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Dr. Victor Carrión: How to Heal From Post-Traumatic Stress Disorder (PTSD)

2024/9/23

Huberman Lab

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Victor Carrión

Topics

Andrew Huberman: 探讨了压力、焦虑和创伤的区别，以及创伤如何影响大脑发育，特别是儿童的大脑发育。还探讨了PTSD与ADHD之间的关系，以及如何识别和干预PTSD。 Victor Carrión: 详细解释了压力的频谱，从有益到有害到创伤性，并强调了儿童在应对压力和创伤方面的脆弱性。他介绍了创伤后应激损伤（PTSI）的概念，以及自主神经系统失调在PTSD中的作用。他还讨论了跨代创伤，以及环境和遗传因素如何共同影响PTSD的易感性。此外，他还介绍了由其团队开发的线索中心疗法（CCT），以及如何建立个性化的工具箱来帮助识别触发因素和管理压力。 Andrew Huberman: 讨论了皮质醇在PTSD中的作用，以及如何通过干预来改善睡眠质量。还探讨了PTSD与ADHD的鉴别诊断，以及如何识别和干预PTSD中的线索和触发因素。 Victor Carrión: 详细解释了皮质醇在PTSD儿童中的异常模式，以及其对大脑发育的影响，特别是海马体和前额叶皮层。他还讨论了线索中心疗法（CCT）的有效性，以及如何通过功能性神经影像学来评估其对大脑活动的影响。此外，他还介绍了如何通过四角方格系统来帮助个体分析自身的压力反应，并建立个性化的工具箱来应对压力和创伤。

Deep Dive

Chapters

Dr. Carrión explains the spectrum of stress from beneficial to traumatic, emphasizing the importance of understanding stressors and the role of avoidance in PTSD.

Stress operates on an inverted U-shaped curve, with an optimal point for performance and health.
Traumatic stress is a type of stress that threatens physical integrity and requires management.
PTSD feeds on avoidance; pretending trauma didn't happen can complicate treatment.

Shownotes Transcript

In this episode, my guest is Dr. Victor Carrión, M.D., the Vice-Chair of Psychiatry and Behavioral Sciences at Stanford School of Medicine and a world expert on the understanding and treatment of post-traumatic stress disorder (PTSD) in children, adolescents, and adults.

We explain why, as children, we are particularly vulnerable to PTSD and how stress and trauma affect the developing brain. We also discuss how PTSD is related to attention-deficient hyperactivity disorder (ADHD) and vice versa.

Dr. Carrión shares effective therapeutic interventions for PTSD, including cue-centered therapy (CCT) and how to create a custom “toolbox” to help you identify triggers and manage stress. We discuss an emerging curriculum that combines yoga and mindfulness to help people with PTSD improve their stress resilience, mood, and sleep.

The episode will provide listeners of all ages with a clear understanding of PTSD and effective strategies to heal from it.

Access the full show notes for this episode at hubermanlab.com).

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Timestamps

00:00:00 Dr. Victor Carrión

00:01:56 Sponsors: Eight Sleep, BetterHelp & Waking Up

00:06:19 Stress, Post-Traumatic Stress Disorder (PTSD), Avoidance

00:11:41 Stressors, Perseverate; Children & PTSD

00:16:13 Transgenerational Trauma

00:19:20 Post-Traumatic Stress Injury (PTSI); Children, Dissociation & Cortisol

00:27:17 Cortisol & Brain, Post-Traumatic Stress Symptoms

00:31:48 Sponsor: AG1

00:33:19 PTSD, Attention Deficit Hyperactivity Disorder (ADHD)

00:40:17 PTSD & ADHD; Identifying Cues, Triggers & Interventions

00:47:49 PTSI, Autonomic Nervous System Seesaw; Sleep

00:53:11 PTSD, Brain Development & Kids; Cue-Centered Therapy

01:02:37 Sponsor: Function

01:04:25 Limbic Pathway, Inner Dialogue, Therapy Toolbox

01:12:34 Agency & Control, Deliberate Cold Exposure, Narrative

01:18:11 Custom Toolbox Development; Energy

01:26:32 Tool: 4-Corner Square Response, Understanding Cues

01:32:59 Tool: “Creating Space,” Feelings Thermometer, Analyzing 4-Corners

01:38:47 Social Media, Boundaries

01:46:07 School, Yoga & Mindfulness Curriculum

01:55:31 Implementing School Mindfulness Programs, Sleep

02:00:52 Barriers to School Programs

02:06:08 Redefining Success, Identity

02:10:33 Resilience & Adaptation; Organoids, Epigenetic Treatment Response

02:21:42 Listening to Kids & Adults

02:24:19 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, Sponsors, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter