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Dr. Matthew Johnson: Psychedelics for Treating Mental Disorders | Episode 38


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Huberman Lab


Podcast Notes Key Takeaways
  • LSD, psilocybin, ayahuasca generally afford less controllable experiences than MDMA which has a relatively low chance of a “bad trip” with MDMA
  • MDMA is unique and has a potential clinical indication for trauma specifically because it leads to an increase in dopamine and serotonin simultaneously
  • The theory is that the more you try to hold on and control the experience, the worse your trip will be
  • A psychedelic experience is shaped by the environment: psychedelic experiences can be destabilizing if not done in the proper setting
  • Psychedelics are contraindicated if someone has bipolar disorder, schizophrenia, psychotic thinking, hallucinations – or – any first or second degree relative with any of the above
  • The greatest improvements in therapeutic psychedelic use are in macro or “heroic” doses – not microdosing
  • Microdosing holds promise as an anti-depressant but more research needs to be done on the efficacy
  • Two psychedelics have been designated as breakthrough therapies by FDA: (1) Psilocybin for depression; (2) MDMA for trauma


Read the full notes @ podcastnotes.org



This episode I discuss medical research on psychedelic compounds with Dr. Matthew Johnson, Professor of Psychiatry and Behavioral Sciences at Johns Hopkins School of Medicine. We discuss the biology and medical clinical-trial uses of psilocybin, MDMA, ayahuasca, DMT, and LSD. Dr. Johnson teaches us what the clinical trials in his lab are revealing about the potential these compounds hold for the treatment of depression, addiction, trauma, eating disorders, ADHD, and other disorders of the mind. Dr. Johnson describes a typical psychedelic experiment in his laboratory, start to finish, including the conditions for optimal clinical outcomes. And he explains some of the potential hazards and common misconceptions and pitfalls related to psychedelic medicine. Dr. Johnson explains flashbacks, the heightened risks of certain people and age groups using psychedelics and the ever evolving legal and pharmaceutical industry landscape surrounding psychedelics. Dr. Johnson also explains how the scientific study of psychedelics is likely to set the trajectory of psychiatric medicine in the years to come. Dr. Johnson is among a small handful of researchers who have pioneered the clinical study of these powerful compounds. He has unprecedented insight into how they can be woven into other psychiatric treatments, changing ones sense of self and of reality.

 

Thank you to our sponsors:

  • Athletic Greens - http://www.athleticgreens.com/huberman
  • Belcampo - http://www.belcampo.com/huberman
  • InsideTracker - http://www.insidetracker.com/huberman

 

Dr. Matthew Johnson Social Media: 

  • Twitter: https://twitter.com/drug_researcher 
  • Instagram: https://instagram.com/drug_researcher 

 

Our Patreon page:

  • https://www.patreon.com/andrewhuberman 

 

Supplements from Thorne:

  • http://www.thorne.com/u/huberman 

 

Social:

  • Instagram - https://www.instagram.com/hubermanlab 
  • Twitter - https://twitter.com/hubermanlab 
  • Facebook - https://www.facebook.com/hubermanlab 
  • Website - https://hubermanlab.com 
  • Newsletter - https://hubermanlab.com/neural-network 

 

Links:

  • Dr. Johnson’s Website at Johns Hopkins School of Medicine - https://hopkinspsychedelic.org/johnson
  • Chris Letheby’s forthcoming book - https://amzn.to/3nMTaAs  

 

Timestamps:

  • 00:00:00 Introducing Dr. Matthew Johnson
  • 00:02:10 Supporting Sponsors
  • 00:06:40 ‘Psychedelics’ Defined
  • 00:14:09 Hallucinations, Synesthesia, Altered Space-Time Perception
  • 00:19:56 Serotonin & Dopamine 
  • 00:23:50 Ketamine & Glutamate 
  • 00:28:00 An Example Psychedelic Experiment
  • 00:37:30 ‘Letting Go’ with Psychedelics
  • 00:44:10 Our Mind’s Eye
  • 00:48:00 Redefining Your Sense of Self 
  • 00:58:56 Exporting Psychedelic Learnings to Daily Life
  • 01:04:36 Flashbacks
  • 01:12:10 Ayahuasca, & ASMR, Kundalini Breathing
  • 01:15:54 MDMA, DMT
  • 01:26:00 Dangers of Psychedelics, Bad Trips, Long-Lasting Psychosis
  • 01:38:15 Micro-Dosing
  • 01:56:45 Risks for Kids, Adolescents & Teenagers; Future Clinical Trials
  • 02:03:40 Legal Status: Decriminalization vs. Legalization vs. Regulation
  • 02:18:35 Psychedelics for Treating Concussion & Traumatic Brain Injury 
  • 02:27:45 Shifting Trends in Psychedelic Research, Academic Culture
  • 02:44:23 Participating in a Clinical Trial, Online Survey Studies, Breathwork 
  • 02:50:38 Conclusions, Subscribing & Supporting the HLP, Supplements

Please note that The Huberman Lab Podcast is distinct from Dr. Huberman's teaching and research roles at Stanford University School of Medicine. The information provided in this show is not medical advice, nor should it be taken or applied as a replacement for medical advice. The Huberman Lab Podcast, its employees, guests and affiliates assume no liability for the application of the information discussed.

 

Title Card Photo Credit: Mike Blabac - https://www.blabacphoto.com

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