What We Learned About the Brain in 2025 | Stress, Perception & Healing

31 Dec 2025 · 47 min · 22 chapters

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In short

2025 wrap-up on brain health, stress, perception, inflammation/immune activation, and healing; includes discussion of introversion vs social awkwardness, MDMA-assisted PTSD mechanisms and risks, digital/social-media content and inflammation, and PMS/PMDD variability.

Guests (backgrounds)

Simon Sinek (thought leader). Dr. Sarah McKay (neuroscientist). Professor Dan Nicolau (neuropsychoimmunologist studying brain–immune links). Rick Doblin (psychedelics advocate; “godfather of psychedelics”). Robin Schwama (master; featured as a closing guest). Additional interview content includes a biochemist host and researchers on PMS/PMDD and emotion construction (e.g., Lisa Feldman Barrett; Sarah Romans; Dr. Lisa Falmer-Barrick).

Key claims

PTSD involves hyperactive amygdala, reduced prefrontal control, and weaker hippocampus–amygdala connectivity; MDMA reduces fear circuitry, boosts prefrontal function, improves memory processing, and increases oxytocin to promote neuroplasticity, but destabilization can occur without safe therapeutic context. Socially stressful content and moderation work may raise inflammation (CRP), and immune “shocks” (e.g., burnout) can leave the immune system in a persistently pro-inflammatory alert state. PMS rates vary widely by culture; emotion may be shaped by expectations and context, not hormones alone.

Notable examples

PTSD “river of pills” SSRIs image from the VA; a PTSD patient whose abuse memories surfaced under MDMA and who checked into hospital; CRP hypotheses about social media use, violent/hate content, and content moderators; PMS meta-analysis rates from France (12%) to Iran (~90%); emotion variation tracking tied more to well-being/stress/support than cycle day.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

Tap a time to open that second in VO

Reflections on the Year

0:46 to 1:27

Reflecting on favorite episodes related to brain health and mindset from the year.

“He looks at the brain and the immune system.”

Introducing Thought Leaders

1:28 to 2:12

Introduction of various thought leaders and their contributions to neuroscience discussions.

“Hey guys, I am very bad at asking for this but I wanted to stop for just one minute and ask a huge favour.”

The Nature of Introversion

2:13 to 4:43

Exploring the host's experiences as an introvert and public speaker, and the misconceptions surrounding them.

“You sitting here talking comes at complete ease.”

The Cost of Choices

4:44 to 8:34

Discussing the concept of weighing the costs of our choices and actions in life.

“Or sometimes I'm in a great mood and I'm jacked up on caffeine and I'm having a good time.”

Understanding PTSD

8:35 to 10:58

An overview of how PTSD affects the brain and the potential benefits of MDMA in treatment.

“You know, some people devote themselves so intensely to their career.”

MDMA and Healing

10:59 to 14:04

An explanation of how MDMA interacts with the brain to help treat PTSD.

“I wanted to see if he was someone to work together.”

Understanding PTSD and MDMA's Role

14:04 to 17:03

Explore how MDMA affects the brain in processing traumatic memories and PTSD.

“So we're having new processing methods, right?”

The Importance of Going Ghost for Creativity

18:35 to 20:46

Discover the concept of 'going ghost' and its benefits for creative productivity.

“And you guys know as listeners of Live Well Be Well and this whole community that understanding yourself in the most mindful way is one of the most powerful things that you can do for your health.”

Incorporating Rest into a Busy Life

20:47 to 23:25

Strategies for busy individuals to prioritize rest and improve overall productivity.

“That connects a lot to your rest comment that you mentioned in the five questions, right?”

The Impact of Social Media on Inflammation

23:26 to 26:13

Examine how social media usage can influence inflammation levels in the body.

“And if you look at a lot of the great creative people, they had places they would go to to rest and to recover.”
Show all 22 chapters

Exploring Gaming and Mental Health

26:14 to 28:00

Discuss the effects of gaming and content consumption on mental health and inflammation.

“So I think it's very difficult to imagine that last hypothesis not turning out to be correct.”

The Impact of Social Media on Mental Health

28:00 to 29:10

Explore how excessive social media use contributes to mental health issues.

“about, I don't know, volcanoes or something.”

Understanding Pro-Inflammatory Behaviors

29:10 to 31:03

Learn about the relationship between pro-inflammatory behaviors and health.

“unwell for any reason, like if you have a cold or an asthma attack or something, you will seek out social media, which is the opposite direction, I think, to what you're asking.”

The Addictive Nature of Modern Life

31:03 to 33:01

Discuss the addictive qualities of social media and processed foods.

“Ultra processed foods is about eating a very nutritious diet.”

The Lasting Effects of Immune System Shocks

33:01 to 34:36

Understand how significant health events affect the immune system long-term.

“We can legislate, we can say attention is a human right, we can say kids shouldn't be using social media.”

Maintaining Immune System Health

34:36 to 36:35

Strategies to support immune health after experiencing health crises.

“Yeah, you've said it so eloquently, I'm not sure I have much to add.”

The Complexity of the Immune System

36:35 to 38:25

Explore the critical functions and complexities of the immune system.

“immune shock, whether it's sort of classically immune like a certain virus or obviously after a virus, you do return to a normal baseline inflammatory level, right?”

Cultural Influences on PMS Perception

38:25 to 42:00

Examine how cultural perceptions impact women's experiences of PMS.

“It's involved in blood pressure regulation.”

Understanding Emotional Variation in Women

42:00 to 42:50

This segment discusses how emotional variation in women is influenced more by well-being than menstrual cycles.

The Role of Expectations on PMS Experiences

42:50 to 43:50

Exploring how personal expectations and narratives can affect women's experiences with PMS.

“And emotions varied far more with those metrics than with the metric of purely cycle day.”

Cultural Narratives and Their Impact on Women's Emotions

43:50 to 45:20

Discussing how cultural narratives shape women's emotional expressions and experiences related to PMS.

“Lisa Falmer-Barrick spoke about this on the projection of your emotions and past memories and experiences on the show, which was really interesting.”

Hormones vs. Agency in Women's Emotional Health

45:20 to 47:08

Examining the balance between hormonal influences and personal agency in shaping women's emotional experiences.

“But I think it's important to realise that the hormones are not the only data point which are constructing an emotion, as Lise Feldman Barrett would say.”
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Transcript

Automatic transcript. May contain errors.

0:00Hello, welcome to the final episode of 2025. We have squeezed one more in for you on New Year's Eve. Whatever year you've had, I hope that this podcast can help support you into 2026. And I was thinking about what we would do today for part two, and I really wanted to focus on something that I think is so important, especially going into next year, which is our mindset, our mental health, psychology, everything to do with our brain health. And to do that, I've looked back at this year to see which ones you loved the most in this sector and which ones meant the most to me. So we're going to kick off with thought leader Simon Sinek.

0:37We're going to talk to neuroscientist Dr. Sarah McKay. Especially if you're a woman, you should listen to this episode and these reflections. Then we speak to Professor Dan Nicolau, probably one of my favourite episodes of this year. He's a neuropsychoimmunologist. It's a lot. He looks at the brain and the immune system. We then speak to the godfather of psychedelics, Rick Doblin, and we end with the master himself, Robin Schwama. This episode hopefully is inspiring. It will give you loads of amazing takeaways from neuroscience to personal growth, all the things I am loving at the moment. And hopefully this just gives you a little bit of support thinking about 2025 going into 2026.

1:19Thank you once again for being part of this community this year and get ready for my first solo episode to come next week. Happy New Year everyone, wishing you the best end to 2025. Hey guys, I am very bad at asking for this but I wanted to stop for just one minute and ask a huge favour. If you want to hear more diverse conversations from female voices such as myself, I would love if you could hit subscribe. We work so hard on this show to bring you some of the best guests in the world. And having a female voice sometimes gives a different perspective. And I really want to elevate more of that on this channel.

1:56So please hit subscribe if that's important to you as it is to me.

2:05People might have this perception of you where you, you know, when you said, I actually didn't realize I'd ever think I'd be doing this. Standing on stage so eloquently with such autonomy, inspiring so many people, it just comes at complete ease. You sitting here talking comes at complete ease. This is what you're naturally good at. But people might be quite surprised to know that you're also quite introverted. How have you navigated those qualities? I think that's something that many people talk about, but I actually think it's something maybe really important to highlight.

2:35Simon Sinek:They're completely different things. So a friend of mine invited me to a Christmas party at her at her flat and I said, no.

2:47Simon Sinek:And I went to her Christmas party the year before and I hated it. I think I stayed 15 minutes. And then you left. And I left. I hated every second of it. And so she asked me to come the following year and I said, I love you, but I'm going to pass. And she said, why? I said, it's the introvert in me. It's really uncomfortable. I mean, I can force myself to do it, but if I don't have to do it, then I'll choose not to do it. And I don't have to do this, right? And she was very aggressive. She sort of said, I don't believe you. I don't believe you that it's your introversion, that you don't want to come to the party.

3:25Simon Sinek:She says, I see what you do. You stand on stage for a living. How can you call yourself an introvert? Because she thought I was lying to her. And they're completely different things, right? I don't know how to make small talk. I don't know how to work a room. I don't know how to do any of that, right? I'm very good one-on-one. I'm great one-on-one. I love an individual conversation. I love the company of one or just a very few. I don't even like the company of 10 people that I know, you know? I'm usually very quiet. It's like I love watching my friends sort of get to know each other. That's the best.

4:00Simon Sinek:I don't mind that I enjoy, but I just stay out of it. And when I'm on stage, I'm having one conversation with one person because I look one person in the eye and I talk to them. And I talk to one person and talk to them. I'm having a lot of individual conversations, which is why I'm a good public speaker, because I'm not attempting to hold court. I don't like holding court. I don't want to hold court. I don't pan and scan and look around the audience and think that I'm... No, I'm talking to one person at a time, which is why I always request for the house lights to be up so I can see the people, so I can have one conversation at a time.

4:32Simon Sinek:So what makes me a very, very effective public speaker is that I am an introvert. And people are very surprised because before or after the big event, I'm just sort of, you know, a little awkward or quiet. Or sometimes I'm in a great mood and I'm jacked up on caffeine and I'm having a good time. And then I have a bigger, larger than life personality. It's not like I'm always, I think, and this is the other thing. I think people confuse social awkwardness and introversion. You can be a socially awkward introvert and you can be a socially awkward extrovert. Like there are extroverts who derive energy from people, but you're like, dude, too much.

5:07Simon Sinek:That's socially awkward extroversion, right? I'm a socially functional introvert who is sometimes socially awkward, right? But I can, my personality is big and people think I'm extroverted and all of that can come out, but it is exhausting when it happens. Like I'll have fun and I beat big personality and I go home and I am done. I sit in the back of the car and I'm like, oh, I need sugar. You know? I'm exhausted. How do you navigate that with your career, though? Because half of your career is being on stage, is surrounded by a lot of people. Yeah. How do you navigate that? I don't go out for dinner afterwards.

5:46Simon Sinek:Like, I always get invited, come out with the team for dinner. No. No, that's just more work. I went from working to doing more work. For other people, that's the time they get to relax and let their hair down. For me, that's more work. So how do you relax? I'm a homebody. I love staying at home. I love puttering around the house. I love little silly projects, fixing things, making things, building things. I do Lego like it's going out of style. I mean,

6:20Simon Sinek:I putter. I love companionship. I love the company of a person. I love sitting next to somebody watching TV. I love it. And it's not antisocial. It's unsocial. I'm not antisocial. I'm very, very social. I'm just unsocial, meaning I like the company of a few a lot. And going out is great. I'm a foodie. I love going to restaurants. But it is always exhausting. and that's okay i know this about myself and sometimes i have the energy and sometimes i don't and i'm gotten better about saying i don't have the energy like communicating this yeah like going out for dinner are we gonna go out for dinner tonight i will but if you really don't if you don't mind i'd rather stay home if you want to go i'm in because it's all there's also i'm also not the only person in the world and i like to make sure that others are taken care of and I can rally if I need to.

7:24Simon Sinek:But I'm just better at vocalizing it. Again, practice, practice. That's all it is. And compromises, you know? Practices and compromises is all it is. How do you, I mean, I feel like you've gone through a lot of kind of self-growth, how easy you are to kind of start communicating your needs outwardly. Some don't like it. Maybe that's just more about them. Some people would rather I keep it to myself. It's not always a blessing. Yeah, but I think it's actually worse if you can't. Because you rattle people up the wrong way and they can't understand you. It's circumstantial. Yeah, I think... Nothing is...

8:01Simon Sinek:It's like what I said before, everything comes at a cost. Everything comes at a cost. And you have to weigh the costs, always. And sometimes the costs are worse, and sometimes they're not. Right? So, I mean, we have to get away from this right, wrong, good, bad. There's no such thing as right and wrong. There's no such thing as good and bad. everything is about cost. What's the cost of the thing that you want? That's it, right? There's the right way to build your career. There's the right way to do this. There's the right way to lead. No, there isn't. They're just different cost structures. And for some people, this cost is worth it.

8:33Simon Sinek:And for some people, this cost is not worth it, right? I mean, take a silly example. You know, some people devote themselves so intensely to their career. some of them may not have a relationship with their kids. And in the moment, they may think it's worth the cost. Later on, they might reevaluate them and be like, shit, not worth it. But the point is, there's costs. And I think what I've gotten good at over the years is not believing... I'm completely limited to the concept of right, wrong, good, bad. Right? In myself as well, there's no such thing as strengths and weaknesses. I fundamentally don't believe we have strengths and weaknesses.

9:09Simon Sinek:We have attributes and characteristics. And in some circumstances, those attributes and characteristics will manifest as a strength. And in some circumstances, they will manifest as weaknesses. But they're not in themselves strengths or weaknesses. It's just the way you are. So let's talk about my forwardness and bluntness about some things. In some circumstances, with some people, it's a boon. In other circumstances, not so much. Right? And so I have to learn to modulate those things or modulate where I am. I'll give you a really funny one. I'm very disorganized. People don't know that, but they don't expect it, but I'm very disorganized.

9:47Simon Sinek:Right? Is that a strength or a weakness? Is that a strength or a weakness? Now, most people would be like, oh, it's a weakness. Is it though? I don't know. Maybe it's circumstantial. Right? So if I have a lot to get done and I'm not good at keeping it all organized, some things absolutely fall through the cracks. I am notorious with being like, I have to do that. And literally a minute later, forgetting to do it. Like literally people like, I just told you, I'm like, I know I forgot. They're like, how can you forget? It was literally one minute ago. I'm like, I know I forgot ADHD. I mean, it's not an excuse.

10:17Simon Sinek:It's it. I didn't write it down. I forgot. You're like, you know, so being disorganized, bad, bad. Okay. And I'll take another example. I went to this networking event when I was young in my career. Met this guy. He's like, your stuff's amazing. I would love to work with you. Here's my card. Be in touch. I'm like, great. Fantastic. Of course, I lost the business card almost immediately. So if I was organized, I'd be, you know, texting from the taxi on the way home or emailing the next day to make contact. Not me. I lost the business card, lost the opportunity, gone. Two weeks later, I found the business card.

10:55Simon Sinek:Happened to be at the bottom of a bag somewhere. So I emailed the guy. I'm like, I don't know if you remember me. Two weeks ago, we met. I wanted to see if he was someone to work together. He wanted to work with me even more because he thought I was busy. So is being disorganized a strength or a weakness? Depends. It depends. So I know that I have these attributes and these characteristics, and I work very hard to figure out where those things will show up as strengths and then make sure to put myself in those situations more than the other situations.

11:28I started MAPS because I felt like it was through science. And basically, it's to go where the suffering is, that people will listen when they're suffering. Other times, they might not listen. So that if we can go to try and make MDMA into a medicine to cure certain kinds of suffering. And then the other big issue was, well, it was a strategic sense. Of all the psychedelics, which would I pick? It was MDMA. And then what should it be for? and at the time we needed sympathetic patients so the main um there was a lot of people from vietnam who had ptsd this is now quite a while 86 now but there were still a lot of people from vietnam that had ptsd that had not been treated so we needed sympathetic patients we needed a disease that was potentially causing suicide that would be very expensive that would lead as you're saying with the stress to lead to all sorts of physical illnesses that was expensive and I had worked with a woman in 1984 who had PTSD and saw it helped.

12:29So MDMA for PTSD became the vehicle to go through the FDA. I think that's something where I've become really aware of, that there is no treatment legally, I'll put that in, for PTSD. And I think people now still go to the doctors with PTSD and they're prescribed SSRIs, which doesn't work. Yeah, there was an incredible image of, this was an image of a soldier who was like wading through a river and carrying his gun so it wouldn't get wet, but the river was filled with pills. He was wading through SSRIs because that's all the VA was giving, and it wasn't really helping. No. Yeah. How does MDMA work with the brain and PTSD?

13:14Ah, okay. This is an easy one. All right. So the first step is, how does PTSD change your brain? So PTSD is this post-traumatic stress disorder. People are fearful very much of whatever happened before is not really in the past. It's going to happen again. and so your amygdala the part of your brain that is more processing fear is hyperactive there's more activity in the in the amygdala for people that have ptsd than than average normal people the other thing about ptsd is that it's hard to separate out what's real threat what's not if you you know people are always triggered by different things so there's less activity in the prefrontal cortex where we think logically so you're sort of short-circuited by your emotions so you see somebody that looks like somebody that assaulted you and now you feel like you're about to be assaulted again if you had a moment to think about it it's a whole different person it's a different context it's not that and then these traumatic memories are never really put into the past and so the hippocampus which is the part of our brain that stores memories into long-term storage there's lower activity in the hippocampus and less connectivity between the amygdala and hippocampus when you have ptsd right so that's kind of how your brain changes and you've got these real circuits that are activating all the time so mdma works great for ptsd but we found later that or not we other people found we felt that if we focus on the healing other people will do the neuroscience so what we know is that mdma reduces activity in the amygdala so that when you are remembering a traumatic memory it's not as fearful mdma increases activity in the prefrontal cortex so you're able to sort of think logically more so and then mdma increases connectivity between the hippocampus and the amygdala so that you're able to process memories and put them into long-term storage then the other big part of what it does is oxytocin so the hormone of love and connection of self-compassion of self-love yeah my favorite one yeah so mdma releases oxytocin and there's a woman gul dolan a neuroscientist who has done studies that show that in mice that the oxytocin is released by mdma and that's what promotes neuroplasticity and that's what we really need with ptsd is that we need to create more of these neural highways and kind of shunt them off from the trauma loop and create new neural highways.

15:54So we're having new processing methods, right? Yeah, you definitely can have one session where you rewire your brain and then if you do the therapy. Now, I should add though that, for example, this woman that I worked with in 1984 who had PTSD, MDMA, by reducing this fear response to traumatic memories can be destabilizing as well as healing. so she initially did it with a friend of hers and memories of past sexual abuse came up and it so destabilized her she'd previously attempted suicide she'd been medicated she'd been hospitalized from this trauma and under mdma even in a safe place relatively with a lover these memories came up and she felt that they were overwhelming so she checked herself into a hospital not to kill herself and while she was there they stabilized her but they gave her the same SSRI stuff that she'd had before whatever medicine she didn't think it would work so she was more so subtle when she got out so I I don't want people to think you take MDMA and now all of your problems you can deal with if you're not in a safe therapeutic setting you you can trigger traumatic memories and then they can be overwhelming so it's the context more than the drug that is what produces the healing.

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18:45And this little gadget helps you on your journey.

18:56what is the one that like really stands out to you the most that you really hold dear to you of all the lessons that you wrote on the eight healthy habits on the eight forms of wealth i would say um maybe the chapter about going ghost for a year so many people have have commented on that. And the idea is basically, if you look at the most creative, productive people, they all have a retreat, whether it's the stacks in a public library or whether it's a seaside cottage like Goldeneye, which was where Ian Fleming, who created the James Bond books, he would just go to get away from the world. But I think it's really important to go ghost on a regular basis.

19:37Ideally, if you can, go ghost for a year. Go to Bali or go to Colombia or take your family on a sailing adventure. If you can't go ghost for a year, go ghost for a month. And if you can't go ghost for a month, then do it even for a weekend. But I think it's really important to get away from the noise so you can hear the signal. I think our greatest insights, and there's a lot of entrepreneurs who watch your show, When I work with my clients, one of the things I help them do is on their schedule, institutionalize strategic refueling. Because so many people work hard because they think it's going to make them more productive.

20:20That comes from the factory era, where if we're at a factory and we produced more, we would be more productive. We're now in the cognitive era. And so if we are depleted and if we are exhausted and if we have lost our inspiration because pretty much all we do is work, we're not going to get the billion dollar ideas that help a billion people. So spending more time going ghost I think is a very powerful idea. That connects a lot to your rest comment that you mentioned in the five questions, right? Is getting the rest and the recovery. but if someone's looking at their diary and whether it's somebody who is like an extremely busy mom or an entrepreneur running a very high scale company how can that person actually like know that prioritizing that is going to increase to a better outcome better productivity being a better mom whatever it is because I do think it's so hard that sometimes when you feel like life is toppling on top of you to make these decisions say well actually I'm just not gonna go to that or I'm actually just not going to turn up to that thing.

21:21It's so hard to actually inject that into your life and be aware of it, but also enforce it. How can we do that to actually say no to the things that we feel we should be saying yes to? Well, a few ways I would answer that. First of all, there are a lot of workaholics in the world right now. And there's a lot of people whose self-worth is tied to their self-identity in the world. Absolutely. And so if your identity is attached to, I'm a business builder, then if you're not building your business, you don't have any self-identity, so you're going to be a work addict. if you don't like yourself very much or you're full of wounding and undeservability issues, then you're not going to prioritize self-care and wellness and fitness and stillness and meditation because your identity is tied to you working.

22:20A lot of people, you know this, they use overwork as a badge of honor. So that'd be the first thing I'd say. Second thing is just look at the science. look at the science the work of the energy project look at what's the what's the energy project the energy project has found for example that the most productive people are much more like sprinters versus like marathoners and the the most productive people work in bursts of intense activity and then they pull back and recover and then if you study the great lives many of the great lives. We're here in London, Winston Churchill, I mean, he had a very full plate, to put it mildly, especially in World War II.

23:01But almost every weekend, he would have one car in front of him with his security person with a revolver as his protection. And into the night, they would race out to Checkers, his country retreat. And he'd spend the whole weekend smoking cigars in the Rose Garden, taking long walks, staying up till two after midnight, drinking and eating for recovery. Now, I'm not saying you have to drink and eat. What I'm saying is he had a retreat. And if you look at a lot of the great creative people, they had places they would go to to rest and to recover. I'm interrupting for one moment to ask one small favor.

23:41Please subscribe to the show. This helps it grow more than you know. And I'm so bad at asking this from you. I'm so bad at thinking about this. but you know my goal is 100 ,000 to get to on YouTube and I really want to bring you more content and better guests and bigger episodes and we can only do that with your help together so please do hit subscribe thank you

24:09when we're thinking about what you're looking at for instance what is it that you're looking to find through your three hypotheses that you're exploring? Thank you for the question. So pretty simple actually, almost something you could explain to, well I think I could probably explain to my four-year-old. So if you, hypothesis one, social media use in some contexts at some levels causes inflammation. Causes in the sense that of course you have other things that are causing inflammation and other things that are reducing inflammation, like antioxidants, but causes in the sense that if you get rid of it, your inflammation will get better.

24:49And if you bring it back, your inflammation will get worse again. And you're going to look at that through CRP level? There is some evidence. Yeah, CRP is a course marker of inflammation, as you know, because you're a biochemist. There is some evidence now, yes, that I can talk about, that the more social media you you self-report that you use, the more, of course, inflammatory markers are up six weeks down the line. Hypothesis one. Hypothesis two, specific content causes it. Socially stressful content, like violence, like shouting, like hate speech, bad things. I use the word bad very loosely, but I think you know what I mean.

25:27And I think everybody does know what I mean by bad. Yeah, they're not looking at puppies. They're not looking at butterfly, like mating cycles. Yeah. That's hypothesis two. That specific, socially stressful content causes these changes, and not just all content, like not if you're looking at videos of sunsets or whatever. Hypothesis three, independent of social media, people who do content moderation, people whose job it is to filter out bad things so that we don't see them will have higher inflammatory markers than match controls. People who are very similar to them but just don't do content moderation for a job.

26:02We know that those people who do content moderation for a job have terrible health outcomes. many of them commit suicide, many more attempt suicide, they have depression, they have anxiety, they have all sorts of problems. And indeed, why would you expect anything different? If your job is to watch horrible, violent or sexual assault videos that no one else does, of course, you're going to be affected. So I think it's very difficult to imagine that last hypothesis not turning out to be correct. Nonetheless, we do need to do the work, as always in science. I wrote this down so I didn't forget. I'm thinking about my nephew who loves gaming.

26:32it can be quite aggressive. I mean, obviously there's not like people, but you're literally going around with guns, right? Killing people. Would that cause inflammation? Is that the type of like negative kind of usage that we would also kind of put that under? Because I'm thinking gaming is huge now. Gaming is huge. Two things that have been well studied previously are gaming and pornography. And they have been studied very well respectively in South Korea and Australia. And the research there is good. The evidence base is very thorough. And in both cases, there is basically at inappropriate levels.

27:11They both cause all sorts of problems, including mental health, but also inflammatory states. social media has not been studied, which is sort of surprising. And when it has been studied, people have looked at screen time. There is no obvious reason, and they've concluded that there's very little evidence, but there's no reason to think, there's no sensible reason to think that simply screen time itself would give you problems. It depends what you're watching. I would think virtually everybody would agree with that statement. It's likely that the content is doing things to you, if anything, right?

Read the full transcript

27:46So people have studied screen time and they conclude, well there isn't that much of a link between screen time and bad outcomes. But a little screen doom scrolling at night or like a 16 year old watching pornography at two in the morning, that's not the same as you're watching, as you said, David Attenborough or something about, I don't know, volcanoes or something. I mean, it's interesting because the brain, the word in the Oxford dictionary this year was brain rot. And so that was the new word, which is basically that it's like social media is rushing your brain by doom scrolling too much. And I think we're all at mercy, not yourself because you don't have it, but you know, ending up going down a black rabbit hole of content and not quite sure how we got to this part of this content because the algorithm had kind of fed us this kind of this weird route to get there.

28:35Just thinking about kind of practicality of people that are listening to this, that obviously it's like a little bit worrying. Is there anything that you're kind of seeing immediately that or some thoughts that you might be having that maybe if children or young people maybe have some chronic conditions, whether it's something that's like asthma to, I don't know, hay fever or an allergy, that these are also increased by poor social media use because it's got the inflammation markers are higher? Yeah, well, there is some good evidence that if you're feeling unwell for any reason, like if you have a cold or an asthma attack or something, you will seek out social media, which is the opposite direction, I think, to what you're asking.

29:21But nonetheless, it's a very interesting hint. It presumably is also the case that the more of the doom scrolling that you seek, the worse that you will feel to the extent to which inappropriate use of digital technologies generally is very likely to cause higher inflammation and higher inflammation itself is more likely to cause triggering of allergies, whether neuroimmune wise or peripherally, more likely to cause asthma attacks or worsen them, more likely to cause other crises like rheumatism, other things. To the extent to which that we've never found anything other than a bi-directional communication, I think it's extremely likely to be the case that inappropriate use of digital technologies generally of which social media are obviously an important case, but not only case, is likely to bidirectionally drive those things.

30:09It also gives you a hint at the solutions, right? Because we have pro-inflammatory processes and we have anti-inflammatory processes. So if we do more, it's almost like, try to say it, right? It's almost like a tautology, but if you do less pro-inflammatory stuff and more anti-inflammatory stuff, like sleep better, drink some tea and, you know, have some friends. But loads of things that people like sleep better, more sex, you know, things that just make you better. And less things that make you not better, then everything will be better. But it's hard because it's also quite addictive. And so it's, I think, what I find kind of the irony of this situation is that we actually know that social media is bad for us.

30:54And we know that screen time is bad for us, but we are so, the dopamine hit is so large that we feel so attracted to it again we know that ultra processed food is bad for us and we know that whole foods and grains and fruits and vegetables are good for us but it's so addictive from the dopamine hits that we get that we we kind of seek these things out and so you know we're all intelligent human beings we all kind of know the right from the wrong but we seek out these more negative kind of self-sabotaging behaviors but then if the irony if you flip on all of its head about you know what we're talking about today about living well being well the longevity sector is going up more than ever before the wellness industry is predicted to be nine trillion dollars by 2027 yet the kind of the things that are going to increase our longevity from what i'm hearing from you is literally like turning off our phones going back to basics which isn't kind of what's being i guess spoken about in the kind of longevity longevity sphere as much.

31:54Ultra processed foods is about eating a very nutritious diet. But this seems to be such an overriding part of that. To the extent to which inflammation is the arrow of time, anything that reduces inflammation is going to lengthen the size of that arrow. The reason we do these, you used the word bad I think, but the reason that we seek out these things is because we were designed to operate in a world in which sugar was really good because you weren't sure when you were going to get the next sugar hit. So dopamine spikes are to be sought out, like pleasure is to be sought out in the savannah 100 ,000 years ago, not now.

32:31But then about the fact that they're addictive, I know people, I mean, everybody says that, including me, of course, that's clear. As a society, I mean, I'm a scientist, I'm an expert on scientific things, not on societal things, but as a society, we have a choice. We have a choice. So opium is addictive, but we have decided as a society that we're going to ban it. Like smoking is addictive, but we don't let kids smoke. Alcohol is addictive, but we don't let kids drink. We have a choice. We can say if social media of some types, of some content at some levels is so addictive that as a society it's harming us because we can't control it because of these dopamine circuits we have from like a squillion years ago that had to do with like getting sugar.

33:22We can legislate, we can say attention is a human right, we can say kids shouldn't be using social media. We have a choice. Australia have done that. Australia have done that. Yeah. But we haven't. My native country. So you know I forgot a question and this is going to connect, I don't want to leave this on a cliffhanger where people go, well what do we do? I mean I guess the number one instances that we do is that we try and reduce our time on social media, try to put a time frame on using it you know try to create as much friction between us and social media as possible and i think for parents it's a harder conversation to have and that's one that i think is a very hard one to navigate because none of us have grown up people that are parents today in a world of social media so it's a new way that we're we're kind of going through but this is something that was really stark that you said to me when we're talking about the immune system and you're thinking about social media and we're thinking about all of these kind of the rises of autoimmune conditions you said something to me that once we have this like big baseline crash or the big crash of what hits us whether it's a virus or burnout or we get a disease or whatever it is we never return back to the baseline our inflammation you know our immune system never like fully goes back and that was something that really hit me because I think so many of us might think you know if I damage my liver it regrows and I can replenish it and you know if I if I get sick I'll recover pretty quickly and I'll be fine um but actually hearing you say that was quite a stark kind of moment where I don't think many of us are aware of that so can you just explain you know the way that I said it in a very kind of confusing way what that means that actually our immune system is always on after we have quite a dramatic event.

35:11Yeah, you've said it so eloquently, I'm not sure I have much to add. So the immune system is always on because it needs to protect us from all sorts of things, including from ourselves. So it's always on. A lot of people are working in this area and we don't really understand inflammation and we certainly don't understand the immune system. But there is there is compelling evidence that basically once you have certain shocks, which can include things like burnout, just to pick up on that example, something non-infective, that your immune system is sort of shocked into a state from which it will always be on alert after that.

35:46It will always expect, like if you've had an episode of, you know, very dramatic burnout that puts you in the hospital, the immune system and the brain are rational in assuming that's going to happen to you again, because things that have happened once are likely to happen again. And that after events like that, or a crisis of psychosis, for example, after that, the immune system is essentially, I don't want to use the word forever lightly, but it's permanently on alert, and that you, as a result, move into a new pro-inflammatory state, which will kind of always be there. Now, that doesn't mean, of course, if you do anti-inflammatory things like antioxidants and sleep better, eat better and exercise, if you do all those things, it will come down.

36:32But once you've had a shock, I think that's what you're asking, once you've had a substantial immune shock, whether it's sort of classically immune like a certain virus or obviously after a virus, you do return to a normal baseline inflammatory level, right? So there are situations where the immune system does return, the troops go home as it were, but not always. Sometimes they don't go home. Sometimes the riot police just stay on the streets forever. And yeah, so that leads to the question, what can we do? Avoid crises, avoid burnout. It's one of these things, easy to say, hard to do, right?

37:04It's easy to say and hard to do, but I think the awareness of it is important. The awareness of, we are living in a culture of work harder, perform better, quicker, more than ever before. were more on than ever before. And I think sometimes it's even like the simple reminders of actually, you know, once you get really hit, you're never going to go back. I mean, I don't think people really resonate with that as much as maybe they should, as one should I didn't. And knowing that our system will forever be impacted, I think it's just a really important message to bring home to people. Because if, you know, I think we can go through life so many times without realizing the importance of our health.

37:46And it's not until your health is gone that you go, wow, I could have gone to the gym today and now I can't. I could have walked down that road and now I can't. It's not until something is literally physically taking away from us that we realize the power of it. It's an ancient proverb. It's in every ancient text. It's in the Bible. It's in Buddhist texts. we abuse our immune system and we also abuse our brain. We abuse our immune system at our peril. It's actually amazing what it does for us. You don't think about it because you're just here sort of talking on this podcast. And during this whole time, our immune system is making sure that our microbiome is balanced.

38:26It's involved in blood pressure regulation. It's involved in brain regulation. It's involved in like skin, you know, it's working around the clock. It's 10 times bigger than the brain. And as a computational device, it's probably more powerful. Everybody says that the brain is the most complex system in the universe. I disagree. I think the immune system makes a mockery of its computational power. And it's working for us all the time, unsung as a hero. And not only we don't appreciate what it's doing for us and for all those around us, we abuse it as well all the time, and then marvel that you suddenly are not going to be the same because you've had this shock and it's doing its best.

39:10But just because it's doing its best doesn't mean you get to abuse it. Because it's doing its best means you should be grateful and try to help it out. At least not actively like hurt it in its efforts to protect you.

39:29I think PMS is interesting because emotions are quite subjective. And when I first set out to go, how many women have PMS and feel emotionally unstable, angry or cranky or irritable leading up to their periods? What's the percentage? Like it can't be all of us. It can't be none of us. It must be somewhere in between. And I found this fascinating meta-analysis that pulled together rates of PMS, self-reported PMS. So this is women saying, yes, I have this, before their periods. And it looked at all different countries in the world. And so the lowest reported rate of PMS in the world was in France, and it was 12%.

40:04So 12 % of women put their hands up and go, yes, that is me. Jump over the border to Spain, it was about 33%. Global average was around 50%, but it was all the way up in the sort of 90 % in Iran. And lots of other countries fell in between. And I was like, how can this be? How can it be a purely biological phenomenon that's objective, that's measurable, if rates vary from 12 % to 90 % globally? There must be a very subjective, cultural, storytelling expectation component to it. And that's not to dismiss it, but it's to say there appears to be enormous cultural variation whether women have this experience or not.

40:48And there's another study I always like to discuss that actually came out of New Zealand where I grew up. And there's been a few different sort of studies of this type whereby women have, you know, gone, the studies have gone in and looked at, you know, sort of cycle days. Some of them will measure women's blood to check that it is precisely the cycle day that they say it is. Because women aren't, we're not necessarily, we might know my period started two weeks ago on a Wednesday. That may mean I'm at day whatever. It doesn't necessarily mean you're pre or post ovulation. What we need to do is like very careful blood testing to make sure we're looking at precisely the right type of day.

41:28And then ask women to self-report their emotional state. But be very careful when we're getting self-reports of emotions that we're giving women positive emotions, neutral emotions and negative emotions and an equal distribution of each of those to choose from. So we're not giving them like 18 negative emotions to choose from, one neutral and one positive, because it's always going to skew the data. So we need to be very careful how we're gathering that data. and in the careful studies that have been done where women are not necessarily told we're doing a study on PMS we're just looking at emotion in daily life the rate of clear emotional variation is very low it's much more like women in France interestingly yeah versus the sort of 90 percent rate of women in Iran for example some somewhere in between and lots of people find this quite confronting and I'm just sort of sharing the data here and I talked about this at length with one of the research well a couple of the researchers that have worked in the space and one of them said we saw much more clear variation in emotions not based on menstrual cycle day but based on an overall sense of well-being like what's your kind of health and well-being like today what's your physical health like today how stressed are you feeling today and how socially supported and connected are you feeling today?

42:51And emotions varied far more with those metrics than with the metric of purely cycle day. But there's a story that we tell here, and I'm not saying this is all in women's heads, and I spoke to one of the researchers, Sarah Romans, about this and said, are you saying that PMS is made up and in women's head? She said, no, no, no. She said, but I think what we need to do is we need to look very carefully at what is causing emotions to vary, what stories are we telling ourselves and how can we look at the data that we each have available to see what is driving an emotion? Because it's not always a hormone in everyone.

43:30And we know that there are some women who have hormone sensitivity and emotions do ride that kind of wave of hormone fluctuations and variations. But there's also many women who don't, who perhaps have kind of landed on this idea that maybe I should get PMS and therefore I experience that, your expectations are an enormous part of the experiences that you have. Dr. Lisa Falmer-Barrick spoke about this on the projection of your emotions and past memories and experiences on the show, which was really interesting. A hundred percent. And her idea is that our emotions are constructed from the signals from our body, the context in which we're in and the experiences we have and the words we use to describe them.

44:14And that's not to say that they aren't real experiences, but sometimes we can like, you know, there's a few more data points in there which might sort of change that shift. And I think I just want to be very clear that PMS is real and the more severe form of PMDD is real. Yes, that's horrific. But this isn't an experience in all women all of the time. There are some women who have hormone sensitivity, but there are many women who don't. And I sometimes wonder if we were telling ourselves different stories, we might have different experiences. Maybe it's a different cultural narrative in France versus Iran.

44:52There is a longstanding feminist narrative around this, and sort of feminist literature is not really my expertise, but I've looked into it sort of lightly, that says that women kind of self-silence or kind of hold their emotions in and then there's this one week a month when they can kind of let it all out because they're kind of allowed to and that may kind of inform some women's experiences more so than others. But I think it's important to realise that the hormones are not the only data point which are constructing an emotion, as Lise Feldman Barrett would say. The stories are part of that.

45:31The cultural narratives we've got. the expectations we've got. I think it's a much more nuanced discussion, isn't it? I think the importance of women feeling recognized who haven't for so long in this area, where it is related to hormones, is really important. But as you said, I think, you said something that was really interesting, and I'm thinking about the women in Iran versus the women in France, and the amount of stress that the women in Iran may have compared to the women in France. culturally. And maybe French women can just be pissed off any day of the month. They feel like it. Yeah. You know, maybe, and that's a massive cultural stereotype we've just used there, but maybe this...

46:17Women's rights, you know, it's very different in Iran than it is in France. Maybe there's something in there, and that's an extreme example, but that was that meta-analysis, and research that's kind of followed along behind that is looking at that, these experiences that we have you know we've looked at you know the emergence of mood disorders perhaps during puberty and the emotional experiences girls have and boys have going through puberty and I mean we can dig into that a little bit more if you like but again we tend to zone in on the hormones as if they're kind of the only data point or the only kind of they're driving the car and and we don't have any agency over anything else that matters.

47:00Some women definitely have hormone sensitivity, but we have to be very, very careful that we don't make everyone's story the same.

From the publisher

What if the qualities you’ve been taught to override are actually the ones keeping you well?


To round of 2025, I’m joined by world-leading thinkers including Simon Sinek, Dr. Rick Doblin, Robin Sharma, Professor Nicolau, and Dr. Sarah McKay to explore what truly shapes our wellbeing when the noise fades and the signal becomes clearer.


This episode weaves together some of the most powerful moments from conversations across the year. From introversion and energy boundaries, to trauma, inflammation, digital overload, recovery, and the stories we tell about our bodies, this is a reminder that health is not about optimisation, it’s about understanding cost, context, and care.


Across neuroscience, psychology, leadership, and physiology, a shared truth emerges. Our systems are intelligent. But they are not limitless. And when we listen earlier, we protect ourselves from paying a higher price later.


Here’s What We Dive Into:


- How introversion can be a strength in leadership, communication, and meaningful connection.


- Why wellbeing is less about right versus wrong, and more about understanding personal cost.


- How MDMA


-assisted therapy works in the brain to support healing from PTSD — and why context matters more than the compound.


- What recovery actually looks like in a world that rewards constant output.


- Why strategic rest and “going ghost” can unlock creativity, clarity, and long-term performance.


- How social media content — not just screen time — may drive inflammation and immune stress.


- Why chronic stress and burnout can permanently shift our inflammatory baseline.


- How cultural narratives shape emotional experiences, including PMS and mood changes.


Love,

Sarah Ann 💛


***


This episode is sponsored by:


NOWATCH: The compassionate health trackerConnecting body and mind with unique stress recovery insights so you can live fully today15% off with code LWBW15 at nowatch.com


***


Let’s be friends!

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💌 Newsletter: https://sarahmacklin.substack.com/


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Sign up to Sarah’s Compassionate Cure newsletter:Science Simplified, Health Humanised.Join thousands in exploring actionable insights that prioritise compassion, clarity, and real-life impact.https://sarahmacklin.substack.com/


👉 Practical beats perfect.Here’s a free 5-recipe PDF I use to support energy and stress during busy weeks.https://open.substack.com/pub/sarahmacklin/p/download-your-free-5-recipes-to-relieve


👉 If this resonates, you can join the thousands who readThe Compassionate Cure each week. https://sarahmacklin.substack.com/



***


If You Enjoyed This Episode, You Might Also Like:


Simon Sinek on Leadership, Energy, and Meaningful WorkSimon Sinek: The ADHD Superpower - Why It’s My Greatest Advantage


Dr. Rick Doblin on Trauma, Healing, and Psychedelic ScienceHow Psychedelics Change the Brain: MDMA, Psilocybin, Benefits & Risks | Dr. Rick Doblin


Dr. Sarah McKay on Women’s Brains, Hormones, and Emotional HealthWomen's Brain Health: What Science REALLY Says About Hormones, PMS & Menopause | Dr Sarah McKay


***


Highlights:


00:00:00 Intro

00:02:00 My ADHD Superpower - Why it’s my greatest advantage | Simon Sinek

00:11:23 How Psychedelics Change the Brain: MDMA, Psilocybin, Benefits and Risks | Dr Rick Doblin

00:18:51 Stop Chasing Money: 8 Hidden Forms of Wealth You Need Now | Robin Sharma

00:24:05 The Brain Immune Expert: Alert! Social Media is Reprogramming Your Immune System | Dr Dan Nicolau Jr

00:39:24 Women’s Brain Health: What Science Really Says About Hormones, PMS, and Menopause | Dr Sarah McKay


***

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