bXYAWCAIqRE.srt

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Yes,

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you if you can elaborate a bit on,
you mentioned you talked about this 

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mental process where people do the thing
that's hard but less,

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less hard,
but still basically shadow.

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That's actually a really productive way 
of procrastinating,

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although it comes with its own problems 
of rationalization,

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so reinforces certain circuit.
I'll put it in a way that says that 

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those can go away,
so you need to bring up the.

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The other inhibitory circuits.
Just wondering if you could elaborate.

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Well,
I can sure is in the realm of 

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possibility around their understanding 
that.

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Well,
I've derived out partly from my study of

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addiction and also from my study of

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recovery from posttraumatic stress 
disorder,

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but let's talk about addiction.
So there's a series of actions that 

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occur before you take your cocaine.
Some of those are local.

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They are the things that happened 
immediately before and some of those are

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distal.
They're farther back in the chain of 

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events and when you.
When you have a hit of cocaine,

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it produces a dopaminergic burst and 
that feels really good,

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but it also makes the circuits that were
immediately active before that grow.

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That's what reinforcement is,
and then the growth is proportionate,

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not linearly,
but it's proportionate to how long 

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before that event occurred.
The closer it is,

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the stronger they're going to get,
but even the ones that are somewhat 

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distal get some reinforcement because 
you might say,

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well,
what did you do before you,

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you found your latest fix?
And the answer is,

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well,
how long before?

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Well,
the closer,

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the more reward.
And so what happens then is that,

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so if you take that person out of the 
normal environment,

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you put them into a treatment center,
they're off.

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They're a physical addiction,
which is a weird thing in the case of 

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cocaine,
but I'm like not that long a week.

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I'll do it two weeks for sure.
Even heroin and alcohol for sure,

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if you can get them through the seizure 
part without dying.

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Um,
and so they're done.

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They're physiologically dependent 
anymore.

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But you let that person go.
And the first thing that happens is his 

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old friend who he's always out doing 
drugs with shows up and bang,

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he's craving like mad.
And that's because that thing is in an 

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area is not dead at all and it's 
activated by the queue and it's,

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it's a circuit.
It's not.

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It's a personality.
It only wants one thing at once.

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Cocaine,
it's going to suppress any non related 

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thoughts and it'll use lies.
That's no problem.

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Especially if lies have been reinforced,
which they certainly have.

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Where are you off to sun,
you know you'll have a live for that and

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then 10 minutes later you have your drug
and so that little lie has just grown.

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Or maybe you think you've tried to quit.
You think to hell with it.

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And every time,
10 minutes before you take your drug,

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you think to hell with it.
And you do that a thousand times.

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Well believe me that to hell with it,
circuit,

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that sucker is strong.
And so it's alive and it's not like it 

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just disappears.
It can't,

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it's you,
it's grown in there.

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Now you can build another circuit to 
shut it down and you can help decompose 

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across time by not giving it what it 
wants,

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but you're going to have to not give it 
what it wants in all of the multiple 

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contexts that you've already associated 
with the drug.

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Some of you probably smoked and then 
tried to quit smoking and what you'll 

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see is you get a craving when,
well,

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when you have a cup of coffee or when 
you're finished dinner,

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when you're done having a phone call or 
when you first get up in the morning or 

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whenever you've regularly had the drug,
whatever you had the drug in 

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relationship to even complex things like
ending a conversation will produce a 

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cute craving and so then that can 
extinguish overtime if you punish it by 

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either punishing it or not letting it 
get what it's wants,

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but a lot you have to build another 
circuit to just shut it down and then 

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that circuits kind of fragile and stress
can often disrupt it.

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So

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that can be read about quitting smoking 
or things like,

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oh sure.
Well,

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part of it.
Well,

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I begins a whole different thing because
it seems to have a direct physiological 

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effect,
but you know,

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the,
the,

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the addiction has a cognitive component.
It's full of thoughts and desires and 

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wants and you know,
you may have to build,

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you have,
may have to rebuild your whole 

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personality in order to,
to get that thing cornered.

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Religious conversion for example,
is in a really effective treatment for 

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alcoholism.
That's partly why alcoholic alcoholics 

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anonymous works for the people for whom 
it does work,

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but religious conversion,
which is total personality conversion is

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actually one of the few things that we 
know of that's an effective treatment 

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for alcoholism.
We don't know how to induce it,

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but although that's not exactly true 
either because I'm in the early work 

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with Lsd was lsd was quite promising as 
a treatment for,

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for an alcohol addiction and there's 
recent work with silicide button's 

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showing that if you,
if people have a mystical experience 

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when you give them Psilocybin,
their success rate and quitting smoking 

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is about 80 percent,
which is way higher than any 

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pharmacological intervention for smoking
has ever beat.

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So.
Alright.

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We should probably call it a day,
so we'll see you in a week.