[HN Gopher] Dopamine signals when a fear can be forgotten
       ___________________________________________________________________
        
       Dopamine signals when a fear can be forgotten
        
       Author : gmays
       Score  : 203 points
       Date   : 2025-05-01 17:29 UTC (1 days ago)
        
 (HTM) web link (picower.mit.edu)
 (TXT) w3m dump (picower.mit.edu)
        
       | 190eH169ps wrote:
       | can someone build a script that extracts the names of all this
       | stuff like neurotransmitters, messengers, proteins, hormones and
       | visualizes their amounts per metabolism around/at the time of the
       | measured effect/observed behavior and or during the time of
       | conditioning -- when stimulating (chemical, physical,
       | psychological) measures were taken? a table to start with would
       | be fine.
       | 
       | please? all that lingo is above my pay-grade
        
         | xattt wrote:
         | I believe this may be called neuroscience.
        
           | K0balt wrote:
           | I'm sure the whole fold will fit into a cute infographic!
        
           | ricksunny wrote:
           | Strikes me that parent comment wants to see a knowledge graph
           | constructed. Could be done for a lot of fields, and would be
           | effectively named for the field they describe, like
           | 'neuroscience' in the example you illustrated.
        
         | rom16384 wrote:
         | Ask Google Deep Research, I'm sure it will do a good enough job
        
         | burnished wrote:
         | No, not really. It is difficult to measure because the tissue
         | is delicate and the scale is very, very small.
         | 
         | You can look at my citation manager for some educational
         | resources on the topic however
         | https://www.zotero.org/i_o/collections/C2QRMIZE
         | 
         | But I would mostly recommend a neuroscience textbook. The
         | following link is to the entry discussing what a
         | neurotransmitter is so I think you'll find it immediately
         | interesting https://www.ncbi.nlm.nih.gov/books/NBK10957/
         | 
         | In general neurotransmitters trigger a response in the target
         | neuron by interacting with a channel embedded in the cell wall.
         | This can trigger a change in the target cell if the triggered
         | channel causes a protein to be released, or it can be an input
         | signal used by the target to determine whether or not it should
         | fire and pass a signal (through the medium of
         | neurotransmitters) on to the neurons it itself targets.
         | 
         | If you are interested in the topic I strongly recommend
         | creating a personal glossary for yourself. That textbook I
         | linked has one I believe, and that ncbi domain has many other
         | useful resources. There is a lot of simple sentences whose
         | meaning is obscured purely because of a deficit of vocabulary,
         | once you get some definitions down then a lot of medical texts
         | really open up.
        
       | abhisek wrote:
       | I have a simple question. How do I control dopamine in "my" brain
       | so that I can focus on "here and now" instead of HN and GitHub.
        
         | sosodev wrote:
         | Strengthen your prefrontal cortex so "you" have more control
         | over your urges. You typically do this with meditation.
        
           | pyrophoenix wrote:
           | Or you just set a firewall and block these 2 websites ^^
           | (Welcome to the club)
        
             | mirekrusin wrote:
             | Your firewall seems broken.
        
               | shermantanktop wrote:
               | Maybe they are texting from the embedded browser in their
               | car's infotainment system? Never underestimate the
               | creativity of a procrastinator.
        
               | ipaddr wrote:
               | They just used a proxy.
        
           | guntars wrote:
           | This was an interesting connection to me between meditation
           | and neuroscience. Buddhists talk about the "monkey mind" that
           | chatters incessantly. Well, that's the default mode network,
           | part of your brain that is active when you're not engaged in
           | a specific task, when you're thinking about self, others,
           | past or future. A useful adaptation in our past environment
           | for sure, but overactivity can be detrimental. The Buddhist
           | solution is to mediate, to focus the attention on a singular
           | thing and not be distracted by the chatter. That ability
           | lives in the prefrontal cortex! It's able to override the DMN
           | and it's something that can be trained by just exercising it.
        
           | astrange wrote:
           | Not recommended if you're depressed/in a bad situation
           | because you can just disassociate from everything instead of
           | fixing it.
        
             | willy_k wrote:
             | You could just as (if not more) easily gain clarity into
             | what you need to fix and how, and increase your ability to
             | act on those insights.
        
           | enaaem wrote:
           | Any special kind of meditation that is recommended?
        
             | layer8 wrote:
             | Basic mindfulness meditation should do the job: https://en.
             | wikipedia.org/wiki/Mindfulness#Watching_the_breat...
        
               | roenxi wrote:
               | While it is literally just sitting somewhere watching the
               | breath it is easy to do things wrong like sitting
               | concentrating hard or being bored instead of observing
               | the boredom. The irony of doing nothing being a difficult
               | skill. Anyone interested probably wants to find some
               | serious mediators to talk to - Buddhist monks are
               | recommended but there are others here and there.
        
           | justanotherjoe wrote:
           | "Ora et Labora"
        
         | z3t4 wrote:
         | You can try forming other habits in order to break the feedback
         | loop. eg. define a good habit and repeat it. For example, at
         | the start of the day immediately start working where you left
         | the day before, then after lunch break you can check e-mail and
         | read the news.
        
         | corry wrote:
         | 1. Cold plunge - high but transient (last for hours). I do it
         | in the morning, after my shower - start the day off right.
         | 
         | 2. Exercise - short-term: increases dopamine, serotonin, and a
         | bunch of other good stuff; long-term: increases dopamine
         | receptor density.
         | 
         | 3. Caffeine - while doesn't technically increase dopamine, it
         | blocks adenosine receptors which indirectly increases dopamine
         | signalling. But habitual use blunts the effect.
         | 
         | Other less acute things are: good sleep and lots of sunlight
         | esp early in the day.
        
           | aantix wrote:
           | Nicotine.
        
             | sokka_h2otribe wrote:
             | Be verrrry careful. 7 years and very very disregulated from
             | nicotine. Getting better 1+ year later
        
             | willy_k wrote:
             | Nicotine doesn't really have any good MOAs. Inhalation is
             | very short lasting, addictive, and gross and unhealthy.
             | Pouches are harsh and still don't last very long, gum
             | (especially Lucy brand) is better but still has the same
             | issues. And patches cause a lot of arm irritation. And all
             | of these are very easy to overdo and make you feel
             | somewhere in between physically uneasy and on edge to sick,
             | that is until you get used to them and then you feel that
             | way when you're off.
             | 
             | Also personally, it doesn't even help me with focus, in
             | part because administering it is too distracting. I wonder
             | whether there's a place for an extended release nicotine
             | pill, although that would probably be pretty rough on the
             | gut.
        
           | kubrickslair wrote:
           | I have found l-tyrosine also being quite helpful when taken
           | occasionally.
        
             | lifty wrote:
             | Done occasionally it's fine. It can lead to crashes and
             | also anger or increased irritability. Things that mess with
             | neurotransmitters can be hit or miss. A better long term
             | strategy is to focus on fundamental things that improve the
             | metabolic health of your cells.
             | 
             | One other "light" supplement that can dampen addictive
             | behaviors or cravings is l-theanine.
        
           | awestroke wrote:
           | Cold plunge is good but keep in mind cold water immersion
           | inhibits hypertrophy (but improves recovery time) depending
           | on time since exercise, temperature and duration.
        
         | bloqs wrote:
         | Dopamine levels don't reset until you sleep, roughly speaking.
         | 
         | Don't do highly dopaminergic activities like using electronic
         | devices that provide entertainment or communications
        
         | firtoz wrote:
         | Meditation definitely, closer to Vipassana variation
        
         | klik99 wrote:
         | The irony of asking on HN how to not use HN
        
           | nashashmi wrote:
           | The best place to help you cope with an addiction are with
           | the people who are confessed addicts.
           | 
           | But just because they are the best doesn't mean their help
           | actually helps.
        
             | pessimizer wrote:
             | The best place to help you cope with continuing an
             | addiction, but not the best place to get rid of an
             | addiction.
             | 
             | If you want to get rid of an addiction, stay away from
             | addicts and everything they produce. Stay away from their
             | artistic creations, stay away from their complicated
             | explanations of the world, and stay away from their gossip.
             | Also, please don't study to become any kind of "drug
             | counselor," get regular person jobs and normal hobbies.
             | You're dying of romance, and you need to figure out how to
             | love the world as it is.
        
               | zifpanachr23 wrote:
               | This is good advice and it's worked for other things I've
               | been addicted to.
               | 
               | I guess you can think of this as my retirement from
               | Hacker News. Thank you kind stranger.
        
         | swatcoder wrote:
         | This may sound flippant, but one real option is to just quit
         | doing so and not start again.
         | 
         | Maybe it's not obvious to you, but many of your real-world
         | colleagues and role models don't visit HN or anything
         | comparable. And they're still working at the desk next to you,
         | and in the office you aspire to have some day. For all that
         | stuff like this might _feel_ justified or even necessary, it 's
         | not. And if you're finding that it introduces difficulties into
         | your life or psyche, you are entitled to and capable of
         | quitting altogether. You don't need to try to moderate it.
         | 
         | (And frankly, I personally don't even know what you're doing on
         | GitHub so compulsively. I didn't even realize that was a thing,
         | if that helps speak to how irrelevant it can be.)
        
         | nashashmi wrote:
         | You love dopamine. You don't love stress.
         | 
         | Advice: love stress. Enjoy it. Feel it. Just don't ask for it.
        
         | RangerScience wrote:
         | Go see if you're ADD/ADHD and get on meds (I recommend
         | Dexedrine), then also "join" the neurospicey community spaces
         | where people swap tips, learnings and observations.
         | 
         | Also always go for a walk, touch grass, hug a tree. Pleasant
         | physical experiences are truly effective at getting you into
         | the "here and now".
        
         | Aurornis wrote:
         | You'll get a lot of pop-science answers when you ask about
         | dopamine. The less popular truth is that focus and self-
         | discipline can't be reduced to a single chemical. It's not as
         | simple as a level in your brain that goes up and down.
         | 
         | Side note: ADHD is more than just dopamine, too. The stimulant
         | medications used for ADHD have strong norepinephrine activity.
         | There are non-stimulant ADHD medications that act on
         | norepinephrine primarily. There are even studies where some
         | non-dopaminergic ADHD medications outperform stimulants in
         | certain measures like memory by modulating adrenergic circuits.
         | 
         | The unpopular take is that you need to realize that "dopamine"
         | is an abstraction for higher level behaviors. It's not
         | "dopamine" leading you to be distracted or focus, it's a
         | behavior that you need to train and develop over time. There's
         | also a big emotional regulation component where it helps to
         | understand why you're seeking distractions instead of doing the
         | work. Is it to provide comfort? Avoid uncomfortable feelings
         | that the work brings up? Perfectionism? Are you trying to
         | recharge during working hours because you're not recharging
         | outside of work properly? There are many angles that need to be
         | pursued.
         | 
         | I would recommend starting with small steps. Look up Screen
         | Time settings or plugins that will limit your time spent on HN
         | if that's a problem. Start with a generous setting and lower it
         | over time. If you slip, start again the next time.
         | 
         | Treat it like something you train. Start small, make a
         | deliberate effort, and work on getting better slowly. If you
         | expect to flip a switch and turn into the most diligent coder
         | you can imagine, you're unlikely to succeed. If you set a goal
         | to do 10 more minutes of work and 10 fewer minutes of HN before
         | lunch, that's doable. Little wins will compound.
        
           | HPsquared wrote:
           | Anna Karenina principle oft quoted from Tolstoy:
           | 
           | "all happy families are alike; every unhappy family is
           | unhappy in its own way".
           | 
           | Like with any complex system, there are a lot of ways for the
           | system to fail, and the number of states considered "working
           | properly" is much smaller.
        
         | munificent wrote:
         | Get away from screens.
         | 
         | It's hard to focus on the here and now when the here and now is
         | the soul-deadening sensory-less experience of sitting
         | motionless staring at a flat rectangle of pixels.
         | 
         | Go out in the woods. Get your hands dirty. Meet friends at a
         | bar and laugh until your stomach hurts.
         | 
         | It's so much easier to be present in the moment when the moment
         | is actually high fidelity and nourishing.
        
           | alganet wrote:
           | Screens are awesome. They are the heir apparent to the
           | fireplace. A very old human tradition and very cherished.
           | 
           | Outside, right now, people stay on screens all the time. It's
           | the same stuff. Why even bother?
           | 
           | Humans plan ahead. We look towards the future and the past.
           | Not all the time, but a lot of the time.
           | 
           | This carpe diem stuff doesn't seem like the right way to
           | approach the problem given our current technological society.
           | 
           | Also, I'm not gonna party just because someone told me to.
        
             | jajko wrote:
             | You do you, but lets say I don't agree with what you say at
             | all. Quality of life and all. Since I do both sides its
             | easy to compare short and long term effects and impact on
             | quality of life and happiness, plus its trivial to look
             | around and see exactly same stuff repeating all over with
             | literally everybody.
             | 
             | Suffice to say parent is correct, and you are not.
        
           | aaronbaugher wrote:
           | I recently started doing a 5-4-3-2-1 grounding exercise,
           | where you look around you and name 5 things you can see,
           | touch and name 4 things you can touch, name 3 things you can
           | hear, 2 you can smell, and 1 you can taste.
           | 
           | I was surprised how different it felt to consciously see and
           | touch things. It's not like I'm walking around my house with
           | my eyes closed normally, but most of the time things aren't
           | really registering. Stopping to intentionally focus for a
           | second on an actual object or a sound I'm currently hearing
           | seems to sort of wake me up, bring me out of a trance a
           | little. Not as well as digging in the garden, but not bad for
           | a few seconds in the middle of the work day.
        
         | bob1029 wrote:
         | Exercise for time with steady-state exertion has proven to be
         | the ultimate focus supplement for me. Right afterward it is
         | like a very powerful drug. If the exercise isn't at least 30
         | minutes, I don't feel anything. Somewhere around 38-45 minutes,
         | the music begins to fade in.
         | 
         | My preferred steady state suffering machine is the Concept2
         | rower. I can keep an eye on stroke/min and cal/hr to stay
         | within a very narrow band of exertion. HIIT and weightlifting
         | are great too, but these are not as strenuous on the brain's
         | "focus for time" circuitry. Lots of downtime and opportunities
         | to get on the cellular device. A straight hour on the rower
         | with the cruise control locked @ 850cal/hr is a totally
         | different kind of animal.
        
         | phkahler wrote:
         | Give yourself an orgasm right after doing the activity you want
         | to reinforce?
         | 
         | Make an electroshock gizmo that hits you when your browser
         | visits certain domains?
        
       | childintime wrote:
       | Makes sense, as Parkinson patients, freeze or tremble, which are
       | both fear responses. I have seen my mother die of Parkinsons. I
       | see a static (permanent) fear response as the straightforward
       | cause for Parkinsons (combined with a helpful personality, which
       | makes it difficult to just snap out of it).
       | 
       | On the other end there were people close by that having seen war,
       | took a life lesson from their fear response: you survive by being
       | alert and by distrusting. They radiated a permanent state of
       | alarm, as the enemy may come when you least expect it.
        
         | burnished wrote:
         | If I remember correctly it is not at all related to fear but a
         | disfunction in the basal ganglia (which performs action
         | selection). Think of it as more like an inability to select an
         | action or to select just one from a range of related movements
         | (not at the conscious level, but between the conscious decision
         | making and the signals being fired down your spine).
        
         | dayvigo wrote:
         | No, the pathology of Parkinson's Disease is dopaminergic
         | dysfunction (the symptoms coming from this happening in the
         | area relevant to planning movements, separate from areas that
         | influence emotion or reward), usually driven by loss of
         | dopamine-producing neurons. This is well-described by decades
         | of research and tens of thousands of peer-reviewed papers.
        
       | mountainriver wrote:
       | Incoming cocaine therapy!
       | 
       | Seriously though as someone who suffers from extreme anxiety I am
       | eternally grateful for this kind of work.
       | 
       | I would really like to see this combined with brain stimulation.
        
         | Nuzzerino wrote:
         | Give it about 5 years.
        
         | SequoiaHope wrote:
         | Well MDMA therapy is a real one and probably much more
         | effective than cocaine for these purposes.
        
           | pier25 wrote:
           | Psilocybin too
        
           | dns_snek wrote:
           | MDMA (or psilocybin) assisted psychotherapy to be specific. I
           | don't think just taking these drugs has been shown to be an
           | effective treatment :)
        
             | SequoiaHope wrote:
             | Yes I was referring to MDMA assisted psychotherapy, which I
             | am a huge proponent of. However I've found these materials
             | to be quite effecting at healing when taken conscientiously
             | outside of a traditional assisted therapy session. Of
             | course there probably haven't been a lot of studies on this
             | because formal therapy studies are probably easier to get
             | approved, so I wouldn't take the absence of evidence as
             | evidence of absence.
        
         | roughly wrote:
         | What's interesting here is that in the drug treatment world
         | it's basically known that drug abuse is almost always a
         | reaction to some kind of psychological trauma or disorder, and
         | an awful lot of drugs (not just cocaine) play heavily with the
         | dopamine pathways. The idea of dopamine as your brain's signal
         | that you're safe fits about as neatly with that as can be.
         | 
         | (Of course, like everything in biology, dopamine also does
         | about a gazillion other things, too, so it's not quite that cut
         | and dry, but it rhymes, at least.)
        
           | phren0logy wrote:
           | > in the drug treatment world it's basically known that drug
           | abuse is almost always a reaction to some kind of
           | psychological trauma or disorder
           | 
           | This is incorrect. While this is true for a substantial
           | number of people, I want to offer some resistance to the pop-
           | psychology axiom that "everything is because of trauma." Not
           | only is is unsupported by science, it has lead to an
           | expansion of the definition of the word "trauma" in popular
           | culture that's so broad as to be nearly useless clinically or
           | scientifically.
        
           | foobiekr wrote:
           | I had the unique experience as a youth in attending a school
           | where a substantial portion of the school was funneled there
           | by one of the many 1970s and 1980s troubled teen corporations
           | that spun out of Synanon after it collapsed. This one
           | specialized in drug addicts.
           | 
           | Almost all of my classmates (not me, unfortunately) were from
           | exceptionally wealthy families and excepting one none of them
           | ever mentioned any childhood trauma. Instead they were
           | precocious partiers who got into drugs despite being underage
           | and going to the nightclubs in the seedy part of town - no
           | one at the time was turning away hot young women or gay(for
           | pay or real) young men. And the club scene was a drug scene.
           | It still is.
           | 
           | I don't think trauma is actually at the root of almost all
           | drug abusers. The only first class abusers (pot and alcohol
           | in serious quantities daily) that I know at the moment grew
           | up in perfectly fine suburban families and are in good, non-
           | narcissistic/controlling/etc relationships with their
           | families. They're just addicts who can't stop. One of them is
           | going to die from it, eventually, given his level of alcohol
           | consumption.
        
           | Aurornis wrote:
           | > in the drug treatment world it's basically known that drug
           | abuse is almost always a reaction to some kind of
           | psychological trauma or disorder,
           | 
           | This is not true in the professional world. People engage in
           | drug use for many reasons, including pure recreation.
           | 
           | Trauma can precede relapses or bouts of drug abuse, but it's
           | not a universal explanation.
           | 
           | There are a lot of pop-culture ideas that explain everything
           | away as trauma. These are popular on podcasts, Reddit, and
           | other social media websites. There are also types of
           | therapists who learned to treat trauma and then try to apply
           | that to everything. "If all you have is a hammer, everything
           | looks like a nail". These therapists will try to reframe
           | everything as trauma because it's what they know how to
           | teach.
           | 
           | They often reverse engineer a traumatic backstory as an
           | explanation even when one doesn't exist. You can find
           | podcasters and therapists who will even claim that _being
           | born_ imparts permanent trauma that explains things long into
           | adulthood. There 's no evidence behind this claim, but it's
           | convenient for therapists who need to find a traumatic
           | backstory before they can address something because everyone
           | was born at some point.
           | 
           | > The idea of dopamine as your brain's signal that you're
           | safe fits about as neatly with that as can be.
           | 
           | That idea is completely wrong, though.
           | 
           | The study is talking about dopamine signaling in one specific
           | location of the brain.
           | 
           | Dopamine is used in other locations in the brain to encode
           | aversive stimuli, among other things.
           | 
           | Dopamine (and other neurotransmitters) don't just do one
           | single thing in the brain. They have diverse effects all
           | over.
           | 
           | Also, many of the drugs that people associated with dopamine
           | actually have much broader effects, such as on norepinephrine
           | (stimulants) and serotonin (cocaine).
           | 
           | There are dopamine agonist drugs that go in and very
           | precisely target different dopamine receptors in the brain,
           | activating them directly. Many people are surprised to learn
           | that a common side effect of these drugs is an irresistible
           | urge to sleep when first taking them, for example.
        
             | cluckindan wrote:
             | >> in the drug treatment world it's basically known that
             | drug abuse is almost always a reaction to some kind of
             | psychological trauma or disorder,
             | 
             | >This is not true in the professional world. People engage
             | in drug use for many reasons, including pure recreation.
             | 
             | Drug use != drug abuse
        
         | static_void wrote:
         | I would unironically say this is the _how_ of how adderall
         | works for me.
         | 
         | I am distracted from work by anxiety. With medication, I'm not
         | distracted.
        
           | gigaflop wrote:
           | Generic Adderall Gang here, and in hindsight, I'm surprised
           | at how little of it I need to realize a much better
           | headspace. Makes me wonder if all of that caffeine in my
           | undiagnosed youth was saying something...
        
             | static_void wrote:
             | I'd be interested in your thoughts more here.
             | 
             | The problem with amphetamine is you pay for every benefit:
             | focus now, lethargy later; energy now, anhedonia later.
             | 
             | But taking a small, consistent dose. Does that work? Do you
             | feel you net benefits in life from taking the drug,
             | discounting for withdrawal and/or tolerance?
        
               | Aurornis wrote:
               | > The problem with amphetamine is you pay for every
               | benefit: focus now, lethargy later; energy now, anhedonia
               | later.
               | 
               | > But taking a small, consistent dose. Does that work? Do
               | you feel you net benefits in life from taking the drug,
               | discounting for withdrawal and/or tolerance?
               | 
               | There's a reason these medications are supposed to be
               | taken regularly at the same dose in clinical practice.
               | Patients should not be going through cycles of taking
               | stimulants and then withdrawing all of the time.
               | 
               | There's a disconnect between the way some people try to
               | use stimulants ad-hoc versus the therapeutic modality.
               | The initial burst of confidence, energy, and positive
               | mood that comes from intermittent use is a side effect,
               | but people confuse it with a primary effect. They can get
               | into cycles of chasing it with dose escalations or taking
               | it on random days while they exist below baseline on
               | others. This isn't a winnable battle over time because
               | the brain will adapt, not to mention all of those off-
               | days start to add up and people around them notice the
               | extremely inconsistent mood and performance.
               | 
               | Unfortunately, misinformation about ADHD is all over the
               | internet. I recommend ignoring basically anything that
               | comes out of Reddit, Twitter, or TikTok because it's
               | really that bad. Take medications as directed and set
               | yourself up for some stability. Resist the urge to play
               | with doses, take excess doses on some days, or try to
               | play tolerance games. These never work in the long term.
               | 
               | There's a simple heuristic: When you reach stability, you
               | shouldn't really _feel_ the medication. It should be
               | background noise. There 's a reason why young people who
               | have been properly titrated on stimulant medications
               | don't understand what the big deal is with their peers
               | taking large doses (without tolerance) and then speeding
               | around for a while. It's where the myth about ADHD people
               | reacting differently to stimulants comes from. Proper
               | treatment will settle to equilibrium and shouldn't
               | produce overt feelings of being drugged or hyperfocused.
        
               | hirvi74 wrote:
               | The one issue I have never been able to overcome is that
               | the medications are completely ineffective unless they
               | induce hyperfocus. Now, it doesn't take me a lot to get
               | into this state. I could easily enter such a state prior
               | to medication, though I often needed (and still need)
               | some kind of fuel -- intense desire or passion, impending
               | deadline, etc..
        
               | static_void wrote:
               | What do you think about this?
               | 
               | With XR, I feel less hyperfocus and more sleepytime
               | disruptions. It's less strong so I take more, but it
               | lasts longer so I get its effects when I don't need it.
               | 
               | I feel like IR is actually less amenable to abuse.
        
               | andoando wrote:
               | In my experience, no. You just get used to it and it does
               | fuck all. Maybe worse even. Adderall seems to take my
               | creativity away entirely and I just feel like a zombie.
               | 
               | Theres a host of physical symptoms that come with it to
               | that are not fun to manage: decreased appetite,
               | dehydration, headaches, sleep loss, heart palpatstions.
               | 
               | I would say its far better to take it on a needed basis
               | once in a while
        
               | dns_snek wrote:
               | Have you tried any other medication? Concerta/Ritalin,
               | Strattera/atomoxetine, or any other non-stimulant
               | medications?
        
               | gigaflop wrote:
               | > Focus now, lethargy later
               | 
               | IMO, that's always just been _me_. Now vs Later is hard
               | to judge, though, because I tend to have  "good focus"
               | blocks of time, and "chill blocks". Exact timing depends
               | on my overall weekly schedule leading up to a time
               | period.
               | 
               | Also, I mentally classify different types of energy.
               | Physical, social, and mental energies all have their
               | different places in a day.
               | 
               | > small, consistent dose
               | 
               | For me, yeah, but YMMV based on brain chemistry and
               | environmental variables. Since I use El Cheapo, I max out
               | at 10mg 2x/day, but rarely adhere to that unless I'm
               | planning ahead for it/have been on that roll for a while.
               | This helps a lot with tolerance, especially when I have
               | lazy weekends.
               | 
               | And from a personal perspective: It's a very simple drug
               | to understand, which makes me feel at ease. Brain goes
               | vroom, like an engine hitting a more comfortable RPM. Not
               | every situation needs my full power.
        
               | hirvi74 wrote:
               | Been on the various stimulants for a decade now:
               | 
               | > _But taking a small, consistent dose. Does that work?_
               | 
               | Typically, no; however, it's context dependent.
               | 
               | > _Do you feel you net benefits in life from taking the
               | drug_
               | 
               | There are diminishing returns overtime, but there is
               | still some benefit to be had.
               | 
               | > withdrawal and/or tolerance?
               | 
               | Both are real and awful to deal with.
               | 
               | Is it all worth it? I tend to flip-flop back and forth a
               | lot on this.
        
               | hnick wrote:
               | I can't find it right now but I recall seeing somewhere
               | that around 40% of ADHD patients reported better effects
               | on Ritalin (methylphenidate) or dexamphetamine roughly
               | equally, another 40% says both are about as good as each
               | other, and the final 20% don't find either very
               | effective.
               | 
               | In my personal testing the Ritalin was much better,
               | dexamphetamine was more up/down and shorter lived.
               | However I didn't really get a crash or lethargy with
               | either, it's just the focus wearing thin (and yes, the
               | benefits were real and massive starting for the first
               | time in my forties).
               | 
               | According to my psych, both have been around 70+ years
               | and are fairly well understood. Longer term therapeutic
               | doses shouldn't be habit forming and tolerance is minor
               | after the initial phase, there's no withdrawal effects
               | and it's easy to forget to take a dose if your routine
               | changes. My morning coffee is far more demanding in that
               | regard.
        
             | RansomStark wrote:
             | I'm worried about my caffeine intake. ADHD diagnosed but
             | never medicated.
             | 
             | I've been a heavy coffee drinker since i was a teenager.
             | 
             | I'm sitting at 13 double espressos today which is about
             | average.
             | 
             | Lately the instant sleepiness post coffee isn't worth the
             | focus, and I'm starting the think medication would be a
             | healthier choice
        
               | gigaflop wrote:
               | Take this with a grain of salt, but I use it as an ad-hoc
               | benchmark: FDA recommended maximum daily limit on
               | caffeine is 400mg. If you're regularly going above that,
               | then (politely) consider whether you _should_ be.
        
               | RansomStark wrote:
               | 400mg is only about 3 doubles. Thanks for the heads up
        
               | hnick wrote:
               | Ritalin was a game changer. After the initial adjustment
               | it just feels like it brings me up to normal, I'm not
               | particularly stimulated (in fact my lack of wandering
               | mind makes it easier to doze during the day), I just
               | prefer coding to games etc. It feels like it unlocks
               | access to natural reward mechanisms instead of chasing
               | artificial feel-good rewards. I can't even listen to a
               | YouTube video while coding when using it, which was a
               | normal activity for me since my brain felt bored and went
               | off on its own without it.
               | 
               | Just mentioning because curiously it almost entirely put
               | me off caffeine. I still enjoy my morning coffee as a
               | ritual, but sometimes don't finish it. If I have another
               | then the side effects are severe, Ritalin massively
               | boosts those - nerves, jitters, hitting the toilet. Not
               | terrible or dangerous, but just interesting, and honestly
               | caffeine never did a whole lot for me mentally so it's no
               | big loss.
        
           | SequoiaHope wrote:
           | Indeed, I was surprised both at the fact that it literally
           | makes me feel better because the drug makes you feel good but
           | also that it calmed my brain down and let me access some
           | inner peace. But also the focus modification is big and I
           | learned so many good habits that now I need much less of it
           | to get stuff done. I wake up and start doing my chores before
           | I even have my first dose!
        
             | hirvi74 wrote:
             | > it literally makes me feel better because the drug makes
             | you feel good but also that it calmed my brain down and let
             | me access some inner peace.
             | 
             | I mean, there is a reason why it's a controlled substance
             | and is heavily abused all across the world. It works and it
             | works _well._
             | 
             | Though, I've been on it for about a decade now, and I have
             | lost a large majority of the benefits it once provided.
        
       | voytec wrote:
       | It's weird that there's no mention of adrenaline (epinephrine)
       | and noradrenaline (norepinephrine). Dopamine is only a precursor
       | for a broader chemical reaction. All three - with dopamine - play
       | crucial roles in our bodies' stress response system, and
       | definitely with fear reactions. Dopamine is just a
       | neurotransmitter.                   tyrosine -> dopamine ->
       | (beta-hydroxylase) -> noradrenaline -> Phenylethanolamine
       | N-methyltransferase > adrenaline
        
         | Aurornis wrote:
         | > Dopamine is only a precursor for a broader chemical reaction.
         | 
         | No, dopamine is a signaling molecule that participates directly
         | in this functionality.
         | 
         | You're right that it's just a neurotransmitter, but the
         | relative pathways about how they're produced are irrelevant for
         | this study. They looked at how dopamine binds to certain
         | receptors in certain parts of the brain under certain
         | conditions.
        
           | voytec wrote:
           | OK, maybe not "just a precursor" but still "just a
           | neurotransmitter".
           | 
           | I've read "The Molecule of More" and as much reasonably
           | looking material I could find on the subject to "understand"
           | my ADHD and fight it w/o meds. And I still feel dumb. Could
           | you please explain how dopamine "participates directly in
           | this functionality"?
        
             | gbnwl wrote:
             | FTA: "The team showed that indeed they express "D1"
             | receptors for the neuromodulator. Commensurate with the
             | degree of dopamine connectivity"
             | 
             | There are receptors specifically for dopamine on the
             | amygdala neurons. Dopamine molecules are released by the
             | pre-synaptic neurons, travel across the synapse, and bind
             | to these receptors.
             | 
             | Dopamine's role in the nervous system is not simply an
             | intermediate on the pathway to produce epinephrine or
             | norepinephrine. If you thought like this you'd reach the
             | conclusion that testosterone is simply a precursor to
             | estrogen because the pathway to convert it exists in some
             | tissues of the body.
        
               | voytec wrote:
               | The more I read and interact with people like you, the
               | dumber I feel. Thanks. I'll read up.
        
         | fellowniusmonk wrote:
         | I gotta say that since doing beta blocker enhanced therapy I've
         | basically wrapped up any emotional response to past trauma and
         | can examine all that stuff fully without having to protect
         | myself. Pretty great stuff.
        
           | hollerith wrote:
           | Which beta blocker did they give you (or prescribe for you)?
        
             | fellowniusmonk wrote:
             | Nebivolol.
        
       | isomorphic wrote:
       | This line in the article is _horrifying_ :
       | 
       | > The researchers were surprised that when they activated VTA
       | dopaminergic inputs into the aBLA they could reinstate fear even
       | without any new foot shocks, impairing fear extinction.
       | 
       | That... seems like the first step in being able to literally
       | _induce fear_ without having to bother with pesky things like
       | finding the subject 's triggers. Although I suppose if one has
       | direct access to the subject's amygdala, the point is somewhat
       | moot.
       | 
       | Still, it's sort of like a reverse wirehead.
       | 
       | https://en.wikipedia.org/wiki/Wirehead_(science_fiction)
        
         | exe34 wrote:
         | I feel like this would deprive the FSB/ICE/law-enforcement
         | officials of their entire motivation for taking pride in their
         | jobs. Automate the paperwork, yes, but let the psychopaths have
         | their fun!
        
           | XorNot wrote:
           | Torture is ineffective for information recovery.
           | 
           | Those organizations do it because they want to, not because
           | it works.
        
       | Havoc wrote:
       | >extinguish fear after a peril has passed
       | 
       | Surprised that there is no mention to extreme sports in this.
       | 
       | Big "what a rush" moment right after the person does something
       | extreme and survives. Big dose of adrenaline in there not just
       | dopamine but the parallels seem striking
        
         | pessimizer wrote:
         | Also "Duper's Delight."
        
       | Aurornis wrote:
       | When you see headlines (or hear podcasters) talk about dopamine
       | and other neurotransmitters, remember that neurotransmitters are
       | merely signaling molecules.
       | 
       | The correct way to interpret this study is that dopamine is part
       | of the signaling chain involved in fear extinction. The specific
       | details of where, how, and when that dopamine moves through the
       | brain are important.
       | 
       | The wrong way to interpret these studies is to think of dopamine
       | as a "level" within the brain that goes up and down. Resist the
       | urge to assume that taking a dopamine-modulating drug will result
       | in this specific outcome.
       | 
       | Dopamine response within the brain is very complicated and region
       | dependent. When encoding aversive stimuli (things you learn to
       | avoid) there is evidence that dopamine signaling decreases in
       | some brain areas while it increases in others:
       | https://www.sciencedirect.com/science/article/pii/S235215462...
       | That's just the tip of the iceberg. Don't fall for the trap of
       | thinking that dopamine does just one or two things in the brain.
        
         | wizzwizz4 wrote:
         | (The "brains are computers" analogy needs to _die_ , but) it's
         | a bit like saying "hard drive activity increases when a file is
         | being secure-erased". _Yes_ , but also, _no_.
        
         | dboreham wrote:
         | Neurotransmitters are just "global variables" to the GPU. What
         | the variable does or means is trained. Probably trained in the
         | context of "I/O" signals. E.g. if the chemical also speeds up
         | heart rate or breathing then that becomes part of the training
         | data set. So Dopamine can potentially "do" different things in
         | different examples of the same animal, if environmental
         | training data is sufficiently different.
        
           | Aurornis wrote:
           | > Neurotransmitters are just "global variables" to the GPU.
           | 
           | No, neurotransmitters are very local.
           | 
           | Dopamine exists all throughout your body, including your
           | bloodstream. The dopamine in one location is uncoupled from
           | the dopamine in another location. The dopamine in your
           | bloodstream can't get into your brain. Dopamine within the
           | brain doesn't spill over into entirely different regions of
           | the brain.
        
             | shemtay wrote:
             | is it not true though that activity/threshholds of dopamine
             | synapses can be globally or semi-globally up and down
             | regulated?
        
               | loa_in_ wrote:
               | Not true. Down/up regulation happens in areas where
               | (sometimes called) psychoactive substances and/or
               | regulatory nervous signals reach. Substances that cross
               | blood brain barrier still might not reach areas due to
               | lowered blood flow or tissue damage.
        
               | dayvigo wrote:
               | No, activity and expression are always local.
               | Exclusively. There are no global levers.
        
               | Aurornis wrote:
               | It is not true.
               | 
               | It's unfortunate that so many podcasters have leaned into
               | the myths about being able to manipulate dopamine as some
               | global up/down thing you can adjust by following certain
               | protocols.
               | 
               | Andrew Huberman is among the worst at this because he has
               | enough education that he should know better. I think he's
               | too enamored with the traffic and clicks he gets when he
               | talks about dopamine, so he's willing to stretch the
               | truth or even break it completely if it will make for
               | engaging podcast content.
               | 
               | Some of the studies he cites over and over again about
               | dopamine don't even say what he claims. Huberman is a
               | joke among people who actually know the science, but he
               | became a hero to people who thought he was just a nice
               | guy sharing free knowledge with them.
        
               | braebo wrote:
               | Would you say the harm outweighs the good Huberman does
               | with his ability to communicate complex concepts in ways
               | that are more digestible to laymen?
        
         | keybored wrote:
         | Turned out that people learning about <scientific thing
         | existing> just lead to them making a fetish out of it, like
         | it's discrete switch in their brain that gets bumped when they
         | eat a donut.
         | 
         | I wonder what even the point is.
        
           | bravetraveler wrote:
           | I wonder what even the point is.
           | 
           | To either sell junk or believe _' $problems'_ are one
           | purchase/dance/act away from resolution, matter of
           | perspective. Folks want things, others want to take
           | advantage.
           | 
           | Not to be completely dismissive, placebo/mysticism/whatever
           | _can_ work
        
             | gsf_emergency wrote:
             | However.
             | 
             | > _Not to be completely dismissive_
             | 
             | A whole series of essays based on the above, dismissing
             | <deep learning>, <venture capital>, <LLM>, <blockchain>,
             | <compute-based consumer platforms>,
             | 
             | Remains to be written!                  dopaminergic take:
             | who doesn't want to take on journeys of discovery fuelled
             | by other people's (even entire GDPs-worth of?) time and
             | money :)?
             | 
             | just have to hope that the details turn out to be much more
             | interesting (wit-sharpening) than the premise, heh
        
           | procaryote wrote:
           | We should figure out which chemical makes them behave like
           | that and make pills against it!
        
         | aaroninsf wrote:
         | You're 100% right,
         | 
         | and,
         | 
         | I can say that my own experience is that correlating my own
         | exposure to stimuli I have found fear-inducing, while on
         | dopamine-modulating drugs,
         | 
         | has proven highly efficacious in overcoming those fears.
         | 
         | No A/B, results may vary, etc.,
         | 
         | but personally I have had life-changing results.
        
           | aaroninsf wrote:
           | If one were to assume--which I recognize we certainly can't--
           | that there was in fact some sort of causality here,
           | 
           | one interpretation would be that some specific drugs operate
           | on relevant aspects of (or modulate the behavior of) the
           | stipulated systems in a manner consistent with the desired
           | outcome,
           | 
           | which allows for a neat summary in casual language,
           | regardless of the complicated specific internal mechanisms.
        
           | wyan wrote:
           | What types of dopamine-modulating drugs are we talking about,
           | if it's ok to ask?
        
           | Aurornis wrote:
           | Without details it's impossible to know what you're talking
           | about, but it should be noted that the early phases of using
           | stimulants or abuse-pattern usage (e.g. doubling doses before
           | doing something, or even taking cocaine or other recreational
           | drugs) is well-known to be associated with a heightened sense
           | of confidence.
           | 
           | This doesn't work forever (tolerance) and other people will
           | experience the opposite effect with heightened anxiety.
           | 
           | If you want an example of why it's not a blanket true
           | statement or an easy solution for fear extinction, consider
           | that stimulant use at excess dosages or abuse-pattern usage
           | frequently ends in paranoia, where users are in such deep
           | fear that they start sensing danger everywhere.
        
         | agumonkey wrote:
         | I assume that some process also evaluate the memory patterns
         | associated with a stimuli/concept and then adjust the signals
         | emitted after exposure ?
         | 
         | I'm very very interested in this topic (I have some issues on
         | that front) so if anyone knows books about neurology regarding
         | trauma. Feel free to suggest me books or articles. Thanks
        
       | ZYbCRq22HbJ2y7 wrote:
       | Like saying a loud noise can cause an avalanche
        
       | pgt wrote:
       | I'm still reading the paper, but dopamine rebalances neuronal
       | weights, so I'd be surprised if it _did 'nt_ change fears and
       | aspirations.
        
       | carlgreene wrote:
       | This is a really cool study--finally shows that dopamine isn't
       | just about reward but actually acts as the "all-clear" signal
       | that lets the brain unlearn fear. By watching dopamine neurons
       | light up when an expected shock doesn't happen, and then using
       | light to tweak that pathway, they prove dopamine release in the
       | amygdala actively drives extinction rather than just tagging
       | along. It's exciting because it hints at new ways to boost
       | therapies for PTSD and anxiety by tweaking that VTA-BLA circuit
       | or D1 receptors
        
       | amanj3777 wrote:
       | Great
        
       | justanotherjoe wrote:
       | I don't know why more attention here is not put in appreciating
       | the headline. What a brilliant, insightful line. Simple. Abstract
       | enough to apply to many things that you experienced just begging
       | to be synthesized, but haven't.
        
         | vanjajaja1 wrote:
         | I was thinking something similar, i know i'm going to build
         | skyscraper high arguments that hinge on just this headline
        
       | elia_42 wrote:
       | The role of dopamine in superimposing new positive experiences on
       | past fear-related memories is interesting. I am curious to see
       | the possible effects on therapeutic treatments.
        
       | seydor wrote:
       | It's amazing how many pioneering studies about the anatomy of
       | memory engrams come from Tonegawa's lab (who is already a
       | Nobelist on another field)
        
       | castillar76 wrote:
       | This is a fascinating finding! As someone with a neurodivergent
       | brain (and kids with it as well), I'm wondering if this has
       | something to do with the greater degree of anxiety in
       | neurodivergent brains, which often have trouble processing
       | dopamine the same way neurotypical brains do.
        
       | michaelbrave wrote:
       | This could explain the link between why so many with ADHD also
       | tend to have anxiety, since ADHD could roughly be considered a
       | lack of dopamine (I know it's more complex than that, but it is a
       | significant portion of it).
        
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