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We Can Do Hard Things

Are You a Dopamine Addict? | Dr. Anna Lembke

We Can Do Hard Things

Treat Media and Glennon Doyle

Society & Culture, Relationships, Education, Self-improvement

4.841.1K Ratings

🗓️ 12 August 2025

⏱️ 51 minutes

🧾️ Download transcript

Summary

436. Are You a Dopamine Addict? | Dr. Anna Lembke Dr. Anna Lembke, the Medical Director of the Stanford Addiction Medicine Program, join us to discuss why common fixes for feeling better are actually making us feel worse. Dr. Lembke explains the science behind the brain's pleasure and pain processing and the dopamine balance.  -The four C’s of dopamine addiction and whether you have one  -How to begin to detox from dopamine addiction  -The surprising reason you might want to spend an entire day looking forward to nothing 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. 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. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Transcript

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0:00.0

Dearest Pod Squad, welcome back to We Can Do Hard Things.

0:15.1

By the end of this episode, you are going to understand why all of the things we're doing to make ourselves feel better

0:23.0

are making us feel worse.

0:25.7

And we're going to fix it, okay?

0:28.9

In the next 50 minutes, we're going to fix that and tell you how to actually make yourself feel a little bit better and not get tricked.

0:37.2

To do that is the only person who

0:39.6

could really help us do that. And her name is Anna Lemke. And she is here with us. She is the

0:44.7

medical director of Stanford Addiction Medicine, program director for the Stanford Addiction

0:50.0

Medicine Fellowship and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic.

0:56.2

She is the recipient of numerous awards for outstanding research and mental illness,

1:00.7

for excellence in teaching, and for clinical innovation in treatment.

1:04.0

She sits on the board of several state and national addiction-focused organizations,

1:09.1

has testified before various committees in the United States,

1:12.2

House of Representatives, and Senate keeps an active speaking calendar and maintains a thriving

1:17.9

clinical practice. I'm tired even reading your bio. So, well done. Okay. So we are trying to make sure that every single one of our episodes kind of swirls around one question, okay, that we can answer by the end of the episode. Because we have, through 15 years of this, figured out that every time anyone tells us a story or a problem, or we tell it to each other,

1:45.9

we're really asking one of like 20 human questions. And one of them seems to be what people say

1:53.7

to us over and over again in different variations is, how do I feel better? I just want to feel better.

2:01.1

And what we figured out is this question is sort of revealing an underlying problem, which is

2:09.8

we don't feel great, okay?

2:12.5

On a regular basis, we don't feel great.

2:14.7

And to feel better, we try all these quick consumption fixes that actually

2:21.4

make us feel worse and on and on forever. So in your book, you start with a list of these things like

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