Young and Profiting with Hala Taha - Dr. Aditi Nerurkar: How to Rewire Your Brain to Stress Less and Relax More | E301

Episode Date: July 29, 2024

Believing that "pressure makes diamonds," Dr. Aditi Nerurkar endured grueling 80-hour weeks as a medical resident. One day, she felt a sudden pain like wild horses racing across her chest. Thinking sh...e had a heart condition, she underwent tests, but her doctor revealed stress as the culprit. This drove her to investigate its underlying causes. In this episode, Aditi explains the science behind stress and resilience, sharing practical strategies to manage daily pressures and improve mental well-being. Dr. Aditi Nerurkar is a Harvard physician and stress expert, co-directing the Harvard Medical School Clerkship in Community Engagement. She authored The 5 Resets and has been featured in the New York Times and Oprah Magazine. In this episode, Hala and Aditi will discuss: - Good stress vs. bad stress - The ‘amygdala hijack’ and why it matters - Breathing techniques to help you relax - The danger of toxic resilience - How to win the battle against digital overload - The truth about multitasking - Tips for better sleep - The genius of ‘fake commute’ for remote workers - How to switch from stress mode to relax mode - Rediscovering childhood passions for balance - And other topics…  Dr. Aditi Nerurkar is an internal medicine physician and public health expert focused on stress, resilience, and mental health. She is the co-director of the Harvard Medical School Clerkship in Community Engagement. Aditi developed a unique clinical practice in stress management at Harvard’s Beth Israel Deaconess Hospital, using evidence-based integrative approaches to tackle complex medical illnesses. Her new book, The 5 Resets, offers practical strategies to overcome stress and burnout. She is a sought-after speaker and her work has been featured in the New York Times, Wall Street Journal, and Oprah Magazine. Connect With Aditi: Dr. Aditi’s Website: https://www.5resets.com/  Dr. Aditi’s LinkedIn: https://www.linkedin.com/in/aditinerurkar/  Dr. Aditi’s Twitter: https://x.com/draditinerurkar  Dr. Aditi’s Instagram: https://www.instagram.com/draditinerurkar/?hl=en  Dr. Aditi’s Facebook: https://www.facebook.com/draditinerurkar/  Dr. Aditi’s YouTube: https://www.youtube.com/channel/UC1uE02l88h_cPamRRyLS9SQ  Resources Mentioned: Dr. Aditi’s Book, The 5 Resets: https://www.amazon.com/Resets-Rewire-Brain-Stress-Resilience/dp/0063289210  LinkedIn Secrets Masterclass, Have Job Security For Life: Use code ‘podcast’ for 30% off at yapmedia.io/course.   Sponsored By: Shopify - Sign up for a one-dollar-per-month trial period at youngandprofiting.co/shopify  Indeed - Get a $75 job credit at indeed.com/profiting  BetterHelp - Sign up for a webinar on mental health for entrepreneurs presented by BetterHelp at https://us06web.zoom.us/webinar/register/8617213361628/WN_Kz-vBbxtSfSj_dUBywS8OA  More About Young and Profiting Download Transcripts - youngandprofiting.com Get Sponsorship Deals - youngandprofiting.com/sponsorships Leave a Review - ratethispodcast.com/yap Watch Videos - youtube.com/c/YoungandProfiting   Follow Hala Taha LinkedIn - linkedin.com/in/htaha/ Instagram - instagram.com/yapwithhala/ TikTok - tiktok.com/@yapwithhala Twitter - twitter.com/yapwithhala   Learn more about YAP Media's Services - yapmedia.io/

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Starting point is 00:00:00 Today's episode is sponsored in part by BetterHelp, Indeed, and Shopify. Stop comparing and start focusing with convenient online therapy from BetterHelp. Visit betterhelp.com slash profiting for 10% off your first month. Attract interview and hire all in one place with Indeed. Get a $75 sponsored job credit at indeed.com slash profiting. Shopify is the global commerce platform that helps you grow your business. Sign up for a $1 per month trial period at Shopify.com slash Profiting. As always, you can find all of our incredible deals in the show notes. Stress is the great equalizer,
Starting point is 00:00:39 but the goal of life is really about making sure that this stress can serve you rather than harm you. Resilience and stress go hand in hand. Every single society has some concept of toxic resilience because it's a manifestation of hostile culture. Multitasking is a myth. It's a scientific misnomer. There's actually no such thing. Life is noisy in 2024. How are we going to quiet down the noise? It's just about Welcome back to the show, young and profers. Today we have a very important topic. We're going to be covering stress and burnout. As entrepreneurs, we are even more stressed than the general population.
Starting point is 00:01:33 We deal with more uncertainty and unpredictability. We have a lot of dependency on our clients, our customers, our employees, our families are dependent on us. We're also more socially isolated. On top of all this, we're very passionate and passion is a double-edged sword. The more passionate you are, the more emotionally dependent you are on your work,
Starting point is 00:01:54 where every failure seems like a personal failure, a personal setback. And so as entrepreneurs, we're more prone to stress. In fact, 25% of entrepreneurs believe that they're burnt out right now. So I'm bringing on Dr. Aditi Neurocar to the show to help us reverse our burnout and stress. She's an expert on the topic.
Starting point is 00:02:14 She's a doctor and author, a TV correspondent. She wrote a new book called The Five Resets. I can't wait for this conversation. It's so important to take care of our mental health, young and profitors. So without further ado, here's my conversation with Dr. Aditi Neurocar. Hi Aditi, welcome to Young and Profiting podcast. It's such a pleasure to be here, Hala. I'm so excited for this conversation. I actually have been studying mental
Starting point is 00:02:37 health and business for the past few weeks. I just had this webinar this past Wednesday where I was sponsored by BetterHelp and I covered things like neurodiversity and entrepreneurship, mental health and entrepreneurship, stress burnout relationships. And I had so much fun studying for this and I had wished our conversation was just a little bit earlier, but I'm doing it again next week. So I'm like, whatever I learned from a DT, I'm just going to put it in the presentation and use it. So I can't wait to just learn from you today. So my first question to you is just to really understand how stressed are we all?
Starting point is 00:03:10 How stressed are we as a society? I know we're just coming out of the pandemic. So can you help shed some light on this? We are seeing unprecedented rates of stress and burnout right now, Hala. As a doctor, I've known that stress and burnout has always been something that people certainly come to me and burnout right now. As a doctor I've known that stress and burnout has always been something that people certainly come to me and other doctors about.
Starting point is 00:03:29 But the statistics are staggering right now. Based on lots of different sources and data from different touchpoints here in the US and abroad, we're seeing rates of 70-74% of stress and burnout. And that number is slightly higher in those who are entrepreneurs. That's like saying in a room of 30 people, 21 people are struggling with stress and burnout. So if you feel this way and you're an entrepreneur, you are not alone. It is not your fault. And there is a way out based on what we're going to talk about today.
Starting point is 00:04:02 Amazing. And to your point, entrepreneurs feel so stressed out. And I personally believe one of the reasons why, it's one of our strengths is that we're so passionate, right? But being passionate is actually a double-edged sword because we then really tie ourselves with our work. We are our business. So then anytime there's any sort of setback or failure, we feel like it's a personal failure rather than
Starting point is 00:04:25 a failure in our business. And so it makes us more and more stressed out. So I can't wait to hear so many of your strategies. I read your book. It was so good. But first, I want to talk about how stress is actually not necessarily a bad thing. You say there's good stress, there's bad stress, and you call it a biological phenomenon that has actually helped us evolve as humans. So can you explain that to us? Yeah, so when you and I and everyone else, when we say, I'm so stressed
Starting point is 00:04:53 or it's been a stressful week, what we're describing is the bad kind of stress. But in fact, there are two kinds of stress, like you say, there's good, healthy, productive stress, and then there's unhealthy, bad, dysfunctional, and unproductive stress. The good kind of stress scientifically we call that adaptive stress. And the bad kind is maladaptive stress. So examples of good, healthy stress. What are they?
Starting point is 00:05:17 It's when you start your own company or when you're a new founder. That excitement that you have. Or rooting for your favorite sports team, buying a car, graduating, expanding your team. There are so many examples of healthy stress in your life that help drive your life forward, help you get excited, get up, and take on the day. But when that good healthy stress gets high,
Starting point is 00:05:42 out of balance, off kilter, and it really starts going haywire, that's when problems can arise. And that's when it transforms to unhealthy stress. Like you said, because we have those two kinds of stress, the goal of life is not to live a life with zero stress. It's actually biologically impossible. You need a little bit of healthy stress to get up in the morning and take on the day, whatever your day may be, whether you're an entrepreneur or not. But the goal of life is really about making sure that this stress
Starting point is 00:06:14 can serve you rather than harm you. So it's not about zero stress. It's absolutely impossible to have zero stress in your life. You need a little bit of stress, but it just needs to be in balance. and that's the goal. Yeah, I want to get really nerdy and talk about what actually happens to us biologically. And I think I want to start this off by understanding what is the purpose of our nervous system? Well, there's two kinds of nervous systems. First, you have the sympathetic nervous system and the parasympathetic nervous system. These are just big scientific words, but we'll break it down. So your sympathetic nervous system is
Starting point is 00:06:48 fight or flight. Your stress response lives in your sympathetic nervous system. It's governed by a part of your brain called the amygdala which is a small almond-shaped structure deep in your brain and in scientific terms we call this your reptilian brain or lizard brain because it's that part of the brain that hasn't evolved the way the other parts of the brain have and your amygdala is what powers and drives your stress response. And so that's what the fight or flight or sympathetic nervous system does. The goal is survival and self-preservation. It's about keeping you safe. And so when that amygdala is on, that is the sense that you feel, that feeling of
Starting point is 00:07:26 survival. And so what's happened now, the purpose of the amygdala and the sympathetic nervous system, your fight or flight system, evolutionarily it was to keep you safe. So when you face a tiger in the forest, you know, when we were all cave dwellers back in the day, evolutionarily, you would face a tiger in the forest and you would fight the tiger or you would flee. That's what the fight or flight response is. But now, all of these tigers, these metaphorical tigers, aren't this one moment in time and then you have a moment of rest. It's these things that just never go away. So for entrepreneurs, funding issues, challenges with growth, challenges with meeting the demands of consumers.
Starting point is 00:08:06 All of these business issues that people are facing, they're happening at a low hum in the background at all times. So that amygdala is just on at all times and your amygdala needs a break. Your brain and your body both need a break biologically to be able to thrive. And so we can talk a little bit more about that entrepreneurial mindset. You know, I had a clinical practice in Boston, which is like the entrepreneurial capital of the US. So I had lots of patients who were entrepreneurs
Starting point is 00:08:34 and just what do you do and how do you manage to be able to be a successful entrepreneur, but protect and preserve your mental health in the meantime. Yeah, I can't wait to talk about some of your strategies to reverse stress, reverse burnout. But I want to understand more about the feelings that we get when we're in fight or flight mode because it's not like we know like, hey, my parasympathetic nervous system has turned on.
Starting point is 00:09:01 You don't know that, right? So our parasympathetic is actually the good stress, is that right? Or where you want to be? Well, the parasympathetic system, whereas the sympathetic, what we talked about fight or flight, the parasympathetic is rest and digest. And the good news is that both systems can be on at the same time. It's like a light switch. So when one is on, the other is off. It's mutually exclusive and the other is on, the other is off. So what you're aiming to do with time is to get out of that sympathetic amygdala mode
Starting point is 00:09:32 and back into that parasympathetic rest and digest mode where other parts of your brain are taking over again. That part of the brain that takes over is called the prefrontal cortex. Again, long scientific word. If you put your hand on your forehead, it's the area right behind your forehead and that prefrontal cortex is what adulting is all about. It governs memory, planning, organization, strategic thinking. It's ideally what entrepreneurs like, they want a really strong prefrontal cortex. When you're an entrepreneur or a worker in any capacity,
Starting point is 00:10:03 whether you work for a large corporation, whether you're at home and work from home. So there are so many reasons why you need that prefrontal cortex. And what happens with stress and burnout is that the amygdala hijacks the functions of the prefrontal cortex and drives the train. And what you want to do is you want to slowly through various things that you can do to reset your you want to slowly, through various things that you can do to reset your stress during the day,
Starting point is 00:10:27 you can get that prefrontal cortex back into the driver's seat. So you're making good decisions. So you're having that forward thinking and strategic thinking. One of the biggest things that happens when you are feeling stressed is that you often get in your own way
Starting point is 00:10:43 and you are so stuck in the here and now in that immediate sense of survival. It's not you, it's not your fault, there's nothing wrong with you, it's actually how your biology is built because like we said the amygdala is all about immediate needs, survival, self preservation. It cannot think about a future. It's all about what's happening in the here and now. And that's why we want to dial down the volume of the amygdala. Yeah, it makes a lot of sense.
Starting point is 00:11:10 So I know one of the big concepts in your book was about resilience. And you say that resilience is really dependent on stress. So I'd love to understand your definition of resilience and how stress plays a part. Yes, resilience and stress go hand in hand. When you think about what is resilience, the scientific definition is that it's your innate biological ability. So we all have it.
Starting point is 00:11:34 And it's that ability that you have to adapt, to recover and grow when life throws you a curve ball or you have a challenge. Now resilience doesn't function in a vacuum. You need a little bit of stress, that healthy positive stress for resilience to show itself. What happens though is that that word resilience, you and I hear it and others who are listening to this conversation may hear the word and have a visceral response because it's gotten a really bad rap over the past several years.
Starting point is 00:12:02 The word resilience is a positive connotation but it feels very negative when you hear it. And the reason it feels negative now is because that definition has changed and morphed. We've moved away from true resilience towards toxic resilience. And so what is true resilience? True resilience is like your innate biology. We all have that ability to be resilient. It honors boundaries. It honors your human limitations for rest and recovery.
Starting point is 00:12:32 And it really focuses on self-compassion and leaning into that. Versus toxic resilience. Toxic resilience is when you and I hear the word resilience. Immediately you cringe. That's toxic resilience. It's a mind over matter mindset. It's productivity at all costs. It's like all systems go all the time.
Starting point is 00:12:56 It's the Energizer Bunny here in the U S you know, just keep going in the UK. Keep calm and carry on. Every single society has some concept of toxic resilience because it's a manifestation of hustle culture. And so I hope that the entrepreneurs listening, what they take away from our conversation is that you can be resilient and you can still get burnt out. That's called the resilience myth that people think, oh, I can't be burned out. I'm so resilient.
Starting point is 00:13:19 Those two things, because what you're likely living through is this idea of toxic resilience. We have been taught from a really young age that resilience is about tolerating a lot of discomfort but that's not actually true resilience. I want to dismantle that idea of resilience as being toxic and rather lean into your true resilience which really honors your need for rest and recovery. Because then that is how your brain, you know, newsflash that your brain really needs rest and recovery to be productive and to really be functioning
Starting point is 00:13:53 at its optimal level. Well, I found out from reading your book that a lot of your passion for stress and burnout actually came from a personal experience where you were in a very toxic place in your life. You were in residency, you're working 80 hours a week, and you were so stressed that at one point you thought you had a heart condition. That's right. Yeah, talk to us about that time in your life. What were you going through and how did that bring about your passion to start figuring out how to recover from
Starting point is 00:14:23 stress and burnout? I was a medical resident. It's similar to entrepreneurship. You are just on and working 24-7. I worked 80 hours a week, like you said, and saw death and dying on an everyday basis. Things that no mere mortal should see, we in medical residency, you see it. And back then, 25 years ago when I was in training,
Starting point is 00:14:45 no one talked about words like self-care or self-love or boundaries. There was none of that. And so I was taught in my medical training early, early on. We're talking like the second year of medical school. I was taught that pressure makes diamonds. That was the mantra we were taught. And so anytime I was in a situation that was difficult or I had done a 30 hour shift and I was really tired. Anytime I said, Oh, I want to rest.
Starting point is 00:15:10 I would say, no, no pressure makes diamonds. And I was a diamond in the making. And then my diamond cracked and it cracked one fine day out of the blue. I was rounding. I was in the cardiac ICU. I was the senior resident. I had just finished a really brutal call where we had a lot of pressure. And it cracked one fine day out of the blue. I was rounding, I was in the cardiac ICU. I was the senior resident.
Starting point is 00:15:27 I had just finished a really brutal call where we had a lot of patients that we admitted to the hospital. And I was finishing up in the morning, just checking in on every patient before I headed home. And I suddenly felt like a stampede of wild horses across my chest. Never happened before.
Starting point is 00:15:42 It felt like, you know, knocked the wind out of me. I sat down immediately, profusely sweating. The nurse and I, she and I had worked together a lot. She gave me some orange juice and I drank it quickly. And then the feeling passed within seconds. And we both kind of laughed it off. And then I got up and I kept working. Oh my gosh.
Starting point is 00:15:59 Which just goes to show you how much you are indoctrinated with this idea of pressure makes diamonds. That feeling of the stampede of wild horses never happened again at work, but it happened almost every night as I was going to bed for weeks and weeks until I finally hit that point of thinking, okay, I need to go see someone, a doctor.
Starting point is 00:16:19 So I went to go see a doctor and they did the medical tests and checked my heart and echocardiogram, like a heart ultrasound, EKG, all of the blood tests, anemia, thyroid, electrolytes, all of that. And everything checked out fine. And so my doctor was lovely and she said, oh, everything's great. Big reassuring smile. It's probably just stress. Just try to relax. I know it's hard. I've been there. Medical residency. And just like, you know, ushered me out of her office. So what I got was relax more.
Starting point is 00:16:50 I'm like, okay, relax more. I went to movies, hung out with friends. I was single at the time now married and a mom. I went out. I was still working 80 hours a week. I didn't have a ton of time, but I did what I could. I had dinners with family and friends, retail therapy, went to a spa, took a vacation.
Starting point is 00:17:07 I did all of these things to try to relax more, but nothing really worked. And the only thing that worked was when I put my scientist hat on and I was like, okay, I need to figure this out. Stress, brain, body, like what is happening to me? Why am I feeling like this? And then once I read all of those studies, because I had access to all of the literature
Starting point is 00:17:27 and the science. So I started reading all of the science and the studies of what happens to your brain and your body when you're feeling stressed. Why am I feeling this way? Because my first reaction, to be honest, when she said, you're probably just stressed, my first reaction, I scoffed.
Starting point is 00:17:42 I was like, come on, stress doesn't happen to people like me, I'm resilient. Again, because I was living that resilience myth, right? So then I slowly over three months started following through the science, I started putting into practice all of the things I was learning. And then I found my way out of stress. And when I found my way out of stress, that's when I said to myself, I want to be the doctor that I needed during that time. So my response to a stressed patient wouldn't be, oh, just try to relax more. Very well-meaning, but not helpful at all. I want to dig into that a bit.
Starting point is 00:18:16 What was the problem with your doctor saying, hey, just relax? Again, not her fault. It is not a personal failing of physicians. I am a physician. It's simply that stress is seen in society as this magical, mythical creature with vague, no boundaries, and just, oh, try to relax, because no one really understands stress
Starting point is 00:18:43 and understands, oh, you can actually do things to help you change your brain and your body for less stress. You can work with your brain and your body. The medical system, our conventional medical system, doesn't address stress head on simply because doctors do not have the time to talk about stress with their patients.
Starting point is 00:19:03 One study that I did early in my medical research career, there was a study early on that showed 60 to 80% of all doctors visits have a stress related component. So people like me who go to their doctor saying, I think something's wrong with my heart. And then they do the full workup and say, no, no, it's just stress, right? So 60 to 80% of doctors doctors have some form of stress related
Starting point is 00:19:27 component to it. And yet only 3% of doctors actually counsel their patients for stress. And so when I did that research and discovered that huge gap, I wanted my work to close that gap. And so the reason that doctors don't necessarily counsel patients for stress, again, not a personal feeling, doctors would love to, but to be a good doctor in terms of primary care,
Starting point is 00:19:51 doctors have to work 27 hours a day to fulfill the basic requirements of their job. And no one has 27 hours a day to do their work, right? You have to sleep, you have to eat, you need to spend time with your family. And so there are impossible, impossible demands placed on doctors to do all of these things that are well outside the bounds of what a regular human can do. And then in addition to that, so that's why stress often just falls on the wayside.
Starting point is 00:20:18 Because if you're thinking about, you know, a patient's cholesterol and cancer screening and heart disease and which meds they need and what referrals they need. It's like I call it the doorknob question, you know, like when someone's hand is on the doorknob like anything else and it's like oh actually I am kind of stressed and then you say just try to relax. Again, no one's fault it's just the way the system is designed and then the other thing is just that stress as an entity isn't really well understood. I think one of the biggest ideas that I want to share is that stress can be quantified, just like blood pressure, and we should start treating it like that.
Starting point is 00:20:55 So that we can do certain things and then measure it. Your audience, entrepreneurs, are all about data and metrics and measuring things. And so there's a way that you can measure stress. There's a quiz that I have in the five resets in my book that you can measure stress and then try a couple of things and then every four weeks check your stress score again and see if it decreases because we should start thinking about stress like blood pressure in the same way that you do certain things to lower your blood pressure and then you keep monitoring. Let's hold that thought and take a quick break with our sponsors.
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Starting point is 00:24:24 Support the show by letting them know that you found them on Young and Profiting podcast. Again, you can go to indeed.com slash profiting for a $75 sponsored job credit. Need to hire? You need Indeed. It's so true because stress is also the root cause of so many other worse conditions
Starting point is 00:24:44 that the doctors are prioritizing, like Yuri's saying, but if we just address some of these root causes, we'd all be a lot better off. So I wanna understand from you some of the big aha moments that you had when you first started looking at your own stress and trying to reverse your own stress and burnout. What were some of the big things that you were like,
Starting point is 00:25:02 oh my gosh, this is such a big finding, I can't wait to share it with the world. I think the aha moment that crystallized my future, my forward path and career was just that, wait a second, I'm stressed. All of these things are happening to my body because of stress. And then, Oh my goodness, I can do certain things in my day to day to reset my stress. That was out of the bounds of anything I had even considered.
Starting point is 00:25:30 First, that I could get stressed because I was resilient. I was living the resilient Smith, which is resilient people don't get stressed. We're superheroes. But in fact, that is not true. We are all just simply mere mortals and your brain and your body need rest. And so if you're working 80 hours a week and not having any time to decompress, that medical resident journey is very similar to an early stage entrepreneur, even a middle career entrepreneur who's just working constantly thinking,
Starting point is 00:25:59 Oh, this is how it has to be. I'm resilient and I'm going to just keep going and going until you hit your breaking point. how it has to be. I'm resilient and I'm going to just keep going and going until you hit your breaking point. And so that was my aha moment that you could come out of stress by doing really simple things consistently. So five or 10 minutes every day, I would do a few things. So I started prioritizing a 10 o'clock bedtime. Studies show that the hour between 10 to 11 is considered the golden hour for sleep for lots of things, cardiac, mental health, wellbeing. And so I prioritized sleep and really focused on a 10 PM bedtime. I started setting a bedtime alarm. 930 was my bedtime
Starting point is 00:26:37 alarm. It went off and it told me like, okay, I need to wind down. Back then we didn't have smartphones. I'm kind of a dinosaur. We had flip phones. And so I have to shut down everything and say, okay, it's time for bed. That was one of the first things I did. And then once I started prioritizing my sleep, everything changed. And then I started learning breathing techniques.
Starting point is 00:26:58 So I talk about some of these breathing techniques in the Vive Resets, but understanding that your breath, that was a big aha moment for me. Understanding that your breath can be connected to your stress and that when you modulate your breath and do different sorts of exercises to help with your breathing, you can decrease stress. And the reason for that is that your breath is the only biological process in the body
Starting point is 00:27:20 that is under voluntary control. So you and I can do a breathing exercise and we can do it together and breathe in for a certain count and breathe out for a certain count. And then when we stop focusing on our breathing, it just happens naturally involuntary. So it's the only process in our body that's under voluntary, involuntary control,
Starting point is 00:27:38 different from your brain waves or your digestion or any other bodily process. And that is why your breath can often be that light switch between on and off, between the sympathetic system, fight or flight, and getting you back into rest and digest. Because when you're in that sympathetic mode, when you're anxious, your breath is short, shallow, and you're doing this thoracic breathing. So you're doing, you know, it's up here in your chest.
Starting point is 00:28:04 And when you are feeling rested and relaxed and not stressed, your breathing is coming from your belly, deep belly breathing. It's slow, deep and relaxed. And so that was a big aha moment because I started focusing on my breath throughout the day. What was interesting for me, for my personal journey, is that I didn't jet off for six months to Bali and do this amazing holiday, even though I would have loved to.
Starting point is 00:28:27 To this day, I'm like, sign me up for that plan. I continued working 80 hours a week, continued my residency and just kept going, but brought in a lot of these things. And over time it still worked because I was able to reset my biology in the brain and the body. Just like your entrepreneurial audience, it's not like you have to abandon all these plans that you have.
Starting point is 00:28:53 It's just about paying a little bit closer attention, changing some routines you may have. And so that was another big aha moment. And then I've continued to have a lot of aha moments. I think another really big aha moment was, as a doctor, I would see patients. So I would understand one-on-one what was happening with patients. And even in my crowded waiting room, I would notice that there's this stress paradox, which is this idea that people are all suffering with stress.
Starting point is 00:29:24 70 to 74% of people in the UK, one study showed 90% of people. So you can kind of say that everyone, you and I together today, are struggling with stress and burnout in some capacity. Of course we are. We're just regular people living in this world and at this time in life.
Starting point is 00:29:42 But when I would notice that in my waiting room, no one was talking to each other. We're all facing stress and burnout, but the paradox is that it's a universal thing that's happening and yet we are completely isolated in the experience, which is wild. And another aha moment was on a much bigger scale when I started giving talks.
Starting point is 00:30:02 So when I started speaking to audiences of a thousand, 10,000, 20,000,, fifty thousand, then I noticed, oh my god, this stress paradox and the stress and burnout that people are feeling that I would see one on one in the waiting room when you see patients, it was happening on this huge scale. Really, I kind of understood, wow, this is a universal problem that people are facing across ages and genders and types of jobs people have and where they live. Stress is the great equalizer. So good.
Starting point is 00:30:35 And I wanna take a moment and just move away from the signs for a second and talk about your career because the best business ideas come about when you're solving your own problems. And you talked about how you wanted to be the doctor that you didn't have when you were a resident, right? So talk to us about how finding this passion of wanting to help people with their stress
Starting point is 00:30:54 has actually changed the trajectory of your career. That's a great question. I never really thought about this as a career path. I know that early, early on, I never really thought about this as a career path. I know that early, early on, people would read my long emails and say, you're a great writer. And I thought, okay, cool. What am I gonna do with that?
Starting point is 00:31:14 I'm a doctor. And what was interesting is that my journey now, so I was a regular doctor. I never wanted to go into stress and burnout. I just was a internal medicine resident, taking care of patients in the hospital, diabetes, strokes, heart disease, that sort of stuff. And my personal experience changed the trajectory of my life.
Starting point is 00:31:34 So I started then focusing, you know, when I finished, when I got out of that stress struggle myself, and I wanted to become the doctor I needed. So I went to a fellowship, it was in Boston at Harvard, focused specifically on stress and burnout and how to bring those in, the mind-body connection, how to bring those into regular conventional medical care
Starting point is 00:31:53 based on the research I did. And then I think what's happened to me is it's been very organic, and then I started doing more talks and speaking. I think when doctors often, and you might notice this with any entrepreneurial group, what often happens is you are in your own silo. Like it's an echo chamber and you're in your own place. During the pandemic is when it really hit me because I would share things with my friends
Starting point is 00:32:18 and most of my friends are not doctors and I'd say you know because with stress, ba ba ba ba ba. And I'd say you know because everyone knows that and ba ba ba ba. And I'd say you know because everyone knows that. And they would say what? What did you just say? No one knows that. You need to write about that. I thought come on of course everyone knows that. So I had to like almost give myself permission to say oh really? Not everyone knows that study because you forget. You know you've been doing this for decades. You're like, Oh, everyone knows this stuff that I know. And then I started writing more about it. And then, believe it or not, I never really wanted to write a book. My patients used to ask me when I would counsel them and write out my things for them,
Starting point is 00:32:55 they would say, Dr. Nurengar, you really need to write a book about this stuff. Really? You don't really realize what you're sitting on in terms of your own information or guidance. And then it's almost like my audiences asked for it. So when I would give talks, then everyone was like, have you ever thought about a book? Now the book is available in 15 languages in 35 countries and it's a best seller and people are reading it.
Starting point is 00:33:20 And of course there's that connection to the material and the book because stress is this great equalizer and we're all facing stress. So my own journey really was just very naturally unfolded. It was very organic. It's funny because a lot of people reach out to me to ask me, how did you become a Harvard doctor? How are you doing your TV stuff now? How did you write a book? And it wasn't like I had this grand plan at all. And I just continue to evolve based on what the need is. To me, in fact, Ala, it feels very similar. When I'm speaking to a patient, I don't see patients currently. When I'm speaking to a patient and that aha moment
Starting point is 00:34:05 that the patient has, that light bulb moment of, oh my God, I feel so good. I understand what you're explaining now. That is why I do what I do for that sense of mental health to be accessible to everyone. That's why everything in the five resets is free. Nothing costs money. Cause I've had patients who've had lots of, you know,
Starting point is 00:34:23 varying resources. And so that light bulb moment is what I live for. And it's kind of the same thing when you're talking to a large audience, when you're explaining the science in a way that's simple, that someone can say, oh my God, I'm going to try that today. Yes. And it just so happens that it's not in a waiting room. It's a group of thousands of people. And so when I do my TV work, same thing, same concept.
Starting point is 00:34:44 To me, it doesn't feel all that different, though I think to others, it feels like vastly different. I love your story. I feel like it's very inspiring because I know a lot of people who are in jobs where they're a doctor and a lawyer and they want to be entrepreneurs, but they feel like they're stuck
Starting point is 00:35:01 because they went to school for so long. But entrepreneurship really allows you to use all your skills, all your passions, allow you to become your full self. Cause here you are doing things that you're good at, being a doctor, curing stress, speaking, writing. And now you get to do all those things that are uniquely your skills and put it out to the world.
Starting point is 00:35:22 And I'm sure, do you feel like you are living a much more fulfilled life because you've taken the leap to become an entrepreneur and not just hold yourself to just being a doctor? Yeah, what a great question. I really do feel like there are so, so many doctors or lawyers. It's a career track because you go to school
Starting point is 00:35:42 for so, so long. And it's this idea of, okay, I'm stuck. I'm often the informal career counselor for so many of my doctor friends and colleagues because so many people are feeling stuck and feeling like there's no way out. I would actually say to people that resonates, and you might be at a job for like 20 years in a company
Starting point is 00:36:04 and you're trying to make partner or whatever it may be and you're like, oh, I just feel so stuck. It's not really a departure. So when I made this pivot, it wasn't a real departure for me because I was still using all of those skills. So nothing is really ever wasted. So the connection, you know, the skills of building rapport and the therapeutic connection that I made with patients, I just translated that into the written word. So then I wrote about that. I connected with my reader or when I do my TV segments, I connect with the audience because it's a skill that is so transferable. And especially if you are in a profession like medicine or law,
Starting point is 00:36:46 or if you've done something that you've studied for many, many years, chances are every skill that you have learned, you can use it in another way. And so yes, to answer your question, I feel deeply fulfilled now in a way that I didn't before. I think for me, my early, early years, when I was 18 years old and I was at Barnard, which is the women's school of Columbia for college, I really wanted to be a journalist. I was so hardcore wanting to be a journalist. And my parents were immigrants and Indian doctors. And they were like, oh, you're going to be a doctor too. You're going to follow the lineage of the family. Because my grandparents were doctors, my uncles and
Starting point is 00:37:23 aunts were doctors. And at the time I was like, okay, they know best, I'll be a doctor. And I ended up falling in love with the human body and the workings of the body. But really I went into medicine because I loved the human story. And I love that connection with people,
Starting point is 00:37:39 which is what I wanted to do with journalism anyway. And then I found my way to journalism, right? I found my way to health communication. So if you are feeling stuck, I get that it is real, but it's more of a message to you and a signal rather than a life. It's not like you have to say, okay, it's my life sentence to feel stuck. You can get out of it, but it really just takes small glimmers. You don't have to just shift your whole life. You can make small changes to a little bit every day. The other couple things that I'm hearing you say
Starting point is 00:38:11 while somebody feels stuck is, what are all the things that people are telling you you're good at? Like your patients were saying, you're such a good writer and you started doing some speeches and you were getting really good feedback. Those are clues of like what you should start dabbling in,
Starting point is 00:38:26 or even thinking back to what you used to enjoy when you were a kid or be good at when you were a kid, right? So a lot of people don't even know where to start. Those are the places to start. What does everybody complimenting you on? That's not even your day job. Yeah, it's one of my first resets. In fact, in the book, I write about this one patient in particular, but it's uncover your buried treasure and uncover your childhood treasure. So Carl Jung, who is a philosopher, talked about this idea of what do you do that
Starting point is 00:38:54 makes the hours pass like minutes? And what did you do as a child that made the hours pass like minutes? For me, communicating, so whether it would be like talking to a patient and explaining something, educating, that was always something that felt really easy. To counsel someone, to educate someone, to show them the information and explain it in a way that simplifies complex scientific information. And so there are so many skills like that, write it all down, because I think for me,
Starting point is 00:39:23 in hindsight, I'm like, huh, maybe if I had written down all of those things, like you say, it's a great idea to gather all of those things that people are saying and just write it down. Like good writer, good communicator. And then you're like, okay, what do I do with this? Yeah, love it. Okay, so this is a great transition. I wanna spend the rest of the interview
Starting point is 00:39:41 talking about your new book. It's called The Five Resets, Rewire Your Brain and Body for Less Stress and More Resilience. So can you first talk through us at a high level your five resets? What are they? The five resets, it's a roadmap and it helps you get you out of that here and now and amygdala, high stress and into a better mental state. So we can go through each of those resets. There are five of them and in those five resets are about 15 science back strategies. Everything is based on the science.
Starting point is 00:40:15 So the first reset is get clear on what matters most. Again, it helps you get out of that immediate survival mode and towards a thriving mode. And of course I talk about the amygdala prefrontal cortex in it but really it's that idea of switching your brain and resetting it away from the amygdala to the prefrontal cortex. The second is find quiet in a noisy world. We talk a lot in that chapter and that reset about figuring out a way to protect your mental
Starting point is 00:40:46 health while still remaining an informed citizen and a productive member of society. But how, how can you carve some quiet in this hyper connected world, particularly if you're an entrepreneur? The third reset is to sync your brain to your body. It's about the mind body connection. We spoke a little bit about that, about the breath and how the breath can help get you centered in the here and now. But there are several other strategies. The next is about bringing your best self forward.
Starting point is 00:41:16 And so how can you bring your best self forward? What are some of the things that you can do to help bring your best self forward? Come Up for Air is another one that really focuses on creating pause and breath throughout the day simply because we are moving at a frenetic pace right now. All of us are in every industry. And again, based on what we talked about earlier, Hala, it's a myth to think that you are going to be able to continue on and on.
Starting point is 00:41:47 An example that I give in the book with a patient is an entrepreneur because I've had many patients who have been entrepreneurs. One question I often ask my entrepreneurial patients is, what is your end game? People are going on all cylinders and they're not really thinking about the end game or they are kind of thinking about the end game or they are kind of thinking about the end game but not about how what they are doing now is going to serve the end game. And so if your end game is longevity or just physiologically if you just want to live to
Starting point is 00:42:17 a ripe old age of like 90 or 100 or your company if you want to have longevity with your career or in your company or if you want to sell it and then start another company. Whatever it is that you want to do, thinking about the end game and beginning with the end in mind is important. Particularly when it comes to your mental and physical health and stress and burnout. Because if you want that end game and if you want that longevity, there are certain things that you're doing now that are not actually serving that endgame. So the fourth reset is come up for air and then the fifth reset is to bring your best self forward. So all five resets are a roadmap to get you to that endpoint.
Starting point is 00:42:58 It doesn't necessarily mean that you have to follow each reset in that order. You can read the book and decide which one really speaks to you at this moment. But I would say start with the first reset because it's really important to have a roadmap. You know, when you know where you are headed and you have a map to get there, it just makes it easier for you to get out of your own way, which is a lot of what stress is. So let's stick on the first reset. It's called Get Clear on What Matters Most and you say that you need to know your endgame.
Starting point is 00:43:27 I love this and remember I was telling you about this BetterHelp webinar? I actually realized that when I was thinking about what stresses people out and I was like, I think a big stressor is that people don't know what they want. And so I'd had everybody do this activity to think about their future you. Imagine yourself in five years and then think about the things that you need to do now to get you to that place. And then how are you going to schedule that in your life and make sure that it actually happens? I read your chapter and I was like, wow, this reminds me a lot about the exercise and the thought process that I was trying to get people to do. So talk to us about the end game. Why is it important to know what you actually want
Starting point is 00:44:06 to be less stressed? I love that framing of the question. And when it comes to my question of what matters most to you, we often have these things, like the work that you're doing, thinking, okay, from the businessman point, where do you wanna be in five years?
Starting point is 00:44:23 Or where do you wanna be in 10 years? The five-year plan, the 10-year plan, we all have that. But what I would suggest is before even getting to that five or 10-year plan, because you're feeling so stressed and you can't even think because of your amygdala, you can't even think about next week or next month, let alone five years from now, right?
Starting point is 00:44:40 Because when you're feeling that sense of stress and burnout, your amygdala is on high alert, it's all about immediate needs and survival. So think about where you want to be in three months or two months. And instead of thinking to yourself, what's the matter with me? Like, why do I feel like this? What's the matter with me? Think about what matters most to you and create a most goal. So MOST is an acronym. M-O-S-T.
Starting point is 00:45:04 M is what's a goal that you can achieve in three months that's motivating. O is an objective. S is small and T is timely and something that you can actually achieve. And I have had patients, I give lots of examples in the book, the five resets, but there are so many examples of MOST goals. Some patients have said, I wanna have enough energy to start to organize a church social.
Starting point is 00:45:31 Another one said, I wanna sleep better so that I can finally have the wherewithal to get a new job because I'm not sleeping well, I feel depleted and I then can't look for a new job. Others have said, I wanna write a children's book once I finish getting out of my cancer therapy. The range of those answers of what matters most to you is huge and vast.
Starting point is 00:45:52 This is not an existential question. It's not like, what's the meaning of life and what's your purpose in life? Cause that feels so, so big. It's simply, what do you want to achieve in the next three months when it comes to your mental health and stress and burnout? Do you want more energy? Do you want to feel less fatigued? Do you want to focus better?
Starting point is 00:46:08 Better concentration? Do you want to be more productive? Do you want to feel a greater sense of well-being or joy or less burnout? Burnout, that word we use and we throw around, but actually there's like a million flavors of burnout. So some people feel hypervigilance with burnout, others feel very lethargic. So name something that you feel is getting in the way of your day-to-day life and focus on that. And then understand that it takes eight weeks to create a new habit for your brain and that your brain falling off the wagon and getting back up and falling off and getting back up is part of the habit formation process. That's how your neural wiring, your brain connections and circuits form. And give yourself eight weeks to start and then take the stress score. You give yourself a stress score, take the quiz every four weeks and over time you'll
Starting point is 00:46:59 start decreasing your stress. But when you have that most goal, then you know what you're working towards rather than this vague ambiguous thing of, I want to feel better, I want to have less stress, I want to be less burned out. But what does that actually mean in your everyday life? How does it show up for you in your everyday life? So another activity, since we're talking about exercises, and you brought it up earlier, it's find your buried treasure. And I just love this because I feel like, especially as entrepreneurs, a lot of us. Self-identify with our work. We are our work. Like I was saying before, and we've got to be more than just our work or else
Starting point is 00:47:34 we're just not going to be balanced. So talk to us about this exercise and how we do it, why it matters. I love this exercise and the genesis of this exercise actually came from several of my patients but also one of my colleagues, my doctor colleague. I remember once it was like a Tuesday afternoon, we were swamped with patients and we were finishing up our charts and he says to me, oh my god, it's only Tuesday, I can't wait for Saturday, can't wait to play the guitar on Saturday. And I said, oh, you are having a concert Tuesday, I can't wait for Saturday. Can't wait to play the guitar on Saturday.
Starting point is 00:48:07 And I said, Oh, you are having a concert? Are you going to be performing with your band? And he said, no, I just can't wait. That's I usually play my guitar on Saturdays. And I said, Oh, but what do you mean? Like I was so confused because he was clearly stressed and burned out finishing his charts. I said, Oh, do you have to go get the guitar from someplace? Like asking all of these follow up questions. Why Saturday? What's the deal with Saturday
Starting point is 00:48:29 and playing your guitar? It was Tuesday. And he was like, really spent. And he said, no, like that's just my day to play guitar. And I was like, Oh, do you rent a studio? Like many follow up questions. And he's like, no, it just, what do you mean? Like he looked at me like Saturday is my guitar day. Well, why don't you just play tonight when you get home? And he looked at me like I was nuts. And I was like, why are you waiting for the weekend to do something that you love?
Starting point is 00:48:53 I mean, just play for five minutes when you get home today. And he was like, wow, I never thought about that. And so he did. He played the guitar that day and felt immeasurably better the next day. And he came in on Wednesday morning and he was like, Aditi, that was amazing. I can't believe you suggested this. I played my guitar for five minutes.
Starting point is 00:49:12 It totally felt so great. It made me feel like I was playing for an hour. And it was so interesting because I thought, wow, he's been withholding a sense of joy and pleasure that he could get every single day. Again, not a lot of time. Five minutes. He's been playing the guitar since he was very young. Loves it. Feels such a sense of purpose and meaning and joy from guitar playing. Just a couple of songs. But he saves it for Saturday so that he can work all week and not have that joy. It was baffling to me. And I've had so
Starting point is 00:49:43 many similar stories with patients where they're like, oh, I love, I don't know, whatever it is, yoga, or I love painting. Oh, but I can only do that on Sunday. But what do you mean? Why can't you just have a little thing that you just doodle or just paint when you come home from work for like five minutes
Starting point is 00:50:01 or when your kids are asleep? I don't understand. And then it was that idea of like, oh, wait a second, hang on. Again, it's the resilience myth. It's this idea that we have to tolerate lots of discomfort rather than leaning into our joy. And so again, doctors are all about pattern recognition.
Starting point is 00:50:19 That's how we diagnose things. So for me, recognizing patterns in stress and burnout, it's the same as recognizing pancreatitis or heart disease or whatever it may be, because I've been doing this for so long. So I was like, oh, this is a pattern. I see what's happening here. It's the resilience myth.
Starting point is 00:50:33 You're rearing its ugly head. And so find your brave treasure, simply that. That's the genesis of it. But it's simply think about one or two activities that you did as a child that brought you lots of joy, like Carl Jung says, that made the hours pass like minutes and figure out how to bring them into your day.
Starting point is 00:50:50 So I give an example in the five resets of one of my patients with end-stage cancer who loved making clay figurines. And so she would hang out outside on her stoop growing up with her sister and they would make little clay figurines. So when I saw her in a consult, I was like, can you go to the art store and pick up some clay figurines? So of course, you know, same reaction. What do you mean? Why? Why would I do that? She's a high-powered lawyer. And again, it's
Starting point is 00:51:19 this idea of doing something simply for Joy's sake. Not to get ahead, not for an award, not because someone's gonna to see it, but simply because it brings you joy. For me, it's art. For me, it's also yoga or being in nature. I mean, there's so many, you know, it has to be easy and accessible. It doesn't have to be this huge thing, just something small that you can do every single day at the end of the day or at the start of the day or during your lunch break or whatever it may be. So it's a way to find your buried treasure and then it
Starting point is 00:51:48 connects you to that part of yourself. So what happens scientifically, not to get all scientific, but it gets into the state of flow. And when you do something like that, like whether it be guitar playing or painting or anything that you enjoy writing. The reason that that expression of making something that you're spending hours on past like minutes, it's because it gets you into a state of flow. And the state of flow for your brain is very therapeutic and healing. It signals a cascade of lots of neurotransmitters
Starting point is 00:52:18 and hormones and other things in your brain to help decrease stress and burnout. So that's the scientific reason for it. But science is sometimes boring and people don't want to hear the science. And instead it's like, find your buried treasure, find something that you love doing as a child that you can do just for five minutes again.
Starting point is 00:52:34 Well, you just inspired me to make sure I start singing every single day. Every day, Halle. I sing my whole life and sometimes I'll just burst down to song, but I feel like I'll make a point that I need to just start singing every day. Yeah, schedule it in. During lunch hour or you have a break. We all have natural breaks in our day. So whether you are a working parent,
Starting point is 00:52:54 you might not have kids and you might be caregiving in some capacity. I understand that we all have our work. We have our caregiving responsibilities. Life is very, very full and busy, but there are natural moments in the day when you can sing. Sing in your car. If you drive to a place, actively schedule it in to sing. That's the other tip is that when you're trying to find your buried treasure,
Starting point is 00:53:17 it's not like suddenly an hour of time is gonna free up for you in the day, and then you're gonna suddenly during that time say, Oh, I should play my guitar. I should sing. Of course not. That's not how life works. You have to schedule it in. So schedule it in every single day. The reason you want to do something new every day, and like that's why I said to my colleague about the guitar playing or to my patient with clay building for you with singing, it's because when you are learning something new,
Starting point is 00:53:43 it's easier to do it every day rather than once in a while because you avoid decision fatigue. That's how your brain works. So if you're like, oh, I'm going to start a fitness regimen or I'm gonna sing, I'm gonna sing Tuesdays and Thursdays at this time. Chances are something's gonna come up on Tuesday and you're not gonna do it.
Starting point is 00:53:59 And then Thursday, same thing. And so instead, if you just say to yourself, low-hanging fruit, I have to practice my singing for five solid minutes. Dr. Nurkart told me, it's like doctor's orders, for five minutes every day, then you will, then you'll fit it in. And then that's how you create a habit,
Starting point is 00:54:15 by doing a little bit every day. We'll be right back after a quick break from our sponsors. You've got a second reset called quiet in a noisy world. Now, we are full of distractions. Tech, social media, everything is distracting us. Life is noisy in 2024. How are we going to quiet down the noise? The key with this reset is digital boundaries. And particularly when you are an entrepreneur, when you're hyper connected, of course you
Starting point is 00:54:50 want to be an informed citizen of what's happening in the world. You want to look at trends and market reports and all of the things that are happening in your industry, but not at the expense of your mental health. And so often what happens is you are always on the go, you are so stressed with your work and in addition during your downtime, you are scrolling headlines and news and social media to see what's going on. These are not benign things.
Starting point is 00:55:10 They have a direct impact on your stress response and your amygdala and how your brain functions. And it worsens your stress. So instead, digital boundaries. What can you do? At night, when you're going to bed, keep your phone off your nightstand. I know it's radical, but it works.
Starting point is 00:55:26 Keep it away so first thing in the morning when you wake up, you are not checking your phone, because that has an influence on your brain cascade and all of the hormones and neurotransmitters. Keep it in another part of the bedroom. I'm not saying, again, this is not about becoming a digital monk. It is simply about decreasing your reliance on your devices. In fact, studies show that it's not abstinence that works for mental health and well-being when it comes to technology, but rather decreasing your reliance.
Starting point is 00:55:53 So that's the first boundary. The digital boundary is geographic. Keep your phone off your nightstand. And when you're working during the day, to decrease that sense, I call it the primal urge to scroll because it's your amygdala. When you're scrolling, what you're doing is the same thing that cave dwellers did when you would have that night watchman scanning
Starting point is 00:56:11 for danger while the tribes slept. Now we are all our own night watchman. So when we feel that sense of stress and hypervigilance and feeling unsafe, which is what the amygdala's job is, you scroll, you scroll your headlines, you scroll the news, you scroll because it's like, am I safe? Is everything okay? You scan for danger.
Starting point is 00:56:25 And so how do you quiet that amygdala and how do you decrease? It's your primal urge to scroll. It's a form of self-preservation. You keep your phone out of arm's reach if you work in a cubicle in a drawer, so you're not looking at it, so that you get that prefrontal cortex and take over again so you're more intentional. So that's another boundary. And then another digital boundary that you could do isfrontal cortex to take over again. So you're more intentional. So that's another boundary. And then another digital boundary that you could do is try grayscale.
Starting point is 00:56:49 I use the grayscale all the time. In fact, I can show you right now. I have it automatically on my phone. What it does is it switches my phone to black and white. And there's a way that you can program that. Your audience is very tech savvy, of course. Greyscale is essentially moving your phone away from color to black and white.
Starting point is 00:57:11 And since our phone is our primary news consumption device and it's especially helpful at night when you are sitting on your couch after a long day's work and you wanna go to bed early because we talked about 10 o'clock bedtime, but who actually goes to bed at 10? You're usually going to bed at midnight or later. Why?
Starting point is 00:57:26 Because you scroll and then you finish your two hours of mindless scrolling and you're like, what was that? What was the point of that anyway? Because it's not actually helping your brain. It's not reducing your stress or burnout. And so instead what you could do is set grayscale. And what you do with grayscale, there's a couple of different steps to get into grayscale. It decreases your screen time because it makes scrolling less interesting and less enticing for your brain.
Starting point is 00:57:51 And so you're like, oh, I don't really want to scroll here. It's kind of boring and I'm just going to go to bed instead. And so that's another way to create some quiet. I work in journalism, so this is not about censorship. You want to be an informed citizen. These are troubling times in the world. You want to know what's going on, but not at the expense of your mental health
Starting point is 00:58:10 because you want to make sure that your cup is full, that you are rested, that your brain and body are rested so that you can continue to serve in the way that you're serving through your work. Yeah, I've had an especially hard time this year because I'm Palestinian, 100%. For me, social media is extremely triggering right now. My whole feed is just gruesome and dismembered bodies and little kids dying every day, every
Starting point is 00:58:37 day for nine months. One of the things that I would say about that, Hala, it's that studies have found that it increases your risk of PTSD. So it's not just that something happening thousands of miles away, it's not about like secondary PTSD, but in fact consuming just like you're describing, Hala, graphic videos and content and images has a direct influence on your amygdala and your brain so it can influence, just consuming these graphic videos and images can increase your risk, your personal risk of PTSD now, first hand PTSD and studies have also shown that it can worsen your risk of health conditions later, years later.
Starting point is 00:59:22 So all the more reason to of course course, you want to be an informed citizen during these difficult times, but you also want to protect your mental health. Yeah, I'm just trying to balance with all that. It's hard because I need to know what's going on and report what's going on kind of. And man, I just hope this nasty, nasty, uh, I don't want to call it a war, but whatever it is ends. And then you have, you know, the election is coming up. People are feeling a sense of hyper vigilance with that. The past few years, the past four or five years, the reason we are all feeling this
Starting point is 00:59:57 way is because there is no respite. We finished the pandemic, and then we've had a racial reckoning. Then we had several climate disasters. Then we've had humanitarian crises. Now there's an election coming up. So this news cycle and things happening in the world because we are so hyper connected to everything at all times there is no respite. It's just one onslaught after the other. And so what's often happening, I describe it in the five resets, I talk about how your brain is like a other. And so what's often happening, I describe it in the five resets. I talk about how your brain is like a dam.
Starting point is 01:00:27 And so right now, many people are feeling worse than they ever were. And it's years after the pandemic, because we were promised after the pandemic, everything is going to be normal. Everything's going to be great. But that's not how the brain works. Every headline showed that. And I would actually look at those headlines and either roll my eyes or laugh because I was like that is so not how the brain works. Your brain is built like a dam and so what happens is when you are going through an acute crisis you shore up your
Starting point is 01:00:54 internal reserves. Once that crisis passes is when the dam breaks you feel psychologically safe, your defenses come down and the dam breaks. I've seen this over and over with my patients with cancer, for example. They get the diagnosis of cancer, they're seeing their oncologist, radiation therapist, they're getting chemotherapy, etc. They're seeing me in my office, they do not shed a tear. They finally finish their treatments, get a clean bill of health, and their oncologist says, great, congratulations, you're cancer free. Come back in six months for your checkup. They're in my office the next day weeping and they're confused because they're thinking,
Starting point is 01:01:32 wait a second, I should be celebrating. How come I'm crying? I didn't shed a tear during the treatment. It is because when you feel psychologically safe and that acute crisis is over, is when the dam breaks and your true emotions emerge. Similarly, what many of us are feeling now, if you ask people, like, how are you feeling with your mental health?
Starting point is 01:01:51 People are actually feeling worse now than they did back in 2020 or 2021 when we were in lockdown during the pandemic. Of course there was struggle and people were struggling then too. But the reason is because a lot of those pent-up emotions are coming up to the surface now coupled with all of the things that are happening in the world. So if you are feeling a sense of stress and burnout, it's a very human reaction to what's happening first biologically with the dam breaking and also what's happening all around us and
Starting point is 01:02:24 what's coming up for those of us who live in the US with the election and what that could mean. So eye opening, everything that you're saying, the fact that your mind is a dam and you don't even realize the stress you're in in the moment, and it really just happens and hits you later. So thank you for helping me through that. We talked a bit about the mind and the body. The last question I want to ask you on is really about productivity because we're all working really hard as entrepreneurs. And I really loved a phrase that you had in
Starting point is 01:02:53 the book called monotasking. I'm actually going to steal this from you because I love it so much. And I know multitasking is the worst thing we can do. Multitasking is a myth. You make errors when you multitask. You really can't multitask effectively. So talk to us about monotasking and how's it related to stress? Multitasking is a myth. It's a scientific misnomer.
Starting point is 01:03:15 There's actually no such thing. When you multitask, you are doing two things at once. It's called task switching. You're not in fact doing two things at once. You're called task switching. You're not in fact doing two things at once. You're doing one thing and then the other thing in rapid succession back to back. And your brain is really wired to do one thing at a time. So what happens with multitasking or task switching?
Starting point is 01:03:38 Multitasking or task switching weakens your prefrontal cortex. Remember that part of the brain that we talked about at the start of our conversation, which is about strategic thinking and planning and memory and organization and all these important things. Multitasking or task switching, it decreases your productivity ironically,
Starting point is 01:03:54 decreases your cognition, your memory, your attention, all of these things that you would think multitasking is not doing. So the antidote to multitasking is actually monotasking, doing one thing at a time. And the way you monotask, I lay it out in the five resets because that's a very common question I get. It's like, how can I do one thing at a time?
Starting point is 01:04:14 I live in a world where 10 things are expected of me all at once. So you can focus on time blocking as a technique. And that is simply, let's say you have four tasks to complete in an hour, spend 10 minutes on task one, take a two minute break, spend 10 minutes on task two, take a two minute break, and on and on. So as you move through you're not doing all four tasks at the same time. Again, biologically impossible. You can't actually do that. That's not what your brain is doing anyway. And when you do monotasking or time blocking, it preserves your mental health,
Starting point is 01:04:45 it preserves your prefrontal cortex, and increases your productivity, believe it or not. And tell us about the fake commute, because I feel like so many entrepreneurs work from home, especially. I definitely wanted you to share this one. Fake commute is what I do, really suggest it. So when you think back to your days of being quarantined or even when you're working from
Starting point is 01:05:08 home, your brain needs compartmentalization. So think back pre-pandemic when very few people were working from home. You would go to your office and then you would come home and the commute serves two roles. So first just getting you from point A to point B, but it also serves a psychological role. It gets you out of home mode into work mode. So now that 80 plus percent of people, they prefer hybrid work. That's the new model. The future of work is hybrid and that's a wonderful thing. It helps with stress and burnout. It increases your autonomy and productivity and lots of things, but you are losing your commute, your everyday commute.
Starting point is 01:05:46 So how can you keep that brain compartmentalization with the commute, but also have all of the benefits of hybrid work? You can fake your commute. So on the days that you're working from home for five or 10 minutes, set up your workstation, head outside, take a walk, check your schedule, go through what you need to accomplish for the day, let your brain transition out of home mode to work mode at the end of the day, repeat the process.
Starting point is 01:06:09 It's a way to preserve that sense of brain compartmentalization because we are all different, right? Our home mode is so different from our work mode. Especially when you're working from home, it's really important to create some boundaries and even with your brain to create some compartmentalization. So the fake commute is just a way to do that,
Starting point is 01:06:27 but still have all of the benefits of working from home. But you just need, your brain just needs a time, like a buffer time to transition. Well, Aditi, this is such an awesome conversation. Thank you so much for all your time. I learned so much. Where can our listeners learn more about you and everything that you do?
Starting point is 01:06:44 You can follow me on social at dradidinarukara.com. You can also check out my website, 5resets.com. Thank you so much for your time. Thanks Hala. Such a pleasure to join you. Stress, like the good doctor said, is truly the great equalizer. And so my friends, if you're feeling stressed or burned out, you are far from alone.
Starting point is 01:07:19 Remember, in a room of 30 people, 21 are likely to feel stressed and burnt out. But there's a way out. And that does not include having zero stress at all. Stress and resilience go hand in hand. And the right amount of healthy stress will help energize you to face and adapt to the changes you confront. That's true resilience.
Starting point is 01:07:42 Not the toxic kind that tells you you have to be productive at all costs. Not a single one of us is the Energizer Bunny, and everybody needs and deserves rest and recovery. So how can we help reset our bodies and minds during times of stress? Well, Dr. DT said, first get clear on what really matters matters to you and take small but repeatable steps to get there. Remember, it takes eight weeks to create a new habit for your brain. Second, find your buried treasure. Pick up that guitar or paintbrush for five minutes and connect with yourself. I know I'm going to try to sing every day, even if it's just in the shower. Next, lean into some monotasking. Switching between tasks decreases your productivity, your cognition, and so much more.
Starting point is 01:08:34 Now, I have to say, this concept of monotasking as opposed to multitasking has been sort of life-changing for me. It's really helped me level up my productivity and focus and concentration. I use something called the Pomodoro technique where basically it's 25 minutes or 45 minutes of uninterrupted time. I time myself using my Apple phone. I say Siri, put 25 minutes on the clock
Starting point is 01:09:03 and then I time myself to do a task. And in the past, I've been pretty good at focusing, but adding this layer of saying, Hala, you're doing this mono task for 25 minutes, which means no tasks switching until that timer goes up. And in your two to five minute break, after you're done with your task and you've done what you said you were gonna do then you can go
Starting point is 01:09:29 look at your social media apps then you can go check your dating apps or your stats your reviews or whatever the heck. Mono task do not task switch do not multitask. Finally if you work from home all or part of the time, try faking your commute. Head outside, take a walk, just 10-15 minutes to let your brain transition out of home mode and into work mode or vice versa. I really hope that I could take that advice. I would love to take a walk in the morning because I'm always sitting at my desk and I've tried to do that in the past, but I haven't gotten into a routine.
Starting point is 01:10:06 So let's try it together, young and profitors. Do you know somebody else who's been stressed or burnt out and could use a little guidance? Well then why not share the love and the knowledge with them by sending them a link to this podcast. And if you did enjoy this episode of Young and Profiting Podcast and you learned something, then please drop us a 5-star review on Apple Podcasts. Nothing helps us reach more people than a good review from you. And if you prefer to watch your podcast as videos, you can find all of our videos on YouTube. Just look up Young and Profiting and you'll find our episodes there.
Starting point is 01:10:39 If you're looking to get in touch with me, you can find me on Instagram or LinkedIn by searching my name. It's Halataha. Finally, I want to give a big shout out to my incredible YAP Production team. You guys are amazing. Thank you for all that you do. This is your host, Halataha, AKA The Podcast Princess, signing off. Thanks for watching!

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