Living in a city with a large university dedicated (in part) to researching Substance Use Disorder (SUD), provides me wonderful opportunities to learn from the experts. In a recent talk, I heard a guy who researches the “brain on drugs” speak in depth about the nature of SUD and the broken reward center. Now, who is to say whether this particular bit of the brain was broken because we abused our brain with compulsive over-use of a particular substance OR whether our brain was broken before we used and because it was malfunctioning, we ended up with a compulsion we could not control? Researchers study these things and I am grateful for their hard work. Hopefully we will learn more soon.
What we do know this - most people who experiment with substances of various kinds even when they do so with gusto and in excess, do NOT end up with a Substance Use Disorder. This is a puzzler. Did the 90% of “others” not try hard enough? I do not know. Are the 10% or so who do end up with an addiction unlucky? And what about the genetic component? We know these things run in families, what is that all about? Research continues. Many questions in the field remain open for debate. But while we wait, many of us in long term recovery have learned a few things about getting sober.
These are practical truths that I am sure will one day fit into the models of recovery that research supports. Please do not miss my point. Research is awesome. But we also have a world of experience built up over decades from folks who fought the disease and survived. Here are a few practical truths that we can apply TODAY (while we wait for the research to figure other stuff out).
* We have a lot of thoughts that need to be examined for accuracy; many will need to be rejected and replaced with thoughts that are closer to reality. (SUD has a thought-disordered component that responds well to treatment if people stick with the program.)
* Our emotions are all over the place in early recovery. We were SHOCKED to discover that our feelings are real but may not reflect our current situation accurately. (We need support as we navigate recovery because it is hard and we are freaked out.)
* Our impulsivity gets us in trouble. Regardless of what our brain is doing, we all need to figure out a way to slow our roll and reduce impulsivity. (In recovery, we need adult supervision. It is not a good idea to spend time alone with our thoughts and feelings without regular reality checks with supportive mentors.)
I love research AND I love learning from folks who have clean time. Who can you go to today for support in your own journey of transformation?