Why So Many People Have Allergies & Why You Keep Doing Things You Shouldn’t

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Today on something you should know,

why coming up with a great idea could depend on the position of your body.

Then, understanding allergies, why we get them, what to do about them,

and why some people who think they have them actually don't.

Allergies in general, whether we talk about allergic rhinitis,

eczema, food allergies, asthma, medication reactions,

it's one of the most common chronic diseases that affect millions of people,

and it's just not talked about enough.

Also, if you want to lose weight, just how important is exercise?

And why do we do things to please other people that we know aren't good for us?

The most common, I can't take credit for this quote,

but lighting yourself on fire to keep someone else warm.

Essentially, you know what your needs are, but you meet someone else's first.

I find that incredibly common.

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Something you should know.

Fascinating intel.

The world's top experts and practical advice you can use in your life today.

Something you should know with Mike Carothers.

Have you ever noticed what position you're in when you come up with a good idea?

There may be something to this as we will discover as we begin this episode of something you should know.

Hi, I'm Mike Carothers and I am glad you're here.

So if you've ever noticed that your best ideas come when you're lying down,

that may not be a coincidence.

Research in psychology suggests that body posture can influence how we think.

When we're standing up or sitting upright, our brains may be in a more focused, vigilant mode.

Good for detailed oriented tasks.

But when we lie down or recline, we tend to relax which can promote broader, more associative thinking.

That shift may make it easier to connect unrelated ideas and arrive at creative solutions.

So the next time you're stuck on a problem, changing your posture might change your thinking and give you a better idea.

And that is something you should know.

It seems like everyone today is allergic to something.

Whether it's pollen in the air or certain foods, medications, even pets.

But what is an allergy really?

And once you have an allergy, are you stuck with it for life?

And here's something really surprising.

Up to 90% of people who claim they're allergic to penicillin actually aren't.

So how does that happen? How can so many people be wrong about something so important?

Well, if you've ever wondered whether your symptoms are a true allergy, or why allergies seem more common today than ever,

or whether they can disappear by themselves over time, well, you're about to get some very clear answers.

My guest is Dr. Zachary Rubin.

He's a double-bored certified pediatrician and allergist immunologist at Oakbrook Allergists in the Chicago area.

He's also author of a book called All About Allergies.

Everything you need to know about asthma, food allergies, hay fever, and more.

Hey, Dr. Welcome to something you should know.

Thanks for having me.

So walk me through an allergy.

Like what happens when it happens using an example of, because you know, everybody claims I have allergies.

I think I have allergies to stuff in the air because my nose gets stuffy and it's certain times.

And I assume that's an allergy.

Well, it may be, or maybe not.

So the reality is that when you experience nasal symptoms like a runny stuffier itchy nose chronically,

that's rhinitis. That's inflammation of the nasal passages.

And the underlying trigger of that could be allergic rhinitis, or non-allergic rhinitis.

In other words, you could have the immune system responding in a way that creates protein tags known as

IgE antibodies that when you have subsequent exposure to something like pollen, cats, dogs, or mold,

it can create histamine release and other chemicals released from the immune system to cause those symptoms that we talk about.

If you have non-allergic rhinitis, that means there's a different pathway that your body is abnormally responding to non-specific triggers like changes in weather, cigarette smoke,

air pollution, getting sick.

And so the actual treatment is different and you technically don't have allergies when you have non-allergic rhinitis,

but the symptoms are essentially the same.

But what would be the difference in the treatment?

It seems like you would take, you know, claritin or flones or something regardless of which one it was.

Right. So actually that's not the case.

So if you have allergic rhinitis, yes, something like claritin or an anti-histamine helps, because one of the main chemicals released from your immune system is histamine.

So you take an anti-histamine to block those effects, but if you have non-allergic rhinitis, there's a lot less histamine being released.

So taking an anti-histamine is not quite as effective.

So we have to rely on other treatments like nasal sprays that contain steroids that can help just decrease the overall immune response locally in that area to treat those symptoms.

Anti-histamines are great for sneezing and running nose and even potentially some coughing or post nasal drip, but if your nose is really stuffy and there's a ton of mucus production,

then a steroid is going to be more effective when you take that topically like a flow nasal or nasal court.

And so can I tell the difference or do I have to go to the doctor to tell the difference?

You would need to go to an allergist to get formal testing to be able to tell the difference.

It's not something that I can figure out clinically without testing.

So basically what happens is either they will order a blood test or a skin test that's trying to measure for that IgE antibody either on your skin or blood to the specific substances in the environment.

If it's a positive test, you have allergies. If it's negative, we call that the non-allergic rhinitis.

Is there a sense as to because so many people complain of those symptoms as to how many people have allergies versus how many people have the non allergy version?

It's not entirely clear because we aren't able to skin test everybody in the United States.

So we kind of have to extrapolate it. More people have allergies in general, but as you get older, it tends to turn into this non allergic subtype.

There are a lot of elderly who have just a constant running nose as an example and that has nothing to do with pollen.

It's something that constantly happens and we treat that with different nasal sprays to try to dry up the nose as an example.

But allergies in general, whether we talk about allergic rhinitis, hay fever is another term for that, eczema, food allergies, asthma, chronic hives, medication reactions.

It's one of the most common chronic diseases that we face in the United States that affect millions of people and it's just not talked about enough.

So you just mentioned the medications. People say, well, I'm allergic to penicillin. Is that really an allergy to penicillin or is that some sort of intolerance to penicillin?

So roughly 10% of Americans believe they're allergic to penicillin, but if you test them out, we estimate that about 90% of those individuals don't have a true penicillin allergy.

So it could be that they have a parent who has a penicillin allergy and we're afraid to give it to them when they were a kid.

So they just have the label. That's one example.

Another is as a baby, you had an infection. The doctor gives an antibiotic and you get a non-specific rash.

That's not necessarily a severe allergic reaction. It could actually be a response from the virus or bacteria infecting you and creating a rash.

And it gets confusing to figure out, is this truly from the medication or from the infection itself?

There are a lot of what we call viral exams where you develop rashes naturally as your immune system is fighting off an infection.

So it can be difficult to truly verify whether it's an allergic reaction.

And even if it was, we estimate that most people with a true penicillin allergy outgrow it.

If you abstain from that medication for at least 10 years, the majority will lose that sensitivity over time.

And they get lost to follow up or there's difficult issues related to having physicians test this out because it's not always covered by insurance.

There's a lot of issues related to the resources that go into doing this type of testing.

And so this is something that many allergists are trying to figure out ways to streamline this process of delabeling penicillin allergies on people's medical charts.

Because if you carry that label, you're at a higher risk of developing severe complications while you're in the hospital, longer hospitalization stays.

And even potentially higher mortality rates by having that label because you can't take a highly effective medication that has less side effects.

You end up having to take these different antibiotics that are more expensive, potentially more side effects and may not be as effective.

When I was growing up, I don't remember hearing people talk about food allergies that little Johnny could die if he's exposed to a peanut.

I mean, I just, I'd never, ever heard that.

Now you hear a lot.

Yes, and when I was a kid, I had a milk allergy that I out grew and I knew one girl with a peanut allergy and that was it.

And part of that is recognition.

There are many accounts of people who would have what we would now consider to food allergy that it just was not talked about or recognized that actually has existed.

There's even documentation from the middle ages of dignitaries who had food allergies and potentially used it for political gain as a possibility of saying that somebody was trying to poison me, but they likely had a food allergy.

These things did exist, but they were poorly understood.

And since the 1990s not only has the recognition increase, but we have seen diagnosis of food allergies rapidly increase where the rates have more than tripled over the past 20 to 30 years.

And why would that be?

That is the billion dollar question.

So I'll give you some factors as to why this may be the case.

One, which you may have heard about in the news, which is we used to recommend delaying introduction of highly allergenic foods like peanuts until later in life, like two to three years of age, depending on the food.

But that was meant for only high risk individuals like children who have axima as an example, we then learned a study called learning early about peanut or the leap study.

It randomized kids to either consume peanut protein before they turned one regularly or wait until they turned five and delaying the introduction significantly increased the risk of those children developing peanut allergies.

If you introduced it before one, there's about an 80% less likely chance of that happening, not 100%.

But something that we recognize now that we've changed the guidelines over the past 10 years or so, and we're starting to see a slow decline in food allergy rates, especially for peanut allergies as an example.

There's also associations between C-sections, early antibiotic use and early antacid use.

These are all issues related to the gut microbiome.

That's the bacterial milieu that helps process foods and present it to our immune system.

And so if you take antibiotics early in life that could kill not just bad bacteria, but good bacteria.

If you're born through C-section, you're not exposed to the birth canal and the bacterial flora that is present.

If you take antacids, that could also disrupt the gut microbiome.

We also have increases in axima prevalence.

Axima is a chronic itchy skin condition characterized by a disrupted skin barrier.

So when any foreign substance comes into contact with a disrupted skin barrier, your immune system in your skin recognizes that material is foreign and could create an allergic response to it.

And that is what we call the atopic march or allergic march, where someone who was born early on develops axima.

They're more likely to develop hay fever, food allergies, and asthma later in life because they're all interconnected.

There could be issues related to how food is processed and prepared. There could be a pollutant.

We don't really know, but I can guarantee you it's not one particular issue as most complicated chronic diseases are, it's multifactorial.

We're taking an important look at allergies, and my guest is Dr. Zachary Rubin.

He's a double-board certified pediatrician and allergist, immunologist, and author of the book, all about allergies.

Everything you need to know about asthma, food allergies, hay fever, and more.

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So Dr. Rubin, my sense of allergies used to be that they were something very treatable, not benign, but not life-threatening.

But now you hear about peanut allergies or nut allergies and people dying, and I don't understand that. How do you die from an allergy?

So what happens, unfortunately, is if you have that abnormal immune response, it can present in a multitude of ways.

It could be mild, it could be severe and potentially life-threatening, and no testing I can offer can determine the next time you eat something if you're allergic to it, if it's going to be a mild, moderate, severe, potentially life-threatening situation.

It's how the immune system responds to it, what chemicals are being released, where are they being released, and does it trigger a cascade of events towards something called anaphylaxis.

That's a continuum where your immune system, if it leads towards shock, could cause your blood from especially the periphery and your arms and legs to pull out, and it causes the blood leaving your vital organs like your heart and your brain.

So in rare instances, if you develop anaphylactic shock, your blood pressure drops, and that can cause a heart attack, stroke, or even death.

It's not common, but you hear about it on the news every so often, even if you give epinephrine, which is the first line of treatment,

anybody's experiencing a severe allergic reaction should care that with them at all times. But if you delay use of it, or there's potentially some underlying issue going on, in very rare instances, even with epinephrine use, we have had tragic cases where people have passed away just from eating a food that normally would sustain us, but it actually can cause significant harm to a small group of people, and that's very hard for people to understand.

But that's why we have to take food allergies seriously. I know a lot of people, I don't know, I actually don't know that a lot of people, but it seems like a lot of people have seafood allergies, shellfish allergies.

And generally, what are the symptoms of a seafood allergy?

It's quite variable. I can't predict based off of testing what it is. Any type of food allergy could be mild where you get itching or mild rash.

It could be severe vomiting, potentially diarrhea. It could be wheezing, difficulty breathing, swelling of different parts of the body. The concerning aspect would be like the tongue or your throat could swell.

You could have a combination of those symptoms that I just mentioned, or the dreaded anaphylactic shock where blood pressure drops, you feel faint, you turn pale, potentially blue.

And some people report this sense of impending doom like they feel like they're going to die.

Ooh, luckily it's rare, but it happens from time to time. And knock on wood, I have yet to see a child in my practice experience that level of shock.

It's something that usually is more common in adults. And it has to do with the physiology of how the body works when you're a young child versus as an adult changes.

So this risk of shock is usually much higher in adults.

Is there a good understanding of how you acquire an allergy? You had mentioned peanut allergies. Maybe it's because you weren't exposed to peanuts.

But what about other allergies? Is it passed down? Is it all environmental? Some are both? I don't know.

Yeah, so most of these allergic diseases, it's a combination of genetics and environmental factors.

So if you have a parent with asthma as an example, their child is significantly at higher risk of developing asthma, which that's an airway disease that's chronic usually diagnosed and children can happen in adults.

And it's often triggered by a lot of these things we talked about earlier in terms of pollen, mold, different environmental triggers, or pollutants, irritants, exercise.

All those things can be triggering to an extent. AXMA is a significant risk factor for developing asthma. So that's one example.

The exposures make a difference. Air pollution as an example is a significant risk factor for developing asthma.

Or if you are in housing that's very old and has a lot of dust and mold, those early exposures can be problematic.

And what's interesting is recently we've had studies seeing strong associations between somebody who has a gas or wood burning stove in the house and developing asthma.

Because when you are burning that in your home, you are releasing a lot of volatile organic compounds like nitrogen dioxide, which can really cause inflammation in your lungs.

And you don't necessarily smell it, but it causes that. So if you don't have an electric stove and you're using gas, you got to make sure you put on the fan on your stove, as well as opening up windows whenever you're cooking,

to reduce the amount of exposure that you have to those irritating substances. Is it safe to assume that the most common allergy is things in the air, pollen, whatever is in the air that makes people sneeze? And that's the most common.

Right, so so pollen is one of the most common environmental allergens, whether it's from trees, grasses or weeds that are wind pollinated, not the fresh cut flowers like roses when you have it when you sneeze with that, that's from the fragrance, not the pollen, because you don't get exposed to that regularly.

So that's your seasonal allergens. The most common indoor allergens is typically dust mites, which are found anywhere where there are human skin cells and humidity like in your bedding is the main one or carpeting as an example.

And do allergies tend to go away or you had said some of them do, but do most of them eventually disappear or most of them don't?

Usually it's pretty persistent. If we're talking about environmental allergies, there is a shift that happens later in life where it goes from kind of this allergic rhinitis to non allergic rhinitis where the antibodies that cause the reaction start to fade over time, but you still have similar symptoms.

That happens with food allergies, if you've got egg, milk, wheat or soy, that can be outgrown usually, but if you have something like peanut tree nuts or seafood, that's usually not outgrown, it's more persistent.

We don't understand why that's the case.

I want to get your your lastly get your thoughts on because I have what I assume are airborne allergies and I get stuffy when in the spring and all that and I use a netty pot, which I discovered not that all that long ago and I find it amazing, but what what's your sense?

Oh, those devices, whether it's a netty pot, a saline rinse bottle, anything that uses saline water to clean out the nasal cavities is very helpful for most people.

It can be a little hard to tolerate when you're first using it, but the concept is is that as you're breathing the air constantly, you're being bombarded by these allergens and irritants that will stay there because you have mucus that acts as a first line of defense.

It's like a wall that's sticky that traps all of these things and it stays there, but it can create swelling and inflammation that leads to all the symptoms that we're experiencing.

So by using these devices and rinsing your nasal passages once or twice a day, it will help you breathe a lot better more naturally than having to rely on medications.

Or if you use nasal sprays, rinsing your nose first, then blowing your nose and then using it, it's much more effective because you're putting the medicine on the actual tissue.

So it's really, really effective to use those devices. Keep in mind, though, that you should never use tap water unless it was previously boiled and cooled.

It's just easier to get distilled water and a jug to use because there is a rare, but actual complication that is reported pretty much every year, very rare, but pretty much universally fatal, which is the brain eating and meba called Nyclaria falaria.

You could get infected with that with tap water.

What's your take on nasal sprays like flow nays? A lot of people say they really help. What do you say?

If people use nasal sprays, they often don't know how to use it correctly. I tell folks, if you're snorting it and taking a deep breath in when you use it, you're likely going to taste the medication, but if you're tasting it, that means you're wasting it.

It's not going in the right part of your body. When I teach my patients or when I talk about online, the light bulb goes on and people don't realize that they weren't taking it properly. When they do it, it makes a huge difference.

I don't know anybody who's not affected by allergies. They either have one or two or three, or they know someone or live with someone who does, and it seems like there's a lot of people don't understand, so I appreciate you clearing it up.

Dr. Zachary Rubin has been my guest. He's a double board certified pediatrician and allergist immunologist in the Chicago area, and he is author of the book called All About Allergies.

Everything you need to know about asthma, food allergies, hay fever, and more. And there's a link to his book at Amazon in the show notes. Dr. Thank you so much. I appreciate you coming on.

Thank you so much.

So good, so good, so good.

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Have you ever promised yourself, I'm not going to do that again. And then you do.

You stay too long. You drink too much. You say yes when you mean no.

You stay quiet when you know you should speak up.

And then afterwards, you're not just frustrated, you're confused.

Because it's not like you didn't see it coming.

So why do smart, self-aware people keep repeating behaviors that make them unhappy?

It turns out these patterns are not random. They're learned, reinforced, even rewarded in subtle ways.

And until you understand what's driving them, will power alone probably won't fix them.

Licensed marriage and family therapist Katie Morton has spent years helping people uncover the hidden reasons behind their self-sabotaging habits.

She's the author of, why do I keep doing this? Unlearn the habits, keeping you stuck and unhappy.

And she's here to explain why we get stuck and how to stop.

Hey Katie, welcome to something you should know.

Thanks for having me. I'm excited to be here.

So start by throwing out some of these behaviors that you're talking about.

I just mentioned a few, but give people a flavor of what you mean.

Like me saying yes when I mean no, because I don't want to hurt someone's feelings.

Or I want to please someone, make sure they're happy first.

It could also be another example of why do I keep doing this?

Is why do I think that everything has to be perfect?

And I keep doing something over and over and over, hoping that this time I'll think it's finally good enough.

It's kind of the patterns in my life where I find myself trying to shrink to fit spaces I don't belong.

And do you think when people do those things, they know it's a problem or that's just the way they do things?

I think it depends. I ultimately believe that we all know it's a problem because it doesn't feel good.

But I think for a lot of us myself included, we were raised a certain way and so it's almost like it's all that we know.

And so I mean, from I ended up in therapy, feeling super stressed out and wanting to talk about my stress reduction.

And like how do I manage all that I'm doing and over talking with my therapist for many weeks.

She was like, I think this might have to do with people pleasing, or I think this might be part of what you think your role is in life.

And it was it's getting down to more the patterns of it rather than just the one off examples.

Because I think for all of us, we can have those one off examples and think like, oh, you know, I really wish that this had turned out differently.

But until we see it, it's almost like if we pull ourselves outwards, I view, then we can see like, hey, I keep doing this same thing.

And it can take a minute for that realization of that awareness to come to be.

And so where do these things come from? These are patterns, you say, but but patterns had to start somewhere one day.

How?

Great question. When we're being raised by parents close family, whomever is around us the most, we are picking up on all of the different behaviors.

How people engage in conflict? How do people show that they love each other? How do people make up after a fight?

All of the different patterns of behavior we see expressed by our parents, our grandparents, our aunts and uncles,

and we slowly kind of draw the blueprint for life and how we're going to engage in it.

And that's usually where these types of patterns come from for better for worse, right?

We might be like, hey, our family's really good at like getting over a conflict and coming back together and preparing.

Yay. So we grow up with that blueprint. Or it could be, hey, my family's really good at pretending everything's okay even when it's not.

In order to address it, though, you have to realize it's a problem. If you don't think it's a problem, then there's no problem.

So do people have a tendency to say, I know I do this and it's causing trouble. Or do people say, I just, this is me?

I think a lot of people, especially more recently, think it's a problem and realize it. But it's not just a ha. Oh my god, I hate that I do this.

I don't think the realization is so clear like that. I think it's more like I feel tired and I don't know why or I'm super stressed or I feel anxious.

It kind of comes out in other ways because if you think about it, if we're always putting everybody else first, then that means that our needs aren't getting met.

And we might find ourselves exhausted or unable to sleep at night or even getting sick a lot.

There can be a lot of different ways that it can come out. And I feel like it's through the repetition of those kinds of symptoms

that we then realize like, oh my god, what's happening? Why is this happening to me? Why do I keep doing this? Why do I keep feeling this way?

And that kind of curiosity, the wondering of the why is how we discover it.

And then when you discover it, how do you start to address it, fix it, get it out of the way?

I think the best first step in that is honestly just realizing how it shows up for you.

One of the first homework assignments my therapist gave me was to notice how often I say sorry every day.

And for anybody who doesn't struggle with people pleasing, they're like, this would not be a big deal.

When I tell you the number was embarrassingly high and I stopped counting midday because it was ridiculous.

You know, that was a good place to start. I know a lot of times when we're doing like self-care or self-help stuff, we think like, I want this quick fix or I want these five steps to get better.

In the case of control and us trying to control things that we can't, it's less about quick fixes and more about showing ourselves compassion as we try to act differently.

So in that example, like, oh, I say sorry all the time, instead of thinking like, uh, Katie, why do you keep doing this?

So stop it already, just stop saying sorry, that would be the goal.

Sure, but instead I needed to realize like how often I was doing it, what was triggering it?

Was it certain situations? Are there certain places I do it more?

And then my therapist had me, as odd as this sounds, one of the places I apologize the most is like public spaces,

like sharing like a grocery store aisle with people, I say sorry all the time or I'm traveling right now. So the airport is also a place where I would do this a lot.

And I can always hear my therapist voice, which is like, you don't have to apologize for taking up space.

You don't have to apologize for being here. And so that's kind of that first step of work is like, hey, it shows up for me this way.

And so I'm going to try to not do that. And I know that's very specific, but if each of us are kind of honest with the patterns that we see,

we can also identify some behaviors that we could maybe shift a little bit. It's not all or nothing, but apologize a little less when I'm not sorry, when I'm just being a human sharing space.

So I'm curious like when you're in the grocery store, what is it you're sorry? What is it you're apologizing for?

It's a great question of my therapist asked me the same thing. The truth is I don't know. And I know that makes me sound like I'm losing my marbles. I promise you I'm not.

It's that I feel like if so here's here's an example and this will kind of help me explain it like if let's say you and I are in the grocery store and I haven't met you before, I don't know you. And I were both looking at cereal.

And you've wanted to cross over where I am looking at cereal because like you want to get to the granola and it's on that side.

As you cross my path and I step back to give space to you, I will apologize. And it's not because I'm sorry. I'm not sorry for anything. That was kind of the next step my therapist said is she's like, if you can't tell me what you're sorry for, I don't want you apologizing.

And don't like let me know how that feels. It felt terrible. But I think it's it's less about what what it means to say I'm sorry and to apologize. And it was more of a like I am taking up too much space like I haven't earned the right to be here.

It's it's a little deeper than I'm sorry and it's more of a I other people always come first.

Doesn't it seem like there's a lot of people like that and then of course there's a lot of people who don't have any idea what you're talking about.

Yes, I think there are the people like me who apologize and there's people that don't see any reason for that at all. And I think that's the interesting thing about control or the solution of control.

Because for me it shows up like that. That's one of the ways it manifests. And for other people it might be you know more of the perfectionism type of thing or you know it can show up in totally different ways for different people.

That's why that first step is figuring out how it shows up for you.

So why is it if we can pick on you and use your example when you're made aware of that that you're really not sorry and why don't you just stop it.

I mean what compels you to continue when you already know intellectually you're not sorry you are just as entitled to take up spaces anybody else.

You have every right to be in that aisle at the grocery store. Why don't you just stop it.

That's a tough it sounds obvious. I should be able to just stop but it's not just about that.

It's like an inner belief and when we try to shift beliefs about ourself it's it's more than just the symptoms.

I mean the first like knee jerk answer to like why don't I just stop is because it feels uncomfortable.

And because I don't think about it. It's a knee jerk reaction.

But deeper than that it's in order and I talked to my my patients all the time about this and like in order to stop this.

This outside symptom right I like to think of our issues as kind of like trees and for me to just stop saying sorry would be like trimming some leaves off of the end.

But that doesn't actually you know eradicate the tree or get rid of this problem.

It just trims a little bit of it but it's there's still a lot there.

And so in order for me to actually be able to stop saying sorry when I don't mean to and to be like you can take up space Katie.

This is ridiculous. I have to get to the root.

I have to figure out where it comes from and the truth for me.

I mean this is like kind of spoilers for the book but not really because it's every person's on their own journey.

Mine is that I thought or I believe deeply that I have to earn my worth.

And I know you're like how does that connect it connects in the fact that if we think about like I feel like I'm a second rate person like other people's needs come ahead of mine.

That means that in order for me to receive or accept love or attention I have to earn it I have to do something for it I have to like pull myself out from the underdog role into the you know the leading role.

And that realizing that that core belief was like messing my life up essentially was a huge eye opener for me.

And I believe that we all have these false beliefs about self that need identifying and then then that's what we work on.

Does that make sense?

Yeah because I think what you're describing about yourself so many people identify with that that need to earn your place at the table rather than just feel like you have a place at the table.

Exactly.

We'll stop it.

Easier said than done right my therapist homework it's funny when you're like to stop doing it my therapist like I want you to try not saying sorry for a week.

I didn't even make it a day Mike it was terrible and embarrassing.

But it was eye opening you know that like why is this silly behavior like why do I keep why do I keep doing this and I don't want to and it was because it was bigger than that.

And so how important is it to figure out the why why are you doing it is it important to figure that out or is it important to change it and you don't really need to know why.

I think the why is vital I believe strongly that if if we just try to like I said like trim the leaves off the ends if we just try to stop doing certain behaviors it will either one of two things will happen.

Number one it will come right back and we'll find ourselves doing it again and it'll be really frustrating and we'll we'll feel really stuck.

Or number two we will suppress that one action and it will crop up in another way to that it's all tied to the same belief it's all tied to the same thing it just comes up in a zillion different ways until I was honest with myself enough or had enough courage to admit that I just didn't think I was worth it.

And that was a really terrible feeling but if I didn't build work to build my confidence or build my I don't know if it's faith in self but rightful place on this earth just like everybody else if I didn't fight for that it would keep coming up.

So is it lack of confidence?

lack of confidence is part of it it's it's worth because if you think of like my belief of self is like that I have to hustle to earn my worth I have to prove to you that I'm worthy of your attention or affection or whatever then that means that I'm not good enough as I am just straight up just me.

And so part of that is confidence but for me it was it was confidence and it was like self talk the way that I navigate conversations myself and it goes back to I think it's all confidence even as I try to explain and tease out another way for you I feel like that's what it is for me is is definitely confidence and self worth and those are so inextricably linked that all of the things that I've done in therapy to get better.

Come back to that like talking to myself more kindly not apologizing for taking up space being okay speaking up and sharing my opinion I think all of that is is tied to confidence and self worth.

And what are some of the we I was my first question but but some of the other ways that this kind of things shows up for other people for you it's saying you're sorry when when you're not and but but what how do you see it manifest in other people.

The most common and I use this I don't I can't take like credit for this quote but lighting yourself on fire to keep someone else warm is probably the most common symptom and what I mean by that is that I find people tend to do things for others ahead of their own.

Self so let's say I really need to rest but my sister needs me to get her from the airport and so I'm going to stay up late and go get her or something I know it's a random example but it's essentially you know what your needs are but you meet someone else's first I find that to be incredibly common.

This could even look like I have another member my community who shared taking on extra work it within her job even though she doesn't get paid more for it and other people could help out too but she's always the one that does that or like taking extra shifts you know always being the one to fill in and a lot of us could say well that's because I'm reliable or that's because I do you know I like to be that person sure maybe.

Or is it because that's how you earn your worth again even though my issue sounds very specific like oh I'm hustling to earn my worth worth is a big piece is a big motivator for our behavior and I think a lot of different people will do different things like that's why a lot of my friends who are mothers will do everything for their children because they put a lot of worth a lot of their identity is in being the best mother ever and so even if they're not doing great they'll they'll make sure that their child has everything.

You know and as sad as it is to say it's like we're leading by example then at the blueprint for their children is that moms needs don't exist and only kids needs exist.

I'd be curious for you Mike if you find yourself in any situation like this where you you have behaviors you don't like that are repetitive that kind of go down to your worth or your self confidence.

Well see that's that's the thing because like the person that needs a ride from the airport I like to think of myself as the person who will sacrifice what I need to sacrifice because I you know I couldn't go back to sleep knowing somebody was stranded at the airport even though they you know they probably find somebody else but but where's the line between being a good person and you know getting stopped on.

It's all about balance I think just like anything in moderation is great like you said I wouldn't want someone to be at the airport either like that to me that's not a kind person that would just leave someone right.

However the behaviors I'm talking about aren't just one offs or I'm being kind it's like this is the only way I know how to be meaning that like I I need to be needed.

And if no one needs anything from me I don't know how to relax or if I can't be of use to someone whether it's work whether it's school whether it's friendships whether it's kids you know family if if nobody is needing of me I don't know who I am.

Does that make sense it's like it's a deeper thing it's like instead of it being just I'm being a good person and I I want to show up for people because I believe we all should do that and that's what that builds healthy.

That builds healthy relationships having people you can count on however when that comes at the cost of our own health of our own well being time and time again that's when it's a problem time and time again that's the that's the key phrase there I think is because we all we've I mean I like to think I would go out of my way to help somebody but if I did it all the time then yeah that that would be a big problem.

Yeah then it gets in the way of you being able to do anything else that you want to do right or ways to take care of yourself we all have things we love to do hobbies that we want to spend time in like I love to read.

And so if I'm always doing for other people then I'm not going to have any quiet time for myself to do that and we have to make sure that it's a balance between filling our own cup and filling other people I kind of love that analogy in general like you can't pour from an empty cup because it's so like visual.

You legitimately can't you know if there's no water or beverage to be poured you can't pour and so I think if we're not pouring into ourselves first and only pouring out that's you know that's when it's an unhealthy behavior versus just me being a good human to people in my life.

Well I love that phrase you know setting yourself on fire to keep somebody else warm because that that nails it I mean that's the perfect visual I know exactly what you mean and I bet all of us well not all of us but many of us have done that and and and then regretted it you know or thought yeah this this just didn't work right.

100% I think a lot of times you know it depends on again how we're raised and how we think about our relationships but for almost everybody out there there have been times when we've been in a relationship or someone is a taker and we're a giver and we over give you know we do light ourselves on fire to keep them warm and yeah I love the visual too and I love that because then what ends up happening and it's kind of like good play onwards is then we're burned out.

You know if we keep doing that we don't have anything left to give and we we don't feel good and the relationship itself it truly cannot stand you know when there's one giver and one taker and there needs to be the Evan flow so yeah it's it's a very common problem we've all been in situations like that I feel like at least once in our life and it doesn't feel good.

Well I think an awful lot of people listening can relate to this whole idea of behaviors that you do repeatedly that you really wish you wouldn't and I admire your willingness to share your journey with what you went through to help other people Katie Morton has been my guest she's a licensed marriage and family therapist and she's author of a book called why do I keep doing this unlearn the habits keeping you stuck and unhappy and there's a link to her book at Amazon in the show notes.

If you want to lose weight you should exercise more I think most people believe that and it's not really true the uncomfortable truth is that exercise is one of the least efficient ways to lose weight.

Now it's great for your heart and your brain and your mood and your lifespan and exercises excellent at preventing weight gain but when researchers look at weight loss specifically exercise alone produces far less fat loss than people expect.

Why well it's because the body adapts when you burn more calories through exercise you often get hungrier you may unconsciously move less later in the day and your metabolism can subtly compensate in other words the calories you think you burned off don't translate cleanly into fat loss a major scientific review concluded that physical activity by itself is not very effective for weight loss

without dietary changes to go along with it so exercise matters but not for the reason most people think and that is something you should know.

I hope you got something out of this episode and if you did you could share it in a review or at least leave us a rating on whatever platform you listen on it really helps the show in terms of exposure so please leave us a rating and review and I'd appreciate it.

I'm Mike or others thanks for listening today to something you should know.

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