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Sahib S. Khalsa, M.D., Ph.D.


Director of Clinical Operations, LIBR
Associate Professor, Oxley College of Health Sciences, The University of Tulsa
Director, LIBR Float Clinic and Research Center
Volunteer Faculty Member, Department of Psychiatry, ​The University of Oklahoma
CURRICULUM VITAE
GOOGLE SCHOLAR

The Khalsa Laboratory


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Our Research Approach


Dr. Khalsa’s laboratory studies the role of interoception in human health. Our research explores three main questions:
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  • How does the nervous system influence the way we perceive our inner body?
  • How does dysfunctional cross talk between the body and brain influence the expression of psychiatric and cardiovascular illness?
  • Can new treatments that re-establish a functional dialogue between the body and brain improve physical and mental health?

He has published over 100 peer-reviewed papers and has received research funding from the National Institute of Mental Health (NIMH), National Institute for General Medical Sciences (NIGMS), National Center for Complementary and Integrative Health (NCCIH), the NIH/National Center for Advancing Translational Science (NCATS), the Mind and Life Foundation, and the Brain and Behavior Research Foundation. His research is currently funded by the NIMH, NCCIH, and The William K. Warren Foundation.

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CONTACT DR. KHALSA

Research Program Highlights


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Main Question

How does the connection between brain and body determine physical and mental health?​
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Approach

Use pharmacological and non-pharmacological perturbations to influence body physiology, and evaluate how this changes bodily feelings, emotional experience, and neural activity in humans. Currently studying the heart-brain connection and gut-brain connection in individuals with eating and anxiety disorders.​
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Future Directions

​To determine whether systematically retraining the brain body connection reduces psychopathology and could yield new therapeutics for psychiatric disorders.​

Scientific Background


​Dr. Khalsa received a bachelor’s degree in psychology with honors from SUNY Stony Brook in 2002. He graduated from the Medical Scientist Training Program at the University of Iowa, receiving M.D. and Ph.D. (neuroscience) degrees in 2009. He completed his residency training in Psychiatry at UCLA in 2013, serving as the program Chief Resident and Chief Resident in the UCLA Anxiety Disorders Clinic. He subsequently joined the department as an Assistant Professor in Residence in the Division of Adult Psychiatry at UCLA. In 2015, Dr. Khalsa joined the Laureate Institute for Brain Research in Tulsa, Oklahoma, as the Director of Clinical Studies, and as an Assistant Professor (tenure track) on the Faculty of Community Medicine at the University of Tulsa. In 2020, Dr. Khalsa became the Director of Clinical Operations, and an Associate Professor (with tenure) on the Faculty of Community Medicine at the University of Tulsa.

Dr. Khalsa’s research investigates the role of interoception in mental and physical health, with a focus on understanding how changes in internal physiological states influence body perception and the functioning of the human nervous system. His studies utilize a variety of approaches to probe cardiovascular, respiratory, and gastrointestinal interoception including via pharmacological and non-pharmacological techniques, functional magnetic resonance imaging (fMRI), electroencephalography (EEG), and computational modeling. Central aims of this work are to discover modifiable neuroscience-based treatment targets for psychiatric disorders, to develop tests to identify these treatment targets in individual patients, and to design neuroscience-based therapies capable of ameliorating the symptoms and signs of mental illness.

Dr. Khalsa’s clinical expertise focuses on the assessment and treatment of anxiety disorders. Dr. Khalsa previously served as Associate Director of the UCLA Anxiety Disorders Clinic, supervising resident physicians in the treatment of anxiety disorders, and was an attending psychiatrist in the UCLA OCD Intensive Outpatient Program. As founding Director of the Healthy Hearts Behavioral Medicine Program, an interdisciplinary endeavor started with the UCLA Cardiac Arrhythmia Center, he specializes in treating anxiety and mood disorders in individuals with cardiac arrhythmias. Current activities include conducting case conferences with the Laureate Psychiatric Hospital and Clinic, running psychoeducation groups with inpatients from the Laureate Eating Disorders Program, supervising diagnostic assessments of participants enrolling in clinical trials, providing safety monitoring for ongoing randomized clinical trials, and co-facilitating psychiatry resident journal clubs.

Meet Our Team


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Emily Adamic
Graduate Student, TU
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Alexa Morton
Research Specialist
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Emily Choquette, Ph.D.
Post-Doc Research Associate
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Charles Verdonk, M.D., Ph.D.
Post-Doc Research Associate
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McKenna Garland
Graduate Student, TU
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Gregory Morrissey, M.D.
Research Assistant

Student Volunteers


Michael Flux Caruso
Gabriel Morrison

​Jonas L. Steinhäuser   
Nicolas Wilzok​

Selected Publications


Teed AR, Feinstein JS, Puhl M, Lapidus RC, Upshaw V, Kuplicki RT, Bodurka J, Ajijola OA, Kaye WH, Thompson WK, Paulus MP, Khalsa SS. Association of Generalized Anxiety Disorder With Autonomic Hypersensitivity and Blunted Ventromedial Prefrontal Cortex Activity During Peripheral Adrenergic Stimulation: A Randomized Clinical Trial. JAMA Psychiatry. 2022 Apr 1;79(4):323-332.
Khalsa SS, Victor TA, Kuplicki R, Yeh HW, Vanover KE, Paulus MP, Davis RE. Single doses of a highly selective inhibitor of phosphodiesterase 1 (lenrispodun) in healthy volunteers: a randomized pharmaco-fMRI clinical trial. Neuropsychopharmacology. 2022 Apr 29.
Berntson GG, Khalsa SS. Neural Circuits of Interoception. Trends Neurosci. 2021 Jan;44(1):17-28.
Smith R, Kuplicki R, Feinstein J, Forthman KL, Stewart JL, Paulus MP; Tulsa 1000 investigators, Khalsa SS. A Bayesian computational model reveals a failure to adapt interoceptive precision estimates across depression, anxiety, eating, and substance use disorders. PLoS Comput Biol. 2020 Dec 14;16(12):e1008484.
Khalsa SS, Feinstein JS, Li W, Feusner JD, Adolphs R, Hurlemann R. Panic Anxiety in Humans with Bilateral Amygdala Lesions: Pharmacological Induction via Cardiorespiratory Interoceptive Pathways. J Neurosci. 2016 Mar 23;36(12):3559-66.
Feinstein JS, Gould D, Khalsa SS. Amygdala-driven apnea and the chemoreceptive origin of anxiety. Biol Psychol. 2022 Apr;170:108305.
Fani N, Khalsa SS. The role of racial discrimination in dissociation and interoceptive dysfunction. Neuropsychopharmacology. 2022 Aug 3.
Khalsa SS, Clausen AN, Shahabi L, Sorg J, Gonzalez SE, Naliboff B, Shivkumar K, Ajijola OA. Cardiac sympathetic denervation and mental health. Auton Neurosci. 2021 May;232:102787.
Lapidus RC, Puhl M, Kuplicki R, Stewart JL, Paulus MP, Rhudy JL, Feinstein JS, Khalsa SS; Tulsa 1000 Investigators. Heightened affective response to perturbation of respiratory but not pain signals in eating, mood, and anxiety disorders. PLoS One. 2020 Jul 15;15(7):e0235346.
Khalsa SS, et. al. Interoception and Mental Health: A Roadmap. Biol Psychiatry Cogn Neurosci Neuroimaging. 2018 Jun;3(6):501-513.
Paulus MP, Feinstein JS, Khalsa SS. An Active Inference Approach to Interoceptive Psychopathology. Annu Rev Clin Psychol. 2019 May 7;15:97-122.
Petzschner FH, Garfinkel SN, Paulus MP, Koch C, Khalsa SS. Computational Models of Interoception and Body Regulation. Trends Neurosci. 2021 Jan;44(1):63-76.
Khalsa SS, Berner LA, Anderson LM. Gastrointestinal Interoception in Eating Disorders: Charting a New Path. Curr Psychiatry Rep. 2022 Jan;24(1):47-60.
DeVille DC, Kuplicki R, Stewart JL; Tulsa 1000 Investigators, Paulus MP, Khalsa SS. Diminished responses to bodily threat and blunted interoception in suicide attempters. Elife. 2020 Apr 7;9:e51593.
Khalsa SS, Rudrauf D, Hassanpour MS, Davidson RJ, Tranel D. The practice of meditation is not associated with improved interoceptive awareness of the heartbeat. Psychophysiology. 2020 Feb;57(2):e13479.
Hassanpour MS, Simmons WK, Feinstein JS, Luo Q, Lapidus RC, Bodurka J, Paulus MP, Khalsa SS. The Insular Cortex Dynamically Maps Changes in Cardiorespiratory Interoception. Neuropsychopharmacology. 2018 Jan;43(2):426-434.
Shivkumar K, et.al. Clinical neurocardiology defining the value of neuroscience-based cardiovascular therapeutics. J Physiol. 2016 Jul 15;594(14):3911-54.
Khalsa SS, Moseman SE, Yeh HW, Upshaw V, Persac B, Breese E, Lapidus RC, Chappelle S, Paulus MP, Feinstein JS. Reduced Environmental Stimulation in Anorexia Nervosa: An Early-Phase Clinical Trial. Front Psychol. 2020 Oct 6;11:567499.
FULL LIST OF PUBLICATIONS

Research Collaborators


Olujimi Ajijola, M.D., Ph.D.
University of California - Los Angeles
Armen Arevian, M.D., Ph.D.
Chorus Innovations
Karl-Jürgen Bär, M.D.
University of Jena
Ilona Croy, Ph.D.
University of Jena
Paul Fletcher, M.B.B.S.
Cambridge University
Rene Hurlemann, M.D., Ph.D.
University of Oldenburg
Walter Kaye, M.D.
University of California - San Diego
Gang Chen, Ph.D.
National Institute of Mental Health
Scott Moseman, M.D.
Medical Director, Laureate Eating Disorders Program
Kalyanam Shivkumar, M.D., Ph.D.
University of California - Los Angeles
Wesley Thompson, Ph.D.
Laureate Institute for Brain Research
COLLABORATE WITH DR. KHALSA
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        • ROBIN AUPPERLE
        • CHUN CHIEH FAN
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        • JONATHAN SAVITZ
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        • AKI TSUCHIYAGAITO
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        • HAMED EKHTIARI
        • NAMIK KIRLIC
        • RENE HURLEMANN
        • HEEKYEONG PARK
        • PHILIP SPECHLER
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        • MICHAEL ROHAN
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