What's Going Right: Dr. Paul Conti On Self-Sabotage, Trauma & Why Being Hard On Yourself Is Slowing You Down

In this transformative three-part conversation on The Rich Roll Podcast, host Rich Roll engages psychiatrist and trauma expert Dr. Paul Conte in a profound exploration of self-sabotage, trauma, and the power of compassionate self-inquiry. Dr. Conte challenges the mental health field’s overreliance on symptom management, urging a shift toward understanding the deeper 'engine' of unconscious patterns, shame, and trauma. He introduces a five-part framework—unconscious mind, conscious mind, defense mechanisms, character structure, and the 'I'—to illuminate how self-awareness, not willpower, is the true catalyst for change. Central to the discussion is the often-overlooked generative drive: the innate human desire to contribute, connect, and leave the world better. When balanced with assertion and pleasure, this drive fosters lasting peace, contentment, and delight. Conte emphasizes that change begins not with self-judgment, but with curiosity and kindness toward oneself, and that simply seeking growth is proof of inner strength and resilience. The episode consistently reframes mental health not as a fix for brokenness, but as a celebration of what’s already working, urging listeners to focus on what’s going right rather than what’s wrong.