
Loading summary
Dr. Mark Hyman
Coming up on this episode of the Dr. Hyman Show. When you're in a conflictual relationship, your physiology changes to a state of disease. Cortisol goes up, your inflammatory cytokines go up, your microbiome can change. A whole series of things happen in your body that make you more sick. Magnesium doesn't get the spotlight like vitamin D or omega 3s, but it should. It helps regulate mood, hormones, energy, sleep and even blood sugar. And yet most of us are either deficient or barely scraping by thanks to stress, caffeine, processed food and even depleted soil. That's where Magnesium Breakthrough from Bioptimizers comes in. Unlike typical supplements that only use one form, this delivers seven forms of magnesium to support key systems in the body like your brain, muscles, digestion, heart and stress response, all in one capsule. You get support for sleep, mood, focus and energy without the harsh laxative side effects that come from using the wrong form. Whether you're dealing with occasional tension, hormonal shifts, or just feel off, Magnesium Breakthrough helps fill in the gap fast. Go to buyoptimizers.com hyman to get 10% off today. Your body will feel the difference in just a few days. Before we jump into today's episode, I want to share a few ways you can go deeper on your health journey. While I wish I could work with everyone one on one, there just isn't enough time in the day. So I've built several tools to help you take control of your health. If you're looking for guidance, education and community, check out my private membership the Hymenhive for live Q&As, exclusive content and direct connection. For real time, lab testing and personalized insights into your biology, visit Function Health. You can also Explore my curated doctor trusted supplements and health products@doctor hyman.com and if you prefer to listen without any breaks, don't forget you can enjoy every episode of this podcast ad free with Hyman Plus. Just open Apple Podcasts and tap Try free to start your seven day free trial. If you're in a conflictual relationship with someone, your inflammatory genes are turned on. Literally. Not just your emotions are inflamed, but your biology turns on the inflammation system.
Simon
Like fight or flight kind of stuff.
Dr. Mark Hyman
Not fight or flight, just if you're like in a shitty relationship or if you're fighting with someone or you have a conflict, you turn on inflammatory genes that then increase expression of cytokines that cause inflammation and that cause disease. And all chronic disease, from depression to heart disease to diabetes to obesity to Alzheimer's are All inflammatory diseases. Conversely, if you have a connected loving relationship with somebody, it turns on anti inflammatory genes.
Simon
And inflammation is the core of everything.
Dr. Mark Hyman
Yeah. And maybe it's studies with entrainment where if you sit with someone and you have an authentic connection that you can put EEG and EKGs on, basically brain waves and heart waves, you can see the heartbeat of someone you're having a deep connected relationship with in your brain waves. Wow, it's wild. So it's not just a feel good thing on an emotional level, it's a physiological response that happens of being in connection. If you take animals and put them in, you know, cages and separate animals and feed them exactly the same thing and have everything else the same, the one that's isolated versus the ones that are connected will shrivel and die and get sick. And so humans are the same way. And we've gotten in a situation where friendship and connection is sort of like.
Simon
Okay, so why aren't doctors prescribing to spend more time with friends? I do like doctor, I'm suffering from X, Y and Z. Okay, I'd like you to try and get an extra hour of sleep, go to bed a little earlier. I'd like you to stop eating before, don't eat past 8 o' clock at night. And I want you to spend at least three hours a week with a friend. How come that's not on a prescription?
Dr. Mark Hyman
It should be. I mean, I prescribe it. In fact, I actually based on this work that I did in Haiti, I met a pastor after Rick Warren, who wrote the Purpose Driven Life and had a church with 30,000 members. And I met him, he came to my office in, we started talking and I said, hey, you know Rick, tell me about your church. Because I really, I'm a Jewish doctor from New York. I don't know much about evangelical Christian churches. Like, yeah, we got 30,000 people. Like, wow, it's a lot of megachurch. He's like, yeah, we got 5,000 groups that meet every week, small groups in the church to help each other live better lives. I'm like, oh, this isn't a megachurch. This is thousands of mini churches. Yeah. And I had that the light bulb moment. I'm like, well, I just come back from Haiti. I said, why don't we put a healthy living program into the groups and see what happens. He says, great idea. Because I was baptizing my church last week and after about the 800th person, I'm like, man, we're a fat church and I'm fat and we got to do something about it. And so we put a program together through the small groups where people were just helping each other. There was no doctor, nutritionist, health coach, nobody. There was just a curriculum. We had a big rally, sort of a big event where we talked about, and Rick talked about the biblical rationale for why God wants us to be healthy. I gave a bunch of speeches and talked about how, you know, God lives in you. Why are you feeding him crap and things like that. I mean, you know, if Jesus came to dinner, what would you feed him? You know, Big Mac, fries and a Coke. And they got it. Ain't that the truth?
Simon
Ain't that the. If Jesus came to dinner, what would you feed him?
Dr. Mark Hyman
Exactly. So they got it. I said, you know, if you feel like crap, how are you going to serve God? How are you going to serve each other? You've got to take care of your body. And so they got it and they did this together in community. It was jogging for Jesus and all these. It was incredible. And they lost together a quarter million pounds in the first year and they did it together. And then I took that same model and I applied it at Cleveland Clinic where we created small groups where people helped each other. And we had, we did research on us and published it. There were three times better health outcomes on validated metrics of health outcomes compared to one on one visits for the same condition with the same doctors. Wow. So the doctors in our clinic could see them in one on one or support them in a group.
Simon
Right.
Dr. Mark Hyman
The group was three times as good as seeing the doctor one on one in terms of.
Simon
So why, but why aren't these things then being implemented across the medical field trying? Why aren't we going to the doctor with our friends to dealing with similar issues? Why aren't we like, everything's so siloed, literally, it's in.
Dr. Mark Hyman
It is essential. I mean, I think, you know, the models of support, whether it's coaching, whether it's one on one coaching or support, whether it's group models, they have to be the thing that's going to change because we get healthy together or we get sick together. So the quote from Benjamin Franklin is, we must all hang together or surely we'll all hang separately. And I think that's kind of where we're at in society.
Simon
That's kind of where we are. Yeah, I'm very glad that we are talking about this because I have a lot of respect for your work and the fact that you're validating all this friendship stuff that I'm doing from a, from a physician standpoint, not a Kumbaya.
Dr. Mark Hyman
No, no, no. There's so much science on this. We wrote a book about this work called the Daniel Plan, after Daniel from the Bible, who resisted the king's temptation of rich food and was better for it. And we talked about the five Fs, you know, food, fitness, focus, which is your mental fitness, faith and friends.
Simon
Why aren't friends number one?
Dr. Mark Hyman
Well, they were maybe in there somewhere, I don't know. I don't know the order, but it was like food, probably. But the whole point is friends are such a key part of our well being. Whether it's understanding the blue zones or how, whether it's AA or Weight Watchers, it's how we change.
Simon
I mean, aa, all of these things, Weight Watchers, they're all community based things. And one of the problems we have in our society is community things. You know, bowling leagues don't exist anymore. You know, church, church attendance is down, you know, so. And church attendance and faith are not the same thing. You know, you can have faith and not go to church and you can go to church and not have faith.
Dr. Mark Hyman
That's right.
Simon
You know, the church would rather that they, they're overlapping. But, but, but the idea of doing things in commune, in community. This is why I love things like Comic Con or Burning man or whatever you're, you know now.
Dr. Mark Hyman
You've never been to Burning Man.
Simon
I have been to Burning Man.
Dr. Mark Hyman
You have? Yeah.
Simon
Or Sturgis. Is that what it's called? Yeah, it's called the motorcycle thing.
Dr. Mark Hyman
Yeah, Hell's Angels.
Simon
Like all of these things. Like I like and I don't care, like politics aside, like, I don't care what it is. Going to church, you know, doing things in community with people who have common interests and, you know, one of the questions I'm getting since I've started talking about friendship, it's amazing how many people are coming up to me who are of all ages, of all income levels who are saying to me, I don't know how to make friends. I struggle to make friends because we're.
Dr. Mark Hyman
Afraid to be authentic. I mean, that's the hard part, right?
Simon
Have you ever struggled to make friends?
Dr. Mark Hyman
When I was a kid, I didn't have any. I was a weird kid. I just was in my head, read a lot of books. It was a little weird and, you know, kind of a nerd and I just didn't.
Simon
And you had a lot of health issues when you were younger?
Dr. Mark Hyman
Not really. They came later when I was in my 30s. Okay. And I was living in Toronto in the 70s. It was spiritual wasteland. And I did not kind of relate to anybody. And it wasn't until I left and went to college and went to Cornell that I found other people who were like, oh, wow, you actually think like me. And you read the same books, you do the same things. And in fact, I actually. My first real friend I met on the top of a mountain in the Canadian Rockies. We were backpacking and it was a week out in the middle of nowhere by myself. And he was a week out and we crossed over on Badger Pass in Alberta, in Banff National Park. And we just had this kind of moment of connection. And we both found out we're going to be at Cornell. In Cornell. He was in Ithaca College. I was at Cornell. We climbed this mountain the first night called Brachiopod Mountain, like 11,000ft. It was like this kind of prototypical pointy top mountain. We sat on the ridge and watched the sunset at 11 o' clock at night and then ran down the scree and we just had this extraordinary experience. And we got back and we got together and we didn't know if we were going to be friends or not, but we became like brothers, still friends today. He's my best friend. Yeah, no kidding. 46 years later. Wow. Yeah. 46 years later. We do mountain bike trips all over. We're very close and we help each other. And when one's down, the other picks one up. When I'm down, he picks me up. When he's down, I pick him up. And we've had this really sustained, deep, authentic, intimate relationship for 45 years.
Simon
That's amazing.
Dr. Mark Hyman
And we love each other, we hug each other, we cry together, we laugh together. And it was a place where I could say and be and do anything and it was a remarkable experience for me to actually feel seen and loved. It was like the first person who loved me who didn't actually have to love me. Like, my parents didn't have to love you. They chose to love you. That was like. And that friendship for me has been like an anchor in my life throughout all the troubles and tribulations and successes and diseases. And, you know, his wife committed suicide. I went through three divorces. I got very sick.
Simon
He such an overachiever.
Dr. Mark Hyman
Yeah, I know, right? I'm an expert at relationships.
Simon
I mean, what did WC Field say? Quitting smoking is the easiest thing I've ever done. I've done it hundreds of times.
Dr. Mark Hyman
That's right.
Simon
Marriage is the easiest thing I've ever done. I've done it four times.
Dr. Mark Hyman
I got it right, though.
Simon
Here's something I discovered about close friendships, Right. Which is we always talk about close friends as the person you would call in when you're in need, when you need help, the person you can cry with, the person you know, the person when you're in pain. And I actually think that's true. That's a level of close friendship that you can call that person when you. When in a time of struggle or need. But I think there's even a closer level of friendship, which is when you can call somebody when something amazing happened.
Dr. Mark Hyman
And they're not jealous, and there's no jealousy.
Simon
And you can call them and what you're doing is bragging, but not really. You just need to tell someone about this amazing thing that you accomplished or that was given to you or that you won or that, you know, whatever it is. And if you told anybody else, they'd be like, they'd think you were bragging. But to that friend, they have unbridled joy with you and for you. And what I've learned is the number of people I would call with good news is actually smaller than the number of people I would call with bad news.
Dr. Mark Hyman
That's interesting. But you can call me with good news.
Simon
Oh, thank you.
Dr. Mark Hyman
I'll celebrate you.
Simon
But you know what I mean.
Dr. Mark Hyman
Yeah.
Simon
It's like to, you know, and. And like a friend of mine called me recently about something amazing that happened in his life. And. And he was. I was the first person he called. And we. And I. I had no jealousy. And I was, I was like. I was felling like a parent.
Dr. Mark Hyman
Yeah.
Simon
You know, I was so proud of him for what he did.
Dr. Mark Hyman
And.
Simon
And you realize that that was actually more intimate.
Dr. Mark Hyman
Yeah.
Simon
Than being there in pain.
Dr. Mark Hyman
Yeah.
Simon
And so I started making lists of who are the people I would call for the insanely good things.
Dr. Mark Hyman
Yeah.
Simon
And it's a smaller number.
Dr. Mark Hyman
Well, it is. It's important to take an inventory of your life and your friends. And. And if you don't have good friends, it's really important to cultivate them, to invest in them, to find them. And there's ways to do that. I mean, there's ways to put yourself in environments and situations. And part of it's like who you are. Right. For me, you know, I wear my heart on my sleeve and I'm just who I am. Like when we met. Oh, I remember it was a weekend. And I just got through this very intense emotional process. I, you know, worked Through a lot of this trauma that I was. Had experienced as a kid. And I was just like, kind of like in this altered state. And then I met you, and I. Oh, I remember. And I think that's why we became.
Simon
Yeah, you put it on your sleeve because I just.
Dr. Mark Hyman
I just shared authentically. And. And we just then had this connection, and it was. That's kind of what I'm talking about, is in order to actually create friendship, you have to be open. You have to open your heart.
Simon
I think. I think people sometimes treat and not.
Dr. Mark Hyman
Be afraid of being judged.
Simon
I think people sometimes treat friendships like bad food. Right. So I don't get that. So. So. But here's what I mean. Like. Like, you know, I just had this conversation with a friend of mine just very recently. She's in a relationship and she's afraid of being alone. She knows the relationship isn't perfect. She knows that if she were in a different place in her life, she wouldn't be with this person. But that partner fills a space for her for where she's at. She's more afraid of the loneliness than being in an imperfect relationship.
Dr. Mark Hyman
Yeah.
Simon
And I don't know how healthy that is.
Dr. Mark Hyman
The devil, you know, is better than anyone.
Simon
And she can rationalize it. Like, they go on adventures together and they laugh a lot together, which is all true. But then now as I'm talking to you, it kind of sounds like cake, which is. I know I shouldn't eat this, but it's so tasty and so chocolatey and just so good. And I'll worry about it later. You know, what's another little piece? Just having a little piece of cake. And the goodness. I can enjoy the goodness so much that I can ignore the badness.
Dr. Mark Hyman
Yeah. And we tolerate a lot.
Simon
Tolerate a lot. And, you know, this is one of the downsides of human beings, which is we're incredibly adaptable people. We're incredibly adaptable.
Dr. Mark Hyman
I did that for so many years in relationships. I was like, oh, it's good enough. All this bad stuff, I just rationalize away. And do you often feel tired, tense, or foggy? Magnesium might be the missing link. Most people are low, and standard supplements don't cut it. Magnesium Breakthrough gives you all seven essential forms in one powerful formula. Better sleep, less muscle tension, mental clarity, all with no laxative side effects. Try Magnesium Breakthrough by bioptimizers@bioptimizers.com Hyman for 15% off.
Simon
So how. How do we. Okay, you're a doctor. You know, one of the things I'm taught One of the things that I'm. I'm exploring in this friendship book is how to make friends.
Dr. Mark Hyman
Yeah.
Simon
How to foster friendship. That's the thing I think most of us fall down on. How to navigate tension in friendships and how to end friendships. How to recognize that I really like this chocolate cake, but I think I need to not be in friendship or in relationship with this chocolate cake. And maybe we'll just hang out now and then, you know, because I do have fun with you and I do like you, but this is not healthy. At a certain dose, there's a certain dosage, and I've adopted wholeheartedly, by the way, just as a quick aside, you know, something you say regularly, which is treat sugar like a recreational drug.
Dr. Mark Hyman
That's right.
Simon
I enjoy sugar, but I know to do it just occasionally, you know, it's okay. I read once, and you can affirm whether this is correct or not, that when people stress about eating dessert, the cortisol released from the stress about eating the cake is actually worse for you than the chocolate cake.
Dr. Mark Hyman
It might be. Yeah.
Simon
So if you're going to have a little piece of junk, like, just enjoy it.
Dr. Mark Hyman
Well, you're right, Simon. The greatest pharmacy is the one between your ears. And it can actually kill you or it can heal you, literally. Yeah. I mean, that's how, you know, voodoo works. It's not like they just kind of like put a hex on you and you die. I mean, people actually happens. Yeah. So I think how we think about things matters. So if you want to eat a cookie, eat that cookie and love and just enjoy everybody.
Simon
And treat it like a recreational drug. Just have one, two at the most. You know one of my tricks, there's like a bowl of M and Ms. Yeah. If you take a handful of M&Ms. And throw them in your mouth, that counts as one. That's one mouthful. And then you take another handful and put in your mouth. That's two. But if I have one M and M, that's also one. And if I have another M, that's because you count mouthfuls, not M&Ms.
Dr. Mark Hyman
Yeah.
Simon
And so if you just go from handful to one or two, you drastically reduce the sugar intake. Anyway, but we digress.
Dr. Mark Hyman
How.
Simon
Have you ever. I want to understand the health issues of staying in unhealthy friendships or unhealthy relationships where we know, where we know. And when we're in the dark parts of the night, we'll admit to ourselves out loud, this is not a good relationship. And I shouldn't be in this. But I fear the alone more than the thing that I'm in. Talk about the physiological impact of being in an unhealthy relationship.
Dr. Mark Hyman
Yeah, well, we sort of touched on it before, but when you. When you're in a conflictual relationship, your physiology changes to a state of disease. Cortisol goes up, your inflammatory cytokines go up, your microbiome can change. I mean, a whole series of things happen in your body that make you more sick. And we see this happening. We see people who are in bad relationships just do poorly and get sick more often. And so I think the data is there. It's just really, the question is, how do we navigate a world where friendship is not of value? It just seems like the last thing on the totem pole. And after work, after success, after social media, after whatever else we're doing, exercise, food. It's not something we invest in. And it's a crisis. It's a severe crisis. I mean, I don't probably saw the articles in New York Times about men and friendships, and it was just. It was just so heartbreaking. And for me, it's been a value I've had my whole life, and I've intentionally invested in friendships. When Covid happened, you know, we're all isolated, we're all alone. And September 2020, my wife and I split up. I had just had back surgery. I was alone. It was Covid. And what did I do? I sent an email to my closest men friends, six other men who I, you know, done men's work with, men's retreats with, done medicine journeys with. And I said, hey, guys, like, can we start a little zoom once a week for an hour maybe? And they're like, how about we do two hours every week? And we've been going for it's plus four years now, and it's remarkable to have this container. And what's been interesting to watch is that even though these were all my close friends for 40 years, 30 years, that the depth of our friendship has gotten more profound. The more vulnerable we've gotten, the more we open our hearts, the more we share our fears, the more we share our. Our successes, the more we share whatever is going on in our life doesn't matter. There's always something with one of us. And it's, It's. It's. To me, it's like an anchor. And. And most of us don't have that. And in Okinawa, one of the blue zones, there's something called a moai, which is when you are born, you're stuck Together with like three or four other kids. Babies. And that's your. Basically group for your life. And you.
Simon
Amazing.
Dr. Mark Hyman
Yeah. And you. You're there throughout everything.
Simon
You didn't even pick the friends. I mean, this happens with like the Marine Corps or any boot camp for that matter. You know, these become lifelong friendships because you go through hardship together or in the Israeli army. One of the reasons they're historically been very successful is when you go through boot camp, that's your unit for the rest of you. Yeah, that's for the rest of your military career.
Dr. Mark Hyman
Yeah.
Simon
Is the.
Dr. Mark Hyman
Is the.
Simon
You don't get split up.
Dr. Mark Hyman
Yeah.
Simon
And they. But so what I think is really interesting is these. These friend groups aren't chosen. They're kind of like arranged marriages. Like, you're just thrown together by zip code or by, you know, in the case of babies, like, oh, you're born on the same day, you're friends.
Dr. Mark Hyman
Yeah, exactly.
Simon
Right. And I think what's really interesting about that, which is, you know, sometimes, just like, I think sometimes we overanalyze, you know, who should be a friend? Am I? Is that right?
Dr. Mark Hyman
Well, I mean, listen, we have to.
Simon
I'm trying to think. Maybe I disagree with myself as I'm saying the word.
Dr. Mark Hyman
It depends on the situation. When you're. If you go through with somebody, even if you don't, you don't have all the same background, you can get close, Right? Yeah. And I mean, I was in Haiti. I was thrown to.
Simon
Yeah. Because we know that shared hardship produces cortisol. I mean, shared hardship produces oxytocin.
Dr. Mark Hyman
Yeah.
Simon
So when you go through shared hardship with someone, it creates a bond of. Yeah, it creates bonds. But, but, but now that I think about it, I'm going to go back on what I said, which is I also know friendships and have had friendships where time is the only bond, where we really don't.
Dr. Mark Hyman
That's not enough, though.
Simon
Sometimes we, like we used to grow together, but now, you know, it's sort of grown apart and, you know, we have fun, I guess.
Dr. Mark Hyman
You know, sometimes being a friend is actually calling people out. But in other words, when you see, like if you're growing.
Simon
But I think we stay in friendships unnecessarily simply because. Oh, but we've been friends for 30 years. Like, so what. So what if it's no longer. It's like, you wouldn't stay in a marriage that is. It is dysfunctional just because you've been married.
Dr. Mark Hyman
That's right.
Simon
And yet we seem to have a different standard for like, nobody Says when you say, you know, I've been married to my wife for 25 years, but, you know, we've struggled for a lot of years, and quite frankly, I think we've just decided mutually. You know, it's amicable, but we've decided to call it quits. Nobody says, I think you should stay in the marriage. You've been married for 25 years. Like, I think you. I think you should try and go another 25. But nobody says that.
Dr. Mark Hyman
But part of the friendship.
Simon
But we say that in friendship. Like, how can you end the friendship? You've been friends for 25 years.
Dr. Mark Hyman
Well, you can if it's.
Simon
I'm saying people. It's a different standard. Time becomes the only bond.
Dr. Mark Hyman
It's true. But sometimes when you drift apart or some people change, like if you're changing and you're growing or I was changing, growing and your friend isn't, and you see this sort of hard split happening, you have one or two choices. You can either go, okay, well, we're just moving apart and it was a nice while it lasted, or you can actually kind of go in for kind of a surgical, spiritual surgery. And sometimes it's painful, but I've done this with friends where I've seen them be in bad relationships or be in a job they didn't like or doing things that were contracting their life and becoming smaller when they were expansive, open beings when I knew them earlier. And I had a choice where I was going to just kind of let this happen or was I going to go in for a surgery and I was I going to do a spiritual surgery on this person? And some of those people are open to it. Some of them are not. But, you know, I had to drug them, literally. I had to give him mdma. I had to, like, literally spend hours acid and basically get him to really see how his life extreme contracted. And. And it. He needed that, you know, like, and. And he needed to kind of break the cycle of his pattern of thinking. And now, you know, he's lost 40 pounds, he's out of the relationship. He's free. He's got out of his job. He's, you know, kind of his life. He's exploring his own development. He's growing. He's let go of his fears around money and this and that. I mean, it's what's amazing to see a transformation. But it wouldn't have happened if I hadn't leaned in. Yeah. Yeah.
Simon
I have a friend who sat down with me to give me some life advice.
Dr. Mark Hyman
Yeah.
Simon
And the Conversation started like this. I need to tell you something and you need to hear this. And I need you to know that you're not going to like what I have to tell you, but I love you. He didn't say that. He said, you're not going to like what I have to tell you. And I recognize that you may be so angry with me for telling you this that you might end the friendship with me. And I want you to know that I'm willing to risk our friendship to tell you this because you need to hear it.
Dr. Mark Hyman
Wow. And how did that land for you?
Simon
I mean, he picked the right person because I'm like, yeah, I mean, you're not gonna lose the friendship, but bang, you know, game on.
Dr. Mark Hyman
Right.
Simon
And he gave me something that was very hard to hear that I. That needed to be said. And I love him even more for risking the whole friendship out of love.
Dr. Mark Hyman
Yeah.
Simon
Like he was willing to throw away the friendship because he cared about me so much to tell me this. And so that is, that's a high bar.
Dr. Mark Hyman
I mean, I think that speaks to. I think what's what, you know, he's a remarkable. Defines friendship. In my mind, what defines friendship is the ability to be authentically who you are and to be authentic and transparent with your friend. Just like your friend was. Right.
Simon
I mean, he gave me the whole preamble.
Dr. Mark Hyman
Yeah. And that's, that's a, that's a. It's a very scary thing for people to actually let down their guard. Right. To be open and to risk and, and it's fearful. But. But that's what creates real friendships.
Simon
Yeah, I think so.
Dr. Mark Hyman
That's what creates real friendships.
Simon
Another friend of mine is struggling. I'm like, I'm so attuned to friends these days. Another friend of mine is struggling with one of her friends and she asked herself if I was in a marriage and my marriage or just a romantic relationship. A long term romantic relationship. And the relationship was struggling. We wouldn't just break up, we would get help. We would seek therapy, couples counseling. And so she went to her friend and said, this tension has been going on for too long. We're gonna go to therapy together. Friends therapy.
Dr. Mark Hyman
Yeah.
Simon
And again, why, why do we instinctively understand that if a marriage or a relationship is struggling, that we expect people to at least try to at least try the couples therapy before you call the whole things quit. Before you call the whole thing quits. And yet we don't do that with friendships. When we have tension with friendships, we're quicker to end the Friendship or sit and wear tension or avoid the person than to go to the therapy with the person to try and work through the struggles. We may still end up breaking up, but let's at least put in the effort to rescue this friendship that we claim we care about. Yeah, I love the idea of friendship counseling.
Esther Perel
It used to be that when people came to couples therapy, they came actually for their. They didn't come to couples therapy. They came and slowly we would identify that there was something maybe in the relationship that also was interacting with the challenges that the child was having. Couples therapy really became a discipline of its own in the center that it is today. When the expectations around intimate relationships began to rise. The more we expect from the couple and the more we need couples therapy to help us with those expectations. When the couple was not the central unit of the family, but because the family was more important than the couple. And people stayed together for the family today, not the children and not the family. It really will keep people together. They may keep them a few more years, but ultimately what keeps people together is the quality of the relationship between the two people.
Dr. Mark Hyman
Yeah, right.
Esther Perel
So therefore, couples therapy becomes a much more sought after practice. I don't just do communication. You know, I was thinking, I was editing another podcast session and it's an incredible session. It's the first session of season five that I'm producing now. And they come in and he says, you know, we are both people who like things to be done, who like to do things our way. And I said, that's okay, that's interesting. But what I'm hearing also is that you are two people who like other people to do things your way.
Dr. Mark Hyman
Yeah, that's what they meant. Right.
Esther Perel
So then I asked, you know, on what, how did you learn, you know, to say yes and how did you learn to say no? And he begins to tell me a whole story of how basically his father would continuously belittle him, lecture to him, be contemptuous. We would start with the conversation, son. And then what followed was often berating him for all the things that he wasn't doing right and living up to expectations. And she grows up with a drug addicted mother, father who commits suicide. And she is the adult in the house from that little raises her two children. They say to me at one point, we fight about everything. We don't communicate. And I say, I don't think you fight about everything at all, actually. I think you're fighting about the same thing all the time. The moment he experiences you as saying to him, you're Incompetent. You're not doing it well, you're not doing it right. He is in that original wound of him, of his. And the moment he says, you're not going to tell me what to do, you know, I'm doing it, I'm out of here. And he goes for a break. You think, I'm once again all alone with all the responsibilities and the four children on my shoulders, and I will always be alone and I will never have anybody by my side. And you fight about that original wound. That's what every argument is actually about.
Dr. Mark Hyman
The same story over and over, you.
Esther Perel
Know, and that was so illuminating for them that it wasn't about the chore chart that she had made and it wasn't about the kids and it wasn't about his parents. It was about, you know, I don't want to be inadequate and I don't want to be alone. Those were the themes that each one was really. And then we started to work. So that becomes different than just communicating. How do you say things nicer?
Dr. Mark Hyman
Yeah, yeah. And how do you, how do you get people to kind of move past those really primordial conditionings of childhood? That's. That's the 64,000 dollar question.
Esther Perel
Yes. I think the most important thing is that you teach people two things. Or you, when I say teach, it means you. You help them see two things. You help them separate the past from the present. The fact that this brings back vividly the experience of back then doesn't mean that it is actually what used to happen back then. The past and the present sometimes feel like they come together into one, but they are not. And the second thing is that you then say, at seven you were helpless. At seven you couldn't respond. At seven, you couldn't just leave the house and say, this is dangerous for me to be here. Whereas now you are an adult and you have choices and then you go and you basically help them first of all through the body to separate the past from the present. In this moment I get that tension. Like, I want to start fighting. Like, this man was a master of defiance, you know, but he got all his confidence through defiance, which means that it was pseudo confident. And when she would actually say, go ahead and do things, I'm with you, I support you. Then he would start to talk about all his doubts. He was always sure only when he was in opposition, when he was in a fight, then he knew what he wanted. But when he had some, somebody who was actually loving and giving, then he didn't know what to do with himself. And you go through the body and you track the feeling because a feeling is also embodied, you know, Then you articulate the experience. And then you know what I really did with them? I really had a lot of fun. They had a lot of fun. I said, lay down flat on the floor. And then I said, now continue the argument. Do you know that you can't fight when you're lying flat?
Dr. Mark Hyman
Yeah. Or if you take your clothes off. I think that's another thing I've heard from couples. Everybody take their clothes off. It's hard to have a fight.
Esther Perel
You know, it's like we are meant to fight in straight up position, like battles, you know. So then it opened up a completely different. And it went from the fighting to the act behind the fighting, which is often the fear of loss, which is often, will you leave me? Which will you be there for me, etc. And then you go deeper, deeper, deeper. And that takes some time.
Dr. Mark Hyman
So beautiful. Well, you know, Esther, you've. You've been at the front seat of literally probably hundreds, if not thousands of relationships in ways that most people don't ever have insight into by simply the virtue of your job. Just like I've seen so many people who've been sick, you've seen so many people who've had relationship challenges. So in that, in that perspective, looking, you know, back after decades of doing this, you know, what is, what do you define as the success of relationships day to day? Like, what are the keys to a successful relationship and what are the things that really destroy relationships?
Esther Perel
Yeah. I will start with what destroys.
Dr. Mark Hyman
And I'm taking notes, taking notes.
Esther Perel
I will really refer to the work of John Gottman and John and Julie Gottman here on what destroys them. You know, they have a wonderful way of kind of separating between the masters and the disaster. And they talk about the four horses of apocalypse.
Dr. Mark Hyman
Yeah.
Esther Perel
And basically what will kill relationships is chronic criticism, defensiveness, stonewalling. And the killer of them all is contempt. Because contempt, and this we know also in large scale traumas is contempt is the dehumanizing contempt is whatever you feel or think is irrelevant and doesn't matter. You don't even reach me. So that those, those four horses of apocalypse, I think kind of summarize things well. And once a lot of things.
Dr. Mark Hyman
Defensiveness, criticism, defensiveness and stonewalling, basically shutting it, shutting down. Right. Shutting people out.
Esther Perel
Yes, yes. Being walled off. And contempt, which is basically the, you know, shame is on the. Shame is one side and contempt is. Shame is contempt for oneself. And contempt for the other. It goes in both directions.
Dr. Mark Hyman
Yeah.
Esther Perel
I think when. When I once wanted to write a paper, I wanted to write a paper about what are creative couples? Because we talk about lasting couples, we talk about stable couples, but we rarely talk about what is creative couples or what you may include in successful couples. And what was fascinating is what you said before the majority of people, when I said, do you know couples who have a spark, couples who inspire you? And people would, on occasion, come up with one, maybe two, often none. It was really scary to them because if I said, can you come up with entrepreneurs, with artists, with writers, with intellectuals, People have lists of people that inspire you. But here is everybody wanting to be in a relationship, and not many people, you know, can think about, yeah, I like that. I want to do this. I never wrote the paper. The paper. Because what people ended up saying seemed rather banal to me, as in, that's. I know that. But then I have been sitting on this thing for years thinking, actually, maybe it's not that known. But what they said was this. And that was very interesting. This is not in order. One is admiration, admiration for your partner. It's not respect. It's different. Admiration always implies a level of idealization, is, I look up to you. I admire you for who you are as a person, as a human being, more than just in your role as a partner, as a parent, as a. You know, so that was one big one, two. The relationship is basically a foundation with wings, meaning there's a solid anchor of trust. And that solid anchor of trust interacts with the ability to take risks in life and in the relationship and to be playful. It's what I often have looked at, the combination between or the integration between our need for security and safety and predictability and reliability and our need for change and novelty and exploration and discovery. These two fundamental human needs. I think that the best relationships have a nice balance between what is togetherness and what is separateness. People have their own lives. But before I even continue, I think the best thing to say is this. There is no one size fits all.
Dr. Mark Hyman
It's all. Yeah. Yeah.
Esther Perel
I can't tell you one. It's like you with health. It's not like you have a sense in health that it's an interaction of different parts. Of course, if it is more of this or more of that. You know, some couples have Venn diagrams that are completely overlapping. They do everything together. They spend all their time together, and it works beautifully.
Dr. Mark Hyman
Yeah.
Esther Perel
And some other very creative and successful couples are much more Differentiated. And actually they have a strong core, but with big individual lives, you know, separate. So there is no one size fits all. I really would love that to be actually my opening line to your question. Before I even say, what makes for success? People who feel free in a relationship. That makes for success, for sure. People who feel oppressed or under surveillance or who have to constantly lie or hide or, you know, don't not say what they bought or what is, you know, that kind of stuff. Those are major differences that I would add to the. To the. To the Gottman list. You know, it's a degree of autonomy matched with a deep sense of belonging. These two together is a beautiful dance.
Dr. Mark Hyman
It's beautiful. But I think there's some really practical ways that you talk about, of for people to achieve whatever it is their best relationship is, right? Boundaries, routines, rituals. You know, what are the kinds of things that you help people establish within the relationship to build that foundation, that structure? Because it's not something we know automatically. It's not something we. We actually are taught. How do you help people build those structures in those relationships that help them get to that?
Esther Perel
So it's very interesting. This couple that I was mentioning before were he kind of walled himself off with no needs because he was all alone and there was nobody who could help him anyway. And she is, like, permeated by all these voices. I thought that I had done a rather limited session with them. I really thought. I didn't really reach them. I didn't really go underneath the noise, et cetera. And then I get a letter today that you never know. You never know about how much some of the tiny things that I did that I thought were almost slightly, you know, they were not. Basically, I would say it's one thing to say. How about you tell Esther about this versus shutting your partner up and talking for them? Of course you want to bring something up, but you also want to let them tell their own story. How about when you have a problem or a question about sex or about children, you don't first go to your mother and grandmother. Mother. But you also go first to your partner. And you set a boundary with all the people from your family so that you can create a more sacred space with your partner. The boundary is not always inside the relationship. It's between the relationship and the outside world. How about you are able to make a request that isn't a protest. So say what you need rather than what the other person is or is not doing. Just make a request and stick to that. And adding up These things. Basically, they write to me three weeks later and say, there's been a fundamental shift. We haven't had a single fight. I was able to no longer go and talk to my mother about everything. He feels much more open to me because I'm much less critical with him. And I appreciate his openness. And that makes me more fond of him and that makes him more sexual with me and more expressive of his desire for me. And it becomes the opposite of the escalation in the negative direction is now a kind of escalating. Yeah, the going up in the positive direction. That's the work.
Dr. Mark Hyman
Yeah. It's so powerful. So powerful. One of the things that you've learned after decades of working with couples and relationships that. That are sort of nuggets of wisdom that you would leave people with about that could help them with relationships that they may be struggling with. You know, what are the things that people should anchor to. And of course, there's your book Mating in Captivity and the State of Affairs and your podcast and all that, which is great. People should dive into that in your TED talks. But just wonder if you could kind of distill down, you know, what you've really learned.
Esther Perel
The first thing I would say, and I think I have really, really learned it from, you know, the millions of people that listen to where should we Begin? Is that you're not alone these days. On the one hand, we have unprecedented expectations of our couples lives, but at the same time, we are also in a machine of fake news on social media. So people curate and posture and filter and you kind of don't know where is the truth. You know, when people lived in the village, you hear. You heard the fights of the neighbors and you heard the frolics of the neighbors. Now your best friends can come and tell you that they're breaking up and you never saw it coming.
Dr. Mark Hyman
Yeah.
Esther Perel
Nobody tells you the truth about what goes on in the couple's relationships. And yet. And then you're left thinking, these are everybody's great, they're doing great, and we are alone with our problems. And so I think, really, where should we begin? Showed me that when you listen deeply to the stories of others, you see yourself in front of your own mirror and you don't feel as alone. And you get the tools for the conversations that you want to have. I think that's the first thing I really realized, that this is a unit that doesn't talk. Friends talk to friends. Couples often talk to nobody about what's really going on. They may be struggling with infidelity. They may be struggling with infertility. They may be struggling with bipolarity and mental health issues. They may be struggling with unresolved grief. They may be struggling with economic hardships, with unemployment, with addictions. And they won't talk about it to anybody because they have to present themselves a certain way. And it breaks my heart sometimes to see how alone people are with some of these major, major challenges. So that's the first thing I've really learned, is to make sure that that's part of the game, too, is to give people a tool to make hard conversations less difficult. The second thing that I have really learned is this couple that I was describing where I thought, oh, my God, this is. You know, they really came in to say, we need you to tell us, are we broken? Are we beyond repair? And. And I thought at the end of the session, I thought, I don't know where this is going. And I have been so many times surprised by people where I think, there's not much left here. And then when you change one thing, like this woman, she stopped trying to change him, and she went ahead and took responsibility for her contribution. And she changed a few things about her own behavior. And it just unleashed a cascade of change for the, for the better. And that is a real important piece. Sometimes it looks like everything is over, is interconnected, and it's like impossible heap of nuisance. And yet if you make one shift, it has the power, because systems are interdependent parts, to activate everything else. That's the second thing that is very important. The third thing is that there is a big difference between what you feel inside and how what you experience inside affects the people around you. You may be depressed and feel weak and hopeless and helpless and anhedonic, but when you are in relationship with those who love you, you often wield all the power because you activate everybody around you to try to make you feel better, to give you advice, to try to lift you up. And in the end, they feel defeated and deflated, like you. So power doesn't always come from the top down. Power comes from the bottom up, from places that are not nearly that obvious. I think we really don't understand enough the complex, you know, interplay of power dynamics in relationships. If you want to change the other, change yourself. And maybe the last thing I would say is, beyond most issues that people argue about, there generally are three themes. Control and power. Care and closeness and respect and recognition. Whose priorities matter? Who has the power here? Can I trust you? Do you have my back? And do you value me?
Dr. Mark Hyman
Yeah, those are huge.
Esther Perel
These are the three major themes that many, many couples basically struggle about. But it comes in the forms of talks about sex and money and family and, but that's not the issue. It's not the issue. It's the emotional crucible in which those issues play off.
Dr. Alexandra Solomon
How do we know if we're in a toxic relationship versus a healing relationship? Well, step one is you're in projection. You're not aware of your unintegrated pain, your partner's pain, and you're, you're blaming one another essentially and trying to have that person meet your needs and refusing to meet your own needs, which is a big one. I want you to say all the things.
Dr. Mark Hyman
Yeah, yeah, well that, I think that's the first fallacy relationship, that our partner's job is to meet our needs. That is not their job.
Dr. Alexandra Solomon
Ding, ding.
Dr. Mark Hyman
That's our job. That's our job.
Dr. Alexandra Solomon
Yes, yes. And that points to, which is very useful information. So when we see that in ourselves, we don't have to shame ourselves. We can look at that and go, okay, so for example, me, I had this unmet need in my childhood. So my greatest unmet need from my perspective as a child was that I just needed a safe and stable place. So before I did this healing work, I was running around looking for a man to give me a safe and stable place, but refusing to give it to myself.
Dr. Mark Hyman
Yeah.
Dr. Alexandra Solomon
And that, that was my inner 10 year old running my love life and sex life. And most of us who haven't done any relational healing work have a 10 year old, a 12 year, a 7 year old running our love life and our sex life. Yeah. Which is, I didn't get this need met and I'm going to find someone who reminds me of the person who didn't meet the need. And I'm going to play out my unfinished business with my parents with them and hope that they meet the need even though I'm refusing to meet it myself. So yes, step one, owning your needs, which by the way, actually makes it easier for other people to meet your needs. That's the kind of like mind bending part of that. When you, when you come to someone and you're not saying, I need you to do this or else, and you say, you know, I recognize it's my responsibility, ability to create a safe and stable place for me and I will always be the one to do that for myself. And if I, you know, I always come back to at least aiming to do that for myself. I know it's my responsibility. But can you help me? Different energy, Right? And so moving into a healing relationship is taking ownership of your own work. And then who are the people in your life? Whether it's romantic partners, friends, family members who empower you to do your own work, they can't do it for you, but they can love, support, encourage, and empower you to do your own personal development work, to, as the cliche, become a better person through them loving you, supporting you, and you doing your own work. A toxic relationship is one in which you feel consistently disempowered from doing your healing work.
Dr. Mark Hyman
Yeah, you know, it's interesting. I found a new framework that's really helped me in my current relationship, which has really been extraordinary. And that is, there's me, there's her, there's us, and then there's this third entity, which is the stuff that we bring into the relationship. You know, the traumas, the triggers, the fears that aren't really who we truly are, but are things that we've brought in. And instead of being obstacles, they're opportunities to actually together, hold them outside of the container of the relationship and look at them and be curious about them and explore them without judgment, without fear, or without having to have a certain outcome, but just in an honest, clear and curious way go, hmm, gee, this is coming up for me. And instead of me going, oh, that means you don't like me, or that means blah, blah, blah, it's like, oh, okay, this is interesting. Where is that from? What's that about? You know, how am I showing up? That's creating that. Or where is that place where we can learn about what's driving us and how do we become free from it? It's a very different framework, you know, because I often see people sort of dug in, you know, I'm not meeting. You're not meeting my needs, you're not meeting my needs. It's like. It's like, I'm not going to do what you want me to do until you do what I want to do. And it's like this crazy, weird dynamic that just doesn't get anywhere. And it's. It's like, it's. It's. It's like if you look at love as a container for creating your own spiritual evolution, then it becomes a very different perspective on how to actually be in the relationship. It's not about. It's not about them fixing you or you fixing them. It's about being curious together. About how to evolve together. Yes. And individually.
Dr. Alexandra Solomon
Yes. And what you Just described so beautifully is what we touched on earlier, which is this idea of undifferentiating, unblending from your reaction, but still looking at it and sharing about it. Curiously, one of my good friends, Sadi Simone, is an amazing Buddhist teacher, and he says the quality of your curiosity is the quality of your liberation. And I love that it's what you're saying. It's. Can I create enough space to look at what I'm feeling? Not disassociate from it, not disconnect, not shove it down. No. Have it leak out sideways. But can I just have enough space so we can be curious about what's here and learn how to grow from it and shift from When I win, you lose or vice versa. This win, lose, power struggle. Yep. Into how do we compassionately and creatively get both of our needs met? Takes creativity.
Dr. Mark Hyman
Yeah. Or how do we. How do we actually realize that our happiness isn't really about the other person meeting our needs, but us becoming whole human beings and meeting each other as two whole human beings? In the context of love, it's something we don't really have a model for. I certainly did not have that model for me as a boy. It certainly isn't modeled in our culture. It's certainly modeling books and movies and tv. And so we're kind of flying blind a little bit. And what's really exciting is that there's sort of this emerging consciousness around love and sexuality and redefined what love is. That kind of is exploring a. Don't need a way of thinking about it. I read a book called All About Love by bell hooks who's recently died. A woman who was really insightful talking about the nature of love. And it was great because it kind of taught me that a lot of the ideas, the concepts, the beliefs, the conditioning, the norms are kind of fabricated. And what would love look like if we kind of shed those? And we ask ourselves, you know, what do we want? How do we create a different way of being with someone and. And to use all those opportunities, whether they're triggers or things that cause us to kind of have some physical sensation or body of fear or disconnect as a gift, as an opportunity to look at ourselves and to look at what's happening and to be able to transmute that into a really different way of relating to somebody.
Dr. Alexandra Solomon
Yes. Yes. And we need skills. It's about upskilling. Right. I didn't know about conscious communication.
Esther Perel
Right.
Dr. Alexandra Solomon
I didn't know about regulating my nervous system. I didn't know about being Hijacked by my emotions, my reactions and my triggers, or how to get space from that. Like, that's my aim, is to upskill my clients, right? Not just the somatic healing work, but also to give them and upskill them in relationships, in sex. Like, what are the skills we actually need to succeed? Because. And also this healing relationship, it's not about perfection, but you do want as. As you're. As you're sharing. What is the vision and intention for your relationship? It might look totally different. Is it that you want to spiritually evolve together? Is it that you want to create a safe space to do your own healing, such that your relationship becomes a healing presence for your kids, for your family, for your community? Like, what is the intention of even being with one another? Like, why are you together? So that when you forget, because Lord knows you will, hopefully one of you can remain in your mature adult and can help to empower the other to remember. Why are we here to remember? What is the style of communication we've agreed on? We don't use name calling. We don't use raised voices. I love you, but I won't allow that. That's not within our framework. We have different skills, we have a different intention. And learning how to repair after rupture. Because even if you have all the best intentions me and my husband have, we still. I still act like a petulant child sometimes, and I think, oof, wow, still got work to do, but I have the skills now to repair.
Dr. Mark Hyman
Exactly. Yeah, I think that's right. I think, you know, a lot of us, it's almost like, you know, we wouldn't imagine getting in a car where, you know, everything was unpredictable, where the car would swerve, right, would swerve left, the brakes would slam on the gas, would go forward, you know, it would flip around backwards. I mean, we wouldn't. We'd be terrified. But that's exactly how we navigate emotionally in relationships. It's like some crazy person driving the car, right?
Dr. Alexandra Solomon
You know, and blaming and blaming the other person in the passenger seat for, you know, how it's driving.
Dr. Mark Hyman
Exactly. And so learning how to kind of get a hold of the control. The control switches on our amygdala, which is our ancient. We call it our fight or flight response. But in medicine, we learned they were the four Fs. The feeding, which is our baby, around food, fight or flight. And reproduction. That was the fourth F.
Dr. Alexandra Solomon
I thought you were going to say fawn. Flight, fight, freeze, flight, fawn. But no, I like that. The fourth f. Yes, very important.
Dr. Mark Hyman
And so our behavior really is often triggered by these ancient survival mechanisms that aren't really serving us anymore. Yes. And I'm sort of curious about a lot of these ancient techniques around, you know, embodied sexuality. And there.
Dr. Alexandra Solomon
Yes.
Dr. Mark Hyman
There's more and more talk about it. There's more courses that people can take. You know, there's things that actually help people discover that. And I'm. I'm super curious about it and exploring it myself. And I think that, you know, it's. It's sort of almost criminal that we don't have a cultural narrative of how to get through these challenging aspects of love, relationship and sexuality. And that's why your work is so important. Sort of gives people a roadmap, you know, to figure things out which. Which really we don't have a language for, we don't have a framework for. And yet. And yet it exists. I mean, it's been there throughout historical cultures, whether it's Tantra or other ways of thinking about love, relationship healing, the mind perception, Buddhism, all of it. I think a friend of mine wrote, Susan Paiv wrote the Four Noble Truths of Love. It's all about how do we get out of this sort of projection of our conditioning, our trauma, our lineages, and bring that into relationship and actually start to heal that. That's really what seems like the work that we have to do. Because right now we're in such a divisive society. There's so much conflict, you know, not just in relationship, in love relationships, in family relationships, but in society as a whole. I mean, it's just sort of staggering to me, the amount of conflict. I mean, there always was, I guess, throughout history, but it just seems to be ramped up and polarized more than I've ever known. I mean, America didn't seem to be two Americas before, and now it seems to be completely two Americas, which is so tragic.
Dr. Alexandra Solomon
Yeah. I mean, Ken Wilbur, who I mentioned earlier, describes expansion of consciousness as the ability to expand what we are aware of and care for. So to both be aware of and caring of. And I think that for me, that looks like. And what I see people learn how to do through the somatic healing work is holding more complexity with care that I can make a mistake, I can hurt myself or someone else, and I can still be a good human being. I'm still worthy of love. I'm still. I can have a really period of low. Of depression and be overcome with sadness, and I'm still valuable. I still have value. There's this complexity, this Ability to hold more with more care. And I think if we each were able to do that on an individual level, we'd be able to hold more complex human beings in front. In front of us. That people can say something you don't like and still be worthy of love and belonging. People can have a different opinion to you and still be worthy of your time and connection, you know?
Dr. Mark Hyman
Yeah, it's so true. I mean, I deal with all sorts of people as a doctor. I can't choose who comes in my office. I can't choose what they believe, what their religious beliefs are, their political beliefs. And at the end of the day, everybody's a human being. And that's where I start. And, and, you know, I, you know, I remember one day my office had a Muslim, a Christian, a rabbi. I had a top Republican, a top Democrat. It was like the United nations of medicine or something. And I was like, you know what? This is also crazy. We're all just struggling with the same things. We all care about the same things. We all want to be happy. We all want our families to be good. We all want to live in a better world. I mean, we all have different views of how to get there, for sure, but I think that, that. That our common humanity has been forgotten. And, and that just really breaks my heart. And it seems to me that your work is really about getting connected to your own humanity and your own.
Dr. Alexandra Solomon
Yes.
Dr. Mark Hyman
Center of the universe where you're actually an embodied human that's looked at yourself carefully, that's healed the things that need to be healed, that. That's learned how to love yourself and others in a more integrated way. It's. It's the most important work we have to do. I. I remember reading a quote. I can't remember the exact one from Dalai Lama, but essentially it's like, we want to heal the world. We have to start with ourselves, you know, And I think it may seem like a narcissistic pursuit, but it really isn't. If we don't take care of ourselves, we can't be there in the world to show up for others, you know, And I think that's what it's all about.
Dr. Alexandra Solomon
Yeah. And the body doesn't discriminate. You know, your body, if whatever mistakes you make, you know, your body's just striving. Even when, even when we're sick, the body's always striving to try and deal with the toxins and the stress and everything, to try and create homeostasis. It's like our body doesn't discriminate. And what's so beautiful about the body is it's always right here, right now. Your body is never anywhere else but right here, right now. And that's what I really love about this powerful path of body based healing. And I think that when we get in touch with our body, we do become more present. And when we're connected, connected to our body, I believe we're connected to the gift of getting to be alive of you, this moment, this body, this life, exactly as it is right now. And that's for me has been the most profound pathway or gateway into better sex and liberation and truly allowing myself to be seen by my husband, which I found excruciatingly vulnerable.
Esther Perel
Right.
Dr. Alexandra Solomon
I knew how to do the fourth F, but did I know how to make love, how to be seen? No. That took me learning and developing and it helped better relationships. Learning how to love my darkness and still say, wow, okay, that was not kind. Or I lost my temper there and I'm still worthy of love and belonging to take responsibility for and then that allows me to do it with other people. I look okay, wow, that person lost their temper. They didn't feel good. Okay, they're still worthy. Can we repair? So it's like all of this work internally that does bleed outward and that is your really tangible. That's what I love about the body too is you have an experience of it. It's not just ideology, it's not just concept. You feel it in your own way through your own lens, whether it's spiritual or religious or secular. And then you have that experience and no one or nothing can take it from you.
Dr. Mark Hyman
When it comes to supplements, you only want the best for your body. The kind with the highest quality, cleanest and most potent ingredients you can get. That's exactly what you'll find at my supplement store where I've hand selected each and every product to meet the most rigorous standards for safety, purity and effectiveness.
Esther Perel
Effectiveness.
Dr. Mark Hyman
These are the only supplements I recommend to my patients and they're also what I use myself. Whether you want to optimize longevity or reduce your disease risk or you're looking to improve your sleep, blood sugar, metabolism, gut health, you name it. Dr. Hyman.com has the world's best selection of top quality premium supplements, all backed by science and expertly vetted by me, Dr. Mark Hyman. So check out Dr.hyman.com because when it comes to your health, nothing less than the very best will do. That's Dr. Hyman.com d r h y m-n.com if you love this podcast, please share it with someone else you think would also enjoy it. You can find me on all social media channels at Dr. Mark Hyman. Please reach out. I'd love to hear your comments and questions. Don't forget to rate, review and subscribe to the Dr. Hyman show wherever you get your podcasts. And don't forget to check out my YouTube channel at Dr. Mark Hyman for video versions of this podcast and more. Thank you so much again for tuning in and we'll see you next time on the Dr. Hyman Show. This podcast is separate from my clinical practice at the Ultra Wellness center, my work at Cleveland Clinic, and Function Health where I am Chief Medical Officer. This podcast represents my opinions and my guests opinions. Neither myself nor the podcast endorses the views or statements of my guests. This podcast is for educational purposes only and is not a substitute for professional care by a doctor or other qualified medical professional. This podcast is provided with the understanding that it does not constitute medical or other professional advice or services. If you're looking for help in your journey, please seek out a qualified medical practitioner. And if you're looking for a functional medicine practitioner, visit my clinic, the Ultra Wellness center at ultrawellnesscenter.com and request to become a patient. It's important to have someone in your corner who is a trained, licensed healthcare practitioner and can help you make changes, especially when it comes to your health. This podcast is free as part of my mission to bring practical ways of improving health to the public public. So I'd like to express gratitude to sponsors that made today's podcast possible. Thanks so much again for listening.
The Dr. Hyman Show | Host: Dr. Mark Hyman
Guests: Simon Sinek, Esther Perel, Dr. Alexandra Solomon
Original Air Date: August 18, 2025
This episode delves deep into the intersection of health, relationships, and personal growth. Dr. Mark Hyman, joined by Simon Sinek, Esther Perel, and Dr. Alexandra Solomon, explores the physiological and emotional impacts of relationships—highlighting how connection can heal and isolation can harm, not only psychologically but biologically. The conversation navigates friendship, trauma, community, attachment, and actionable strategies for building healthier relationships at every level.
Dr. Hyman illuminates how negative relationships don't just "feel bad" but actually drive physiological disease.
“[In a conflictual relationship] your physiology changes to a state of disease. Cortisol goes up, your inflammatory cytokines go up… a whole series of things happen in your body that make you more sick.”
– Dr. Mark Hyman (01:00)
The importance of authentic human connection is shown in scientific studies—brain and heart rhythms sync up during genuine interaction, and in animal models, isolation leads to illness and early death.
Simon: “Like fight or flight kind of stuff?”
Dr. Hyman: “Not fight or flight, just… you turn on inflammatory genes that then increase cytokines… and that cause disease.”
“...we put a program together through the small groups… And they lost together a quarter million pounds in the first year and they did it together.”
– Dr. Mark Hyman (05:17)
Dr. Hyman: "It was a place where I could say and be and do anything... it was the first person who loved me who didn’t have to love me... And that friendship for me has been like an anchor in my life throughout all the troubles and tribulations and successes and diseases.”
Simon suggests the deepest friendships are often measured not just by who we call in crisis, but who we share our greatest joys with:
Friendship takes intentionality: Making inventories, investing, being authentic, and putting oneself out there are essential.
Dr. Hyman: “In order to actually create friendship, you have to be open. You have to open your heart.” (13:55)
Dr. Hyman: "When you're in a conflictual relationship, your physiology changes to a state of disease…"
Discussion of arranged or “forced” communal bonds (Okinawa, boot camp, AA, etc.) and how shared adversity builds genuine connections.
Importance of growth: Friendships rooted only in time, not growth or challenge, may fade without true connection or honesty.
Simon: “I want you to know I’m willing to risk our friendship to tell you this because you need to hear it.” (25:30)
Simon: “We may still end up breaking up, but let's at least put in the effort to rescue this friendship that we claim we care about.”
Perel discusses the fundamental reasons relationships succeed or fail, referencing the Gottmans’ Four Horsemen of the Apocalypse:
Criticism, Defensiveness, Stonewalling, and Contempt.
Key ingredients of lasting couples: Admiration, balanced autonomy and belonging, ritual, and shared intention—but notes there’s no “one size fits all.”
Practical structures: Boundaries, clear requests (not protests), sacred space for the relationship, and open, direct communication.
Conversations turn to trauma, projection, and healing.
Solomon advocates for upskilling relationship skills: conscious communication, emotional regulation, repairing after rupture, and having clear shared intentions or rituals in relationships.
Collective work: Healing relationships requires shifting from a win/lose mindset to growth and curiosity together.
Connection to societal healing: Expansion of individual consciousness leads to greater compassion and acceptance in the wider world.
Dr. Hyman: "Our common humanity has been forgotten... we all want to be happy. We all want our families to be good. We all want to live in a better world."
“We get healthy together or we get sick together.”
— Dr. Hyman (06:20)
“The number of people I would call with good news is actually smaller than the number I would call with bad news.”
— Simon (12:38)
“When you’re in a conflictual relationship, your physiology changes to a state of disease.”
— Dr. Hyman (01:00, 18:59)
“The killer of them all is contempt.”
— Esther Perel (35:31)
“Our partner's job is not to meet our needs. That is not their job.”
— Dr. Alexandra Solomon (49:05)
“If you want to change the other, change yourself.”
— Esther Perel (47:53)
This episode offers an integrated mind-body approach to understanding how every relationship is both a source of healing and potential harm—at every level from genes to society. The takeaway is clear: prioritizing authentic connection, doing individual healing work, and rethinking the role of community are not luxuries, but essential medicine for both our personal and collective future.
Recommended Action:
Listeners are encouraged to take an active inventory of their friendships, invest in genuine connection, practice vulnerability, and consider communal or therapeutic support—not just for romantic partnerships but for all significant relationships in their lives.
For more details or links to the work of the guests, see Dr. Hyman’s podcast show notes.