#1 Stress Doctor: 5 Tools to Protect Your Brain From Stress & Feel Calmer Now

Guest
Dr. Aditi Nerurkar
Read time
~5 min
Uploaded
23 May 2024
Duration
1:18:29
Views
747.2K
OPEN ON YOUTUBE ↗

KEYPOINTS

  • 01

    Healthy stress moves you forward; unhealthy stress keeps you stuck

    Dr. Aditi Nerurkar, a Harvard physician, stress researcher and author of The Five Resets, separates adaptive stress (a new job, falling in love, the nerves before a 5K) from the maladaptive kind we mean when we say 'I'm so stressed.' Fear and excitement live in the same part of the brain. She suggests telling yourself 'this is excitement, I can do this,' because pushing through builds self-efficacy.

  • 02

    Chronic stress puts the amygdala in charge

    Normally the prefrontal cortex, behind your forehead, runs planning and focus. Under stress the amygdala takes over in 'cave-person mode,' built for survival. Fight-or-flight was meant to last seconds, for a tiger in the forest. Headlines, traffic, deadlines and worried kids keep it humming in the background, and over time that leads to burnout. Nerurkar says the amygdala doesn't reset on its own, which is why a vacation or a sunny weekend feels great but doesn't last.

  • 03

    Burnout can look like simply getting through the day

    You can go to work and see friends and still be running on fumes rather than thriving. Nerurkar cites a study where 60% of people with burnout had one main feature: an inability to disconnect from work. Mel admits she's in the 'running on fumes' camp despite knowing all the science.

  • 04

    Doomscrolling, stress eating and revenge bedtime are the amygdala at work

    Nerurkar's explanation for doomscrolling: tribes once had a night watchman scanning for danger, and now we each play that role on our phones. Stress also drives comfort eating (hers is chocolate cake) and 'revenge bedtime procrastination,' staying up late to claim some 'me time.' She cites a study showing people who do this know they should go to bed earlier. It isn't a knowledge gap. Behavior changes only when you act differently.

  • 05

    Stress can be measured, and five areas drive it

    Every patient takes a stress quiz, then retakes it after a month to see if the score moved. She focuses on sleep, movement, diet, media use and connection with others. Every tool in her book is free and quick, because most people can't fit in monthly massages and acupuncture.

  • 06

    Reset 1: get clear on what matters most

    Instead of asking 'what's wrong with me?', set a MOST goal: Motivating, Objective, Small and Timely. Mel's burnout goals included sleeping through the night and not thinking about work at 3 a.m. Nerurkar says a habit takes about eight weeks, falling off and getting back on included, so give yourself three months.

  • 07

    Reset 2: find quiet in a noisy world

    'Popcorn brain' describes being so overstimulated by constant phone use that slow offline life feels eerie. 'Brain drain' research suggests that just having your phone nearby distracts you and adds stress. She says over 50% of people check their phone first thing on waking. Her fixes are digital boundaries, not quitting: keep the phone off your nightstand, buy a cheap alarm clock and switch to grayscale.

  • 08

    Reset 3: sync your brain and body

    Shallow chest breathing goes with fight-or-flight, and slow belly breathing switches on 'rest and digest.' The two systems can't run at once, so breathing works like a light switch. She also describes the gut as a 'second brain,' with far more serotonin receptors than the brain. For movement, a 5–10 minute daily walk beats an ambitious gym plan, because daily habits avoid decision fatigue. 'Opt out of a scroll and go for a walk.'

  • 09

    Reset 4: come up for air

    Productivity follows a bell curve, not a straight line, and most of us sit on the overstressed right side. Nerurkar calls the middle the 'Goldilocks' zone. You usually can't cut your workload, so honor your breaks instead. Checking your phone between meetings isn't a break. It wakes the amygdala back up.

  • 10

    Reset 5: bring your best self forward

    The inner critic gets a megaphone under stress because the amygdala wants to keep you safe and small. Her main tool is a written gratitude practice. Keep a notebook where your phone used to be and each day write the date and five things you're grateful for, and why. She cites Rick Hanson's 'Velcro vs. Teflon' idea, that stress makes negative experiences stick, and studies showing better mood, less stress and better sleep at 30, 60 and 90 days.

EXAMPLES

  • 01

    The Holmes–Rahe study and the rule of two

    In the 1960s, psychiatrists Holmes and Rahe studied about 5,000 people across 43 common life events, good and bad. The more events people piled up, the higher their risk of stress and later illness. That's why Nerurkar recommends changing just two things at a time. She jokes that her 2020 plans to build a farmhouse table, learn Italian and play guitar turned into wearing clean clothes and eating a few vegetables.

  • 02

    A doctor whose 'diamond cracked'

    As a resident working 80-hour weeks and seeing death daily, Nerurkar was taught that 'pressure makes diamonds.' Then she burned out. She recovered with gentle yoga a few days a week and daily short walks, and says Mel's openness inspired her to share her own story in the book.

  • 03

    Stop, breathe, be at the doorknob

    Seeing 30 to 40 patients a day, she said 'stop, breathe, be' each time she turned a patient's doorknob, grounding her feet and taking a breath. She used it before this interview too. It works, she says, because anxiety is about 'what if' and this pulls you back to 'what is.'

  • 04

    The sitting data

    In a study of about 800 people she cites, those who sat most had 112% higher risk of diabetes, 147% higher risk of heart disease, 90% higher risk of dying from heart disease and 50% higher risk of death overall. She notes the stress mechanism isn't fully understood. Her advice is simply to stand and move after long meetings.

  • 05

    The patient who watched news day and night

    During an election year, a patient told her he watched the news day and night. She assumed he was exaggerating until his routine confirmed it. She uses the story to say it wasn't his fault: the amygdala drives the behavior.

OTHER RELEVANT

  • 01

    Tonight's sleep plan

    Start with self-compassion: if you're not sleeping well, it's not your fault. Ask her sleep colleague's question, what are you doing in the two hours before bed? Limit screens then, keep the phone out of the bedroom, and don't scroll on waking. She says you may notice a difference within a week.

  • 02

    Rename stress as an amygdala alarm

    Mel's takeaway is to think 'my amygdala is on fire, I need a quick reset' instead of 'I'm stressed.' That turns a vague feeling into something you can act on.

  • 03

    If you do only one thing, practice self-compassion

    Nerurkar says self-compassion has been found to calm the amygdala and lower cortisol. 'You are the sky; everything else is just the weather.' Be kinder than necessary to others, and to yourself.