Why Giving Up Addiction Feels Impossible
690 segments
I quit porn, gaming, and every dopamine
hit, and now nothing makes me happy
anymore. Has anyone else felt that void?
So, one of the most bizarre lessons I've
learned working in addiction psychiatry
is sobriety does not fix addiction. You
know, when I was like training, I would
have patients who would shoot up
heroin. And I was in Boston, so there
was a lot of K2 usage, which is like
synthetic marijuana, right? It's a lot
of opioid addiction, a lot of K2
addiction, a lot of aderall addiction,
marijuana addiction, alcohol addiction,
right? And so, like, we have this idea
that, okay, so if you're using
substances and it's messing up your
life, the way to fix that is to stop
using substances. And like makes sense,
like sobriety is great. But then I had
like a problem with my patients which
was or my patients had a problem which
is that even if they after they do all
the behavioral stuff to fix their to
attain sobriety sometimes they're left
like this which is like yes I'm sober
and being sober is like better than
using because when I was using my life
was a mess. I was homeless, like, you
know, running out of money on probation
at work. Like I I, you know, had nowhere
to live. Like I was buming money off of
people and like, you know, my parents
like I was like I had to move back in
with my parents and like so life when
you're like a bad addict. My life was
empty. I wasn't progressing in life. I
have all these goals. I'm not moving
towards them. I'm kind of stuck in this
mess. And so it's like, okay,
bro, get sober. But then people get this
other problem, which is after they're
sober, life doesn't feel fun. And so
like in some ways it's better to be
sober, but it's also like there's
something missing when you're sober. The
joy, the zest, everything feels great.
It's just not as fun. And so there's
almost this like posts sobriety
depression that my patients, some of my
patients would go through. And this is
where I, you know, I love neurobiology
perspectives on addiction and stuff like
that, but this is where I think there's
some cool stuff from the field of
psychology. And this is not just a
problem with people who become sober. So
I don't know if you guys had this kind
of growing up. So I grew up in a small
town in Texas and there were people who
like peaked in high school. like this
guy was like, you know, homecoming king,
quarterback for the high school football
team, kind of peaked in high school,
sort of went to college, got a
scholarship, wasn't good enough, sort of
washed out, and then he's like trying to
reclaim that former glory. Another good
example of this is someone who gets
caught up with the one who got away, had
a relationship, everything was fine,
relationship ends, this person moves on
with their life and and and my patient
is stuck. They can't move on. So this is
like a problem where I don't know if
this kind of makes sense. Some human
beings have something in their life that
they really love and then when that
thing ends
they feel empty. And so we're going to
talk about fundamentally moving on. So
if you're someone who has difficulty
moving on, right? And and by sobriety,
and this is like kind of what I mean
about addiction is, and you all kind of
know what I'm talking if you've been
addicted to something, which is that
like the high of that thing is so
good and you go chasing it. Even
after you're sober, you're like, "How do
I find that zest?" And people will tell
me and and I have patients who do all
the right stuff, right? I'm I'm
telling meditate because meditate brings
joy and inner peace. Meditate more.
You'll find bliss. Blissed out, baby.
Let's get blissed,
right? And people used to do like LSD or
psilocybin or things like that. And
they're like, "Hey, I've heard that
meditation can have these spiritual
experiences, too. So, let me try that.
Let me go to Dr. K, and Dr. Okay. Is
going to teach me this esoteric
meditation and then I'm going to have
these spiritual experiences and then
it'll be like I'm back to LSD or
psilocybin without having LSD or
psilocybin. The core thing is you want
to go back to that thing, that feeling.
And then the problem is you look for
other things, right? You're like, how do
I find joy without drugs? Like what game
is going to give me scratch that itch?
And nothing does. No person lives up to
the one who got away, right? Some
studies so show that crystal meth, you
guys want to know why people get
addicted to crystal meth, it increases
dopamine transmission by 1,000 to 10,000
times normal dopamine transmission in
your pleasure circuits in the brain.
And then we're looking for something
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right for you. This is a weird
fundamental psychological thing. But if
you are someone who's fundamentally
stuck and looking for life to have zest,
we're going to go back to our boy, the
one, the only, the sigund. Okay, this is
from his original paper of mourning and
melancholia. And I want to read y'all
something. Okay, so I'll explain this
cuz it's Freudian language which is hard
to understand. Reality testing has shown
that the loved object no longer exists
and it proceeds to demand that all
libido shall be withdrawn from its
attachments to that object. The demand
arouses understandable opposition. It is
a matter of general observation that
people never willingly abandon a
libidinal position, not even indeed when
a substitute is already beckoning them.
Let's talk about libidinal energy.
Here's you. So, here is the object.
Let's say winning at big gamba THC. Um,
meth. So, here's like, okay, this is
this is like some fundamental
psych psychological stuff, okay? But I
really want to try to explain it and I'm
going to try. So here's you and here's
some object outside of you and then what
happens is this object
brings you joy. So then what happens is
you invest in this object. You have this
fundamental energy. So the libidinal
energy is the energy of like enjoyment
and emotional investment. So if you guys
think about something that you're like
addicted to, you're emotionally
invested. you have a relationship with
that thing, right? So, it's like the
game or the gambling or the weed is how
I feel alive.
It's how I feel joy. Like, I'm invested
in this thing. This thing is the source.
It's where I put my joyful energy in my
emotional engagement. Right? And I don't
know if this kind of makes sense, but
when you're like really into drugs,
there's all kinds of other that
you're just not invested in. There's
your job. There's your family. Sometimes
there's even your lover, right? And
you're just not, it doesn't, it's not
where your mind is. It's not where your
energy is. It's not where your
investment is. You're just like, you're
a addict. So, this is what
you're thinking about all the time. Now,
here's the really messed up thing. When
this thing goes away, and this paper is
about mourning and melancholy, right?
So, he's talking about mourning. So,
this can even be a person. So this can
be you know my glory days as a football
star. This can be uh the one who got
away. All this stuff is kind of the
same. It is the the fundamental energy
of investment into a thing. The thing
that we get attached to the thing that
brings us joy and pleasure. Do you all
see how this is like all kind of one
thing? Now here's the problem. When this
thing goes away, when this person dies,
when the football career ends, the one
who got away gets remarried. Even though
this thing is gone, our emotional energy
is still stuck in this pipeline because
you think about it. And then once these
things are gone, we look for other
things like, okay, meditation, can can I
get meditation to fit in here? We look
for fundamentally, we always look for a
replacement of that thing. That's the
key thing. We want to replace that
thing. We don't want something else. We
only want that thing. I'm looking for my
former glory. I don't want a new glory.
I want the former glory. I don't want to
listen. I don't want to enjoy music in
this way. In this white noise way. I
want to enjoy music in that way. Like
the feeling of drugs when they hit,
baby. You know what I'm talking about?
When it hits. When it hits. And you know
you are in for a good time. yeah.
Chasing the dragon. Oh my god. It's been
so long since I've used I've been sober.
Oh my god. I've been sober for 6 months
and I relapsed.
Oh, thank God. Let's go. Oh my god. All
my receptors are back to baseline. I
have no tolerance anymore. Oh my god. I
relapse. It feels so good. Even
Even when I was sober, right, I was
still attached to this. I was looking
for the replacement, baby. I was looking
for the replacement and nothing. I tried
to get this thing to fit in there and it
didn't fit. And I tried to get
this thing to fit and it does fit
inside, but it's only this small. I want
this whole space, man. Come on.
I want that love again. Right? So even
though we're sober, even though we're
single, even though we're healthy, our
fundamental investment is still here.
Make sense? So the demand arouses an
understandable opposition. It is a
matter of general observation that
people will never willingly abandon a
libido position. Okay, what does that
mean? That means that once this is
over here, I'm not going to give this
up. I don't want to give this up because
if I abandon this position then all this
stuff is just in here and this doesn't
feel good. There's no libidinal
attachment to anything like there's just
it's just empty, right? So I I want to
find a replacement. I don't want to just
have nothing because I have no
attachment over here, no attachment over
here, no attachment over here. So it's
just like if I just give up drugs then
I've got nothing. Uh, the opposition can
be so intense that turning away from
reality takes place and clinging to the
object through the medium of a
hallucinatory wishful psychosis. Now,
what the hell does that mean? That means
that even though we know this is gone,
right? Oh, like the one that got away,
he's married now. This is gone and never
coming back. We are still hoping. We are
still looking for a substitute even
though it's gone. Even though it's gone,
even though we're sober now, we're still
hunting for something in here. We don't
want to give it up. You guys know what I
mean? Like, if you're sober, you still
don't want to give it up. And this is
why people say, "Hi, my name is Alo. I'm
an alcoholic. My last drink was 32 years
ago, and I'm still an alcoholic." What
does that mean? Is it a neurobiological
genetic predisposition to get addicted
to alcohol? Sure. But it is also this.
It is also this. Normally, respect for
reality gains the day. Nevertheless, its
orders cannot be obeyed all at once.
They are carried out bit by bit at great
expense of time and kathetic energy. And
in the meantime, the existence of the
lost object is psychically prolonged.
Okay, we'll explain what this means.
This is the key sentence. Each one of
each single one of the memories and
expectations in which libido is bound to
the object is brought up in hyperfected
and then detachment of the libido is
accomplished in respect of it. Okay,
what the hell does that mean? So let's
just pick marijuana. When I form a
libidinal attachment
to marijuana, okay, so like I'm
invested. Like yeah, let's go. We think
that when we're sober this is gone, but
it's not gone. I'll tell you this thing
is actually a thousand things. It's the
sound of music. It is the joy of video
games. And it's also different kinds of
joy. It's a MOA. It's an FPS. It's uh
storybased game. It's a cutscene, right?
And it's different kinds of music. It's
appreciating reggae. Appreciating Snoop
Dogg. Appreciating maybe classical,
right? And it's also feeling
normal instead of socially anxious. It's
being able to lay down and enjoy falling
asleep. You guys like get me? What we
get invested in is not a substance. It's
not a joint. It's not a gummy. It's not
a pill. What we get invested in is all
of these experiences.
And there are so many of them. And so we
think we've conquered the thing. It's a
way of life. Ah, beautifully put. It is.
It is a way of living. And if it is a
way of life, it is a person. It is your
way of life. Then what happens is not
only I I like this, it's a way of life
because all of this stuff when we lose
it gets internalized, this is what Freud
says, into the ego. So here's the
example that Freud gave gave with
morning. So when there's a person that
we lose and let's say we love this
person and we're angry with this person,
what happens is like we kind of polarize
them. We have all the love for the lost
person over here, right? Because we we
don't speak ill of the dead, right?
Because when people die, they become
saints. And so all of this anger towards
this person has nowhere to go and it
becomes internalized. So all of this
emotional energy which includes love and
anger they can't receive it anymore. So
it actually comes into us. So when we
lose marijuana or we lose fentinil or we
lose gambling we lose some like we lose
a part of ourselves like we get tied to
that loss like that person is gone. That
person who was riding high and on top of
the world that person is gone. So here's
the tricky thing. What we need to do is
something called decoexis. So this
energy needs to be withdrawn and pulled
back into us. And when we do this, we
have nowhere for the libidinal energy to
go. We have nowhere for the emotional
investment to go. So this life is gray.
You may think like, oh, when our my
libidinal energy is within me, does that
mean that I feel fulfilled? No, it's
actually not. This is it just has
nowhere to go. So when we kind of go
back to this passage for a second, they
are carried out bit by bit at great
expense of time and kctic energy and in
the meantime the existence of the object
lost object is physically prolonged. So
what does this mean? This means that
this process remember this over here how
so each of these happens one step at a
time. So, okay, I'm going to give up
MOBAs, and then I get a little bit of
kathetic energy back, and then I'm going
to give up FPS, and then I get a little
bit back, and then I'm going to give up
story-based games, and then I get a
little bit back. And then I'm going to
give up, oh my god, social feeling
normal. Whole little bit back. And if
you guys have experienced mourning, you
kind of know what I'm talking about,
right? Because you don't like the person
is dead, but you mourn them in slices.
I'm still mourning my dad
because my dad, you know, he he he
passed away the year I got into medical
school and he was so happy that I was I
finally got into medical school and he's
like, you know, I'll look you would be a
great doctor one day. And then sometimes
when I like get accolades for the work
that I do, I really miss my dad. So
these things, right? So and and if
you've been addicted to something, you
kind of know because like it's it's like
death by a thousand cuts. It's like this
thing has changed and now this thing has
changed. So I'll give you all an
example. So, you know, I have a patient
who's addicted to alcohol. And alcohol,
it's not just giving up alcohol. It's
giving up barbecues. It's giving up
happy hours. It's giving up boozy
vacations at all-inclusive resorts. It's
giving up cruise ships. It's giving up a
nice glass of wine when you're touring
through Napa Valley. It's giving up when
your friends travel to France and bring
you a bottle from the Bordeaux region of
France and they bring you a beautiful
gift. It's giving up going to Vegas with
your boys. It's giving up having a beer
at a football game. It's giving up such
a large part of life and we don't want
to give those things up. Right? So when
when Freud says the demand arouses
understandable opposition, we don't want
to pull back. It is a matter of general
observation that people will never
willingly abandon a libidal position.
Not even indeed when a substitute is
beckoning them. So Freud says, even if
you've got an alternative, you don't
want to give it up. You don't want to
give up barbecues and football games and
feeling frisky and going to Vegas with
your boys, you don't want to give all
that up. Like that's what life is.
And this is the problem when we don't
give it up because then it has nowhere
else to go, right? So it's hard to give
up and it's it has to be given up a
thousand different ways. And the most
important thing is giving it up means
entering this state, the state of gray.
Truly giving it up. And that's what
needs to be done. Once that libidinal
energy is back within you, once it's
truly been withdrawn, there's an there's
absolutely a gray zone. But now you can
form a new connection. Now a thread can
go over here. And now a thread can go
over here. And now a thread can go over
here. And now a thread can go over here.
And then life can start to have joy. But
this object is different. And this
object is different. There's never going
to be this object again. But you can
have other objects. And here's the key
thing. The joy, this is the hard part.
Hopefully I'm it makes sense now. The
joy from drugs doesn't technically come
from the drug. It comes from your
libidinal investment in the thing. This
is where the joy comes from, not the
drug itself. And I'll give you all an
example, right? Because I'm a gaming
addict. You guys know like when you
grieve when a video game ends, right?
And then you're looking for that next
game. You're looking for that emotional
attachment, getting lost in this world
that has good mechanics and leveling up
and progression. Like you get swept
away. You are in that thing. now.
And as long as you are making
comparisons to that last game, as long
as you're making comparisons to that
ex-boyfriend, as long as, like, sure, I
got an award for making the most money
at work in my used car. I'm a used car
salesman and I got an award for getting
the highest sales in February of 2026.
Whoopde do. Doesn't touch going
allin when you have a 4% chance of
victory. when you've got two outs left
and hitting it big, standing up to the
world and saying, "Oh man, I'm so
fucked." And then getting getting pulled
out of that into a victory, snatching
victory from the jaws of defeat.
I sold some cars. Whoopde do.
It's only whoopde do because
your libidinal energy is still in that
thing on some fundamental level. You are
still chasing that thing. You've not
withdrawn from it. You really haven't
given it up. It's absent, but you have
not given it up. This is that window in
between sobriety and happiness. And so,
this is the most painful thing cuz Freud
says it and it's true, right? We really
have to give it up. And that doesn't
mean I don't mean behaviorally which is
an important part of like addiction
recovery like you helps to be sober to
give it up but even you I've seen cases
of of decoexis even when someone is
actively using you can even argue that
so I don't know if this makes sense this
is what's like actually really
cool I never thought about this like
this before but this is I don't know if
this makes sense okay so let's say the
drug is over here you have all this
libidinal energy towards it here's the
cool thing if you give it up even when
the substance is present now you're not
invested in it and this probably happens
like I I've worked with so many patients
who will say you know one day I woke up
and enough was enough they
psychologically separate first they say
I'm done psychologically this is over
it's finished I'm severing my libidinal
attachment I'm done I'm done I
want it hurts I'm in withdrawal I've had
patients who have had both cancer and
been in opiate withdrawal and they've
told me opiate withdrawal is way worse
than cancer I'd rather have cancer and
chemotherapy over opiate withdrawal any
day of the week. But you sever that
attachment first and then the behavior
will disappear. It's so tricky. But
here's the key thing. If you are someone
who feels like life is gray, life is
empty and nothing brings you joy. Sure,
there is a dopamineergic neurochemical
component where that'll balance out
within weeks to months. Fine. But for
some people that doesn't even do it.
That pull is still there. The siren song
is still there. You're still invested in
it in your being.
You haven't really given it up. And
that's what absolutely has to be done on
this level. You have to give it up and
give it up forever. And then you ask
your mind will ask you the question, if
I give it up forever, does that mean my
life will be empty and gray? And the
answer is yes. And you have to do it
anyway. You have to accept this as a
state of life. Then the libidinal energy
will will grow within you. You'll feel
really bad and then it'll find another
thing to invest in. And the simplest way
to put this is you can't fall in love
with somebody else until you've truly
given up on your ex, right? So simple.
You have to make space for other things
in your life. And as long as the craving
for that first thing is there, as long
as that libidinal attachment is there,
ain't never going to work. questions.
Oh,
I love the question. Okay. What if my ex
is my soulmate? If ever I have heard a
question that rep represents a libidinal
attachment, it is that one. What is a
soulmate? What is the concept of a
soulmate? The concept of a soulmate is
someone who has all of your libidinal
attachment. It is the libidal attachment
that makes the soulmate beautiful.
You guys see the It's so good, man. Oh
my god. I I I love being with
y'all so much, dude. The demand arouses
an understandable opposition. It is a
matter of general observation that
people never willingly abandon a liinal
position, not even indeed when a
substitute is already beckoning them.
Here you are at work with another
soulmate ready to go who's into you. But
oh, what is the concept of the soulmate?
The soulmate is what your mind
consciously tells you when you have a
liinal attachment to someone else.
Beautiful question. Yeah. So, what steps
can I can take to give up on something?
Great question. So, a couple of
different things.
The first is recognize that giving up on
something is not multiple steps towards
one thing. It is a thousand one step
things, right? So your attachment
towards a thing is all of the things
that it was in your life. How do we
mourn? We go through Christmas. We go
through birthday. We go through oh
watching the next season of the show
that we were watching together. It's
it's death by a thousand cuts except we
have to go through it. Actually, it's
life by a thousand cuts. That's what it
is. That's how you start living again.
That sounds I can't tell if that's
social media, tweet, Instagram worthy.
Oh, life by a thousand cuts.
A so wise or Oh my god, Dr. K, you're so
brilliant. Life by a thousand cuts. But
that's what decathaxis really is. It's
life through a thousand cuts. A thousand
tiny severings. And this is the brutal
part of it is what you have to do is say
this is gone. Stop looking for a
substitute. And then you will feel empty
and so be it. This is what life is.
Life is empty. Now life is over. Love is
lost. Now here's the key thing. When
life becomes empty, people will take one
extra step that will mess them up, which
is life is empty forever.
Right? And that's what keeps us
attached. Okay, let me show you what I
mean. Libidinal attachment to object.
When we withdraw it, life is empty. And
so we don't want it to be empty, right?
We don't want this state. And in the
avoidance of this state, we keep it
there. That's precisely the absence of
morning. We don't want to be here. And
there's the problem is there's a gap
between being here and being here.
This may never happen, right? And so
when Freud says the order cannot be
obeyed at once, they are carried out bit
by bit at great expense of time and
cathic energy. So what you have to do is
give that up. And then the problem is
that once so here's the thing, okay?
Once you're here, this feels like
forever.
And since this feels like forever and is
intolerable, we end up going back this
way. And if y'all have gone through a
breakup where like you lost your
soulmate, you you hopefully and you
bounced up
uh you know bounced back on the other
side, what you discovered is that there
was a period of time where you thought
you would never love again,
but then a couple years go by, you meet
someone new and oh wow, I can love
again.
I found my soulmate once in my life and
I'm the luckiest person on the planet
because I f found my soulmate twice. And
that's the problem, right? is when we're
in this state. I don't even know how to
explain this. I'm high. The stuff that I
used to enjoy feels amplified. The stuff
that I used to genuinely love just feels
gray and unsufferable. You have to be in
that state. And then the libidinal
energy, this is the cool thing, the
libidinal energy won't stay that way
forever. It has a natural tendency to go
and form attachments with things.
But you have to get through that period.
That's how you mourn. You give it up.
And you don't just stop doing the
behavior. That's the whole point of this
lecture is that stopping to do the
behavior will leave you gray and sober.
You have to accept that gray and sober
is a way for life and you have to accept
it wholeheartedly.
And then the libidinal attachment will
start to go somewhere else.
Ask follow-up questions or revisit key timestamps.
The video discusses the concept of post-sobriety emptiness, where individuals, even after abstaining from addictive substances or behaviors, may find life lacking joy and excitement. This is explained through the Freudian concept of libidinal energy, which is the emotional and energetic investment in an object or activity. When this object is lost (e.g., addiction, a past relationship, a peak life experience), the energy remains attached, leading to a void. The process of true recovery involves "decathexis," the withdrawal of this libidinal energy, which is a painful, gradual process of mourning and detachment from all the associated experiences, not just the primary behavior. Simply stopping the behavior without this internal detachment leaves one "gray and sober." The key takeaway is that true joy doesn't come from the substance or activity itself, but from the emotional investment. To find joy again, one must first fully detach from the old object of investment, accept the temporary emptiness, and then allow that energy to form new connections.
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