Trascrizione completa di Why Are We So Anxious Right Now?

interesting. 00:04:42.000 --> 00:04:45.600 And it's like, and you don't want to admit to it. 00:04:45.839 --> 00:04:49.439 Well, I'm not I can't I'm not gonna be like, no, you're anxious, tell me now. 00:04:50.399 --> 00:04:52.480 That's not how we treat our patients. 00:04:53.040 --> 00:04:54.720 How do you unpack that? 00:04:55.439 --> 00:05:12.560 This is where you have to build a relationship with your patient and you have to see them multiple times, and you have to get the patient to trust you, and then you can slowly start to unpack these these these issues, and over time you can try to address them. 00:05:13.199 --> 00:05:15.199 But it is not always super easy. 00:05:15.680 --> 00:05:19.920 Now this just goes off of the because the the dynamic's so clean. 00:05:20.160 --> 00:05:27.920 Because of the transition from uh traditional insurance-based medicine, two to three thousand patients, to concierge. 00:05:29.680 --> 00:05:41.519 Is do you notice that some of your patients now there's a there's a larger percentage that have that because of like this concierge model of like I want more access, more access because I have anxiety towards all these. 00:05:41.680 --> 00:05:44.000 Have you noticed that or has it been uh yeah? 00:05:44.079 --> 00:05:52.639 I thought I might, but and I think this comes from the demographics of my current practice versus my old practice. 00:05:52.879 --> 00:05:56.079 That I used to feel, I mean, I would see what, 20 patients a day. 00:05:56.160 --> 00:06:00.720 And there were days that I was would sit there and be like, anxiety follow-up, anxiety follow up, depression follow-up. 00:06:00.800 --> 00:06:06.720 It was just like I felt like I was, I would felt like all I was was a psychiatrist some days, which I'm not. 00:06:07.040 --> 00:06:21.040 And at my current practice, we do not really have any severely depressed or anxious people that are not can well controlled, which is a change from my prior practice. 00:06:21.680 --> 00:06:22.639 Where it's a very common. 00:06:22.879 --> 00:06:31.040 Well, and you sit there and you gotta be overwhelmed because it's like I'm not trained in this and I'm getting it, I'm I'm having to well, the thing, because the thing is it's true, I'm I'm trained as a physician, right? 00:06:31.120 --> 00:06:34.399 So I'm trained to prescribe medications for anxiety and depression. 00:06:34.720 --> 00:06:41.519 I am not a therapist, but there are many people that would come to me and they want help with their anxiety and depression, but they don't want to med. 00:06:42.000 --> 00:06:51.040 And other than then saying, hey, maybe you should see a therapist, like I wasn't always sure what they really wanted me to do. 00:06:51.360 --> 00:06:55.439 Because I'm not trained to, and I didn't have the time to be the therapist. 00:06:56.879 --> 00:06:58.720 So it was kind of interesting sometimes. 00:06:58.800 --> 00:07:09.839 What I don't know that the patient's expectations would always fit kind of

what I really had as my skill set and training, which is not their fault. 00:07:09.920 --> 00:07:13.040 It's just I think the system they didn't know what to do. 00:07:13.199 --> 00:07:17.279 And you could always go to your primary care doctor when people did. 00:07:17.839 --> 00:07:28.720 Now, as we kind of unpack this episode on okay, from a macro level of the brain, chemistry, none of that. 00:07:29.120 --> 00:07:32.399 Thinking about more of external? 00:07:32.720 --> 00:07:42.720 Yeah, what external variables because like it can't be just environment, like it can't be genetic because this this rate is not, it doesn't make sense. 00:07:42.959 --> 00:07:46.399 So there's there's variables that are causing some of this process. 00:07:46.800 --> 00:07:53.439 Do you have any inclination on well, I mean, I think it's a it's a clear mixture of societal and environmental factors. 00:07:53.680 --> 00:07:53.839 Yeah. 00:07:54.000 --> 00:08:00.079 And I mean, I like you said at the very beginning, there's not one cause to these problems. 00:08:00.319 --> 00:08:00.720 Yep. 00:08:01.040 --> 00:08:06.160 I think we would have to dive into all the different things that lead to where we are today. 00:08:06.480 --> 00:08:09.120 Well, and that's that's like from from your hierarchy. 00:08:09.199 --> 00:08:13.600 If you were to if you were to rank your on your top three to five. 00:08:14.000 --> 00:08:17.120 I don't like to make claims on things that I don't know the data. 00:08:17.439 --> 00:08:19.199 Well, I get and that's the that's the tough part. 00:08:19.360 --> 00:08:24.399 Like, like, um But I would say, I mean, this is just a probably a bias, but I think social media. 00:08:24.720 --> 00:08:24.879 Yeah. 00:08:25.040 --> 00:08:50.159 Well, I mean, I think that plays a role because like because for example, anxiety and depression, in the sense of social media, I mean, we did a whole episode on that, and how comparing your life to someone else's leads you feeling empty and distraught and acting like your life isn't good enough because the Kardashians have their 17th house and I'm still trying to pay off my first and look at this as a nine-year-old. 00:08:50.240 --> 00:08:52.000 Like, I mean, I I get it. 00:08:52.159 --> 00:09:01.440 You you see a a nine-year-old on YouTube who rates uh like toys, and he makes over a million dollars a year. 00:09:01.600 --> 00:09:02.320 This is a real thing. 00:09:02.559 --> 00:09:05.120 There's there's they're actually I can rate toys, I can do that. 00:09:05.519 --> 00:09:13.279 On the internet on YouTube who make millions of dollars a year just rating kids toys. 00:09:13.519 --> 00:09:21.679 And then here's somebody that's in their 40s who busts their butt and they're they're barely just making ends meet. 00:09:22.080 --> 00:09:26.000 And I can see how that, like when you ignorance is bliss to it. 00:09:26.320 --> 00:09:34.879 Sometimes if you weren't aware that there's this whole other life out there that you don't have access to, it can make you depressed and anxious. 00:09:35.360 --> 00:09:48.879 Well, because there's that whole comparison side of things from social media, but then there's also the access to worries about what's going on in the world and uh you know wars and economics, and I think that also plays a role. 00:09:50.080 --> 00:09:59.759 Um, and on a on a different, more personal note, because I kind of I I started this episode off saying, like, in general, I do not have anxiety depression problems. 00:09:59.919 --> 00:10:04.559 Like obviously, you you know more than I just not my my MO. 00:10:04.639 --> 00:10:06.159 I've kind of worked through that. 00:10:06.320 --> 00:10:12.879 But also I think it's important to know this is gonna go into like one of the my perceptions of one of the variables at play. 00:10:13.039 --> 00:10:29.679 It's not completely true, but one of the perceptions is when I was in my uh late teens, or like not 20s, because like it was end of high school, when you're 400-pound David, and my quality of health was plummeting. 00:10:30.159 --> 00:10:38.960 And because of that, my sleep quality was bad and and my grades were not doing well, and you you add the combination of all that. 00:10:39.519 --> 00:10:50.000 I had some very serious anxiety attacks and um depressive stents that even dad was like, all right, he did the paper bag thing. 00:10:50.080 --> 00:10:50.799 I don't know if his clinical. 00:10:51.200 --> 00:10:52.399 Well, breathing into the paper bag. 00:10:52.799 --> 00:10:53.840 I was having a panic attack. 00:10:53.919 --> 00:11:00.480 I was breathing, I couldn't stop, and and like he pulled up, like we're in the garage and he pulled out a paper bag and I was like, breathe into it, slow down. 00:11:01.200 --> 00:11:03.919 Now they're still gonna be set at the a that age. 00:11:04.080 --> 00:11:14.000 There's a lot of people that are anxious, but I would also, and then I was dealing with a lot because the uncertainty of am I gonna go to college, am I not going to college, I'm 400 plus pounds, how's my health gonna be? 00:11:14.240 --> 00:11:16.720 Were those the reasons that you were anxious? 00:11:17.039 --> 00:11:19.120 I like I think it's the weight of all of it. 00:11:20.000 --> 00:11:32.799 Um but then simultaneously, there is that angle of like your general health and how it affects your like how it affects your mental health. 00:11:33.600 --> 00:11:53.200 And so um how much of that is playing into the person I am today and my lack of cons like anxiety and depression because I have such a routine physical activity, I I treat my body relatively well, I prioritize eight hours of sleep, I do all these things. 00:11:53.440 --> 00:11:57.120 Is it because of that that it's gone less? 00:11:57.600 --> 00:11:59.919 And I I'm not here to give an answer to it. 00:12:00.480 --> 00:12:06.320 Because there are people that really try to optimize lifestyle factors and they're still anxious and depressed. 00:12:06.639 -->

00:12:07.759 Well, and that's the whole angle. 00:12:07.840 --> 00:12:14.559 And and like that's why, as like we're like this is more about asking questions and kind of walking through. 00:12:14.639 --> 00:12:24.240 I think it'd be really fun, someone who's a psychiatrist, a therapist that's very well mandatory and just getting them on here um to unpack some of this stuff. 00:12:24.559 --> 00:12:26.720 So if you're out there, yeah, don't hesitate. 00:12:29.279 --> 00:12:34.320 I don't have a lot in that hemisphere, like in that world that we can reach out to. 00:12:34.879 --> 00:12:35.679 We'll figure it out. 00:12:35.919 --> 00:12:42.559 Well, yeah, so like the the physical fitness side of things and like how you treat health and how you treat movement. 00:12:42.639 --> 00:12:48.320 And I mean, one of the things I've always learned, and you can have uh you can fact check me on it. 00:12:48.559 --> 00:12:56.879 One of the most consistent uh replicatable uh anti-anxiety uh behaviors is just go for a walk. 00:12:57.120 --> 00:13:02.080 Like it's cons like correct me if I'm wrong, but she's researching right now. 00:13:02.639 --> 00:13:12.399 I've heard different sides of whether or not exercise actually, like in a clinical sense, uh what a research sense actually improves things like anxiety and depression. 00:13:12.559 --> 00:13:14.639 But let's see what open evidence tells us. 00:13:15.519 --> 00:13:21.759 Okay, they said uh this says, yeah, going for a walk helps with anxiety. 00:13:21.840 --> 00:13:27.279 Even a moderate moderate amount of walking reduces anxiety symptoms. 00:13:27.440 --> 00:13:28.159 So there you go. 00:13:28.879 --> 00:13:41.039 Um in psychiatric patients participating in therapeutic exercise programs, including 30 to 45 minutes of walking sessions, 81% showed immediate anxiety reduction after exercise. 00:13:42.320 --> 00:13:44.159 So there you go. 00:13:45.039 --> 00:13:46.159 There's just some truth to that. 00:13:47.200 --> 00:13:54.399 And generally speaking, the average American is not not moving as much as they should be. 00:13:55.120 --> 00:13:55.519 Yes. 00:13:56.080 --> 00:13:57.519 And we had a whole episode on this. 00:13:57.840 --> 00:14:08.960 I wonder if that plays a role in the whole European thing of like why is why in general do Europeans have less I mean, again, they have better uh work-life balances in the United States. 00:14:09.039 --> 00:14:09.679 That's very true. 00:14:09.759 --> 00:14:10.080 Uh-huh. 00:14:10.240 --> 00:14:11.600 Uh, but they walk everywhere. 00:14:12.000 --> 00:14:13.919 Do you know that they have less anxiety and depression? 00:14:14.320 --> 00:14:14.879 Confirm. 00:14:15.279 --> 00:14:18.399 Finding out I think so. 00:14:19.919 --> 00:14:21.440 I mean, it sounds right. 00:14:21.600 --> 00:14:22.480 It must be right. 00:14:22.559 --> 00:14:23.039 Let's see. 00:14:23.200 --> 00:14:28.720 So depression anxiety rates have increased in Europe, though there is substantial variations between countries. 00:14:29.039 --> 00:14:29.440 I'm sure. 00:14:29.600 --> 00:14:31.600 So I think we would have to break that down a lot more. 00:14:31.759 --> 00:14:36.799 But the th I think the the thing to know is that it's going up everywhere. 00:14:36.960 --> 00:14:42.799 But don't they say like, what is it, Norway or somewhere in Scandinavia, they're like the happiest country in the world or something. 00:14:43.360 --> 00:14:47.840 People love to glorify the Nordic countries as like the happiest place in the world. 00:14:48.080 --> 00:14:54.799 I would also like to challenge that remark, going they're also one of the most homogeneous populations in the world. 00:14:54.879 --> 00:15:01.039 And so I'm not here to say that that answers every question, but I do find it fascinating. 00:15:01.200 --> 00:15:07.679 People love to obsess over the social dynamics of the Nordic countries as so amazing. 00:15:07.840 --> 00:15:10.320 They don't allow a lot of immigration. 00:15:10.559 --> 00:15:14.320 They're very homogeneous in looks. 00:15:15.600 --> 00:15:18.320 So I just I've heard you talk about this before. 00:15:18.480 --> 00:15:21.120 I feel like it's um a small soapbox of yours. 00:15:21.360 --> 00:15:26.480 Well, it is because, like, from a political standpoint, I don't know if we should even get into that statement. 00:15:26.720 --> 00:15:27.919 I don't do politics, but you can't. 00:15:32.159 --> 00:15:32.720 That's great. 00:15:32.879 --> 00:15:34.159 You you have to come prepared. 00:15:34.320 --> 00:15:43.440 But uh going back to it, so we talked about walking, and then I think, I mean, obviously, nutrition, the modern nutritional lifestyle patterns really are so different than historical patterns. 00:15:43.600 --> 00:15:55.360 And how much do alter process food consumption and what is our nutrient density in our food and inflammatory diet dietary patterns, how much do those play a role into mental health? 00:15:56.559 --> 00:16:02.320 And then, I mean, this is gonna this is gonna sound disingenuous, but I don't know. 00:16:02.480 --> 00:16:19.120 We just live in like my thought process, it seems to me that friction and sh and pressure and this kind of stuff, like it's so easy today to um to Uber Eats your food. 00:16:19.360 --> 00:16:40.639 It's so easy today to have this ship to you and that ship to you, and Amazon same day, and everything is so convenience driven that anytime there is just subtle inconveniences, it's now from like from my point of view, being so uh embellished. 00:16:40.720 --> 00:16:42.799 Like, like this is a this is a funny one. 00:16:42.879 --> 00:16:43.840 I think it's hysterical. 00:16:44.000 --> 00:16:54.559 What uh the practice got a is in the process of getting for the last two and a half, three months a new coat rack. 00:16:54.799 --> 00:16:57.679 Our patients asked for it, and we got it. 00:16:58.000 --> 00:17:00.480 We got a really cool one, it's got gold on it. 00:17:00.720 --> 00:17:01.840 I don't even

remember what it looks like. 00:17:02.080 --> 00:17:07.680 It's it's it's super cool, but it's currently sitting in customs in China or something. 00:17:08.000 --> 00:17:09.279 It was China, yeah. 00:17:09.599 --> 00:17:10.960 And you know what? 00:17:11.119 --> 00:17:41.839 It's it's a minor inconvenience, but it is what it is, and I don't know, like this is it just seems today that people take such small inconveniences and exponentially take them out of perspective on this whole process because it's like when we started having this conversation, I really didn't want this episode to sound preachy or uh it's like asking questions and getting different dynamics is very important. 00:17:42.880 --> 00:17:59.920 You sit you sit here and I'm like, when people say the world today isn't exceptionally good, I just don't think they have any perspective on the last 2,000 years since Jesus has been here last on how good and safe and prosperous the world is today. 00:18:00.160 --> 00:18:15.759 I mean, we we act like the like the world is in such disarray, but in the scheme of things, I just I can't help but Well, I was saying you mentioned that little inconveniences that people aren't used to because everything's so convenient nowadays. 00:18:16.400 --> 00:18:19.279 It causes people to get frustrated or whatever. 00:18:19.519 --> 00:18:26.000 Well, so maybe convenience and everything being easy, maybe that is not the answer to exactly. 00:18:26.400 --> 00:18:34.079 You know, it's like we need some friction, we need some uh challenges in our lives, and maybe that is actually what helps. 00:18:34.480 --> 00:18:48.640 Well, that's what I find fascinating is like in general, everything is so smooth and convenient that are we are our lives becoming so automated, so like I mean, just I think about myself prime. 00:18:48.960 --> 00:18:49.279 Prime right? 00:18:49.680 --> 00:18:54.079 Yeah, I ordered something this morning and it was at my door by three o'clock today. 00:18:54.559 --> 00:19:09.839 And like everything is so efficient today that when something outside of what our planned moment happens, we were so not used to getting our way that it's like we're losing it. 00:19:09.920 --> 00:19:19.279 It's like it's like the it's the whole idea of I think it's playing a role, like from my point of view, it's playing a role into entitlement and anxiety in kids. 00:19:19.440 --> 00:19:25.359 We're giving 14th place participation medals to 15-year-olds. 00:19:25.599 --> 00:19:28.319 Like six-year-olds, fine, totally get it. 00:19:28.559 --> 00:19:32.559 But like, how are we still in a day and age where it's like, no, it's a meritocracy. 00:19:32.720 --> 00:19:35.359 If you want it, if you want this, you gotta earn it. 00:19:35.519 --> 00:19:37.440 And it takes effort and hard work. 00:19:37.519 --> 00:19:40.319 Uh my pec pops, like we're we're working. 00:19:40.480 --> 00:19:46.960 There's no way to get pec pops like this without doing hard work in the gym. 00:19:47.200

--> 00:20:04.240 And I there's been such a limitation to that feeling of uh pain thresholds and pushing and perseverance that like it seems to me that a lot of people, like when I go to the gym with them nowadays, they don't like to push themselves. 00:20:04.960 --> 00:20:06.960 And I think they don't know how to push themselves. 00:20:07.039 --> 00:20:07.119 Yeah. 00:20:07.359 --> 00:20:08.960 Part of the I mean, that's a big thing too. 00:20:09.039 --> 00:20:10.559 I don't think people realize that. 00:20:10.960 --> 00:20:15.440 I think, I mean, there's there's I mean, there was chronic stressors back, you know, hundreds of years ago. 00:20:15.519 --> 00:20:19.440 There's chronic stressors now, but the nature of those chronic stressors is so completely different. 00:20:19.599 --> 00:20:23.680 Like now we have such like abstract concepts sometimes of what's stressful. 00:20:23.920 --> 00:20:26.559 And I think that makes it a little bit more challenging. 00:20:26.640 --> 00:20:34.319 Like, if you have a stress from um, I don't have enough food, that's very different than um a stress from someone cyberbullying you online. 00:20:34.400 --> 00:20:35.920 Like those are totally different things. 00:20:36.079 --> 00:20:42.400 And so I don't know how that impacts the human psyche, but it's definitely different. 00:20:42.720 --> 00:20:52.400 Well, it's like the whole quote, which is whether you like it or not, a perceived 10 of a painful threshold is a 10 to the individual. 00:20:53.039 --> 00:21:05.279 Like uh what I perceive to be a minor inconvenience versus what someone perceives to be a major problem, to them, it still feels like that. 00:21:05.440 --> 00:21:06.799 And you can't take that away. 00:21:07.039 --> 00:21:13.759 But it's also but like people that have inconveniences or they are annoyed by something, that doesn't always have to lead to anxiety and depression, though. 00:21:13.920 --> 00:21:20.319 Like things can be annoying to people because they're used to getting it, you know, at the click of a button. 00:21:20.960 --> 00:21:23.839 But it doesn't necessarily lead to anxiety in all these people. 00:21:24.160 --> 00:21:31.599 Well, and that's the whole like angle of as we kind of like the the questions we're alluding to is like where is this coming from? 00:21:32.079 --> 00:21:33.920 Why is it happening? 00:21:34.319 --> 00:21:42.480 And what are the practical aspects to this that we can help people? 00:21:43.200 --> 00:21:47.200 Like, I I will admit, just sitting there going, suck it up, buttercup. 00:21:47.519 --> 00:21:52.319 That doesn't usually I don't think not not the best not the best strategy in the world. 00:21:52.799 --> 00:21:57.039 And being deflective and disingenuous, like, oh you're fine. 00:21:57.440 --> 00:22:01.279 Just again, that doesn't uh Uh that doesn't help anybody. 00:22:01.599 --> 00:22:08.640 No, because to tell somebody that feels anxious that, oh, just stop feeling that way, that is not that it's not a productive conversation. 00:22:09.599 --> 00:22:10.880 What's the quote? 00:22:11.359 --> 00:22:14.160 They always say it's it's it's a it's a female thing. 00:22:14.319 --> 00:22:33.759 Like it's a female joke towards females, but it's like nothing, like the joke is like nothing will set off a woman more than if like she they've like if you're like in a relationship and all of a sudden you she's like this the the your significant other is getting a little tense and and all of a sudden you just look and go, you're fine. 00:22:34.000 --> 00:22:37.759 And it's like you just that like that gif of like the woman's head exploding. 00:22:38.000 --> 00:22:40.000 I don't think I've seen this, but I can understand what you're saying. 00:22:40.240 --> 00:22:42.799 Like, who are you to tell me how I feel right now? 00:22:43.039 --> 00:22:43.519 Uh right. 00:22:43.839 --> 00:22:51.920 If people don't like that typically, no, but I think I mean the I feel like we've been talking mainly about what could be causing the increase in anxiety and depression. 00:22:52.000 --> 00:22:55.599 And then if you're talking about what can we do to treat it, that's a whole nother topic. 00:22:55.920 --> 00:23:01.440 But I mean, I think if you look, we're our the name of our podcast is Vitals and Values. 00:23:01.920 --> 00:23:09.759 And if you look at I know there's people that look at the research of the lack of religion in the world, I was about to do this. 00:23:10.559 --> 00:23:12.319 Yeah, that it's funny how you brought that up. 00:23:12.640 --> 00:23:16.480 I I think you can't take the faith perspective out of this. 00:23:16.799 --> 00:23:26.319 Because faith and uh church attendance and no the uh Christianity specifically, like these rates are dropping. 00:23:26.720 --> 00:23:28.480 And how does that impact a whole nation? 00:23:28.799 --> 00:24:00.240 Yep, and the and the understanding of correlation doesn't equal causality, however, it seems to be fascinating that the more faith, even like because again, it's it's there is even that argument, obviously, from our lens, it's Jesus, it's Christianity, but even even a more bigger trend of just atheism and anti-God is becoming more and more mainstream. 00:24:00.480 --> 00:24:07.119 Before, atheism was like an extremely minority population for pretty much ever. 00:24:07.680 --> 00:24:25.839 And it's not until the last 25 years has there been like a massive increase in the amount of people that believe themselves as quote unquote atheists, God doesn't exist, there is no God, not talking about who what God and how that affects people like, okay, why are we here? 00:24:26.240 --> 00:24:27.119 What's the point? 00:24:27.359 --> 00:24:30.480 Why are you uh why why why am I doing that? 00:24:30.720 --> 00:24:34.000 If you don't have any ultimate purpose, then life would be kind of depressing. 00:24:35.279 --> 00:24:37.119 So it's got I mean, that has to play a role. 00:24:37.759 --> 00:24:38.079 Okay. 00:24:38.799 -->

00:24:40.720 You know the Bible better than me. 00:24:41.279 --> 00:24:41.759 What? 00:24:41.920 --> 00:24:46.319 Uh what's the what's the I think it's a proverb. 00:24:46.960 --> 00:24:50.079 Uh without vision the people perish? 00:24:50.240 --> 00:24:53.119 If without I do not know which verse you're thinking of. 00:24:53.359 --> 00:24:54.400 Uh, hold on. 00:24:54.559 --> 00:24:55.680 You're gonna look it up for me. 00:24:55.839 --> 00:24:58.559 Something without the without the vision, people perish. 00:24:59.119 --> 00:25:02.240 Without where there is no vision, the people perish. 00:25:02.559 --> 00:25:04.400 That is Proverbs 2918. 00:25:04.640 --> 00:25:05.119 Yes. 00:25:05.440 --> 00:25:16.160 And again, vision for life, if all of a sudden you start getting into um it's kind of like our li our uh uh with with uh Pastor Tom on Sunday. 00:25:16.319 --> 00:25:16.960 Yeah, what? 00:25:17.279 --> 00:25:20.160 The the angle of and then what? 00:25:21.119 --> 00:25:22.000 Yeah, that's true. 00:25:22.240 --> 00:25:23.599 It is it is so true. 00:25:23.920 --> 00:25:30.559 I like you went to you did really good in school, so you go to college. 00:25:30.880 --> 00:25:31.839 And then what? 00:25:32.240 --> 00:25:35.200 Well, I went to college so I could become a doctor. 00:25:35.599 --> 00:25:36.240 And then what? 00:25:36.960 --> 00:25:40.240 Well, and then I became a doctor so I could help people. 00:25:40.720 --> 00:25:41.599 And then what? 00:25:41.920 --> 00:25:50.000 Well, actually, that was fun too, but I also wanted a nice house and all this kind of stuff and be able to eventually get married and have a family and make and have kids. 00:25:50.079 --> 00:25:51.440 And then what? 00:25:51.680 --> 00:25:59.599 Well, once I have kids and I'm gonna we're gonna do a really we're gonna go to Disneyland together, we're gonna have all these made experiences, we're gonna travel, and then what? 00:25:59.680 --> 00:26:10.559 Then the kids are gonna come back, they're gonna get older, and then I'm gonna start to retire, so uh I'm gonna start giving my resources to my kids so they can have incredible lives and go to college and do those kind of stuff. 00:26:10.799 --> 00:26:11.680 And then what? 00:26:11.839 --> 00:26:14.480 Then I'm gonna die, I guess. 00:26:14.799 --> 00:26:15.519 And then what? 00:26:15.680 --> 00:26:16.160 And then what? 00:26:16.400 --> 00:26:18.079 I think that's the ultimate question right there. 00:26:18.319 --> 00:26:38.880 And I've I it's hard to not convey how someone's faith plays into general anxiety, depression, and um how they see their lives because I mean uh I think about it from my lens, and I have some big dreams. 00:26:38.960 --> 00:26:43.200 Obviously, Bunker Social is now public for like fronting. 00:26:43.519 --> 00:26:44.960 David is starting a golf company. 00:26:45.119 --> 00:26:47.440 Indoor golf complex comporf complex company. 00:26:47.519 --> 00:26:47.759 Woo! 00:26:48.160 --> 00:26:53.359 That's planning to scale to five to seven locations pretty quick, and it's and the momentum's really good. 00:26:53.440 --> 00:27:03.519 We had our SLU special lease use last week in Walker, and uh obviously we have my documentary that's in we're negotiating we're trying to figure out distribution now. 00:27:03.759 --> 00:27:07.119 And do we go, we're like, do we go through a Netflix on? 00:27:07.200 --> 00:27:09.519 Do we go through self-distribution? 00:27:09.599 --> 00:27:11.680 Do we we're working through all that right now? 00:27:11.920 --> 00:27:18.960 We have a finished product that's incredibly powerful, and then obviously helping at the practice here and all this kind of stuff. 00:27:19.119 --> 00:27:24.720 And I have big dreams and goals, and ideally, would I like to have a lot of resources? 00:27:24.960 --> 00:27:25.599 Yes. 00:27:26.000 --> 00:27:34.480 Simultaneously, I also do my best to realize it doesn't freaking matter. 00:27:34.880 --> 00:27:47.519 Whether you have a beach house or don't have a beach house, whether you have a 10,000 square foot house or a 2,000 square foot house, whether you are able to eat or organic or you're able to just scrounge food together, does it really matter? 00:27:48.000 --> 00:27:52.240 Like compared to relationship with Christ and salvation, it means nothing. 00:28:00.319 --> 00:28:01.039 And I get it. 00:28:01.200 --> 00:28:07.839 Like I I can't I can't disagknowledge that God blessed me more than most. 00:28:08.240 --> 00:28:09.359 Do I deserve it? 00:28:09.680 --> 00:28:10.000 No. 00:28:10.400 --> 00:28:18.480 But there's plenty of people that have everything from a worldly uh viewpoint that are incredibly anxious and depressed. 00:28:18.640 --> 00:28:18.880 Yep. 00:28:19.039 --> 00:28:23.359 So it's not about whether you were bl like it's like you're blessed. 00:28:23.440 --> 00:28:24.319 Well, blessed with what? 00:28:24.559 --> 00:28:28.079 Worldly resources or blessed by God's grace. 00:28:28.240 --> 00:28:29.279 I mean, what are we talking about? 00:28:29.599 --> 00:28:32.160 I mean, th this whole process is so fascinating to me. 00:28:32.240 --> 00:28:41.759 The more and more I'm unpacking it, because I obviously like uh when we went to Mexico for uh Jana's wedding, I was talking to a guy there who I actually have to reach back out to. 00:28:41.839 --> 00:28:41.920 Okay. 00:28:42.079 --> 00:28:43.440 Remember the guy I was talking to at the pool? 00:28:43.599 --> 00:28:43.920 Oh, yeah. 00:28:44.079 --> 00:28:45.119 Yeah, I gotta reach back out to him. 00:28:45.279 --> 00:28:46.480 David made friends in Mexico. 00:28:46.720 --> 00:28:48.160 Oh, cool, good, cool dude. 00:28:48.400 --> 00:28:58.240 Uh and uh he made the comment going, Do you ever regret the money you spend on travel because of the experiences and all that kind of stuff? 00:28:58.559 --> 00:29:04.079 And one of the angles, I mean, I did uh you got to actually meet two of them. 00:29:04.240 --> 00:29:07.039 Uh we had a couple of people come up

from Gary, West Virginia. 00:29:07.200 --> 00:29:07.599 Oh yeah. 00:29:08.160 --> 00:29:13.200 And I did mission work down there for like seven years, six, seven years. 00:29:13.519 --> 00:29:16.880 And right right in that COVID kind of it stopped. 00:29:17.359 --> 00:29:24.799 And seeing people from like Gary, West Virginia, who they have nothing. 00:29:25.519 --> 00:29:26.480 Oh my gosh. 00:29:26.640 --> 00:29:37.519 I mean, we're talking, they live in 600 square foot houses, condo, like a like I don't even know what some of them are houses, some are like condos, some of them are like I don't even know what you call them. 00:29:38.240 --> 00:29:47.759 Black mold in the basement, leaky ceilings, uh, they have like 80% unemployment rates, they live off the government, they have nothing. 00:29:47.920 --> 00:29:53.440 There's drugs everywhere, like there's there's nothing, but their faith is exceptional. 00:29:54.319 --> 00:29:59.039 And these people are blissfully happy, and they have nothing. 00:29:59.680 --> 00:30:05.519 And I go down there and it's so frustrating because I'm a type A, so it's like I want to actually help. 00:30:06.000 --> 00:30:13.599 And we're down there, and obviously, and we have limited resources and limited skill sets. 00:30:13.839 --> 00:30:21.920 So we're working on this house, and the house is still leaking from the roof, but we're there to fix the drywall in the kitchen. 00:30:22.160 --> 00:30:27.519 And I'm sitting there going, how can I fix the drywall in the kitchen when there's still a leak in the roof? 00:30:27.759 --> 00:30:34.319 But they're just so grateful that they're getting a new roof drywall and or like new ceiling drywall. 00:30:34.400 --> 00:30:38.640 And I'm like, it's gonna be useless in a year, two years when it's in the same position as before. 00:30:38.799 --> 00:30:40.079 It'll be better for that two years. 00:30:40.240 --> 00:30:42.000 But they were super grateful for that moment. 00:30:42.160 --> 00:30:46.400 And I'm just like, who am I to be anxious about? 00:30:46.480 --> 00:30:49.279 Oh, I can't afford Egypt Valley country club. 00:30:49.440 --> 00:30:52.799 Like, who am I that I can't do this, that, and this? 00:30:53.039 --> 00:30:55.920 It's gonna make your life, are you gonna really be happier if you have that? 00:30:56.079 --> 00:30:58.160 Or is life gonna be really better with that? 00:30:58.480 --> 00:30:58.720 Yeah. 00:30:58.880 --> 00:31:06.400 And and so that's a I think it's like people look so forward to these things that they want without living within the moment that they've been given. 00:31:06.799 --> 00:31:11.519 And I think that leads to some of the anxiety towards the future. 00:31:11.839 --> 00:31:32.319 Well, that's where I think it was a Tony Robbins angle, which is um, and uh there there's a toxic side to this, I kind of will admit, which is you can't be depressed and you only are depressed and anxious when you're thinking about yourself, how I see the situation, how what my life isn't going the way I want. 00:31:32.559 --> 00:31:33.039 That's interesting. 00:31:33.279 --> 00:31:40.160 But if you give to others and you focus on contributing to others, you are not anxious and depressed. 00:31:40.240 --> 00:31:42.240 Now, I think there's there's some nuance there. 00:31:42.559 --> 00:31:43.119 I do too. 00:31:43.440 --> 00:31:59.200 Um, but I do find it to be a very valuable perspective that outside of some of the true clinical side of things, that I think a lot of depression anxiety does come from that, not like your true clinical stuff, but people who are anxious about their lives. 00:31:59.279 --> 00:32:08.880 Well, they're anxious because, well, I'm anxious about the situation because I want to have this, or I want to uh I don't like how people see me. 00:32:09.279 --> 00:32:11.680 Well, you're thinking about yourself. 00:32:11.839 --> 00:32:14.240 Like who cares what other people see about you? 00:32:14.480 --> 00:32:17.920 Like, and how that affects your emotional state. 00:32:18.160 --> 00:32:26.079 I mean, I think I I believe there's something to that, but I I think I mean it's like you can't tell somebody who's anxious, well, that just means you're too selfish. 00:32:26.319 --> 00:32:27.599 Like that is not the answer. 00:32:28.559 --> 00:32:28.799 100%. 00:32:29.200 --> 00:32:29.680 That does. 00:32:29.920 --> 00:32:32.000 But again, I'll see your point. 00:32:32.319 --> 00:32:35.200 You're just it is so fascinating to me. 00:32:35.440 --> 00:32:41.839 Uh I will publicly say this on the podcast because I think it is an exceptionally important thing. 00:32:42.000 --> 00:32:43.920 Um, I've talked to Lair about it. 00:32:44.000 --> 00:32:51.440 I would as the practice progresses and things get more stable in life, no, you can always find a way to push it off. 00:32:51.680 --> 00:32:56.640 The whole idea of doctors without borders, these different uh groups. 00:32:57.039 --> 00:32:58.000 We've told you this before. 00:32:58.079 --> 00:32:58.319 Yep. 00:32:58.480 --> 00:33:02.240 Doctors without borders is a specific that's like like. 00:33:02.559 --> 00:33:04.559 But that's like people do that for their career. 00:33:04.799 --> 00:33:04.960 Yeah. 00:33:05.200 --> 00:33:14.000 Well, just there's organizations out there where you can serve, because you're a medical professional, that we can serve in a way to contribute. 00:33:14.240 --> 00:33:16.240 Like I said, like doctors without borders. 00:33:19.440 --> 00:33:25.440 Whatever, whatever the process is, because obviously, like I have a uh lapsed EMT license. 00:33:25.519 --> 00:33:25.920 That's all I got. 00:33:26.160 --> 00:33:30.319 You know, it's better than they probably have there, so they'd probably take it. 00:33:30.799 --> 00:33:51.119 But like there's something to be said that some of the most blissfully happy moments I've in the sense of like contribution is when I've spent in Gary or when I've spent in not thinking about serving what I want out of life, but how I can serve for somebody else and how I can serve God. 00:33:51.440 --> 00:34:04.160 Well, cause and one of the one of the, you know, uh pieces of what drives some of this anxiety and depression is like the social connectedness that people lack these days. 00:34:04.480 --> 00:34:17.519 And I think that kind of speaks a little bit to your point that if you're if you have less social connection and less people in your lives, and it's it's then it's it you're the only person sometimes. 00:34:17.679 --> 00:34:25.440 And then you would tend to be more self-focused if you don't have those connections that can kind of bring you outside of yourself a little bit more. 00:34:25.679 --> 00:34:30.639 So social connectedness plays a huge role as well in the anxiety and depression data. 00:34:31.360 --> 00:34:32.960 Well, I think it was a fun conversation. 00:34:33.119 --> 00:34:36.639 I mean, obviously, I hope this didn't sound preachy. 00:34:36.960 --> 00:34:39.840 Um, I could be an a-hole and um unempathetic at times. 00:34:40.000 --> 00:34:40.880 I thought you did pretty good. 00:34:41.119 --> 00:34:42.559 Uh like, yeah. 00:34:42.800 --> 00:34:44.400 I only brought up a couple lines there. 00:34:44.480 --> 00:34:46.239 That was just like uh good job. 00:34:46.480 --> 00:34:47.840 But this is a challenge for me. 00:34:48.000 --> 00:34:51.760 Like that this conversation is not sunshine or rainbows. 00:34:51.920 --> 00:34:57.440 It's not something I struggle with personally, and so, but it's something that needs to be talked about. 00:34:57.760 --> 00:35:03.519 Well, I mean, you don't struggle with it personally, you say, but you say you have struggled with it, which is more than some people can say. 00:35:04.239 --> 00:35:15.760 And do any of those contributing factors that we talked about, do you feel like they played into where you were at that point in your life? 00:35:16.079 --> 00:35:17.039 I think all of them do. 00:35:17.199 --> 00:35:25.280 Yeah, like I look back at 16 to 18-year-old me, and number one, it was it was all on how my life is gonna be. 00:35:25.440 --> 00:35:27.280 Uh, I treated my body like garbage. 00:35:27.760 --> 00:35:35.840 I treated myself like garbage because I because I kept saying I kept saying how I was such a loser to put myself in the situation and how that treats yourself. 00:35:36.000 --> 00:35:43.039 So when you start to unpack all those things, I definitely Lara's a concierge doctor and she's getting a phone call, so you can finish this. 00:35:43.360 --> 00:35:43.679 No problem. 00:35:43.840 --> 00:35:47.039 This is a great opportunity to say concierge medicine. 00:35:47.280 --> 00:35:55.280 When you're in concierge medicine, you're a physician, and a patient calls, we pick up even in the middle of a podcast. 00:35:57.039 --> 00:35:57.840 That is great. 00:35:58.000 --> 00:35:59.199 This is fantastic.