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Andrew Huberman · 2024-05-01 · 2h 15m

Dr. Matt Walker: Improve Sleep to Boost Mood & Emotional Regulation | Huberman Lab Guest Series

Sleep scientist Matt Walker explains how REM and deep sleep act as overnight therapy that regulates mood, anxiety, PTSD, and suicide risk.

Dr. Matt Walker: Improve Sleep to Boost Mood & Emotional Regulation | Huberman Lab Guest Series
The guest

Dr. Matthew Walker — Sleep scientist and professor of neuroscience at UC Berkeley, founder of its Center for Human Sleep Science, and author of the book 'Why We Sleep'. He has researched sleep and emotional regulation for over 20 years.

The gist

In the fifth episode of Huberman Lab's six-part sleep series, Andrew Huberman and Dr. Matthew Walker explore the bidirectional link between sleep and mental health. They detail how sleep deprivation amplifies amygdala reactivity by 60% while severing prefrontal control, and how REM sleep strips the emotional charge from memories like an 'overnight therapy.' The conversation covers practical ways to boost REM sleep (sleeping later into the morning, avoiding alcohol and THC) and deep non-REM sleep (regularity, cool rooms, exercise, warm baths). It then examines PTSD and the drug prazosin, anxiety, suicide risk and nightmares as predictors, and depression and circadian misalignment, ending with the value of morning light and dark nights.

Big reveals

  • Sleep deprivation causes a 60% increase in amygdala responsivity to negative images, one of the largest brain effect sizes Walker had seen.
  • A night of sleep keeps the medial prefrontal cortex connected to the amygdala; without sleep that regulatory connection is 'severed.'
  • REM sleep is the only time noradrenaline is completely shut off in the brain, creating a safe environment to detox emotional memories.
  • William Dement's selective REM-deprivation subjects developed paranoia, hallucinations and near-psychosis by day five.
  • PTSD patients have abnormally high noradrenaline during sleep; the blood-pressure drug prazosin lowered it and stopped their repetitive nightmares.
  • After total sleep deprivation, ~50% of previously non-anxious participants reached the clinical threshold for an anxiety disorder.
  • For anxiety it was deep non-REM sleep, not REM, that proved anxiolytic, overturning the researchers' hypothesis.
  • Nightmares predict suicide risk 5-8x (versus 2-3x for poor sleep alone), the strongest emerging psychiatric sleep finding.

Things worth remembering

  • In 20 years of research, no psychiatric condition has been found in which sleep is normal.
  • Sleep strips the 'bitter emotional rind' off the 'informational orange' so you remember the event but not its emotional sting.
  • The different stages of sleep were discovered the same year (1953) that Crick and Watson unveiled the structure of DNA.
  • The cheapest non-pharmacological way to boost REM sleep is to sleep an extra 15-25 minutes later into the morning, the REM-rich phase.
  • Both alcohol and THC potently suppress REM sleep; quitting cannabis triggers a vivid 'REM rebound.'
  • A warm bath or shower before bed raises then drops body temperature and increases deep non-REM sleep.
  • Suicide attempts and completions cluster between roughly 1am and 4am, the lowest dip of the circadian rhythm.
  • Walker adopts Huberman's phrase 'junk light' for artificial nighttime light, like 'empty photons' versus daytime 'whole light.'
  • A Nature Mental Health study of 80,000+ people found a near-linear link between daytime light, dark nights, and reduced depression.