The 4th and final law in James Clear’s Atomic Habits refers to the final part of the habit loop, the reward. In order for a new habit to form and be sustained, the reward must be satisfying.
The difficult thing about this step speaks to our biology and evolution. As our earliest ancestors learned to survive predators, weather, famine, and drought, acting in the present rewarded them, often quickly. This type of environment is called an immediate return environment.
Leap forward to 2020 and consider this. If we save a few dollars from a monthly or biweekly paycheck, we might get to retire someday. If we start a 529 account and diligently add to it, our child’s college may someday be paid for. If we don’t eat those sausage, egg, and cheese biscuits every morning, we may prevent heart disease. All of these examples refer to the delayed return environment in which we live.
But in some ways, our brain hasn’t caught up with the changing times. Our brain really, really likes instant gratification.
The Trouble With Instant Gratification
The ability to delay gratification has been well studied. It’s no surprise that, in order to obtain success in almost any realm of life, delaying gratification must happen. At some point, if you want to retire someday, you have to start saving. If you want to help put your kids through college, you have to start a college fund. If you want a healthy heart, you have to eat right.
So how can we apply this to a substance use disorder when a brain has been hijacked by the unparalleled pull of an immediate dopamine response? How can anything else be anywhere near as rewarding as the effect of the drug?
The answer is both science and grace.
Detox and Recovery is More Than Just Science
At Coleman Addiction Medicine, we see it all the time. The bliss, the gratitude, the humility, the self-pride (in only the best way) as our patients begin to claim the identity of a person in recovery.
When they are at last able to strip off the chains of addictive substances that have kept them locked in their personal hell and learn first hand about the difference between pleasures and gratifications. There is almost a child-like awe as people in recovery see the world through this different lens.
But it can only happen when the brain can get off the substances to which it has become physically dependent and to which it has developed a tolerance. This is where our program is so powerfully effective.
Our Patient-Focused Approach
Our Accelerated Opioid Detox process actively removes the addictive opioids from the receptors where they are attached within the body. These include pain medications such as hydrocodone and its various formulations, Opana®, Dilaudid®, Roxicet®, methadone, and morphine products. We also detox people from street drugs such as heroin, fentanyl, and even kratom.
A growing number of people who have achieved some stability in their lives and wish to stop taking buprenorphine also seek our detox to assist them in getting through the rather protracted withdrawal that inevitably comes with this type of long acting medication.
Make Sobriety Your Reward
A book I often recommend to those who have a loved one struggling with addiction is Jeff Foote’s (et al) Beyond Addiction. It was the sub-title that originally caught my attention: How Science and Kindness Help People Change.
If I was asked what we do at the Coleman Institute in 10 words or less, I’d say “We help people using Science and Kindness.”
Our elegant detox, tweaked and improved and modified over more than twenty years by Dr. Coleman and all of us he has trained and taught, will get you off your opioids. We specialize in using naltrexone to populate the receptors, taking away the urge and the ability to use opioids, thus freeing our patients to enjoy a whole different spectrum of rewards.
If you are in a place where you want to appreciate a different kind of reward, creating new habits, ready to embrace the long-term gratifications of keeping a promise, honoring a commitment, caring for your own body, and for others in your charge, we can help you get started.
Joan Shepherd, FNP
This is the fifth post in a five-part series. Check out the other posts in this blog series here.