Addiction, Trauma, Porn, Dopamine Detox | Anna Lembke


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Anna Lembke explores dopamine detoxing, addiction, and the influence of narratives in managing trauma. SPONSORS: – This …

21 replies
  1. Theories of Everything with Curt Jaimungal
    Theories of Everything with Curt Jaimungal says:

    TIMESTAMPS AND SPONSORS:

    – This episode is sponsored by BetterHelp. Give online therapy a try at https://betterhelp.com/TOE and get on your way to being your best self.

    TIMESTAMPS:

    00:00:00 Introduction

    00:02:40 Anna Lembke's experience with addiction

    00:10:46 Dopamine-seeking behavior vs coping mechanism

    00:12:35 The paradox of pain relief

    00:24:21 The self-perpetuating cycle of addiction

    00:24:00 Neuroadaptation

    00:29:23 The power of abstinence

    00:34:04 Life as an experiment

    00:37:15 Dopamine reward and misconceptions of the "present moment"

    00:41:06 Freud, Jung, and mindfulness

    00:45:35 East vs West in mental health

    00:51:15 Importance of self-talk and bedside manner

    00:56:00 Attachment styles in trauma (and intergenerational trauma)

    01:01:00 Power of stories and a Higher Power in addiction recovery

    01:07:42 Radical honesty / truth-telling

    01:12:02 The relevance of free will

    01:23:26 Love as a catalyst for tough decisions

    01:31:02 – A digital Sabbath (and Curt's coffee abnegation)

    01:42:12 Methadone for severe opioid use disorder

    01:51:00 The language of addiction, stigmatization, and identity

    01:57:32 Rat Park experiments (society's role in addiction)

    02:08:16 Writing as a therapeutic tool

    02:14:12 The necessity of a Higher Power

    Reply
  2. Ze Tristan
    Ze Tristan says:

    She's my new Analemma☀
    And I dearly hope her husband will learn more power of story and become Anna's ongoing romance novel! Alexey Welsh is a wonderful source of essential guidance too…

    Reply
  3. Mustafa Al-Mosawi
    Mustafa Al-Mosawi says:

    Hi there – there has been a series of exposes written about how BetterHelp is actually not well suited for therapy and is leaving people high and dry. I recommend you find another company to get as a sponsor or risk your integrity 🙏🏼

    Reply
  4. Frederic Lariviere
    Frederic Lariviere says:

    I think its a shame psychedelics weren’t really addressed (LSD even being used as an example for drug addiction while it’s also been used to treat this).
    I think because of her heavy involvement in this field her insights would’ve been well received by the pro-psychedelics community (whether or not she supports it).
    Great episode as always Curt, keep up the amazing work!!

    Reply
  5. Amos Paul
    Amos Paul says:

    Repackaged (completely debunked and not evidence based in the slightest) 12 step approach with slapdash "neuroscience" sprinkled in for "legitimacy." What a radical approach….Also interesting that she casually mentions some (not identified bc it doesn't exist) "addiction gene" as though this is some obviously established empirical fact (it isn't, it doesn't exist). Look into Stanton Peele if you're interested in actually evidence based approaches.

    Notice how she "explains" everything behaviorally, but the reasoning behind all of it is framed in terms of "neuroscience." This is the result of the need to concretize the cause of something that is not clinically possible to define (which is why addiction is no longer included in the DSM-5, because doctors, psychologists, and addiction treatment approaches all define the terms so differently that it isn't clinically meaningful, it's an abstraction), so if she's asked "why" a behavior happens, it's because of the "neuroscience," but why does the "neurochemistry" change? Oh that's because of the behavior. Which is not the same as claiming that the two simply interact. In order for her position to seem coherent they have to be each other's cause because for her addiction is a spiritual malady (as AA defines it), hence the "need" for a higher power. If you're wondering why this is a problem, ask yourself what you would think if you went to a doctor or psychologist for any other problem and they told you to find a higher power. You would probably report them to their respective disciplinary boards for quackery. As well you should.

    If anyone's interested in the myriad problems of 12 step approaches like AA or NA, please look into the documentary the 13th Step for stories of widespread sexual exploitation within AA, The book The US of AA about how AA was installed into the courts and the medical system through strongarm tactics and political maneuvering, the book The Sober Truth about how 12 step approaches utterly fail in empirical studies of their efficacy, and the website The Orange Papers for an extensive debunking of the logic of 12 step approaches and historical context for the nefarious origins of the precursor to AA. There are approaches that actually work, 12 step isn't one of them.

    Reply
  6. Ano Nony
    Ano Nony says:

    Working at home for the last 2 years with constant access to my phone and computer seems to have pushed me over the edge in terms of dopamine chasing. I can barely go 30 seconds without feeling like I have to check my phone or look at something on my computer, even if I'm in the middle of a fascinating podcast like this or a work meeting.

    I remember when I was in university I used to be able to sit during the 4-hour bus ride to school each semester and just be with my thoughts for the entire time, almost in a meditative state. Now I couldn't imagine doing that.

    I really think access to devices 24 hours a day exacerbates these problems immensely and practicing quieting your mind through meditation or some other similar is important. We need to practice being bored and being okay with it

    Reply
  7. Justin F
    Justin F says:

    It's really weird seeing this and then taking a step back and thinking about myself and my life. So many things hit the nail on the head….and I guess I never saw any of my individual 'issues' as actual issues. All those different pieces of me and my experience kind of snapped into place hearing her speak. Might just be time for some radical changes in my life.

    Reply
  8. Rachel Rea
    Rachel Rea says:

    it's also incredibly harmful for the creators. I know there's always the argument that such-and-such an actress really dose it because she loves it, but in general the industry is highly exploitative and damaging to those within it. I also kinda worry that the trends you see with violence in porn really normalises sexual violence IRL, especially for those consuming it at an age where they're highly impressionable. I think we know this. We know what we're viewing is bad news. Kudos to anyone here who recognises it's an issue and wants to stop. It's really a much better life without it. <3

    Reply

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