In this episode, my guest is Dr. Bonnie Halpern-Felsher, PhD, FSAHM. She is a professor of pediatrics and adolescent medicine and a developmental psychologist at Stanford University School of Medicine. Dr. Halpern-Felsher is a world expert in adolescent decision-making and risk-taking behaviors.

She explains the huge increase in vaping (e-cigarettes) by young people. She explains why vaping nicotine and cannabis is particularly dangerous to the developing brain. We discuss the rise in vaping addiction, the unique social pressures and social media influences faced by youth that make quitting challenging, and interventions to aid them in quitting or reducing use.

We also discuss the role of technology and social media. And, the use of alcohol, nicotine pouches, fentanyl, and other risky behaviors that adolescents face now.

This episode should interest parents, teachers, coaches, teens, and families. It covers the current youth substance use landscape and also covers resources and ways to quit these addictive behaviors.

Use Ask Huberman Lab, our new AI-powered platform, for a summary, clips, and insights from this episode: https://ai.hubermanlab.com/s/W2sUGXR7

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Dr. Bonnie Halpern-Felsher
Stanford academic profile: https://stanford.io/3xMlA4E
Halpern-Felsher REACH Lab: https://stan.md/4aJvYsC
Publications: https://stanford.io/3JtytmN
Donate to the REACH Lab: https://bit.ly/49MQsiR
Tobacco Prevention Toolkit Resources: https://stan.md/3Q9l1Is
Cannabis Awareness & Prevention Toolkit: https://stan.md/3JrsD5x
Vaping Information, Solutions and Interventions Toolkit: https://stan.md/3Q7K66r
X:   / stanfordtpt  
Instagram:   / stanfordreachlab  
LinkedIn: https://bit.ly/3w74JsP
Facebook:   / stanfordreachlab  

Articles
Association Between Youth Smoking, Electronic Cigarette Use, and COVID-19: https://bit.ly/4d8lWCP
Adolescents’ and Young Adults’ Use and Perceptions of Pod-Based Electronic Cigarettes: https://bit.ly/4d4PhOB
Adolescent (Mis)Perceptions About Nicotine Addiction: Results From a Mixed-Methods Study: https://bit.ly/4daeFCs
Nicotine Addiction and Intensity of e-Cigarette Use by Adolescents in the US, 2014 to 2021: https://bit.ly/4b1QZhS
Use, marketing, and appeal of oral nicotine products among adolescents, young adults, and adults: https://bit.ly/49Lp6d0
Adolescents’ and young adults’ perceptions of risks and benefits differ by type of cannabis products: https://bit.ly/4aI4SlH

Other Resources
Understanding and Preventing Youth Tobacco Use: A Focus on Vaping (Dr. Halpern-Felsher):    • Understanding and Preventing Youth To...  
Parents Against Vaping e-Cigarettes (PAVe): https://bit.ly/3vTVnke
Mothers Against Drunk Driving (MADD): https://madd.org

Huberman Lab Episodes Mentioned
Nicotine's Effects on the Brain & Body & How to Quit Smoking or Vaping:    • Nicotine’s Effects on the Brain & Bod...  
The Effects of Cannabis (Marijuana) on the Brain & Body:    • The Effects of Cannabis (Marijuana) o...  
Controlling Your Dopamine For Motivation, Focus & Satisfaction:    • Controlling Your Dopamine For Motivat...  
How to Breathe Correctly for Optimal Health, Mood, Learning & Performance:    • How to Breathe Correctly for Optimal ...  

Timestamps
00:00:00 Dr. Bonnie Halpern-Felsher
00:01:40 Sponsors: Eight Sleep, Mateina & LMNT
00:05:38 Adolescence
00:09:19 Household Conflict, Parents; Smart Phones
00:12:35 Smart Phones & Social Media
00:18:25 Vaping, E-Cigarettes, Nicotine & Cannabis
00:23:46 Adolescent Nicotine Use: Marketing, Flavors
00:30:41 Sponsor: AG1
00:32:13 Nicotine Initiation, Freebase vs. Salt-Based Nicotine, Concentration
00:41:35 Addiction & Withdrawal; E-Cigarette Access
00:48:48 Vaping Health Hazards, Aldehydes, Flavors
00:56:32 Sponsor: Waking Up
00:57:48 “Just Say No”, Adolescent Defiance
01:04:21 Cannabis & Potency, Blunts, E-Cigarette Combinations
01:10:30 Psychosis, THC & Adolescence
01:14:11 Quitting Nicotine & Cannabis; Physical & Social Withdrawal Symptoms
01:23:05 Social Pressures, Quitting Vaping, Environment Concerns
01:30:08 Teen Activities, Social Media, Autonomy
01:36:28 Risky Behaviors, Alcohol, Driving, Sexual Behavior
01:43:27 International E-Cigarette Use, Regulation
01:46:10 Nicotine Pouches, Health Risks; Tolerance
01:53:25 Tools: Vaping Interventions, Decision Making, Harm Reduction
02:02:37 Fentanyl, Drug Testing, Recreational Drug Use
02:13:45 Tool: Organic Conversations & Risky Behavior
02:17:20 Long-Term Goals & Teens; Vaping, Pornography & Teens
02:24:08 Mental Health Crisis & Substance Use
02:29:11 Zero-Cost Support, Spotify & Apple Reviews, Sponsors, YouTube Feedback, Momentous, Social Media, Neural Network Newsletter

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