Stands for Experiment The e and final letter of DOPAMINE stands for experiment. This is where patients go back out into the world armed with a new dopamine set point (a level pleasure-pain balance) and a plan for how to maintain it. Whether the goal is continued abstinence or moderation, like Delilah’s, we strategize together for how to achieve it.

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One thing I'd argue as a starting point is there is no "theory" or a "model" of addiction as a disease. The arguments associated with that claim are actually not that cohesive. A common position associated with addiction as a disease is that it is an essential category, which is an idea we can get our arms around a bit better and which I discuss ab... See more