Dr. Anna Lembke: Understanding & Treating Addiction

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Published 2021-08-16
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 (amzn.to/3AHHGBp).

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.

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Dr. Anna Lembke
Website: www.annalembke.com/
Stanford Profile: profiles.stanford.edu/anna-lembke
Dopamine Nation (new book): amzn.to/3Ra4qEa

Timestamps
00:00:00 Dr. Anna Lembke, Addiction Expert
00:02:25 Disclaimer & Sponsors: ROKA, InsideTracker, Headspace
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

#HubermanLab #Addiction #Dopamine

Title Card Photo Credit: Mike Blabac - www.blabacphoto.com/

Disclaimer: www.hubermanlab.com/disclaimer

All Comments (21)
  • @user-dg4bh1mm7t
    I got clean off meth 13 months ago had a relapse 7 months ago and have been clean since. Watching your podcast and Rhonda Patrick’s podcast changed my life. I reversed all the anxiety and depression symptoms with sleep, cruciferous vegetables, fish oil pills, turmeric, weight lifting, cardio, light exposure, getting on a circadian rhythm, sauna, cold exposure, and tart cherries. Things that may have helped as well were surfing, a will to get better, vitamin d, and fermented foods. I quit alcohol and cannabis a little over a month ago after watching Dr. Mathew Walker on the JRE to get better REM sleep and this is the first time in 16 years I have been anxiety free! I’m thankful I learned from my mistakes at 29 years old and I’m gonna go back to school for neuroscience and nutrition because I have a passion for learning now and a will to help others. I recently became a Buddhist and this has helped me learn to be okay being alone. I used to get high because of failed relationships and now I just work on myself and got very fit for my own benefit! Thank you Andrew Huberman! I love you for putting all that life changing information out there!
  • @AstoriaHeard
    I was deeply moved by the concept of not searching for your passion, but rather looking around you and doing the things which need to be done. I love that.
  • @ccppp6953
    “Stop looking for your passion. Look around right where you are. Look at the life you have right now. And do what needs to be done “❤ made me in tears
  • I started taking Crack since my teenage, spent my whole life fighting Crack addiction. Also suffered severe depression and mental disorder. Not until my mom recommended me to psilocybin mushrooms treatment. Psilocybin treatment saved my life honestly. 8 years totally clean. This is something that really need to be use globally to help people with related health challenges.
  • @danyj24
    My life is being transformed due to the Huberman Podcast.
  • 10 years of homelessness and iv meth and heroin use 3 months clean. Thank you everyone for what you're doing. Best of luck to everyone don't give up 🥰
  • @Danimal1965
    I'm 9 months sober in large part because of this episode and Dr. Lembke and Dr. Huberman. Thank you.
  • @imripeh
    I was 3 years sober from Alcohol and relapsed. I thought I was crazy but through this video I don’t feel alone. Now I’m back to day 1 and ready to be more aware of my triggers. Thank you Dr. Huberman for creating a safe space for such important important topics
  • I love that I live in a world where I can have a favorite neuroscientist. Yay Dr. Huberman!!!
  • I listen to this conversation every time I feel the urge to indulge in my addiction. It is saving my life and my family. Thank you endlessly.
  • Dr. Lembke's book was so helpful during my recovery. I quit drinking and smoking (weed) 8 months ago. The examples in the book (both extreme and relatable) helped me through the darkest times of withdraws. One idea that became abundantly true for me is that what once was mundane in life (made "better" by drinking/smoking) becomes SO much more enjoyable without and is something I now look forward to: Working out, Cooking, Connecting more meaningfully with friends and significant others, and more engaged at work. Only once you take a step back from your habits can you really see how much life was passing you by. I wish anyone reading this the courage to try wrestle down their addictions and being to enjoy life again.
  • @ScorpioIsland
    When Anna says she can't relate to people without regret... I related to that very hard!!!!! I've spent decades in a living nightmare of guilt, shame, and regret. Doing way better now, and continuing to get better every day. You can do it, y'all
  • Her love for addicts and pointing out their courage is beautiful
  • @kingakorska
    the podcast where taking the trash out is called 'functional and adaptive action step'. Loving it.
  • @rarebird_82
    This podcast is a priceless gift 🙏🏻 THANK YOU ALL. Edit - when she spoke about the hard earned "wisdom of recovery" I shed an actual tear. As a recovered addict of 10 years, I have never heard a single encouraging word in the public sphere of anything equating to a modicum of acknowledgement, respect or credit for the absolute hellscape we've clawed ourselves through or indeed the fact we made it out the other side stronger, wiser and more grateful to still be here than most; and that we have a valid lived experience and perspective to bring to the world that hopefully helps others who are still in that hellscape, or better still, protects and prevents others from ever stepping foot in there. Instead we're dismissed, written off as failures, weak, jaded, damaged goods - regardless of the drug/behaviour. Oh and I am one of those people with a socalled silent addiction (OTC opiates), I have a family, a home, a mortgage, a job, my "sh¡t together" so to speak, and a quote unquote "life". No addict EVER thinks I'm a fellow patient at the rehab clinic, they look at me smartly dressed and hear me speak eloquently and assume I'm staff. Addiction doesn't care who you are. Thank you Dr Lembke, sincerely 🤝🏻
  • @rainkie2541
    Gabor Maté is also a very good read on addiction. He talks also a lot about how trauma and addiction are relation. His argument is that addiction is always a form of avoiding some trauma (in the broadest sense) related feelings. He states therefore that it is always important to look at the trauma as well as the addiction when becoming clean.
  • @S4Leagueism
    As a podcast addict, I can truly say that this was one of the most life changing podcasts I've ever listened to.
  • This lady just described me. She said “your brain is not made for this world” and I understood this. She said people with mental problems actually “might need more friction in their life.” And I was thinking maybe I need more friction, and challenges. I found that I was more happy in the past when I had challenge.
  • @rarebird_82
    PS - It's wonderful to watch an esteemed Neuroscientist actually LEARN something new and change his perspective with an open, modest and self relfective mind. Not everyone is blessed with a socially rewarded addiction ✌🏻
  • "You need to stop looking for your passion and instead focus on the surroundings for the work that needs to be done." This gem of a podcast is full of wisdom and scientific knowledge to be used in daily life. Thanks for making this. ❤