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Dr Daniel Amen23 June 2025

The 11 Risk Factors That Are Destroying Your Brain - Dr Daniel Amen - #958

4Frameworks
18Insights

Frameworks in this episode

Insights & moments

The myth-busts, hot takes, explainers, and tools worth keeping.

Myth Buster· 3

Myth Buster18:00

ADHD isn't one disorder — and stimulants can make it worse

Amen argues all psychiatric illnesses have multiple types. Classic ADHD shows low prefrontal cortex activity that drops further on concentration, but a 'ring of fire' type shows high activity, and giving those people stimulants makes them worse eight times out of ten.

  • Classic ADHD: low prefrontal, cerebellum and basal ganglia activity
  • 'Ring of fire' type shows high activity, not low
  • Stimulants worsen the ring-of-fire type 8 out of 10 times
  • An elimination diet removed ADHD symptoms in 70% of 300 Dutch kids

one I'm famous for called the ring of fire where they don't have low activity in their brain. They have high activity

Dr. Daniel Amen · 19:00

eight times out of 10, if you give this person a stimulant, you make them worse.

Dr. Daniel Amen · 19:00
#adhd#stimulants#diagnosis#diet
Myth Buster29:00

General anesthesia is not as innocuous as you think

Amen warns that a single dose of general anesthesia raises dementia risk in adults and ADD and learning-disability risk in children, with coronary bypass the worst. He learned it when a sober patient developed a toxic-looking Alzheimer's brain after a knee replacement.

  • Kids given general anesthesia have higher rates of ADD and learning disabilities
  • Adults have higher dementia risk from a single dose
  • Coronary artery bypass surgery is the worst offender
  • MRI contrast agent gadolinium is a metal that sticks around — skip it when you can

Adults who have general anesthesia have a higher incidence of dementia from a single dose.

Dr. Daniel Amen · 29:30
#anesthesia#surgery#toxins#gadolinium
Myth Buster1:08:00

Watching the news can traumatize you more than being there

Chris cites a Boston Marathon bombing study where people who watched two-plus hours of coverage showed more PTSD signs than people actually at the event. Amen argues outlets manufacture 'breaking news' to hold attention and sell products, and that outrage is deliberately engineered.

  • Two hours of bombing coverage produced more PTSD signs than being at the event
  • Endless 'breaking news' is an attention-capture tactic
  • Negativity is bad for the brain and designed to hook you
  • Amen had patients turn suicidal after a presidential election

the people that watched two hours of news showed more signs of post-traumatic stress disorder than the people who were actually there

Chris Williamson · 1:08:30
#news#media#ptsd#attention

Hot Take· 3

Hot Take16:30

Brain envy: the motivation that actually changes behavior

After seeing his own unhealthy scan next to his mother's beautiful one at 93, Amen coined 'brain envy' — wanting a better brain the way people want a better body. Because you can't see your brain, nobody cares for it; showing patients their scan creates the desire to change.

  • Amen's mother at 93 knows 55 grandchildren's names and birthdays — her brain reflected her life
  • People act on visible wrinkles and belly fat but ignore the invisible brain
  • Seeing your scan creates the want for a better brain
  • 'Freud was wrong — penis envy isn't the problem, brain envy is the solution'

nobody cares about their brain because you can't see it

Dr. Daniel Amen · 16:30

I've came up with this term called brain envy... You want to want a better brain.

Dr. Daniel Amen · 17:30
#motivation#brain envy#behavior change
Hot Take1:00:30

The protocol to deliberately destroy a healthy brain

Asked how he'd design the worst possible brain, Amen runs BRIGHT MINDS in reverse: no movement, constant alcohol, marijuana and caffeine, no new learning, no flossing, a processed-food diet, head injuries, starting the day with the news, and staying up late on murder shows. It doubles as a checklist of what to avoid.

  • Keep them sedentary with video games and easy access to alcohol and weed
  • Ban new learning — Netflix only, no documentaries
  • Feed processed food, skip flossing and vitamin D checks
  • Start the day with the news: news-watchers are 27% less happy in the afternoon

if I was an evil ruler and I wanted to create mental illness, what would I do?

Dr. Daniel Amen · 1:01:00

people who watch the news are 27% less happy in the afternoon if they start the day with the news.

Dr. Daniel Amen · 1:02:00
#brain health#inversion#habits#news
Hot Take1:39:30

Why fame is potentially lethal for the brain

Amen says the celebrities he scans are regular people whose dopamine has been worn out, and that constant adoration is a skill few can manage. Even the world's most famous people carry the thought 'I'm not enough' — but respond dramatically well when given brain tools.

  • Fame wears out dopamine and is 'potentially lethal for the brain'
  • The most famous people still believe 'I'm not enough'
  • They improve dramatically when given brain-health tools
  • Khloe Kardashian's follow-up scan improved after a bad car accident

they're like regular people except their dopamine has been worn out. That fame is potentially lethal for the brain.

Dr. Daniel Amen · 1:39:30
#fame#dopamine#celebrity#self-worth

Explainer· 8

Explainer00:30

Why 'brain health' beats 'mental health' as a frame

Amen argues most psychiatric problems are brain-health issues, not mental-health issues, and that psychiatry is the only medical field that rarely looks at the organ it treats. Reframing patients as brains rather than 'mental' elevates them and turns a soft science into a hard one backed by scan data.

  • The brain is hardware, the mind is software — bad hardware means software never runs right
  • Calling someone 'mental' shames them; calling them a 'brain' elevates them
  • Psychiatry's outcomes are no better than the 1950s
  • Imaging turns opaque internal states into data you can act on

When you call someone mental, you shame them. When you call them a brain, you elevate them.

Dr. Daniel Amen · 01:30

it's the only medical profession that virtually never looks at the organ it treats

Dr. Daniel Amen · 01:00
#brain health#psychiatry#reframe#neuroscience
Explainer03:30

What SPECT brain scans actually reveal

Amen's clinics hold nearly a quarter-million SPECT scans, which measure brain function rather than structure. A SPECT scan tells you three things: whether an area shows good activity, too little, or too much — most psychiatric problems being functional rather than structural.

  • SPECT looks at how the brain works, not just its structure like MRI or CT
  • It flags healthy, underactive or overactive regions
  • Scanning Kendall Jenner post-COVID showed inflammation in her anxiety centers
  • Most psychiatric problems are functional, not structural

spec basically tells us three things. good activity, too little or too much.

Dr. Daniel Amen · 04:00
#spect#brain imaging#diagnostics
Explainer10:30

What alcohol and marijuana do to the brain on scans

Amen's imaging study of a thousand marijuana users — the largest ever — found lower blood flow and activity in every area of the brain, making it look older than it is. Alcohol shows the same aging effect, and teen marijuana use raises later risk of anxiety, depression, suicide and psychosis.

  • Marijuana lowers blood flow and activity across the whole brain
  • Teen users have higher risk of anxiety, depression, suicide and psychosis in their 20s
  • Alcohol makes the brain look older than its owner
  • Using cannabis to self-treat anxiety predisposes you to more anxiety later

Every area of the brain is lower in blood flow and activity. makes your brain look older than you are.

Dr. Daniel Amen · 11:00

the salveve that some people are using acutely to try and treat a symptom is predisposing them to more of that symptom

Chris Williamson · 12:30
#marijuana#alcohol#addiction#brain aging
Explainer20:30

Why gluten and dairy work on your brain's opiate centers

Amen explains that gluten mixed with stomach acid produces gluteomorphins and dairy casein produces casomorphins, both acting on the brain's opiate centers. That's why comfort foods like pizza feel good but can leave you foggy — and why some people think clearer without them.

  • Gluten becomes gluteomorphins; dairy casein becomes casomorphins
  • Both act on opiate centers, turning brain activity down
  • Some people are far more vulnerable than others
  • An autistic child gained 50 words the week after cutting gluten and dairy

gluten in your stomach mixed with stomach acid turns into something called glutomorphins which work on the opiate centers in your brain

Dr. Daniel Amen · 21:00

I love that, but it doesn't love me back.

Dr. Daniel Amen · 22:00
#gluten#dairy#diet#brain fog
Explainer41:30

How infections like Lyme and PANDAS trigger mental illness

Amen maps schizophrenia hotspots onto Lyme disease hotspots and finds them identical, arguing infections cause some psychiatric illness. He shares a teen misdiagnosed as schizophrenic who recovered on antibiotics for Lyme, and explains PANDAS, where strep antibodies attack the brain to create sudden OCD.

  • US schizophrenia and Lyme disease maps overlap almost exactly
  • A 16-year-old diagnosed schizophrenic actually had Lyme and recovered on antibiotics
  • PANDAS: strep antibodies attack the brain and cause new-onset OCD
  • Herpes, cytomegalovirus, COVID and syphilis can all affect thinking

If you overlay that map with the highest incidence of Lyme disease, they're identical.

Dr. Daniel Amen · 42:00
#lyme#pandas#infection#schizophrenia#ocd
Explainer34:30

Adverse childhood experiences rewire the brain for negativity

Amen's study of 7,500 patients shows adverse childhood experiences leave a lasting mark: a score of 4+ raises risk of seven of the top ten causes of death, and 7+ means dying 20 years earlier. Chronic stress makes the emotional brain hyperactive, wiring in a permanent negativity bias.

  • ACE score of 4+ raises risk of 7 of the top 10 causes of death
  • Score of 7+ correlates with dying 20 years earlier
  • Chronic stress makes the emotional brain hypervigilant for threat
  • Trauma-shaped brains recognise negative faces faster than positive ones

people who score seven or more die 20 years earlier.

Dr. Daniel Amen · 35:00

it's the brain you bring into trauma, physical or emotional, that determines the brain that comes out of trauma

Dr. Daniel Amen · 38:00
#ace#childhood trauma#negativity bias#cortisol
Explainer55:00

Why moving your eyes back and forth calms trauma

Amen champions EMDR — eye movement desensitization and reprocessing — where recalling a trauma while moving the eyes laterally gets the hemispheres working together and calms the overactive trauma circuit. He published a study on police shooting survivors who calmed after about eight sessions.

  • The eyes are the only part of the brain uncovered — 'the brain extruded out through the face'
  • Lateral eye movement unlocks left-right hemisphere cooperation
  • Police officers in shootings calmed after an average of 8 sessions
  • Francine Shapiro discovered the effect while walking and looking side to side

your eyes are really your brain extruded out through the front of the face.

Dr. Daniel Amen · 56:30
#emdr#trauma#ptsd#therapy
Explainer1:15:00

What 46,000 scans reveal about male and female brains

Amen's study of 46,000 brains found women have better frontal-lobe function — part of why they go to jail 14 times less than men — but busier emotional brains that drive rumination and double the depression risk. Women also have 52% less serotonin and a larger hippocampus.

  • Women have healthier frontal lobes and go to jail 14x less than men
  • Women's busier limbic systems drive rumination and 2x depression risk
  • Women have 52% less serotonin than men
  • Men have lower prefrontal function and are diagnosed with ADD 5x more

women have much better frontal lobe function which is why they go to jail 14 times less than men do.

Dr. Daniel Amen · 1:15:30
#sex differences#brain scans#serotonin#depression

Story· 2

Story40:00

Aspartame made mice anxious — and their grandchildren too

Amen cites a study where aspartame made mice anxious and passed that anxiety to their babies and grandbabies, now that it sits in 5,000 products. His own aspartame habit caused arthritis that vanished when he quit and flared when he retested it.

  • Aspartame made mice anxious across three generations
  • It's now in around 5,000 products
  • Amen's arthritis disappeared when he quit diet soda
  • A single re-test caused a huge flare — 'breaking up with diet soda'

it made the mice anxious, but it also made their babies anxious and their grandbabies anxious.

Dr. Daniel Amen · 40:30
#aspartame#anxiety#epigenetics#diet soda
Story1:25:30

The failing couple Amen saved by scanning their brains

After nine months failing with a warring couple, Amen scanned them: she had a hyperactive anterior cingulate ('a PhD in grudge-holding'), he had low frontal lobes. Prozac for her, Ritalin for him — a month later they reconciled, and 33 years on they're still married without therapy.

  • Her overactive anterior cingulate gyrus made her loop and hold grudges
  • His low frontal lobes made him impulsive and cruel
  • Prozac calms the cingulate; Ritalin lifted his frontal function
  • 33 years later they're still married, off the original meds, on supplements

The woman has a PhD in grudgeolding. She's beating things from 15 years ago. She just like loops.

Dr. Daniel Amen · 1:27:00
#marriage#brain scans#relationships#anterior cingulate

Tool· 2

Tool1:12:30

Saffron and the supplements that rival antidepressants

Amen names saffron as his favorite mood supplement, citing 26 randomized trials showing it matches antidepressants with virtually no side effects, plus a 192-study review of 17,000 patients where saffron came out best. Zinc and curcumin boost antidepressant effectiveness; omega-3s help mood, memory and pain.

  • Saffron matched antidepressants in 26 RCTs with near-zero side effects
  • In a 192-study, 17,000-patient review, saffron came out best alone
  • Zinc and curcumin added to antidepressants boost their effectiveness
  • Theanine from green tea reduces anxiety and improves focus

saffron... has been shown in 26 randomized controlled trials to be equally effective as anti-depressants with fewer to virtually no side effects.

Dr. Daniel Amen · 1:13:00
#saffron#supplements#depression#omega-3
Tool1:20:30

How normalizing vitamin D killed Amen's food chatter

Amen recounts testing his own vitamin D at 17 (low) despite living in sunny Southern California. When he raised it to a high-normal 80, his persistent appetite and 'food chatter' disappeared, and he lost weight he'd struggled with — an example of one biomarker affecting people in unpredictable ways.

  • Normal vitamin D is between 30 and 100
  • People over 40 have half the cancer risk of those under 20
  • Amen's food chatter vanished once his level hit 80
  • The same low level might cause depression or low energy in someone else

it was the food chatter always the food chatter just went away because my vitamin D level was normal.

Dr. Daniel Amen · 1:21:00
#vitamin d#appetite#biomarkers#weight