Trauma and Remembering: From Neuronal Circuits to Molecules

Individuals with posttraumatic stress disorder (PTSD) experience intrusions of vivid traumatic memories, heightened arousal, and display avoidance behavior. Disorders in identity, emotion regulation, and interpersonal relationships are also common. The cornerstone of PTSD is altered learning, memory...

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Main Author: Szabolcs Kéri
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/12/11/1707
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author Szabolcs Kéri
author_facet Szabolcs Kéri
author_sort Szabolcs Kéri
collection DOAJ
description Individuals with posttraumatic stress disorder (PTSD) experience intrusions of vivid traumatic memories, heightened arousal, and display avoidance behavior. Disorders in identity, emotion regulation, and interpersonal relationships are also common. The cornerstone of PTSD is altered learning, memory, and remembering, regulated by a complex neuronal and molecular network. We propose that the essential feature of successful treatment is the modification of engrams in their unstable state during retrieval. During psychedelic psychotherapy, engrams may show a pronounced instability, which enhances modification. In this narrative review, we outline the clinical characteristics of PTSD, its multifaceted neuroanatomy, and the molecular pathways that regulate memory destabilization and reconsolidation. We propose that psychedelics, acting by serotonin-glutamate interactions, destabilize trauma-related engrams and open the door to change them during psychotherapy.
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spelling doaj.art-db0ed64c9e2d4cada327e5e8549f56d82023-11-24T05:29:38ZengMDPI AGLife2075-17292022-10-011211170710.3390/life12111707Trauma and Remembering: From Neuronal Circuits to MoleculesSzabolcs Kéri0Department of Cognitive Science, Budapest University of Technology and Economics, 1111 Budapest, HungaryIndividuals with posttraumatic stress disorder (PTSD) experience intrusions of vivid traumatic memories, heightened arousal, and display avoidance behavior. Disorders in identity, emotion regulation, and interpersonal relationships are also common. The cornerstone of PTSD is altered learning, memory, and remembering, regulated by a complex neuronal and molecular network. We propose that the essential feature of successful treatment is the modification of engrams in their unstable state during retrieval. During psychedelic psychotherapy, engrams may show a pronounced instability, which enhances modification. In this narrative review, we outline the clinical characteristics of PTSD, its multifaceted neuroanatomy, and the molecular pathways that regulate memory destabilization and reconsolidation. We propose that psychedelics, acting by serotonin-glutamate interactions, destabilize trauma-related engrams and open the door to change them during psychotherapy.https://www.mdpi.com/2075-1729/12/11/1707traumamemorylearningposttraumatic stress disorder (PTSD)amygdalaengram
spellingShingle Szabolcs Kéri
Trauma and Remembering: From Neuronal Circuits to Molecules
Life
trauma
memory
learning
posttraumatic stress disorder (PTSD)
amygdala
engram
title Trauma and Remembering: From Neuronal Circuits to Molecules
title_full Trauma and Remembering: From Neuronal Circuits to Molecules
title_fullStr Trauma and Remembering: From Neuronal Circuits to Molecules
title_full_unstemmed Trauma and Remembering: From Neuronal Circuits to Molecules
title_short Trauma and Remembering: From Neuronal Circuits to Molecules
title_sort trauma and remembering from neuronal circuits to molecules
topic trauma
memory
learning
posttraumatic stress disorder (PTSD)
amygdala
engram
url https://www.mdpi.com/2075-1729/12/11/1707
work_keys_str_mv AT szabolcskeri traumaandrememberingfromneuronalcircuitstomolecules