
Child Attachment Expert: We're Stressing Newborns & It's Causing ADHD! Hidden Dangers Of Daycare!
What this covers
Erica Komisar is a clinical social worker, psychoanalyst, and parent guidance expert with over 30 years of private practice experience. She is the author of books such as, ‘Chicken Little the Sky Isn't Falling: Raising Resilient Adolescents in the New Age of Anxiety’.
00:00 Intro 02:16 Erica's Mission 05:17 Erica's Background 08:26 Who Are Erica's Patients? 09:49 How Have Social Changes Influenced Parenting? 13:14 Is the Role of a Mother More Important Than That of a Father? 16:44 Why Are Fathers Important From a Biological Level? 21:07 Is Guilt a Bad Thing? 23:34 Erica's Unpopular Ideas About Parenting 25:31 Family Diaspora: Raising Children Without Extended Family 27:45 Can Raising Children Away From Extended Family Be Justified? 28:44 Voluntary Childlessness 29:39 Attachment Disorders 33:54 How Do Attachment Disorders Manifest in Adulthood? 35:08 Choosing a Partner Based on Attachment Styles 36:34 Predicting Relationship Success Based on Attachment Styles 38:07 Does Having More Children Correlate With Neglect? 39:33 Decline in Birth Rates 41:36 What Is Unique About Relationships With Your Own Children? 43:25 What Contributes to Growing Infertility Among People? 46:59 How Did Erica Manage to Balance Work and Motherhood? 49:02 Should Fathers Be the Stay-at-Home Parent? 51:32 Harlow's Study on Rhesus Monkeys 53:52 The Challenge of Motherhood in Poor Socioeconomic Conditions 57:50 Does More Paid Leave Equal Better Childcare? 59:24 Connection Between Upbringing and Success in Adult Life 01:01:54 Ads 01:02:59 ADHD: Why Has It Risen So Much in the Past Decade? 01:08:06 ADHD Kids Are in Hypervigilant Stress Mode 01:10:05 We're Medicating ADHD Wrong 01:11:50 The Top Stressors We're Exposing Our Children To 01:13:54 Is ADHD Hereditary? 01:17:18 Can MRI Scans Spot ADHD? 01:19:15 What's Wrong With Medicating Children? 01:22:06 What Actually Is Anxiety? 01:23:40 The Link Between Stress and ADHD 01:24:47 What to Do if a Kid Screams in a Supermarket 01:28:19 The Different Types of Trauma 01:31:49 Stressful States 01:35:08 Same-Sex Couples Taking Roles 01:36:46 What Happens When Women Are the Primary Breadwinners? 01:41:15 What Should Career-Driven Mothers Do? 01:44:33 Not Everyone Can Do This Stuff 01:47:49 Children Don't Need Other Kids Until the Age of 3 01:49:25 Ads 01:51:23 What's So Important at 3 Years Old? 01:57:57 Can I Repair My Trauma and Brain Past My 30s? 02:01:08 Our Pain and Trauma Are Rooted in Childhood 02:04:58 Is "Daddy Issues" a Thing? 02:08:58 Are We Taking Men's Purpose Away? 02:13:06 Men's Testosterone Drops When They Become Fathers 02:15:28 What Happens When Men Become the Primary Caregiver? 02:18:46 Should We Split Schools Into Genders? 02:21:35 Testosterone Decrease 02:23:36 Raising Healthy Kids in a World of Technology 02:27:10 The Importance of Being Present With Your Child 02:28:12 What Should Employers Do? 02:29:47 Do You Realise How Controversial the Things You Say Are? 02:30:26 The Reason All of This Is So Personal to You 02:33:22 What Does Your Obituary Say?
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You can purchase Erica’s books: ‘Chicken Little the Sky Isn't Falling: Raising Resilient Adolescents in the New Age of Anxiety’, here: https://amzn.to/41CKbWd
'Being There: Why Prioritizing Motherhood in the First Three Years Matters' - https://www.amazon.com/Being-There-Prioritizing-Motherhood-Matters/dp/0143109294
Erica also launched her newly initiative Attachment Circles, a platform aimed to create community and educate primary caregivers on the importance of attachment security, particularly in years 0-3. You can find out more, here: https://g2ul0.app.link/OPtiA4a8lRb
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Erica Komisar argues that the mental health crisis in children stems from parental absence and lack of emotional attachment in early childhood (0-3 years), not from genetic or neurological deficits, and that society's prioritization of careers over presence is causing preventable psychological damage.
- One in five children develops serious mental illness (anxiety, depression, ADHD, behavioral problems) because mothers are not physically and emotionally present in the critical 0-3 year window when 85% of the right brain develops
- ADHD is a stress response caused by early separation from primary attachment figures and amygdala hyperactivation, not a disorder requiring medication—treating it with stimulants is 'malpractice' that masks underlying attachment trauma
- Attachment security formed through maternal presence in the first three years is the foundation for all future mental health, and this cannot be delegated to daycare or substituted with 'quality time' without causing attachment disorders (avoidant, ambivalent, disorganized)
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ADHD, depression, and anxiety are not primary genetic disorders but rather stress responses rooted in insecure attachment and environmental stressors; while there is a sensitivity gene (short allele on the serotonin receptor) that predisposes children to mental illness, sensitive and present parenting in the first year neutralizes the expression of this gene through epigenetics, whereas neglectful parenting exacerbates it.
“There is no genetic precursor to mental illness. There is no genetic precursor to ADHD. There is no genetic precursor to depression and no genetic precursor to anxiety... What they did find is a genetic tie to something called the sensitivity gene. It's a short allele on the serotonin receptor... if those children who are born with that gene for sensitivity are provided with emotionally and physically present attachment security in the first year, it neutralizes the expression of that gene.”
ADHD is not a disorder but a stress response: when children are under stress, they go into fight-or-flight, activating the amygdala (the stress-regulating part of the brain). If the amygdala is activated too early and too intensely, it grows large and then burns out, becoming non-functional for life.
“So, when our children are under stress, they go into fight or flight. So, one of the first signs that a child is under stress that they cannot manage is when they become aggressive in school. They hit, they bite, they throw chairs. Um they have trouble, you know, socially in daycare or preschool or even in school. Or they become distracted, which is the flight part of fight or flight.”
Mothers are critical for sensitive empathic nurturing in infants and toddlers, while fathers have a different but equally important role—they are playful tactile stimulators who help children regulate excitement and aggression through roughhousing and risk-taking, roles that are biologically determined by nurturing hormones (oxytocin in mothers, vasopressin in fathers).
“mothers um are really important for what we call sensitive empathic nurturing when children are infants and toddlers. That means that when children are in distress, mothers soothe babies and therefore regulate their emotions from moment to moment... fathers also produce oxytocin, but it has a different effect on their brain... it makes them more what we call playful tactile stimulators of babies... Throwing the baby up in the air and tickling the baby and running after the baby and roughhousing.”
One in five children will not leave childhood without developing a serious mental illness including anxiety, depression, ADHD, and behavioral problems, with rates of one in six in the UK and similar rates globally.
“One in five children will not leave childhood without developing a serious mental illness. Anxiety, depression, ADHD, behavioral problems.”
Infertility has multiple contributing factors including environmental toxins, stress (affecting both male and female fertility), delayed childbearing (aging eggs and sperm), and companies offering to freeze eggs for young female employees with the promise of later parenthood—which is deceptive because egg freezing does not guarantee fertility; many women who freeze eggs later cannot achieve pregnancy.
“We're lying to women. And to men. We're telling them, 'Freeze your eggs.' In fact, this is a little disturbing. I'll tell you about this. That law firms now are um paying for the freezing of their young female associates' eggs... saying, 'Freeze your eggs. Work really hard for us. Yeah, you can have children later.' And the truth is a lot of them can't. Because when you freeze eggs, it's not a guarantee of fertility. It's not a guarantee that those eggs will turn into embryos. It's not a guarantee that those embryos will turn into babies.”
Educational system favors girls' learning styles over boys': boys have shorter attention spans and need frequent physical activity, while girls can sit longer in circle time; boys' schools with multiple recess periods better accommodate boys' developmental needs, but mainstream schools marginalize and misdiagnose boys as ADHD.
“Another myth is you can do everything all at the same time and do it well. Myth. That's a big myth. You can't...The good news is life is long...Um and so what that means is you have many, many, many, many, many, many years to have a fabulous career when your children don't need you so much, but you have a very small window to create that emotional security for your children.”
The 'sensitivity gene' (short allele on the serotonin receptor gene) makes children more sensitive to stress and more prone to mental illness; however, if those children receive emotionally and physically present attachment security in the first year, it neutralizes the expression of that gene through epigenetics.
“What they did find is a genetic tie to something called the sensitivity gene. It's a short allele on the serotonin receptor. And serotonin, as we know, is used to regulate happy emotions, to regulate emotions, right? So, when you have a short allele, it means that you have a harder time picking up the serotonin, but it also means that you are more sensitive to stress. Now, those children who are born with this gene, this short allele on the serotonin receptor gene, they are more prone to mental illness later on because of that sensitivity to stress.”
If you miss the 0-3 critical window, you get a second chance in adolescence, but it requires being present in a different way (being available when the door opens on the adolescent's terms, not forcing connection); repair is possible because the brain is plastic.
“If you miss that window, it's not the end of the world because you can a word that we use is to repair. You can repair a lot of the damage. But to repair the damage, you can't go back to sort of like going to a confessional if you're Catholic...if you're going to repair, it means that whatever happens between you and your child, you're trying to be a better parent.”
Daycare is bad for children's brains and has been known to increase aggression, behavioral problems, and attachment disorders because babies need their mothers in the first three years for emotional security.
“There's some myths that really have to be debunked about how to raise a healthy child. And the first is daycare is good for children for socialization. No, it is so bad for their brain. And it's been known to increase aggression, behavioral problems, attachment disorders because babies need their mothers in the first 3 years for emotional security.”
Quality time is a narcissistic fantasy; parents cannot substitute brief, intentional moments for sustained presence because children need their caregivers on the child's schedule, not the parent's schedule, and emotional presence requires physical presence—you cannot be emotionally present if you're not physically there enough of the time.
“Quality versus quantity time. Myth. You need to be there a quality of time as well as a quantity of time. You can't have a fabulous career and then come home and be present for your child on your time. It needs to be on their time.”
Little boys need substantially different education than little girls in early years: boys have shorter attention spans and require frequent physical activity (ideally boys' schools have 4 recess periods per day), while girls have greater capacity to sit quietly and focus; the educational system currently favors girls' learning styles and labels active boys as having ADHD or behavioral problems when they are simply being developmentally normal boys.
“The educational system favors the way girls learn, not the way boys learn. How do boys learn? Boys have attention spans for very short periods of time and then they need lots of physical activity. So, ideally, if you go to and look at the boys' schools, what do they do? They run the boys like running the dogs in the park. They sit for 45 minutes or half an hour, but then the boys get time off to run around.”
Technology raises dopamine levels in adolescent brains approximately 10 times more than in adult brains because adolescents lack regulatory maturity; this extreme dopamine surge causes addiction, activates the amygdala (triggering stress and fear), and social media in particular exploits adolescent girls' self-consciousness and perfectionism, trapping them in a hypervigilant stress state that leads to anxiety, depression, and self-harm.
“there was some research to show that technology raises the dopamine in an adolescent's brain tenfold to that of of So, in other words, it would be like if you smoked a joint, it would, you know, make you high. If an adolescent smoked the same joint, it would make them 10 times higher... the prefrontal cortex is the part of the brain that regulates emotions, and it's not fully developed till about 25. So, all that dopamine that has to be regulated is more easily regulated in an adult than an adolescent.”
Longitudinal attachment research shows that children who are insecurely attached at 12 months of age are insecurely attached 20 years later in 80% of cases and suffer from mental disorders; conversely, securely attached infants remain securely attached 20 years later and do well, demonstrating that early attachment is a predictor of lifelong mental health.
“the longitudinal attachment research shows that children who are insecurely attached at 12 months of age, 20 years later are insecurely 80% of them are are insecurely attached and suffer from mental disorders. That's what the longitudinal attachment research says. So, we now have decades of basically children were followed from when they were infants. And the ones who were securely attached, 20 years later are still securely attached and doing great. And the ones who were insecurely attached, most still insecurely attached and it's tied and correlated to all of these mental illness conditions, right?”
The Rhesus Monkey wire mother study showed that baby monkeys given only a wire mother became neurotic and clingy, those given nothing lost their minds, and those with a live nurturing mother became securely attached and emotionally healthy, demonstrating that physical contact, responsiveness, and emotional presence are non-negotiable for healthy development.
“They took these baby rhesus monkeys and they they let some be with the mothers and the mothers nurtured those babies and those babies became healthily attached and secure and those were the healthy emotionally healthy babies. Then they gave um another subset of monkeys um a wire mother covered with a piece of cloth or fur or something. And those babies became very neurotic, but at least they were clinging. They became like the ambivalent attachment babies because there was no response from the mother, but at least they were holding on to this mother. And then they gave and these babies became very neurotic and then they gave this subset of babies nothing. And those babies literally lost their minds.”
Rapprochement (emotional refueling) is a developmental process where children, once securely attached, feel safe to explore and take risks; they toddle away but then look back for the parent's reassurance and return for physical contact before venturing out again; this is how children develop courage and resilience—through having a secure touchstone they can return to.
“There's something called um rapprochement, which is emotional refueling. So, when children start to explore, when you've given them emotional security, and they feel so secure that you're going to be there, then they start to take chances, they start to take risks, they start to toddle off. That's the where the word toddler came from. They toddle away, but guess what they do for emotional security? They look back, and they say, 'Oh, she's there. It's okay.' And then they keep playing. Or, they run back and get a hug, and then they run off again. You are their touchstone of security. And that's how children become courageous. That's how they develop the ability to explore and still feel secure.”
Oedipal development (ages 3-6) involves all little boys romantically 'falling in love' with their mothers and wanting fathers to 'get lost,' and all little girls wanting to be 'daddy's princess' and wanting mothers gone; fathers must be secure enough not to react with jealousy or rejection; if the opposite-sex parent is absent or emotionally unavailable during this period, it creates a lasting wound and predisposes children (particularly girls) to seek that missing connection in adult romantic relationships.
“There's something called Oedipal development, which is sexual development. It's really relational development, but it's sexual development, which is that all little boys fall in love romantically with their mothers and want to marry them. So, all little boys say, 'I want to marry you, Mommy. Daddy, get lost.' It's sort of like that. And all little girls want to be daddy's little princess and marry daddy and want Mommy to get lost.”
One in five children will not leave childhood without developing a serious mental illness including anxiety, depression, ADHD, and behavioral problems.
“One in five children will not leave childhood without developing a serious mental illness. Anxiety, depression, ADHD, behavioral problems.”
Michael Meany's licking and grooming study showed that animals whose mothers licked and groomed them became more resilient to stress, and this resilience passed down generationally; animals not licked and groomed did not pass on resilience or the desire to have offspring.
“There is a researcher named Michael Meany. He did a study on licking and grooming. Animals who lick and groom their young, meaning are nurturing skin-to-skin, lick and groom. Uh in human terms, that would be holding, touching, loving, skin-to-skin. Those uh if if a mother licked and groomed her young, that baby would become more resilient to stress in the future. The babies who were not licked and groomed by their mothers become became less resilient to stress in the future. In addition, the babies who were more resilient to stress because their mothers had licked and groomed them passed down generationally the ability to lick and groom the next generation. What happened to the babies who weren't licked and groomed? Guess what happened? They didn't pass it down. Right. And that's what's happening to humans today.”
The feminist and 'me' movements of the 1960s onwards had the unintended consequence of abandoning children's irreducible neurological and emotional needs; while women's liberation was positive in raising women's status, it also denigrated men and took away the primary purpose of both genders (women's purpose as nurturers, men's purpose as protectors/providers), which is causing mental health crises in both men and children.
“the turn that society took that that I think has a lot to do with what's happening today is the me movement of the '60s and also the feminist movement. Both of those movements which had a tremendously positive impact on society in one way also had a tremendously negative impact on society. When women decided that it was cool to go to work and to work full-time out of the home, you know, everybody cheered and said, 'Great, you know, women have the same rights as men and now everybody can be in the workforce and be independent and make money and do their own thing. Me, me, me, me, me.' The problem is that children were dropped. They were abandoned.”
There is an inverse relationship between oxytocin and testosterone: high oxytocin (associated with nurturing) suppresses testosterone; when men engage in caregiving, their testosterone drops significantly, which affects sexual function, motivation, and mood, because evolutionarily males are primed for mating/protection (high testosterone) not nurturing (high oxytocin).
“There's an inverse relationship between oxytocin and testosterone. The higher the oxytocin, guess what? The lower the testosterone. Yes. So, if we're staying at home bonding... So, mammals, when they are nurturing their young, they don't want somebody mating with them. Go away, right? So, the idea is that when a female nurtures, she doesn't want to have sex. She doesn't want to, right? So, the investment in nurturing pushes away the investment in mating.”
Certain high-demand careers (e.g., investment banking, law, CEO roles) are inherently incompatible with being a primary attachment figure because they require extensive travel, missing daily life events, and inability to be present on the child's schedule; while women can have successful careers, they must choose between the kind of work they do and the kind of parent they become.
“there are certain careers that are harder to be a good mother. Period. I'm saying that, I know it's a harsh talk, but there it is. There are certain careers that are too demanding to be present for your children... You think if you're a father who's a CEO who's traveling around the world and misses your children's birthday and misses your children's soccer games and misses your children's piano concerts and isn't there to pick them up at school or have breakfast with them or have dinner at the end of the day, you think that child is going to have a healthy relationship with that parent?”
Daycare is bad for children's brains because it increases aggression, behavioral problems, and attachment disorders by forcing babies away from their primary attachment figure (usually the mother) before they are neurologically and emotionally ready.
“No, it is so bad for their brain. And it's been known to increase aggression, behavioral problems, attachment disorders because babies need their mothers in the first 3 years for emotional security.”
Mothers and fathers are not interchangeable because their nurturing hormones dictate different evolutionary roles: mothers produce oxytocin that makes them sensitive empathic nurturers who regulate sadness and fear, while fathers produce oxytocin that makes them playful tactile stimulators who regulate aggression and encourage exploration.
“So, mothers um are really important for what we call sensitive empathic nurturing when children are infants and toddlers. That means that when children are in distress, mothers soothe babies and therefore regulate their emotions from moment to moment. Every time a mother soothes a baby uh with skin-to-skin contact and eye contact and the soothing tone of her voice, she's leaning into that baby's pain and she is regulating that baby's emotions.”
ADHD medications like stimulants can cause growth issues, panic attacks, anxiety disorders, and depression; while they can be life-saving in some cases, they are over-prescribed as performance drugs for normal stress responses rather than as a last resort after investigating the root causes.
“Stimulants...can cause great anxiety, they can cause panic attacks in adolescents, uh they can cause growth issues. So, uh I have patients who come to me, young men who didn't grow because they were put on stimulants when they were young.”
Having children is inherently stressful, frustrating, and sleep-depriving for the first 5+ years; this should be part of the honest job description alongside joy and enrichment; parents who expect parenting to be easy or who cannot tolerate this level of discomfort are not adequately prepared for the role.
“I'm going to say it right now so everybody can hear it who's watching this. Having children is stressful. It is frustrating. It does require that you are sleepless for the first 5 years. It requires that you can tolerate a lot of discomfort and frustration. So, if there was a job description, first it would say the most joyful uh enriching thing you can do in your entire life. But, what comes with that to foster healthy development is frustration, lack of sleep, stress, uh discomfort.”
The hippocampus is the 'off switch' for the stress response (amygdala is the 'on switch'); in children with ADHD/behavioral problems, the amygdala is overactive and enlarged while the hippocampus is small, resulting in a state of 'gas no brakes'—the stress response activates but cannot be turned off.
“the brain has an on switch and an off switch. The on switch to stress is the amygdala, the hippocampus is the off switch... What we're seeing in children's brains is that the amygdala is growing very precociously large and the hippocampus, which is the off switch, is very small. So, we have this problem. As we say, Houston, we have a problem. We have an on switch going full speed, gas no brakes, and no off switch.”
Maternal depletion syndrome is a real condition where mothers with too many children in short succession become physically and emotionally depleted, potentially to the point of death in developing countries; this acknowledges biological limits to parenting capacity and supports setting realistic expectations about family size.
“Well, there's something in the developing world called maternal depletion syndrome, which is that mothers can actually die in the developing world of having too many children in too short a period of time. Uh they get depleted physically, but they also get depleted emotionally.”
In adult attachment patterns, avoidant individuals struggle to form meaningful and deep connections, fear commitment, and have difficulty trusting intimacy; ambivalent individuals are highly anxious, clingy, and suffocate their partners with excessive need; disorganized individuals are emotionally volatile, angry, and engage in self-harm; these patterns are not fate but can be healed through corrective relationships (therapy or healthy partners).
“avoidant An avoidant attachment disorder would be someone who um can't form meaningful and deep connections, can't commit, has difficulty committing, has difficulty trusting in the intimacy and the the depth of intimacy in a relationship.”
Before having children, people should look deeply at their own upbringing, losses, and early traumas to understand and repair them; otherwise, they risk creating generational transmission of attachment disorders, mental illness, and unresolved trauma patterns to their own children.
“I do think that if you're going to have children then you need to look deeply at your own upbringing and your own losses and your own early traumas before you bring them into this world so you can repair whatever it is you need to repair and not uh create what we call generational expression of things like attachment disorders and mental illness”
By three years of age, 85% of the right brain is developed, making this the most critical period for emotional regulation and attachment security; during this window, parental presence changes the architecture of the child's brain through neurogenesis (growth of cells), and every interaction involving skin-to-skin contact, eye contact, and soothing creates millions of synapses.
“by 3 years of age, 85% of the right brain is developed. And by 3 years of age, babies can then start to internalize the ability to regulate their own emotions.”
Narcissistic parenting—projecting one's own needs, desires, and identity onto children and architecting their lives—is abusive; when parents see their child as a mini-me rather than as an authentic individual, they risk losing the child emotionally; successful children of controlling parents often have terrible personal lives, may be narcissistic themselves, or develop other mental health problems.
“When we project our needs and desires and likes and who we are onto our children, we're not letting them authentically be themselves. The greatest gift you can give your child is to see your child as an authentic individual who is an individual and themselves and not to see them as a mini-me. Um when you start architecting their life, there's a good chance you're going to lose that child emotionally at some point. They're either going to hate you, they're They may be successful in their careers. They may have terrible personal lives. They may be narcissistic parents themselves.”
An emotionally regulated, healthy parent is someone with authentic self-esteem (not grandiosity) who feels good about themselves, knows their strengths and limitations, can regulate their own emotions (staying calm in storms, neither too high nor too low), and is sensitive and empathic as a nurturer; such a parent produces healthier children than one who is anxious, defensive, or emotionally dysregulated.
“A healthy parent is a parent who feels good about themselves who has authentically good self-esteem not grandiosity but really feels good about themselves knows their strengths and limitations and overall as a whole person feels good about themselves. Um they have the capacity to regulate their emotions to keep their emotions from going too high and too low. Remember Mhm. sailing in the Caribbean meaning they can stay calm in a storm. Um is sensitive and empathic as a nurturer.”
Couples should prepare for the reality that having a baby will transform both partners, potentially changing their career ambitions, relationship dynamics, and priorities; they should strategize in advance about how to accommodate these changes rather than promising that 'nothing will change,' which sets them up for resentment and conflict.
“young people is they promise each other, they make promises to each other that they probably should not make. Do not promise your spouse that nothing will change when you have a baby. Say to your spouse, let's prepare for everything to change.”
When responding to a child's emotional needs (e.g., wanting candy, having a tantrum), parents should always first acknowledge and mirror the child's feelings before setting structure; the 'broken record' technique involves repeating empathy and the boundary: 'I see you're really upset, but the answer is still no'; this validates the child while maintaining the limit, and is more effective than simply saying 'no' without empathic recognition.
“before you discipline you always want to be empathic first. So, I always say that that if you are going to discipline a child, first you have to recognize how they feel... Acknowledge your child's feelings. So, I would turn to my child and say, 'You want sweets, so you're hungry.' Yeah, you can say, 'I can see that you really want that packet of sweets. I can see how hard it is cuz you really want it, but you know you can't have it before dinner.'”
The brain pruning process that occurs in adolescence (9-25 years) requires parental presence to shape which cells are pruned and which are kept; parents who are absent and unavailable during adolescence cannot guide this critical developmental process, leaving teenagers without inner resources to cope with adolescent adversity.
“Now, adolescence comes, 9 to 25. And now you have to prune back the garden because if you don't prune back the cells you don't need, it's as damaging to the brain as if you didn't grow them to begin with. So, in these two critical windows, the environment dictates do the cells grow? Do they get pruned?”
Oxytocin (the love hormone) is protective against cortisol (the stress hormone); when a mother nurtures with sensitive empathic care, it raises oxytocin in the baby's brain, which protects the baby from cortisol and its damaging effects.
“There is a a hormone called oxytocin. It's the love hormone. And it is protective against cortisol. The more a mother nurtures with sensitive empathic nurturing, meaning when the baby cries, the mother goes, 'Oh, sweetheart. You know, let me see the boo-boo. Let me kiss the boo-boo.' That actually raises the oxytocin in the baby's brain, which then protects the baby from cortisol.”
Sensitive empathic parenting means empathizing with the child's feelings before setting boundaries (the broken record technique: empathize, set structure, repeat); parents who go straight to 'no' without empathy make children feel unseen and dissatisfied.
“Before you discipline you always want to be empathic first. So, I always say that that if you are going to discipline a child, first you have to recognize how they feel...When you recognize a child's feelings, if they're sad, you mirror their sadness. If they're angry, you say, 'I can see you're angry.' If they're happy, you look happy with them. That kind of reflection is the way that your child knows that you acknowledge them.”
A healthy parent has three characteristics: (1) feels good about themselves with authentic self-esteem, (2) can regulate their emotions and stay calm in a storm (sailing in the Caribbean, not the Atlantic), and (3) is sensitive and empathic as a nurturer. An emotionally regulated parent produces a healthy child.
“So what is a healthy parent? A healthy parent is a parent who feels good about themselves who has authentically good self-esteem not grandiosity but really feels good about themselves knows their strengths and limitations and overall as a whole person feels good about themselves. Um they have the capacity to regulate their emotions to keep their emotions from going too high and too low. Remember Mhm. sailing in the Caribbean meaning they can stay calm in a storm. Um is sensitive and empathic as a nurturer. These are signs of health in a in a parent. So if my kid says I want that pack of sweets and I go you you you can't have that pack of sweets. Well, first you have to so before you discipline you always want to be empathic first.”
Children do not need 'socialization' through daycare before age 3; they need one-on-one attachment security. After 3, parallel play transitions to real interaction, and then preschool is beneficial; before 3, playdates with parental supervision are better than institutional daycare.
“Children don't need other kids until the age of three. They do something called parallel play. What they need is one-on-one connection. They need attachment security, and they need their emotional needs met by one person, one-on-one. Um after three, then the beginning of preschool, then they start to actually interact with one another. Until then, they're not playing together. They're just doing parallel play. So, that's another myth. The myth that daycare is good for children for socialization. No, children don't need socialization before three, unless their mother's with them.”
Rapprochement is the emotional refueling process: securely attached children explore the world but repeatedly look back to the parent for reassurance; this is how they become courageous and develop healthy separation, not through being pushed away or left alone.
“There's something called um rapprochement, which is emotional refueling. So, when children start to explore, when you've given them emotional security, and they feel so secure that you're going to be there, then they start to take chances, they start to take risks, they start to toddle off. That's the where the word toddler came from. They toddle away, but guess what they do for emotional security? They look back, and they say, 'Oh, she's there. It's okay.' And then they keep playing. Or, they run back and get a hug, and then they run off again. You are their touchstone of security. And that's how children become courageous.”
Oedipal development (ages 3-6) is a relational/sexual development where boys fall in love with mothers and girls with fathers; if the opposite-sex parent is absent or emotionally unavailable, the child misses this formative romantic relationship, creating a 'missing piece' that shapes adult attachment patterns.
“There's something called Oedipal development, which is sexual development. It's really relational development, but it's sexual development, which is that all little boys fall in love romantically with their mothers and want to marry them. So, all little boys say, 'I want to marry you, Mommy. Daddy, get lost.' It's sort of like that. And all little girls want to be daddy's little princess and marry daddy and want Mommy to get lost. And it's this period of about oh, three to six.”
Between 18-24, nearly 31% of men report no sexual activity in the past year (doubling over 18 years); men account for ~80% of suicides in the US; men feel hopeless, worthless, and lack purpose. Modern society has denigrated men while raising women, creating gender imbalance.
“There's been increased sexual inactivity amongst young men...It's risen to almost 31% of men between the ages of 18 and 24 reporting no sexual activity in the past year. So, that's almost doubled in a in about the space of 18 years.”
A Philippine longitudinal study (N=624, 5 years) found that newly partnered fathers had a 30% decrease in morning testosterone and 35% in evening testosterone; fathers spending 3+ hours daily in childcare had lower testosterone than less-involved fathers; co-sleeping with children further lowered testosterone.
“There was a longitudinal study done in the Philippines that followed 624 men over almost 5 years and found that those who became fathers experienced a significant decline in testosterone levels. Specifically, newly partnered fathers had a medium decrease of almost 30% in morning testosterone and 35% in evening testosterone, which was significantly greater than the declines observed in single non-fathers. Moreover, fathers who reported spending three or more hours daily in child care had lower testosterone levels compared to those less involved in caregiving. And there's also an impact on co-sleeping, where research indicates that fathers who co-sleep with their children exhibit lower testosterone levels than those who do not.”
Technology (especially social media) raises dopamine tenfold higher in adolescents than adults because adolescent brains lack regulatory capacity; this creates addiction, activates the amygdala (stress response), and puts girls particularly into hyper-vigilant states of perfectionism and self-consciousness.
“Technology raises dopamine levels in your brain, which is why adults get addicted to it, too. It's very addictive. Um and the problem is that with adults when you have when you look at technology, it does raise your dopamine, but um there were there was some research to show that technology raises the dopamine in an adolescent's brain tenfold to that of of So, in other words, it would be like if you smoked a joint, it would, you know, make you high. If an adolescent smoked the same joint, it would make them 10 times higher.”
American Pediatric Association recommends no technology under age 2; after age 2, technology should be heavily regulated; watching Mr. Rogers together with a 2-year-old is acceptable, but iPhones and iPads should not be used.
“I think it's the American Pediatric Association says no technology under the age of two for good reason. No iPhones, no iPads, right? Um you want to sit and watch a Mr. Rogers when your baby is two together, a rerun of Mr. Rogers' Neighborhood, that's fine, but no technology.”
Parents project onto their children the desire to be exceptional rather than allowing children to authentically develop, and this narcissistic projection manifests as micro-management of children's development, leading to emotional distance and potential resentment when children realize they are being constructed rather than supported.
“narcissism is abusive to children. When we project our needs and desires and likes and who we are onto our children, we're not letting them authentically be themselves. The greatest gift you can give your child is to see your child as an authentic individual who is an individual and themselves and not to see them as a mini-me.”
Defenses are psychological strategies that protect people and should not be removed by therapists unless they can be replaced with healthier alternatives; defensiveness is a sign of trauma and should be met with curiosity rather than judgment.
“Defenses are important. Defenses protect us. So, and people also have a misunderstanding of what therapy is about. The kind of therapy I'm a psychoanalyst. So, we don't People think you go to therapy and they take your defenses away from you. I would never take someone's defenses away unless I could help them to replace them with healthier defenses. So, what we do is an exchange. Like, you don't take your foot off a landmine unless you have a really big rock to put in its place, right?”
Birth rates in developed countries are falling dramatically (EU: 3.8 million births in 2022 vs. ~7.6 million 60 years ago; France: 670,000 in 2023 vs. 830,000 in 2010); this is worse than economic decline in births because it reflects that society doesn't see value in childrearing and deep relationships.
“The European Union witnessed only 3.8 million births in 2022, nearly half the number recorded six decades ago, marking one of the lowest birth rates in history. France, for example, known for its robust family policies has seen a decrease from 830,000 children born in 2010 to just 670,000 in 2023, the lowest since World War II.”
Children with 4 or more ACEs (Adverse Childhood Experiences) have nearly 4x the risk of parent-reported ADHD compared to children with no ACEs; additionally, socioeconomic hardship increases ADHD risk by 40%, parental divorce by 35%, familial mental illness by 55%, and neighborhood violence by 50%.
“Children with an A score, which is the trauma bit score, where I think it goes up to 10 different sort of questions, with an A score of four or more, so four experiences of trauma or more, have nearly four times, which is 400% more chance of having parent-reported ADHD compared to children with no ACEs.”
By age 3, 85% of the right brain is developed; this critical period (0-3 years) is when the primary caregiver's presence changes the neurological architecture of the child's brain through neurogenesis (cell growth), and this period is more important than presence later in childhood.
“By 3 years of age, 85% of the right brain is developed. And by 3 years of age, babies can then start to internalize the ability to regulate their own emotions.”
The three types of insecure attachment disorders are: avoidant (child turns away from returning parent, correlated with later depression and difficulty forming attachments), ambivalent (child clings desperately because they fear abandonment again, correlated with anxiety), and disorganized (child cycles through multiple strategies with no consistent strategy, hardest to treat, correlated with borderline personality disorder).
“When a parent comes when the primary attachment figure, usually the mother, comes home and the baby turns away from you and turns toward the babysitter or just turns away. That baby has the beginning of what's called an avoidant attachment disorder. Now, that's correlated later on with things like depression and difficulty forming attachments later on.”
Maternal depletion syndrome exists in developing countries where mothers have too many children in short succession and become depleted physically and emotionally; this illustrates that parenting, while joyful and enriching, is fundamentally stressful and requires tolerance of sleep deprivation, frustration, and discomfort.
“There's something in the developing world called maternal depletion syndrome, which is that mothers can actually die in the developing world of having too many children in too short a period of time. Uh they get depleted physically, but they also get depleted emotionally. I'm going to say it right now so everybody can hear it who's watching this. Having children is stressful. It is frustrating. It does require that you are sleepless for the first 5 years.”
Young men are experiencing a mental health and existential crisis: 31% of men aged 18-24 report no sexual activity in the past year (nearly doubled over ~18 years); men account for nearly 80% of suicides in the US; men report feelings of hopelessness and worthlessness and struggle to find meaning and purpose, partly because society has taken away their evolutionary roles (protection, provision) without replacement.
“there's been increased sexual inactivity amongst young men, which is an interesting stat. It's risen to almost 31% of men between the ages of 18 and 24 reporting no sexual activity in the past year... Men account for nearly 80% of all suicides in the US... an increasing amount of men feel hopeless and worthless... struggling with finding meaning and purpose in the world.”
Breastfeeding and skin-to-skin contact are not arbitrary cultural practices but biological necessities for infants; they are how mothers regulate babies' nervous systems, establish oxytocin protection against stress, and create the conditions for secure attachment.
“In men, don't breastfeed. So, that's the first thing. Unless you can show me a man who has grown breasts and can actually breastfeed, maybe it's coming. I don't know. But for now, um women's bodies connect them to their babies. They connect them through birth. They connect them through breastfeeding.”
The birth rate decline in developed countries (EU: 3.8 million births in 2022 vs. ~7 million six decades ago; France: 670,000 in 2023 vs. 830,000 in 2010, lowest since WWII) is not primarily about economics but about a cultural shift where people no longer see value in raising children and having deep familial relationships as a priority.
“The European Union witnessed only 3.8 million births in 2022, nearly half the number recorded six decades ago, marking one of the lowest birth rates in history. France, for example, known for its robust family policies has seen a decrease from 830,000 children born in 2010 to just 670,000 in 2023, the lowest since World War II.”
There are two types of trauma: Big T (concrete, severe events like abuse, death, rape, accident) and little t (nuanced, relational, often invisible—subtle neglect, emotionally absent parents, not feeling heard or understood); little t trauma is more common than Big T trauma and is the root cause of most depression, anxiety, and ADHD in therapy populations, but society doesn't recognize little t as legitimate trauma.
“There's something called big T trauma, right? Big T traumas like I was in a car accident and I lost my legs or you know, I lost my parents, you know, my mother died of brain cancer or my my father was an alcoholic and beat me or you know, there's there are things that are more concrete that you can like hold on to... But believe it or not, probably fewer people suffer from big T trauma and more people suffer from little T trauma. And little T trauma is more nuanced... I was subtly neglected by my mother. My mother wasn't a good listener. My mother loved me but she my father loved me but he never understood me.”
Life is long (humans may live well over 100 years); there is a small window in which children need intensive parental presence (0-3 years especially), but many decades afterwards in which parents can pursue careers and personal ambitions; delaying career ambitions to be present in the critical window is a rational trade-off, not a sacrifice.
“The good news is life is long. You may live till 120 like Moses and I think of your generation, you're younger than me, but um I think you probably will live well over 100. Um and so what that means is you have many, many, many, many, many, many years to have a fabulous career when your children don't need you so much, but you have a very small window to create that emotional security for your children that will be the core of them.”
Women's educational attainment now exceeds men's (60%+ of university and graduate students are women), but women marry at or above their educational level while men marry at or below theirs; this creates a mismatch where highly educated women cannot find partners at their level, partly because men have been systematically diminished educationally and professionally.
“I think 60% of universities are women now, as well as graduate schools. And so that means and the studies show that men will marry at their educational level or below. Women will only marry at their educational level or above. And by diminishing men so much in terms of our education and professions, we've basically taken men's purpose away.”
The current mental health treatment model for children treats symptoms (pain management) through medication (CBT, therapy) rather than addressing root causes; this is 'malpractice' because it silences children's pain without asking 'where is this stress coming from' or 'what is this child's distress telling us about the family system'.
“The way that the mental health care system works now, it's like what I call cutting the grass. Uh children are medicated, which is basically just pain management. Um they're given CBT therapy, which again is just pain management. But why aren't we asking the important questions, which is where does emotional regulation originate?”
Guilt is not a bad emotion; it is a sign that the ego is functioning properly and that a person can distinguish right from wrong; if a parent feels nothing when their baby cries, it indicates early trauma or an attachment disorder in the parent themselves; parents should turn toward guilt (examine it) rather than turning away from it, because internal conflict often leads to better decisions.
“Guilt is a sign that your ego is functioning. It's a sign that the part of you, the part of your ego called the superego, can identify something that feels right and wrong. So, if you look at a baby who's crying, who's your baby, and you feel nothing, that means that there's a part of you that is dead inside... It means that they probably have some kind of attachment disorder where they can't be attuned to their their baby's pain, right?”
Quality time with children is a 'narcissistic fantasy'; you cannot be present for children only on your own time—children need you when they need you, which requires quantity of time, not just quality. A child cannot internalize security from brief periods of parental attention.
“Quality versus quantity time. Myth. You need to be there a quality of time as well as a quantity of time. You can't have a fabulous career and then come home and be present for your child on your time. It needs to be on their time.”
There is no genetic precursor to ADHD, depression, or anxiety; what appears heritable is actually the inheritance of acquired characteristics—if your parent had depression, you're more likely to be depressed because you were raised by a depressed parent, not because of genes. Schizophrenia and bipolar disorder do have genetic connections, but ADHD does not.
“We know that there is no genetic precursor to mental illness. There is no genetic precursor to ADHD. There is no genetic precursor to depression and no genetic precursor to anxiety. What do you mean by precursor? Meaning there's no genetic connection. You don't get it in your genes. If your father or your mother were depressed, you get it by something called the inheritance of acquired characteristics. If you're raised by a depressed parent, you're more likely to become depressed. It's the nature nurture argument. Okay, but what they did find Now, schizophrenia has a genetic connection, bipolar disorder, those have genetic, but the rest do not. Anxiety, depression, ADHD, no genetics.”
The rhesus monkey study (Harlow) demonstrated that baby monkeys with wire mothers became neurotic but clung to them (ambivalent attachment), while monkeys given nothing 'literally lost their minds,' showing that physical contact, not just nutrition, is essential for psychological development.
“Well, they took these baby rhesus monkeys and they they let some be with the mothers and the mothers nurtured those babies and those babies became healthily attached and secure and those were the healthy emotionally healthy babies. Then they gave um another subset of monkeys um a wire mother covered with a piece of cloth or fur or something. And those babies became very neurotic, but at least they were clinging. They became like the ambivalent attachment babies because there was no response from the mother, but at least they were holding on to this mother. And then they gave and these babies became very neurotic and then they gave this subset of babies nothing. And those babies literally lost their minds.”
Healing childhood trauma requires relationship, not just insight or behavioral technique; psychodynamic or psychoanalytic therapy creates a reparative relationship where the therapist's consistent, non-judgmental presence over time heals, not their interpretations.
“The way that I would put it is it takes a relationship to cause the trauma and it takes another relationship to repair it...Therapy requires the consistency of a relationship with the therapist because it's through that therapist seeing you through the ups and downs of your life, reflecting your feelings. It's It's a kind of emotionally reparative experience, but it's not what the therapist says as much as the relationship. The long-standing relationship with a therapist. So, what's healing is the relationship rather than the interpretations.”
Parenting is a team sport, not a competitive sport; modern couples compete over everything (money, childcare, who contributes more) instead of complementing each other's different roles, which creates marital conflict and divorce.
“Parenting is a team sport, not a competitive sport. And so, what's happening today because of all this gender neutrality and we're as I'm as good as you and you're as good as me and we're the same, it means that couples are competing with one another. And that's causing so much tension because what's best is when couples compliment each other. When their differences mean that as a team, they work well to care for a child.”
Certain careers are inherently incompatible with being a present primary attachment figure, including executive leadership positions requiring constant travel and absence from family events, and parents in such careers cannot be good parents regardless of effort or quality time.
“there are certain careers that are harder to be a good mother. Period. I'm saying that, I know it's a harsh talk, but there it is. There are certain careers that are too demanding to be present for your children. Whether you're a mother or a father.”
Modern society encourages women to 'have it all'—career, motherhood, freedom—but without supporting infrastructure (paid leave, flexible work, extended family), this ideology sets mothers up to fail and creates guilt and resentment.
“That if you want to raise healthy children, it's going to require discomfort and frustration and sacrifice. And what's interesting is that what's also happened is because we're raising our children in such a selfish, self-centered environment. Um, young people are more fragile. They are more emotionally fragile.”
The feminist and 'me movement' of the 1960s had positive impacts on women's rights and independence but also had deeply negative unintended consequences: societal abandonment of children's needs, rise in self-centeredness over collective family welfare, and cultural devaluation of parenting and motherhood as legitimate life pursuits.
“the me movement of the '60s and also the feminist movement. Both of those movements which had a tremendously positive impact on society in one way also had a tremendously negative impact on society. When women decided that it was cool to go to work and to work full-time out of the home, you know, everybody cheered and said, 'Great, you know, women have the same rights as men and now everybody can be in the workforce and be independent and make money and do their own thing. Me, me, me, me, me.' The problem is that children were dropped. They were abandoned.”
Mothers in impoverished communities (e.g., 'projects in Harlem') often do stay home with their babies and prioritize time with them; the idea that poor mothers can't afford to be present is not the real barrier—the barrier is in wealthy, privileged populations who choose isolation and prioritize career over presence.
“it's not the mothers in the projects in Harlem cuz I'll tell you the mothers in the projects in Harlem stay home with their babies. That's what's interesting. Very poor people in America.”
Children do not need socialization (peer interaction) until after age three; before three, they engage in parallel play (playing alongside but not with peers) and what they truly need is one-on-one attachment security with a caregiver; the myth that daycare is good for socialization is false and used to justify parental absence.
“children don't need other kids until the age of three. They do something called parallel play. What they need is one-on-one connection. They need attachment security, and they need their emotional needs met by one person, one-on-one. Um after three, then the beginning of preschool, then they start to actually interact with one another. Until then, they're not playing together. They're just doing parallel play. So, that's another myth. The myth that daycare is good for children for socialization. No, children don't need socialization before three, unless their mother's with them.”
Parenting is a team sport, not a competitive sport; when couples compete over who earns more, who cares for the child, or who has more power, it undermines the partnership needed for healthy child-rearing; healthy couples divide roles (like CEO, president, CFO) where each complements the other's strengths rather than competing for the same role.
“Parenting is a team sport, not a competitive sport. And so, what's happening today because of all this gender neutrality and we're as I'm as good as you and you're as good as me and we're the same, it means that couples are competing with one another. And that's causing so much tension because what's best is when couples compliment each other. When their differences mean that as a team, they work well to care for a child. And I would say the secret to success in a marriage is save your competition for the tennis court, for the basketball court, for running in the park, but don't compete over child-rearing.”
Infertility prevalence has increased significantly, with approximately 15% of US women aged 15-49 experiencing impaired fertility; this is attributed to delayed childbearing, environmental factors, and stress, but contemporary culture misleadingly promotes egg freezing as a solution while companies offer it as employee benefit, giving false assurance of future fertility.
“Between 2015 and 2019, about roughly 15% of US women aged 15 to 49 experienced impaired fertility and in the UK, research indicates that one in eight women listening to this now and one in 10 men aged 16 to 74 have experienced infertility, which is defined as unsuccessfully attempting pregnancy for a year or longer.”
If you're a healthy parent and still feel guilty, that's anxiety (excessive guilt); but if you don't feel guilty when your absent from your child's distress, that means you have an attachment disorder yourself and need therapy.
“If you're a good enough mother or good enough father, and you still feel guilty, then we call it anxiety. But for the most part, what I say makes a lot of women and men feel guilty. And again, I don't see that as a bad thing.”
Secure attachment develops by age 3 when babies internalize the feeling that the world is safe, people can be trusted, and love is possible; this internalization is the foundation for all future relationship success.
“It's only after 3 years of age that you internalize the feeling of security. And where you internalize the feeling that the world is a safe place and you can trust the people in it. And you can trust to love another person.”
When children recognize a parent's feelings through mirror neuron activation (the parent reflecting the child's emotional state), the child feels seen, valued, and develops sense of self.
“When you recognize a child's feelings, if they're sad, you mirror their sadness. If they're angry, you say, 'I can see you're angry.' If they're happy, you look happy with them. That kind of reflection is the way that your child knows that you acknowledge them. That they're a person to you. That they're a separate person to you. It's how they feel valuable.”
Attachment disorders are not permanent; they are pathological defenses that eventually break down because they don't allow genuine connection, at which point individuals can enter relationships with securely attached people or therapy to develop healthier relational patterns.
“So, remember that these are pathological defenses. So, you know, we use the word defense because it means to protect one, right? And and defenses help us until they no longer help us. And so, we say attachment disorders are pathological defenses, meaning they don't usually last a lifetime, they break down at some point.”
Women's bodies are structurally and hormonally primed for infant caregiving through pregnancy, birth, breastfeeding, and hormonal shifts (oxytocin, prolactin); this biological reality cannot be erased by ideology and should inform parenting role allocation.
“Women's bodies connect them to their babies. They connect them through birth. They connect them through breastfeeding. There is a physical component and a hormonal component to infancy and motherhood. And there really is a difference in the way that mothers respond to babies and fathers respond to babies.”
The United States and Papua New Guinea are the only countries in the world that do not have paid parental maternity leave, which prioritizes GDP over child welfare; countries like Hungary (3 years), Slovenia, Slovakia, and Estonia (3 years) have implemented paid leave, and even Sweden's 14 months is insufficient because babies need parent presence beyond that point.
“We are the only country in the world other than Papua New Guinea who does not have a paid parental maternity leave. We do not have paid maternity leave. Nobody cares about children. They care about the GDP and the bottom line.”
Anxiety is preoccupation with future losses that may never occur; depression is preoccupation with past losses; both arise from loss-focused thinking and are exacerbated when modern society prioritizes material success, fame, and achievement (unimportant things) over relationships, love, connection, and health (important things).
“I want to define what anxiety is because I think it's really important. Cuz we rarely define depression and anxiety. Um depression is preoccupation with past losses. Anxiety is preoccupation with future losses that may never occur. What do they have in common? It's all about losses.”
The nuclear family model and geographic isolation from extended family is historically aberrant and anti-instinctual; humans evolved to raise children in extended family networks with grandmothers, aunts, uncles, and siblings providing support; the modern trend of moving away from one's family of origin when having children increases isolation, stress, and parental burnout.
“women and men always raised children in in history in extended family circles, right? Um, they weren't isolated. And today parents are very isolated. So, you would have your mother staying with you or you'd have your sister staying with you or you'd live in a big house and there'd be people to support you.”
The relationship with your partner or spouse is fundamentally different from the parent-child relationship; parenting requires allowing another human to be dependent on you and involves a transformative growth experience unique to generative care; this is developmentally important for adult growth in ways that other relationships are not.
“It's different because in the end your relationship with your partner or with your auntie or with your dog isn't the same level of dependency. The ability to care for another human being to allow another human being to be dependent on you to devote to that human being is a growing transforming experience for human beings.”
When men are given autonomy to architect their own lives and careers, they should choose work that allows for parental presence; however, some careers (like entrepreneurship, podcasting, consulting, investment) require self-discipline to set limits, but it's possible if the father makes it a priority, as evidenced by examples like painter Monet who worked until 3-4pm to have dinner with family.
“See a podcaster, investor, entrepreneur or something. No, I'm going to disagree with you. I'm going to say you can, but you have to be willing to set limits with yourself. So, you have to be willing to say Do you know Monet, the painter? Yeah. He was famous in his own life. Now, most painters have to be dead to be famous. And he painted on a very modest schedule. Get up in the morning to catch the light and then he'd be done by like 3:00 or 4:00 in the afternoon. He'd have dinner with his family, you know.”
The best child care hierarchy is: (1) primary attachment figure (preferably mother/parent), (2) kinship bonds (extended family who have real investment in the child), (3) known, consistent caregivers (nannies/friends paid and integrated as family); daycare/institutional care is the worst option because it involves multiple strangers with no relational investment in the child.
“What I say about child care is there different levels of importance. So, the first the best is your primary attachment figure. Next best is kinship bonds, family or extended family. Someone who has a similar investment to that child as you do... Versus going to daycare where they'll be around other kids? No. No, children don't need other kids until the age of three.”
Healing from childhood trauma requires a long-term relational experience with a therapist, not CBT or a pithy interpretation; it is the consistent, trusting therapeutic relationship itself—not the therapist's words—that provides the corrective emotional experience; therapy is a container where defenses can be gradually exchanged for healthier ones without the risk of being left defenseless.
“it takes a relationship to cause the trauma and it takes another relationship to repair it... you develop a relationship. It's not that you are healed from some pithy thing that the therapist says... Therapy requires the consistency of a relationship with the therapist because it's through that therapist seeing you through the ups and downs of your life, reflecting your feelings... So, what's healing is the relationship rather than the interpretations. The long-standing relationship with a therapist.”
Employers should give as much parental leave as possible to both men and women; whoever is the primary attachment figure needs extended time in the critical 0-3 window, and employers should offer flexibility (part-time, job-sharing, work-from-home) so parents can maintain presence while continuing to work.
“in my opinion, give them as much time off as you possibly can. Men and women? Men and women. Whoever is the primary attachment figure... give them options. Give them choices of how to work in the years that their children are very young. Give them options to work part-time, or to share a job, or to work from home half of the week, so they don't have to leave their child, and still they can work.”
Having a satisfying life does not require having children, but if someone chooses to have children, they must be prepared to prioritize them and provide presence; conversely, having children without being equipped to care for them is causing children to break down and suffer mental illness.
“you don't have to have children, period, to have a satisfying life. But if you're going to have children, you need to be equipped to care for them because having children alone without really understanding what it means to care for them and being prepared to take on that responsibility is causing our children to break down.”
Presence is not a phenomenon that can be delegated to others; parental caregiving is fundamentally non-delegable and cannot be replaced by other relationships, achievements, or arrangements, making it the core irreplaceable responsibility of parenthood.
“what I would say is that, um, presence is just so critical to children and there's no replacement. This idea that we have as a society that caregiving of children is something that can be generically assigned to others, that you can delegate. Delegate other things to others. Delegate your accounting, delegate your laundry, delegate your cooking. If you're a CEO, delegate everything you can. But, spend time with your children.”
America is the only developed country (besides Papua New Guinea) without paid parental leave; this is a moral failure reflecting that society cares about GDP and the bottom line, not about children's mental health and attachment.
“We are the only country in the world other than Papua New Guinea who does not have a paid parental maternity leave. We do not have paid maternity leave. Nobody cares about children. They care about the GDP and the bottom line. And the people who are out there talking about this stuff are economists saying, 'Women have to work work work for the economy.' Nobody cares about children.”
Between 2000 and 2018, ADHD diagnoses in the UK rose approximately 20-fold; among boys aged 10-16, diagnosis increased from 1% to 3.5%; in men aged 18-29, ADHD prescriptions increased nearly 50-fold in the same period.
“Between 20 2000 and 2018, ADHD diagnoses in the UK rose approximately 20-fold. Yes. Among boys aged 10 to 16, diagnosis increased from 1% roughly to um about 3.5% in 2018. And in men aged 18 to 29, there was a nearly 50-fold increase in ADHD prescriptions during the same period.”
Mothers in low-income areas (like Harlem projects) often stay home with their babies more than affluent women; the issue is not economic necessity but social values—affluent women choose to work and outsource childcare, while poor women prioritize presence.
“Well, it's not the mothers in the projects in Harlem cuz I'll tell you the mothers in the projects in Harlem stay home with their babies. That's what's interesting. Very poor people in America.”
As a CEO/employer, you should give as much parental leave as possible to whoever is the primary attachment figure (mother or father); provide options for part-time work, job sharing, and working from home; accept that employees with young children may leave early—'Life isn't fair' but society needs healthy children.
“In my opinion, give them as much time off as you possibly can. Men and women? Men and women. Whoever is the primary attachment figure...Give them options to work part-time, or to share a job, or to work from home half of the week, so they don't have to leave their child, and still they can work.”
Depression is preoccupation with past losses, and anxiety is preoccupation with future losses that may never occur; both are fundamentally about loss, and the current generation is preoccupied with losses of status and achievement.
“Um depression is preoccupation with past losses. Anxiety is preoccupation with future losses that may never occur. What do they have in common? It's all about losses. All about loss.”
Certain careers (like being a hedge fund manager, CEO, intense litigation attorney) are too demanding to allow parental presence; other careers (psychotherapy, physical therapy, consulting, entrepreneurship, service fields) allow more control and flexibility for parents.
“What are the careers that are really good for for going to be the primary attachment figure. Service fields, fields where you have your own business and you can make your own schedule around your children where your children don't work around you, you work around your children. Physical therapy, psychotherapy, speech therapy, consulting maybe. Um anything that's entrepreneurial, anything that is a service field.”
The reason Komisar's ideas are troubling to some is that they make people confront inconvenient truths and feel guilty; guilt is not bad—it's a sign that the superego is functioning and indicates internal conflict about competing desires (freedom vs. child's needs).
“Why is it that what you say is so troubling for some people? Have you You know why, right? Cuz it cuz it makes us confront a set of realities that It's an inconvenient truth, to quote Al Gore. It's an inconvenient truth. Um sometimes facts are an inconvenient truth.”
Most countries with paid leave only provide 3-6 months, which is insufficient; ideal paid leave would be 1-3 years (like Hungary, Slovenia, Slovakia, Estonia have 2-3 years); Sweden's 14 months is better but still forces mothers back to full-time work and institutional daycare.
“Hungary they have 3 years. Slovenia, Slovakia, uh, Estonia has 3 years. Hungary I think has 2 years of paid leave. Sweden, I have some issues with Sweden, but Sweden has 14 months. Sweden after 14 months makes women go back to work full full full time and put them in institutional care and all those babies are breaking down. So, 14 months isn't even enough.”
Life is long (potentially to age 120 or beyond), so parents can have fabulous careers in later years when children are grown, but they have a very small window (0-3 years, and crucially 9-25 during adolescence) to build emotional security and resilience in children that will be the foundation of their wellbeing.
“You may live till 120 like Moses and I think of your generation, you're younger than me, but um I think you probably will live well over 100. Um and so what that means is you have many, many, many, many, many, many years to have a fabulous career when your children don't need you so much, but you have a very small window to create that emotional security for your children that will be the core of them.”
Erica Komisar had a mother who was physically present but emotionally absent and dissociative (having unprocessed trauma), which meant she 'could feel for' her daughter but couldn't 'think about' her; this created identity and social struggles in Komisar's adolescence.
“My personal story, just to wrap it up quickly, is that my own mother was a very loving mother, but could dissociate. And by dissociate, she had a lot of trauma as a child, and I think she managed it by emotionally, she was like a little girl. She's very sweet, but she was like a little girl. And so I couldn't always feel her. I couldn't She was like sand that slipped through my fingers.”
Young people are more fragile because they're being raised in a self-centered environment where their parents prioritize themselves; they can't tolerate frustration, pain, or sleeplessness; some affluent parents hire baby nurses to avoid getting up at night, which normalizes parental absence.
“Because we're raising our children in such a selfish, self-centered environment. Um, young people are more fragile. They are more emotionally fragile. More of them have attachment disorders. They can't bear frustration. They can't bear pain. They can't bear sleeplessness. You know, the idea that you have to get a baby nurse because you can't get up in the middle of the night with your own baby, and that's become the norm in certain socioeconomic circles.”
The U.S. could creatively solve the lack of paid leave through schemes like borrowing from social security early in exchange for working longer later; Republicans should support this family-centered approach rather than rejecting 'entitlements' while claiming to be the party of family.
“There is the possibility, now that the Republicans are in of a creative solution which is potentially using things like social security in advance, borrowing from your social security. So, I'm a mom and I say, 'Ah, to stay home, I can borrow from my social security for a year and then work a year or two longer in my life.' Wouldn't you say that most women who wanted to stay home with their babies would say, 'I'll work longer so I can stay home with my baby.'”
There is a 'family diaspora' in modern society: people move away from their extended families (parents, siblings) when having children, which is 'bizarre and anti-instinctual' given that humans historically relied on extended family support for childrearing.
“I think it crosses socioeconomic lines. Um but with wealthier people, more affluent people, um they're opting for isolation, many of them. They're buying big houses, they're living in the suburbs, or or they're not wanting to lean on anyone, right? So, we have what I call a family diaspora. It's really what it it is, um which is that people will move away from their families of origin when they have children, which is very bizarre and anti-instinctual.”
Little T trauma (subtle neglect, emotionally absent parents, not being understood) is more common and damaging than Big T trauma (abuse, death, major loss) and is the root cause of depression, anxiety, and ADHD in most people, yet society does not validate it as trauma.
“Believe it or not, probably fewer people suffer from big T trauma and more people suffer from little T trauma. And little T trauma is more nuanced. It's um it it requires looking with a with a finer-tooth comb at at the issues. It's more relational. It's more I was subtly neglected by my mother. My mother wasn't a good listener. My mother loved me but she my father loved me but he never understood me.”
Don't promise your spouse that 'nothing will change' when you have a baby; instead, prepare for everything to change and strategize together about what lifestyle adjustments you're willing to make if one partner wants to stay home.
“Do not promise your spouse that nothing will change when you have a baby. Say to your spouse, let's prepare for everything to change. Let's believe that anything is possible and let's prepare. Let's strategize. Let's say, what if I want to stay home with the baby? What if I I may not feel like that now, but what if I see this baby and I fall in love with this baby and I want to stay home and I'm the mother and I want to breastfeed and I don't want to go back to work for a while and and so then you say, what would that scenario look like? What could we do? What could we downscale in terms of our material life and our lifestyle that makes it possible for me to stay home?”
Therapy transformed Komisar's life; after trying various careers (TV production, Capitol Hill, PR), she realized in her therapist's office that she wanted to do what her therapist did—help others through healing relationships; this personal reparation through therapy led her to train as a psychoanalyst.
“it wasn't until I went into therapy. Um oh, I tried a lot of things in my 20s. I worked in television production. I worked in uh uh I worked on Capitol Hill. I worked I worked in many different public relations. And in the end, I found myself sitting in my therapist's office one day and looking around and saying, "This is where I want to be. I want to be I want to do what she does and I want to help people the way she's helped me."”