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Beyond the Prescription

Beyond the Prescription

Veröffentlicht: 2026-05-13
© Lucy McBride
Beyond the Prescription - QR Code
108 Folgen
Audio
Anhören auf Apple Podcasts
108 Folgen
Audio
Anhören auf Apple Podcasts
Veröffentlicht: 2026-05-13
© Lucy McBride
Aktuelle Folge
Can People Actually Change?

Can People Actually Change?

Dr. Lucy McBride sits down with Benoit Denizet-Lewis, longtime writer for the New York Times Magazine and bestselling author of You’ve Changed: The Promise and Price of Self-Transformation, for a wide-ranging conversation about how people actually tra
Länge: 49:44
Dr. Lucy McBride sits down with Benoit Denizet-Lewis, longtime writer for the New York Times Magazine and bestselling author of You’ve Changed: The Promise and Price of Self-Transformation, for a wide-ranging conversation about how people actually transform.
What Transformation Actually Means—and How It Happens
* The self-help industry focuses on habit change and optimization; Denizet-Lewis was interested in something deeper: shifts in identity, perspective, and personality that make people feel genuinely different
* Change happens in multiple ways: sometimes it’s intentional and goal-directed, sometimes it arrives uninvited through illness, aging, or a moment of unexpected awe
* People are deeply conflicted about change: they want it for themselves and are simultaneously threatened by it in the people they love
* The narrative of transformation is almost always tidier in retrospect than it was in the living of it
Identifying What is Fixed vs. What Is Dynamic
* Core personality traits can be tweaked with real effort, but wholesale personality transformation is rare
* Genetics and childhood shape us in ways that are largely fixed, but how we relate to those things is not
* Trauma can be repaired; relationships fractured by the past can, with sustained work, become the closest ones we have
* The serenity prayer captures something clinically true: distinguishing between what is fixed and what is dynamic is the definition of wisdom
Self-Compassion as the Engine of Change
* The transformation Denizet-Lewis describes most personally wasn’t a dramatic identity shift: it was learning gentleness toward himself
* Ram Dass’s approach to jealousy—welcoming it in, naming it, refusing to let it run the show—illustrates what it looks like to observe a feeling without being consumed by it
* Honest self-observation is essential to change, but it has to be paired with compassion; without it, the mirror is too painful to look into
* An apology that ends with a period is one of the clearest expressions of self-awareness and change
Shame vs. Guilt—and Why the Difference Matters
* Guilt says “I did something bad”; shame says “I am bad”—and the distinction has real consequences for whether change is possible
* Research on young people who committed crimes found that guilt was a positive predictor of rehabilitation; shame, counterintuitively, increased the likelihood of reoffending
* The shame of failing to change—of breaking a resolution, relapsing, or falling short of a goal—is under-appreciated and causes many people to stop trying altogether
* Shining a light on shame, naming it, and normalizing it is often the first step toward dismantling it; living in it while organizing behaviors around it is one of the most reliable ways to stay stuck
Change as a Social Act
* We like to think of transformation as private and interior, but it happens in community—getting buy-in from others, having change witnessed and reflected back, is part of how it becomes real
* Social media has complicated this: performing transformation publicly creates skepticism, making it harder for genuine change to be legible to others
* Asking people close to you whether they’ve noticed a change—awkward as it is—can be one of the most grounding forms of accountability
Technology, Distractions, and Reclaiming Space
* The phone has become the first place most people go when anxiety surfaces — which means it’s both a cause of anxiety and the default coping mechanism for it
* Denizet-Lewis and McBride argue that the best thinking—in writing, in medicine, in life—tends to happen in stillness
Upshot
Transformation is messier, slower, and more social than many before-and-after stories suggest. The question isn’t whether change is possible—it is—but whether we’re willing to do the unglamorous work of honest self-observation, shame reduction, and showing up differently over time.
📣 HELLO READERS! Please join me this summer for the official Beyond the Prescription Book Club! It’s open exclusively to Substack readers and gives you early access to the book, pre-publication. 👀 We’ll get into the nitty gritty of health and wellness and what it all means for YOU.
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Folgen-ID: 1000767642407
GUID: substack:post:196857865
Erscheinungs­datum: 13.5.2026, 22:20:51

Beschreibung

Join Dr. Lucy McBride for honest conversations about what it really takes to be healthy. Each episode goes beyond quick fixes and conflicting health advice to explore the questions that matter: How do we navigate a healthcare system that's often too rushed to see us as whole people? Who can we trust when everyone seems to be selling something? And how do we reclaim agency over our own health?
Drawing from 25 years of clinical experience, Dr. McBride brings evidence-based clarity to complex health topics—from mental health and preventive care to the future of medicine itself. Whether interviewing leading healthcare innovators, answering listener questions, or sharing insights from her own practice, her mission is the same: helping you reclaim agency over your health.
For listeners who want more than a prescription—who want to understand their bodies, advocate for themselves, and cut through the noise of modern wellness culture—this is your guide to getting the care you actually need.
To sign up for her weekly newsletter, visit www.lucymcbride.substack.com/welcome
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