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Andrew Huberman - ADHD & How Anyone Can Improve Their Focus | Huberman Lab Podcast #37

发布时间:2021-09-13 12:00:32   原节目
以下是将您提供的内容翻译成中文: 安德鲁·休伯曼博士讨论了注意力缺陷多动障碍(ADHD)以及如何提高注意力,无论一个人是否患有ADHD。他强调专业诊断的重要性,并警告不要进行自我诊断,因为冲动控制和注意力等症状具有主观性。主要目标是提供关于科学和基于科学的日常工具的易于理解的信息,重点是增强每个人的注意力和创造力的工具。 他讨论了ADHD的特征,包括注意力和专注力障碍、冲动性、时间感知、空间组织和工作记忆困难,同时强调智力与ADHD无关。他强调了患有ADHD的人能够对感兴趣的主题进行超聚焦的能力,并解释了潜在的神经生物学机制,重点是多巴胺的作用。 对ADHD的低多巴胺假说进行了探讨,指出多巴胺水平不足会导致神经元不必要的放电,并扰乱默认模式网络(休息时活跃)和任务网络(目标导向)之间的协调。多巴胺在协调这些网络中起着指挥作用,但在ADHD患者中,这一过程受到损害。 常见的ADHD治疗方法,如利他林和阿德拉,可以提高多巴胺和去甲肾上腺素的水平。虽然有效,但这些药物是兴奋剂,化学成分与安非他命等街头毒品相似,具有滥用潜力和心血管副作用。他还谈到了年轻人未经处方而滥用阿德拉的现象日益严重,强调了它对注意力和认知的影响。饮食中高糖等食物及其影响也被讨论。 Ω-3脂肪酸和磷脂酰丝氨酸在调节ADHD症状中的作用也被提及,并强调从Ω-3脂肪酸中获取至少300毫克DHA的重要性。 为了提高注意力,无论是否诊断出ADHD,休伯曼提到了注意力瞬脱,这是由于过度专注于其他事物而错过信息的实例。开放式监控,包括全景视觉和有意识地扩张视线,可以提高注意力。《改变的特质》(Altered Traits)这本书提供了关于如何教授这些技能以提高专注深度的说明。 人们已经学会了多种控制时间感知的方法,重点是自发性眨眼。有可靠的数据支持,在眨眼之后,我们会重置我们对时间的感知。时间由多巴胺控制,这也与注意力和专注力有关。ADHD患者通常没有条理,因为他们的多巴胺水平较低,导致他们无法集中注意力。 身体运动和减压玩具也被提及,作为激活前运动回路并减少移动欲望的方法,从而提高精神集中力。 该播客还谈到了新兴技术,如经颅磁刺激(TMS),它涉及使用磁刺激直接针对大脑区域并改善任务导向状态。最后,休伯曼警告说,过度使用智能手机会削弱注意力能力,并通过持续的上下文切换使大脑不堪重负,从而诱发一种ADHD的形式。

Dr. Andrew Huberman discusses Attention Deficit Hyperactivity Disorder (ADHD) and how to improve focus, regardless of whether or not someone has ADHD. He emphasizes the importance of professional diagnosis and warns against self-diagnosis, given the subjective nature of symptoms like impulse control and attention. The main goal is to provide accessible information about science and science-based tools for everyday life, focusing on tools for enhancing focus and creativity for everyone. He discusses the characteristics of ADHD, including difficulties with attention and focus, impulsivity, time perception, spatial organization, and working memory, while emphasizing that intelligence is not related to ADHD. He highlights the ability of individuals with ADHD to achieve hyper-focus on subjects of interest and explains the underlying neurobiology, focusing on the role of dopamine. The low dopamine hypothesis of ADHD is explored, stating that insufficient dopamine levels lead to unnecessary firing of neurons and disrupted coordination between the default mode network (active during rest) and task networks (goal-oriented). Dopamine acts as a conductor in coordinating these networks, but this process is impaired in individuals with ADHD. Common ADHD treatments, such as Ritalin and Adderall, increase dopamine and norepinephrine levels. While effective, these drugs are stimulants chemically similar to street drugs like amphetamine, with potential for abuse and cardiovascular side effects. He also addresses the rising use of Adderall without prescription among young adults, highlighting its effects on focus and cognition. The topic of food such as high sugar in the diet is also discussed and its impacts. The role of omega-3 fatty acids and phosphatidylserine in modulating ADHD symptoms are also covered, noting the importance of getting at least 300mg of DHA from omega-3s. To improve focus, regardless of ADHD diagnosis, Huberman mentions attentional blinks, which are instances of missing information due to over-focusing on something else. Open monitoring, which involves panoramic vision and consciously dilating one's gaze, can improve focus. The book Altered Traits provides an account on how these skills can be taught to improve your depth of focus. There are several ways that people have learned to control time perception, focusing on spontaneous eye-blinks. There is good data to support that right after blinks, we reset our perception of time. Time is controlled by dopamine which then also relates to attention and focus. People with ADHD are often disorganized because their dopamine is low which then gives them the inability to focus. Physical movements and fidget toys are also mentioned as ways to engage pre-motor circuits and reduce the desire to move, which allows for improved mental focus. The podcast goes on to address emerging technologies like transcranial magnetic stimulation (TMS), which involves using magnetic stimulation to directly target brain regions and improve task-directed states. Finally, Huberman cautions that high smartphone use can erode attentional capacities and induce a form of ADHD by overwhelming the brain with constant context switching.