"I'm an addiction psychiatrist. When I use the word addiction, I'm really talking about having crossed the line from basically healthy use with an occasional slip to somebody who's really caught in the vortex of compulsive overconsumption with consequences and typically needing help from others, whether or not they are professionals, but feeling like, Oh boy, this is unmanageable, as they say in Twelve Steps, "My life has become unmanageable." It's one of the main points of my book, Dopamine Nation that we are living in this addictogenic world where almost all human behaviors and substances have become drugified in one way, right? Social media has drugified human connection. Our food has been drugified by the addition of salt, fat, sugar. Reading is drugified, the way that these genre novels fill this sort of gaping hole of compulsive consumption among their readership, people always wanting more. The Netflix binges, where you get the next episode automatically fills unless you do something to stop it. You know, these are all little ways in which our lives have been engineered to keep us clicking and swiping and eating and smoking and drinking to the detriment of the globe. I mean, 70% of global deaths are due to diseases caused by modifiable risk factors, and the top three are smoking, inactivity, and overeating or diet. So we're literally titillating ourselves to death."

Dr. Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Dr. Lembke explores how to moderate compulsive overconsumption in a dopamine overloaded world in her NYTimes bestselling book Dopamine Nation: Finding Balance in the Age of Indulgence. Her previous 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 five books to read to understand the opioid epidemic.

#209: Does Process Beat Persistence?