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This is the full version of Jan Jekielekβs interview with Dr. Anna Lembke. The interview was released on Epoch TV on July 12, 2025.
βWeβre living in this strange day and age when weβve essentially bio-hacked all of the things that we do and really come to organize our lives around our little rewards, right? So, we wake up in the morning, we reach for our phones, we have our cup of coffee, we have our favorite muffin.β
Dr. Anna Lembke is a psychiatrist, professor, and medical director of addiction medicine at Stanford University. Sheβs the author of βDopamine Nation: Finding Balance in the Age of Indulgence.β
βThis is, of course, the great paradox, that although we want to avoid pain, our efforts to avoid pain actually lead to more pain,β she says.
How have technology and modern living led to mass overconsumption in America?
CHAPTERS
0:00:00 – Living in a Bio-Hacked World: Rewards and Paradoxes
0:01:02 – The Controversial Truth About Drug Access and Addiction
0:03:13 – The Drugification of Modern Life
0:08:26 – Consumption Culture and Pain Avoidance
0:09:53 – The Crucial Role of Pain in Experiencing Pleasure
0:12:21 – The Destructive Impact of Ubiquitous Pornography
0:15:21 – The Story of Jacob
0:18:12 – Smartphones: Our Modern Masturbation Machines?
0:24:37 – Understanding Dopamine: The Neuroscience of Reward
0:27:04 – The Intricate Relationship Between Pain and Pleasure
0:30:29 – Technology, Addiction, and Societal Polarization
0:34:04 – Cultural Shift: Redefining Our Relationship with Pain
0:38:21 – Medication, Side Effects, and Informed Consent
0:41:42 – Serenity: A Metaphor for Human Desire and Motivation
0:46:04 – Anxiety Avoidance and Addiction Patterns
0:48:19 – Radical Honesty: A Pathway to Recovery
0:53:16 – The Contagious Nature of Truth-Telling
0:57:09 – Lying as a Survival Mechanism in Oppressive Systems
1:01:05 – Digital Media, Polarization, and Human Connection
1:12:56 – The Dual Nature of Shame in Personal Growth
1:15:17 – Reclaiming Personal Agency
1:17:13 – The Balance: Lessons for Modern Living
1:22:59 – Closing Reflections on Community and Addiction
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