Huberman Lab 2024年07月17日
Erasing Fears & Traumas Based on the Modern Neuroscience of Fear
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本期节目探讨了恐惧和创伤,包括“威胁反射”的神经回路,以及特定经验和记忆如何激活这一系统。同时,讨论了身体在创伤和恐惧中的作用,以及成功治疗恐惧和创伤的必要条件,涵盖了EMDR、认知行为疗法、ketamine治疗等多种方法,并提出了通过自我施加压力和社交连接来消除恐惧和抑郁的新观点。

🧠 '威胁反射'的神经回路:详细介绍了大脑如何处理恐惧信号,以及长期增强和NMDA受体在恐惧学习中的作用。

📚 治疗恐惧的认知疗法:探讨了叙事疗法、重复叙事以及EMDR(眼动脱敏再加工)等治疗方法的效果和原理。

🤝 社交连接的力量:分析了社交隔离和连接如何通过特定的分子途径在大脑和身体中激活或消除恐惧。

🌿 营养补充与恐惧治疗:讨论了使用藏红花、肌醇、卡瓦等非处方补充剂对焦虑和恐惧的影响及使用时机。

🧩 短暂压力的益处:提出了每天5分钟自我施加的压力可以帮助消除恐惧和抑郁,以及这一方法的科学依据。

In this episode, I discuss fear and trauma, including the neural circuits involved in the "threat reflex" and how specific experiences and memories come to activate that system. I also discuss how our body is involved in trauma and fear. First, I describe the logic of fear mechanisms and how "top-down" processing-- meaning connections from the parts of the brain that assign meaning to our feelings, are involved in fear and erasing fears and traumas. Then I discuss what successful fear and trauma treatment must include and consider various treatments for whether they meet that standard, such as EMDR, Cognitive Behavioral Therapy, Ketamine, other drug-assisted therapies, and more. I also review new data on how 5 minutes per day of deliberate, self-imposed stress can erase fear and depression. And I review the role that social connection plays in erasing or maintaining fears by activating specific molecular pathways in the brain and body. Finally, I review supplementation with over-the-counter compounds for their effects on anxiety and fear and when to take them, if at all. 

For the full show notes, visit hubermanlab.com.

Thank you to our sponsors

AG1 (Athletic Greens): https://athleticgreens.com/huberman

LMNT: https://drinklmnt.com/huberman

Supplements from Momentous

https://www.livemomentous.com/huberman

Timestamps

(00:00:00) Introducing Fear, Trauma & Trauma 

(00:02:31) Sponsors: AG1, LMNT

(00:06:49) What is Fear? 

(00:11:45) Autonomic Arousal: “Alertness” vs. “Calmness”

(00:13:44) Hypothalamic-Pituitary-Adrenal Axis (HPA axis)

(00:17:36) “The Threat Reflex”: Neural Circuits for Fear

(00:28:24) Controlling Fear: Top-Down Processing

(00:32:27) Narratives: “Protective or Dangerous”

(00:35:58) Attaching Fear to Events: Classical Conditioning & Memory

(00:41:45) How Fear Learning Occurs: Long Term Potentiation, NMDA

(00:46:10) Extinguishing (Reducing) Fears

(00:50:25) Cognitive (Narrative) Therapies for Fear

(00:57:56) Repetition of Narrative, Overwriting Bad Experiences with Good

(01:05:28) EMDR: Eye Movement Desensitization Reprocessing

(01:14:00) Social Connection & Isolation Are Chemically Powerful

(01:18:23) Trans-Generational Trauma

(01:25:00) PTSD Treatments: Ketamine, MDMA, oxytocin

(01:39:25) How Do You Know If You Are Traumatized? 

(01:46:16) Deliberate Brief Stress Can Erase Fears & Trauma

(01:49:50) Erasing Fears & Traumas In 5 Minutes Per Day

(01:59:42) Nutrition, Sleep, & Other General Support Erasing Fear & Trauma

(02:02:30) Supplements for Anxiety, Fear: Saffron, Inositol, Kava

(02:10:00) Synthesis 

(02:11:46) Zero-Cost Support, Sponsors, Supplements, Instagram, Twitter

Title Card Photo Credit: Mike Blabac

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相关标签

恐惧 创伤 神经回路 治疗方法 社交连接
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