THE BRAIN THAT CAN'T LET GO

You Already Know How It Starts
A Prescription. A Surgery
A Season Of Pain That Needed Managing
This Is The Part Nobody Explains
What The Brain Looks Like After The Pain Is Gone
THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.
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OKAY BACK FROM INSIDE YOUR HEAD 🧠
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WHAT TOLERANCE ACTUALLY MEANS 📈
The Brain Is An Adaptation Machine
Its Primary Function Is Not To Feel Good
Its Primary Function Is To Maintain Equilibrium
When Opioids Flood The Mu Receptors At Several Times The Intensity Of
Anything The Brain Produces Naturally
The Brain Responds
It Reduces The Number Of Available Mu Receptors
Fewer Receptors Mean Less Response To The Same Dose
This Is Tolerance
It Is Not A Flaw In Willpower
It Is The Brain Doing Precisely What It Was Built To Do
The Consequence Is That The Dose That Stopped The Pain Last Month Does Not Stop It This Month
More Is Required To Reach The Same Floor
The Ceiling Keeps Rising
The Floor Keeps Dropping
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THE NEW BASELINE 📉
Long Term Opioid Use Suppresses The Brain's Natural Endorphin Production
The Brain Outsourced The Job
It Recognizes That An External Supply Is Arriving Reliably
Natural Production Becomes Unnecessary
When The External Supply Stops
The Brain Cannot Immediately Recover What It Stopped Making
The Person Is Not Trying To Chase A High At This Stage
They Are Trying To Feel Neutral
They Are Trying To Experience A Baseline That No Longer Exists Without The Drug
This Is The Mechanism That Makes "Just Stop" A Sentence That Only
Makes Sense From The Outside
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WHAT THE BODY DOES 🌡️
Withdrawal Begins Between Six And Twenty Four Hours After The Last
Dose Depending On The Opioid
Muscle Cramps That Feel Like The Bones Are Trying To Exit The Body From The Inside
Profuse Sweating Followed By Chills
Nausea. Vomiting
Diarrhea
All At Once
Insomnia So Complete That The Body Is Exhausted And Wired Simultaneously
Restless Legs That Make Stillness Impossible
Severe Goosebumps Across Every Surface Of The Skin
That Last Symptom Is Where The Phrase "Cold Turkey" Comes From
The Skin Of Someone In Full Opioid Withdrawal Resembles A Plucked Bird
Acute Symptoms Peak At Forty Eight To Seventy Two Hours
They Begin To Resolve Around Day Five To Seven
The Brain Takes Months To Restore Baseline Dopamine Production
None Of This Is Exaggeration
None Of This Is Weakness
THE CRAVING THAT OUTLASTS THE WITHDRAWAL 🔁
Physical Withdrawal Is The Short Fight
The Longer Fight Is What Happens After
The Brain Encoded Opioids Into Long Term Memory At The Deepest Level Available To It
The Hippocampus Filed The Relief
The Warmth
The Stillness, And Every Detail Surrounding Them
A Hospital Smell
A Particular Song
The Color Of A Room
A Season. A Level Of Stress.
Any Of These Can Fire The Craving Circuit Independently Of Any Conscious Choice
The Person Does Not Decide To Crave
The Circuit Fires First
Research Published In The Journal Of Neuroscience Has Shown That Cue Triggered Cravings
Can Remain Active For Years After A Person Has Stopped Using
The Brain Does Not Forget A Reward That Size
It Simply Waits
WHY THE SYSTEM THAT FAILED YOU HAS TO BE THE ONE THAT HELPS YOU 💬
The Prefrontal Cortex Is Structurally Altered By Long Term Opioid Use
The Region Responsible For Impulse Control
Long Term Decision Making, And The Override Of Immediate Craving Loses
Signal Strength To The Limbic System
The Part Of The Brain That Knows This Is Dangerous
Cannot Consistently Out Shout The Part That Has Filed This As Survival
This Is Not A Character Failure
This Is A Rewired Circuit
Medication Assisted Treatment Works
Buprenorphine And Methadone Bind To Mu Receptors Without Producing
The Same Euphoria
They Stabilize The Baseline That Opioid Use Destroyed
They Give The Brain Time To Rebuild What It Stopped Making
The Brain That Learned This Can Relearn
It Takes Longer Than Anyone Wants It To
It Requires More Support Than A Discharge Paper And A Referral
The Same System That Handed Someone A Paper Cup In A Hospital Room
Owes Them More Than That On The Way Out






