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Understanding and Using Dreams to Learn and to Forget | Huberman Lab Podcast #5



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Welcome to the Huberman Lab Podcast,
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where we discuss science and science-based tools
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for everyday life.
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I'm Andrew Huberman,
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and I'm a professor of neurobiology and ophthalmology
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at Stanford School of Medicine.
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This podcast is separate from my teaching
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and research roles at Stanford.
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It is, however, part of my desire
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to bring you zero cost to consumer information
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about science and science-related tools.
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In keeping with that theme,
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I'd like to thank the sponsors of today's podcast.
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Our first sponsor is Helix Sleep.
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Helix Sleep makes mattresses
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that are ideally suited to your sleep needs.
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Helix mattresses are amazing.
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I can say this because I've been sleeping on one,
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and I've been sleeping better than I've ever slept before.
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The interesting thing about Helix mattresses
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is that they're tailored to your unique body type
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and sleeping style.
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What's a sleeping style?
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Well, if you go to the Helix site,
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you can take a quick quiz.
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It takes about two minutes
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as to whether or not you sleep on your stomach,
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your side, your back,
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whether or not you flip back and forth,
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or whether or not you don't know
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in what position you sleep,
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as well as whether or not you tend to run hot or run cold,
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wake up cold, wake up hot, et cetera.
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If you do that, then it will match you to the mattress
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that's perfect for your sleep needs.
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If you want to try a Helix mattress,
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you can go to helixsleep.com slash Huberman,
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and if you do that, you'll get $200 off your order
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as well as two free pillows.
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That's helixsleep.com slash Huberman.
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The second sponsor of today's podcast is Athletic Greens.
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Athletic Greens is an all-in-one
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vitamin mineral probiotic drink.
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I've been using Athletic Greens since 2012,
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and I started using it because I had a lot of confusion
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about what vitamins and minerals I should take,
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and taking Athletic Greens allowed me to get the foundation
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or sort of the base of everything I need
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in one easy-to-consume formula.
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It tastes great.
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I mix mine with water and a little bit of lemon juice,
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and I like drinking it,
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and the probiotics in there are important to me as well,
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because there are a lot of data out there now
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identifying the gut microbiome
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and the importance of the gut brain axis
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for immune function, metabolic function, and so forth.
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If you want to try Athletic Greens,
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you can go to athleticgreens.com slash Huberman,
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and if you do that, they'll also send you a year's supply
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of liquid vitamin D3K2.
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There are a lot of data starting to surface
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about the importance of vitamin D3 for immune function,
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metabolic function, endocrine function, and so forth.
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In addition, if you go to athleticgreens.com slash Huberman,
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you'll get the year's supply of D3 and K2,
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as well as five free travel packs,
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which are little packets of Athletic Greens
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in addition to your normal order,
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and those are great for when you're on the plane
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or you're otherwise traveling.
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They mix up really easily without any mess
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or the need to spoon out powder and things of that sort,
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so the things that are easy to do at home
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are kind of harder on the road.
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Those packets make it easy while on the road.
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Today, we're going to talk about dreaming,
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learning during dreaming, and unlearning during dreaming,
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in particular, unlearning of troubling emotional events.
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Now, my interest in dreaming goes way back.
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When I was a child, I had a friend,
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and he came over one day and he brought with him a mask
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that had a little red light in the corner.
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He had purchased this thing through some magazine ad
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that he had seen,
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and this mask was supposed to trigger lucid dreaming.
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Lucid dreaming is the experience of dreaming during sleep,
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but being aware that one is dreaming,
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and in some cases, being able to direct
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one's dream activities.
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So if you're in a lucid dream
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and you want to fly, for instance,
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some people report being able to initiate
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that experience of flying or to contort themselves
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into an animal or to transport themselves
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to wherever they want within the dream.
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I tried this device.
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The way it worked is you put on the mask
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during the waking state, wide awake,
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and you'd look at the little light flashing in the corner,
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and then you'd also wear it when you went to sleep at night.
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And indeed, while I was asleep,
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I could see the red light presumably through my eyelids,
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although for all I know, I had opened my eyes.
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I don't know, I was asleep.
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And then because I was dreaming
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and I was experiencing something very vivid,
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I was able to recognize that I was dreaming
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and then start to direct some of the events
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within that dream.
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Now, lucid dreaming occurs in about 20% of people,
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and in a small percentage of those people,
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they lucid dream almost every night,
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so much so that many of them report their sleep
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not being as restorative as it would be otherwise.
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Now, all of this is to say that lucid dreaming and dreaming
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are profound experiences.
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We tend to feel extremely attached to our dream experience.
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This may explain the phenomenon
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of people who have a very intense dream,
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they need to somehow tell everybody about that dream
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or tell someone about that dream.
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I don't really know what that behavior is about,
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but sometimes we wake up and we feel so attached
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to what happened in this state that we call dreaming
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that there seems to be an intense need
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to share it with other people,
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presumably to process it and make sense of it.
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Now, numerous people throughout history
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have tried to make sense of dreams
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in some sort of organized way.
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The most famous of which, of course, is Sigmund Freud,
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who talked about symbolic representations in dreams.
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A lot of that has been kind of debunked,
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although I think that there's some interest
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in what the symbols of dreaming are,
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and this is something that we'll talk about
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in more depth today,
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although not Freudian theory in particular.
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So I think in order to really think about dreams
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and what to do with them
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and how to maximize the dream experience
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for sake of learning and unlearning,
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the best way to address this
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is to look at the physiology of sleep,
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to really just what do we know concretely about sleep?
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So first of all, as we get sleepy,
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we tend to shut our eyes,
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and that's because there are some autonomic centers
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in the brain, some neurons that control closing
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of the eyelids when we get sleepy,
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and then we transition into sleep.
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And sleep, regardless of how long we sleep,
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is generally broken up into a series of 90-minute cycles,
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these ultradian cycles.
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So early in the night,
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these 90-minute cycles tend to be comprised
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more of shallow sleep and slow-wave sleep,
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so stage one, stage two, et cetera,
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and what we call slow-wave sleep.
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I'll go into detail about what all this means in a moment.
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And we tend to have less so-called REM sleep,
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R-E-M sleep, which stands for rapid eye movement sleep,
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and I'll talk about rapid eye movement sleep in detail.
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So early in the night, a lot more slow-wave sleep
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and less REM.
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For every 90-minute cycle that we have
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during a night of sleep,
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we tend to start having more and more REM sleep.
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So more of that 90-minute cycle is comprised of REM sleep
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and less of slow-wave sleep.
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Now, this is true regardless of whether or not
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you wake up in the middle of the night to use the restroom
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or your sleep is broken.
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The more sleep you're getting across the night,
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the more REM sleep you're going to have.
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And REM sleep and non-REM, as I'll refer to it,
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have distinctly different roles in learning and unlearning,
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and they are responsible for learning and unlearning
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of distinctly different types of information.
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And this has enormous implications
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for learning of motor skills,
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for unlearning of traumatic events
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or for processing emotionally challenging
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as well as emotionally pleasing events.
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And as we'll see,
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one can actually leverage their daytime activities
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in order to access more slow-wave sleep
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or non-REM sleep as we'll call it,
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or more REM sleep depending on your particular
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emotional and physical needs.
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So it's really a remarkable stage of life
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that we have a lot more control and power over
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than you might believe.
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We'll also talk about lucid dreaming.
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We're also going to talk about hallucinations
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and how drug-induced hallucinations
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have a surprising similarity to a lot of dream states
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and yet some really important differences.
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Okay, so let's start by talking about slow-wave sleep
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or non-REM sleep.
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Now I realize that slow-wave sleep and non-REM sleep
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aren't exactly the same thing.
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So for you sleep aficionados out there,
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I am lumping right now, as we say in science,
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there are lumpers and there are splitters, and I am both.
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Sometimes I lump, sometimes I split.
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For sake of clarity and ease of conversation right now,
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I'm going to be a lumper.
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So when I say slow-wave sleep,
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I mean non-REM sleep generally,
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although I acknowledge there is a distinction.
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Slow-wave sleep.
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So slow-wave sleep is characterized
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by a particular pattern of brain activity
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in which the brain is metabolically active,
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but that there's these big sweeping waves of activity
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that include a lot of the brain.
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If you want to look this up there,
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you can find evidence for sweeping of waves
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of neural activity across association cortex,
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across big swaths of the brainstem,
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the so-called Pons geniculate occipital pathway.
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This is brainstem, thalamus, and then cortex,
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for those of you that are interested,
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although more of that is going to occur in REM sleep.
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Now, the interesting thing about slow-wave sleep
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are the neuromodulators that tend to be associated with it
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that are most active and least active
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during slow-wave sleep.
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And here's why.
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To remind you, neuromodulators are these chemicals
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that act rather slowly,
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but their main role is to bias particular brain circuits
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to be active and other brain circuits to not be active.
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These are like the music playlist.
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So think of neuromodulators,
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and these come in the names of acetylcholine,
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norepinephrine, serotonin, and dopamine.
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Think of them as suggesting playlists on your audio device.
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So classical music is distinctly different in feel and tone
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and a number of other features from like third-wave punk
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or from hip hop, right?
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So think of them as biasing toward particular genres
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of neural circuit activity, okay?
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Mellow music versus really aggressive fast music
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or rhythmic music that includes lyrics
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versus rhythmic music that doesn't include lyrics.
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That's more or less the way
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to think about these neuromodulators.
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And they are associated as a consequence
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with certain brain functions.
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So we know for instance,
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and just to review acetylcholine in waking states
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is a neuromodulator that tends to amplify the activity
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of brain circuits associated with focus and attention.
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Norepinephrine is a neuromodulator
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that tends to amplify the brain circuits associated
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with alertness and the desire to move.
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Serotonin is the neuromodulator that's released
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and tends to amplify the circuits in the brain and body
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that are associated with bliss and the desire to remain still
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and dopamine is the neuromodulator that's released
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and is associated with amplification of the neural circuits
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in the brain and body associated with pursuing goals
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and pleasure and reward, okay?
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So in slow wave sleep,
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something really interesting happens.
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There's essentially no acetylcholine.
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Acetylcholine production and release and action
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from the two major sites, which are in the brainstem,
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which from a nucleus,
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it's a parabigeminal nucleus if you really want to know
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or from the forebrain, which is nucleus basalis
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and you don't need to know these names,
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but if you like, that's why I put them out there.
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Acetylcholine production plummets.
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It's just almost to zero and acetylcholine,
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as I just mentioned, is associated with focus.
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So you can think of slow wave sleep
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as these big sweeping waves of activity through the brain
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and a kind of distortion of space and time
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so that we're not really focusing on any one thing.
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Now, the other molecules that are very active at that time
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are norepinephrine, which is a little bit surprising
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because normally in waking states,
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norepinephrine is going to be associated
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with a lot of alertness and the desire to move,
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but there's not a ton of norepinephrine
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around in slow wave sleep, but it is around.
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So there's something associated
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with the movement circuitry going on in slow wave sleep.
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And remember, this is happening mostly
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at the beginning of the night.
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Your sleep is dominated by slow wave sleep.
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So no acetylcholine, very little norepinephrine,
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although there is some, and a lot of serotonin.
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And serotonin, again, is associated with this desire,
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the sensation of kind of bliss or wellbeing,
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but not a lot of movement.
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And during sleep, you tend not to move.
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Now, in slow wave sleep, you can move.
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You're not paralyzed, so you can roll over.
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If people are going to sleepwalk,
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typically it's going to be during slow wave sleep.
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And what studies have shown
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through some kind of sadistic experiments
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where people are deprived specifically of slow wave sleep,
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and that can be done by waking them up
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as soon as the electrode recording show
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that they're in slow wave sleep,
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or by chemically altering their sleep
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so that it biases them away from slow wave sleep.
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What studies have shown is that motor learning
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is generally occurring in slow wave sleep.
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So let's say the day before you go to sleep,
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you were learning some new dance move,
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or you were learning some specific motor skill,
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either a fine motor skill or a course motor skill.
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So let's say it's a new form of exercise
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or some new coordinated movements.
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This could be coordinated movement
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at the level of the fingers,
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or it could be coordinated movement
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at the level of the whole body and large limb movements.
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It could involve other people,
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or it could be a solo activity.
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Learning of those skills is happening
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primarily during slow wave sleep
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in the early part of the night.
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In addition, slow wave sleep has been shown to be important
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for the learning of detailed information.
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Now, this isn't always cognitive information.
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We're going to talk about cognitive information,
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but the studies that have been done along these lines
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involve having people learn very detailed information
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about very specific rules
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and the way that certain words are spelled.
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They tend to be challenging words.
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So if people are tested in terms of their performance
link |
00:14:20.400
on these types of exams,
link |
00:14:22.240
and they're deprived of slow wave sleep,
link |
00:14:24.440
they tend to perform very poorly.
link |
00:14:26.560
So we can think of slow wave sleep
link |
00:14:28.420
as important for motor learning, motor skill learning,
link |
00:14:31.880
and for the learning of specific details
link |
00:14:34.360
about specific events.
link |
00:14:36.400
And this turns out to be fundamentally important
link |
00:14:39.200
because now we know that slow wave sleep
link |
00:14:43.000
is primarily in the early part of the night,
link |
00:14:45.040
and motor learning is occurring primarily early in the night
link |
00:14:48.400
and detail learning is occurring early in the night.
link |
00:14:51.720
Now, for those of you that are waking up
link |
00:14:53.420
after only three, four hours of sleep,
link |
00:14:55.240
this might be informative.
link |
00:14:56.680
This might tell you a little something
link |
00:14:58.560
about what you are able to learn and not able to learn
link |
00:15:01.320
if that were to be the only sleep that you get,
link |
00:15:03.660
although hopefully that's not the only sleep that you get.
link |
00:15:06.460
But we're going to dive deep into how it is
link |
00:15:09.780
that one can maximize motor learning
link |
00:15:12.440
in order to extract, say, more detail information
link |
00:15:16.520
about coordinated movements
link |
00:15:18.780
and how to make them faster or slower.
link |
00:15:20.800
So that might be important for certain sports.
link |
00:15:22.760
It might be almost certainly important for certain sports.
link |
00:15:27.180
It's going to be important
link |
00:15:28.280
for any kind of coordinated movement,
link |
00:15:30.280
like, say, learning to play the piano,
link |
00:15:32.160
or, for instance, how to learn synchronized movements
link |
00:15:37.740
with somebody else.
link |
00:15:38.580
So maybe I mentioned the example of dance earlier.
link |
00:15:41.420
If you, like me, a few years ago,
link |
00:15:43.760
I set out to learn tango
link |
00:15:45.620
because I have some Argentine relatives and I was abysmal.
link |
00:15:49.280
I need to return to that at some point.
link |
00:15:52.640
I was just abysmal.
link |
00:15:53.700
And one of the worst things
link |
00:15:54.840
about being abysmal at learning dance
link |
00:15:56.260
is that there's somebody else
link |
00:15:57.100
has to suffer the consequences also.
link |
00:15:59.120
So I don't know, maybe in a month on neuroplasticity,
link |
00:16:02.920
I'll explore that again as a self-experimentation.
link |
00:16:06.180
But the key things to know are slow-wave sleep
link |
00:16:08.760
involved in motor learning and detailed learning.
link |
00:16:11.800
There's no acetylcholine around at that time.
link |
00:16:14.320
Has this big amplitude activity
link |
00:16:16.480
sweeping throughout the brain.
link |
00:16:18.060
And that there's the release of these neuromodulators,
link |
00:16:20.640
norepinephrine and serotonin.
link |
00:16:23.040
And again, that's all happening early in the night.
link |
00:16:25.720
So athletes, people that are concerned about performance,
link |
00:16:29.640
if you happen to wake up after just a couple hours
link |
00:16:32.800
of three, four hours of sleep
link |
00:16:35.120
because you're excited about a competition the next day,
link |
00:16:38.120
presumably, if you've already trained the skills
link |
00:16:42.000
that you need for the event,
link |
00:16:43.480
you should be fine to engage in that particular activity.
link |
00:16:47.380
Now, it's always going to be better
link |
00:16:49.280
to get a full night's sleep.
link |
00:16:51.200
And a full night's sleep for you is six hours,
link |
00:16:53.880
and it's always going to be better to get more sleep
link |
00:16:56.480
than it is to get less.
link |
00:16:57.760
However, I think some people
link |
00:17:00.440
get a little bit overly concerned
link |
00:17:02.860
that if they didn't get their full night's sleep
link |
00:17:04.400
before some sort of physical event,
link |
00:17:06.240
that their performance is going to plummet.
link |
00:17:07.840
Presumably, if you've already learned what you need to do
link |
00:17:11.140
and it's stored in your neural circuits,
link |
00:17:13.680
and you know how to make those coordinated movements,
link |
00:17:15.720
what the literature on slow-wave sleep suggests
link |
00:17:17.680
is that you would be replenished.
link |
00:17:19.280
That the motor learning and the recovery from exercise
link |
00:17:21.760
is going to happen early in the night.
link |
00:17:24.340
So we'll just pause there
link |
00:17:25.680
and kind of shelve that for a moment,
link |
00:17:27.460
and then we're going to come back to it.
link |
00:17:28.920
But I want to talk about REM sleep,
link |
00:17:30.640
or rapid eye movement sleep.
link |
00:17:32.760
REM sleep and rapid eye movement sleep,
link |
00:17:35.520
as I mentioned before, occurs throughout the night,
link |
00:17:37.960
but you're going to have more of it.
link |
00:17:39.480
A larger percentage of these 90-minute sleep cycles
link |
00:17:42.000
is going to be comprised of REM sleep
link |
00:17:44.020
as you get toward morning.
link |
00:17:46.600
REM sleep is fascinating.
link |
00:17:48.160
It was discovered in the 50s
link |
00:17:49.680
when a sleep laboratory in Chicago,
link |
00:17:53.000
the researchers observed that people's eyes
link |
00:17:55.260
were moving under their eyelids.
link |
00:17:56.840
Now, something very important that we're going to address
link |
00:18:00.100
when we talk about trauma later
link |
00:18:02.480
is that the eye movements are not just side to side.
link |
00:18:05.360
They're very erratic in all different directions.
link |
00:18:08.040
One thing that I don't think anyone,
link |
00:18:09.760
I've never heard anyone really talk about publicly
link |
00:18:11.940
is why eye movements during sleep, right?
link |
00:18:15.140
Eyes are closed, and sometimes people's eyelids
link |
00:18:17.040
will be a little bit open and their eyes are darting around,
link |
00:18:18.960
especially in little kids.
link |
00:18:20.200
I don't suggest you do this.
link |
00:18:21.460
I'm not even sure it's ethical,
link |
00:18:22.560
but it has been done where you pull back the eyelids
link |
00:18:25.160
of a kid while they're sleeping
link |
00:18:26.140
and their eyes are kind of darting all over the place.
link |
00:18:28.200
I think people do this to their passed out friends
link |
00:18:29.960
at parties and things like that.
link |
00:18:31.280
So again, I don't suggest you do it,
link |
00:18:33.400
but I'm telling you it because it's been done before
link |
00:18:35.960
and therefore you don't have to do it again.
link |
00:18:38.480
But rapid eye movement sleep is fascinating
link |
00:18:41.600
and occurs because there are connections
link |
00:18:44.200
between the brainstem, an area called the pons,
link |
00:18:48.240
and areas of the thalamus and the top of the brainstem
link |
00:18:52.880
that are involved in generating movements
link |
00:18:55.420
in different directions, sometimes called saccades,
link |
00:18:57.520
although sometimes during rapid eye movement sleep,
link |
00:18:59.360
it's not just rapid, it's kind of a jittery side-to-side
link |
00:19:01.880
thing and then the eyeballs kind of roll.
link |
00:19:03.520
It's really pretty creepy to look at if you see.
link |
00:19:06.080
So what's happening there is the circuitry
link |
00:19:09.600
that is involved in conscious eye movements
link |
00:19:11.400
is kind of going haywire, but it's not haywire.
link |
00:19:13.540
It's these waves of activity from the brainstem
link |
00:19:17.160
up to the so-called thalamus,
link |
00:19:18.680
which is an area that filters sensory information
link |
00:19:21.560
and then up to the cortex.
link |
00:19:23.520
And the cortex, of course,
link |
00:19:24.840
is involved in conscious perceptions.
link |
00:19:27.440
So in rapid eye movement sleep,
link |
00:19:29.500
there are a couple of things are happening
link |
00:19:30.740
besides rapid eye movements.
link |
00:19:33.320
The main ones are that they're, I should say,
link |
00:19:36.440
in contrast to slow wave sleep.
link |
00:19:39.180
In REM sleep, serotonin is essentially absent, okay?
link |
00:19:44.280
So this molecule, this neuromodulator
link |
00:19:46.900
that tends to create the feeling of bliss and wellbeing
link |
00:19:49.920
and just calm, placidity is absent, all right?
link |
00:19:54.840
So that's interesting.
link |
00:19:56.320
In addition to that, norepinephrine,
link |
00:19:59.920
this molecule that's involved in movement and alertness
link |
00:20:02.660
is absolutely absent.
link |
00:20:04.320
It's probably one of the few times in our life
link |
00:20:09.040
that epinephrine is essentially at zero activity
link |
00:20:12.800
within our system.
link |
00:20:14.000
And that has a number of very important implications
link |
00:20:17.020
for the sorts of dreaming that occur during REM sleep
link |
00:20:20.640
and the sorts of learning that can occur
link |
00:20:23.160
in REM sleep and unlearning.
link |
00:20:24.500
First of all, in REM sleep, we are paralyzed.
link |
00:20:27.440
We are experiencing what's called atonia,
link |
00:20:30.360
which just means that we're completely laid out
link |
00:20:32.760
and paralyzed.
link |
00:20:34.040
We also tend to experience whatever it is
link |
00:20:36.920
that we're dreaming about as a kind of hallucination
link |
00:20:40.520
or a hallucinatory activity.
link |
00:20:42.640
Long ago, I looked into hallucinations and dreaming.
link |
00:20:47.480
I was just fascinated by this in high school.
link |
00:20:49.760
And there's some great books on this if you're interested
link |
00:20:51.840
in exploring the relationship
link |
00:20:53.780
between hallucinations and dreaming.
link |
00:20:56.540
The most famous of which are from a guy,
link |
00:20:58.700
researcher at Harvard, Alan Hobson.
link |
00:21:02.400
I wrote a book called Dream Drugstore
link |
00:21:05.480
and talked all about the similarities
link |
00:21:06.980
between drugs that induce hallucinations
link |
00:21:08.880
and dreaming in REM.
link |
00:21:10.500
So you can explore that if you like.
link |
00:21:12.440
So in REM, our eyes are moving,
link |
00:21:14.460
but the rest of our body is paralyzed
link |
00:21:16.580
and we are hallucinating.
link |
00:21:18.280
There's no epinephrine around.
link |
00:21:21.000
Epinephrine doesn't just create a desire
link |
00:21:24.040
to move and alertness.
link |
00:21:25.720
It is also the chemical signature of fear and anxiety.
link |
00:21:32.240
It's what's released from our adrenal glands
link |
00:21:34.780
when we experience something that's fearful or alerting.
link |
00:21:38.600
So if a car suddenly screeches in front of us
link |
00:21:40.620
or we get a troubling text message,
link |
00:21:42.840
adrenaline is deployed into our system.
link |
00:21:44.600
Adrenaline is epinephrine.
link |
00:21:46.120
Those are equivalent molecules.
link |
00:21:48.440
And epinephrine isn't just released from our adrenals.
link |
00:21:51.200
It's also released within our brain.
link |
00:21:53.320
So there's this weird stage of our life
link |
00:21:56.560
that happens more toward morning that we call REM sleep
link |
00:22:00.000
where we're hallucinating
link |
00:22:02.340
and having these outrageous experiences in our mind,
link |
00:22:05.840
but the chemical that's associated
link |
00:22:08.360
with fear and panic and anxiety is not available to us.
link |
00:22:13.560
And that turns out to be very important.
link |
00:22:16.880
And you can imagine why that's important.
link |
00:22:19.040
It's important because it allows us to experience things,
link |
00:22:23.640
both replay of things that did occur
link |
00:22:26.440
as well as elaborate contortions
link |
00:22:28.880
of things that didn't occur.
link |
00:22:31.080
And it allows us to experience those
link |
00:22:33.160
in the absence of fear and anxiety.
link |
00:22:36.540
And that it turns out is very important
link |
00:22:39.760
for adjusting our emotional relationship
link |
00:22:42.480
to challenging things that happened to us
link |
00:22:44.980
while we were awake.
link |
00:22:46.800
Those challenging things can sometimes be
link |
00:22:48.600
in the form of social anxiety
link |
00:22:52.200
or just having been working very hard
link |
00:22:54.480
or concern about an upcoming event,
link |
00:22:56.960
or sometimes people report, for instance,
link |
00:22:59.480
dreams where they find themselves late to an exam
link |
00:23:02.560
or naked in public or in some sort of situation
link |
00:23:07.980
that would be very troubling to them.
link |
00:23:10.240
And that almost certainly occurs during REM sleep.
link |
00:23:14.900
So we have this incredible period of sleep
link |
00:23:17.920
in which our experience of emotionally laden events
link |
00:23:22.400
is dissociated, it's chemically blocked
link |
00:23:25.640
from us having the actual emotion.
link |
00:23:28.940
Now, probably immediately some of you are thinking,
link |
00:23:31.360
well, what about nightmares? I have nightmares
link |
00:23:33.120
and those carry a lot of emotion,
link |
00:23:34.500
or sometimes I'll wake up in a panic.
link |
00:23:36.460
Let's consider each of those two things separately
link |
00:23:38.520
because they are important in understanding REM sleep.
link |
00:23:42.660
There's a good chance that nightmares
link |
00:23:44.800
are occurring during slow wave sleep.
link |
00:23:47.880
There are actually some drugs
link |
00:23:49.720
that I don't suggest people take,
link |
00:23:51.080
in fact, so much so I'm not gonna mention them,
link |
00:23:53.240
that give people very kind of scary or eerie dreams
link |
00:23:58.240
and this kind of feeling that things are pursuing them
link |
00:24:02.040
or that they can't move when they are being chased.
link |
00:24:06.480
That's actually a common dream that I've had,
link |
00:24:08.240
I guess it's more or less a nightmare,
link |
00:24:10.180
the feeling that one is paralyzed
link |
00:24:12.000
and can't move and is being chased.
link |
00:24:13.680
A lot of people have said, oh, that must be in REM sleep
link |
00:24:16.320
because you're paralyzed
link |
00:24:17.600
and so you're dreaming about being paralyzed
link |
00:24:19.280
and you can't move.
link |
00:24:20.600
I think that's probably false.
link |
00:24:22.060
The research says that because norepinephrine
link |
00:24:24.800
is absent during REM sleep,
link |
00:24:26.320
it's very unlikely that you can have these intense,
link |
00:24:28.580
fearful memories.
link |
00:24:29.720
So those are probably occurring in slow wave sleep,
link |
00:24:32.240
although there might be instances
link |
00:24:33.520
where people have nightmares in REM sleep.
link |
00:24:36.260
The other thing is some people experience,
link |
00:24:39.440
certainly I've had this experience of waking up
link |
00:24:42.240
and feeling very stressed about whatever it was
link |
00:24:45.600
that I happened to be thinking about
link |
00:24:46.960
or dreaming about in the moments before.
link |
00:24:49.680
And that's an interesting case of an invasion
link |
00:24:53.060
of the dream state into the waking state
link |
00:24:55.720
and the moment you wake up, epinephrine is available.
link |
00:24:59.320
So the research on this isn't fully crystallized,
link |
00:25:02.640
but most of it points in the direction
link |
00:25:05.040
of the experience of waking up and feeling very panicked.
link |
00:25:09.220
Maybe, I wanna highlight may,
link |
00:25:11.560
but maybe that you were experiencing something
link |
00:25:14.720
that was troubling in the daytime,
link |
00:25:17.560
you're repeating that experience in your sleep,
link |
00:25:20.160
epinephrine is not available
link |
00:25:21.680
and therefore the brain circuits associated
link |
00:25:24.160
with fear and anxiety are shut off
link |
00:25:27.160
and so you're able to process those events.
link |
00:25:29.860
And then suddenly you wake up
link |
00:25:31.360
and there's a surge of adrenaline, of epinephrine
link |
00:25:34.240
that's now coupled to that experience.
link |
00:25:36.360
So nightmares very likely in slow wave sleep
link |
00:25:39.040
and that kind of panic on waking from something
link |
00:25:41.720
very likely to be an invasion of the thoughts and ideas,
link |
00:25:45.360
however distorted in REM sleep, invading the waking state.
link |
00:25:49.920
In fact, that brings to mind something
link |
00:25:52.240
that I've mentioned once before,
link |
00:25:53.440
but I wanna mention again, this atonia,
link |
00:25:55.720
this paralysis that we experienced during sleep
link |
00:25:58.360
can invade the waking state.
link |
00:26:01.200
Many people report the experience of waking up
link |
00:26:03.880
and being paralyzed.
link |
00:26:05.480
They're legitimately waking up, it's not a dream.
link |
00:26:07.880
Waking up and being paralyzed and it is terrifying.
link |
00:26:11.720
I've had this happen before.
link |
00:26:13.040
It is, I can tell you, terrifying to be wide awake
link |
00:26:16.520
and as far as I could tell, fully conscious,
link |
00:26:19.500
but unable to move.
link |
00:26:21.040
And then generally you can jolt yourself out of it
link |
00:26:23.620
in a few seconds, but it is quite frightening.
link |
00:26:26.640
Now, some people actually experience waking up,
link |
00:26:30.820
being fully paralyzed and hallucinating.
link |
00:26:34.320
And there is a theory in the academic
link |
00:26:37.700
and scientific community at least
link |
00:26:39.420
that what people report as alien abductions
link |
00:26:42.460
have a certain number of core characteristics
link |
00:26:45.400
that map quite closely, eerily similarly
link |
00:26:48.640
to these experiences.
link |
00:26:50.920
A lot of reports of alien abduction
link |
00:26:52.760
involve people being unable to move,
link |
00:26:55.040
seeing particular faces, hallucinating,
link |
00:26:58.780
extensively feeling like their body is floating
link |
00:27:00.840
or they were transported.
link |
00:27:03.000
This is very similar to the experience
link |
00:27:05.960
of invasion of atonia into the waking state.
link |
00:27:08.520
Waking up and still being paralyzed
link |
00:27:10.440
as well as the hallucinations that are characteristic
link |
00:27:13.420
of dreaming in REM sleep.
link |
00:27:15.140
Now, I'm not saying that people's alien abductions
link |
00:27:18.900
were not legitimate alien abductions.
link |
00:27:20.480
How could I?
link |
00:27:21.320
I wasn't there.
link |
00:27:23.120
And if I was there, I wouldn't tell you
link |
00:27:24.840
because that would make me an alien.
link |
00:27:26.480
And I wouldn't want you to know.
link |
00:27:28.180
But it is quite possible
link |
00:27:31.420
that people are experiencing these things
link |
00:27:33.880
and they are an invasion of the sleep state
link |
00:27:35.980
into the waking state.
link |
00:27:37.200
And they can last several minutes or longer.
link |
00:27:39.680
And because in dreams, space and time are distorted,
link |
00:27:42.640
our perception of these events could be
link |
00:27:44.520
that they lasted many hours
link |
00:27:46.040
and we can really feel as if they lasted many hours
link |
00:27:48.900
when in fact they took only moments.
link |
00:27:51.160
And we're going to return to distortion of space and time
link |
00:27:53.260
in a little bit.
link |
00:27:54.480
So to just recap where we've gone so far,
link |
00:27:58.680
slow wave sleep early in the night,
link |
00:28:00.920
it's been shown to be important for motor learning
link |
00:28:03.720
and for detail learning.
link |
00:28:05.640
REM sleep has a certain dream component
link |
00:28:08.480
when which there's no epinephrine.
link |
00:28:10.520
Therefore we can't experience anxiety.
link |
00:28:12.320
We are paralyzed.
link |
00:28:13.800
Those dreams tend to be really vivid
link |
00:28:16.280
and have a lot of detail to them.
link |
00:28:18.520
And yet in REM sleep, what's very clear
link |
00:28:21.840
is that the sorts of learning that happen in REM sleep
link |
00:28:24.360
are not motor events.
link |
00:28:25.720
It's more about unlearning of emotional events.
link |
00:28:29.120
And now we know why,
link |
00:28:30.040
because the chemicals available
link |
00:28:31.480
for really feeling those emotions are not present.
link |
00:28:36.680
Now that has very important implications.
link |
00:28:40.880
So let's address those implications from two sides.
link |
00:28:43.560
First of all, we should ask
link |
00:28:44.640
what happens if we don't get enough REM sleep?
link |
00:28:47.380
And a scenario that happens a lot
link |
00:28:49.640
where people don't get enough REM sleep is the following.
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00:28:52.680
I'll just explain the one that I'm familiar with
link |
00:28:55.020
because it happens to me a lot,
link |
00:28:56.640
although I figured out ways to adjust.
link |
00:28:59.940
I go to sleep around 10, 30, 11 o'clock.
link |
00:29:02.880
I fall asleep very easily.
link |
00:29:04.560
And then I wake up around three or 4 a.m.
link |
00:29:08.480
I now know to use a NSDR, a non-sleep deep rest protocol.
link |
00:29:12.960
And that allows me to fall back asleep.
link |
00:29:15.000
Even though it's called non-sleep deep rest,
link |
00:29:16.680
it's really allows me to relax my body and brain.
link |
00:29:19.400
And I tend to fall back asleep and sleep till about 7 a.m.
link |
00:29:22.700
during which time I get a lot of REM sleep.
link |
00:29:26.320
And I know this because I've measured it.
link |
00:29:28.400
And I know this because my dreams tend to be very intense
link |
00:29:32.140
of the sort that we know as typical of REM sleep.
link |
00:29:36.340
In this scenario,
link |
00:29:38.620
I've gotten my slow wave sleep early in the night
link |
00:29:40.580
and I've got my REM sleep toward morning.
link |
00:29:43.560
However, there are times when I don't go back to sleep.
link |
00:29:46.040
Maybe I have a flight to catch, that's happened.
link |
00:29:48.000
Sometimes I've got a lot on my mind
link |
00:29:49.340
and I don't go back to sleep.
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00:29:51.980
I can tell you and you've probably experienced
link |
00:29:53.880
that the lack of REM sleep
link |
00:29:55.600
tends to make people emotionally irritable.
link |
00:29:58.500
It tends to make us feel
link |
00:30:00.320
as if the little things are the big things.
link |
00:30:02.820
So it's very clear from laboratory studies
link |
00:30:05.940
where people have been deprived selectively of REM sleep
link |
00:30:09.560
that our emotionality tends to get a little bit unhinged
link |
00:30:12.960
and we tend to catastrophize small things.
link |
00:30:16.040
We tend to feel like the world is really daunting.
link |
00:30:19.800
We're never going to move forward in the ways that we want.
link |
00:30:22.300
We can't unlearn the emotional components
link |
00:30:24.560
of whatever it is that's been happening,
link |
00:30:26.520
even if it's not traumatic.
link |
00:30:28.800
The other thing that happens in REM sleep
link |
00:30:30.540
is a replay of certain types of spatial information
link |
00:30:34.260
about where we were and why we were in those places.
link |
00:30:37.360
And this maps to some beautiful data
link |
00:30:39.600
and studies that were initiated
link |
00:30:41.200
by a guy named Matt Wilson at MIT years ago
link |
00:30:44.480
showing that in rodents,
link |
00:30:45.980
and it turns out in other non-human primates and in humans,
link |
00:30:49.340
there's a replay of spatial information during REM sleep
link |
00:30:52.980
that almost precisely maps to the activity
link |
00:30:56.460
that we experienced during the day
link |
00:30:57.560
as we move from one place to another.
link |
00:30:59.260
So here's a common world scenario.
link |
00:31:00.900
You go to a new place,
link |
00:31:02.680
you navigate through that city or that environment.
link |
00:31:05.600
This place doesn't have to be at the scale of a city.
link |
00:31:08.040
It can be a new building,
link |
00:31:09.280
could be finding particular rooms, new social interaction.
link |
00:31:12.960
You experience that and if it's important enough,
link |
00:31:16.520
that becomes solidified a few days later
link |
00:31:19.360
and you won't forget it.
link |
00:31:20.320
If it's unimportant, you'll probably forget it.
link |
00:31:23.460
During REM sleep, there's a literal replay
link |
00:31:26.680
of the exact firing of the neurons that occurred
link |
00:31:29.640
while you were navigating that same city
link |
00:31:31.480
you're building earlier.
link |
00:31:32.720
So REM sleep seems to be involved in the generation
link |
00:31:35.760
of this detailed spatial information.
link |
00:31:38.680
But what is it that's actually happening in REM sleep?
link |
00:31:42.980
So there's this uncoupling of emotion,
link |
00:31:44.880
but most of all what's happening in REM sleep
link |
00:31:47.320
is that we're forming a relationship
link |
00:31:49.680
with particular rules or algorithms.
link |
00:31:52.740
We're starting to figure out
link |
00:31:54.460
based on all the experience that we had during the day,
link |
00:31:57.400
whether or not it's important
link |
00:31:59.320
that we avoid certain people
link |
00:32:00.560
or that we approach certain people.
link |
00:32:01.940
Whether or not it's important that when we enter a building
link |
00:32:06.200
that we go into the elevator and turn left
link |
00:32:09.660
where the bathroom is, for instance,
link |
00:32:11.140
these general themes of things and locations
link |
00:32:13.780
and how they fit together.
link |
00:32:15.360
And that has a word, it's called meaning.
link |
00:32:18.160
During our day, we're experiencing all sorts of things.
link |
00:32:20.600
Meaning is how we each individually piece together
link |
00:32:25.800
the relevance of one thing to the next, right?
link |
00:32:28.560
So if I suddenly told you that this pen
link |
00:32:32.320
was downloading all the information to my brain
link |
00:32:34.720
that was important to deliver this information,
link |
00:32:36.900
you'd probably think I was a pretty strange character
link |
00:32:38.980
because typically we don't think of pens
link |
00:32:40.700
as downloading information into brains.
link |
00:32:43.040
But if I told you that I was getting information
link |
00:32:44.960
from my computer that was allowing me to say things to you,
link |
00:32:49.280
you'd say, well, that's perfectly reasonable.
link |
00:32:50.800
And that's because we have a clear
link |
00:32:52.560
and agreed upon association with computers
link |
00:32:54.780
and information and memory.
link |
00:32:57.040
And we don't have that same association with pens.
link |
00:33:00.180
You might say, well, duh,
link |
00:33:01.680
but something in our brain
link |
00:33:05.280
needs to solidify those relationships
link |
00:33:07.360
and make sure that certain relationships don't exist.
link |
00:33:10.400
And it appears that REM sleep is important for that
link |
00:33:12.600
because when you deprive yourself or people of REM,
link |
00:33:16.040
they start seeing odd associations.
link |
00:33:18.300
They tend to lump or batch things.
link |
00:33:20.960
I know this from my own experience,
link |
00:33:22.600
if I've ever been sleep deprived,
link |
00:33:24.040
which unfortunately happens too often
link |
00:33:25.700
because I'm terrible with deadlines, pulling all nighter,
link |
00:33:29.640
the word the starts to look like it's spelled incorrectly.
link |
00:33:33.420
And the is a very simple word to spell,
link |
00:33:36.240
but things start to look a little distorted.
link |
00:33:38.960
And we know that if people are deprived of REM sleep
link |
00:33:42.040
for very long periods of time, they start hallucinating.
link |
00:33:44.840
They literally start seeing relationships
link |
00:33:47.640
and movement of objects that isn't happening.
link |
00:33:50.360
And so REM sleep is really
link |
00:33:52.800
where we establish the emotional load,
link |
00:33:54.720
but where we also start discarding
link |
00:33:57.120
of all the meanings that are irrelevant.
link |
00:33:59.280
And if you think about emotionality,
link |
00:34:01.360
a lot of over emotionality or catastrophizing
link |
00:34:05.360
is about seeing problems everywhere.
link |
00:34:07.920
And you could imagine why that might occur
link |
00:34:10.000
if you start linking the web
link |
00:34:11.960
of your experience too extensively.
link |
00:34:14.160
It's very important in order to have healthy emotional
link |
00:34:17.120
and cognitive functioning,
link |
00:34:18.460
that we have fairly narrow channels
link |
00:34:20.400
between individual things.
link |
00:34:21.580
If we see something on the news that's very troubling,
link |
00:34:24.280
well, then it makes sense to be very troubled.
link |
00:34:26.560
But if we're troubled by everything
link |
00:34:28.120
and we start just saying, everything is bothering me
link |
00:34:30.560
and I'm feeling highly irritable
link |
00:34:32.000
and everything's just distorting and troubling me,
link |
00:34:35.160
chances are we are not actively removing the meaning,
link |
00:34:40.660
the connectivity between life experiences
link |
00:34:42.920
as well as we could.
link |
00:34:43.860
And that almost always maps back to a deficit in REM sleep.
link |
00:34:48.080
So REM sleep is powerful and has this amazing capacity
link |
00:34:52.180
to eliminate the meanings that don't matter.
link |
00:34:56.360
It's not that it exacerbates the meanings that do matter,
link |
00:34:59.580
but it eliminates the meanings that don't matter.
link |
00:35:01.920
And that bears a striking resemblance
link |
00:35:04.440
to what happens early in development.
link |
00:35:06.840
This isn't a discussion about early in development,
link |
00:35:09.280
but early in development,
link |
00:35:10.240
the reason a baby can't generate coordinated movements
link |
00:35:13.620
and the reason why children can get very emotional
link |
00:35:17.080
about what seems like trivial events
link |
00:35:19.000
or what adults know to be trivial events,
link |
00:35:20.780
like, oh, the ice cream shop is closed
link |
00:35:23.160
and then the kid just dissolves
link |
00:35:25.360
into a puddle of tears and the parents can say,
link |
00:35:28.880
okay, well, it'll be open again another time.
link |
00:35:31.000
The children, one of the reasons
link |
00:35:33.400
that they can't generate coordinated movement
link |
00:35:36.120
or place that event of the ice cream shop being closed
link |
00:35:38.920
into a larger context
link |
00:35:40.540
is because they have too much connectivity
link |
00:35:42.960
and much of the maturation of the brain and nervous system
link |
00:35:45.700
that brings us to the point of being emotionally stable,
link |
00:35:48.600
reasonable, rational human beings
link |
00:35:50.780
is about elimination of connections between things.
link |
00:35:54.040
So REM sleep seems to be where we uncouple
link |
00:35:57.360
the potential for emotionality between various experiences.
link |
00:36:02.840
And that brings us
link |
00:36:03.720
to the absolutely fundamental relationship
link |
00:36:07.440
and similarity of REM sleep
link |
00:36:09.980
to some of the clinical practices
link |
00:36:12.560
that have been designed to eliminate emotionality
link |
00:36:15.120
and help people move through trauma
link |
00:36:17.360
and other troubling experiences,
link |
00:36:19.240
whether or not those troubling experiences
link |
00:36:20.860
are a death in the family or of a close loved one,
link |
00:36:24.160
something terrible that happened to you or somebody else,
link |
00:36:26.740
or an entire childhood or some event
link |
00:36:30.600
that in your mind and body is felt as
link |
00:36:33.760
and experienced as bad, terrible or concerning.
link |
00:36:37.460
Many of you perhaps have heard of trauma treatments
link |
00:36:40.560
such as EMDR, eye movement desensitization reprocessing
link |
00:36:46.620
or ketamine treatment for trauma,
link |
00:36:49.700
something that recently became legal
link |
00:36:51.680
and is in fairly widespread clinical use.
link |
00:36:56.200
Interestingly enough, EMDR and ketamine
link |
00:36:59.760
at kind of a core level bear very similar features
link |
00:37:05.100
to REM sleep.
link |
00:37:07.080
So let's talk about EMDR first.
link |
00:37:09.700
EMDR, eye movement desensitization reprocessing
link |
00:37:12.760
is something that was developed
link |
00:37:13.920
by a psychologist Francine Shapiro.
link |
00:37:17.000
She actually was in Palo Alto and the story goes
link |
00:37:21.740
that she was walking not so incidentally
link |
00:37:26.240
in the trees and forest behind Stanford
link |
00:37:29.580
and she was recalling a troubling event in her own mind.
link |
00:37:32.580
So this would be from her own life.
link |
00:37:34.480
And she realized that as she was walking,
link |
00:37:36.680
the emotional load of that experience
link |
00:37:38.720
was not as intense or severe.
link |
00:37:43.240
She extrapolated from that experience
link |
00:37:46.620
of walking and not feeling as stressed
link |
00:37:49.440
about the stressful event to a practice
link |
00:37:51.960
that she put into work with her clients, with her patients
link |
00:37:56.160
and that now has become fairly widespread.
link |
00:37:58.680
It's actually one of the few behavior treatments
link |
00:38:02.260
that are approved by the American Psychological Association
link |
00:38:04.920
for the treatment of trauma.
link |
00:38:08.100
What she had her clients and patients do
link |
00:38:10.580
was move their eyes from side to side
link |
00:38:13.640
while recounting some traumatic or troubling event.
link |
00:38:17.020
Now this was of course in the clinic
link |
00:38:18.720
and I'm guessing that she removed the walking component
link |
00:38:21.160
and just took the eye movement component to the clinic
link |
00:38:24.280
because while it would be nice to go on therapy sessions
link |
00:38:27.960
with your therapist and take walks,
link |
00:38:29.840
there are certain boundaries to that
link |
00:38:31.960
such as confidentiality.
link |
00:38:34.200
If there are a lot of people around,
link |
00:38:35.520
the person might not feel as open to discussing things
link |
00:38:38.360
or weather barriers and things like that.
link |
00:38:40.880
If it's raining or hailing outside, it gets tough to do.
link |
00:38:45.280
Why eye movements?
link |
00:38:46.420
Well, she never really said why eye movements
link |
00:38:49.100
but soon I'll tell you why the decision
link |
00:38:52.720
to select these lateralized eye movements
link |
00:38:55.160
for the work in the clinic was the right one.
link |
00:38:58.280
So these eye movements, they look silly.
link |
00:39:00.960
I'll do them because that's why I'm here.
link |
00:39:04.920
They look silly, but they basically involve
link |
00:39:07.360
sitting in a chair and moving one's eyes from side to side,
link |
00:39:10.880
not while talking, but for me,
link |
00:39:15.140
and then recounting the event.
link |
00:39:17.120
So it's sometimes talking while moving the eyes
link |
00:39:19.720
but usually it was moving the eyes from side to side
link |
00:39:21.640
for 30, 60 seconds
link |
00:39:23.140
then describing this challenging procedure.
link |
00:39:26.440
Now, as a vision scientist who also works on stress,
link |
00:39:32.460
when I first heard this, I thought it was crazy, frankly.
link |
00:39:36.600
People would ask me about EMDR
link |
00:39:38.300
and I just thought, that's crazy.
link |
00:39:40.040
I went and looked up some of the theories
link |
00:39:41.600
about why EMDR might work.
link |
00:39:43.880
And there were a bunch of theories.
link |
00:39:46.360
Oh, it mimics the eye movements during REM sleep.
link |
00:39:49.240
That was one.
link |
00:39:50.200
It turns out that's not true and I'll explain why.
link |
00:39:53.080
The other one was, oh, it synchronizes the activity
link |
00:39:55.740
on the two sides of the brain.
link |
00:39:57.480
Well, sort of, I mean, when you look into both sides
link |
00:40:00.360
of the binocular visual field,
link |
00:40:01.600
you activate the visual cortex,
link |
00:40:03.120
but this whole idea of synchrony
link |
00:40:05.500
between the two sides of the brain
link |
00:40:06.860
is something that I think modern neuroscience
link |
00:40:08.640
is starting to, let's just say,
link |
00:40:11.900
gently or not so gently move away from,
link |
00:40:15.160
this whole right brain, left brain business.
link |
00:40:18.880
It turns out, however,
link |
00:40:20.520
that eye movements of the sort that I just did
link |
00:40:22.520
and that Francine Shapiro took from this walk experience
link |
00:40:25.420
and brought to her clients in the clinic
link |
00:40:29.540
are the sorts of eye movements that you generate
link |
00:40:31.340
whenever you're moving through space,
link |
00:40:33.180
when you are self-generating that movement.
link |
00:40:35.520
So not so much when you're driving a car,
link |
00:40:37.840
but certainly if you were riding a bicycle
link |
00:40:39.640
or you were walking or you were running,
link |
00:40:41.680
you don't realize it
link |
00:40:42.520
but you have these reflexive subconscious eye movements
link |
00:40:44.780
that go from side to side
link |
00:40:46.600
and they are associated with the motor system.
link |
00:40:49.240
So when you move forward, your eyes go like this.
link |
00:40:52.080
There've been a number of studies showing
link |
00:40:53.660
that these lateralized eye movements helped people
link |
00:40:56.780
move through or dissociate the emotional experience
link |
00:41:00.340
of particular traumas with those experiences
link |
00:41:03.720
such that they could recall those experiences
link |
00:41:06.160
after the treatment and not feel stressed about them
link |
00:41:09.400
or they didn't report them as traumatic any longer.
link |
00:41:12.140
Now, the success rate wasn't 100%,
link |
00:41:14.080
but they were statistically significant
link |
00:41:15.660
in a number of studies.
link |
00:41:17.480
And yet there are still some critics of EMDR
link |
00:41:20.200
and frankly, for a long time, I still thought,
link |
00:41:23.040
well, I don't know, this just seems like kind of a hack.
link |
00:41:25.420
It just seems like kind of a,
link |
00:41:26.920
this is something that for which we don't know the mechanism
link |
00:41:28.840
and we can't explain.
link |
00:41:30.920
But in the last five years,
link |
00:41:33.760
there have been no fewer than five
link |
00:41:36.400
and there's a sixth on the way,
link |
00:41:37.960
high quality peer-reviewed manuscripts
link |
00:41:40.320
published in Journal of Neuroscience,
link |
00:41:42.520
Neuron, Cell Press Journal, Excellent Journal,
link |
00:41:45.920
Nature, Excellent Journal.
link |
00:41:48.520
These are very stringent journals and papers
link |
00:41:51.520
showing that lateralized eye movements
link |
00:41:53.700
of the sort that I just did
link |
00:41:55.120
and if you're just listening to this,
link |
00:41:56.160
it's just sweep that moving the eyes from side to side
link |
00:41:58.280
with eyes open, that those eye movements,
link |
00:42:00.800
but not vertical eye movements,
link |
00:42:02.960
suppress the activity of the amygdala,
link |
00:42:06.560
which is this brain region
link |
00:42:08.720
that is involved in threat detection,
link |
00:42:11.760
stress, anxiety, and fear.
link |
00:42:14.280
There are some forms of fear
link |
00:42:15.200
that are not amygdala dependent,
link |
00:42:16.540
but the amygdala, it's not a fear center,
link |
00:42:19.260
but it is critical for the fear response
link |
00:42:23.560
and for the experience of anxiety.
link |
00:42:25.480
So that's interesting.
link |
00:42:26.380
We've got a clinical tool now
link |
00:42:29.360
that indeed shows a lot of success
link |
00:42:32.080
in a good number of people
link |
00:42:33.820
where eye movements from side to side
link |
00:42:36.000
are suppressing the amygdala
link |
00:42:37.360
and the general theme is to use those eye movements
link |
00:42:40.180
to suppress the fear response
link |
00:42:42.120
and then to recount or repeat the experience
link |
00:42:46.260
and over time uncouple the heavy emotional load,
link |
00:42:50.240
the sadness, the depression, the anxiety, the fear
link |
00:42:52.740
from whatever it was that happened that was traumatic.
link |
00:42:56.300
This is important to understand
link |
00:42:58.000
because I'd love to be able to tell somebody
link |
00:43:01.400
who had a traumatic experience
link |
00:43:02.720
that they would forget that experience,
link |
00:43:04.640
but the truth is you never forget the traumatic experience.
link |
00:43:07.640
What you do is you remove the emotional load.
link |
00:43:10.040
Eventually it really does lose its potency.
link |
00:43:13.980
The emotional potency is alleviated.
link |
00:43:16.600
Now, EMDR, I should just mention,
link |
00:43:19.100
tends to be most successful for single event
link |
00:43:21.780
or very specific kinds of trauma that happen over and over
link |
00:43:25.000
as opposed to say an entire childhood or an entire divorce.
link |
00:43:29.040
They tend to be, it tends to be most effective
link |
00:43:31.900
for single event kinds of things, car crashes, et cetera,
link |
00:43:35.580
where people can really recall the events
link |
00:43:37.960
in quite a lot of detail.
link |
00:43:39.920
So it's not for everybody and it should be done,
link |
00:43:42.840
if it's going to be done for trauma,
link |
00:43:44.400
it should be done in a clinical setting
link |
00:43:46.120
with somebody who's certified to do this,
link |
00:43:49.040
but that bears a lot of resemblance to REM sleep, right?
link |
00:43:52.120
This experience in our sleep where our eyes are moving,
link |
00:43:56.480
although in a different way,
link |
00:43:57.900
but we don't have the chemical epinephrine
link |
00:44:00.600
in order to generate the fear response
link |
00:44:02.840
and yet we're remembering the event
link |
00:44:04.840
from the previous day or days.
link |
00:44:06.800
Sometimes in REM sleep,
link |
00:44:07.740
we think about things that happened a long, long time ago.
link |
00:44:10.720
So that's interesting.
link |
00:44:12.240
And then now there's this new treatment,
link |
00:44:14.120
this chemical treatment with the drug ketamine,
link |
00:44:17.520
which also bears a lot of resemblance
link |
00:44:20.100
to the sorts of things that happen in REM sleep.
link |
00:44:23.800
Ketamine is getting a lot of attention now.
link |
00:44:26.320
And I think a lot of people
link |
00:44:27.320
just don't realize what ketamine is.
link |
00:44:29.860
Ketamine is a dissociative anesthetic.
link |
00:44:33.440
It is remarkably similar to the drug called PCP,
link |
00:44:38.440
which is certainly a hazardous drug for people to use.
link |
00:44:43.960
Ketamine and PCP both function
link |
00:44:48.600
to disrupt the activity of a particular receptor
link |
00:44:51.160
in the brain called the NMDA receptor,
link |
00:44:54.320
N-methyl-D-aspartate receptor.
link |
00:44:56.820
This is a receptor that's in the surface of neurons
link |
00:45:00.160
or on the surface of neurons
link |
00:45:01.700
for which most of the time it's not active.
link |
00:45:05.560
But when something very extreme happens
link |
00:45:09.200
and there's a lot of activity in the neural pathway
link |
00:45:11.780
that impinges on that receptor,
link |
00:45:13.840
it opens and it allows the entry of molecules, ions,
link |
00:45:19.180
that trigger a cellular process
link |
00:45:22.360
that we call long-term potentiation.
link |
00:45:24.840
And long-term potentiation translates
link |
00:45:27.040
to a change in connectivity
link |
00:45:29.240
so that later you don't need that intense event
link |
00:45:32.200
for the neuron to become active again.
link |
00:45:34.800
Let me clarify a little bit of this.
link |
00:45:36.400
The NMDA receptor is gated by intense experience.
link |
00:45:40.280
One way you could think about this
link |
00:45:42.040
is typically I walk in my home,
link |
00:45:43.760
I might make some food and sit down at my kitchen table,
link |
00:45:46.580
and I don't think anything about explosions.
link |
00:45:50.920
But were I to come home one night,
link |
00:45:52.620
sit down to a bowl of chicken soup,
link |
00:45:54.660
and there was a massive explosion,
link |
00:45:57.500
the neurons that are associated with chicken soup
link |
00:45:59.580
in my kitchen table would be active
link |
00:46:02.280
in a way that was different than they were previously
link |
00:46:05.640
and would be coupled to this experience of explosions
link |
00:46:08.700
such that the next time and perhaps every other time
link |
00:46:12.260
that I go to sit down at the kitchen table,
link |
00:46:13.820
no matter how rational I am
link |
00:46:15.740
about the origins of that explosion,
link |
00:46:17.480
maybe it was a gas truck that was down the road
link |
00:46:19.980
and there's no reason to think it's there today,
link |
00:46:21.420
but I would have the same experience.
link |
00:46:23.560
Those neurons would become active
link |
00:46:24.780
and I'd get an increase in heart rate,
link |
00:46:26.480
I'd get an increase in sweating, et cetera.
link |
00:46:29.300
Ketamine blocks this NMDA receptor
link |
00:46:32.500
and prevents that crossover and the addition of meaning
link |
00:46:36.720
to the kitchen table, kitchen soup, excuse me,
link |
00:46:39.440
chicken soup explosion experience.
link |
00:46:41.720
So how is ketamine being used?
link |
00:46:43.840
Ketamine is being used to prevent learning of emotions
link |
00:46:47.920
very soon after trauma.
link |
00:46:49.840
So ketamine is being stocked
link |
00:46:51.680
in a number of different emergency rooms
link |
00:46:53.220
where if people are brought in quickly
link |
00:46:55.620
and these are hard to describe even,
link |
00:46:57.800
but a horrible experience of somebody seeing a loved one
link |
00:47:01.480
next to them killed in a car accident
link |
00:47:03.160
and they were driving that car,
link |
00:47:05.240
this isn't for everybody certainly
link |
00:47:07.300
and you need to talk to your physician,
link |
00:47:08.900
but ketamine is being used
link |
00:47:10.640
so they might infuse somebody with ketamine
link |
00:47:12.860
so that their emotion is, it can still occur,
link |
00:47:16.500
but that the plasticity,
link |
00:47:18.580
the change in the wiring of their brain
link |
00:47:21.220
won't allow that intense emotion
link |
00:47:23.700
to be attached to the experience.
link |
00:47:25.400
Now, immediately you can imagine
link |
00:47:26.720
the sort of ethical implications of this, right?
link |
00:47:29.220
Because certain emotions need to be coupled to experiences.
link |
00:47:32.700
I'm not saying that people should be using ketamine
link |
00:47:34.520
or shouldn't be using ketamine,
link |
00:47:35.500
certainly not recreationally, it's quite dangerous.
link |
00:47:38.500
It can be lethal and like PCP,
link |
00:47:41.780
it can cause pretty dramatic changes
link |
00:47:43.900
in perception and behavior.
link |
00:47:45.420
But in the clinical setting,
link |
00:47:47.020
the basis of ketamine-assisted therapies
link |
00:47:49.980
is really to remove emotion.
link |
00:47:52.500
And I think the way I've been hearing about it,
link |
00:47:54.980
talked about in the general public
link |
00:47:56.620
is a lot of people think it's a little bit more like
link |
00:47:58.860
the kind of psilocybin trials or the MDMA trials
link |
00:48:02.120
where it's about becoming more emotional
link |
00:48:04.460
or getting in touch with a certain experience.
link |
00:48:06.660
Ketamine is about becoming dissociative
link |
00:48:09.420
or removed from the emotional component of the experience.
link |
00:48:12.420
So now we have ketamine,
link |
00:48:14.260
which chemically blocks plasticity
link |
00:48:16.380
and prevents the connection
link |
00:48:18.380
between an emotion and an experience.
link |
00:48:20.780
That's a pharmacologic intervention.
link |
00:48:22.140
We have EMDR, which is this eye movement thing
link |
00:48:25.320
that is designed to suppress the amygdala
link |
00:48:27.500
and is designed to remove emotionality
link |
00:48:29.820
while somebody recounts an experience.
link |
00:48:31.860
And we have REM sleep,
link |
00:48:34.060
where the chemical epinephrine that allows for signaling
link |
00:48:38.380
of intense emotion and the experience of a tense emotion
link |
00:48:42.060
in the brain and body is not allowed.
link |
00:48:44.020
And so we're starting to see a organizational logic,
link |
00:48:47.740
which is that a certain component of our sleeping life
link |
00:48:50.880
is acting like therapy.
link |
00:48:52.780
And that's really what REM sleep is about.
link |
00:48:55.880
So we should really think about REM sleep
link |
00:48:59.080
and slow wave sleep as both critical,
link |
00:49:01.360
slow wave sleep for motor learning and detailed learning,
link |
00:49:03.740
REM sleep for attaching of emotions
link |
00:49:05.780
to particular experiences,
link |
00:49:07.440
and then for making sure that the emotions
link |
00:49:11.260
are not attached to the wrong experiences
link |
00:49:13.740
and for unlearning emotional responses
link |
00:49:16.320
if they're too intense or severe.
link |
00:49:18.580
And this all speaks to the great importance
link |
00:49:21.280
of mastering one's sleep,
link |
00:49:23.080
something that we talked about
link |
00:49:24.100
in episode two of the podcast
link |
00:49:26.620
and making sure that if life has disruptive events,
link |
00:49:30.780
either due to travel or stress or changes in school
link |
00:49:35.560
or food schedule,
link |
00:49:37.140
something that we talked about in episodes three and four,
link |
00:49:39.600
that one can still grab a hold and manage one's sleep life.
link |
00:49:44.520
Because fundamentally the unlearning of emotions
link |
00:49:48.500
that are troubling to us
link |
00:49:50.860
is what allows us to move forward in life.
link |
00:49:52.640
And indeed the REM deprivation studies show
link |
00:49:54.900
that people become hyper-emotional,
link |
00:49:56.980
they start to catastrophize.
link |
00:49:58.780
And it's no surprise therefore
link |
00:50:01.580
that sleep disturbances correlate
link |
00:50:03.980
with so many emotional and psychological disturbances.
link |
00:50:08.180
It's just by now it should just be obvious
link |
00:50:10.980
why that will be the case.
link |
00:50:12.540
In fact, the other day I was in a discussion
link |
00:50:14.300
with a colleague of mine who's down in Australia,
link |
00:50:17.480
Dr. Sarah McKay.
link |
00:50:18.340
I've known her for two decades now
link |
00:50:20.900
from the time she was at Oxford.
link |
00:50:23.300
And Sarah studies among other things,
link |
00:50:25.620
menopause in the brain.
link |
00:50:27.020
And she was saying that a lot of the emotional effects
link |
00:50:31.860
of menopause actually are not directly related
link |
00:50:34.700
to the hormones.
link |
00:50:35.540
There've been some really nice studies showing
link |
00:50:37.140
that the disruptions in temperature regulation in menopause
link |
00:50:40.980
map to changes in sleep regulation
link |
00:50:44.400
that then impact emotionality
link |
00:50:46.860
and an inability to correctly adjust the circuits
link |
00:50:50.540
related to emotionality.
link |
00:50:52.220
And I encourage you to look at her work.
link |
00:50:54.020
We'll probably have her as a guest on the podcast
link |
00:50:55.700
at some point in the future
link |
00:50:56.700
because she's so knowledgeable about those sorts of issues
link |
00:50:59.600
as well as issues related to testosterone
link |
00:51:01.560
and in people with all sorts
link |
00:51:03.440
of different chromosomal backgrounds.
link |
00:51:05.680
So sleep deprivation isn't just deprivation of energy.
link |
00:51:11.540
It's not just deprivation of immune function.
link |
00:51:13.820
It is deprivation of self-induced therapy
link |
00:51:17.580
every time we go to sleep, okay?
link |
00:51:19.740
So these things like EMDR and ketamine therapies
link |
00:51:23.180
are in clinic therapies,
link |
00:51:25.300
but REM sleep is the one that you're giving yourself
link |
00:51:27.620
every night when you go to sleep,
link |
00:51:29.600
which raises I think the other important question,
link |
00:51:32.740
which is how to get and how to know
link |
00:51:35.060
if you're getting the appropriate amount
link |
00:51:36.300
of REM sleep and slow wave sleep.
link |
00:51:38.140
So that's what we'll talk about next.
link |
00:51:39.900
So how should one go about getting the appropriate amount
link |
00:51:44.440
of slow wave sleep and REM sleep
link |
00:51:46.460
and knowing that you're getting the right amount?
link |
00:51:48.980
Well, short of hooking yourself up to an EEG,
link |
00:51:52.340
it's going to be tough to get exact measurements
link |
00:51:55.640
of brain states from night to night.
link |
00:51:58.680
Some people nowadays are using things
link |
00:52:00.480
like the aura ring or a whoop band
link |
00:52:02.360
or some other device to measure the quality
link |
00:52:04.800
and depth and duration of their sleep.
link |
00:52:06.320
And for many people, those devices can be quite useful.
link |
00:52:10.840
Some people are only gauging their sleep
link |
00:52:13.200
by way of whether or not they feel rested,
link |
00:52:15.880
whether or not they feel like they're learning
link |
00:52:17.520
and they're getting better or not.
link |
00:52:19.240
There are some things that one can really do.
link |
00:52:22.820
And the first one might surprise you
link |
00:52:25.280
in light of everything I've said
link |
00:52:26.440
and probably everything you've heard about sleep.
link |
00:52:29.440
There was a study done by a Harvard undergraduate,
link |
00:52:33.520
Emily Hoagland, who was in Robert Strickgold's lab
link |
00:52:38.600
at the time.
link |
00:52:39.920
And that study explored how variations
link |
00:52:44.920
in total sleep time related to learning
link |
00:52:47.680
as compared to total sleep time itself.
link |
00:52:53.480
And to summarize the study, what they found
link |
00:52:56.960
was that it was more important
link |
00:53:00.120
to have a regular amount of sleep each night
link |
00:53:04.720
as opposed to the total duration.
link |
00:53:08.320
In other words, and what they showed
link |
00:53:10.600
was that improvements in learning
link |
00:53:14.420
or deficits in learning were more related
link |
00:53:16.500
to whether or not you got six hours, six hours,
link |
00:53:18.800
five hours, six hours, that was better
link |
00:53:22.440
than if somebody got, for instance,
link |
00:53:25.000
six hours, 10 hours, seven hours, four or five hours.
link |
00:53:31.240
So you might say, well, that's crazy
link |
00:53:32.320
because I thought we were just all supposed
link |
00:53:33.560
to get more sleep and there's more REM towards morning.
link |
00:53:35.920
Turns out that for sake of learning new information
link |
00:53:39.680
and performance on exams in particular,
link |
00:53:42.440
that's what was measured,
link |
00:53:43.640
limiting the variation in the amount of your sleep
link |
00:53:48.760
is at least as important and perhaps more important
link |
00:53:53.100
than just getting more sleep overall.
link |
00:53:55.720
And I think this will bring people great relief,
link |
00:53:58.480
many people great relief who are struggling
link |
00:54:01.120
to quote unquote get enough sleep.
link |
00:54:03.200
Remember a few episodes ago,
link |
00:54:05.080
I talked about the difference between fatigue and insomnia.
link |
00:54:10.360
Fatigue tends to be when we are tired,
link |
00:54:13.080
insomnia tends to lead to a sleepiness during the day
link |
00:54:16.480
when we're falling asleep and you don't want that,
link |
00:54:18.880
you don't want either of those things really.
link |
00:54:21.120
But I found it striking that the data from this study
link |
00:54:25.560
really point to the fact that consistently getting
link |
00:54:28.440
about the same amount of sleep
link |
00:54:31.280
is better than just getting more sleep.
link |
00:54:33.940
And I think nowadays so many people
link |
00:54:35.160
are just aiming for more sleep
link |
00:54:36.720
and they're rather troubled about the fact
link |
00:54:38.320
that they're only getting five hours
link |
00:54:40.060
or they're only getting six hours in some cases.
link |
00:54:44.460
It may be the case that they are sleep deprived
link |
00:54:46.520
and they need more sleep,
link |
00:54:47.960
but some people just have a lower sleep need.
link |
00:54:50.180
And I find great relief personally in the fact
link |
00:54:53.400
that consistently getting for me about six hours
link |
00:54:57.100
or six and a half hours is going to be more beneficial
link |
00:54:59.860
than constantly striving for eight or nine
link |
00:55:01.880
and finding that some nights I'm getting five
link |
00:55:03.680
and sometimes I'm getting nine and varying around the mean.
link |
00:55:06.600
As I recall and I think I'm going to get this precisely right
link |
00:55:09.720
but if not, I know that I'm at least close
link |
00:55:12.000
for every hour variation in sleep,
link |
00:55:15.400
regardless of whether or not it was more sleep
link |
00:55:17.400
than one typically got,
link |
00:55:19.240
there was a 17% reduction in performance
link |
00:55:23.440
on this particular exam type.
link |
00:55:25.880
And so this is powerful.
link |
00:55:27.660
This means that we should strive
link |
00:55:29.200
for a regular amount of sleep.
link |
00:55:31.680
And for some of us, that means falling asleep
link |
00:55:33.620
and waking up and going back to sleep.
link |
00:55:34.920
For some people it means falling asleep
link |
00:55:36.760
and waking up and not getting back to sleep.
link |
00:55:39.720
Now, ideally you're getting the full compliment
link |
00:55:42.560
of slow wave sleep early at night
link |
00:55:44.580
and sleep toward morning, which is REM sleep,
link |
00:55:46.840
which brings us to how to get more REM sleep.
link |
00:55:49.560
Well, there are a couple of different ways,
link |
00:55:51.760
but here's how to not get more REM sleep.
link |
00:55:57.060
First of all, drink a lot of fluid
link |
00:55:59.560
right before going to sleep.
link |
00:56:00.880
One of the reasons why we wake up
link |
00:56:02.320
in the middle of the night to use the bathroom
link |
00:56:04.200
is because when our bladder is full,
link |
00:56:06.880
there is a neural connection,
link |
00:56:08.480
literally a set of neurons and a nerve circuit
link |
00:56:10.840
that goes to the brainstem that wakes us up.
link |
00:56:13.760
And actually some people that I know
link |
00:56:17.600
and I won't be mentioned actually use this
link |
00:56:19.480
to try and adjust for their jet lag
link |
00:56:21.380
when they're trying to stay awake.
link |
00:56:22.320
Having to use the bathroom, having to urinate
link |
00:56:24.600
is one of the most anxiety evoking experiences
link |
00:56:27.680
anyone can have.
link |
00:56:28.560
If you really have to go to the bathroom,
link |
00:56:30.160
it's very hard to fall asleep or stay asleep.
link |
00:56:32.540
And bedwetting, which happens in kids very early on
link |
00:56:36.840
is a failure of those circuits to mature
link |
00:56:41.280
until I think we all assume that babies
link |
00:56:44.320
are going to pee in their sleep,
link |
00:56:45.960
but adults aren't supposed to do that.
link |
00:56:48.160
And the circuits take some time to develop
link |
00:56:51.280
and in some kids they develop
link |
00:56:52.200
a little bit later than others.
link |
00:56:53.920
So having a full bladder is one way to disrupt your sleep.
link |
00:56:57.700
You don't want to go to bed dehydrated, but that's one way.
link |
00:57:00.400
On the other hand, there is evidence
link |
00:57:03.400
that if you want to remember your dreams more
link |
00:57:05.960
or remember more of your dreams,
link |
00:57:08.800
there is a tool that you can use.
link |
00:57:10.480
I don't necessarily recommend it,
link |
00:57:12.120
which is to drink a bunch of water before you go to sleep.
link |
00:57:14.480
And then what happens is you tend to break
link |
00:57:16.480
in and out of REM sleep.
link |
00:57:17.920
It tends to be fractured.
link |
00:57:19.440
And with a sleep journal,
link |
00:57:21.640
then they've done these laboratory studies,
link |
00:57:23.140
believe it or not,
link |
00:57:24.120
people will recall more of their dreams
link |
00:57:26.000
because they're in this kind of semi-conscious state
link |
00:57:27.920
because they're constantly waking up throughout the night.
link |
00:57:30.280
I suggest not having a full bladder before you go to sleep.
link |
00:57:32.740
That one's kind of an obvious one, but nonetheless.
link |
00:57:36.220
The other one is if you recall that during REM sleep,
link |
00:57:39.940
we have a shift in neurotransmitters
link |
00:57:42.420
such that we have less serotonin, right?
link |
00:57:49.200
Just want to make sure I got that right.
link |
00:57:50.280
Excuse me, less serotonin.
link |
00:57:53.720
There are a lot of supplements out there
link |
00:57:55.820
geared toward improving sleep.
link |
00:57:58.200
I've taken some of them
link |
00:57:59.520
and I'm taking many of them,
link |
00:58:00.720
if not all of them at this point,
link |
00:58:03.120
so I could report back to you.
link |
00:58:04.720
And I think I mentioned on a previous episode
link |
00:58:06.400
that when I take tryptophan
link |
00:58:07.720
or anything that contains 5-HTP,
link |
00:58:09.720
which is serotonin or a precursor to serotonin,
link |
00:58:13.840
serotonin is made from tryptophan,
link |
00:58:15.720
I tend to fall very deeply asleep
link |
00:58:17.440
and then wake up a few hours later.
link |
00:58:19.200
And that makes sense now based on the fact
link |
00:58:21.080
that you just don't want a lot of REM sleep early on.
link |
00:58:24.160
What was probably happening
link |
00:58:25.120
is that I was getting a lot of REM sleep early on
link |
00:58:27.000
because low levels of serotonin
link |
00:58:28.540
are typically associated with slow wave sleep
link |
00:58:31.740
and that comes early in the night.
link |
00:58:33.200
So for some people, those supplements might work,
link |
00:58:35.320
but beware serotonin supplements
link |
00:58:39.040
could disrupt the timing of REM sleep and slow wave sleep.
link |
00:58:42.720
And in my case, led to waking up
link |
00:58:44.660
very shortly after going to sleep
link |
00:58:46.220
and not being able to get back to sleep.
link |
00:58:48.700
Now, if you want to increase your slow wave sleep,
link |
00:58:52.360
that's interesting.
link |
00:58:53.460
There are ways to do that.
link |
00:58:54.840
One of the most powerful ways to increase slow wave sleep,
link |
00:58:58.200
the percentage of slow wave sleep,
link |
00:59:00.900
apparently without any disruption
link |
00:59:02.360
to the other components of sleep and learning
link |
00:59:05.680
is to engage in resistance exercise.
link |
00:59:08.400
It's pretty clear that resistance exercise
link |
00:59:10.600
triggers a number of metabolic and endocrine pathways
link |
00:59:13.360
that lend themselves to release of growth hormone,
link |
00:59:16.440
which happens early in the night.
link |
00:59:18.680
And resistance exercise therefore
link |
00:59:21.080
can induce a greater percentage of slow wave sleep.
link |
00:59:24.640
It doesn't have to be done very close to going to bedtime.
link |
00:59:27.400
In fact, for some people that the exercise
link |
00:59:29.360
could be disruptive
link |
00:59:30.200
for reasons I've talked about in previous episodes,
link |
00:59:32.680
but resistance exercise, unlike aerobic exercise
link |
00:59:35.920
does seem to increase the amount of slow wave sleep,
link |
00:59:38.240
which as we know is involved in motor learning
link |
00:59:41.480
and the acquisition of fine detailed information,
link |
00:59:44.280
not general rules or the emotional components of experiences.
link |
00:59:49.060
For those of you that are interested in lucid dreaming
link |
00:59:52.340
and would like to increase the amount of lucid dreaming
link |
00:59:54.960
that you're experiencing,
link |
00:59:56.480
I haven't been able to track down that device
link |
00:59:58.560
with the red light that I described at the beginning,
link |
01:00:01.360
but there are a number of just simple zero technology tools
link |
01:00:05.760
that one could use in principle.
link |
01:00:07.720
One is to set a cue.
link |
01:00:10.040
The way this works is you come up with a simple statement
link |
01:00:14.960
about something that you'd like to see
link |
01:00:17.060
or experience later in dreams.
link |
01:00:20.960
You can, for instance, write down, you know,
link |
01:00:24.800
something like, I want to remember the red apple.
link |
01:00:29.040
I know it sounds silly and trivial.
link |
01:00:30.980
And you look at that,
link |
01:00:32.440
you would probably want to write it down
link |
01:00:34.180
on a piece of paper.
link |
01:00:35.020
You might even want to draw a red apple.
link |
01:00:36.800
And then before you go to sleep, you would look at it.
link |
01:00:39.480
And then you would just go to sleep.
link |
01:00:41.780
There are some reports that doing that
link |
01:00:44.000
for several days in a row can lead to a situation
link |
01:00:46.840
in which you are suddenly in your dream
link |
01:00:49.420
and you remember the red apple.
link |
01:00:51.120
And that gives you a sort of tether to reality
link |
01:00:53.940
between the dream state and reality
link |
01:00:55.320
that allows you to navigate and shape
link |
01:00:57.220
and kind of adjust your dreams.
link |
01:00:59.080
Lucid dreaming does not have to be
link |
01:01:00.920
or include the ability to alter features of the dream,
link |
01:01:06.000
you know, to be able to control things in the dream.
link |
01:01:07.700
Sometimes it's just the awareness that you are dreaming.
link |
01:01:10.280
But nonetheless, some people enjoy lucid dreaming.
link |
01:01:13.600
And then for people that have a lot of lucid dreams
link |
01:01:15.880
that feel kind of overwhelmed by those,
link |
01:01:18.900
that's going to involve trying to embrace protocols
link |
01:01:24.040
that can set the right duration of sleep.
link |
01:01:27.040
There's a little bit of literature, not a lot,
link |
01:01:29.180
that shows that keeping the total amount of sleep per night
link |
01:01:33.960
to say six hours such that you begin sleep
link |
01:01:37.780
and end at the beginning and end
link |
01:01:39.480
of one of these ultradian cycles
link |
01:01:41.780
can be better than waking up
link |
01:01:43.080
in the middle of one of these ultradian cycles.
link |
01:01:45.080
So try and find the right amount of sleep that you need
link |
01:01:49.080
that's right for you
link |
01:01:50.080
and then try and get that consistently night to night.
link |
01:01:52.320
If you're a lucid dreamer and you don't like it,
link |
01:01:55.040
then you may want to start to make sure
link |
01:01:57.920
that you're waking up at the end
link |
01:02:00.080
of one of these ultradian cycles.
link |
01:02:01.440
So in this case, it would be better
link |
01:02:03.560
to wake up after six hours than after seven.
link |
01:02:05.920
And if you did sleep longer than six hours,
link |
01:02:08.060
maybe you'd want to get to seven and a half hours
link |
01:02:09.880
because that's going to reflect the end
link |
01:02:11.280
of one of these 90 minute cycles
link |
01:02:12.620
as opposed to waking up in the middle.
link |
01:02:15.560
Alcohol, alcohol and marijuana are well known
link |
01:02:18.780
to induce states that are pseudo sleep-like,
link |
01:02:21.920
especially when people fall asleep
link |
01:02:24.240
after having consumed alcohol or THC,
link |
01:02:27.400
the active component,
link |
01:02:28.800
one of the active components in marijuana.
link |
01:02:31.620
Alcohol, THC, and most things like them,
link |
01:02:37.480
meaning things that increase serotonin or GABA
link |
01:02:41.680
are going to disrupt the pattern of sleep.
link |
01:02:43.720
They're going to disrupt the depth.
link |
01:02:44.920
They're going to disrupt the overall sequencing
link |
01:02:47.180
of more slow wave sleep early in the night
link |
01:02:48.840
and more REM sleep later in the night.
link |
01:02:50.500
That's just the reality.
link |
01:02:53.480
There are some things that,
link |
01:02:55.160
at least in a few studies that I could find,
link |
01:02:57.520
seem to suggest that you could increase
link |
01:03:00.120
the amount of slow wave sleep using things like arginine,
link |
01:03:03.320
the amino acid arginine,
link |
01:03:04.920
although you really want to check arginine
link |
01:03:06.160
can have effects on heart, et cetera,
link |
01:03:07.920
has other effects.
link |
01:03:09.280
But alcohol, THC,
link |
01:03:11.720
not going to be great for sleep and depth of sleep.
link |
01:03:13.680
You might feel like you can fall asleep faster,
link |
01:03:15.560
but the sleep that you're accessing
link |
01:03:17.360
really isn't the kind of deep restorative sleep
link |
01:03:19.500
that you should be getting.
link |
01:03:21.900
Now, of course, if that's what you need in order to sleep
link |
01:03:24.960
and that's within your protocols,
link |
01:03:26.360
I've said here before,
link |
01:03:27.180
I'm not suggesting people take anything.
link |
01:03:28.420
I'm not a medical doctor.
link |
01:03:29.840
I'm not a cop.
link |
01:03:30.680
So I'm not trying to regulate anyone's behavior.
link |
01:03:33.560
I'm just telling you what the literature says.
link |
01:03:36.480
Some of you may want to explore your dreams
link |
01:03:38.800
and meaning of dreams, et cetera.
link |
01:03:41.720
There's not a lot of hard data about how to do this,
link |
01:03:43.940
but a lot of people report keeping a sleep journal
link |
01:03:47.220
where a dream journal can be very useful.
link |
01:03:49.280
So they mark when they think they fell asleep
link |
01:03:51.320
the night before, when they woke up.
link |
01:03:53.200
And if they wake up in the middle of the night,
link |
01:03:55.320
early in the morning,
link |
01:03:56.140
they'll just write down what they can recall
link |
01:03:58.880
of their dreams.
link |
01:03:59.720
And even if they recall nothing,
link |
01:04:01.880
many people have the experience of mid-morning
link |
01:04:04.600
or later afternoon that suddenly comes to them
link |
01:04:07.160
that they had a dream about something and writing that down.
link |
01:04:10.120
I kept a dream journal for a while.
link |
01:04:11.840
It didn't really afford me much.
link |
01:04:13.300
I didn't really learn anything
link |
01:04:14.920
except that my dreams were very bizarre.
link |
01:04:17.000
But there are some things that happen in dreams
link |
01:04:21.060
that are associated with REM sleep
link |
01:04:22.840
as it compared to slow wave sleep,
link |
01:04:24.300
which can tell you whether or not your dream
link |
01:04:26.120
likely happened in REM sleep or slow wave sleep.
link |
01:04:28.920
And the distinguishing feature it turns out
link |
01:04:30.840
is something called theory of mind.
link |
01:04:32.920
Theory of mind is actually an idea that was developed
link |
01:04:35.720
for the study and assessment of autism.
link |
01:04:38.460
And it was initially that phrase theory of mind
link |
01:04:42.500
was brought about by Simon Baron Cohen,
link |
01:04:47.000
who is Sasha Baron Cohen, the comedian's brother.
link |
01:04:51.500
Simon Baron Cohen is a psychologist
link |
01:04:54.480
and to some extent a neuroscientist at Oxford.
link |
01:04:58.460
And theory of mind tests are done on children.
link |
01:05:01.860
And the theory of mind test is somewhat like the following.
link |
01:05:05.220
A child is brought into a laboratory
link |
01:05:07.440
and watches a video of a child
link |
01:05:10.040
playing with some sort of toy.
link |
01:05:11.840
And then at the end of playing with that toy,
link |
01:05:14.520
they put the toy in a drawer and they go away.
link |
01:05:17.120
And then another child comes in and is looking around.
link |
01:05:21.480
And then the experimenter asks the child
link |
01:05:24.800
who's in the experiment, the real child,
link |
01:05:27.240
and says, what does the child think?
link |
01:05:30.800
What are they feeling?
link |
01:05:32.120
And most children of a particular age,
link |
01:05:35.500
five or six or older will say,
link |
01:05:37.640
oh, you know, he or she is confused.
link |
01:05:40.400
They don't know where the toy is.
link |
01:05:41.580
Or they'll say something that implies
link |
01:05:43.280
what we call theory of mind,
link |
01:05:44.720
that they can put their ideas and their mind
link |
01:05:48.640
into what the other child is likely to be feeling
link |
01:05:51.480
or experiencing.
link |
01:05:52.320
That's theory of mind.
link |
01:05:53.720
And it turns out that this is used
link |
01:05:57.280
as one of the assessments for autism
link |
01:05:59.880
because some children, not all,
link |
01:06:02.320
but some children that have autism
link |
01:06:04.600
or that go on to develop autism
link |
01:06:05.940
don't have this theory of mind.
link |
01:06:07.620
They tend to fixate on the fact
link |
01:06:10.000
that the first child put the toy in the drawer.
link |
01:06:12.080
They'll say it's in the drawer
link |
01:06:13.680
as opposed to answering the question,
link |
01:06:15.580
which is how does the second child feel about it
link |
01:06:18.240
or what are they experiencing?
link |
01:06:20.580
So theory of mind is something that emerges early in life
link |
01:06:24.220
as a part of the maturation of the circuits in the brain
link |
01:06:27.080
associated with emotional learning
link |
01:06:29.760
and social interactions.
link |
01:06:31.900
And we experience this in certain dreams.
link |
01:06:35.440
So if you had a dream that you're puzzled about
link |
01:06:38.420
or that you're fixated on and you're thinking about,
link |
01:06:40.740
you might ask, in that dream,
link |
01:06:42.960
was I assessing somebody else's emotion and feeling
link |
01:06:46.440
or was I very much in my own first person experience?
link |
01:06:49.680
And the tendency is that theory of mind
link |
01:06:53.260
tends to show up most in these REM associated dreams.
link |
01:06:58.260
Now, this isn't a hard and fast rule,
link |
01:07:00.440
but chances are if you were in a dream
link |
01:07:02.420
and you were thinking about other people
link |
01:07:04.420
who wanted to do something to you,
link |
01:07:06.040
you were thinking about their desire to chase you
link |
01:07:09.040
or help you or something that was related
link |
01:07:12.660
to someone else's emotional experience,
link |
01:07:14.340
it was probably a REM dream.
link |
01:07:17.400
That dream occurred in rapid eye movement sleep
link |
01:07:19.580
as opposed to slow wave sleep.
link |
01:07:21.620
And that makes sense when you think about the role of REM
link |
01:07:24.720
in emotional unlearning of associations
link |
01:07:28.720
with particular life events,
link |
01:07:30.060
that REM is rich with all sorts of exploration
link |
01:07:33.920
of the emotional load of being chased
link |
01:07:37.720
or the emotional load of having to take an exam the next day
link |
01:07:40.840
or being late for something.
link |
01:07:42.560
But again, if you're fixated
link |
01:07:45.400
or you can recall thinking a lot about
link |
01:07:48.200
or feeling a lot about what somebody else's motivations were
link |
01:07:51.760
then chances are it was in REM.
link |
01:07:53.680
And if not, chances are it was in slow wave sleep.
link |
01:07:56.720
Today, we've been in a deep dive of sleep and dreaming,
link |
01:08:01.840
learning and unlearning.
link |
01:08:03.780
And I just want to recap a few of the highlights
link |
01:08:06.120
and important points.
link |
01:08:08.340
A lot more slow wave sleep and less REM early in the night,
link |
01:08:11.440
more REM and less slow wave sleep later in the night.
link |
01:08:14.960
REM sleep is associated with intense experiences
link |
01:08:18.840
without this chemical epinephrine
link |
01:08:20.920
that allows us the anxiety or fear
link |
01:08:23.620
and almost certainly has an important role
link |
01:08:26.080
in uncoupling of emotion from experiences,
link |
01:08:29.600
kind of self-induced therapy that we go into each night.
link |
01:08:33.040
That bears striking resemblance to things like EMDR
link |
01:08:36.120
and ketamine therapies and so forth.
link |
01:08:38.640
Slow wave sleep is critical however,
link |
01:08:41.800
it's critical mostly for motor learning
link |
01:08:43.660
and the learning of specific details.
link |
01:08:45.740
So REM is kind of emotions and general themes
link |
01:08:49.460
and meaning and slow wave sleep, motor learning and details.
link |
01:08:53.760
I personally find it fascinating that consistency of sleep,
link |
01:08:58.400
meaning getting six hours every night
link |
01:09:01.000
is better than getting 10 one night, eight the next,
link |
01:09:04.080
five the next, four the next.
link |
01:09:06.520
I find that fascinating and I think I also like it
link |
01:09:09.260
because it's something I can control better
link |
01:09:11.000
than just trying to sleep more,
link |
01:09:12.160
which I think I'm not alone in agreeing
link |
01:09:14.280
that that's just hard for a lot of people to do.
link |
01:09:16.680
This episode also brings us to the conclusion
link |
01:09:20.640
of a five episode streak where we've been focusing on sleep
link |
01:09:24.820
and transitions in and out of sleep, non-sleep depressed.
link |
01:09:28.020
We've talked about a lot of tools, morning light,
link |
01:09:30.580
evening light, avoiding lights, blue blockers, supplements,
link |
01:09:34.980
tools for measuring sleep duration and quality.
link |
01:09:38.060
We've been covering a lot of themes.
link |
01:09:40.580
I like to think that by now you're armed
link |
01:09:42.540
with a number of tools and information,
link |
01:09:45.480
things like knowing when your temperature minimum is,
link |
01:09:48.060
knowing when you might want to view light or not,
link |
01:09:50.100
when you might want to eat or take hot showers
link |
01:09:52.300
or God forbid, a cold shower,
link |
01:09:54.080
something that most people, including me,
link |
01:09:55.700
more or less loathe but can have certain benefits.
link |
01:09:58.460
And that will allow you to shape your sleep life
link |
01:10:01.240
and get this consistent or more or less consistent amount
link |
01:10:04.460
of sleep on a regular basis.
link |
01:10:06.060
Nobody's perfect.
link |
01:10:07.300
In fact, I have this little joke
link |
01:10:08.900
that I sometimes tell it's not funny.
link |
01:10:10.560
Like most of the jokes I tell, I'm told they're not funny,
link |
01:10:13.220
but there's so much excitement now about intermittent
link |
01:10:16.140
fasting.
link |
01:10:17.020
Sometimes I think that someone should start something
link |
01:10:19.020
on intermittent sleep deprivation,
link |
01:10:20.580
although we're already doing that.
link |
01:10:22.460
We are all experiencing lack of sleep from time to time.
link |
01:10:26.100
And I don't think we should catastrophize that too much.
link |
01:10:28.400
I think that what we want to do rather than accumulate
link |
01:10:31.040
a sleep anxiety is to, if we get a bad night's sleep,
link |
01:10:35.660
we want to adjust, we want to get back on track
link |
01:10:38.540
and just get the consistent amount of sleep,
link |
01:10:40.500
use those non-sleep deep rest protocols
link |
01:10:42.340
to help us relax when we're feeling anxious,
link |
01:10:44.380
we're having trouble waking up in the middle of the night.
link |
01:10:46.940
There are a lot of tools out there
link |
01:10:48.380
and most of them are zero cost.
link |
01:10:50.680
And so I hope you'll find those beneficial.
link |
01:10:53.460
If you've been hearing Costello snoring
link |
01:10:55.460
throughout this episode, I apologize on his behalf.
link |
01:10:59.380
As I said in the welcome video to this podcast,
link |
01:11:01.420
he's an integral part of the podcast.
link |
01:11:03.060
A few people have said,
link |
01:11:03.900
hey, that noise in the background is really disruptive.
link |
01:11:08.160
Hey, what can I say?
link |
01:11:09.520
Costello is a 10 year old bulldog mastiff.
link |
01:11:12.800
The lifespan on those animals is about 10 years.
link |
01:11:15.580
So I'm not trying to make you feel guilty,
link |
01:11:17.900
but after he's gone, there won't be any snoring,
link |
01:11:20.500
although I'll probably get a different dog.
link |
01:11:22.080
So sort of a, what would the kids say?
link |
01:11:24.860
Sorry, not sorry.
link |
01:11:26.820
Sorry, not sorry about the snoring.
link |
01:11:29.060
And I'm sorry if it's disruptive genuinely,
link |
01:11:31.020
but he's here for the haul.
link |
01:11:34.080
So that's what that's about.
link |
01:11:36.080
As we close out this segment on sleep,
link |
01:11:40.240
we are moving into a new theme and topic
link |
01:11:42.320
for the next four to five episodes.
link |
01:11:44.400
We are going to discuss the science
link |
01:11:46.580
and the tools related to neuroplasticity.
link |
01:11:50.060
Neuroplasticity is a remarkable feature
link |
01:11:52.840
of the nervous system.
link |
01:11:54.040
In fact, it's the defining feature of the nervous system,
link |
01:11:56.840
which is its ability to change itself
link |
01:11:59.480
in response to experience.
link |
01:12:01.120
That is unlike every other tissue
link |
01:12:03.680
and collection of cells and organ in our body.
link |
01:12:06.480
It's really what makes us as a species
link |
01:12:09.320
and it's what makes us as individuals.
link |
01:12:12.260
And it's really where our potential lies.
link |
01:12:14.700
Everything that we know, everything we can do
link |
01:12:17.400
and our true potential in terms of what we will ever
link |
01:12:20.180
be able to know, do, say in life
link |
01:12:23.120
is set by the limits of neuroplasticity.
link |
01:12:27.200
So we're going to explore learning in childhood,
link |
01:12:29.740
learning in adulthood.
link |
01:12:30.980
We're going to discuss detailed protocols
link |
01:12:33.740
as they relate to sensory plasticity,
link |
01:12:37.140
learning new sensory information versus motor plasticity
link |
01:12:40.080
or sensory motor integration.
link |
01:12:42.160
We're going to talk about language acquisition.
link |
01:12:44.280
We're going to be talking about emotional acquisition
link |
01:12:47.040
and breadth, as well as I think a topic
link |
01:12:49.520
a lot of people are going to find fascinating
link |
01:12:51.320
is the relationship between plasticity set
link |
01:12:54.560
during childhood attachment to parent or other caregiver
link |
01:12:57.720
and how that maps onto adult relationships.
link |
01:13:01.160
Now there's many of you have probably heard
link |
01:13:02.840
about secure attached or insecure attached
link |
01:13:05.000
the A, B and C babies as they're called
link |
01:13:07.520
from the classic studies of Bowlby and others.
link |
01:13:10.960
But now there's actual neuroscience that can say
link |
01:13:13.320
which circuits were active
link |
01:13:15.260
during those early life attachment
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01:13:17.120
and how those map to adult attachment styles, challenges
link |
01:13:22.620
and what makes us more likely to select certain partners
link |
01:13:25.380
and styles of attachment
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01:13:26.920
as well as how to change those.
link |
01:13:28.200
It's really fascinating.
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01:13:29.600
And I think neurosciences time has come
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01:13:32.680
for neuroplasticity.
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01:13:34.580
We're also going to talk of course
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01:13:35.920
about supplements and chemicals and machines and devices
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01:13:39.040
that can assist in speeding up the plasticity process
link |
01:13:42.960
or believe it or not, there are some cases
link |
01:13:44.480
where you might want to delay plasticity
link |
01:13:46.640
in order to get more depth of learning
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01:13:48.920
and have that learning last longer.
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01:13:51.240
Something that is just absolutely spectacular literature.
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01:13:54.720
So I'm very excited to move on to that topic soon.
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01:13:57.280
I hope that the tools that you've acquired so far
link |
01:13:59.200
and the knowledge that you've acquired so far
link |
01:14:00.680
is helping you with your self evaluation
link |
01:14:03.160
and experimentation as you see fit
link |
01:14:04.920
and is allowing you to not just sleep better
link |
01:14:06.880
but feel better while you're awake
link |
01:14:08.520
and hopefully has set the stage for you to learn better
link |
01:14:11.640
as we start to march into the month on neuroplasticity.
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01:14:16.200
Many of you have asked how you can help support
link |
01:14:18.480
the Huberman Lab Podcast
link |
01:14:19.800
and we greatly appreciate the question.
link |
01:14:22.620
You can help support the podcast by subscribing
link |
01:14:24.980
to the YouTube channel if you haven't already
link |
01:14:27.360
and leaving comments and questions in the comment section.
link |
01:14:31.120
If you could subscribe on Apple and or Spotify,
link |
01:14:34.180
that's helpful and there's a place on Apple Podcast
link |
01:14:37.680
to leave a rating as well as comments
link |
01:14:41.680
about how you feel about the podcast.
link |
01:14:44.080
If you could suggest the podcast to friends and coworkers
link |
01:14:47.020
and anyone else that you think would benefit
link |
01:14:48.560
from the information,
link |
01:14:49.760
that also really helps us get the word out.
link |
01:14:52.120
And of course, check out our sponsors
link |
01:14:54.480
because that's a very direct way to help us continue
link |
01:14:56.600
to get this information out to the general public.
link |
01:14:58.940
Many of you have asked about supplements
link |
01:15:00.520
and where I personally get my supplements.
link |
01:15:03.300
I've partnered with Thorne
link |
01:15:04.680
and I get my supplements from Thorne
link |
01:15:06.200
because by my view,
link |
01:15:07.760
they have the highest level of stringency
link |
01:15:09.860
and precision in terms of what's in the bottle.
link |
01:15:13.640
And they also have very, very high quality standards.
link |
01:15:16.320
They're partnered with the Mayo Clinic
link |
01:15:17.800
and all the major sports organizations.
link |
01:15:20.500
If you want to try Thorne supplements,
link |
01:15:22.360
you can go to Thorne.com.
link |
01:15:24.480
So that's Thorne spelled T-H-O-R-N-E.com
link |
01:15:27.720
slash the letter U slash Huberman.
link |
01:15:31.040
And if you do that,
link |
01:15:32.240
you can see the formulations that I take
link |
01:15:34.640
and you'll also get 20% off, not just those formulations,
link |
01:15:37.800
but anything that Thorne makes.
link |
01:15:39.780
That's Thorne.com slash U slash Huberman
link |
01:15:44.240
to get 20% off anything that they provide.
link |
01:15:47.420
Last but not least,
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01:15:49.280
a few people wrote to me with some questions
link |
01:15:52.840
slash corrections about things that I said
link |
01:15:55.820
in previous podcasts.
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01:15:57.120
So in keeping with my goal
link |
01:15:59.360
of making the information accurate and clear,
link |
01:16:02.560
I just want to correct myself
link |
01:16:04.460
about a few things that I said.
link |
01:16:06.860
One of those,
link |
01:16:07.720
and I'm guessing it probably came from an endocrinologist
link |
01:16:10.080
or somebody else that knows a lot about testicles,
link |
01:16:13.440
said, Huberman, you mentioned that testosterone
link |
01:16:17.620
is made by the Sertoli cells of the testes,
link |
01:16:19.800
and it's not, it's made by the Leydig cells of the testes,
link |
01:16:22.820
and indeed you are correct.
link |
01:16:24.500
And so I want to make sure that I clarify that.
link |
01:16:27.440
Testosterone is made by the Leydig cells of the testes,
link |
01:16:30.160
not by the Sertoli cells.
link |
01:16:31.440
The Sertoli cells make 5-alpha reductase and aromatase
link |
01:16:35.400
and some other enzymes involved in conversion of testosterone
link |
01:16:37.960
into things like DHT and estrogen.
link |
01:16:40.700
So thank you for that correction.
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01:16:42.020
I genuinely appreciate it.
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01:16:43.180
I misspoke.
link |
01:16:44.680
The other thing I said was at one point I said,
link |
01:16:46.960
typical temperature is 96.8
link |
01:16:49.340
when I actually meant to say 98.6.
link |
01:16:52.020
So it was a dyslexic slip on my part.
link |
01:16:54.600
And I apologize.
link |
01:16:55.760
I don't know that I'm dyslexic.
link |
01:16:57.760
I know I'm being clinically diagnosed with dyslexia,
link |
01:17:00.880
but I swapped them,
link |
01:17:02.120
which sometimes happens when I'm going fast.
link |
01:17:04.620
So I apologize.
link |
01:17:06.200
I'll use this as a moment to just say
link |
01:17:08.060
temperature varies a lot across the day and night.
link |
01:17:10.960
That was a theme of previous podcasts.
link |
01:17:13.120
So we can't really talk about average temperature anyway,
link |
01:17:16.240
but I do want to be clear that most people think
link |
01:17:18.120
about average temperature as 98.6.
link |
01:17:21.240
I misspoke my error and I apologize.
link |
01:17:24.520
Thank you for joining me in this journey
link |
01:17:26.960
of the nervous system and biology
link |
01:17:29.040
and trying to understand the mechanisms
link |
01:17:31.540
that make us who we are and how we function
link |
01:17:33.720
in sleep and in wakefulness.
link |
01:17:36.080
It's really an incredible landscape to consider.
link |
01:17:39.140
And I hope that you're getting a lot
link |
01:17:40.480
out of the information.
link |
01:17:41.920
As always, thank you for your interest in science.
link |
01:17:44.640
I'll see you next time.