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cover of episode Dr. Robin Carhart-Harris: The Science of Psychedelics for Mental Health

Dr. Robin Carhart-Harris: The Science of Psychedelics for Mental Health

2023/5/22
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Huberman Lab

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A
Andrew Huberman
是一位专注于神经科学、学习和健康的斯坦福大学教授和播客主持人。
R
Robin Carhart-Harris
Topics
Andrew Huberman: 介绍了Robin Carhart-Harris博士及其在精神药物研究领域的贡献,重点关注psilocybin等精神药物如何改变大脑神经回路以及治疗精神健康问题的临床应用。 对Carhart-Harris博士实验室进行的临床试验结果进行了总结,这些试验表明适当剂量的psilocybin可以有效缓解重度抑郁症患者的症状。 讨论了微剂量和宏剂量精神药物的区别,以及研究人员如何控制安慰剂效应。 探讨了精神药物治疗的法律现状以及未来发展趋势。 Robin Carhart-Harris: 详细解释了“精神药物”一词的起源和含义,以及这些药物如何揭示通常不可见的心理方面。 阐述了经典精神药物的作用机制,即作用于大脑中的5-羟色胺2A受体,并强调了主观体验的重要性。 讨论了微剂量精神药物的有效性证据,并指出目前缺乏强有力的证据支持其广泛应用。 详细描述了精神药物治疗的流程,包括药物剂量、音乐的使用、闭眼冥想以及治疗师的支持等。 解释了“信任、放手、开放”在精神药物治疗中的重要性,以及患者在治疗过程中的情绪变化。 探讨了精神药物治疗后大脑连接性和神经结构的改变,以及这些改变与积极治疗结果之间的关系。 讨论了开发不产生幻觉的精神药物的可能性,以及这种方法的局限性。 介绍了其团队进行的关于精神药物治疗抑郁症、厌食症和纤维肌痛的临床试验结果。 解释了精神药物治疗后的整合阶段的重要性,以及如何通过冥想等方式巩固治疗效果。 讨论了首次使用精神药物的临床试验结果,以及这些药物对大脑结构和功能的影响。 探讨了结合使用psilocybin和MDMA的治疗潜力。 讨论了DMT的药理作用和主观体验,以及“自我消解”的含义。 探讨了精神药物治疗的法律现状和未来发展趋势,以及相关的伦理问题。

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Shownotes Transcript

In this episode, my guest is Robin Carhart-Harris, PhD, distinguished professor of neurology and psychiatry at the University of California, San Francisco. He is one of leading researchers in the study of how psychedelics such as psilocybin, LSD and DMT can change the human brain and in doing so, be used to successfully treat various mental health challenges such as major depression, anorexia, obsessive-compulsive disorder (OCD) and addiction. He explains how psilocybin induces sustained changes in adaptive brain wiring and cognition. We discuss the key components of safe and effective psychedelic journeys, the role of hallucinations, the use of eye-masks to encourage people to “go internal,” and music, as well as what effective therapist support consists of before, during and after the session (also known as integration). We discuss micodosing vs. macrodosing and how researchers control for placebo effects in psychedelic research. We also discuss the current legal landscape around psychedelic therapies. Psychedelic therapies are fast emerging as powerful and soon-to-be mainstream treatments for medical health disorders, but they are not without their risks. As such, this episode ought to be of use to anyone interested in brain plasticity, mental health, psychology or neuroscience.

For the full show notes, visit hubermanlab.com).

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The Brain Body Contract

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Timestamps

(00:00:00) Dr. Robin Carhart-Harris

(00:02:28) Sponsors: LMNT & Waking Up

(00:05:41) The Brain-Body Contract

(00:06:31) Origin of the Word: “Psychedelics”; Pharmacology

(00:12:05) Psychedelics & Revealing the Unconscious Mind, Psychotherapy

(00:17:32) Microdosing

(00:26:08) Psilocybin vs. Magic Mushroom Doses

(00:28:28) “Psychedelic-Therapy”, Music

(00:31:13) Sponsor: AG1

(00:36:26) Psychedelic Journey: “Trust, Let Go, Be Open”

(00:43:01) Negative Emotions, Fear & Psychedelics

(00:46:21) Global Functional Connectivity, Serotonin 2A Receptor; Subjective Experiences

(00:52:33) Pharmacology: Therapeutics without Psychedelic Effects; SSRIs

(00:58:45) Psilocybin & Depression; Long-Term Effects: Connectivity & Neuroplasticity

(01:10:26) Psilocybin Therapy & Anorexia

(01:12:56) Integration Phase & Psychedelic-Therapy; Meditation

(01:19:50) First-Time Psychedelic Use, “Entropic Brain Effect”, Neuroplasticity, Cognition

(01:30:16) Fibromyalgia & Psychedelic Treatment; MDMA Therapy & “Inner Healer”

(01:38:55) Placebo Response & Psychedelic Therapy

(01:41:39) LSD & Psychedelic-Therapy, Micro-Dose

(01:48:19) Combination Psilocybin-MDMA Therapy

(01:56:06) DMT “Rocketship” & Serotonin 2A Receptors; Ibogaine

(02:01:04) “Ego Dissolution”, Cocaine vs. Psychedelics; Relapses

(02:12:26) Psychedelics & Legal Landscape; Decriminalization

(02:17:54) MDMA, Trauma & Clinical Trials; Future Regulatory (FDA) Approval?

(02:23:25) Psilocybin & Current Clinical Trials

(02:28:41) Mental Health & Psychedelic Treatment, Safeguards, Paradigm Shift

(02:34:39) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter

Title Card Photo Credit: Mike Blabac)

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