Author:Yeshaia Blakeney

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Donald Trump & Addiction

What to expect in this episode:

  1. Donald Trump appears to suffer from Attention Deficit Disorder
  2. He has likely been prescribed methylphenidate, for decades
  3. Irritability, lack of sleep are side effects, so he likely has been taking benzos like Xanax to sleep, effectively putting him on a pharmaceutical cocktail long-term, locking in aspects of his personality as an addict would.

 

Donald Trump & Addiction

 

I have an interesting and controversial theory, I have no facts, this is just, shooting the breeze – I’m sure I’ll hear about it…

 

I look at Donald Trump, I look at his character structure, the little bit that we know about his history, and it’s clear that he suffers from some kind of attention deficit disorder.

 

He seems impulsive, not always so contemplative and thoughtful, and I imagine as a kid he was a lot to handle.

 

He also comes from a wealthy background, I’m assuming his parents probably had access to private doctors, psychiatrist, etc.

 

At some point in his development, his parents or whoever was in charge went, “this kid is pretty wild” and they put him on some kind of methylphenidate.

 

Something like a Ritalin or Adderall or something like that, and they used that to help him narrow his focus and be able to accomplish the task in front of him, school, etc.

 

I imagine him on this methylphenidate for 10, 20, 30 years – what happens if you consume methylphenidate, which is related to the class of drug that’s methamphetamine or speed, a stimulant, is… you begin to have side effects.

 

The side effects are irritation and lack of sleep, then it stops working, and you start to feel your focus starts to slip…

 

Usually what people do at that point, if you’ve been on a methylphenidate for a long time, is you’ll take a benzodiazepine or sleeping pills and then you’ll begin to balance it out with different kinds of medication,

 

So my guess, when you look at Donald Trump, is that he’s been on a pharmaceutical cocktail for 40 years.

 

The reason why I think that is, most human beings in an interaction with the world would grow past some of the immature characteristics that we see in him.

 

The only way that somebody gets locked in that kind of way is either through extreme avoidance of yourself, which is hard to do, or through some kind of addiction.

 

He also doesn’t drink and doesn’t get high. His brother was an addict and so he doesn’t medicate with those things.

 

So my guess is he got hooked on stimulants and then other drugs like benzos like Xanax and things like that to calm his nerves from the stimulants and it’s been locked in place for decades.

 

I think one day we’ll find that out.

 

 

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The Soul, Higher Self, and Ego-Self: Understanding the Differences

We’re trying to map out spirituality and how it relates to addiction and mental health treatment. I like to kind of place it within the realm of a person. 

 

How do I interface with spirit? Where’s my spirit? What was going on with me? 

 

There are a few terms that are helpful. Some I talked about in previous videos. 

The Higher Self and Ego Self: Part of the Psyche

There’s a higher self that’s more of a rational observer mind. The part that knows and seeks the good. 

 

And there is the ego-self which is kind of my everyday operation. The ego-self is very helpful, it protects me. When I get in a car and drive, I’m operating from the sort of habitual nature of the ego-self. A lot of my daily, more utilitarian interactions, are operated by the ego-self. 

 

But it’s only when I’m trying to figure out how to be a better husband, father, friend, human, soul, I’m thinking…

 

Okay, I got to find that higher self and work through this. 

 

So you have a higher self, you have the ego-self, I think that’s in the place of the psyche. 

What is the Soul?

Then there is an interesting term called, the soul. And you might think about the soul as also having many dimensions. And the soul is a little bit different than the higher self.  

 

The higher self is rational and logical, in some sense. The soul, to me, is the realm of poetry. It’s the realm of art. It involves the archetypes that I spoke about in a recent video. 

 

And it’s also sort of the seat of meaning. Meaning is not a rational concept. Meaning is the faculty. When something is meaningful, it has nothing to do with whether it’s irrational or not. Meaning is happening somewhere else. 

 

When I’m cognizing or thinking about something important or good? For me, that’s the higher self in action. 

 

But when I see something, have a great moment of watching my children and tears come to my eyes…It’s a meaningful moment. To me, that’s happening in the soul. 

 

So the soul is separate from that higher self. And the soul is sensitive. The soul is subtle. 

 

I have certain colors and textures I associate with the realm of the soul. The realm of the soul is universal. It’s not personal, it’s not particularly individualized. It would make a lot of sense to me if we all shared a species soul. If we all shared in a world soul, and I just experienced my bit of that in this incarnation of my existence. 

 

I think that’s what happens when you know somebody.

The Soul During Times of Trouble

I can use an example of somebody in addiction treatment, but it could be anybody when they hit a bottom in their life. It’s like something in their soul can’t take it anymore. Something in that realm of meaning, in that more transcendent, deep space. 

 

But we don’t think about the soul as happening in the head. We think about it like somewhere between the heart and the gut–not because the soul has a physical place–but we feel it at the core. 

 

And that’s where that feeling of demoralization can happen. And that’s where you go, “Man, I need to change something.” 

 

So you have that experience–sometimes it’s very dark. But the meaningful experience of the soul that generates it motivates this different kind of experience. That turns into actionable choices and then starts operating from the higher self. 

 

And the soul is beyond our control, the soul is happening. I can bullshit my head all day long, but it is very difficult to bullshit my soul.

 

I think what we’re talking about spirituality–at its core–is the realm of the soul.

 

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The Role of Addiction Psychology and Recovery

What to expect in this episode:

  1.  Traditional psychology has taken a central role in recovery and treating addiction, but it may not be ideal. 
  2.  Psychotherapists often recommend AA or treatment because no progress can be made while in active addiction.
  3.  Immersing in the recovery culture to help the psychology of recovery.

 

Psychology and Recovery

Its a newer phenomenon that psychotherapy and psychology has taken a central role in the world of recovery. Part of me is rubbed a little wrong by that. It’s not that I am anti-therapy, both my parents are psychologists I actually love psychology. I’m fascinated by it.

 

But traditionally, we have an understanding that individual Psychotherapy is not a very effective way to treat addiction.

 

Addiction Needs to Be Addressed for Better Mental Health

What you’ll find most commonly is somebody’s afraid to enter into the world of recovery for a variety of reasons, so they go see a therapist – maybe an addiction specialist or maybe just a therapist – and I think the most common story is somebody will see a therapist for months or even years while still continuing to engage in their addiction maybe with some improvement maybe with no improvement.

 

Eventually, that therapist will say – maybe in months maybe in years, “hey, I can’t continue in this therapeutic process until you do something about your addiction problem and I can’t help you with your addiction problem. You need to go to treatment or Alcoholics Anonymous.”

 

It’s kind of a shame to me that somebody might be in therapy for five, six, seven, eight years I would hope that therapists out there recommend that early, and I also understand that if the clients not willing to go into treatment or to seek out some recovery that the therapist is stuck.

 

Immersing in the Recovery Culture

In general, my belief (and this is complex in nuanced) is that people have to immerse themselves in a culture of recovery and integrate recovery as part of their identity as the primary task of recovery. And that’s up front.

 

Upfront I have to challenge myself to admit that I have an addiction problem that I’ve been unable to solve. Then I have to take on the task of saying, “Okay, I’m a person who suffers from addiction and in order to treat this condition, I need to be a person in recovery.”

 

I need to be a person who identifies myself as someone in recovery from this condition just like I would if I diabetes. If I had a horrible case of diabetes then my recovery from that, or even a cancer survivor, I would identify as a cancer survivor. It almost killed me!

 

I have to know that deeply about myself and it is the first and primary core task of recovery

 

Psychology in Later Recovery

Then therapy comes along in order to help me to better understand myself and treat the underlying emotional conditions that existed, maybe prior to my addiction. In all different dramas in different ways of being different blocks I had that caused me to suffer that I then use drugs and alcohol to treat. I think of therapy as by and large the later stages of recovery.

 

At first, I have to be a person in recovery then I can work on this other stuff because if I’m not a person to recover, continue to use I’m not going to get any therapeutic work done.

 

There are exceptions. The exceptions to that are if I have trauma and it’s so severe it’s getting in the way of me being able to identify as somebody in recovery. So if the psychological problem or even psychiatric problem is so severe that I can’t engage.

 

An easy example is if I have a really hard time regulating my emotions. Incredibly impulsive. It will be impossible for me to engage in recovery because I can’t sit still, I can’t stop talking, I can’t take it in, take information and reality in, so a specialist, a therapeutic specialist would have to come in and treat my Emotion Regulation Impulse Disorder in order for me to engage in recovery.

 

But in general, I think that’s the exception

 

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Addiction Hijacks: When I’m High, I Really Want to Be Sober

Understanding How Addiction Hijacks Rationality 

Addiction Hijacks our “semi-rational” thoughts to justify ego desires. 

 

The simplest way to put this is to tell a story.

 

Dealing with Cravings 

 

I remember working with a client. He was about a week sober, had gotten out of detox from opioids. He was a week sober and still somewhat obsessed about using heroin.

 

He very earnestly approached me as a counselor at the time.  He said, “Can I talk to you for a little bit?” I said, “Sure.”

 

We went back in my office, and he said, “I’m craving. I really want to use heroin, you know, will you help me?” 

 

I said, “Well, tell me what your plan is. How are you– let’s lay it out. How are you going to go use heroin?” 

 

Semi-Rational Plan to Use

He said, “Well, I go to Inglewood. I’m going to get some heroin.”

I said, “Slow down. Do you have any money on you right now?”

He said, “Yeah, I got 10 bucks.”

“Well, first of all, give me that 10 bucks.” I took that 10 bucks. Then I said, “So, how are you going to get ahold of your dealer?”

And he said, “I’m going to call him.” I said, “Do you have a cell phone?” He said, “No. You like picked up on my game, right?” And I said, “Okay, well now, if you don’t have a cell phone, how are you going to call the dealer?” 

He said, “We go to the gas station, and I’m going to call him.” I said, “But you don’t have any money.” He said, “Well, I’ll panhandle and then I’ll call my drug dealer.” 

I said, “Okay. So, we’re going to walk to the gas station on the corner over there. You’re going to call your drug dealer. He’s going to come drop it off.”

He said, “No. My dealer doesn’t deliver. I got to go to Inglewood. I got to get there. So, I’m going to take the bus.” 

I said, “Okay. So, you’re going to take the bus to Inglewood and you’re going to meet your dealer. Where?” “There’s Burger King in Inglewood.”

I said, “Okay. And then what?”

“So, I’m going to use.”

“So, where are young going to use?” 

He said, “I’m going to use in the Burger King bathroom.”

I said, “With what?”

He said, “With foil and a straw.” 

I said, “Okay. So, using in a Burger King bathroom. And then what are you going to do?”

He said, “I’m going to be high.”

I said, “Okay. And then what?”

And then he said, “I’m going to come home.” 

I said, “Yeah. You’re going to go back to your mom and dad’s?”

And he said, “No. They kicked me out. I’m going to come back here.”

“Okay, so you’re going to go use at the Burger King. You’re going to get high in the bathroom. You are going to catch the bus back after you’re high. You’re going to come back to this treatment program. And then what are you going to do?”

He said, “Then I’m going to get sober.”

 

Addiction Hijacks the Mind’s Rational Thought

 

And I, of course, you know, I said, “But you’re sober now. You’re already there. You don’t have to do the loop de loop.” 

 

And he looked at me, and he said, “Yeah, but when I’m high, I really want to be sober.” 

 

And I said, “Okay, so what I hear you saying is that in order for you to get and stay sober, you have to get high again.”

 

He said, “Yeah.”

Semi Rational Reasoning

 

The ego self had basically taken the rational ability and created a little narrative and story that makes semi-sense.

 

But obviously, if you use that rationale in your life, you’d never get sober, right? Because every time I try to get sober, I have to get high and be motivated to get sober again. You just do that rinse and repeat, over and over. It’s actually what a lot of people do.

The Ego and Justifications

The ego self can hijack the rationale to create justifications.

 

It’s a reality. And with this particular person, he actually did it. He didn’t do it that night. But a couple of days later, he left, and incredibly he was right. He got high at Burger King.

 

We ended up referring him to a program out of town. And he’s, I think, sober eight, nine years now. So, he happened to be right. But it’s not a good equation as to how to get clean. As an example of how the ego self can hijack the rationale in order to create justifications to continue to enable addiction.

 

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Learning to Feel Your Thoughts and Emotions

WHAT TO EXPECT:

 

In general, one of the things that happen in modern times–as people become a lot more conscious of their physicality, nutrition, exercise, and of the importance in taking care of it–is being conscious of your body in the healing process.  In other words, being able to check in and be present.

 

So with that, therapeutically, one of the things that have become very popular is somatic work. It is the work in the body. 

 

Here is a somatic work example: You and I are doing a therapy session or counseling session. I can tell based on your breathing, how you are holding your shoulders and jaw, and your speech patterns that you are upset or frustrated. 

 

But maybe I go, “Hey, you know, you are a little upset or frustrated.” 

 

I am trying to process with you emotionally what is going on.

 

And you say, “You know, I am a little frustrated.”

Processing Emotions

Does that mean you just sort of allow somebody to say that they are frustrated sometimes? 

 

Sometimes somebody just identifying that they are frustrated helps them go:

 

“Oh, that is what is going on. Do I want to be frustrated? Okay, let me kind of calm myself down.” Or: “Why am I frustrated? Oh, you know, I let this thing slide.”

What is Somatic Experiencing?

There is a way to process that frustration cognitively by identification. But there is also a way to process that frustration somatically. How frustration shows up sensationally in the body. 

 

Meaning… 

 

“Uh-oh, seems like you are frustrated.” 

 

“Yeah.” 

 

I would ask you a question like, “Where?”

 

If you have never done somatic therapy, you will go, “What do you mean?” 

 

“Well, where in your body do you feel that tension, frustration, or whatever it is that you are feeling?” 

 

“Oh, you know, actually in the back of my shoulders right here. I feel really tight.”

 

“Okay. I want you to close your eyes, and lean into that tightness. I want you to describe a little bit of it and tell me what is happening with it.”

 

And really, what you are trying to do is connect your thinking mind to your emotions and your body. 

 

If you think about mind, body, and spirit, you think about the connection of all three of those. 

 

And so, “Oh, I see that sensation. And then what I want to do is…I want to metabolize that emotion.”

Allow Yourself to Feel

But what happens is, you stop yourself from allowing to be frustrated. You know, the whole point of feelings is to feel them. 

 

What fucks us all up is that we have a feeling and we want to think them away…or we want to figure them out. 

 

But the whole thing about feelings is to experience them. And how do we experience them?

 

One way to experience them is somatically…to actually allow yourself to focus your consciousness on the points of your body that are responding to that emotional need. And then allow it to kind of work its way through you. See what comes up from there. 

 

That is somatic work. It is really popular right now because I think everybody is a little suspicious of our minds these days. And so we are sort of looking for something to trust. And maybe it is our body.

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How Long Do I Need Addiction Treatment?

WHAT TO EXPECT:

 

 

One of the questions that people have when seeking treatment is: How long do I need to do it?

 

I’m always trying to empower people by thinking deeply about their questions.

 

If you put that question in perspective it’s more like: How long is it going to take for me to change? There isn’t an exact number of days that you can say.

Is 30 Days Enough for Addiction Treatment?

There’s a model out there for 30-day treatment. 

 

But what is that based on?

 

Is that based on some science that people break addictions in 30 days? Absolutely not. It’s based on the way that insurance billing works. The 30-day treatment model may not provide the kind of change that people need. 

 

The standard answer these days is recovery takes around 90 days. I think that has more to do with the amount of time that people can afford to spend away from the system of their lives. Most people can’t just drop out of their lives for six months or nine months unless they’re young and maybe have good insurance. Or have strong support from the family. Or possibly getting resources from the county or the city. 

 

Our treatment program is 90 days. Still, the 90-day program is sort of a compromise. It’s trying to get people as much treatment as they can get realistically.

 

In my mind, 30 days means maybe you’re starting to sleep good. Maybe you’re feeling safe. You’re beginning to approach recovery, but you’re nowhere near where you need to be to move on. By 90 days, you should have built a decent foundation…not a solid foundation, but a decent foundation. 

Effective Treatment: Engaging in Recovery

A lot of TV programs, they portray good treatment. But the goal of treatment is not to do treatment well. The goal of treatment is to engage people in recovery so they can do their lives well. That’s the real trick. 

 

The immersive experience is upfront: experience with the recovery culture, knowledge and tools, understanding therapy, psychiatry, all the things you need. And then you really want to kind of move that person into life to build those peer and family support structures outside that they have forever. So that they can keep recovery sustainable. 

 

Ninety days in relatively contained care, as I see it: first 30 days real contained, second 30 days less contained, and much more freedom in the third 30 days. Then you’re back in your life but with a lot of support and resources to help you along the way…

 

That’s really good treatment and it works phenomenally well when the circumstances lineup to be able to do that.

 

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Developing A Recovery Identity

What to expect:

 

 

One of the places where people really get stuck in their recovery process is in their identity.

My Struggles with a Mixed-Raced Identity

Super easy example: I’m mixed black and Jewish. I used to keep my hair really short–like a little tight fade–because I wanted to fit in with the black crowd that I was hanging with. 

 

When I first got sober. I was like, oh, I’m gonna grow my hair out. But my hair…I have these Jewish curly locks. I would start to grow my hair out, and I would feel less black, less tough. And then I would immediately cut it.

 

I was really stuck between who I thought I should be and how I thought about myself. My hair was like a metaphor for that. So, for years of my early recovery, I would try to grow my hair out. Then I would feel softer, feel different, or wouldn’t feel like me, and I would cut it again. 

 

Then I remember really setting myself free at around four or five years sober. I was like, I have to break out of this identity. I’m trapped in this hip-hop cool, tough way of being. If I really want to be free, I have to let go of that.

 

I started growing my hair longer and longer until it is just like how it is now. For me, it was really a symbol of letting go of one identity and embracing whatever I was becoming.

Letting Go of Old Identities During Recovery

Letting go and changing identities is a huge struggle in recovery. One of the ways that it’s challenged right up front is at a 12-Step meeting. 

 

You’re sitting there and people are identifying. Somebody will nudge you with their elbow as they’re identifying and say, “Are there any alcoholics in the room?” 

 

You’re supposed to kind of raise your hand–you don’t have to, but it’s culturally normative–and say, “Hi, my name is Shai. I’m an alcoholic.”

 

If you haven’t seen yourself in that way, it really kind of puts you off. You’re like, God, I don’t want to, is this me? I’m not sure, etc. 

 

There are all kinds of problems with labeling yourself. But one of the things it does do is cause you to question the identity that you’re trapped in. Part of the reason why people feel stuck in addiction–and even in early sobriety–is because they’re trapped in the idea of who they think they should be as opposed to allowing themselves to become who they are.

The Recovery Identity and Transformation

Becoming who you are has to do with letting go of ideas. It doesn’t mean you have to take on the label of alcoholic. That’s a personal choice that depends on how you relate to that idea, but it does mean that your identity has to change. 

 

Think about it. If my identity doesn’t change, how am I going to make the deep kind of transformation that I need to sustain recovery and live a fulfilling life? How can I go from being a pessimist to an optimist? How can I go from being depressed to being happy? How can I go from being anxious to being calm without letting go of how I see myself? 

 

That’s a sacred process that needs to be held. It’s not something that happens in 30 days. It’s not even something that happens in a couple months. It’s something that we work at; it’s a developmental shift that happens over the course of years.

 

I call it developing a recovery identity. It doesn’t have to be somebody else’s definition of what it means to be a person in recovery, but you do have to have some definition of what it means for you to be in recovery. You have to identify that with who you are. 

 

So when I think about myself, I think about myself as a husband, hip-hop MC, leader in an organization, father, and as a person in recovery.

 

What that all means…I could talk about that forever. But I identify as a person in recovery, because that’s part of who I am…It’s part of my story. 

 

It’s part of why I’m here right now.

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Seeking Help for Addiction: Where to Begin?

Are you questioning your relationship to drugs or alcohol? Do you think you might have addiction or alcoholism? Has the problem passed some kind of threshold where you believe something needs to change? 

 

How do you know if that’s happened? Well, first of all, I would say…you know it’s happened when you’re asking yourself these questions.

 

Does that mean it’s happened permanently? Does that mean it is exactly the same as your uncle? Maybe not. But you know, when you’re asking that question, the vast majority of the time…you know. 

 

And so it’s not really the right question to ask.

 

Take Action By Asking Yourself…

What do I do about this? 

 

The hardest part is to be vulnerable enough to pick up the phone and reach out to a friend or relative who’s been through something and say, “Here’s what’s going on. I need help.” 

 

That is by far the hardest part…And there’s a reason why that’s so hard.

 

Fearing the Next Step…and It’s Okay

It’s not just the vulnerability of being seen in a weak moment. It’s also that some part of you knows that this problem is going to take a lot of work. Fearing taking the first step on a journey that is going to be pretty long and really tough..but it may be the best life decision you ever made. 

 

Of course, you’re not necessarily thrilled about it. You may not even feel like you chose it yourself if family and friends intervened.  

 

…But asking for help is the first step. 

 

Finding Addiction Treatment: What You Should Know

The second piece of that is, how do I find good help? 

 

Nowadays, that’s very difficult. You go on the internet and type keywords in Google…

 

….Suddenly you have everybody and their mother marketing towards you. They can solve your problems. They’ve got all the solutions. 

 

So I never recommend using the internet–not reviews, not any of this–for choosing the beginning of your recovery.

The Better Way to Find Addiction Treatment

It may take a little more work, but the results can save you a lot of time, money, and disappointment. 

 

You need to look around and see who’s in your community. Start talking to people. Find somebody you trust and then maybe that person knows somebody that they trust. Eventually you can get a firm word on an addiction treatment program that is actually making a difference in people’s lives.

 

Sure, all this asking around may be uncomfortable…even embarrassing. 

 

Consider attending some AA or NA meetings. The individuals at these meetings know what you are going through–they’re not judging you–they can give you some valuable insights.  

 

Persistence pays off. You’ll connect with someone who’s been to a good treatment program. Or maybe somebody who knows a great addiction therapist, counselor, mentor, case manager, or interventionist…whatever it is you’re looking for. 

 

Now more than ever, I think it is important to seek treatment with a personal recommendation from somebody in your community. 

 

And, of course, always reach out to me and Recover Integrity.

 

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The Power of Framing

In therapy, there’s a term we use…Framing. 

 

I actually believe that the term originated, and the way they use it in therapy, is from Neuro-Linguistic Programming (NLP). 

 

Even though a lot of therapists don’t respect NLP, a lot was stolen from it. And one of those notions, I could be wrong about this, is the notion of framing and reframing.

 

What is Framing and Reframing? 

 

Framing and reframing has to do with the interpretive structure of consciousness of what reality is or is not given. 

 

So I’m sitting in this room with the light and the microphone and the camera. Several people here…But that’s not given to me. 

 

That’s actually kind of a complex interpretation of what’s going on, you know. I mean, first of all, I’m inferring that there’s a thing called people, there’s a thing called light, there’s a thing called camera, and there’s a thing called room.

 

I mean, if we try to define all of these things–like what exactly is a room and what’s not a room– does it have to have four walls, only three? Does it have to have a ceiling, or no ceiling? Does it have to be built by man or can it be a natural room…or is it a cave?

 

It’s a lot to consider. 

 

Interpreting Our Reality

 

There’s a certain interpretive structure that goes into how we interface, understand, and cognize our reality, that’s called framing. We frame things in a certain way. The way that we generally think about that in therapeutic terms has to do with what we emphasize in any given experience. 

 

So I can have a very scary experience. What I’m thinking about that experience may be in order to communicate it to somebody else later. How I frame that experience is how I hold it. You know, that was very scary.

 

Let’s say I was on an airplane and there was terrible turbulence. That was very scary and I never want to do that again. You know, that plane could have crashed. 

 

I can frame that completely differently. It’s unbelievable that human beings were able to build these flying machines that take us from one island to another. You know, now and then, there’s turbulence. It’s very scary, but it’s much safer than even driving in a car or possibly riding a bicycle, right? It has to do with how I frame my reality.

 

So I think that the term and the deep understanding of the term is super important. 

 

Feelings Are Choices

 

Rabbi Mordecai Finley, who’s a great teacher of mine, says something very controversial. I don’t think it’s an original thought of his, but he says, “At a deep level, feelings are choices.” 

 

What does that mean? Feelings are the one thing we don’t have a choice over, right?

 

I don’t wake up and choose how I feel. And I think what he’s saying is that we have a deep pre-linguistic, emotional framing structure that we have a say in every day.

 

I’ll say that again because it’s a complicated notion. At a deep level, feelings are choices. We have a deep pre-linguistic–underneath language–framing mechanism that relates to our experiences

 

It’s so deep it relates to the part of us that we would call primitive and emotional. The deep brain. And I actually have a say in how that interpretation happens.

 

Posture and Your Reality

 

Jordan Peterson is a controversial figure. I should probably do a video about his journey with Xanax or, at least, what they’re reporting about it. It makes no sense to me as an expert in that field. 

 

He talks in his book,12 Rules for Life, about making your back straight. On one hand he has kind of a silly piece of advice: ”Okay Grandma, thank you for telling me to sit up straight.”

 

On the other hand, what he’s saying is, how you hold your body changes how you interpret and interface with your reality. It changes how you frame yourself. 

 

Do I think about myself as somebody who’s low confidence and has no backbone? Or is my pushing–my framing–who I am in such a way as to be assertive and to matter in the world? And my posture says a lot about that, right? About how I’m oriented…Framing orientation.

 

And so, that notion, however true it is, is a helpful notion. It’s empowering because it means I have the power in some ways–and at most moments–to frame what’s happening with me.

 

Framing and Grief

 

I’ll give one really deep story about this. I was having lunch with a friend of a friend. He’s an older gentleman and we were just kind of chit-chatting. 

 

As we were chit-chatting, it came up that he had a child that died when she was about 12 years old. He kept talking so I couldn’t say, “Oh, my condolences.” The normal decorum when somebody says that. 

 

He just kind of kept talking. 

 

So when he finally finished talking, I said, “By the way, you know, I wanted to offer, you know, my condolences. That’s just terrible and tragic.” 

 

We were having a deep spiritual conversation, so he kind of pulled me aside and said, “You know, I wouldn’t say this to most people, but I think you’d understand the fact that she passed is not a bad thing. Well, most people, if I say that, they’d think I’m crazy, but I think you get it.” 

 

And he walked me through the experience of her sickness and how she held it and how he held it. He shared what the experience of her actually passing was like. He didn’t see it as bad…he didn’t frame it as bad. 

 

And I don’t know that I could do that. I definitely wouldn’t want to find out. 

 

It struck me at a deep level. For this man, it was kind of like, at some soul level, this man is in touch with something where he’s able to frame a tragedy and hold it in such a powerful and good way that if we all could do…Well, the whole world would be in a better place.

 

So that’s the power of framing…it reaches down in the past turns the therapeutic into the spiritual.

 

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Using MDMA to Treat Trauma

We’re at an interesting time in the treatment of mental health and substance abuse. We’re trying things that many haven’t even considered in the past–and they’re showing promising results. 

 

Specifically, I’m talking about the use of plant medicine psychedelics–what used to be illicit drugs–in the treatment of mental health and substance abuse conditions. 

Can Ecstasy Help with Mental Health?

I find it so ironic, MDMA, which is commonly known as ecstasy or molly, is being recognized as therapy. 

 

Kids, including me, prior to getting sober, are running around and dancing on this stuff. Man, I felt bad about it, like I shouldn’t be taking this stuff, it’s bad for me. But, man, it just felt so good because when you take ecstasy or molly or whatever it would feel like love. It’s just you feel loved.  

 

On one end it’s a drug. But on the other hand, it feels like love. 

 

So it’s an interesting time now, they’re bringing what used to be a street drug to give people the experience of feeling loved as a way to heal…and that’s all MDMA does.

MDMA and PTSD 

MAPS right now, I think they’re in their third clinical trial. Currently, you can legally use MDMA in the United States for the treatment of trauma. The study they did was on veterans with PTSD. MDMA was by far the most powerful treatment that they found for treating complex PTSD for veterans. 

 

I don’t recall the exact statistics, you can look them up, but it was something like 70% of people that did the pre-therapy sessions, MDMA sessions, and the follow-up sessions no longer met the criteria for PTSD. 

 

I think it’s a total of five sessions totaling 10 hours. The MDMA sessions, I think, are four to six hours. 

 

Ten hours. Do you know how hard it is to treat PTSD with other methods? 

 

I’ve tried to help people, I have a treatment program for PTSD. It’s incredibly difficult. It takes years. But MDMA could, within a couple of weeks or so, be effective enough where you don’t meet the criteria for PTSD anymore. 

 

What’s happening in that experience? There’s some technical interesting stuff happening with the brain and the amygdala so you don’t feel so defensive and you’re able to be in your body and feel comfortable and safe…so that’s interesting. 

 

I was a kid and I took ecstasy when I was 15 years old. I remember the feeling. It was love. I could produce a feeling of love that heals my PTSD with another person that’s there holding the container for me in a therapeutic way. So I find that very exciting. 

Drawbacks of MDMA as Therapy?

I’m conservative about all of this stuff because I know human beings find great ways to fuck things up. We can take a good thing and fuck it up. 

 

So, on the one hand, I’m involved in the discourse and the conversation about these medicines coming into recovery, which is tricky. What does it mean to be in recovery by possibly using MDMA for trauma treatment? I don’t think it’ll be as complicated as it sounds, but it will be a little bit complicated. 

 

MDMA can be addictive, although it’s not many people’s drug of choice. You can definitely overdo it and there are risk factors to doing too much MDMA. It’s largely around serotonin or serotonin syndrome and probably other issues that we’re not even aware of. 

 

I’m excited about combining a drug like MDMA with therapy. Because recently–I’d say in the last 60 years–those two fields have been kind of split. 

Integrating Medications and Therapy

You go to see a psychiatrist and ask for medication. They give you a prescription, and, hopefully, you’re on your way. 

 

You go to a therapist and they’re doing therapy with you. They don’t prescribe medications, just more therapy.

 

So something people are talking about with this plant medicine MDMA stuff is bringing medications and therapy together. You do the medication. You do the therapy on the medication. That’s kind of cool. It’s a new way of integrating medications and therapy.

 

It’s bringing two somewhat distinct fields together in a particular act, for the sake of healing, which I think is worth investigating. 

 

I’m excited about it. I’m always conservative. I’m always like, “Hey, slow down, let’s be careful. Who can this work for? Who can’t this work for?” There’s a lot to talk about with MDMA. 

 

But, in general, I think it’s worth people knowing because these are experiences that can help people heal and transform.

 

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