Dr. Suzette Glasner explains why people who can’t take an open, honest look inward often struggle to find real fulfillment—and how chronic stress in addiction disrupts the brain’s ability to make rational decisions. Then she shares the hopeful part: in recovery, brain imaging shows those systems can change and become more functional again.
People who are not willing to take an open and honest look at themselves in order to kind of
get to a to a better place often struggle to find that sort of life fulfillment that they're seeking
that the purpose is it possible or is there a hindrance to finding or somebody feeling like
they have found their purpose if there's just no way to be able to figure out how to disclose those
secrets come to a place of honesty but yet understanding them as well seems like it'd be a
very tough uphill battle to say the least yeah it would be tough I mean I think coming back to
to mindfulness because there has been a lot of research on the brain impacts of mindfulness
and the ways that it changes the brain one specific construct in mindfulness that we're
really looking to help people change is this sort of ability to be kind and compassionate to
towards themselves and a lot of what that's tied to especially in addiction but probably in other
illnesses as well is being able to look inward and say I failed at something I'm not perfect
I'm like far from perfect and I can accept that and they have their there are ways of measuring
what we call like trait self-compassion so some people are like born like this like they're like
they're just internally kind to themselves they're like walk around in life and say like
it's okay I'm not perfect it's you know you know um I accept that about myself I forgive myself for
you know making mistakes they're able to just brush off mistakes but also or failures but
they're also able to recognize them when they happen and not like avoid them or not look at
themselves and not try to learn from them but for a lot of us that has to be learned like that that's
I don't know what percentage of people like show up with this self-kindness and self-compassion
and studies have shown that with mindfulness training people do learn that skill and then
you see reductions in anxiety reductions in depression like it changes a lot for people
emotionally when they're able to do that so it's safe to say that verbalizing past failures or
limitations uh plays a part in rewiring habits and decision making as a whole well what's really
interesting about that about rewiring decision making and habits is we've been talking about
the stress system and the technical terms are the hypothalamic pituitary adrenal axis and this is
like what um so the hpa axis this is discussed a lot in research on addiction how it's dysregulated
how it's handicapped how it's disrupted and part of that is that when you're under stress
and addiction is stressful like because of the lying because of the chasing the withdrawal but
you know and trying to like find a solution to that because of the the negative consequences
or the wreckage that it creates in life and the chaos right like it is very stressful
and what happens is that system is very closely in communication with the prefrontal cortex and
the prefrontal cortex controls our ability to solve problems like it's you know you've probably
heard the term executive functioning right so um the prefrontal cortex helps us make rational
decisions make good judgment calls and when the hpa axis or our stress system is like dysregulated
it's not releasing cortisol in the appropriate ways at the appropriate times and then you're
in a stressful situation and your brain wants to reach for a rational solution studies have shown
it can't access those solutions so it goes to instead of like thinking of a range of healthy
healthy coping skills like um like you run into some kind of chaos at home and you're like um
chronically in a pattern of substance use your stress system doesn't work right and then you
try to think of a solution your brain is going to go to something impulsive that is not going to be
a great solution to sort of move your life forward right so that's part of the wiring of self-control
of problem solving of all the functions you really need more than ever when you're in that
world of chaos but you can't really access them your memory can't even access those those solutions
at that time so we see though that when people are in a recovery and they're successfully like
you know off of alcohol and other substances we see in imaging studies that those systems
are changing and becoming more functional again