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Finding Balance In A Dopamine Overloaded World with Dr Anna Lembke #222

Dec 1, 2021 1h 42m 13 insights
CAUTION: Includes themes of an adult nature. Do you think you have an addiction, or perhaps an unhealthy relationship with a certain behaviour? It may be a behaviour that you have tried to stop in the past that you keep returning back to despite your best intentions. Well, if you do (and I cannot imagine there are many people out there who don't), I think you will find today's conversation eye-opening. My guest is Dr. Anna Lembke, a professor of psychiatry at Stanford University School of Medicine, and author of the brilliant new book, Dopamine Nation: Finding Balance In the Age Of Indulgence, in which she explores the exciting new scientific discoveries that explain why our relentless pursuit of pleasure leads to pain. In today's conversation, we explore the fact that we are living in a dopamine overloaded world where everything has been made more accessible, more abundant, and more potent. We're living in a time of unprecedented access to high-reward, high-dopamine stimuli: drugs, food, news, gambling, shopping, gaming, texting, sexting, Facebooking, Instagramming, YouTubing, tweeting...the list is endless. And the effect is that we are now living in a world that has turned many of us into addicts. We delve into what exactly dopamine is, why we all need it, and how getting too much of it can actually lead to pain. Anna explains that pleasure and pain work like a balance in the brain. In fact, the same parts of the brain that process pleasure, also process pain. If we tip that balance too far in the pursuit of pleasure, the brain responds by overcompensating and pushing us in the direction of pain. But it's not all doom and gloom, there is plenty that we can do to find the right balance and in our conversation, Anna shares some of her best practical advice that has been honed over years and years of treating patients. We cover a wide range of topics, including why radical honesty is important for all of us, the lessons that we can learn from people who have been through recovery and the effect that isolation has on addiction. We also discuss how this problem of overconsumption can affect our kids at crucial stages in their development, and what we can do to protect them. Anna is a world-leading expert in her field but what I love the most about her is her authenticity, compassionate manner and her passion to help as many people as she can. This was a really powerful conversation. I hope you enjoy listening.  Thanks to our
Actionable Insights

1. Implement a Dopamine Fast

Eliminate your ‘drug of choice’ (e.g., social media, video games, cannabis, alcohol) for a whole month. This allows your brain to restore healthy dopamine pathways and reset its reward system, making more modest pleasures rewarding again.

2. Practice Radical Honesty Daily

Embrace radical honesty by telling the truth about everything, not just major issues, but also small, everyday matters. This practice fosters true intimacy, helps develop a truthful autobiographical narrative, and strengthens the prefrontal cortex for better self-control.

3. Embrace Painful, Unplugged Activities

Engage in activities that are challenging or mildly painful, such as getting off the couch for an unplugged walk outside for 30 minutes a day. This ‘presses on the pain side’ of your brain’s balance, prompting your body to upregulate its own dopamine production, leading to a more resilient and happier brain.

4. Implement Self-Binding Strategies

Create literal and metacognitive barriers between yourself and your ‘drug of choice’ to introduce a pause before use. Making access harder provides a crucial moment to decide against using, helping to break compulsive patterns.

5. Experiment with Behavior Change

Approach personal behavior changes, like a dopamine fast, as an experiment to gather data on how your system (body/mind) works. This allows you to observe the true cause and effect of your habits and gain empowering insight into what makes you feel better.

6. Limit Device Access for Young Children

Ensure children under the age of 10, and arguably under 12, do not have access to their own personal devices. This protects their developing brains during a crucial period, allowing them to develop healthy social and coping skills in real-life interactions.

7. Build Foundational Life Skills in Children

Protect children by creating an environment that fosters real-life friendships, engagement in sports, creative pursuits, and systems for sustained attention and organization. This foundation is crucial before potential exposure to highly stimulating digital products, which can usurp other types of learning.

8. Discuss Healthy Digital Use with Kids

Engage in important discussions with children about healthy digital use, appropriate online etiquette, and family values regarding device interaction. Frame the device as a potential ‘drug’ to emphasize its potent and potentially addictive nature.

9. Remove Devices if Kids Can’t Cope

If a child demonstrates an inability to manage device use responsibly, such as constant use or inattention in class, be prepared to take the device away. It’s important to acknowledge differing vulnerabilities among children and adapt accordingly.

10. Control Home Food Environment

Avoid bringing unhealthy, highly processed foods into your home to reduce the need for constant willpower. By removing temptations from your immediate environment, you create a ‘dopamine cave’ where quick, easy dopamine fixes are less available.

11. Reintroduce Rewards Infrequently

After resetting your dopamine balance, reintroduce rewarding things in modest doses and infrequently. Ensure enough time passes between uses for your brain’s pleasure-pain balance to restore homeostasis, preventing the accumulation of ‘gremlins’ on the pain side.

12. Seek Medical Detox for Severe Addiction

If you are at risk for life-threatening withdrawal from substances like alcohol, benzodiazepines, or opioids, do not stop cold turkey. These individuals may need medically monitored detoxification to ensure safety during a dopamine fast.

13. Cultivate Self-Compassion and Persistence

If you struggle to stop a substance or behavior, cultivate self-compassion and persistence, and don’t give up. Keep strategizing and remember there is always hope to make your life better by understanding the source of your suffering.