Nicotine Addiction Fact or Fiction Part 2

In the first installment of “Nicotine Addiction – Fact or Fiction”,  I mentioned the following information about smokers which I believe are backed up by research in the area:  1)  Smokers are psychologically-addicted to the effects of nicotine rather than physically-addicted to nicotine – due to the effect on the neurotransmitter dopamine (the “feeling good” neurotransmitter);  2)  most chronic tobacco users who have trouble quitting are deficient in dopamine and were probably dopamine-deficient before they started smoking, and 3)  attempting to quit smoking soley by reducing the amount of nicotine over time – without taking other measures to increase dopamine levels – is almost impossible as a dopamine-deficient smoker will experience withdrawal symptoms in proportion to the lack of dopamine e.g., anxiety, irritability, depression.  We have all heard the expression “an apple a day keeps the doctor away”.  When it comes to dopamine, however, the consumption of beets has been shown to raise increase the production of serotonin and dopamine.  Perhaps a beet-a-day would keep the psychiatrist away – and help smokers to quit.

There is another side to the smokers dilemma.  All smokers associate cigarettes with Quitting smoking - male hand crushing cigaretteother activities like eating, drinking coffee or alcohol, driving and so on.  These are habitual associations.  As a Bio-medical hypnotherapist as well as an ND, I am aware that the subconscious mind has everything to do with creating and maintaining addictions and these habitual associations.  The Subconscious Mind is very strong.  In fact, the Subconscious Mind via its Right Brain Hemisphere connections runs all the “automatic” actions in the body below your conscious control. In other words, actions that you don’t have to think about that happen automatically.  The problem with the right brain is that it is based on emotions, not logic. The right brain and subconscious mind are like the hard drive on your computer.  It has all your beliefs about yourself and life, as well as the associations between thought forms and actions, but these beliefs and associations are not often logical and get acted upon anyway.

In the case of a chronic smoker, the primary associative belief is often “smoking is the ONLY way that I can feel good”.  If this associative belief remains active, unchallenged and unchanged, the right brain/subconscious mind has no choice but to continue the internal drive to smoke.  This is why the natural mind-state we call “hypnosis” can be beneficial – because it allows access to the subconscious mind and can eliminate these unwanted associations and beliefs.  I will have more to say about this in the final installment.

Until next time….be miraculous!

Dr. Gatis

Nicotine Addiction: Fact or Fiction?

This week is National Stop Smoking Week.   I have worked with many smokers and have some views on smoking that may be useful for those of you who currently smoke and would like to quit.  To this end, I will blog several times this week in order to give you information that you will find useful.

Addiction is defined by compulsive drug-seeking and abuse, even in the face of Healthy lung shape world design logo concept idea with love heart shape symbolic sign of women human hands on blur green natural clean air greenery background: Element of this image furnished by NASAnegative health consequences.  Smokers would definitely fall under this category – but what are they actually addicted to, and how are they addicted?  Smoking addiction is in a class by itself, in my opinion.  Smokers assume that they use tobacco products on a regular basis because they are addicted to nicotine.  The truth, however, is that they are not physically addicted to the effects of nicotine. They are addicted to the psychological effects of nicotine.  I first became aware of this fact when a woman who routinely smoked at least 2 packs a day got pregnant.  She immediately stopped smoking for the entire pregnancy with no cravings and no side-effects from stopping.  How is this possible?  If she had been addicted to heroin instead, it would have been virtually impossible without severe physical withdrawal symptoms.

Research indicates that nicotine acts on the brain’s reward pathways – and those involving the neurotransmitter dopamine.  Nicotine increases dopamine in the “reward” circuits.  All the effects that smokers attribute to nicotine are actually the result of dopamine stimulation in the brain.  Nicotine is rapidly distributed to the brain with peak levels occurring within 10 seconds of inhalation.

Nicotine is also rapidly eliminated from the body, so the nicotine-stimulating effect on dopamine is short.  In order to maintain the drug’s effects, the smoker has to take another nicotine “hit”.

The problem with smokers is that they are usually dopamine deficient to begin with – and nicotine makes them feel “good”. The unfortunate thing about most current treatments for nicotine addiction is that they concentrate on the supposed physical Cigarette stub with smokeeffects of nicotine withdrawal.  Take the patch, for example.  The patch is designed to give decreasing nicotine doses over time assuming that this will allow a smoker to “wean off” nicotine.  The problem with this approach is that it doesn’t give the smoker more dopamine I.e., it doesn’t address the dopamine deficiency.  A chronic smoker will actually experience symptoms relating to “not enough” dopamine  (irritability, craving, depression, anxiety, cognitive and attention deficits, sleep disturbances) rather than nicotine “withdrawal” symptoms. In order to quit smoking, the dopamine deficiency must be addressed.  If we can get the smoker’s brain to make more dopamine or find another way to stimulate dopamine release, then

Stopping smoking can become relatively easy – and I have never met a smoker who really didn’t want to quit.

Until the next installment…

Dr. Gatis