Dopamine Nation: Finding Balance in the Age of IndulgenceINSTANT NEW YORK TIMES and LOS ANGELES TIMES BESTSELLER “Brilliant . . . riveting, scary, cogent, and cleverly argued.”—Beth Macy, author of Dopesick, as heard on Fresh Air This book is about pleasure. It’s also about pain. Most important, it’s about how to find the delicate balance between the two, and why now more than ever finding balance is essential. 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 increased numbers, variety, and potency is staggering. The smartphone is the modern-day hypodermic needle, delivering digital dopamine 24/7 for a wired generation. As such we’ve all become vulnerable to compulsive overconsumption. In Dopamine Nation, Dr. Anna Lembke, psychiatrist and author, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain . . . and what to do about it. Condensing complex neuroscience into easy-to-understand metaphors, Lembke illustrates how finding contentment and connectedness means keeping dopamine in check. The lived experiences of her patients are the gripping fabric of her narrative. Their riveting stories of suffering and redemption give us all hope for managing our consumption and transforming our lives. In essence, Dopamine Nation shows that the secret to finding balance is combining the science of desire with the wisdom of recovery. |
Contents
| 1 | |
| 7 | |
Running from Pain | 31 |
The Pleasure Pain Balance | 47 |
Dopamine Fasting | 71 |
Space Time and Meaning | 89 |
A Broken Balance? | 119 |
Pressing on the Pain Side | 139 |
Radical Honesty | 171 |
Prosocial Shame | 207 |
Conclusion | 231 |
Notes | 237 |
Bibliography | 257 |
Acknowledgments | 275 |
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able abstinence Accessed July Adderall addiction Alcoholics Anonymous Ambien American antidepressants anxiety asked balance behavior binding brain buprenorphine cannabis changes Chris Chronic clinical cocaine compulsive overconsumption consumption craving David Delilah depression destructive shame Disease disorder disulfiram dopamine Drake drinking drug of choice effect emotions experience feel fentanyl gastric bypass surgery gluten Health heroin Honnold Hormesis https://doi https://doi.org human hyperalgesia increased Jacob Journal kids knew living looked marshmallow mental illness naltrexone neurons Neuroscience neuroscientist neurotransmitters Nucleus Accumbens okay opioid ourselves Oxytocin patients percent pills pleasure and pain prefrontal prefrontal cortex prescribed prescription problem prosocial shame Psychiatry radical honesty rats reading recovery relapse Research reward pathway risk running wheel self-binding shock side of pain smoking social media Stanford stimulants stop story surgery talk tell therapy thing tion told took treatment truth weeks wife


