In the video to the right from Omega Point (Youtube, Facebook), Dr. Gabor Maté talks about the root causes of addiction and how to deal with them. This is taken from the Q&A part of TJ Dawe's show, "Medicine."
Medicine is an autobiographical monologue about TJ Dawe’s experience on a healing retreat led by Dr. Gabor Mate, in which participants ingest the Peruvian shamanic plant medicine ayahuasca (pronounced “eye-a-waska”), which has powerful psychotropic properties.
Beyond the Neural Circuits: To treat addiction, people need help to develop psychosocial skills in addition to taking medication. Nature
"The concept of disease, representing the underlying neurophysiological changes that occur, is commonly invoked to explain the addictive behaviours. But addressing substance use also requires that we recognize the social and psychological processes that underlie the development of addiction. These processes remain influential even as the circuitry of the brain adapts to the escalating use of a drug. In this sense, addiction is more than a disease and involves more than the brain: it is a systemic behavioural disorder arising from and maintained by psychological, social and biological processes operating both independently and in concert.
Relieving and perhaps reversing the neurophysiological aspects of addiction with medication is an important element of treatment. However, advances in medication for treatment will not, on their own, cure addiction. Individuals must also develop the skills and resources to cope with the inevitable negative and stressful experiences of everyday life and to experience meaning and pleasure in social and intimate relationships without the use of the addictive substance. Although these coping processes are represented in the brain, they are most effectively addressed through treatments such as cognitive therapy or training to improve coping skills that focus directly on the psychosocial aspects of addiction. The development and testing of psychosocial strategies to develop these skills and resources must remain an essential aim of research to help prevent and treat addiction."
Half of the federal budget is on Social Security and Medicare. These costs dwarf spending of social programs and defense, and will continue to increase. Cutting healthcare costs for older adults includes improving end-of-life care. It's more than just having a discussion about end-of-life with patients.
Dr. Gabor Mate is a Vancouver based author, activist, speaker, and a retired physician. He has written books on addiction, ADD, how stress compromises the immune system, and attachment parenting. www.drgabormate.com
TJ Dawe is a Vancouver based writer, performer and director. He’s created fifteen solo shows, and has toured to more than one hundred theatre and comedy festivals worldwide. www.tjdawe.ca
Hallucinogens as Medicine: In a matter of hours, mind-altering substances may induce profound psychological realignments that can take decades to achieve on a therapist's couch.
Pharmaceutical Journal: Psychedelics: entering a new age of addiction therapy
Addiction: The Hijacked Brain
Click to enlarge.
Dr. Gabor Mate participated in a Q & A after the Jan 4, 2013 performance of Medicine, TJ Dawe's autobiographical one person show about his experiences in a retreat Dr. Mate led where ayahuasca was ingested.
FDA-Approved Drug Therapies and Classic Hallucinogens to Treat Addiction: Barriers, Background, and the Latest Research
Integrating the Ayahuasca Experience
Sydney Morning Herald: Dr. Ashleigh Witt's view on why everybody should know the dying wishes of their loved ones
Do Not Resuscitate: Dr. Witt's blog on resuscitation and knowing when to stop
Scientific American: How the Brain Purges Bad Memories
Psychology Today: The Brain Mechanics of Rumination and Repetitive Thinking
Regions Involved in Moral Cognition, Empathy
Questioning Our Morality: Zoning Out or Deep Thinking? Results of this study make sense, since psilocybin decreases DMN connectivity and increases openness... allows thinking beyond existing value systems or rigid frame of thought.
↓ Rigid thought: Psilocybin ↓ default mode network connectivity, ↑ openness
"We think it looks like we're tapping into the basic biology of the human condition in which these salient experiences of interconnectedness emerge. And if you really sit back and reflect on it in the history of humankind, those are the kinds of experiences that really form the bedrock foundation of most of the world's religions and the world's ethical and moral traditions." –Roland Griffiths
How do hallucinogens work on the brain? The decreases were localised to important hub structures in the brain, such as the thalamus, posterior cingulate cortex and medial prefrontal cortex
NPR: How MDMA Could Help Some Cope With Trauma
ASCO Post: Researchers Discuss Pilot Study on Hallucinogenic Therapies for Cancer Anxiety
Classical hallucinogens as antidepressants? A review of pharmacodynamics and putative clinical roles
Mental Health and Addiction: 25-Year Old Talk Surveying Shamanic Medicine Previews Renaissance in Mental Health Research
Epidemic that Medicine Made: Addicting, Infecting, and Killing Americans
CNN: Drug overdose deaths at all-time high
Sad List: FDA-Approved Addiction Treatments
Mental Health? Psychiatric Medications Result in 90,000 ER Visits Annually
"People are more apt to use it when they're readily around it," Lucero said, but he adds addiction is not just based on availability. Other factors play a role, too, like economics, he says. Rural southern Colorado communities also have the lowest socioeconomic levels in the state.
"It can be very depressing when you're sitting in San Luis, or let's say Antonito, and you can't find a job [...] and you're trying to feed your family. All of the sudden, you get this person saying, 'I'll pay you $100 for a pick up,' then you find out, 'If I use this, I feel better.'"
"I'd been searching to fill this void with like drugs, love, everything and nothing would fill it. I chose who I was with -- and drugs over my kids," Rhodes said. "That night I prayed to get out of it, but the heroin, the withdrawals are so bad you feel like you're gonna die."
It's the Same Situation in Tennessee: Appalachian, American Politicians Lack Courage to Go "All In" on Opioid Maintenance, Harm Reduction, Mental Health & Drug Policy Reform