Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
You know, people that have been gene disorder, at least at a severe level, they tend to bitch about once a day.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
So what we decided to do in the operating room was to actually try to leverage a tool that we use all the time when we take care of patients with Parkinson's.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
So with Parkinson's, a lot of these patients, not all, have tremor.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
And so when we place an electrode into this motor structure,
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
to try to improve their movement disorder, we often can hear tremor cells.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
And they sound, we convert their electrical signal to an audible signal so we can actually hear it.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
And it sounds kind of like the tremor looks, like the frequency of the signal is the same as the hand shaking.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
Exactly.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
One poke at a time.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
Exactly.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
So we are very confident that when we stimulate that area of, in this case, the subthalamic nucleus, we will disrupt that tremor circuit and that tremor will dissolve.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
Craving.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
So craving is a term that, you know, there's probably other terms we could use, by the way, but that's the term we've chosen to use for a number of reasons.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
One, because people relate with that term.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
People that have binge eating disorder or obesity, if you ask them if they crave, the answer will often be yes.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
If you ask them if they lose control or binge, they might not know what you mean, or they might not actually feel out of control, even when they are.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
But the word craving is relatable.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
And so we set out to see if we could identify craving cells.
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
In a patient with OCD, which is related, in fact, we target a very similar part of the brain,
Huberman Lab
Essentials: Compulsive Behaviors & Deep Brain Stimulation | Dr. Casey Halpern
we tried to identify cells related to obsessions.