Dr. Trish Leigh: Why Young Men Are Getting Performance Issues So Fast | DSH #1787

P*** didn’t used to be like this.

Now it’s 100 tabs at once, endless novelty, and a dopamine loop that’s quietly breaking a generation of men.

In this episode, Sean sits down with returning guest Dr. Trish Lee (author of Mind Over Explicit Matter) to talk about what she’s seeing on the front lines: p*-induced performance issues**, “edging” behavior, dopamine dependency, relationship breakdown, and why so many young men are ending up on TRT without asking the real question: what’s driving the dysfunction?

They also go deeper than p***: social media, paid-content platforms, dating apps, “simp culture,” toxic masculinity, and how the algorithm rewards hyper-s****l content + drama while real life starts feeling “boring.”

Most importantly: Dr. Trish lays out how dopamine regulation is fixable (neuroplasticity), what a “digital dopamine detox” actually looks like, and why healthy masculinity isn’t loud… it’s regulated.

What you’ll learn 👇
✅ Why “edging” can be one of the most damaging habits
✅ How dopamine overload desensitizes the brain (and kills real attraction)
✅ Why performance issues are rising fast in young men
✅ How social media rewires relationships and desire
✅ Why men chase paid-content + dating apps for dopamine (even while married)
✅ What dopamine reset actually requires (and what people forget)
✅ Healthy masculinity = calm presence, emotional control, leadership
✅ How to curate your feed so the algorithm stops feeding you garbage

Chapters

0:00 – “100 tabs at once”: the new reality + “edging”
0:56 – Dr. Trish returns + her Jubilee experience
1:52 – New research: addicted brains + big study work
2:46 – P***-induced performance issues: why it’s rising
4:04 – Is it mainly men? What she sees in clients
5:08 – Why video content changed everything (infinite novelty)
6:20 – Content vs self-stimulation: what matters most
8:25 – Testosterone, TRT, and the brain-body connection
10:44 – Social media: dopamine, relationships, distorted attraction
13:07 – Dopamine reset: detox + rebuilding real-life desire

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⚠️ DISCLAIMER
The views and opinions expressed by guests on Digital Social Hour are solely those of the individuals appearing on the podcast and do not necessarily reflect the views or opinions of the host, Sean Kelly, or the Digital Social Hour team.

While we encourage open and honest discussions, Sean Kelly is not legally responsible for any statements, claims, or opinions made by guests during the show.

Listeners are encouraged to form their own opinions and seek professional advice where appropriate. The content shared is for entertainment and informational purposes only — it should not be taken as legal, medical, financial, or professional advice.

We strive to present accurate and reliable information; however, we make no guarantees regarding its completeness or accuracy. The views expressed are solely those of the speakers and do not necessarily represent those of the producers or affiliates of this program.

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Safe Keyword List
dopamine detox, dopamine dependency, brain reset, compulsive use, digital detox, performance issues, intimacy, relationships, neuroplasticity, TRT, testosterone, social media addiction, dating apps, paid content,