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Understanding & Treating Addiction | Dr. Anna Lembke

Huberman Lab

The Huberman Lab podcast is hosted by Andrew Huberman, Ph.D., a neuroscientist and tenured professor in the department of neurobiology, and by courtesy, psychiatry and behavioral sciences at Stanford School of Medicine. The podcast discusses neuroscience and science-based tools, including how our brain and its connections with the organs of our body control our perceptions, our behaviors, and our health, as well as existing and emerging tools for measuring and changing how our nervous system works.
Huberman has made numerous significant contributions to the fields of brain development, brain function, and neural plasticity, which is the ability of our nervous system to rewire and learn new behaviors, skills, and cognitive functioning. He is a McKnight Foundation and Pew Foundation Fellow and was awarded the Cogan Award, given to the scientist making the most significant discoveries in the study of vision, in 2017. 
Work from the Huberman Laboratory at Stanford School of Medicine has been published in top journals, including Nature, Science, and Cell, and has been featured in TIME, BBC, Scientific American, Discover, and other top media outlets.
In 2021, Dr. Huberman launched the Huberman Lab podcast. The podcast is frequently ranked in the top 10 of all podcasts globally and is often ranked #1 in the categories of Science, Education, and Health & Fitness.

This episode I interview Dr. Anna Lembke, M.D., 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
LMNT: https://drinklmnt.com/huberman
Waking Up: https://www.wakingup.com/huberman
Momentous: https://www.livemomentous.com/huberman
Timestamps
(00:00:00) Dr. Anna Lembke, Addiction Expert
(00:02:42) Disclaimer & Sponsors: AG1, LMNT, Waking Up
(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

This episode I interview Dr. Anna Lembke, M.D., 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.
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.
Read the full show notes for this episode at hubermanlab.com.
Thank you to our sponsors
AG1: https://athleticgreens.com/huberman
LMNT: https://drinklmnt.com/hubermanlab
Waking Up: https://wakingup.com/huberman
Momentous: https://livemomentous.com/huberman
Timestamps
00:00:00 Dr. Anna Lembke, Addiction Expert  
00:02:42 Disclaimer & Sponsors: AG1, LMNT & Waking Up  
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  
Disclaimer & Disclosures
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