Dr. Phil on The Joe Rogan Experience

Watch the interview here

Key Takeaways

  • “The next year is going to go by whether you’re doing something about your life or not”
    • Sure you’re far from your goal now, but the time is going to go by anyway – make the incremental changes, and every day you’ll be better off
  • There’s a stigma attached to mental illness and there shouldn’t be
    • “Having depression or anxiety should have no more stigma than having a knee injury, a kidney infection, or diabetes”
  • On using medication to treat depression:
    • It usually only makes sense to do so for a biochemical reason, or for the short-term
      • It might allow you to get back on your feet, face the world, and succeed
      • But taking it for years, unless there’s a biochemical need…it just doesn’t make sense
    • “I look at a lot of depressed people, and in a sense…it makes sense. How could they not be depressed?”
      • “You don’t need a pill in that case. Put somebody in a chemical straitjacket because their life is falling apart? What the hell is that gonna do?”
      • Giving someone a pill in a situation like that might just keep them off task
        • Pain is a good motivator – it’s not necessarily bad. If you’re in pain, it’s going to motivate you to MOVE to change something. And to dull that pain with drugs is NOT a good thing.
  • Medicine has become a high volume business
    • Doctors write prescriptions TOO OFTEN
      • They don’t take the time needed to really discuss things with patients, and see if perhaps there are real external circumstances that warrant the patient’s depression
  • If you’re still taking the opioid prescribed to you at the 7 day mark, your chance of being addicted at the 1 year mark is 1 in 12
    • If you’re still taking them at 30 days, your likelihood of being addicted at the 1 year mark is 1 in 3

Intro

  • Dr. Phil McGraw (@DrPhil) is an author, psychologist, and the host of the television show Dr. Phil
    • He’s done 17 seasons so far, for a total of ~3,000 episodes
  • Joe is great friends with Dr. Phil’s son, Jay 

The Cash Me Outside Girl

  • You need to watch the above link 
  • After the clip went viral, Danielle Brego (the girl in the video) started riding quite the wave of fame
    • Joe says she’s on a billboard on Sunset Blvd.
    • “It makes no sense. Seriously? There’s people curing cancer and you can’t find them with both hands. But the more power to her.” – Phil
  • She actually got a large makeup deal
  • On her success – “What I hope now, is that she’s surrounded by mature people with business heads on their shoulders that will guide this in a way so it’s not just another ’15 minutes of fame’ scenario”

Behavior Change

  • “People ask me sometimes, ‘Dr. Phil – do you think problems are as simple as you make them out to be?’ The truth is I don’t think problems are simple at all. In fact, I think problems, most of the time, are complex, layered, and have a lot of different origins.”
    • “But the solutions are often simple”
      • Change your behavior – “Just behave your way to success”
      • Choose a different path in life
  • “But implementing those solutions, is often very difficult. It’s very difficult for people to change their behavior patterns.” – Joe
  • The most important thing it indicate whether someone will respond to talking therapy? – Insight
    • Nobody changes behaviors without a payoff – you need insight to be able to identify the payoff
      • Payoff = the consequence/result of an action
      • “If you figure out what the payoff is…and then you are able to control that…if you control the currency, then you can control the behavior”
      • You need insight to full see full circle the consequences of your actions
  • “People have this comfort in their behavior patterns, even if they’re self-destructive….the comfort is compelling” – Joe

How many of Dr. Phil’s guests actually change for the better?

  • The surprising thing – most change seems to come from viewers of the show (they usually send in mail explaining how a particular episode change their life)
  • Dr. Phil says his Youtube clips of show segments surpassed 2 billion views last year
    • “We just don’t have a good distribution system for mental health discussion in America, so I think people are hungry for it”

Damaged Childhoods

  • Dr. Phil grew up with an alcoholic father
    • “Having grown up with that, you wind up with a what I call a damaged personal truth”
      • You just feel second class
  • A problem with coming from a bad background:
    • “You compare your personal truth – what you know about yourself and how you really live, to everybody else’s social mask”
    • “We generate the results in life we think we deserve. If you think you’re damaged, if you think you’re second class, you WILL generate results that you think a second class person deserves.”
      • This is why it’s so important to fix your personal truth – “Otherwise you’re bound to spend the rest of your life thinking, ‘Those good results…those are for someone else, not me.’ And you’ll settle for second best.”

Here’s Why Dr. Phil Does His Show

  • “You won’t cure anyone in 8 minutes, but if you can point them in the right direction, raise they’re awareness, and get them thinking about life, you can create a narrative where they at least ask, “How do I really feel about myself? Are there things I need to resolve?”

Incremental Changes

  • It’s all about incremental changes over time
  • “The next year is going to go by whether you’re doing something about your life or not”
    • Sure you’re far from your goal now….but the time is going to go by anyway – make the incremental changes, and every day you’ll be better off
  • “The difference between a dream and a goal is a timeline and accountability”
  • “Someday isn’t a day of the week”
    • Stop saying – “Someday I’ll get to it”
  • “You don’t leap tall building in a single bound. You take it a floor at a time.”

The Mental Illness Stigma

  • “There’s a stigma attached to mental illness and that really bothers me. There should not be.”
    • “Having depression or anxiety should have no more stigma than having a knee injury, a kidney infection, or diabetes”
    • “If you’ve got anxiety, whatever…it’s okay. Let’s talk about it, let’s get help for it, get it behind you, and move on.”

Medication for Depression

  • Dr. Phil’s philosophy – he’s very slow to prescribe medication
    • “You use medication for biochemical replacement. Only if your body is not making enough of something it needs, then maybe you support it short term biochemically.”
    • It’s important to distinguish between exogenous (coming from the outside/external) and endogenous (coming from the inside) depression
      • “I look at a lot of depressed people, and in a sense…it makes sense. How could they not be depressed?”
        • “You don’t need a pill in that case. Put somebody in a chemical straitjacket because their life is falling apart? What the hell is that gonna do?”
        • Dr, Phil would rather have that particular person focus on behavior changes
        • “A lot of people who are depressed are just realistically reacting to crummy circumstance in their life. It’s not necessarily a mental illness. It’s just a realistic reaction to a bad spot in their life.”
        • Giving someone a pill in a situation like that might just keep them off task
          • Pain is a good motivator…it’s not necessarily bad. If you’re in pain, it’s going to motivate you to MOVE to change something. And to dull that pain with drugs is NOT a good thing.”

More on Depression

  • “With social media and the internet, there’s a lot more awareness about depression”
    • “But it was just as prevalent in the 1950s and 60s” – people just didn’t talk about it as much back then
  • Another point:
    • Back in the 50s and 60s you had to have a PhD or MD as a psychiatrist to see patients
    • But now you don’t have to be a doctor to get a license to provide a therapy service
      • “I generally think this is a good thing”…Why?
        • 58% of rural markets have no psychiatrist – “There’s just no one available to help people in the outlying areas. The more people you can get into the profession, so long as there’s a degree of competency, the better.”
        • ~50% of markets have no mental health professional available at all

More on Medication

  • “In my personal experience, most of the people I see on medications, in my opinion, don’t need most of the medications they’re on”
  • “Medicine has become a high volume business”
    • Doctors write prescriptions TOO OFTEN
      • But it’s not necessarily the doctor’s fault – “The way it’s now funded, Medicare and Medicaid, you have to turn ’em and burn ’em or you can’t stay in business…so they throw pills at patients”
      • They don’t take the time needed to really discuss things with patients, and see if perhaps there are real external circumstances that warrant the patient’s depression
  • “Most of the people I see on medication, are either on too many, taking too high a dose, or either don’t need it at all”
  • Dr. Phil says short-term medication can be the right move
    • It might allow you to get back on your feet, face the world, and succeed
    • But taking it for years, unless there’s a biochemical need…it just doesn’t make sense

Attention-Deficit/Hyperactivity Disorder (ADHD) and Ritalin

  • “If you give a kid that doesn’t need a neocortical stimulant a stimulant, you’re really going to throw them off the charts”
    • Why? – You’re making a normally active brain, hyperactive
      • You’re creating a problem that didn’t exist before giving them the medication
    • “You cannot chemically babysit your children”
    • Who knows how much damage prescribing something like Ritalin to someone who doesn’t need it will do in the long run

The Opioid Epidemic

  • “Opioids are so readily prescribed now that there are enough opioid prescriptions for EVERY man, woman, and child in America to have their own bottle”
  • If you’re still taking the opioid prescribed to you at the 7 day mark, your chance of being addicted at the 1 year mark is 1 in 12
    • If you’re still taking them at 30 days, your likelihood of being addicted at the 1 year mark is 1 in 3
  • Another issue – people take the opioid prescription for a while and then switch to heroin as its cheaper (or they switch after the doctor ends the prescription)
    • “You’re seeing soccer mom heroin addicts that you just weren’t seeing 10 years ago”
  • The fact of the matter is, opioids have an addictive quality to them
    • “Your body doesn’t know if you got it in a back alley, or from your doctor”
    • Just because your doctor wrote a prescription, doesn’t mean they’re 100% safe
  • There is a HUGE cost to the opioid epidemic
    • The lost labor adds up to BILLIONS
    • The demands on healthcare are astronomical
  • What can we do?
    • Drug manufacturers need to start labeling the drug risks much more clearly
    • Physicians need to be much more conservative in prescribing opioids
  • A related story
    • Dr. Phil recently had a shoulder surgery, and says he only took one opioid pill afterwards, and then switch to Tylenol
      • “The surgeons now are SO good. Surgery is so much less of an insult to the body nowadays.”
    • “Realize that the minute you can get away from them [opioids], you need to get away from them”

Dr. Phil’s New Podcast – Phil in the Blanks

  • Why do it?
    • Younger people are getting their information in different ways
    • “There’s a whole population that’s not going to watch broadcast television during the day”
  • The podcast will also be different than his show
    • It will be interview based, with various field experts

The Champion Mindset

  • In a recent podcast interview with Tony Romo, Dr. Phil asked him what he thought made him, a small town kid, able to make it in the NFL
    • “Inside, he had this absolute drive that if he didn’t win, he couldn’t live with it
      • “That super unhealthy obsession to win…all great athletes have that” – Joe
  • “The difference between winners and losers is that winners do things that loser just don’t want to do” – Dr. Phil
    • “There’s just a different bread of cat that wants the ball at the buzzer. It takes a special kind of person that wants that pressure.”
  • “Situations do not make heroes, situations expose heroes”

How to Tell if Someone is Lying

  • When people are desperately trying to convince you they’re telling the truth, they’ll say “convincing statements” rather than just telling you what they did/didn’t do
    • For example, if an employee at a coffee shop is accused of stealing money from the cash register. they might say something like – “You know me, I’m not that type of person. You guys know me! I was employee of the month!”
  • A significant delay in a response to a question like – “Did you steal the money?” may also indicate that a person is lying
    • Why? – People typically talk at 125 words per minute, but think at 1200-1400 word per minute
    • “If you didn’t do it, it doesn’t take but 1 millisecond to say, ‘Absolutely not'”
  • Joe recalls a cop telling him that when people are lying, they tend to plead and cry, but when they’re not, they tend to get angry
    • “People who are wrongly accused are generally irate from the beginning to the end” – Dr. Phil
  • Anytime someone says – “In all honesty…” – usually the next thing out of their mouth is a lie
    • OR If they say – “I swear to God….” – they’re probably lying

Why does Joe do his podcast?

  • “I’ve always been fascinated by human beings and their lives and just talking to people”
    • “I’ve always been very curious and recognized that everyone thinks about things differently and I could take a little bit of something from everybody”
      • Dr. Phil has noticed this about Joe – “You never have to struggle for the next question, because you really want to know something”
      • “If you’re curious about human nature at all, there’s an endless menu of things you could talk about. I don’t care who it is. You could pull somebody out of a car on the street, and if you’re curious, you can talk to them because everyone has a different take on life.” – Dr. Phil
  • The podcast started with just Joe chatting with friends
    • But as it got popular, the guests started getting better, and he started having more long-form conversations

Self-Worth

  • It’s important for kids to be able to participate in things that test them as individuals, to allow them to develop a sense of self-worth
    • Allow them to navigate situations where they overcome/achieve/fail…whatever – this helps form their self-image, which contributes to self-esteem
      • “This is why I think sports are so important for kids” – Joe
  • For adults – You need to know as a person that you CAN overcome a challenge

Wrapping Up

  • Find your passion and something you’re excited about – something out there exists for everyone
    • And then make time to do that thing 
      • There’s a world of benefit that comes from this
  • Side note – as a parent, it’s a good idea to expose your kids to many things to allow them to find their own passion

Random

These notes were edited by RoRoPa Editing Services

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