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LIVE EVENT Q&A: Dr. Andrew Huberman at Beacon Theatre in New York

Episode 2022-12-142022-12-14EnglishMembers only
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§01A recorded Q&A from The Brain-Body Contract

This episode of the Huberman Lab podcast, introduced by Andrew Huberman as a professor of neurobiology and ophthalmology at Stanford School of Medicine, is the question-and-answer portion of a live event at the Beacon Theater in New York City. The event, titled The Brain-Body Contract, consisted of a lecture followed by audience questions, and the recording was released so the Q&A would be available to people regardless of whether they could attend.

Before the questions begin, the introduction thanks the event's sponsors. Eight Sleep, which makes smart mattress covers with heating and cooling capacity, is described through a personal testimonial: the host says he started sleeping on one about eight months earlier, sleeps more deeply, wakes far less during the night, and has even shipped the cover to travel destinations. The promotion offers up to $400 off a SleepFit Holiday Bundle including the Pod 3 cover, with shipping to the USA, Canada, the United Kingdom, select EU countries and Australia. The supplement partner Momentus is described as offering single-ingredient formulations matching what is discussed on the podcast and shipping internationally. These are sponsor statements rather than evidence presented in the Q&A.

§02When does stress become too much?

The first audience question asks how to tell when stress, which has been described as potentially good, becomes excessive. The answer opens not with a threshold but with research on mindset by Stanford colleague Dr. Alia ("Ali") Crum, described as a former Division I athlete, tenured professor of psychology and licensed clinical psychologist. The response stresses that these mindset findings are "not placebo effects" and that how a person thinks about stress matters, while adding the caveat that "you can't lie to yourself."

The experimental example given is a short video of one to three minutes shown to subjects in Crum's lab. If the video emphasizes the harms of stress to the immune system and sleep, viewers experience those effects, such as increases in blood pressure. If instead it presents the also-true message that stress can sharpen decision making for certain kinds of things and can accentuate immune function, the outcome shifts. The conclusion drawn is that stress is both bad and good and that these do not simply average out: people can bias the effect in one direction or the other depending on which information they hear more often.

Stress does not deplete your immune system unless it goes on a long, long time.

The speaker argues this point from function: it would make little sense to get sick while fasting, moving with family or weathering an emotional or physical storm. Illness, the answer says, usually comes after the stress, as when someone finally rests on vacation and falls ill, which is explained as the immune system having shut down once the alertness side of the autonomic nervous system stops mobilizing it. The answer then qualifies that sleep is still needed, and offers a tentatively framed mechanism ("we think") involving the slowing of circulation. From this follows hedged guidance: it is "probably not a good idea to exercise if you're already sick," and if veering toward illness, probably limit the intensity of any kind of interaction and still yourself.

The answer also admits uncertainty about the collective stress of the last few years, asking whether people are more resilient now or "just really beat up," and replying "I really don't know." The view offered is that how those years are interpreted will make a big difference in their impact, and that what is missing is a framing narrative from someone people listen to. The speaker explicitly says that person should not be him, and suggests the world needs "a good therapist, basically."

Short-term stress: stress on the order of a day, or two or three days, described as very beneficial and "not a problem, even if you feel torn apart, provided you can get rest afterwards." Long-term stress: stress that impedes the sleep-wake cycle and makes dreams more stressful and nightmare-like without going away; specifically, stress that impedes sleep for three nights or more and shifts dreams toward anxiety. Risk of ignoring it: long-term stress should be taken seriously because it can start degrading things like the immune system.

For accumulated stress from the past compounded by current events, the answer says the solution "does seem to be" getting into a supported environment that allows a full catharsis, a ride through autonomic intensity followed by relaxation, and notes that this does not have to require psychedelics. Whether directly focusing on the trauma and its story is critical is raised as an open question; the speaker thinks it is, and says that is obviously something to do with a clinician.

The practical marker offered is sleep. The answer notes that whether people are sleeping well is one of the questions used diagnostically for depression or anxious depression, reasoning that language is not very good at parsing internal states, so behaviors and the regularity of sleep-wake cycles are better guides. The speaker closes by calling it "at least a partial answer," acknowledging it was not exhaustive.

§03Hypnosis, breathing and the visual system

The next question asks how hypnosis affects the speaker's life. After joking about being in hypnosis, the speaker says he spends a good hour in self-directed hypnosis before events like this. He credits David Spiegel, whose father is described as one of the originators of hypnosis as a valid psychiatric treatment, and mentions the idea that EMDR, the scanning of the eyes back and forth while reporting a narrative, "may actually be capturing some of the elements of hypnosis."

Before answering, the speaker steps back to the evening's emphasis on principles: the hope is that listeners can look at any practice, compound or breathing exercise and place it on a continuum, asking whether it is designed to move a person up toward alertness or down toward calm. He then compresses breathwork into a single rule.

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