Episode 38

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Published on:

10th Jan 2026

The Cave You Fear to Enter: Memory Reconsolidation and Emotional Healing with Dr. Brian Desroches - #38 - Jan 10, 2026

The Cave You Fear to Enter - Memory Reconsolidation and Emotional Healing with Dr. Brian Desroches - Episode #38

Guest: Dr. Brian Desroches, PhD - Psychotherapist, Author, Clinical Coach

Release Date: January 10, 2026

Episode Summary

In this transformative conversation, Dr. Brian Desroches shares how a personal breakthrough in 2015 fundamentally changed his understanding of emotional healing after more than 20 years of clinical practice. Moving beyond traditional "overcome and manage" approaches, Brian introduces listeners to the neuroscience of memory reconsolidation - a process that allows us to update emotional learnings at the synaptic level rather than simply coping with symptoms.

Key Topics Discussed

The 2015 Paradigm Shift

  1. Brian's 10-year struggle with writing procrastination despite extensive therapy
  2. His breakthrough experience with memory reconsolidation at a workshop
  3. How shame and inadequacy became neurologically linked to writing in his brain
  4. The immediate and lasting transformation that followed

Understanding Emotional Learning

  1. How the brain acquires implicit emotional knowledge in the first 7 years of life
  2. Why these learnings feel true in the present moment even when formed decades ago
  3. The difference between explicit trauma memories and implicit emotional patterns
  4. How the brain's predictive process creates protective but maladaptive behaviors

Memory Reconsolidation Explained

  1. The brain as a learning, predicting, and adapting process
  2. What prediction errors (or "prediction corrections") are and why they matter
  3. The five-step process for creating lasting change
  4. Why insight alone doesn't lead to transformation

Reframing Self-Sabotage

  1. Why "getting in your own way" is actually your brain protecting you
  2. The car analogy: one foot on gas, one on brake
  3. Moving from "what's wrong with me?" to "what did I learn?"
  4. Understanding triggers as protective mechanisms, not character flaws

The Role of Compassion

  1. Why compassion is the gateway to self-love
  2. Holding space for the parts of ourselves that learned to protect us
  3. The grief that often accompanies discovering what's really driving our patterns
  4. Joseph Campbell's wisdom: "The cave you fear to enter holds the treasure you seek"

Practical Applications

  1. Why you must be in an "activated state" for change to occur
  2. How to identify the real threat your brain is predicting
  3. The importance of embodied experience vs. intellectual understanding
  4. Navigating systemic changes when you transform

Memorable Quotes

"It is not a character flaw. The brain is doing its job that it was designed to do - it just doesn't need to do it anymore because it's doing it based on past history that doesn't exist."

"When you touch into an emotional learning, it feels true. The emotional brain doesn't know time. You may have learned that 40 years ago, but when it gets activated today, it feels true today."

"The cave you fear to enter holds the treasure that you seek. When you land upon an emotional learning, your thinking brain will judge it as irrational, as illogical. But to your emotional brain, it does make sense."

About Dr. Brian Desroches

Dr. Brian Desroches has over 30 years of clinical experience as a psychotherapist and holds a PhD in Pastoral Counseling and Psychology. Originally from Windsor, Ontario, he now practices in Seattle, Washington. Beyond his therapy practice, Brian consults with dental professionals worldwide, helping them navigate difficult patient interactions and lead complex organizations. His latest book, Living a Trigger Free Life, translates cutting-edge neuroscience into accessible, practical guidance for lasting emotional transformation.

Resources

  1. Book: Living a Trigger Free Life by Dr. Brian Desroches
  2. Website: https://a.co/d/bDgsLtC

Practice Location: Seattle, Washington

Related Concepts Mentioned

  1. Memory reconsolidation
  2. Implicit vs. explicit memory
  3. Emotional learning
  4. EMDR (Eye Movement Desensitization and Reprocessing)
  5. Internal Family Systems
  6. Neuroplasticity
  7. Prediction error/correction
  8. Bilateral auditory stimulation

For Clinicians

This episode offers valuable insights for mental health professionals looking to move beyond symptom management toward root-cause transformation. Dr. Desroches' approach integrates neuroscience research with clinical practice in a way that honors both the science and the deeply human experience of healing.

Next Episode: Another exciting journey into the cutting edge of neuroscience, neurostimulation, and interventional mental health.

Subscribe to never miss an episode and help us reach more curious minds!

Transcript
Mike:

Welcome to The Neurostimulation Podcast.

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I'm Michael Passmore, clinical

associate professor in the department

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of Psychiatry at the University of

British Columbia in Vancouver, Canada.

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The Neurostimulation Podcast is all

about exploring the fascinating world

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of clinical neuroscience, non-invasive

neurostimulation, interventional

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mental health techniques like ketamine

assisted psychotherapy, a whole

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host of things that can be done to

help improve lives and connections.

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We explore the latest research

breakthroughs and how that

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research is being translated into

real world treatments that can

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improve health and wellbeing.

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This podcast is separate from my

clinical and academic roles, and

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is part of my personal effort to

bring this kind of neuroscience

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education to the general public.

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Accordingly, I would like to emphasize

that the information shared in

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this podcast is for educational

purposes only and is not intended

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as medical advice or a substitute

for professional medical guidance.

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Today I had a really

interesting discussion with Dr.

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Brian DeRoche.

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Brian is a psychotherapist, a teacher,

an author, an entrepreneur, a coach.

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Just a really fascinating individual and

he presents a really compelling story.

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Which, is a really heartfelt and,

interesting and engaging discussion that

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I hope that you'll stay tuned for and I'm

sure you're gonna get a lot out of it.

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I certainly know that I did.

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it was a really interesting

conversation and I'm really looking

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forward to sharing that with you all.

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Welcome back to the Neurostimulation

Podcast where we explore how cutting

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edge neuroscience translates into

real human change, not just symptom

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management, but real transformation.

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I'm really excited about today's

conversation because it sits right

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at the intersection of neuroscience,

psychotherapy, and lived experience.

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My guest today is Dr.

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Brian DeRoche, a psychotherapist

with over three decades of clinical

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experience, an author and a consultant

to healthcare professionals.

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Brian has spent much of his career

doing what many of us try to do,

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helping people understand why they

keep getting stuck in patterns that

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they desperately want to change.

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But in 2015, after more than 20

years of practice, Brian had a

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moment that fundamentally changed his

understanding of emotional healing.

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He realized that much of what

we've been taught about things

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like coping, managing triggers, and

even insight itself was incomplete.

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And that realization led him into

the neuroscience of emotional

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learning and memory, reconsolidation,

and ultimately to his new book

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called Living a Trigger Free Life.

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So I'm really excited because I think in

this conversation we're gonna be exploring

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why willpower collapses under pressure,

why insight often doesn't lead to change,

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how the brain predicts future pain based

on past emotional learning, and most

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importantly, how those learnings can

actually be updated at the synaptic level.

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Brian doesn't frame self-sabotage as

a flaw, but as a protection, and he

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offers a neuroscience based pathway

for lasting change that many listeners,

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especially clinicians, may find

both unsettling and deeply hopeful.

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Brian, welcome to the podcast.

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I'm so excited that you're here

and I'm really looking forward

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to our conversation today.

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Brian: Thank you, Michael.

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Thank you for this, this opportunity

to spread this word and, and to

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discuss what I think is a paradigm

shift for my profession and

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for the self-help industry too.

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Uh, uh, a real switch

from the overcome battle.

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Get over it.

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Uh, counteract your symptoms to

one where in the Buddhist sense you

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engage with them and find out what's

really driving them underneath.

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And now the neuro new neuroscience

tells us how we can change the

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cause of those symptoms and problems

that last year brought about 34

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million people to psychotherapy.

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Fantastic.

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Yeah, absolutely.

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I think that it really speaks

to the importance of bringing.

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At least, having space to allow for

some type of a spiritual component

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to any kind of therapeutic work.

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You know, you mentioned Buddhism, but

despite, you know, regardless of what

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anyone's worldview is, I think that

it's a, a really important, aspect

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of care and it's something that in

secular society is often sidelined.

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And so I'm really looking forward

to exploring how important

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that is from your perspective.

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Brian: Yes, thank you.

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That, and, and I'll get to

that, yes, and it has to do in

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fact with emotional learning.

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Hmm.

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Brian: and, but that's a very, that's

a different topic, but related, so

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for sure.

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Yeah.

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The emotional piece and the spiritual

piece definitely go hand in hand.

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I was curious, so maybe, if you

don't mind, perhaps you could

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just, introduce yourself a little

bit about your background, just

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so viewers and listeners, get know

you a bit and that would be great.

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Yeah.

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Brian: Good.

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Good.

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Well, It started my career, got a master's

degree in hospital administration, and

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by my late twenties, I just saw, boy,

I, I just wanted to make a lot of money.

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And those people in those that

have those big offices and

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those hospitals were doing okay.

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So I thought, Hey, I'm gonna do this.

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And so I went ahead and did that.

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And by the time I was in my early

thirties, I was vice president

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of a multi-hospital corporation.

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I, I got a master's degree in

counseling because we were managing

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healthcare facilities and recovery

facilities, addiction recovery.

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And I did not understand what

those people were talking about.

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I just defied my understanding.

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So I figured, well, if you can't

change 'em, why not join them?

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So I got a master's degree in counseling,

but after a bit I got kind of tired.

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I just, my administration

work did not feed my soul.

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And, so I decided to make a trial

left that completely did, got

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involved building some psychiatric

hospitals head up, uh, alcoholism

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treatment center for about a year.

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It still didn't do it.

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And in my late thirties,

my mid thirties, yeah.

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I kind of said that's it.

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I opened up a private practice, cast my

fate to the wind, if you will, and, was

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the best choice I've ever made in my life.

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It was my, I know it was my

destiny, I just know it and,

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and, and it continues to be.

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And, so been in practice 30 plus years.

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Do work with, I have a coaching

practice that works with dentists.

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Literally all over the world, workshops,

presentations, and how to deal with

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difficult patients and how to lead a very

complex organization, a dental practice.

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And that's been a very rewarding for

me because dentists are, uh, like you,

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scientists, and, um, I have to really

know my science, my neuro, I really

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have to know it in order to be able to

do what I did, I, the coaching practice

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and also do psychotherapy, uh, using

the model that I described in the book.

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I just didn't go back to anything else.

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I see too many positive results.

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So, father of four, two kids,

two adopted children and, and

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live in Seattle and I love it.

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I love it.

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Yeah.

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That's great.

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That's great.

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Thanks so much.

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That's such a, a fascinating story.

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It's so heartwarming.

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You know, I love the description of

just how you felt, at home, just so

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connected when you found your vocation

and that you just really Yeah, yeah, yeah.

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Flourished.

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Flourished in that ever since.

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Brian: Yes.

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Yeah.

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Yeah.

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And that's why I got my, I got, because

of the work I was doing, I went and got a

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PhD in pastoral counseling and psychology.

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Mike: Mm-hmm.

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Brian: I really wanted to

understand more deeply what people

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were asking fundamentally about

meaning and purpose and suffering.

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And, and that helped me to really

get a, just deepen my awareness

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of the deeper journey that every

one of us, I believe is on.

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Yeah.

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Fascinating.

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Yeah, I, I can't, I can't agree more.

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I think that it, it just sounds amazing

and, in particular, yeah, I just think

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that, it, it's really interesting to

hear about your, your coaching, your

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that, because the coaching, it lends

itself so well to the psychotherapeutic

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practice because that's essentially

what a psychotherapist is, isn't it?

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It's a, a type of a coach.

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Brian: Yeah, very much so.

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Very, very much so.

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Yeah.

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Yeah.

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The only difference is when you coach,

you don't have to put a diagnosis.

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When you do psychotherapy, you

need a diagnosis and a, it's all,

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that's the primary, but the process

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mm-hmm.

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Brian: Of helping people to understand

and move towards their desires, desired

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outcomes, is very similar in many ways.

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Yeah.

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Yeah.

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It's interesting though, 'cause

the diagnostic piece, it's kind

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of a double-edged sword, isn't it?

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Because you, on the one hand, it can be

helpful, but on the other hand it can.

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Hinder and get in the way.

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Yeah.

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Brian: Yeah.

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It, it, it, you have this and so there's

this, I've gotta fix this, which is

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typically the problem or the symptom, and

does not get underneath that problem or

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symptom that what's really driving it.

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Mike: Mm-hmm.

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Brian: What is, what is the, what I've

learned is the emotional learning,

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the, that's driving that symptom that

the brain and its learning, predicting

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and adapting process recognizes, and

then, boy, we focus on these problems.

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But beneath I, I think, I do think,

I think Troy would be quite happy

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Sure.

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Brian: With what

neuroscience has found out.

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I'm not quietly talking about the

sexual oppression part, but the

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fact of the, and Jung particularly,

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yeah.

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Brian: The role of the unconscious,

how we can bring it to consciousness.

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Yeah.

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Brian: And, and actually change.

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At the synaptic level, the brains

still is, a fact and a reality that,

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as I say, I continue to integrate

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mm-hmm.

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Into

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Brian: practice in my life.

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That's great.

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Yeah.

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It makes me think of, a really apt

metaphor that I, I read recently

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and Stan and Christina Gross's

book on holotropic healing.

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Mike: Mm-hmm.

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Yes.

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And the metaphor was that, when you

have, when you have a, a red light

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on in the dashboard of your car,

signaling that there's some engine

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trouble, you, you don't just reach

under into the dashboard and pull out

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the wires that go to that red light.

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Right.

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Right.

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which is, in a way that's kind of

what modern psychiatry does with these

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medications is it seeks to just dampen

down the alert signal rather than

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going into the engine and fixing what's

causing the problem in the first place.

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Brian: Well, well said.

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I, I also have a car analogy too.

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it's like when you get in your car,

you start the ignition and you've got

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a destination in mind and you want

to go to this, whatever it is, party

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or the grocery store or something,

you put your foot on the gas.

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Now imagine when you put your foot

on the gas, you simultaneously

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put your other foot on the brake.

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Mike: Mm-hmm.

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Brian: This is the dilemma.

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And what you're saying is, okay, so

we're gonna focus on, what do you

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do when the foot's on the brake?

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Let's relieve the, the, the, maybe

you need a different destination.

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Maybe you need to get outta the car.

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Maybe you need to back off a little bit.

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But we don't look at what causes

the other foot to put the foot

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on, on the brake, and that's very

stressful, as you know very well.

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On the nervous system mm-hmm.

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On the infl.

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it's very stressful to have one foot

on the, this, you burn out your engine.

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Yeah.

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Burn out your engine.

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Yeah.

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Always.

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All these little subtle, subtle ways

that we get in our own way, we get,

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we are our own kinds of obstacles.

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These subtle methods that

we get in our own way.

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Brian: Yeah.

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Yeah.

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I was curious.

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Yeah.

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Go ahead.

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Mm, please.

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Brian: I and IP we do, I know I certainly,

I've learned a lot that I get in my own

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way, but now I find out that many times,

getting in my own way is my brain's way

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of protecting me from something that

will be painful, will involve suffering.

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That I only feel, but there's no

co, there's no, I don't have images.

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It's not like an explicit

traumatic memory.

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and we all, I certainly have those.

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And EMDR has been very effective

at metabolizing, those.

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Those explicit memories, but it was,

when it comes to the implicit mm-hmm.

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Emotional learnings acquired

in the first seven years.

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Yeah.

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We only know those as sensations.

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The very seldom is there

anything explicit, semantic or

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episodic associated with that.

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And those are what drive my

observation, my experience person.

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Those what drive our emotional reactions,

our triggered reactions, our pattern

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maladaptive, whether it be pushing away as

in conflict, pulling away as an avoidance

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or just tummy avoidance, fight fawn.

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You know, it, it's,

that's what the cause is.

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and that's a big shift that I, I say I'm

still integrating that 'cause I wanna fix.

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Mm-hmm.

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And, no, no, no, no.

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Listen and go deeper.

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Yeah.

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Mm-hmm.

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Mm-hmm.

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Yeah.

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It makes me think that maybe, what I

was really interested in just reading

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a bit about your background was this

a of the awakening in, was it:

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Yes.

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That there was like a

paradigm shifting moment.

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Maybe you can explain Yes.

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It was what that was about.

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Brian: Sure.

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so in the, in the mid, 1990s, I

published two books, one on re

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Reclaiming Yourself and the other,

codependent Recovery Process.

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And the other was called

Your Boss Is Not Your Mother.

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How We Repeat Patterns in the Workplace

based on our family experience.

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And they were published by big publishing

houses in New York, but the, the, the

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one book, your Boss Is Not Your Mother.

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When I submitted the manuscript, the

publisher said, love the content, but

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this is, it needs to be formatted.

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It's just we're gonna hire

a professional writer.

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To do that.

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And their logic, their rationale

made total sense to me.

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They did it very respectfully.

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They wanted the best for the book.

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My experience of the rewrite was shame,

and they never intended this inadequacy.

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What's wrong with me?

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I'm not enough.

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I really got, looking back

now, I really saw that,

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got the book reread and it was

translated into six languages and, and

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I'm very, feel really good about it.

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So in the, about five years later,

the early two thousands, mid two,

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2004, I had an idea for two more

books and I thought, oh, I've got two.

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I can do this.

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Michael, I couldn't write.

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even now when I talk about it, I

can, I can feel that experience,

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not the anxiety, but the awareness.

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I couldn't write.

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I would, I would, I'd get

frozen and it made no sense.

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So I've got a writing coach.

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I bought a really nice fine

blue cobalt pan to write with.

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I got a new computer.

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I went on writing retreats.

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I did e mdr, RI, nothing, nothing would

move me beyond this what became a very

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toxic procrastination for 10 years.

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I, and I didn't, I couldn't understand it.

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And so in 2015, I read about this

workshop on memory reconsolidation.

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And this sounds really interesting.

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I went to the workshop, it

was at Fordham in New York.

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And, As so happens, I was the Guinea pig

for the demonstration, and guess what?

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The focus was my writing, procrastination.

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I went through the process.

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There's five steps that

I talk about in the book.

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I didn't know that I'd shifted when

I got back Monday morning to Seattle

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and I, I went, I said I'm gonna start

writing what was at an eight level in

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terms of anxiety, was now at a one.

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And I was like, it was,

it was disorienting to me.

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It was like, what is going on?

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This, I'm supposed to be anxious.

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It was.

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It at 10 years of that, it just,

I, I couldn't understand it.

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And then when I really started looking

at what the research was and how my

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brain had changed over that weekend,

because what the brain was predicting

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was going to happen if I write, which

is shame, inadequacy, really toxic

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emotions had been counteracted, if you

will, not by trying to get over it by

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a mismatch, a prediction correction.

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Mm-hmm.

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Brian: And that just blew me away.

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And that's when I began my in-depth

research, the of, of, what is this?

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How does this work?

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What's the new?

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And the neuroscience is very clear on it.

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And so I started using this process,

this, this non counteractive.

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Let's engage with the symptom.

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Let's go underneath the symptom.

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If you imagine doing this

change, what's it like?

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And for most people may imagine doing

a change or completing something.

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And I've got so many stories in the book

that become anxious because the brain

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had learned in my brain, had learned if

I write and publish another book, I will

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be shamed and humiliated and will suffer.

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And it had all its origins

in my family of origin.

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I'm the adult child of, an alcoholic

PTSD dad from World War ii.

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And, I thought I, I've done 17 years

of therapy on all kinds of stuff.

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Nothing really changed, but at

least I was doing something.

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Mm-hmm.

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Insight never worked.

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I knew what, what my problem was, I

just couldn't do anything about it.

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But the writing really, really

brought it home when I learned

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that writing and shame.

351

:

Those negative kind of emotions

have become associated my brain.

352

:

Unbeknownst to me, it was not like

I said, oh good, I get to learn

353

:

that I'm incompetent and adequate.

354

:

No, my brain, my emotional

brain linked those two.

355

:

and so every time I went to

write, my brain would assess

356

:

the threat of the writing.

357

:

'cause the brain's always

doing a threat assessment.

358

:

Mike: Mm-hmm.

359

:

Brian: And then it, survival

bias would predict pain, activate

360

:

the anxiety, and I withdraw.

361

:

Mike: Hmm.

362

:

Brian: And when I really start to see that

and work with clients and in my own life,

363

:

I began to experience the kind of

changes that I had dreamt about

364

:

having but never experienced.

365

:

and really experienced in my body.

366

:

The shift was in my body.

367

:

It wasn't just in my head.

368

:

Mm-hmm.

369

:

It

370

:

Brian: was, I could feel the difference.

371

:

And when you can feel the difference

given a stimuli and you have

372

:

a different experience of that

stimuli, your brain has changed.

373

:

It has transformed.

374

:

And that is an enduring transformation.

375

:

Mm-hmm.

376

:

Brian: Yeah.

377

:

And that's what happened in 2015.

378

:

It just like, whew.

379

:

Yeah.

380

:

Brian: It, it, it, wow.

381

:

The, the idea about prediction

correction, I think that's such a

382

:

fundamental, very important idea.

383

:

Brian: Mm-hmm.

384

:

You, you, you've explained

that already a little bit.

385

:

Do you mind just expanding on that

a little, and then not at all about

386

:

how to approach, undo that problem?

387

:

Brian: Yeah.

388

:

And in, in, in neuroscience terms,

they call it a prediction error.

389

:

so the brain is, make the brain's

prediction is an error I call a

390

:

prediction correction, because when

I've been doing workshops on this.

391

:

I got feedback saying, no, this,

you are correcting the prediction.

392

:

I realize, there's something

to be said for that wisdom.

393

:

So I call it a prediction correction,

but if you look it up, it's prediction

394

:

error in neuroscience terms.

395

:

So the brain is a, a learning,

predicting and adapting process.

396

:

it does a lot of things, but

at heart it acquires knowledge.

397

:

Knowledge about skills, knowledge about

processes and, and, and information.

398

:

But there's a third level of

knowledge that the brain acquires

399

:

that most of us aren't aware of.

400

:

'cause we don't actively,

consciously participate in it.

401

:

And that's the level

of emotional learning.

402

:

Mm-hmm.

403

:

So the emotional brain learns,

acquires knowledge, what causes

404

:

pain, and what causes pleasure.

405

:

And in the first seven years particularly.

406

:

That process, as you

know, is very powerful.

407

:

As Yung talked about, the stamping

process that happens, cultural

408

:

process that happens fitting in.

409

:

All of that, that knowledge that

is acquired, called an implicit

410

:

emotional learning process,

resides in the unconscious, the

411

:

lower regimens, the levels of the

right hemisphere, if you will.

412

:

And so the brain uses, it's a

predictive process as it uses

413

:

its past experiences to predict.

414

:

It's always doing that.

415

:

We do it consciously.

416

:

Planning for, this was a prediction.

417

:

We do this consciously.

418

:

The brain also does it unconsciously.

419

:

So if I learned as I did with

writing, writing and shame and get

420

:

connected, I didn't know, I, I didn't

know that my brain learned that.

421

:

So every time I would go to write,

my brain would take the writing

422

:

cue and it would activate to make

sense of this activate the learning.

423

:

The learning would then predict

'cause of its survival bias.

424

:

It would predict it pain, and

naturally it does what it's

425

:

created to do evolution wise.

426

:

It would then create anxiety.

427

:

The signal that says, no, no, no.

428

:

And with that, the accompanied behavioral

even like, it was interesting that Dr.

429

:

Henderson was talking about depression.

430

:

I worked with many people where

depression is their protective mechanism

431

:

and and pills didn't do anything for

them until they really, really looked

432

:

at what is the threat if I do this.

433

:

So a prediction correction

is, first of all, you have to

434

:

become conscious of the threat.

435

:

If I do this, then this will happen to me.

436

:

That's hard for people.

437

:

Mike: Yeah,

438

:

Brian: because the emotional brain is

logical, but it's most often irrational.

439

:

I've had people predict, if I voice my

opinion to my family, they will oust me.

440

:

They will ostracize me, and

I will be like a little child

441

:

left in the woods all alone.

442

:

that's what it felt like.

443

:

Now to a 37 or 40-year-old man

or woman, that makes no sense.

444

:

It's irrational, but to the

emotional brain, it's very logical.

445

:

So as a result, they would then withdraw

and not do anything, not say anything

446

:

that that pattern would get reinforced.

447

:

A prediction correction.

448

:

When you're in an activated state

and you have to be in the activated

449

:

state, you then bring in information.

450

:

That is a mismatch to the prediction

that counters the prediction.

451

:

That in fact says, wait a minute,

that prediction is not valid at all.

452

:

Look at how many times I have

expressed myself or my family.

453

:

They didn't ostracize me,

they didn't reject me.

454

:

And when you pair like Bluetooth,

when you pair in this anxious state,

455

:

which is the prediction state with

a information that the brain says,

456

:

wait a minute, this doesn't match.

457

:

And because of its survival,

it has to update itself.

458

:

So we get this activated neural network.

459

:

When you bring in information

that contradicts what that

460

:

learning is that you've now made

conscious if this, then this, and.

461

:

Then the brain de consolidates, unwire

that neural network and that can stay

462

:

open from up to about five hours.

463

:

Research has found during which

time you can continue the update and

464

:

then it reconsolidate with the new

information as a result of the update.

465

:

So the correction, the prediction

correction is very important.

466

:

It has to, it can't just be affirmations.

467

:

It has to be lived, some

lived experience or awareness.

468

:

I've had people in sessions just

p like, oh my God, they just

469

:

snapped out of a trance when they

introduced a prediction correction.

470

:

to their brain.

471

:

To their brain when they're activated.

472

:

And that's the difference between this

model or this approach versus standard

473

:

psychotherapy, which would counteract.

474

:

Push against, develop an alternative

neural network that competes with the

475

:

one that is the symptom causing one.

476

:

This new approach is, no, no,

you engage this, you go under it.

477

:

Make yourself conscious.

478

:

Introduce prediction,

correction information.

479

:

I've had many people have ponta.

480

:

I talk about spontaneous transformations

when you suddenly become aware, and I

481

:

I, I used it in my, I my wife is a great

chef, and every time she gave me feedback,

482

:

you didn't come to the onion, right?

483

:

Or blah, blah, blah.

484

:

I would feel attacked.

485

:

She, she's not attacking me.

486

:

Mm-hmm.

487

:

But I would like what, and before I used

to withdraw, then I realized, what is

488

:

my brain predicting that is causing me

to withdraw, to kind of get resentful?

489

:

Oh, that she's gonna reject me

because I'm not very good at.

490

:

That felt true.

491

:

It feels true, Michael, here's

the thing, when you touch into an

492

:

emotional learning, it feels true.

493

:

Mm-hmm.

494

:

Mm-hmm.

495

:

Mm-hmm.

496

:

The emotional brain doesn't know time.

497

:

Yeah.

498

:

So you may have learned that

40 years ago, but when it gets

499

:

activated today, it feels true today.

500

:

Mm-hmm.

501

:

Mike: Mm-hmm.

502

:

Brian: And but wait a minute,

my wife's not gonna read.

503

:

Are you kidding me?

504

:

We've married 38 years and I'm

still learning how to be a and

505

:

now when it happens, I laugh.

506

:

We kinda laugh about it.

507

:

I say, oh, yeah, yeah, yeah.

508

:

It's a, it's a scintilla of what it

was before I learned this information.

509

:

So

510

:

prediction, corrections are critical,

and as a way of thinking, when you

511

:

start to think this way, then I call

it trigger and foreign mindfulness.

512

:

You become aware, whoa.

513

:

That just triggered me, what is the

threat that my brain is predicting?

514

:

Mike: Mm-hmm.

515

:

Brian: I'm with my friends,

I'm having at the golf game.

516

:

I'm out to dinner, a friend's talk,

telling me about their vacation,

517

:

and I'm having this reaction.

518

:

Mm-hmm.

519

:

Brian: What's going on in me?

520

:

Yeah.

521

:

It, it, it's, oh, yeah.

522

:

Yeah.

523

:

It, it strikes me that, one of the key

concepts I think, that I extracted from

524

:

that fascinating explanation was the

notion of the importance of the embodied.

525

:

Aspect of, of, of an emotional experience.

526

:

Right.

527

:

Because even, and I, I think

particularly maybe for clinicians,

528

:

academics, people that tend to live

in our minds and our cognition, the

529

:

whole idea about being emotionally

intelligent, it's probably only half

530

:

the battle you can be as emotionally

intelligent in your head as you want.

531

:

Yeah, exactly.

532

:

But if it's not, if it's not an

embodied experience, we're not

533

:

taught, we're not taught anything

about emotions and feelings as kids,

534

:

Brian: Nope.

535

:

For the most part, but even less so about

how emotions are experienced in the body.

536

:

Right.

537

:

Brian: That's so, that is so accurate.

538

:

And, and one of the things I've

shared with parents who sometimes

539

:

in presentations they'll say,

well, what do I do with my kid?

540

:

All they want to do is

look at their phone.

541

:

And, and we know research is clear

that there's no vagal stimulation.

542

:

When you look at a phone, you're

basically v vagal neutral or shut down.

543

:

And so because of that,

what are they learning?

544

:

What is the emotional learning

that's happening when you

545

:

are looking at a device?

546

:

where's the relational aspect, the

interpersonal neurobiological aspect of

547

:

using Daniel Siegel's term is missing.

548

:

yeah.

549

:

It, and I've worked with many parents

who have reactivity, a lot of reaction,

550

:

but their kids do certain things.

551

:

I'm thinking, gentleman, this last

week we went into what your kids

552

:

could do and what your kid does.

553

:

Let's go into you, what do

you want to be different?

554

:

I want to be calm and present.

555

:

Okay?

556

:

So what is the threat of being calm

and present and what he discovered?

557

:

Was that if my child is acting out,

people will see me as a parent who

558

:

doesn't care as an incompetent person,

and I will feel the shame of that.

559

:

That goes back to a lot of his history and

so when he realized that he was able to

560

:

introduce prediction corrections so that,

and I'll be seeing him next week, but we

561

:

got, really, let's take a look at that.

562

:

Are people really gonna do that?

563

:

No.

564

:

Especially when you're just with

your son and nobody's in the house.

565

:

Right?

566

:

It's just, but it generalized

it and so these triggers that,

567

:

that we all experience are,

are when they become patterns.

568

:

Yeah.

569

:

Well, I can relate to

that, that last story.

570

:

I think it's, this has been

a therapeutic section of the

571

:

conversation for me for sure.

572

:

I feel like I'm getting a bonus here

because I know exactly how that feels.

573

:

Mike: Yeah.

574

:

Yeah.

575

:

It's, it's, it's fascinating, right?

576

:

Because I think that, again, for a long

time it seems that emotional memory

577

:

to a certain extent as you referenced,

the, the greats, in terms of this idea

578

:

that we were born as a Tabula Raza blank

slate, and then we have emotional memory

579

:

that's kind of stamped in and hard wired.

580

:

Mm-hmm.

581

:

But, but then it seems that more recently,

neurosciences discovering concepts

582

:

like memory reconsolidation, so, yep.

583

:

Maybe as it relates to your work, can

you explain a little bit about this

584

:

idea about memory reconsolidation in

terms of emotional memories and why it

585

:

represents such a radical departure from

the legacy symptom management approach?

586

:

Brian: Yeah, yeah.

587

:

Yeah.

588

:

I, my original training in psychotherapy

was the counteract that's battled

589

:

these symptoms, overcome them.

590

:

And then if you can't, then

here's the relaxation techniques

591

:

to soothe yourself afterwards.

592

:

So you had two approaches.

593

:

One push against it.

594

:

They, okay.

595

:

Soothe yourself if it doesn't

happen and get insight.

596

:

and my experience with insight is

insight has never changed anything.

597

:

That's right.

598

:

May, in fact, many times it may be more

frustrated because I had insight and I

599

:

thought, I get, but I'm not changing.

600

:

I'm still reacting.

601

:

There must be something wrong with me.

602

:

Maybe I'm not getting it.

603

:

I would become critical of myself.

604

:

And I know many people that do, with

this new motif, if you will, this

605

:

new, this paradigm that's emerging is

instead of overcoming, we engage in, we.

606

:

As, as a therapist, you know, we listen

and try to feedback and in doing that,

607

:

and people can do this for themselves,

which is wonderful, is go deeper.

608

:

You can go underneath techniques such

as focusing, or I suggest people that

609

:

use a, a phone recorder to record

what happens when you get into the

610

:

embodied experience of anxiety.

611

:

Now, un understandably, there's people

that experienced very significant trauma

612

:

that they need to be very careful.

613

:

And I have those caveats in the

book, but for the vast majority

614

:

of us, it's little t traumas that

be, that generate the patterns.

615

:

And so once that becomes a neural network,

an emotional learning that correlates

616

:

experience.

617

:

Something happened with

desire or something.

618

:

I want to, Hey mommy,

I want your attention.

619

:

Of course.

620

:

And you go up and you grab Mommy.

621

:

Oh, okay.

622

:

And mommy turns, mommy's busy.

623

:

And this is not about mommy.

624

:

This is about what I learned.

625

:

Okay.

626

:

I, oh, I made mommy upset.

627

:

I'm responsible for mommy's feelings,

which is, and as we know for

628

:

children, is part of their survival

book is they, I my life to, not

629

:

consciously, but as young mammals.

630

:

So we adapt, we have to adapt.

631

:

And Wordsworth has a wonderful

way of describing that.

632

:

May I read you the first part of his poem?

633

:

Please do.

634

:

Yeah, absolutely.

635

:

Brian: Yeah.

636

:

This is from OO to, intimations

of immortality from his, re

637

:

recollections of childhood.

638

:

And it says the very beginning, our

birth is but asleep and a forgetting.

639

:

The soul that rises with us,

our life star has elsewhere.

640

:

It's setting, and he goes on

and then he says this at length.

641

:

The man perceives it, die away

and fade into the light of day.

642

:

That process, and

there's a lot more to it.

643

:

That process is the process of how

emotional learning creates the ego

644

:

self, or I call it the adaptive self.

645

:

Mike: Mm-hmm.

646

:

Brian: Rather than ego, which tends

to have a negative connotation.

647

:

It's an adaptive self.

648

:

The child has to adapt.

649

:

Those adaptations become for

most of us, some, all of us,

650

:

to some degree maladaptive.

651

:

Symptoms problems later.

652

:

Member Reconsolidation enables us to go

back and actually change those learnings

653

:

at the synaptic level in the brain, which

is enduring transformation, not temporary

654

:

problem resolution or insight site.

655

:

I could not be talking to you right

now, Michael, if that, if I had not

656

:

experienced that firsthand and not

continued to exp I would, I I would,

657

:

I would not be talking with you 'cause

the book would not have been written.

658

:

Yeah.

659

:

No, it's, it's, that you can tell

in the, the, the, the passion that

660

:

you bring to just talking about it

and with bringing in that profound

661

:

poetry, it makes so much sense.

662

:

It's, it's really a beautiful thing.

663

:

And I think it's, I especially love this

idea of turning the label of a flaw into

664

:

a protection, so that radical reframing

for things like imposter syndrome or

665

:

people facing avoidance, that those

aren't flaws, but they're more like

666

:

protective adaptations or maladaptations.

667

:

Yes.

668

:

So that shift in just the description

of the labeling, to me it seems like it

669

:

really changes, it sets the stage for

that more emotional tone of healing.

670

:

Right.

671

:

Brian: I, one of the primary

reasons that I wrote the book.

672

:

Because I, I know what it's

like to criticize oneself.

673

:

I know, I hear my patients,

my clients come down on

674

:

themself, what's wrong with me?

675

:

And, and which just adds more

levels of pain and suffering

676

:

to what they're experiencing.

677

:

It is not a character flaw.

678

:

It it, it is, it's a, an evolutionary,

the brain is doing its job that

679

:

it was designed to do and it just

doesn't need to do it anymore.

680

:

'cause it's doing it based on

past history that doesn't exist.

681

:

But the brain doesn't know that it's

just doing what it was created to do.

682

:

And it's doing a very good job.

683

:

That's why I call it the adaptive self.

684

:

It is,

685

:

there's nothing wrong with us except we've

learned some things that no longer apply.

686

:

And if we can update those things, maybe.

687

:

Let me, it was interesting.

688

:

Let me share one thing with you,

689

:

please, sir.

690

:

Brian: I, a couple weeks ago, I,

I was doing some research around

691

:

emotional evolution, spiritual

evolution and technolo or cognitive e

692

:

evolution as measured by technology.

693

:

And I drew a curve, went back a

along, I, obviously very subjective.

694

:

I drew a curve and we had the wheel

and, and then the printing press,

695

:

and then around the 19 hundreds

and the two thousands, oh my gosh.

696

:

The technology curve was,

it just was exponential.

697

:

When I looked at emotional evolution

in terms of how we evolved as a

698

:

species, the line was literally flat.

699

:

Mike: Mm-hmm.

700

:

Brian: And what I see now, given

the degree of war and violence and,

701

:

and, and, and what's happening in

the world, maybe even declining.

702

:

There's the spiritual evolution.

703

:

That's a whole different one, but, and my

concern is that the gap here and the gap

704

:

here becomes so great that emotionally

we cannot tolerate the technology.

705

:

And it will, I pray not, but

as the potential obviously

706

:

to destroy us as a species.

707

:

Mike: Mm-hmm.

708

:

Brian: Unless we evolve emotionally.

709

:

And to me that means changing the way

we think about childhood, the way we

710

:

deal with changes, and really working

with affect, working with our bodies.

711

:

Mm-hmm.

712

:

And not just our heads.

713

:

Yeah.

714

:

That, that disconnect between

the, the technological advancement

715

:

and our emotional awareness.

716

:

It, it strikes me that, that,

717

:

Mike: yeah,

718

:

almost by definition sets, sets people

up for an inherent sense of shame

719

:

as though there's something wrong

with me because I can't, I don't

720

:

seem, there's like a, a mismatch.

721

:

A misalignment.

722

:

A great friend of mine has

just used that term recently.

723

:

And so, I'm curious then from your

perspective, what, what happens

724

:

when, say we're able to identify

that shame is a critical component

725

:

Mike: mm-hmm.

726

:

That, that, that's, that's

has to be addressed.

727

:

So what, what happens then when shame.

728

:

Is identified and then kind of

drops out of the system that opens,

729

:

opens people up for, for healing.

730

:

I imagine

731

:

Brian: it, and shame oftentimes you,

it plays such a significant role, as a

732

:

feeling in them because it's very toxic.

733

:

The thing I, as is I ask people to think

about is, okay, as a result of this

734

:

shame, are you going to be abandoned?

735

:

Are you going to be rejected ostracized?

736

:

Are you, do you feel physical

endangerment, betrayal, or engulfment?

737

:

The five major threats that

children experience, but

738

:

they can't put a word on it.

739

:

They, they can't put a word on it

'cause they don't have the vocabulary,

740

:

they just have it as an experience.

741

:

So when shame is an

emotion, the real threat.

742

:

Is abandonment, rejection, physical,

endangerment, engulfment, somebody

743

:

taking over my sense of being, which

gets in the way of having close

744

:

and intimate relationships because

the threat of that is I will lose

745

:

myself and, and, and betrayal.

746

:

Those, those are hard for

people to identify as what's

747

:

going to happen to them.

748

:

if you're a 44-year-old competent

executive, but you can't really, you're

749

:

not speaking up at meetings because

you experience the threat of shame and

750

:

inadequacy and you will be rejected.

751

:

That's powerful stuff.

752

:

And it's very real.

753

:

It's very, very real.

754

:

so once, the key thing is to really,

what is the real threat here?

755

:

What is the real threat if I do this?

756

:

And that's hard for people

because oh yeah, okay.

757

:

People reject me.

758

:

Big deal.

759

:

Ah, it's not you.

760

:

That feels the rejection.

761

:

You're feeling it based on this

very painful experience that you had

762

:

first seven, first 15 years of life.

763

:

That was ongoing, but yeah.

764

:

Mm-hmm.

765

:

Yeah.

766

:

What's your sense of where,

the, the, the, the role?

767

:

It strikes me that compassion

has a critical role.

768

:

Brian: Mm-hmm.

769

:

Not only in terms of from the

therapist, but compassion for oneself.

770

:

I'm just curious to know what, what

more about the role and maybe even

771

:

some ideas about how that alters the

neuroplasticity that you talked about.

772

:

Enduring changes for the better.

773

:

Brian: My experience, Michael has been

person and professional, has been that

774

:

once, one, once you can under, once I can

understand, once somebody understand that

775

:

what you've been doing to change is you've

been counting, countering evolution, you

776

:

kind of fighting the evolutionary bias of

the brain and the brain's gonna win that.

777

:

Having compassion for that part

of me that wants to protect me.

778

:

Mm-hmm.

779

:

in internal family system like the

firefighter or that wants to really

780

:

protect me, but the role doesn't work in.

781

:

But still having compassion

for that part of me that, and

782

:

having compassion for the past.

783

:

I know my own experience once again,

and with my clients, once they discover

784

:

or uncover and realize what's really

going on here, there's a lot of grief.

785

:

Grief over lost choices, grief over

mistakes, grief as a result of this

786

:

maladaptive, protective behavior and with

grief, the invitation for compassion.

787

:

Oh, let me hold myself, let me hold

that part of me that learned this.

788

:

Let me hold that part of me in love

and in caring, not in anger, not in

789

:

hurt, but and, and an appreciation

for truly, we're always doing our

790

:

best, given what we're conscious of.

791

:

And if I can expand my consciousness,

then I also enhance how I

792

:

can be my best in the world.

793

:

but people say, you need

to love yourself now.

794

:

I hear that a lot.

795

:

Yeah, man.

796

:

It's kinda like, dude.

797

:

I get it.

798

:

And, and but how do you do that?

799

:

Mike: Yeah.

800

:

Brian: How do I feel Love for

myself, and I think compassion.

801

:

My experience, compassion is the gateway,

the path to that love for oneself.

802

:

Yeah.

803

:

I have to start with compassion for

myself and go, oh, and then, then,

804

:

then you enter the spiritual component

of it too, which is another avenue,

805

:

but it it, it plays a part in there.

806

:

Yeah.

807

:

Yeah.

808

:

I think it's really interesting to

even think about the derivation of the

809

:

word compassion to suffer alongside,

810

:

Brian: alongside,

811

:

I think people often forget that.

812

:

So it's suffering alongside

of the self, the wounded self.

813

:

Yes.

814

:

As opposed to just trying, as you

say, to put on a brave face or,

815

:

or just try and love yourself.

816

:

It's, it's bit more complicated than that.

817

:

Yeah.

818

:

Brian: Yeah, yeah.

819

:

It's like when people say, let go and.

820

:

Yeah, I've been trying for 10 years.

821

:

what do you mean exactly?

822

:

because what I need to let go of

is something I'm not conscious

823

:

of that I learned that is not

letting go of the behavior.

824

:

'cause the behavior survey a function.

825

:

Yeah.

826

:

Brian: It's letting go of what I

learned that is causing the behavior.

827

:

Right.

828

:

Brian: And that's a different phenomenon.

829

:

That that's a whole different phenomenon.

830

:

Yeah.

831

:

and and so it makes me think that,

and I'd like to, to, maybe focus in

832

:

more on your method and your book in

particular, but, and so I know that

833

:

there's an importance to this, what

you described as the five step process.

834

:

And that I understand that your, ideas

that it's not so much of a formula,

835

:

but a self informed and self-directed

transformation, which I really love.

836

:

I love that it builds in this sense

of agency, which is super important I

837

:

think for, for therapeutic purposes.

838

:

Brian: Oh, oh, couldn't agree more.

839

:

Yeah.

840

:

And so I guess maybe for viewers

and listeners that might be somewhat

841

:

skeptical after years of therapy or

self-help of the kind that we're just

842

:

alluding to here, what is it maybe that

they should expect that's genuinely

843

:

different, about your approach, what

you've learned and what's in your book?

844

:

Brian: that's a great question.

845

:

This is not about overcoming, doing

battle with fighting against counteracting

846

:

the problems and symptoms, including

depression now, differentiating,

847

:

exogenous and endogenous depression.

848

:

But for many, I've experienced

as depression, for example, as a

849

:

secondary symptom to withdrawal.

850

:

So it's, it's kind of like an outcome

of a withdrawal and avoidance process.

851

:

and I've also experienced

people where depression is their

852

:

primary protective mechanism.

853

:

Very, I especially, it is interest,

especially older people over 50,

854

:

really, really seen that,

that depression is there.

855

:

Primary protective, the

adaptive self uses depression.

856

:

Mike: Mm-hmm.

857

:

Brian: that the challenge is we live in

a society that wants to push through,

858

:

wants to control it, wants to avoid it.

859

:

Wants to overcome it.

860

:

you, you, if you look at advertisements

is overcome this and battle through

861

:

this and you, this way of being,

this way of transforming us is

862

:

a totally different paradigm.

863

:

You don't mm-hmm.

864

:

You engage with, you go

underneath the symptom.

865

:

To what is really, really going

on and the origin of that being

866

:

that original emotional learning.

867

:

The first step is being real clear.

868

:

What do you want to be different

for yourself in a positive sense?

869

:

What's the problem?

870

:

But what do you want to be different?

871

:

Now, if you imagine that difference

and doing, expressing yourself,

872

:

saying no, completing a workout

program, losing 50 pounds, I've had

873

:

people who, they go on diets after

about six months, they eat again.

874

:

They go back to their old weight

because when they lose the

875

:

weight, they become attractive.

876

:

And to become attractive is to

be seen and there's to be signi.

877

:

And that is very uncomfortable.

878

:

It's terrifying to be seen because of

what they learned about being seen.

879

:

And so naturally the brain is gonna do

its thing and it's gonna, this, these.

880

:

Ways of really being clear.

881

:

And then when you're clear about what

you want to be different, then you

882

:

will experience as I want to write, for

example, you will experience, when you

883

:

think about it, imagine it be in situ.

884

:

In fact, I even suggested people,

once they've clarified the problem

885

:

pattern and the very specific positive

change thing, not the absence of

886

:

a negative, and then discover it.

887

:

They actually spend one or two or three

weeks observing themselves in the world

888

:

experiencing this to really ground it.

889

:

And some people say, I don't wanna,

that's an I don't wanna strengthen it.

890

:

I said, I understand.

891

:

I don't want you to strengthen it.

892

:

I want you to observe it.

893

:

Look at there it is.

894

:

That way you can change the wording.

895

:

Maybe you'll discover, oh,

there's a lot more here.

896

:

Maybe you'll make linkages to

early caregiver experiences

897

:

that you didn't have.

898

:

And then once you've done

that, you've observed it.

899

:

And you've validated it in your body.

900

:

It's a, it's a emotional

sensory evaluation.

901

:

It's not here, it's here because

that's where the action is.

902

:

It's in the body.

903

:

And once you've done that, then you can

really look at, and I've got ways of

904

:

people to really look at how do you create

prediction, corrections, information that

905

:

corrects what you identified as the threat

to you that you learned a long time ago,

906

:

but feels like it's gonna happen today?

907

:

Because that's how the

emotional brain works.

908

:

'cause it doesn't know

time, it just knows now.

909

:

Mike: Yeah.

910

:

Brian: And, and then introducing to

the brain when you're in an activated

911

:

state, that prediction, correction

information, And then observe afterwards.

912

:

Observe what happens.

913

:

But you have to be in the, that Bluetooth,

you've got to be in that activated state,

914

:

Mike: right.

915

:

Brian: In order to de consolidate

for the network to de consolidate.

916

:

Once it's unwired, then new learning,

the brain is recognized, a mismatch,

917

:

and it's going to do what it was

designed to do, update itself so

918

:

it can be prepared for the future.

919

:

Mike: Mm-hmm.

920

:

Brian: It's, it's such a human technology.

921

:

It just, it blow what?

922

:

Yeah.

923

:

It blows me away.

924

:

And I, and then also, what's

important, Michael, I, I, in the

925

:

book, I talk about this is, as you

do this, you need to recognize the

926

:

systems in which you function are

going to sh you're, you're shifting

927

:

everybody's relationship with you.

928

:

Mike: Mm-hmm.

929

:

Brian: And that's

uncomfortable for people.

930

:

They're used to you being a certain

way and all of a sudden you're not.

931

:

So I have recommendations of

how to deal with that and what

932

:

communication skills you need to

adapt to reinforce the transformation

933

:

that you're making that oftentimes

gets lo left out of so many books.

934

:

It's absolutely essential.

935

:

The aftermath of the shift is really,

really important in dealing with your

936

:

experience and others experience of you.

937

:

Yeah,

938

:

definitely.

939

:

Yeah.

940

:

That's very, very important.

941

:

and, and I love the, the

message, the hopeful message.

942

:

just in terms of the, the

adaptive nature of the brain,

943

:

the neuroplastic changes Yes.

944

:

That are, that are possible.

945

:

And that, that, it really is,

it's very optimistic and hopeful.

946

:

So that's,

947

:

Brian: and it's so wonderful when Dr.

948

:

Henderson, the last, when he was

on and he talked about insufficient

949

:

neuroplasticity, I suddenly realized, oh.

950

:

Memory consolidation is a process

that is an outcome of creating

951

:

sufficient neuroplasticity.

952

:

Really?

953

:

That's what it's, and I didn't

realize that, and all of a sudden I

954

:

saw it very clearly is, oh my gosh.

955

:

Yeah.

956

:

That's what's happening.

957

:

It's not activating and reinforcing,

it's activating and de consolidating

958

:

so that neuroplasticity can now happen.

959

:

Mm-hmm.

960

:

It opens itself up.

961

:

The learning can be updated.

962

:

The symptom is no longer needed.

963

:

The problem isn't needed anymore

because the, cause the learning has

964

:

been updated, it's been updated.

965

:

Absolutely fascinating.

966

:

It's,

967

:

Brian: it is,

968

:

it's kind of like how, even other kinds

of treatment options like ketamine and

969

:

different types of psychedelics mm-hmm.

970

:

Are, are kind of known to

enhance neuroplasticity and yeah.

971

:

Make, make space for those sorts

of therapeutic changes as well.

972

:

Brian: You bet.

973

:

You bet.

974

:

I've several clients that have done it.

975

:

It was interesting that you were

talking about the vi, he was

976

:

talking about the viral infection.

977

:

I had a client, a dentist

work for a long time.

978

:

He was on five medications by the time

it took about 18 months, two years of

979

:

really intense doing this kind of work,

this emotional learning and everything.

980

:

And he was on half a boost bar.

981

:

He was just phenomenal change, but

he still kept experiencing symptoms.

982

:

It turned out he had Lyme's

disease, Lyme, and had not been.

983

:

Diagnosed and it was causing, now

he's getting treatment for that.

984

:

And that really reinforced for me what Dr.

985

:

Henderson was talking about is the

importance of looking at other factors,

986

:

viral and bacterial that, may be in.

987

:

Exacerbating the symptoms in a Yeah,

988

:

definitely.

989

:

No, absolutely.

990

:

Yeah.

991

:

It's, it is important just to make

sure that, you have a comprehensive

992

:

kind of health plan with, just making

sure that you've had the lab workup

993

:

and just everything's been considered.

994

:

Yeah.

995

:

'cause there's a lot of potential

for comorbidity, different

996

:

problems contributing to

emotional symptoms, for sure.

997

:

Brian: Yeah, very definitely.

998

:

And as a result of that experience, I,

I have a much more, what I would call

999

:

comprehensive discussion about the symptom

and the problem that I had in the past.

:

00:56:03,158 --> 00:56:03,938

For that very reason.

:

00:56:03,938 --> 00:56:05,553

For that very reason, definitely.

:

00:56:05,673 --> 00:56:05,913

Yeah.

:

00:56:05,918 --> 00:56:05,938

Yeah.

:

00:56:06,008 --> 00:56:06,298

Yeah.

:

00:56:06,373 --> 00:56:06,943

well that's great.

:

00:56:06,943 --> 00:56:10,543

So I guess maybe as we kind of look to

wrapping up here, I, I would be interested

:

00:56:10,543 --> 00:56:14,743

to know if you could, what would be,

from, from, your extensive experience

:

00:56:14,743 --> 00:56:19,093

and, and, and all your thoughtful work

and, and your writing on this, if, if

:

00:56:19,093 --> 00:56:23,623

there's one or two fundamental kinds

of reorientations, one thing that

:

00:56:23,623 --> 00:56:28,093

people, that you would hope that people

finally stop blaming themselves for.

:

00:56:28,513 --> 00:56:31,153

And we've talked a bit about shame,

it's such a, a broad term, but I

:

00:56:31,153 --> 00:56:32,488

was just curious, is there mm-hmm.

:

00:56:32,713 --> 00:56:35,383

There's something in one kind

of particular one or two kind of

:

00:56:35,383 --> 00:56:38,623

particular things that you would

wanna to sort of leave us with

:

00:56:38,623 --> 00:56:40,423

as, as, as a hopeful message?

:

00:56:40,423 --> 00:56:41,683

One thing that people could That's,

:

00:56:42,583 --> 00:56:43,663

Brian: that's a great question.

:

00:56:43,843 --> 00:56:48,043

And Michael, I think about Joseph

Campbell's statement, the cave you fear

:

00:56:48,043 --> 00:56:51,733

to enter holds the treasure that you seek.

:

00:56:51,883 --> 00:56:52,033

Mike: Mm-hmm.

:

00:56:53,533 --> 00:56:56,473

Brian: And what I mean by that, and

I think what he meant, but certainly

:

00:56:56,503 --> 00:56:58,873

what I mean by that is if we go.

:

00:56:59,508 --> 00:57:05,398

Within, and we all know sacred texts

for, are full, that it's, the essence

:

00:57:05,398 --> 00:57:08,248

is within that, the cave, if you will.

:

00:57:08,578 --> 00:57:12,058

Now, there are a lot of barriers

there in terms of emotional

:

00:57:12,058 --> 00:57:14,248

learnings, a lot of discomfort.

:

00:57:14,878 --> 00:57:23,668

So going in underneath the symptom,

using a variety of techniques to let

:

00:57:23,668 --> 00:57:29,518

the emotion brain speak its truth,

which is not the truth, but it is

:

00:57:29,518 --> 00:57:32,158

an emotional truth that it learned.

:

00:57:33,028 --> 00:57:36,388

And not because there tendency to let

this thinking brain get in the way.

:

00:57:36,388 --> 00:57:37,648

It is like, oh no, it's not that.

:

00:57:37,648 --> 00:57:40,078

Oh no, but it feels true.

:

00:57:40,888 --> 00:57:42,208

It feels true.

:

00:57:42,208 --> 00:57:43,678

It felt true to me.

:

00:57:44,518 --> 00:57:48,208

And this is the thing that is so

interesting that I want people to know.

:

00:57:48,688 --> 00:57:51,538

When you land upon an emotional learning,

:

00:57:53,818 --> 00:57:55,528

your thinking brain will judge.

:

00:57:56,128 --> 00:57:58,108

As irrational, as illogical.

:

00:57:58,108 --> 00:57:59,248

It makes no sense.

:

00:57:59,728 --> 00:58:01,498

I hear my clients say that often.

:

00:58:01,918 --> 00:58:02,878

That makes no sense.

:

00:58:03,058 --> 00:58:04,918

You're right, it does make no sense.

:

00:58:06,148 --> 00:58:08,098

But to your emotional

brain, it does make sense.

:

00:58:08,368 --> 00:58:12,778

So understanding, when you touch on

these emotional learnings, they are

:

00:58:12,778 --> 00:58:16,228

going to feel true in the present moment.

:

00:58:16,588 --> 00:58:22,678

They're gonna feel true, and that's

why they have so much power, but

:

00:58:22,678 --> 00:58:27,148

they feel true, only because the

emotional brain doesn't know time.

:

00:58:27,598 --> 00:58:30,808

And you do with your cognitive,

intellectual brain, your

:

00:58:30,808 --> 00:58:32,008

thinking brain knows time.

:

00:58:33,388 --> 00:58:39,508

That if people can realize that, that

really, you will know you're in the cave.

:

00:58:40,828 --> 00:58:45,418

And that's where the treasure is

when you discover these threats.

:

00:58:45,988 --> 00:58:50,338

If this happens, if I do this, if

this, then this will happen to me.

:

00:58:50,338 --> 00:58:52,078

They're in the cave.

:

00:58:52,648 --> 00:58:52,948

Mike: Mm-hmm.

:

00:58:53,098 --> 00:58:54,153

Brian: The treasure is waiting.

:

00:58:55,423 --> 00:58:59,683

It just needs to be illuminated

by bringing in the prediction

:

00:58:59,683 --> 00:59:07,753

correction that illuminates opens

up so that the brain can be updated.

:

00:59:08,203 --> 00:59:08,473

Mike: Mm-hmm.

:

00:59:10,303 --> 00:59:13,483

Brian: It, that would

be the primary messages.

:

00:59:14,323 --> 00:59:17,473

we have this beautiful brain of

ours, but we're not our brains.

:

00:59:17,473 --> 00:59:18,373

Mike: Mm-hmm.

:

00:59:18,433 --> 00:59:20,623

Brian: We do have brains, just

like we have hearts and livers,

:

00:59:21,193 --> 00:59:22,363

but we're not our brains.

:

00:59:22,363 --> 00:59:23,563

Mike: Mm-hmm.

:

00:59:23,564 --> 00:59:28,453

Brian: And we can therefore,

therefore transform them in ways

:

00:59:28,453 --> 00:59:30,733

that are just beginning to become.

:

00:59:32,053 --> 00:59:33,043

Oh, phenomenal.

:

00:59:33,043 --> 00:59:33,733

Just phenomenal.

:

00:59:33,733 --> 00:59:33,793

Yeah.

:

00:59:34,093 --> 00:59:34,453

Yeah,

:

00:59:35,038 --> 00:59:35,328

yeah.

:

00:59:35,893 --> 00:59:36,823

No, that's fantastic.

:

00:59:36,823 --> 00:59:37,723

That's just so lovely.

:

00:59:37,723 --> 00:59:40,783

I think, thank you for

bringing that amazing metaphor.

:

00:59:40,783 --> 00:59:45,403

I think we can, we can wrap up by

encouraging everyone to seek their own

:

00:59:45,403 --> 00:59:50,113

caves, to enter the cave, to explore

and, and, and search for the treasure.

:

00:59:50,113 --> 00:59:51,133

And find the treasure.

:

00:59:51,193 --> 00:59:51,583

For sure.

:

00:59:51,823 --> 00:59:51,883

Yeah.

:

00:59:51,883 --> 00:59:56,863

Brian, this has been a deeply

clarifying and inspiring conversation.

:

00:59:57,273 --> 01:00:01,053

what strikes me most is how

your work reframed struggle.

:

01:00:01,423 --> 01:00:04,153

not as a weakness, but

as the nervous system.

:

01:00:04,153 --> 01:00:07,903

The mind, the brain doing

exactly what it learned to do,

:

01:00:07,903 --> 01:00:09,583

which was to protect us, right?

:

01:00:09,613 --> 01:00:09,853

Brian: Yeah.

:

01:00:09,903 --> 01:00:10,123

so

:

01:00:10,123 --> 01:00:10,283

Brian: yeah.

:

01:00:10,283 --> 01:00:10,758

It's a no fault.

:

01:00:10,758 --> 01:00:12,048

It's a no fault process.

:

01:00:12,258 --> 01:00:12,588

Yeah.

:

01:00:12,768 --> 01:00:17,088

Brian: That we can optimize, we

can optimize the brain's learning,

:

01:00:17,358 --> 01:00:20,838

predicting, and adapting process

for enduring transformation.

:

01:00:21,288 --> 01:00:22,458

The neuroscience is there.

:

01:00:22,938 --> 01:00:24,323

Five steps really help it.

:

01:00:25,063 --> 01:00:26,658

We, we can do that.

:

01:00:27,138 --> 01:00:28,368

I know, I know.

:

01:00:29,268 --> 01:00:29,688

For sure.

:

01:00:29,688 --> 01:00:30,318

Absolutely.

:

01:00:30,318 --> 01:00:31,278

No, I, I agree.

:

01:00:31,278 --> 01:00:34,388

I know also, you know, from personal

and from professional experience,

:

01:00:34,388 --> 01:00:38,258

it really resonates and I think, so

for viewers and listeners who may

:

01:00:38,258 --> 01:00:41,258

have spent years managing symptoms,

building coping strategies or,

:

01:00:41,738 --> 01:00:44,378

sometimes with some improvement,

but maybe perhaps still feeling a

:

01:00:44,378 --> 01:00:48,068

bit frustrated, that just insight

alone didn't translate into change.

:

01:00:48,278 --> 01:00:52,688

Hopefully our conversation can help them

to look at opening a different door that,

:

01:00:52,748 --> 01:00:56,738

that you're proposing that's grounded in

modern neuroscience, clinical humility.

:

01:00:56,828 --> 01:01:01,868

I would also add, and so I'd encourage

everyone to check out Brian's book,

:

01:01:01,928 --> 01:01:06,523

living a Trigger Free Life, you know,

for practical science-based framework

:

01:01:06,523 --> 01:01:10,303

that we've been discussing for

understanding and updating these emotional

:

01:01:10,303 --> 01:01:12,733

learnings that may no longer serve us.

:

01:01:13,003 --> 01:01:15,043

So again, Brian, thank you

so much for your courage.

:

01:01:15,043 --> 01:01:15,133

Mm-hmm.

:

01:01:15,323 --> 01:01:19,073

not only in things like questioning your

own profession and for translating this

:

01:01:19,073 --> 01:01:23,658

complex neuroscience into accessible

and relatable language mm-hmm.

:

01:01:23,743 --> 01:01:26,063

For sharing your personal

story along the way.

:

01:01:26,393 --> 01:01:28,513

Really appreciated, the conversation.

:

01:01:28,513 --> 01:01:29,503

Thank you so much.

:

01:01:30,283 --> 01:01:30,973

Brian: My pleasure.

:

01:01:30,973 --> 01:01:34,573

Thank you, Michael, for this

opportunity and happy new Year.

:

01:01:34,753 --> 01:01:39,013

This is just, just to begin to

everyone in:

:

01:01:39,193 --> 01:01:40,483

May you all flourish?

:

01:01:40,753 --> 01:01:41,233

Yes.

:

01:01:41,438 --> 01:01:41,658

Yes.

:

01:01:41,893 --> 01:01:42,463

That's great.

:

01:01:42,793 --> 01:01:43,153

Thanks.

:

01:01:43,153 --> 01:01:46,093

Thanks again, Brian, and thank

you to viewers and listeners for

:

01:01:46,093 --> 01:01:47,563

your interest and for your time.

:

01:01:47,783 --> 01:01:52,793

if this episode resonated with you, please

do take a moment to reflect on, again, not

:

01:01:52,793 --> 01:01:56,453

so much what you need to fix, but what,

what maybe what your mind and your brain

:

01:01:56,753 --> 01:02:00,473

may have learned a long time ago and it's

still trying to protect you from, and how

:

01:02:00,473 --> 01:02:04,763

you might wanna, as Brian says, go seek

to work with someone to go beneath that

:

01:02:04,763 --> 01:02:09,633

and, and, and, and learn, take some of

what Brian's wisdom can offer in terms of

:

01:02:09,633 --> 01:02:15,283

helping, helping you flourish and, and,

rward in, in this new year of:

:

01:02:15,283 --> 01:02:17,323

with, with improved health and wellness.

:

01:02:17,323 --> 01:02:20,608

So again, thanks everyone for watching

and listening, and we'll see you next

:

01:02:20,608 --> 01:02:22,543

time on the Neurostimulation Podcast.

:

01:02:23,218 --> 01:02:27,058

Mike: Thank you so much for joining us

today on the Neurostimulation Podcast.

:

01:02:27,238 --> 01:02:30,988

I hope that you enjoyed that

stimulating conversation with

:

01:02:30,988 --> 01:02:32,758

Brian DeRoche as much as I did.

:

01:02:33,328 --> 01:02:36,628

If you found today's episode

interesting, don't forget to like

:

01:02:36,628 --> 01:02:38,398

and subscribe to the podcast.

:

01:02:38,638 --> 01:02:42,478

It's the best way to make sure that you

never miss an episode, and it also helps

:

01:02:42,478 --> 01:02:44,968

us to reach more curious minds like yours.

:

01:02:45,628 --> 01:02:49,348

If you think today's episode might

resonate with a friend, a family member,

:

01:02:49,348 --> 01:02:51,568

or a colleague, please share it with them.

:

01:02:51,868 --> 01:02:55,108

Knowledge is better when it's shared

and you never know who might find

:

01:02:55,108 --> 01:02:57,478

this information helpful or inspiring.

:

01:02:58,618 --> 01:03:02,098

For more details about Brian's

work, please do check out the

:

01:03:02,098 --> 01:03:03,658

links in the show notes below.

:

01:03:03,958 --> 01:03:07,828

You'll find everything that you need to

dive deeper into this topic, to find out

:

01:03:07,828 --> 01:03:12,208

more about his books and how to purchase

one or borrow one from the library,

:

01:03:12,688 --> 01:03:16,768

join the conversation in the comment

section or reach out on social media.

:

01:03:17,128 --> 01:03:19,408

If you have ideas for future episodes.

:

01:03:19,438 --> 01:03:21,808

Please leave those ideas

in the comment section.

:

01:03:22,138 --> 01:03:26,368

Your questions, ideas, and

feedback make this podcast better.

:

01:03:27,043 --> 01:03:29,563

Finally, don't forget to

tune into the next episode.

:

01:03:29,803 --> 01:03:33,493

It's gonna be another exciting journey

into the cutting edge of neuroscience,

:

01:03:33,763 --> 01:03:38,323

neurostimulation, interventional mental

health, general health and wellness.

:

01:03:38,383 --> 01:03:39,853

So thanks again for listening.

:

01:03:40,003 --> 01:03:45,163

Take care, stay curious, and I'll see you

next time on The Neurostimulation Podcast.

Show artwork for The Neurostimulation Podcast

About the Podcast

The Neurostimulation Podcast
Exploring the frontier of interventional mental health.
Welcome to The Neurostimulation Podcast — a deep dive into the expanding frontier of interventional mental health.

Hosted by Dr. Michael Passmore, a psychiatrist specializing in neurostimulation and geriatric mental health, this show explores how cutting-edge interventions — from non-invasive brain stimulation (TMS, tDCS, and beyond) to ketamine-assisted psychotherapy — are reshaping the landscape of modern psychiatry and neuroscience.

Each episode bridges science, clinical experience, and human insight, featuring thought leaders and innovators who are redefining how we understand and treat the mind.

Whether you’re a clinician, researcher, student, or simply fascinated by the brain, you’ll discover practical knowledge, fresh ideas, and inspiring conversations that illuminate the evolving art and science of mental health care.

Subscribe for episodes that stimulate your mind, deepen your understanding, and connect you to the future of brain-based healing.

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About your host

Profile picture for Michael Passmore

Michael Passmore

Dr. Michael Passmore is a psychiatrist based in Vancouver, BC, with expertise in non-invasive neurostimulation therapies, geriatric mental health and ketamine-assisted psychotherapy. Having completed specialized training in multiple neurostimulation modalities, including electroconvulsive therapy at Duke University and transcranial magnetic stimulation at Harvard University, Dr. Passmore brings a robust clinical and academic background to his practice. Formerly the head of the neurostimulation program in the department of Psychiatry at Providence Health Care, Dr. Passmore now serves as a clinical associate professor at the University of British Columbia’s Department of Psychiatry. At Sea to Sky NeuroClinic (seatoskyneuro.clinic), Dr. Passmore offers interventional mental health treatments tailored to clients across Canada.​