Dr. Anna Lembke: Understanding & Treating Addiction

Dr. Anna Lembke: Understanding & Treating Addiction

Andrew Huberman

2 года назад

2,422,283 Просмотров

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 (https://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.

For an updated list of our current sponsors, please visit our website as previous sponsors mentioned in this podcast episode may no longer be affiliated with us: https://www. hubermanlab.com/sponsors

Social & Website
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Apple Podcasts: https://apple.co/3thCToZ
Spotify: https://spoti.fi/3PYzuFs

Dr. Anna Lembke
Website: https://www.annalembke.com
Stanford Profile: https://profiles.stanford.edu/anna-lembke
Dopamine Nation (new book): https://amzlink.to/az09noicps3RR

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 - https://www.blabacphoto.com

Disclaimer: https://www.hubermanlab.com/disclaimer

Тэги:

#andrew_huberman #huberman_lab_podcast #huberman_podcast #dr._andrew_huberman #neuroscience #huberman_lab #anna_lembke #addiction #addiction_recovery #alcoholic #drug_addiction #social_media_addiction #stanford #addiction_hotline #addiction_help #addiction_medicine
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Комментарии:

@johnnyledbetter2119
@johnnyledbetter2119 - 04.01.2024 00:10

Great conversation but two things. Please stop saying circuit. Also, making amends is the 9th step not the 4th and it's not about "making apologies."

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@LLS710
@LLS710 - 03.01.2024 23:42

Andrew Huberman is running blind here at times, and on point at others. You relapse when you succeed because a big success is Terrifying and unhinges you. You talk about AA or NA nonstop because that's how you stay out of the ditch, Mr. Huberman. You become addicted because it feels like love when no one loves you. You get better when you find a strong sense of community, such as AA, church, multiple sports groupings, etc.. When you belong, you no longer need substances, because life and love are coming back into you. (These are my personal experiences).

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@user-sm6rr7vl3p
@user-sm6rr7vl3p - 03.01.2024 19:26

This one hit close to home. I can relate to everything they are discussing.

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@LegsLikeMine
@LegsLikeMine - 02.01.2024 23:56

Here's a follow-up question. My husband and I are trying to break a significant sugar addiction (after watching one of your videos about processed foods). I've also added a cold shower daily. Should I be doing activities like the cold shower (or anything else that gives a big hit of dopamine) during the next 30 days while we reset our dopamine balance? Or am I just switching one dopamine source for another? Also, thank you for an incredible podcast overall. Understanding the science behind health is very important for someone who wants to know the why behind what I'm doing.

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@carms6037
@carms6037 - 02.01.2024 22:56

I have a friend who writing a book on addictions and how we can switch the focus of am area of negative addiction to one of a positive- hard to fully explain

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@tommac21
@tommac21 - 02.01.2024 12:14

Well 1st of all nobody can help you get over an addiction. You have to want it bad enough and fight it on your own. All these people do is give their opinion which is worthless. Trust me I've fought my own. After failure upon failure from people such as this. Save your money and time

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@michelleparkes6807
@michelleparkes6807 - 02.01.2024 04:18

They are both incredible..what an inspiring conversation.

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@richdavenport7239
@richdavenport7239 - 02.01.2024 02:45

I would also like to add being in recovery I have been watching since your first episode of the podcast, right after my mother passed in 2020. I had 6 months of dry time last year now I’m a month and a half sober 2nd longest time since I was 8 years old. Thanks Andrew and anna !!!

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@tristanalmario2679
@tristanalmario2679 - 01.01.2024 21:55

Great episode! Dopamine Nation is a fantastic book.

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@benefitsslim5583
@benefitsslim5583 - 01.01.2024 11:53

AA is a cult .. very damaging to very many people. To label one self an addict strips them of their personal responsibility.

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@user-pt9zb2dx8d
@user-pt9zb2dx8d - 31.12.2023 16:36

Eikummaa meinasin jo asken et nukun hetken

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@burcukilinc
@burcukilinc - 31.12.2023 13:12

I was watching while eating brocoli and thinking it was amazing 😅

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@AloisCtirad
@AloisCtirad - 31.12.2023 04:10

I could remember several years ago, Cocaine addiction actually destroyed my life. I 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. Never thought I would be saying this about mushrooms.

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@elliottrogers4789
@elliottrogers4789 - 30.12.2023 17:14

🖤🖤🖤

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@AB-nj4ex
@AB-nj4ex - 30.12.2023 13:36

It’s not scary doing everything you need to do and having true boredom is gratifying and time for ACTUAL relaxation. “Boredom” for addicts is avoiding the tasks then creating anxiety from the stress of not completing what we kno we need to do. Great conversation I learned a lot.

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@user-ti7di6he2l
@user-ti7di6he2l - 29.12.2023 17:10

Could sexual interaction as an infant increase dopamine if pain was not present? Stories in my history suggest that i was exposed to sexual contact without pain. I believe this is why i was making myself have orgasms ever since my first memories. This was extreme. 5 times a day. Now i can also identify many behaviors that were very obsessive. Could my dopamine base be too ingrained to change. All day long i seek some kind of dopamine release.

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@larrylazza3157
@larrylazza3157 - 29.12.2023 08:34

Having a problem with substances for over 20 years now I can fully relate to what is being discussed. The joining of the joy and pain receptors in the brain and gaining a natural bass line of dopamine, seratonon and indorfins is definitely one of the hardest thing to do in recovery. I literally have to undo and replace the reward from substance with a reward that is healthy like exercise. I keep in mind that what dopamine I do have needs to be reliesed sparingly and that the natural reward take time and are not instant. Yet if I work towards the reward of being sober and healthy and gaining healthy relationships, the reward and dopamine reliese will be gradual and longer lasting. I do think in my own experience that with is the amount of time it takes for the brain to start plasisity and reset. In my experience it takes 30 days to start stabilizig and for reality to set in. Thank you for this amazing information.

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@saurabhtewari9920
@saurabhtewari9920 - 28.12.2023 21:51

Can you please let her speak without interrupting her . Such a shame Dr .Andrew

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@jrbisc99
@jrbisc99 - 28.12.2023 10:02

11 For it must needs be, that there is an opposition in all things. If not so, my firstborn in the wilderness, righteousness could not be brought to pass, neither wickedness, neither holiness nor misery, neither good nor bad. Wherefore, all things must needs be a compound in one; wherefore, if it should be one body it must needs remain as dead, having no life neither death, nor corruption nor incorruption, happiness nor misery, neither sense nor insensibility.
12 Wherefore, it must needs have been created for a thing of naught; wherefore there would have been no purpose in the end of its creation. Wherefore, this thing must needs destroy the wisdom of God and his eternal purposes, and also the power, and the mercy, and the justice of God.

This is from the Book of Mormon and it's come into my mind several times while watching this one and the interview you did with Tom Bilyieu.

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@rodgerbane3825
@rodgerbane3825 - 28.12.2023 03:39

You can't get PHYSICALLY addicted to psychedelics. Obviously you can get psychologically addicted.

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@balajirajagopalan6176
@balajirajagopalan6176 - 28.12.2023 01:43

Wow I am just so speechless by this interview, I have many useful tips in overcoming some of my addictions.

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@RobbyFindlay-uq2dy
@RobbyFindlay-uq2dy - 27.12.2023 21:07

I know addicts who are addicted to the NA or AA community. They can't step outside of that community without relapsing, but that's a good thing. For me personally, I don't I don't want that. For me, leaving drug using friends behind not engaging with them at all has worked for me. They don't even recognise me on the street. It's as though I've created a reality in which they don't know me. Also, not lying, because I'm only lying to myself. Unconditional love I send to all still living in the darkness.
Peace joy and love to all ✌️ ❤

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@nextwave319
@nextwave319 - 27.12.2023 15:02

Wow

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@teresa67factoid95
@teresa67factoid95 - 27.12.2023 08:11

I switched to crack light…less calories and easier to manage

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@nvda2damoon
@nvda2damoon - 27.12.2023 03:01

these talks are useless.... 30 days cold turkey... yeah brilliant idea.

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@jlc1979
@jlc1979 - 27.12.2023 01:08

Meditation is being focused on yourself. You should be focused on Jesus. He delivers His children.

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@ryanchiang9587
@ryanchiang9587 - 26.12.2023 10:21

go to the institute and tell the truth
it takes courage

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@user-uo3pb3rr4f
@user-uo3pb3rr4f - 25.12.2023 23:50

Can I reduce the startle? I assume you'll recommend meditation.

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@OZDurden
@OZDurden - 25.12.2023 13:45

32 years with insane drug addiction. I doubt I'll ever stop. But i love reading the comments of people that you've helped. Makes me fantasize for a minute and I pretend I'm one of you that beat addiction

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@justbeyoualways8210
@justbeyoualways8210 - 24.12.2023 22:31

Asaan ang more sa mor

Yout talking about cure
But putting more toxinssss magaling magaling

Kawawa tao
Kawawa kayo
Kawawa kayo


Kawawa ako
Kc ako lang
Pag kayo mas kawawa kc nakikidefine

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@SendingStache
@SendingStache - 24.12.2023 17:43

i am so deeply and incredibly grateful for everything i learn from your podcasts! you remain unbiased, rooted in research and most importantly, you're committed to sharing this knowledge with everyone. the cherry on top is that your love for coffee constantly comes through (you often use coffee as an example) and it always prompts me to make my morning espresso.

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@Badfriendsfan101
@Badfriendsfan101 - 24.12.2023 07:17

I am suffering with opioid addiction. I am so tired of this addiction and how it’s destroyed my bank account. It’s so hard to stop because of the withdrawl and the loneliness I feel.

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@marcusoshea6081
@marcusoshea6081 - 23.12.2023 08:20

Reminder that Anna Lembke has literally no qualifications in neuroscience research whatsoever. She's a B.A. in humanities and an M.D. with no research component. Her 'expertise' is entirely self proclaimed, her model of working was proclaimed by the research community to be 'scientifically useless' and often runs entirely counter to the evidence. Even a cursory knowledge of history disproves her nonsense. She basically just makes shit up that sounds convincing and as a practicing therapist her book Dopamine Nation makes her sound like genuinely one of the worst and most out of touch therapists that I've ever heard of. Please read The Biology of Desire: Why Addiction is not a Disease by an actual Neuroscientist for a thorough dismantling of her con-artistry.

In this talk she endorses AA and the 12 steps, which is provably no better than no help whatsoever and is based on the theology of a very specific Christian cult, it's been widely proclaimed to be wrong on addiction and its recovery in every way shape and form by every competent researcher on the planet. She is not a competent or ethical scientist (or a scientist at all), she is not even a competent therapist, doctor or healer, she's a sham artist who barely understands what dopamine is or does.

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@vtheb1299
@vtheb1299 - 22.12.2023 22:01

I'm currently reading her book and it's great

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@theboyisnotright6312
@theboyisnotright6312 - 22.12.2023 00:21

Actually you should eat broccoli fresh out of a personal garden. Ive had broccoli that was literally sweet tasting. Like candy with vitamins 😂😂😂

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@mahmudhmohsin3984
@mahmudhmohsin3984 - 21.12.2023 20:02

i had unprotected sex and after that I've got serious anxiety problem whether i got hiv or not i got negative in test but it doesn't seem enough and i started taking drugs @anyone please help me

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@saksham5882
@saksham5882 - 21.12.2023 15:42

Absolutely beautiful episode

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@OhHiMoM
@OhHiMoM - 21.12.2023 08:02

You never fully defeat addiction it will be with you forever

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@danielpaz8404
@danielpaz8404 - 21.12.2023 04:23

4444

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@batterybatterytimmins5896
@batterybatterytimmins5896 - 20.12.2023 21:44

Broccoli is amazing. Have always felt this way. Chef Ramsay has a broccoli soup made from three four ingredients and won a competition with it. Never understood why it has such a bad name.

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@wilb6756
@wilb6756 - 20.12.2023 20:51

joy, a sunshine gracing your skin, something transient you don't have to consume but experience, transient and calm.

pleasure feels, like something that's far more intense, causes arousal, like a rollercoaster.

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@fraai
@fraai - 20.12.2023 15:11

please be aware that it can take much longer to feel better after quitting an addiction. From what I've read 60-120 days is not unheard of and also read a story about a guy that felt meh for 7 months after quitting his porn addiction of 30+ years.

hang in there guys! i quit porn 40 days ago and im not seeing the results i hoped for yet but no matter what it's a net negative for me and i will never watch it again :)

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@BelindaEmanuel
@BelindaEmanuel - 20.12.2023 12:39

The lady has good strong working hands.

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@jonhumble7199
@jonhumble7199 - 20.12.2023 07:39

Great interview.

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@cyrillllll
@cyrillllll - 19.12.2023 23:37

She's a true gem

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@ozzmos90
@ozzmos90 - 19.12.2023 04:56

I came here after typing Andrew Huberman and Dopamine Detox and couldn't find much. Or am I missing something?

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@Dan-oi4kt
@Dan-oi4kt - 19.12.2023 02:40

Totally ignores' Dr Kenneth Blum's work on the DRD2 gene where 1/3 of us have 33% less dopamine receptors which causes cravings for more dopamine

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