
The Mel Robbins Podcast
Dr. Gabor Maté: The Shocking Link Between ADHD, Addiction, Autoimmune Diseases, & Trauma
Thu, 21 Nov 2024
Today, Mel’s dream guest joins her in the Boston studios: Dr. Gabor Maté, MD.Dr. Maté is a world-renowned trauma expert, and shares things today unlike he has ever shared before.This wide-ranging conversation covers ADHD, autoimmune diseases, anxiety, addiction, people pleasing, and trauma. Dr. Maté will take you on a deep dive into how your early life experiences can shape the way you feel and function today, both mentally and physically. This episode is about unlocking real healing and finding hope. Dr. Maté’s compassionate insights will show you how understanding your past can free you to make healthier choices right now.You’re about to discover powerful, science-backed ways to understand and care for yourself in ways you never have before. So, whether you’re on this journey for yourself or to help someone you love, this episode is for you.For more resources, including links to the studies mentioned in the episode, click here for the podcast episode page.If you liked this episode and want to reprogram your brain for more happiness and fulfillment, listen to this episode next: #1 Neurosurgeon: How to Manifest Anything You Want & Unlock the Unlimited Power of Your MindConnect with Mel: Watch the episodes on YouTubeGet Mel’s new book, The Let Them TheoryFollow Mel on Instagram The Mel Robbins Podcast InstagramMel's TikTok Sign up for Mel’s personal letterSubscribe to SiriusXM Podcasts+ on Apple Podcasts to listen to ad-free new episodes.Disclaimer
Chapter 1: Who is Dr. Gabor Maté?
Hey, it's your friend Mel, and welcome to the Mel Robbins Podcast. You know, when I started this podcast, I sat down and I made a list of dream guests, and I am so excited that you chose to listen to this episode because today, one of those dream guests is sitting here in our Boston studios. His name is Dr. Gabor Matej. Now, Dr. Maté is a five-time New York Times bestselling author.
He is one of the world's most respected and prolific experts on childhood development, trauma, and the impact that it has on who you become as an adult. And his work has profoundly changed my life.
Around the world, he is considered the people whisperer because when he talks about the connection between your childhood and the things you struggle with right now as an adult, you're going to feel so seen and so understood. And today, he's here to share a very provocative opinion.
Dr. Mate believes that you are not born with conditions like ADHD or addiction or an autoimmune disorder or the inability to say no or being a people pleaser. Dr. Mate says these are conditions that are created by your childhood experience. Now, one of the things that I love about his work is that not only does he bring the science, he also removes the shame.
None of what you experienced and how it impacted you is your fault. And when you understand the factors in your childhood that create people-pleasing, ADHD, addiction, and health issues, and all the research and science that supports it, you are going to have a completely different roadmap to your own healing.
In fact, you're going to leave this conversation with five questions that Dr. Mate will tell you you need to ask yourself that are going to help you take the very first step. Hey, it's your friend Mel. I am so excited that you're here with me today. It is always an honor to be able to spend some time with you, to be together, to learn together.
If you're brand new, I want to take a moment and welcome you to the Mel Robbins Podcast family. Super excited that you're here. And because you chose to listen to this episode, I know something about you. You're the type of person who values your time. And you're also in learning about simple ways that you can improve your own life. And I absolutely love that. And you know what I also love?
I love that you and I are going to get to spend time today learning from the extraordinary Dr. Gabor Mate. He's a world-renowned physician and New York Times bestselling author and a renowned addiction expert who dives deep into childhood development and the impact of physiological and psychological trauma and how it shapes our mental and physical health over your lifetime.
And today specifically, you and I are going to dive deep with Dr. Mate into how ADHD, people-pleasing, addiction, your inability to say no, and autoimmune disorders are not things that you're born with. They were created by your childhood. So please help me welcome Dr. Gabor Mate to the Mel Robbins Podcast.
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Chapter 2: What does Dr. Maté say about childhood conditions?
So you can have predispositions, but then depending on the environmental conditions... Those predispositions can be expressed one way or another way. So you can have animals with the same genes or humans with the same genes that have very different outcomes depending on the kind of conditions under which their early years were spent under. So that's what I'm saying, yes.
And the first recognition of that in my life came when I was diagnosed with ADHD at age 53 or 52 or something.
So I was diagnosed with ADHD at the age of 46 when our son Oakley was going through the process of going through neuropsych evaluations for schools and IEPs. And as they were doing his evaluations, I started going, oh, wait a minute. That's a lot like me. And then I went through the formal process of being evaluated and diagnosed dyslexia, ADHD.
And I had never, ever, ever heard anyone connect your childhood and adverse conditions or conditions where you didn't get your needs met being a contributing factor or a cause of ADHD. How is that even possible?
Well, it's possible because Western medicine separates the mind from the body. So they tend to look at things purely from a biological point of view. So ADHD is considered to be a genetic disease that you inherited. Here's the problem with that. Number one, if that's the case, why are the numbers going up? Genes don't change in a population over 10, 20 or 30 years.
So something's going on in the environment that's affecting the child development. Number one, number two, even if you look at the physiology of the child's brain,
was not understood by most physicians because it's not taught in the medical schools, but it's firmly and completely unequivocally and uncontroversially established in brain science is that the brain is a social product, that the brain development of the child depends on the emotional conditions under which the child lives from in utero onwards.
And so that the very circuitry of the child's brain is programmed by the action of the environment on the genes. So different environments will act differently on the same genes. No. If you look at ADHD, what's the medication that we give? I took it for a while. Stimulants. What do stimulants do? They elevate the level of a chemical called dopamine in the brain.
And dopamine is essential for motivation and therefore for focus. And that's what Ritalin and Dexedrine and Adderall and all these medications elevate. No.
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Chapter 3: How are ADHD and addiction linked?
Chapter 4: What role does the environment play in brain development?
More tends to be there more in boys.
Boys, not girls, yep.
And the regulation of the body is a function of the midfrontal cortex. That has to develop. So under conditions of stress, given that the brain is a social organ and it's also a historical organ. Does the name Bruce Perry mean anything to you?
Is he in Wisconsin?
I don't know where he is, but he's a well-known child trauma psychiatrist.
Yes, I believe he's in Milwaukee, Wisconsin, I think. But don't quote me on that. Did he write the book with Oprah Winfrey?
Yeah, he wrote the book, What Happened to You? And he says the brain is a historical organ. So it stores the impacts of life experiences. So when we look at brain biology, let's not think that the biology is somehow distinct and separated from life experience. So there's no fault laying here. And sometimes I do get accused of blaming parents. It's the last thing I want to do.
I don't hear you blaming parents. I hear you talking very factually.
No, but there's a very well-known ADHD psychologist who goes on YouTube and says, I blame parents. And I don't. Actually, I think parents do their best. They love their kids. But their best is limited by their own particular challenges and limitations. There's no parent blaming here. But we have to recognize the importance and the impact of early experiences. So what I'm saying is,
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Chapter 5: Why is understanding trauma important for healing?
Yeah, well, hearing beings are infinitely more complex than puppy dogs. And it's totally true. So what I'm saying is recognize the need, validate the need, but then ask the question, okay, how can I meet that need in ways that are not harmful?
One of the things that you're talking a lot about is the connection between childhood conditions and experiences, how they shape you, and the significant rise in autoimmune disorders and diseases in women.
You know, there are 80% of people, 80% of autoimmune disease, which are diseases where the immune system attacks the body that it's supposed to protect.
What are a few examples of an autoimmune disease?
Multiple sclerosis, rheumatoid arthritis, systemic lupus, probably fibromyalgia, chronic fatigue, ulcerative colitis, Crohn's disease, fonsal psoriasis, autoimmune eczema, scleroderma. I could go on and on. There's about 100 or so of these, and 80% of them happen to women. Why?
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Chapter 6: How can parents support children with ADHD?
Chapter 7: What are the misconceptions about ADHD and addiction?
But that's rather important in human life because human life is difficult. So we have to have some expectation of pleasure, joy, relief. That's what the opiates do. That's the second thing they do. But the third thing they do, they facilitate a little thing called love. Endorphins help to feel as connected to other people.
And particularly, they help feel parents connected to their kids without which the child doesn't survive. And if you take little animals and you knock out their opiate receptors, they will not call for their mothers on separation. What would that do to them? It would kill them in the wild. So that's how important the opiates are. who are these people that develop opiate addictions?
People whose lives have undermined their opiate circuitry. And I had a sex trade worker in the downtown east side of Vancouver. I asked her, what did the heroin do for you? She said, the first time I did heroin, it felt like a warm, soft hug. So just like the alcohol, which gave you a more sense of belonging, it gave her a sense of being loved, a sense of warmth. That's why people get addicted.
It's because they suffered that early pain and they're trying to escape from. And because their brain circuitry was affected by adverse conditions so that these circuits didn't develop optimally. Now they have to substitute. So that's a shinny on addiction. It's not an inherited disease. It's a response to the environment. And it's not genetic, contrary to what 99% of physicians believe.
The reason why this is so important is because there is so much shame and self-blame when you have an addiction or you have something that you're struggling with like ADHD.
And when you understand the brain circuitry and the connection to brain development and human development and childhood conditions and experiences and how that has a direct impact on the working and wiring of the functioning of your brain. Yeah. you can separate yourself as a human being from the thing that caused this. That's the whole point.
And then that allows you from that moment of separation and detachment and objectivity to go, oh, wait a minute. I'm not to blame for this.
That's right.
This is a circuitry and a conditioning problem.
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Chapter 8: How can we separate identity from conditions like ADHD?
It's true.
Yeah, well, hearing beings are infinitely more complex than puppy dogs. And it's totally true. So what I'm saying is recognize the need, validate the need, but then ask the question, okay, how can I meet that need in ways that are not harmful?
One of the things that you're talking a lot about is the connection between childhood conditions and experiences, how they shape you, and the significant rise in autoimmune disorders and diseases in women.
You know, there are 80% of people, 80% of autoimmune disease, which are diseases where the immune system attacks the body that it's supposed to protect.
What are a few examples of an autoimmune disease?
Multiple sclerosis, rheumatoid arthritis, systemic lupus, probably fibromyalgia, chronic fatigue, ulcerative colitis, Crohn's disease, fonsal psoriasis, autoimmune eczema, scleroderma. I could go on and on. There's about 100 or so of these, and 80% of them happen to women. Why?
So in my medical practice, I began to notice, and here's my advantage over my specialist colleagues, is that they know a lot more about certain body parts and systems as they should, but they don't know the patient. I knew people before they got sick. And I knew them in the context of their families of origin and the extended family very often. So I got to see who got sick and who didn't.
And when I was in palliative care, again, I saw who ended up in palliative care and who didn't. And these people had four significant characteristics. One is they tended to put other people's emotional needs ahead of their own and they tend to ignore their own, number one. Number two, they tended to identify with duty, role, and responsibility, rather than the needs of the self.
Number three, they tended to be very nice, which means they repressed healthy anger. The healthy anger is a boundary defense. And these people tended to be very nice. And number four, these people tended to believe That they're responsible for what other people feel, which is a point that you address in your book, Let Them. And they had this belief that there was never disappoint anybody.
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