Dr. Peter Attia

Ashley, someone listening to us for the last two and a half hours might assume that the only thing you know about is CBTI, but it turns out that we've only scratched the surface of your area of expertise. And there are other clinical areas that you have a lot of interest in that I think our listeners would have interest in as well.

Ashley, someone listening to us for the last two and a half hours might assume that the only thing you know about is CBTI, but it turns out that we've only scratched the surface of your area of expertise. And there are other clinical areas that you have a lot of interest in that I think our listeners would have interest in as well.

The good news is we've, when I say we, I mean you, you've delivered kind of a masterclass on a topic that I've wanted to know much more about. You know, it's interesting. It's a bit of a black box because we send a number of our patients to CBTI therapy around the country. And I would concur with what you said, which is based on their ability to comply. The efficacy has been unparalleled.

The good news is we've, when I say we, I mean you, you've delivered kind of a masterclass on a topic that I've wanted to know much more about. You know, it's interesting. It's a bit of a black box because we send a number of our patients to CBTI therapy around the country. And I would concur with what you said, which is based on their ability to comply. The efficacy has been unparalleled.

Simply stated, as far as regular old doctors, I think we're pretty good at helping people with sleep given the nature of our practice and how much attention we can pay. And therefore, I think by ourselves, we do pretty well. But when we can't and we refer to CBTI, I would have to think if there's been a patient who hasn't been helped. So that's great.

Simply stated, as far as regular old doctors, I think we're pretty good at helping people with sleep given the nature of our practice and how much attention we can pay. And therefore, I think by ourselves, we do pretty well. But when we can't and we refer to CBTI, I would have to think if there's been a patient who hasn't been helped. So that's great.

But truthfully, you've filled in all the gaps for me. And I think more importantly, I think you've really helped listeners understand this and I hope given people a lot of confidence. Because what I also take away from this is there's really nobody who should be suffering from insomnia. It's really not a necessary thing to suffer.

But truthfully, you've filled in all the gaps for me. And I think more importantly, I think you've really helped listeners understand this and I hope given people a lot of confidence. Because what I also take away from this is there's really nobody who should be suffering from insomnia. It's really not a necessary thing to suffer.

There's things we might have to suffer with in life, but this isn't one.

There's things we might have to suffer with in life, but this isn't one.

The drawback is we have kind of run out of time to talk about a few other things that are really interesting, which is not uncommon on this podcast, which means we're going to have to do a part two at some point to talk about eating behaviors, thermal regulation, the impact that that has on depression or other things like that. So apologies that maybe we spent more time on CBTi.

The drawback is we have kind of run out of time to talk about a few other things that are really interesting, which is not uncommon on this podcast, which means we're going to have to do a part two at some point to talk about eating behaviors, thermal regulation, the impact that that has on depression or other things like that. So apologies that maybe we spent more time on CBTi.

than we intended to. But as I kind of warned you before we started, we love to just meander where the discussion goes. So is there anything else you want to talk about on the CBTI front? I have a lot of notes on where I wanted to go, but I also realized there's probably something I've forgotten or there's an area you want to double click on.

than we intended to. But as I kind of warned you before we started, we love to just meander where the discussion goes. So is there anything else you want to talk about on the CBTI front? I have a lot of notes on where I wanted to go, but I also realized there's probably something I've forgotten or there's an area you want to double click on.

Are you under the impression that obviously people are waiting a long time to see you? That probably speaks to how good you are and the resources that UCSF provides maybe in combination. But if a person's listening to this and they're like, yeah, I wish I could work with Ashley, but I just want to work with somebody.

Are you under the impression that obviously people are waiting a long time to see you? That probably speaks to how good you are and the resources that UCSF provides maybe in combination. But if a person's listening to this and they're like, yeah, I wish I could work with Ashley, but I just want to work with somebody.

Do you have a sense of how large the CBTI community is and how long a person should expect to wait? And do these therapists ever work via telemedicine so that you have more opportunity to work with folks?

Do you have a sense of how large the CBTI community is and how long a person should expect to wait? And do these therapists ever work via telemedicine so that you have more opportunity to work with folks?

Oh, so you're eight people per bracket don't all physically come to San Francisco.

Oh, so you're eight people per bracket don't all physically come to San Francisco.