The speaker discusses how individuals who have gone through challenging experiences in their past often develop a 'survival mode' mentality, where they suppress their emotions to cope with daily life. This mentality can persist even in successful, high-achieving individuals, as they continue to feel the need to be on guard for potential threats or challenges. The speaker highlights that a significant number of their patients exhibit this survival mode mentality, displaying a disconnect between their outward success and their inner struggles from their past.

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