back to indexAMA #5: Intrusive Thoughts, CGMs, Behavioral Change, Naps & NSDR
Chapters
0:0 Introduction
1:53 Strategies for Abstaining From Addictive Thoughts and Narratives
21:7 Huberman Lab Premium
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I'm Andrew Huberman, and I'm a professor of neurobiology 00:00:12.260 |
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And now without further ado, I will answer your questions. 00:01:45.620 |
And as always, I will strive to be as thorough as possible, 00:01:49.420 |
as clear as possible, and as concise as possible. 00:01:53.340 |
Our first question is about abstaining from thoughts. 00:01:57.860 |
we're going to skirt right up against a topic 00:02:06.780 |
but people with true OCD suffer a lot from obsessions. 00:02:11.740 |
These are intrusive thoughts and compulsions, 00:02:19.060 |
I think it's really important that we define OCD 00:02:26.980 |
and the desire to abstain from thoughts versus OCD 00:02:40.340 |
as opposed to, you know, we call people neurotic, 00:02:46.540 |
that's become kind of common use of the acronym OCD. 00:02:53.540 |
in which the engaging in a particular compulsive behavior 00:03:06.940 |
So the typical thing that we hear these days is, 00:03:20.180 |
but OCD in the sense that, you know, they're really clean, 00:03:24.780 |
However, that person can achieve some level of calm 00:03:32.080 |
Well, then that's not obsessive compulsive disorder. 00:03:39.340 |
and the desire to abstain from certain thoughts. 00:03:41.940 |
A person with true OCD will keep cleaning and cleaning 00:03:50.140 |
but the more they do it, the more their anxiety goes up. 00:03:59.820 |
but the sort of person that's extremely particular, 00:04:05.060 |
and they're very driven to resolve things and do things 00:04:07.960 |
to make sure that things are done in a certain way 00:04:15.360 |
from engaging in, let's say, exercise or from cleaning, 00:04:18.760 |
right, you'd say you're so OCD about exercise. 00:04:24.540 |
makes somebody really calm in the rest of the day 00:04:31.260 |
They don't necessarily have a disorder related to exercise. 00:04:34.880 |
However, if they're exercising for two hours in the morning 00:04:37.600 |
and then they find they can't concentrate on other things 00:04:40.120 |
and their desire to exercise just increases and increases 00:04:44.780 |
disrupting their quality of life throughout the day, 00:04:58.200 |
and the question is in your discussion with Dr. Anna Lemke, 00:05:03.640 |
is the director of our dual diagnosis addiction clinic 00:05:08.280 |
She's the author of this incredible book, "Dopamine Nation," 00:05:14.440 |
So important for the addict and non-addict alike 00:05:18.040 |
because it deals with basically the state of our life. 00:05:20.800 |
Nowadays, we're living in this dopamine-rich world 00:05:23.060 |
where we can quickly become dopamine depleted, 00:05:27.680 |
In addition to things like addiction in some folks, et cetera, 00:05:35.520 |
I think she's the only guest we've had thus far 00:05:37.400 |
whose name is Anna, so it'll just pop up there. 00:05:43.820 |
or watch that episode, you can access it, hubermanlab.com. 00:05:47.760 |
The question is, in your discussion with Dr. Analemke, 00:05:50.240 |
you were talking about abstaining from people's drug 00:05:53.020 |
of choice for 30 days to reset the dopamine reward pathway. 00:05:57.640 |
that Dr. Analemke gives for most all addictions 00:06:07.920 |
social media, video games, sex, food, et cetera. 00:06:14.320 |
or in some other addictions, you can't abstain for 30 days. 00:06:18.280 |
That would be terrible to abstain for food for 30 days. 00:06:21.200 |
I'm sure people have done it, but it is not healthy to do. 00:06:30.240 |
There are cases of severe alcohol or opiate dependence 00:06:33.720 |
where people can't go cold turkey or they risk dying, 00:06:36.960 |
so there they need to really work with a physician. 00:06:48.720 |
for most people struggling with either behavioral, 00:06:58.120 |
"You said you were going to ask Ana how to abstain 00:07:00.580 |
if your drug of choice is a thought or narrative 00:07:06.240 |
The question continues, "As far as I can tell, 00:07:15.100 |
for abstaining from addictive thoughts and narratives?" 00:07:22.420 |
Okay, in the realm of neurobiology, we have sensations, 00:07:25.440 |
which are the processes by which our neurons, nerve cells, 00:07:46.560 |
and help us navigate the world that we're in. 00:07:49.240 |
Okay, so the sensation part is a pure transformation 00:08:00.040 |
floating around in the world are brought into your nose 00:08:04.720 |
convert those into electrical and chemical signals 00:08:17.400 |
either because you're paying attention to them 00:08:20.200 |
you decide that a stop sign in front of you is red 00:08:28.140 |
and that the sky is blue or cloudy, those are perceptions. 00:08:37.620 |
which are these things that include the mind and body 00:08:44.200 |
although those chemicals do other things as well. 00:08:46.380 |
And then, of course, we have behaviors, actions, 00:08:48.240 |
everything from me moving my pen on a piece of paper 00:08:52.360 |
Thoughts are a fifth category of neural functioning 00:09:04.600 |
as sensations, perceptions, or feeling, or action. 00:09:17.120 |
that include data from the past, present, or future, okay? 00:09:27.220 |
or present and future, or future and past, okay? 00:09:30.480 |
I'm not trying to give an overly complicated definition here, 00:09:41.860 |
So thoughts are perceptions that are generated internally, 00:09:47.620 |
in order to have a thought, we can close our eyes, 00:09:49.480 |
we could be in sensory isolation for that matter, 00:09:55.360 |
Thoughts tend to run pretty much automatically 00:10:03.420 |
in the back of our minds, in a very unstructured way. 00:10:06.720 |
And then if we force our thoughts to be structured, 00:10:11.440 |
or if something in our environment captures our perception, 00:10:21.860 |
if there were a way in which we could broadcast my thoughts 00:10:35.580 |
"Hi, good to see you, what are you doing today?" 00:10:38.560 |
And I start answering, well, then my thoughts 00:10:40.180 |
are suddenly being driven by an external stimulus, 00:10:46.080 |
memory of who I am and what I'm doing that day, 00:10:52.200 |
So when we have a question about how to abstain from thoughts 00:10:55.780 |
we need to be additionally specific and really pinpoint 00:11:05.400 |
either because they are too repetitive and distracting, 00:11:08.760 |
or because what's contained in those thoughts is disturbing. 00:11:12.080 |
Okay, this is important because it gives us two answers 00:11:21.720 |
from intrusive thoughts, thoughts that we're addicted to, 00:11:24.840 |
is if those thoughts are merely on loop all the time 00:11:31.600 |
but the thoughts themselves aren't particularly disturbing, 00:11:33.960 |
so think about a song you can't get out of your head, 00:11:45.400 |
to trying to anchor your thoughts to some external stimulus, 00:11:49.040 |
so getting into action, getting into activities 00:11:52.180 |
that really draw your attention away from that thought. 00:11:55.120 |
Now, you may still hear it scrolling in the background, 00:11:57.320 |
so you might be sitting in class still hearing 00:12:01.280 |
That's something that over time ought to wane, 00:12:20.180 |
doing a 10 or even just five minutes a day practice 00:12:23.560 |
of sitting with eyes closed or lying down with eyes closed 00:12:36.340 |
has been shown to increase focus for singular topics 00:12:47.720 |
My laboratory has run studies on mindful meditation as well. 00:12:58.860 |
Now, I have a feeling that this question was asked 00:13:03.180 |
because the issue isn't just thoughts that are intrusive 00:13:08.820 |
but because the thoughts themselves are actually troubling. 00:13:24.580 |
you can't seem to get your mind off of something 00:13:27.780 |
and your emotions tend to follow and so it's uncomfortable. 00:13:30.660 |
I have a feeling this is the root of the question. 00:13:33.160 |
In that case, the approach is very different. 00:13:37.020 |
What we know from essentially all of the quality scientific 00:13:42.820 |
of intrusive thoughts are very much like a trauma. 00:13:46.540 |
Now, we have to be clear in defining what trauma is. 00:13:50.700 |
another incredible guest that was on our podcast, 00:13:54.420 |
a psychiatrist, Stanford Harvard trained psychiatrist, 00:14:10.300 |
such that you function less adaptively going forward 00:14:15.540 |
So not every bad occurrence in your life is a trauma. 00:14:23.360 |
and traumas change the way that our nervous system works 00:14:25.740 |
so that we don't function as well as we could. 00:14:28.580 |
So in that sense, intrusive thoughts that are disturbing 00:14:33.140 |
are in many ways traumas and are reinforcing that trauma. 00:14:46.560 |
and I would hope you would not re-expose yourself 00:14:49.500 |
But we know that one of the best ways to deal with traumas 00:14:56.620 |
Now, this can be done with a therapist, ideally, 00:15:05.000 |
There's a range of quality of therapists for that matter. 00:15:12.400 |
with really great, meaning, excellently trained people. 00:15:23.040 |
is to journal about that particular thought extensively. 00:15:26.720 |
So rather than the earlier strategy for intrusive thoughts 00:15:38.280 |
we know that it's very useful to script out as much detail 00:15:58.860 |
thoughts, as I mentioned earlier, can often be fragmentary. 00:16:08.300 |
or be present to work or family or other things or sleep. 00:16:20.180 |
of whatever it is that that thought is about, 00:16:41.380 |
Now, of course, this process of abstaining from thoughts 00:16:44.720 |
or removing the addictive nature of certain thoughts 00:16:50.740 |
So a good example there would be superstitions. 00:16:54.660 |
and I've talked about this before on a few podcasts, 00:16:58.380 |
I developed a sort of a knock on wood superstition. 00:17:01.820 |
Anytime I'd say something that I didn't want to happen 00:17:04.980 |
I'd say knock on wood, and I'd knock on wood. 00:17:11.260 |
And then I started just telling myself in my head, 00:17:14.980 |
And it was clearly a little bit of an OCD type thing. 00:17:21.160 |
I think it qualified as OCD in the sense that 00:17:25.220 |
the more I did it, the more I wanted to do it. 00:17:27.660 |
So I needed to go cold turkey on the thinking, 00:17:33.620 |
What I was told to do and what worked very well for me 00:17:36.280 |
was to just write down the worst possible outcome 00:17:44.820 |
or the underlying basis of that intrusive thought. 00:17:58.100 |
but a lot of times it's some kind of nebulous, 00:18:15.980 |
and to putting some thought and structure onto paper 00:18:19.100 |
about what that pattern of not healthy thinking relates to, 00:18:29.560 |
Sometimes just in one session of writing it down, 00:18:31.400 |
sometimes they need to write it down multiple times. 00:18:34.940 |
with a intrusive thought or a trauma of any kind 00:18:44.220 |
and captures, it kind of hijacks your nervous system, 00:18:47.920 |
into what is essentially a known but repetitive 00:18:56.940 |
And there, of course, I have to highlight the fact 00:18:59.040 |
that getting sufficient rapid eye movement sleep, 00:19:04.060 |
for removing the emotional load of traumatic experiences 00:19:11.100 |
that includes sufficient rapid eye movement sleep. 00:19:25.360 |
and all of which can be accessed to completely zero cost 00:19:27.900 |
to try and get your sleep as good as possible, 00:19:32.940 |
So in order to remove intrusive and addictive thoughts, 00:19:37.300 |
ask yourself, is this OCD of the classic sense? 00:19:53.480 |
You want to ask yourself, are the thoughts disturbing 00:20:03.020 |
well then learning to focus your attention on other things 00:20:05.680 |
and getting better at focusing on single things 00:20:08.040 |
through an exercise like mindfulness meditation 00:20:11.700 |
And indeed, perhaps the best use of mindfulness meditation 00:20:22.240 |
even with these very short five or 10 minute a day 00:20:30.200 |
are not only intrusive, but they're also disturbing, 00:20:32.920 |
in that case, you really want to put as much structure 00:20:41.180 |
write them out on paper in complete sentences, 00:20:49.200 |
related to those thoughts really start to diminish. 00:20:52.580 |
you're essentially doing your own form of trauma therapy, 00:21:04.660 |
is going to be the best way to extinguish them. 00:21:11.080 |
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