Saúde Mental: O Que Ignoramos Até Adoecer? - PODPEOPLE INVERSO COM DRA. ANA BEATRIZ | Ep. 021

He used the word "cure," run away, because in medicine almost nothing has a cure. A primitive man never thought that today he would get sick from an excess of immediate pleasures, because hunting didn't bring pleasure, it was hunting to eat. There are people who will become depressed because they have a very strong genetic predisposition, but you can delay that, that moment, you can prevent it from happening, and you can, if it does happen, treat it early. That makes all the difference. Oh, I'm so-and-so and I have ADHD. Oh, I'm autistic. Don't present yourself as a

person. You are not your diagnosis. We have to understand that mental health is like cardiological health, it's like pulmonary health. We need to know about it even if we don't have anything wrong. Because to avoid having... Before starting today's episode, let me thank Axon, our partner here at Podipo Inverso. And look, if there's one thing I know well, it's how to live in this multitasking mode. We wake up in the morning and right before having our coffee we already have a million things to solve. And to Improve that, you need Axon, which is designed to

support focus, attention, and more stable energy throughout the day, with nutrients like caffeine in moderate doses, eteolin, essential vitamins, and antioxidants. All within the standards of Anvisa (Brazilian Health Regulatory Agency). And now they've launched an exclusive product: a bottle that's absolutely beautiful. The editor puts it here like this, as if it were a little genie. And when you buy the kit with three units, this beautiful bottle is a free gift. In other words, Axon also helps you simplify your life, because we know it's complicated enough as it is. If you want to know more, just

point your phone at the QR code that will be here, or click on the link that will be below the video. And remember, community members get 15% off with the coupon code pip. Now we're going to start the episode. You took Axon, didn't you, my friend? Oh, for sure. Hello, welcome to another episode of the reverse Pod People. Here, as you already know, Bia becomes the interviewee and Gabriel the interviewer. How are you, my dear? All good. Today's topic has a... well, it has the sinister look of someone who's full of tricks. Let's try, Shall

we? But we know it's quite difficult. No, I believe in you. Let's go. No, but I believe in you even more. No, imagine. Let's go. Today we're going to talk about the paradox of mental health in Brazil and the world. Why do we talk so much about mental health, but why do we practice so little of it? And even in terms of investment, right? Why don't large governments, even ourselves, invest so much in physical and mental health? Is it because sometimes Brazilians have that thing about it being better to cure than to prevent, or to

prevent than to cure? Yes, the right thing would be better to prevent than to cure, but we always leave everything to the last minute, right? I don't know, but maybe I think there's... I don't know what you brought up, but I think there are very serious studies that prove that investing in mental health, especially preventively, is much cheaper and much more profitable. Exactly. If we let it happen, become chronic, and then try to do something about it. So, mental health, like physical health, is something we need a strong health culture of, so That we understand

that every time we get sick, we've already missed a stage. And when we get sick, we have to get out of that sick state as quickly as possible, because the brain has a tendency. What is the tendency? If the diseased function starts running, the tendency is for it to remain that way for longer. It's like neuroplasticity works for the positive side, for the negative side. But sometimes it seems that the negative side is easier, or is that just an impression? It's always easier. Why? Because the, in quotes, negative side is comfortable. And in general, when

someone gets sick, that brain was very tired. Hmm. And being healthy... If we don't have much awareness, much discipline, consistency, it's hard work, right? But it's work that's worth it. And the brain, if you're running around, if you've gotten sick from overuse, from excessive stress, there comes a point when the brain says: "Now that I've broken down there, right? Leave it alone, I'm spending less energy." That's where it all goes wrong. Yes, it's a tendency. Right? I understand. For example, why do some people have bad posture, right? So I'm correcting my Posture now. No, some

people are like this, Uber drivers are very common, I always follow the driver, it's very typical. You see the driver, usually he has this posture here, he leans kind of against the window and he's like this, his spine totally crooked. Hmm. I don't know if you've noticed this, when you say, "Hey, don't do that. Straighten your spine." He says, "Wow, but it bothers me, it feels like I'm doing it wrong." Because he's so used to that posture that if he puts himself in the right posture he feels pain. Wow. You can observe it. So, how

do you get back to that correct posture? Even feeling pain, do you have to go back or not? Do you have to go back? Uh-huh. Because it's hard work. Then there will come a time when, from aligning it perfectly, which is the butt a little further back, the arch of the spine here has to make the little hollow in the lumbar region, you keep putting it there, it's an absurd difference. It even makes a difference in how you breathe. Wow. Yes, it does. And why is it that sometimes we don't take those shortcuts, you know,

that thing of staying to the side? Usually because of bad habits. Drivers in general are like that, because they keep looking in the rearview mirror at the traffic light, They look, they want to look a little outside to see the traffic ahead. Yes, it 's a habit. It's a habit, right? There was a saying, my grandmother used to say, "I don't know who bends the pipe. " You know those people who smoked pipes? From putting the pipe here so much, their mouth would start to get crooked to the side. There was a saying like that.

I can even look later at whoever smoked too much bends the pipe. It wasn't a popular saying that said "I don't know what bends the pipe." It was very interesting because you put it in your body and it adapts, and then it has difficulty leaving that comfort zone because it got used to it. It's already that way, right? It's already that way. And one thing that's important when we talk about mental health is that pipe smoking distorts the mouth, or the habit of pipe smoking makes the mouth crooked. It's pipe smoking that distorts the mouth.

So, the habit of a driver resting their left arm on the window to look in the rearview mirror and to see a little further ahead distorts the spine. And there are people who will distort their posture because of the computer, because they're here, Typing. Then they tend to do this. And nowadays everyone has crooked posture, a lot of that. And we have to be constantly realigning it, because the right thing is to be in the posture that the spine originally had. I understand. You understand? But I think it's interesting in relation to this thing about

mental health, because look, with great difficulty we understood, right, that you have to have a checkup. Of course, if you're very young, you'll have one every two years, right? But if you're over 40, we'll do at least one once a year, depending on whether the person has something like hypertension, diabetes , or steatosis, which is an accumulation of fat in the liver. We'll do two, every three months, every six months—it all has a logic. But it's important that everyone understands. Nowadays, it's very difficult to find someone who doesn't say, "Oh, I'm going to get a

checkup, I'm going to the cardiologist." Even the most humble people, right? I'm going, I made an appointment at the health center , I made an appointment at the health center. But do you have anything wrong? No, but it's once a year, I'm going there for prevention, to see the cardiologist, to see the gynecologist. People have managed To grasp this. It's very difficult. There are people who don't go because they don't want to, because those stubborn people think, like, "I'm not going to the doctor, I'm not going to get sick, otherwise the doctor will give me

sick." But we don't have that kind of mentality for mental health. Why, right? Because people still think, first of all, that mental health is a very complicated thing, that mental health is a very subjective thing, like: "Oh, I don't have anything wrong with me, why would I go there?" First of all, there is no perfect brain. That perfect brain doesn't exist. If there is no perfect brain, I have my advantages in having my brain function and I have my dysfunctions. So, if I understand that very clearly, I'm going to take advantage of my advantages. Uh-huh.

And I'm going to try to improve. My disadvantages. Look how cool. That's why neuroplasticity exists in things. We discover what advantages we have, what we have that I'm talking about. If you have basic knowledge, you have this self-awareness. If you don't, consult a professional who can help you do that, because from there, or study to see that, which Is based on what you have as talent, what you do better than average, always have. For example, self-taught people have a great capacity for self-learning, for learning to perceive themselves. Then it's a lot about discipline, or first

you have to have curiosity, you have to have willpower, and you have to have a mind capable of knowing that in the beginning you will read a lot of things and find everything very difficult. But the brain has a wonderful thing. In the beginning, when you start studying a subject or a topic, in the beginning it's difficult because the brain is taking in a lot of data, data, data. Data, and after a while, that same brain starts to take that information and connect it, right? Exactly. I say the brain is like planting. The land grows,

you planted there, it will bear fruit, but it's not immediate, because some people say, "Oh, this whole firewood thing is a pain, because I read, but it takes so long." It takes time, you plant and what you plant grows in about a week. There was even a saying, you know, that people used to say, that planting is optional, but harvesting is mandatory. If you're finding it Hard to read a book, you're planting, soon we'll harvest. Whoever read the book will harvest knowledge, whoever didn't plant the book will harvest something wrong, right? Exactly. So we will,

we will harvest what we planted. So, knowledge, the brain, even more so today in this era of artificial intelligence, artificial intelligence has to be a partner of knowledge, but not its source. I understand. Why? Because you have to nourish your brain with good information. And if you're having trouble reading, at least use AI with knowledge. Write it down, summarize what it's trying to tell you. See if it makes sense, study it, right? Don't believe it. Study it, don't believe it, because there are errors, right? So, we have to understand that mental health is like cardiovascular

health. It's like lung health; we need to know about it even if we don't have anything wrong, because to avoid having it... Yes. Yes. So, for example, genetics, there are people who will become depressed because they have a very strong genetic predisposition, but you can delay that, that moment, you can prevent it from happening, and you can, If it does happen, treat it early. That makes all the difference. Wow. So, that changes a lot, right? Because, like, we have many people who have that "Gabriela syndrome," "I was born this way, I'll stay this way, I'll

die this way." That's nonsense. That's nonsense. That was already nonsense at the beginning of the last century. Today it's almost obscene. I understand. Because technology is evolving rapidly, and that's not something to panic about. It's about doing what we should have been doing before. We always have to reinvent ourselves. Never stop. Never. But it's not about reinventing to make a copy of something. It's about reinventing from a different perspective. I understand. For example, you want to know about artificial intelligence? It's not to replace you, it's to add to what you're studying, to see if it's

correct. Is it correct or not? There's an easier way, maybe a different way, don't stop writing, don't stop reading, because this writing, this reading, that's the planting. And in the case of writing and reading, is there a part of the brain that is activated by this, by these ways of reading and writing? Because sometimes we think a lot, Many ways, many brain areas are activated by writing. That's great. That's why nobody, no one today who knows how the brain works, tells you to stop writing. In Silicon Valley, the kids attend schools that don't have computers

and that have a lot of physical activity and writing. And, if I'm not mistaken, Denmark, which was one of the first countries to digitize all education, Denmark, Norway. Then take a look for me, Tom. It was one of the three, Norway, Denmark or Sweden, which was the first country to digitize everything, right? They decreed, now it's back to the traditional standard. Yes, let's go back to writing, doing math. It was the first time their school index regressed. Exactly. Isn't that funny? So, exactly. Could it be that sometimes this AI thing and all this excessive digitization

is indoctrinating us? Well, how can I put it? Uh, it's not letting us atrophy a generation that will atrophy, because look, a neuron that isn't used is like a path in a forest that isn't used, it will close, it will close, right? I understand. Neuroplasticity is that. What is neuroplasticity? I'm opening up Synaptic neuronal pathways in my brain, because the brain has a few already functioning circuits, which are very strong circuits. So we're talking about alienation not just through behavior, right? We're talking about brain chemistry, physics, physical chemistry. How crazy. So, if you start using

this and don't do it, each book you read is a new pathway you open in your brain. How cool. That's neuroplasticity. Opening new pathways to give your brain more substrate to perform better and connect more, right? And connect more. Because what is connection? I need information, because when I read, I'm informing myself. Yes. Knowledge is born when one piece of information connects with another, connects with another, and my brain starts drawing conclusions. That's beautiful, because it's like that, right? There are things that only your brain will do, because there are things that only you have

nurtured in that way, right? Time, conditions, the way. Then it uses that part of memory. So there are things that are unique, that there's no way, I mean, there's no way for one person to reproduce that. There are many paths. No. And let's remember, AI only became AI because the accumulated knowledge of our species gave it life. Yes. If it weren't, she wouldn't have all the knowledge she has today that is human, part of it was human. The thing is, she can access millions of knowledge-generating minds and put it all together and connect it very

quickly. That's it. But if we pass on incorrect knowledge, she will pass it on, replicate it incorrectly for the rest of her life until we... that perception. That's it. And look, when we talk about the scale of a problem in numbers, you put it on the screen for us, we're talking about 1.25 billion, right? 1.5 billion people living with mental health disorders in the world. The world. Uh-huh. 1.2 billion. Yes, if we consider that we have 8 billion, practically 20% of people, right, of humans on Earth, that's quite a lot, it's a lot. And there's

a good piece of data on that, 20%, right? And that's it. And if we consider those cases that you say are undiagnosed and don't seek treatment, that number could even double, because not everyone goes to A doctor, not everyone gets a proper diagnosis, right? So that number could be even a little higher. Most don't even know, they don't have the minimum knowledge to know that something is wrong. For example, in the East, Japan, China, Korea, even today it's a taboo, a bit of a taboo, to talk about mental health, right? So, if we look at

their data, even considering their very large population, that number could be much higher. And when we convert that to money, it has a cost of 1 trillion dollars annually in lost global productivity, right? That's right. Loss of productivity due to depression, anxiety, because those are the most common disorders, just those two. Now, what about the others that lead to depression and anxiety, for example, like ADHD, which you always say doesn't treat ADHD, right? There's one thing, but ADHD, it's very difficult, ADHD doesn't have associated anxiety. We say it's almost a comorbidity, it's almost part of

the picture, right? Of the picture, because since you have a very fast-paced mind, it's natural that it's more anxious. Hmm. Almost. I've never seen ADHD without a level Of anxiety. Anxious. I understand. When we bring, for example, the scenario in Brazil, we 're talking about 468 billion in annual productivity losses, but due to mental health issues. Right? So, look at how the whole world is facing this difficulty, and especially Brazil as well. When we talk about employment data, we're talking about 470,000 people who were absent from work due to mental health disorders in 2024 alone,

which is expected to have increased in 2025. That should be the final figure for the census now, and we'll bring it up in the future, but look, it's 134% more than in previous years. So you see that there's an economy—no, not an economy, there's an economic deficit that mental health, the lack of mental health, causes in the world, not just in Brazil. No. We're talking about a trillion, almost the GDP of a European country, right? So, look, to see the amount of money that's being wasted or spent just on this. When we bring it to

the part of... But let's just think about one thing, let's not leave it at that. Let's just think about one thing. Uh, the brain is an organ, right, like the lungs, like the stomach, Like the heart. If people understood this and reviewed brain function, we could detect this early and avoid this absurd loss. Sometimes, is it that the brain is a more sophisticated organ? But if it is more sophisticated, the possibility of errors is much greater. It's no coincidence that almost 20% of the world's population suffers from some mental disorder. Now I ask you, if

we go back to think about it, was the previous generation, right, our parents, our grandparents, so much more hardened that they passed on this idea that mental health isn't so important, that it's just a fad, or is it because today's world is, how can I say, more conducive to us having these mental health problems? I think it's two things. I think that before they didn't have the knowledge, so it wasn't a matter of being hardened, it wasn't part of the norm. Like, "that doesn't exist." It was even difficult to diagnose stomach pain ; people would

take a painkiller, right? Well, I think each decade generally had its own health issue. There was a time when everyone talked a lot about stomach ulcers. There was A time when everyone was getting a diagnosis of ulcers, gastritis, etc. Then there was a time when it was colitis, colitis, irritable bowel syndrome. And I'm not saying it was a fad, I'm saying that people, medicine started to shed light on these things, it evolved. Then there was the peak, which was the decades of heart disease. Everyone was getting heart exams, stress tests, echocardiograms, electrocardiograms started, and it

was great for shedding light on this. And then there was the lung disease thing. Today we're getting into mental health, not through common sense, but through excessive illness. But are we getting sicker now than before when we talk about disorders? I think there's always been a lot, but I think that the living conditions today, the human species, if you look at it, it wasn't made to deal with excess, but with scarcity. Hmm. We had to compete for territory with other animals that were much more... that were far superior in terms of physical strength, in terms

of territory. A tiger, for example, what are we compared to a tiger? Nothing. Uh, We had to occupy a space in the animal kingdom where we were disadvantaged. Yes, if it weren't for consciousness, we would have already distinguished ourselves, perhaps. Humans grew a lot by forming tribes. I understand. Right, to face even an example they mention, the Andean tribes, right? That they couldn't form large tribes, which made them fall by the wayside. That's it. So, I think that today there are a series of circumstances that have changed our perception of the world very quickly. So,

for example, I think a primitive man never imagined that today, if he could travel to the future, he never imagined that today he would have, let's say, an illness from excessive immediate pleasures. And the only pleasure that primitive man had, my dear, because hunting didn't bring pleasure, was hunting to eat. Yes, it was sex. Eating didn't generate pleasure either. But it was mostly to satisfy a need. It was tasty, right? Not like today. There weren't these spices. Spices started there with the... Great voyages on the route to India. I understand. Before, everything was raw, just

for survival. Just to survive. There wasn't this culinary thing that we do today in tastings, that didn't exist. So I think it's an excess of entertainment possibilities, stimuli, right? This thing of performing, right? You have to have, you have to do, you have to ... the world has become more competitive, competitive and more out of touch, because, for example, what need do we have to eat such delicious things if they have no nutritional value whatsoever? Hmm. Just to satisfy tastes, right? Which doesn't necessarily bring health. We know that. But what about that narrative that everyone

says: "Ah, but I deserve it because I worked and everything." Yeah. You deserve to destroy. I understand. The question is, what do you deserve? You deserve to have health. You're exchanging, right, an immediate pleasure for something sustainable. I understand. I still think that works. It only works for those who lack knowledge. But then you say: "Ah, but I still want it." Okay. So you establish that you're going to take a break, right? Knowing that you're going to do it once a week. Okay. No problem at all, okay? It's not about creating a panic and cutting

everything out at Once. No, but you have to have an average, right? How many days do I eat healthily so I can have a little break? But this break has to be done very carefully, because the foods that are most flavorful have excess salt, excess sugar, and excess fat; it's a very dangerous combination. You can eat them, but they're so palatable that when you start eating them, you want to eat more, because they're made for that. And there are even those studies, right, that take 20 days, 60 days, each time a new study comes out,

right, to create a habit. Sometimes with one of those days, you treat yourself, right, and end up breaking your routine. It's a treat, or "today I'm going to eat," because there are people who are like that, right? "Today is my break," it's a habit from beginning to end. French fries for breakfast, pizza for lunch, hamburgers, you know? It's chocolate, enjoy it, but knowing that it's... it's meant to be tasty, because it's a small portion, because if you eat too much, you lose that feeling and it ends up becoming routine, right? It's like drinking water when

you're thirsty. It's the best water there is. Even though we know water doesn't have a taste. But It's that feeling of, you know, quenching your thirst. Yeah. Then you say: "Wow, and there was this one time I was hiking, I don't know where, and the water ran out." I remember saying: "Oh my God, my kingdom for some water." Then someone said: "Iced or hot." I said, "Don't you understand water? Any water I drink today, right now, will have a flavor I've never experienced before. And it's true. Wow, that's great. And that's a mechanism of the

brain. Why is that? Everything that's scarce. Because, if you start to easily taste things on your taste buds, they get used to it. Hmm. Then what do you do? I want more. Because then I'll clog all my taste buds to taste it. But you can say taste everything, right? No, but it decreases, it doesn't stop, because the combination of sugar and salt is very powerful for the brain. It's very powerful. Now, if you do it a little, you give it that, your taste buds will be super happy, but I won't get exhausted. Oh, I understand.

No, that's great. So, the importance of moderation, right, like everything in life, right, whether you like it or not, too much of anything, as my grandmother would say, gets annoying. It gets annoying. Paul Cabanes was here, Right, and we talked, he said Something very interesting. He said that the "PF," which is the Brazilian "prato feito" (a typical Brazilian dish), is obscene to a Frenchman because when you order a PF, you get a plate with an absurd amount of meat, cassava, french fries, COVID, and who-knows-what. And people eat it, and he's like, "Do you know why

the French are thin?" I said, "Oh," and he said, "Because we eat very little." Why? Is it cultural that we eat so little? They eat little. It's not that they don't eat, but the first time someone said, "Order a PF and you'll see what a meal is," he looked and said, "It's impossible for everyone to eat." Yes. He said: "For how many people?" No, it was a set meal, a dish made for that person. So the French are thin because they eat little from childhood. Oh, how cool is that? It's the difference in how a

culture shapes the whole generation. And that's wonderful, isn't it? Because it's palatable. That's why the French have that thing about the appetizer, then wait a little bit, there are some rituals, right? Then I don't know what. Then when the main course comes, there's very little, because you've already had a little soup, eaten some cheese. That 's interesting. That's perhaps it. Never stop enjoying it. Because it becomes a whole ritual, right? One little thing at a time, a little bit of each that makes up a lot. How cool. It's a different way of even eating, right?

Of thinking like that, of seeing food, not just seeing food as, oh, I'll eat until I'm full and that's it, let's go. Then he said that the other day he went to eat with a friend and the friend just kept talking non-stop." So when the Brazilian finished, right? When he finished, the guy came up and said, "Yeah." Then he said, "What did he mean by that?" Then he said, "That's right." Then he said, "What is this?" I said, "I ate too much, and it's the other guy's. Me too." Then he said, "Ah, I understand. It's

standard, isn't it? It is." That's what Brazilians do when they eat, they love to do that, right? It's a bloating, it's relaxing. I overdid it. Now it's over. Now I have to let it settle. 20 minutes later there's a fruit salt. It went down. Exactly. Now look, just so you see, when we bring it to the access part, right? We even have data here from the Pan American Health Organization, right? From the Pan American Health Organization. It 's the Pan American Health Organization. It's the Pan American Health Organization. It's actually because the Pan American is

there, Right? But it's the Pan American Health Organization, okay? The Pan American Health Organization has a problem that's different from everything else, right? Because the Pan American Health Organization is for health, right? Regarding health. Hmm. Look at it and see. Pan American Health Organization, right? Health, which is health. Organization. Yes. Organization. Yes. So, when we bring it here, one thing is having the problem, another thing is the solution. If we look at the graphs, we can see that 73.5% of people with a diagnosis do not receive treatment. Some are because the government doesn't help, the

state doesn't help, and others simply because they don't, right? They don't follow through, the person hasn't connected, right? They haven't made the connection that they have a problem. Then we have to defend schizophrenics, right? That they are not to blame. It's what we talked about because they don't have awareness, right? We call it that, uh, in the anamnesis, when you do an anamnesis of a patient, anamnesis when you look at everything, gather the history, examine. Uh, there's something that at the end you have to put positive or negative insight. Insight is when the person has

the perception that they are not well. Hmm. It's hers, right? Yes, it's self-reflection, self-image, self-awareness. She perceives it, she has a perception. And she has, For example, depression, she usually has self-awareness, unless it's very serious, anxiety, people won't say: "Oh, I have anxiety," but rather, "Oh, I've been having anguish, I've been having insomnia, I've been having negative thoughts," she has an insight. Are these the main symptoms that a person physically sees from anxiety? No, it depends. Anxiety is more like, accelerated heartbeat, shorter breathing, nausea, sometimes dizziness, right? There are several. Sweating. I understand. Okay, but

she has that feeling that something is wrong. Uh, a fear of things happening that she can't quite put her finger on, but it's a subjective fear. And when does this anxiety evolve into panic, which is when it increases in intensity and starts to cause problems, paralyzing the person, preventing them from going somewhere, or they're in a place and they freeze there and think that everything is really very wrong. But it's interesting that, in general, anxious and depressed people have a lot of positive intuition; they know something is wrong. Schizophrenia, on the other hand, generally has

negative intuition. The person doesn't even know, right? It's pure intuition, not that they don't know their diagnosis, because many people with depression Don't know their diagnosis. Many people with anxiety don't know their diagnosis, but they know something isn't right and is bothering them. In schizophrenia, it's more difficult because, since it breaks with the boundary of reality, they don't even know, they don't know. That's right. We call it negative insight. She doesn't have the alcohol-related disorders that are there, right? Also very common there, look. That's it. 85.1%. Which is crazy, right? Because we know that alcohol

for a long time, less so today, and that's why the younger generation is drinking less, right? I think even from information, uh, people had it as a celebration, as a commemoration. Uh, soap operas, all the soap operas had it, I remember Manuel Carlos, a great, great soap opera writer. Uh, he's not writing anymore, but a great writer. At all of Manuel Carlos's meals, everyone drank wine. Hmm. You understand? But there were also soap operas where everyone smoked, in the 70s and 80s. Yes, we can thank Freud's nephew, right, Edward Bernardes, who created a whole need

for women to smoke, messing with something that Wasn't a need, doing negative marketing. That's it. Using the right tools in the wrong way. Exactly. Making women think that empowerment was about smoking. That's it. So, go back there. Ah, ah, okay. So, in the case of alcohol, for example, most people say: "There are websites, people who drink a lot even know they drink a lot, but they don't admit they have to stop." Exactly. It's the famous "I'm not stopping, this here." Then the person says: "You want to see?" I'll go a week without drinking, you'll see.

Because the issue isn't whether you stop, the issue is how you function without alcohol. Because there are people who use alcohol, for example, to deal with shyness, to socialize, maybe too, right? Exactly. This was encouraged in our society, unfortunately, just as people were encouraged to smoke in the 60s and 70s, people smoked because theoretically it made them lose weight. Women were caught up in this story because it was cool, right? Like James Bond, he smoked and the actress, for example, when he had just gone out, like that, the little hero, right? Always a good guy.

He just smoked a cigarette. No, imagine. And then, years later, He discovers that the cigarette was linked to heart attacks, it was linked to sexual impotence. So, James Bond was all a lie. He, he couldn't run all that and then smoke. There's no way. So let's go. Now, when we think about it, the common answer is wrong. The period, the danger of inflationary consciousness. What is that, right? Sometimes we know that, how can I say it, uh, we know that something is wrong. Uh-huh. Then we have several ways of categorizing this, right? Like we take,

uh, over-interpretation, right? The excess of campaigns leads people to label normal anxieties. So, sometimes what you say about ADHD ends up becoming banal. The person just slept poorly, the person doesn't eat well, the person doesn't actually sleep, and they end up being more inattentive, they end up having signs of ADHD, but it 's not a completely severe form of ADHD, it doesn't characterize it. I say that's the primary, essential diagnosis, right? Which I think we talk very little about, right? We talk about the diagnosis like that, but diagnosis exists based on something, yes , which

is us. If we don't know who we are, there's no way you can attach something on top of that. And look at step three, let's say , it's the self-fulfilling prophecy, which is what? People are so focused on labeling themselves and others that sometimes they don't even have a problem, right? They don't even have a pathology. But that's the thing. I think that today, unfortunately, we have much more information, but a lot of unqualified information. There are people who talk about things first, they're not doctors, they're not psychologists, they're not in the health field, they

don't have the training. OK, they spoke, they read, people have every right to read, but then to give advice, to say what to do, how to do it, how to cure yourself, they used the word cure, they're out of line. I understand. Because in medicine almost nothing has a cure. Really? Almost nothing. Wow, why? Because, for example, you cure some infections, which is a specific thing, you don't live with pneumonia. Ah, I understand. Do you agree? I agree. You have pneumonia, you take an antiviral, a pneumonia-dependent medication, or an antibacterial. Then you've cured that pneumonia.

It's not that you "He cured the lung so he would never have it again. I understand. And mental health, for example. You can't talk about a cure for mental health, because on top of a pathology there's a brain function. You only say a person is normal if they deviate from their usual pattern. Hmm. If that pattern is already part of them, a shy person is a disease, shyness is a disease. No, no. Now, if the person says, 'Shyness is a type of brain function.' If the person says, 'This shyness is bothering me because I need

more access to the public, I need this to grow in my work.' I understand." So you say, "So, what you're telling me is: you're shy, you have a history of shyness in your family, but you want to change that because it's causing you discomfort. OK, totally valid. I'm treating him because he's ill. No, no, because he wants to change his behavior, he wants to evolve. How wonderful. And since we're talking about shyness like this, where does shyness come from? Why are so many people shy nowadays , right? Shyness? No. Not nowadays. It's always been there.

It's always been there. It's always been there. It's always been there. Because shyness isn't a disease, it's a way of being. People are more withdrawn, people who don't have such a great need to stand out. Now, social phobia, that's pathological. Why? It's excessive shyness. I understand. Shyness isn't a disease. How do we differentiate the two things? Where does it become pathological, where is it just a personality trait? Social phobia is social anxiety. Uh-huh. It's that person who, when they go... In front of the audience, she starts sweating, her heart races, she feels like she's going

to faint. No, her nervous system reacts like that, right? I've seen people having crises, it's like a panic attack in public. I understand. I've seen speakers, I participate in many congresses, this thing, start sweating, their shirts get wet. I said: "Wow, poor thing." And in the past, when we didn't have so much knowledge, many doctors who had shyness or social anxiety used a little medicine before the lecture to lower blood pressure and heart rate, it was propranolol. Uh-huh. And sometimes they would increase the dose, then their blood pressure would start to drop because propranolol lowers

it, they couldn't even give the lecture. Exactly. So they Would be like that. Later, with studies, we saw that the drug treatment for social phobia, you have to use serotonin antidepressants and you also have cognitive behavioral therapy where you do exposure therapy. So you start desensitizing that brain, you start using the brain's neuroplasticity to say, "Calm down, we're going to practice, we're going to talk." And then you gain confidence, you gain confidence in your favor. So you open a pathway in the brain like: "In the beginning it will hurt, it will be uncomfortable, but trust

me, once the pathway is open, every time you have to present in public, your brain knows how to behave." This generates... it works. This generates... dopamine. A feeling of accomplishment, right? Wow, I succeeded through accomplishment. Ah, I understand. But this is done by... decreasing the sympathetic nervous system, which is what causes tachycardia, sweating, etc., and improving the activity of the parasympathetic autonomic nervous system, which is the vagus nerve, through... wow, now my head's spinning. What are the vagus and the parasympathetic nervous systems? You have an Autonomic nervous system, you have the central nervous system, you

have the autonomic nervous system. The autonomic nervous system, as the name suggests, functions independently of your will; it's autonomous, okay? And you basically have the sympathetic nervous system, the autonomic sympathetic system, and the parasympathetic nervous system. The sympathetic system is responsible for, uh, increasing alertness, increasing heart rate, increasing blood pressure. It's like what throws you into battle. I understand. Now, the organism was so well designed by the designer of the universe. Exactly. The organism was so well created by the designer of the universe. Look, you see? You have the nervous system, you have the central

nervous system and you have the parasympathetic and sympathetic nervous systems, okay? It goes down and the sympathetic system dilates the pupils, accelerates the heart, right? It dilates the bronchi, okay? It does all this, decreases digestive activity . Why? If I have to go to war, let's suppose this here, Let's suppose it's hunting season, can I be digesting? No, because if I'm digesting, the blood goes there. Then it doesn't go to the head, it doesn't think. It doesn't go there. You don't think, you don't prepare the body for fighting. And the parasympathetic system is the opposite,

A counterpoint. It's that system that, if I activate it, I undo this sympathetic effect. Hmm. Hmm. So, the parasympathetic system is basically the vagus nerve. And the vagus nerve, we know today that there are things we do that activate it to counteract the sympathetic system. I understand. That's relaxation, like cold water on the face, because cold water on the face activates the trigeminal nerve, which is a nerve that innervates the face, and it activates the parasympathetic system. For example, there are activities, like putting your feet in the sand or grass, this contact with nature also

activates the parasympathetic system. Blue Mind, remember that episode we did? Uh, looking at nature, contemplating nature, 20 minutes, okay? If you can, uh, three times a week, activate the sympathetic nervous system, just contemplate. The brain is impressive, isn't it? It has self-regulatory mechanisms. And if we don't know that this exists, how am I going to use the advantages of a car that I don't know how to drive? I understand. And did you know that the parasympathetic nervous system exists? I had heard about how to turn it on, turn it off, and its importance, but Not

before. And I study a lot about this. Now we can do a specific one later, right? Which is worthwhile. Now, this thing about wetting your face with cold water in the morning is very good. No, now thinking about music, uh, how people nowadays have more access to information, to all this, and yet they prefer, how can I say, oh, I can do it alone, or it's not for me, or oh, I don't know if it's really for me. What do you think sometimes prevents her from staying in her comfort zone? I think it prevents her,

first of all, I think that for people, uh, mundane things are more seductive. I understand. Because it doesn't expend energy. You remember that the brain is a machine that doesn't want to expend much energy, right? I love the brain, but it's a machine that, like, if it can save energy, leave it alone, you know? So I think that people constantly looking at other people's lives and everything else gives the feeling that the wrong resides outside, not inside. So I understand. It's easier to look at others than to think, "Oh, someone did this, I knew this

person," but the person doesn't look at themselves. I understand. It's a mirror, which is Funny, isn't it? Is it because they're afraid to see themselves? Sometimes I think people don't even know they're doing this mechanism. It's automatic. Why? Because I avoid having to improve myself, to fix myself. Uh, it's the brain; looking at others takes the focus away from my own mirror. I understand. For example, a mirror doesn't lie. If you go to your mirror in the morning, you're brushing your teeth, and you look at yourself and say, "Okay, how's today going to be?" You

can't escape it. What's on the other side is you. Yes. Now, if I wake up, instead of going to the mirror and saying how today's going to be, I stay here thinking, "Wow, so-and-so did this. Did you know?" Ah, because nobody's perfect, people. So, let's leave the other person to their own. I joke, like, let's start a campaign for life. Everyone minds their own business. #life campaign. Everyone minds their own business. Yes, everyone evolves, our coexistence is better, right? But it's not easier to see the other person as difficult, is it? To admit some things

to yourself. Look at yourself, right? That self-fulfilling prophecy, we're always cataloging the other person, talking about the other person, talking about the other person, talking about the other person. And the other person talks about us without us Knowing, and we stay in this cycle where instead of one... And another thing, more than having a diagnosis... It's important to understand the process that led to this diagnosis. Hmm. Because, you are much more than a diagnosis—don't take a diagnosis as an absolute stamp, no, not like a stamp, because you are not the diagnosis, you are not the

label. The diagnosis is also you. But before it existed, you already existed. So, this issue of reducing yourself to a diagnosis, because some people say: "Oh, I'm so-and-so and I have ADHD. Oh, I'm autistic." Don't present yourself as a person, you know? You are not your diagnosis. I understand. It's also part of you. But sometimes it's just another crutch, not something you can lean on and say, "Oh, maybe, but then people will start seeing you only from that angle." Oh, I understand. I get silly like that because, well, it's easier to present yourself that way

because you might make a mistake, maybe they'll just look at everything, and it becomes justifiable when I say "only for that reason." I'm speaking for myself, ADHD doesn't justify anything for me, because I could justify anything while I didn't know. From the moment I know, my responsibility to get it right increases. Yes. So people say, " Oh, but he has to understand my ADHD." OK. You already understand what you're doing concretely to improve, because it's no use asking someone else to understand if you don't understand yourself, if you're not doing it in the right direction,

you know? That's important, is n't it? It's asking someone else to understand me when I haven't even stopped to understand myself. Or maybe I understood it, but I didn't act. Hmm. Then you're just a thesis. I understand. Theory has to go into practice. It's no use just talking, right? But if we don't take action, nothing happens. Let's see. If Harry Potter, who invented the car, had only stayed in theory, we'd still be riding horses today. Wow, we'd have nothing. Isn't that crazy? So, action is theory, understanding, without action, it's not worth much. It's not worth

it. On the contrary, you'll suffer more because you know, but you don't change. You'll do it, right? You won't reap the fruit of change, which is action. And this comes from, as you said, right? It's before the diagnosis. Is there any behavior that reinforces a diagnosis to make it Stronger? For example, a person has depression, but they don't know how to treat it, but they're in a bad family environment where people demand a lot. Does this worsen their depression or not? Would they have this depression anyway? It depends on the level of depression. Ah, on

the genetic history of that family. There's a commitment involved. The fact that people never understand makes things easier, but perhaps it increases the responsibility of knowing more about myself, showing it to others, or not showing it, to act, to act independently if it's possible, right? For example, a schizophrenic person isn't necessarily schizophrenic, but a depressed person is depressed. If they understand what it is, seek help, overcome depression, and understand the whole process, overcoming depression is easy. What's difficult is not repeating it, but being out of it is difficult, right? But that requires discipline, it requires

treatment, it requires care. And the brain will always try to pull you back to the easiest path. Yes, that would be the autopilot that people use, that would be the economic expenditure, the energy expenditure. Going back there, for example, a depressed person expends less Energy than an active person. So, for the brain it's not bad. It's great, right? Now, for us, for us it's very bad. So, uh, if I know I have depression, if I know how it came out, if I know how it started, I have to be careful not to repeat it. It's

not about not repeating it to please someone, it's about living. I understand. It's totally different. Because sometimes a person with depression doesn't even know what life is like without depression, right? It's about seeing life as it is, a life that isn't perfect, right? But a life worth living. What you always say, right? So I had patients who, when they started to come out of depression, called me. Back then we called people, right? There was no WhatsApp. He said: "I went to the beach this morning and something so strange happened. B." I said: "But what was

it? The sky is blue." Then I said: "What do you mean?" Wow, it's blue. I'd never seen a blue like that. How cool. Then I said: "Take a picture of me." When he sent the picture of Barra beach, it was cloudy, no, no. It was blue. Uh, and it was in Barra, practically a part of Barra that didn't have buildings, Now it's all occupied there. And I looked, I said: "Wow, but I've always seen this blue, but this one, like, I never want to stop seeing this blue." How cool is that, right? So this guy,

he understood what depression was, because it changes the way you see the tone of things. How do you see the shade of blue? And sometimes people still think it's just an excuse, that it doesn't change everything, or even that, like, "Oh, I can get out of it on my own," that she'll let go, five months have passed, or months. So, waiting for help from others is fine. If it comes, it's very well accepted. Sometimes you can get comfortable with that too, only being able to overcome certain behaviors with help. I think first you have to

help yourself again, right? There's no other way. But if external help comes, great, it will add up. Now, depending only on external help, you can lose your life, because you can, more or less with a lot of dedication, change your behavior, but you can't change the other person. Damn. You can't change. And why do we sometimes always try to change the other person and not ourselves, even knowing all this, we know all this? That's why, because the brain doesn't want to, Because you don't want to do your own, your own mirroring every day, right? You

pass it on to the other person because then I don't have to look at myself. But even so, let's go. The person saw it, they saw the whole opposite, they're following you, and even if they say, "I don't know, I can't do it like this," maybe they have depression to a degree that really requires medical help to take the first step, of course. Either medication or magnetic stimulation. Sometimes, they're in a state of depression where it's no use. That's what I once saw, I was seeing a patient with severe depression. Then the patient arrived and

said : "The patient's relative: 'Oh, I'll go, I said, let's go to the beach, let's go to this, let's go to that place.' Then I said, don't do that. Would you take someone with pneumonia to the beach? They're not in a condition to go to the beach. Wow, because laypeople say things like: 'Oh, let's get some fresh air, let's go for a walk.' There are states of depression where even famous people become men. It's because the person isn't in a condition to do it. Now, in 15, 20 days, from what I'm seeing here, it will

be okay. Then I [__] look what I said, I'm going to ask you to make that invitation again. Now you 're taking someone who can't breathe for a walk. It's going to kill the person. It won't kill them, but that person won't be able to. And that 'not being able to' is a self-fulfilling prophecy. You see how I'm not getting better? Wow. The importance of having people, the right time to do things. For example, going to therapy at the beginning of a severe depression is good, isn't it? The person can't, Wow, think about it. That's

something I've never heard before, which is different, right? On the contrary, but we're talking about a severe depressive episode, where the person needs medication beforehand, otherwise they'll take it. I'm talking about a mild case of depression, where cognitive behavioral therapy alone will improve. I understand. Mild. When it's moderate to severe, we'll need other resources, you know? And then the person will be able to improve and there will come a time when you'll say: "Now it's time to go for a walk. Now it's time to get up early and start organizing things," but not when the

person, I've seen people say: "I'm going to take them to church." I said, you can't do that, don't do that. They'll get to church, all that shouting, The person will feel bad. And you know what they'll say? What the hell, that person, while traumatizing the person. Then the person starts blaming God, and they start thinking, like, that feeling of unease they had was a manifestation, that they're possessed, that they're demon-possessed. Unfortunately, in reality, it was just a bad moment on television. Now there are many churches that don't do that anymore. I've encountered patients like that

where the pastor would say: "Look, go get treatment, then you can come and organize your spiritual life." Spiritual. How nice, right? What a way to organize it because they don't believe in tomorrow? They don't believe in anything, right? Not even in their mother. Now, looking at it from the outside, hasn't it become too common for people to use medication to live rather than medication to get out of where they are and take their own steps? Because sometimes it's just easier to increase the dose of the medication and feel better, but it doesn't work. Who said

that? But those who do that use the medication, get out, then stop taking the medication and come back. That's it. So, how can we communicate to this person that, like, it's not... Just give it? Exactly. There's no magic treatment that replaces a set of actions: knowledge, good diagnosis, good treatment, and daily health practices to prevent relapse. I understand. For example, are you going to watch a movie about someone who's depressed? Are you going to recommend a sad movie? I say, "I won't watch it." Maybe. Oh, but it won an Oscar. OK. But it's not the

time for you to watch it. And you, from the academy, to judge? It's not the time. On a day when you're feeling a little euphoric, do the opposite. Watch it to lower your mood a bit. But it's not the time. I understand. It's because I see a lot of people, you know, who, in this depressive state, are recommending exactly this type of movie, right? Oh, I'll send you a movie so you understand what you're feeling. Oh, it's a super dramatic movie. Ha, depending on the time, it's not the time. It will do more harm than

good. There's a time for everything. A time to sow, a time to reap. It's the same with mental health. That's great. Okay, Bia, to wrap things up here, it's over. The paradox, perhaps people don't understand, but it's because we talk so much about mental health and don't act on it. So, In reality, mental health needs action. The problem is that it's there, right? Let's start acting, perhaps on the two , let's say, the vagus nerve and the parasympathetic nervous system. The parasympathetic is the vagus nerve. The other is the sympathetic nervous system. The sympathetic nervous

system isn't so sympathetic to us. The name isn't nice, is it? Because "sympathetic" sounds cute. The sympathetic nervous system is what gets us into trouble . It doesn't get in the way, but it gets you going. But if it's overactivated , you live with tachycardia, you live with high cortisol, you live with shortness of breath. So, anxious people sometimes have hyperactivity and little activity in the parasympathetic nervous system. So don't miss the next podcast, People, on the paradox of mental health, the return of the Jedi. We're going to talk a little bit about the sympathetic

and parasympathetic nerves. No, but then we'll go into the system, right? The vagus nerve is just that. Uh, but I think it's important that we take this in context, in context, not end this episode. Ah, okay then. So, in reality, the paradox is that we have to put the synonym, and why do we talk so much about mental health, But we don't act, okay? So, don't forget to leave a comment below saying what you thought, what you do, right? If you know someone who has depression or even if you've ever felt this depressive state, this

sadness, right? Anything, right? That's outside of your normal state, that started to bother you, that's preventing you from doing something, from your normal functioning, everyone has to have a day in their life that was really good and you say: "I wanted this to be at least average." Hmm. Not too much to worry about, but not too little. Exactly. You always have to be aware of what the scale will give you. Great. And if it starts causing suffering for you, for those around you, it shouldn't be like that. Hold on a bit. So what can we

do? Let's use the comments below to create a positive chain, right? Share good memories, good, let's say, good topics, and support those who need it. And a good way to support is to send this video to that friend, that relative who isn't seeing color, let's say, in their daily lives. And Also, don't forget to click the "hype" button if it appears, because it's very important. Again , since there's a lot of content, YouTube has a lot of content on various topics, and even about this one, if we don't leave a like here below, the "like"

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