Pain, Not Pleasure | The Dopamine Brain, Chapter 20

Pain, Not Pleasure | The Dopamine Brain, Chapter 20 We built two decades of policy on the idea that people keep taking opioids because the drug feels good. When somebody finally measured it, the middle score for feeling good was zero. What predicted who kept taking them was pain nobody had relieved. I will show you the wiring, the numbers, and what I have learned to say to a patient on a high dose. 📑 CHAPTERS 00:00 Cutting the brake line 01:11 The same trick, three other ways 01:51 The state that keeps people using 02:45 The evidence against the story we tell about patients 03:49 What tapering does when it is done badly 04:19 The treatment that works, and the gap 05:14 The bridge, and what has to be on the other side 05:58 Where the epidemic actually is 06:31 Why this chapter is personal 07:37 What I do with all of this 08:24 Go deeper 🔎 SOURCES REFERENCED Every study behind this chapter is listed in its Deep Dive, written to be handed to your own physician: https://nectarmediagroup.com/r/tdb-ch20 📖 THE BOOK The Dopamine Brain — Wanting: why you chase what you don't enjoy. By Dr. Gurpreet Singh Padda, MD, MBA, MHP. 📞 CONNECT WITH DR. PADDA: ✈️ Both offices are at 4477 Woodson Road, next to Lambert St. Louis Airport 🛫 🌆 Serving St. Louis County, St. Charles, Clayton, Florissant & beyond 🌉 🧠 ADDICTIONOLOGY CENTER — addiction medicine 📍 4477 Woodson Road, Suite 101, St. Louis, MO 63134 🏥 📞 Call: 314-463-0100 📱 🕗 Monday–Friday, 8:00 AM – 5:00 PM 🗓️ 🌐 https://addictionology.center 💻 🩺 PADDA INSTITUTE — interventional pain management 📍 4477 Woodson Road, Suite 100, St. Louis, MO 63134 🏥 📞 Call: 314-481-5000 📱 🗓️ Schedule: https://calendly.com/padda/medical ✨ 🌐 https://www.painmd.tv 💻 📲 Text to Schedule either office: 314-886-5902 📱 ⚠️ MEDICAL DISCLAIMER: This content is for educational purposes only and is not medical advice. It does not substitute for professional diagnosis or treatment. Always consult a licensed healthcare provider regarding your condition. Viewing this video does not establish a doctor-patient relationship. #TheDopamineBrain #Dopamine #MetabolicHealth #Opioids #ChronicPain #HarmReduction #PainManagement #OpioidUseDisorder #Hyperkatifeia #StLouis #STL TAGS opioids, chronic pain, opioid use disorder, dopamine, hyperkatifeia, opioid tapering, buprenorphine, methadone, harm reduction, pain management, overdose deaths, The Dopamine Brain, Dr Padda, metabolic health