drtashaswalve
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Thursday 07 May 2026 23:10:20 GMT
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Kitt :
The issue with CBT is mostly that it gets overused in situations where another methodology would be more appropriate. In unskilled hands it can turn into something that feels to the client more like gaslighting.
2026-05-07 23:41:18
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griddleTurtle :
My addiction developed early. The first time I took my drug of choice was the first time I ever felt OK. most people I have met in recovery, have similar experience. The drug wasn't the problem till years later. The trauma was the real problem.
2026-05-08 01:56:15
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GNew :
one thing i have a hard time understanding, if tolerance is a risk factor for addiction, then why isn't psychedelics addictive?
2026-05-07 23:20:36
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brit :
omg wow okay! I’m a concurrent disorders specialist—addiction counsellor, and the soap box I cannot be dragged off is teaching everyone, especially growing humans and parents, DBT skills essentially (distress tolerance, mindfulness, emotion regulation, and interpersonal effectiveness skills) such that everyone has foundational skills to regulate and understand their emotions and feel less vulnerable to dysregulation, as well as increase attentional control (I do have extensive training in DBT and DBT-PTSD so I’m biased in that way, but many skills exist across therapies but with different names). Psycho education on substances, harm reduction and addiction. Honestly if you want to find pre addiction, screen for early childhood relational trauma—all variations of insecure attachment increase risk for addiction. the opposite of addiction is connection. To the best of my knowledge (happy to be corrected) CBT is still considered the gold standard for a lot of diagnoses, but a lot of third wave psychotherapies have adapted using mindfulness + CBT. a lot of clients I’ve had dislike CBT on its own, but many find it super helpful, it depends on the person’s style of learning. If they hate homework or have unprocessed trauma causing some level of alexythemia, then they might face more challenges! I find it’s great up to a certain point like anything, and everyone is different. I want there to be a way to separate paragraphs so I know this comment is WAY too long, so thank you for the video!! I love your content!!! My background is in research (personality and behavioural neuroscience) and I dream about going back to school for grad studies after years in the field, your videos make that part of my brain light up (metaphorically, maybe literally?) and it makes me so happy. THANK YOU
2026-05-08 02:17:00
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Emma :
I don’t understand why it’s being discussed as pre-addiction when the number of criteria people meet for is associated with mild (2-3), moderate (4-5), and severe (6+) substance use disorder. Why not use the terms we already have and have doctors discuss mild and moderate substance use disorder with their patients?
2026-05-08 00:35:02
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Camille Kirsch :
IME, doctors are told CBT is the best/a good treatment for disorders that don’t really have any good known treatments, and they then tell patients that CBT will help them. But when you look at the studies, CBT usually helped slightly with reducing stress about the condition and improving coping…. As a patient in that situation, it’s disappointing and painful to realize that the treatment you were told would help was never really going to help your core symptoms.
2026-05-11 02:05:46
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purplecello :
This is so incredibly interesting, I’m a addiction prevention specialist. I’m going to go read these papers. I talk about all these factors with the students I work with.
2026-05-08 01:55:50
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Fiena :
from my own experience, CBT is slapped on as a fix for everything regardless of the nuance of a patients symptoms. for people who suffer trauma or other forms of mental illness it can feel very much like gas lighting. mindfulness too, mindfulness made my anxiety much worse because instead of freaking out about the future I'm panicking about every second I live because I'm so aware of the "now". I don't think the label of the illness should immediately make CBT an option, the individual needs to be assessed for what specific therapy might work for them in my opinion. because even attempting the wrong one can do serious damage and make it harder for further interventions to work
2026-05-08 00:54:51
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Jayne Duncan, PhD :
I work with teens and young adults and see so much of this “pre addiction” - they’re using problematically but aren’t quite “addicted” yet. We absolutely need more research on this so we can help those folks better!
2026-05-27 12:38:26
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Miles Per Hour :
And how will this affect chronic pain patients who are extremely underserved and rural areas?
2026-05-08 15:06:28
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Cory Robert :
I’d think if it came with less social stigma, it might help people.
2026-05-08 00:54:36
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user2372049635515 :
I think that the majority of people I’ve personally known who ended up with serious addiction problems had many other social and medical issues that they were coping with. One thing I like about this model is that it’s a measurable way to identify people who are struggling before it’s too late. That said, I think modern society is not very people friendly and we could work on that
2026-05-08 02:42:27
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Leloely :
Okay the CBT thing is about it being appropriate for the problem. You can’t rethink yourself out of bad situations
2026-05-08 05:17:30
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miss function :
CBT is generally harmful for people with trauma as it only masks it and doesn't deal with the route cause. it's good to use in a crisis situation but ultimately it should not be the only thing used. a lot of addicts have trauma so CBT won't work long term. finding the right trauma therapy in combination with building community is ideal. trauma triggers are what can cause people to use, so it's important to help them expand their window of tolerance to feel those emotions safely and give them purpose in life. having purpose is extremely important.
2026-05-08 10:42:24
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user9635405382460 :
You are awesome and a great source of information and I really appreciate you and the trouble you're taking to do this. Thank you.
2026-05-09 22:39:01
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Bethany :
I absolutely LOVE your videos and I know it’s not what you normally do but it would be so cool if you did a video on how you got into your field of work(or maybe you’ve done that before..?)
2026-06-09 04:38:36
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Douchebagpuss :
I’m pretty sure that if I’d had a safer environment growing up, or had access to therapy, I wouldn’t have developed raging addiction.
2026-05-08 00:17:59
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sunny :
off topic but your eyes look like the trees behind you 🌳 so pretty
2026-05-08 01:19:46
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guy online :
i think its really important to communicate to the people in your life if their use is starting to look like it could down the road of addiction even if it hasnt gotten to that point yet. it can be hard to hear and hard to say, but communicating concern can lead someone to examine their behavior before it gets more dangerous
2026-05-08 00:23:31
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jas :
Hey can I ask, I just finished my nursing degree and was informed by a clinical teacher that you can’t get addicted to pain medication if you are using it for pain. Is this actually true? Or is it definitely a case by case situation? Thanks!!!
2026-05-08 04:52:48
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Marissa Perry :
The genes are likely correlated and they used existing biodatabases. If you’re experienced, these analyses are pretty quick. So they “repurposed” a study that produced data to look for their specific question but did not do sample collection.
2026-05-08 14:00:15
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Tom J, LSW :
Clinical Therapist (NJ LSW, provisional) here. CBT can be viewed by clients as “invalidating” and “too surface.” I tend to operate from a mixed-methods perspective (eclectic) based in trauma-informed care with dialectical behavior therapy (DBT) techniques.
2026-05-10 17:15:11
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othergxu521 :
I really think that pre addiction is a very real thing, but i dont really think there's any way to treat it. only maybe harm reduction.
2026-05-08 16:08:54
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AJ :
How are you supposed to identify people with “pre addiction” though? Like the intervention idea is good but the effort researching options is likely going to be wasted if we can’t find people willing to do it, given they don’t actually have the problem yet (coming from a ED researcher who sees desperate attempts at early intervention fail often)
2026-05-08 09:57:05
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Adam Lake 🇵🇸🇵🇸 :
Teaching people healthy coping skills is an amazing way to prevent development of addiction
2026-05-08 13:58:59
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