Podcasts about stanford addiction medicine fellowship

In a world of overindulgence, from drugs, food, news, and social media, Dr. Anna Lembke reveals the science that explains why the relentless pursuit of pleasure leads to pain... and what to do about it. She explains how addiction works in the brain and how this plays out on an individual level from the micro decisions we make every single day to the macro. She shares the proven methods to escaping this cycle of suffering and how by intentionally choosing pain through healthy practices like cold plunges, exercise, and meditation, we can reset our dopamine levels in our brain.  She explores the concept of delayed gratification as defined by "The Marshmallow Experiment" which discovered a correlation between success in life and ability to delay gratification.  This episode is full or practical takeaways for anyone looking to better understand their brain and relationship to dopamine/addiction. Sleep Better with the Birch Mattress & Save 25%: https://birchliving.com/knowthyself  André's Book Recommendations: https://www.knowthyself.one/books ___________ 0:00 Intro  2:27 Defining Addiction and Dopamine  8:25 How Pleasure & Pain Work in the Brain 14:01 Our Biology Dooms Us in the Modern World 16:32 The Plenty Paradox: Convenience is Killing Us 22:05 Cold Plunges, Exercise, & Mediation: Healthy 'Pain' that Balances Our Dopamine 25:09 Resetting through Vipassana & Darkness Retreats 34:58 How She Started Doing This Work 37:43 Spectrum of Addiction: From the Intense to the Subtle 41:30 Becoming Resilient to Addiction 44:25 Ad: Sleep Better with Birch Mattress & Save 25% 45:40 Breaking the Cycle of Shame and Guilt 51:23 Shedding an Addiction to Your Identity 56:02 The Pain That's Good For You 58:15 4 Things that Determine Addiction Risk  1:02:00 Danger of Social Media Addiction 1:09:44 Strategies for Overcoming Compulsive Behaviors  1:13:09 How Our Morning Sets Us Up For Success (or failure!) 1:14:37 Delayed Gratification: The Marshmallow Experiment  1:20:05 Practices to Change Negative Behaviors 1:26:11 Your Personal Growth Changes the World 1:28:39 The Beauty that Hides in Pain 1:31:55 Conclusion  ___________ 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. 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. Website: https://www.annalembke.com Book "Dopamine Nation": https://a.co/d/ccpgrk4 Dopamine Nation Workbook: https://a.co/d/6vADILi ___________ Know Thyself Instagram: https://www.instagram.com/knowthyself/ Website: https://www.knowthyself.one Clips Channel: https://www.youtube.com/channel/UCJ4wglCWTJeWQC0exBalgKg Listen to all episodes on Audio:  Spotify: https://open.spotify.com/show/4FSiemtvZrWesGtO2MqTZ4?si=d389c8dee8fa4026 Apple: https://podcasts.apple.com/us/podcast/know-thyself/id1633725927 André Duqum Instagram: https://www.instagram.com/andreduqum/

Patreon: https://bit.ly/3v8OhY7 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 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. This is Anna's second time on the show. On episode 117, she and Robinson discussed her latest, New York Times bestselling book, Dopamine Nation (Dutton/Penguin Random House, August 2021). In this episode, they discuss psychiatry and some of its philosophical connections. Some of the topics they cover include psychiatric phenomenology, eating disorders, the patient-psychiatrist relationship, therapeutic modalities, moral realism, the goals of therapy, and the upcoming Official Dopamine Nation Workbook. Dopamine Nation: https://a.co/d/0AJw6Je The Official Dopamine Nation Workbook: https://a.co/d/0eVHKFc1 OUTLINE 00:00 Introduction 03:01 Meta-Commentary, Telehealth, and In-Person Psychiatry 13:50 Transference in Therapy 23:01 Moral Realism 33:45 Nietzsche and Veganism 42:43 Reductionism, Emotion, and Psychiatry 45:55 On Treating Eating Disorders 52:24 The DSM-V and Psychiatric Practice 01:00:00 The Relationship Between Science and Psychiatry 01:08:31 Robinson's Speech Patterns 01:15:40 Medication Versus Therapy 01:23:07 Creative Pursuits and Therapy  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, and everyone in-between.  --- Support this podcast: https://podcasters.spotify.com/pod/show/robinson-erhardt/support

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 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

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.

At a time when we all have 24/7 access to whatever wires us, for better or worse….how do we find balance? Our guest is Dr. Anna Lembke, author of DOPAMINE NATION: Finding Balance in the Age of Indulgence. Anna Lembke is Medical Director and Professor of Stanford Addiction Medicine, program director for the Stanford Addiction Medicine Fellowship, and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. Her website is annalembke.com

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!

This week on the podcast I have the honor of speaking to Dr. Anna Lembke, author of Dopamine Nation. Dr. Lembke is a psychiatrist, author, and professor.    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.   "Dopamine Nation: Finding Balance in the Age of Indulgence" is the best-selling book that Dr. Lembke published in 2021 and we talk all about the book, her work and applying it to the habit of over-drinking.    You can find more about Dr. Anna Lembke here.    Pick up a copy of Dopamine Nation.   You can download a copy of "The Characteristics of an Alcohol Minimalist"  here.    Buy Breaking the Bottle Legacy: How to Change Your Drinking Habits and Create A Peaceful Relationship with Alcohol on Amazon or most online retailers.  US Kindle US Paperback UK Kindle UK Paperback Apple Books Barnes & Noble Kobo Join my private FB group Alcohol Minimalists here: https://www.facebook.com/groups/changeyouralcoholhabit Has this podcast helped you? Please leave a review wherever you listen to podcasts!  Follow me on Instagram: @AlcoholMinimalist  Have you grabbed your free e-book, "Alcohol Truths: How Much is Safe?" Get it here.  Low risk drinking guidelines from the NIAAA: Healthy men under 65: No more than 4 drinks in one day and no more than 14 drinks per week. Healthy women (all ages) and healthy men 65 and older: No more than 3 drinks in one day and no more than 7 drinks per week. One drink is defined as 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof liquor. So remember that a mixed drink or full glass of wine are probably more than one drink. Abstinence from alcohol Abstinence from alcohol is the best choice for people who take medication(s) that interact with alcohol, have health conditions that could be exacerbated by alcohol (e.g. liver disease), are pregnant or may become pregnant or have had a problem with alcohol or another substance in the past. Benefits of “low-risk” drinking Following these guidelines reduces the risk of health problems such as cancer, liver disease, reduced immunity, ulcers, sleep problems, complications of existing conditions, and more. It also reduces the risk of depression, social problems, and difficulties at school or work. If you' are unsure about whether or not you have alcohol use disorder, please visit the NIAAA for more information.  

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.

Anna Lembke, MD is the medical director of Stanford Addiction Medicine, program director for the Stanford Addiction Medicine Fellowship, and the chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. As a clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries that have been featured in prestigious outlets such as The New England Journal of Medicine. She joins the show to talk to us about her newest book, 'Dopamine Nation: Finding Balance in the Age of Indulgence' which is about the dopamine system and addiction.  Show Topics - What is Dopamine? - Technology and Addiction - The Spectrum of Addiction - Moderate Symptoms to Severe - The Pleasure-Pain Balance - Overcoming Addiction - Boredom - Life Beyond Addiction annalembke.com Dopamine Nation You can find 'Dopamine Nation' wherever books are sold. 

Today we are talking to Anna Lemke, MD about the relation between dopamine and fourishing.  Overarching themes: Dopamine, it's role in pleasure and motivation  The relation between dopamine and human flourishing How to flourish while navigating addiction   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.   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.

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

This week we are joined by Dr. Anna Lembke to get into the mind of EA and how they have carefully crafted the game we all love to keep us coming back for more!Dr. Lembke is the 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 recipient of numerous awards for outstanding research in mental illness, for excellence in teaching, and for clinical innovation in treatment. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries in prestigious outlets such as The New England Journal of Medicine and JAMA.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.Pick up a copy of Dopamine Nation, HERE!Do you enjoy FUT Ballerz?Support the show by subscribing for ad-free and bonus/early release pods! Sign up HERE!Want to get involved with the hosts and FUT Ballerz Community?Join our FREE Discord server HERE!Have a question for the show?You can reach us in the discord, on social media (links below) or on our website!Stay up to date on all the new content and FIFA / FUT news!Check out our friends at FIFAUTEAM by visiting their websiteand keep yourself informed!Follow us on TwitterHunterPaulMetzFUT BallerzFollow us on TwitchFUT BallerzPaulFollow us on YoutubeFUT BallerzSupport the show (https://www.patreon.com/FUTBallerzPod)

https://youtu.be/8kupx4n3Q2w Anna Lembke is the author of the new book, Dopamine Nation: Finding Balance in the Age of Indulgence. Anna is the medical director of Stanford Addiction Medicine, program director for the Stanford Addiction Medicine Fellowship, and chief of the Stanford Addiction Medicine Clinic. She is the recipient of numerous awards for outstanding research in mental illness, for excellence in teaching, and for clinical innovation in treatment. More information about the guest can be found at dopaminenation.com

Dr. Anna Lembke is author of DOPAMINE NATION: Finding Balance in the Age of Indulgence, with practical solutions to manage overconsumption in a world of bad habits and cheap pleasures. Dr. Anna Lembke is Medical Director and Professor of Stanford Addiction Medicine, and Program Director for the Stanford Addiction Medicine Fellowship. Her website is annalembke.com.

DOPAMINE NATION is a book about pleasure. It's also about pain. Most importantly, it's about the relationship between the two and how understanding that relationship is essential for a life well-lived. Why?Because the world has transformed from a place of scarcity to a place of overwhelming abundance: drugs, food, news, shopping, gambling, social media, and the list goes on and on. Today, we're all vulnerable to the problem of addiction. In Dopamine Nation, Anna Lembke, MD,  shares the true stories of her patients falling prey to addiction and finding their way out again. Dr. Lembke has decades of experience in clinical practice and neuroscientific research and in DOPAMINE NATION, readers will learn: • The Internet promotes compulsive overconsumption not merely by providing increased access to drugs old and new, but also by suggesting behaviors that otherwise may never have occurred to us. Videos don't just “go viral.” They're literally contagious, hence the advent of the meme. • Rates of addiction are rising the world over.  The US is dominated by illicit drugs, Russia and Eastern Europe by alcohol addiction. • When researchers asked the following question to people in thirty countries around the world – “During the past four weeks, how often have you had bodily aches or pain? Never; seldom; sometimes; often; or very often?” – they found that Americans reported more pain than any other country. • Dopamine is not the only neurotransmitter involved in reward processing, but most neuroscientist 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. • Exercise increases many of the neurotransmitters involved in positive mood regulation: dopamine, serotonin, and endorphins. Exercise contributes to the birth of new neurons and even reduces the likelihood of using and getting addicted to drugs. About the Author: Anna Lembke is Medical Director and Professor 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 recipient of numerous awards for outstanding research in mental illness, for excellence in teaching, and for clinical innovation in treatment. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries in prestigious outlets such as The New England Journal of Medicine and JAMA. 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. https://www.annalembke.com/If you feel this Podcast is beneficial, I encourage you to share it, and I invite you to leave a 5-Star Review. It does so much for putting this podcast in the hands of those that may need it.Connect with me!Bettina@intherising.comPinterest:  Facebook

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

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.  

Have you ever said, “I'd love to stop scrolling/ drinking/ shopping/ gambling, but…?” That's the power of dopamine. Dr. Anna Lembke is one of our most brilliant science communicators. She's the New York Times bestselling author of Dopamine Nation, the program director for the Stanford Addiction Medicine Fellowship, and the chief of the Stanford Addiction Medical Dual Diagnosis Clinic. Simply, if there is ONE VOICE you should listen to on why the relentless pursuit of pleasure leads to pain, it's Anna Lembke. In this episode she helps us understand massive topics like self-binding and see that escaping the vicious cycle of compulsive behaviors is so much more than abstinence or will power. This is a hopeful and encouraging episode and one to share with everyone you know who's said, “I'd love to stop scrolling, but…” Dr. Anna Lembke: https://www.annalembke.com/ Further reading: https://www.annalembke.com/selected-publications Dopamine Nation Book: https://www.amazon.com/Dopamine-Nation-Finding-Balance-Indulgence/dp/152474672X/ Tell Me Something True is a 100% independent podcast. There are no corporations or advertisers backing this community. We are 100% funded by the TMST community. Support TMST, hear uncut interviews, and keep it ad-free: https://tmst.supercast.com/ Join our free online community (it's not a Facebook group!): https://www.tmstpod.com/

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/

Jerome & Laura are LOVING this essential book about addiction—to substances, screens, and everything else—and how to reset our brains to handle modern life. Dr. Lembke is a Stanford professor, psychiatrist, and Program Director of the Stanford Addiction Medicine Fellowship. Come have a listen!Have a question about raising your kid or something you want us to chat about on Billboard Happiness?Send us an email (hello@billboardhappiness.com) or send us a voice text and we'll use it on the podcast! 415-515-0995Links:Dopamine Nation by Anna Lembke, MD Jerome's psychology practice websiteLaura's copywriting business and her website-in-a-day business

Anna Lembke is the 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 recipient of numerous awards for outstanding research in mental illness, for excellence in teaching, and for clinical innovation in treatment. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries in prestigious outlets such as The New England Journal of Medicine and JAMA. 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. Goodreads: https://www.goodreads.com/book/show/55723020-dopamine-nation Connect with Audiobook Reviews in 5: · Instagram: https://www.instagram.com/audiobook_reviews_podcast/ · Twitter: @janna_ca · Facebook: https://www.facebook.com/AudiobookReviewsInFiveMinutes · Anchor: https://anchor.fm/audiobookreviews · Audiobook Reviews in Five Minutes website: https://podcast.jannastam.com/ · Goodreads: https://www.goodreads.com/jannastam Audio production by Graham Stephenson Episode music: Caprese by Blue Dot Sessions Rate, review, and subscribe to this podcast on Apple, Anchor, Breaker, Google, Overcast, Pocket Casts, RadioPublic, and Spotify

Anna Lembke is the 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 recipient of numerous awards for outstanding research in mental illness, for excellence in teaching, and for clinical innovation in treatment. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries in prestigious outlets such as The New England Journal of Medicine and JAMA. 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. Goodreads: https://www.goodreads.com/book/show/55723020-dopamine-nation (https://www.goodreads.com/book/show/55723020-dopamine-nation) Connect with Audiobook Reviews in 5: · Instagram: https://www.instagram.com/audiobook_reviews_podcast/ (https://www.instagram.com/audiobook_reviews_podcast/) · Twitter: @janna_ca · Facebook: https://www.facebook.com/AudiobookReviewsInFiveMinutes (https://www.facebook.com/AudiobookReviewsInFiveMinutes) · Anchor: https://anchor.fm/audiobookreviews (https://anchor.fm/audiobookreviews) · Audiobook Reviews in Five Minutes website: https://podcast.jannastam.com/ (https://podcast.jannastam.com/) · Goodreads: https://www.goodreads.com/jannastam (https://www.goodreads.com/jannastam) Audio production by Graham Stephenson Episode music: Caprese by https://www.sessions.blue/ (Blue Dot Sessions) Rate, review, and subscribe to this podcast on Apple, Anchor, Breaker, Google, Overcast, Pocket Casts, RadioPublic, and Spotify

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 recently appeared on the Netflix documentary "The Social Dilemma", an unvarnished look at the impact of social media on our lives. In her new book “Dopamine Nation: Finding Balance in the Age of Indulgence”, Anna explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain and what to do about it. ————————————————————————————— Connect with me here: ✉️ My weekly email newsletter: jousef.substack.com

How much is too much? How can we find balance in a world that is constantly trying to hook us on things? As you'll see this is a very personal episode for me and I hope you'll join me and Dr. Anna Lembke for this profound and important conversation about how we can not only moderate our consumption of things but also the science behind feeling good and what we can do to feel our best as therapists. There is a lot that you can pass on to your clients here as well as far as understanding the neuroscience of pleasure and pain.  Dr. 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. Her latest book, "Dopamine Nation: Finding Balance in the Age of Indulgence"  was an instant New York Times and Los Angeles Times bestseller, and explores how to moderate compulsive overconsumption in a dopamine-overloaded world. Registration for the Practice Growth Group with me and other like-minded therapists is open for a limited time! Also check out our newly launched Practice Growth Academy, just $49 for a limited time! Get all the details on launching your big idea here: https://www.growingthepractice.com/

Did you ever wonder, why we have so many people suffering from depression? Is spirituality just a buzz word these days offering false hopes? Find out, why Professor Anna Lembke, Associate Professor of Psychiatry and behavioural sciences, Director of addiction medicine at Stanford and a book author, chose to work in the field of psychiatry. She explains very well, how addiction come to be very difficult to deal with. We discuss why some fields in medicine are not cooperating sufficiently. Anna is a wonderful person to talk to and her book "Drug dealer, how doctors were duped, patients got hooked and why is it so hard to stop?" gave me an insight on the huge problem of medical drug use as a "state of art" treatment for any sort of condition. In connection to this she explained, why pain has an intrinsic value, what "toyotisation" of medicine is and how lack of care continuity kills healthcare. Guest: Prof. Anna Lembke, Associate Professor and Medical Director of Addiction Medicine, Stanford University School of Medicine, program Director of the Stanford Addiction Medicine Fellowship and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic Host: Michal Hulik, Head of Communication at Radiolutions