August 19, 2022

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Paul Conti, MD — How Trauma Works and How to Heal from It (#533)

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“We can feel helpless and the world can seem hopeless. And that’s not the case.”

— Paul Conti, MD

Paul Conti, MD is a graduate of Stanford University School of Medicine. He accomplished his psychiatry coaching at Stanford and at Harvard, the place he was appointed chief resident after which served on the medical school earlier than transferring to Portland and founding a clinic.

Dr. Conti focuses on complicated evaluation and problem-solving, in addition to each well being and efficiency optimization, serving sufferers and shoppers all through the United States and internationally, together with the manager management of huge firms. His new guide is Trauma, the Invisible Epidemic: How Trauma Works and How We Can Heal From It.

Please get pleasure from!

Listen to the episode on Apple Podcasts, Spotify, Overcast, Podcast Addict, Pocket Casts, Stitcher, Castbox, Google Podcasts, Amazon Musicor in your favourite podcast platform. You may watch the interview on YouTube.

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The transcript of this episode can be found here. Transcripts of all episodes can be found here.

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What was your favourite quote or lesson from this episode? Please let me know in the comments.


Want to listen to another episode that outlines efficient paradigms for coping with trauma and dependancy? Listen to my dialog with Dr. Gabor Maté, during which we focus on investigating the causes quite than the implications of dependancy, the therapeutic worth of psychedelics (together with the correct means and the flawed option to expertise ayahuasca), why some highly effective modalities aren’t for everybody, and much more.


  • Connect with Dr. Paul Conti:



  • How did Paul find yourself in psychiatry? [06:29]
  • Who wrote the foreword to Trauma: The Invisible Epidemic? [10:18]
  • What is Paul’s private historical past with trauma? [11:07]
  • How does Paul counsel folks take into consideration and outline the phrase “trauma?” How do sure subsets of trauma differ from each other? [16:54]
  • How would possibly somebody take step one in coping with trauma that locations itself within the forefront and makes it tough to give attention to the rest? [19:20]
  • What does Paul assume of the present state of trauma remedy? In what methods does it fail, and the way can or not it’s improved? [26:16]
  • If we’re not doing an excellent job within the US, the place can the simplest trauma remedy be discovered? [28:39]
  • What does it take to actually unearth the causes (and best remedy) of trauma past making use of the imperfect trauma symptom stock? [30:08]
  • The good, the dangerous, and the ugly throughout the talent set of treating trauma. [32:45]
  • “We shouldn’t ask why the addiction, we should ask why the pain.” -Dr. Gabor Maté [38:36]
  • Modalities, frameworks, and instruments that Paul has discovered to be notably useful in working with people who’ve trauma of their background. [41:29]
  • Antidotes for hypervigilance. [46:34]
  • What most helped Paul come to phrases together with his brother’s dying by suicide, and the way did it set the course for him to begin medical college at age 25? [54:42]
  • What is the fundamental construction of Trauma: The Invisible Epidemic? [1:00:09]
  • Paul shares his favourite story from the guide. [1:04:00]
  • What is selective abstraction? [1:07:01]
  • How would possibly trauma promote realized helplessness that may push somebody towards additional trauma and even dying? [1:09:47]
  • What does Paul take into consideration the use (and potential for abuse) of psychedelics in treating trauma? [1:12:39]
  • With a lot of arrows within the quiver, as Paul says, how does he prioritize choices when treating somebody for trauma? Might empathogens be included amongst these choices? [1:19:12]
  • An occasion when Paul would possibly prescribe an anti-psychotic (and what he finds objectionable about this identify). [1:26:31]
  • How can chlorpromazine (Thorazine) be useful in these instances? [1:29:34]
  • The most useful option to strategy lithium as a remedy. [1:33:11]
  • What about trazodone? Does it carry any addictive or psychological dangers? [1:37:21]
  • Dopamine as a foreign money of misery. [1:40:09]
  • What is a diathesis–stress mannequin? [1:40:47]
  • Credible assets really helpful for listeners keen on studying extra about trauma. [1:43:09]
  • Parting ideas. [1:45:25]


“Dopamine is like a currency. People say, ‘What does dopamine do?’ It’s like saying, ‘What does a dollar do?’ It depends on where we’re spending it.”
— Dr. Paul Conti

“We can feel helpless and the world can seem hopeless. And that’s not the case.”
— Dr. Paul Conti

“If you’re not getting help the first, second, third time, keep trying. There’s help there to be had.”
— Dr. Paul Conti

“Vicarious trauma comes from, really, this wonderful fact that we can be empathic and empathically attuned to other people and we can feel what they’re feeling. That’s a wonderful thing that we can do that for one another, but it also makes us so susceptible to other people’s suffering and pain.”
— Dr. Paul Conti

“We’ve evolved a system that purveys mental healthcare largely without attention to the actual human being. And this is a huge problem.”
— Dr. Paul Conti

“If we just take symptoms, we will get it wrong.”
— Dr. Paul Conti

“A person should be able to talk about what’s going on inside of them because it’s burying those unhealthy seeds, so to speak, that then compounds original trauma into something that can end up being far, far worse with a whole cascade of problems.”
— Dr. Paul Conti

“There’s so much that gets compounded when the original trauma gets pushed outside of consciousness and outside of communication.”
— Dr. Paul Conti

“More pain and suffering means people are more likely to repeat maladaptive patterns that lead them to more trauma.”
— Dr. Paul Conti

“If trauma arouses shame, then the trauma itself immediately alters our perception mechanisms that we can use to understand the trauma and navigate our way through it.”
— Dr. Paul Conti

Listen to the episode on Apple Podcasts, Spotify, Overcast, Podcast Addict, Pocket Casts, Stitcher, Castbox, Google Podcasts, Amazon Musicor in your favourite podcast platform.


The Tim Ferriss Show is one of the most well-liked podcasts on this planet with greater than 600 million downloads. It has been chosen for “Best of Apple Podcasts” 3 times, it’s usually the #1 interview podcast throughout all of Apple Podcasts, and it has been ranked #1 out of 400,000+ podcasts on many events. To take heed to any of the previous episodes without spending a dime, take a look at this page.

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