Incoming cocaine therapy! Seriously though as someone who suffers from extreme anxiety I am eternally grateful for this kind of work. I would really like to see this combined with brain stimulation.
What’s interesting here is that in the drug treatment world it’s basically known that drug abuse is almost always a reaction to some kind of psychological trauma or disorder, and an awful lot of drugs (not just cocaine) play heavily with the dopamine pathways. The idea of dopamine as your brain’s signal that you’re safe fits about as neatly with that as can be. (Of course, like everything in biology, dopamine also do…
Almost all of my classmates (not me, unfortunately) were from exceptionally wealthy families and excepting one none of them ever mentioned any childhood trauma. Instead they were precocious partiers who got into drugs despite being underage and going to the nightclubs in the seedy part of town - no one at the time was turning away hot young women or gay(for pay or real) young men. And the club scene was a drug scene. It still is.
I don’t think trauma is actually at the root of almost all drug abusers. The only first class abusers (pot and alcohol in serious quantities daily) that I know at the moment grew up in perfectly fine suburban families and are in good, non-narcissistic/controlling/etc relationships with their families. They’re just addicts who can’t stop. One of them is going to die from it, eventually, given his level of alcohol consumption.