Send us Fan Mail

Dr. Andrew Rosen and Dr. David Gross have spent decades sitting across from people who genuinely want to stop using drugs or alcohol and simply can't. This conversation gets into why that happens, and why willpower has far less to do with it than most people think.

A specific region deep in the brain called the nucleus accumbens gets reprogrammed by repeated drug use, eventually overpowering the logical, planning part of the brain. That's not a metaphor. It's why someone can leave the emergency room after a cocaine-induced cardiac arrest and stop to buy more on the way home.

They walk through what addiction actually means, including the difference between physical dependence and the full picture of compulsive use that derails jobs, relationships, and daily life. There's also a genetic piece that often goes unacknowledged, along with the emotional piece, that quiet feeling that something is missing, which drugs and alcohol can temporarily fill in ways that get remembered.

The conversation also gets honest about what rehab programs often miss. Treating the substance abuse without addressing the underlying anxiety, depression, or other psychological struggles is one of the reasons so many people cycle in and out of treatment. The long-standing tension in 12-step communities around psychiatric medication comes up too, and how that's slowly shifting.

They close on something worth sitting with. The cultural normalization of gummies, edibles, and now psychedelics is convincing a lot of people that certain substances are simply not a problem. Two clinicians who've watched families fall apart over exactly that kind of thinking aren't so sure.

Contact the Docs:
Email: twoshrinksandamic@gmail.com