Latest / Recovering Out Loud / Why Triggers and Obsessions Exist After You Quit — and Why They Go Away
Transcript
- 0:00All right, everybody, welcome back to Recovering Out Loud
- 0:03podcast. I'm your host, Anthony.
- 0:05Today we're going to be talking about triggers, intrusive
- 0:09drinking, memories, drinking thoughts, using thoughts, why
- 0:14they happen, where they happen, and why do people say that when
- 0:19they stay sober longer, the obsession has been removed.
- 0:22We're talking about obsession of the mind here in early recovery.
- 0:25It's all I can think about. As time goes on, it's less and
- 0:29less. The space gets longer and longer
- 0:31and the memories are less intense.
- 0:33So let's talk about it, because this effects everybody.
- 0:36No matter how long you've been sober, it still comes, albeit
- 0:39less the longer you've been sober.
- 0:41But I've been sober a year and two months now almost, and I can
- 0:45tell you I'm still getting the highlights of the good old days
- 0:50And remember this, Anthony? And, and it, it comes up in my
- 0:53mind and it's like dopamine. I get high on it sometimes.
- 0:56And if we're not careful, that'll take you back out.
- 0:58So let's talk about it. You can be having a completely
- 1:01normal day and then out of nowhere, maybe a song comes on,
- 1:05a smell. You walk by a familiar place or
- 1:07person and suddenly you're not here anymore and you're thinking
- 1:11about, like I said, the good old days.
- 1:12Remember when? And well, that was fun.
- 1:15That would be nice. I'd probably enjoy that.
- 1:18We're talking about using or drinking memories, of course.
- 1:21So what are these intrusive memories?
- 1:24Triggers. Obsession of the mind?
- 1:27What is it? Well, basically, intrusive
- 1:29memories are not conscious choices.
- 1:31They come out of nowhere. I don't know if you've noticed
- 1:33this, but you have no control over your first thoughts.
- 1:36They tend to come out of complete left field sometimes.
- 1:40I'll be having a great day and all of a sudden I'll remember a
- 1:42time when I was alone at a bar and drinking and using and my
- 1:47brain will tell me, oh, that was fun, Remember how fun that was?
- 1:49And then I leave out the shame, guilt, remorse that happened
- 1:53later that night. Or the time I couldn't stop and
- 1:56I was hiding in the shower waiting for someone to break
- 1:58into my hotel room holding a weapon because I was so
- 2:01paranoid. My brain doesn't remember that,
- 2:04only remembers the good part, the 5 minutes before, the 5
- 2:08minutes when you first start, the first couple drinks, first
- 2:10couple lines. So the key idea here is that
- 2:13your body remembers things your mind didn't ask for.
- 2:17So a smell, a place, a sight, it'll just trigger a memory,
- 2:21it'll activate. So your brain, my brain, our
- 2:24brain learned that substances equals relief.
- 2:27That's what we were looking for, right?
- 2:28Essentially, men and women, people drink or use because they
- 2:31like the effect produced by drugs or alcohol or both.
- 2:34When you repeat the use of that substance, your brain learns to
- 2:38associate alcohol and drugs with stress relief, emotional
- 2:41regulation, right? Calm, peace, quiet, safety,
- 2:46reward or pleasure escape. I don't want to be here now, so
- 2:50I'm going to use and I'm going to disappear.
- 2:52I'm going to escape the moments. This feeling, this memory, this
- 2:57emotion. We've trained our brains so long
- 3:00over repeated use, over time, that that's the default.
- 3:03When we have an uncomfortable, when we're disturbed, go to
- 3:06drugs, go to alcohol, Fixed, gone.
- 3:08It's like a chemical eject button.
- 3:10This learning is stored in habit and memory circuits, not logic.
- 3:15There's nothing logical about this.
- 3:17So even when you know using is bad and I shouldn't be using, I
- 3:21shouldn't be drinking because we all know where it ends up.
- 3:23When I play the tape all the way through to the end, I end up in
- 3:26jail institutions or death rehab on the street homeless.
- 3:30So even when you know it's still a bad idea, the brain still
- 3:34sends a signal to to that shortcut, that quick hit, that
- 3:37relief, that quick fix. This worked before.
- 3:40Your brain saying this worked before, let's do it again.
- 3:42You, your brain is going to look for survival mechanisms,
- 3:45comfort, quick fixes, like I said, shortcuts, because that's
- 3:49what it's trained to do to survive.
- 3:51That's why triggers feel automatic and intrusive.
- 3:53They come out of nowhere. Triggers are conditioned
- 3:56responses. So essentially a trigger is just
- 3:58a cue the brain linked to using places.
- 4:03So I walked by a club that I used to use that.
- 4:05I walked by a stupid King Street and I remember a time when I had
- 4:09fun there for 4 minutes old using friends.
- 4:12I remember hanging out with Johnny and using in his
- 4:14basement, playing pool and smoking in his basement.
- 4:16Now when I think of pool, sometimes this doesn't actually
- 4:19happen. It's just an example.
- 4:20When I think of pool, I think of cocaine because I used to always
- 4:22play pool with cocaine. I'm associating my brain is
- 4:25associated emotions. So some of us use because we're
- 4:28stressed. Some of us use and drink because
- 4:30we're bored, lonely, we're in fear.
- 4:31Celebration. I feel good, I want to
- 4:33celebrate. I want to make this moment
- 4:35better. I use stimulants for work to
- 4:38enhance my personality in quotations.
- 4:40I thought I was enhancing my personality at work.
- 4:43Not the case. Times of day could be another
- 4:45one. These are all cues that your
- 4:48brain says, oh, let's use drugs because it worked before.
- 4:51It fixed said problem before, so let's do it again.
- 4:55Your nervous system reacts before conscious thought.
- 4:58It's a subconscious mechanism in your brain.
- 5:00It's not weakness, it's conditioning.
- 5:02This is just what we're used to. So now we get into recovery and
- 5:06we stopped using, we stopped drinking, the substances are
- 5:09gone, our medicine is gone, our brain's shortcut is gone.
- 5:13Our our brain's pathway, that quick fix is gone no more.
- 5:18But the neural pathways are still there.
- 5:20They're still trained. So although the brain protests,
- 5:23obsessions, cravings, emotional swings, mental well-being,
- 5:26bargaining, mental bargaining, this is your system saying
- 5:29where's the thing that used to regulate me?
- 5:31Let's go to that. This is why it's so important to
- 5:34be aware of it, to name it, to get it out there and tell
- 5:37somebody so it loses its power because it'll just be bouncing
- 5:40around like a ping pong ball in your brain until you eventually
- 5:43pick up. So why triggers and obsessions
- 5:47eventually go away? You stay sober long enough to
- 5:49hear people, I've lost the obsession to drink.
- 5:51They don't think about it anymore.
- 5:52They don't think about using. The brain stops getting reward
- 5:55confirmation. This is important here.
- 5:56Every time you don't use after a trigger.
- 5:59So when a memory, a trigger comes up, every time you take
- 6:01the positive behavior and you don't pick up, you don't call
- 6:05your dealer, you don't go to the bar.
- 6:07You're training your brain to predict relief without that
- 6:11substance, without substance, with good habit, calling
- 6:14somebody, walking, journaling, praying, meditating.
- 6:17You're training your brain slowly over time.
- 6:19Doesn't happen overnight. Now, relief isn't coming from
- 6:22the substance. It's coming from the pattern,
- 6:24the behavior of the routine, the action that you take.
- 6:28The prediction fails, so over time the brain updates.
- 6:31It's like an operating system. This cue no longer leads to
- 6:35reward. So this trigger no longer leads
- 6:37to reward. I'm going to stop sending him
- 6:39cues or sending her cues to use drugs to fix it quickly.
- 6:44This process is called extinction learning.
- 6:47Extinction learning. It takes time.
- 6:49Now you have a new regulation system replaces the old one.
- 6:53As recovery stabilizes, as recovery stabilizes, as you
- 6:56count days you collect days you collect months, you collect
- 6:59years, you get you develop emotional regulation skills,
- 7:04emotional sobriety. I can deal with anger, fear,
- 7:07lust, jealousy. I can deal with these emotions
- 7:10without having to use you. Develop social connection.
- 7:13I choose my friends over the bar, my sober friends over go to
- 7:16the bar. I choose my sober community.
- 7:18Going for coffee over going to the bar or grabbing or going to
- 7:21a club. It develops purpose and
- 7:23structure. Now I have a North Star, I have
- 7:26a direction. I feel like I'm obligated to
- 7:29take this path and not pick up and use drugs and alcohol and
- 7:34stress tolerance. You develop stress tolerance.
- 7:36You learn how to handle situations with which used to
- 7:39baffle you. Now the brain has other ways to
- 7:41get relief. You're building new pathways.
- 7:44And so when a need is met consistently, the obsession
- 7:48loses fuel. I'll say that again.
- 7:49It's important when the need is met consistently, the obsession
- 7:55loses fuel. All behaviors are a result of
- 7:58unmet needs. I have a whether it's emotional
- 8:01regulation, like I said, or a disturbance, somebody pisses you
- 8:05off, or I don't have enough money, or I just got wronged at
- 8:08work, or somebody embarrassed me.
- 8:10I don't need to turn to drugs and alcohol to fix it.
- 8:12I can cope in other healthy ways with community, with regulation,
- 8:17with prayer, with meditation, with journaling, with exercise,
- 8:21talking about it. Emotional sobriety reduces the
- 8:24need to escape. If you want deeper dive on this,
- 8:27I did a whole episode on emotional sobriety.
- 8:28Very important to happiness in sobriety and contentment.
- 8:33Many triggers aren't about substances, they're about
- 8:35unprocessed emotion. I'm not dealing with something,
- 8:38I'm pushing it down until it blows up in my face.
- 8:40As people process shame, resolve grief, build self trust and
- 8:46create meaning, this is a recovery process.
- 8:48It's a process. It's done through actions, small
- 8:51actions. Everyday you're building trust
- 8:53with yourself. So now you're in a state of
- 8:55lower pressure because the internal pressure that created
- 8:58the obsession softens over time. Your brain is adapting.
- 9:01Low pressure leads to fewer urges, fewer triggers, fewer
- 9:06relapses. Hopefully now your brain is
- 9:08literally rewiring. It's not poetic, it's
- 9:11biological. Your dopamine systems stabilize.
- 9:15You are so used to being on high or low all the time.
- 9:18Your dopamine receptors are resetting.
- 9:21They're restabilizing. That steak that you used to
- 9:23enjoy before you used to get high and drunk now entices you.
- 9:27You can enjoy a sunset, you can enjoy a walk, you can enjoy the
- 9:31gym running. You can enjoy the simple things
- 9:33in life that you used to not be able to enjoy.
- 9:35I remember for a long time my I when I was in active addiction,
- 9:39I used to eat bags of chips and chocolate every night for
- 9:42dinner. That was my dinner.
- 9:43And then McDonald's if I was, if I had enough money.
- 9:46I couldn't find any joy in eating steak, chicken, healthy
- 9:50foods because there was no dopamine there.
- 9:52I needed candy, I needed sugar, I needed processed foods.
- 9:55Your prefrontal cortex control strengthens the decision making
- 10:00the oh I need this now. I need this quick fix.
- 10:03I only like high palatable foods.
- 10:05I only like drugs and alcohol to solve my problems.
- 10:07It's getting stronger and you can make better decisions and
- 10:11take time and see the consequence in doing negative
- 10:14behaviors, picking up outside things.
- 10:16Your old pathways don't disappear, they just go quiet.
- 10:19That's why you hear people say often, I didn't fight the
- 10:22obsession, it just stopped showing up.
- 10:25It slipped away. The obsession was removed from
- 10:29me. You hear that a lot because
- 10:30people are doing the work. They're putting in the time.
- 10:32They're building new structure, new habits, new routines.
- 10:35They're calling people, they're reaching out, they're helping
- 10:38others, they're getting out of self.
- 10:40So why doesn't this happen overnight?
- 10:41And why that's OK. Triggers frayed, fade gradually,
- 10:44not linearly. There's recovery is not linear,
- 10:47as if you haven't figured that out already.
- 10:48It's a gradual overtime practice action.
- 10:51Early recovery is loud, frequent, emotional.
- 10:54It's very intense. I remember 3 months into my
- 10:56recovery this time I was thinking about using cocaine
- 10:58every single day. What did I do?
- 11:00I stuck with my habits. I stayed around sober people.
- 11:02I called my mentor when I thought about using.
- 11:06Every time I thought about it, I called him and told him even
- 11:08though I didn't want to. Today, when it comes up, I talk
- 11:11about it, I laugh at it, I process it with people.
- 11:14That was crazy. I can't believe I just had a
- 11:15drinking dream or thought or memory that sucked.
- 11:18What? Be honest with yourself.
- 11:20How did that end up that night? Play the tape all the way
- 11:23through to the end. Middle recovery is sort of
- 11:27quieter and situational. It happens here and there.
- 11:30That's kind of where I'm at right now, where it's still
- 11:32coming and I'm still getting these memories and I'm still
- 11:35getting dopamine from old drinking using days.
- 11:38Fuck. I was going to have a shower
- 11:39earlier today and I had a memory pop up in my head of being in a
- 11:42hotel room alone doing coke. And it was like, oh, that was
- 11:45fun, Remember that? No, it wasn't fun at all.
- 11:48I was looking for the shadow people for hours after that and
- 11:51then later down the road. It's rare, fleeting and
- 11:54manageable. So it comes and goes.
- 11:55It's very fleeting, rare. This happened to me after.
- 11:59I don't even remember, honestly, but probably 2-3 years in.
- 12:02It's different for everybody. It's not going to take this long
- 12:04for you. It's different for everybody,
- 12:06but probably 2-3 years. In my first round of recovery, I
- 12:10really didn't think about drugs and alcohol at all.
- 12:12Even if I was around it, it just never came on into my mind.
- 12:15At least take the positive aspects of it.
- 12:18So each wave that passed without using teaches the brain, I can
- 12:22survive this without substances. You're training your brain over
- 12:25time. I can do this without drugs and
- 12:27alcohol. I don't need to escape this
- 12:28moment. This too shall pass.
- 12:31Trouble always passes. Trouble never lasts.
- 12:35And that lesson sticks. That's real.
- 12:38That's has depth and weight to it.
- 12:40It's not a quick fix. We're not about quick fixes.
- 12:42You're in recovery. Recovery is a marathon, not a
- 12:44Sprint. It is daily training.
- 12:47Every day you're rewiring your brain.
- 12:49Simple. Not easy.
- 12:50So the key reframe here for you to take home is triggers don't
- 12:54mean you're failing. They mean your brain is
- 12:56updating, your software is updating, your system is
- 13:01updating, it's catching up. That's also why you hear a lot
- 13:04of people say that. I mean, it's true.
- 13:06You stop aging when you start abusing drugs, you emotionally
- 13:10stop aging. You're like a child.
- 13:12So if you started using drugs at 23, like I know 2019, I started
- 13:16getting into cocaine really heavy probably 1920 and weed
- 13:20before that. So I mean, maybe even 1819, I
- 13:23stopped aging emotionally at that point.
- 13:25So when I came into recovery at 23, I had to rebuild those
- 13:29emotional skills so that I could didn't have to use drugs and I
- 13:32could build a life and not be a big baby crying and running
- 13:35around everywhere. That's why when you first come
- 13:37into recovery and you're newly sober, you're so emotional and
- 13:41you're so intense and people have a hard time handling you,
- 13:44give yourself some grace. Patience is a virtue.
- 13:48So obsessions are not proof that you still want to use, they're
- 13:52proof your nervous system is still learning safety
- 13:55obsessions. I'll read that again.
- 13:57Obsessions aren't proof you want to use.
- 13:59They are proof your nervous system is still learning safety.
- 14:04Bottom line, people have triggers and obsessions because
- 14:08addiction is learned. It's a learned pattern over
- 14:11time. The brain seeks regulation and
- 14:14homeostasis. Cues were deeply reinforced when
- 14:17you were using drinking, negative thought.
- 14:19Use drugs. Tough day at work?
- 14:21Use drugs. Money problems, use drugs.
- 14:23Your your brain has been so enmeshed with that pattern that
- 14:28it takes time to unlearn it and UN peel off the layers of the
- 14:31onion so they go away because the learning loses
- 14:35reinforcement. You're you're building new
- 14:37habits. New coping replaces old relief.
- 14:40Emotional needs get met. You are meeting them healthily.
- 14:44The brain rewires through repetition.
- 14:46Putting in the reps is the only answer here.
- 14:50Doesn't happen overnight and it's different timing for
- 14:52everybody. Recovery isn't about fighting
- 14:55urges or white knuckling it. It's about outgrowing them and
- 14:58it takes time. Be patient, give yourself grace,
- 15:03do the best you can do today and then tomorrow do it again.
- 15:07Thank you again for being here with me.
- 15:09I love you all. Please follow like subscribe to
- 15:13the podcast it helps me so so much.
- 15:15I love you all have an amazing day.
- 15:17Recovery is simple, not easy.