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Anna Lembke

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Anna Lembke


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Anna Lembke is an American psychiatrist who is Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic at Stanford University. She is a specialist in the opioid epidemic in the United States, and the author of Drug Dealer, MD, How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop.

Average rating: 3.92 · 48,348 ratings · 4,240 reviews · 8 distinct worksSimilar authors
Dopamine Nation: Finding Ba...

3.91 avg rating — 47,144 ratings — published 2021 — 43 editions
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Drug Dealer, MD: How Doctor...

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“The paradox is that hedonism, the pursuit of pleasure for it's own sake, leads to anhedonia. Which is the inability to enjoy pleasure of any kind.”
Anna Lembke, Dopamine Nation: Finding Balance in the Age of Indulgence

“Lessons of the balance.
1. The relentless pursuit of pleasure and avoidance of pain, leads to pain.
2. Recovery begins with abstinence
3. Abstinence rests the brains reward pathway and with it our capacity to take joy and simpler pleasures.
4. Self-binding creates literal and metacognitive space between desire and consumption, a modern necessity in our dopamine overloaded world.
5. Medications can restore homeostasis, but consider what we lose by medicating away our pain.
6. Pressing on the pain side, resets our balance to the side of pleasure.
7. Beware of getting addicted to pain.
8. Radical honesty promotes awareness, enhances intimacy and fosters a plenty mindset.
9. Prosocial shame affirms that we belong to the human tribe.
10. Instead of running away from the world, we can find escape by immersing ourselves in it.”
Anna Lembke, Dopamine Nation: Finding Balance in the Age of Indulgence

“I urge you to find a way to immerse yourself fully in the life that you’ve been given. To stop running from whatever you’re trying to escape, and instead to stop, and turn, and face whatever it is. Then I dare you to walk toward it. In this way, the world may reveal itself to you as something magical and awe-inspiring that does not require escape. Instead, the world may become something worth paying attention to. The rewards of finding and maintaining balance are neither immediate nor permanent. They require patience and maintenance. We must be willing to move forward despite being uncertain of what lies ahead. We must have faith that actions today that seem to have no impact in the present moment are in fact accumulating in a positive direction, which will be revealed to us only at some unknown time in the future. Healthy practices happen day by day. My patient Maria said to me, “Recovery is like that scene in Harry Potter when Dumbledore walks down a darkened alley lighting lampposts along the way. Only when he gets to the end of the alley and stops to look back does he see the whole alley illuminated, the light of his progress.”
Anna Lembke, Dopamine Nation: Finding Balance in the Age of Indulgence

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