321 - Dopamine and addiction: navigating pleasure, pain, and the path to recovery

Рет қаралды 33,469

Күн бұрын

Пікірлер: 58

@PeterAttiaMD Ай бұрын

We discuss: 0:01:11 - The role of dopamine and the prefrontal cortex in addiction 0:12:18 - The clinical definition of addiction and the behavioral criteria for diagnosing it 0:16:44 - Assessing alcohol use: patterns, risks, and addiction diagnosis 0:21:38 - Applying the addiction diagnosis framework using gambling as an example 0:25:48 - Exploring addiction variability: how nature, nurture, and access shape individual vulnerability and drug of choice 0:43:33 - How abstinence from addictive behaviors can help reset the brain’s reward system and improve mental health 0:54:29 - Safely abstaining from addiction substances, drugs needing medical supervision, and other key considerations 1:02:40 - Transitioning from abstinence to long-term recovery: tools and considerations 1:13:18 - Exploring behavioral addictions like sex addiction, and the gender differences in addiction patterns 1:19:13 - Factors contributing to the increasing levels of addiction across the world 1:30:21 - How online pornography can affect young boys' developing brains and lead to addictive behaviors, and strategies for parents to address this issue 1:43:05 - The link between social media use and declines in mental health, potential solutions, and protective measures 1:53:32 - How exercise affects brain chemistry, the role of dopamine and endorphins, and how exercise can become addictive 1:57:04 - Cold-water immersion for mood regulation, and other healthy coping strategies 2:04:47 - The “marshmallow experiment”: how broken promises affect behavior and trustworthy environments help children develop self-control 2:09:30 - Can GLP-1 agonists be useful in treating addiction? 2:17:57 - The benefits of 12-step programs 2:24:14 - Why understanding a patient’s story is essential for meaningful psychiatric care

@shadowbanned4606 Ай бұрын

36:19 minimal for you...

@K4R3N Ай бұрын

"Dopamine Nation" and "Outlive" are life changing books. Really enjoyed both and learned a lot. This is a great collaboration!

@MrAdoinc Ай бұрын

It's sad I thought this was a botted comment at first just because of how many bot book reccomendations I've seen lately. Wish I didn't have to automatically doubt everything I read nowadays :(

@K4R3N Ай бұрын

@@MrAdoinc I'm a real person!

@K4R3N Ай бұрын

@@MrAdoinc lol now that I read my original comment I can see how it sounds half-robotic 🤖 😂

@michelle4688 Ай бұрын

@@MrAdoinc skepticism is, unfortunately, a wise way to navigate the world these days. I'm the same way. you're just being prudent.

@FkkkpayingGoog Ай бұрын

Haven't checked out her book quite yet but Outlive DEFINITELY changed the way I look at health, also I'm coming from a background with most of my life struggling with addiction issues, and I'm only 33, i believe her book will be the one that makes sense for my life

@Keepitcurious1685 Ай бұрын

Anna Lembke is a gift to the world. Thank you Dr Attia for sharing this very important information.

@mTaR36S Ай бұрын

What a great interview Peter ! Anna Lembke is clearly an exceptional person with so much to give. I am grateful for her honesty and insights. Thankyou !

@SaskiaDelarondeMusic Ай бұрын

Addiction continues to be baffling, even when I am armed with all the knowledge. Sugar and food comes to mind. Love this info. Thank you!

@Cathy-e1s Ай бұрын

Most addicts whose physical addiction has ended discover the memories or emotions that their addiction(s) are blocking, and then address them. It really isn't that baffling. It IS really, really hard to face.

@mytube785 Ай бұрын

Great to see Dr. Anna Lembke on the show… I read her book “Dopamine Nation” awhile back, and watched her talks. It is so great to hear her talking about this topic in depth again.

@eliteboxfitness Ай бұрын

Dr lembke is a great resource for learning about addiction . Always learn a lot from her talks. Glad to see her on here . Must read dopamine nation soon

@Brand0n1337 Ай бұрын

Dr.Peter I would have never guessed in a million years you went through addiction. Thank you for sharing this, for those of us who have, and are currently struggling - it’s very inspirational.

@lordmolyneaux8675 Ай бұрын

So many have dealt with issues like addiction or depression or whatever illness (sign of the times) but good to see them overcome it and spread the knowledge about how to do it along.

@SF_Native Ай бұрын

Amazon shopping? I mean it could definitely be worse lol

@ristonfuller1319 Ай бұрын

@@SF_Nativelmao

@shelleystevens2241 Ай бұрын

Thank you for the work that you do in spite of the emotional cost!

@ShmatkoEugene Ай бұрын

Great to see Anna Lembke here! The topic is what I often took lightly until got in a couple of them myself.

@masucci61 Ай бұрын

Thank you Dr Lembke for all your insights on this subject matter. Your knowledge level and communication skills makes it easy to grasp the complexities of addiction

@Nattkatt-o8t Ай бұрын

Thanks for this superb conversation!

@MountainRhode Ай бұрын

Brilliant. Dr Lembke is a great teacher and subject matter expert

@Dino-kk7ir Ай бұрын

One of the best discussions I've heard on this topic! People are inherently free and sovereign. They don't need government validation or permission. So, people have bodily autonomy and are free to consume or do whatever they want as long as it doesn't violate the rights of another. Existing laws, cultural norms, and consequences hold them accountable if they do, and family and close friends should provide support. There is only one solution to this addiction epidemic. We need an environment that supports those inherent individual rights, the foundational traditional family, free markets, and the right to life, liberty, and the pursuit of happiness without government interference, such as a distortion of our currency, unnecessary and burdensome regulation, and taxation, promoting the radical woke agenda and green agenda, and anything not mandated in the US Constitution and consistent with traditional Western values. That said, I'm a photographer with extensive experience working with and managing models, following cultural and socioeconomic trends, and having an unconventional life and childhood with many unique experiences and observations, including multiple traumas. Based on that, I believe that technology and our modern world are incompatible with human nature, and the more advanced we become, the more existential challenges and social instability exist. Social media, fan sites, and the online modeling industry offer one of many examples. As a model photographer, I've researched this issue and observed extreme distortions, hyper-sexualization, borderline child pornography, severe addiction, and dysfunction with both models and viewers. I witnessed one model who had a mental breakdown while streaming a cam show and threatened suicide, while several viewers encouraged her to do it while streaming live. Thankfully, I convinced her to end her stream and chat with me privately for several days until she felt better. I also chatted with a viewer with a wife and two kids in high school who maxed out his credit cards and depleted his retirement account without his wife's knowledge. He wasn't wealthy, yet he spent over $90,000 in less than a year. Several wealthy viewers spent several hundred thousand dollars over several years, while another is approaching a million dollars. This financial support is for a virtual fantasy with no in-person contact! There is no precedent for this extreme income increase and systemic and graphic sexual behavior in the modeling industry or its negative impact on society with many unknown consequences other than distorting the relationship between men and women and worsening existing negative social trends. I contacted several investigative journalists, but none were interested in reporting what I believe is the most underreported story of our time. Support After Babel, Freya India, and others who are starting to shine a light on these serious issues.

@leniolesch896 Ай бұрын

Wow, what an educational episode. I read the book and was fascinated. Thank you Peter for inviting such wonderful guests and thank you to Anna for sharing your knowledge so generously. One topic still remained open for me; and that is: what about eating disorders? How should they be categorised in terms of addiction? I am also specifically concerned with anorexia nervosa. My understanding is that the dopamine system works in exactly the opposite direction. Food/meals that release dopamine in ‘normal’ patients lead to anxiety in AN patients.

@Find-Your-Wellness-With-Me 29 күн бұрын

ED usually happens after trauma, mentally person can't live with the trauma, BC its just too much.

@leniolesch896 29 күн бұрын

@@Find-Your-Wellness-With-Me Where’s the evidence for that? ED is multi factorial

@Find-Your-Wellness-With-Me 29 күн бұрын

@@leniolesch896 for anorexia nervosa that is for sure. U won't get evidence bc no one talks about it publicly.

@joryiansmith Ай бұрын

Thank you both 🙏

@zambalagarden Ай бұрын

Thank you so much 🎉❤

@HackHunter1835 Ай бұрын

I enjoyed this talk. Well done.

@K4R3N Ай бұрын

49:45 the "balance/teeter-totter" model I read in the book really made sense. Addicted people over-develop their "pleasure" side.

@Shelleyb4028 Ай бұрын

Fantastic interview! Thank you to both of you for all the great info :)

@brianbrennan5600 Ай бұрын

This is kind of random but regarding the marshmallow test...it just occurred to me, did they offer other treat choices? I don't like marshmallows at all. If you tell me I get two if I wait fifteen minutes my main question would be if I can leave immediately if I eat it. We assume all kids are incentivized by food to equivalent degrees but some kids have treats at home and some don't, we have a whole category of garbage foods in our house and if someone offers them to the kids at school (chocolate milk for example) they're either just things we don't eat OR there's a precedent of an at-home reward for making the hard choice to skip it. So offer my son two marshmallows and he's going to wonder if that will mean he has to do extra exercise for the day or if he won't get carrot juice+kefir etc.

@mhlorenzo Ай бұрын

1:29:40 amazing. I've always known.... And much of it will continue for as long as we continue to be consumers

@jonhurdibm Ай бұрын

29:13 Not luck. Rather by God's grace.

@theblah9316 Ай бұрын

I think a decent definition of 'social media' is necessary to any related research. There are so many different types of social media.

@ceaseoccupation Ай бұрын

Im curious Peter and Anne how we can thread autism stimming here.. for a long time i thought that my stimming was like an addiction… some stims are harmless but some can be painful…

@vanguard7674 Ай бұрын

Way more insightful than Hubermans asinine takes on dopamine

@anchi267911 Ай бұрын

She was on one of his shows, but I feel he didnt get her completely. I found about her through there

@carolesteinberg7463 Ай бұрын

I’ve been taking 100 mg tramadol for about 6 years. Sometimes I wonder if im addicted but im old and an athlete w issues so i just assume its ok if i dont have to up the dose. Mr dr won’t prescribe it but he knows I take it and is fine with it. I don’t consider myself addictive type I don’t drink or shop etc.

@DaboooogA Ай бұрын

1:23:52 Cannabis was not decriminalised for improved health outcomes, but for profit and stimulation of state/local economies. Other democratic rule of law nations do not ponder the question of decriminalising cannabis because they have successfully deterred people from the use abuse of the substance for decades now.

@mhlorenzo Ай бұрын

1:42:35 OMG so true!

@enRod. Ай бұрын

Master class ✅

@blueberrydays5569 Ай бұрын

I now have a 3rd heroine ❤

@ExcitingBob Ай бұрын

"6 drinks a day as a blackout drinker" Lol. 6 drinks is the warm up.

@pavelsmith2267 Ай бұрын

Reading books has nothing to do with physical pleasure or physical pain. People who have done much reading of books and have had little to do with the physical world; translate the presumptions of pain much differently than people who have congealed physical ailments. Book worms experience pain as an open faucet. The ideas of open or closed to pain certainly confine our specific relativities. Book worms experience pleasure as a moment to bask in and not as a physical undertaking. The difference is translation where addiction is regarded. Dopamine and people used to call me an adrenaline junkie. Also a drunk, a drug addict and intelligent but mean. All these wasted moments experienced by these book worms types just means more repetition. As we all know, repetition is a reinforcing behavior 0:05.

@ermolaevatania Ай бұрын

hey show notes link is broken

@mytube785 Ай бұрын

2:28:06 Last section

@theblah9316 Ай бұрын

The state during which there is an even chance of winning and losing for gamblers being an addictive 'sweet spot' is interesting and makes me wonder about how that translates to internet algorithms and what is clearly going on with this '24 election cycle. It seems that there is almost a built-in mechanism now in all media (both social and legacy media) that seems to want to make all outcomes seem possible to all people at all times. interesting stuff.