Sahib Khalsa
@KhalsaLab
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Psychiatrist and neuroscientist studying the role of interoception in mental health. Director of Anxiety Disorders Research, UCLA Psychiatry. Opinions my own.
Los Angeles, CA
Joined November 2019
Just released—a brand new special issue focused entirely on interoception. More to follow, but beyond my usual excitement is the fact that this will be kickstarting 2021!!! https://t.co/CA9GDtqybC
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🚀 GET EXCITED! The @ScottRussoPhD #BrainBodyResearchInstitute Seminar Series returns Jan 27th to launch an exciting 2026 season. Join us for cutting-edge talks from leaders in #BrainBody research. See you there! RSVP👉 https://t.co/QbQh989vnD
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Thread summarizing this project below
What if many psychiatric disorders share the same hidden glitch in how the brain infers reality? In a new volume, @AlPowers7 and I gather experts to examine how disrupted sensory inference across #vision, #touch, #proprioception and #interoception might unify our understanding.
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Perceptual Dysregulation in Psychiatric Nosology has been released! I'm pleased to see that the cover is pretty close to my initial mockup. You can find the entire collection here:
link.springer.com
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This project was funded by the @NIMHgov and the NIGMS🙏 The manuscript was led by the outstanding @Ch_Verdonk and supported by a stellar team of collaborators including @RyanSmith_LIBR @mpwpaulus Jenny Stewart, Scott Moseman, Ahmad Mayeli, Emily Choquette & Keller Mink. /End
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These findings show how gut-brain science could transform eating disorder care—offering scalable biomarkers for relapse and paving the way for personalized treatments.
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Most striking: altered gut perception patterns predicted six-month relapse risk and eating disorder symptom severity. This is the first evidence that gut interoception can forecast relapse in AN. Full details in our new preprint: https://t.co/JogsSXFnLs
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What we found: AN individuals missed more gut signals despite intact brain/body responses. ❌ Computational models showed biased expectations & reduced precision 🧠Capsule stimulation also triggered greater hunger increases in AN 🍽️
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We tested whether gastrointestinal #interoception, the brain’s ability to sense gut signals, might reveal hidden vulnerabilities. Using an ingestible vibrating capsule, we measured behavior, brain activity (EEG), and physiology as participants detected gut sensations.
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Anorexia nervosa (AN) is one of the deadliest psychiatric disorders. Despite treatment, relapse rates remain high—and clinicians have no objective tools to track recovery.
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Even after recovery, relapse is heartbreakingly common in anorexia nervosa. Could the answer lie in the gut’s hidden signals? 🧵
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In doing so, these efforts may help lay the groundwork for a revised nosology—one rooted not in symptom checklists or clusters, but in empirically grounded models of sensory inference, brain-body interaction, and bodily regulation.
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This volume grew from a @ACNPorg study group convened in 2022. These perspectives offer both novel treatment targets and a path to link latent computational processes with observable symptoms.
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Finally, Jungilligens & @DavidLewisPerez show how functional neurological disorder may stem from erroneous brain-body integration, highlighting predictive processing as a driver of motor and sensory symptoms, expectation, self-agency, & illness beliefs.
pubmed.ncbi.nlm.nih.gov
The contemporary neuroscience understanding of the brain as an active inference organ supports that our conscious experiences, including sensorimotor perceptions, depend on the integration of...
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Woelk and Garfinkel @DrSFink explore ways that dissociation may reflect a breakdown in interoceptive precision, disrupting body integration by uncoupling body signals from the sense of self and agency.
pubmed.ncbi.nlm.nih.gov
Dissociative symptoms and disorders of dissociation are characterised by disturbances in the experience of the self and the surrounding world, manifesting as a breakdown in the normal integration of...
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@NegarFani, Fulton & Botzanowski show how trauma can blunt or amplify body signal sensing, highlighting interoception as a target for fostering resilience.
pubmed.ncbi.nlm.nih.gov
In the aftermath of psychological trauma, many individuals experience perturbations in interoception, a term that broadly references the ability to accurately detect body signals and integrate these...
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Franco-O’ Byrne, SantamarĂa-GarcĂa & @AgustinMIbanez argue that in frontotemporal dementia, disrupted interoceptive inference may drive autonomic chaos and social-emotional changes, pointing to the need to develop predictive coding–based therapies.
pubmed.ncbi.nlm.nih.gov
Recent integrative multilevel models offer novel insights into the etiology and course of neurodegenerative conditions. The predictive coding of allostatic-interoception theory posits that the brain...
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Reilly, Brown & @GuidoFrank link altered taste, touch, vision, and gut sensing to anorexia and bulimia nervosa, highlight knowledge gaps, and proposing neurobiologically-informed strategies for clinical translation.
pubmed.ncbi.nlm.nih.gov
Eating disorders (EDs) are characterized by abnormal responses to food and weight-related stimuli and are associated with significant distress, impairment, and poor outcomes. Because many of the...
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Mehta, @mpwpaulus & @RyanSmith_LIBR consider how characterizing individuals using computational measures may facilitate diagnostic subgroup identification, symptoms due to pathway-specific abnormalities, or be helpful in predicting treatment responders.
pubmed.ncbi.nlm.nih.gov
Interoception, the process of detecting, perceiving, and interpreting signals from within the body, is essential for physiological regulation and adaptive behavior. A growing body of research...
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Diaz-Fong & Feusner @BDD_anorexia show how in body dysmorphic disorder, distorted appearance perception may stem from overfocused detail processing—offering visual neuroscience insights for perceptual retraining.
pubmed.ncbi.nlm.nih.gov
Phenomenological observations of individuals with body dysmorphic disorder (BDD), coupled with evidence from neuropsychological, psychophysical, and neuroimaging studies, support a model of aberrant...
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Vassall & Wallace @VanderbiltBrain argue that multisensory integration differences have surprising overlaps between autism and schizophrenia, offering new clues for remediation.
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