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The Peter Attia Drive

#119 - Terry Real: Breaking the cycle of shame, anger, and depression

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.7 • 7.3K Ratings

🗓️ 13 July 2020

⏱️ 100 minutes

🧾️ Download transcript

Summary

Terry Real, a renowned family therapist and best-selling author, helps people create the connections they desire in their relationships. In this episode, Terry describes how his upbringing with an abusive father forged his path to become a therapist, develop his Relational Life Therapy (RLT) framework, and write I Don't Want to Talk About It—a book that reveals the hidden legacy of male depression. Terry discusses the link between childhood trauma and the deep-rooted shame, anger, and depression, which can result in feeling disconnected. Using real-life examples, Terry explains how he implements RLT to confront trauma, discover its origin, and teach the skills to break the cycle of pain, in order to live a satisfying life.

We discuss:
  • Terry’s upbringing with a depressed and abusive father [3:15];
  • The importance of the repair process, after relational disharmony, to break the trauma cycle [15:15];
  • The impact of a patriarchal society, and relational growth as the next step for feminism [19:00];
  • Origins of deep-rooted shame, and the difference between feeling ashamed and feeling guilty [27:15];
  • Preventing the propagation of trauma without over-coddling kids [35:30];
  • The one-up/one-down cycle from grandiosity to shame [37:30];
  • Covert depression—Steps to fixing the secret legacy of male depression [40:00];
  • Three forms of false self-esteem [50:00];
  • Narcissism—A misunderstood concept [51:45];
  • The interplay of shame, anger, and grandiosity, and how to break the cycle [54:15];
  • The Relational Life Therapy framework [1:06:30];
  • How the adaptive child becomes the maladaptive adult [1:15:30];
  • Speaking the language of social relationships [1:21:45];
  • When does it make sense for a couple to separate? [1:26:30];
  • Witness abuse—Consequences of screaming at your partner in the presence of children [1:28:15];
  • Cases of instantaneous change, and other behavioral changes that may take more time [1:30:45];
  • Reconciling with his father—Terry’s final conversation with his dad [1:33:45]; and
  • More.

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Transcript

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0:00.0

Hey everyone, welcome to the Drive Podcast.

0:13.0

I'm your host, Peter Atia.

0:14.8

This podcast, my website, and my weekly newsletter, all focus on the goal of translating

0:18.7

the science of longevity into something accessible for everyone.

0:22.4

Our goal is to provide the best content in health and wellness, full stop, and we've

0:26.6

assembled a great team of analysts to make this happen.

0:29.4

If you enjoy this podcast, we've created a membership program that brings you far more

0:33.2

in-depth content if you want to take your knowledge of this space to the next level.

0:37.3

At the end of this episode, I'll explain what those benefits are, or if you want to learn

0:41.0

more now, head over to peteratiamd.com forward slash subscribe.

0:46.3

Now without further delay, here's today's episode.

0:51.0

My guess this week is author, speaker, and family therapist Terry Riel.

0:56.1

As a family therapist and teacher for more than 25 years, Terry's the best-selling author

1:00.7

of a number of books, including I don't want to talk about it, overcoming the secret

1:04.5

legacy of male depression.

1:06.3

How can I get through to you?

1:08.3

Reconnecting men and women, and I believe his most recent book is The New Rules of Marriage,

1:13.2

what you need to know to make love work.

1:15.9

Terry also founded the Relational Love Institute, offering workshops for couples, individuals,

1:21.5

and patients around the country, along with a professional training program for clinicians.

1:26.7

Now, if you've listened to this podcast for a while, I think on at least three or four

1:32.6

episodes, I have brought up Terry's name and his book, I don't want to talk about it,

...

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