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Neurochemistry of Addiction

Neurochemistry of Addiction

by Mark Laaser & Debbie Laaser

 
In this article, we would like to cover the basics of how our brain health is essential to our recovery.  The field of neuroscience has been making great strides in the last 20-30 years.  It can be very technical and we have tried to distill from it some basic truth that we all need to know.  We are not going to give you complex anatomy or terms.  Rather, we will try to give you a lay person’s basic understanding.  
 
We want this explanation to be hopeful.  We can change the very physical structures of our brains and mold them in such a way to be congruent with and constructive to our recovery.  One of our favorite neuro-scientific terms is “neuroplasticity.”  That means that the brain is plastic, moldable, changeable, and such that we can shape it according to our purposes. 
 
The truth is that there are more nerve cells in our brain than there are stars in our solar system.  They do have the ability to regenerate and create new connections.  How we do that is a product of our intentional thought life, patterns of meditation, fellowship in a community of other men or women, nutrition, exercise, and perhaps medication for mental health issues.  Regenerating new connections can also be a matter of receiving counseling help for underlying wounds and trauma in our lives, experiences that caused us to form core beliefs about ourselves, others and the world that were just not healthy for our brains.
 
Men and women who have developed sexual addiction have developed neurochemical tolerance to the neurochemicals that sexual arousal and activity creates in the brain.  Tolerance is a dynamic function of the brain that allows it to adjust to whatever chemicals we put into it. 
 
When you drank your first cup of coffee, you felt an immediate buzz and sense of agitation, but your brain worked to return you to normal and you “came down” from it.  That would continue if your use of coffee were occasional.  If you start drinking coffee every day, however, your brain would adjust to it and virtually create a new state of normal.  After a while, one cup of coffee would no longer create the same effect.  This is because the brain adjusts.  This is called tolerance. 
 
Tolerance is a factor in all addictions.  Alcoholics and drug addicts know about it.  Their use of alcohol or drugs of any kind will increase over time.  Behaviors can also create or stimulate neurochemicals in the brain.  Gambling can be an addiction because the risks and excitement of gambling stimulates adrenalin in the brain.  Gradually more adrenalin will be needed to achieve the same high and before he or she knows it, the gambling addict has lost a great deal of money and spent large amounts of time at the casino or online.
 
Sexual arousal, just thinking about sex, produces and is dependent on adrenaline.  Adrenaline is the chemical that sends signals throughout the body to get ready to be sexual.  Sexual arousal also produces the neurochemical dopamine that is called the “pleasure chemical” in the brain.  It stimulates the pleasure center in the brain and brings with it powerful and very pleasurable feelings. The combination of dopamine and adrenaline has been compared to the effect of cocaine on the pleasure centerWhen we experience human touch, our brain produces the neurochemical oxytocin. This gives us a feeling of well-being and connectedness.  At the end of the sexual arousal cycle the act of orgasm also produces a collection of neurochemicals, a part of the family of neurochemicals called catecholamine’s, that give that powerful feeling of pleasure in the pleasure center.   This combination of neurochemicals has been compared to heroin in its effect.  
 
The brain can become neurochemically tolerant to all of these neurochemicals:  adrenaline, dopamine, oxytocin, and the catecholamine.  In effect, the sexual arousal cycle from thought to orgasm can be like a rush of cocaine and heroin. This dynamic explains why sex addicts can experience a growing tolerance and, therefore, an escalation of sexual activity over time. 
 
This factor of tolerance means that there is never enough sex.  Sex addicts may believe that there is.  They will often think to themselves that if they could only get more sex or different kinds of sex, they would be satisfied.  The truth is that while the brain will experience that temporary high of sex and new forms of sex will bring more adrenalin with it, the effect soon wears off.  Eventually even new forms of sex will get “old” or boring.  
The very good news is that just as the brain will adjust “up” in terms of its expectations it will also adjust “down.”  Simply, this is called detoxification. The length of time it takes the brain to fully detox from the tolerance of the neurochemistry of sexual arousal is roughly 7-14 days.  If an addict can get past that, the tolerance effect will wear off gradually, but he or she will experience a heightened sexual demand for a time.  That can be experienced as agitation, anxiety, and restlessness.  After this period, however, demand will decrease and it will become easier to maintain the addict’s definition of sobriety.
 
Detox requires that there is no sexual activity with self or others.  Bottom line, there can be no orgasm.  If the addict is married, of course, achieving this will need the consent and cooperation of his spouse.  We believe that a husband and wife should agree not to be sexual for at least the 1-2 weeks necessary for detox. 
 
We believe that there is a very vital second benefit of this “abstinence” contract.  During the time of not being sexual, we ask the couple to commit to doing some form of spiritual activity so as to increase the spiritual connection.  We base this biblically on Paul’s teaching in I Cor 7:5 in which he says that a couple should not deprive each other except for a time and by mutual consent so that they can devote themselves to fasting and prayer.  Our definition of healthy sexuality says that sex is the expression of emotional and spiritual intimacy between the couple.  The abstinence period is a time for them to really pursue that. 
 
We find that to change patterns of spiritually connecting takes a longer time than the detox phase.  We, therefore, encourage couples to think about being sexually abstinent for 30-90 days. Sex addicts will find the obvious benefit of detox in that making healthy choices about sexuality will become easier.  The brain’s demands will have gone down and the addict can now choose to engage in sexuality with his spouse for healthy reasons of connection.

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