CIRS Through the Lens of Tony Robbins’ Six Human Needs

What Illness Can Take Beyond the Body

Written by Emil Haldey, PharmD

Published: · Updated:

Emil's StoryRelationshipsCIRS

Years before CIRS became personal for me, I had the privilege of spending a year as a Tony Robbins Platinum Partner. It was one of the most demanding years of my life, but also one of the greatest periods of personal growth.

I traveled extensively, attended programs around the world, and had the opportunity to spend time in close proximity to Tony and his wife, Sage. I watched Tony teach about human behavior, relationships, leadership, business, health, belief systems, identity, and what drives us as human beings.

Tony taught us many tools. The Six Human Needs was just one of them.

At the time, I thought I was learning how to become a better leader, businessman, father, partner, and human being. I had no idea that years later, some of those teachings would become quiet whispers in my head during some of the darkest nights of my life.

A Lesson I Would Understand Years Later

One memory has stayed with me.

We were in London for Business Mastery, and Tony was going through a difficult period physically while dealing with mercury toxicity, something he has discussed publicly. He walked onto that stage and delivered the way Tony delivers.

But I had spent enough time around him to notice something. I could feel that he was pushing himself and reaching for everything he had.

I watched him use his own tools.

He worked on his focus, his state, and the meaning he was assigning to what was happening. He did not wait for his circumstances to become perfect before showing up.

Years later, when my own health collapsed, I understood what I had witnessed in London very differently.

The Six Human Needs: A Universal Human Framework

One of the frameworks Tony teaches is the Six Human Needs: certainty, variety, significance, love and connection, growth, and contribution.

I do not present the Six Human Needs as a clinical or psychological diagnostic instrument. I see them as a practical framework for understanding what drives us as human beings.

What makes this framework so powerful to me is its universality.

Go almost anywhere in the world and people seek some form of certainty. We want safety, shelter, health, food, and some reasonable idea of what tomorrow will look like.

At the same time, we need variety. We travel, learn, explore, meet people, try different foods, and challenge ourselves. Too much certainty can become boredom, so variety brings novelty and stimulation into our lives.

We need significance. We need to know that we matter. A child wants to know that a parent sees them. A spouse wants to know that they matter to their partner. A professional wants to know that their work has value. Significance does not have to mean status or recognition. Sometimes it is simply knowing that our existence matters to another human being.

We need love and connection. We build families, friendships, communities, congregations, professional relationships, and partnerships. We want people with whom we can celebrate our victories and people who will sit beside us when life becomes difficult.

We need growth. We want to become something more than we were yesterday. We learn, build, improve our health, develop professionally, deepen our relationships, and deepen our faith. When we stop growing, some part of us begins to feel stagnant.

Finally, we need contribution. At some point, fulfillment becomes about more than ourselves. We raise children, mentor, teach, care for patients, help neighbors, build businesses that solve problems, and give our time, knowledge, love, or attention to something beyond ourselves.

The expression of these needs may look completely different from one person or culture to another, but the needs themselves are remarkably human.

The Six Human Needs and Chronic Illness

Human NeedIn Everyday LifeWhen Chronic Illness Disrupts It
CertaintySafety, stability, and trust in our body, environment, and futureCan I trust my body, my home, or tomorrow?
VarietyNovelty, adventure, learning, and new experiencesSymptoms, doctors, tests, theories, treatments, and setbacks create unwanted variety
SignificanceFeeling seen, valued, respected, and that we matterRepeated dismissal can leave someone feeling unheard or even doubting themselves
Love & ConnectionFamily, friendship, intimacy, community, and belongingIllness can strain marriages, families, friendships, and support systems
GrowthLearning, progressing, building, and becomingLife can feel paused while everything begins revolving around illness
ContributionHelping, serving, caring, creating, and givingThe person accustomed to helping others may suddenly become the one needing help

We Are Not Stuck With the Order We Inherited

One of the most powerful parts of Tony's teaching was not simply identifying the Six Human Needs. He had us examine how we ranked them.

Which needs had we unconsciously made most important? Which ones were driving our decisions? Which needs were we meeting in healthy ways, and which ones were we meeting in ways that were hurting us?

Then came the more challenging realization.

We did not have to remain stuck with the hierarchy we had developed. We could consciously reconstruct it.

That exercise had a profound effect on me. I worked on my own hierarchy. I questioned what I had made important. I looked at the needs driving my behavior and the identity I had built around them.

I worked on reconstructing myself.

Years later, CIRS would force me to do that work again.

Except this time it was not an exercise in a seminar. This time my health, relationships, identity, work, environment, and future were involved.

I had to reconstruct myself from an entirely new perspective.

When Illness Attacks All Six at Once

When I became sick with CIRS, I began to understand something I had never considered during that year with Tony.

Chronic illness can disrupt nearly every human need at the same time.

Certainty: When You Stop Trusting Tomorrow

Certainty begins to disappear.

You used to trust your body. Suddenly, you don't know how you are going to feel tomorrow.

You used to think of your home as your safe place. Now you may question whether simply being inside that home is contributing to how you feel. You may begin questioning your office, your car, a hotel room, or another building.

Something as automatic as breathing can suddenly carry a completely different meaning.

Variety: When You Have Had Enough of the Unknown

Variety becomes something you no longer need to seek because illness supplies far too much of it.

Another symptom. Another doctor. Another test. Another theory. Another supplement. Another environmental report. Another treatment. Another setback. Another person telling you what you should try next.

Eventually, you don't want another option.

You want clarity.

You want a sequence.

You want someone to help you make sense of the chaos.

Significance: When You Stop Feeling Believed

Significance can be damaged in an entirely different way.

You know your body. You know something has changed. Yet you may have been told repeatedly that everything looks normal.

You begin wondering whether people believe you.

Eventually, something even more difficult can happen.

You begin wondering whether you believe yourself.

Love and Connection: When Illness Enters the Household

Love and connection can become casualties too.

Illness enters the marriage. It enters parenting. It enters friendships. It enters finances. It changes vacations, intimacy, careers, responsibilities, and plans for the future.

With mold related illness, the building itself can become part of the conflict.

One person believes the environment is contributing to the problem while another isn't convinced. One person sees illness while another sees a mortgage. One wants to leave while another sees the financial consequences of leaving. One sees an expensive remediation proposal while the other sees the possibility of finally getting better.

These are no longer simply environmental decisions.

They touch certainty, significance, connection, growth, and contribution simultaneously.

Growth: When Life Feels Like It Has Stopped

Growth can seemingly stop.

Your career may slow down. Exercise may stop. Trips get cancelled. Projects are postponed. Social circles shrink.

Instead of asking, “What am I building next?” you find yourself asking, “How do I feel today?”

The illness can gradually become the organizing principle of your life.

Contribution: When the Helper Needs Help

Contribution can disappear with it.

The person who spent a lifetime helping everyone else may suddenly need help getting through the day.

The physician becomes the patient. The caregiver needs care. The parent who held everything together can no longer do everything they once did.

Your identity can begin disappearing along with your health.

I know because I lived it.

A Word to the Person Who Doesn't Believe Them

There is another person I want to speak to directly.

The spouse. The parent. The friend. The clinician. The colleague. Anyone who cares about someone who says they are sick but doesn't completely understand what is happening.

I understand why this can be difficult.

You may look at someone who appears physically normal. Their laboratory results may not seem alarming. You may walk into the same house and feel completely fine. You may wonder why they can do something on Tuesday but cannot do it on Wednesday.

You may be frightened by the financial consequences of what they are asking the family to do.

You may simply not know what to believe.

You do not have to understand every mechanism to love the person standing in front of you. You do not have to agree with every conclusion they have reached in order to take their suffering seriously.

Think about what may already be happening to their Six Human Needs.

Their certainty may be disappearing because they no longer trust their body or their environment. Their significance may have been damaged because they have repeatedly felt dismissed or misunderstood. Their growth may feel frozen because so much of the life they were building has been placed on hold. Their ability to contribute may have diminished because they cannot function the way they once did.

And now imagine that love and connection begins disappearing too because the person closest to them does not believe that what they are experiencing is real.

What is left?

This is why belief matters so much to me.

Step Zero: Before Step One

The Shoemaker Protocol for CIRS consists of 12 steps. Step One is foundational: remove the person from exposure.

The environment has to be addressed so that the medical journey can move forward.

But through my own experience with CIRS, and through working with others navigating this illness, I have come to believe that something profoundly important can happen even before Step One.

I call it Step Zero.

Step Zero is not part of the Shoemaker Protocol. It is my own addition, born from my lived experience.

Step Zero is when somebody believes you.

And ideally, that somebody is one of the people closest to you.

A spouse. A parent. A child. A friend. Someone who knows you well enough to recognize that the person standing in front of them is not functioning the way they used to.

In my opinion, this is where healing really begins.

I don't mean medical treatment. I don't mean the 12 step protocol or remediation. I mean healing in the broader human sense.

Before someone can face everything that may come next, medical appointments, environmental investigation, difficult decisions about their home, financial pressures, treatment, and an uncertain timeline, something changes when they no longer have to fight to convince the people closest to them that they are actually struggling.

Someone needs to be able to say:

“I may not understand exactly what is happening yet. But I know you. I can see that you are struggling. I believe you, and we are going to figure this out together.”

Those words do not remove someone from exposure. They do not diagnose CIRS. They do not replace medical evaluation or treatment.

But think about what they can begin to restore.

Love and connection. Significance. A little certainty. Hope.

Then comes Step One.

Address the exposure.

Then the rest of the medical journey can continue under the direction of the treating clinician.

For me, Step Zero is where the human journey toward healing begins.

Reconstructing Myself, One Human Need at a Time

When my CIRS crisis came, I had to reconstruct myself again.

This time it was different.

This wasn't about becoming a better businessman or achieving another goal. My perspective on what mattered had changed.

My Creator gave me another chance.

I began to understand how fortunate we are simply to wake up in our own home. To have a bed. To have a place to eat. To have somewhere we can call home.

To breathe.

To take a breath without wondering whether the air around us is going to make us sick.

These are things most healthy people understandably don't spend much time thinking about.

I didn't either.

Now I do.

Breathing clean air has never felt better.

I began reconstructing myself after my CIRS crisis one human need at a time.

Certainty did not mean controlling everything anymore. It meant becoming grateful for the stability I did have and learning to live peacefully with the things I could not control.

Variety did not need to come from chaos. There had already been enough of that. It could come from learning, experiences, people, and discovering what this next chapter of my life could become.

Significance became less about accomplishment and more about knowing who I am even when the things I accomplish are temporarily taken away.

Love and connection became more precious because I understood how much we depend on one another when life becomes difficult.

Growth took on an entirely different meaning. Sometimes growth meant getting stronger. Sometimes it meant learning something new. Sometimes it meant simply refusing to let a bad day define what tomorrow could become.

Contribution became deeply personal.

I could not change what happened to me.

But I could decide what I would do with it.

Part of my answer became DetoxME.

If what I learned through my own suffering could help another person navigate this journey with greater clarity, support, and fewer wrong turns, then I could turn something painful into something useful.

That became contribution.

A Different Lens for Those of Us Who Help

This is the perspective I hope physicians, nurse practitioners, therapists, environmental professionals, coaches, patients, and families will consider.

A complex chronic illness may have biological drivers, but the experience of illness reaches far beyond biology.

We absolutely need to investigate the body. We need good physicians and medical providers. We need appropriate testing. We need competent environmental professionals. We need thoughtful therapists. We need science.

But we also need to see the human being standing in the middle of all of it.

When you meet a patient or client struggling with chronic illness, ask yourself what has happened to their certainty. What has happened to their significance? What has happened inside their marriage and family? Where are they still growing? Do they still have somewhere to contribute? Do they have someone at home who believes them?

Those questions do not replace medical care.

They help us understand the person receiving it.

Perhaps that is the larger paradigm I am trying to communicate.

We cannot always restore a person's health immediately. But we can begin helping them rebuild a life while they work toward it.

What I Notice Now

Years ago, Tony taught me that we are not permanently bound to the hierarchy of needs and beliefs we developed by default. We can examine them. We can challenge them. We can consciously reconstruct them.

I did that work then.

CIRS forced me to do it again, only this time the reconstruction went much deeper.

Today I am grateful for things I may have barely noticed or taken for granted. A bed. A home. My children. Work that matters to me. People I love. The opportunity to help someone else. A good day. A quiet morning. Clean air entering my lungs.

Breathing clean air has never felt better.

The work never stops, and neither does the growth. Perhaps that is one of the greatest lessons I carried from that extraordinary year with Tony into this completely unexpected chapter of my life.

Sometimes life forces us to reconstruct who we are.

And when it does, we get to decide what we build next.

Emil Haldey, PharmD
Founder, DetoxME

Mold & CIRS Health Strategist