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Psychology

Paramedic Questions Whether Ultra Running is Masking Addiction Rather Than Healing Trauma

Rich Roll Podcast · Smile, Or You're Doing It Wrong: Andy Glaze On Relentless Positivity, PTSD, & The Healing Power Of Movement · May 18, 2026
Paramedic Questions Whether Ultra Running is Masking Addiction Rather Than Healing Trauma
Rich Roll Podcast
Rich Roll Podcast
Smile, Or You're Doing It Wrong: Andy Glaze On Relentless Positivity, PTSD, & The Healing Power Of Movement
"Are you using it to run towards something, or are you using it to run away from something? Like, all these pursuits can be distractions from some other discomfort. It can be an effective way to, like, mask whatever other discomfort you really don't want to deal with. Or it can be a way of confronting that so that you can heal it and become more whole."
During a candid exchange with host Rich Roll, Andy Glaze acknowledged the complex relationship between his recovery from substance abuse and his extreme ultra-running career, including a 320-week streak of running 100 miles per week. He admitted that while he has an obsessive-compulsive relationship with anything he does, he questions whether his running satisfies addictive cravings or genuinely promotes healing, concluding that it has primarily been masking PTSD symptoms rather than addressing root trauma.

About this episode

On this episode of the Rich Roll Podcast, host Rich Roll interviewed Andy Glaze, an ultra-endurance athlete, paramedic, and author known as the smiling ultra runner. The conversation centered on Glaze's harrowing journey from severe crystal meth addiction as a teenager to becoming one of the world's most inspiring endurance athletes, currently maintaining a 320-week streak of running 100 miles per week. Glaze revealed for the first time publicly that he was sexually abused by a teacher at age 16-17 while attending John Dewey Academy, a therapeutic boarding school in Massachusetts, and that the teacher continued the pattern with other students and eventually became pregnant by one of them. The episode explored Glaze's descent into addiction at age 15 following his father's terminal cancer diagnosis, his placement in abusive therapeutic programs including wilderness camps and a boarding school that practiced conversion therapy, and his multiple cycles of sobriety and relapse. Most significantly, Glaze disclosed that after using ultra running to manage severe PTSD from his work as a paramedic for five years, it has recently stopped working, forcing him to seek therapy including EMDR and CPT. The conversation examined the complex relationship between addiction and extreme endurance sports, with Glaze acknowledging he has an obsessive-compulsive relationship with running that may be masking rather than healing underlying trauma. Roll and Glaze discussed transformation as a decades-long process requiring patience, the importance of failing forward, and how personal growth serves others beyond oneself.

Key takeaways

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