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    #66 - "Dopamine Nation" Pleasure, Pain, and the Neuroscience of Addiction with Anna Lembke, MD

    enSeptember 28, 2023

    About this Episode

    We welcome the wonderful Anna Lembke, MD to discuss her book Dopamine Nation, Finding Balance in the Age of Indulgence!

    Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Learn more about Anna - https://www.annalembke.com

    In this episode, we discuss,

    00:00 - Intro, Anna's Work and what led her to psychiatry and addiction

    04:54 - Psychiatry, Addiction, and the Human Experience

    09:09 - Understanding Addiction and Different Perspectives

    18:06 - The Purpose of Pleasure and Pain

    23:54 - The Struggle of Overcoming Addiction

    29:25 - Addiction and Medication Treatment in Psychiatry

    33:56 - Integrated Treatment for Addiction and Mental Health

    39:28 - Choosing Between Moderation and Abstinence

    43:02 - The Value of Self-Disclosure in Psychotherapy

    50:21 - The Power of Acknowledging Shame

    54:40 - 12 Step Models, Resentment & Personal Responsibility in Recovery and Well-Being

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    Disclaimer

    Professional medical care and psychotherapeutic services are not offered on this podcast. It is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such condition

    Seeking professional support is encouraged if you think you have an issue and that you want help.

    Recent Episodes from State Of Mind Mental Health Podcast

    #70 - How to STAY SANE in the World of Click-Bait News & World Crisis

    #70 - How to STAY SANE in the World of Click-Bait News & World Crisis

    Join us, as we navigate the intricate landscape of maintaining emotional well-being amid distressing news coverage.

    In this conversation, we explore practical strategies, both structural and personal, to effectively manage our news intake. Setting boundaries and controlling information flow take center stage as we discuss the importance of cultivating awareness of biases and actively seeking diverse perspectives for a more nuanced understanding. Together, we delve into depersonalizing ideas, recognizing tribalism, and finding that delicate equilibrium between flexibility and upholding our values.

    Chapters

    00:00 Maintaining Emotional Well-being Amidst Horrible News Coverage

    02:00 Structural and Personal Strategies for Managing News Intake

    03:35 Awareness of Biases in News Consumption

    04:04 Setting Boundaries and Controlling Information Intake

    05:26 Reflecting on Biases and Seeking Different Perspectives

    06:22 De-intellectualizing and Re-centering Emotionally

    07:39 The Serenity Prayer and Taking Control of Personal Actions

    08:37 Motivation for Reading the News and Reinforcing Biases

    10:39 Reading the News for Learning and Intellectual Curiosity

    13:01 The Importance of Knowing What's Happening in the World

    17:26 Depersonalizing Ideas and Recognizing Tribalism

    19:23 Seeking Different Perspectives for Emotional and Intellectual Health

    21:14 Balancing Flexibility and Holding onto Values or Ethical Frameworks

    22:13 Not Overly Attaching to Perspectives and Depersonalizing

    24:02 Recognizing the Gap Between Ideals and Reality

    26:03 The Complexity of Managing Personal Emotions in Conflict Zones

    27:21 Acknowledging the Difficulty of Finding Solutions in Conflict Zones

    28:20 Managing Mental Health in Relation to News Consumption

    29:16 Recognizing News Consumption as a Form of Compulsive Behavior

    30:43 Finding Role Models and Role-Modeling Effective Solutions

    34:49 Regulating Emotions and Redirecting Attention for a Healthy Relationship with News

    36:11 Viewing News Consumption as a Form of Addiction and Substance Abuse

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    Disclaimer 

    Professional medical care and psychotherapeutic services are not offered on this Youtube channel. It is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such condition

    Seeking professional support is encouraged if you think you have an issue and that you want help.

    #69 - The Blueprint of a Good LIFE: Values, Virtues, Ethics, and Behaviour with Ryan A Bush

    #69 - The Blueprint of a Good LIFE: Values, Virtues, Ethics, and Behaviour with Ryan A Bush

    Join us in a transformative conversation with Ryan A. Bush. The author of ‘Become Who You Are,’ A new theory of self-esteem, human greatness and the opposite of depression.

    Get the new book - https://designingthemind.org/becoming
    More about Ryan here - https://designingthemind.org/philosophy/

    Takeaways

    • The process of designing and changing one's mind is essential for personal growth and well-being.
    • Virtues, ethics, and values are crucial for living a good life and experiencing deep fulfillment.
    • Suffering is not necessary for happiness, but it can sometimes lead to personal growth and meaning.
    • Taking small steps and focusing on virtue domains can help individuals become the person they admire.
    • Community and support are important for personal development and overcoming challenges.
    • Difficult times can be overcome with the support of community and mentors.
    • Understanding evolutionary psychology can provide insights into self-esteem and well-being.
    • The sociometer theory suggests that self-esteem serves as a fitness indicator in social and sexual selection.
    • The concept of self involves a balance between self-acceptance and self-improvement.
    • Values and beliefs play a significant role in society and can influence individual and collective well-being.
    • Self-compassion and self-acceptance are important for personal growth and happiness.

    Chapters

    00:00 Introduction and Background

    01:14 The Book: Become Who You Are

    05:05 Curiosity and Self-Reflection

    08:31 The Essence of the Good Life

    13:32 Virtue, Ethics, and Values

    15:21 Suffering and Well-being

    18:29 Cultivating Virtues and Values

    22:07 Acting Your Way into Right Thinking

    25:24 Dealing with Negative Thoughts and Self-Appraisals

    28:08 Finding Support and Community

    33:29 Taking Small Steps and Focusing on Virtue Domains

    41:02 The Importance of Community and Support

    45:00 Overcoming Difficult Times

    48:00 Evolutionary Psychology and Self-Esteem

    53:20 The Sociometer Theory of Self-Esteem

    56:30 The Concept of Self

    59:50 The Role of Ego and Virtue Signaling

    01:03:20 The No Self Doctrine

    01:06:00 The Ego as Friend or Enemy

    01:09:40 Values and Beliefs in Society

    01:13:40 Self-Compassion and Self-Acceptance


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    Disclaimer 

    Professional medical care and psychotherapeutic services are not offered on this Youtube channel. It is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such condition

    Seeking professional support is encouraged if you think you have an issue and that you want help.

    #68 - Face Your SHADOW - Transform Resentment Into ENLIGHTENMENT Through RESPONSIBILITY

    #68 - Face Your SHADOW - Transform Resentment Into ENLIGHTENMENT Through RESPONSIBILITY

    Professor Dave & Psychotherapist Mike Discuss Resentment and Responsibility in all their glory!

    Summary

    In this conversation, we discuss the path to enlightenment and how resentment is a poison that we must learn to transcend. We discuss how responsibility is the only effective antidote to resentment. We discuss how easy it is to justify resentment and how it can be addressed through practical steps and self-reflection.

    We discuss the definition of resentment and provide examples to illustrate the concept. The conversation delves into the role of dishonesty, selfishness, and fear in perpetuating resentments. We discuss the importance of self-reflection and acknowledging unmet needs. We look at the downside of clinging to negative identities and the value of being open to alternative approaches to handling resentments. The conversation concludes by highlighting the need to take action and recognize achievements in order to let go of resentments. The conversation explores the themes of resentment, responsibility, and accomplishments. It emphasizes the importance of recognizing and celebrating minor victories each day. The speakers explain how thinking about what you’ve accomplished in the past can inspire and overcome self-doubt. They also highlight the healing and empowering effects of therapy and taking responsibility for one’s actions. The conversation concludes with a reminder to appreciate and acknowledge our progress.

    Takeaways

    Resentment is a deep, negative emotion that can cause destructive behavior.

    Taking responsibility for our emotions and actions is key to moving past resentment and attaining personal freedom.

    Anger can be justified in certain situations, but resentment is often unproductive and harmful.

    Accepting reality and acknowledging our own shortcomings can help us let go of resentment and find inner peace.

    We can address resentments by taking responsibility for one’s part in the situation and avoiding the cycle of resentment and misery.

    Recognizing and addressing dishonesty, selfishness, and fear can help overcome resentments.

    Introspection and recognizing unmet needs can provide insights into the causes of resentments.

    Avoid over-identifying with negative identities and focus on shedding the victim mentality.

    Taking action and recognizing accomplishments can empower individuals to move beyond resentments. Recognize and celebrate your daily accomplishments, no matter how small.

    Reflecting on past accomplishments can help boost self-confidence and motivation.

    Therapy and taking responsibility for one’s actions can lead to healing and empowerment.

    Appreciate and acknowledge your progress on your journey.

    Chapters

    00:00 Introduction

    00:30 Resentment and Justification

    01:44 Drinking the Poison of Resentment

    03:11 Resentment Inventory and Shadow Work

    04:37 The Destructive Nature of Resentment

    08:02 Resentment and Alcoholism

    17:10 Resentment in Challenging Circumstances

    19:22 Accepting Reality and Taking Responsibility

    23:46 The Importance of Remembering Ancient Wisdom

    24:12 Practical Steps to Overcome Resentment

    33:49 The Process of Letting Go of Resentment

    37:01 The Therapeutic Approach to Resentment

    40:24 The Role of Responsibility in Overcoming Resentment

    40:28 Resentments and Examples

    41:10 Defining Resentment and Identifying Causes

    44:27 Choosing Responsibility over Resentment

    45:25 Addressing Resentments and Taking Action

    48:06 Dishonesty and Recognizing Flaws

    1:01:23 Recognizing Selfishness and Self-Seeking

    1:03:46 Fear and Recognizing Fears

    1:08:24 Shedding Identity and Overcoming Victim Mentality

    1:09:22 Recognizing Responsibility and Regaining Control

    1:10:32 Balancing Introspection and Taking Action

    1:33:32 Recognizing Accomplishments

    1:36:24 Healing and Empowerment

    1:38:19 Acknowledging Progress

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    Disclaimer Professional medical care and psychotherapeutic services are not offered on this Youtube channel. It is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such condition Seeking professional support is encouraged if you think you have an issue and that you want help.

    #67 - Breaking Chains: Opioid Addiction, Prison Reform & The Road to Recovery for Incarcerated Women in Appalachia

    #67 - Breaking Chains: Opioid Addiction, Prison Reform & The Road to Recovery for Incarcerated Women in Appalachia

    In this eye episode, we delve deep into the heart of Appalachia to uncover stories of struggle, resilience, and hope in the face of the opioid epidemic.

    Takeaways

    • The lack of treatment options and negative attitudes towards addiction worsen the cycle of incarceration and substance use.
    • Support systems, such as 12-step programs and sponsors, play a crucial role in the recovery process.
    • Advocacy work is vital for addressing challenges in the criminal justice system and advocating for policy changes.
    • There is a need for a multifaceted approach to address poverty, mental health, and addiction in communities, particularly in rural areas.
    • It is crucial to have more resources, such as mental health services and harm reduction strategies, to support individuals dealing with substance use disorder. 

    Chapters

    00:00 Introduction and Personal Background
    06:18 Early Substance Use and Arrests
    08:18 Lack of Treatment Options
    10:43 Stigma and Moralizing of Substance Use
    12:12 Access to Support Groups and Treatment
    14:38 Depiction of Appalachia in Media
    16:37 Exploitation and Poverty in Appalachia
    20:08 Challenges in Mental Health and Addiction Treatment
    21:08 The Need for a Multifaceted Approach
    25:27 Lack of Access to Services and Support
    27:50 Recovery Process and Support Systems
    30:05 Transitioning from Prison to Reentry
    32:29 Challenges and Lack of Care in Prison
    35:54 Advocacy Work and Policy Changes
    40:48 Working at dream.org and Supporting Advocacy
    45:04 Building Coalitions and Unlikely Allies
    49:24 Policy Changes and Advocacy Success
    51:49 Supporting Individuals with Substance Use Disorder
    54:13 Challenges and Changes Needed for Women in the Criminal Justice System
    58:56 Increasing Access to Resources and Alternatives to Incarceration
    59:26 Hopes and Dreams for the Future

    Amanda's Bio

    Amanda Hall is the Campaign Director at Dream.Org and is on a mission to end mass incarceration. Prior to joining Dream.org JUSTICE, she was a Policy Strategist at the ACLU of Kentucky. Amanda's passion stems from being directly impacted by the criminal legal system. Acknowledging that her battle with addiction required professional help, Amanda pleaded with the court system to help her become rehabilitated. As is the case with so many, she was turned away and simply given prison time.  After being denied the help she knew she needed, Amanda vowed to be her own force for change, and once back in her community she gained the support of those around her.  
     
    Amanda has been a leader of Kentucky Smart on Crime, a broad-based coalition working for common-sense justice reforms that enhance public safety, strengthen communities, and promote cost effective sentencing alternatives. Prior to policy work, Amanda served as program director of The Healing Place for Women in Louisville, KY.
     
    Amanda has recently been featured on ABC11, The Courier Journal, the Let's Talk Reform podcast, and many other outlets.
     
    #OpioidCrisis #WomenInRecovery #AppalachianStories #MentalHealthAdvocacy #BreakingAddiction #RecoveryJourney #IncarcerationReform #HealingAppalachia #AddictionAwareness #EmpoweringWomen

    #66 - "Dopamine Nation" Pleasure, Pain, and the Neuroscience of Addiction with Anna Lembke, MD

    #66 - "Dopamine Nation" Pleasure, Pain, and the Neuroscience of Addiction with Anna Lembke, MD

    We welcome the wonderful Anna Lembke, MD to discuss her book Dopamine Nation, Finding Balance in the Age of Indulgence!

    Anna Lembke is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice. Learn more about Anna - https://www.annalembke.com

    In this episode, we discuss,

    00:00 - Intro, Anna's Work and what led her to psychiatry and addiction

    04:54 - Psychiatry, Addiction, and the Human Experience

    09:09 - Understanding Addiction and Different Perspectives

    18:06 - The Purpose of Pleasure and Pain

    23:54 - The Struggle of Overcoming Addiction

    29:25 - Addiction and Medication Treatment in Psychiatry

    33:56 - Integrated Treatment for Addiction and Mental Health

    39:28 - Choosing Between Moderation and Abstinence

    43:02 - The Value of Self-Disclosure in Psychotherapy

    50:21 - The Power of Acknowledging Shame

    54:40 - 12 Step Models, Resentment & Personal Responsibility in Recovery and Well-Being

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    Disclaimer

    Professional medical care and psychotherapeutic services are not offered on this podcast. It is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such condition

    Seeking professional support is encouraged if you think you have an issue and that you want help.

    #65 - Relationships, Codependency, Boundaries, Enmeshment & Differentiation of Self - with Beaonca Ward

    #65 - Relationships, Codependency, Boundaries, Enmeshment & Differentiation of Self - with Beaonca Ward

    How Codependency & Enmeshment Sabotage Relationships & How to Stop It

    In this conversation, we cover these topics and much more!

    • Exactly what differentiation of self is, and how this shows up in romantic connections
    • Improving dating and relationships with the latest scientific insights on differentiation of self
    • How to avoid and overcome common challenges that lead to dysfunctional relationships

    Beaonca is a certified dating coach and marriage and family therapy graduate student who helps ambitious women find their ideal romantic partner and build healthier and more fulfilling relationships. Through her private coaching practice and events, she has helped hundreds of individuals change their lives and heal issues ranging from self image to perfectionism and self worth.

    Her work is rooted in helping individuals better understand themselves through their actions, emotions and thoughts, by shifting them, leading to positive change in an individual’s personal life, career, and business.

    Learn more about Beaonca here - https://www.beaoncaward.com/contact

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    Disclaimer This Podcast channel does not provide medical services or professional counseling, and it is not a substitute for professional medical care or psychotherapeutic services. Seeking professional support is encouraged if you think you have an issue and that you want help.

    #64 - When Rationality, Science & Logic Can't Help = How Does a Neuroscientist Pray?

    #64 - When Rationality, Science & Logic Can't Help = How Does a Neuroscientist Pray?

    Do scientists believe in the power of prayer? Is it a sign of weakness or strength?  

    Mike Stroh and David Zarnett analyze Andrew Huberman and Lex Fridman's talk about how prayer improves well-being, resilience, and connection to a higher power.

    00:00 - Introduction: Can Atheists and Agnostics Pray? 

    03:40 - Discussing Huberman's Take on Prayer and Faith 

    04:08 - Personal Spiritual Practices & the Decline of Religious Practice in Western Culture

    06:30 - Andrew Huberman's Morning Meditation 

    08:20 - Introducing the Concept of Prayer 

    10:10 - The Impact of Morning Routines on Daily Life 

    13:51 - Acknowledging a Higher Power 

    15:12 - Understanding the Notion of God Working Through Us 

    16:40 - The Role of Religion in Self-Improvement 

    17:09 - Discussing the Concept of Character Defects 

    17:58 - Difference between prayer and meditation 

    19:06 - Discussing the Concept of Character Defects in AA 

    20:01 - The Importance of Acknowledging and Addressing Character Defects 

    22:45 - Discussing the Potential Ego Issues in Academia. 

    27:11 - Believing in Something Bigger than Ourselves & Giving Up Control 

    31:00 discovering truth, science or religion? 

    35:00 Humility and acknowledging we can't control everything 

    37:30 - Asking for help and guidance through prayer

     

    đŸ””ATTRIBUTION đŸ””

     

    https://youtu.be/ivDqfmicrAI?si=W7BbNS_VOWjIwQ2F

     

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    #63 - How Couples & Families RECOVER & HEAL from ADDICTION | Travis Thompson LMFT, PhD Candidate

    #63 - How Couples & Families RECOVER & HEAL from ADDICTION | Travis Thompson LMFT, PhD Candidate

    Travis Thompson is a Licensed Marriage and Family Therapist with extensive experience in addiction therapy. With a focus on how addiction impacts systems of people, from couples to families and entire communities, Travis has worked with adults and adolescents diagnosed with severe substance abuse and mental illness.

    He's worked in both long-term care and shorter-term treatment facilities, including intensive outpatient programs for mental health and substance addiction, as well as outpatient clinics with a family-centered focus. In addition to his clinical work, Travis has created programming at drug and alcohol rehabilitation facilities, and runs a private practice focused on helping couples and families in early recovery.

    Drawing from his own personal experiences in addiction and recovery, Travis is passionate about helping others navigate the challenges of addiction and develop sustainable recovery strategies. Travis graduated from Lee University with a bachelor's degree in Psychology and went on to earn his Masters degree in Marriage and Family Therapy.

    He is currently pursuing a PhD, with a focus on the development and administration of programs for individuals with concurrent mental health and substance addiction disorders.

    Learn more about Travis Here - https://www.travisthompsoncounseling.com/

    Get Travis' Book here - https://www.amazon.com/Those-Left-Behind-Understand-Addiction/dp/B0C1JB55RR

    Time Stamps

    00:00 - Introduction

    01:56 - The Connection Between Personal Experiences and Career Paths

    05:09 - The Importance of Addressing Severe Mental Health Cases

    06:42 - Criticisms of Modern Mental Health Care Delivery Model

    08:15 - The Issue with Medicalized Symptom-Based Addiction Treatment

    14:16 - The Impact of AA and Al-Anon on Recovery

    15:08 - The Importance of Addressing Family Issues in Recovery

    24:30 - My personal Journey of Marriage Recovery 

    28:00 - Setting Boundaries in Recovery

     

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    #62 - GOD, HIGHER POWER & Addiction Recovery for ATHEISTS - Sam Harris Commentary

    #62 - GOD, HIGHER POWER & Addiction Recovery for ATHEISTS - Sam Harris Commentary

    What's stopping you from a spiritual experience? Are you stuck on this idea of GOD?

    Psychotherapist Mike Stroh and Political Science Professor David Zarnett explore the thought-provoking ideas of renowned philosopher and neuroscientist Sam Harris and uncover a fresh perspective on higher power, addiction recovery, and personal growth. 

    đŸ””ATTRIBUTION đŸ”” https://youtu.be/LTHv5i8JP5s Recorded live in 2014 in Anaheim, California, Sam Harris gave a series of talks in concordance with the release of his book "Waking Up."

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    #61 - Everyday Resilience - "Stress Wisely - How to be Well in an UnWell World" with Dr Robyne Hanely-Dafoe

    #61 - Everyday Resilience - "Stress Wisely - How to be Well in an UnWell World" with Dr Robyne Hanely-Dafoe

     

    Described as one of the most sought-after, engaging, thought-provoking, and truly transformative international speakers and scholars in her field, Dr. Robyne Hanley-Dafoe is a multi-award-winning education and psychology instructor, author, and resiliency expert. She specializes in resiliency, navigating stress and change, personal wellness in the workplace, and optimal performance - both personal and organizational. With over 18 years of university teaching and research experience, and as a two-time TEDx Talk speaker, Dr. Robyne continues to create accessible and relatable materials while offering practical strategies that are realistic and sustainable.  

    Dr. Robyne and her team have developed innovative programming and open educational resources that are readily shared across a multitude of industries. While working alongside some of the most influential organizations across the world, since March of 2020, she has delivered over 750 keynotes and workshops. Dr. Robyne expands upon this work in her online community Anchor Labs, where leaders can learn strategies for resilience.

    Dr. Robyne recently joined a group of highly esteemed authors from around the globe as a 2022 Nautilus Award recipient with her debut book, Calm Within The Storm: A Pathway to Everyday Resiliency.

    Her newest book, Stress Wisely: How to Be Well in an Unwell World was released June 20, 2023.

    Learn more about Dr Robyne here

     

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