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(中英附文稿)为什么一点批评就让你崩溃?精神科医生拆解大脑警

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时间英文中文
0:00There's so many things that fragment focus.有很多东西能分散注意力
0:02Trauma can fragment focus.创伤可以分散注意力。
0:03PTSD, anxiety can fragment focus.创伤后精神紧张症 焦虑症会分散注意力
0:05So many things that impact focus, impact behavior.影响焦点、影响行为的许多事情。
0:08But that's not truly ADHD.但这不是真正的ADHD。
0:11What would you say is typically the root cause你会说什么是典型的根源
0:14一个人有ADHD?
0:15Genetics.遗传学.
0:16It's not trauma?这不是创伤?
0:18Really?真的吗?
展开字幕全文(2066 条)
序号英文中文
1There's so many things that fragment focus.有很多东西能分散注意力
2Trauma can fragment focus.创伤可以分散注意力。
3PTSD, anxiety can fragment focus.创伤后精神紧张症 焦虑症会分散注意力
4So many things that impact focus, impact behavior.影响焦点、影响行为的许多事情。
5But that's not truly ADHD.但这不是真正的ADHD。
6What would you say is typically the root cause你会说什么是典型的根源
7一个人有ADHD?
8Genetics.遗传学.
9It's not trauma?这不是创伤?
10Really?真的吗?
11No.没有
12She's a board-certified psychiatrist,她是一个董事会认证的心理医生,
13bestselling author, and ADHD specialist畅销作者和ADHD专家
14who was diagnosed with ADHD herself.她自己被诊断为ADHD
15Please welcome Dr. Sasha Hamdani.欢迎萨沙·哈姆达尼博士
16You can't observe emotional regulation.你不能观察情绪调节。
17You can't observe these kind of difficulties你不能看到这种困难
18and subtleties that are happening internally.以及内部发生的微妙之处。
19We have this entire world of medication.我们拥有这世界的药物。
20Like if you have an ADHD diagnosis,就像你有ADHD诊断
21you don't necessarily have to be on one of those medications.你不必服用这些药物之一。
22These kids almost seemed like they got worse,这些孩子好像越来越糟了
23or it was just like it didn't seem like it helped them.或者它就像它 似乎没有帮助他们。
24Why are drugs typically the first thing为什么药物是典型的第一件事
25that most doctors or primary individuals prescribe大多数医生或初级医生开的处方
26to someone when they diagnose them with ADHD?当他们用ADHD诊断他们时,给别人?
27I think when...我想当...
28Your experience as a doctor around ADHD.你在ADHD身边当医生的经验
29First off, what is the difference between ADHD and ADD?首先,ADHD和ADD有什么区别?
30And what are the main, I guess, flags主要的是什么,我想,旗帜
31to know if you are undiagnosed with one of those?想知道你有没有被诊断出来吗?
32Yeah.对
33Okay.摆
34So I'm going to blow your mind right now.所以我现在要打爆你的心
35ADD和ADHD一样
36Same thing.同样的事情。
37It's just ADD is an outdated term.这只是一个过时的术语。
38So previously, ADD was really classified所以以前,ADD是真正保密的
39as more like an inattentive presentation.更像是无动于衷的演讲
40And now, ADHD is broken into three categories,现在,ADHD被分为三类,
41inattentive, hyperactive, and combined.无动于衷,过度活动,和结合。
42Inattentive being not, meaning not present?无意,意思是不在场?
43What does that mean?这是什么意思?
44Difficulty with initiating tasks,难以启动任务,
45difficulty with completing tasks,任务完成困难,
46difficulty with forgetfulness and organization.忘却和组织的难度。
47Think about the daydreamer.思惟白日梦者.
48That's me, yeah.这就是我,是的。
49And then hyperactive,然后超活跃,
50think about physically and verbally impulsive.考虑身体和语言的冲动.
51Difficult staying in your seat.很难待在座位上。
52You have a hard time.你很难过
53Okay, so that-好吧,这样...
54I used to shake my knees constantly in school,我以前经常在学校摇膝
55just like all day.就像一整天一样
56Just couldn't sit still.只是不能静坐。
57I kind of have that now,我有点像现在,
58and that's why I'm crossing my legs这就是为什么我跨我的腿
59and smushing it down.并击落它。
60Yeah.对
61So-所以说...
62Focusing, yes.专注,是的。
63So, and then combined is obviously the combination of both.所以,然后结合 显然是两者的结合。
64And so ADD, what it was previously called,因此,ADD, 它以前叫,
65is really more aligned with ADHD inattentive type.更符合ADHD隐性型。
66So third, what's the third aspect of ADHD?第三,ADHD的第三个方面是什么?
67Combined.合起来
68It's partially inattentive.其部分不动.
69It's hard for you to focus你很难集中精神
70and you're verbally and physically compulsive.你说话和身体强迫。
71Is that what it would be?是这样吗?
72Impulsive.冲气.
73Interesting, okay.有意思,好吗?
74And so those would be kind of signs所以这些是种迹象
75to see if you do this frequently,看看你是否经常这样做,
76you might have that.你也许有。
77Is that correct?是吗?
78And I love how you said might,我喜欢你说的也许
79because equally important to diagnosing in ADHD因为诊断ADHD同样重要
80is diagnosing out everything else.正在诊断其他一切
81That could be fragmenting focus,这可能会分散重点
82which are a lot of things.这是很多事情。
83Yeah, or just distracted or whatever, yeah.是啊,或者只是分心或什么的,是啊。
84So how does someone actually get diagnosed with ADHD?那么,一个人怎么被诊断为ADHD?
85There are a couple of different ways you can do it.有几种不同的方式你可以做到这一点。
86You can do like computer or neurological evaluation你可以做计算机或神经评估
87where you're doing a bunch of tests你正在做一系列测试
88and you can do it with a therapist,你可以用治疗师做
89you can do it with a primary care doctor,您可以与初级护理医生做到这一点,
90you can do it with a pediatrician你可以用儿科医生做
91and they're getting information from you他们从你那里得到信息
92if they're evaluating a child如果他们正在评估一个孩子
93from maybe teachers and from parents.也许是老师和家长的
94If you see a psychiatrist,如果你看到心理医生
95a lot of times it's based on clinical interview.很多时候都是根据临床访谈进行的.
96So you're going and you are talking about所以你要去,你在谈论
97your entire medical history,你的整个病史,
98you're talking about your entire psychiatric history,你在谈论你的整个精神病史,
99you're looking for these longitudinal patterns你在找这些纵向图案
100showing like your focus over time显示你的焦点 一段时间
101and how that has been impacted or changed如何影响或改变
102by different things like hormones and life events由不同的东西,如激素和生命事件
103and other things like that.还有其他类似的东西。
104And then additional like layer to all of this然后在这一切之外再加一层
105is that frankly, this is coming from my perspective,坦白地说,这是我的观点,
106I think ADHD, first of all, I hate the name.我觉得ADHD 首先 我讨厌这个名字
107So Attention Deficit Hyperactivity Disorder.所以注意力不足 过度活动障碍。
108I don't think that encapsulates everything.我不认为它能包罗一切
109I think it's confusing.我觉得很困惑
110Secondly, I think that it's really第二,我认为这是真的
111instead of Attention Deficit Hyperactivity Disorder,而不是注意力不足 过度活动障碍,
112I think it's truly a regulation issue.我觉得这真的是个监管问题
113Emotional regulation?情绪调节?
114Oh, I think attention is in there.哦,我想注意力是在那里。
115I think motivation is in there.我认为有动机在那里。
116I think energy is in there我觉得能量就在里面
117and I definitely think emotion is in there.我肯定觉得情感就在里面
118And so I remember being in middle school,所以我记得在中学,
119elementary school and there being a few kids小学还有几个孩子
120who were like they had ADD, right?谁像他们有ADD,对不对?
121Back in the day.昔时.
122We all know that.我们都知道这一点。
123In the 80s and 90s growing up, right?在80年代和90年代长大,对不对?
124Yeah.对
125And hearing that they were on drugs, right?听说他们嗑药了 对吧?
126Or whatever it was, Ritalin, Adderall or something?不管是什么 丽塔林 阿德罗什么的
127Or Ritalin, Adderall, all these things, right?或者利塔林,阿黛尔,所有这些事情,对不对?
128And it didn't seem like it helped.似乎没什么用
129Like these kids almost seemed like they got worse好像这些孩子好像越来越糟了
130or it was just like it didn't seem like it helped them.或者它就像它 似乎没有帮助他们。
131Why are drugs typically the first thing为什么药物是典型的第一件事
132that most, I guess, doctors or primary care individuals大部分,我想,医生或初级保健人员
133prescribe to someone when they diagnose them with ADHD?当别人用ADHD诊断时 给别人开处方?
134Why does it seem like that?为什么看起来是这样?
135And again, maybe it's not their case, but.再说一遍,也许不是他们干的,但是...
136I think when, so when a physician is evaluating you我想什么时候,所以当医生在评估你
137or when a mental health, well, yeah,或者当一个精神健康,嗯,是的,
138a physician is evaluating you for ADHD and you've done,医生正在评估你的ADHD 而你已经做了,
139and you've decided like we've looked at the medical history,你已经决定了 就像我们看病史一样
140we've looked at the psychiatric history,我们看过精神病史
141we've rolled things in, we've rolled things out.我们把东西卷进来,我们把东西卷出来。
142I think this ADHD.我觉得这个ADHD。
143I think the conversation really should be我觉得谈话真的应该
144about the two ways you can treat ADHD,关于两种方法 你可以治疗ADHD,
145which is behavioral and like lifestyle modification行为和生活方式的改变
146and medication.和药物。
147And a lot of times it's the combination of both很多时候,这是两者的结合
148that has the best result.结果是最好的。
149But there are people that do really well但有些人做得很好
150with just behavioral management.只有行为管理
151So as a general protocol,因此,作为一般协议,
152I think that initial conversation我认为,最初的对话
153where you're talking about medication在你谈论的药物
154or you're talking about potential treatment forward,或者你说的是潜在的治疗
155you should always talk about the behavioral and lifestyle,你应该总是谈论行为和生活方式,
156like at its base level.像它的基数水平。
157And then you kind of figure out, now, what I will tell you然后,你有点想出来, 现在,我要告诉你什么
158is that ADHD medication and stimulant medication是ADHD药物和兴奋剂药物
159specifically can be life-changing for some people.具体来说,对有些人来说,可以改变生活。
160Like some people just have incredible benefit像有些人只是有不可思议的好处
161and it actually allows them to do the behavioral它实际上允许他们做 行为
162and lifestyle modification.改变生活方式
163But we have this entire world of medication.但我们有 整个世界的药物。
164Like if you have an ADHD diagnosis,就像你有ADHD诊断
165you don't necessarily have to be on one of those medications.你不必服用这些药物之一。
166And what would you say is typically the root cause你会说什么是典型的根源
167一个人有ADHD?
168Genetics.遗传学.
169Really?真的吗?
170It's not trauma?这不是创伤?
171No.没有
172Really?真的吗?
173No.没有
174So you're saying not having an adverse childhood这么说你不是在说 童年没有不好
175where your parents are arguing and screaming在你父母争吵和尖叫的地方
176and you're feeling like you have to be hypervigilant你感觉你必须兴奋
177isn't an environmental cause不是环境原因
178of having some type of ADHD symptoms?是否有某种ADHD症状?
179Now, okay.现在,好吧。
180So to say something with absolute certainty所以说一些绝对肯定的话
181is not going to be my jam because, right?不会是我的果酱 因为,对不对?
182I think that maybe there's something我想也许有东西
183I don't fully understand about that space.我不完全理解那个空间。
184But I think at a fundamental baseline,但我认为在一个基本基线上
185I think primarily it's genetic.我觉得主要是遗传性的
186And I'll tell you my beef with this trauma perspective of it我用这种创伤的视角告诉你我的牛肉
187because I truly understand where that's coming from.因为我真的明白这是从哪里来的
188My issue is that sometimes there我的问题是,有时在那里
189isn't traumatic things happening并不是痛苦的事情发生
190and a parent is looking at their kid父母看着他们的孩子
191who might be experiencing ADHD symptoms可能出现ADHD症状的人
192and there is actually a hesitation而实际上有犹豫
193to get them treated, get them evaluated让他们得到治疗,让他们得到评价
194because they don't want to,因为他们不想,
195there was trauma here, this is your fault.这里有创伤, 这是你的错。
196I feel like there was some difficulty我觉得有些困难
197in terms of it is a parent at fault父母有错
198with that trauma hypothesis.与创伤假说。
199Well, I don't think you need to blame parents necessarily好吧,我不认为你需要责怪父母
200on every case of a kid having it, right?每一个孩子有它,对不对?
201So there's different circumstances,所以有不同的环境,
202but I'm just thinking from what you said,但我只是在想 从你说,
203this book being about emotional regulation这本书是关于情绪调节的
204and learning the skills of emotional regulation和学习情绪调节技能
205I'm speaking for myself我为自己说话
206and a lot of people I've spoken to,我和很多人谈过
207that when I grew up in an environment当我在一个环境中长大
208that did not feel emotionally safe,不觉得情绪安全,
209I didn't have the emotional tools on how to regulate myself.我没有情绪 工具如何调节自己。
210And therefore I used strategies as a kid所以我从小就用策略
211to feel safe and to protect myself.感到安全 保护自己
212Even though I wasn't physically necessarily in harm's way,虽然我身体上不一定有危险
213emotionally and psychologically情感和心理
214I felt like I was not safe.我觉得自己不安全
215You were in danger.你当时很危险
216Yeah.对
217And so therefore I use strategies所以,我用战略
218to try to protect myself or stand out试图保护自己或突出
219or do different things.或做别的事情。
220And I feel like for me, that trauma,我觉得我, 那个创伤,
221that experience caused me to act out in a lot of ways那段经历让我以很多方式表现
222from my personal experience根据我个人的经验
223if I'm self assessing my childhood.如果我是自我评估 我的童年。
224And I feel like that environment感觉就像那种环境
225caused me to be hyper vigilant,让我变得非常警惕
226you know, vocally and physically erratic你知道,声音和身体不稳定
227or whatever, you know, the terminology is.或者什么,你知道,术语是。
228But I don't think it was genetic for me但我不认为这是遗传给我的
229because I feel like I've learned the skills of healing因为我觉得自己学会了治疗
230and learned tools of emotional regulation和学习的情绪调节工具
231like you talk about in here就像你在这里谈论
232that caused me to be more at peace这让我更加平静
233and feel more psychologically and emotionally safe.感觉更 心理和情感安全。
234Right.对
235And so that's where I was asking about所以这就是我问的地方
236the trauma side of things versus genetics.事情的创伤 相对于遗传。
237Well, let me back up.好吧,让我回来。
238First of all, love that you have been able首先,你的爱是能够的
239given a chaotic kind of upbringing给一种混乱的教养
240and environment initially,以及环境,
241that you've been able to find those skills你已经找到了这些技能
242and actually not only fine tune them并且实际上不只是精细的调制
243and actually make them applicable for yourself,并让它们适用于你自己,
244but actually see benefit from them.却从中得益。
245So that's huge.所以这是巨大的。
246But what I would say is that但我会说,
247there's so many things that fragment focus.有这么多的东西 分散焦点。
248There's so many things that trauma can fragment focus.有很多东西可以使创伤分散
249PTSD, a huge cause of that.PTSD,一个巨大的原因。
250Anxiety can fragment focus.焦虑会分散注意力
251Thyroid conditions can fragment focus.甲状腺素可以分散注意力
252There's so many different things.复有种种差别.
253Hormones.荷尔蒙.
254So there's so many things that impact focus,所以有这么多事情 影响焦点,
255impact behavior, but that's not truly ADHD.影响行为, 但这不是真正的ADHD。
256So you could have focused fragmentation这样你就可以把注意力集中在分裂上
257that's coming from all those things,从所有的东西,
258but ADHD is a distinct longitudinal pattern但ADHD是一种独特的纵向模式
259that's usually genetic.这通常是遗传性的。
260Well, interesting.嗯,有趣的是,你喜欢吗?
261So I might have had symptoms我可能会有症状
262或类似ADHD,但不是ADHD。
263Yes.对
264How does a practitioner distinguish the difference?业者如何区分差别?
265Do they look at your blood work and say like,他们看你的血液工作 并说,
266your DNA says this versus the behavioral traits你的DNA说这是行为特征
267that you're using or are experiencing in life?你正在使用或正在经历的生活?
268Yeah.对
269Because if the symptoms look the same,因为如果症状看起来是一样的,
270how do you know the diagnosis?你怎么知道诊断结果的?
271Okay.摆
272Yes.对
273So if you're seeing these symptoms如果你看到这些症状
274of fragmented attention kind of throughout分散的注意力 那种整个
275and the doctor does a full assessment,医生做了充分的评估,
276they've looked at medical stuff,他们看了医疗材料,
277they've looked at psychiatric stuff,他们已经看 精神病的东西,
278they've looked at the just psychological他们看 公正的心理
279kind of environment that they're in那种环境,他们在
280and the state of affairs in terms of their life及其生活状况
281and what's happening, and they get to a spot发生了什么事, 他们得到一个斑点
282where they're trying to figure out like,在那里,他们试图 找出喜欢,
283is this ADHD or is this not?这是ADHD还是不是?
284Then you start looking back at patterns.然后你开始回顾模式。
285Is this a consistent pattern from birth?这是从出生开始的一贯模式吗?
286This was going on with ups and downs这和上下行一样
287and this has been a consistent pattern.这是一贯的规律
288Is this really localized around traumatic things这是真的 本地化与创伤的东西
289and this is like a trauma response?这就像创伤反应?
290Is this something that happens发生这种事吗?
291when metabolically something is different?当新陈代谢的东西是不同的?
292So you're looking at context所以,你看着的背景
293and you're looking at kind of你看着一种
294when these things peak and valley,当这些事物达到高峰和山谷的时候,
295you're looking at from early, early ages,你从早期,早期,
296what has this pattern been throughout?这种模式到底有什么特点?
297And I think it's really difficult我觉得这很困难
298because I also touched on this briefly,因为我也简短地谈到了这一点,
299but I think with ADHD, diagnostically,但我想与ADHD, 诊断,
300we're at a very problematic spot我们正处在一个很麻烦的地方
301because that initial data was done因为初始数据已经完成
302on hyperactive young males.在超活跃的年轻男性身上
303So right now we have this diagnostic criteria现在我们有诊断标准
304that's not encapsulating so many other presentations.而不是封装这么多其他的演讲。
305But also aren't many young males hyperactive?年轻男性也不是很活跃吗?
306Just hormones make young men more hyperactive than not?荷尔蒙能让年轻人更兴奋?
307I have a six-year-old young male.我有一个六岁的年轻男性。
308Jumping off the walls and running around.从墙上跳下来跑来跑去
309Of energy and vigor.充满活力和活力
310I think it can sometimes be difficult to tell for sure.我觉得有时很难确定
311But the criteria was built on observable data.但标准是基于可观测数据。
312There's a lot of this,有很多这样的,
313especially when you're making the argument特别是当你在争论时
314to include emotional regulation,包括情绪调节,
315which by the way, Europe did in 2019.顺便说一下,欧洲在2019年做到了。
316They amended their criteria他们修改了自己的标准
317to include emotional regulation包括情绪调节
318and the US still hasn't.而美国仍然没有。
319But when you're looking at all of this,但当你看到这一切,
320you can't observe emotional regulation.你不能观察情绪调节。
321You can't observe these kind of lived experiences你无法观察这种活的经验
322and these difficulties and subtleties以及这些困难和微妙之处
323that are happening internally.正在内部发生。
324And so now we have this presentation所以现在我们有这个介绍
325where anyone who's having this emotional turbulence任何有这种情绪动荡的人
326that happens with ADHD and emotional dysregulation,和情绪调节,
327because of that failure in criteria,因为标准上的失败,
328doctors are like, okay, well, it's anxiety.医生喜欢,好吧,嗯,这是焦虑。
329It's depression.这是抑郁症。
330And they're treated with antidepressant他们用抗抑郁药治疗
331after antidepressant after antidepressant.在抗抑郁药之后
332And antidepressants, by the way,还有抗抑郁药
333I'm not against antidepressants.我不反对抗抑郁药。
334I think they're great.我觉得他们很棒
335I think they're life-changing tools我觉得它们是改变生命的工具
336if that's your diagnosis.如果这是你的诊断。
337So if you don't have anxiety and depression,所以如果你没有焦虑和抑郁
338you're started on an antidepressant.你开始服用抗抑郁药
339This cycle just perpetuates.这种循环只会持续下去。
340And what happens is that发生的事是
341I've had patients come into my office.我让病人来我办公室了
342They sit in the chair.他们坐在椅子上。
343Maybe they're on their 10th antidepressant.也许他们在他们的第10抗抑郁药。
344And they're like, I went to my doctor他们喜欢,我去我的医生
345and I asked him after seeing stuff online我在网上看到东西就问他
346or talking to my family, I think I have ADHD.或跟我的家人说话, 我想我有ADHD。
347And the doctor will say,医生会说,
348well, we can't even look at that我们甚至不能看
349until we get your anxiety and depression.直到我们得到你的焦虑和抑郁。
350And they're like, shut up.他们就像,闭嘴。
351Yeah.对
352Wow.珃
353So you're just in this perpetuating cycle所以,你只是在这个持续循环
354of misdiagnosis.误诊。
355That's where I feel, again,这就是我的感觉,再次,
356that's where I feel the medical world can be harmful我觉得医学界可能有害
357if they misdiagnose如果他们误诊,
358and put you on 10 different antidepressants让你服用十种不同的抗抑郁药
359and say, well, we can't treat you for something else并说,好了,我们不能 对待你的东西
360until we figure this anxiety and depression thing out.直到我们找出焦虑和抑郁症
361I'm not saying all medical is bad,我不是说所有医学都不好
362but I'm saying it can be harmful但我说这很有害
363when that happens.当它发生。
364And someone comes in your office and is like,有人来到你的办公室,就像,
365I've been on 10 antidepressants我吃过十种抗抑郁药
366and I don't know how to get better.我不知道怎么好起来
367It's almost like it's harming that individual这几乎像是伤害了那个个体
368more than helping them.不只是帮助他们
369Well, if it's a wrong diagnosis,如果诊断错误
370it is objectively harming them客观上伤害了他们
371because you're giving a medication因为你在给药
372that is changing your brain functioning.改变你的大脑功能。
373Oh, man.哦,伙计。
374It's wild.野'.
375That just makes me angry.这让我很生气
376Yeah.对
377If someone's been misdiagnosed,如果有人被误诊了
378been giving them a chemical给了他们一种化学物质
379to transform their brain in a negative way以负面方式改变他们的大脑
380that they weren't supposed to have.他们不应该有。
381And then they have to live with that potential然后,他们必须 生活在这种潜力
382for the rest of their life.他们的余生。
383I mean, look at,我是说,你看,
384if you look at the average age of diagnosis如果你看看平均诊断年龄
385for males, six to eight.对于雄性,六到八。
386For females, 35.女性为35人。
387Of ADHD or anxiety and depression?ADHD还是焦虑和抑郁症?
388Of ADHD.(原始内容存档于2018-09-21). Of ADHD.
389That's when they get their day.这时候他们得到了他们的一天。
390And usually it's because they're bringing in their kid通常是因为他们要带孩子来
391and they're like, wait a second.他们就像,等一下。
392This sounds just like me.这听起来就像我。
393So moms will come in and get diagnosed at 35所以妈妈35岁就进来诊断了
394when they bring her kid.当他们带她的孩子。
395That they seemingly can't control.他们似乎不能控制。
396They don't know what's wrong with them他们不知道自己怎么了
397or what's going on, right?或者发生了什么事,对不对?
398Yeah.对
399And so they'll come in and they're like,所以他们会进来 然后他们就...
400actually, that sounds a lot like me.听起来很像我
401And that might be the first time这可能是第一次
402that they're actually getting treatment他们正在接受治疗
403for what they shouldn't be getting treatment for.为了他们不应该得到的治疗。
404But think about all 35 years但想想这35年
405when they were having these pockets of time当他们拥有这些时间
406around puberty, around childbirth,在青春期, 在分娩,
407around all of these different things在所有这些不同的事物周围
408where you saw big spikes in emotional regulation在那里你看到 情绪调节的大幅上升
409because it's a hard world and life is hard.因为它是一个艰难的世界 而生活是艰难的。
410And they're big pockets.它们是大口袋。
411And instead of looking at what's the root cause of this?而不观其根本因何.
412What is at the base of this?这下面是什么?
413It's hormonal.荷尔蒙.
414It's mommy brain.这是妈妈的大脑。
415It's anxiety.这是焦虑。
416It's depression.这是抑郁症。
417And so they're either misdiagnosed所以他们要么被误诊了
418or they're just frankly ignored and passed along.或者他们只是 坦率地忽略和传递。
419Postpartum or whatever it might be, right?产后还是别的,对吧?
420Different things.不同诸事.
421Now, how does someone know they have true anxiety现在,怎么会有人知道 他们有真正的焦虑
422or depression versus stressful thoughts that come and go或抑郁 与压力 的想法来来去
423or anxious thoughts that come and go?或焦虑的想法来去?
424Yeah, patterns, patterns.是啊,规律,规律。
425You look at intensity of kind of thoughts.你看看这种想法的强度。
426You look at how disruptive it is你看看它有多混乱
427in terms of your day-to-day functioning.就日常运作而言
428So like for depression,喜欢抑郁症,
429you need criteria that is over a certain span of time.您需要经过一段时间的标准。
430And you look at sleep.你看着睡觉。
431You look at interest level.你看看利息水平。
432You look at is this person experiencing guilt你看这个人就是在犯罪
433or hopelessness?还是绝望?
434You look at energy.你看着能量。
435You look at concentration.你看看专注。
436You look at appetite.你看着胃口。
437You're looking at all of these different.你看所有这些不同的。
438It's not just, you know,这不仅仅是,你知道,
439does this person have suicidal thoughts or not?这个人到底有没有自杀念头?
440You're encapsulating a lot of different things你封装了很多不同的东西
441over a certain span of time在一定时间内
442versus they went through a breakup and now they're sad.和他们分手了 现在他们很伤心
443This is a big difference.这是很大的区别。
444So you're catching it over a pretty prolonged period of time.所以,你捕捉它 相当长的时间。
445With anxiety, same kind of thing.焦虑,同样的事情。
446You're looking over a period of time,你在寻找一段时间,
447and you're looking like,你看起来像,
448is this person dealing with like musculoskeletal stuff?这个人是处理 像肌肉骨骼的东西?
449Are they restless?他们不安吗?
450Do their muscle tension,做他们的肌肉紧张,
451is sleep getting impacted?睡眠会受到影响吗?
452Do they have panic attacks?他们有恐慌症吗?
453You're looking at all of those different pieces.你看着所有这些不同的片段。
454But the thing that distinguishes that但是,那东西区别于
455from a situational up and down从情况上下
456is truly patterns over a long period of time.它们是长期的真正规律。
457Because if you're gone through a breakup因为如果你经历了分手
458and you're still sad three, six,你还是很伤心 三 六
459or maybe nine months later,也许九个月后
460it may not be anxiety or depression.它可能不是焦虑或抑郁。
461You just maybe haven't dealt with the breakup fully yet你可能还没处理好分手的事
462or the loss yet.或损失还没有。
463But a lot of your book talks about rejection.但你的书里有很多关于拒绝的
464And it sounds like most people in the world这听起来像世界上大多数人
465are afraid of being rejected or the feeling of rejection.害怕被拒绝或被拒绝的感觉。
466Whether it be a micro rejection,不管是微弱的拒绝,
467meaning a comment online意思是在线评论
468where someone didn't approve of their post,如果有人不同意他们的职位
469or a rejection of approaching someone,或拒绝接近某人,
470then saying no, or rejection at work,或拒绝工作,
471or rejection in their marriage, whatever it might be.或拒绝他们的婚姻,无论它可能是什么。
472What is the consequence of rejection拒绝的后果是什么
473for most people in the world right now?对于世界上大多数人来说,现在?
474When they experience rejection, they feel what?当他们遭受排斥时,他们会觉得什么?
475So let's back up a little bit.故先退后一点.
476Because I don't think anybody likes rejection, right?因为我不认为有人喜欢拒绝,对不对?
477You're never going to meet someone who's like,你永远不会遇到一个喜欢,
478that was great for me.对我很好
479After getting rejected or maybe you do, I don't know.在被拒绝之后,也许你这样做,我不知道。
480But most people are going to be like, that was bad.但大多数人会喜欢, 这是不好的。
481But then they are able to kind of move on但他们可以继续前进
482and take whatever positives they need to.并带走他们需要的任何积极因素。
483From that moment, or possibly not even do that,从那时起,甚至可能不这样做,
484just forget about it and move on.忘了它,继续前进。
485There is a concept called rejection-sensitive dysphoria.有一个概念叫做拒绝敏感症。
486And that is a profound emotional response这是一个深刻的情感反应
487to real or perceived rejection, criticism,拒绝或认为拒绝,批评,
488or disappointing someone.或者让人失望
489It is a neurological phenomenon that's happening.这是一个神经现象 正在发生。
490And so what I tell people is that所以我告诉大家
491if you are looking at where you fall如果你看着你跌落的地方
492in this emotional spectrum.在这个情感谱系中
493Rejection-sensitive dysphoria.拒绝敏感症.
494And it's real or perceived rejection, right?而这是真实的或感知的拒绝,对不对?
495You might think you're getting rejection.你可能会觉得自己会被拒绝
496You're not.你没有。
497It's just a fear around it too, right?只是周围的恐惧,对不对?
498Okay, sorry.好吧,对不起。
499So what is it?这是什么?
500There's a scale of this?有这个规模吗?
501There's a spectrum.有光谱.
502So if you're looking at it, and it's pretty intuitive所以,如果你看着它, 它相当直观
503because when you ask yourself, how sensitive am I?因为你问自己 我有多敏感?
504What is normal?什么是正常的吗?
505You look at this spectrum and that's what we go over你看这个光谱,这就是我们过去
506in this book because I don't think that was ever delineated.这本书,因为我不认为 从来没有被划定。
507I don't know where you would consider normal.我不知道你认为哪里正常。
508But where I consider normal would be但我认为正常的地方
509when you're having a situational stressor当你有一个情况压力器
510and your mood goes up or down appropriately.你的情绪会上升或下降
511Now you look at one end of the spectrum and it's apathy现在看光谱的一端 是冷漠
512where you're having an emotional trigger在那里你有一个情感触发器
513and you don't really elevate up or down.你并没有真正升降。
514It's just, eh, numb.这只是,嗯,麻木。
515You're there.你来了
516Polar other opposite end of the spectrum,极地另一端的光谱,
517which is kind of where I live,我住的地方就是这样
518is where you feel things deeply and quickly就是你内心深处的感受
519and for a long time.和长久。
520And it's truly because of a difference真的因为不同
521in neurological wiring.在神经电线。
522And I would put RSD on that side of the spectrum.我会把RSD放在光谱的那一边。
523Rejection Sensitive Dysphoria.拒绝敏感染色体
524How many days does it take to go from total beginner初学者需要多少天的时间
525to reasonably proficient at a new skill?是否对新技能有一定熟练度?
526Well, if you practice for a focused hour a day,如果你每天练习一个小时
527then about 250, which also happens to be大约250, 恰巧也是
528选择 T-Mobile 的理由数量。
529Here's an excellent reason.这里有一个很好的理由。
530They have the fastest 5G home internet他们拥有最快的5G家庭互联网
531根据Euclid速度测试,
532which you can test for yourself,你可以为自己测试,
533worry-free with their 15-day money-back guarantee.他们15天的退款担保是免烦的
534Another great reason.另一个伟大的理由。
535It's fast and easy to set up too.速且易设也.
536Plug it in and you're online in practically no time插进去你就马上上网了
537with no appointment or technician needed.无需预约或技术员。
538Those are just a few reasons.这些只是几个原因。
539在T-mobile.com的互联网上找到你的
540where you can check availability and try it for yourself.在那里你可以检查可用性 并自己尝试。
541They're so sure you'll love it.他们肯定你会喜欢的
542You get your money back if you don't.你不把钱拿回来
543根据Euclid Speedtest情报数据 最快的速度
544second half of 2025.2025年下半年.
545All rights reserved.版权所有。
546Redeem money-back guarantee within 30 days of cancellation.取消后30日内补发回贷担保.
547So if you feel things deeply and intensely所以如果你对事物有深刻和强烈的感觉
548for long periods of time,在很长一段时间,
549whether it is a seemingly horrible event它是不是一个看似可怕的事件
550that occurred to you or a friend or someone you know,你或朋友或你认识的人
551and you feel deeply around that experience,你深深地感受到那段经历,
552or maybe it wasn't that horrible perceived of an event,或者也许这不是 可怕的事件,
553but you still feel deeply for something that's smaller.但你仍然对更小的东西有深刻的感受
554Yeah.对
555What does that say about you?那对你有什么影响?
556I think that says that you're highly emotionally sensitive.我认为这说明你非常敏感
557Yes.对
558And I don't necessarily think that's an...我不一定认为那是...
559I mean, I want to make sure that that's not我的意思是,我想确保这不是
560being put with a good or bad label, right?被放在一个好或坏的标签,对不对?
561It just is what it is.就是这样
562It's just you're wired.只是你被窃听了
563There are some people that process emotion more intensely.有些人更强烈地处理情绪。
564And so if that's how you feel,所以如果这就是你的感受
565really deeply, really quickly, really intensely,非常深刻,非常迅速,非常强烈,
566and it lingers for a long time,它将永居其中,
567you're one of those people你是那种人中的一个
568that probably does interpret emotion differently,这也许解释的情感不同,
569process emotion differently.过程情感不同。
570And there's a different set of skills that you use for that.还有一套不同的技能 你用来做这个。
571Yes.对
572I feel like I grew up like that.我觉得自己长大了
573Yeah.对
574Feeling deeply around...感觉很深...
575I did too.我也一样。
576...lots of things.很多东西
577Did you get called sensitive a lot?你经常被叫敏感吗?
578No, maybe emotional, but you know.不,也许情绪化,但你知道的。
579But I would like...但我会...
580I was... yeah, I just felt very deeply,我... 是的,我只是觉得很深
581and I would go into like an emotional cave at times, you know?有时我会像情感洞穴一样进入
582And either by myself or around other people.或我自己,或周围的人。
583And yeah.对
584It's interesting.这很有趣。
585And I had to learn tools as an adult on how to...我不得不学习工具 作为一个成年人如何...
586Like, I still feel very deeply,喜欢,我仍然感觉非常深刻,
587but I've had to...但我必须...
588I don't know if it's a psychological tool我不知道这是不是心理工具
589or an emotional tool or what it is, spiritual tool,或情感工具或是什么, 精神工具,
590on how to feel it, not bypass the feeling,如何感受它,而不是绕过的感觉,
591but also not let the feeling take over my life.但也不能让这种感觉取代我的生活。
592So that I can actually keep moving forward这样我才能继续前进
593and focusing out rather than focusing inward constantly.专注,而不是不断专注于内
594So that's kind of the entire gist of this,所以,这就是这整个要点,
595is I wanted to make sure that people understood.我想确保人们理解
596It's not about making you less sensitive.这不是让你更敏感。
597It's giving you more control.它给你更多的控制。
598So for people who do feel things really deeply,所以对于做事情的人来说,
599I feel like being able to utilize those skills.我想利用这些技能
600And it's all stuff you've heard about you.而一切众生所闻.
601It's all stuff you know.这是所有的东西你知道。
602But knowing when to apply it, how to apply it,但知道何时应用 如何应用
603that's really going to help you.这真的会帮助你。
604And I think with this book,我想用这本书
605the way it's broken up is the first part分手的方式是第一部分
606is the neuroscience of truly,是真正的神经科学,
607if you're neurologically wired to process emotion differently,如果你被神经电线 处理不同的情感,
608then it goes into where you fall on that spectrum.然后它进入你落在光谱上的地方。
609Then it goes into the tools.然后它进入工具。
610And then the last part of the book然后书的最后一部分
611is just all real world examples,只是所有真实世界的例子,
612where then it breaks down like,在那里,它像崩溃,
613this is what's happening in the brain.这就是大脑里发生的事情。
614This is the skill you use.这就是你使用的技能。
615Let's practice it.师便练.
616Because I think going through,因为我想通过,
617if you were able to do that,如果你能做到这一点,
618while you're not in this dysregulated state,趁你不处于这种困境状态
619you're going to be able to kind of learn and build.你会有种 学习和建设。
620And then when you need it, it's there.然后当你需要它, 它就在那里。
621You kind of learned and experienced你有点有经验
622and you've practiced it in lower-stake moments.你在低调的时刻练习过
623So I think that's the key of kind of moving more所以,我认为这是关键 那种移动更多
624into that emotionally resilient spot.进入那个有感情弹性的地方
625If someone feels like their brain is working against them如果有人觉得他们的大脑在对付他们
626and they feel like they just can't get a hold of their thoughts他们觉得自己无法掌握自己的想法
627and their brain is kind of working against them,而他们的大脑 有点对他们不利,
628what do you think is actually going on inside of them你觉得他们里面到底发生了什么
629if they feel like they cannot get a control on their brain?如果他们觉得无法控制大脑的话?
630You have to give me more information.你得给我更多的信息。
631Do you mean like they feel like their emotions are out of control?你是说他们觉得情绪失控了吗?
632Yeah.对
633I think a lot of times, like if you go back我想了很多次,就像如果你回去一样
634and you actually think about the neuroanatomy of what's at play,你实际上思考 神经解剖 是什么在玩,
635there are two big things that we talk about.我们谈的是两件大事
636Number one is the amygdala.第一是阿弥陀罗.
637And that is that emotional threat detector in the body and the brain.这就是身体和大脑中的情绪威胁探测器。
638And the second part is your frontal lobe,第二部分是你的前叶
639that prefrontal cortex directly under your forehead.前额皮层直接在你额头上
640Smartest part of the brain.最聪明的大脑部分。
641Judgment, decision-making, processing,判决、决定、处理、
642that's all that frontal lobe functioning.这就是前叶的功能。
643When you're dealing with someone当你和某人打交道时
644who's highly emotionally sensitive,谁的高度情感敏感,
645那个Amygdala, 超能反应。
646So now it's like taking emotional data,所以,现在它就像取 情感数据,
647processing it, and it's dumping alarm chemicals处理它,它倾倒警报化学品
648like I am in danger, something's happening,就像我身处险境,有事发生,
649this is going on, this is real.这是真的
650And you kind of described this with this hyper-vigilance.你用这种超活力来形容这个
651You know, you're on lookout for this is happening, this is dangerous.你知道,你正在注意 这件事正在发生,这是危险的。
652So this amygdala is spinning, dumping alarm chemicals.所以这个阿米格达拉正在旋转, 倾倒警报化学物质。
653Then that frontal lobe, under-responsive.然后是前叶,反应不足。
654So when you need that guy most, where is he?所以当你最需要那个人时 他在哪里?
655He's not processing or overriding this.他没有处理或推翻这一点。
656And the connection between the two is weak.而两者的连系也比较薄弱.
657So basically, your emotions are going to outweigh所以基本上 你的情绪会超过
658that logical part of your brain almost every time,你大脑中合乎逻辑的部分 几乎每次都如此
659unless you have those skills.除非你有这些技能。
660Gosh, this is where, you know,天啊,这里,你知道,
661I probably made too many mistakes in my past,我过去可能犯过太多错误
662letting my emotions get the best of me让我的情绪得到最好的我
663in the heat of the moment, right?在炎热的时刻,对不对?
664It's like, and you react, you say something,就像,你的反应,你说什么,
665you're like, oh, I shouldn't have said that.你就像,哦,我不应该说。
666Oh my God, I have many examples.哦,我的上帝,我有很多例子。
667Many of those moments, right?很多这样的时刻,对不对?
668Many examples.许多例子。
669You spent years thinking something was wrong with you你花了很多年在想自己有什么不对劲
670before you had a diagnosis, correct?在你得到诊断之前 对吗?
671Yeah.对
672So what changed once you understood what was really happening?那么,什么改变 一旦你明白 到底发生了什么?
673I don't even think it was about the diagnosis我甚至不认为是诊断
674because my diagnostic story was a little bit weird.因为我的诊断故事有点奇怪
675And then I was diagnosed in fourth grade,然后我被诊断为四年级,
676did well, didn't bother me,做得很好,没有打扰我
677didn't really know that I was on ADHD medication,我真的不知道我在服用ADHD药物
678which was weird.这很奇怪。
679No way.不会吧
680Yeah.对
681Your parents just gave it to you without you knowing?你父母没告诉你就给你的?
682Yeah, just thought it was a vitamin.是啊,只是觉得它是维他命。
683How do you feel about that?你觉得怎么样?
684Well, not even, okay, so what-嗯,甚至,好吗,所以什么...
685You feel tricked for lying to?你觉得骗人被骗了吗?
686So they were like, this is going to help you focus.所以他们喜欢, 这将帮助你集中注意力。
687Okay.摆
688So I, but I never had that sit-down conversation of like,所以,我,但我从来没有 有那种坐下来谈话一样,
689这是ADHD。
690This is what you're taking.这就是你要的。
691This is a drug.这是药
692This is chemically changing your brain every time you take it.这在化学上改变你的大脑 每次你服用它。
693Now, keep in mind, this was, I'm not going to,现在,记住,这是, 我不会,
694like it was a long time ago.就像很久以前一样
695This was very, girls getting diagnosed with ADHD这是非常的,女孩被诊断为ADHD
696was basically unheard of.基本上没有听说过。
697I was in a school where, you know,我在一所学校,你知道,
698number one, I was like the only ethnicity.第一,我就像唯一的种族。
699So I already felt really othered.所以,我已经感觉 真的很不同。
700And I was like from the-我就像从...
701You wanted to be, yeah.你想成为,是的。
702And from the get-go, I knew I was very emotionally sensitive从开始,我知道我很敏感
703and so did my parents.我父母也一样
704So I think they fumbled the bag on that one.所以我想他们把那个袋子弄坏了
705Like they could have handled that better.就像他们能处理得更好一样
706They did the best they could.他们尽力了
707Right, but being a parent,是的,但作为一个父母,
708I understand that this is where it came from.我知道这是它的来源。
709And I think that they more than made up for that我认为,他们 超过弥补
710because then when I go through school and do pretty well,因为当我通过学校 做得很好,
711get into medical school and in medical school,进入医学院和医学院,
712I go through like, it was like the first two weeks.我经历了像, 这是像头两个星期。
713And I was like, did I have a stroke?我好像中风了?
714What is wrong with me?我哪里不对劲?
715Like, why are things-喜欢,为什么事情 -
716Stroke?中风?
717Yeah, I just felt like-是啊,我只是觉得...
718In medical school?在医学院?
719No, I didn't actually.不 我没有
720But I was like, things have,但我想,事情已经,
721I've gone from the top of my class我从本班的顶级毕业了
722to the bottom of my class.到我的课底
723What happened?发生了什么事?
724My parents were like, are you taking your vitamin?我父母说,你吃维他命了吗?
725And I was like, I don't know where that is.我当时想,我不知道在哪里。
726And they're like, okay, well, it's actually ADHD Medicaid.他们就像,好吧,其实是ADHD医疗补助。
727Oh my gosh.天呐
728And so then, yeah, I felt extremely betrayed.然后,是的,我觉得被背叛了。
729I felt very angry.我感到非常愤怒。
730And you know, this is coming from parents你知道,这是来自父母
731who well-educated like the most attentive, loving parents.他们受过良好的教育, 像最关心,最爱的父母。
732And I just, I was so angry, so angry.我只是,我太生气了,太愤怒了。
733I can imagine.我能想象出来
734And then I was like, fine, I will show you.然后我就想,很好,我会告诉你。
735Like I knew kids who had ADHD when I was growing up就像我认识的孩子 谁有ADHD 当我长大了
736and they weren't me.他们不是我。
737They're like kids who are, you know,他们就像孩子 谁,你知道,
738doing crazy stuff and getting in trouble.做疯狂的事情 和惹上麻烦。
739And that is not me.这不是我。
740So I tried and I tried.所以我尝试了,我尝试了。
741And I was watching all my peers whiz past me.我看着我的同伴们 都经过我身边
742And I got into a spot where I studied so hard for an exam.我进入了一个地方,在那里我努力学习 考试。
743So hard.这么难。
744I knew this neuroanatomy of the brain inside out.我知道大脑里面的神经切除术
745Like even right now, if you were to show me,就像现在,如果你要告诉我,
746I'd be like, I know it all.我想,我知道这一切。
747I go in for this test.我去测试一下
748I do this test, hand it in before anyone else,我做这个测试,在别人面前交出来,
749out the door and like, that was perfect.门外的一样, 这是完美的。
750This, I'm going to shove it in everyone's face.我要把它塞进每个人的脸上
751This is going to be great.这将是伟大的。
752We go and this is, I don't know if you have this.我们走了,这是, 我不知道你有没有这个。
753Do they ever like post grades on a thing?他们喜欢在某事上打分吗?
754Yeah, not online.是啊,不在线。
755This is just like on a sheet.这就像一张纸上。
756So we're all like huddled around the next day looking.所以,我们都像 闲逛的第二天寻找。
757And I was like, oh my God, somebody got a 32%.而我就像,哦,我的上帝, 有人得到了32%。
758And I was like, oh God, it's me.我就像,哦,上帝,这是我。
759No way.不会吧
760So I'm looking at my ID number and I was like,所以我在看我的身份证号码 我当时想,
761I got a hundred.我有一百块
762There's no way this must be an error.这不可能是错的
763I go, I forgot to flip over the sheet.我走了,我忘了翻过床单
764Oh, you left the whole thing blank.哦,你把整件事都留空了。
765So you would have gotten a hundred percent所以,你会得到100%
766had you flipped it over probably.你可能把它翻过来了
767I was crying.我当时在哭
768I went to the instructor and I was like,我去了教练那里,我很喜欢,
769just give it, give it to me orally.把它给我 口头给我
770I'll do it right now.我现在就去
771I'll show you.我给你看
772I know it.我知道这一点。
773And he's like, you need to learn from this.他就像 你需要从中吸取教训
774And I was like, I will learn nothing from this.我当时想,我不会从中吸取教训。
775And so then I was like, that's what kind of was like,然后我就想,这就是那种感觉,
776this is a tipping point.这是一个临界点。
777My dad was like, just come home.我爸爸就像,刚回家。
778Let's learn about your brain.让我们来了解你的大脑。
779And if it's ADHD, we'll figure out what to do.如果这是ADHD,我们会想办法的。
780If it's not, we'll figure out something else to do.如果不是,我们会想办法的
781So we went home.所以我们回家了。
782Like just did this whole library excursion.就像刚刚做的 整个图书馆游览。
783We were sitting on the floor, reading articles.我们坐在地上看文章
784Learn everything.学一切法.
785And by the end of it, I was like, this is for sure me.到了最后,我一直想,这是肯定的我。
786And this is what we kind of made a plan and started working这就是我们的计划 并开始工作
787on both like the behavioral side and the medication side就像行为和药物一样
788trying to figure out a good path forward from there.试着从那里找到一条好的道路
789I forgot what the actual question was.我忘了真正的问题是什么
790I mean, you learning about your parents, you know, kind of lying我的意思是,你知道 你的父母,你知道, 一种说谎
791to you, I guess, about the vitamin being medication对你,我猜, 关于维生素是药物
792and you being upset and then you realizing, okay, this is你心烦意乱 然后你意识到,好吧,这是
793I'm going to prove them wrong and realizing that the test我要证明他们错了 并意识到测试
794I did not do them wrong.我没有做错。
795That could have been one off though, because you were like,这可能是一个例外,虽然, 因为你喜欢,
796you proved that you knew the information.你证明了你知道信息
797You studied hard and you had the answer.你努力学习,你得到了答案。
798I got a serpent score in the first half.上半场我得到蛇分
799So it's, I mean, in some ways you did prove them wrong, but yeah,所以,我的意思是,在某些方面,你确实证明他们错了,但是是的,
800you forgot to flip the page.你忘了翻页
801So yeah, I think it's, it was just an interesting kind所以,是的,我认为这是, 它只是一个有趣的类型
802of trajectory.轨迹。
803I think they really handled it beautifully.我觉得他们真的处理得很好
804Like if in that moment, like going back and being able to,碞钩ê 碞钩妓
805you know, my dad in particular, he was an engineer特别是我爸爸 他是个工程师
806and he just, you know, was like my second brain.他就像我的第二个大脑一样
807He was just trying to help me and he was like, well, let's look他只是想帮我,他想,好吧,让我们看看
808at, let's look at the data.我们看看数据
809Let's look at how you answered these questions.让我们看看你是如何回答这些问题的。
810Where was the problem?问题在哪里?
811And really like without his help, I wouldn't have gotten through并且真的喜欢没有他的帮助, 我不可能通过
812medical school because I was learning so much about my brain医学院因为我学习了很多我的大脑
813and learning about how I learned and how I handled things.并学习如何学习 如何处理事情。
814And I think part of that diagnostic thing is ADHD aside.我认为诊断的一部分是ADHD。
815I remember where the question was going.我记得问题在哪里
816ADHD aside, the emotional regulation, I figured out much,ADHD,除了情绪调节, 我发现很多,
817much later and it wasn't until my dad died.很久以后,直到我爸爸去世才开始
818That's when you figured out emotional regulation.那时你才想到情绪调节
819That's when I figured out for the first time.於是初发心.
820So my dad died in 2024 relatively quick.我爸爸在2024年去世 时间比较快
821Like he had been sick for a while with an underlying lung好像有段时间他肺部有问题
822condition, but had been stable.情况,但一直稳定。
823And then he, we found out he had a spot like lung cancer stage然后,我们发现 他有一个像肺癌阶段
824one, they were like, don't worry about it.一,他们就像, 不要担心。
825Like, it's not that big of a deal.这没什么大不了的
826He does radiation, does chemo.他做辐射,化疗。
827And then he called me and he was like, something's wrong.然后他打电话给我,他喜欢, 东西的错。
828So I fly from Kansas City to him.所以我从堪萨斯城飞到他身边
829I like, he looked terrible.我喜欢,他看起来很糟糕。
830I was, took him to the hospital and I was like, do something,我送他去医院,我想,做点什么
831do a PET scan.做个PET扫描
832We need it.我们需要它。
833And they're like, it's too early.他们喜欢,这是为时尚早。
834I'm like, just do one.我很喜欢,只要做一个。
835I don't care.我无所谓
836Like, let's just figure out what's happening here.像,让我们只是 找出这里发生了什么。
837It was everywhere, ever.到处都是,从来没有。
838And he died 13 days later.而他13天后就去世了.
839No way.不会吧
840Yeah.对
841Oh my gosh.天呐
842And so at that point, I think just like the whiplash of all of that所以,在这一点上,我觉得就像鞭打 所有这一切
843and just how heavily emotional it was,和多么强烈的情感,
844that was the first time, Louis, that I was like,这是第一次,路易,我很喜欢,
845my emotional status directly impacts my functional status.我的情绪状态直接影响到我的功能状态。
846If I am emotional and emotionally overwhelmed,如果我情绪和情感都压抑
847I can't do these things.我不能做这些事情。
848So I was like, and I had seen that before with like breakups所以我就喜欢,我以前也见过 和分手一样
849and other things like that where things happened.还有其他事情发生的地方
850But I didn't tie those two things together because like,但我没有把这两件事联系起来 因为...
851if it's overwhelmed, because I have tons on my plate,如果它不堪重负, 因为我有吨在我的盘子里,
852I will delegate.我将代表。
853I will hack my way around.我会黑我的方式。
854I will figure out a skill,我会想办法的
855but I can't delegate the emotional side.但我不能代表情绪方面。
856And so that's when I figured out that.于是我明白了这一点。
857And that's when I started writing them.那时我开始写作。
858Yeah.对
859For me, it was the emotional side of thing would take over my life对我来说 事情的情感会取代我的生活
860when I would feel too deeply or the range of emotions, guilt,当我感到太深 或范围 情感,内疚,
861loss, shame, anger, whatever the emotion was, sadness.失去,羞耻,愤怒, 无论情感是什么,悲伤。
862But deep.但深处.
863Deep.深处.
864It would suffocate me.那会让我窒息的
865It would engulf my life.它会吞噬我的生活。
866And I couldn't turn it off.我不能关掉它。
867Yeah.对
868If I was at the office or if I was, you know,如果我在办公室,或者,如果我在,你知道,
869I would literally just kind of just stay home by myself.我其实只是 那种只是留在家里自己。
870No, you thought.不,你认为。
871Because I didn't know how to emotionally navigate those things,因为我不知道如何在情感上导航这些东西,
872those feelings for a long time.长久以来的感情
873And it would suffocate me.这会让我窒息
874My whole life would be suffocated by emotions.我的一生都会被情绪压抑
875Yeah.对
876And that's when I became kind of not obsessed,那时我变得不着迷
877but really all in on like, okay, why?但实际上所有在像,好吧,为什么?
878Why is this happening?为什么这样?
879Yeah.对
880And that's where I asked you in the beginning,我一开始就问过你
881learning how to heal traumatic memories that cause the emotional avalanche学会如何治愈造成情感雪崩的创伤记忆
882to take over my life.接管我的生活。
883Once I learned emotional regulation and healing traumatic memories有一次我学会了情绪调节 和治愈创伤的记忆
884that were triggering the emotions, causing the hypervigilance激起情绪,引起过度活力
885because of an emotion tied to a memory that I had yet to heal,因为一种情绪 与记忆,我还没有治愈,
886an open wound from the past that when you poked it, boom,一个从过去开出的伤口 当你戳它,砰,
887my whole nervous system would just be in pain.我的整个神经系统都会很痛苦
888And the bigger the trigger or the bigger the perceived abuse扳机越大 感觉越虐待
889or perceived abandonment or whatever the wound was,或认为被遗弃 或无论伤口,
890the perception of whether it was real or not perceived,对它是否真实的看法,
891I didn't know how to navigate it.我不知道怎么导航
892And so that's why I asked you in the beginning,所以我一开始就问你
893when we learn, I think, the ability to navigate our emotions当我们学会,我想, 能力引导我们的情绪
894and we can use a lot of the skills you talk about in your book,我们可以用你书里讲的很多技巧
895we can come back to the present.我们可以回到现在
896We can hopefully learn to integrate the healing journey.希望我们能学会把疗程融为一体
897We can hopefully have a moment to refocus our energy on what's at hand,希望我们能有一点时间 重新把精力集中在手头
898whether it being present with someone, whether it being our job,无论它存在与某人, 无论它是我们的工作,
899whether it being whatever things we need to do,无论我们需要做什么
900instead of being engulfed in the feelings consuming us而不是被吞没在 折磨我们的感情中
901and constantly ruminating on the event that happened不停地盘旋着所发生的事件
902that caused this feeling.这导致了这种感觉。
903And I think when we can learn those emotional regulation skills我想当我们能学会这些情绪调节技巧时
904like you talk about here,就像你在这里谈论,
905it doesn't mean bad things aren't going to happen这并不意味着坏事不会发生
906that we need to face like the loss of your father,我们需要像失去你父亲一样面对
907it's going to be overwhelming.这将是压倒性。
908But hopefully it doesn't take years of your life away但希望你不用花几年时间
909from you living in the present now.从你现在生活在现在。
910And that's what it's felt like in the past.而过去所感.
911When you get that hit with something so emotionally,当你被情感上的东西击中时
912it does take away years of your life.这的确需要你生命的岁月
913This is what you go to sleep thinking about.这就是你睡觉时想的
914This is what you wake up thinking about.这就是你醒来时想的
915It consumes you.它会吞噬你
916And when you're right in the throw of it,当你正中下怀的时候
917you're just like, this will never end.你只是喜欢, 这永远不会结束。
918I'm going to feel this way forever.我会永远有这种感觉的
919It just takes up so much mental space, emotional space,它只是占用了这么多的 精神空间,情感空间,
920having to deal with that.不得不处理。
921And for people who do feel deeply,对那些感觉很深的人来说
922they feel it more.他们更能感觉到
923I mean, it seems like women often get told我的意思是,似乎女人经常被告知
924that they have anxiety or depression for years他们有焦虑或抑郁多年。
925before someone checks that it's potentially ADHD在有人确认有可能是ADHD之前
926or something else.或别的东西。
927Why do you think that happens to women specifically?为什么你认为这发生在女人身上?
928Oh my God.天呐
929I think like if you're talking about ADHD specifically,我认为,如果你在谈论 具体的ADHD,
930and these are women who have been misdiagnosed这些是被误诊的妇女,
931with anxiety and depression,焦虑和忧郁,
932you go back and one big thing is that你回去,还有一件大事
933the diagnostic criteria,诊断标准,
934it's not built to capture women.不是用来抓女人的
935So it's not built to capture,所以它不是用来捕捉的
936it's built on hyper young boys.它是建立在超年轻男孩身上。
937It's not capturing adult females.它没有捕获成年雌性。
938Like you're not really getting that presentation.就像你没有真正得到 演示。
939The second thing that I think is a big factor in this我认为第二件事 是一个很大的因素
940is just the hormonal component.只是荷尔蒙成分
941So hormonally, when your estrogen drops,荷尔蒙说,当你的雌激素下降,
942your dopamine drops as well.你的多巴胺滴也一样。
943And dopamine is that great regulator多巴胺是伟大的调节器
944that kind of helps everything with mood and alertness.那种帮助一切的情绪和警惕。
945And so when you have that drop in dopamine,所以当你有多巴胺的下降,
946your ADHD symptoms get worse.你的ADHD症状会恶化
947Problem is, is that so does mood,问题是 情绪也是
948so do all these other things.所以,所有这些事情。
949And so you're being told,所以,你被告知,
950just hormonal, this is postpartum.只是荷尔蒙,这是产后。
951It's not that big of a deal.没什么大不了的
952You'll get through it.你会熬过去的
953Or you get treated for anxiety,或者因为焦虑而接受治疗
954you get treated for depression,你被治疗抑郁症,
955when really it's the secondary ADHD当它真的是二级ADHD
956that's complicating things as well.这也使事情变得复杂。
957Third thing is that I feel like women第三件事是我觉得我像女人
958from just like a societal perspective,从社会的角度来说
959it's unacceptable for them to be rambunctious他们放肆是无法接受的
960or, you know, interrupting things或者,你知道,打断事情
961or, you know, get up and move around.或者,你知道,起来,移动。
962A lot of times they learn from an early age,很多时候他们从小就学会了
963they have to mask their symptoms.他们必须掩盖他们的症状。
964And so as time goes by,随着时间的推移,
965they get better and better at doing that.他们越来越擅长这样做。
966It's not that the symptoms go away.不是症状消失了。
967It's not that the symptoms aren't impacting them.并不是症状没有影响他们
968They're just really good at compensating他们只是非常善于补偿
969and getting past it and blending into society better,渡过难关,更好地融入社会,
970all while taking that on as a huge toll on themselves.却让自己付出了巨大的代价
971And so now you get, you know,现在你得到,你知道,
97210, 15, 20 years down the line.10,15,20年下线.
973And these women are like,这些女人就像,
974okay, enough's enough.好了,够了。
975Let's go and get diagnosed.我们去找医生吧
976And then the doctor's like,然后医生说,
977you would have known if you had it before,你早就知道 如果你有它之前,
978that you're doing too well.说你做的太好。
979And so it's just, it's a system所以这只是一个系统
980that wasn't built for women.这不是为女人而建的
981Do you think just modern society life你认为只是现代的社会生活
982is causing a lot of anxiety, depression and ADHD引起很多焦虑,抑郁和ADHD
983versus, I don't know, living on a farm对,我不知道,住在农场里
984and working hard with your family unit并努力与你的家庭单位
985back in the day or something like that?回到从前什么的?
986Is it just modern society is causing so much overwhelm是现代社会 造成了如此巨大的困扰
987of the brain and the emotions大脑和情绪
988to be able to navigate all that's happening?能驾驭所有发生的事情?
989I think right now it's hard.我认为现在很难。
990We're living in a really hard world.我们生活在一个非常艰难的世界。
991It's hard every which way you look at it,你从哪方面看都很难
992which is why I think discussions所以我觉得讨论
993about emotional regulation关于情绪调节
994are especially important right now.现在尤为重要
995But I think does this increasingly但我认为这越来越
996digital overwhelming world,数字世界,
997does that cause ADHD?这是否会导致ADHD?
998No.没有
999Does it worsen ADHD?它会恶化ADHD吗?
1000For sure.当然
1001So I think there is an exacerbation所以,我认为有 恶化
1002of all of these things just because所有这些事情 只是因为
1003we're living in this extremely chaotic timeline我们生活在这个极其混乱的时间线里
1004with so many things happening.发生了很多事
1005So many, like I have an eight-year-old girl这么多,像我有一个八岁女孩
1006and she sees me on my phone她看着我的手机
1007and she was talking about like,她当时在说
1008I want a phone too.我也想要电话
1009And I was like, no, never.而我就像,没有,从来没有。
1010And she's like, well, why?她就像,为什么?
1011That's not fair.这不公平
1012Why do you have a phone?你为什么有电话?
1013There's literally nothing good什么都没有
1014that lives in my phone.住在我的电话里
1015I want to throw it into the sun.欲投于阳.
1016The phone, I feel like that's where I've fed it.电话,我觉得那是我喂它的地方
1017Like a lot of times social media像很多时候社交媒体
1018is so dark and difficult.如此黑暗和艰难。
1019And like it just, it wears on you就像它一样 它穿在你身上
1020just being a human right now.只是一个现在的人权。
1021Yeah.对
1022I'm a psychiatrist.我是心理医生
1023So just modern society is hard in general.所以,只是现代社会 总的来说很难。
1024Like everything's happening.譬如一切众生.
1025Yeah, I kind of feel blessed that是啊,我有点觉得幸运
1026I didn't get a phone until I was like 17我17岁才接到电话
1027or 18.或18岁。
1028So I kind of missed that window所以我错过了那扇窗户
1029of being on screens, really.被显示在屏幕上,真的。
1030I guess I played like maybe a little bit我想我玩的好像有点像
1031of like video games, like maybe,像电子游戏,也许,
1032but I was more-但我更喜欢...
1033Super Nintendo?超级任天堂?
1034I think so.我想是这样。
1035I mean, I was more into like,我的意思是,我更喜欢,
1036we didn't have enough money我们没有足够的钱
1037to have a Nintendo until years later,拥有任天堂直到数年后,
1038but I would like go to the arcade但我想去街机那边
1039and like it was like a set amount of time就像是固定的时间
1040and I didn't have enough money我没有足够的钱
1041to be there for hours.在那里呆上几个小时
1042So like how many quarters do you have?所以,你有多少个季度?
1043But I was more in the sports world但我更在运动界
1044where it was just like after school,就像放学后一样
1045I'm playing in the playground,我在游乐场玩
1046I'm doing sports activities.我在做运动
1047I was always out playing.我总是在外面玩。
1048And then I come home at night,然后我晚上回来
1049have dinner and is like,吃晚饭,就像,
1050maybe later I had like a little bit of time,也许以后我还有一点时间
1051but I wasn't really interested但我没兴趣
1052in playing video games when I was older在我大的时候玩电子游戏
1053because I wanted to get better at sports.因为我想在运动上得到更好的。
1054So I kind of missed that window所以我错过了那扇窗户
1055of being a kid in this generation这代人还是个孩子
1056where you got phones early你早点接到电话
1057or your parents had phone或者你父母有电话
1058and you're playing the games with them你和他们玩游戏
1059或 iPads 。 (笑声)
1060I kind of missed that.我有点错过了
1061But as a parent of two,但作为两个孩子的父母
1062twin girls right now,双胞胎女孩现在
1063what advice would you have for me你对我有什么建议?
1064在iPads,iPhones周围,
1065screen time,屏幕时间,
1066cartoons, movies for my kids动画片、电影给我孩子看
1067or any parents for their kids或任何父母为孩子
1068if they want to have healthy young kids如果他们想生健康的孩子
1069that have fewer chances机会更少
1070of getting anxiety, depression and ADHD?焦虑,抑郁和ADHD?
1071So I don't think screens所以我不认为屏幕
1072将引起ADHD。
1073I think they could worsen我觉得他们可能会恶化
1074绝对的ADHD。
1075Screens do fragment focus.银幕是片段焦点
1076So in that early developmental period所以在那个早期的发育期
1077from zero to two,从0到2,
1078that's really when you're still那时你还是
1079so neuroplastic,所以神经塑料,
1080you're learning things,你学的东西,
1081even though you're not虽然你不是
1082up and about doing all those things,继续做这些事情,
1083you're learning kind of你在学习一种
1084the flow of the world,世界之流,
1085you're learning how to encapsulate attention,你正在学习如何封装注意力,
1086you're building all of that你建造这一切
1087gray and white matter灰白色物质
1088and trying to figure out并试图找出
1089what your brain is doing,你的大脑在做什么,
1090how it's going to be wired, right?如何是线,对不对?
1091So I am never going to be the person所以,我永远不会成为一个人
1092who's like, absolutely.绝对是
1093My mom is that person.我妈妈就是那个人
1094My mom's a pediatrician我妈是儿科医生
1095and she is like,她喜欢,
1096don't do screens.别做屏幕。
1097And I was like,我当时想,
1098I literally grew up on a TV.我在电视上长大的
1099Sitting in front of the TV.坐电视前.
1100Sitting in front like this far away from her TV.坐在前面像离电视这么远
1101And so I know that for a lot of parents,所以我知道对很多父母来说
1102screen time is truly a tool屏幕时间确实是一个工具
1103so that the parent or his or herself因此,父母或他或她
1104can take a break and do...可以休息一会儿然后...
1105And have an hour to themselves.并有一个小时 自己。
1106Can make dinner,能做饭
1107can do the laundry,能洗个澡
1108can just go to the bathroom.可以去厕所。
1109Totally.当然
1110So I don't think所以我不认为
1111if you have an excessive amount of guilt如果你有罪过重
1112and shame about stuff like that,和羞耻的东西这样的,
1113it's all about moderation to me.这对我来说都是温和
1114I think if there is a way我想如果有办法
1115that you are able to minimize screen time,您能够最小化屏幕时间,
1116use more integrated play使用更集成的游戏
1117and movement流动
1118and other interactions其他互动
1119that are screen free,这是免费的屏幕,
1120your kid is more likely你的孩子比较有可能
1121{\fn黑体\fs22\bord1\shad0\3aHBE\4aH00\fscx67\fscy66\2cHFFFFFF\3cH808080}我从小到小
1122But if you still have screens,但如果你还有屏幕
1123and I will tell you,我会告诉你,
1124my kids had screens,我的孩子有屏幕,
1125not of their own,不是他们自己的,
1126but they were exposed to it但他们却暴露在其中,
1127at different points in their lives在他们生命的不同阶段
1128and there are still times仍然有时间
1129where I'm like,在那里我喜欢,
1130okay, I need to finish this last patient好吧,我需要完成这个最后一个病人
1131and if you guys are around如果你们在附近
1132and I'm trying to play with you,我试着跟你玩
1133there's no way I can do that.我无法做到这一点。
1134Here's a show.这里有场演出。
1135It's 26 minutes long.全长26分钟.
1136So I think it's all about moderation.所以我觉得这都是温和
1137If someone is,如果有人是这样
1138他们没有ADHD,
1139they don't have anxiety and depression,他们没有焦虑和抑郁,
1140but they are just feeling overwhelmed a lot但他们只是觉得不堪重负
1141and they feel like they don't know他们觉得自己不知道
1142how to reclaim their thoughts,如何恢复他们的想法,
1143their emotions,他们的情绪,
1144but they're not diagnosed但他们没有被诊断
1145with one of these things.这些东西之一。
1146What's an emotional tool什么样的情感工具
1147that you talk about你说的
1148that people could use人们可以使用
1149if they're just feeling like如果他们只是觉得
1150life is so hard right now,生活是如此艰难 现在,
1151I'm overwhelmed,我无法承受
1152I'm overworked,我太劳累了
1153I'm feeling stressed,我觉得压力很大
1154I can't reclaim my focus,我不能恢复我的焦点,
1155what's an emotional tool什么样的情感工具
1156they can use right now to help them?他们现在可以帮助他们吗?
1157So I, again,所以我,再说一遍,
1158a lot of the tools in this book这本书的许多工具
1159are stuff that you've heard about你听说过的
1160or probably have been told.或可能已经被告知。
1161For example,举例来说,
1162anytime I was in these spirals每当我在这种螺旋
1163of overwhelm or things like that,以覆没或象那样的东西盟誓,
1164take a deep breath深呼吸一点
1165and I'm like,而我喜欢,
1166get out of here with that.离开这儿吧
1167I don't want to hear that from you,我不想听你这么说
1168but if I arrived at that conclusion myself,如果我自己得出这个结论
1169I somehow think我觉得
1170it's like the greatest breakthrough这就像最伟大的突破
1171of all time.永远的
1172But I think one of the best things但我认为最好的一件事
1173is the way we talk about我们谈论的方式
1174emotional sensitivity情绪敏感性
1175and dysregulation和困难
1176and overwhelm和覆没,
1177is also understanding也是个理解
1178that it can present very differently.它可以呈现出非常不同的。
1179There are times where有的时候
1180I feel very overwhelmed我觉得非常不堪重负
1181and my initial impulse我最初的冲动
1182is to be recluse将被隔离
1183and to withdraw并退出
1184and be quiet安静点
1185and go do that.去做到这一点。
1186Then there are times那时有的时候
1187where I'm emotionally overwhelmed我情绪不堪重负
1188and I am pacing我步履维艰
1189and I'm like talking out loud我就像大声说话
1190and I'm like trying my best我就像尽我所能
1191to kind of work through it.以工作的方式通过它。
1192If I am in a spot如果我在一个地方
1193where I'm like by myself and withdrawn,在那里,我像自己 和退出,
1194I probably do have the capacity我也许有这个能力
1195where I could be like,在那里我可以喜欢,
1196okay, let me take a deep breath.好吧,让我深呼吸。
1197Let me do this让我来
1198because I'm already kind of因为我已经有点
1199on the quiet side在安静的一侧
1200and I'm by myself我一个人
1201and I can,我也会
1202I may be more likely to do that.我可能更可能这样做。
1203If I'm pacing around,如果我走动,
1204telling me to slow down让我慢下来
1205and take a deep breath深呼吸一点
1206feels so much harder.感觉好难受
1207Yeah.对
1208So that time那段时间
1209when my nervous system当我的神经系统
1210is literally on fire,完全着火了,
1211I lean into it.我靠着它。
1212Like I need to use movement.就像我需要使用运动。
1213I need to somehow push我总得推一把
1214that oxygenated glucose那个含氧的葡萄糖
1215into my frontal lobe进入我的前叶
1216so I can think my way out of this.这样我就能想出办法了
1217So this is like,这就像,
1218give me an example举个例子
1219being on this press tour参加这次新闻巡演
1220and for this book,和这本书,
1221it's just, first of all,这只是,首先,
1222writing a book about rejection写一本关于拒绝的书
1223then pick on a press tour.然后去参观新闻
1224There are the 10 would not recommend.有10个不会建议。
1225But I had, you know,但我有,你知道吗,
1226these podcasts lined up这些播客排队
1227and one of the podcasts和一个播客,
1228pulled out two days拔出两天
1229before I was supposed to film.在我应该拍电影之前
1230And I-还有...
1231How did it make you feel?感觉怎么样?
1232God, like trash.上帝,像垃圾一样。
1233So I was just like,所以我就说,
1234I am just not a big enough deal我只是不够大
1235and that's why they canceled.这就是为什么他们取消了。
1236I, they feels like我,他们觉得
1237I'm bad for their brand.我不适合他们的品牌。
1238They don't want to talk他们不想说话
1239about emotional sensitivity.关于情感敏感性。
1240The book is stupid.这书太蠢了
1241I'm stupid.我太蠢了,我是个笨蛋
1242Like it just,就像这样,
1243it went from zero to 60从零到60
1244really quickly快点
1245and I was sitting on the couch我坐在沙发上
1246with my husband和我丈夫在一起 和他在一起的时候
1247and I just started getting up我刚起身
1248and I started pacing around我开始四处走动
1249and he's like,他喜欢,
1250okay, something's happening.好吧,有事发生。
1251And then I remembered like,然后我想起来...
1252okay, I know what's happening.好吧,我知道发生了什么。
1253My amygdala is spinning out of control.我的阿米格达拉失控了
1254I'm dumping alarm chemicals.我在倾倒警报化学物质
1255I need that frontal lobe to kick on.我需要那个前叶来踢
1256But I, it's hard但我,这很难
1257because I can't think my way out of this.因为我想不出来
1258I can't even think about an alternative我甚至想不出别的办法
1259{\fn黑体\fs22\bord1\shad0\3aHBE\4aH00\fscx67\fscy66\2cHFFFFFF\3cH808080}对发生了什么
1260because I'm so convinced因为我深信不疑
1261this is happening.这正在发生。
1262And so I had seen like a couple所以我看到了像一对夫妇
1263of days prior to that,之前几天,
1264like, you know,喜欢,你知道,
1265someone was talking about有人在说
1266like the benefit of doing squats就像蹲下一样
1267like for like longevity就像长寿一样
1268and like muscle health就像肌肉健康一样
1269and brain health.和脑健康。
1270And I was like, great.我当时感觉很好
1271So I'm like going from pacing所以,我就像从距离
1272to all of a sudden doing squats in front突然在前面蹲着
1273and my husband is just like,我丈夫就那样
1274what are you doing?你在干吗?
1275And so I'm doing squats所以我在蹲着
1276and like it's like less than two minutes就像不到两分钟
1277and I'm like, okay, I stop.我就像,好吧,我停下来。
1278I sit down again.我又坐下来
1279I reread the email我重读邮件
1280and this time I'm like,而这次我就像,
1281this is the first time这是第一次
1282that I reread the email我重读邮件
1283and I saw the words我看见那些话
1284due to a family emergency.因为家庭紧急情况
1285Did not even read that the first time.第一次都没读过
1286And I was like, okay,我当时想,好吧,
1287that I can, that I can stomach.我能够,我可以胃。
1288And then two hours later两小时后
1289I get a thing where they're like,我得到的东西,他们喜欢,
1290they wanted to float you他们想把你浮起来
1291this different date.这个不同的日期。
1292And I was like, okay, right.我就像,好吧,没错。
1293Well, so I mean,嗯,所以我说,
1294I think it's all about like我想这是所有关于像
1295understanding how you present,了解你是如何呈现的,
1296working with your body与身体一起工作
1297instead of fighting against it而不是与之斗争
1298and just using,刚刚使用,
1299knowing when to apply the torture.了解何时实施酷刑。
1300What's happening in the brain大脑里发生了什么
1301in simple terms简而言之
1302when someone feels当有人感觉
1303a small moment of rejection一小会儿的拒绝
1304as overwhelming pain or anxiety.和极度痛苦或焦虑一样
1305So I think basically所以我认为基本上
1306from that fundamental perspective从这一根本角度出发
1307is that emotional threat center就是那个情绪威胁中心
1308of the brain, the amygdala大脑中的阿米格达拉
1309is very hyper responsive.反应非常迅速
1310It freaks out.吓坏了
1311It starts sending alarm chemicals它开始发送警报化学品
1312to the rest of the body对身体的其余部分
1313telling you like you're in danger告诉你自己有危险
1314and it's very much this和它是非常这样的
1315fight or flight response.战斗或飞行反应。
1316You're in danger.你身处险境.
1317Something is wrong.有点不对劲
1318You need to either你也一样
1319get ready to throw hands准备好投手
1320or you need to get out of here或者你必须离开这里
1321or you need to freeze或需要冻结
1322because those are your options因为那是你的选择
1323{\fn黑体\fs22\bord1\shad0\3aHBE\4aH00\fscx67\fscy66\2cHFFFFFF\3cH808080}你已经知道了
1324And all while this is going on在这一切发生的时候
1325your frontal lobe你的前叶
1326is supposed to help you应该是帮你的
1327do checks and balances进行制衡
1328and be like,和喜欢,
1329this actually isn't totally accurate.这其实并不完全准确。
1330You can, you can calm it down你可以,你可以冷静下来
1331a little bit,一点点
1332but that is under responsive.但反应不足
1333So you're not getting所以,你没有得到
1334that checks and balances.制衡
1335So really you're at the mercy所以,你真的听从命令
1336of this emotional cascade slowing down.情感级联减速
1337So unless you have those skills除非你有这些技能
1338to help that happening帮助实现
1339you've just got to ride it out你只需要骑它出来
1340which it seems very unfair.这似乎非常不公平。
1341Yeah, that's tough.是啊,这是很难的。
1342Yeah.对
1343So you need the skills.所以你需要这些技能
1344You need the tools.你需要这些工具。
1345What's the most damaging piece什么是最有害的一块
1346of advice people with RSD get心理咨询
1347from well-meaning friends or family?从善意的朋友还是家人?
1348Oh my God.天呐
1349Can I tell you when I hate the most?我最讨厌的时候能告诉你吗?
1350Hopefully I haven't done this.希望我没这么做
1351No, and if you have straight to jail.不 如果你直接进监狱的话
1352Yeah, right.没错
1353Just calm down.冷静点
1354It's like, oh my God,这就像,哦,我的上帝,
1355thank you so much.非常感谢
1356I never thought of that.我从来没有想过这一点。
1357Like that doesn't help me at all.就像那对我一点帮助都没有
1358And this is with someone这是与某人
1359has rejection sensitive dysphoria.有拒绝敏感障碍。
1360Yeah.对
1361So if I'm already feeling like my,所以,如果我已经 感觉像我,
1362my entire brain and body我的整个大脑和身体
1363are responding to this rejection正在响应这个拒绝
1364or threat or criticism.或威胁或批评。
1365And I recognize in real time我实时认得
1366this is a huge response这是巨大的反应
1367and it's overwhelming.和它的压倒性。
1368Now you're telling me to calm down.现在你叫我冷静下来
1369Or relax or whatever.或者放轻松什么的
1370So what can someone say那么有人能说什么
1371when they see a friend,当他们看见一个朋友的时候,
1372a loved one in their mind他们心中的爱人
1373looks like they're freaking out看来他们吓坏了
1374over nothing, you know,没有,你知道,
1375to the person,对当事人,
1376it's a big thing that's happening,这是一件大事正在发生,
1377whether it's perceived or real.无论是感觉还是真实的
1378But in the friend's mind,但是在朋友的脑海里
1379like this isn't that big a deal像这样没什么大不了的
1380or it's all going to be okay.否则一切都会好的
1381Chill out, relax.冷静,放松。
1382What can that friend say or do instead?那个朋友能说什么呢?
1383So this is something my husband does所以这是我丈夫做的事
1384so beautifully.这么漂亮。
1385And I think it was just intuitive for him.我觉得这对他来说只是直觉
1386But maybe it's been since但也许从那时起
1387He trained him also maybe.他也许也训练过他
1388He trained him.他训练他。
1389In those, like, for example,比如说,在这些
1390when I was pacing around当我在四处走动时
1391and then just randomly doing squats然后随机地蹲下
1392in front of him,在他的面前,
1393he was sitting on one end of the couch.他坐在沙发的一端。
1394I go and sit on the other end of the couch.我去沙发的另一端坐着
1395He moves closer to me他离我近一点
1396and he was just saying,他只是说,
1397what happened?发生什么事了?
1398And I, you know, I think number one,我,你知道, 我认为第一,
1399he entered it from curiosity.他从好奇入手
1400It wasn't what's wrong.这不是什么问题。
1401It wasn't that was crazy.这不是疯了。
1402It was what, you know,这是,你知道,
1403what's what's happening right now.现在发生什么了?
1404I go through this kind of thing我经历这种事情
1405that happened from like,发生从喜欢,
1406well, I read this.我读过这个
1407And then I started like,然后我开始说,
1408it just ever I,它只是永远,我,
1409the way I explained it was like,就像我解释的那样
1410everything felt so hot.一切感觉如此热。
1411I felt like I was just getting so hot.我觉得我太热了
1412That's how I describe it to my husband.这就是我对我丈夫的描述
1413And then I just started getting at like,然后,我刚刚开始得到 像,
1414and he's like,他喜欢,
1415you were pacing around and I like,你到处走走 我喜欢
1416I didn't even realize I was pacing around.我甚至没意识到自己在到处跑步
1417I knew I got up.我知道我站起来了。
1418Definitely knew I was doing squats.绝对知道我在蹲下。
1419And then I was like,然后我就说,
1420yeah, I tried to like kind of calm things down是啊,我曾想镇定一下
1421because I was feeling really restless.因为我觉得很不安。
1422And then I went back and read the email然后我回去看邮件
1423and realized it was a family emergency.并意识到这是一个家庭紧急情况。
1424And so then that neutral kind of,然后那种中立的,
1425I'm just sitting and supporting you,我只是坐着支持你,
1426letting you regulate your nervous system real time.让你实时调节你的神经系统
1427Because I think for a lot of people因为我想很多人
1428who are dealing with this fear of rejection面对这种被排斥的恐惧
1429or criticism,或批评,
1430especially if it's in the context特别是如果它是在上下文
1431of that person that you're receiving it from,你从谁那里得到它,
1432if they storm off如果他们冲走
1433or if they tell you to calm down,或者如果他们叫你冷静下来
1434you feel even more unheard.你更觉得没有听到。
1435You feel even more rejected.你更觉得被拒绝。
1436Sometimes him just sitting there,有时他只是坐在那里,
1437being with me,和我在一起的时候
1438knowing like I can,知道我可以做到这一点,
1439it immediately regulates my nervous system.它立即控制我的神经系统。
1440I think it's a powerful thing我觉得这很厉害
1441when someone can do that.当有人可以做到这一点。
1442And I think it's,我认为,
1443in general,总的来说,
1444I would say it's hard for most men我会说对大多数人来说很难
1445that I've known to learn that skill.我学会了这种技巧
1446To be able to sit peacefully能够平静地坐着
1447when something is chaotically happening,当事情变得混乱时,
1448which seems like nothing happened似乎什么都没发生
1449and you're overreacting, right?你反应过度了,对吧?
1450This is the seeming situation情况是这样的
1451for a lot of people.对很多人来说
1452And if men haven't learned如果男人还没学会
1453the skill of emotional regulation themselves,情感调节的技巧本身,
1454which most men haven't learned that yet,大部分男人还没有学过
1455they can't handle someone else他们对付不了别人
1456what seems like a freak out around them好像他们身边有怪胎
1457if they don't know how to navigate it.如果他们不知道如何导航的话
1458So it's hard for them.所以对他们来说很难
1459So this is the challenge.这就是挑战。
1460Like when I'm not saying就像我没说
1461some men aren't able to do this,有些男人不能做到这一点,
1462but then there's challenges但还有挑战
1463in relationship breakdowns.关系破裂。
1464When a woman doesn't feel seen or heard当一个女人感觉不到或听到
1465and the man feels like,男人觉得,
1466well, you're just acting crazy你简直疯了
1467or whatever the terminology is.或任何术语。
1468And that's the challenge.这就是挑战
1469That's why I think when both individuals这就是为什么我想 当两个人
1470or all individuals或所有个人
1471can learn emotional regulation,可以学习情绪调节,
1472hopefully it's less heated by one person希望没有一个人加热
1473and the other person has the skills而对方有技能
1474to be able to meet them能够见到他们
1475and see them and hear them看到他们,听到他们
1476and hold that space.并保持空间。
1477But that just takes very present people但是这需要非常现成的人
1478who are actively trying to improve themselves.他们正在积极改善自己。
1479Oh my God, teach it in the schools.哦,我的上帝, 在学校教它。
1480Give me something, man.给我一些东西,伙计。
1481These are things that I think我想这些东西
1482really would benefit.真的很会有好处。
1483I think everybody could benefit我想每个人都会受益
1484from emotional literacy.从情感知识。
1485But I think if you start integrating但我认为如果你开始融合
1486the way you experience emotions你感受情绪的方式
1487is neurological.神经系统
1488The way you talk about emotions,你谈论情绪的方式,
1489I feel like this world specifically,我特别觉得这个世界
1490people are so careless人们这么粗心大意
1491with that component of it.与它的这个组成部分。
1492They are, they are.他们是,他们是。
1493What is something you wish you knew你希望你知道的东西是什么
1494when you were growing up你长大的时候
1495that you now know now?你现在知道了?
1496The emotional regulation part.情绪调节部分。
1497If I had understood如果我理解的话
1498that the emotional side of things事物的情感方面
1499would so directly impact my ability这样会直接影响到我的能力
1500to be productive and move forward提高生产率并向前迈进
1501in a pathway,在一条道路上,
1502I would have spent that time我会花那么长时间
1503instead of shoving down my emotions而不是压抑我的情绪
1504or compartmentalizing them.或将它们分割开来。
1505Because I felt like that was my default.因为我觉得那是我的默认
1506Anytime I felt something big,每当我感觉到有大事
1507I'd be like, not right now, go away.我将像,不是现在,走开。
1508And it would show up later它会出现以后
1509in the weirdest kind of ways.在最奇怪的方式。
1510So I just never figured it out.所以我一直没想明白
1511And it was truly until I was like,直到我说,
1512oh, these two things are connected哦,这两个东西是相连的
1513that I felt like this deserves我觉得这样值得
1514me going into and learning我进去学习
1515how to manage things.如何管理事物。
1516And my life has exponentially我的生活指数化了
1517improved since then.之后有所改善。
1518And it's made me a better parent.这让我成为一个更好的父母。
1519It's made me a better partner.这让我成为一个更好的伙伴。
1520It's made me a better doctor.这让我成为一个更好的医生。
1521It's made me a better person这让我成为了更好的人
1522because of that emotional regulation.因为情绪调节。
1523How can someone who feels怎么会有人觉得
1524like they're overly sensitive好像他们太敏感了
1525turn that into a strength?把它变成力量?
1526Number one, by recognizing第一,通过识别
1527that it's neurological.这是神经系统。
1528This isn't a quirk.这不是一个怪胎。
1529This isn't your personality.这不是你的个性。
1530It's not something that这不是什么
1531if you're born with it,如果你带着它出生,
1532you're out of luck.你运气不好
1533You just, you are, this is something,你只是,你是, 这是东西,
1534the brain is just so incredible大脑真是不可思议
1535that we have this capacity我们拥有这种能力
1536and this agency to rewire our brains.和这个机构 重新连接我们的大脑。
1537I think that's so,我觉得是这样
1538it makes psychiatry feel so hopeful.这让精神病患者充满希望
1539And so I think that if you feel,所以我觉得如果你觉得
1540yes, I get overwhelmed all the time.是的,我总是被压抑
1541This is really hard for me.这对我来说真的很难。
1542And it's difficult for me对我来说也很困难
1543to navigate through life导航生命
1544because I feel like I'm constantly因为我觉得自己总是
1545responding to these triggers.对这些触发器作出反应。
1546I think it is possible我觉得有可能
1547to kind of move on from these things,从这些东西开始,
1548to learn your patterns,学习你的模式,
1549to learn what your triggers are,知道你的触发器是什么,
1550to learn how to manage them in real time.学习如何实时管理它们。
1551And you said this previously你之前说过
1552and I loved how you phrased it is我喜欢你这么说
1553you still want to feel things.你还是想感受一些东西
1554You just have to navigate it.你只需要导航它。
1555And I think that's what the takeaway is.我想这就是外卖的原因
1556It's giving yourself给自己
1557and trusting yourself enough足够相信自己
1558to be able to navigate能够导航
1559without feeling like没有感觉
1560I'm always going to be sucked under.我总是会被吸下去。
1561As a parent of two kids,作为两个孩子的父母,
1562what's your biggest fear你最大的恐惧是什么?
1563over the next 10 to 15 years for them在未来10至15年里
1564based around what's happening in society基于社会上发生的一切
1565and like the overwhelm犹如圆顶,
1566that a lot of youth are feeling很多年轻人都觉得
1567and things like that.和类似的东西。
1568I have so many fears.我有这么多的恐惧。
1569I don't know if I can go.我不知道我能去吗?
1570The one that I most recently was我最近那个
1571thinking about考虑
1572and it kept me up like three days ago三天前就睡不着了
1573is thinking about like正在思考 像
1574how increasingly digital如何日益数字化
1575our world has gotten我们的世界得到了
1576and how isolated we all are.以及我们是多么孤立
1577We're all kind of operating likeи常钩
1578what triggered this是什么引发了这个
1579is I walked into a coffee shop是我走进咖啡店
1580and I was waiting for my order我等着我的命令
1581and I looked around我环顾四周
1582literally every single person每个人
1583sitting on their phone.坐在他们的电话上。
1584Sometimes there were two people有时候有两个人
1585sitting to eat with each other.相与坐食.
1586They're both on their phones他们都在打电话
1587and I'm guilty of that at times.有时我也会犯错
1588I'm checking my email我在查我的邮件
1589and trying to multitask并尝试多重任务
1590but that's the world但这就是世界
1591that we kind of are in right now我们有点现在
1592where everybody is so每个人如此
1593in their own universe在他们自己的宇宙中
1594that it makes me think about like让我想起
1595what's 10 years down the line going to be?10年后会怎么样?
1596As a parent though身为父母
1597and as a doctor作为医生
1598how do you ensure that your kids你怎么保证你的孩子
1599have this emotional regulation有这种情绪调节
1600at an early age?年幼的时候?
1601I think some of it我觉得有些
1602some of it is honestly in our house.有些是在我们的房子里
1603I think because I've been figuring this out我想是因为我一直在想
1604in real time实时
1605I've also made it a point我也说过了
1606to talk it out loud.大声说出来。
1607So when I'm feeling big things所以当我感到大事
1608especially with my dad特别是和我爸
1609where I was like我当时的样子
1610I really can't explain my way around it我真的无法解释我的路
1611they're seeing it.他们看到它。
1612Like I don't就像我没有
1613we just have to talk about it.我们得谈谈
1614Talking about those kind of emotional moments说到那种情感时刻
1615and letting them in on让他们进来
1616how can we make this better?我们怎样才能改善这一切?
1617How can and having honest discussions如何能和诚实的讨论
1618I think one of the我觉得其中之一
1619most wonderful things最美好的东西
1620that came out of that从那里出来的
1621is that it really made me less afraid这真的让我不那么害怕
1622and it made them less afraid of emotion让他们更不怕情绪
1623because like因为像
1624I could not stuff this down我无法填满这个
1625and so就这样
1626and they were seeing that他们看到
1627so it's like所以这就像
1628how do we navigate this我们如何导航
1629kind of as a family那种作为一个家庭
1630and we're talking about it我们谈论它
1631we're talking about emotion我们在谈论情感
1632and I don't remember我不记得了
1633ever doing that as a kid小时候做过这种事
1634with my parents与我父母亲
1635or talking about emotions或谈论情绪
1636no无
1637when something challenging当有挑战性的时候
1638would happen in the family or发生在家里,或者
1639I mean maybe intermittently我的意思是,也许间歇性
1640but not like但不喜欢
1641not like不喜欢
1642this is where sadness这里就是悲伤的地方
1643is coming from in the brain.是来自大脑。
1644This is like这就像
1645when you feel this way当你觉得这样
1646what's the difference between有什么区别
1647feeling sad难过
1648and feeling scared感觉害怕
1649and you know things like that你知道这样的事情
1650we're really talking about emotion我们说的是情感
1651a lot more还有很多
1652and like you know就像你知道的那样
1653if we are如果我们是
1654if we see something on TV如果我们在电视上看到什么
1655like my husband像我丈夫一样
1656watched the Goonies with them看着古尼和他们在一起
1657the other day那天,我说
1658and I was like我当时想
1659all right great没事,很好
1660but like talking to them about like但喜欢跟他们说
1661okay look at this好吧,看看这个
1662what do you think they were feeling你觉得他们有什么感觉?
1663at that spot在那个地方
1664so just like talking about所以,就像谈论
1665and integrating emotion和融合情感
1666into the conversation.进入对话。
1667Yeah I think that's powerful.是的,我认为这是强大的。
1668Yeah I do too.我也一样。
1669So I feel like if you don't所以我觉得如果你不
1670talk about谈谈
1671I think maybe there's我想也许有
1672you know what is it你知道这是什么
1673called gentle parenting叫做温柔的养育
1674or something where it's like或某样东西
1675maybe there's too much也许有太多
1676emotion every day long每天的情绪
1677talking about it谈论它
1678but I think having those但我认为这些
1679moments where you talk about你谈论的时刻
1680your feelings or your emotions你的感情或情绪
1681at different times在不同时间
1682I think help kids realize我觉得帮助孩子们意识到
1683it's not like这不是像
1684something to stuff东西的东西
1685and you can't have emotion.你不能有情绪。
1686Yeah.对
1687And I think there's an extreme the other side where you're talking about it all day long every day我认为在另一边 你每天都在谈论这件事
1688It's too much like how are you feeling and tell me more and you know, I think it's maybe too much这太像你的感觉 并告诉我更多,你知道, 我认为它可能太多了
1689I haven't gotten to that point yet because they're still young she said they can't talk.我还没到那个地步 因为他们还年轻 她说他们不能说话
1690Yeah, you can't talk yet是啊,你还不能说话
1691I feel like with gentle parenting and my mom's a gentle parenting.我觉得有温柔的养育 和我妈妈是一个温柔的养育。
1692Yeah, we talk about this all the time and I feel like I是啊,我们一直在谈论这个 我觉得我像
1693Mean in my in my brain.在我的脑子里很坏
1694I thought as a parent like my Pinterest version of myself was that I would be a gentle parent我以为像我的普利克斯版本一样的家长 会是一个温柔的父母
1695I'm not at all.我没有。
1696Um垛
1697But I think that sometimes it's it's a fine line between但我认为有时 这之间是一条很好的线
1698Emotionally validating and and kind of letting the child figure out but also giving that firmness and structure情感的验证 和那种让孩子 弄清楚,但也给予 坚定和结构
1699Because I think I really need that.因为我觉得我真的很需要这个。
1700Yeah boundaries you need boundaries and you need like the kid can't是啊,你需要边界,你需要 像孩子不能
1701Navigate the because then you get your whole slew of other things going on like it's really difficult for them to handle disappointment later导航因为你得到你的全部 其它的事情发生, 像他们真的很难 处理失望以后
1702It's really difficult for them to understand how to be yeah how to be resilient很难理解如何适应
1703If someone doesn't have the ability to handle rejection, what type of life will they live?如果有人没有能力处理拒绝,他们会生活什么样的生活?
1704I don't know我不知道,你觉得呢?
1705They'll be a psychiatrist on social media.他们将成为社交媒体上的心理医生.
1706I guess我想是这样
1707No, I I feel like不,我觉得
1708Rejection is just such a normal part of the human experience.拒绝只是人类经验的正常部分
1709And if a lot of times如果很多时候
1710Rejection is just redirection, right?拒绝只是改变方向,对吧?
1711It's it it kind of pushes you into a different pathway就是它把你推向另一条路
1712I think what's important我认为什么是重要的
1713But if you never learned how to navigate and handle rejection small or big但是,如果你从来没有学会 如何导航和处理拒绝大小
1714What happens to your body to your life to your mind?你的身体会怎样?
1715I mean, I think you get consumed by it like a lot of times我是说,我觉得你经常被它吞噬
1716sometimes you see rejection, um, and in people trying to avoid that or potentially, um有时你会看到拒绝,嗯, 在人们试图避免 这一点或可能,嗯
1717Deal with it in a different capacity.以不同身份处理.
1718You see a lot of compensation behavior.你看到很多补偿行为
1719So you see a lot of所以,你看到很多
1720Perfectionism you see a lot of people pleasing you see a lot of different pathways that完美主义,你看到很多人 喜欢你看到很多不同的路径
1721Yes, initially may feel advantageous.是的,最初可能觉得有利。
1722So this is people aren't criticizing me.这就是人们没有批评我。
1723I am always top of my game我总是我的游戏第一
1724I'm getting validating comments.我得到了验证的评论。
1725This is great.这是伟大的。
1726But like in terms of sustainability, what is that doing to the quality of your life?但是,就可持续性而言,这对你的生活品质有什么影响?
1727What is that doing over time?随着时间的推移,这是做什么?
1728To you what happens when you are normal one day and everyone's like, are you sick?对你来说,当你正常的一天, 每个人都喜欢,你生病了吗?
1729Like what's happening to you?就像你发生了什么事?
1730and so I think it's it's just a balance of所以我觉得这只是一个平衡
1731trying to试图
1732Understand yourself because if you never really get on top of how to navigate rejection how to navigate criticism理解自己,因为如果你从来没有真正 上如何导航拒绝 如何导航批评
1733You're going to find你会发现
1734Other maladaptive ways to do it其他不适应的方法
1735Yeah对
1736And I think also if you never learn how to do it我也认为如果你永远不学会怎么做
1737You may never go after what you want because you're afraid of the rejection happening你可能永远不会去追求你想要的 因为你害怕被拒绝发生
1738So you never go for the career you want or launch the project you want or do you know?所以,你从来没有去 职业生涯你想要的 或者启动项目 你想或你知道?
1739Go for the relationship you want because you're afraid of去找你想要的关系 因为你害怕
1740The potential rejection that may or may not happen.可能发生也可能不会发生的潜在拒绝。
1741Yes, and how to navigate the feeling of not being good enough是的,如何引导 感觉不够好
1742If and when that happens and and just like anticipating that acute如果和什么时候发生, 和只是喜欢 预料到的急性
1743Pain, I think is so hard.痛苦,我觉得很难。
1744I've had many patients who come into me我有很多病人都进来了
1745And you know you you're talking about just their overall history.你知道你在谈论的只是他们的总体历史。
1746You're talking about medical stuff going on你在说医学的事
1747You're talking about psychiatric stuff.你在说精神问题
1748Then you just break into like kind of socially what's what's happening in your life?然后,你只是闯进 像一种社交 什么是发生在你的生活?
1749What's your life structured like and they talk about?你的生活结构是什么 他们谈论?
1750within relationships关系中
1751How that's a thing that they really really want I I said my parents have had a 35 year relationship.他们真的想这样 我说我父母有35年的感情
1752They're so happy他们很开心
1753I want that I want kids someday.我想有朝一日要孩子。
1754I want all of these things我要这些东西
1755But I can't get past that initial point or if we get into a conflict it gets so hard and I'm back away但我不能越过最初的点 或者,如果我们陷入冲突 它会变得如此艰难 我回来了
1756And so it's it's difficult and I feel like in my 20s所以很难过,我20多岁的时候就觉得
1757You know, I I tell my husband like i've never been broken up with你知道,我告诉我的丈夫喜欢 我从来没有分手
1758Because I would leave I like things would get a little hard like i'm out因为我会离开,我喜欢事情会变得有点难 像我退出
1759Wow, so never broke up with you you broke up with them or you left哇,所以从来没有分手 你分手了,或者你离开了
1760I would just be like this is scary.我就觉得这很可怕
1761I'm out of here and I and I would use the excuse of like i'm in medical school我走了,我和我会用借口 就像我在医学院
1762I don't like i'm too busy.我不喜欢我太忙了
1763I'm too busy.我忙着呢
1764And so it would be所以,这将是
1765Me running away from that and I feel like my husband我逃离了那,我感觉就像我丈夫
1766Kind of snuck past the guard on that one because we were long distance有点溜过那个守卫 因为我们距离很远
1767So I didn't have I wasn't constantly reading his tone or his body language所以我没有经常读他的语气和身体语言
1768We had you know, we were communicating via text and phone call and all of the stuff and it would just我们想让你知道,我们通过短信和电话 和所有的东西沟通,它只是
1769It felt so easy and comforting and by the time we were in the same spot感觉如此轻松舒适 当我们在同一地点的时候
1770If you try to run at one point where you're like, ah, it's too much conflict如果你试图运行 在你喜欢的地方, 啊,这是太多的冲突
1771He's pretty easy to be around.他在这里很容易
1772He's peaceful.他很平静
1773He sounds like hey, what's going on?他听起来像嘿嘿, 这是怎么回事?
1774Why are you feeling this way?你为什么这样想?
1775What's何谓
1776Joy, that's amazing involved.乔伊,这太不可思议了
1777Yeah.对
1778Yeah, it's good.是啊,这是很好的。
1779You got lucky.你很幸运
1780He had two older sisters他有两个姐姐
1781And I think they just like beat it into him.我认为他们只是喜欢打他。
1782Yeah, it's good.是啊,这是很好的。
1783I have two older sisters as well我还有两个姐姐
1784Okay, probably why I was too sensitive and also emotionally like hey, what's going on?好吧,也许为什么我太敏感 和情感上一样,嘿,发生了什么事?
1785You know, it's like yeah你知道,这就像耶
1786You can tell你看得出来
1787That's interesting so there was not enough conflict for you to feel like i'm out这很有趣,所以没有 足够的冲突让你觉得 我退出
1788Once you got close.一旦你接近我们
1789No, believe me there was plenty of conflict but it was for you to feel like you're out though不,相信我 有很多冲突... ...但是你觉得自己已经出来了
1790At one point we did有一次我们做到了
1791Break up, but it wasn't conflict on his and our part.分手,但这不是他和我们之间的冲突。
1792I think it was did you end it?我认为是你结束的?
1793Oh, so good.真不错
1794You still haven't even broken up with yeah你还没分手呢
1795I did没错
1796But I think that that was like from a cultural perspective.但我认为,从文化的角度来看,这是这样的。
1797We couldn't figure out how to blend those two.我们想不出怎么把两者融合在一起
1798Is he a white guy?他是白人吗?
1799Yeah.对
1800Oh wow瓳
1801Um, and so I was like I don't I'm like my family.嗯,所以我就像我不 像我的家人一样。
1802I mean it just like historically has had arranged marriages我的意思是,它就像历史上 安排婚姻
1803This is this was like so out of the norm.这太不合常理了
1804What do you mean?你说什么?
1805You have love你有爱
1806Yeah, what is this?对,这是什么?
1807You're allowed to love someone.你被允许去爱一个人
1808Yeah, it's crazy because是啊,这是疯狂的,因为
1809My parents were so in love.我的父母是如此的爱。
1810They were truly meant for each other他们真的是为了彼此
1811and so I had this like expectation like that's what it's going to be there's no and then you know所以,我有一个这样的期望 像它会是什么是 没有,然后你知道
1812It just it it blossomed into this wonderful relationship and then I was like wait它只是它开花 在这个美妙的关系 然后我像等待
1813But that's not what we're supposed to do.但这不是我们应该做的。
1814I'm not supposed to do that我不该那么做的
1815My family doesn't want that and and then we had to why waste your time with someone if you weren't supposed to do that我的家人不希望那样,然后我们不得不 为什么要浪费你的时间与某人 如果你不应该这样做
1816I don't know我不知道,你觉得呢?
1817I don't know.师曰.
1818It happened.它发生了。
1819Everyone goes through the phase and then they're like, all right.每个人都经过阶段 然后他们就像,好吧。
1820He was so handsome.他很帅
1821There you go给你
1822There you go.给你。
1823So I mean it's like giving that opportunity 10 out of 10 times.所以,我的意思是,它像给 机会10倍。
1824I'm going to take that opportunity but我要利用这个机会,但是...
1825But your fear of either rejection from your family or society or the culture was like oh但你害怕被家庭或社会拒之门外 或者害怕文化
1826I'm not doing it the way it's supposed to be我可没这么干
1827And so part of you were as afraid of that rejection feeling.所以,你的一部分 害怕那种拒绝的感觉。
1828I don't want to let down my parents.欲令父母不减.
1829I don't want to我不想这样
1830and and财务报告和已审计财务报表
1831Since that time it's been like such a beautiful blending and everything has been great从那时起,它就像一个美丽的混合 一切都很好
1832But that initial period I I think it was too scary.但最初那段时间 我觉得太可怕了
1833How long were you together for before that breakup?分手前你们在一起多久了?
1834Like three years.如是三年经.
1835Wow哗
1836So didn't you know though going into it like this isn't gonna last if the fear of rejection所以,难道你不知道,虽然去 这样下去是不会持续 如果害怕拒绝
1837I'm gonna back out eventually because it's not an arranged marriage我最终会退出的 因为这不是包办婚姻
1838Okay, can I tell you though because it was such a cute story that I was like it's fate.好吧,我可以告诉你,虽然,因为它是如此可爱的故事,我就像这是命运。
1839Clearly this has to like显然,这必须喜欢
1840We we我们
1841I we ended up seeing each other and I saw him from like across the restaurant我们最后相见了 从餐厅对面看见他
1842I was like awesome我简直太棒了
1843And so like I went and immediately talked to him就像我马上去和他说话
1844And he had been sent from across the street because the bartender across the street was like go and talk to that girl他被从街对面派来 因为街对面的酒保 就像去跟那个女孩说话
1845You'll like her and then later I found out你会喜欢她的 后来我发现
1846That my best friend's parents had been trying to set us up on a blind date for two years我最好的朋友的父母 一直试图让我们 在相亲约会两年
1847And I kept saying like no, I don't want to I don't like just show me a picture and it wouldn't and I was like我不停地说不,我不想 只是给我看一张照片,它不会,我就像
1848The guy's gonna be a dog don't like no这家伙会变成狗 不喜欢不
1849And so I was just like there's so many but then you had the fear after three years that like, uh, we can't do this所以,我只是喜欢有这么多 但你有恐惧 三年后,喜欢,呃,我们不能做到这一点
1850It goes again.它又来了。
1851I think it became so real because we're like, well, what do we do here because i'm ending school我认为它变得如此真实,因为我们喜欢, 好了,我们该怎么办在这里 因为我结束学校
1852Like I like we're we have been together.我喜欢我们在一起
1853We love each other so much.我们深爱彼此
1854Do we get我们得到
1855Married do we cut like do we cut ties?我们结过婚吗?
1856Like this is such a transitional spot and then I was just like就像这里是过渡的地方 然后我就想
1857Too scary too much and like at that point I was just like太吓人了,就像那时一样
1858My parents were just我父母刚刚
1859Had such a hard time with it that I was like, I can't yes the three years.经历如此艰难的时期,我就像,我不能是三年。
1860They had a hard time with it他们很辛苦
1861Oh, they didn't know for the first part.哦,他们不知道 第一部分。
1862Oh, wow哦,哇哟
1863So the first couple years they didn't know所以头几年他们不知道
1864I mean, so you're also afraid you're also afraid of the rejection from your parents that you weren't even telling them我的意思是,所以你还怕你 也害怕被父母拒绝 你甚至没有告诉他们
1865Yeah for a couple years.是啊,几年来。
1866Yeah long distance是啊,长距离
1867Wow, so you had a fear around the rejection from them as well哇,所以你有一个恐惧 周围的拒绝他们
1868Big time because I knew my expectation what my expectation was is that you finish your educational kind of background因为我知道我的期望是 你完成你的教育背景
1869And then you go into this next season of life and at that point your parents know you so well然后你进入下个生活季节 那时你父母很了解你
1870They find you a partner that you and you date them for a while他们给你找个搭档 你和他们约会一段时间
1871If you like them you get married to that person if you don't like them you try again如果你喜欢他们 你就嫁给他 如果你不喜欢他们 你就再试一次
1872But it's someone that your family has vetted and they know the family and they know everything about them and it's like但你的家人已经审查过一个人 他们了解这个家庭 他们知道他们的一切
1873It's like it's not even like just your parents it's like就像你父母一样
1874Yeah, you have like the weigh-in from all these people是啊,你喜欢从所有这些人的体重
1875Of like I think that's gonna be a good match我觉得那会很合得来
1876So I just kind of assumed that was my trajectory所以我觉得那是我的轨迹
1877And so I was like when we got to this point where i'm like, oh god所以我就想当我们到了这个地步 我就像,哦,上帝
1878I like this I fell in love with this beautiful beautiful person in my emotionally involves我喜欢这个,我爱上了这个美丽的人 在我情感中涉及
1879Beautiful kind and like and i'm gonna say no to him family.美丽的善良和喜欢, 我会说不给他的家人。
1880I mean, oh my god, I just我是说,天啊,我只是...
1881And I swear when I hear when I hear stories like this where people are watching or listening and like you found a dream man我发誓当我听到这样的故事时 人们在看或听 就像你找到了一个梦中的男人
1882And the other way would be like what are you doing?换句话说,你在做什么?
1883You know, it's like how could you say no to this?你知道,这就像你怎么能 拒绝这个?
1884It's insane like luis简直疯了,就像Luis
1885You lay eyes on this man.你盯着这个人
1886It's a handsome guy.是个帅哥
1887Huh?是吗?
1888Even I would be attracted.我也会被吸引
1889Yes对
1890It's important like he will get stopped in public and i'm like i'm right here这很重要,就像他会在公共场合被拦住 而我就像我在这里
1891It's but it is one of those things where I was so但它是其中之一 我曾经如此
1892terrified吓坏了
1893Of what does this mean?这是什么意思?
1894What does this mean for my relationship with my family?这对我和家人的关系意味着什么?
1895What does this mean?这是什么意思?
1896I cannot I have to let this go我不能就这么算了
1897and so I think that was所以我认为那是
1898Hard and then you know, so how did you get back together then?硬的,然后你知道, 所以,你是怎么回来的?
1899How did you overcome the fear of rejection from your whole?你怎么克服了整个人对拒绝的恐惧?
1900community, yeah社区,是的
1901Your parents your family your stennan family everyone judging you making you wrong for making this choice你的父母,你的家人,你Stennan的家庭 每个人判断你错了做这个选择
1902How did you overcome that fear now?你现在是怎么克服恐惧的?
1903Keep in mind?记得吗?
1904That even though all of this was kind of happening尽管这一切正在发生
1905I truly understoodи痷笵
1906Even even as this was happening in real time and he understood too, which was incredible即使这是实时发生的,他也明白,这是不可思议的
1907But this is so culturally driven.但这是文化驱动的。
1908This wasn't这不是
1909This wasn't that they hated him.这不是他们恨他。
1910This wasn't that they didn't trust me这不是他们不信任我
1911Although I had a terrible track record so like they this was虽然我有一个糟糕的成绩 所以他们是这样的
1912This is what we do culturally your mom and I are so happy.这是我们在文化上做的 你妈妈和我是如此快乐。
1913We want that happiness for you我们想要你的幸福
1914so这样
1915After a month of us and I told david i'm like we can't talk because it'll break my heart.过了一个月,我告诉达维德,我好像不能说话 因为那样会让我心碎
1916You can't do that你不能这样
1917this man这个人
1918Calls me.打电话给我
1919I was in a call room in phoenix我在凤凰城的电话室
1920And I was on call so I pick up the phone and I was like I told you not to call我打电话来接你电话 就像我叫你别打电话
1921he calls me and he's like他打电话给我,他喜欢
1922I will wait as long as it takes if you have to and I will move on when you get married如果你需要 我会等多久 等你结婚了我会继续
1923And I was like, holy cow.我就像,神圣的母牛。
1924I can't pass that up.我不能通过。
1925Holy cow.天呐
1926So what?那又怎样?
1927So then I was like, all right, then let's do this.所以我就想,好吧,然后我们开始吧。
1928Let's do it.贡举志五种 上.
1929And so then礛
1930That next day I was like this is what's happening to my family第二天,我就是这样 我的家人正在发生的事情
1931And it was a rejection.这是拒绝。
1932It wasn't it was a cultural clash and they were like这不是一场文化冲突 他们就像
1933This can't work.这不行
1934Like we this this isn't like he doesn't come from the same cultural background和我们一样 这不像他来自同一个文化背景
1935How are you going to raise kids together?你们怎么一起抚养孩子?
1936Like it's going to be a blend.就像它会是一个混合。
1937There's going to be too many barriers.将多障难.
1938We're so scared about this process.我们害怕这个过程
1939Wow哗
1940and it was difficult because这很困难,因为
1941for a while they weren't even有一阵子他们甚至没有
1942like the two parties weren't even碞钩ㄢ癸临⊿Τ
1943interacting with each other because my parents were like just互相交流,因为我父母就像
1944Make this go away.让它消失。
1945I hope like we'll figure it out我希望我们能想办法
1946and then接着
1947We got all the way until我们一直到
1948You know, we're we're getting married and we're doing all these things要知道,我们要结婚了,我们要做这些事情
1949It这个
1950It was really after kids where it was just like everything kind of clicked into place and then my parents were like这是真正的孩子后 它就像所有 那种点击的地方 然后我的父母就像
1951Oh, I get it哦,我明白这话
1952like and it was just like that fear of就像那恐惧
1953и
1954like喜欢
1955Not following cultural things they could see them in in their own way and their own conclusions that不跟随文化事物 他们可以以他们自己的方式看到 他们自己的结论
1956this is such a这是这样的
1957loving supportive person爱的人
1958who truly like谁真正喜欢
1959Cradles摇篮
1960My whole life makes it so easy我一生都这么容易
1961Wow哗
1962And so I mean once they saw that once they saw him as a father what they saw him as it just like everything and我意思是,一旦他们看到, 一旦他们看到 他作为一个父亲, 他们看到,他就像一切,
1963Towards the end of my dad's life在我父亲生命的尽头
1964My my husband's mom died of brain cancer.我丈夫的妈妈死于脑癌
1965And so he knew this process所以他知道这个过程
1966He was there like every second tending to my dad.他在那儿就像照顾我爸一样
1967Oh瓳
1968I knowи笵
1969I know I want to give this guy a hug.我知道我想给这家伙一个拥抱。
1970He's you should he's great.他是你应该 他伟大的。
1971How long you guys been married now你们结婚多久了?
1972We just had our tenure in holy cow.我们刚刚在圣母牛里任职
1973Yeah, two kids 10 years married是啊,两个孩子 结婚10年
1974And you haven't run away.而你没有逃跑
1975No, I don't think i'm going to i'm tired不,我不认为我会累
1976So it's and so it's like you've shown that like hey所以,这是,所以 它就像你已经显示 像嘿
1977It doesn't have to be this cultural way to be the only way also也不必用这种文化方式
1978Yeah, even though they rejected it or were not fans of it and pushed it away for a long time.是的,尽管他们拒绝了,或者不是它的粉丝 并推开它很长一段时间。
1979It took time花了点时间
1980For you guys to face that together, but it seems like a beautiful love story你们要一起面对,但看起来是个美丽的爱情故事
1981It was it's my favorite love story.这是我最喜欢的爱情故事
1982Wow, but to be honest, I think that the cultural kind of expectation of an arranged marriage哇,但老实说,我觉得 文化的期待 包办婚姻
1983Really good for someone who's scared of rejection对害怕被拒的人来说真的很好
1984like this is already this is already set for me, but isn't it part of这已经是为我准备的了 但它不是其中的一部分
1985a human being's一个人的
1986Experience to have to overcome that fear of rejection rather than saying all right必须克服这种对拒绝的恐惧,而不是说所有权利的经验
1987Just take care of it for me帮我处理好
1988And i'm gonna stay a kid forever because i'm gonna let my parents always do things for me instead of have the courage我会永远保持一个孩子 因为我会让我的父母总是为我做事 而不是有勇气
1989To face potential rejection.面对潜在的拒绝。
1990I I don't necessarily think having an arranged marriage like I think there's so many people我不认为有包办婚姻 就像我想有这么多人
1991Who do that and are perfectly evolved and they're they're谁这样做和 完美进化 他们是
1992whole for me myself整个我自己
1993If I had gone down that road如果我走这条路
1994It was simply because I would be too scared to step out of that cultural lane那只是因为我太害怕 不敢走出文化之路
1995Yeah, and it was truly because he was so wonderful that I was able to是的,这是真的 因为他是如此的美妙,我可以
1996And it's like wonderful in a way that like most people would have if there is a family that's like we don't want you这就像一个美妙的方式 像大多数人会有 如果有一个家庭 我们不喜欢你
1997Yeah, he's still good.是啊,他还是很好的。
1998Yes对
1999Let's get it.贡举志五种 上.
2000It's a guy's a saint这是一个男人的圣人
2001Guys are saints男人是圣人 男人是圣人
2002That's great不错
2003Uh sasha, I gotta get to the end here莎莎,我要到最后一点
2004I got a couple final questions for you before I ask the moment people to check out your book too sensitive rejection resilience and the science我有几个最后的问题要问你 之前,我问那一刻 人们检查 你的书太敏感 拒绝复原力和科学
2005Of feeling deeply.感觉很深
2006Yeah, I wish I had this book when I was a teenager.是啊,我希望我有这本书 当我还是少年。
2007It would have helped me a lot那会帮我很多忙的
2008Um, this is a question everyone I ask everyone at the end called the three truths, okay嗯,这是一个问题 我问每个人在结尾 称为三个真理,好吗?
2009Hypothetical scenario you get to live as long as you want on this earth假想的情景,只要你想活在这个地球上
2010But it's the last day for you in the future但这是你未来的最后一天
2011And you get to create and experience life on your terms all your dreams come true你可以创造和体验生命 用你的条件 所有的梦想都实现了
2012You write tons of best-selling books.你写了很多畅销书
2013It all comes through you.这一切都通过你。
2014Yeah, but on the last day是的,但最后一天,我还是觉得
2015You have to take all your work with you and no one in this world has access to your content anymore你必须带着你所有的工作 世界上没有人能再得到你的内容
2016But you get to leave behind three truths and from everything you've learned in life everything you've learned in your work family relationships但你得离开三个真理 从生活中学到的一切
2017You get to leave behind three truths three lessons you would leave with the world.你可以留下三个真理 三个教训 你会离开世界。
2018What would those three truths be for you?这三件事对你有什么好处?
2019Okay还好
2020the first one第一个
2021are已经
2022the first one is第一个是
2023Don't be scared of your emotions不要害怕你的情绪
2024Like lean into them.喜欢靠在他们身上。
2025I think that's that's a really important one that for me我觉得这对我来说很重要
2026Even sometimes i'd be scared by the eyes I would feel by something because i'm like it's gonna go away有时候我也会被眼睛吓着 因为我觉得它会消失
2027So just like be able to feel them be able to process them.所以就像能够感觉到它们能够处理它们一样。
2028That's one就是这个
2029the other truth is I think另一个事实是,我认为
2030There is nothing more precious than time with loved ones.没有什么比和亲人在一起更宝贵的了。
2031I just feel so strongly about that and I feel我只是觉得如此强烈 关于这一点,我觉得
2032Like it it takes喜欢它需要
2033like if you're lucky enough就像你够幸运一样
2034To have those relationships where you can continue to cultivate and grow them and spend that time and energy拥有那些可以继续培育和成长的关系 并花时间和精力
2035With that quality time, there's nothing better than that有了这么好的时间 没有什么比这更好的了
2036and the third truth和第三个真理
2037is to lead领导
2038with kindness以善良的心爱
2039even when即使当
2040The world expects you not to世界希望你别这样
2041Because I think the world is a hard place and I think you just need to infuse more of what you want to see因为我觉得这个世界很艰难 我觉得你只需要多注入一些你想看到的
2042That's beautiful真漂亮,这太美了
2043I want to acknowledge you Sasha for the journey you've been on我想感谢你萨沙的旅程
2044I know it's not been easy from the marriage stuff to your dad passing and all the things you've had to face in your practice我知道从结婚到你爸爸的路途 以及你练习时必须面对的一切 都不容易
2045And people need this work more now than ever人们现在比以往更需要这份工作
2046So I acknowledge you for putting this book out there for sharing your content online and for having the courage所以我感谢你把这本书放在那里 在网上分享你的内容 和有勇气
2047To face rejection yourself面对自我排斥
2048As a great example for other people as well.作为其他人的伟大榜样。
2049So I acknowledge you for that所以我承认你
2050My final question Sasha, what's your definition of greatness?我最后的问题 萨沙 你对伟大的定义是什么?
2051Greatness is truly understanding and being able to work with your brain because I think that that lives in伟大的是真正的理解 和能够工作与你的大脑 因为我认为,
2052In us and it's just a matter of understanding how your brain works and how to unlock在我们当中,这只是一个问题 理解你的大脑如何工作,如何解锁
2053that potential这种潜力
2054It's awesome.这是真棒。
2055Thanks for being here.谢谢你能来
2056Appreciate it.谢谢
2057Of course anytime amazing powerful.当然,任何惊人的力量。
2058Yay没错
2059People will say to me dr. K. I I have no motivation.人们会对我说K医生 我没有动机
2060That's incorrect这不对
2061You have a ton of motivation.你有很多动机
2062You have a ton of motivation to stay home你有一大堆留在家里的动机
2063You have a ton of motivation to play video games.你玩电子游戏的动机很大
2064There's such a powerful drive to return to the cap so identity shapes motivation有这么强大的驱动器 回到盖子 所以身份决定了动机
2065He is a psychiatrist the harbored trained physician and founder of healthy gamer他是一名精神科医生 被训练有素的医生 和健康的游戏家的创始人
2066One of the fastest the fastest一个最快的最快的
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