Huberman Lab Folgen

This episode, I explain what major depression is at the biological and psychological level and the various treatments that peer-reviewed studies have revealed can help prevent and treat depression. I explain the three major chemical systems that are altered in depression: norepinephrine, serotonin and dopamine. I discuss genetic predispositions to depression and how stress, thyroid hormone and cortisol play a role in many forms of depression. I also discuss inflammation as a common feature of many depression symptoms. I review 8 specific science-supported protocols for treating and avoiding depression, including EPA fatty acids (which have been shown to rival certain prescription treatments), how exercise protects against depression, studies of creatine, adjusting dopamine balance and more. I also discuss the results of ongoing clinical trials for ketamine and psilocybin for depression, how these compounds work and finally, I review how ketogenic diets can help in certain cases of depression, especially treatment-resistant major depression. Read the full show notes for this episode at hubermanlab.com. Thank you to our sponsors AG1: https://athleticgreens.com/huberman LMNT: https://drinklmnt.com/hubermanlab Waking Up: https://wakingup.com/huberman Momentous: https://livemomentous.com/huberman Timestamps 00:00:00 Mood Disorders & Maintaining Mental Health (Protocol 1)   00:07:25 Sponsors: AG1, LMNT & Waking Up 00:11:15 Major Depression   00:18:40 “Anti-Self” Confabulation   00:21:42 Autonomic (Vegetative) Symptoms of Depression   00:26:58 Norepinephrine, Dopamine & Serotonin   00:31:50 SSRIs (Prozac, Zoloft, etc.): Selective Serotonin Reuptake Inhibitors   00:37:00 Epinephrine/Motor Functions, Dopamine/Motivation & Craving, Serotonin/Emotions   00:39:33 Physical & Emotional Pain are Linked: Substance P   00:41:50 Hormones & Depression: Thyroid & Cortisol   00:46:50 Genetic Susceptibility to Depression: Impact of Stress   00:50:50 Understanding Biological Mechanism Is Key: Recipes versus Skills   00:52:50 Tools for Dealing with Depression: Logic & Implementation (Protocol 2)   00:56:25 Brain Inflammation & Mental State: Cytokines, Prostaglandins, etc.   00:59:20 Protocol 3: Essential Fatty Acids (Omega-3, EPAs: Eicosapentaenoic Acid)*   01:02:50 How EPAs Help Offset Depression: Serotonin Synthesis, Kynurenine, Quinolinic Acid   01:05:25 Protocol 4: How Exercise Offsets Depression   01:11:44 Protocol 5: Creatine Monohydrate, Forebrain Function & NMDA Receptors*   01:20:30 Protocol 6*: Ketamine, PCP (*Prescription-Only), & NMDA-Receptor Function   01:33:08 Protocol 7*: Psychedelics (*In Clinical Trials) for Major Depression: Psilocybin*   01:47:00 Protocol 8: Ketogenic Diet, GABA (Gamma-Aminobutyric Acid)   01:54:50 Summary of Protocols Covered   02:00:10 Support & Additional Resources   Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode I interview Dr. Anna Lembke, M.D., Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic at Stanford University School of Medicine. Dr. Lembke is a psychiatrist expert in treating addictions of all kinds: drugs, alcohol, food, sex, video games, gambling, food, medication, etc. Dr. Lembke is also an expert in the opioid crisis, and the author of Dopamine Nation. We discuss the biology and psychology of why people become addicted to certain substances and behaviors and the key role that our "dopamine balance" plays in creating addiction. We also discuss the science and practice of how to conquer addictions, why people relapse and how to avoid relapsing. Dr. Lembke also shares her expertise on topics closely related to addiction such as community, shame and lying and she explains why telling the truth—even about the most basic things in daily life, adjusts dopamine levels in our brain. This episode is an important one for anyone struggling with addictions of any kind, for their friends and families and for health care professionals. It is also for anyone who has defeated addiction and is determined to stay clean. Last but not least, it helps explain why all humans do what we do, and how we can all maintain a healthy sense of pleasure seeking in life. Read the full show notes for this episode at hubermanlab.com. Thank you to our sponsors AG1: https://athleticgreens.com/huberman LMNT: https://drinklmnt.com/hubermanlab Waking Up: https://wakingup.com/huberman Momentous: https://livemomentous.com/huberman Timestamps 00:00:00 Dr. Anna Lembke, Addiction Expert   00:02:42 Disclaimer & Sponsors: AG1, LMNT & Waking Up   00:07:00 Dopamine, Happiness & Impulsivity   00:15:56 What Is Pleasure?   00:18:20 Addiction, Boredom & Passion for Life   00:24:00 Pain-Pleasure Balance Controls Addiction   00:29:10 Dopamine Deficits, Anhedonia   00:30:47 Are All Addictions the Same?   00:35:38 Boredom & Anxiety Lead to Creativity   00:40:35 Finding Your Passion Starts with Boredom & Action Steps   00:50:05 How to Break an Addiction   00:55:25 Relapse, Craving & Triggers   01:07:40 Can People Get Addicted To “Sobriety”?   01:11:45 Are We All Wired for Addiction?   01:15:57 Bizarre Addiction   01:18:14 Recovered Addicts Are Heroes   01:20:10 Lying, Truth Telling, Guilt & Shame   01:30:40 Clinical Applications of: Ibogaine, Ayahuasca, Psilocybin & MDMA   01:40:20 Social Media Addiction   01:51:25 Narcissism   01:53:30 Goal Seeking, Success & Surprise   01:58:10 Reciprocity   02:01:15 Closing Comments, Resources   Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode I discuss our sense of pain and pleasure: where and how they each arise in our mind and body and various ways to control their intensity. I discuss the science of behavioral tools like acupuncture and hypnosis and directed pressure, including the neural circuits they each activate to modulate our experience of pain or pleasure. I also discuss whole body pain, pain "syndromes" and novel pain relief compounds such as Acetyl-L-Carnitine, SAMe and Agmatine. I discuss neuroplasticity of the pain system and the key role that visual perception plays in pain modulation. Finally, I address the link between dopamine, serotonin, and oxytocin, with arousal, pleasure and pain. As always, both basic science and various protocols are described. Note: The description of the dorsal root ganglia (DRGs) was intentionally simplified and does not include mention of dorsal horn spinal relay neurons, etc. For an excellent full text review of this anatomy and circuits for touch sensing, please see: https://bit.ly/3jH9CPf Read the full show notes for this episode at hubermanlab.com. Thank you to our sponsors AG1: https://athleticgreens.com/huberman LMNT: https://drinklmnt.com/hubermanlab Waking Up: https://wakingup.com/huberman Momentous: https://livemomentous.com/huberman Timestamps 00:00:00 Skin, Pain, Pleasure   00:01:50 Protocol 1: Maximizing Motivation (with Dopamine & Pleasure)   00:07:29 Sponsors: AG1, LMNT & Waking Up 00:12:04 Pleasure & Pain, & Skin Sensors   00:18:13 Sensing Touch with Your Brain: Magnification of Feet, Hands, Lips, Face, Genitals   00:22:16 Two-Point Discrimination, Dermatomes   00:28:11 Thoughts & Genes That Make Physical Pain Worse   00:33:45 Expectations, Anxiety, & Pain Threshold   00:40:27 Protocol 2: Cold Sensing Is Relative; Getting Into Cold Water   00:45:22 Protocol 3: Heat Is Absolute   00:48:10 Injury & Pain   00:52:04 Protocol 4: Plasticity of Pain: Key Role of Vision   00:58:08 Sensing Disparate Body Parts As Merged   01:01:00 Pain “Syndromes”, Psychogenic Fever, “Psychosomatics”   01:04:40 Fibromyalgia, Naltrexone, Protocol 5: Acetyl-L-Carnitine   01:12:24 Protocol 6: Agmatine, S-adenosyl-L-methionine (SAMe), L-5-Methyltetrahydrofolate   01:17:27 Acupuncture: Mechanism, Non-Responders, Itch & Inflammation   01:28:20 Laser Photobiomodulation, Protocol 7: Hypnosis (reveri.com)   01:30:00 Protocol 8: Pressure-Based Pain Relief, “Gate Theory of Pain (Relief)”   01:37:53 Redheads & Pain Thresholds, Endogenous Opioids   01:44:02 Protocol 8: Love & Pain, Dopamine   01:49:23 Pleasure & Reproduction, Dopamine & Serotonin, Oxytocin   01:51:40 Protocol 9: PEA, L-Phenylalanine (Precursor to Tyrosine)   01:55:40 Contextual Control of Pleasure by Autonomic Arousal, Dopamine Baselines   01:59:40 Pleasure-Pain Balance   02:01:24 Protocol 10: Controlling Pleasure, Dopamine & Motivation Over Time   02:06:40 Protocol 11: Immediate, Non-Goal-Directed Pleasure, PAG   02:08:40 Direction of Touch: Pleasure Versus Pain, Arousal & Touch “Sensitivity”   02:13:00 Synthesis & How to Conceptualize Pain and Pleasure, Support   Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices