In this episode of the Smarter Not Harder podcast, we are joined by Dr. Anna Lembke who educates us on meth pipe, opioids, and answered the question: how can a person get addicted to pain?   Doctor Anna Lembke is a professor and the medical director of Addiction Medicine at Stanford University School of Medicine, and a New York Times Best Selling author. She received her undergraduate degree in humanities from Yale University and her medical degree from Stanford University.    Dr. Lembke is a diplomat for both the American Board of Psychiatry and Neurology, and the American Board of Addiction Medicine. She is also a specialist in the opioid epidemic of the United States. She appeared in the 2020 subcommittee The Social Dilemma.  Her works include “How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop,” and the New York Times bestseller “Dopamine Nation: Finding Balance in the Age of Indulgence” which was released in August 2021.      What we discuss: 00:00:40 - About Dr. Anna Lembke 00:01:45 - Is it common to uncover co-occurring addictions when seeing a patient for a certain substance addiction? 00:03:46 -  Do you also uncover substance addictions from behavioral-addicted patients? 00:04:54 - Is it true that people have addictive personalities? 00:08:02 - Dr. Lembke’s thoughts on gradual steps of decreasing the amount of the addictive substance over time versus total abstinence immediately 00:13:16 - Statistics on substance addiction 00:18:14 - Dopamine: Movement/learning to reward mechanism. 00:22:23 -  The journey to abuse 00:30:08 - How does one get addicted to pain? 00:35:22 - Are there other mechanisms by which dopamine is released indirectly by all of these activities? 00:39:28 - What happens to dopamine in these receptors when an addict to any of these substances suddenly stops? 00:42:55 - How does opiate induced hyperalgesia happen? 00:46:25 - How does mindfulness help with addiction? Can mindfulness apps help? 00:52:02 - Is romantic love an addiction? 00:53:48 - Should hard and sudden heartbreak be treated with drugs from sudden dopamine drop? 00:56:19 - Dr. Lembke’s thoughts on a professor of psychology and psychiatry who admitted to taking heroin and other drugs recreationally. 00:57:42 - Can psychedelics lead to addiction? Can it help in mitigating addiction? 01:00:29 - A smarter not harder advice to parents on how their children might navigate the dopamine nation       Find more from Smarter Not Harder: Website: https://troscriptions.com/blogs/podcast | https://homehope.org Instagram: @troscriptions | @homehopeorg   Find out more about Dr. Anna Lembke: Website: https://www.annalembke.com/ Dopamine Nation: https://www.annalembke.com/dopamine-nation Publications: https://www.annalembke.com/selected-publications     Get 10% Off Your Purchase of Metabolomics Module by using PODCAST10 at https://www.homehope.org   Get 10% Off your Troscriptions purchase by using POD10 at https://www.troscriptions.com   Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram.