Mimi | Literary Devourer

“Humans have what is called a triune brain, or a three-part brain. The midbrain or reptilian brain is the oldest part of our brain, where our survival instinct lives; the limbic or mammalian brain is where our emotions live; and finally the neocortex is our thinking brain. Adult humans with a fully developed neocortex are typically operating from the top down, from the neocortex down to the midbrain. This basically means we (normally) don’t bang each other on the sidewalk or resort to fistfights to settle disagreements at work because our moral, rational, thinking brain—the neocortex—asserts control over our base survival instincts. The neocortex, and specifically the prefrontal cortex, is where our judgment, personality, willpower, inhibition, social skills, morality, decision making, planning, and loads of other functions live. If the brain is a car, the survival response (midbrain) is the gas, and the prefrontal cortex is the brake. In alcohol addiction, the top-down control gets flipped, and the survival, animal instinct overrides the rational, thinking brain. This is due to two different causes. First, the prefrontal cortex loses its strength and volume; it’s like a muscle, and the chemical component of alcohol (it’s a neurotoxin, as in it attacks gray matter or the regions of the brain involved in sensory perception, memory, emotions, speech, decision making, and self-control), along with the consistent deferral to the survival instincts, weakens its function. So the part of our brain that is responsible for inhibiting actions (willpower), making decisions, moderating social behavior, constructing our personality, upholding our ethics, and planning our future goes offline. At the same time, the midbrain—which thinks only about the next fifteen seconds, not tomorrow or next year—”
― Holly Whitaker, Quit Like a Woman: The Radical Choice to Not Drink in a Culture Obsessed with Alcohol

“short term always leaves us in a place worse off than when we started. — To properly heal from addiction, we need a holistic approach. We need to create a life we don’t need to escape. We need to address the root causes that made us turn outside ourselves in the first place. This means getting our physical health back, finding a good therapist, ending or leaving abusive relationships, learning to reinhabit our bodies, changing our negative thought patterns, building support networks, finding meaning and connecting to something greater than ourselves, and so on. To break the cycle of addiction, we need to learn to deal with cravings, break old habits, and create new ones. To address all of this is an overwhelming task, but there is a sane, empowering, and balanced approach. But before we discuss how to implement solutions to the Two-Part Problem, we need to address one of the bigger issues that women and other historically oppressed folks need to consider, which is how patriarchal structures affect the root causes of addiction, how they dominate the recovery landscape, and what that means for how we experience recovery. If we are sick from sexism, homophobia, racism, classism, microaggressions, misogyny, ableism, American capitalism, and so on—and we are—then we need to understand how recovery frameworks that were never built with us in mind can actually work against us, further pathologizing characteristics, attributes, and behaviors that have been used to keep us out of our power for millennia. We need to examine what it means for us individually and collectively when a structure built by and for upper-class white men in the early twentieth century dominates the treatment landscape.”
― Holly Whitaker, Quit Like a Woman: The Radical Choice to Not Drink in a Culture Obsessed with Alcohol

“The Cycle of Addiction (What Keeps Us Stuck) The cycle of addiction, the second part of the Two-Part Problem, is a response to what’s happening at the root—that brings with it its own set of problems. Addiction is essentially a symptom of those root issues that becomes its own “disease”—when we use any substance or behavior to manage our underlying pain, and use it repeatedly, we enter into a cycle, or a feedback loop. To understand what the cycle of addiction is, or in the case of alcohol what would be classified as Alcohol Use Disorder (AUD), we need to look at how alcohol dependence is formed. When we consume alcohol, our body reacts to the substance by releasing artificially high levels of dopamine. Dopamine is the neurochemical of wanting and motivation, and it lives in the midbrain—the part of our brain that is tasked with ensuring our survival. Typically, our midbrain releases dopamine when we encounter something that keeps us alive or that aids in procreation, like when we eat a piece of chocolate or have good sex. Dopamine is released in order to tell our brain that some activity or substance is good for survival, and the higher the levels of dopamine that are released, the more we are programmed to repeat the activity. When dopamine floods into the brain, it sends a signal that the activity is good for survival, and in order to make sure we repeat the behavior, our brain releases another neurochemical called glutamate to lock in the memory of the event, so that we are wired to do it again.”
― Holly Whitaker, Quit Like a Woman: The Radical Choice to Not Drink in a Culture Obsessed with Alcohol

“becomes more powerful. It believes alcohol is necessary for survival (again, more than food, more than sex), and it’s on a mission to get it. If you’ve ever woken up hungover and resolved to never drink again, and at five p.m. found yourself standing in line with a bottle of red in your hand, this is the flip. Your top-down controls—which made promises to not drink, which are horrified by your perceived weakness, which know that alcohol does you no favors, which want a social life and a future and a sober night with your kids—are weakened, and the part of you that thinks in terms of the next fifteen seconds, which is concerned only with your survival, is running the show and telling you to fuck it, the wine is what matters. This is the cycle of addiction. It doesn’t matter how much we want to quit or hate that we haven’t; we feel compelled to ingest a substance or engage in a behavior we think will provide relief, or make us feel good, and whatever relief or goodness we get in the”
― Holly Whitaker, Quit Like a Woman: The Radical Choice to Not Drink in a Culture Obsessed with Alcohol