Feb 2, 2021 · 45m · we-live-to-build

36 Years Sober: Why Addiction Is Still Inside My Brain

Carl Shallowhorn · 28m spoken Sean Weisbrot · 12m spoken
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In this episode of the 'We Live to Build' podcast, host Sean Weisbrot and addiction counselor Carl Shallowhorn examine the intersection of entrepreneurial stress, substance abuse, and mental health. Through personal narratives and clinical expertise, they share practical guidance on recognizing addiction, dismantling social stigma, and sustaining long-term recovery.

How this conversation actually went

Every chapter scored 0–10 on four independent dynamics. Hover any point for the reasoning behind the score. Sean holds 30.8% of the talking time here. How this is scored →

Sean as informed peer 2.4 Guest teaching 1.9 Guest disagreement 0.4 Sean pushing back 0.4
05100:0015:0030:0045:002:16–7:55 · Sean as informed peer 2/10 Carl Shallowhorn's Journey with Bipolar Disorder and Addiction Sean references his psychology background to ask whether parental drug use directly causes bipolar disorder. Carl clarifies the distinction between deterministic causes and genetic risk factors or trauma triggers.7:56–11:03 · Sean as informed peer 3/10 Entrepreneurial Stress, Substance Abuse, and Personal History Sean and Carl explore why founders turn to substance use for stress relief. Sean brings in personal experiences with cannabis and the drinking culture around closing business deals in Asia.11:03–16:47 · Sean as informed peer 3/10 Healthy Coping Mechanisms, Holding Ground, and Therapy Carl relates a story about maintaining sobriety during a business trip to China and outlines coping mechanisms including therapy. Sean adds context from his psychology studies on the role of therapists in facilitating personal discovery.16:47–22:39 · Sean as informed peer 4/10 Recognizing Addiction Signs and Accessing Educational Resources Carl suggests online medical resources like WebMD to assess symptoms. Sean pushes back that WebMD often induces health anxiety and self-diagnosis, which Carl acknowledges and elaborates upon using DSM training anecdotes.22:39–27:24 · Sean as informed peer 3/10 Confronting Stigma, Requesting Help, and Professional Reputation Sean shares apprehension about admitting former cannabis use due to investor perception and mentions Elon Musk as an example. Carl reassures him that a sustained track record of sobriety builds trust.27:24–31:57 · Sean as informed peer 2/10 Addiction Prevention Strategies and Managing Social Pressures Sean explains his tactic of carrying water bottles to bars while consuming cannabis beforehand to cope with social anxiety. Carl responds clinically, emphasizing how quickly substances can escalate into destructive patterns.31:57–36:51 · Sean as informed peer 2/10 Building Support Systems and Addressing Relational Sabotage Sean equates sugar dependency and dietary sabotage by family members to addictive cycles. Carl agrees and shares how he actively supports his diabetic spouse by removing dietary temptations at home.36:52–40:11 · Sean as informed peer 2/10 Approaching Loved Ones with Addiction and Breaking Points Carl models a direct confrontation script for an addicted peer, and Sean notes that denial often causes people to react defensively. Carl agrees, sharing his late father's sudden sobriety as an uncommon example of solo recovery.40:11–43:08 · Sean as informed peer 1/10 Eradicating Stigma and Understanding Addiction as a Brain Disease Carl delivers an impassioned explanation of addiction as a physical brain disease rather than a moral failing and explains why dismantling public stigma is essential for saving lives.2:16–7:55 · Guest teaching 3/10 Carl Shallowhorn's Journey with Bipolar Disorder and Addiction Sean references his psychology background to ask whether parental drug use directly causes bipolar disorder. Carl clarifies the distinction between deterministic causes and genetic risk factors or trauma triggers.7:56–11:03 · Guest teaching 1/10 Entrepreneurial Stress, Substance Abuse, and Personal History Sean and Carl explore why founders turn to substance use for stress relief. Sean brings in personal experiences with cannabis and the drinking culture around closing business deals in Asia.11:03–16:47 · Guest teaching 2/10 Healthy Coping Mechanisms, Holding Ground, and Therapy Carl relates a story about maintaining sobriety during a business trip to China and outlines coping mechanisms including therapy. Sean adds context from his psychology studies on the role of therapists in facilitating personal discovery.16:47–22:39 · Guest teaching 2/10 Recognizing Addiction Signs and Accessing Educational Resources Carl suggests online medical resources like WebMD to assess symptoms. Sean pushes back that WebMD often induces health anxiety and self-diagnosis, which Carl acknowledges and elaborates upon using DSM training anecdotes.22:39–27:24 · Guest teaching 1/10 Confronting Stigma, Requesting Help, and Professional Reputation Sean shares apprehension about admitting former cannabis use due to investor perception and mentions Elon Musk as an example. Carl reassures him that a sustained track record of sobriety builds trust.27:24–31:57 · Guest teaching 2/10 Addiction Prevention Strategies and Managing Social Pressures Sean explains his tactic of carrying water bottles to bars while consuming cannabis beforehand to cope with social anxiety. Carl responds clinically, emphasizing how quickly substances can escalate into destructive patterns.31:57–36:51 · Guest teaching 1/10 Building Support Systems and Addressing Relational Sabotage Sean equates sugar dependency and dietary sabotage by family members to addictive cycles. Carl agrees and shares how he actively supports his diabetic spouse by removing dietary temptations at home.36:52–40:11 · Guest teaching 2/10 Approaching Loved Ones with Addiction and Breaking Points Carl models a direct confrontation script for an addicted peer, and Sean notes that denial often causes people to react defensively. Carl agrees, sharing his late father's sudden sobriety as an uncommon example of solo recovery.40:11–43:08 · Guest teaching 3/10 Eradicating Stigma and Understanding Addiction as a Brain Disease Carl delivers an impassioned explanation of addiction as a physical brain disease rather than a moral failing and explains why dismantling public stigma is essential for saving lives.2:16–7:55 · Guest disagreement 1/10 Carl Shallowhorn's Journey with Bipolar Disorder and Addiction Sean references his psychology background to ask whether parental drug use directly causes bipolar disorder. Carl clarifies the distinction between deterministic causes and genetic risk factors or trauma triggers.7:56–11:03 · Guest disagreement 0/10 Entrepreneurial Stress, Substance Abuse, and Personal History Sean and Carl explore why founders turn to substance use for stress relief. Sean brings in personal experiences with cannabis and the drinking culture around closing business deals in Asia.11:03–16:47 · Guest disagreement 0/10 Healthy Coping Mechanisms, Holding Ground, and Therapy Carl relates a story about maintaining sobriety during a business trip to China and outlines coping mechanisms including therapy. Sean adds context from his psychology studies on the role of therapists in facilitating personal discovery.16:47–22:39 · Guest disagreement 1/10 Recognizing Addiction Signs and Accessing Educational Resources Carl suggests online medical resources like WebMD to assess symptoms. Sean pushes back that WebMD often induces health anxiety and self-diagnosis, which Carl acknowledges and elaborates upon using DSM training anecdotes.22:39–27:24 · Guest disagreement 0/10 Confronting Stigma, Requesting Help, and Professional Reputation Sean shares apprehension about admitting former cannabis use due to investor perception and mentions Elon Musk as an example. Carl reassures him that a sustained track record of sobriety builds trust.27:24–31:57 · Guest disagreement 1/10 Addiction Prevention Strategies and Managing Social Pressures Sean explains his tactic of carrying water bottles to bars while consuming cannabis beforehand to cope with social anxiety. Carl responds clinically, emphasizing how quickly substances can escalate into destructive patterns.31:57–36:51 · Guest disagreement 0/10 Building Support Systems and Addressing Relational Sabotage Sean equates sugar dependency and dietary sabotage by family members to addictive cycles. Carl agrees and shares how he actively supports his diabetic spouse by removing dietary temptations at home.36:52–40:11 · Guest disagreement 1/10 Approaching Loved Ones with Addiction and Breaking Points Carl models a direct confrontation script for an addicted peer, and Sean notes that denial often causes people to react defensively. Carl agrees, sharing his late father's sudden sobriety as an uncommon example of solo recovery.40:11–43:08 · Guest disagreement 0/10 Eradicating Stigma and Understanding Addiction as a Brain Disease Carl delivers an impassioned explanation of addiction as a physical brain disease rather than a moral failing and explains why dismantling public stigma is essential for saving lives.2:16–7:55 · Sean pushing back 0/10 Carl Shallowhorn's Journey with Bipolar Disorder and Addiction Sean references his psychology background to ask whether parental drug use directly causes bipolar disorder. Carl clarifies the distinction between deterministic causes and genetic risk factors or trauma triggers.7:56–11:03 · Sean pushing back 0/10 Entrepreneurial Stress, Substance Abuse, and Personal History Sean and Carl explore why founders turn to substance use for stress relief. Sean brings in personal experiences with cannabis and the drinking culture around closing business deals in Asia.11:03–16:47 · Sean pushing back 0/10 Healthy Coping Mechanisms, Holding Ground, and Therapy Carl relates a story about maintaining sobriety during a business trip to China and outlines coping mechanisms including therapy. Sean adds context from his psychology studies on the role of therapists in facilitating personal discovery.16:47–22:39 · Sean pushing back 3/10 Recognizing Addiction Signs and Accessing Educational Resources Carl suggests online medical resources like WebMD to assess symptoms. Sean pushes back that WebMD often induces health anxiety and self-diagnosis, which Carl acknowledges and elaborates upon using DSM training anecdotes.22:39–27:24 · Sean pushing back 0/10 Confronting Stigma, Requesting Help, and Professional Reputation Sean shares apprehension about admitting former cannabis use due to investor perception and mentions Elon Musk as an example. Carl reassures him that a sustained track record of sobriety builds trust.27:24–31:57 · Sean pushing back 0/10 Addiction Prevention Strategies and Managing Social Pressures Sean explains his tactic of carrying water bottles to bars while consuming cannabis beforehand to cope with social anxiety. Carl responds clinically, emphasizing how quickly substances can escalate into destructive patterns.31:57–36:51 · Sean pushing back 0/10 Building Support Systems and Addressing Relational Sabotage Sean equates sugar dependency and dietary sabotage by family members to addictive cycles. Carl agrees and shares how he actively supports his diabetic spouse by removing dietary temptations at home.36:52–40:11 · Sean pushing back 1/10 Approaching Loved Ones with Addiction and Breaking Points Carl models a direct confrontation script for an addicted peer, and Sean notes that denial often causes people to react defensively. Carl agrees, sharing his late father's sudden sobriety as an uncommon example of solo recovery.40:11–43:08 · Sean pushing back 0/10 Eradicating Stigma and Understanding Addiction as a Brain Disease Carl delivers an impassioned explanation of addiction as a physical brain disease rather than a moral failing and explains why dismantling public stigma is essential for saving lives.

speaking balance: gold is Sean, purple is the guest (3 minute bins)

0:00 · Sean 88.3% · guest 11.7%0:00 · Sean 88.3% · guest 11.7%3:00 · Sean 21.3% · guest 78.7%3:00 · Sean 21.3% · guest 78.7%6:00 · Sean 16.4% · guest 83.6%6:00 · Sean 16.4% · guest 83.6%9:00 · Sean 54.5% · guest 45.5%9:00 · Sean 54.5% · guest 45.5%12:00 · Sean 0% · guest 100%12:00 · Sean 0% · guest 100%15:00 · Sean 37% · guest 63%15:00 · Sean 37% · guest 63%18:00 · Sean 16% · guest 84%18:00 · Sean 16% · guest 84%21:00 · Sean 15.7% · guest 84.3%21:00 · Sean 15.7% · guest 84.3%24:00 · Sean 21.1% · guest 78.9%24:00 · Sean 21.1% · guest 78.9%27:00 · Sean 10.2% · guest 89.8%27:00 · Sean 10.2% · guest 89.8%30:00 · Sean 38% · guest 62%30:00 · Sean 38% · guest 62%33:00 · Sean 41.7% · guest 58.3%33:00 · Sean 41.7% · guest 58.3%36:00 · Sean 13.3% · guest 86.7%36:00 · Sean 13.3% · guest 86.7%39:00 · Sean 41.8% · guest 58.2%39:00 · Sean 41.8% · guest 58.2%42:00 · Sean 48.6% · guest 51.4%42:00 · Sean 48.6% · guest 51.4%45:00 · Sean 0% · guest 0%45:00 · Sean 0% · guest 0%
Sharpest disagreement ▶ 32:07 Carl rejects the concept of sheer willpower

Carl directly disputes conventional views on recovery, arguing that relying purely on individual willpower is ineffective without an external support network.

Hardest push from Sean ▶ 20:20 Sean challenges WebMD recommendation

Sean actively intervenes to warn listeners against using WebMD, arguing that commercial symptom checkers tend to exacerbate panic rather than help.

Biggest teaching moment ▶ 5:01 Carl clarifies genetic risk factors and psychotic triggers

Carl corrects Sean's assumption about direct parental inheritance by breaking down complex risk factors, sibling disparities, and how cannabis acts as an accelerant for psychosis.

Sean holds their own ▶ 15:48 Sean articulates therapeutic philosophy

Sean draws directly on his psychology background to explain why professional therapy must guide clients to independent realization rather than prescribing direct solutions.

the scores for every segment, with the reasoning behind each
ChapterTopicSean as informed peerGuest teachingGuest disagreementSean pushing backWhy
Carl Shallowhorn's Journey with Bipolar Disorder and Addiction 2310 Sean references his psychology background to ask whether parental drug use directly causes bipolar disorder. Carl clarifies the distinction between deterministic causes and genetic risk factors or trauma triggers.
Entrepreneurial Stress, Substance Abuse, and Personal History 3100 Sean and Carl explore why founders turn to substance use for stress relief. Sean brings in personal experiences with cannabis and the drinking culture around closing business deals in Asia.
Healthy Coping Mechanisms, Holding Ground, and Therapy 3200 Carl relates a story about maintaining sobriety during a business trip to China and outlines coping mechanisms including therapy. Sean adds context from his psychology studies on the role of therapists in facilitating personal discovery.
Recognizing Addiction Signs and Accessing Educational Resources 4213 Carl suggests online medical resources like WebMD to assess symptoms. Sean pushes back that WebMD often induces health anxiety and self-diagnosis, which Carl acknowledges and elaborates upon using DSM training anecdotes.
Confronting Stigma, Requesting Help, and Professional Reputation 3100 Sean shares apprehension about admitting former cannabis use due to investor perception and mentions Elon Musk as an example. Carl reassures him that a sustained track record of sobriety builds trust.
Addiction Prevention Strategies and Managing Social Pressures 2210 Sean explains his tactic of carrying water bottles to bars while consuming cannabis beforehand to cope with social anxiety. Carl responds clinically, emphasizing how quickly substances can escalate into destructive patterns.
Building Support Systems and Addressing Relational Sabotage 2100 Sean equates sugar dependency and dietary sabotage by family members to addictive cycles. Carl agrees and shares how he actively supports his diabetic spouse by removing dietary temptations at home.
Approaching Loved Ones with Addiction and Breaking Points 2211 Carl models a direct confrontation script for an addicted peer, and Sean notes that denial often causes people to react defensively. Carl agrees, sharing his late father's sudden sobriety as an uncommon example of solo recovery.
Eradicating Stigma and Understanding Addiction as a Brain Disease 1300 Carl delivers an impassioned explanation of addiction as a physical brain disease rather than a moral failing and explains why dismantling public stigma is essential for saving lives.

Statements from this episode (12)

Assertion Supported
Shallowhorn: Cannabis Use Increases Psychosis Risk in Vulnerable Individuals
“We know that individuals who use cannabis, for instance, and are prone to psychosis are more likely to develop psychotic disorders.”
Carl Shallowhorn Feb 2, 2021 ▶ 5:47
Insight
Weisbrot: Regular Cannabis Use Ruins Everyday Enjoyment When Sober
“And I think that that is a real problem because you start to lose touch with reality and sobriety where the things that you did are no longer enjoyable unless you're high.”
Sean Weisbrot Feb 2, 2021 ▶ 10:06
Opinion
Weisbrot: Asian Founders Turn to Alcohol Because Deals Happen Over Drinks
“I think a lot of times with entrepreneurs, especially in Asia, the reason that they get involved with alcohol in particular is because a lot of business is sealed during a drink.”
Sean Weisbrot Feb 2, 2021 ▶ 10:47
Insight
Shallowhorn: Addicted Founders Must Prioritize Sobriety to Save Their Business
“And I always have to believe that the individual needs to take care of themselves. Otherwise you're not going to have business to begin with if you fall prey to this addiction and you give in.”
Carl Shallowhorn Feb 2, 2021 ▶ 12:54
Opinion
Shallowhorn: There Is No Cure for Addiction, Only Ongoing Recovery
“I personally don't believe there's a cure for addiction. I believe that we're always in the process of recovery. We can always get better.”
Carl Shallowhorn Feb 2, 2021 ▶ 15:42
Insight
Shallowhorn: A Gut Feeling About a Substance Problem Is Usually Right
“What it comes down to, though, is just knowing more or less that if you have a gut feeling that there's something going on, there probably is. Just to be honest with yourself, I think that's one of the keys.”
Carl Shallowhorn Feb 2, 2021 ▶ 20:12
Disclosure
Weisbrot: Discussing Past Marijuana Use Creates Stigma and Fear for Founders
“Part of the shame I feel in talking about my own thing with marijuana is that I'm building a company and I want it to be successful. I don't want to be judged by my past behavior, but I think it's important that people understand that it's a part of who I am.”
Sean Weisbrot Feb 2, 2021 ▶ 24:50
Insight
Shallowhorn: Willpower Alone Is Insufficient to Overcome Addiction
“I believe that no one is able to do this all by themselves. I don't necessarily believe in willpower as some people would call it. Some people might argue with me, but I think that most people need some type of support. I'm talking about those that are really …”
Carl Shallowhorn Feb 2, 2021 ▶ 32:13
Insight
Shallowhorn: Do Not Sugarcoat Interventions; Describe Observable Behaviors Honestly
“Be honest. Tell them what you see. You don't sugarcoat it.”
Carl Shallowhorn Feb 2, 2021 ▶ 37:01
Disclosure
Weisbrot: Daily Cannabis Use for a Decade Was a Habit, Not Addiction
“I smoked, I would say almost daily for 10 or 11 years. I wasn't one of those people that would roll a joint and smoke a gram or two a day. I met people like that. I would make a gram last a month. Like, I was very economical with how I smoked, but I would be h…”
Sean Weisbrot Feb 2, 2021 ▶ 38:57
Insight
Shallowhorn: Addiction Is a Brain Disease, Not a Moral Failing
“Well, first and foremost, addiction is a brain disease. That has behavioral consequences and physical consequences and social consequences. But the bottom line is it's all up here in the brain and that's where it begins.”
Carl Shallowhorn Feb 2, 2021 ▶ 40:44
Assertion Supported
Shallowhorn: People Wait an Average of 10 Years to Seek Mental Help
“It takes a person an average of 10 years to seek help when they have a problem with a mental health condition.”
Carl Shallowhorn Feb 2, 2021 ▶ 42:45
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