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Change Your Brain, Change Your Life

The Breakthrough Program for Conquering Anxiety, Depression, Obsessiveness, Lack of Focus, Anger, and Memory Problems

by Daniel G. Amen, M.D.

|Harmony©2015·480 pages

Dr. Daniel Amen MD is one of the world’s leading psychiatrists. He’s a clinical neuroscientist (love that phrase!) who has performed 115,000+ SPECT scans on his patients’ brains. (That’s a lot.) This book captures what he’s learned about optimizing our brains, why it’s important and how to do it. Big Ideas we explore include #ANTspray, wisdom from Fat Freddie the penguin, how hungry your brain is (did you know it’s 2% body weight but uses 20-30% of calories consumed?), and a bunch of other goodness.


Big Ideas

Psychiatrists then and even now are the only medical specialists who virtually never look at the organ they treat. Think about it. Cardiologists, neurologists, gastroenterologists, orthopedic doctors—in fact, every other medical specialist—look; psychiatrists guess. Before imaging, I was throwing medicine-tipped darts in the dark at my patients and had unintentionally hurt some of them, which horrified me. There is a reason that most psychiatric medications have black box warnings. Give them to the wrong person and you can precipitate disaster. …

After a quarter century and more than one hundred thousand SPECT scans, the single most important lesson my colleagues and I have learned is this: you can literally change people’s brains, and when you do you can change their lives. You are not stuck with the brain you have; you can make it better, and we can prove it.

~ Daniel Amen, MD from Change Your Brain, Change Your Life

Dr. Daniel Amen is one of the world leading psychiatrists.

And, he’s one of the few who use brain imaging technology known as SPECT (single-photon emission computed tomography) to actually LOOK at the brains of the individuals he sees.

Let’s think about that for a moment: Isn’t it more than a little weird that psychiatrists are the only medical specialists who, as Dr. Amen says, virtually never look at the organ they treat?

I sure think so.

In any case, Dr. Amen and his colleagues have now conducted over 100,000 (!!!) brain scans which has helped him develop a powerful methodology to help us tap into the biggest lesson he’s learned in all his years of research and clinical work: Change Your Brain, Change Your Life.

In this revised and updated version of his classic book, we get a thorough tour of the brain—learning what can go wrong and how to, as the sub-title suggests, conquer anxiety, depression, obsessiveness, lack of focus, anger, and memory problems.

In the process, we learn how to become Brain Warriors—winning the battle to optimize our brains and thereby optimize our lives and actualize our potential.

The book is PACKED with a scientific tour of the brain and practical Big Ideas on how to optimize. Check it out for all the details. (Get the book here. Bunch of bonus goodies here.)

As always, I’m excited to explore some of my favorite Ideas we can apply to our lives right now so let’s jump straight in!

P.S. I’m typing this 48 hours before Alexandra and I spend a couple days at Amen Clinics. I am absolutely (!) giddy to take a peek under the hood and optimize! :)

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Your brain is the most amazing organ in the universe. It is the organ responsible for learning, strategizing, loving, creating, and behaving. As such, it’s important to know about it, love it, and maybe even be a bit obsessed with it.
Daniel Amen, MD
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#ANTspray

“One of the limbic techniques that is a mainstay of helping our patients at the Amen Clinics is what I call ANT therapy, or learning how to kill the ANTs (Automatic Negative Thoughts). I coined this term in the early 1990s after a hard day at the office, during which I had several very difficult sessions with suicidal patients, teenagers in turmoil, and a married couple who hated each other. When I got home that evening I found thousands of ants in my kitchen. It was gross. As I started to clean them up, the acronym came to me. I thought of my patients from that day—like my infested kitchen, my patients’ brains were also infected by the negative thoughts that were robbing them of their joy and stealing their happiness. The next day, I brought a can of ant spray as a visual aid and have been working diligently ever since to help my patients eradicate their ANTs.”

ANTs. Automatic Negative Thoughts.

Ever had an infestation in your head? (If you’re human the answer is almost certainly, “YES!” :)

First, we need to KNOW that every.single.time we have a thought our brain releases chemicals. Every time we have a negative thought, our limbic system goes to work releasing negative chemicals. And, fortunately, of course, every time we have a good thought our brain releases chemicals as well.

So, let’s bust out some ANT spray and take care of those little guys.

Dr. Amen walks us through a great process in the book. For now, remember our basic cognitive behavioral therapy ideas we come back to again and again: Identify the negative thought. Write it down. Challenge it. Repeat.

#ANTspray

The 18-40-60 Rule

“Then I wrote the last thought, ‘Two million people will think you are an idiot.’ In the middle column I wrote ‘mind reading.’ Again, I was predicting the worst. In the third column, I wrote, ‘Maybe so.’

Next to it I wrote three numbers: 18-40-60, which stands for a rule I teach my patients, called the 18-40-60 rule. It says that when you are eighteen, you worry about what everyone thinks of you; when you are forty, you don’t give a damn what anyone thinks about you; and when you’re sixty, you realize no one has been thinking about you at all. People spend their days worrying and thinking about themselves, not you.”

The first part of that quote is from the ANTeating exercise Dr. Amen teaches us.

In the first column, we write down the automatic negative thought.

In the second, we identify which of the nine “species” of ANTs we’re dealing with. That one was “mind reading” in which, as it sounds, we’re getting ourselves in trouble trying to guess what people will think. (Other species include “fortune telling” where we’re trying to predict the future and the most dangerous red ANT: “blaming.”)

In the third column, we kill the ANT by challenging the negative thought.

That’s all awesome.

And, so is The 18-40-60 Rule.

Remember, no one is thinking about you!!!

They’re WAY too busy thinking about themselves to really care what you and I are up to. (Hah!)

That’s an extremely liberating truth.

Of course, if you’re on the south side of sixty, no need to wait to get the truth of that wisdom. (And, if you’re on the north side of 60, #highfives and here’s to rockin’ it.)

Fat Freddie + 600 penguins

“While I was doing my fellowship in child and adolescent psychiatry, my family and I lived in Hawaii. When my son was seven years old, I took him to a marine life educational and entertainment park for the day. We went to the orca show, the dolphin show, and finally, the penguin show. The featured penguin’s name was Fat Freddie. He did amazing things: he jumped off a twenty-foot diving board; he bowled with his nose; he counted with his flippers; he even jumped through a hoop of fire. I had my arm around my son, enjoying the show, when the trainer asked Freddie to get something. Freddie went and got it, and he brought it right back. I thought, ‘Whoa, I ask this kid to get something for me, and he wants to have a discussion with me for twenty minutes, and then he doesn’t want to do it!’ I knew my son was smarter than this penguin.

I went up to the trainer and asked, ‘How did you get Freddie to do all these really neat things?’ The trainer looked at my son, and then she looked at me and said, ‘Unlike parents, whenever Freddie does anything like what I want him to do, I notice him! I give him a hug, and I give him a fish.’ The light when on in my head. Whenever my son did what I wanted him to do, I paid little attention to him, because I was a busy guy, like my own father. However, when he didn’t do what I wanted him to do, I gave him a lot of attention because I didn’t want to raise a bad kid! I was inadvertently teaching him to be a little monster in order to get my attention. Since that day, I have tried hard to notice my son’s good acts and fair attempts (although I don’t toss him a fish, since he doesn’t care for them) and to downplay his mistakes. We’re both better people for it.

I collect penguins as a way to remind myself to notice the good things about the people in my life a lot more than the bad things.”

I love that.

So, Dr. Amen was so moved by that experience he started collecting penguins. Guess how many he owns now…

SIX HUNDRED!!!

*rubs eyes*

I guess he really thought this was an important practice, eh?

Let’s think of Freddie the Fat Penguin and the good Doctor’s 600 (!) penguins the next time we pay a little too much attention to something a loved one (or colleague or whoever) is doing *wrong* and remember to throw a fish or three at all the things going RIGHT!

#fatfreddie600

Your hungry brain

“Your brain uses 20 to 30 percent of the calories you consume. It is the most expensive real estate in your body. Because of this, one of the most important things you can do for your brain and personal health is to get your nutrition right. There is simply no way around it. You can exercise all you want, think all the right thoughts, meditate, and take dietary supplements, but if you continue to eat highly processed foods laden with sugar, bad fats, and salt, and made from ingredients grown with pesticides, flavored with artificial sweeteners, colored with artificial dyes, and treated with artificial preservatives, there is just no way to keep your brain and body working at their peak. If your food is not the best, you will never be your best.”

Wow.

Our brain uses 20 to 30% (!!!) of the calories we consume.

It’s a beast! :)

And, if we have a true desire to be our best, we MUST make sure we’re optimizing our nutrition. Dr. Amen tells us we need to become Brain Warriors. We need to fight the battle against society’s assault on our well-being and flourishing.

He gives us 9 rules of brain healthy eating and 52 of the best brain-healthy superfoods. Check the book out for more on all that goodness.

For now, what’s the one thing you ALREADY know you could be doing to dial in your nutrition?

Now a good time to get on that?

No one gets better in a straight line

“When people come to see me they are usually not doing very well. Over time, if they work the plan we develop, they get better. But no one gets better in a straight line. They get better, then there is a setback, then they get better still, then there may be a setback, then they continue to improve. Over time, they reach a new steady state where they are consistently better. The setbacks are critically important, because if we pay attention to them, they can be our best teachers.

Do you learn from your failures or ignore them? New brain-imaging research suggests that when some people fail their motivation centers become more active, making it more likely they will be able to learn from their experience. When others fail the brain’s pain centers become more active—it literally hurts—making it more likely they will do whatever they can to avoid thinking about the episode, which means they are more likely to repeat the mistake. Learn from your mistakes and use them as stepping stones to success.”

Remember: NO ONE OPTIMIZES + ACTUALIZES IN A STRAIGHT LINE.

Change occurs in stages.

We take a few steps forward, and they fall back a step (or three!). Then we repeat.

As we continue to put in the hard work, over the long run (!!!) our highs are significantly higher and more stable than before and our lows are considerably higher than before.

But, a) We’ll still have highs and lows + b) We’ll get there in a set of zig zag—not straight—lines.

That’s Part 1.

Part 2: How do you respond to your mistakes?

Do you APPROACH them and look to learn from them or do you AVOID them and try to pretend it’s all groovy?

It’s always fascinating to me that we can observe tendencies like this in the brain itself. And, it’s inspiring to know that we can re-wire to optimize.

What’s one mistake you can get excited about as an opportunity to learn and grow?

What did it teach you? How will you be a better person as a result of it? Let’s use our mistakes as stepping stones to success!

Brain Warriors Play Poorly Well

“In order to be an effective brain warrior you have to be prepared for the inevitable roadblocks and setbacks that will come your way. It is critical to identify your most vulnerable moments and have a plan to overcome them.”

This is a REALLY (!) Big Idea to help us navigate that growth chart with as much speed and grace and joy and power as possible.

We need to KNOW which negative habit gets us in the most trouble. And deal with that.

In our Confidence 101 class, I called this learning how to “Play Poorly Well.”

As Jack Nicklaus says: “The greatest and toughest art in golf is ‘playing badly well.’ All the greats have been masters at it.

The same is true in the art of living, of course.

One powerful way to rock this? Use an IFTHEN implementation intention on it. IF you are tempted by [ insert negative habit ] THEN you will [ insert new positive response ].

This is really really really big. Master this and master your life.

(More strategies in Habits 101.)

And, here’s another tool to dial it in:

“then What?”

“I have my patients remember the two most important words in the English language when it comes to their health: ‘Then what?’ If I do this, ‘Then what’ will happen? If I say this, “Then what’ will happen? Does eating the third piece of pizza, skipping a workout, staying up late, or being a jerk to my wife help me with any of my goals? Of course not. According to research, the people who live the longest and achieve the greatest success are the most conscientious. They know what they want and then they act in consistent ways over time to get it. This is a PFC [pre-frontal cortex] function. Always protect the health of your brain and put these two words up where you can see them every day. Then what?”

One of my favorite questions we come back to a lot in these Notes is David Reynolds’ genius question, “Now what needs to be done?

Let’s add this one to the list: “Then what?

If you do _________________ then what?

If you do _________________ then what?

If you do _________________ then what?

That’s a nice little compass. Let’s use it. :)

The Fork in the Road

“One of my favorite motivational exercises with my patients is called the Fork in the Road. Here, I want you to vividly imagine a fork in the road with two paths. To the left, imagine a future of pain. If you don’t care about your brain and just keep doing what you’ve always done, what will your life be like in a year . . . in five years . . . in ten years . . . in thirty or even fifty years? I want you to imagine your brain continuing to get old and all that goes with that . . . brain fog, tiredness, depression, memory loss, and physical illness. To the right, imagine a future of health. If you care about your brain and do the exercises I recommend, what will your life be like in a few days, in a year . . . in five years . . . in ten years? I want you to imagine your brain getting healthier and younger and all that goes with that . . . mental clarity, better energy, a brighter mood, great memory, a trimmer and healthier body, healthier skin, and a younger brain. Ultimately, with this knowledge you get to choose.”

The Fork in the Road.

Can you see it?

It’s ALWAYS there.

And every moment gives us another opportunity to (re-) commit to the path of optimization and vibrant health and happiness and flourishing.

About the author

Daniel G. Amen, M.D.
Author

Daniel G. Amen, M.D.

Physician, double board certified psychiatrist & 9-time NYT bestselling author.