meta_pixel
Tapesearch Logo
Log in
Huberman Lab

Dr. Anna Lembke: Understanding & Treating Addiction

Huberman Lab

Scicomm Media

Science, Health & Fitness, Life Sciences

4.826.2K Ratings

🗓️ 16 August 2021

⏱️ 120 minutes

🧾️ Download transcript

Summary

This episode I interview Dr. Anna Lembke, MD, Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic at Stanford University School of Medicine. Dr. Lembke is a psychiatrist expert in treating addictions of all kinds: drugs, alcohol, food, sex, video games, gambling, food, medication, etc. Dr. Lembke is also an expert in the opioid crisis, and the author of Dopamine Nation: Finding Balance in the Age of Indulgence. We discuss the biology and psychology of why people become addicted to certain substances and behaviors and the key role that our "dopamine balance" plays in creating addiction. We also discuss the science and practice of how to conquer addictions, why people relapse and how to avoid relapsing. Dr. Lembke also shares her expertise on topics closely related to addiction such as community, shame and lying and she explains why telling the truth—even about the most basic things in daily life, adjusts dopamine levels in our brain. This episode is an important one for anyone struggling with addictions of any kind, for their friends and families and for health care professionals. It is also for anyone who has defeated addiction and is determined to stay clean. Last but not least, it helps explain why all humans do what we do, and how we can all maintain a healthy sense of pleasure seeking in life. For the full show notes, visit hubermanlab.com. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman InsideTracker: https://insidetracker.com/huberman Thesis: https://takethesis.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Timestamps (00:00:00) Dr. Anna Lembke, Addiction Expert (00:02:25) Disclaimer & Sponsors (00:07:00) Dopamine, Happiness & Impulsivity (00:15:56) What Is Pleasure? (00:18:20) Addiction, Boredom & Passion for Life (00:24:00) Pain-Pleasure Balance Controls Addiction (00:29:10) Dopamine Deficits, Anhedonia (00:30:47) Are All Addictions the Same? (00:35:38) Boredom & Anxiety Lead to Creativity (00:40:35) Finding Your Passion Starts with Boredom & Action Steps (00:50:05) How to Break an Addiction (00:55:25) Relapse, Craving & Triggers (01:07:40) Can People Get Addicted To “Sobriety”? (01:11:45) Are We All Wired for Addiction? (01:15:57) Bizarre Addiction (01:18:14) Recovered Addicts Are Heroes (01:20:10) Lying, Truth Telling, Guilt & Shame (01:30:40) Clinical Applications of: Ibogaine, Ayahuasca, Psilocybin & MDMA (01:40:20) Social Media Addiction (01:51:25) Narcissism (01:53:30) Goal Seeking, Success & Surprise (01:58:10) Reciprocity (02:01:15) Closing Comments, Resources Title Card Photo Credit: Mike Blabac Disclaimer

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Uberman Lab podcast where we discuss science and science-based tools for everyday life.

0:09.0

I'm Andrew Uberman and I'm a professor of neurobiology and ophthalmology at Stanford School of Medicine.

0:15.0

Today I have the pleasure of introducing Dr. Anna Lemke.

0:18.0

Dr. Lemke is a psychiatrist and the chief of the Addiction Medicine dual diagnosis clinic at Stanford University School of Medicine.

0:26.0

She's a psychiatrist who treats patients struggling with addiction.

0:30.0

She has successfully treated patients dealing with drug addiction, alcohol addiction, and behavioral addictions, such as gambling and sex addiction, as well as other types of addiction.

0:42.0

In fact, during our discussion I learned that there are a huge range of behaviors and substances to which people can become addicted to, and that there is a common biological underpinning of all those addictions.

0:54.0

I also learned that there is a common path to the treatment and recovery from essentially all addictions.

1:01.0

Dr. Lemke explained that to me and explained how to think about and conceptualize our own addictions, as well as the addictions of other people who are struggling to get treatment, move through treatment, and stay sober from their addictions.

1:15.0

In addition to treating patients, Dr. Lemke is an author and was featured in the 2020 Netflix documentary, The Social Dilemma.

1:22.0

I'm excited to tell you that she has a new book coming out called Dopamine Nation, Finding Balance in the Age of Indulgence.

1:29.0

The book comes out August 24th and is an absolutely fascinating read into addiction and ways to treat various types of addiction.

1:37.0

I've read the book, Cover to Cover, and all I'll tell you is that at the very first chapter and throughout, you are going to be absolutely blown away.

1:46.0

The stories about her patients are extremely engaging. It brings forward the real struggle of addiction and the incredible, I think it's fair to say, heroic battles that people fight in order to get through addictions of various kinds.

2:01.0

All of that is woven through with story, with science, and ways that make it very accessible to anyone, whether or not you have a science background or not.

2:09.0

I can't recommend it highly enough. So again, the book is Dopamine Nation, Finding Balance in the Age of Indulgence. It comes out August 24th of this year, 2021.

2:18.0

And you can pre-order that book by going to Amazon. We will provide a link to that in the show caption.

2:24.0

Our first sponsor is Athletic Greens. Athletic Greens is an all-in-one, vitamin mineral probiotic drink.

2:30.0

I've been taking Athletic Greens since 2012, so I'm delighted that they're sponsoring the podcast.

2:36.0

The reason I started taking Athletic Greens and the reason I still take Athletic Greens once or twice a day is that it helps me cover all of my basic nutritional needs.

2:44.0

It makes up for any deficiencies that I might have. In addition, it has probiotics, which are vital for microbiome health.

2:51.0

I've done a couple of episodes now on the so-called gut microbiome and the ways in which the microbiome interacts with your immune system, with your brain to regulate mood, and essentially with every biological system relevant to health throughout your brain and body.

...

Please login to see the full transcript.

Disclaimer: The podcast and artwork embedded on this page are from Scicomm Media, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Scicomm Media and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.

Copyright © Tapesearch 2025.