Welcome to Webb TherapyWelcome to Webb Therapy

Webb Therapy is a casual, affirming, and confidential, talking therapeutic process dedicated to supporting people who are experiencing anything, and want to talk about it. Webb Therapy offers a warm and integrative counselling service based in Sydney City. Led by Mitch Webb—a registered counsellor with the Australian Counselling Association.

  • Substance use disorders, addiction, and recovery
  • Emotion regulation, stress management, anxiety, depression, and behavioural change

Mission & Goals
Webb Therapy is dedicated to offering a safe space for you to share your inner experience and learn how to navigate psychological and emotional pain, elevate self‑awareness, and build sustainable positive change – whether it’s improving relationships, setting meaningful goals, or ending patterns that no longer serve you.

Facebook Presence: Webb Therapy
The Facebook page encapsulates Webb Therapy’s core ethos: “Unlearn. Learn. Accept. Embrace. Change. Grow. Increase Self‑awareness,” reinforcing its person‑centred, self‑development focus.

Please Phone 0488 555 731 to schedule a booking.
Price: $120.00 for a 60 minute session.
Please enquire if you are a low income earner or receiving Centrelink benefit.

Neurobiological Mechanisms of AddictionNeurobiological Mechanisms of Addiction

Addiction is a chronic, relapsing disorder involving changes in brain reward, motivation, learning, stress and executive control systems. While different substances (and behaviours) act through distinct primary mechanisms, they converge on common neurobiological pathways — particularly the mesocorticolimbic dopamine system.

Below is an overview in Australian English of the core mechanisms and then substance-specific and behavioural addiction processes.


Core Neurobiological Pathways in Addiction

1. The Mesocorticolimbic Dopamine System

The central pathway implicated in addiction is the mesocorticolimbic circuit, involving:

  • Ventral tegmental area (VTA)
  • Nucleus accumbens (NAc)
  • Prefrontal cortex (PFC)
  • Amygdala
  • Hippocampus

All addictive drugs increase dopamine transmission in the nucleus accumbens, either directly or indirectly. Dopamine does not simply produce pleasure — it encodes reward prediction, salience and learning. With repeated exposure:

  • Drug-related cues gain exaggerated salience
  • Natural rewards become less reinforcing
  • Behaviour becomes increasingly habitual and compulsive

2. Neuroadaptation and Allostasis

Repeated substance exposure produces:

Tolerance — Reduced response due to receptor downregulation or neurotransmitter depletion.

Dependence — Neuroadaptations that produce withdrawal when the substance is removed.

Allostatic shift — The brain’s reward set point shifts downward, mediated by stress systems (e.g. corticotropin-releasing factor), resulting in dysphoria during abstinence.

3. Habit Formation and Loss of Control

With repeated use:

  • Control shifts from ventral striatum (goal-directed) to dorsal striatum (habit-based)
  • Prefrontal cortex regulation weakens
  • Impulsivity and compulsivity increase

Substance-Specific Mechanisms

Alcohol

Alcohol acts on multiple neurotransmitter systems:

  • Enhances GABA-A receptor function (inhibitory)
  • Inhibits NMDA glutamate receptors (excitatory)
  • Increases dopamine release in nucleus accumbens
  • Affects endogenous opioid systems

Chronic exposure leads to:

  • GABA downregulation
  • NMDA upregulation
  • Hyperexcitable state during withdrawal (risk of seizures, delirium tremens)

Alcohol dependence also involves stress system activation and impaired frontal cortical control.

Methamphetamine

Methamphetamine is a potent psychostimulant that:

  • Enters presynaptic terminals
  • Reverses the dopamine transporter (DAT), causing carrier-mediated dopamine efflux
  • Inhibits vesicular monoamine transporter 2 (VMAT2), releasing dopamine from synaptic vesicles into the cytoplasm
  • Causes massive dopamine release into the synapse

It also increases noradrenaline and serotonin.

Chronic use causes:

  • Dopamine neurotoxicity (particularly to dopaminergic terminals)
  • Reduced dopamine transporter availability
  • Structural changes in striatum and PFC
  • Persistent cognitive deficits

Methamphetamine produces particularly strong sensitisation of cue-driven craving.

Cocaine

Cocaine:

  • Blocks the dopamine transporter (DAT), preventing reuptake
  • Increases synaptic dopamine concentration

Unlike methamphetamine, cocaine acts by blocking DAT rather than reversing it, and does not cause large presynaptic vesicular release — the elevation in synaptic dopamine arises from impaired clearance.

Repeated use leads to:

  • Dopamine receptor downregulation
  • Enhanced cue reactivity
  • Rapid cycling between intoxication and crash
  • Strong psychological dependence

Opioids (e.g. heroin, morphine, oxycodone)

Opioids act primarily at mu-opioid receptors (MORs), which are expressed throughout the brain, including in the VTA. Their dopaminergic effects arise through multiple mechanisms:

  • MORs on GABAergic interneurons in the VTA suppress inhibitory tone, thereby disinhibiting dopamine neurons (the classical disinhibition mechanism)
  • MORs are also expressed on VTA dopamine neurons and projection targets directly, contributing additional excitatory drive beyond the disinhibition pathway

They also act in brainstem respiratory centres, which underlies the risk of respiratory depression in overdose.

Chronic use produces:

  • Receptor desensitisation and internalisation
  • Reduced endogenous opioid production
  • Severe physical withdrawal mediated by noradrenergic rebound in the locus coeruleus
  • Strong negative reinforcement (use to avoid withdrawal)

Cannabis

Δ9-tetrahydrocannabinol (THC):

  • Activates CB1 receptors (the primary psychoactive cannabinoid receptor)
  • Modulates GABA and glutamate release at presynaptic terminals
  • Indirectly increases dopamine in NAc via disinhibitory mechanisms

Cannabis produces:

  • Altered endocannabinoid system function
  • CB1 receptor downregulation with chronic use
  • A mild to moderate withdrawal syndrome (irritability, sleep disturbance, appetite changes)
  • Effects on hippocampal memory circuits

While addiction risk is generally considered lower than for opioids or stimulants, it remains clinically significant and may be underestimated, particularly given the widespread availability of high-potency THC products (e.g. concentrates and high-THC flower), which are associated with greater dependence risk and more severe withdrawal.

MDMA (Ecstasy)

MDMA:

  • Reverses the serotonin transporter (SERT), causing massive serotonin efflux — this is its primary mechanism
  • Also increases dopamine and noradrenaline

Neurobiological consequences include:

  • Acute empathogenic and entactogenic effects driven by serotonin release
  • Post-use serotonin depletion, which may contribute to dysphoria in the days following use
  • Potential serotonergic neurotoxicity, though this evidence comes largely from high-dose or repeated animal studies; the clinical significance in typical human recreational use remains under debate and is not definitively established
  • Moderate addictive potential relative to psychostimulants, partly because dopaminergic effects are less prominent than with cocaine or methamphetamine

Prescription Psychoactive Medications

Certain prescribed medications also have addictive potential:

Benzodiazepines — Enhance GABA-A receptor activity. Cause tolerance via receptor downregulation. Dependence is primarily a GABAergic adaptation. Withdrawal can be protracted and, in cases of high-dose or long-term use, may produce seizures.

Prescription stimulants — Act via similar mechanisms to amphetamine, increasing dopamine and noradrenaline. Risk of misuse exists in susceptible individuals, though therapeutic doses in appropriately diagnosed patients are associated with substantially lower addiction risk than recreational use.


Behavioural (Process) Addictions

Gambling Disorder

Gambling disorder is recognised in DSM-5-TR as a non-substance-related addictive disorder. Although no substance is ingested, similar neurobiological mechanisms are involved.

Dopamine and reward prediction error — Near misses activate the nucleus accumbens similarly to wins. Variable ratio reinforcement schedules (as in poker machines) generate strong, unpredictable dopamine prediction error signalling that powerfully drives continued behaviour.

Cue reactivity — Gambling-related cues activate the same mesocorticolimbic circuitry as drug cues, with increased striatal activation and reduced prefrontal inhibitory control.

Habit circuitry — A shift from ventral to dorsal striatal control contributes to compulsive betting despite continued losses.

Other Emerging Behavioural Addictions

Conditions such as internet gaming disorder, compulsive sexual behaviour disorder, and problematic social media use share overlapping neurobiological features including:

  • Dopamine dysregulation and sensitisation to cue salience
  • Reduced executive control
  • Stress system activation

However, the evidence base for most of these conditions is still developing, and their classification as formal addictive disorders remains an area of active research and debate. Internet gaming disorder is currently listed in DSM-5-TR as a condition for further study.


Shared Neurobiological Themes Across Addictions

Across substances and behaviours, addiction involves:

  • Dopamine sensitisation to cues
  • Reduced sensitivity to natural rewards
  • Impaired prefrontal inhibitory control
  • Stress system overactivation (particularly corticotropin-releasing factor)
  • Habit circuitry dominance (dorsal striatum)
  • Neuroplastic changes in glutamatergic signalling

Why Some Substances Are More Addictive

Addictive potential is influenced by multiple interacting factors. The speed of dopamine rise is one of the most studied — faster onset of dopamine elevation (e.g. via smoking or intravenous administration) is associated with stronger reinforcement. This framework, developed largely through the work of Volkow and colleagues, has strong empirical support, though it represents a mechanistic model rather than an established universal law. Other important factors include:

  • Intensity of dopamine release
  • Pharmacokinetics (e.g. route of administration)
  • Withdrawal severity (which drives negative reinforcement)
  • Social and environmental context
  • Genetic vulnerability (heritability of addiction is estimated at 40–60% across substances)

Conclusion

Addiction is not simply about pleasure seeking. It reflects maladaptive neuroplasticity in reward, stress, learning and executive control circuits. While alcohol, methamphetamine, cannabis, opioids, cocaine and MDMA each act through different primary molecular mechanisms, they converge on common neural pathways that drive craving, tolerance, withdrawal and compulsive use. Behavioural addictions such as gambling engage these same circuits despite the absence of an ingested substance.

The neurobiological understanding of addiction continues to evolve, and where evidence is still emerging — particularly regarding emerging behavioural addictions and the long-term neurotoxic effects of substances like MDMA — clinical interpretation should be appropriately cautious.

What’s the difference between an ‘excuse’ and a valid ‘reason’? Sometimes excuses sound like reasons.What’s the difference between an ‘excuse’ and a valid ‘reason’? Sometimes excuses sound like reasons.

This is a subtle but important distinction—excuses often sound like reasons, which is why it can be confusing. Let’s break it down clearly.


1. Core difference

AspectReasonExcuse
DefinitionAn explanation for why something happened, based on facts or legitimate circumstances.An attempt to justify or defend a behavior, often to avoid blame or responsibility.
PurposeTo clarify or explain objectively.To deflect responsibility or make oneself appear less accountable.
TruthfulnessUsually true and relevant.Can be true, partly true, or sometimes fabricated; often selectively presented.
EffectHelps others (or yourself) understand the situation.Helps avoid criticism or guilt; may not genuinely resolve the issue.

2. How they feel in practice

  • Reason example: “I missed the meeting because the train was delayed due to an accident.”
    • It’s factual, external, and unavoidable.
  • Excuse example: “I missed the meeting because traffic was terrible.”
    • May be partially true, but it avoids full responsibility, like leaving early, not planning ahead, or not checking alternatives.

Sometimes excuses can sound like reasons if they include a kernel of truth. The difference is often intention and accountability:

  • If the explanation acknowledges your role or is verifiable, it’s a reason.
  • If it shifts blame or deflects responsibility, it’s an excuse.

3. Quick test to distinguish them

Ask yourself:

  1. Does this explanation take ownership of what I could control?
  2. Is it meant to inform or to justify?
  3. Would I offer the same explanation if I were fully accountable?
  • If yes → Reason
  • If no → Excuse

everyday examples of reasons vs. excuses across different areas. I’ll show why some things sound like reasons but are actually excuses.


1. Dating / Social Life

ScenarioReasonExcuse
You cancel a date“I have a high fever and shouldn’t go out.” “I was too tired, traffic was bad, and it was going to rain.” ❌ (shifts responsibility to external factors rather than personal choice)
You forget to reply to messages“I was on a work trip with limited phone access.” “I didn’t reply because I was busy and you wouldn’t understand anyway.” ❌ (blames the other person and avoids owning the choice)

Key: A reason explains something honestly. An excuse tries to minimise perceived fault. Key insight here:

A statement can be part reason, part excuse. The difference often comes down to which element you emphasise and how you frame it.

  • Valid, reason-focused version: “I’m really exhausted and need to rest tonight so I can be ready for tomorrow. Can we reschedule?”
    • Takes ownership, honest, emphasises your physical/mental limit.
  • Excuse-heavy version: “I didn’t want to go because traffic was bad, potential rain, and I was tired.”
    • Blames external factors first, makes it sound like avoidance rather than legitimate self-care.

Your perception matters. If fatigue is real, it’s a valid reason, not an excuse. The “excuse” label is mostly about statements that use partially true or exaggerated external factors to justify avoidance, rather than honest, understandable limits.


2. Work / School

ScenarioReasonExcuse
Missed a deadline“I underestimated the time needed for this task; I’ll adjust my schedule next time.” “The instructions weren’t very clear and the system was going slow, so I couldn’t finish.” ❌ (shifts responsibility, even if partly true)
Poor performance“I didn’t have enough data to make a complete analysis.” “The team didn’t give me enough support, so it’s not my fault.” ❌ (focuses on others rather than personal accountability)

Key: Reasons acknowledge what happened and provide context. Excuses often imply “it’s not really my fault.”


3. Personal / Everyday Life

ScenarioReasonExcuse
Late to a social gathering“The bus broke down and I left early to catch it.” “I left on time but buses are always late.” ❌ (blames circumstances without taking steps to prevent being late)
Didn’t keep a promise“I forgot because I put it on the wrong calendar; I’ll set a reminder next time.” “I forgot because I’ve been too busy and stressed.” ❌ (partly true, but framed to deflect personal responsibility)

4. Key Patterns to Spot

  • Reason: Explains what happened, takes some ownership, is often verifiable.
  • Excuse: Explains why it’s not your fault, often blames external factors or minimises responsibility.
  • Trick: Excuses can be dressed up with facts, which is why they sound like reasons—but the difference is ownership and intention.

    There’s a substantial body of psychological research that touches on excuses, reasons, and how people justify their behaviour.


    1. Excuses in psychology

    • Often studied under concepts like self-justification, self-handicapping, and impression management.
    • Key idea: People sometimes give excuses to protect self-esteem or avoid negative social judgement.

    Examples from research:

    • Self-Handicapping: When people create obstacles for themselves (e.g., “I didn’t study because I was tired”) so if they fail, they have an excuse. This is well-studied in educational and performance psychology (e.g., Jones & Berglas, 1978).
    • Impression Management: Excuses can be used to manage how others perceive you—making yourself look less at fault or more sympathetic (Leary & Kowalski, 1990).
    • Moral Psychology: People distinguish between excuses (to deflect blame) and justifications (to explain actions as morally acceptable). Excuses are seen as reducing personal responsibility, whereas justifications are claiming the act is okay under circumstances (Shaver, 1985).

    2. Valid reasons

    • Studied more under attribution theory: how people explain causes for their behaviour.
    • Internal vs. external attribution:
      • Internal: “I didn’t finish because I didn’t plan properly.”
      • External: “I didn’t finish because the bus was late.”
    • A valid reason often corresponds to an explanation that is fact-based, relevant, and seen as legitimate by social norms, while an excuse may rely on controllable factors framed as uncontrollable.

    Research highlights:

    • People are more likely to accept explanations as valid reasons if they acknowledge personal responsibility (Miller & Ross, 1975).
    • Excuses are more likely to be accepted if they appeal to external constraints beyond one’s control, even if the person could have done something differently.

    3. Subtle distinctions in research

    • Excuse: Often functions to protect self-image or avoid punishment/blame.
    • Reason: Functions to inform others of causality; it may include personal responsibility and is usually perceived as legitimate.
    • Studies show that people are much more forgiving when a reason signals honesty and unavoidable constraints, versus an excuse that signals avoidance of responsibility.

    4. Practical implications

    • Being clear about whether you’re giving a reason or an excuse affects trust and credibility in relationships.
    • Psychologically, framing your explanation around ownership and unavoidable factors makes it more likely to be perceived as a reason rather than an excuse.

    Same-sex dating challenges when you’re over 30Same-sex dating challenges when you’re over 30

    1. High selectivity is normal, especially as we get older

    When you enter the post-20’s dating world, your life experience has shaped your preferences. You’ve likely developed clear ideas of what you want in a partner, both in terms of personality and compatibility.

    • This means it’s natural to not feel interested in most people you date.
    • Selectivity isn’t a problem—it often reflects self-knowledge and maturity.

    2. Same-sex dating dynamics can be tricky

    • In male same-sex dating, especially in places like Sydney, there can be a stronger focus on physical attraction in initial meetings.
    • That can make it harder to find someone you genuinely click with emotionally or mentally, because a lot of initial dating chemistry may feel superficial or performance-based.

    3. Emotional vs. physical attraction

    • Your emotional and intellectual connection becomes [more] key to your interest.
    • You may feel attracted physically to some, but if the emotional or personality resonance isn’t there, you simply won’t want to continue. That’s perfectly normal.

    4. Reciprocity matters a lot

    • Humans are wired for reciprocal interest: when it’s not returned, our brains often disengage emotionally to protect ourselves from disappointment.
    • This can make dating feel discouraging because your standards and their feelings don’t always align.

    5. Psychological patterns that could be at play

    • High self-awareness: You know what you want and won’t settle.
    • Emotional caution: After multiple dates where interest isn’t reciprocated, your mind may naturally limit attachment until someone truly matches your criteria.
    • Confirmation bias in dating: You notice quickly when someone isn’t “right,” which is good for avoiding poor matches—but can also make you feel like genuine connections are rare.

    6. This is very common for mature adults dating

    • Many people in their late 30s–40s experience the same thing.
    • Your dating pool is smaller because you’re looking for someone with very specific qualities (age, personality, emotional intelligence, compatibility).

    Practical advice for dating in this context

    a. Broaden [wisely] your dating strategies

    • While selectivity is good, small adjustments in mindset can increase your chances:
      • Look beyond initial “type” indicators and give people a bit more time to reveal personality.
      • Join social groups or interest-based communities (sports clubs, arts, volunteering, LGBTQ+ meetups). Often chemistry develops in shared activity contexts rather than first-date settings.

    b. Focus on quality interactions

    • Instead of increasing quantity, increase meaningfulness: fewer, more intentional dates with people you have some natural overlap with (values, lifestyle, humor).
    • Online apps can be helpful, but try to filter for shared interests or mutual values to save time and emotional energy.

    c. Work on internal calibration

    • Reflect on what triggers your strong attraction. Are there patterns (personality, energy, humor, confidence)?
    • This helps to recognize potential even if it’s not immediately intense, and also helps articulate your preferences clearly to prospective dates.

    d. Manage expectations

    • It’s normal for the dating ratio (you like → they like) to be low, especially with high selectivity. Patience is key.
    • Celebrate the small wins: every connection you explore, even if it doesn’t last, builds social and emotional insight.

    e. Emotional self-care

    • Rejection is part of the process and rarely personal—it’s more about compatibility.
    • Maintain supportive friendships, hobbies, and self-affirmation to avoid over-investing emotionally in every date.

    Mindset shift suggestion

    Instead of thinking:

    “There are very few people I want to see again, and they don’t feel the same way”

    Try:

    “I’m selective and I know what I want. Meeting the right person may take time, but each date helps me understand myself and my preferences more clearly.”

    This subtle mindset shift reduces pressure and anxiety, while keeping your standards intact.

    Understanding Addiction: A Modern, Integrative PerspectiveUnderstanding Addiction: A Modern, Integrative Perspective

    Abstract

    Addiction is a complex, multifaceted phenomenon that has been described variously as a disease, disorder, syndrome, obsessive-compulsive behaviour, learned behaviour, or spiritual malady. Modern scientific understanding emphasises addiction as a chronic brain disorder shaped by neurobiological changes, learning, and social context. This article examines each conceptualisation and presents an integrated definition that aligns with current neuroscience, psychological, and public health evidence.

    Conceptualising Addiction: Labels and Their Accuracy

    No single label fully captures addiction’s complexity; each highlights certain truths while overlooking others.

    Disease

    From a medical perspective, disease is the closest match. Addiction involves persistent neurobiological changes in reward, stress, and self-control circuits, increases relapse risk over years, and shows substantial genetic vulnerability (~50–60%) (NIDA, 2018; Heilig et al., 2021). Treatments improve outcomes but rarely “cure” the condition. This framing is used by the American Society of Addiction Medicine (ASAM), NIDA, WHO ICD-11, and DSM-5-TR (as “Substance Use Disorder”) (NIDA, 2018).

    Disorder

    Disorder is also scientifically accurate and slightly less medicalised. DSM-5’s “Substance Use Disorder” captures behavioural, psychological, and biological criteria and recognises functioning and harm rather than framing addiction strictly as a lifelong disease (Heather, n.d.; Heilig et al., 2021).

    Syndrome

    Addiction may be described as a syndrome because it is a cluster of symptoms with behavioural and physiological manifestations, without a single causative factor. However, the term is too generic for practical use outside clinical texts (Blithikioti et al., 2025).

    Obsessive and Compulsive Learned Behaviour

    Addiction involves learning, habit formation, and compulsion through reinforcement of rewarding behaviours (Hyman, 2005; Hausotter, 2013). Yet describing it solely as learned behaviour ignores genetic predisposition, neuroadaptation, withdrawal, and social factors.

    Spiritual Malady

    Some mutual-aid traditions characterise addiction as a spiritual malady. While this may be meaningful for individuals, it is not scientifically explanatory: addiction can be adequately explained via biological, psychological, and social mechanisms (Lewis, 2017).

    Modern Integrative Definition

    The most accurate contemporary description of addiction is:
    “A chronic, relapsing disorder of brain circuits involved in reward, stress, and self-control, shaped by learning, environment, and social context”.

    This definition encompasses:

    • Disease/disorder: medical accuracy
    • Learned behaviour and compulsion: neuroscience and behavioural accuracy
    • Social determinants: public health relevance
    • Flexibility for personal or spiritual interpretations

    In short, addiction is best understood as a bio-psycho-social condition that is treatable and sometimes reversible, rather than a deterministic, lifelong curse.

    Neurobiology: Why Addiction Is Considered a Brain Disorder

    Repeated substance use alters structural and functional brain circuits involved in reward, stress, motivation, memory, and self-control (Nwonu et al., 2022; NIDA, 2018). These changes can persist long after use stops, explaining why addiction is more than a matter of “bad habits” or weak will (NIDA, 2025).

    Chronicity and Relapse

    Addiction is often chronic and relapsing. Even after long periods of abstinence, cues and stressors can trigger relapse (Meurk et al., 2014; SAMHSA, 2023). Key regions implicated include the basal ganglia (habit formation), extended amygdala (stress), and prefrontal cortex (decision-making) (Kirby et al., 2024). Nevertheless, many individuals achieve stable remission, highlighting heterogeneity in clinical outcomes (Heilig et al., 2021).

    Learning, Memory, and Habit Formation

    Addiction exploits neural mechanisms of learning and memory: rewarding behaviours are repeated and consolidated into habits, with cues triggering compulsive responses even when the substance’s reward diminishes (Hausotter, 2013; Lewis, 2017). This intertwines biological disorder and learned behaviour.

    Critiques and Limitations

    Some scientists caution that framing addiction strictly as a brain disease is simplistic:

    • Brain changes may resemble those from other motivated behaviours (Lewis, 2017).
    • Many recover without formal treatment (Heilig et al., 2021).
    • Social, environmental, and psychological factors are crucial to understanding addiction (Blithikioti et al., 2025).

    Thus, while the disease model is powerful, it does not fully represent addiction’s heterogeneity or socio-psychological dimensions.

    Implications for Treatment

    Addiction is treatable, not simply curable. Interventions combining pharmacological and behavioural approaches, alongside social support, can foster long-term recovery (Liu & Li, 2018; Heilig et al., 2021). Like other chronic conditions, management — rather than elimination — is often the realistic goal (NIDA, 2018). Neural circuits can gradually readjust, particularly when environmental and personal factors support recovery.

    Conclusion

    Addiction is a learned, compulsive brain disorder with chronic potential, shaped by neurobiological, psychological, social, and environmental factors. Recognising addiction as both a disorder and a behavioural learning condition avoids extremes: it is neither an unchangeable fate nor merely a moral failing. This integrated perspective supports nuanced understanding, compassionate care, and effective treatment strategies.


    References

    Blithikioti, C., Fried, E. I., Albanese, E., Field, M., & Cristea, I. A. (2025). Reevaluating the brain disease model of addiction. The Lancet Psychiatry, 12(6), 469–474. https://doi.org/10.1016/S2215-0366(25)00060-4

    Hausotter, W. (2013). Neuroscience and understanding addiction. Addiction Technology Transfer Center (ATTC) Network. https://attcnetwork.org/neuroscience-and-understanding-addiction

    Heather, N. (n.d.). What’s wrong with the brain disease model of addiction (BDMA)? Addiction Theory Network. https://addictiontheorynetwork.org/brain-disease-model-of-addiction

    Heilig, M., MacKillop, J., Martinez, D., Rehm, J., Leggio, L., & Vanderschuren, L. J. M. J. (2021). Addiction as a brain disease revised: Why it still matters, and the need for consilience. Neuropsychopharmacology, 46(10), 1715–1723. https://doi.org/10.1038/s41386-020-00950-y

    Hyman, S. E. (2005). Addiction: A disease of learning and memory. The American Journal of Psychiatry, 162(8), 1414–1422. https://doi.org/10.1176/appi.ajp.162.8.1414

    Kirby, E. D., Glenn, M. J., Sandstrom, N. J., & Williams, C. L. (2024). Neurobiology of addiction (Section 14.5). In Introduction to Behavioral Neuroscience. OpenStax. https://socialsci.libretexts.org/…/14.05:_Neurobiology_of_Addiction

    Leshner, A. I. (1997). Addiction is a brain disease, and it matters. Science, 278(5335), 45–47. https://doi.org/10.1126/science.278.5335.45

    Lewis, M. (2017). Addiction and the brain: Development, not disease. Neuroethics, 10(1), 7–18. https://doi.org/10.1007/s12152-016-9293-4

    Liu, J. F., & Li, J. X. (2018). Drug addiction: A curable mental disorder? Acta Pharmacologica Sinica, 39(12), 1823–1829. https://doi.org/10.1038/s41401-018-0180-x

    Meurk, C., Carter, A., Partridge, B., Lucke, J., & Hall, W. (2014). How is acceptance of the brain disease model of addiction related to Australians’ attitudes towards addicted individuals and treatments for addiction? BMC Psychiatry, 14, 373. https://doi.org/10.1186/s12888-014-0373-x

    National Institute on Drug Abuse. (2018). Drugs, brains, and behavior: The science of addiction (Rev. ed.). https://irp.nida.nih.gov/…/NIDA_DrugsBrainsAddiction

    Nwonu, C. N. S., Nwonu, P. C., & Ude, R. A. (2022). Neurobiological underpinnings in drug addiction. West African Journal of Medicine, 39(6), 874–884. https://pubmed.ncbi.nlm.nih.gov/36063103

    Substance Abuse and Mental Health Services Administration. (2023). What is substance use disorder? U.S. Department of Health and Human Services. https://www.samhsa.gov/substance-use/what-is-sud

    How to Process Fear and Trauma Stored in the Human BodyHow to Process Fear and Trauma Stored in the Human Body

    Understanding Body-Stored Trauma

    When a person experiences trauma, the body and nervous system may remain “stuck” in survival responses such as fight, flight, freeze, fawn, or collapse. The body doesn’t always recognise when the threat has passed, leading to persistent muscle tension, dysregulated breathing, altered posture, chronic pain, or hyper-vigilance. Neuroscience research (e.g., Porges’ Polyvagal Theory) shows that the autonomic nervous system plays a central role — trauma can trap the body in sympathetic arousal (fight/flight) or dorsal vagal shutdown (freeze/collapse). Processing trauma therefore often involves restoring nervous system flexibility and safety.

    Disclaimer

    The following information provided is for educational and informational purposes only. It is not a substitute for professional medical, psychological, or therapeutic advice, diagnosis, or treatment. Processing trauma and intense emotions can be complex and may bring up distressing feelings or memories. It is strongly recommended that you seek guidance and support from a qualified, trauma-informed mental health professional when exploring or applying these practices.


    Effective Approaches for Processing Stored Fear and Trauma

    1. Somatic Awareness and Regulation

    From Somatic Experiencing (Peter Levine) and other body-oriented therapies

    • Notice sensations (tightness, trembling, heat, pressure) without judgment.
    • Track activation and settling: notice when your body feels heightened vs. calmer.
    • Allow incomplete defensive responses (e.g., pushing, shaking, running motions) to gently complete under safe, guided conditions.
    • Gentle shaking or trembling can discharge residual survival energy.

    2. Breathwork

    • Diaphragmatic breathing calms the vagus nerve and lowers cortisol.
    • Longer exhalations (e.g., inhale 4, exhale 6) signal safety to the nervous system.
    • Box breathing (4-4-4-4) or 4-7-8 breathing can reduce anxiety and help regulate heart rate variability (HRV).

    3. Movement Practices

    • Trauma-informed yoga emphasizes interoception (awareness of internal sensations) and choice — essential for rebuilding body trust.
    • Dance, rhythmic movement, or martial arts can help release frozen energy and restore agency.
    • Walking, swimming, tai chi, or qigong provide grounding, rhythm, and bilateral stimulation.

    4. Grounding and Safety Techniques

    • 5-4-3-2-1 sensory awareness: notice 5 things you see, 4 you touch, 3 you hear, 2 you smell, 1 you taste.
    • Physical grounding: press feet into the floor or hands together to anchor in the present.
    • Temperature shifts: splash cold water on your face or hold something cool to help reset the vagus nerve.
    • Progressive muscle relaxation: systematically tense and release muscle groups to discharge tension.

    5. Body-Based and Integrative Therapies

    • EMDR (Eye Movement Desensitization and Reprocessing): integrates traumatic memories while maintaining nervous system regulation.
    • Sensorimotor Psychotherapy: combines talk therapy with somatic tracking to integrate body and mind.
    • TRE (Tension & Trauma Releasing Exercises): uses controlled tremors to release neuromuscular tension.
    • Craniosacral therapy or trauma-informed massage: helps restore body awareness and parasympathetic balance (only with trained practitioners).

    Core Trauma-Informed Principles

    • Safety First: Healing begins with safety, not with re-exposure. Always prioritize a sense of internal and external security.
    • Go Slowly: The nervous system can only integrate what it can tolerate; going too fast risks retraumatisation.
    • Pendulation: Gently move between sensations of discomfort and sensations of safety or ease to build regulation capacity.
    • Titration: Work with small, manageable amounts of traumatic material at a time.
    • Empowerment and Choice: Trauma takes away control — healing restores it. Always honor your body’s “yes” and “no.”
    • Professional Support: A trauma-informed therapist or somatic practitioner can provide containment, attunement, and safety when processing deep trauma.

    Additional Evidence-Based Practices

    • Mindfulness and Compassion Practices: Mindful awareness (without judgment) helps integrate sensations and thoughts, while compassion training (e.g., self-soothing touch, loving-kindness meditation) rebuilds safety within.
    • Expressive Writing or Art Therapy: Offers symbolic release of emotions and stored memories.
    • Safe Social Connection: The vagus nerve responds powerfully to co-regulation — gentle eye contact, shared laughter, or supportive presence from trusted people.
    • Sleep, nutrition, and gentle routines: A regulated body supports a regulated mind; simple self-care anchors healing.

    Addiction – What You Need To KnowAddiction – What You Need To Know

    Addiction fundamentally alters the brain’s reward and decision-making systems through well-documented neurobiological mechanisms. When substances like drugs (including alcohol and nicotine) are consumed, they trigger massive releases of dopamine in the brain’s reward circuit, particularly in areas like the nucleus accumbens and ventral tegmental area. With repeated exposure, the brain adapts by reducing natural dopamine production and decreasing the number of dopamine receptors, creating tolerance and requiring increasingly larger amounts of the substance to achieve the same effect. This neuroadaptation hijacks the brain’s natural reward system, making everyday activities less rewarding while the addictive substance becomes disproportionately important.

    Over time, addiction also impairs the prefrontal cortex, the brain region responsible for executive functions like decision-making, impulse control, and weighing long-term consequences. This creates a neurological double-bind: the midbrain structures driving craving and drug-seeking behaviour become hyperactive, while the prefrontal systems that would normally regulate these impulses become weakened. Chronic substance use also disrupts stress response systems, making individuals more vulnerable to relapse during difficult periods. These changes help explain why addiction is recognised as a chronic brain disease rather than simply a matter of willpower – the neuroplastic changes can persist long after substance use stops, though the brain does have remarkable capacity for recovery with sustained abstinence and appropriate treatment.

    The Challenge of Stopping

    The challenge of stopping stems from the profound neurobiological changes addiction creates in the brain’s fundamental survival systems. The brain essentially learns to treat the addictive substance as necessary for survival, similar to food or water. When someone tries to quit, they face intense physical withdrawal symptoms as their neurochemistry struggles to return to homeostasis, combined with psychological cravings that can persist for months or years. The damaged prefrontal cortex makes it extremely difficult to override these powerful urges with rational decision-making, while stress, environmental cues, and emotional states can trigger automatic drug-seeking responses that feel almost involuntary. This creates a cycle where attempts to quit often lead to temporary success followed by relapse, which many interpret as personal failure rather than recognising it as part of the neurological reality of the condition.

    Addiction appears progressive because tolerance drives escalating use over time, while the brain’s reward system becomes increasingly dysregulated. What begins as recreational use gradually shifts to compulsive use as natural dopamine production diminishes and neural pathways become more deeply entrenched. The condition typically follows a predictable pattern: initial experimentation leads to regular use, then to use despite negative consequences, and finally to compulsive use where the person continues despite severe impairment in major life areas. Additionally, chronic substance use often damages the brain regions responsible for insight and self-awareness, making it harder for individuals to recognise the severity of their condition. The progressive nature is also influenced by external factors – as addiction advances, people often lose social supports, employment, and housing, creating additional stressors that fuel continued use and make recovery more challenging.

    Understanding addiction when you’re not “addicted” to alcohol or other drugs

    The difficulty in understanding addiction, even among people with their own compulsive behaviors, stems from several key differences in how these conditions manifest and are perceived. While behaviors like sugar consumption, social media use, or shopping can indeed activate similar dopamine pathways, they typically don’t create the same level of neurobiological hijacking that occurs with substances like alcohol, opioids, or stimulants. Addictive drugs often produce dopamine surges 2-10 times greater than natural rewards, creating more profound and lasting changes to brain structure and function. Additionally, many behavioral compulsions allow people to maintain relatively normal functioning in major life areas, whereas substance addiction typically leads to progressive deterioration across multiple domains – relationships, work, health, and legal standing.

    The social and cognitive factors also create barriers to understanding. Most people can relate to losing control occasionally – eating too much dessert or spending too much time scrolling their phone – but these experiences usually involve temporary lapses that can be corrected relatively easily through willpower or environmental changes. This creates a false sense of equivalency where people think “I can stop eating cookies when I want to, so why can’t they just stop drinking?” They don’t grasp that addiction involves a qualitatively different level of brain change where the substance has become neurobiologically essential, not just psychologically preferred. There’s also often a moral lens applied to addiction that doesn’t exist for other compulsive behaviours – society tends to view overconsumption of legal, socially acceptable things as personal quirks or minor character flaws, while addiction to illegal substances or excessive alcohol use carries heavy stigma and assumptions about moral failing, making it harder to see as a medical condition requiring treatment rather than simply better self-control.

    A Word On Nicotine (Tobacco Products)

    Yes, nicotine absolutely does release large amounts of dopamine, making it highly addictive despite being legal and socially accepted in many contexts. Nicotine causes an increase in dopamine levels in the brain’s reward pathways, creating feelings of satisfaction and pleasure.Research shows that nicotine, like opioids and cocaine, can cause dopamine to flood the reward pathway up to 10 times more than natural rewards.

    This helps explain why nicotine addiction can be so powerful and difficult to overcome, even though people often view smoking or vaping as less serious than other forms of substance addiction. Repeated activation of dopamine neurons in the ventral tegmental area by nicotine leads not only to reinforcement but also to craving and lack of self-control over intake. The addiction develops through the same basic mechanisms as other substances – as people continue to smoke, the number of nicotine receptors in the brain increases, requiring more of the substance to achieve the same dopamine response.

    What makes nicotine particularly insidious is its legal status and social acceptance, which can make people underestimate its addictive potential. The rapid delivery of nicotine to the brain (within 10-20 seconds when smoked) creates an almost immediate reward that strongly reinforces the behaviour. This is why many people who successfully quit other substances still struggle with nicotine, and why nicotine addiction often serves as a gateway that primes the brain’s reward system for addiction to other substances.

    Fact. Truth. Belief. They are related but distinct. Here’s a clear explanation showing how they differ and interact:Fact. Truth. Belief. They are related but distinct. Here’s a clear explanation showing how they differ and interact:


    1. Fact

    Definition:
    A fact is something that is objectively real and can be proven to be true. It exists independently of what anyone thinks or believes.

    Example:

    • It is a fact that Australia is in the Southern Hemisphere.

    Key Points:

    • Facts don’t change based on opinion.
    • They can be verified with evidence (e.g. scientific data, observation, reliable records).
    • Facts are the foundation upon which truth claims and beliefs can be tested.

    2. Truth

    Definition:
    Truth is a quality of a statement or belief that accurately reflects reality or fact.

    Example:

    • “Australia is in the Southern Hemisphere” is a true statement because it corresponds with the fact.

    Key Points:

    • Truth depends on alignment with facts.
    • Truth is often expressed in language or claims (“That’s true”, “That’s not true”).
    • Something can be true even if no one believes it (e.g. the Earth orbited the Sun even when most people thought otherwise).

    3. Belief

    Definition:
    A belief is something a person thinks or accepts as true, whether or not it actually is.

    Example:

    • Someone might believe that kangaroos can be kept as pets in all Australian states — but that belief isn’t necessarily true or factual.

    Key Points:

    • Beliefs are subjective — they vary between individuals and cultures.
    • A belief can be true or false, depending on whether it aligns with facts.
    • People often act based on their beliefs, regardless of whether they are accurate.

    How They Interact

    • A belief can be true or false:
      → If your belief aligns with fact, it’s true.
      → If not, it’s false — even if sincerely held.
    • Truth depends on fact:
      → A statement is true if it correctly describes a fact.
    • Facts stand alone:
      → They are not changed by belief or opinion.

    Honesty and CompassionHonesty and Compassion

    The phrase “Say what you mean, but don’t say it mean” is all about the balance between honesty and kindness in communication.

    Here’s what it means:

    • “Say what you mean”:
      Be clear and truthful. Express your real thoughts and feelings. Don’t beat around the bush or pretend to agree when you don’t.
    • “But don’t say it mean”:
      Speak with kindness and respect. Even when you’re being honest or giving criticism, there’s no need to be rude, hurtful, or aggressive.

    Why it matters:

    This phrase promotes healthy communication. It’s a reminder that:

    • You can be honest without being harsh.
    • Tone and delivery matter just as much as the words.
    • Empathy and respect should guide your conversations—even when it’s hard.