Lives Well Lived

ANNA LEMBKE: the dopamine dilemma

11 snips
Mar 13, 2025
Dr. Anna Lembke, a Stanford psychiatry professor and author of Dopamine Nation, dives deep into the world of addiction and the science of dopamine. She discusses how modern technology fuels compulsive behaviors and the ethical dilemmas of free will in addiction. Lembke highlights the importance of radical honesty in relationships and the effects of personal loss on identity. The conversation also touches on navigating the balance between medication and alternative treatments, emphasizing the need for genuine connections in today's digital landscape.
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ANECDOTE

Kasia's Phone Attachment

  • Kasia DeLazari-Radek uses her phone constantly, from waking up to listening to podcasts.
  • She feels anxious when separated from it, prompting her to ask Dr. Lembke if she's addicted.
INSIGHT

Defining Addiction

  • Addiction is diagnosed based on behavioral patterns, not biological tests.
  • Key criteria include control issues, compulsions, cravings, consequences, tolerance, and withdrawal.
INSIGHT

Dopamine's Role

  • Dopamine is crucial for pleasure, reward, and motivation.
  • It drives us to repeat behaviors our brain identifies as important for survival.
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