Dopamine Nation
Finding Balance in the Age of Indulgence
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Narrated by:
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Dr. Anna Lembke
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By:
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Dr. Anna Lembke
About this listen
INSTANT 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.
©2021 Dr. Anna Lembke (P)2021 Penguin AudioListeners also enjoyed...
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Critic reviews
"Anna Lembke deeply understands an experience I hear about often in the therapy room at the nexus between our modern addictions and our primal brains. Her stories of guiding people to find a healthy balance between pleasure and pain have the power to transform your life.” (Lori Gottlieb, “Dear Therapist” columnist at The Atlantic, New York Times best-selling author of Maybe You Should Talk to Someone)
“Just when you thought you knew all you needed to know about the addiction crisis, along comes Dr. Anna Lembke with her second brilliant book on the topic—this one not about a drug but about the most powerful chemical of all: the dopamine that rules the pain and pleasure centers of our minds. In an era of overconsumption and instant gratification, Dopamine Nation explains the personal and societal price of being ruled by the next fix—and how to manage it. No matter what you might find yourself over-indulging in—from the internet to food to work to sex—you’ll find this book riveting, scary, cogent, and cleverly argued. Lembke weaves patient stories with research, in a voice that’s as empathetic as it is clear-eyed.” (Beth Macy, author of Washington Post Best Book of the Year, New York Times Notable Book of 2018, and best seller Dopesick: Dealers, Doctors, and the Drug Company That Addicted America)
“We all desire a break from our routines and those parts of life that upset us. What if, instead of trying to escape these things, we learn to turn toward them, to reach a peaceful harmony with our selves and the people we share our lives with? Lembke has written a book that radically changes the way we think about mental illness, pleasure, pain, reward, and stress. Turn toward it. You’ll be happy you did.” (Daniel Levitin, New York Times best-selling author of The Organized Mind and Successful Aging)
"Explore[s] the dichotomy between seeking a readily accessible hit of dopamine—from our phones, gambling, or a bag of Fritos—and maintaining healthy, productive, stable lives.” (The New York Times, Inside the Best-Seller List)
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Helen Russell has researched sadness from the inside out for her entire life. Her earliest memory is of the day her sister died. Her parents divorced soon after, and her mother didn’t receive the help she needed to grieve. Coping with her own emotional turmoil — including struggles with body image and infertility — she’s endured professional and personal setbacks as well as relationships that have imploded in truly spectacular ways. Even the things that brought her the greatest joy — like eventually becoming a parent — are fraught with challenges.
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More an self biography
- By Jaime Murillo on 04-27-24
By: Helen Russell
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Unbroken Brain
- A Revolutionary New Way of Understanding Addiction
- By: Maia Szalavitz
- Narrated by: Marisa Vitali
- Length: 12 hrs and 35 mins
- Unabridged
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Performance
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Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality", Unbroken Brain offers a radical and groundbreaking new perspective, arguing that addiction is a learning disorder, and shows how seeing the condition this way can untangle our current debates over treatment, prevention, and policy.
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Not what I expected
- By Jennifer Sader on 08-28-16
By: Maia Szalavitz
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The Molecule of More
- How a Single Chemical in Your Brain Drives Love, Sex, and Creativity - And Will Determine the Fate of the Human Race
- By: Daniel Z. Lieberman MD, Michael E. Long
- Narrated by: Tom Parks
- Length: 8 hrs and 13 mins
- Unabridged
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Overall
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Performance
-
Story
In The Molecule of More: How a Single Chemical in Your Brain Drives Love, Sex, and Creativity—and will Determine the Fate of the Human Race, George Washington University professor and psychiatrist Daniel Z. Lieberman, MD, and Georgetown University lecturer Michael E. Long present a potentially life-changing proposal: Much of human life has an unconsidered component that explains an array of behaviors previously thought to be unrelated, including why winners cheat, why geniuses often suffer with mental illness, why nearly all diets fail, and more.
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Did you know conservatives have more orgasms?
- By Josh on 10-21-20
By: Daniel Z. Lieberman MD, and others
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Clean
- Overcoming Addiction and Ending America’s Greatest Tragedy
- By: David Sheff
- Narrated by: Jeff Cummings
- Length: 13 hrs and 30 mins
- Unabridged
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Overall
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Performance
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Story
Addiction is a preventable, treatable disease, not a moral failing. As with other illnesses, the approaches most likely to work are based on science - not on faith, tradition, contrition, or wishful thinking. These facts are the foundation of Clean, a myth-shattering look at drug abuse by the author of Beautiful Boy. Based on the latest research in psychology, neuroscience, and medicine, Clean is a leap beyond the traditional approaches to prevention and treatment of addiction.
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Unbearable narration
- By John on 09-10-14
By: David Sheff
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This Naked Mind
- Control Alcohol, Find Freedom, Discover Happiness, and Change Your Life
- By: Annie Grace
- Narrated by: Annie Grace
- Length: 7 hrs and 28 mins
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This Naked Mind offers a new, positive solution. Here, Annie Grace clearly presents the psychological and neurological components of alcohol use based on the latest science and reveals the cultural, social, and industry factors that support alcohol dependence in all of us. Packed with surprising insight into the reasons we drink, this book will open your eyes to the startling role of alcohol in our culture and how the stigma of alcoholism and recovery keeps people from getting the help they need.
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Not as Described
- By Sean on 07-01-18
By: Annie Grace
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How to Make Good Things Happen
- Know Your Brain, Enhance Your Life
- By: Marian Rojas Estapé
- Narrated by: Marisol Ramirez
- Length: 7 hrs and 54 mins
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An empowering journey through the mechanisms of the mind from one of the world’s leading mental health experts.
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it's just ok
- By Serafin Zuniga on 01-18-24
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Transcendence
- Healing and Transformation Through Transcendental Meditation
- By: Norman E. Rosenthal
- Narrated by: Gildart Jackson
- Length: 8 hrs and 4 mins
- Unabridged
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Story
Norman E. Rosenthal, M.D., a 20-year researcher at the National Institute of Mental Health and the celebrated psychiatrist who pioneered the study and treatment of Season Affective Disorder (SAD), brings us the most important work on Transcendental Meditation since the Maharishi Mahesh Yogi's Science of Being and Art of Living - and one of our generation's most significant books on achieving greater physical and mental health and wellness.
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Inspirational yet "Informercional"
- By James on 05-24-13
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Capture
- Unraveling the Mystery of Mental Suffering
- By: David A. Kessler MD
- Narrated by: Sean Pratt
- Length: 9 hrs and 34 mins
- Unabridged
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Overall
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Performance
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Story
Why do we think, feel, and act in ways we wish we did not? For decades, New York Times best-selling author Dr. David A. Kessler has studied this question with regard to tobacco, food, and drugs. Over the course of these investigations, he identified one underlying mechanism common to a broad range of human suffering. This phenomenon - capture - is the process by which our attention is hijacked and our brains commandeered by forces outside our control.
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Confused
- By TS on 05-17-16
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The Depths
- The Evolutionary Origins of the Depression Epidemic
- By: Jonathan Rottenberg
- Narrated by: Walter Dixon
- Length: 4 hrs and 27 mins
- Unabridged
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Overall
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Performance
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Story
Nearly every depressed person is assured by doctors, well-meaning friends and family, the media, and ubiquitous advertisements that the underlying problem is a chemical imbalance. Such a simple defect should be fixable, yet despite all of the resources that have been devoted to finding a pharmacological solution, depression remains stubbornly widespread. Why are we losing this fight?
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Great read for understanding
- By Adam on 02-04-15
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The Science of Stuck
- Breaking Through Inertia to Find Your Path Forward
- By: Britt Frank LSCSW
- Narrated by: Sasha Heinz, Britt Frank LSCSW
- Length: 7 hrs and 8 mins
- Unabridged
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Overall
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Performance
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Story
We all experience stuckness in our lives. We feel stuck in our relationships, career paths, body struggles, addiction issues, and more. Many of us know what we need to do to move forward—but find ourselves unable to take the leap to make it happen. And then we blame and shame ourselves, and stay in a loop of self-doubt that goes nowhere. The good news is you’re not lazy, crazy, or unmotivated. In this empowering and action-oriented guide, you’ll discover why we can’t think our way forward—and how to break through what’s holding us back.
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Mental health is a physical process
- By Meagen G. on 04-18-22
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Sober Curious
- The Blissful Sleep, Greater Focus, Limitless Presence, and Deep Connection Awaiting Us All on the Other Side of Alcohol
- By: Ruby Warrington
- Narrated by: Ruby Warrington
- Length: 6 hrs and 33 mins
- Unabridged
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Overall
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It’s the nagging question more and more of us are finding harder to ignore, whether we have a “problem” with alcohol or not. In the face of how we care for ourselves otherwise, it’s hard to avoid how alcohol really makes us feel: terrible. How different would our lives be if we stopped drinking on autopilot? If we stopped drinking altogether? Frank, funny, and always judgment-free, Sober Curious is a bold guide to choosing to live hangover-free, from Ruby Warrington, one of the leading voices of the new sobriety movement.
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Kinda confusing
- By Andrei on 01-06-20
By: Ruby Warrington
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The Depression Cure
- The 6-Step Program to Beat Depression without Drugs
- By: Stephen S. Ilardi
- Narrated by: Jeffrey Kafer
- Length: 6 hrs and 49 mins
- Unabridged
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Overall
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Performance
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Story
In the past decade, depression rates have skyrocketed, and one in four Americans will suffer from major depression at some point in their lives. Where have we gone wrong? Dr. Stephen S. Ilardi sheds light on our current predicament and reminds us that our bodies were never designed for the sleep-deprived, poorly nourished, frenzied pace of 21st-century life.
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I have a dear family member....
- By Derek B. on 12-12-12
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Heal Your Mind
- By: Louise Hay
- Narrated by: Mona Lisa Schulz M.D. Ph.D.
- Length: 12 hrs and 28 mins
- Unabridged
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Overall
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Performance
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Story
Heal Your Mind continues the three-pronged healing approach that Dr. Mona Lisa Schulz and Louise Hay pioneered together, extending it to conditions, processes, and disorders of the mind including memory, learning disability, addiction, anxiety, and depression. In-depth case studies from the All Is Well Clinic delve into interventions with real patients, where Dr. Mona Lisa uses intuition to pinpoint issues, and she and Louise discuss the medical solutions and affirmations that can help restore well-being.
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Narrator
- By Michylp17 on 11-17-16
By: Louise Hay
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Life on Purpose
- How Living for What Matters Most Changes Everything
- By: Victor J. Strecher
- Narrated by: R.C. Bray
- Length: 5 hrs and 34 mins
- Unabridged
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Overall
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Performance
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Story
A pioneer in the field of behavioral science delivers a groundbreaking work that shows how finding your purpose in life leads to better health and overall happiness. Your life is a boat. You need a rudder. But it doesn't matter how much wind is in your sails if you're not steering toward a harbor - an ultimate purpose in your life. While the greatest philosophers have pondered purpose for centuries, today it has been shown to have a concrete impact on our health.
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A truly life-changing book
- By Radiant Dark on 11-05-16
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The Caregiver's Guide to Dementia
- Practical Advice for Caring for Yourself and Your Loved One
- By: Gail Weatherill RN CAEd
- Narrated by: Ann Osmond
- Length: 4 hrs and 45 mins
- Unabridged
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Overall
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Performance
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Story
When caring for someone with dementia, your own mental stability can be the single most critical factor in your loved one’s quality of life. The Caregiver's Guide to Dementia brings practical and comprehensive guidance to understanding the illness, caring for someone, and caring for yourself. From understanding common behavioral and mood changes to making financial decisions, this book contains bulleted lists of actions you can take to improve your health and your caregiving.
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As a RN myself I HIGHLY HIGHLY recommend
- By Amazon Customer on 01-13-21
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Game Changers
- What Leaders, Innovators, and Mavericks Do to Win at Life
- By: Dave Asprey
- Narrated by: Dave Asprey, Rick Adamson
- Length: 11 hrs and 12 mins
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Overall
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Performance
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Story
The best-selling author of Head Strong and The Bulletproof Diet answers the question, “How can I kick more ass at life?” by culling the wisdom of world-class thought leaders, maverick scientists, and disruptive entrepreneurs to provide proven techniques for becoming happier, healthier, and smarter.
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Game Changers is game changing
- By Anwar S on 01-05-19
By: Dave Asprey
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Abridged - no Appendix!
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In the Realm of Hungry Ghosts
- Close Encounters with Addiction
- By: Gabor Maté MD
- Narrated by: Daniel Maté
- Length: 16 hrs and 26 mins
- Unabridged
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In this timely and profoundly original book, best-selling writer and physician Gabor Maté looks at the epidemic of addictions in our society, tells us why we are so prone to them, and what is needed to liberate ourselves from their hold on our emotions and behaviours.
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Gabor should have been the narrator
- By Stacey on 08-16-19
By: Gabor Maté MD
What listeners say about Dopamine Nation
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- Eric Appleton
- 08-28-21
Unbelievably Candid — A Great Book
I heard about this book on Dr. Andrew Huberman’s podcast last week. I was eager to read the book after Dr. Huberman’s conversation with Dr. Lembke. The book absolutely exceeded my expectations. For starters, the book is a quick read and/or listen— I did a bit of both on this one. Dopamine Nation is full of valuable scientific and medical content (at least for a layperson), which is explained in a clear and concise manner. Valuable context is also given with the use of various real world examples. The author does an outstanding job of blending her personal experiences as a physician with the overwhelming, and in some cases unimaginable, trials of her patients. The author’s confessions about her personal failings, mistakes, feelings, and challenges are incredibly forthcoming and utterly refreshing. To see such an accomplished and credentialed person, who is an active professional in the medical field and academia, candidly share her experiences for the benefit of readers is almost unheard of lately. Few in such esteemed positions would have the courage to be so vulnerable. I highly recommend this book to anyone who is interested in health and wellness—particularly brain health.
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41 people found this helpful
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- misty
- 08-25-21
Wow! Great book
Fantastic! Great book from start to finish. It was both interesting and also practical. Highly recommend for anyone who wants to change any addictive habit/behavior. I already started by deleting several apps on my phone.
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19 people found this helpful
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- Christian Rios
- 08-31-21
This book saves lives
Are you struggling with addiction? Lacking human connection? Have you lost your sense of self? Dr. Lembke masterfully guides the reader through the perils of addiction and subsequent recovery from addiction by sharing stories of her patients. She also provides a unique perspective using her own struggles, as well as scientific data to help the reader understand the fundamental root causes of addiction and other related mental illnesses. This truly is a book of hope for people who struggle with addiction. It has forever changed my perspective on addiction and provided me the necessary tools to better myself and move forward.
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6 people found this helpful
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- HighPlainsScribe
- 02-09-22
Addiction is Everywhere
The dopaminergic reward system was placed within us by evolution so we can feel rewarded for taking actions that may enhance our chances of survival. Unfortunately, especially in our time, that system is subject to being highjacked by substances and behaviors. The producers and dealers of substances, foods, social media engineers, advertisers, politicians and more know this all too well, sometimes instinctively, sometimes in great scientific detail. I see us as living in a hyper-consumer slave culture, both willingly and unwillingly manipulated by forces acting out of self-interest, to our great detriment. Dr. Lembke has written an excellent primer on this phenomenon and is doing great work to educate us so that we might save ourselves from our own illusions and delusions. She is a voice well worth listening to.
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2 people found this helpful
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- Stephen Fallon
- 11-01-21
A must read in this futuristic world
This book unveils the circuits of how the brain works giving examples through previous patient’s stories in an easy to digest but also extremely elaborate and informative way.
Great book.
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1 person found this helpful
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- Kim Cobler
- 09-08-21
On my list of life changing books
Some of the stories were hard to hear but so worth reading and learning
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1 person found this helpful
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- RUFtotheRESCUE
- 11-30-21
Excellent Book on the Topic of Dopamine
I learned things from this book that I have immediately implemented into my life and am already benefitting from. I am grateful I listened to this entire book and not just a summary of it on my book summary app. I plane to relisten once a year.
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1 person found this helpful
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- Mala Kostbar
- 01-07-22
Enjoyed It Very Much
I listened to the audio version while driving, getting ready, or cleaning and it kept my attention from beginning to end. This book made it to my collection and I know I will be listening to it again and again. Thank you, Anna.
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1 person found this helpful
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- Anonymous User
- 09-12-21
Amazing Book - Audible Stopped Playing?
Amazing book. Anyone else have Audible stop playing it? Love the message and would certainly recommend, even if you are not an addict.
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1 person found this helpful
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- dg2squared2
- 10-07-21
Why do we get addicted?
I hope to apply some ideas from this book into my own life. The doc tells in the beginning to brace yourself for her patient's experiences but wow. I am thankful for all that contributed and Dr.Lembke for putting the information together
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