4.8 • 641 Ratings
🗓️ 19 April 2023
⏱️ 72 minutes
🧾️ Download transcript
In this digital era, most of us hold the dial to our pleasure neural pathway in the palm of our hands. We can easily increase the amount of pleasure we seek and soak in. For some, this leads to clinical addiction. We need to know how to fight addiction and take control of balanced living.
My guest today, Anna Lembke, MD is an internationally recognized leader in addiction medicine treatment and education. She’s helping us to open our eyes when it comes to the imbalances created during our constant pursuit of pleasure and its true potential for pain.
Anna Lembke, MD is professor of psychiatry at Stanford University School of Medicine. She is also the chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. Anna is a clinician scholar and author of more than a hundred peer-reviewed publications. Her 2016 book “Drug Dealer, MD - How Doctors Were Duped, Patients Got Hooked and Why It’s So Hard to Stop” was highlighted in the New York Times as one of the top 5 books to read to understand the opioid epidemic. She’s been featured in the Netflix documentary “The Social Dilemma”. Her latest book that we’ll talk about in this podcast, is called “Dopamine Nation: Finding Balance in the Age of Indulgence”.
Highlights from our discussion:
- The Plenty Paradox (1:50)
- Understanding Addiction (5:12)
- The Dark Side of Technology (9:30)
- Cultivating Healthy Relationships with Digital Devices (35:00)
- Hopeful Solutions for Navigating Addiction (59:00)
Enjoy!
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0:00.0 | I think the main thing to realize is that this constant consumption of reinforcing digital media, |
0:08.9 | you know, in all its manifold glory, that the cumulative effect of that over time can actually |
0:17.9 | be to put us into a state that is very similar to a clinical depression or a |
0:24.4 | clinical anxiety. That essentially what's happening as we're engaging in behaviors that release |
0:32.8 | a lot of dopamine or reward neurotransmitter is that our bodies and our brains try to compensate for |
0:38.9 | increased dopamine by decreasing dopamine production and transmission, not just to baseline |
0:44.8 | tonic levels of dopamine firing, but actually below baseline. |
0:49.4 | And that after a while we can kind of get stuck in that dopamine deficit state. And that usually manifests not as, |
0:58.0 | oh man, I'm addicted to this thing. What it manifests as is a very kind of a subtle and pervasive |
1:03.9 | dissatisfaction with our lives. You were listening right there to Dr. Anna Lemke. Now, |
1:13.3 | you may or may not be familiar with her work. She is a professor of psychiatry at Stanford University School of Medicine, and she's the |
1:17.6 | chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. |
1:24.3 | All that is fancy lingo for this woman is so brilliant with respect to addiction and not just |
1:32.1 | the addictions that we historically have thought of in our culture around alcohol or drugs or |
1:37.1 | gambling pornography any of these drugs or behaviors as she qualifies them, which is also brilliant at understanding the psychology, |
1:49.7 | the remedy, and basically where we are culturally around our relationship to social media and |
1:57.2 | digital devices. This is one of the reasons I wanted to have her on the show because I think it's very easy for us culturally to point at things that, oh, this is a bad |
2:05.6 | behavior. And yet, here we are in a, you know, immersed in a digital ecosystem and that |
2:11.7 | has brought so much good. But we have become increasingly unaware of the challenges of everyday use of the dosage and the frequency of what it means to live in a digital world. |
2:25.3 | Obviously, there are so many positive attributes, but I think all of us, it's not a stretch to realize that there's more we could be doing to even raise our awareness and change |
2:35.2 | some behaviors around the relationship we have with technology. Yes, even you, you who are |
2:40.9 | identify as a digital creator. This is an absolutely brilliant episode. Dr. On it is, |
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