The "disease model" of addiction is flawed because it removes personal agency. Addiction is more accurately understood as a behavioral coping mechanism to numb the pain of unresolved trauma. Healing requires addressing the root cause of the pain, not just treating the addiction as a brain defect.
Our brains are wired to release dopamine through social bonding via the hormone oxytocin. Addictions hijack this natural reward system, replacing deep human connection with a substance or behavior. A key part of recovery is reactivating this healthy pathway by moving out of isolation.
Neuroscience shows pleasure and pain are co-located in the brain and work like a seesaw. When we experience pleasure, the brain immediately compensates by tilting towards pain to restore balance. This neurological 'come down' is why constant pleasure-seeking eventually leads to a state of chronic pain and craving.
According to neuroanatomist Dr. Jill Bolte-Taylor, the brain's left emotional system stores past pain, trauma, and addiction. This isn't a flaw; it's a protective mechanism designed to trigger reactions based on past negative events. Healing involves understanding this system, not erasing it.
Trying to eliminate trauma is counterproductive. Instead, reframe its role by acknowledging it as a protective mechanism in your left brain. Thank it for its information, then consciously shift focus to other brain regions to self-soothe and move forward.
The popular notion of "moving on" from trauma is a myth that suggests you can leave the past behind. A more realistic and healthier approach is to "move forward with it," integrating the experience into your identity. This acknowledges the permanent impact of the event while still allowing for growth and rebuilding.
Contrary to the dominant medical model, mental health issues like depression and anxiety are not illnesses. They are normal, helpful responses that act as messengers, signaling an underlying problem or unresolved trauma that needs to be addressed rather than a chemical imbalance to be suppressed.
Addiction isn't defined by the pursuit of pleasure. It's the point at which a behavior, which may have started for rational reasons, hijacks the brain’s reward pathway and becomes compulsive. The defining characteristic is the inability to stop even when the behavior no longer provides pleasure and begins causing negative consequences.
A guest with a decades-long gambling problem consistently rejects the 'addict' label. He instead refers to his compulsion as his 'action' or 'entertainment.' This psychological reframing allows him to perceive the destructive habit as a chosen lifestyle rather than a sickness he can't control.
Constantly bombarding our reward pathways causes the brain to permanently weigh down the 'pain' side of its pleasure-pain balance. This alters our baseline mood, or 'hedonic set point,' meaning we eventually need our substance or behavior not to get high, but simply to escape a state of withdrawal and feel normal.
Rather than viewing addiction as a simple vice, it can be understood as a desperate attempt to find transcendence or a temporary refuge from a painful reality. This perspective, shared by a Native elder, recasts addiction as a spiritual quest gone awry, rooted in a need for a different state of being.