When neurologist and sleep specialist Dr. Chris Winter sees adult patients in his sleep clinic, they often come to him because of a struggle with insomnia, which, as he described in a previous appearance on the AoM podcast, is caused by stressing too much about sleep, so that going to bed becomes an anxious and fear-inducing routine that sabotages the natural needs and rhythms of the sleep cycle.

Chris would see fewer adult patients like this if, when they were kids, their parents set them up to have a healthy relationship with sleep.

Set Your Kids Up for a Lifetime of Healthy Sleep

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If you read most first aid guides, the last step in treating someone who’s gotten injured or sick is always: get the victim to professional medical help.

But what if you found yourself in a situation where hospitals were overcrowded, inaccessible, or non-functional? What if you found yourself in a grid-down, long-term disaster, and you were the highest medical resource available?

Dr. Joe Alton is an expert in what would come after the step where most first aid guides leave off. He’s a retired surgeon and the co-author of The Survival Medicine Handbook: The Essential Guide for When Help is NOT on the Way. Today on the show, Joe argues that every family should have a medical asset and how to prepare to be a civilian medic. We discuss the different levels of first aid kits to consider creating, from an individual kit all the way up to a community field hospital. And we talk about the health-related skills you might need in a long-term grid-down disaster, from burying a dead body, to closing a wound with super glue, to making an improvised dental filling, to even protecting yourself from the radiation of nuclear fallout.

Grid-Down Medicine — A Guide for When Help Is NOT on the Way

Over the last decade, there's been an increase in the number of people, particularly young adults, who struggle with low moods, distractibility, and anxiety and consequent difficulties with getting their life on track and making progress in work, friendship, and romance.

In addressing these difficulties, people are often given or adopt a mental health diagnosis, and look for a solution in therapy and/or medication.

My guest isn't opposed to these remedies. She is herself a clinical psychologist who's maintained a practice for a quarter century that specializes in treating clients in their twenties. But Dr. Meg Jay, who's also the author of The Twentysomething Treatment, believes that a lot of what young adults, and in fact adults of all ages, struggle with, aren't disorders that need to be treated, but problems that can be solved.

In the first half of our conversation, Meg explains what's behind the decline in mental health for young adults and how it's bigger than just smartphones. We discuss the dangers of self-diagnosis, the potential downsides of using medications to treat mental health issues, and why she advocates for "skills over pills." In the second half of our conversation, we talk about how mental health gets better when we get better at life, and what skills twentysomethings, and many older adults, need to develop, including the skills of thinking, feeling, working, socializing, and even cooking. We also discuss how porn is affecting the young men in her practice and an alternative to being a self-assurance junkie.

Skills Over Pills

When we think of rituals, we tend to think of big, inherited, more occasional religious or cultural ceremonies like church services, holidays, weddings, and funerals. But as my guest observes, we also engage in small, self-made, everyday rituals that help us turn life's more mundane moments into more meaningful ones.

In the The Ritual Effect: From Habit to Ritual, Harness the Surprising Power of Everyday Actions, psychologist and Harvard Business School professor Michael Norton explores the way our DIY rituals shape, and enhance, our lives. We take up that survey on today's show. Michael explains the difference between a habit and a ritual and how individuals and families create unique "ritual signatures" even within more standard rituals like holidays. We discuss the different areas of life in which rituals show up and what they do for us, including how they help us cope with uncertainty, savor life, and connect to the past. We get into the function DIY rituals perform in romantic relationships, from deepening intimacy to facilitating a break-up, the role that "kinkeepers" play in keeping a family together, the tricky business of combining family traditions when people get married, how to know when a family tradition should be retired, and much more.

The Power of Everyday Rituals to Shape and Enhance Our Lives

Millions of young adults know what it's like to graduate from college with student debt. For some, it's a frustrating annoyance. For others, it's a worry-inducing burden. For Ken Ilgunas, it was a dragon in need of slaying and a pathway to adventure.

Ken is the author of Walden on Wheels: On the Open Road from Debt to Freedom, and today on the show, he shares the story of how his quest to erase his debt led him to the Arctic Circle and through the peaks and valleys of living a totally unshackled life. Ken explains why he went to Alaska to work as a truckstop burger flipper and park ranger to pay off his student debt, what it's like to hitchhike across the country, how reading Thoreau's Walden got him questioning how we live our lives, and how that inspiration led him to living in his van while attending grad school at Duke. Along the way, Ken shares his meditations on nonconformity, engaging in romantic pursuits, and the benefits of both de-institutionalizing and re-institutionalizing your life.

Walden on Wheels — A Man, a Debt, and an American Adventure

Jake Knapp loves tech. He grew up using Apple II and then Mac computers, browsing bulletin boards, and making his own games. As an adult, he worked at Microsoft on the Encarta CD-ROM, before being hired by Google, where he worked on Gmail, co-founded Google Meet, and created Google Ventures' Design Sprint process. Today, he's a venture capitalist and consultant for start-ups, as well as a writer.

But, if Jake was an early adopter and booster of the upsides of technology, he was also early in sensing its not-so-positive side effects. Twelve years ago, unhappy with the pull his smartphone was exerting on him, he decided to curb its distractions. He continues to use this distraction-free phone today.

Today on the show, I talk to Jake about what motivated him to change his relationship with his phone over a decade ago and what steps he took to do so, including how and why he lives life without a web browser or email app on his phone. We get into what realizations about work and life Jake's gotten from having a distraction-free phone, why he doesn't think using tools like Screen Time or a dumbphone are always the best solutions to reducing the phone itch, and how he also cuts down on distractions on his desktop computer.

Set Your Kids Up for a Lifetime of Healthy Sleep

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