and engage and more to look away or to more have negative thoughts. Oh, you don't, that person doesn't like me. Instead of something that might be more constructive.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  12. But we should scratch on the surface of them to try and understand if they mean something. Is that phone addiction the fourteenth addictive behavior in a row, right? Because that person has sort of particularly adept addictive machinery inside of them and they're trying to escape from something like that doesn't happen all the time, but it is not untrue that when you scratch the surface of that, you might learn about an episode of sexual abuse that happened when the person was a child. Like these are real examples, right? And that the person isn't built to run from things through addiction. And maybe they're saying things about their own character that's negative. They're saying negative things about themselves and they feel disempowered and they're disempowering themselves. But if you go look at that narrative, you know, that person that might have a dialogue running over and over again in their head of shame about something that happened 30, 40 years ago, this is not uncommon. So we need to be curious and we need to scratch on the surface of things whether they're real.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  13. Right, right. Yeah, I think the key to all of this is curiosity. Let's say someone is, like I say addicted to their phone. Okay, maybe that's because phones are addictive and the person has just spent too much time on their phone. Maybe, right? But addiction mechanisms in human beings are similar. It's the same machinery across addictions. And oftentimes addictive behavior is meant as an escape from something or to soothe against something or even to self-punish because of something. So addictive behavior is similar brain machinery, whether it's cocaine, it's alcohol, it's brownies, it's the telephone, it's sex, it's exercise. I mean, there are things that people do in addictive ways as routes of unhealthy coping. So if we get curious, why the drug, why the phone addiction, why the things that might seem more subtle and maybe are more subtle.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  14. before right so if a person gets depressed because everyone in their family gets depressed every night to 12 months no matter what like okay let's let's come at that biologically like we don't that that doesn't necessarily map to trauma right but but if we start looking at that person being depressed do we see that they kind of started getting depressed you know a couple of years ago around the time their sleep started being a little bit different and you know they started behaving differently and they you know they didn't spend as much time with family or then you start getting more curious and and you start learning oh something happened then right again with acute traumas it's easiest to see but when you look for the whole picture of like might there be a post-trauma syndrome going on here you know maybe that person who's depressed and is drinking too much started drinking

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  15. Right. This is what we're looking for. So someone might present with that person is depressed now and they weren't before. That person is having panic attacks and they weren't before. That person is using alcohol to soothe and they weren't before. Because in medicine, we look at just the surface, right? What we want to look at is like, oh, why are you here? Oh, you're here because you're drinking too much. Let's talk about how you can drink less. You're here because you're depressed. What can we give you a depression medicine, right? So we're not looking at like, why? Right? Why are you depressed? I mean, some people biologically will become depressed no matter what, even when things are going very, very well. But this isn't the majority, right? Most of us, if we're depressed, there are likely factors. So we should be curious. Why is that person depressed? Why is that person having panic attacks? Why is that person change their behaviors? Right. And so now if we get curious, we get curious about the person, then we're going to figure out things we want.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  16. Post-trauma syndromes are ways in which we can recognize the changes in ourselves. So higher levels of anxiety, for example, lower levels of mood, right, different changes in sleep, physical health changes, and then changes in just how comfortable we feel in the world, right? So what we'll see is changes in behaviors that are driven by just feeling differently in the world. So we're in a different self-states, we have different behaviors. The syndromes can do all sorts of different things to us from mood, anxiety, sleep, behavioral change. So someone who might want to find a relationship partner, you know, stops going to places where they could meet someone. So we change our behaviors. This is what shows us that there is a post-trauma syndrome.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  17. And just kind as can be to someone else. But across the population, those symptoms inside of us are not good. So they give us shorter tempers, right? We're more likely, we're more anxious, so we may be more quick to anger or we're less functional in the world around us because of depression, anxiety, sleep problems. We can be more impulsive. Like it works against us being in the world as best we can be.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  18. In general medicine, a person is having nonspecific symptoms. You know, if people go looking, scan, they see, oh, there's an abscess there, right? Once we know that, then we might have an understanding for why that person never feels good, right? They always feel lethargic or they never feel comfortable. We know there's something there now, and we can go in and fix it, right? And it involves, you know, there's a surgical process, right? So something has to happen that's not a fun thing, right? If you go through a surgery and recovery, now the abscess is gone. So I think the example of the abscess in the body is a very good way to understand what trauma does to us in the mind. So if we shove it down inside of us, there's reflexive guilt and shame. Society isn't helping us take a look at it. Now it's there inside of us. It's going to spin off symptoms. And those symptoms aren't always symptoms that make, say, one person hurtful to another. They may not. That person may be very, very vigilant.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  19. Because there's a reflexive guilt and shame to trauma and our society doesn't recognize it, it often gets hidden inside the person, right? But when it's hidden inside the person, it's still spinning off symptoms. So I think the best analogy to use here is of an abscess in the body. So an abscess is a walled off area of infection in the body. And it's good that the infection is walled off. Because if it weren't, it could be fatal, right? So it's good that it's walled off, but the body is still aware that it's there. And it's still spinning off symptoms because it's there. So, for example, a person might have an intermittent low-grade fever or just feel kind of jittery or they're sweating and they're not sleeping well, right? So they're pervasive symptoms that are impacting this person, but it's not obvious that the abscess is there. So what often happens?

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  20. And you might then ask questions. Let's say that family situation changed between, say, older siblings and younger siblings, right? Then by learning about that history and learning about older siblings versus younger siblings and the parents, I mean, think about how much you learned then, not just about the person's experiences growing up, but just about the biological aspects of how are the parents functioning? How did it impact the children? And what were the situations? How are the children similar or different? There's so much we can learn from that.

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  21. Sure. I think we all deserve, so to speak, to think about our life narrative, right? And so many of us don't. I think if we're trying to help ourselves, you know, whether someone listening to this feels that they're depressed or that they don't have any mental health issue, but they want to understand themselves better. It's like, think about a narrative of, okay, where, let me start with like, where have I come from? And who came before me? And then, wait, this happened and then that happened. And when we build a narrative, it's remarkable how much we can come to understand about ourselves. Because often we don't do that. Like we have isolated pieces of information about ourselves, but we don't knit it all together. And it's really remarkable what can happen, what can be elucidated by doing that. So absolutely yes, just for the general understanding of the person and also to understand what did the parents go through, you know, what experiences did they have? How might that impact this person?

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  22. And for a long time the thought was that the reason that children of Holocaust survivors had higher levels of anxiety and of anxiety spectrum illnesses was because of anxious parenting that understandably the parents had a much more sense of vulnerability. So across the population they were more anxious and they were raising the children with more anxiety. And what we have learned is that the experiential aspect is part of it, but that exactly what you and I are talking about is part of it too. Because the experience of what they went through changed genetic expression in So that's just a sea change in understanding that the genes of the parents, the genetic expression of the parents and the genetic expression that they pass along to their children is changed by the Holocaust experience itself.

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  23. changes how those genes function, which ones are on, which ones are off, and how they get passed along. So if the parent is not traumatized, the parent may pass along the active gene for something positive, say, to the child. If the child then is traumatized, the child may pass on that gene without it being expressed. So it's as if the gene isn't passed on. So if you think about that, it's just amazing that our genetics in the sense of what's actually going on in us is not just the nature of what genes did we get. It's the nurture, how has what has happened to us affected the expression of those genes.

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  24. Two to three decades, which is the understanding that our life experiences can change the expression of our genes. You or I may have a gene that is active now because we inherited an active gene, for example. And maybe that gene is producing something. It's helping us in some way, bolstering mood, decreasing anxiety, then something can happen. Something can change in us that turns off the expression of that gene or turns on the expression of another gene. So then even though you have that gene, you don't have the benefit of it because the gene has been turned off. And this is a very, I mean, it's a very revolutionary understanding that it's not just, well, your genes are your genes. You know, we could look when sperm and egg come together. Well, that's telling us what's going on. And if we could understand that fully, we would see, oh, here's the array of genes that are active in the array of genes that are not active. Like that's not the story, right? That's just part of the story. The story continues that one's experiences of life.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  25. Has highlighted the fact that when people are traumatized, they are changed in ways that changes subsequent generations. So if we're talking about childhood trauma, we can talk about traumatized children. We can also talk about traumatized adults whose trauma changes their children, even if their children are not born until years later.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  26. Yes, the earlier in the lifespan, the more impactful. Yes, absolutely, which is why childhood trauma is so important in the book I interview Darren Richarder, who's a psychiatrist at Sanford and Stephanie von Gutenberg, who's a child wellness advocate, because we're talking about trauma from both ends of the spectrum. So the chapter that's the interview with Stephanie von Gutenberg talks about how childhood trauma so deeply impacts the sense of self of the child, like things that we know, but I dedicate a chapter to it because childhood trauma is so tremendously impactful. And again, we don't pay enough attention to helping children who are traumatized and to projecting ahead to the increased burdens of illness and decreased role performance and all the awful things that happen. So childhood trauma is one thing. On the other end of the spectrum, Dr. Richard's work.

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  27. Yes, so the highest incidence of schizophrenia is in people who are in young adulthood. So we're not seeing changes in people who already deep into adulthood, but the changes that we're seeing is in this sort of transition to adulthood, which honors both that. Yes, we are much more impressionable in all sorts of ways, including how our brains are forming when we are younger. So these are people still, their brains still have enough formative. The idea is, the thought would be they have enough formative processes going on in their brains that the brains can be changed by the trauma.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  28. The effect of it is seen in actual brain biology. And like we know this, we've known this for a long time, but in some ways I see that we're more fragmented and pushing more towards these experiences of otherness or experiences of vulnerability and lack of safety that push people towards the chronic aspects of traumatic brain change.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  29. Live in a new culture and not that everyone felt a pervasive sense of otherness, but there's more of that sense of otherness. And the fact that that would change susceptibility to an illness that otherwise distributes itself across the population, I think is a very profound marker of scientific proof upon the things we don't pay attention to as much, you know, subtle prejudices, discriminations, whatever they may be that are in our society that we kind of look the other way and don't see. We're really harming people who then can come to the adult phase of life in a place where we have marginalized them and we've made things different inside of them that makes it harder to make their way in the world. And I think we overlook very much whether it's bullying. There's many, many things that can be based upon what can make people feel less than.

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  30. I think otherness in the way I'm defining is a sense of difference in a way that's not good, right? A sense of difference in a way that involves either being seen as less than. And again, sometimes it can be over prejudice, but it can be also stratification of opportunity. Just seeing that, okay, in some way, I'm not on an equal, I don't feel on an equal footing here, right? And then that there's can be a sense of isolation there that builds, the sense of otherness then say building tension inside the person, right? The person doesn't feel quite as safe, right? It doesn't feel quite as validated. Because, you know, especially when we're young, we look around us to see what's normal. And if, you know, people are looking, talking, dressing like us, like we just feel validated in ways that we might not feel if we see that.

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  31. Schizophrenia was higher in that people who had integrated. So the thought is, and again there have been subsequent studies and we don't know for sure, but when you kind of look at that and say, what is that is the feeling of otherness is different trying to integrate into a society that was looking at not everyone in that society, of course, but there was a much more pervasive sense of otherness when people were integrating than when they were living in the communities where food and dress and like the day-to-day of life was normalized.

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  32. When you were talking, it made me think of an example. If I say an example to the science of it, one of the earlier studies, and I forget exactly how many years ago this was, but 15 or 20 years maybe, was looking at immigrants. I believe they were immigrants from Somalia to Holland. I think I'm remembering that correctly. And so the incidence of schizophrenia in the human population is about 1% across the human population. But when stressors are higher, right, they can predispose people to having to coming down, to having the syndrome of schizophrenia. So it's about 1% of the population, but it's not evenly distributed. If there are people in sort of pressure cooker environment, so to speak, become more susceptible. And so they looked at immigrants who integrated into the community in Holland versus immigrants who lived in primarily immigrant communities. And the incidence of

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  33. Alcoholism, maybe there are social factors, right, that it was modeled for that person. So you kind of put those things together, which is why we follow patterns is there's a science underlying all of this, but we have to look at who is that person. You have to look at the family history, so the genetics that may have been passed on. And what does that seem like may be the case in the person? How can you be informed by that? And what were the formative life experiences? And we start to build a picture of what's going on inside of us so that we can understand and change by looking at our history, which is why mental health doesn't often do this. It takes an inventory of your symptoms now to reflexively prescribe a medicine, right? So we need to understand ourselves if we're going to understand weather trauma is afflicting us, how it's afflicting us, how we can prevent it, how we can treat it if it's there. And I think that means accepting that this is real and this is real science, which actually

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  34. Right. Well, I wonder if is the rest of the family doing fine because sometimes what it seems like on the outside is not true on the inside. And then we do think about genetics, especially around alcoholism. We don't understand all of it, of course, but there are genetic factors that can be very impactful. Then we'll look at personality structure. Is that person built to sort of internalize or externalize blame? So why alcohol for this person and not for someone else? How much is nature or nurture? And how much may be formative it may be that, for example, that person was in social circumstances, just a real example that happens with some frequency is a mid to 18s where alcohol was accepted as a way of coping, right? And maybe other people in the family weren't. This circumstances were just different, where they went to school. And they didn't have it modeled for them that this is how they cope. So maybe their genetic factors that push more towards alcohol.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  35. things that are negative, like things like subtle expressions of prejudice, right? That someone with a less attuned compass may just kind of not see that or just it doesn't make it into their conscious awareness, whereas someone else would be very attuned might see a lot of those things. So it's just part like, what is the nature? Like, who is the person, right? And then what is the nurture, meaning like what are the variables, you know, that seed sort of falls into as we go through life.

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  36. Part of what you're pointing out is that the variables of life matter, right? So circumstances are different, say for one child in formative years than for another. Those children could be affected differently, like economic circumstances. So some of it may be and probably is impacted by the things that you're saying, but there probably are almost surely other factors too, this kind of nature and nurture that people have what sometimes gets called different levels of attunement of the emotional compass. So, you know, some people are very sensitive and sensitized to things and very aware of what's going on around them and aware of their own feelings. And other people can kind of go through life and, you know, emotionally buffeting things can happen, but they kind of keep going, you know, and look, there are pros and cons to both of those ways of being, but the person with the sort of more finely attuned emotional compass is the person who's likely to register more.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  37. So that multiple hit, which says that this idea that what doesn't kill us makes us stronger is completely wrong. I mean, in absolutely every way, what doesn't kill us often makes us weaker, right? And that's why we have to be attentive to what hurts us but doesn't kill us so that we don't get weaker, we get stronger. But what can happen is we can become more susceptible to the more likely that the next trauma, if we experience one, will then create the brain changes.

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  38. Yes Yes. And they can all lead us to the same brain changes. But people have different levels of susceptibility. So one person may have three big acute traumas and that person's brain is still doing okay. It's not changed towards greater vigilance, right? It's not changed towards greater inflammation in their blood vessels than another person could have one incident that might seem more mild than the other three person. And that person can then have brain changes. So part of it is who are we?

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  39. of time with the news can become traumatized and have the changes in the brain that look the same as the person who lost two family members in the car accident. So it is true that vicarious trauma can change us in just the same way. The modern field acknowledges that if it's in the context of professional endeavors, which really makes no sense, right? Like what we're talking about are brain changes and brain changes can come through acute trauma, chronic trauma, or vicarious trauma because of our ability to have empathic connection and compassion with other humans.

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  40. Sure, bullied at school, absolutely, right? This over, so nothing happens all at once, right? But that brain changes just the same. So it's a scientific definition of traumatic change. And it is true in situations of chronic trauma, just as it is in acute trauma. Now, it doesn't mean all acute traumas or all chronic traumas make these changes in the brain. And then vicarious, so the third category there would be vicarious trauma, which means human beings are empathic, right? I mean, thank goodness, right? That's how all goodness comes in the world through our ability to have empathic connection. But that also means that our trauma can communicate from one to another. And again, it's not a soft concept. So people who are very much involved in other people's trauma, so in healthcare settings, sometimes in journalism settings, just in intimate home settings, in just spending a lot.

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  41. So we have tended to equate trauma and post trauma syndromes, like what happens to us after those changes in the brain are now with us to acute trauma. But again, it's not a soft definition. It's based on do those changes in the brain happen in other ways? And the answer to that is yes, that if a person is seen as less than, for example, in a society, for whatever reason across time or even within a household, a person is being abused in a household, a child is being neglected, or a child is being emotionally or physically abused.

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  42. If we're using the definition that trauma is anything that overwhelms our coping mechanisms, so there are changes in the brain when our coping mechanisms are overwhelmed and on the other side of that, our brains are different. So that's the biological definition. Then we would look at, well, how do we get there, right? And it breaks down into three categories then of acute chronic or vicarious. So the acute trauma is how we've traditionally seen trauma. So if you think about the idea that people were shell-shocked after World War I, right, that was acute trauma, combat trauma. So our traditions of looking at trauma come from acute trauma, and it's just more evident. You know, after someone dies or there's an injury or there's a car accident, like, you know, we can see that, oh, okay, gosh, that could what makes some difference in the person. We can kind of get that. And sometimes we can see the change in the person from before and after.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  43. killing us and I think that need we know more than even just that and and there's so much we could we could pile the information a mile high that supports that piece of information which I think is quite staggering

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  44. Not if we look for root cause. I've seen many, many things that kill people, and I wrote about this at the book, people that I was taken care of who at times died, and I was so always, so struck by what the death certificate said, versus why they had really died. So the death certificate might have said car accident. Okay, I understand that, but why was that person driving 120 miles an hour in bad conditions? Or why were they being so reckless? Why they had five car accidents? I know that's the trauma. Well, it's a heart attack. Why did that person have a heart attack when they were 62? They didn't have huge risk factors from other any way except the trauma and its impact. And so if we're looking at root cause analysis of what is hurting us, what is hurting our quality of life, what is hurting the quality of life of people that we love, and what is...

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  45. The whole cascade from the biological to the behavioral, so gene transcription is changed, healthier genes are more likely to be off, unhealthier genes are more likely to be on. That's not good for our blood vessels. That's not good for heart disease or a possibility of having a stroke or the immune system is more activated and more likely to attack itself and some of the mechanisms within us that are protective against cancers, for example, are less likely to function. All of those things change biologically. Neurotransmission, endocrine function, signaling markers in the bloodstream, all of that is changing. And at the same time, behaviors are changing. Higher risks of depression, higher risks of addiction, higher risks of impulsive behaviors, risk-taking behaviors. You have to put a lot of things together before you get a death risk that is two and a half times higher. But that's how we get there because it

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  46. Absolutely. Think about what you just read. Can we take a look at that again? Like, I think what you just read is absolutely momentous. So think about that. Sexual assault in the teen years leads to a two and a half fold increase in death risk that's staggering.

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  47. Crohn's disease, ulcerative colitis, Parkinson's disease probably has an autoimmune component. We were learning that much, much more is autoimmune.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  48. Car where there's snow in ice six months of the year and then it's terribly hot the other six months. It's going to be different. It's going to age differently, so to speak, right? If you go look at those two cars 10 years later and to some extent, it's like that in us too.

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  49. So the less healthy environment within the person, so some of that is likely, say the signaling molecules that we talked about is just not as, no, the bloodstream isn't as clean and healthy and running in as lockstep a fashion as we might want. But there are inflammatory signaling markers and that impacts cellular function and cells are more likely to die earlier than they might otherwise and elements of neurotransmission and anxiety and tension states within us. It's really environmental. One set of aging machinery is in a healthy environment and the other isn't. So it's going to deteriorate more quickly. I mean, it's one way of kind of trying to capture that. The environment is very different in those two people. So how what is functioning in that environment ages is going to change. Like having a car maybe in a nice warm, dry environment, you know, versus having a

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT

  50. Has privation and a lot of trauma, maybe direct physical assaults or seen as less than, denigrated by society. It's a theoretical example. But the idea would be you go follow them 30, 40, 50 years later and you find two people who are not the same age anymore, right? The person who had the better life if they're 40, well, they're 40. And if you match up cellular aging mechanisms, and again, we don't know how close a person is to death, but the aging mechanisms are telling us how far long our path we are, so to speak. They say, okay, that kind of matches with being that person's age. But then you see the person who has been through so much trauma, the presumption here being there, the brain changes of trauma, there's a post-trauma syndrome, that person is going to actually be older in terms of how far they have traversed down that path of the machinery in them running itself forward than what the calendar tells you.

    2024-03-21 · The Diary of a CEO · The Childhood Trauma Doctor: Your Childhood Trauma Changes The Shape Of Your Brain & Causes Parkinson's! How Not To Ruin Your Kids! Dr. Paul Conti · IDENTIFIED FROM THE TRANSCRIPT