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The Rich Roll Podcast

Addiction Is Not A Choice: Dr. Gabor Maté’s Call for A Compassionate & Holistic Approach To Healing

The Rich Roll Podcast

Rich Roll

Education, Society & Culture, Self-improvement, Health & Fitness

4.713.3K Ratings

🗓️ 26 October 2015

⏱️ 78 minutes

🧾️ Download transcript

Summary

What if everything you presuppose about addiction is wrong? Enter Gabor Maté. World renowned lecturer, physician and bestselling author, today's guest is a highly distinguished, in demand and at times controversial authority with a wealth of expertise on a range of topics that span addiction, stress and childhood development. With over twelve years of first hand experience working up close and personal on Vancouver's skid row with patients severely challenged by hard core drug addictions, mental illness and HIV, Dr. Maté has cultivated a powerful yet eminently commonsensical perspective on this devastating affliction that contravenes conventional medical dogma. A perspective that begins with a single edict: Addiction is not a choice. Moreover, addiction has little to do with illicit substances. It's just not about drugs. Or gambling, or shopping, or porn or whatever behavior happens to, in the words of Dr. Maté, incinerate the lives of millions. Instead, addiction is about the emotional pain behind the behavior. And healing is about confronting the past and untangling the circumstances that drive the individual to self-medicate in maddening defiance of all reason and logic. Based on cutting edge science, case studies and a wealth of personal experience, Dr. Maté concludes that addiction is a predisposition programmed in early years — an infestation that lurks miles beyond choice. A disease rooted neither in genetics nor free will but rather in environmental factors that hard wire brain neurochemistry during formative childhood development. Accordingly, those that suffer should not be shamed or criminalized, but instead treated in the same way we approach anyone suffering from cancer or an autoimmune disease — not with blame but rather with compassion, sympathy and medical intervention. As an author, Dr. Maté has written extensively on the subjects of addiction, early childhood development & trauma, attention deficit disorder, and the relationship between stress and disease. His most recent award-winning book, In the Realm of Hungry Ghosts: Close Encounters with Addiction* (a #1 bestseller in Canada) mixes personal stories with science to present a radical re-envisioning of addiction not as a discrete phenomenon confined to an unfortunate or weak-willed few, but as a continuum that runs throughout (and perhaps underpins) our society at large; not a medical “condition” distinct from the lives it affects, but rather the result of a complex interplay among personal history, emotional, and neurological development, brain chemistry, and the drugs (and behaviors) of addiction. In other words, it's complicated. There is no miracle cure. There is no quick fix. But hope breathes in compassion and self-understanding — the first key to promoting healing and wellness, Dr. Maté's work — and this book in particular — have been absolutely revelatory in helping me better understand myself, my personal history with addiction, and my ever evolving quest for greater well being. He changed my life. And I truly believe his message holds the power to improve the lives of anyone personally or tangentially impacted by addiction. And let's face it — in this day and age that includes almost everyone. Enjoy! Rich

Transcript

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0:00.0

Addiction in every case, whether it's the severe addiction of the heroin addicts that I dealt with,

0:07.0

or the respectable addictions of the workaholic, these are always based in trauma.

0:13.0

That is Physician, Author, and Addiction Medicine specialist, Gabor Mate, and this is the Retro-Podcast.

0:30.0

The Rich Roll Podcast.

0:33.0

Hey everybody, what's going on? How are you? It is Rich Roll. This is my podcast. Welcome. Thank you for tuning in. I greatly appreciate it.

0:42.0

What do we do here? Well, each week I sit down with the rule-breakers, the paradigm-breakers, the people that are pushing the boundaries who are moving things forward in the world of health, nutrition, diet, science, technology.

0:58.0

Basically, people who inspire me to do and be better. That's kind of the theme, the underlying theme behind all of this, to help all of us unlock and unleash our best, most authentic self.

1:11.0

Thanks so much to all of you guys who have been spreading the word about the podcast. It really means a lot to me. If you haven't done so already, take a moment.

1:18.0

Give us a review on iTunes. That really helps us out a lot, ironically, for some bizarre reason, in terms of the whole iTunes algorithm thing.

1:26.0

Thank you for using the Amazon banner at at Rich Roll.com for all your Amazon purchases.

1:31.0

Greatly appreciate that as well. It doesn't cost you anything extra. Just a really cool, easy, simple way to support this mission.

1:39.0

Thank you so much to everybody who has made that a practice. I just got off a plane from Europe, from Paris.

1:46.0

I'm in Boston right now. I'm giving a speech in like an hour at the Boston Vege Fest. I can't tell if it's three o'clock in the afternoon or three o'clock in the morning. I'm so upside down in terms of time.

1:57.0

So I just thought I would take a moment and record the intro to this week's podcast in my hotel room here in Boston. You can hear the sirens outside and perhaps the cleaning staff outside my door, not the quietest environment to record.

2:10.0

But hey, we're going with it, right? And I'm just happy and proud to share with you today's conversation. This one I've been anticipating for quite some time.

2:21.0

I'm really excited about it. The amazing world renowned bestselling author lecturer and addiction medicine specialist doctor Gabor Montey on the show today.

2:31.0

This guy has really shifted my perspective on addiction drug addiction in particular behavior addiction through his amazing bestselling books.

2:41.0

He is a guy who's on the cutting edge of addiction medicine research with some really fascinating, somewhat controversial.

2:48.0

But I think quite revelatory ideas about the nexus in particular, the nexus between early childhood development and drug and behavior addictions later in life.

2:58.0

And I'm going to get into it a little bit more in a minute, but first.

3:08.0

All right, Gabor Montey, very excited to have this gentleman on the show today. I've been an admirer and a follower for some time.

3:18.0

Who is he? Well, he's a physician, a renowned speaker, bestselling author and very distinguished and sought after and at times controversial expert in the conversations that swirl and revolve around drugs, addiction, stress, childhood development, treatment and therapy.

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