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Huberman Lab

How to Control Your Sense of Pain & Pleasure

Huberman Lab

Scicomm Media

Science, Health & Fitness, Life Sciences

4.826.2K Ratings

🗓️ 9 August 2021

⏱️ 135 minutes

🧾️ Download transcript

Summary

This episode I discuss our sense of pain and pleasure: where and how they each arise in our mind and body and various ways to control their intensity. I discuss the science of behavioral tools like acupuncture and hypnosis and directed pressure, including the neural circuits they each activate to modulate our experience of pain or pleasure. I also discuss whole body pain, pain "syndromes" and novel pain relief compounds such as Acetyl-L-Carnitine, SAMe and Agmatine. I discuss neuroplasticity of the pain system and the key role that visual perception plays in pain modulation. Finally, I address the link between dopamine, serotonin, and oxytocin, with arousal, pleasure and pain. As always, both basic science and various protocols are described. Note: The description of the dorsal root ganglia (DRGs) was intentionally simplified and does not include mention of dorsal horn spinal relay neurons, etc. For an excellent full text review of this anatomy and circuits for touch sensing, please see: https://bit.ly/3jH9CPf For the full show notes, visit hubermanlab.com. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman InsideTracker: https://insidetracker.com/huberman Thesis: https://takethesis.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Timestamps (00:00:00) Skin, Pain, Pleasure (00:01:50) Protocol 1: Maximizing Motivation (with Dopamine & Pleasure) (00:07:12) Sponsors (00:12:04) Pleasure & Pain, & Skin Sensors (00:18:13) Sensing Touch with Your Brain: Magnification of Feet, Hands, Lips, Face, Genitals (00:22:16) Two-Point Discrimination, Dermatomes (00:28:11) Thoughts & Genes That Make Physical Pain Worse (00:33:45) Expectations, Anxiety, & Pain Threshold (00:40:27) Protocol 2: Cold Sensing Is Relative; Getting Into Cold Water (00:45:22) Protocol 3: Heat Is Absolute (00:48:10) Injury & Pain (00:52:04) Protocol 4: Plasticity of Pain: Key Role of Vision (00:58:08) Sensing Disparate Body Parts As Merged (01:01:00) Pain “Syndromes”, Psychogenic Fever, “Psychosomatics” (01:04:40) Fibromyalgia, Naltrexone, Protocol 5: Acetyl-L-Carnitine (01:12:24) Protocol 6: Agmatine, S-adenosyl-L-methionine (SAMe), L-5-Methyltetrahydrofolate* (01:17:27) Acupuncture: Mechanism, Non-Responders, Itch & Inflammation (01:28:20) Laser Photobiomodulation, Protocol 7: Hypnosis (reveri.com) (01:30:00) Protocol 8: Pressure-Based Pain Relief, “Gate Theory of Pain (Relief)” (01:37:53) Redheads & Pain Thresholds, Endogenous Opioids (01:44:02) Protocol 8: Love & Pain, Dopamine (01:49:23) Pleasure & Reproduction, Dopamine & Serotonin, Oxytocin (01:51:40) Protocol 9: PEA, L-Phenylalanine (Precursor to Tyrosine) (01:55:40) Contextual Control of Pleasure by Autonomic Arousal, Dopamine Baselines (01:59:40) Pleasure-Pain Balance (02:01:24) Protocol 10: Controlling Pleasure, Dopamine & Motivation Over Time (02:06:40) Protocol 11: Immediate, Non-Goal-Directed Pleasure, PAG (02:08:40) Direction of Touch: Pleasure Versus Pain, Arousal & Touch “Sensitivity” (02:13:00) Synthesis & How to Conceptualize Pain and Pleasure, Support Title Card Photo Credit: Mike Blabac Disclaimer

Transcript

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0:00.0

Welcome to the Huberman Lab podcast where we discuss science and science-based tools for everyday life.

0:09.0

I'm Andrew Huberman and I'm a professor of neurobiology and ophthalmology at Stanford School of Medicine.

0:15.0

Today we continue our discussion of the senses and the senses we are going to discuss are pain and pleasure.

0:23.0

Pain and pleasure reflect two opposite ends of a continuum, a continuum that involves detection of things in our skin and the perception, the understanding of what those events are.

0:36.0

Our skin is our largest sensory organ and our largest organ indeed.

0:42.0

It is much larger than any of the other organs in our body and it's an odd organ if you think about it.

0:48.0

It has so many functions. It acts as a barrier between our organs and the outside world.

0:53.0

It harbors neurons, nerve cells that allow us to detect things like light touch or temperature or pressure of various kinds.

1:03.0

And it's an organ that we hang ornaments on. People put earrings in their ears. People decorate their skin with tattoos and inks and other things.

1:14.0

And it's an organ that allows us to experience either great pain or great pleasure.

1:21.0

So it's a multifaceted organ and it's one that our brain needs to make sense of in a multifaceted way.

1:28.0

So today we're going to discuss all that and most importantly how you can experience more pleasure and less pain by understanding these pathways.

1:37.0

We will also discuss things you can do and if you wish things you can take that will allow you to experience more pleasure and less pain in response to a variety of different experiences.

1:49.0

Before I go any further, I want to highlight a particularly exciting area of science that relates to the skin and to sensing of pleasure and pain but has everything to do with motivation.

2:01.0

Motivation is something that many people struggle with. Not everybody but most people experience dips and peaks in their motivation even if they really want something.

2:14.0

How should we think about these changes in motivation? What do they reflect? Well at a very basic level they reflect fluctuations, changes in the levels of a chemical called dopamine.

2:25.0

Most of us have heard of dopamine. Dopamine is a neuro modulator meaning it modulates or changes the way that neurons nerve cells work.

2:35.0

Most of us have heard that dopamine is the molecule of pleasure. However that is incorrect. Dopamine is a molecule of motivation and anticipation.

2:46.0

To illustrate how dopamine works, I want to highlight some very important work largely carried out by the laboratory of a guy named Wolfram Schultz.

2:56.0

The Schultz laboratory has done dozens of excellent experiments on the dopamine system and have identified something called reward prediction error.

3:07.0

Although in some sense you can think about it as reward prediction variance. Changes in the levels of dopamine depending on whether or not you expect a reward and whether or not you get the reward.

3:18.0

So I'm going to make this very simple. Dopamine is released into the brain and body and generally makes us feel activated and motivated and as if we have energy to pursue a goal.

...

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