A prescription for fulfillment

 Hello friends,

In January Dr. Vivek Murthy left his position as the U.S. Surgeon General. After two terms of serving as the nation’s doctor he left us with his Parting Prescription. Dr. Murthy traveled across America and talked to thousands of people about their lives and challenges. He saw the deep pain, unhappiness, and loneliness that he described as an epidemic. Luckily, in his heartfelt Parting Prescription he outlines the steps to cultivate health and fulfillment. Spoiler: relationships are part of the solution!

Dr. Murthy explains that culture in the U.S. has become increasingly individualistic and that the mark of a successful life for many is famewealth, and power, which he calls the Triad of Success. While these goals are not inherently bad, they skew us towards self-absorption, loneliness, and a host of other physical and mental challenges.

I don’t think we need the Surgeon General to explain loneliness or to report that Americans feel like something is missing from their lives. We know that because we experience it ourselves. What I appreciate is the validity and seriousness that comes with the Parting Prescription. Maybe you or someone you know feels they have no one to go to if they need help or are going through a hard time. Life is too hard to go through it alone and the research shows it taking a toll on our health.

In contrast to the Triad of Success is the Triad of Fulfillment, in which the pillars are servicepurpose, and relationships. These three pillars are the foundation of community.

  • How much of your time and energy is spent towards attaining fame, wealth or power?

  • If the pillars of the Triad of Success don’t resonate with you, what are you striving for that pulls you toward self-absorption and individualism?

  • Which components in the Triad of Fulfillment do you find strongest and weakest in your life?

  • If you want to put more effort into being part of community, what stops you? Are there not enough hours in the day? Do you feel emotionally tapped out? Do you struggle with motivation and momentum to follow through?

While I find all the pillars of the Triad of Fulfillment are worth full deep dives, I want to highlight Dr Murthy’s words on relationships. “Healthy relationships, where we feel seen and where we can be ourselves, can be a powerful source of joy and support and can be buffers to stress… When we lack meaningful relationships, we can experience loneliness.5,15-17 Currently, around a third of adults and half of young people experience loneliness.18,19 Being socially disconnected increases our risk of heart disease, dementia, depression, anxiety, and premature death. 1,2,5-7,11,16,20”

What can you do to make others feel less alone? Author, professor, and podcast host Kate Bowler spoke with Dr. Murthy on her show Everything Happens. They talk about concrete things you can do to cultivate community, such as pick up the phone when someone calls even if it is to say, “I’ll call you back.”

I will end with Kate Bowler’s recap of the Parting Prescription: “Loneliness isn’t just a feeling—it shapes how we move through the world. It convinces us that connection is for other people. But love—the kind that actually sustains us—is built in small, daily acts of showing up. A text. A favor. A ridiculous dance break. Asking for help. Offering what we can. If you’ve felt stretched thin this month, you are not alone. Love is costly, and so is loneliness. But maybe, just maybe, we can be part of each other’s healing.”

As always, I’m here if you need anything.

With loving support,

Mallory

References
1. Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med. 2010;7(7):e1000316.
2. Berkman LF, Syme SL. Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. Am J Epidemiol. 1979;109(2):186-204.
5. Office of the Surgeon General (OSG). (2023). Our Epidemic of Loneliness and Isolation: The U.S. Surgeon General’s Advisory on the Healing Effects of Social Connection and Community. US Department of Health and Human Services. https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf
6. Valtorta NK, Kanaan M, Gilbody S, Ronzi S, Hanratty B. Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and
meta-analysis of longitudinal observational studies. Heart. 2016;102(13):1009-1016.
7. Czajkowski SM, Arteaga SS, Burg MM. Social support and cardiovascular disease. In: Handbook of Cardiovascular Behavioral Medicine. Springer; 2022:605-630.
11. Mann F, Wang J, Pearce E, et al. Loneliness and the onset of new mental health problems in the general population. Soc Psychiatry Psychiatr Epidemiol. 2022;57(11):2161-2178.
12. Choi KW, Stein MB, Nishimi KM, et al. An Exposure-Wide and Mendelian Randomization Approach to Identifying Modifiable Factors for the Prevention of Depression. Am J Psychiatry. 2020;177(10):944-954.
13. Boreham ID, Schutte NS. The relationship between purpose in life and depression and anxiety: A meta-analysis. J Clin Psychol. 2023 Dec;79(12):2736-2767.doi: 10.1002/jclp.23576. Epub 2023 Aug 12. PMID: 37572371.
14. Georges, A., Fung, W., Smith, J., Liang, J., Sum, C., & Gabbard, S. (2018). Longitudinal Study of Foster Grandparent and Senior Companion Programs:Service Delivery Implications and Health Benefits to the Volunteers. North Bethesda, MD: JBS International, https://www.americorps.gov/sites/default/ files/evidenceexchange/CNCS_Senior_Corps_Long_Study_FGP_SCP_Research_
Brief_508_1.pdf
15. Prohaska T, Burholt V, Burns A, et al. Consensus statement: loneliness in older adults, the 21st century social determinant of health? BMJ Open. 2020;10(8):e034967
16. National Academies of Sciences Engineering and Medicine (NASEM). Social Isolation and Loneliness in Older Adults: Opportunities for the Health Care System.
Washington, DC: The National Academies Press; 2020.
17.Badcock JC, Holt-Lunstad J, Bombaci P, Garcia E, Lim MH. Position statement: addressing social isolation and loneliness and the power of human connection. Global Initiative on Loneliness and Connection (GILC).2022.
18.Town M, Eke P, Zhao G, et al. Racial and Ethnic Differences in Social Determinants of Health and Health-Related Social Needs Among Adults —Behavioral Risk Factor Surveillance System, United States, 2022. MMWR MorbMortal Wkly Rep 2024;73:204–208.
19.National Center for Health Statistics. U.S. Census Bureau, Household PulseSurvey, 2024. Lack of Social Connection. Generated interactively: fromhttps://www.cdc.gov/nchs/covid19/pulse/lack-socialconnection.htm
20.Lazzari C, Rabottini M. COVID-19, loneliness, social isolation and risk ofdementia in older people: a systematic review and meta-analysis of the relevant literature.Int J Psychiatry Clin Pract. 2021:1-12.

 

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