Episode Transcript
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What is CBT and how does it
0:57
work? What do
0:59
you feel is the reason for that? Is
1:01
it a cultural sickness? Do
1:04
you ever deal with thoughts of anxiety
1:06
or depression? What would
1:09
your magic wand wish be for the planet?
1:19
I always like to start these off with, you
1:21
know, what are you excited about? What's exciting
1:24
you these days? This is
1:26
probably just about the most
1:28
exciting time in my life, to be honest
1:30
with you, for a couple
1:33
of reasons. First, when
1:35
I started out in psychiatry,
1:39
way back in the 1970s, I
1:42
had this fantasy
1:46
that, and I really want to create this thing, that
1:48
someday there would be like booths
1:50
in grocery stores or various places
1:53
that you could just go into and then there
1:55
would be a hologram of a shrink there, this
1:58
tremendously talented shrink.
1:59
who would talk to you and be
2:02
extremely helpful to you. And
2:05
I've always wanted to create an electronic
2:08
version of myself and
2:11
make that available to people. And
2:13
over the years, you know, after
2:16
Feeling Good came out in 1980, and that really described
2:22
what in the day was tremendous revolutionary
2:26
advances in psychotherapy
2:28
for depression and anxiety.
2:32
And then there's been 40, 50 years
2:35
of research and development since that time.
2:37
So there's new innovative techniques
2:40
that are even more powerful than the techniques
2:42
I had in those days. And so
2:44
I thought, man, if we could just get an electronic
2:46
version of this, we could make it available
2:49
to people all over the world. And
2:52
now that's kind of becoming a reality
2:54
because some fellows
2:56
approached me three years ago, Jeremy
2:59
Carmel and some others who have joined
3:02
us. And we're creating that now. And
3:05
we have a kind of an electronic version
3:08
of me. And now that AI has come in,
3:10
you can hardly tell that it's not me having
3:13
a live therapy session with
3:15
people. I've gotten in my own work
3:17
to where
3:19
when I work with people, for the last 20, 25 years,
3:23
I just been working for
3:25
people for free kind of volunteer
3:29
work you might say, but I
3:31
always only see people for one, two
3:33
hour session. And I try to
3:35
complete a course of psychotherapy in two
3:38
hours. So if they're depressed,
3:40
they'll become completely undepressed
3:43
or whatever they're struggling with. They'll
3:45
actually do that. And if
3:48
this electronic version will
3:50
be even nearly that effective,
3:53
it could just transform the whole world of psychology
3:55
and psychiatry and delivery,
3:58
mental health. When
4:01
I was at my hospital in Philadelphia, we
4:03
had an inner city hospital. The president
4:05
of the hospital said, David, would you create
4:08
a department of psychiatry for us? And
4:10
I said, well, yeah, I'll do that as part of
4:12
my volunteer work for
4:14
the university, but it has to be something
4:17
radically new. I said, there's been research
4:19
on my book, Feeling Good. And if you just
4:21
hand it to someone who's depressed, there's
4:23
a 50 to 65% chance that within four weeks
4:27
they'll be symptom free. And they won't need
4:29
treatment. And I said, we could
4:31
just have groups based
4:34
on that book. In fact, I could write a new book for
4:36
you. And it would be like 10 group
4:39
sessions for people who are depressed.
4:42
And then we could just treat
4:45
everyone in groups, and it would be really cheap.
4:48
And there are so many people in this neighborhood
4:51
who are struggling with drugs
4:53
and gangs and homelessness and depression.
4:58
And we could just build a tremendous program. And
5:00
so we built that program. And again, people
5:02
didn't have to pay to come into it,
5:04
but they would come in and it was an
5:06
overnight program, but it wasn't like a hospital.
5:09
It was just like an intensive learning thing. It
5:11
really went great. And then I was thinking,
5:13
boy, I wish I could get something like this
5:15
available to everyone. And
5:18
now it looks like we have an
5:21
awful lot of that created already. So
5:24
that's one of the things I'm really, really
5:27
excited about. First of all, that's
5:29
amazing that we're going to scale
5:31
you. You wrote the book on
5:33
CBT literally. And that's
5:35
awesome if people could get a chance to interact
5:38
even with a digital version of
5:40
yourself. And it'll last forever, right? I
5:42
mean, it'll learn through
5:44
machine learning, and it'll adapt. That's
5:47
technology you use to play. Yeah, that's
5:49
the thing. But I train human therapists.
5:52
They're really tough because they have to unlearn
5:54
all the things they've been taught, and they're kind of stubborn
5:56
sometimes. They're not as flexible as
5:59
they might be. But the computer does
6:01
exactly what I tell it to do. So
6:04
it's like I finally found my ideal
6:06
student. But if any of the listeners are interested,
6:09
the beta testing is just
6:11
completely free of charge. Almost
6:13
everything on my website is free. The
6:16
website is feelinggood.com and the app
6:19
is called the Feeling Good app. You can
6:21
sign up for a beta test on the
6:23
website if you're interested. You could do
6:26
it too if you were interested
6:28
and see what we're up to.
6:29
Oh, I'm definitely going to do it. Let
6:32
me say that I read your book
6:34
maybe five years ago, Feeling
6:36
Good, the new mood therapy, and
6:39
it changed everything. I mean, it opened my eyes.
6:41
I had been familiar with Albert Ellis,
6:44
with REBT, Rationally Motive
6:46
Behavioral Therapy, and that was super powerful
6:48
for me. His principles
6:51
of masturbation, I think he said,
6:53
masturbation is good and delicious. Masturbation
6:55
is evil and pernicious. That's
6:57
right. Yeah, that's good. To use
7:00
a must or a should. I loved Albert Ellis. Yeah?
7:02
I barely knew him. We had a mutual
7:04
admiration society and
7:06
I just admired him so much. And the app
7:09
created a special class
7:11
just devoted to him on,
7:13
you know, the shouldy class. We
7:19
just made a test of it on about 60
7:22
people.
7:24
And it's just a real short thing. You can complete
7:26
it in two hours. But it
7:29
caused tremendous reductions
7:31
in depression, anxiety,
7:34
like 50, 55, 65, 75% reductions in depression,
7:40
anxiety, inadequacy,
7:42
guilt, shame, loneliness,
7:45
hopelessness, and anger.
7:48
And it also caused about a 45% reduction
7:50
in perfectionism. Wow.
7:54
And so I was, because
7:56
shoulds are like into perfectionism. I shouldn't
7:58
be so screwed up. I should. be better than
8:00
I am. Other people shouldn't be so screwed up.
8:02
The world shouldn't be so screwed up and how
8:05
we make ourselves miserable with those things.
8:07
But Ellis was controversial and
8:10
I never thought he got as much credit as
8:12
he deserved.
8:15
But he
8:17
was totally awesome. He was a wild
8:20
guy. But
8:22
brilliant. I loved the songs that
8:25
he created. I wasn't around. I
8:29
think I was born in 88. I was
8:31
young, I guess, when he was doing his thing.
8:35
Just watching his interviews back, reading his book, kind
8:37
of stubbornly refused to make yourself miserable,
8:39
I think, was his book. I was
8:42
just gonna give more praise. He was just really
8:44
awesome. I think he was in his
8:45
own way enlightened and
8:47
he had a strong vision. He either loved
8:51
him or hated him because he
8:53
was just really extreme
8:56
in the things that he said. I just loved him. I
8:58
thought sometimes he was a little over the top. I
9:01
am too. Most of us are. But he
9:03
kindly invited me to go
9:06
and spend a day with him once in
9:08
New York. I lived in Philadelphia at the time
9:11
and he said I could bring a colleague. So
9:13
I brought a friend, Tony Bates, who was an
9:16
Irish guy who was working with
9:18
me for a while in Philadelphia at
9:21
the Presbyterian Medical Center
9:23
where I had my clinical practice.
9:26
He was just very kind and he
9:29
showed us around his Institute. Then
9:32
he sat down and said, do
9:34
you guys have any questions for
9:37
me? I said, well,
9:39
Wayne Dyer attended one of your workshops
9:43
and then stole your ideas and wrote your erroneous
9:45
zones and made millions of dollars. He never
9:48
gave you credit. He was kind of a con man,
9:51
really. Doesn't that piss you
9:53
off?
9:55
He said, I never got angry.
9:58
Well,
10:01
how do you do that? He said, well,
10:03
I just tell myself that
10:06
stealing my stuff, that
10:09
he's kind of an asshole and that's
10:12
what assholes should do. He's
10:14
just doing what he should do. I
10:17
don't get angry. And I was
10:19
thinking, give me an effing break. You don't get
10:21
angry. Of course you get angry. Why
10:24
don't you just admit it? But
10:26
anyway, it was really fun
10:28
to spend a day with
10:31
him. He took us to lunch with his then girlfriend
10:34
Janet Wolf. She was kind of a New
10:37
York high level,
10:39
something or other kind of the
10:41
wild in people or something. I
10:44
was pretty naive and
10:46
Tony Bates was pretty naive and we were just
10:48
starry eyed to have a chance to spend
10:50
a few hours with him. And
10:52
I always sing his praises and
10:55
he made a tremendous impact.
10:57
Beautiful. Wow. Thank you for
10:59
sharing that. That was awesome. That was a deep insight.
11:02
I had no idea that his
11:04
work was taking, I mean, because it's so
11:06
brilliant. I never read erroneous
11:09
zones and that his response, I
11:11
don't know if you believe it or not, whether or not he got angry,
11:13
but if he didn't get angry, it seems like he
11:16
just accepted it. He says an asshole is
11:18
doing what an asshole is doing.
11:20
Yeah, that's what he was. That's the idea he was trying
11:23
to convey. And that's what we're all trying to aspire
11:25
to. And we can
11:27
at best get there part of the time. Yeah.
11:30
And part of the time, you know, we are we kind of
11:33
are darker in herself
11:35
or are more less refined
11:38
and more irritable selves
11:40
come out. He gives us a path back
11:43
to enlightenment whenever we drift out of
11:45
enlightenment. So
11:48
I just love
11:50
it. He was a great teacher and
11:52
he walked the walk. He didn't just talk the
11:55
talk. I love that. That's the only
11:57
way to do it. And you do it too. Just
11:59
feeling.
11:59
your energy here and you know I've taken
12:02
a few courses from you I didn't kind of make myself
12:04
known but I've taken a few for
12:06
you to the CBT courses and it has
12:08
been tremendous for the listeners
12:11
that's great I'm so glad what
12:13
were they live was there a lot of yes
12:15
I'm putting you remember what city or what the
12:17
topic was or when it was you know they were live
12:20
I took two the second one was
12:22
for CBT practitioners
12:24
yeah
12:25
we went through everything the cognitive
12:28
distortions and how to remember what city
12:30
it was in or I don't remember
12:33
I'm not sure it was your who's the
12:35
your colleague that works with you
12:37
Jill Leavitt
12:38
yes yes
12:40
I know she was running I remember breaking out in the
12:43
groups but this was this was maybe maybe
12:45
oh yeah yeah breakout group yeah
12:47
yeah yeah I still work with Jill
12:50
we have a free Tuesday training
12:52
group if any of your listeners or
12:54
therapists or shrinks we've
12:57
had it for over over 20 years
12:59
at Stanford and it's Tuesday
13:01
nights from 5 to 7 p.m.
13:03
and people it's virtual so people
13:06
from all over the world can can join
13:08
it and we still do therapy together
13:10
Jill and I were gonna treat a fellow tonight
13:12
who's had crippling shyness
13:15
I think he's 40 and he's decided
13:19
it's time to get into
13:21
the dating world and and so
13:23
forth he's had a really rough background
13:25
and so we're gonna see
13:28
what we can do to turn his love
13:30
life from from rags to riches
13:33
love that it's just I love
13:35
working with people live
13:37
it's just it's such a fun
13:39
thing to do but I don't know if we're talking about
13:41
what we're supposed to be talking about maybe you could
13:43
shoot me some questions or something yeah let's
13:45
set the stage for the listeners
13:48
that don't know what CBT
13:50
is
13:50
I call it crushing bad thoughts it's
13:53
actually called cognitive behavioral therapy
13:56
what is CBT and how does it
13:58
work we've moved a little beyond
13:59
but that's a fantastic
14:02
starting place and it's still absolutely
14:06
wonderful. And
14:09
it's cognitive, that's the C,
14:12
B is behavioral therapy,
14:14
CBT. And
14:16
cognitive is just a fancy word
14:19
for a very simple meaning.
14:22
A cognition is a thought, it's the message
14:25
that you give yourself at every
14:27
moment. Like right now I'm telling myself,
14:29
wow, this guy Prince, yeah, he's,
14:32
what a tremendous fun guy
14:35
with a brilliant mind
14:37
and a fast wit and a
14:40
great spirit. And it's
14:42
so much fun to be here
14:44
and I'm so lucky to be here
14:47
and to be talking to this guy. And
14:49
that's a thought or a perception. And
14:51
that perception creates feelings of happiness.
14:54
And we often think, well, it's what's
14:56
happening to me in my life that makes
14:59
me feel happy or unhappy or miserable.
15:02
But the cognitive idea goes
15:04
back to the Greek Stoic
15:07
philosophers nearly 2000 years ago and
15:10
probably to the Buddha 500 years before that. But
15:15
Epictetus said, we're disturbed not by
15:17
events, not by things, not by what
15:19
happens, but by the views we take of them.
15:21
In other words, it's your thoughts that
15:23
create your negative feelings. When I first
15:26
heard that I was doing brain
15:28
research at the University
15:30
of Pennsylvania Medical School and I was
15:33
treating people with antidepressants because
15:35
that was the theory and
15:38
some people foolishly still
15:40
believe that theory that depression is due
15:42
to a chemical imbalance in the
15:44
brain. And our research showed pretty convincingly
15:47
that that's not true. And
15:50
I was given out drugs by the muscle
15:52
full to depressed people and I didn't
15:55
see much from antidepressants.
15:57
So I knew there was something rotten and deadly.
16:00
mark and then i was a research
16:02
fellow at the time i completed my
16:04
residency and i was doing
16:06
add a two year research grant and
16:09
the department chairman said you know there's
16:11
this new thing if you're unhappy with
16:14
antidepressants this guy aaron back
16:16
who was followed on the footsteps of
16:19
albert ellis and he calls it cognitive
16:22
therapy and he claims you can treat
16:24
depression by helping people
16:26
change the way they think they've
16:28
changed these negative thoughts i said that sounds
16:31
like so much bullshit to me that's
16:33
ridiculous that's so simple-minded
16:35
that's like norman vincent peale's power
16:37
of positive thinking i don't know if you've heard
16:39
of that book but that was a huge like
16:42
in the nineteen thirties and nineteen forties
16:44
or something like that he said well why don't you
16:46
just go to his weekly seminar and
16:49
you can try it with a few of your patients
16:51
and just satisfy yourself that it doesn't work
16:53
and i thought that's a great idea so i started
16:55
going to these weekly seminars and
16:57
they had about maybe five six
16:59
people you know and no
17:01
one had heard of cognitive therapy and we
17:04
all thought it was a bunch of quackery so i
17:06
started trying it on really
17:09
severe patients and i had
17:11
a lot of them and i was stuck with most
17:13
of them because when i was taught
17:15
as a psychiatric resident it didn't work
17:17
you just have to express their feelings and
17:20
then you give them antidepressants and
17:23
i almost
17:24
never saw anyone recover
17:27
to be honest we would just talk
17:30
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have that nice
19:59
started trying these
20:01
techniques
20:03
and
20:04
it blew my mind because the patient started
20:06
recovering really rapidly and asking
20:08
for more. One of the first women
20:10
I tried it on was an elderly
20:13
woman who was referred from the intensive
20:15
care unit. She'd made a suicide attempt
20:18
and barely survived and then they referred
20:20
her to me for follow-up treatment. So
20:23
I said, well, this would be certainly a good one to try
20:25
this new cognitive therapy. I
20:27
said in one of the weekly seminars, listen,
20:30
I have this new woman, maybe
20:32
I can try the cognitive therapy on her. And
20:35
she says that she's barely
20:37
survived a suicide attempt. How would
20:39
I treat her? And he says, well,
20:41
all of your feelings are caused by your thoughts.
20:44
So just ask her, what were you
20:46
thinking at the moment you attempted suicide?
20:49
I said, oh, that makes perfect sense.
20:51
So the next session I asked her and she said, well,
20:53
I was thinking that
20:55
I'm a worthless human being.
20:58
And I said, well, why do you think you're
21:00
a worthless human being? And she says, because I've
21:03
never, never accomplished anything
21:05
meaningful in my life. All I've ever done
21:07
is scrub people's floors
21:10
and I clean their houses for
21:12
a living. And that's the only thing I've ever accomplished.
21:15
And she said, so what am I supposed
21:17
to do? And I says, well,
21:20
wait until next week. I'll go
21:22
to another seminar and I'll ask
21:24
Dr. Beck what I'm supposed to do with that information.
21:27
So she said, okay. So I went
21:30
and asked him and he
21:32
said, oh, well, that's easy. Just ask her to list
21:34
five things she has accomplished. And
21:36
I thought, gosh, that sounds logical. So
21:39
I went back and she said, what'd you find out? And
21:42
I said, well, Dr. Beck said that you
21:44
should list five things that you have
21:46
accomplished or just tell me about five things
21:48
you have accomplished in your life. And
21:51
she says, well, see, that's just the thing. I've
21:53
never accomplished anything worthwhile just
21:56
scrubbing people's floors. am
22:00
I supposed to do? And I said, Oh,
22:02
well,
22:03
maybe you'll think of something. Maybe you can do
22:06
it for homework, you know, and
22:08
just if you can think of something, just jot them down
22:10
on a piece of paper. And I went back
22:13
the next week, I had forgotten that I gave
22:15
her that assignment and I asked her about her antidepressant,
22:18
as I always did at the beginning of the session
22:20
and just asked her to express her feelings
22:23
and tell me what's going on that my patients always
22:25
did and nothing ever came out of it. And about
22:28
halfway through the session, she
22:30
said, Well, are you going to ask me about
22:32
my homework? And I said, Oh, I
22:34
forgot about it. But we're able to think of
22:36
anything that you've accomplished. And she said, I
22:38
wrote some things on a piece of paper and she gave
22:40
me a piece of paper with, you know, seven, eight or
22:43
more things on it. I started
22:46
reading them out loud. And she said, Well,
22:48
number one, I forgot that all of my
22:51
family died in the Nazi concentration
22:54
camp. But I
22:56
escaped and smuggled
22:58
my children out of Latvia.
23:00
And we made it to the United States. And
23:03
I figured, well, maybe, maybe
23:06
that was an accomplishment of sorts.
23:08
I worked scrubbing floors
23:11
and cleaning people's houses to put
23:14
food on our table and to have a place
23:16
to sleep. And my son just graduated
23:18
number one in his class from the Harvard Business
23:21
School. So I think, well,
23:23
maybe that's an accomplishment. Number
23:25
three, she said, I forgot
23:28
that I can speak five foreign languages
23:30
fluently. And the number four,
23:33
she said, and I'm a gourmet chef,
23:35
she had all these things written down.
23:38
And I had tears going down
23:40
my cheeks. And I said, Well, how
23:42
do you reconcile that with this belief
23:44
that you've never done anything worthwhile
23:47
or accomplished anything worthwhile in your life? And
23:49
she says, Dr. Burns, it
23:52
doesn't compute it doesn't make sense. In
23:54
fact, I can't even understand
23:57
where I got that idea in the
23:59
first place. that i was worthless
24:01
it's not really true and i said how
24:03
are you feeling now. She
24:06
says i'm suddenly feeling a lot
24:08
better do you have some more of these techniques
24:11
and i said well no that's the only
24:13
one i know but wait till next week i'll learn
24:15
another one this week and that's how i learned initially.
24:18
And that's what's sold me on it and then
24:20
i but i didn't have many patients because
24:23
i was just starting my practice so no one
24:25
kind of knew. Who i was or anything
24:27
i've been doing research in the laboratory
24:30
you know like sixty hours a week for. Couple
24:33
of years before that i said well you know i think
24:36
i'll use my extra time to write this
24:39
up for people because you know
24:41
we had all the cognitive distortions and all
24:43
these things that were helpful for patients
24:45
to know about. And that's why i wrote feeling
24:48
good and then you know a whole lot has
24:51
evolved from those days but that's what
24:53
cognitive therapy is you feel
24:55
the way you think you see she was telling herself.
24:58
Something that was just just horrible
25:01
it wasn't that her life is no good it was
25:03
that she was thinking about it in a
25:05
very negative way and then the other
25:08
two ideas of cognitive therapy
25:10
is that when you're depressed but you're
25:12
telling yourself isn't even true. You're
25:15
just starting things like with black
25:18
or white thinking i'm a total failure
25:20
or self blame i've never accomplished
25:23
anything or. Disqualify
25:25
your body feel worthless so i must be
25:28
worthless or discounting the positive what
25:30
i've done doesn't count
25:32
and all of this kind of thing and then. That
25:35
was phenomenal to me also
25:37
that we tell ourselves
25:40
these lies. And
25:42
then the final thing is you can change
25:44
the way you feel the fact the very moment
25:46
you stop believing those distorted thoughts
25:49
and that very moment your feelings will change
25:51
and that's what happened to release this, no
25:54
elderly woman and i saw that over and over
25:56
again and i said this is a
25:59
message that could. really change change
26:01
the world and it did when i wrote
26:03
feeling good. You know there
26:05
were about a dozen of us in the
26:07
world cognitive therapist and then since
26:09
that came out cognitive
26:11
therapy has become the
26:13
most popular form of psychotherapy
26:16
and human history and the most research
26:18
form of psychotherapy. Meanwhile
26:20
i zoomed off in new directions
26:23
like i still use all those wonderful
26:25
cognitive techniques and i've developed over
26:27
a hundred of them. What we've
26:29
developed new ideas in
26:32
addition because some people resist
26:35
the kind of fight the therapist yes
26:37
but the therapist and so we've developed
26:40
i've developed new techniques
26:42
to melt away. Resistance
26:45
in people and this has ushered
26:47
in an era where ultra rapid
26:49
change is now possible we
26:51
don't have to wait weeks or
26:54
months to in most cases to profoundly
26:57
change the way you think and feel.
27:00
Incredible
27:01
incredible we've got all these
27:04
new techniques we've got all of these
27:06
medications in the world.
27:09
And yet we still see depression
27:12
rising and rising and rising anxiety
27:15
rising and rising and rising what
27:17
do you feel is the reason for that is
27:19
it a cultural sickness. Is
27:22
it how we're taught
27:23
to think i don't know the answer i do
27:26
a lot of research and that's another
27:28
great thing about having the app if we get a lot
27:30
of data when we do the app
27:32
because we measure people's feelings and thoughts
27:35
every five or ten minutes while they're
27:37
using the app we've been able to. Learn
27:39
how people change and what i've learned
27:41
is how to help people change the way you
27:44
think and feel when it comes
27:46
to causes of things i
27:48
don't know i think we still don't know the
27:50
cause of depression or anxiety
27:52
you know a lot of people are looking to
27:55
social factor and all the hatred
27:57
to that's going around socially.
28:00
Half the people hating themselves and half the people
28:03
hating somebody else. It's
28:05
just a,
28:06
you know, kind of a
28:07
frightening era that we live in. I don't
28:09
know to what extent
28:12
depression and anxiety and all this self-abuse
28:15
we heap on ourselves is
28:17
genetic or whether it's learned.
28:21
I can tell you what Ellis thought. Okay,
28:23
yeah. I'm curious. What did he think? He
28:26
thought it was 100% genetic, that you're born a perfectionist
28:28
or whatever. I thought that was interesting.
28:31
And I wouldn't rule
28:33
that out at all, but there's
28:36
probably powerful genetic things going
28:38
on. There's all these social factors. There's
28:41
all of the hatred that if you're
28:43
the wrong color or the wrong gender,
28:46
or you're not living up
28:48
to somebody's idea of
28:50
how human beings are supposed to be, there's
28:53
going to be people hating on you. And like
28:57
the governor of Florida, Ron DeSantis,
29:00
he seems to want
29:02
to put people in boxes
29:05
and judge them and hate them and punish
29:08
them. And we're in a really frightening
29:10
era to my way of thinking. I
29:12
thought of offering free woke
29:15
classes to
29:16
people in Florida.
29:18
Free woke classes. I love
29:20
that. Woke is so awful. And then what
29:22
the classes would be on would be Jesus's
29:25
servant on the Mount, which is all
29:27
about compassion and acceptance
29:29
and love and warmth. And
29:32
people don't want that. Oh,
29:35
that's bullshit stuff. We want to kick ass.
29:37
We want to kill people. We
29:39
want to put people down. And there's
29:42
just a lot of that. And if you're like
29:44
in high school or something and you're not
29:47
the way your folks supposed to be,
29:49
like you're pretty awesome. And you maybe have
29:52
always been awesome and popular and
29:54
you're a musician and stuff.
29:56
But an awful lot of us weren't like that.
29:58
And we're, you know, kind of like the
30:01
unpopular kids and there can be just so
30:03
much pain and suffering that the people,
30:06
you know, are subject to.
30:09
I don't understand. I don't even have a cell
30:11
phone, but I'm such an elderly demented
30:14
fart. But you know, I guess
30:16
there's just so much hatred going around and
30:18
so much meanness through social media
30:20
and things like that. But my focus
30:23
is more on
30:25
rapid
30:26
recovery, rapid transformation
30:28
of people, you know,
30:30
because other people's negative
30:33
thoughts or feelings or statements
30:35
about you can't affect you unless you
30:38
buy into them. So there's a tremendous amount
30:40
you can do to change the way you think and
30:42
feel and experience great joy and convey
30:45
that joy to others. And
30:47
that's kind of
30:49
where I've committed myself. It's
30:52
very healing, these therapies, these processes
30:55
to the individual and by and large to
30:57
their community and to the world. My whole
30:59
philosophy is that there's only two reasons
31:01
why we do anything, only two energies and
31:04
we either do something out of the energy of fear
31:06
or the energy of love. And when you start
31:09
talking about divisiveness or hatred,
31:12
this is a restricted energy
31:14
of fear of people trying to
31:17
protect something. And love
31:19
is more of an open energy.
31:22
And one of my favorite Zen teachers, Thich
31:24
Nhat Hahn, he said, understanding
31:27
is love's other name.
31:29
And it's only when we understand... Well, tell me,
31:32
how do you do what you do? Because you've got
31:34
a fantastic message and you've got a fantastic
31:37
following and you're in a position to influence a
31:39
lot of people. What's been your secret sauce?
31:42
How have you become so effective at what you
31:44
do? I think it's the self knowledge. I
31:46
wasn't that popular kid
31:49
in school. Oh, you weren't? No,
31:53
no, no, no, no, no, no. I can wear the mask
31:56
and act very extroverted,
31:58
but I naturally...
31:59
lean towards a more introverted lifestyle.
32:03
My upbringing and that allowed
32:06
me to come into contact with these
32:08
questions of who am I? Where do these
32:10
thoughts come from? Are these thoughts real? Really
32:13
trying to dissect what are they? They appear
32:15
as though they're sound. And
32:17
so I got into anthropology, I got into
32:21
psychology, psychotherapy,
32:23
I've studied all the spiritual traditions
32:26
and they're all kind of saying the same
32:28
thing. I study stoicism and
32:31
when you change the way you look at things, those things
32:33
you look at change and it's really
32:35
about getting in touch with
32:38
the self for me. So I think my
32:40
success came from understanding
32:43
that I'm not these thoughts, that I'm not these negative
32:46
thoughts, that these thoughts, they come and they go
32:48
and I am the
32:50
witness of them and I can choose which
32:53
ones to believe in. You
32:55
have a process that you talk about
32:57
called challenging the thoughts and
32:59
it's very powerful. Yeah. Very
33:02
powerful. I want you to tell a story because
33:04
once I, when I heard you tell this story, I
33:07
was crying, I was in tears and you
33:09
told it during one of the courses that
33:12
you gave and it was about a woman
33:14
who had ovarian
33:16
cancer that you visited.
33:19
Oh yeah. I'd love for you
33:21
to share that. I was just, we've got
33:23
her in her app and I was just working on
33:25
her story with a colleague this morning.
33:28
Wow.
33:28
Wow. And I'd be glad to tell
33:31
that because yeah, but
33:33
I just want to say that you're so very likable
33:36
because you're humble and positive and
33:38
warm and open and you're kind of a blessing,
33:40
but in the early days, someone, a
33:42
colleague said, would you mind, we have
33:46
an administrator in the department of psychiatry
33:48
and she's pretty depressed.
33:51
She just was, you know, admitted
33:54
to the hospital and she's got
33:57
a terminal ovarian cancer and she's
33:59
really depressed. and could your cognitive
34:01
therapy maybe help her? And
34:04
I knew who she was. She was this
34:07
woman who was a very lovely
34:09
woman. She was the kind of person who
34:11
liked to help other people, help
34:14
the students with their research. And she
34:17
had a big house in Upper Derby.
34:19
She was in her 40s.
34:22
She had never married, but she had several
34:24
relatives living with her who she was
34:26
helping out. They had disabilities
34:29
like multiple sclerosis. And
34:32
I said, sure, I'd love to see
34:34
her and we'll see her today
34:37
and to see if I can do anything to help
34:39
her. And so I went
34:41
and saw her at her
34:43
bedside. And she
34:45
had gone to her six months
34:48
OBGYN exam and they found a
34:50
mass in her pelvis and said,
34:52
we want you to come into the hospital so we can
34:54
biopsy it. And it was ovarian cancer.
34:57
And it was kind of terminal.
35:01
And in those days, maybe, I think
35:03
today they might have some treatments, but they
35:05
didn't at that time. And they
35:07
said she had two years to live.
35:10
And I gave her the back
35:12
depression test, which was the one I was using
35:14
in those days and showed severe
35:17
depression. And she and I connected
35:19
really well, really rapidly.
35:22
And I said, well, would
35:25
you want some help if I could give you some
35:27
help today with your depression? And
35:29
she said, oh, absolutely. She would.
35:32
And I said, well, tell me what you're
35:34
thinking. The cancer is a bad thing,
35:37
but what makes people depressed
35:39
is the messages we give ourselves, not
35:42
the actual amount. And
35:44
she said, well, I've been telling myself
35:46
three things. Number one, I'm letting
35:48
my family down. Number two,
35:51
they can't survive without me.
35:54
And number three, it's my fault that
35:56
I got cancer.
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item at regular price. You
37:23
can see all those so-called cognitive
37:25
distortions or thinking errors in her
37:27
thoughts right away, like self-blame,
37:30
it's my fault, I got cancer, I'm letting my
37:32
family down, mind reading, she's assuming
37:34
that her family feels let down,
37:37
all
37:38
or nothing thinking, if I'm
37:42
not helping people all the time, then
37:44
I'm a failure, and hidden should
37:46
statements, I should never need the help of
37:48
others, I should always be helping others, all
37:50
this stuff. But to cut to
37:53
the quick, I said to her, in
37:55
the app, I call her Amy, so we'll use
37:57
that name, I said, Amy. Amy,
38:01
let me ask you a question. Let's imagine
38:03
that there was a woman right next
38:05
to you here in the hospital,
38:07
and she was in a private room, but say there's
38:10
another patient in here,
38:13
and that she is just like you. She looks
38:15
like you, and she's your age. She's
38:17
in her 40s, and she suddenly
38:20
was given the diagnosis of terminal
38:22
ovarian cancer. What
38:25
I'd like you to do is turn to her right now
38:28
and talk to her the way you're talking
38:30
to yourself. Just say
38:33
those exact things. Tell her you're
38:35
letting your family down. They'll
38:37
never survive after you're
38:40
gone. They can't survive without you. And
38:43
it's your fault you got cancer. She
38:45
looked at me really puzzled, and she
38:47
said, oh, Dr. Burns, I couldn't
38:49
say those things to another person.
38:52
And I said, well, why not, Amy?
38:54
And she said, well, because I'm
38:56
a Christian lady, and
38:59
I don't believe in hurting people.
39:02
And that would be cruel to say
39:04
something like that to a woman
39:06
who's just gotten cancer. And then
39:09
I says, well, if your philosophy
39:11
is that you don't
39:14
hurt people, you're hurt people. It
39:16
seems to me like you're hurting yourself because
39:18
you're talking to yourself like that. And
39:21
she said, oh, I see what you mean. And I
39:24
was pointing out to her, she was like, so many
39:26
of us have the double standard. When she's
39:28
upset, she's beating up on herself. And
39:30
when someone else is hurting, she's very
39:33
compassionate. And I said, but since
39:35
you're religious, doesn't it say in the
39:37
Bible, the truth shall make you free?
39:41
And I wasn't sure about that. I was guessing.
39:44
But she said, oh yeah, that's in the Bible. And
39:47
so I said, well, do you think it's important
39:49
to tell the truth? Are you the kind of person
39:51
who lies or tells the truth? And
39:54
she says, oh, I always tell
39:56
the truth. And I said, well, then you have to speak the
39:58
truth to this woman. you
40:00
because you told me you believe those three thoughts
40:02
a hundred percent. Since are
40:04
a hundred percent true for you they must be a hundred
40:06
percent true for her so turn to her
40:09
right now and say it's your fault
40:11
you got cancer you're letting your family
40:13
down they'll never survive without
40:15
you. She says doctor i still
40:17
can't say those things and i said
40:20
why not i mean she says cuz
40:22
they're not true. Tell
40:25
me why she says well in the first place
40:27
her family doesn't feel that down. They
40:30
love her they feel sad they're
40:33
going to miss her when they lose her they are grateful
40:35
for all that she's done for them and i said
40:37
how much do you believe that and she says a hundred
40:39
percent. I said
40:41
how much do you believe this idea i'm letting
40:44
my family down she says that doesn't
40:46
make sense. This is but
40:48
how about the best when you said they have
40:50
disabilities and this must be true
40:52
to tell her that your family can't
40:55
survive without you and she said no that's rubbish
40:57
also nice and why is that she says well they
40:59
have good coping they're strong people i
41:01
got been helping them but they help themselves
41:04
and they'll survive after i'm after
41:06
i'm gone. I said okay
41:09
but you know it's your fault you got over
41:11
in cancer so tell her that it's
41:13
her fault that's baloney too
41:15
i says why is that she says scientists don't know
41:17
the cause of ovarian cancer i couldn't give it
41:19
to myself if i wanted to. And
41:22
i said how much do you believe those thoughts now she
41:24
says i don't believe in metal i said well how
41:26
are you feeling now. She says
41:29
my depression is gone and that was
41:31
one of the fastest recoveries
41:33
i've seen all over the
41:36
years i've seen that type of thing happen.
41:39
More and more often
41:42
just really rapid recovery and it was so
41:44
hardwarming to be able to give her
41:46
that gift and i saw her from time to time
41:48
over the next two years her depression
41:51
didn't come back she continued
41:53
to work she felt happy she felt loved.
41:56
But sadly massive metastatic
41:59
cancer. here just
42:01
right on time two years later
42:03
and she was hospitalized again and and
42:06
i'd cardiac arrest and
42:08
in the hospital and it was sad
42:11
to lose somebody so. Loving
42:15
and so giving i felt at
42:17
least some small sense of joy
42:19
that she didn't have to spend the
42:22
last precious two years of her life
42:25
feeling depressed and anxious
42:27
and guilty and and ashamed and. And
42:30
worthless instead she felt worthwhile
42:32
and and loved and that's
42:35
kind of on a technical level how how
42:38
cognitive therapy works at the moment
42:40
you recognize that what you're telling yourself
42:43
isn't true. And
42:45
you crush those thoughts
42:48
your negative feelings will change on
42:51
a human level it's. You
42:53
know we all suffer when you can
42:56
touch the suffering of another person and and
42:58
give them the blessing of relief it's
43:01
a tremendous gift to. Who
43:04
the person that you're helping but also
43:06
tremendous gift when you're in the position
43:08
of being able to help the
43:11
healing for. For someone
43:14
i've been blessed in my career to see
43:17
that happen. Over and over
43:19
and over with people from all walks
43:21
of life and everyone is different we have different
43:23
skin colors different religious
43:26
beliefs are not religious
43:28
at all. Summer
43:30
you know very wealthy
43:32
and famous and some of people
43:35
i've worked with her homeless and you know sleep
43:37
on the sidewalks at night but this. This
43:40
inner dialogue that i'm not
43:42
good enough is something that an
43:45
awful lot of human beings have in common
43:47
and and turning
43:50
off that. Noising
43:52
in your head so you can feel
43:54
joy that that's kind of what
43:57
what i've
43:58
dedicated my life to.
43:59
And I think what you've dedicated your life to
44:02
as well, David, your story, it
44:04
reminded me of a Zen
44:07
Koan that I heard a few
44:09
years ago. And a
44:11
Zen Koan is basically a riddle.
44:14
And I don't know if you're familiar with them. Yeah. It's
44:17
a riddle that's meant to, it's
44:19
not meant to be answered with the logical
44:22
minds, it's a riddle meant to
44:24
be understood at a deeper place.
44:27
And so the Zen monks used to give
44:29
the disciples, these Zen Koans.
44:32
And if they got the Koan correct,
44:34
they would be immediately enlightened. But
44:37
usually they would, they would come
44:39
back and give them an answer. And then they
44:41
would get hit with a piece of bamboo and said, no,
44:43
go back and try to figure it out.
44:45
But your story reminded me of
44:48
a powerful Zen Koan that I heard
44:50
a few years ago. And the Koan is this.
44:53
So there is a man. And
44:56
he is hanging off
44:59
the side of a cliff on a tree,
45:01
on a tree branch by his teeth.
45:04
So he's hanging from this
45:06
branch by his teeth and his hands
45:09
and feet are bound, so
45:11
he can't move them. And he's slipping.
45:14
A small, tiny little monk walks
45:17
by and he says to the man,
45:19
he says, say the one thing
45:21
that will save your life. And
45:24
then he walks away.
45:26
So this is the... He says, save
45:28
the one thing that will save your life. Say the one
45:30
thing that will save your life.
45:32
And so this is the Koan,
45:35
right? And it's like, you
45:37
hear this Koan and it's like,
45:40
he can't say anything. If he opens his mouth,
45:42
he'll, you know, fall to his death.
45:45
So it's like, what's the, what's the answer
45:47
to this? This Koan, this riddle. And
45:50
the answer, I guess this is maybe
45:52
not an answer, but it's a resolution.
45:55
It's a, it's
45:57
a total acceptance. The
46:00
predicament because he's gonna fall
46:02
regardless right he's gonna absolutely
46:05
fall But from the time that he
46:07
lets go of the branch to the
46:09
time that he hits the ground He
46:12
has totally accepted his
46:14
predicament and he is Truly
46:17
lived in that short time span
46:19
of fully accepting where he is
46:22
without resistance Right without
46:24
any more negative thoughts about he shouldn't be
46:26
there. He should and In
46:29
that short time he has finally lived
46:31
so in essence he saves his life
46:33
and in that short time He has probably lived
46:36
more life than many people live in our
46:39
world today Yeah,
46:41
your story of her Accepting
46:44
the truth about her predicament
46:48
and not being a victim. Yeah
46:52
Yeah, saved
46:55
her life in those yeah in those two years
46:58
the I'm working
47:01
on Also in the last few days In
47:04
the app there's different classes for for
47:06
people on different topics and then an app that
47:08
they can use to work on their negative
47:11
thoughts anytime they're upset and But
47:15
I'm working on one on acceptance. It's
47:17
been the hardest one for me to write Because
47:21
it's a hard concept to To
47:24
get across And
47:26
so we're gonna beta test it Fairly
47:29
soon and see if it has any value if you
47:31
remind me I can you know I
47:33
can have you take this class and
47:35
let us know what you you think about
47:37
it but one of the things and and
47:40
that I that I am happy with
47:42
is that I Was doing and
47:45
one of my four-day intensives in
47:47
South San Francisco Conference Center and
47:49
it was for about 135 mental
47:52
health professionals to you know learn
47:55
this new team CBT as
47:58
much as they can and in four days And
48:00
just before lunch break i
48:03
asked for a volunteer just to demonstrate
48:05
a technique i'd been teaching them just like
48:08
a maybe a one minute demo
48:11
i'll be the patient you can be the shank
48:13
or something will show i don't i don't remember
48:15
what the technique was. What is
48:18
woman raised her hand and so
48:21
she came up and then when she got up on the
48:23
stage she started solving. And
48:26
i think she thought i was gonna do a live
48:29
therapy demonstration you know
48:32
takes two hours we had five
48:34
minutes before the lunch break and i said
48:36
my goodness i wasn't thinking
48:38
about. Try to treat
48:41
you seem to be feeling awfully sad
48:43
right now maybe i can at least give you a couple
48:46
minutes of support and you
48:48
know where before we break for lunch
48:50
and tell me what's what's bothering
48:52
you and she said well i come here.
48:56
I'm seeing all these really
48:58
talented therapist here to get this
49:01
training and. Lot of more
49:03
from stanford and i met one from harvard
49:05
and they all seem really like these high
49:08
powered advanced therapist which they're
49:10
not by the way but she was saying
49:12
it that way and. And she said
49:14
i'm way out of my league here at this workshop
49:17
she said i grew up in south los
49:19
angeles we're very poor was
49:21
a dangerous neighborhood. I
49:24
never had a chance to go to
49:26
any fancy schools i managed
49:28
to get through a community college and
49:30
get my my master's degree in counseling
49:32
i just feel like i'm a untrained
49:35
and. Uneducated and
49:38
second rate therapist and
49:40
she started to sobbing again and she
49:43
said i hope you can help me and i said
49:45
well listen in the next two minutes
49:47
or even by the end of the workshop
49:50
today. There's
49:52
no way that i can turn you into
49:55
a
49:55
you know what top.
49:57
Therapist you have only one choice
49:59
here you. you can either accept
50:01
the fact that you're a second
50:03
rate therapist and then
50:06
you can be a joyful second rate therapist.
50:08
Where you can condemn yourself
50:11
and be a miserable second rate therapist.
50:14
What, what would you prefer? She looked
50:16
confused and that was like a light bulb went on
50:18
in her head and she smiled and started laughing.
50:21
She said, I'll take the happy one. And
50:24
it was, I think that was the fastest
50:26
treatment I was ever involved in. She
50:28
went from sobbing to joy, just like
50:30
what you said in a flash like that. We
50:32
broke for lunch and then that
50:35
was the first miracle. And then the
50:37
second miracle happened after the
50:39
lunch. I, I demonstrated a technique
50:41
and had them break into twos for 20
50:44
or 30 minutes. And
50:46
one of you will be a patient and
50:49
describe a real problem in your life. And the other
50:51
can be a therapist. Try some of
50:53
these empathy techniques I've been demonstrating
50:56
and then we'll see how it goes. The
50:58
whole room broke up and everyone was, you know,
51:00
in, in
51:01
groups of two, one was expressing
51:04
problems and the other was trying to be
51:06
helpful. After that 30 minutes,
51:09
I said, uh, now would any
51:12
of you want to tell us what that was like for
51:14
you if you were the patient or the therapist
51:16
and, and how it went, this woman
51:18
was raising her hand. And so I
51:21
called on her first and, and she
51:23
says, I want you to know what I think I was
51:25
just treated by the greatest therapist in
51:27
the world. It was totally mind
51:29
blowing experience. And my
51:32
therapist just, just changed my
51:34
life in 30 minutes. And
51:36
I said, who was she? And then she pointed
51:38
it and it was this young woman from that
51:41
had come up before the break from South Los
51:43
Angeles. And I just
51:45
started crying when I saw that and
51:48
everyone stood up and gave
51:50
her a standing ovation
51:53
and she had just been selling herself so
51:55
short,
51:56
you know, and thinking I'm, I'm not good
51:58
enough and looking at all of.
51:59
flaws and faults and
52:02
seeing everyone else is so superior
52:05
and advanced, but she didn't
52:07
realize the gift of
52:09
healing that she had in fight of her. That's
52:12
such a message that can happen to
52:14
anyone. And
52:16
it's so amazing when you get
52:19
a chance to see people go
52:21
from a caterpillar to a beautiful butterfly,
52:24
just like that, when you accept yourself.
52:26
But it's so hard for people to get it and then
52:28
people fight and they say, oh, this is a con,
52:31
this can't be. We all know that
52:33
change takes years, decades,
52:36
type of thing. And so I sometimes
52:38
get a little bit of pushback
52:42
pretty intensely sometimes from
52:45
colleagues who don't like
52:47
what I say or don't like hearing it, which is kind
52:50
of understandable, I guess. People are trained
52:52
so differently that you have to
52:55
take antidepressants and you've got to talk
52:57
for years and years to some crank
53:01
and that type of thing. But I've
53:03
always believed that rapid
53:05
recovery is really possible.
53:07
Me too. Me too. It's
53:09
only the thought that it's not that stops
53:12
us. Yeah,
53:13
right.
53:14
There's no saying that not even the
53:16
98-year-old guru
53:18
is safe from his own thoughts. Do you ever
53:21
deal with thoughts of anxiety or depression?
53:24
I've had at least 17 different
53:27
anxiety disorders myself. Starting
53:30
when I was a child, I've had fear
53:33
of, I can't even remember all the things
53:35
I've been anxious about, but I had a fear of blood,
53:38
bees, dogs,
53:41
horses, vomiting.
53:44
I've had intense public speaking
53:46
anxiety, social
53:49
anxiety, shy
53:51
bladder syndrome. I've had a panic
53:54
attack once. That's why I love
53:56
treating anxiety because whatever the
53:58
patient says... I
54:01
can say i've had that to know
54:03
how lucky that is and what a joy
54:05
it's going to be showing you how to overcome
54:07
that i love treating anxiety
54:10
i'm doing a workshop this friday.
54:14
It'll be a virtual
54:16
workshop with
54:17
this j and k seminars and lancaster
54:20
pennsylvania used to fly out there, i'm
54:23
too old for that now but i still
54:25
do occasional virtual workshops
54:28
that's gonna be on social
54:30
anxiety disorder and
54:33
i just love treating every
54:35
kind of anxiety
54:37
you know panic attacks and OCD
54:40
and. China's and public
54:43
speaking anxiety and phobias
54:45
and. Add all of those things is one
54:47
of my favorite favorite things but
54:50
i still get anxious from time to time it
54:52
just that i have tools now to
54:54
deal with that and i have
54:57
you know tons of laws and the older
54:59
i get the more i become aware of
55:01
my flaws. I used
55:03
to think that you know people wouldn't
55:06
accept me if they saw how long
55:08
and screwed up i was but now i found
55:10
it's more the opposite that. More
55:13
real you are the more people seem to love
55:16
and accept you jill
55:19
leavitt who you remember you know who i teach
55:21
with him in the weekly group it's at
55:23
stanford you know she really understands
55:25
the stuff deeply to you
55:28
know once i was dropping her off her house
55:30
after we did, some kind of a presentation
55:32
somewhere and she said i
55:35
just feel sorry for these people
55:37
who think they have to be special. They
55:40
don't know the joys of just accepting
55:43
that you're just kind of a low average
55:45
piece of shit she said it's the greatest thing
55:47
in the world i really
55:49
got a great
55:52
so great to be below average amazing
55:55
amazing but people don't want to
55:57
accept i'm not gonna accept that i'm gonna, be
56:00
special one of my students
56:02
was named Matt may and
56:05
now he's a clinician here
56:07
in Menlo park near Palo Alto a
56:10
psychiatrist and he was he
56:12
started coming to me when he was a medical student
56:15
to my weekly seminar and
56:17
then when he was a resident I supervised him
56:19
and we'd spend about three hours a
56:21
week we'd have pizza and talk about his
56:23
tough cases and I would give him tips on
56:25
how to treat people and then we
56:28
would also work on his issues
56:30
because like all young psychiatrists and psychologists
56:33
he had personal shortcomings
56:36
and things that were bothering him and
56:38
we'd kind of work on that you know
56:40
how to deal with women women were kind of giving
56:43
him a hard time and I told him how to solve
56:45
that problem and his
56:48
love life went from rags to riches but
56:51
I remember one night we
56:53
were driving back to my house from
56:55
this pizza place in Los Altos where
56:58
we've been doing our supervision and we were
57:01
to stop sign and he looked over
57:03
at me and says dr.
57:05
Burns I just want you to
57:07
know that I'm working so hard every day
57:09
to become a better and better person
57:13
and I looked back to him with equally sincere
57:15
eyes I said Matt I just
57:17
hope you're gonna get over that one of these days
57:21
that he person the laughter that he got is
57:24
enlightenment
57:26
Wow powerful
57:30
just self-acceptance it's it's
57:32
such a relief David I love your
57:34
work you've changed my life you've changed
57:36
millions of people's lives I honestly
57:39
I think the cognitive distortion lists
57:41
should be on everybody's refrigerator and
57:43
car dashboard it should be it should
57:45
actually come as we come into us come
57:48
with us as we're born into this world to
57:50
help us navigate it because
57:52
the mind has so many tricks up
57:54
its sleeve to the oldest cons
57:57
as you yeah as you say I want
57:59
to ask One last question before
58:01
we wrap up. It's something I ask
58:04
every guest, and it's the magic
58:06
wand question. So if you could wave
58:08
a magic wand at the Earth
58:10
and tomorrow when you woke up, whatever wish
58:13
you asked for was granted, what would your
58:15
magic wand wish be for the planet?
58:17
Well, I think it would be the same thing that
58:20
I'm working on would be that we
58:22
just got our first round of funding for
58:24
the app. We've been working for free for
58:26
the past three and a half years to
58:29
make it happen, and that it
58:31
would be a commercial success. And
58:34
we're going to give it for free for anyone
58:36
who can't afford it no matter what. And it's been
58:39
totally free for everyone up until now, but
58:41
at some point we have to start getting
58:43
a business plan so we can pay people.
58:46
And I guess one of my dreams would
58:48
be that it could become commercially
58:51
successful to the point that
58:53
we can begin to really
58:56
make it available
58:58
to tens of thousands or millions
59:00
or hundreds of millions of people
59:02
around the world. That's been my dream
59:06
ever since I completed
59:08
my psychiatric residency training.
59:11
And if the app continues to help
59:13
people, we have to give it to more populations.
59:16
We've been doing beta testing on people
59:19
who listen to my podcast, and that's a selected
59:22
group of fans, and it works fantastic
59:24
for them, not all of them, but for most
59:26
of them. Is it going to be helpful
59:28
for people who are living on the street,
59:30
people who don't have
59:33
any income, any support? That's
59:36
what our population in Philadelphia was
59:38
like. And those people were the best, easiest
59:40
to work with of any group, or the most grateful
59:43
of any group I've ever worked with. And
59:45
so if we could really start connecting
59:48
with people who were suffering in large
59:50
numbers, that'd
59:52
be kind of the dream I'd be
59:55
hoping for, and if that happens, then I'm ready
59:57
to retire and just hang out with my caps
59:59
all day long.
59:59
Love that. David,
1:00:02
thank you so much for this conversation. This
1:00:04
was so enlightening. I'm so happy to finally
1:00:06
connect with you. I hope we can stay connected
1:00:09
and have more of these chats and maybe even
1:00:11
collaborate on the app. What
1:00:13
you do should be out there to
1:00:15
everybody. So consider me an ally
1:00:18
in your mission.
1:00:20
Well, thank you. It's been an honor and I
1:00:22
would look forward to doing something again. If
1:00:24
you email me, I mentioned
1:00:27
you to Alexis who's on our app team
1:00:29
and she's in charge of all the beta tests
1:00:31
and stuff like that. So if you email me and
1:00:33
give me a reminder, I'll put
1:00:35
you in touch with her and then she can set up
1:00:37
a kind of a VIP
1:00:40
beta test of the should statement
1:00:42
class. It's dedicated to Albert Ellis,
1:00:44
someone who you really love like I
1:00:47
do or maybe the acceptance
1:00:49
class and get your input. I'd love
1:00:51
to talk to you again. I'm an easy Mark and I'm
1:00:53
available 24 seven. So thank
1:00:56
you so much. It was just an honor to meet you, Prince.
1:00:59
Likewise. Thank you so much. Time
1:01:08
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