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My mantra on addiction is, "Not why the addiction, but why the pain."
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If you want to look at what causes addiction, you have to look at
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the benefit of addiction...
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People say, typically, "it gave me pain relief", "escape from stress",
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"it gave me a sense of connection", "a sense of belonging."
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The addiction met some essential human need that otherwise
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wasn't met in that person's life.
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So all of these states of lacking connection or being isolated
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of having pain or having too much stress in your life,
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these are states of emotional pain.
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And when you look populations of addicts, what you find is that
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the more adversity in childhood, exponentially the greater
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the risk of addiction.
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Which doesn't mean that every person traumatised will become an addict,
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but it does mean that every addict was traumatised.
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In my opinion addiction is manifested in any behaviour that a person finds
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temporary pleasure or relief in, but suffers negative consequences
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as a result of, and does not give up or cannot give up,
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despite those negative consequences.
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Tobacco, alcohol, substances of all kinds.
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It could also be related to sex, gambling, shopping, eating, work.
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Virtually any area of human activity can become addictive
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depending on the person's relationship to it.
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I had two major addictions in my life.
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One was to work, and I also had an addiction to shopping,
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in my case for classical music CDs.
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One day I spent $8,000 on compact discs.
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It doesn't matter how many sets of a particular composer's symphonies
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you already have, you have to get the next one and the next one.
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In the grip of this shopping fever, I once left a patient in labour
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and actually went downtown to get the disc and I missed the delivery.
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That's how impactful it was.
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Now you may think that's laughable, "How could you compare your addiction
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to those of your heroin-addicted patients?"
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My own addicted patients, when I told them about my addictions
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they didn't laugh or they shook their heads and they said,
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"Yeah Doc, we get it. You're just like the rest of us."
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Well the point is that we're all just like the rest of us.
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The greatest myths on addiction, number one, is that it's genetic.
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It does run in families, but why does it run in families?
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If I'm an alcoholic, and if I yell and scream at my kids
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and then they grew up to soothe themselves with alcohol,
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did I pass it on to them genetically? Or is that a behaviour they
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developed because I recreated the same conditions that I grew up in.
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Now there might be genetic predispositions, but a predisposition
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is not the same as a predetermination.
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The other myth around addiction is that it's a choice that people make.
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And the whole legal system is based on the idea that people are choosing
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to be addicts, lets punish them for it so as to deter others.
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Addiction is not a choice anybody makes,
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it's a response to emotional pain.
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The other myth is that addiction is restricted to the substance user
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or to a few losers in our society.
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It's rife and rampant through our culture.
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You would think that, with the utter failure of most treatment modalities
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when it comes to addiction, we would wake up and ask ourselves,
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"Do we really understand this condition?"
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But that doesn't seem to happen. We're not looking at its real nature
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as a response to human suffering because we're not helping people
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work through and resolve their traumas.
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So we keep saying, "What's wrong with you?"
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Instead of asking, "What happened to you?"
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Thanks for watching.
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