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A therapeutic trip: From experience to epigenome | Candace Lewis | TEDxChandlerPublicLibrary


[Music]

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[Applause] [Music]

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[Music] common mental disorders can be thought

common mental disorders can be thought

common mental disorders can be thought of as a lack of connection a lack of

of as a lack of connection a lack of

of as a lack of connection a lack of connection with self in a lack of

connection with self in a lack of

connection with self in a lack of connection with community mental health

connection with community mental health

connection with community mental health is a current public crisis every day

is a current public crisis every day

is a current public crisis every day over 90 Americans are dying due to

over 90 Americans are dying due to

over 90 Americans are dying due to opiate overdose and over 20 veterans are

opiate overdose and over 20 veterans are

opiate overdose and over 20 veterans are dying to suicide it’s important for our

dying to suicide it’s important for our

dying to suicide it’s important for our health to build connections in many

health to build connections in many

health to build connections in many different ways for example as a

different ways for example as a

different ways for example as a scientist it’s important for me to

scientist it’s important for me to

scientist it’s important for me to connect with other scientists from

connect with other scientists from

connect with other scientists from around the world and last year I was

around the world and last year I was

around the world and last year I was able to do this on a Fulbright

able to do this on a Fulbright

able to do this on a Fulbright fellowship where I studied the effects

fellowship where I studied the effects

fellowship where I studied the effects of drugs on brain at the University of

of drugs on brain at the University of

of drugs on brain at the University of Zurich psychiatric hospital even more

Zurich psychiatric hospital even more

Zurich psychiatric hospital even more important we need to establish and

important we need to establish and

important we need to establish and maintain personal connections I was also

maintain personal connections I was also

maintain personal connections I was also able to do this last year when I married

able to do this last year when I married

able to do this last year when I married this wonderful woman who also happens to

this wonderful woman who also happens to

this wonderful woman who also happens to be a neuroscientist but these are

be a neuroscientist but these are

be a neuroscientist but these are examples of when connection goes right

examples of when connection goes right

examples of when connection goes right we have positive experiences with our

we have positive experiences with our

we have positive experiences with our community what happens when the office

community what happens when the office

community what happens when the office is highly stressful or traumatic

is highly stressful or traumatic

is highly stressful or traumatic experiences are large predictors for

experiences are large predictors for

experiences are large predictors for many psychiatric disorders experiences

many psychiatric disorders experiences

many psychiatric disorders experiences such as armed robbery sexual abuse child

such as armed robbery sexual abuse child

such as armed robbery sexual abuse child maltreatment and combat all of these

maltreatment and combat all of these

maltreatment and combat all of these experiences predict many disorders not

experiences predict many disorders not

experiences predict many disorders not just post-traumatic stress disorder or

just post-traumatic stress disorder or

just post-traumatic stress disorder or PTSD but common mood anxiety personality

PTSD but common mood anxiety personality

PTSD but common mood anxiety personality and substance use disorders are all

and substance use disorders are all

and substance use disorders are all linked to these negative experiences and

linked to these negative experiences and

linked to these negative experiences and we’ve known this for a long time we’ve

we’ve known this for a long time we’ve

we’ve known this for a long time we’ve known the relationship between

known the relationship between

known the relationship between experiences and mental health but what

experiences and mental health but what

experiences and mental health but what we didn’t know we didn’t understand was

we didn’t know we didn’t understand was

we didn’t know we didn’t understand was the connection how is it that the things

the connection how is it that the things

the connection how is it that the things that we experience can then influence

that we experience can then influence

that we experience can then influence our mental health and that brings me to

our mental health and that brings me to

our mental health and that brings me to the new field of neuro epigenetics and

the new field of neuro epigenetics and

the new field of neuro epigenetics and this is one connection in which we have

this is one connection in which we have

this is one connection in which we have found in molecular mechanism by which

found in molecular mechanism by which

found in molecular mechanism by which our experiences can shape our

our experiences can shape our

our experiences can shape our neurobiology so what are app genetics to

neurobiology so what are app genetics to

neurobiology so what are app genetics to explain this I have to get to the

explain this I have to get to the

explain this I have to get to the molecular science for a moment every

molecular science for a moment every

molecular science for a moment every cell of your body

cell of your body

cell of your body carries the blueprint for life your own

carries the blueprint for life your own

carries the blueprint for life your own unique

unique

unique nucleotide sequence in the sequence code

nucleotide sequence in the sequence code

nucleotide sequence in the sequence code for what proteins to build when and

for what proteins to build when and

for what proteins to build when and where but even though every cell of your

where but even though every cell of your

where but even though every cell of your body is carrying the same code it’s not

body is carrying the same code it’s not

body is carrying the same code it’s not following the same instructions our

following the same instructions our

following the same instructions our cells build different proteins this is

cells build different proteins this is

cells build different proteins this is why we have different types of cells we

why we have different types of cells we

why we have different types of cells we have skin cells and bone cells and blood

have skin cells and bone cells and blood

have skin cells and bone cells and blood cells and my favorite brain cells

cells and my favorite brain cells

cells and my favorite brain cells they’re not following the same Cohen

they’re not following the same Cohen

they’re not following the same Cohen this is what epigenetics is epigenetics

this is what epigenetics is epigenetics

this is what epigenetics is epigenetics can be thought of as on and off switches

can be thought of as on and off switches

can be thought of as on and off switches or up and down switches for what

or up and down switches for what

or up and down switches for what proteins to build and what we’ve learned

proteins to build and what we’ve learned

proteins to build and what we’ve learned in the last couple decades is that

in the last couple decades is that

in the last couple decades is that traumatic experiences have the capacity

traumatic experiences have the capacity

traumatic experiences have the capacity to change these epigenetic markers these

to change these epigenetic markers these

to change these epigenetic markers these up and down switches on genes implicated

up and down switches on genes implicated

up and down switches on genes implicated in mental health this is a molecular

in mental health this is a molecular

in mental health this is a molecular mechanism by which our experiences can

mechanism by which our experiences can

mechanism by which our experiences can shape us another way of illustrating the

shape us another way of illustrating the

shape us another way of illustrating the difference between genetics and

difference between genetics and

difference between genetics and epigenetics is with identical twins when

epigenetics is with identical twins when

epigenetics is with identical twins when they’re born they have near identical

they’re born they have near identical

they’re born they have near identical genomes that they will continue to have

genomes that they will continue to have

genomes that they will continue to have for the rest of their life but they’re

for the rest of their life but they’re

for the rest of their life but they’re born already with slightly different

born already with slightly different

born already with slightly different epigenetics and those differences in

epigenetics and those differences in

epigenetics and those differences in their epigenetics will only grow with

their epigenetics will only grow with

their epigenetics will only grow with age because we know that many

age because we know that many

age because we know that many experiences and things in our

experiences and things in our

experiences and things in our environment change our epigenetics such

environment change our epigenetics such

environment change our epigenetics such as nutrition exercise toxins stress

as nutrition exercise toxins stress

as nutrition exercise toxins stress drugs and this is not necessarily a bad

drugs and this is not necessarily a bad

drugs and this is not necessarily a bad thing

thing

thing this is really quite a fantastic idea

this is really quite a fantastic idea

this is really quite a fantastic idea this shows that our brain has the

this shows that our brain has the

this shows that our brain has the ability to continuously respond to

ability to continuously respond to

ability to continuously respond to ever-changing social cues throughout our

ever-changing social cues throughout our

ever-changing social cues throughout our entire life which leads me to wonder if

entire life which leads me to wonder if

entire life which leads me to wonder if traumatic experiences can be so powerful

traumatic experiences can be so powerful

traumatic experiences can be so powerful as to change our epigenome in a way that

as to change our epigenome in a way that

as to change our epigenome in a way that changes our physiology and downstream

changes our physiology and downstream

changes our physiology and downstream behavior and mental health is it

behavior and mental health is it

behavior and mental health is it possible that a profound experience

possible that a profound experience

possible that a profound experience could also be so powerful as a change

could also be so powerful as a change

could also be so powerful as a change our epigenome in down trips downstream

our epigenome in down trips downstream

our epigenome in down trips downstream physiology and perhaps heal mental

physiology and perhaps heal mental

physiology and perhaps heal mental health we all have profound experiences

health we all have profound experiences

health we all have profound experiences throughout life experiences such as

throughout life experiences such as

throughout life experiences such as getting married welcoming a child into

getting married welcoming a child into

getting married welcoming a child into our home putting our all into a goal and

our home putting our all into a goal and

our home putting our all into a goal and achieving it or not

achieving it or not

achieving it or not or spiritual experience whether it be if

or spiritual experience whether it be if

or spiritual experience whether it be if nature or religion is it possible that a

nature or religion is it possible that a

nature or religion is it possible that a profound experience much like a

profound experience much like a

profound experience much like a traumatic experience can come in and

traumatic experience can come in and

traumatic experience can come in and alter our epigenome in a way that leads

alter our epigenome in a way that leads

alter our epigenome in a way that leads to healing if this was possible how

to healing if this was possible how

to healing if this was possible how would we do it how could we induce a

would we do it how could we induce a

would we do it how could we induce a profound experience in a therapeutic

profound experience in a therapeutic

profound experience in a therapeutic setting what would it look like one idea

setting what would it look like one idea

setting what would it look like one idea is to use a psychoactive substance to

is to use a psychoactive substance to

is to use a psychoactive substance to use our current knowledge of

use our current knowledge of

use our current knowledge of pharmacology and how drugs affect our

pharmacology and how drugs affect our

pharmacology and how drugs affect our brain this wouldn’t be so far off from

brain this wouldn’t be so far off from

brain this wouldn’t be so far off from our current mental health treatment

our current mental health treatment

our current mental health treatment paradigms already we already use a wide

paradigms already we already use a wide

paradigms already we already use a wide variety of drugs to treat many disorders

variety of drugs to treat many disorders

variety of drugs to treat many disorders often on a daily basis and there happens

often on a daily basis and there happens

often on a daily basis and there happens to be a class of drugs that people have

to be a class of drugs that people have

to be a class of drugs that people have been taking for millennia to purposely

been taking for millennia to purposely

been taking for millennia to purposely induce profound experiences and many

induce profound experiences and many

induce profound experiences and many cultures from around the world seen as

cultures from around the world seen as

cultures from around the world seen as class of drugs as healing medicines

class of drugs as healing medicines

class of drugs as healing medicines this is psychedelics now this might seem

this is psychedelics now this might seem

this is psychedelics now this might seem like a silly proposition at first these

like a silly proposition at first these

like a silly proposition at first these are in fact legal illegal substances

are in fact legal illegal substances

are in fact legal illegal substances right now they’ve been a controversial

right now they’ve been a controversial

right now they’ve been a controversial topic ever since the 1960s but while

topic ever since the 1960s but while

topic ever since the 1960s but while they are powerful substances and should

they are powerful substances and should

they are powerful substances and should be regarded cautiously I’m here to say

be regarded cautiously I’m here to say

be regarded cautiously I’m here to say that they got a bad rap so what do I

that they got a bad rap so what do I

that they got a bad rap so what do I mean by psychedelics what are plastic

mean by psychedelics what are plastic

mean by psychedelics what are plastic psychedelics the chima is commonly known

psychedelics the chima is commonly known

psychedelics the chima is commonly known in North America our LSD or acid in

in North America our LSD or acid in

in North America our LSD or acid in magic mushrooms or psilocybin classic

magic mushrooms or psilocybin classic

magic mushrooms or psilocybin classic psychedelics work on your serotonin

psychedelics work on your serotonin

psychedelics work on your serotonin system serotonin is a neurotransmitter

system serotonin is a neurotransmitter

system serotonin is a neurotransmitter highly implicated in regulating mood and

highly implicated in regulating mood and

highly implicated in regulating mood and perception and right now the most

perception and right now the most

perception and right now the most commonly prescribed antidepressants work

commonly prescribed antidepressants work

commonly prescribed antidepressants work on your serotonin system so what is a

on your serotonin system so what is a

on your serotonin system so what is a psychedelic I swear it’s like I’m

psychedelic I swear it’s like I’m

psychedelic I swear it’s like I’m sitting here telling you that we can

sitting here telling you that we can

sitting here telling you that we can induce a profound experience what does

induce a profound experience what does

induce a profound experience what does that look like what does it feel like to

that look like what does it feel like to

that look like what does it feel like to answer this question let’s turn to the

answer this question let’s turn to the

answer this question let’s turn to the research literature so I’m not talking

research literature so I’m not talking

research literature so I’m not talking about recreational use I’m talking about

about recreational use I’m talking about

about recreational use I’m talking about what is that we find in the science and

what is that we find in the science and

what is that we find in the science and a controlled study when these

a controlled study when these

a controlled study when these participants have adequate preparation

participants have adequate preparation

participants have adequate preparation expectations and dosing

expectations and dosing

expectations and dosing one of the most commonly known and

one of the most commonly known and

one of the most commonly known and perhaps misunderstood effects of

perhaps misunderstood effects of

perhaps misunderstood effects of psychedelics are the sensory alterations

psychedelics are the sensory alterations

psychedelics are the sensory alterations and of course this is where they get

and of course this is where they get

and of course this is where they get their other term hallucinogens now while

their other term hallucinogens now while

their other term hallucinogens now while the word hallucinogens is still widely

the word hallucinogens is still widely

the word hallucinogens is still widely used in the literature I personally

used in the literature I personally

used in the literature I personally choose not to use it and that’s because

choose not to use it and that’s because

choose not to use it and that’s because the term hallucination has a negative

the term hallucination has a negative

the term hallucination has a negative connotation and it’s often used in

connotation and it’s often used in

connotation and it’s often used in pairing it with psychosis in a psychosis

pairing it with psychosis in a psychosis

pairing it with psychosis in a psychosis one has lost touch with reality and they

one has lost touch with reality and they

one has lost touch with reality and they think that the sensory alterations that

think that the sensory alterations that

think that the sensory alterations that they’re experiencing are real now with

they’re experiencing are real now with

they’re experiencing are real now with psychedelics one tends to remain in the

psychedelics one tends to remain in the

psychedelics one tends to remain in the knowing that what they’re experiencing

knowing that what they’re experiencing

knowing that what they’re experiencing is an effect of the drug they’ve taken

is an effect of the drug they’ve taken

is an effect of the drug they’ve taken so for an example some common visual

so for an example some common visual

so for an example some common visual alterations one may experience if this

alterations one may experience if this

alterations one may experience if this was your reality if this was the world

was your reality if this was the world

was your reality if this was the world you were looking at under the influence

you were looking at under the influence

you were looking at under the influence of a psychedelic you might see light you

of a psychedelic you might see light you

of a psychedelic you might see light you might see colors have brighter

might see colors have brighter

might see colors have brighter luminescent like light is shining

luminescent like light is shining

luminescent like light is shining through the colors you might experience

through the colors you might experience

through the colors you might experience color alterations so they can look

color alterations so they can look

color alterations so they can look different the colors might not be real

different the colors might not be real

different the colors might not be real you can lose visual acuity so everything

you can lose visual acuity so everything

you can lose visual acuity so everything you’re seeing might be a little bit

you’re seeing might be a little bit

you’re seeing might be a little bit blurry you might see geometric patterns

blurry you might see geometric patterns

blurry you might see geometric patterns and movement coming from whatever it is

and movement coming from whatever it is

and movement coming from whatever it is you’re looking at and more often than

you’re looking at and more often than

you’re looking at and more often than not people report this as visually

not people report this as visually

not people report this as visually aesthetic and pleasing and entertaining

aesthetic and pleasing and entertaining

aesthetic and pleasing and entertaining this is why I choose not to call them

this is why I choose not to call them

this is why I choose not to call them hallucinogens but psychedelics that term

hallucinogens but psychedelics that term

hallucinogens but psychedelics that term was coined by a psychiatrists and it

was coined by a psychiatrists and it

was coined by a psychiatrists and it means mind manifesting another common

means mind manifesting another common

means mind manifesting another common reported subjective effect of these

reported subjective effect of these

reported subjective effect of these drugs is increased insightfulness

drugs is increased insightfulness

drugs is increased insightfulness participants report the ability to see a

participants report the ability to see a

participants report the ability to see a connection between emotions and people

connection between emotions and people

connection between emotions and people and experiences in their life but they

and experiences in their life but they

and experiences in their life but they were not able to see before they report

were not able to see before they report

were not able to see before they report feeling a wide variety of emotions and

feeling a wide variety of emotions and

feeling a wide variety of emotions and even the harder emotions like sadness

even the harder emotions like sadness

even the harder emotions like sadness fear and anxiety they later report that

fear and anxiety they later report that

fear and anxiety they later report that it was beneficial to experience them and

it was beneficial to experience them and

it was beneficial to experience them and they learned something from them

unity people report feeling connected to

unity people report feeling connected to all of humankind through time and space

all of humankind through time and space

all of humankind through time and space race and religion nation and border

race and religion nation and border

race and religion nation and border people feel connected recent research

people feel connected recent research

people feel connected recent research from Johns Hopkins University showed

from Johns Hopkins University showed

from Johns Hopkins University showed that in a controlled setting with

that in a controlled setting with

that in a controlled setting with healthy participants when given a

healthy participants when given a

healthy participants when given a moderate or high dose of psilocybin 78

moderate or high dose of psilocybin 78

moderate or high dose of psilocybin 78 percent of them reported it to be among

percent of them reported it to be among

percent of them reported it to be among the top five experiences of their life

the top five experiences of their life

the top five experiences of their life in a year later 94 percent of them still

in a year later 94 percent of them still

in a year later 94 percent of them still agreed top five experience in my whole

agreed top five experience in my whole

agreed top five experience in my whole life they also reported increased life

life they also reported increased life

life they also reported increased life satisfaction well-being and openness to

satisfaction well-being and openness to

satisfaction well-being and openness to experiencing life now I’m not saying to

experiencing life now I’m not saying to

experiencing life now I’m not saying to go home and take a psychedelic this

go home and take a psychedelic this

go home and take a psychedelic this weekend don’t say that don’t think that

weekend don’t say that don’t think that

weekend don’t say that don’t think that we’re just looking at what the evidence

we’re just looking at what the evidence

we’re just looking at what the evidence is showing us about the potential about

is showing us about the potential about

is showing us about the potential about this class of drugs when they are taken

this class of drugs when they are taken

this class of drugs when they are taken correctly but the research hasn’t only

correctly but the research hasn’t only

correctly but the research hasn’t only been done with healthy participants by

been done with healthy participants by

been done with healthy participants by 1965 before this class of drugs was

1965 before this class of drugs was

1965 before this class of drugs was illegal over 1000 published clinical

illegal over 1000 published clinical

illegal over 1000 published clinical studies in over 40,000 participants

studies in over 40,000 participants

studies in over 40,000 participants suggested beneficial effects a

suggested beneficial effects a

suggested beneficial effects a psychedelic assistant therapy for common

psychedelic assistant therapy for common

psychedelic assistant therapy for common psychiatric disorders

psychiatric disorders

psychiatric disorders now since the 60s our regulatory and

now since the 60s our regulatory and

now since the 60s our regulatory and research methods expectations have

research methods expectations have

research methods expectations have changed when it comes to clinical drug

changed when it comes to clinical drug

changed when it comes to clinical drug trials but recently three top research

trials but recently three top research

trials but recently three top research universities in the States have

universities in the States have

universities in the States have published Phase two clinical trials

published Phase two clinical trials

published Phase two clinical trials using psilocybin assistive therapy to

using psilocybin assistive therapy to

using psilocybin assistive therapy to treat depression and anxiety related to

treat depression and anxiety related to

treat depression and anxiety related to cancer so they’re not treating cancer

cancer so they’re not treating cancer

cancer so they’re not treating cancer the treatment depression and anxiety

the treatment depression and anxiety

the treatment depression and anxiety related to the cancer experience all

related to the cancer experience all

related to the cancer experience all three studies all participants show

three studies all participants show

three studies all participants show decreased depression anxiety six months

decreased depression anxiety six months

decreased depression anxiety six months after their treatment this breaks our

after their treatment this breaks our

after their treatment this breaks our current mental health paradigm we

current mental health paradigm we

current mental health paradigm we currently do not have a single

currently do not have a single

currently do not have a single fda-approved

fda-approved

fda-approved antidepressant that has rapid or

antidepressant that has rapid or

antidepressant that has rapid or long-term effects

so I remind you the power of experiences

so I remind you the power of experiences in our mental health we have recently

in our mental health we have recently

in our mental health we have recently discovered that our experiences have the

discovered that our experiences have the

discovered that our experiences have the ability to change at the molecular level

ability to change at the molecular level

ability to change at the molecular level and I wonder is it possible that the

and I wonder is it possible that the

and I wonder is it possible that the experience of psychedelic assistive

experience of psychedelic assistive

experience of psychedelic assistive therapy can be healing us at a molecular

therapy can be healing us at a molecular

therapy can be healing us at a molecular level is it possible that the long-term

level is it possible that the long-term

level is it possible that the long-term behavioral effects in the long-term

behavioral effects in the long-term

behavioral effects in the long-term symptom reduction that we’re seeing

symptom reduction that we’re seeing

symptom reduction that we’re seeing after psychedelic assistive therapy

after psychedelic assistive therapy

after psychedelic assistive therapy could be happening at the molecular

could be happening at the molecular

could be happening at the molecular epigenetic level I don’t know the answer

epigenetic level I don’t know the answer

epigenetic level I don’t know the answer to this yet this is what I hope to find

to this yet this is what I hope to find

to this yet this is what I hope to find out in my research over the next couple

out in my research over the next couple

out in my research over the next couple of years now I know I’ve talked about a

of years now I know I’ve talked about a

of years now I know I’ve talked about a lot today but if you can remember one

lot today but if you can remember one

lot today but if you can remember one thing from my talk this as a society if

thing from my talk this as a society if

thing from my talk this as a society if we choose to harness the power of the

we choose to harness the power of the

we choose to harness the power of the connection between our experiences and

connection between our experiences and

connection between our experiences and our neurobiology we may be able to bring

our neurobiology we may be able to bring

our neurobiology we may be able to bring in a new era of mental health thank you

in a new era of mental health thank you

in a new era of mental health thank you [Applause]

[Applause]

[Applause] [Music]

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