4.6 • 1.9K Ratings
🗓️ 30 September 2023
⏱️ 53 minutes
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0:00.0 | Hi, Steve. We've just launched the Freakonomics Radio Plus membership program. When you become |
0:08.0 | a Freakonomics Radio Plus member, you'll get weekly, exclusive member-only episodes of Freakonomics |
0:13.6 | Radio. In addition, you won't hear any ads on Freakonomics Radio or on the other shows in |
0:18.5 | our network, including people I mostly admire. To become a member of Freakonomics Radio Plus, |
0:23.9 | visit the people I mostly admire show page on Apple Podcasts or go to Freakonomics.com slash plus. |
0:30.8 | Thanks so much. My guest today, Rick Doblin, has spent the last 37 years trying to get FDA approval |
0:39.6 | for a breakthrough treatment for post-traumatic stress disorder PTSD. Against all odds, it looks like |
0:46.0 | he's actually going to succeed. If we would have waited for pharmaceutical companies to develop |
0:52.9 | MDMA-assisted psychotherapy, we would still be waiting today. |
1:00.9 | Welcome to People I mostly admire with Steve Levitt. |
1:07.0 | Few people dream as big as Rick Doblin, and among those who do, |
1:10.3 | almost no one has to brilliance in the perseverance and the luck to turn those dreams into reality. |
1:16.3 | I'm so looking forward, as I talk to Rick today, to try to figure out what it is about him, |
1:21.6 | that allowed him to defy the odds. |
1:27.4 | So I'd love to start with you educating me a little bit about post-traumatic stress disorder, PTSD. |
1:33.3 | How does PTSD affect the brain? What are the current estimates of the prevalence of PTSD |
1:39.5 | and society? And what kind of success rates have we seen with traditional therapies that address PTSD? |
1:46.9 | Well, the Veterans Administration recently estimated that there's 13 million PTSD patients in |
1:52.5 | America. And those are just the people that qualify for a diagnosis of PTSD. There's a lot of people |
1:58.1 | that are suffering from trauma that impacts their behaviors that doesn't rise to the level of a |
2:05.2 | diagnosis of PTSD. What we know from some neuroscience studies is that if you have PTSD, |
2:13.6 | there's a hyperactive amygdala where fear is processed. And there's a reduction of activity in |
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