Podcasts about patients got hooked

In this episode of SHE MD, hosts Mary Alice Haney and Dr. Thais Aliabadi welcome Dr. Anna Lembke, a renowned expert on addiction and professor at Stanford University. Dr. Lembke discusses the concept of "Dopamine Nation" and how our modern world's constant pursuit of pleasure affects our brain chemistry and overall well-being. She delves into the neuroscience of dopamine addiction, the impact of digital media on our dopamine levels, and discusses strategies for managing addictive behaviors. The conversation covers topics ranging from social media addiction to substance abuse, offering insights into how individuals can reset their reward pathways and find balance in a world of constant stimulation.Access more information about the podcast and additional expert health tips by visiting SHE MD Podcast and Ovii. Sponsors: Cymbiotika: Go to Cymbiotikia.com/SHEMD for 20% off your order + free shipping today.Strivektin: Discover the Science Behind Great SkinOpill: Opill is birth control in your control, and you can use code SHEMD for twenty five percent off your first month of Opill at Opill.comSleepMe: Visit www.sleep.me/SHEMD to get your Chilipad at 20% off with code SHEMDNutrafol: Nutrafol is offering our listeners ten dollars off your first month's subscription and free shipping when you go to Nutrafol.com and enter promo code SHEMDDavid's Protein: David is giving my listeners an exclusive offer – buy four cartons and get the fifth free at davidprotein.com/shemdAnna Lembke's Key Takeaways:Digital Detox: Set a daily timer for digital media usage. Start with a modest reduction and gradually decrease screen time over several weeks.30-Day Reset: Choose one addictive behavior (e.g., social media, video games, unhealthy snacking) and abstain completely for 30 days. Track your progress daily to maintain accountability.Embrace Discomfort: Incorporate short bursts of activities that challenge your comfort zone, like a 10-minute cold shower or a brisk 20-minute walk. These activities help regulate dopamine levels and reduce cravings.Journaling: Dedicate 5-10 minutes each day to journaling about your digital and non-digital consumption patterns. Note any triggers or situations that lead to addictive behaviors.Family Education: Schedule a family meeting to discuss the importance of balanced digital habits and healthy coping mechanisms. Share resources and create a supportive environment for everyone to practice moderation.In This Episode: (00:00) Introduction(01:25) Dr. Anna Lembke Introduction(02:35) Modern world's addiction to digital media(05:25) What Dopamine Addiction does to your Brain?(09:48) Dopamine addiction and social media's impact to our children(18:35) Genetic factors and parental advice(22:31) Drug addiction and societal approaches(24:40) Benefits of a 30-day dopamine fast(33:27) Hormesis: Using discomfort to reset dopamine(35:27) Parkinson's, dopamine, and potential treatments(37:42) ADHD and its relationship to dopamine(38:36) Starting addiction recovery with data collectionRESOURCES:Dopamine Nation - Anna Lembke's Book: https://www.annalembke.com/GUEST BIOGRAPHY:Anna Lembke, MD is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she is the author of more than a hundred peer-reviewed publications, has testified before the United States House of Representatives and Senate, and has served as an expert witness in federal and state opioid litigation. She is an internationally recognized leader in addiction medicine treatment and education.In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke appeared in the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Her book, Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021) was an instant New York Times and Los Angeles Times bestseller, has been translated into more than 35 languages, and explores how to moderate compulsive overconsumption in a dopamine-overloaded world. Her just released Dopamine Nation Workbook provides a step-by-step guide for dopamine fasting, full of interactive exercises and practical tips for finding balance.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

While the term “addiction” is generally associated with the misuse of drugs or alcohol, there is a wide range of substances or behaviors that have the potential to become addictive – including those that are generally considered positive, such as work or exercise. To prevent or heal from addiction of any kind and maintain a balanced relationship with the things you enjoy, it may be helpful to understand the neuroscience behind why we get addicted. Clinician and scholar Anna Lembke, our guest in Episode 223 of The Mindset Game® podcast, is a professor of psychiatry at the Stanford University School of Medicine and the Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She has published over 100 peer-reviewed papers, book chapters, and commentaries and is the author of books including “Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop” and “Dopamine Nation.” Anna sits on the board of several state and national addiction-focused organizations, has testified before various committees in the U.S. House of Representatives and Senate, and maintains an active speaking calendar. In this week's episode, Anna shares the following: Why the overwhelming abundance of our modern world may leave us more prone to addiction, as well as other factors that may drive addictive tendencies, including genetics, psychiatric disorders, and the desire for control An in-depth explanation of the science behind addiction, how it differs from a healthy passion or hobby, and why addiction to anything is harmful Practical strategies for avoiding addiction triggers and either reducing or eliminating use of a substance or behavior you may be addicted to, as well as tips for supporting others in your life who may be struggling To learn more, visit https://www.annalembke.com or look for Anna's books on Amazon. To learn more about The Mindset Game®, visit www.TheMindsetGame.com. To subscribe to The Mindset Game podcast or leave a review, please visit https://apple.co/3oAnR8I. 

Are we a culture of addicts living in a world of overwhelming overabundance? That is the premise of the brilliant Stanford psychiatrist Dr Anna Lembke, and her must-read book Dopamine Nation. She believes addiction will be the crux of human suffering not just for the next decade but for centuries to come, but at the same time is offering a practical and pragmatic solution that taps into our inherent humanity while protecting against the intentional hacking of our evolutionary vulnerabilities. Get “Dopamine Nation: Finding Balance in the Age of Indulgence” NOW: https://www.takealot.com/dopamine-nation/PLID90046108 Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice.In 2016, she published “Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop”, recently appeared on the Netflix documentary “The Social Dilemma”, and is the author of “Dopamine Nation: Finding Balance in the Age of Indulgence”, an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world.Join us as we explore:The bounty of dopamine, the drugification of the modern world and why it has left every single one of us vulnerable to addictions of all sorts and how that is inexorably intertwined with the mental health distress epidemic.What is addiction, the 4Cs, what separates it from a passion or habit, and why the boundaries between these categories have blurred.Paying for your dopamine up-front and how that allows you to avoid the dopamine deficit trap.The problem with the “work hard, play hard” mentality.Dopamine fasting, the dopamine see-saw, pleasure-pain gremlins and how this forms the foundation of anxiety treatment. How to prepare psychologically and create the optimal environment for successful dopamine fasting.The link between addiction, “drug” use and cognitive decline.Why parents, schools, communities and companies need to come together and save our children from the hooks of social media.Contact:Website: https://www.annalembke.Support the Show.Follow Steve's socials: Instagram | LinkedIn | YouTube | Facebook | Twitter | TikTokSupport the show on Patreon:As much as we love doing it, there are costs involved and any contribution will allow us to keep going and keep finding the best guests in the world to share their health expertise with you. I'd be grateful and feel so blessed by your support: https://www.patreon.com/MadeToThriveShowSend me a WhatsApp to +27 64 871 0308. Disclaimer: Please see the link for our disclaimer policy for all of our content: https://madetothrive.co.za/terms-and-conditions-and-privacy-policy/

GUEST OVERVIEW: Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic, and a diplomate of the American Board of Psychiatry and Neurology and the American Board of Addiction Medicine. In 2016, she published "Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop" (Johns Hopkins University Press, 2016), highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke appeared in the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Her latest book, "Dopamine Nation: Finding Balance in the Age of Indulgence" (Dutton/Penguin Random House, August 2021) was an instant New York Times and Los Angeles Times bestseller and has been translated into 30 languages. It combines the neuroscience of addiction with the wisdom of recovery to explore the problem of compulsive overconsumption in a dopamine-overloaded world.

GUEST HOST: Basil Valentine filling in for Pelle Neroth Taylor. GUEST 1 OVERVIEW: Dirk Pohlmann is a seasoned journalist with over 35 years' experience, creating over 25 documentaries for international TV. He contributes to alternative media, video blogs, and hosts on TNT Radio. GUEST 2 OVERVIEW: Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic, and a diplomate of the American Board of Psychiatry and Neurology and the American Board of Addiction Medicine. In 2016, she published "Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop" (Johns Hopkins University Press, 2016), highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke appeared in the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Her latest book, "Dopamine Nation: Finding Balance in the Age of Indulgence" (Dutton/Penguin Random House, August 2021) was an instant New York Times and Los Angeles Times bestseller and has been translated into 30 languages. It combines the neuroscience of addiction with the wisdom of recovery to explore the problem of compulsive overconsumption in a dopamine-overloaded world.

Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comThis week on the podcast Mikki speaks to Dr Anna Lembke about dopamine and addiction. We discuss what people get wrong about addiction, is it black and white (are all addictions bad), the potential for food to be addictive - and why this is a contentious issue. The potential for anything to be addictive. Who is most at risk of becoming addicted, the impact of the pandemic (both good and bad) and any other insights that Anna has that weren't explored in her book that was published in 2021. A fab interview you are going to love.Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic, and a diplomate of the American Board of Psychiatry and Neurology and the American Board of Addiction Medicine.In 2016, she published "Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop" (Johns Hopkins University Press, 2016), highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018).Dr. Lembke appeared in the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.Her latest book, "Dopamine Nation: Finding Balance in the Age of Indulgence" (Dutton/Penguin Random House, August 2021) was an instant New York Times and Los Angeles Times bestseller and has been translated into 30 languages. It combines the neuroscience of addiction with the wisdom of recovery to explore the problem of compulsive overconsumption in a dopamine-overloaded world.https://www.amazon.com.au/Dopamine-Nation-Finding-Balance-Indulgence/dp/152474672Xhttps://med.stanford.edu/profiles/anna-lembke Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order

To access our conference library of 200+ fascinating psychology talks and interviews (with certification), please visit: https://twumembers.com Dr Anna Lembke is a Professor of Psychiatry at Stanford University, a New York Times Bestselling Author, addiction expert, and clinician. There are few people on the planet who know more about dopamine and its role in addiction than Dr Lembke, so it was a real honour to get to sit down and have this conversation with her. I'm growing convinced that understanding how dopamine works in the brain and body is the key not only to breaking addictions, but also to long term flourishing in life, and in this interview, Anna clearly explains why. Expect to learn: — Why rates of depression and anxiety are rising rapidly in affluent societies — Why it's vital for any mental health professional to understand how dopamine works in the brain — Dr Lembke's own battle with addiction and what we can learn from it — Anna's science-based strategies for breaking addictions — The pain/pleasure balance and the role this plays in mental health and wellbeing. And more. You can learn more about Anna's work at https://www.annalembke.com. --- This session was recorded as part of the Holistic Psychotherapy Summit on January 2023. To access the full conference package, as well as supporting materials, quizzes, and certification, please visit: https://holisticpsychotherapysummit.com --- Dr Anna Lembke is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world. --- Interview Links: Dr Lembke's website: https://www.annalembke.com Dr Lembke's books: https://amzn.to/47nIg8g 3 Books Dr Lembke Recommends Every Therapist Should Read: Thoughts without a Thinker - Mark Epstein: https://amzn.to/3a50Ucw The Big Book of AA: https://amzn.to/3AfoU7z Dying Unto Life - Arthur C. McGill: https://amzn.to/3OP4mrb

DOPAMINE NATION is an interview with Dr. Anna Lembke, MD. Dr. Lembke is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she is the author of more than a hundred peer-reviewed publications, has testified before the United States House of Representatives and Senate, has served as an expert witness in federal and state opioid litigation, and is an internationally recognized leader in addiction medicine treatment and education. In 2016, she published "Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop", highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic.

 Dr. Lembke appeared in the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.  Her latest book, "Dopamine Nation: Finding Balance in the Age of Indulgence" was an instant New York Times and Los Angeles Times bestseller and has been translated into 30 languages. It combines the neuroscience of addiction with the wisdom of recovery to explore the problem of compulsive overconsumption in a dopamine-overloaded world. For more information on Anna Lembke, visit https://www.annalembke.com For more information on this podcast, please visit www.adhdisover.com

To access the full episode and our conference library of 200+ fascinating psychology talks and interviews (with certification), please visit: https://twumembers.com. In this thought-provoking talk, delve into the intricate interplay between our ancient pleasure-seeking instincts and the modern world's excesses. Dr. Anna Lembke, esteemed psychiatrist and Stanford professor, unveils the neurobiological underpinnings of addiction within our present context. Exploring how the very mechanisms that once safeguarded us now navigate us toward modern predicaments, she dissects the elements of access, quantity, potency, and novelty that amplify addictive behaviors. With insights into dopamine's role and the impact of engineered algorithms, she guides us toward strategies for reclaiming control amidst a world of abundance. Discover how a 30-day dopamine reset can recalibrate our relationship with consumption, fostering equilibrium in the digital age. --- This session was recorded as part of the "A Day on Burnout - Online Conference" in February 2022. To access the full conference package, as well as supporting materials, quizzes, and certification, please visit: https://theweekenduniversity.com/lecture_day/burnout-2022/ --- Dr. Lembke was one of the first in the medical community to sound the alarm regarding opioid overprescribing and the opioid epidemic. In 2016, she published her best-selling book on the prescription drug epidemic, “Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop” (Johns Hopkins University Press, 2016). Her book was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr Lembke's latest book: “Dopamine Nation: Finding Balance in the Age of Indulgence” is a New York Times and Los Angeles Times Bestseller which explores how to combine the science of desire with the wisdom of recovery to find balance in an overindulgent era. Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is a diplomate of the American Board of Psychiatry and Neurology, and a diplomate of the American Board of Addiction Medicine. --- Links: - Get our latest psychology lectures emailed to your inbox: http://bit.ly/new-talks5 - Check out our next event: http://theweekenduniversity.com/events/ - Dr. Lembke's website: https://www.annalembke.com - Dr. Lembke's book: https://amzn.to/3AWlMfh

To access the full episode and our conference library of 200+ fascinating psychology talks and interviews (with certification), please visit: https://twumembers.com In this enlightening talk, join Dr. Anna Lemke, a renowned psychiatrist and author, as she delves into the captivating insights from her book "Dopamine Nation." Discover how our ancient brain wiring propels us to seek pleasure and avoid pain, creating a delicate balance within us. Unravel the profound role of dopamine, the neurotransmitter behind pleasure, motivation, and reward, and how its imbalance can lead to addiction. Dr. Lemke offers a thought-provoking remedy for managing compulsive overconsumption—embrace radical honesty and willingly engage in transformative, albeit painful, activities. Prepare to gain invaluable knowledge about our brain's intriguing mechanisms and take charge of your life with newfound awareness. --- This session was recorded as part of the "Day on Burnout -- Online Conference" in February 2022. To access the full conference package, as well as supporting materials, quizzes, and certification, please visit: https://theweekenduniversity.com/lecture_day/burnout-2022/ --- Dr. Lembke was one of the first in the medical community to sound the alarm regarding opioid overprescribing and the opioid epidemic. In 2016, she published her best-selling book on the prescription drug epidemic, “Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop” (Johns Hopkins University Press, 2016). Her book was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr Lembke's latest book: “Dopamine Nation: Finding Balance in the Age of Indulgence” is a New York Times and Los Angeles Times Bestseller which explores how to combine the science of desire with the wisdom of recovery to find balance in an overindulgent era. Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is a diplomate of the American Board of Psychiatry and Neurology, and a diplomate of the American Board of Addiction Medicine. Links: - Get our latest psychology lectures emailed to your inbox: http://bit.ly/new-talks5 - Check out our next event: http://theweekenduniversity.com/events/ - Dr. Lembke's website: https://www.annalembke.com - Dr. Lembke's book: https://amzn.to/3AWlMfh

Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine at the Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. In this episode, Robinson and Anna discuss her latest, New York Times bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021). More particularly, they talk about just what happens in the brain when someone develops an addiction, what current social and cultural conditions have led to increased rates of addiction, and how all of these factors—and addiction itself—ought to be combatted. Anna is also the author of Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins, 2016), which sounded the alarm on—and covers—various dimensions of the opioid crisis. Dopamine Nation: https://a.co/d/0AJw6Je Drug Dealer, MD: https://a.co/d/2soL324 OUTLINE 00:00 In This Episode… 00:56 Introduction 04:10 Addiction and Narrative 11:18 The Role of Dopamine in Addiction 20:29 Risk Factors for Addiction 27:31 Anna's Addiction to Romance Novels 40:39 Pain, Pleasure, and Addiction 59:11 How to Tackle Addictions? 01:15:09 Is The Hype For Medical Psychedelics Overblown? 01:21:51 Honesty, Shame, and Recovery from Addiction Robinson's Website: http://robinsonerhardt.com Robinson Erhardt researches symbolic logic and the foundations of mathematics at Stanford University. Join him in conversations with philosophers, scientists, weightlifters, artists, and everyone in-between. --- Support this podcast: https://podcasters.spotify.com/pod/show/robinson-erhardt/support

In this digital era, most of us hold the dial to our pleasure neural pathway in the palm of our hands. We can easily increase the amount of pleasure we seek and soak in. For some, this leads to clinical addiction. We need to know how to fight addiction and take control of balanced living. My guest today, Anna Lembke, MD is an internationally recognized leader in addiction medicine treatment and education. She's helping us to open our eyes when it comes to the imbalances created during our constant pursuit of pleasure and its true potential for pain. Anna Lembke, MD is professor of psychiatry at Stanford University School of Medicine. She is also the chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. Anna is a clinician scholar and author of more than a hundred peer-reviewed publications. Her 2016 book “Drug Dealer, MD - How Doctors Were Duped, Patients Got Hooked and Why It's So Hard to Stop” was highlighted in the New York Times as one of the top 5 books to read to understand the opioid epidemic. She's been featured in the Netflix documentary “The Social Dilemma”. Her latest book that we'll talk about in this podcast, is called “Dopamine Nation: Finding Balance in the Age of Indulgence”. Highlights from our discussion: - The Plenty Paradox (1:50) - Understanding Addiction (5:12) - The Dark Side of Technology (9:30) - Cultivating Healthy Relationships with Digital Devices (35:00) - Hopeful Solutions for Navigating Addiction (59:00) Enjoy!

In this episode of the Smarter Not Harder podcast, host Dr. Ted Achacoso is joined by Dr. Anna Lembke who educates us on the opioid epidemic and answered the question: how can a person get addicted to pain?   Doctor Anna Lembke is a professor and the medical director of Addiction Medicine at Stanford University School of Medicine, and a New York Times Best Selling author. She received her undergraduate degree in humanities from Yale University and her medical degree from Stanford University.    Dr. Lembke is a diplomat for both the American Board of Psychiatry and Neurology, and the American Board of Addiction Medicine. She is also a specialist in the opioid epidemic of the United States. She appeared in the 2020 subcommittee The Social Dilemma.  Her works include “How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop,” and the New York Times bestseller “Dopamine Nation: Finding Balance in the Age of Indulgence” which was released in August 2021.      What we discuss: 00:00:40 - About Dr. Anna Lembke 00:01:45 - Uncovering co-occurring addictions alongside subsctance abbuse  00:03:46 -  Uncovering substance addictions with behavioral-addicted patients 00:04:54 - Is it true that people have addictive personalities? 00:08:02 -  Decreasing the amount of the addictive substance over time vs. total abstinence immediately 00:13:16 - Statistics on substance addiction  00:18:14 - How dopamine plays into addiction  00:22:23 - The journey to abuse  00:30:08 - How does one get addicted to pain?  00:39:28 - What happens to dopamine once abstinent  00:42:55 - How does opiate induced hyperalgesia happen? 00:46:25 - How does mindfulness help with addiction?  00:52:02 - Is romantic love an addiction? 00:53:48 - Should hard and sudden heartbreak be treated with drugs from sudden dopamine drops? 00:57:42 - Can psychedelics lead to addiction? Can it help in mitigating addiction?  01:00:29 - Smarter not harder advice to parents on how their children can navigate the dopamine nation     Find more from Smarter Not Harder: Website: https://troscriptions.com/blogs/podcast | https://homehope.org Instagram: @troscriptions | @homehopeorg   Find out more about Dr. Anna Lembke: Website: https://www.annalembke.com/ Dopamine Nation: https://www.annalembke.com/dopamine-nation Publications: https://www.annalembke.com/selected-publications     Get 10% Off Your Purchase of Metabolomics Module by using PODCAST10 at https://www.homehope.org   Get 10% Off your Troscriptions purchase by using POD10 at https://www.troscriptions.com   Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram. 

Dr. Anna Lembke is an addiction specialist, professor of psychiatry at Stanford University School of Medicine, and a renowned authority on the science of desire, pain, pleasure, and dopamine. She currently sits as the chief of the Stanford Addiction Medicine Dual Diagnosis Clinic.  A clinician scholar, she has published over a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations. She has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.  Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world.   0:00 - Anna Lembke Intro 5:00 - Living In Pain & Emptiness 6:07 - Are We All Addicted? 7:45 - Why Do We Desire? 11:53 - What Happens in the Brain When We Resist the Urge? 14:00 - The Fragile Generation & Dopamine Detox 20:45 - Seeking Out Pain | Hormesis 23:15 - Enjoying the Simple Pleasures 26:40 - Leverage Boredom 29:26 - How To Live A Meaningful Life 30:56 - Harms Of Overmedication & Prescription 35:05 - Intersection Of Addiction Recovery & Spirituality 37:06 - Psychedelic Therapy & Transcending the Self 42:00 - Message For the Next Generation of Leaders 45:08 - The Final Trio Guest: Dr. Anna Lembke Website Online Courses "Dopamine Nation"   Publications   Host: Emilio Ortiz Twitter | https://bit.ly/35hMMda Instagram | https://bit.ly/35fkcJx  TikTok | https://bit.ly/3lKjs3W Watch Video Interviews on YouTube | https://www.youtube.com/emilioortiz  Special Offerings to Support the Show: ✦ Receive 15% off any purchase from Ra Optics, the world's best blue-light-blocking glasses. Use our code "justtapin" at checkout for your special discount - https://bit.ly/RaOptics-EmilioOrtiz ✦ Receive 10% off any purchase from Intelligent Change, elegant tools, and simple daily routines to instill positive change, including products such as "Five Minute Journal" and "Productivity Planner." Use our code "justtapin" at checkout for your special discount - https://bit.ly/IntelligentChange-EmilioOrtiz  Leave a Rating for Just Tap In with Emilio Ortiz: ✦ Spotify | https://spoti.fi/3BOnqQr ✦ Apple Podcasts | https://apple.co/3IeWnjD Our mission at Just Tap In is to bridge the new consciousness and empower, inspire, and uplift the next generation of leaders to co-create the New Earth. Business inquires emortiz0717@gmail.com    

Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is a diplomate of the American Board of Psychiatry and Neurology, and a diplomate of the American Board of Addiction Medicine. Dr. Lembke was one of the first in the medical community to sound the alarm regarding opioid overprescribing and the opioid epidemic. In 2016, she published her best-selling book on the prescription drug epidemic, "Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop" (Johns Hopkins University Press, 2016). Her book was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Her latest book, "Dopamine Nation: Finding Balance in the Age of Indulgence" (Dutton/Penguin Random House, August 2021), was an instant New York Times and Los Angeles Times bestseller, and explores how to moderate compulsive overconsumption in a dopamine-overloaded world. In this episode we talk about the elements surrounding our "Dopamine Nation" This includes the Pleasure- Pain Balance, The Broken Balance, our society that is running from pain, the solution of pressing on the pain side of things, and finally the concept of Radical Honesty. It is a packed filled episode with something for us all. Dr. Lembke has a great understanding of all of these elements and shares them in a very real way. You can follow me on Instagram @thevegastherapist or visit my website www.thevegastherapist.com Check out my 14 Day Better Relationship Challenge by going to my website and clicking on the link.

Get early access to our latest psychology lectures: http://bit.ly/new-talks5 All around us people are looking at their phones too much, eating too much, drinking too much. Our world is addicted to fleeting distracting pleasures that get us nowhere. This talk will aim to provide a clear way back to a balanced life. It's about pleasure. It's also about pain. Most importantly, it's about how to find the delicate balance between the two, and why now more than ever finding balance is essential. We're living in a time of unprecedented access to high-reward, high-dopamine stimuli: drugs, food, news, gambling, shopping, gaming, texting, sexting, Facebooking, Instagramming, YouTubing, tweeting.... The increased numbers, variety and potency are staggering. The smartphone is the modern-day hypodermic needle, delivering digital dopamine 24/7 for a wired generation. As such, we've all become vulnerable to compulsive overconsumption. In this session, Dr. Anna Lembke, psychiatrist and author, will explore the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain...and what to do about it. You'll learn how finding contentment and connectedness means keeping dopamine in check, and how combining the science of desire with the wisdom of recovery can help you find balance. --- Dr. Lembke was one of the first in the medical community to sound the alarm regarding opioid overprescribing and the opioid epidemic. In 2016, she published her best-selling book on the prescription drug epidemic, “Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop” (Johns Hopkins University Press, 2016). Her book was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr Lembke's latest book: “Dopamine Nation: Finding Balance in the Age of Indulgence” is a New York Times and Los Angeles Times Bestseller which explores how to combine the science of desire with the wisdom of recovery to find balance in an overindulgent era. Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is a diplomate of the American Board of Psychiatry and Neurology, and a diplomate of the American Board of Addiction Medicine. Links: - Get our latest psychology lectures emailed to your inbox: http://bit.ly/new-talks5 - Check out our next event: http://theweekenduniversity.com/events/ - Dr. Lembke's website: https://www.annalembke.com - Dr. Lembke's book: https://amzn.to/3AWlMfh --- For the past 10 months, we've been working on our biggest project yet: The Holistic Psychotherapy Summit. This is a free online event which aims to provide mental health professionals with the most essential ideas for practising effective psychotherapy in the coming decade, and, as the name suggests, it will cover mind, brain, body, and spiritual approaches to healing. It features exclusive interviews with 30 of the world's leading clinical psychologists, professors, and psychotherapists giving you insights into their best practices and the frameworks they use with clients. You'll be learning directly from the likes of Stephen Porges, Dan Siegel, Janina Fisher, Paul Gilbert, Pat Ogden, Steven Hayes, Lisa Feldman Barrett, Richard Schwartz, Mick Cooper, and 29 others. The best bit is - it's completely FREE to attend live, and you can register today by going to: bit.ly/pod-summit Hope to see you there!

We're joined by global pain expert and pain psychologist Dr. Rachel Zoffness to discuss how pain works and how we can alleviate the root causes of pain instead of seeking short-term relief from addictive painkillers.Dr. Rachel Zoffness / WebsiteDr. Rachel Zoffness (@therealdoczoff) / InstagramDr. Rachel Zoffness (@DrZoffness) / TwitterRachel Zoffness PhD - Pain psychologist / LinkedIn The Pain Management Workbook: Powerful CBT and Mindfulness Skills to Take Control of Pain and Reclaim Your LifeIf you are in a crisis or think you have an emergency, call your doctor or 911. If you're considering suicide, call 1-800-273-TALK to speak with a skilled trained counselor.RADICALLY GENUINE PODCASTRadically Genuine Podcast Website Twitter: Roger K. McFillin, Psy.D., ABPPInstagram @radgenpodTikTok @radgenpodRadGenPodcast@gmail.comADDITIONAL RESOURCES4:30 Gate Control Theory of Pain - Physiopedia7:00 What Is a Pain Psychologist? | Psychology Today9:00 The Science of Pain10:20 Think Pain Is Purely Medical? Think Again. | Psychology Today11:00 Congenital insensitivity to pain: MedlinePlus Genetics11:50 Phantom Limb Pain - Physiopedia12:30 The Emotional Brain as a Predictor and Amplifier of Chronic Pain - PMC14:00 Tackling the Grand Challenge of chronic pain needs widespread reform: Prof John Loeser16:30 Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop17:15 Radically Genuine Podcast | 57. Beliefs, mindsets and the placebo effect22:30 How to explain central sensitization to patients with ‘unexplained' chronic musculoskeletal pain: Practice guidelines - ScienceDirect25:00 Pain Tolerance and Sensitivity in Men, Women, Redheads, and More29:00 Central sensitisation in chronic pain conditions: latest discoveries and their potential for precision medicine - The Lancet Rheumatology31:00 A ‘Volume Control' for Pain | Harvard Medical School38:00 How to Calm an Anxious Stomach: The Brain-Gut Connection | Anxiety and Depression Association of America, ADAA39:30 The Brain-Gut Connection | Johns Hopkins Medicine40:30 Microbes Help Produce Serotonin in Gut44:00 Pain Recipe - @therealdoczoff49:30 Increased Pain Sensitivity in Accident-related Chronic Pain... : The Clinical Journal of Pain51:00 Hypervigilance in PTSD and Other Disorders53:30 The mind's mirror

Dr. Anna Lembke is our guest today — and trust me — you don't want to miss this one! We discuss benzodiazepine tapering, substitution, the dopamine cycle, flumazenil, anxiety, social media, finding a doctor and so much more.Anna Lembke, MD is a professor of psychiatry at Stanford University School of Medicine, chief of the Stanford Addiction Medicine Dual Diagnosis Clinic, and an internationally recognized leader in addiction medicine, treatment, and education. A best-selling author, she has also testified before both the U.S. House and Senate and appeared in the Netflix documentary, “The Social Dilemma.”https://www.easinganxiety.com/post/conversation-with-stanford-psychiatris-anna-lembke-md-bfp110Video ID: BFP110Chapters 0:00:00 INTRODUCTION0:01:55 Benzos & Surgery Update0:03:25 PROTECT Study0:04:35 FEATURE: Dr. Anna Lembke0:05:28 Dr. Lembke's Bio0:06:54 Welcome / About Dr. Lembke0:09:32 Deprescribing Clinics0:10:53 Learning from Addiction Medicine0:12:17 The Bravo Protocol0:13:37 The Ashton Manual0:14:59 Benzo Horror Stories0:15:50 The Dopamine Cycle0:19:45 Addiction vs. Dependence0:21:59 Is Benzo Withdrawal Unique?0:24:52 When Did You Become Concerned?0:26:40 Changes in Prescribing Practices0:29:15 Increasing Rates of Anxiety0:30:24 Drugifying Human Behaviors0:31:28 Digital Device Addiction0:34:59 Reinforcing Negative Experiences0:38:37 Mindfulness / Expectations0:41:49 Finding Acceptance0:43:48 How Do You Taper Your Patients?0:46:48 Substitution vs. Direct Taper0:49:57 Dosing Schedule / Flexibility0:52:06 Stabilizing Before Tapering0:54:31 Finding a Doctor You Can Trust0:56:04 You Make a Difference as a Patient0:56:53 Flumazenil and Other Treatments1:00:33 Benzos and the Elderly1:02:24 The Danger of Designer Benzos1:03:59 What are Benzos Good For?1:05:31 Benzos for Medical Procedures1:07:32 Final Words for the Patient1:09:10 CLOSING BIO for Dr. Anna LembkeAnna Lembke, MD is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she is the author of more than a hundred peer-reviewed publications, has testified before the United States House of Representatives and Senate, has served as an expert witness in federal and state opioid litigation, and is an internationally recognized leader in addiction medicine treatment and education.In 2016, Anna published “Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop” (Johns Hopkins University Press, 2016), highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke appeared in the Netflix documentary “The Social Dilemma,” an unvarnished look at the impact of social media on our lives. Her latest book, “Dopamine Nation: Finding Balance in the Age of Indulgence” (Dutton/Penguin Random House, August 2021) was an instant New York Times and Los Angeles Times bestseller and explores how to moderate compulsive overconsumption in a dopamine-overloaded world. Resources The following resource links are provided as a courtesy to our listeners. They do not constitute an endorsement by Easing Anxiety of the resource or any recommendations or advice provided therein. RESOURCES for Anna Lembke, MD— WEBSITE — https://www.annalembke.com/— PROFILE: Stanford University — https://profiles.stanford.edu/anna-lembke— BOOK: “Drug Dealer, MD” — https://www.annalembke.com/drug-dealer-md— BOOK: “Dopamine Nation” — https://www.annalembke.com/drug-dealer-md — VIDEO: “Benzodiazepines: The Hidden Epidemic” — https://www.youtube.com/watch?v=Ln1F2oANexw— VIDEO: “Benzodiazepines: Dependence and Withdrawal” — https://www.youtube.com/watch?v=-W9EEI2ZXKU— VIDEO: “Benzodiazepine Tolerance: An Adverse Medical Event” — https://www.youtube.com/watch?v=R7r_94vyOL4— BRAVO! A Collaborative Approach to Opioid Tapering — https://www.oregonpainguidance.org/guideline/tapering/— The Ashton Manual — https://easinganxiety.com/blog/ashton-manual/ The PodcastThe Benzo Free Podcast provides information, support, and community to those who struggle with the long-term effects of anxiety medications such as benzodiazepines (Xanax, Ativan, Klonopin, Valium) and Z-drugs (Ambien, Lunesta, Sonata). WEBSITE: https://www.easinganxiety.comMAILING LIST: https://www.easinganxiety.com/subscribe YOUTUBE: https://youtube.com/@easinganx DISCLAIMERAll content provided by Easing Anxiety is for general informational purposes only and should never be considered medical advice. Any health-related information provided is not a substitute for medical advice and should not be used to diagnose or treat health problems, or to prescribe any medical devices or other remedies. Never disregard medical advice or delay in seeking it. Please visit our website for our complete disclaimer at https://www.easinganxiety.com/disclaimer. CREDITSMusic provided / licensed by Storyblocks Audio — https://www.storyblocks.com Benzo Free Theme — Title: “Walk in the Park” — Artist: Neil Cross PRODUCTIONEasing Anxiety is produced by…Denim Mountain Presshttps://www.denimmountainpress.com ©2022 Denim Mountain Press – All Rights Reserved

Share this post with others: Dr. Anna Lembke is our guest today — and trust me — you don't want to miss this one! We discuss benzodiazepine tapering, substitution, the dopamine cycle, flumazenil, anxiety, social media, finding a doctor and so much more. Anna Lembke, MD is professor of psychiatry at Stanford University School of Medicine, chief of the Stanford Addiction Medicine Dual Diagnosis Clinic, and an internationally recognized leader in addiction medicine, treatment, and education.  A best-selling author, she has also testified before both the U.S. House and Senate and appeared in the Netflix documentary, “The Social Dilemma.” Welcome to Episode #110 My conversation with Dr. Anna Lembke was definitely one of the best I've ever recorded for this podcast. Look below at the chapter list and you will see the vast array of topics we covered. She is an international leader in drug addiction and dependence and her expertise shows at every turn. I'm so glad she took the time to talk with us and I know that this episode will become one of our most popular. Video ID: BFP110 Chapters 0:00:00  INTRODUCTION0:01:55  Benzos & Surgery Update0:03:25  PROTECT Study0:04:35  FEATURE: Dr. Anna Lembke0:05:28  Dr. Lembke's Bio0:06:54  Welcome / About Dr. Lembke0:09:32  Deprescribing Clinics0:10:53  Learning from Addiction Medicine0:12:17  The Bravo Protocol0:13:37  The Ashton Manual0:14:59  Benzo Horror Stories0:15:50  The Dopamine Cycle0:19:45  Addiction vs. Dependence0:21:59  Is Benzo Withdrawal Unique?0:24:52  When Did You Become Concerned?0:26:40  Changes in Prescribing Practices0:29:15  Increasing Rates of Anxiety0:30:24  Drugifying Human Behaviors0:31:28  Digital Device Addiction0:34:59  Reinforcing Negative Experiences0:38:37  Mindfulness / Expectations0:41:49  Finding Acceptance0:43:48  How Do You Taper Your Patients?0:46:48  Substitution vs. Direct Taper0:49:57  Dosing Schedule / Flexibility0:52:06  Stabilizing Before Tapering0:54:31  Finding a Doctor You Can Trust0:56:04  You Make a Difference as a Patient0:56:53  Flumazenil and Other Treatments1:00:33  Benzos and the Elderly1:02:24  The Danger of Designer Benzos1:03:59  What are Benzos Good For?1:05:31  Benzos for Medical Procedures1:07:32  Final Words for the Patient1:09:10  CLOSING About Dr. Lembke Anna Lembke, MD is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she is the author of more than a hundred peer-reviewed publications, has testified before the United States House of Representatives and Senate, has served as an expert witness in federal and state opioid litigation, and is an internationally recognized leader in addiction medicine treatment and education. In 2016, Anna published “Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop” (Johns Hopkins University Press, 2016), highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke appeared in the Netflix documentary “The Social Dilemma,” an unvarnished look at the impact of social media on our lives. Her latest book, “Dopamine Nation: Finding Balance in the Age of Indulgence” (Dutton/Penguin Random House, August 2021) was an instant New York Times and Los Angeles Times bestseller and explores how to moderate compulsive overconsumption in a dopamine-overloaded world. Resources for Dr. Anna Lembke The following resource links are provided as a courtesy to our listeners. They do not constitute an endorsement by Benzo Free of the resource or any recommendations or advice provided therein. — WEBSITE — https://www.annalembke.com/— PROFILE: Stanford University — https://profiles.stanford.edu/anna-lembke— BOOK: “Drug Dealer, MD” — https://www.annalembke.com/drug-dealer-md— BOOK: “Dopamine Nation” — https://www.annalembke.

Welcome to the Hardwick Life podcast with your host Nick Hardwick. Today we are joined by Anna Lembke. Anna is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world. In this podcast episode we discuss: Dopamine Nation: Finding Balance in the Age of Indulgence The biggest risk factors Dopamine Deficit Never being satisfied and more!

Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic."I'm an addiction psychiatrist. When I use the word addiction, I'm really talking about having crossed the line from basically healthy use with an occasional slip to somebody who's really caught in the vortex of compulsive overconsumption with consequences and typically needing help from others, whether or not they are professionals, but feeling like, Oh boy, this is unmanageable, as they say in Twelve Steps, "My life has become unmanageable." It's one of the main points of my book, Dopamine Nation that we are living in this addictogenic world where almost all human behaviors and substances have become drugified in one way, right? Social media has drugified human connection. Our food has been drugified by the addition of salt, fat, sugar. Reading is drugified, the way that these genre novels fill this sort of gaping hole of compulsive consumption among their readership, people always wanting more. The Netflix binges, where you get the next episode automatically fills unless you do something to stop it. You know, these are all little ways in which our lives have been engineered to keep us clicking and swiping and eating and smoking and drinking to the detriment of the globe. I mean, 70% of global deaths are due to diseases caused by modifiable risk factors, and the top three are smoking, inactivity, and overeating or diet. So we're literally titillating ourselves to death."www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

"I'm an addiction psychiatrist. When I use the word addiction, I'm really talking about having crossed the line from basically healthy use with an occasional slip to somebody who's really caught in the vortex of compulsive overconsumption with consequences and typically needing help from others, whether or not they are professionals, but feeling like, Oh boy, this is unmanageable, as they say in Twelve Steps, "My life has become unmanageable." It's one of the main points of my book, Dopamine Nation that we are living in this addictogenic world where almost all human behaviors and substances have become drugified in one way, right? Social media has drugified human connection. Our food has been drugified by the addition of salt, fat, sugar. Reading is drugified, the way that these genre novels fill this sort of gaping hole of compulsive consumption among their readership, people always wanting more. The Netflix binges, where you get the next episode automatically fills unless you do something to stop it. You know, these are all little ways in which our lives have been engineered to keep us clicking and swiping and eating and smoking and drinking to the detriment of the globe. I mean, 70% of global deaths are due to diseases caused by modifiable risk factors, and the top three are smoking, inactivity, and overeating or diet. So we're literally titillating ourselves to death."Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic.www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic."I'm an addiction psychiatrist. When I use the word addiction, I'm really talking about having crossed the line from basically healthy use with an occasional slip to somebody who's really caught in the vortex of compulsive overconsumption with consequences and typically needing help from others, whether or not they are professionals, but feeling like, Oh boy, this is unmanageable, as they say in Twelve Steps, "My life has become unmanageable." It's one of the main points of my book, Dopamine Nation that we are living in this addictogenic world where almost all human behaviors and substances have become drugified in one way, right? Social media has drugified human connection. Our food has been drugified by the addition of salt, fat, sugar. Reading is drugified, the way that these genre novels fill this sort of gaping hole of compulsive consumption among their readership, people always wanting more. The Netflix binges, where you get the next episode automatically fills unless you do something to stop it. You know, these are all little ways in which our lives have been engineered to keep us clicking and swiping and eating and smoking and drinking to the detriment of the globe. I mean, 70% of global deaths are due to diseases caused by modifiable risk factors, and the top three are smoking, inactivity, and overeating or diet. So we're literally titillating ourselves to death."www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

"I'm an addiction psychiatrist. When I use the word addiction, I'm really talking about having crossed the line from basically healthy use with an occasional slip to somebody who's really caught in the vortex of compulsive overconsumption with consequences and typically needing help from others, whether or not they are professionals, but feeling like, Oh boy, this is unmanageable, as they say in Twelve Steps, "My life has become unmanageable." It's one of the main points of my book, Dopamine Nation that we are living in this addictogenic world where almost all human behaviors and substances have become drugified in one way, right? Social media has drugified human connection. Our food has been drugified by the addition of salt, fat, sugar. Reading is drugified, the way that these genre novels fill this sort of gaping hole of compulsive consumption among their readership, people always wanting more. The Netflix binges, where you get the next episode automatically fills unless you do something to stop it. You know, these are all little ways in which our lives have been engineered to keep us clicking and swiping and eating and smoking and drinking to the detriment of the globe. I mean, 70% of global deaths are due to diseases caused by modifiable risk factors, and the top three are smoking, inactivity, and overeating or diet. So we're literally titillating ourselves to death."Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic.www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic."I think just stay open and curious and don't shy away from doing things that are hard. And don't shy away from asking the hard questions. And I guess one of the things that I really do recommend to young people is to not necessarily be looking always over the fence you know, to try to find their passion or the thing that they were meant to do, but instead, you know, stop and remain still and look around at what is already in their lives that they could do to make a contribution.I think many times, we've had this kind of restless sense of, Oh, I need to go and find my passion, or I need to go and do this, or do that when there's something right in front of us that is already calling us or we're already set up to offer, and we sort of minimize it. And yet when we really immerse ourselves in the lives that we've been given you know, we can make an incredibly valuable contribution in an iterative way, day after day, and really find a lot of purpose and meaning there."www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

"I think just stay open and curious and don't shy away from doing things that are hard. And don't shy away from asking the hard questions. And I guess one of the things that I really do recommend to young people is to not necessarily be looking always over the fence you know, to try to find their passion or the thing that they were meant to do, but instead, you know, stop and remain still and look around at what is already in their lives that they could do to make a contribution.I think many times, we've had this kind of restless sense of, Oh, I need to go and find my passion, or I need to go and do this, or do that when there's something right in front of us that is already calling us or we're already set up to offer, and we sort of minimize it. And yet when we really immerse ourselves in the lives that we've been given you know, we can make an incredibly valuable contribution in an iterative way, day after day, and really find a lot of purpose and meaning there."Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic.www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic."So let's look at historical trends. One very interesting thing is that women, for many generations, were relatively insulated from the problem of addiction, but in the last two generations, or for the last 30 years or so, we've seen vastly increased rates of addiction to drugs and alcohol among women. Alcohol is one example. So whereas previously the ratio of men with alcohol addiction to women with alcohol addiction has been between five-to-one and two-to-one. With millennials, starting with the millennial generation, it's now one-to-one. So women in the United States are as likely to be addicted to alcohol as men and other drugs are quickly following suit.So this is an important and really seismic shift in the history of addiction in the United States and other developed countries. If you look at all drugs across the world, the only drug which women are more likely to be addicted to than men is benzodiazepines – Xanax, Valium, Klonopin. That's also interesting, and you can extrapolate a few assumptions. One of them is that women are also more likely to go and seek medical help for medical conditions. And benzodiazepines are very often obtained through a medical prescription. There's some initial data suggesting that social media is especially dangerous for women and young girls. And I have certainly seen in my practice that video games and pornography appear to be especially prevalent among boys and young men. So I think there are gender differences, and there's both my clinical experience and also some epidemiologic data that suggests those differences as well."www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

"So let's look at historical trends. One very interesting thing is that women, for many generations, were relatively insulated from the problem of addiction, but in the last two generations, or for the last 30 years or so, we've seen vastly increased rates of addiction to drugs and alcohol among women. Alcohol is one example. So whereas previously the ratio of men with alcohol addiction to women with alcohol addiction has been between five-to-one and two-to-one. With millennials, starting with the millennial generation, it's now one-to-one. So women in the United States are as likely to be addicted to alcohol as men and other drugs are quickly following suit.So this is an important and really seismic shift in the history of addiction in the United States and other developed countries. If you look at all drugs across the world, the only drug which women are more likely to be addicted to than men is benzodiazepines – Xanax, Valium, Klonopin. That's also interesting, and you can extrapolate a few assumptions. One of them is that women are also more likely to go and seek medical help for medical conditions. And benzodiazepines are very often obtained through a medical prescription. There's some initial data suggesting that social media is especially dangerous for women and young girls. And I have certainly seen in my practice that video games and pornography appear to be especially prevalent among boys and young men. So I think there are gender differences, and there's both my clinical experience and also some epidemiologic data that suggests those differences as well."Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic.www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

"I'm an addiction psychiatrist. When I use the word addiction, I'm really talking about having crossed the line from basically healthy use with an occasional slip to somebody who's really caught in the vortex of compulsive overconsumption with consequences and typically needing help from others, whether or not they are professionals, but feeling like, Oh boy, this is unmanageable, as they say in Twelve Steps, "My life has become unmanageable." It's one of the main points of my book, Dopamine Nation that we are living in this addictogenic world where almost all human behaviors and substances have become drugified in one way, right? Social media has drugified human connection. Our food has been drugified by the addition of salt, fat, sugar. Reading is drugified, the way that these genre novels fill this sort of gaping hole of compulsive consumption among their readership, people always wanting more. The Netflix binges, where you get the next episode automatically fills unless you do something to stop it. You know, these are all little ways in which our lives have been engineered to keep us clicking and swiping and eating and smoking and drinking to the detriment of the globe. I mean, 70% of global deaths are due to diseases caused by modifiable risk factors, and the top three are smoking, inactivity, and overeating or diet. So we're literally titillating ourselves to death."Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic.www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

"There's a ton of work now looking at how we can re-engineer or patch the AI that's currently sort of driving these interfaces to make it easier for people to manage their consumption. But so far there's not a lot of evidence that it's working. So the time management things, unfortunately, people just tend to override those or not want to look at the amount of time that they're spending on their devices. So I'm not seeing a lot of encouraging stuff there. And basically what you have is you have a fundamental structural problem. These technologies are engineered literally to keep us clicking and swiping. You can't ask them...in a way, it's very difficult for them to have their product that's not engaging. Now there's a big push to do this, to see, Okay, well what if we get rid of the likes, or what if we eliminate the bottomless scrolls? Or what if we get rid of the alerts and the push notifications, or what if we go to grayscale and make the images...? And I think all those can work as nudges and be helpful, but I think we also need to start looking more proactively at having time where we literally are just not touching our device. Distance from the actual device itself. And so I think there's some movement in that direction as well."Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic.www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic."There's a ton of work now looking at how we can re-engineer or patch the AI that's currently sort of driving these interfaces to make it easier for people to manage their consumption. But so far there's not a lot of evidence that it's working. So the time management things, unfortunately, people just tend to override those or not want to look at the amount of time that they're spending on their devices. So I'm not seeing a lot of encouraging stuff there. And basically what you have is you have a fundamental structural problem. These technologies are engineered literally to keep us clicking and swiping. You can't ask them...in a way, it's very difficult for them to have their product that's not engaging. Now there's a big push to do this, to see, Okay, well what if we get rid of the likes, or what if we eliminate the bottomless scrolls? Or what if we get rid of the alerts and the push notifications, or what if we go to grayscale and make the images...? And I think all those can work as nudges and be helpful, but I think we also need to start looking more proactively at having time where we literally are just not touching our device. Distance from the actual device itself. And so I think there's some movement in that direction as well."www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic."I'm an addiction psychiatrist. When I use the word addiction, I'm really talking about having crossed the line from basically healthy use with an occasional slip to somebody who's really caught in the vortex of compulsive overconsumption with consequences and typically needing help from others, whether or not they are professionals, but feeling like, Oh boy, this is unmanageable, as they say in Twelve Steps, "My life has become unmanageable." It's one of the main points of my book, Dopamine Nation that we are living in this addictogenic world where almost all human behaviors and substances have become drugified in one way, right? Social media has drugified human connection. Our food has been drugified by the addition of salt, fat, sugar. Reading is drugified, the way that these genre novels fill this sort of gaping hole of compulsive consumption among their readership, people always wanting more. The Netflix binges, where you get the next episode automatically fills unless you do something to stop it. You know, these are all little ways in which our lives have been engineered to keep us clicking and swiping and eating and smoking and drinking to the detriment of the globe. I mean, 70% of global deaths are due to diseases caused by modifiable risk factors, and the top three are smoking, inactivity, and overeating or diet. So we're literally titillating ourselves to death."www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

"I'm an addiction psychiatrist. When I use the word addiction, I'm really talking about having crossed the line from basically healthy use with an occasional slip to somebody who's really caught in the vortex of compulsive overconsumption with consequences and typically needing help from others, whether or not they are professionals, but feeling like, Oh boy, this is unmanageable, as they say in Twelve Steps, "My life has become unmanageable." It's one of the main points of my book, Dopamine Nation that we are living in this addictogenic world where almost all human behaviors and substances have become drugified in one way, right? Social media has drugified human connection. Our food has been drugified by the addition of salt, fat, sugar. Reading is drugified, the way that these genre novels fill this sort of gaping hole of compulsive consumption among their readership, people always wanting more. The Netflix binges, where you get the next episode automatically fills unless you do something to stop it. You know, these are all little ways in which our lives have been engineered to keep us clicking and swiping and eating and smoking and drinking to the detriment of the globe. I mean, 70% of global deaths are due to diseases caused by modifiable risk factors, and the top three are smoking, inactivity, and overeating or diet. So we're literally titillating ourselves to death."Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous book Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic.www.annalembke.comhttps://med.stanford.edu/psychiatry/patient_care/addiction.htmlwww.penguinrandomhouse.com/books/624957/dopamine-nation-by-anna-lembke-md/www.press.jhu.edu/books/title/11360/drug-dealer-mdwww.creativeprocess.infowww.oneplanetpodcast.org

On this episode, we are Staring at the World with Dr. Anna Lembke. Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is a diplomate of the American Board of Psychiatry and Neurology, and a diplomate of the American Board of Addiction Medicine. Dr. Lembke was one of the first in the medical community to sound the alarm regarding opioid overprescribing and the opioid epidemic. In 2016, she published her best-selling book on the prescription drug epidemic, "Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop" (Johns Hopkins University Press, 2016). Her book was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). "Drug Dealer, MD" combines case studies with public policy, cultural anthropology, and neuroscience, to explore the complex relationship between doctors and patients around prescribing controlled drugs. It has had an impact on policy makers and legislators across the nation. Dr. Lembke has testified before Congress and consulted with governors and senators from Kentucky to Missouri to Nevada. She has been a featured guest on Fresh Air with Terry Gross, MSNBC with Chris Hayes, and numerous other media broadcasts. Using her public platform and her faculty position at Stanford University School of Medicine, Dr. Lembke has developed multiple teaching programs on addiction and safe prescribing, as well as opioid tapering. She has held multiple leadership and mentorship positions and received the Stanford's Chairman's Award for Clinical Innovation, and the Stanford Departmental Award for Outstanding Teaching. Dr. Lembke continues to educate policymakers and the public about causes of and solutions for the problem of addiction A special thank you to our sponsor BeBOLD bars, all natural energy bars from the founder of Stacy‘s pita chips. Go to BeBOLDbars.com for 20% off your first order. Thank you, BeBold for celebrating bold voices!

Dr. Anna Lembke is a Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine. She is Medical Director of Stanford Addiction Medicine, Program Director for the Stanford Addiction Medicine Fellowship, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is the author of the New York Times Best Selling book, “Dopamine Nation: Finding Balance in the Age of Indulgence” where she explores the problem of compulsive overconsumption, including digital products, and how to achieve balance in a dopamine-overloaded world. She also previously published “Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop” which explored the impact and implication of prescribers contributing to the opioid epidemic (Zuger, 2018). Dr. Lembke appeared on the Netflix documentary “The Social Dilemma”, an unvarnished look at the impact of social media on our lives. Dr. Lembke has testified before Congress and consulted with governors and senators from Kentucky to Missouri to Nevada. She has been a featured guest on Fresh Air with Terry Gross, MSNBC with Chris Hayes, and numerous other media broadcasts. She continues to educate policymakers and the public about causes of and solutions for the problem of addiction.In this episode, we explore the impact of dopamine on the addiction of social media. Dr. Lembke provides examples of how access to social media has opened up opportunities for negative behavioral side effects, how users can protect themselves to engage in social media wisely, and what precautions apps should take to lessen the risk of addiction among their users. Let's get into it. To connect with Hillary, click here. Read more about Digital HQ here.For more episodes, go to SOCIALCOMPLEXPOD.COMProduced by You Lucky Dog Productions.

Benzodiazepines (often referred to as benzos) are often prescribed to treat anxiety, seizures, and sleep disorders. Some of the most common benzos include Xanax, Klonopin, Ativan, and Valium. In this episode, the Author of “Dopamine Nation” & “Drug Dealer, MD,” Psychiatrist & Stanford professor Dr. Anna Lembke, joins us to discuss the sleep-related drug benzos and why it's called a "Hidden Epidemic." Dr. Lembke notes that between 1990 and 2012, the rate of benzo use increased, leading to widespread addiction and overdose rates.Dr. Lembke discusses her journey as a therapist specializing in addictions and explains the risks associated with long-term benzodiazepine use and the process of helping patients get off these hugely addictive drugs.  Thankfully, the latest neuroscience research has allowed her and others to understand better what's happening in the brain as we become addicted and what happens when we embark on the process of getting off of them.Benzodiazepines cause many physical changes in your body and brain. These can be unpleasant and frightening, but they can also be eased off gradually & responsibly with the support of trained professionals. If you or someone you know is struggling with long-term benzodiazepines, you will want to listen to this episode!GUEST BIO: Anna Lembke, MD is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she is the author of more than a hundred peer-reviewed publications, has testified before the United States House of Representatives and Senate, has served as an expert witness in federal and state opioid litigation, and is an internationally recognized leader in addiction medicine treatment and education.In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018).  Dr. Lembke appeared in the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.  Her latest book, Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), was an instant New York Times bestseller and explores how to moderate compulsive overconsumption in a dopamine-overloaded world.SHOW NOTES: 

Dr. Anna Lembke is an American psychiatrist who is Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic at Stanford University. She is a specialist in the opioid epidemic in the United States, and the author of "Drug Dealer, MD, How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop" and "Dopamine Nation: Finding Balance in the Age of Indulgence", a New York Times bestseller. --- Support this podcast: https://anchor.fm/americas-talking/support

Anna Lembke, MD is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, and maintains a thriving clinical practice.In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Her new book, Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times bestseller, explores moderate compulsive overconsumption in a dopamine-overloaded world.Episode ResourcesDopamine Nation | Dopamine Nation BookConnect with The Courage to ChangePodcast Website | lionrock.life/couragetochangepodcastPodcast Instagram | @couragetochange_podcastYouTube | The Courage to Change PodcastTikTok | @ashleyloebblassingamePodcast Email | podcast@lionrock.lifePodcast Facebook | @thecouragetochangepodcastLionrock ResourcesLionrock Life Mobile App | lionrock.life/mobile-appSupport Group Meeting Schedule | lionrock.life/meetings

It seems clear to me, that if we are constantly striving to experience only pleasure we will certainly land in a hurting world of pain. Dopamine is a neurotransmitter (or chemical messenger, which the brain produces) that plays a big role in the experience of pleasure. Instant hits of pleasure can keep us hooked into a cycle of gratification that results in an escalating need for reward, but instead leads to anxiety and a thirst for satisfaction that is never fulfilled. Our brains produce chemical jolts that can be evoked by emoji text messages; Facebook “likes”; shopping excursions we cannot afford; as well as drugs, alcohol and sex. Many of these reward pathways are more accessible than ever, often keeping us constantly seeking more, without a lasting satiety. Listen to our conversation with Dr. Anna Lembke, M.D., Psychiatrist, Professor, Author.  She is Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic.  She is also the author of bestseller “Dopamine Nation: Finding Balance in the Age of Indulgence” as well as “Drug Dealer, MD, How Doctors were Duped, Patients Got Hooked, and Why It's So Hard to Stop”. Dr. Lembke's books help us to understand that brain chemicals are involved in a potentially dangerous reward pathway, especially where there is ease of access to ever intensifying stimulants/drugs and other activities that reinforce the pleasure cycle.  She explores meaningful strategies for withdrawing from pleasure, bringing balance through pain, or the capacity to tolerate discomfort. In her book “Dopamine Nation” she shares her own experience of getting hooked into reading paranormal vampire novels which took her down a pathway of ever intensifying reading content.  She is a beacon of hope in understanding the complicated and deep struggles of those ensnared in the path of addiction, whatever the brand. In her Ted Talk on the opioid epidemic and the connection to pain management, she is able to expose some of the drivers to over prescribing opioids, and the dangers related to this. She also goes over some socio-medico alternatives to more opioid prescribing. She offers insight into the pleasure-pain mechanism and how it is wired into our brains.  She also brings recognition towards the fact that in an overabundant world, where we are encouraged to incessantly seek pleasures; we reduce our capacity to remain quiet, content or peaceful within ourselves.  She explains that the richest countries in the world have the highest rates of addiction, suicide, and pain. Her book covers many examples of those struggling with addictions of various kinds and the dangers of avoiding pain of any kind.  She describes dopamine fasting and how profoundly beneficial this can be in resetting an overstimulated system to a greater place of balance. Links & Resources: Anna Lembke, MD: https://www.annalembke.com/ Ted Stanford University – Dr. Anna Lembke: https://tedx.stanford.edu/lineup/anna-lembke The Psychology of An Addict Explained by Dr. Anna Lembke: https://youtu.be/2-mWbVNpBMg The Social Dilabout:blankemma: https://www.netflix.com/ca/title/81254224 Rich Roll: The Neuroscience of Addiction: https://www.richroll.com/podcast/anna-lembke-623/ Anna Lembke – Wiki: https://en.wikipedia.org/wiki/Anna_Lembke Daily Motivation – The richest countries have the most misery: https://youtu.be/9Zd9qvJUr-o Materials to Reference: Resetting pleasure/pain balance through Dopamine Fasting Dr. Lembke: https://youtu.be/9Zd9qvJUr-o The Social Dilemma – Reclaim your screen time:  https://www.thesocialdilemma.com/reclaim-your-screen-time/ Andrew Huberman interviews Dr. Lembke:  https://www.youtube.com/watch?v=p3JLaF_4Tz8

In the episode I have the honour of speaking with Dr. Anna Lembke about why addiction is everyone's business and dive into the neuroscience of why this is the case and how we can tackle the dopamine response we all have give ourselves the best chance of avoiding and escaping addictive behaviours., be it alcohol, shopping, smartphone.  Anna Lembke, MD is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she is the author of more than a hundred peer-reviewed publications, has testified before the United States House of Representatives and Senate, has served as an expert witness in federal and state opioid litigation, and is an internationally recognized leader in addiction medicine treatment and education. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018).  Dr. Lembke appeared in the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.  Her latest book, Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021) was an instant New York Times bestseller and explores how to moderate compulsive overconsumption in a dopamine-overloaded world. Grab a cuppa and let's chat.  Kate x   

Anna Lembke is a psychiatrist, author, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic at Stanford University. Almost sadly, she is a specialist in the opioid epidemic in the United States and her books include Drug Dealer, MD, How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop. We talk a lot about her latest book Dopamine Nation. Our new single "Daniel, I'm Not Gonna Make It. Go Ahead Without Me" is coming out now! https://emery.ffm.to/daniel Pre-save our new album Rub Some Dirt On It now! Start streaming it June 24! https://emery.ffm.to/rsdoi We're going on tour and the VIP upgrade is on sale now at LabeledUniverse.com Join the BC Club for two bonus episodes! Go to thebcclub.com to join! Check out the new toys at Marriage Supply and get 10% off with code BCPOD! MarriageSupply.com

Lisa is joined by Anna Lembke, to talk about her book, Dopamine Nation: Finding Balance in the Age of Indulgence. Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is a diplomate of the American Board of Psychiatry and Neurology, and a diplomate of the American Board of Addiction Medicine.  Dr. Lembke was one of the first in the medical community to sound the alarm regarding opioid overprescribing and the opioid epidemic. In 2016, she published her best-selling book on the prescription drug epidemic, "Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop" (Johns Hopkins University Press, 2016). Her book was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). "Drug Dealer, MD" combines case studies with public policy, cultural anthropology, and neuroscience, to explore the complex relationship between doctors and patients around prescribing controlled drugs. It has had an impact on policy makers and legislators across the nation. Dr. Lembke has testified before Congress and consulted with governors and senators from Kentucky to Missouri to Nevada. She has been a featured guest on Fresh Air with Terry Gross, MSNBC with Chris Hayes, and numerous other media broadcasts.  Using her public platform and her faculty position at Stanford University School of Medicine, Dr. Lembke has developed multiple teaching programs on addiction and safe prescribing, as well as opioid tapering. She has held multiple leadership and mentorship positions and received the Stanford's Chairman's Award for Clinical Innovation, and the Stanford Departmental Award for Outstanding Teaching. Dr. Lembke continues to educate policymakers and the public about causes of and solutions for the problem of addiction. Her latest book, "Dopamine Nation: Finding Balance in the Age of Indulgence" (Dutton/Penguin Random House, August 2021), was an instant New York Times and Los Angeles Times bestseller, and explores how to moderate compulsive overconsumption in a dopamine-overloaded world. BOOK DESCRIPTION: Dopamine Nation: Finding Balance in the Age of Indulgence This book is about pleasure. It's also about pain. Most important, it's about how to find the delicate balance between the two, and why now more than ever finding balance is essential. We're living in a time of unprecedented access to high-reward, high-dopamine stimuli: drugs, food, news, gambling, shopping, gaming, texting, sexting, Facebooking, Instagramming, YouTubing, tweeting.... The increased numbers, variety, and potency is staggering. The smartphone is the modern-day hypodermic needle, delivering digital dopamine 24/7 for a wired generation. As such we've all become vulnerable to compulsive overconsumption. In Dopamine Nation, Dr. Anna Lembke, psychiatrist and author, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain…and what to do about it. Condensing complex neuroscience into easy-to-understand metaphors, Lembke illustrates how finding contentment and connectedness means keeping dopamine in check. The lived experiences of her patients are the gripping fabric of her narrative. Their riveting stories of suffering and redemption give us all hope for managing our consumption and transforming our lives. In essence, Dopamine Nation shows that the secret to finding balance is combining the science of desire with the wisdom of recovery. Learn more about your ad choices. Visit megaphone.fm/adchoices

Anna Lembke is a clinician scholar, having published more than 100 peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice.In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop, which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic. Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Dopamine Nation: Finding Balance in the Age of Indulgence, an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world.

This week on Comes A Time, Dr. Anna Lembke talks with Mike and Oteil about “digital drugs” and how they exploit our motivational neural pathways, the balance between pain and pleasure from a psychological standpoint, and why Dr. Lembke prefers natural, behavior-focused solutions over prescribed medication. The three also discuss physical manifestation of spiritual growth, and why it's helpful to treat our relationship with “digital drugs” the same way we treat our relationship with food. Dr. Lembke provides easily-applicable insights on the functionality of the brain that can transform negative habits into positive superpowers- you've gotta hear what she has to say!Dr. Anna Lembke is a Professor and the Medical Director of Addiction Medicine at Stanford University. She was one of the first in the medical community to sound the alarm regarding opioid overprescribing, and she's been a featured guest on Fresh Air with Terry Gross, MSNBC with Chris Hayes, and numerous other media broadcasts discussing her work in researching addiction. In 2016 she published her best-selling book on the prescription drug epidemic, Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop, which was highlighted in the New York Times. Using her public platform and her faculty position at Stanford, Dr. Lembke continues to educate policymakers and the public about causes of and solutions for the problem of addiction.-----------*DISCLAIMER: This podcast does NOT provide medical advice. The information contained in this podcast is for informational and entertainment purposes only. No material in this podcast is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen*-----------This podcast is available on Apple Podcasts, Spotify, or wherever you get your podcasts. Please leave us a rating or review on iTunes!Comes A Time is brought to you by Osiris Media. Hosted and Produced by Oteil Burbridge and Mike Finoia. Executive Producers are Christina Collins and RJ Bee. Production, Editing and Mixing by Eric Limarenko and Matt Dwyer. Theme music by Oteil Burbridge. Production assistance by Matt Bavuso. To discover more podcasts that connect you more deeply to the music you love, check out osirispod.com-------Head to SKULLANDROSES.COM to grab tickets for the Skull & Roses festival to see Oteil & Friends and so much more!Visit SunsetlakeCBD.com and use the promo code TIME for 20% off premium CBD productsVisit BetterHelp.com/ComesaTime to get 10% off your first month of professional, online therapyVisit GradysColdBrew.com and use promo code TIME for 20% off your first order See acast.com/privacy for privacy and opt-out information.

This week on Comes A Time, Dr. Anna Lembke talks with Mike and Oteil about “digital drugs” and how they exploit our motivational neural pathways, the balance between pain and pleasure from a psychological standpoint, and why Dr. Lembke prefers natural, behavior-focused solutions over prescribed medication. The three also discuss physical manifestation of spiritual growth, and why it's helpful to treat our relationship with “digital drugs” the same way we treat our relationship with food. Dr. Lembke provides easily-applicable insights on the functionality of the brain that can transform negative habits into positive superpowers- you've gotta hear what she has to say! Dr. Anna Lembke is a Professor and the Medical Director of Addiction Medicine at Stanford University. She was one of the first in the medical community to sound the alarm regarding opioid overprescribing, and she's been a featured guest on Fresh Air with Terry Gross, MSNBC with Chris Hayes, and numerous other media broadcasts discussing her work in researching addiction. In 2016 she published her best-selling book on the prescription drug epidemic, Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop, which was highlighted in the New York Times. Using her public platform and her faculty position at Stanford, Dr. Lembke continues to educate policymakers and the public about causes of and solutions for the problem of addiction. ----------- *DISCLAIMER: This podcast does NOT provide medical advice. The information contained in this podcast is for informational and entertainment purposes only. No material in this podcast is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen* ----------- Visit SunsetlakeCBD.com and use the promo code TIME for 20% off premium CBD products Learn more about your ad choices. Visit megaphone.fm/adchoices

Season 2 Episode # 21 Dr. Anna Lembke coming from Palo Alto, CaliforniaYou can find Dr. Lembke via her website annalembke.comDr. Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice.In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop.  Drug Dealer was highlighted in the New York Times as one of the top five books to read to gain an understanding of the opioid epidemic. Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.  Her most recent book, Dopamine Nation: Finding Balance in the Age of Indulgence was an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world.  TOTD – “It is not our perfection, but our willingness to work together to remedy our mistakes that creates the intimacy we crave.”  Dr. Anna LembkeIn this episode:What was life like growing up?Appreciated your vulnerability in the book with sharing your story…In preparing for this episode, I listened to you on another show and you mentioned you are most proud of your children.   What did you mean specifically? What are your Life's Essential Ingredients?Pleasure and pain pathway and the influence of dopamine Neurotransmitters  SELF-BINDING as a barrier, please explainLeisure hours projected to be 7.2 hours per day by 2040HORMESIS – studies that show the beneficial effects of administering small to moderate doses of painful stimuli – live example, MIKE HAS a thumb tact he is going to continually poke himself with as Dr. Lembke guides us on the benefits of Mike's actionsTolerance to the impact of 24/7 dopamine - Living in a world of abundance with 24/7 access to Dopamine, how do you suggest we maintain homeostasis?DOPAMINE FASTLegacyThanks for listening and enjoy the show!

Anna Lembke is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She sits on the board of several state and national addiction-focused organizations. She is the author of Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop, and most recently she released her second book, Dopamine Nation: Finding Balance in the Age of Indulgence, which became an instant New York Times Bestseller! Addiction is a serious problem in the US. From the obvious - like drugs & alcohol - to the less obvious, collective addiction we have to technology in the form of video games, social media, screen time, etc. We are on the fast track to total dependence. Anna and I discussed: What a dopamine deficit state is What is the clinical criteria or definition for addiction? How kids will be impacted by screens in 10-20 years from now Her part on the Netflix documentary 'The Social Dilemma' Why porn addiction is less talked about than other addictions Can addiction be used in a positive way? Why does pleasure diminish over time? Social media addiction The social impact of being online too much And much, much more... Anna Lembke My Take: We are all addicted to something, constantly looking for our next dopamine fix. We can't escape technology but we can control what we use, how we use it, and how often we use it. Everything in moderation - easy to say, hard to implement - I know. This is an important topic to discuss, as addictions are currently ravaging the nation and the world on multiple fronts. How To Start A Podcast Support The Podcast

Professor Anna Lembke is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice.In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world.Dopamine Nation BookAmazon US:Amazon AUS:Andrew Huberman x The Story Box Support this show http://supporter.acast.com/thestorybox. See acast.com/privacy for privacy and opt-out information.

Today, I have a special guest, Anna Lembke, MD, a Professor/Clinical Researcher at Stanford University and author of the best-selling book Dopamine Nation - Finding Balance in the Age of Indulgence. We dig deep into the behaviors of addiction and its relationship with the neurotransmitter dopamine. It is no secret that not only in America, but the world, humans are fighting what appears to be a losing battle with addiction in various forms. I hope that with the information in this episode, those battling addiction will better understand what is causing it and, most importantly, how to fix it. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.  Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world. Topics Discussed: A bit about Doctor LembkeWhat is the roll of the Stanford University Addiction Medicine Dual Diagnosis ClinicWhat is dopamine and how does it affect our day to day livesHow did Americans become addicted to dopamine dumpsHow does dopamine play a large roll in addictionDoctor Lembke shares her own battle with addiction and her experience with Prozac as a young adultWhy and how has America become addicted to drugs and fast food, and why is it on the riseHow has a lack of discipling children led to our current situation of it is “not my fault.”What is the pleasure/pain balance and how does it affect usWhy is being constantly exposed to pain and adversity key for a happy and successful lifeWhy does America lead the world in the consumption of anti-depressantsThe question of is it a “lack of self care or mental illnessWhy do rich countries have a higher rate of “anxiety disorders” than poor countriesWhy are in the most pain and unhappiness even though being the most prosperousHow and why the opioid epidemic caused far more pain than helping people deal with chronic painHow a drug like cocaine can alter the brains neurologic pathways foreverWhat is “Radical Honesty” the key for winning the battle with addiction and living a life of moral characterHow the way we portray ourselves in personal stories determines our mental health Episode Resources: Doctor Lembke's website and where to purchase her books: https://www.annalembke.com/The Simple Life Website: https://www.thesimplelifenow.com Make sure to signup and be a member of The Simple Life Insider's Circle at: https://www.thesimplelifenow.com/the-simple-life/

Anna Lembke says we are becoming a nation of addicts. She makes that pretty clear in her books with titles like Dopamine Nation: Finding Balance In The Age Of Indulgence and Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, And Why It's So Hard To Stop.Her argument is in a world where we're constantly chasing pleasure, it's not just that we're using up our dopamine and then we go back to baseline. It's that there's a price to pay for every pleasure. Anna Lembke is a Professor of Psychiatry at Stanford University School of Medicine, and joins Greg today to talk about what being an addict in our modern, digital world really means; touching on America is a nation of pain, opioids, identity in illness narratives, and the balance of pain, pleasure and homeostasis.Episode Quotes:A bit on Dopamine Nation:Almost everything has become drugified. It's not just that medications are incredibly potent. it's that everything's become more potent or novel, more accessible. Large to even infinite quantities. So it's not just that we're all vulnerable to addiction because of pharmaceuticals, we're vulnerable to addiction because investing money has become gamified and addictive. Playing games has become addictive. Reading - the combination of the formula of storytelling, plus the technology of e-readers has made reading potentially a drug. So the point really is that we're surrounded by feel good drugs and behaviors. The pursuit of pleasure can destroy our capacity for it:Dopamine is like money in the bank. And if you spend all that money, and then you want to keep going, you have to borrow money. And then you go into debt and that's that dopamine deficit state. And you can only do that for so long before people won't lend you money anymore. And then you're really in trouble. So it's this idea that, it's not just that we're using up the dopamine and then we go back to baseline. It's that there's a price to pay for every pleasure. How can we minimize the likelihood of addiction?:I think we have to go out into the world today with an appreciation that almost everything has been engineered to be addictive. And to have us consume more of it than is actually healthy for us. Desire is healthy. So this is not to say that we should never use intoxicants or that we should never play video games or never use pornography, but we need to go into those endeavors with a full on awareness that they are inherently addictive, that they were made to be that way. And that really anybody is vulnerable. Show Links:Guest Profile:Anna Lembke's WebsiteAnna Lembke on LinkedinAnna Lembke on TwitterFaculty Profile at Stanford UniversityAnna Lembke on TEDXStanfordHer work:Dopamine Nation: Finding Balance in the Age of IndulgenceDrug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop

Our world is increasingly designed to addict us. What is happening in our brains when we are hooked and what can we do about it? In this episode, Dr. Anna Lembke and Dr. Diana Hill explore the neuroscience of addiction, and how we've become addicted to everything from sex, to food, to our smartphones. Anna and Diana also share their personal experiences with addiction and effective strategies to help you get your life and your brain back into balance.  About Dr. Anna LembkeAnna Lembke, MD is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. She is the author of Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop, recently appeared on the Netflix documentary The Social Dilemma, is her new book, Dopamine Nation: Finding Balance in the Age of Indulgence was an instant New York Times bestseller. Episode Segments[00:00] - Introduction [00:28] - About Anna Lembke [02:44] - The Neuroscience of Addiction [10:29] - How Addiction Definitions Have Changed [14:32] - What Makes You At Greater Risk For Addiction? [18:48] - Are We Addicted to Productivity? [20:56] - How To Get Unhooked [25:36] - Why Give It 30 Days [29:28] - How Do We Prevent Technology Addiction in Kids? [39:11] - What Is Self-binding? [45:46] - Dr. Lembke's Personal Recovery [49:01] - Pressing On the Pain Side with Hormesis [54:41] - Your Daily Practice [56:42] - Connect With The Podcast Key TakeawaysThere are common biological and psychosocial processes that underlie addictions Pain and pleasure are co-located in the brain. Pain and pleasure work on opposite sides of a balance. When we press on the pleasure side of the balance, our brain adapts by increasing the pain side of the equation. We feel awful, which then triggers us to seek out more pleasure. You can become addicted to any substance or behavior that releases dopamine. Most things in our modern world have been “drugified” to increase dopamine release. Two strategies to reset your dopamine brain balance are a 30-day detox and self-binding. Technology overuse at a young age can lead to kids missing out on important developmental tasks like moving their bodies, social skills, enjoying time in nature, and distress tolerance. Relevant Resources Mentionedhttps://drdianahill.com/extras/ (Download your Daily Process for Episode 2 Here) Read https://bookshop.org/books/dopamine-nation-finding-balance-in-the-age-of-indulgence/9781524746728 (Dopamine Nation by Anna Lembke) Check out Diana's https://drdianahill.com/the-sweet-spot-with-paul-bloom/ (Interview with Paul Bloom), author of The Sweet Spot https://drdianahill.com/ (Get your free ACT Daily Vision Board at drdianahill.com)  Read about https://www.psychologytoday.com/us/blog/striving-thriving/202111/why-choosing-pain-may-be-key-meaningful-life (Why Choosing Pain May Be a Key to a Meaningful Life) Thank you for listening to Your Life in Process! If you have any questions or feedback you can email me, send me a voice message at (805) 457-2776, or message me on http://instagram.com/drdianahill (Instagram). Remember when you become psychologically flexible, you become free. Subscribe for free on https://podcasts.apple.com/us/podcast/your-life-in-process/id1596820706 (Apple Podcasts), https://open.spotify.com/show/1Kpkt3xGpyZm5UQYMKu4Uo (Spotify), https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5jYXB0aXZhdGUuZm0veW91ci1saWZlLWluLXByb2Nlc3Mv (Google Podcasts) Follow Diana on https://www.youtube.com/drdianahill (YouTube) Follow Diana on...

This week's conversation is with Dr. Anna Lembke, a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. Anna sits on the board of several state and national addiction-focused organizations.In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop, which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic. Anna appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.She's also the author of the recently published, Dopamine Nation: Finding Balance in the Age of Indulgence, which explores how to moderate compulsive overconsumption in a world where feeling good is the highest good.----Please support our partners!We're able to keep growing and creating content for YOU because of their support. We believe in their mission and would appreciate you supporting them in return!!To take advantage of deals from our partners, head to http://www.findingmastery.net/partners where you'll find all discount links and codes mentioned in the podcast. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Anna Lembke is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world. Join Dr. Laurie in her Q&A about reversing chronic disease, forming good habits, setting the proper mindset, and much more! The Q&A will be on Tuesday (Dec 7) at 1:00 pm MT on the Wisdom app: https://joinwisdom.audio/drlauriemarbas To connect with Dr. Lembke: https://www.annalembke.com/

Gill welcomes Dr. Anna Lembke to the podcast. Dr. Lembke is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. Her new book, Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world. In this episode, you'll learn:How whatever perceived positives alcohol is bringing to your life (like less anxiety) with repeated use, alcohol causes or worsens the very thing you are trying to improveWhy alcohol isn't actually your best friend or the only thing that is helping you Why a 7-14 day break isn't long enough to see the truth about your drinkingHow taking 30 days off can significantly improve your mental health for the majority of peopleWhy doctors are hesitant to ask about alcohol and drug useWays to evaluate the amount of alcohol you're consumingHow long does it take to restore balance in the brain How to set expectations in sobriety Sobriety obsession: can we get addicted to sobriety?In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Get your copy of Dopamine Nation hereWhat to listen to next:E62: Dopamine and AddictionAs a listener of Sober Powered you get special discounts from my sponsors! Thank you for supporting the show by supporting my sponsors!Exact Nature is giving you 20% off all of your future orders with the code SP20.  Click here to learn more or visit www.exactnature.com Sign up to get emails from me. I send out a preview of the next podcast episode every Thursday.Check out new YouTube channel, new videos every Tuesday.  Please subscribe! Sources are posted here.Follow Sober Powered on Instagram for more education and inspirationJoin the Sober Powered Facebook Group for extra supportAnd if you're enjoying this podcast, please use this link to leave a review on iTunes. This podcast takes so much effort and work to create, and each review increases the possibility that this podcast can be seen by people who may need it.  Disclaimer: all of the information described in this podcast is my interpretation of the research combined with my opinion.Support the show (https://www.buymeacoffee.com/soberpowered)

Anna Lembke, the author of Dopamine Nation, joins Dr. Trish Leigh to discuss intriguing topics like masturbation, porn consumption, the neuroscience of addiction, cravings, euphoric recall, and much more.Anna Lembke is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice.In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world. Support the show (https://www.patreon.com/pornbrainreboot)

In this podcast we talk with Anna Lembke, MD  about her new book Dopamine Nation: Finding Balance in the Age of IndulgenceWe cover topics like:What can everyday people learn from recovering addicts in a dopamine-saturated world?How do you stay balanced in a world of consumption and excess?What role does pain play in keeping the body balanced?Anna Lembke, MD is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice.In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Her new book, Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world.

Are you addicted? You may be a slave to dopamine without realising it, whether in the substances you put into your body or the behaviors you adopt. Anna Lembke, author of Dopamine Nation, joins Vasant Dhar in episode 26 of Brave New World to discuss how we can beat this. Useful resources: 1. Anna Lembke's website. 2. Dopamine Nation: Finding Balance in the Age of Indulgence -- Anna Lembke. 3. Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop -- Anna Lembke. 4. Digital Addictions Are Drowning Us in Dopamine -- Anna Lembke. 5. Is Social Media Hijacking our Minds? -- Anna Lembke and Nir Eyal. 6. How Social Media Threatens Society -- Episode 8 of Brave New World (w Jonathan Haidt). 7. True self and false self (Wikipedia). 8. Ego Distortion in Terms of True and False Self (1960) -- Donald Winnicott. 9. Daniel Kahneman on How Noise Hampers Judgement -- Episode 21 of Brave New World. 10. How I Became Extremely Open-Minded -- Ross Douthat.

This week, we talk with with Anna Lembke, a clinician scholar and leading global expert in addiction. Anna recently appeared in the Netflix Documentary, The Social Dilemma, and in August 2021, released the book Dopamine Nation, exploring how to moderate compulsive overconsumption in a dopamine-overloaded world. Her view is that, for many of us, our technology use is contributing to our pleasure-seeking habits, tipping our neurological balance and making us miserable. This is an episode rooted in science, which is too important to ignore. We discuss: Why it is fair and important to use the term 'digital addiction' The role of dopamine on our brains and why it gets us hooked How our 'tolerance' to using technology will naturally increase overtime, leaving us wanting more quantity or potency in our digital experiences The mechanisms within technology that keep us hooked Why it is easier than ever before to get distracted Why digital detoxes are necessary How to use technology in a more balanced way And why, for the sake of our brains, we should ignore distraction and turn towards pain Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016). Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overloaded world. To learn more about Anna: https://www.annalembke.com/ Host and Producer: Georgie Powell https://www.sentientdigitalconsulting.com/ Music and audio production: Toccare https://spoti.fi/3bN4eqO

Many of us tend to think of an addict as someone who compulsively abuses things like alcohol, drugs or sex. But today most of us have an imbalanced attachment to something or the other and are caught up in an endless pursuit of pleasure and dopamine hits. It could be social media, or Netflix, food, or shopping. Or maybe it is validation from others or we are hooked to the sensationalist news cycle. And when we are honest to ourselves, we often don't feel good at all and feel trapped in compulsive overconsumption. My guest today is Dr. Anna Lembke, a psychiatrist working and Stanford University She is the Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic at Stanford University School of Medicine and is a psychiatrist expert in treating addictions of all kinds: drugs, alcohol, food, sex, video games, gambling, food, and medication. In her book, Dopamine Nation, Finding Balance in the Age of Indulgence, she dives deep into the biology and psychology of why we become addicted to certain behaviors and substances and the role dopamine plays in creating addictions and how we can overcome them. And she also explains the connection between pleasure and pain and why it is important to keep a balance in order to be healthy mentally and physically. In this episode, you'll learn: -What dopamine is and how it works in the human body...03:45 -Why certain things are more addictive than others and why we should take note how we no longer turn towards each other to meet our needs...07:00 -The homeostasis dance between co-located pleasure and pain..09:45 -The 3 Cs of addiction: Control, Compulsion, and Consequences...12:30 -Dopamine Deficit State: our overindulgent Western culture is a factor in widespread anxiety and depression...15:30 -Press on the pain center and lean into challenging things to reset the pleasure center...18:30 About the guest: Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is a diplomate of the American Board of Psychiatry and Neurology, and a diplomate of the American Board of Addiction Medicine.  Dr. Lembke was one of the first in the medical community to sound the alarm regarding opioid overprescribing and the opioid epidemic. In 2016, she published her best-selling book on the prescription drug epidemic, "Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop" (Johns Hopkins University Press, 2016). Her book was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). "Drug Dealer, MD" combines case studies with public policy, cultural anthropology, and neuroscience, to explore the complex relationship between doctors and patients around prescribing controlled drugs. It has had an impact on policy makers and legislators across the nation. Dr. Lembke has testified before Congress and consulted with governors and senators from Kentucky to Missouri to Nevada. She was a featured guest on Fresh Air with Terry Gross, MSNBC with Chris Hayes, and numerous other media broadcasts.  Using her public platform and her faculty position at Stanford University School of Medicine, Dr. Lembke has developed multiple teaching programs on addiction and safe prescribing, as well as opioid tapering. She has held multiple leadership and mentorship positions and received the Stanford's Chairman's Award for Clinical Innovation, and the Stanford Departmental Award for Outstanding Teaching. Dr. Lembke continues to educate policymakers and the public about causes of and solutions for the problem of addiction. Look for her new book, "Dopamine Nation: Finding Balance

Is there a relationship between pain and pleasure? Join us as we welcome back Dr. Anna Lembke to talk about her latest book, Dopamine Nation: Finding Balance in the Age of Indulgence, how to manage compulsive overconsumption in a world riddled with digital dopamine and the relationship between pain and pleasure.Dr. Anna Lembke is a professor in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine and Chief of the Stanford Addiction Medicine Clinic. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop, highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic. Her newest book, Dopamine Nation: Finding Balance in the Age of Indulgence explores how to moderate compulsive overconsumption, including digital products, in a world where feeling good is the highest good.In the Adjusted Reality podcast, well-known athletes, celebrities, actors, chiropractors, influencers in the wellness industry, and other podcasters will talk with host Dr. Sherry McAllister, president, F4CP, about their experiences with health and wellness. As a special gift for listening today visit f4cp.org/health to get a copy of our mind, body, spirit eBook which focuses on many ways to optimize your health and the ones you love without the use of drugs or surgery. Follow Adjusted Reality on Instagram.Find A Doctor of Chiropractic Near You.

“We are living in a world that primes us all for the problem of addiction. So even though some people come into this world more vulnerable than others, simply being alive in the world today has made us all vulnerable to the problem of addiction,” so says our guest today, Dr. Anna Lembke. Dr. Lembke is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. An expert in all things addiction, Dr. Lembke has published more than a hundred peer-reviewed papers, book chapters, and commentaries; she sits on the board of several state and national addiction-focused organizations, has testified before various Congressional Committees, and does so all while maintaining a thriving clinical practice.  On today's episode, we discuss her instant New York Times Bestseller, Dopamine Nation: Finding Balance in the Age of Indulgence, which explores the many faces of addiction. Dr. Lembke notes that addiction is a spectrum disorder, and though we often attempt to otherize “addicts”, the exact same mental machinery engaged in so-called severe addiction is engaged in the compulsive over-consumption that afflicts many of us. We discuss the way in which our brain is wired to balance pleasure and pain and how to know when our consumption has crossed from healthy, recreational use to addictive, maladaptive use. Finally, Dr. Lembke leaves us with some strategies for recalibrating our neural-balance, including the perhaps counterintuitive remedy of exposing ourselves to pain in order to treat our pain.  EPISODE HIGHLIGHTS: Identifying the risk factors for addiction…(5:53) The balance between pleasure and pain…(11:45) The Dopamine Guideposts…(18:49)  Finding healing stories and re-calibrating the neuro-plasticity of the brain…(28:21) MORE FROM ANNA LEMBKE: Anna Lembke's Website Dopamine Nation: Finding Balance in the Age of Indulgence Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop Learn more about your ad choices. Visit podcastchoices.com/adchoices

Welcome to the #SPAITGIRL Talk Show with Yvette Le Blowitz EP.150 - Dopamine Nation: Finding Balance in the Age of Indulgence w/Dr Anna Lembke, MD, Psychiatrist, New York Times Bestselling Author Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic.   A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps and active speaking calender, and maintains a thriving clinical practice. In 2016, she published Drug Dealer, MD - How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop(John Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021), an instant New York Times Bestseller, explores how to moderate compulsive overconsumption in a dopamine-overload world. We're living in a time of unprecedented access to high-reward, high-dopamine stimuli: drugs, food, news, gambling, shopping, gaming, texting, sexting, Facebooking, Instagramming, YouTubing, tweeting - the increased numbers, variety and potency is staggering. The smartphone is the modern-day hypodermic needle, delivering digital dopamine 24/7 for a wired generation.  As such we've all become vulnerable to compulsive overconsumption. In Dopmaine Nation, Dr. Anna Lembke, psychiatrist and author, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain and what to do about it. Condensing complex neuroscience into easy-to-understand metaphors, Lembke illustrates how finding contentment and connectedness means keeping dopamine in check. The lived experiences of her patients are the gripping fabric of her narrative.  Their riveting stories of suffering and redemption give us all hope for managing our consumption and transforming our lives. In this podcast episode 150  Yvette Le Blowitz Podcast Host sits down with Dr Anna Lembke, MD  who shares more about Dopamine Nation and the secret to finding balance in the Age of Indulgence. In Podcast Episode 150 Dr Anna Lembke, MD shares: - a little bit about herself - what her new book Dopamine Nation is all about - what is Dopamine explained - the neuroscience of addiction - healthy Dopamine habits vs unhealthy Dopamine habits - how to overcome addiction  - social media, computer games, drugs, food, gambling, shopping, texting, sexting, gaming, Facebooking, Instagramming, YouTubing, tweeting, news, food why are we getting so hooked as a nation? and what can we do about it? - how to find contentment and connectedness to keep dopamine in check - mindfulness and the benefits of practicing it - how to find balance - what her own self-care rituals are Plus we talk about so much more  Get Ready to TUNE IN ------- Tune into Episode 150 Episode 150 - #spaitgirl talk show with Yvette Le Blowitz  available on Apple, Spotify, Google, Audible, Libysn - all podcast apps search for #spaitgirl on any podcast app or on google  -------- Available to watch on Youtube Channel - Spa it Girl or Yvette Le Blowitz subscribe to my youtube channels in support  ------ JOIN OUR #SPAITGIRL BOOK CLUB Buy a copy of Dopamine Nation by Anna Lembke search via Booktopia our affiliated online book store  *click here Hashtag #spaitgirlbookclub //#spaitgirl + tag @spaitgirl - when reading your book  --- STAY IN TOUCH   Podcast Guest Dr Anna Lembke, MD  Psychiatrist - NYT Bestselling Author  Website: www.annalembke.com ------ Podcast Host  Yvette Le Blowitz  Instagram @yvetteleblowitz Website www.yvetteleblowitz.com ------- Become a Podcast Show Sponsor #SPAITGIRL  www.spaitgirl.com Email: info@spaitgirl.com with your proposal -- JOIN OUR #SPAITGIRL Community  Follow on Instagram: @spaitgirl Sign Up to Mailing List: www.spaitgirl.com Search for #spaitgirl on any podcast app, youtube and subscribe  ------- HOW TO SUPPORT The #SPAITGIRL Podcast Show  Practice a Little Random Act of Kindness  - subscribe to the #spaitgirl podcast show on any podcast app  - leave a 5* rating and review  - tell someone about the #spaitgirl podcast show - share your favourite episode - tag @spaitgirl in your stories - hashtag #spaitgirl to share the show &  Together "Let's Feel Good From Within" and #makefeelinggoodgoviral ---- #mentalhealthpodcast #mentalhealth #mentalhealthawareness #anxiety #anxietyawareness #anxietyrelief #anxietypodcast #selfcare #selfcaretips #addiction #recovery #book #books #selfhelpbook #selfhelpbooks #selfhelpauthor #selfhelp #selfimprovement #health #healthpodcast #personaldevelopment #support #DrAnnaLembke #psychiatrist #bestsellingauthor #Author #NewYorkTimesBestSellingAuthor #selfcaretips #exercise #fitness #brain #neuroscience #neuroscientist #healthandwellness #YvetteLeBlowitz #spaitgirlpodcast #spaitgirl #spaitgirltalkshowwithYvetteLeBlowitz #socialmedia #detox #socialmediadetox #healthyliving #kidsmentalhealth ---- Please note - Affiliated Links included in this spaitgirl.com blog post includes affiliated links with Amazon.com and booktopia.com.au- should you order any books from Amazon.com or Booktopia.com.au via the links contained in this blog post spaitgirl.com will receive a small paid commission fee from the online book stores.  Please note - The information in this podcast is a general conversation between the podcast host and podcast guest and is not intended to replace professional medical advice and should not be considered a substitute for medical treatment or advice from a mental health professional.  Use of any of the material in this podcast show is always at the listeners discretion.   The podcast host and guest accept no liability arising directly or indirectly from use or misuse of any of the information contained in this podcast show and podcast episode conversation, or any trauma triggered or associated with it. 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Anna Lembke is an American psychiatrist who is Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic at Stanford University. She is a specialist in the opioid epidemic in the United States, and the author of The Dopamine Nation, Drug Dealer, MD, How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop. Buy Anna's book, Dopamine Nation: https://amzn.to/3bp7CHo Special perks for our listeners below! ➢Vuori Performance Apparel: Visit https://vuoriclothing.com/powerproject to automatically save 20% off your first order! ➢Magic Spoon Cereal: Visit https://www.magicspoon.com/powerproject to automatically save $5 off a variety pack! ➢8 Sleep: Visit https://www.eightsleep.com/powerproject to automatically save $150 off the Pod Pro! ➢Marek Health: https://marekhealth.com Use code POWERPROJECT15 for 15% off ALL LABS! Also check out the Power Project Panel: https://marekhealth.com/powerproject Use code POWERPROJECT for $101 off! ➢LMNT Electrolytes: http://drinklmnt.com/powerproject ➢Piedmontese Beef: https://www.piedmontese.com/ Use Code "POWERPROJECT" at checkout for 25% off your order plus FREE 2-Day Shipping on orders of $150 Subscribe to the Podcast on on Platforms! ➢ https://lnk.to/PowerProjectPodcast Subscribe to the Power Project Newsletter! ➢ https://bit.ly/2JvmXMb Follow Mark Bell's Power Project Podcast ➢ Insta: https://www.instagram.com/markbellspowerproject ➢ https://www.facebook.com/markbellspowerproject ➢ Twitter: https://twitter.com/mbpowerproject ➢ LinkedIn:https://www.linkedin.com/in/powerproject/ ➢ YouTube: https://www.youtube.com/markbellspowerproject ➢TikTok: http://bit.ly/pptiktok FOLLOW Mark Bell ➢ Instagram: https://www.instagram.com/marksmellybell ➢ Facebook: https://www.facebook.com/MarkBellSuperTraining ➢ Twitter: https://twitter.com/marksmellybell ➢ Snapchat: marksmellybell ➢Mark Bell's Daily Workouts, Nutrition and More: https://www.markbell.com/ Follow Nsima Inyang ➢ https://www.breakthebar.com/learn-more ➢YouTube: https://www.youtube.com/c/NsimaInyang ➢Instagram: https://www.instagram.com/nsimainyang/?hl=en ➢TikTok: https://www.tiktok.com/@nsimayinyang?lang=en Follow Andrew Zaragoza on all platforms ➢ https://direct.me/iamandrewz #PowerProject #Podcast #MarkBell

Anna Lembke is medical director of Stanford Addiction Medicine, program director for the Stanford Addiction Medicine Fellowship, and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she is a professor of psychiatry at Stanford and has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. She is a well sought after speaker on the subject of addiction. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic. Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Her book Dopamine Nation: Finding Balance in the Age of Indulgence was released last month and it explores how to moderate compulsive overconsumption in a world where feeling good is the highest good. Today we talk to Anna about Food Addiction. She not only believes in Food Addiciton she feels that in our modern day scientifically hijacked, excessively accessible food world that it is likely EVERYONE has a disordered relationship with eating and food. How could we not?? She believes these foods are drugs and she validated the withdrawal and detox that comes with removing these foods and choosing to abstain from them when we start to seek Food Addiction recovery. She speaks to the pleasure/pain balance and how this plays a role in understanding our compulsive, addictive behaviours around food. She shares her experiences of working with individuals with food addiction and why food can be one of the most challenging addicitons to overcome We discuss the importance of getting through those first 30days and some strategies for staying safe in the initial period of removing the substances from our lives Why it's so important to act in a way that's opposite to what you are feeling. How social media drufigys human connection. The importance of practicing radical honesty and how it rewires our brain to stimulate connections between the prefrontal cortex and our reward pathway And whether she believes that food addiction should and will be recognized in the near future in the DSM. This episode is filled with helpful insights into the disease of addiction and tools you can use to help you recover. We hope that YOU enjoy it as much as we were honoured to sit in on it! Follow Anna: https://www.annalembke.com The content of our show is educational only. It does not supplement or supersede the professional relationship and direction of your healthcare provider. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

Dopamine Nation In today's episode, I speak with Dr. Anna Lembke, psychiatrist and author of Dopamine Nation: Finding Balance in the Age of Indulgence. We're living in a time of unprecedented access to high-reward, high-dopamine stimuli: drugs, food, news, gambling, shopping, gaming, texting, sexting, Facebooking, Instagramming, YouTubing, tweeting… The increased numbers, variety, and potency are staggering. we've all become vulnerable to compulsive overconsumption. Anna helps explain how Dopamine works and the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain. Most important, Anna helps us understand how we can find the delicate balance between the two. Books by Anna Dopamine Nation: Finding Balance in the Age of Indulgence Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop Guest Bio. Anna Lembke is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.

King13 Interviews Dr Anna Lembke and her book "Dopamine Nation" Anna Lembke is an American psychiatrist who is Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic at Stanford University. She is a specialist in the opioid epidemic in the United States, and the author of Drug Dealer, MD, How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop. Her new book, a New York Times bestseller, Dopamine Nation: Finding Balance in the Age of Indulgence, was released in August 2021. Lembke appeared in the 2020 Netflix documentary The Social Dilemma. This book is about pleasure. It's also about pain. Most important, it's about how to find the delicate balance between the two, and why now more than ever finding balance is essential. We're living in a time of unprecedented access to high-reward, high-dopamine stimuli: drugs, food, news, gambling, shopping, gaming, texting, sexting, Facebooking, Instagramming, YouTubing, tweeting… The increased numbers, variety, and potency is staggering. The smartphone is the modern-day hypodermic needle, delivering digital dopamine 24/7 for a wired generation. As such we've all become vulnerable to compulsive overconsumption.   In Dopamine Nation, Dr. Anna Lembke, psychiatrist and author, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain…and what to do about it. Condensing complex neuroscience into easy-to-understand metaphors, Lembke illustrates how finding contentment and connectedness means keeping dopamine in check. The lived experiences of her patients are the gripping fabric of her narrative. Their riveting stories of suffering and redemption give us all hope for managing our consumption and transforming our lives. In essence, Dopamine Nation shows that the secret to finding balance is combining the science of desire with the wisdom of recovery.Dopamine Nation: Finding Balance in the Age of Indulgence Dopamine Nation: Finding Balance in the Age of Indulgence   No Sippy No Slippy. Not Another Drop No matter What.   Remember to Pour The Poison Down The Sink!!      Sobertownpodcast.com

From your nervous system's view, our culture is swimming in dopamine. Porn, binging junk food, video games, "retail therapy"—things from the innocent to the insidious light our brains up with dopamine, and we often wind up more than one addiction. But how? Addiction to anything is never easy to unpack, so I sat down with the amazing Dr. Anna Lembke for a deep dive into dopakine; how our brain balances pleasure and pain, how it relates to trauma, and how we need to acknowledge the fact that we living in a "drugified" world. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.  Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021) explores how to moderate compulsive overconsumption in a world where feeling good is the highest good.   Connect with Dr. Lembke -Website: https://www.annalembke.com/ -Book: Dopamine Nation: https://www.annalembke.com/dopamine-nation -Book: Drug Dealer, MD: https://www.annalembke.com/drug-dealer-md Did you enjoy the podcast? If so, please leave us a review on Apple Podcasts, Stitcher, or Podchaser. It helps us get into the ears of new listeners, expand the ManTalks Community, and help others find the self-leadership they're looking for. Are you looking to find purpose, navigate transition, or fix your relationships, all with a powerful group of men from around the world? Check out The Alliance and join me today.  Check out our Facebook Page or the Men's community. Subscribe on Apple Podcasts | Google Podcasts  | Spotify For more episodes visit us at ManTalks.com | Facebook | Instagram | Twitter    Editing & Mixing by: Aaron The Tech See omnystudio.com/listener for privacy information.

Welcome back to the Neuroscience Meets Social and Emotional Learning Podcast EPISODE #162 with Professor of Psychiatry and Medical Director of Addiction Medicine at Stanford University, Dr. Anna Lembke.[i] Visit the episode website here. https://www.youtube.com/watch?v=5Pu82wZRZwo Watch the interview with visuals on YouTube here. Backstory and Introduction 0-13:00 minutes Interview with Dr. Lembke 13:00-49:45 Follow Dr. Lembke https://profiles.stanford.edu/anna-lembke To See Past Episodes of The Neuroscience Meets Social and Emotional Learning Podcast https://www.achieveit360.com/episodes/ In Today's Episode, you will learn: ✔︎ About the addictive nature of social media, as well as why people become addicted to certain behaviors and substances. ✔︎About her 30 Day Dopamine Fast: An 8 step process that she suggests to help us to reset our brains if we have had a surplus of dopamine in our brain due to over-indulgence that helps many people "kick their bad habits" to the curb.  ✔︎ What is happening in the brain when we experience withdrawals when we try to stop a habit or behavior and how to overcome this uncomfortable feeling for increased happiness, mental health and awareness. ✔︎What exactly is the pleasure/pain balance and why we should all be able to recognize when we are getting too much of a good thing. ✔︎How to return to whatever it is that you enjoyed in moderation. You may have seen her in the Netflix Documentary The Social Dilemma [ii] where she discusses the addictive nature of social media, explaining that it taps into “our basic biological imperative to connect with other people—that directly affects the release of dopamine and the reward pathway” (32:35 The Social Dilemma) and she warns us that “there's no doubt that a vehicle like social media which optimizes this connection between people is going to have the potential for addiction.” Dr. Lembke is more concerned with our children and her children (who appear in the documentary with her) and on today's podcast, she will arm us with the knowledge that she shares with her own children daily.  Her book Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked and Why It's So Hard to Stop[iii] (2016) is a good overview of what addiction is, and the dangers of prescription drugs. Her NEW book Dopamine Nation: Finding Balance in the Age of Indulgence[iv] that was just released last month, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain…and what to do about it. I'm Andrea Samadi, author, and educator from Toronto, Canada, now in Arizona, and like many of our listeners, have been fascinated with learning and understanding the science behind high performance strategies that we can use to improve our own productivity in our schools, our sports, and workplace environments. My vision is to bring the experts to you, share their books, resources, and ideas to help you to implement their proven strategies, whether you are a teacher working in the classroom or online, a student, or parent working in the corporate space. This week's interview with Dr. Anna Lembke on her NEW book Dopamine Nation is based on true stories of her patients falling prey to addiction and finding their way out again with stories that many of us might find to be shocking, but she explains that “they are just extreme versions of what we are all capable of.” (Dopamine Nation) When reading this book, or listening to this interview, I encourage you to think about your own life, your behaviors and what you might be running from since we are all running from something and like we have mentioned many times before on the podcast, awareness is the key to making any behavior change that can have a lasting impact on our productivity and results. My hope is that we can all take an honest look and find places where we might be leaking energy, to close those gaps, and redirect that energy towards our goals. We covered the topic of addiction at the start of this year with Aneesh Chaudhry (EPISODE 102)[v] on “Mental Health, Well-Being and Meditation: Overcoming Addiction Using Your Brain” and I first mentioned Dr. Lembke on episode #157[vi] “Overcoming Digital Addiction Using Neuroscience” after a discussion with our friends about technology use led me to Dr. Lembke. This episode was a popular one, with over 700 downloads in the first few days of release. Then when I posted that I was working on this episode, over Labor Day weekend, I had many messages from friends and colleagues who shared with me that they were very interested in this topic. I think this is something that we should all be aware of, since most of us also have not ever had any training on the topic of addiction, yet we all know someone who struggles in some way. We can also learn so much about ourselves with this information. Understanding how chemical, behavioral, and even digital addictions are formed/broken can help us all to navigate our lives, with a deeper level of awareness that can close up those gaps where we waste energy, to improve our productivity. Medical Disclaimer: Just a reminder—I would consider myself a researcher, sharing preventative and supplemental ideas and strategies related to the most current research on the brain, health and wellness education. Always seek the advice of your physician or qualified healthcare provider with any questions you may have about your health and remember that you should never disregard medical advice or delay seeking it because of something you learn through this podcast. Keep in mind, Dr. Lembke recommends her 30 day dopamine fast for people with less severe addictions and anyone who is struggling with a serious drug or alcohol addiction should seek further treatment from their medical provider. Back to the episode… Dr. Lembke's book, Dopamine Nation shows us what happens when we get too much of a good thing, but we can use this understanding to counteract the effects of this neurotransmitter in our brain, bringing us back to balance, and productivity.  PART I The Pursuit of Pleasure  In part 1 of the book, called The Pursuit of Pleasure, Dr. Lembke gives some examples of “how we are constantly trying to distract ourselves from the present moment to be entertained” and “that we're all running from pain—we'll do almost anything to distract ourselves from ourselves” and that “we've lost the ability to tolerate even minor forms of discomfort.”  When I thought about this part of the book, I couldn't agree more thinking of all the times I grab my phone to distract myself from something, anything difficult that comes my way, instead of staying in the present moment. Chapter three goes deeper into the  science of brain chemistry, discussing two key features of the effects of dopamine: the brain's tendency to seek homeostasis, and the development of tolerance PART 2 Self Binding: Dr Lembke describes some encounters with her patients, and how to keep addictive behaviors under control. She covers Dopamine Fasting with an ACRONYM to help us learn how to use her 30-day Dopamine Fast to reset our brains. Dr. Lembke will explain her 30-day Dopamine Fasting Plan for people with less severe addictions, where she often sees people return to their “drug of choice” in a controlled way.   30 Day Dopamine Fast  Data: what are  you using, how much, how often? Objectives: what does it do for you? Problems: or downsides does it cause?  Abstinence: stop using it for a month and see what happens Mindfulness: be prepared to feel worse before you feel better  Insight: abstaining from our drug of choice gives us incredible insight that we cannot see without stopping. What did you learn? Next Steps: moving forward without the drug/behavior even when you miss it. Can you do that? Experiment: Go back out into the world, experiment and see what works and what doesn't.   If there is something that you want to change in your life, try going without it for 30 days, and see what happens. Only you will know if this will work for you or not. Dr. Lembke noted that “even when moderation is achievable, many of her patients report it's too exhausting to continue, and they ultimately opt for abstinence in the long haul” (Dopamine Nation). PART 3 The Pursuit of Pain: Dr. Lembke explores the opposite side of the equation: seeking out things that are painful, in order for the brain to tend to increase feelings of pleasure immediately afterward in an attempt to regain homeostasis. Explains the “pain” side of addiction and the importance of finding balance, radical honesty and self-awareness because “people who lean too hard and too long on the pain side of the balance can also end up in a persistent dopamine deficit state.” (Dopamine Nation) After releasing EPISODE 157 that explained Dr. Lembke's work and her 30 day dopamine fast, I almost wanted to move on past this topic, as I say often, there are entire podcasts dedicated to addiction[vii], and they do a much better job than I ever could. But there is another reason I would rather skip it, and that's because it's a difficult topic. It's much easier to move on past it than talk about something I'm still trying to learn and understand myself, because we weren't taught this topic in school for us to know how it to handle it when it shows up in our life. I remember the extent of my education on this topic was in 9th grade, when our PE teacher said, “don't drink alcohol to cover up your problems.” I remember she appeared to be uncomfortable with the topic, but it's an important one. If you ask anyone, we all know someone who suffers with a chemical addiction (alcohol or drugs) and since this topic was never a part of our schooling, it's easy to criticize what we don't understand, let alone recognize it in our own behaviors. When I first encountered someone with an addiction, around 20 years ago, I couldn't understand why they couldn't just have one or two drinks and call it a night. Why did they have to keep going? What's going on in the addicted brain?  This was years before we could type our questions into Google and get hundreds of articles to help us (like Dr. Lembke's work, or even Dr. Amen's work on the addicted brain), so I would go to our local library and find books that explained addiction to gain some understanding. I wish Dr. Lembke's first book was there, as it wasn't easy to navigate this topic. Not being the type to sweep anything under a rug, I found some ideas and solutions for this person to enter into a local rehab program[viii] to get further help, but this opened up a can of worms with a problem that was never discussed and made me really popular in that family, but this understanding gave me a new level of awareness that would help someone else years later. This awareness helped my husband with one of his best friends from high school who called one day to confide in him that he had a heroin addiction, and was entering a faith-based rehabilitation program, but wanted one of his friends to know what was really going on with him. His initial reaction would have been to say “what the heck is wrong with you? Heroin addiction? Are you an idiot? How did this happen?” but because of all that time I spent researching at the library, I explained to him how addictions happen, often beginning innocently (using pain killers after a surgery) or in his friend's case, using uppers to help him through his busy days). This explanation helped him to talk with his friend with more understanding and his friend did well in recovery, helping many others for a few years, until one day, it beat him, and he was gone. I know this is a complex topic, often resulting in death like we saw with my husband's high school friend, or we see with celebrities who have been unable to break the cycle, and the pandemic has magnified this issue for those who were stuck in their homes for all of this time, but with the understanding of our brain in mind, my hope is that this topic no longer is swept under the rug, but talked about openly to find solutions with our brain in mind. Let's meet Dr. Anna Lembke and explore her new book, Dopamine Nation, together to gain a deeper understanding for those who struggle with serious addiction, to those with less severe, and see if her 30 day Dopamine Fast could be a solution to tighten up the gaps and improve our productivity. Welcome Dr. Lembke, thank you so much for agreeing to speak with me on the podcast today. I've got to tell you that before I hit send on your email to invite you on the show as a guest, I thought twice, a bit nervous about you actually replying and saying yes because I knew I needed to talk about a topic that I have avoided going deeper into, but at this point, It was obvious that I couldn't  avoid it any longer, so thank you for agreeing to speak with me so quickly, allowing me to be more authentic and open. Dr. Lembke, before we get to the questions I have on your most recent book, Dopamine Nation, I wanted to ask a question that ties into where I first saw you, in the movie The Social Dilemma (which scared the living daylights out of me) where you talk about how “social media is a drug—that directly affects the release of dopamine and the reward pathway”[ix] and you talk about how with all of your knowledge and experience, you are still worried about your own kids and their time spent using these apps. I know your kids are a bit older now since that film was released, but what did you tell your kids DAILY about how our brains respond to certain apps on our cell phones? NOTE: This question sums up everything I want to ask you in this interview, and that at the end, we can come back to your answer here, and I know it will sum everything up perfectly. I launched this podcast helping educators and those in the workplace to understand how to apply the most current neuroscience research into the classroom and workplace because it's so important, and many of us need this information, but it wasn't taught to us in school. Either was the topic of addiction, and this is why I thought it was so important to reach out to you, because your first book on this topic, Drug Dealer MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (2016)[x] explains what is addiction and who is at risk, Dopamine Nation goes beyond chemical addiction (drugs and alcohol) to understanding the Social Dilemma you spoke about in the Netflix movie and beyond that with how our brains respond to anything we do to escape “even minor forms of discomfort.” Q1: So diving into your book, Dopamine Nation, I thought I'd seen it all, but I'm sure there's a lot you see in your practice that shows to what extent we distract ourselves from whatever it is that's painful in our present moment. You give some good examples that drill down this point, and I thought about how often I use my phone to distract me from difficult times in life (From serious life challenges to minor things). I know we can all think of what we do to escape from life, but can you explain why not being In the present moment and dealing with life's challenges as they come up (whether we are using our phones as an escape/drugs/alcohol, romance novels, binge watching Netflix, whatever it is we do) only make our challenges worse?  Q2: I think I've got an understanding of what happens to our brain when we are in a dopamine deficit. Would it be accurate to say this is what happens when we cut something out that we liked, and experience withdrawals? 2B) What happens to our brain when we overindulge? I had never heard of the idea that you mention in the article one of my friends put on the windshield of my car[xi] about how too much pleasure (with our phones, or video games or whatever it is) can tips us towards feeling pain. I'm not sure I have ever felt this, or I'm not aware of it. What is the pleasure /pain balance and how do we know we have had too much of a good thing? Q3: But you say there's good news, and that our brains can reset if we do what you call a dopamine fast (30 days away from whatever we were doing) and our brains can go back to balance or baseline. With the young man who was playing video games, he went back to doing what he enjoyed by modifying his behavior and making sure he kept his work and gaming separate. You talk about after the 30 days, that you experiment and see what works and what doesn't. I know an alcoholic can't after a month of abstinence go back to “controlled” drinking (as much as they would like to). How does the dopamine fast work and is there something we should watch out for to make sure our brains don't get flooded with dopamine again?  Dopamine is not the only neurotransmitter involved in reward processing, but most neuroscientists agree it is among the most important. Dopamine may play a bigger role in the motivation to get a reward than the pleasure of the reward itself. Wanting more than liking. The more dopamine a drug releases in the brain's reward pathway (a brain circuit that links the ventral tegmental area, the nucleus accumbens, and the prefrontal cortex), and the faster it releases dopamine, the more addictive the drug. Q4: When I saw your rewards and dopamine chart that show how much dopamine is released with chocolate vs sex vs drugs, and you say that learning “also increases dopamine firing in the brain.” Where would learning or other healthy habits fit on your rewards/dopamine release chart? How can we be sure we are not being “indulgent” with healthier habits like learning/exercise? In your article[xii], the young man who played video games was able to go back to playing video games with a modified schedule. Then I read about how the brain changes with high dopamine rewards. (Experience dependent plasticity). Does this mean that high reward behaviors you can't limit, and you can never go back to them? Don't we eventually experience tolerance with all behaviors, and over time would find them boring anyway? (Your example reading your novels they were never as exciting as the first read, or when we rewatch a Netflix series we loved, it's never as good as the first time). Where does tolerance fit into the equation? Experience Dependent Plasticity The brain encodes long-term memories of reward and their associated cues by changing the shape and size of dopamine-producing neurons. For example, the dendrites, the branches off the neuron, become longer and more numerous in response to high-dopamine rewards. This process is called experience-dependent plasticity. These brain changes can last a lifetime and persist long after the drug is no longer available PART II Self-Binding chapter four: Dopamine Fasting chapter five: Space, Time, and Meaning chapter six: A Broken Balance? Q5: Can you explain your ACRONYM for DOPAMINE and what happens to our brain when we take a month off of using our drug of choice? Dr Huberman[xiii] said it really well in his recent interview with you, the first 10 days suck. Why does this dopamine deficit feel so bad? “A week would be good, but in my experience, a month is usually the minimum amount of time it takes to reset the brain's reward pathway. If you don't feel better after four weeks of abstaining, that's also useful data. That means the cannabis isn't driving this, and we need to think about what else is. So what do you think? Do you think you would be able and willing to stop cannabis for a month?” Younger people recalibrate faster than older people, their brains being more plastic. Furthermore, physical withdrawal varies drug to drug. It can be minor for some drugs like video games but potentially life-threatening for others, like alcohol and benzodiazepines. Mindfulness practices are especially important in the early days of abstinence. Many of us use high-dopamine substances and behaviors to distract ourselves from our own thoughts. When we first stop using dopamine to escape, those painful thoughts, emotions, and sensations come crashing down on us. Q5B) Why does tolerance occur? Dr. Lembke, I could spend the next week asking you more questions, but know I've got to wrap up this interview. Q6: To close out our questions, I wanted to give something for our listeners to be able to apply on this topic. I know that you openly talk about something you stopped doing in the book that you enjoyed, and I was on the tail end of letting go of a habit that I loved when someone put the article on my car about your 30 day dopamine fast, showing me how important it was to understanding this at the brain level.  Going back to the first question I asked you, “what do you tell your kids daily about dopamine/the pleasure/pain balance and dopamine deficit and the risk of addiction” what should we all know dopamine, and breaking free of its hold over us? Q7: Final thoughts? What should we all know about Dopamine Nation? Thank you very much for your time today. I will put the links to Dopamine Nation in the show notes, and for anyone who wants to reach you, is the best way through your Stanford website? Thank you Dr. Lembke. BIO: PROFESSOR OF PSYCHIATRY AND BEHAVIORAL SCIENCES (GENERAL PSYCHIATRY AND PSYCHOLOGY-ADULT) Dr. Anna Lembke received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University. She is currently Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine. She is also Program Director of the Stanford Addiction Medicine Fellowship, and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is a diplomate of the American Board of Psychiatry and Neurology, and a diplomate of the American Board of Addiction Medicine. Dr. Lembke was one of the first in the medical community to sound the alarm regarding opioid overprescribing and the opioid epidemic. In 2016, she published her best-selling book on the prescription drug epidemic, "Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop" (Johns Hopkins University Press, 2016). Her book was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018). "Drug Dealer, MD" combines case studies with public policy, cultural anthropology, and neuroscience, to explore the complex relationship between doctors and patients around prescribing controlled drugs. It has had an impact on policy makers and legislators across the nation. Dr. Lembke has testified before Congress and consulted with governors and senators from Kentucky to Missouri to Nevada. She was a featured guest on Fresh Air with Terry Gross, MSNBC with Chris Hayes, and numerous other media broadcasts. Using her public platform and her faculty position at Stanford University School of Medicine, Dr. Lembke has developed multiple teaching programs on addiction and safe prescribing, as well as opioid tapering. She has held multiple leadership and mentorship positions and received the Stanford's Chairman's Award for Clinical Innovation, and the Stanford Departmental Award for Outstanding Teaching. Dr. Lembke continues to educate policymakers and the public about causes of and solutions for the problem of addiction. Look for her new book, "Dopamine Nation: Finding Balance in the Age of Indulgence" (Dutton/Penguin Random House, August 2021). FOLLOW DR. ANNA LEMBKE:  https://profiles.stanford.edu/anna-lembke https://tedx.stanford.edu/lineup/anna-lembke https://jhupbooks.press.jhu.edu/title/drug-dealer-md   FOLLOW ANDREA SAMADI:  YouTube Channel: https://www.youtube.com/c/AndreaSamadi   Website https://www.achieveit360.com/   LinkedIn: https://www.linkedin.com/in/samadi/  Facebook:  https://www.facebook.com/Achieveit360com   Neuroscience Meets SEL Facebook Group https://www.facebook.com/groups/2975814899101697   Twitter: https://twitter.com/andreasamadi   Instagram: https://www.instagram.com/andreasamadi/    RESOURCES: https://tedx.stanford.edu/lineup/anna-lembke Reward Pathway in the Brain Khan Academy Lesson https://www.khanacademy.org/test-prep/mcat/processing-the-environment/drug-dependence/v/reward-pathway-in-the-brain REFERENCES: [i] https://profiles.stanford.edu/anna-lembke [ii] The Social Dilemma Full Feature Netflix Movie Published on YouTube August 17, 2021 https://www.youtube.com/watch?v=7mqR_e2seeM [iii] Drug Dealer MD: How Doctors Were Duped, Patients Got Hooked and Why It's So Hard to Stop https://www.amazon.com/Drug-Dealer-MD-Doctors-Patients/dp/1421421402 [iv] Dopamine Nation: Finding Balance in the Age of Indulgence by Dr. Anna Lembke August 24, 2021 https://www.amazon.com/Dopamine-Nation-Finding-Balance-Indulgence-ebook/dp/B08KPKHVXQ [v]Neuroscience Meets Social and Emotional Learning Podcast EPISODE #102  “Mental Health, Well-Being and Meditation: Overcoming Addiction Using Your Brain” https://andreasamadi.podbean.com/e/aneesh-choudhry-on-mental-health-well-being-and-meditation-overcoming-addictionusing-your-brain/ [vi] Neuroscience Meets Social and Emotional Learning Podcast EPISODE #157 on “Overcoming Digital Addiction Using Neuroscience” https://andreasamadi.podbean.com/e/brain-fact-friday-overcoming-digital-addiction-using-neuroscience/ [vii] 15 Best Addiction Podcasts for 2021 https://www.choosingtherapy.com/addiction-podcasts/ [viii] https://www.bannerhealth.com/es/services/behavioral-health/treatment-programs [ix] The Social Dilemma Full Feature Netflix Movie Published on YouTube August 17, 2021 https://www.youtube.com/watch?v=7mqR_e2seeM [x] Drug Dealer MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Nov.15, 2016) https://www.amazon.com/Drug-Dealer-MD-Doctors-Patients/dp/1421421402 [xi] Digital Addictions are Drowning Us in Dopamine by Dr. Anna Lembke. (Saturday August 14/Sunday August 15, 2021) https://www.wsj.com/articles/digital-addictions-are-drowning-us-in-dopamine-11628861572 [xii] IBID [xiii] Dr. Andrew Huberman's Huberman Lab Podcast https://hubermanlab.com/dr-anna-lembke-understanding-and-treating-addiction/

Recently seen on the Netflix Documentary, The Social Dilemma, Dr. Anna Lembke joins Adjusted Reality to talk about the unseen forces driving the current opioid epidemic, how to protect yourself from potential gateways, the unfiltered impact of social media on our lives and a glance at her upcoming book, Dopamine Nation.Dr. Anna Lembke is a professor in the department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine, and Chief of the Stanford Addiction Medicine Clinic. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop, highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic. Her forthcoming book, Dopamine Nation: Finding Balance in the Age of Indulgence explores how to moderate compulsive overconsumption, including digital products, in a world where feeling good is the highest good.In the Adjusted Reality podcast, well-known athletes, celebrities, actors, chiropractors, influencers in the wellness industry, and other podcasters will talk with host Dr. Sherry McAllister, president, F4CP, about their experiences with health and wellness. As a special gift for listening today visit f4cp.org/health to get a copy of our mind, body, spirit ebook which focuses on many ways to optimize your health and the ones you love without the use of drugs or surgery. Follow Adjusted Reality on Instagram.Find A Doctor of Chiropractic Near You.

Dr. Anna Lembke is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, and maintains a thriving clinical practice. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop, which was highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic. Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.  Her latest book, Dopamine Nation: Finding Balance in the Age of Indulgence explores how to moderate overconsumption in a dopamine-overloaded world. Today we are chatting about...  What inspired Anna to write Dopamine Nation  Anna's definition of addiction The 3 C's of diagnosing addiction  The neuroscience of addiction  Whether or not we all have a drug of choice  How the mere anticipation of our drug of choice gives us a dopamine hit What drives cravings  The role substances play in the presentation of mental health symptoms Whether or not there is such a thing as an addictive personality The problem of overprescribing psychotropic medications How to reset your dopamine threshold  The number one risk factor for addiction  How drugs are becoming a substitute for self-care The opioid epidemic and the rise of benzodiazepine prescribing  What the addictive potential for drugs is Why there's power in sharing your shame The addictive potential of different drugs  What abstinence violation syndrome is  The impact substances have on a growing fetus's brain  My struggle with sugar as my drug  ____________________________ ALL THE GOODIES FROM THIS EPISODE: I'm excited to announce that I'm now taking clients for 1:1 anxiety coaching. To learn more and sign up, Click here or send an email to hello@courageouslyu.com to join my client waitlist today!  ____________________________ COURAGEOUSLY.U SHOW NOTES:  https://courageouslyu.com/anna-lembke/   COURAGEOUSLY.U FACEBOOK COMMUNITY: https://www.facebook.com/groups/1416219115169393   COURAGEOUSLY.U INSTAGRAM: https://www.instagram.com/courageously.u/

The relentless pursuit of pleasure always leads to pain.As the world evolves from one of scarcity to overabundance, we increasingly orient our lives around the pursuit of pleasure and avoidance of pain—an instinct that has produced a myriad of unprecedented types of addiction, and consequently, the pain we so desperately seek to avoid.To better understand this conundrum, I'm joined today by one of the world's leading authorities on the neuroscience of addiction, Anna Lembke, MD.If that name sounds familiar, it's likely due to her on screen presence in the Netflix documentary The Social Dilemma—a must-watch for anyone with a smartphone.Anna is a professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is widely published, has testified before Congress, and has authored two important books, Drug Dealer MD and her newest work, Dopamine Nation—a powerful primer on compulsive overconsumption in a world where feeling good has become confused with the highest good.This is an important and impactful conversation that explores:The nature, psychology, and neuroscience of addiction;the explosion in addiction in lockstep with technological advances;the opioid crisis & the fascinating history behind how we think about and treat pain;recovery protocols from 12-step & the latest science on psychedelic treatments; andhow to manage & avoid addiction.To read more click here. You can also watch listen to our exchange on YouTube. And as always, the podcast streams wild and free on Apple Podcasts and Spotify.Whip-smart and radically empathetic. I can't underestimate the importance of Dr. Lembke's work, and this conversation is a must listen for any and all who suffer from some form of addictive compulsivity, or know someone who does (which is pretty much everyone).Enjoy!Peace + Plants,Listen, Watch & SubscribeApple Podcasts | YouTube | Spotify | Stitcher | Google PodcastsThanks to this week's sponsors:Incase: Sleek, functional, and durable laptop cases & sleeves, backpacks, tech bags, travel accessories & more, Incase has a whole ecosystem of products designed to support creative lifestyles that deliver organization, mobility, and protection. My U.S. listeners can get US customers can get 20% off with the code Richroll at incase.comOuterknown: Founded by pro-surfer Kelly Slater, Outerknown creates high quality, sustainably produced, and great looking men's and women's clothes, ethically manufactured in the world's cleanest solar-powered factory. When you're ready to amp up your wardrobe with awesome sustainable duds, go to outerknown.comand enter my code ROLL at checkout to get 25% off your full-price order.Squarespace: The easiest way to create a beautiful website, blog, or online store for you and your ideas. Save 10% on your first purchase when you visit Squarespace.com/RICHROLL and use the discount code RICHROLL at checkout.Daily Harvest: Daily Harvest makes it easy to eat more fruits and vegetables with thoughtfully sourced, chef-crafted foods that are ready in five minutes or less. Go to dailyharvest.com/RICHROLLto get up to $40 off your first box.For a complete list of all RRP sponsors, vanity URLs & discount codes, visit Our Sponsors.Show Notes:Connect with Anna Lembke, MD: Website | TwitterNetflix: The Social DilemmaBook: Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to StopBook: Dopamine Nation: Finding Balance in the Age of IndulgenceStanford Health Care: Anna Lembke, MDStanford Profiles: Anna Lembke, MDQuartz: Economists know how to break your phone addictionThe New York Times: Can This Judge Solve the Opioid Crisis?The New York Times: The Lawyer, the AddictVox: There's a highly successful treatment for opioid addiction. But stigma is holding it back.Vox: America's doctors can beat the opioid epidemic. Here's how to get them on board.TED: A doctor's thoughts on the opioid epidemic and pain management | Anna Lembke | TEDxStanfordTED: The Neuroscience of Addiction with Dr. Anna Lembke, Stanford UniversityNPR: ‘Drug Dealer, M.D.': Misunderstandings And Good Intentions Fueled Opioid EpidemicHOW CAN I SUPPORT THE PODCAST?Tell Your Friends & Share Online!Subscribe & Review: iTunes | Spotify | Stitcher | Soundcloud | Google PodcastsDonate: Check out our Patreon accountSupport The Sponsors: One of the best ways to support the podcast is to support our sponsors. For a complete list of all RRP sponsors and their respective vanity url's and discount codes, visit my Resources page and click "Sponsors".Thank The Team: I do not do this alone. Send your love to Jason Camiolo for audio engineering, production, show notes and interstitial music; Margo Lubin and Blake Curtis for video, & editing; graphics by Jessica Miranda & Daniel Solis; portraits by Ali Rogers, Davy Greenberg & Grayson Wilder; copywriting by Georgia Whaley; and theme music by Tyler Piatt, Trapper Piatt & Hari Mathis. See acast.com/privacy for privacy and opt-out information.

We all want to feel content and connected, and what we are going to explore today is the idea that contentment and connectedness relates to keeping the neurotransmitter dopamine in check. In her new book, Dopamine Nation, Dr. Anna Lembke, a psychiatrist and author, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure ultimately leads to pain, and more importantly, what each of us can do about it. In the book, Dr. Lembke reviews the experiences of many of her patients who are suffering with addiction and hoping for redemption. And these compelling stories give all of us hope for managing our pleasure-directed consumption and transforming our lives. ==== Anna Lembke, MD, is a professor in the department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine, and Chief of the Stanford Addiction Medicine Clinic. In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (Johns Hopkins University Press, 2016), highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic. Dr. Lembke recently appeared on the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives. Her forthcoming book that we review on today's podcast, Dopamine Nation: Finding Balance in the Age of Indulgence, explores how to moderate compulsive overconsumption, including digital products, in a world where feeling good is the highest good. annalembke.com dopaminenation.com http://cmscontent.penguinrandomhouse.com/JM/DopamineNation-quotecard_v6.png

Interview with Anna Lembke, MD, author of “Drug Dealer, MD…How Doctors Were Duped, Patients Got Hooked and Why It's So Hard to Stop.” Dr. Lembke is Medical Director of Stanford Addiction Medicine Program and a longtime vocal advocate for judicious prescribing. Dr. Lembke discusses the perfect storm that created decades of overprescribing. She outlines how the lack of addiction training in psychiatry, in combination with a medical culture that pathologizes everyday anxieties and incentivizes overprescribing, has created an enormous iatrogenic problem… useless patient suffering that never had to happen. We discuss the tremendous roadblocks patients face as they desperately search for help getting off long term opioids and benzodiazepines. Dr. Lembke believes that most health care professionals need to receive addiction education, as well as education on how to prescribe and de-prescribe (opioids, benzodiazepines and antidepressants). She discusses the concept of de-prescribing clinics and her role in the 2020 documentary “Medicating Normal.” She goes on to explain the harmful effects of long term benzodiazepine prescriptions (Xanax, Klonopin, Ativan) and Z drugs (Ambien, Lunesta, Sonata). Dr. Ashton and the Ashton Manual are referenced while we talk about how to deprescribe benzodiazepines and Z drugs safely and effectively. Dr. Lembke discusses her new book, Dopamine Nation: Finding Balance in the Age of Indulgence (forthcoming August 2021), and turns to her patients in recovery to teach us how to live. She offers a resounding message of hope, explaining that it's the stories of redemption that keep her coming back…she admires, deeply respects and honors people in recovery, calling them new age “prophets” with respect to their life wisdom and sense of balance. She states that a life in recovery is truly a great life and the journey of recovery inspires in her a sense of deep awe and joy.

Following up on KCBS Radio's three-part series The Opioid Epidemic; The San Francisco Prescription, Jane McMillan looks at how this national crisis began. Her guest is Doctor Anna Lembke, Chief of the Addiction Medicine Dual Diagnosis Clinic at Stanford, who's written a book on the prescription addiction crisis called “Drug Dealer, M.D.: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard To Stop”.

Listen NowAs has been widely reported the US has faced an opioid addiction epidemic over the past decade.  Opioid-related overdose deaths have quadrupled in recent years.  (Drug overdose deaths, in sum, now equal or exceed auto accident fatalities.)   What explains the dramatic increase use and addiction to these medicines?  In Drug Dealer, MD, recently published by Johns Hopkins University Press, Dr. Anna Lembke presents a nuanced explanation of what is a highly complex problem. The 30 minute conversation begins with Dr. Lembke briefly explaining work's title, Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked and Why It's So Hard to Stop.  Moreover, Dr. Lembke discusses several of the numerous reasons that explain the opioid addiction epidemic, i.e., patient and prescribing physician behavior, organized medicine's contribution, pharmaceutical industry marketing strategies and market forces that all contribute to fostering the epidemic.Dr. Anna Lembke is an Assistant Professor of Psychiatry and Behavioral Sciences at Stanford University.  She is also a faculty member at the Stanford University School of Medicine, Program Director for the Sanford University Addiction Medicine Fellowship and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic.  She is also a Diplomate of the American Board of Psychiatry and Neurology and a Diplomate of the American Board of Addiction Medicine.  Dr. Lembke has published over 50 peer-reviewed articles, chapters and commentaries in numerous journals including the New England Journal of Medicine and the Journal of the American Medical Association and the Journal of General Internal Medicine and Addiction. Dr. Lembke recieved her undergraduate degree in Humanities from Yale University and her medical degree from Stanford. For more information on Dr. Lembke's work go to: https://jhupbooks.press.jhu.edu/content/drug-dealer-md.  This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com