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Huberman Lab

Dr. Paul Conti: Therapy, Treating Trauma & Other Life Challenges

Huberman Lab

Scicomm Media

Science, Health & Fitness, Life Sciences

4.826.2K Ratings

🗓️ 6 June 2022

⏱️ 145 minutes

🧾️ Download transcript

Summary

My guest this episode is Dr. Paul Conti, M.D., a psychiatrist and expert in treating trauma, personality disorders and psychiatric illnesses and challenges of various kinds. Dr. Conti earned his MD at Stanford and did his residency at Harvard Medical School. He now runs the Pacific Premiere Group—a clinical practice helping people heal and grow from trauma and other life challenges. We discuss trauma: what it is and its far-reaching effects on the mind and body, as well as the best treatment approaches for trauma. We also explore how to choose a therapist and how to get the most out of therapy, as well as how to do self-directed therapy. We discuss the positive and negative effects of antidepressants, ADHD medications, alcohol, cannabis, and the therapeutic potential of psychedelics (e.g., psilocybin and LSD), ketamine and MDMA. This episode is must listen for anyone seeking or already doing therapy, processing trauma, and/or considering psychoactive medication. Both patients and practitioners ought to benefit from the information. For the full show notes, visit hubermanlab.com. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman InsideTracker: https://insidetracker.com/huberman Thesis: https://takethesis.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Timestamps (00:00:00) Dr. Paul Conti, Trauma & Recovery (00:02:30) Sponsors (00:07:00) Defining Trauma (00:14:05) Guilt & Shame, Origins of Negative Emotions (00:21:38) Repeating Trauma, the Repetition Compulsion (00:28:23) How to Deal with Trauma & Negative Emotions/Arousal (00:37:17) Processing Trauma, Do You Always Need a Therapist? (00:45:30) Internal Self-talk, Punishing Narratives & Negative Fantasies (00:51:10) Short-Term Coping Mechanisms vs. Long-Term Change (00:53:22) Tools: Processing Trauma on Your Own, Journaling (00:57:00) Sublimination of Traumatic Experiences (01:02:34) Tool: Finding a Good Therapist (01:07:20) Optimizing the Therapy Process, Frequency, Intensity (01:14:51) Tool: Self-Awareness of Therapy Needs, Mismatch of Needs (01:16:35) Self-talk & Journaling, Talking to Trusted Individuals (01:19:00) Prescription Drugs & Treating Trauma, Antidepressants, Treating Core Issues (01:28:35) Short-term vs. Long-Term Use of Prescription Drugs, Antidepressants (01:32:18) Attention Deficient Hyperactivity Disorder (ADHD) & Prescription Drugs (01:37:31) Negative Effects of ADHD Prescription Drugs (01:40:37) Alcohol, Cannabis – Positive & Negative Effects (01:44:53) Psychedelics: Psylocibin & LSD, Therapeutic Uses, Trauma Recovery (01:54:32) Sentience, Language, Animals (01:55:48) Psychedelic Hallucinations, Trauma Recovery (02:00:01) MDMA (Therapeutic Uses) (02:04:47) Clinical Aspects of MDMA (02:07:28) Language, Processing Trauma, Social Media, Societal Divisions (02:15:09) Defining “Taking Care of Oneself” (02:21:13) Dr. Conti, Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous Supplements, Instagram, Twitter, Neural Network Newsletter Title Card Photo Credit: Mike Blabac Disclaimer

Transcript

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0:00.0

Welcome to the Huberman Lab podcast where we discuss science and science-based tools for everyday life.

0:09.0

I'm Andrew Huberman and I'm a professor of neurobiology and ophthalmology at Stanford School of Medicine.

0:15.0

Today my guest is Dr. Paul Conti.

0:17.0

Dr. Conti is a psychiatrist who did his training at Stanford School of Medicine

0:21.0

and then went on to be chief resident at Harvard Medical School.

0:24.0

He now runs the Pacific Premier Group,

0:26.0

which is a collection of psychiatrists and therapists focusing on solving complex human problems,

0:31.0

including trauma, addiction, personality, and psychiatric disorders.

0:35.0

Today we discuss trauma in detail and the therapeutic process in detail.

0:40.0

For instance, we discuss what is trauma?

0:43.0

How do you know if you have trauma?

0:45.0

Dr. Conti shares with us, for instance, that not every experience that we think is traumatic is necessarily traumatic,

0:50.0

and yet many people might have trauma without even realizing it.

0:54.0

We also talk about the therapeutic process generally, for instance, how to pick a therapist,

0:59.0

how to best approach and go through therapy, and how to evaluate whether or not therapy

1:03.0

and your relationship to the therapist is working or not.

1:06.0

We also talk about self therapies because we acknowledge that not everyone has access to or can afford therapy,

1:12.0

and we talk about drug therapies.

1:14.0

For instance, antidepressants, antipsychotics.

1:17.0

We talk about alcohol, cannabis, ketamine, and the psychedelics, including psilocybin,

1:23.0

LSD, and we talk about the clinical use of MDMA and what the future of that looks like.

1:29.0

The reason for bringing Dr. Conti onto this podcast is because I see him as the person who has the greatest

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