Tolerance Isn't Sufficient to Diagnose Addiction

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Tolerance alone isn't sufficient to make the diagnosis of addiction. It must be associated with these compulsive out of control behaviors in the face of ongoing consequences, he says. "I think what people really underestimate is the kind of chronic dysphoria that results from chronic exposure to drugs"

Are you scrolling on your phone constantly? How badly do you crave that morning cup of coffee? Are you compulsively gambling, drinking, shopping, or even reading romance novels just to fall asleep? The potential for addiction is everywhere in our society, and on this episode of The Knowledge Project psychiatrist and author Dr. Anna Lembke discusses dopamine, addictive behaviors, warning signs and treatment for addiction, and how our brains handle all that pleasure and pain in life. Dr. Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She appeared in the 2020 Netflix documentary The Social Dilemma to discuss the addictive nature of social media, and she is the author of the 2021 New York Times bestseller Dopamine Nation: Finding Balance in the Age of Indulgence, which explores how to moderate compulsive overconsumption in a dopamine-overloaded world.

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