Sunday, December 7, 2025

Interoception: our sixth sense

In addition to our senses of sight, smell, hearing, taste and touch—which convey information from the outside world to our brains—we have a sixth sense, called interoception, that conveys information from inside our bodies to our brains.

We have a network of nerves in our internal organs that are continually humming away, sending messages to our brains, mostly beyond our conscious awareness. In this way, our brains get a picture of what’s happening in our bodies, including our emotions, our behavior, our decisions, and even the way we feel sick. (The new weight-loss drugs, such as Ozempic, mimic the signals that the gut sends to the brain, telling it that you’ve had enough to eat.)

Our brains use the information to make a steady stream of adjustments to our bodies. For example, if your brain senses signs of infection, it fights back by raising your temperature. Our brains can even anticipate illnesses that have yet to start. Just the sight of a sick person can be enough to prompt your brain to ramp up your immune system.

With new tools at their disposal, scientists have launched a major new effort to map interoception. In so doing, they’ve found evidence that it may be the cause of many psychiatric conditions ranging from anxiety to schizophrenia. In studying people with such conditions, they’ve found unusual activity in the mid-insular region of these people’s brains—a region that is essential to interpreting signals from the body. The researchers postulate that the brains of this group are misinterpreting signals from the body—or that the signals themselves are faulty—resulting in commands that cause harm.

A group of scientists are currently running a trial in which they deliver low-frequency waves to the mid-insula of patients with psychiatric disorders, hoping to see if the region can be coaxed into responding to interoception in a healthier way. I’d sure like to know how this turns out!

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