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Inspiration

Everyday Addictions: Why Your Brain Keeps Repeating Habits

Jud Brewer, MD PhD
Jud Brewer, MD PhD
Apr 11, 2019
8 min di lettura
Guarda · 7

Picture a psychiatry resident at Yale, a boy from Indiana who had done everything his mother asked, sitting with patients who could recite the damage their addictions had done to their health, their relationships and their lives, and who still could not get back in control. That experience, Jud Brewer says in a 2019 YouTube talk, is where he began to suspect that the substance was not the root of the problem. His argument, built over a long career as an addiction psychiatrist, is that everyday habits such as snacking, shopping, scrolling and worrying run on the same reward-learning machinery that drives dependence on heroin or nicotine. That machinery evolved to help our ancestors survive scarcity, not to navigate a world of phones and algorithms designed to keep us reaching for the next hit. Understanding the loop, he argues, is the first step toward loosening it.

Lettura · 7 sezioni

Can someone who isn't using drugs really be addicted?

Brewer expects the skeptical reaction, because he had it himself. "Your initial thought is probably a quick no way I'm not an addict," he says early in the talk, and he describes how easy it is to picture addiction as something that happens to other people, the wreckage of heroin or the smell of cigarettes on someone else's coat. He admits he thought the same thing. "I'm a normal guy who grew up in Indiana," he recalls, a kid who ate his vegetables, got an education and stayed away from drugs.

The turning point came in residency, but the definition that stuck with him was more portable than any single case. Brewer lays it out plainly: addiction is "continued use despite adverse consequences." That phrase, he notes, is much bigger than cocaine. Once you read it that way, he says, you can find it almost anywhere, and he describes doing exactly that. He began asking friends and co-workers about their habits and found the pattern everywhere: continued tweeting despite adverse consequences, continued shopping, continued computer gaming, continued eating, continued daydreaming.

"Addiction really wasn't limited to the so-called hard drugs and addictive substances. It is everywhere." — Jud Brewer, 2019 YouTube talk

That bit of self-research is also the kind of honesty that gives the talk its credibility. Brewer jokes that for researchers, "research really means me search," because we study our own quirks, foibles and pathologies whether we mean to or not.

What is addiction, really?

If the definition is about behavior rather than chemicals, the next question is what drives the behavior. Brewer's answer runs through the brain's reward system, and he is careful to say that the brain is far more complicated than any short story can capture. Still, the basic architecture is useful. The brain, he explains, has old and new components. The newer regions handle thinking, creativity and decision-making, and they sit on top of older structures that evolved to keep us alive. Fight-or-flight is the classic example of a reaction that starts in the older brain.

One of those older features is reward-based learning, which runs on positive and negative reinforcement. You do more of what feels good and less of what feels bad. Brewer points out how deep this goes: the ability is so fundamental that it can be seen in sea slugs, organisms with only about 20,000 neurons in their whole nervous system. Eric Kandel won a Nobel Prize for work on this kind of learning, and Brewer uses that research to show how basic the mechanism is.

Here is the mechanism at its simplest, as Brewer walks through it. You see food that looks good, the brain registers calories and survival, you eat it, you taste it and it is yummy. Especially with sugar, the brain releases dopamine, which says, in effect, remember what you ate and where you found it. The brain lays down a context-dependent memory and learns to repeat the process. Trigger, behavior, reward, repeat.

How does a simple survival loop become a habit?

This is where the story gets personal for anyone who has ever reached for chocolate after a bad day. The same loop, Brewer argues, got repurposed by our newer, more creative brain. Once we had learned that food relieves hunger, the brain generalized: if you feel bad, try eating something good. "Same learning process, just a different trigger," he says. The hunger signal from the stomach is replaced by an emotional one, feeling sad, which triggers the urge to eat.

His smoking example shows the loop shaping identity. As a teenager, he describes, a nerd watching the rebel kids smoke outside school thinks he wants to be cool, starts smoking, and the reward reinforces the pathway. Cool, smoke, feel good, repeat. Later, stress triggers the urge to smoke or to eat something sweet. The loop is the same; only the trigger has changed.

The stakes are not abstract. Brewer notes that obesity and smoking are among the leading preventable causes of morbidity and mortality in the world. "This is our old brain trying to help us survive in a new world and not doing such a good job," he says. A system tuned for finding berries is now being asked to manage an unlimited supply of cheap, engineered sweetness.

Why is the modern world so good at hooking us?

Brewer's favorite illustration is the shopping cart, updated for the twenty-first century. Imagine buying shoes in the 1800s: you hitch the horse, ride into town, talk to the clerk at the general store, go home, wait a couple of weeks, and go back for the shoes if you still have the money. Today, you can be stuck in traffic, click an ad that targets you because the search engine knows you like shoes, and have a perfectly fitting pair on your doorstep two days later.

The gap between those two experiences is the whole point. As Brewer puts it: "the two-minute 2 click fix is more likely to get you to keep buying shoes than the two-month experience in the name of convenience and efficiency." He adds that "the modern world is increasingly designed to create experiences that are addictive," and that this holds for shoes, food, television, video games, even thoughts about politics, romance or the latest news.

What makes these products effective is timing. Because they are available at a moment's notice through TVs, laptops and smartphones, they can catch any weak moment: boredom, frustration, anger, loneliness, hunger. They offer a simple emotional fix. Buy this, eat this, check this feed and you'll feel better. Each one is a small reward that trains the loop a little deeper.

Is worrying or overthinking an addiction too?

Brewer says yes, and he argues that this is where most people get caught without noticing. The loop works with thoughts as well as objects. If you have ever been caught in a worry habit, a thought or emotion triggers worry, which triggers avoidance or overplanning, you already know the pattern. The reward is the brief relief of having done something about the feeling, and the cost is the next round of anxiety. Brewer's book The Craving Mind extends this territory into chapters on social media, distraction, thinking and even romantic love, which suggests how far he sees the loop reaching. He also points out that the cycle runs well beyond stress and overeating into shopping, romance and anxiety.

This is also why willpower alone so often fails. Brewer describes the old brain overriding our intentions, and he is clear that a brain trained by thousands of reward cycles does not respond well to a decision made in a calm moment. The urge arrives faster than the reasoning.

What can you do about everyday addictions?

The second half of the talk shifts from diagnosis to practice. Brewer frames the path forward around awareness. Rather than fighting the urge directly, the goal is to see the loop as it runs: trigger, behavior, reward, and the moment you reach for the thing. He ties this to the wider interest in mindfulness, noting that the field is still young and that modern science is beginning to show how we can change our brains through awareness. The emphasis is on noticing with curiosity rather than judging yourself for being stuck, since self-judgment tends to feed the very loop you are trying to quiet.

That is a useful stance for anyone who has tried to quit something and felt ashamed of the relapse. Brewer's larger message is that everyday addictions are not a character flaw. They are the predictable output of a survival system meeting an environment engineered to exploit it. Once you can see the mechanism, you have a chance to interrupt it, one trigger at a time.

Where to go from here

If the talk changed how you think about your own habits, the natural next step is to watch it with a notebook. Track the triggers that come before your everyday reaches, whether boredom, stress, a notification or a late-night email, and notice what the reward feels like in the moment and afterward. Brewer's broader body of work includes The Craving Mind, and he has also developed habit-change programs aimed at anxiety, stress eating and smoking, which are listed on his channel. Whatever path you take, the core idea from this talk is portable: an addiction is continued use despite adverse consequences, and the way out begins with seeing the loop clearly enough to step outside it.

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Transcript

[0:01] what our everyday addictions and how can

[0:04] we work with them

[0:07] what if I told you that we're all

[0:09] addicted to something now your initial

[0:12] thought is probably a quick no way I'm

[0:14] not an addict you might think about the

[0:17] terrible toll of heroin or opiate

[0:19] addiction or the stinky smell of

[0:21] cigarettes and think to yourself that

[0:23] addiction is something that happens to

[0:25] other people I'm different than that

[0:28] aren't I well that's exactly what I

[0:30] thought I'm a normal guy who grew up in

[0:33] Indiana

[0:34] my mom made sure that I ate my

[0:36] vegetables got an education and stayed

[0:39] away from drugs perhaps I got a little

[0:41] too excited about all of this as now as

[0:44] in my 40s I'm a vegetarian I have too

[0:47] many graduate degrees an MD and a PhD

[0:49] and I'm an addiction psychiatrist

[0:53] everything a boy could do to make his

[0:56] mom proud it wasn't until I was in my

[0:59] psychiatry residency training at Yale

[1:01] that I really learned about addiction

[1:04] I saw patients addicted to meth cocaine

[1:07] to heroin alcohol cigarettes you name it

[1:11] many of them were addicted to multiple

[1:13] substances at the same time and many had

[1:16] been in and out of rehab many times as

[1:18] well people who knew the costs of their

[1:21] addictions on their health their

[1:23] relationships in their life and yet

[1:25] could not get back in control in my

[1:28] residency training that's also where I

[1:30] learned the definition of addiction

[1:32] addiction isn't just the use of

[1:34] chemicals such as nicotine alcohol and

[1:36] heroin it's much bigger than that the

[1:39] simple definition of addiction is this

[1:41] continued use despite adverse

[1:44] consequences continued use despite

[1:47] adverse consequences wow that goes way

[1:51] beyond cocaine that could mean continued

[1:54] use of anything so I asked myself what

[1:58] if the root of addiction isn't in the

[2:00] substances itself but somewhere deeper

[2:03] what really causes addiction I started

[2:06] doing some research and the joke for

[2:08] researchers is that research really

[2:10] means me search as in we study our own

[2:13] quirks our own foibles and even our own

[2:16] pathology consciously or unconsciously

[2:20] I also started asking my friends and

[2:22] co-workers about their habits long story

[2:25] short I found addiction everywhere

[2:28] continued tweeting despite adverse

[2:30] consequences continued shopping despite

[2:33] adverse consequences continued pining

[2:36] away for that special someone

[2:38] despite adverse consequences continued

[2:41] computer gaming despite adverse

[2:43] consequences continued eating despite

[2:45] adverse consequences continued

[2:47] daydreaming despite adverse consequences

[2:49] addiction really wasn't limited to the

[2:52] so-called hard drugs and addictive

[2:54] substances it is everywhere

[2:57] is this new or did we miss something the

[3:01] answer this is old and new let's start

[3:05] with the new the world we live in today

[3:07] is very different than it was just 20

[3:10] years ago and even more different than

[3:12] 200 years ago let's use where I grew up

[3:16] in the middle of America as an example

[3:18] back in the 1800s if I lived on the

[3:21] Prairie or on a farm and I had a

[3:24] hankering for a new pair of shoes I'd

[3:26] need to hitch my horse up to my wagon

[3:28] ride into town talk to the person at the

[3:31] general store about what shoes I wanted

[3:33] and what size go back home wait a couple

[3:35] of weeks hitch my horse back up to my

[3:38] wagon go back into town and assuming I

[3:41] had the money to pay for the shoes buy

[3:42] the darn shoes today I can be driving

[3:46] home from work zipping along in traffic

[3:48] minding my own business gets stuck in

[3:51] traffic and in a fit of frustration

[3:53] click on an ad that I saw in my email

[3:55] yes targeted to me because Google knows

[3:57] I like shoes and as if by magic

[4:00] two days later thanks to Amazon Prime a

[4:02] pair of perfectly fitting shoes shows up

[4:05] on my doorstep you don't need to be an

[4:07] addiction psychiatrist to see that the

[4:09] two-minute 2 click fix is more likely to

[4:12] get you to keep buying shoes than the

[4:14] two-month experience in the name of

[4:17] convenience and efficiency the modern

[4:19] world is increasingly designed to create

[4:22] experiences that are addictive this

[4:24] holds true for things like shoes and

[4:27] food and behaviors like watching TV or

[4:31] playing video games and even thought

[4:34] like thoughts of politics romance or

[4:36] needing to keep up with the latest news

[4:38] and because all of these are available

[4:41] at a moment's notice through our TVs our

[4:43] laptops and smartphones they can take

[4:46] advantage of any weak moment such as

[4:48] boredom frustration anger loneliness or

[4:51] hunger to offer a simple emotional fix

[4:54] by these shoes eat this food

[4:57] check this newsfeed and you'll feel

[4:59] better how did it come to this for that

[5:03] we need to go back a lot further than

[5:06] Little House on the Prairie we need to

[5:08] go back to how our brains evolved the

[5:10] ability to learn in order to answer that

[5:12] question at risk of oversimplifying

[5:14] things our brains are very complex as

[5:17] you know and we're just beginning to

[5:19] scratch the surface it turns out that

[5:22] our brains have old and new components

[5:24] the new parts are involved with thinking

[5:27] creativity decision-making and so on but

[5:31] these newer sections are layered on top

[5:33] of the older parts of our brain parts

[5:35] that evolved to help us survive you've

[5:38] heard of fighter flight right that's a

[5:40] reaction that starts in your older brain

[5:43] another feature of the old brain is

[5:45] what's called the reward based learning

[5:47] system reward based learning is based on

[5:50] positive and negative reinforcement you

[5:53] want to do more of the things that feel

[5:54] good and less of the things that feel

[5:56] bad in fact this ability is so important

[6:01] and evolved so far back that science can

[6:03] see it in sea slugs that's right

[6:06] organisms with only 20,000 neurons in

[6:09] their entire nervous system in fact this

[6:12] was a discovery that was so big that

[6:14] Eric Kandel won the Nobel Prize for it

[6:17] so back in caveman Dave's this was

[6:20] really helpful since food was so hard to

[6:23] come by if we see some food that looks

[6:25] good our brain says calories survival

[6:28] and we eat the food we taste it yummy

[6:31] and especially with sugar our brains

[6:34] release a chemical called dopamine that

[6:36] says remember what you're eating and

[6:37] where you found it we lay down a

[6:40] context-dependent memory and we learn to

[6:43] repeat the process next time seafood eat

[6:47] you'd feel good repeat trigger behavior

[6:51] reward pretty simple right after a while

[6:55] our modern creative brain says hey you

[6:59] can use this for more than just

[7:00] remembering where food is next time you

[7:03] feel bad why don't you try eating

[7:05] something good so you'll feel better

[7:08] we thank our brains for that great idea

[7:10] try this and quickly learn that if we

[7:13] eat chocolate or ice cream when we're

[7:15] mad or sad we feel better

[7:18] same learning process just a different

[7:21] trigger instead of a hunger signal

[7:23] coming from our stomach this emotional

[7:26] signal feeling sad triggers that urge to

[7:28] eat or maybe in our teenage years we

[7:32] were a nerd and saw the rebel kids

[7:34] outside of school smoking and we thought

[7:36] hey I want to be cool so we started

[7:39] smoking the Marlboro Man wasn't a dork

[7:42] and that was no accident see cool smoke

[7:46] to be cool feel good repeat trigger

[7:50] behavior reward and each time we

[7:54] performed the behavior we reinforced

[7:56] this brain pathway that says great do it

[7:59] again so we do and it becomes a habit

[8:02] later feeling stressed out triggers that

[8:06] urge to smoke or to eat something sweet

[8:08] now with the same brain mechanisms we've

[8:12] gone from learning to survive to

[8:14] literally killing ourselves with these

[8:16] habits obesity and smoking are among the

[8:19] leading preventable causes of morbidity

[8:21] and mortality in the world this is our

[8:24] old brain trying to help us survive in a

[8:27] new world and not doing such a good job

[8:30] and you can see how far this extends

[8:34] this extends way beyond stress and

[8:37] overeating it extends to shopping

[8:39] romance and even anxiety if you ever get

[8:43] caught up in a worry habit loop thought

[8:45] or emotion triggering worry thinking

[8:47] triggering avoidance or over planning

[8:49] you know exactly what I mean

[8:52] a Curatola even said one of the greatest

[8:55] addictions you never read about in the

[8:57] papers because people don't know it is

[8:59] the addiction to thinking think about

[9:02] that

[9:03] in fact this extends so far beyond

[9:05] classical addictions that I had enough

[9:07] research on the topic to fill an entire

[9:09] book called the craving mind that book

[9:13] has entire chapters on addiction to

[9:15] social media addiction to distraction

[9:17] addiction to thinking and even addiction

[9:20] to romantic love true confession back in

[9:24] college I was addicted to love as the

[9:26] Robert Palmer song goes I'm in recovery

[9:28] now let's now bring old and new brain

[9:33] together old our brains are set up to

[9:36] help us survive when we're hungry we use

[9:40] reward based learning to help us

[9:42] remember where to find food new brain

[9:45] this learning process can be leveraged

[9:47] to trigger cravings create habits and

[9:50] evoke emotions and spill over into

[9:52] compulsive behavior like shopping and

[9:55] other types of behavioral addictions

[9:57] companies have understood this for quite

[10:00] a while now they spend millions finding

[10:03] just the right amount of salt and sugar

[10:05] and crunch to make food irresistible or

[10:08] they spend countless hours tweaking

[10:10] their algorithm to make sure you see the

[10:12] perfect photos videos and posts that

[10:15] will keep you scrolling and on their

[10:17] system for hours or they show you the

[10:20] perfect shoes or the perfect car so you

[10:24] feel like you have to have it let's

[10:28] unpack this a bit more search engines

[10:31] big data and deep learning aside

[10:32] modern-day psychology and behavioral

[10:34] neuroscience have figured out a few

[10:36] additional addiction maximizers since

[10:39] the days of Little House on the Prairie

[10:41] first the most crave a genic type of

[10:45] reinforcement learning is called

[10:46] intermittent reinforcement as in when an

[10:50] animal is given a reward that isn't on a

[10:52] regular schedule or one that seems

[10:54] random

[10:55] that's intermittent the dopamine neurons

[10:57] in our brains perk up more than usual as

[11:00] in dopamine neurons in the reward

[11:02] circuit of the brain fire when they get

[11:04] a reward

[11:05] that is unexpected think of a time when

[11:08] someone surprised you with a gift or a

[11:10] party I bet you can remember it right

[11:13] that's because unexpected rewards fire

[11:17] off dopamine at a much higher rate than

[11:19] expected ones they make our brain light

[11:22] up like a Christmas tree

[11:23] in fact gambling casinos have dialed

[11:27] this in so well that they have a formula

[11:29] or an algorithm that has the slot

[11:32] machines hit just enough times to get

[11:34] people to keep playing even though on

[11:37] average everyone loses money that's the

[11:40] casinos winning formula Silicon Valley

[11:43] has taken this to the next level it

[11:46] turns out that intermittent

[11:47] reinforcement extends to anything that

[11:49] alerts you to something new remember

[11:52] this is our old brain using the only

[11:54] tricks that it has to try to survive in

[11:57] today's fast-paced and hyper-connected

[11:59] world it doesn't know the difference

[12:01] between a saber-toothed tiger and a

[12:03] late-night email from your boss

[12:05] so anything that alerts you from you've

[12:08] got mail to a buzz in your pocket for a

[12:10] new like on your social media post to a

[12:13] buzz in your pocket for a text that you

[12:15] just got triggers a response in your old

[12:18] brain yes that's right

[12:20] your email Twitter Facebook and so on

[12:23] which claim to help you stay connected

[12:25] are designed for maximum addiction in

[12:28] part because they don't bing beep tweet

[12:31] or chirp at a regular interval hint turn

[12:35] these alerts off on your computer and

[12:37] phone the second everyday addiction

[12:41] Maximizer in the modern day is immediate

[12:44] availability buying shoes back in the

[12:47] 1800s was a lot of work if I had a

[12:50] hankering for new shoes

[12:51] I couldn't just impulsively order them

[12:53] knowing that they'd show up at my barn

[12:55] the next day that process made me really

[12:59] think about the costs and benefits where

[13:01] the shoes I had really worn out or where

[13:04] they work for a little while longer that

[13:06] process takes time time is critical for

[13:10] allowing all of that excitement to wash

[13:12] over us

[13:13] oh you shoes how fun and importantly go

[13:18] away time gives us well time to sober up

[13:22] so that that sweet juiciness of the

[13:25] moment can fade into the reality of the

[13:28] need yes my shoes have big holes in them

[13:32] my feet keep getting wet when I walk

[13:34] around the farm it's worth the time and

[13:36] energy to hitch up the horse and so on

[13:39] in the modern world however you can take

[13:43] care of any need or desire almost

[13:45] instantly stressed out no problem

[13:48] cupcakes are right around the corner

[13:50] bored check out the latest posts on

[13:53] Instagram anxious watch cute puppy

[13:56] videos on YouTube need a new pair of

[13:59] shoes as in see someone with a cute pair

[14:01] of shoes that you have to have just hop

[14:04] on Amazon use one-click shopping to

[14:07] order now and your shoes will show up in

[14:09] twenty eight hours and 14 minutes unless

[14:11] of course you'd like them sooner by

[14:14] combining the reward-based learning

[14:16] built into our old brain with

[14:18] intermittent reinforcement and immediate

[14:21] availability we've created a dangerous

[14:23] formula for modern day addictions that

[14:25] goes well beyond what we typically think

[14:28] of as substance abuse I'm not laying

[14:31] this out to scare you I want you to

[14:33] understand how your mind works and how

[14:36] much of the modern world is designed to

[14:38] create addictive behaviors and

[14:39] capitalize on them think of your

[14:42] smartphone as an advertising billboard

[14:44] in your pocket and a billboard that you

[14:47] pay for I think it's only fair that you

[14:50] know at least some of what the company

[14:52] is marketing to you and marketing to

[14:54] your brain no to level the playing field

[14:56] a little bit and it is worth reflecting

[14:59] on this for a moment

[15:00] what are my everyday addictions what bad

[15:04] habits and unwanted behaviors do I keep

[15:06] doing despite adverse consequences how

[15:10] about some solutions for our everyday

[15:12] addictions now that you know some of the

[15:15] essentials let's get down to solutions

[15:18] while the internet is full of tips and

[15:20] tricks to beat bad habits change

[15:22] behaviors and overcome everyday

[15:24] addictions there are only a few

[15:26] potential pathways that psychologists

[15:28] and treatment specialists have outlined

[15:30] that are evidence-based

[15:31] though I should warn you upfront that

[15:33] not all of these are created equal some

[15:36] of them depend a lot on what genes our

[15:38] brains are endowed with many behavior

[15:41] change strategies only target one part

[15:43] of your brain leaving you dangerously

[15:45] unprotected at just the moment you need

[15:48] the most help

[15:48] but fortunately modern science may have

[15:51] revealed how some ancient practices can

[15:53] bring old and new brain together Susan

[15:56] Shan wrote a New York Times article with

[15:58] a catchy title how to crush your habits

[16:01] in the new year with the help of science

[16:03] MS Shane outlined some usual suspects

[16:06] for how to work with everyday addictions

[16:08] willpower substitutions priming your

[16:11] environment celebrating success breaking

[16:15] habit change down into small steps and

[16:17] planning to fail wait a minute yes

[16:20] habits are so hard to change that is

[16:23] part of my addiction training I was even

[16:26] taught to help my patients expect

[16:27] failure but surprisingly Susan's article

[16:31] left out one effective science backed

[16:33] approach more on that in a minute you

[16:36] might have already tried some of these

[16:38] habit change strategies and hopefully

[16:40] haven't failed too much so I'll give you

[16:43] some of the basics and then provide some

[16:44] resources that you can dive into if you

[16:47] want to learn more but first we have to

[16:50] go back to the simplified model of our

[16:53] brain we discussed earlier remember our

[16:55] old brain is set up to help us survive

[16:57] in addition to reward based learning it

[17:00] has another trick up its sleeve it takes

[17:03] what it learns and moves the learning

[17:05] into muscle memory as quickly as

[17:07] possible in other words our brains are

[17:10] set up to form habits so we can free up

[17:13] the brain space to learn new things for

[17:16] example imagine getting up every morning

[17:18] and having to relearn how to stand up

[17:21] how to put on your clothes walk eat talk

[17:23] etc you'd be exhausted by noon in habit

[17:28] mode we act quickly without thinking

[17:32] because we don't need to think in those

[17:33] moments think of this as our old brain

[17:36] telling our new brain don't worry I've

[17:38] got this you don't have to spend energy

[17:40] here and can think about other things

[17:43] this is partly how the

[17:45] newer parts of our brain were able to

[17:47] evolve the ability to think and plan

[17:49] from an anatomical perspective this

[17:52] brain region is called the prefrontal

[17:54] cortex or the PFC for short and it's

[17:57] located just behind our eyes in our

[18:00] forehead and since our old habit brain

[18:02] has our back our prefrontal cortex is

[18:05] freed up to think and plan for the

[18:07] future this is also the part of the

[18:09] brain we count on for controlling

[18:11] ourselves if we see a donut our old

[18:14] brain tries to impulsively pounce on it

[18:17] thinking calories survival after all

[18:19] someone else might swoop in and eat it

[18:21] so we need to get to it first

[18:24] our old brain is constantly functioning

[18:26] in scarcity mode always worried about

[18:29] starvation in cases like this our new

[18:32] brain says to our old brain hold off a

[18:34] minute you just had lunch this is not

[18:37] healthy and you're not even hungry

[18:39] think of it this way our new brain is

[18:43] that rational voice that helps us hold

[18:45] off and eat our vegetables before we

[18:47] have dessert

[18:48] yes our new brain is that bit that helps

[18:51] us keep our new year's resolutions and

[18:54] ironically is that same voice that

[18:56] judges us when we fail with that brain

[19:00] background let's talk about anti

[19:02] addiction strategy number one willpower

[19:06] good old-fashioned stick to witness your

[19:10] newer brain telling your older brain to

[19:12] take a hike and ordering the salad

[19:14] instead of the hamburger there are tons

[19:17] of books written about how to build the

[19:19] mental willpower muscle and many of them

[19:21] were worth a read willpower seems like

[19:24] it should work but there are two big

[19:26] caveats first recent research is calling

[19:31] into question some of the early studies

[19:32] on willpower some showing that willpower

[19:35] is genetically endowed for a lucky

[19:37] subset and others being as bold as

[19:39] suggesting that willpower is more of a

[19:42] myth other studies have found that

[19:44] people who exerted more self-control

[19:46] were not more successful in

[19:49] accomplishing their goals on top of that

[19:51] the more effort they put in the more

[19:54] depleted they felt buckling down and

[19:58] gritting our teeth and

[19:59] forcing ourselves to just do it might be

[20:02] counterproductive perhaps helping out in

[20:04] the short term but not working in the

[20:07] long term when it really counts as in

[20:09] being really strict about your New

[20:11] Year's resolutions in January might make

[20:14] them harder to stick to in February the

[20:18] second caveat of willpower is the

[20:20] scientific discovery that the prefrontal

[20:22] cortex remember this is the youngest

[20:24] part of our brain from an evolutionary

[20:26] perspective is where the willpower magic

[20:29] happens which is fine under normal

[20:31] conditions but when we get stressed

[20:34] think of saber-tooth Tiger email from

[20:36] our boss fight with our spouse being

[20:38] tired or hungry when we get stressed our

[20:42] old brain takes over and overrides our

[20:45] newer brain basically shutting it down

[20:47] until the stress is gone so exactly when

[20:51] we need our new brains willpower it's

[20:53] not there and our old brain eats

[20:56] cupcakes until we feel better and our

[20:58] new brain can come back online is it any

[21:02] wonder that many of us feel so guilty so

[21:05] for most of us

[21:06] willpower failure may be more of a

[21:08] matter of brain wiring and evolution

[21:11] than a failure on our part anti

[21:14] addiction strategy number two

[21:17] substitution this is pretty simple but

[21:20] also relies on the new brain if you have

[21:23] a craving for X dou Y instead as in

[21:26] substitute Y behavior for X this has a

[21:30] lot of science behind it and is one of

[21:32] the go-to strategies that we learn in

[21:34] addiction psychiatry for example if you

[21:37] want to quit smoking and have a craving

[21:39] eat candy instead of lighting up a

[21:41] cigarette

[21:41] this works for many folks but as some of

[21:44] the research has shown from my lab and

[21:46] others it may not uproot the craving

[21:49] itself as in the habit loop stays intact

[21:52] but the behavior is simply changed to

[21:55] something healthier and we can argue

[21:57] about how healthy candy is later but you

[21:59] get the idea

[22:00] since the habit loop is still there this

[22:02] also makes it more likely that you fall

[22:05] back into the old habit at some point in

[22:07] the future anti addiction strategy

[22:10] number three prime your environment

[22:13] yes new brain here too basically this

[22:17] means if you're tempted by ice cream

[22:19] don't keep ice cream in the freezer this

[22:21] sounds pretty straightforward and I bet

[22:23] we can all relate to this ourselves

[22:25] several labs have specifically studied

[22:28] this and have found that indeed people

[22:30] who have good self-control tend to

[22:32] structure their lives in a way that they

[22:34] don't need to make self-control

[22:36] decisions in the first place what helps

[22:39] this routine getting in the habit of

[22:43] exercising every morning or getting in

[22:45] the habit of buying healthy food at the

[22:47] grocery store makes it more routine to

[22:49] stay fit and to cook nutritious ly anti

[22:53] addiction strategy number four

[22:55] mindfulness this was the approach that

[22:58] was left out of the New York Times

[23:00] article I mentioned earlier importantly

[23:03] it targets both the new brain and the

[23:06] old brain so what is mindfulness the

[23:10] most commonly used definition comes from

[23:12] my friend Jon kabat-zinn the author of a

[23:15] number of best-selling books including

[23:16] full catastrophe living and wherever you

[23:19] go there you are he also created the

[23:22] mindfulness based stress reduction

[23:23] program that's the most widely

[23:25] disseminated and studied eight-week

[23:27] mindfulness course on the planet

[23:29] Jon's definition of mindfulness goes

[23:32] like this the awareness that arises when

[23:35] paying attention in the present moment

[23:37] on purpose and non-judgmentally

[23:41] basically he's pointing to two aspects

[23:44] of experience awareness and having a

[23:47] curious attitude let's unpack that a bit

[23:51] remember how our old brains react to

[23:54] positive and negative reinforcement to

[23:56] determine what to do and then is really

[23:59] good at turning that behavior into

[24:01] habits if we aren't aware that we're

[24:03] doing something habitually we will

[24:06] continue to do it habitually John

[24:09] describes this in terms of autopilot if

[24:12] we've driven the same road a thousand

[24:14] times it becomes pretty habitual we tend

[24:17] to zone out and think of other things

[24:18] while we're driving sometimes to the

[24:21] point where we don't even remember how

[24:23] we got home from work

[24:26] we were at work then we were at home we

[24:29] might remember a podcast that we

[24:30] listened to on the way but that might be

[24:33] it how did we get home magic no habit

[24:38] building awareness through mindfulness

[24:40] helps us pop the hood and what's going

[24:42] on in our old brain we can learn to

[24:44] recognize our habit loops while they're

[24:46] happening rather than waking up at the

[24:49] end of them once we're aware of our

[24:51] habit loops those times when we're on

[24:53] autopilot we can then get curious about

[24:56] what's happening why am I doing this

[24:59] what triggered that behavior what reward

[25:02] am I really getting from this do I want

[25:05] to keep doing this here curiosity is

[25:09] that key ingredient that key attitude

[25:12] that helps awareness help us change

[25:14] habits and it can become a powerful

[25:16] reward on its own do you remember the

[25:19] last time you were curious about

[25:21] something that emotions a powerful

[25:24] reward in itself signaling to your old

[25:27] brain that this is better than a quick

[25:29] sugar rush followed by tons of guilt

[25:31] it's almost a no-brainer and this frees

[25:35] up the new brain to do what it does best

[25:38] make rational and logical decisions you

[25:42] tell me what conditions make it better

[25:45] and easier to change a habit when we

[25:48] wake up in the middle of an ice cream

[25:50] binge or are pulled to amazon to look at

[25:52] shoes again and then judge ourselves

[25:54] telling ourselves that were a pig or

[25:56] whatever is this the time when we can

[25:59] change these habits or when we become

[26:02] aware of the behavior and then get

[26:04] curious and start mapping out what our

[26:06] mind is doing oh wow look at how I'm

[26:09] going along on autopilot like a zombie

[26:12] that curiosity is key to being open and

[26:16] receptive to change Carol Dweck talked

[26:19] about this decades ago when she

[26:21] described fixed versus growth mindsets

[26:23] when we're stuck in our old habits

[26:26] including judging ourselves were not

[26:28] open to growth my lab is even mapped out

[26:32] a part of the brain that's associated

[26:33] with this in Anderson Cooper from CBS is

[26:36] 60 minutes came into my lab and Emmons

[26:39] straighted getting caught up in anxiety

[26:40] versus being mindful on camera

[26:43] you know mindfulness might be really

[26:45] popular or seem like it's all the rage

[26:47] right now

[26:48] but why is this the case in a nutshell

[26:50] it's probably because of several factors

[26:53] including accessibility you can download

[26:55] a gazillion apps that teach you a

[26:57] multitude of meditation techniques even

[26:59] in many languages and also because of

[27:02] the science there's been an explosion of

[27:05] research studies published on meditation

[27:07] over the past decade but if it's so

[27:09] popular why was it left out of the

[27:12] article and have it change well for most

[27:15] people mindfulness is seen as just a way

[27:17] to relax and de-stress

[27:19] to slow down and smell the roses and

[27:22] while that's a great goal by itself I'm

[27:25] most interested in what mindfulness

[27:27] actually does to the brain and how it

[27:30] can help us break bad habits in fact in

[27:33] my lab we've scanned the brains of

[27:35] people while they were practicing

[27:36] mindfulness and mapped out the specific

[27:38] brain regions involved in curiosity and

[27:40] the ones involved in getting caught up

[27:42] in cravings the root of addictive

[27:44] behaviors while the scientific field

[27:46] around mindfulness is still young there

[27:49] are some consistent findings that are

[27:50] coming out of the work studies from

[27:52] multiple labs have found that

[27:54] mindfulness specifically targets the key

[27:56] links of reward based learning and by

[27:59] applying specific mindfulness techniques

[28:00] to behavior change my lab is fount of

[28:03] five times better quit rate for smoking

[28:05] than cognitive therapy and a 40%

[28:08] reduction in eating in response to

[28:11] craving and more recently we found in

[28:14] almost 50 percent reduction in

[28:16] clinically validated anxiety symptoms in

[28:19] people with moderate to severe anxiety

[28:21] we even did a study with anxious

[28:24] physicians and found a 50% reduction in

[28:27] anxiety so let's summarize even though

[28:31] it might feel like we're constantly

[28:33] under the spell of our phones our

[28:35] favorite shopping sites social media

[28:37] feeds are simply our thoughts never

[28:40] before have we known so much about how

[28:42] our brains and minds work the science is

[28:46] more solid than ever we now know why

[28:50] social media is so sticky we

[28:52] now know how we get caught in endless

[28:54] worry habits and why diets fail and we

[28:58] also know how to bring together old and

[29:00] new brain ironically through techniques

[29:03] such as mindfulness and new science such

[29:07] as brain imaging while the outlook might

[29:10] feel bleak when we're in the middle of

[29:11] an everyday addiction the promise of

[29:13] specific solutions has never been better

[29:16] we now have access to the same tools

[29:19] that marketers have been using for years

[29:21] a concrete understanding of how our

[29:24] minds work don't throw away your phone

[29:27] or block Amazon so you can't impulsively

[29:29] buy yet another pair of shoes instead

[29:33] learn how your mind works so you can

[29:36] work with it bring in awareness and

[29:38] curiosity to transform all of that

[29:41] energy in a better way you can even lock

[29:44] in the habits of kindness and curiosity

[29:47] as those rewards that pay it forward

[29:49] both for ourselves and others because

[29:53] they feel so good continued use with no

[29:57] adverse consequences that's a winning

[30:01] formula bottom line number one our

[30:05] brains are set up to get hooked it's not

[30:08] our fault they're just trying to help us

[30:10] survive number two old brain acts on

[30:14] impulse

[30:14] this is reward-based learning trigger

[30:17] behavior reward repeat this is how

[30:21] habits are set up so that we react on

[30:23] autopilot number three the modern world

[30:27] is designed to a dict food phones email

[30:31] shopping dating apps you name it these

[30:34] are all engineered to trigger dopamine

[30:36] release in our brains we get addicted to

[30:39] everyday things number four new brain

[30:44] rational logical decision maker this is

[30:48] the seed of self-control and willpower

[30:50] it's too inexperienced and weak to

[30:53] compete with the old brain number five

[30:56] current habit change strategies largely

[30:58] rely on the new brain and these often

[31:01] fail because the prefrontal cortex goes

[31:03] offline when we need it most

[31:05] number six modern science modern science

[31:11] has shown that we can bring old and new

[31:13] together with techniques like

[31:15] mindfulness and other strategies such as

[31:17] motivational interviewing these can tap

[31:20] into reward based learning to help our

[31:22] brain see the lack of the reward in

[31:24] harmful habits as in how bad they really

[31:27] feel and the real rewards of helpful

[31:29] habits as in how good it feels when

[31:32] we're curious and kind and finally

[31:36] number seven understanding our minds

[31:39] helps us change our brains awareness

[31:42] curiosity and kindness are key for

[31:45] learning as in these helped us get into

[31:48] a growth mindset if you'd like to learn

[31:51] more you can click on these links and be

[31:53] sure to follow me on Twitter so you can

[31:55] learn about the latest research thanks

[31:57] for following along

Jud Brewer, MD PhD
ArtistJud Brewer, MD PhD

Psychiatrist, neuroscientist and best-selling author at Brown University's Mindfulness Center, Dr. Jud Brewer studies how habits and addictions form and teaches mindfulness-based w…

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In his 2019 YouTube talk, Brewer defines addiction as continued use despite adverse consequences. He emphasizes that this definition applies to behaviors such as shopping, eating, gaming and thinking, not only to drugs and alcohol.
Brewer describes a loop of trigger, behavior, reward and repeat, driven by reward-based learning and the release of dopamine. Over time, the brain links a trigger such as sadness or stress to a behavior like eating, and each reward strengthens that pathway into a habit.
Brewer argues that the modern world is designed to create experiences that are addictive, offering quick emotional fixes like a two-click purchase or a newsfeed check. Because these are available instantly on phones and laptops, they can catch moments of boredom, frustration, loneliness or hunger.
Brewer says yes, describing worry as a habit loop in which a thought or emotion triggers worry, then avoidance or overplanning. The brief relief that follows reinforces the pattern, which is why it can be hard to break.
Brewer explains that the brain's older reward system evolved for survival and is trained by repeated reward cycles. Because the urge arrives faster than reasoning, decisions made in calm moments often lose to habits when a trigger appears.
Brewer uses Kandel's Nobel Prize-winning work on sea slugs, which have about 20,000 neurons, to show how basic reward-based learning is across nervous systems. The point is that the mechanism underlying habits is ancient and not unique to humans.
Brewer's approach centers on awareness: noticing the trigger, the behavior and the reward as they happen, ideally with curiosity rather than self-judgment. He presents this as a path to interrupting the loop over time.

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