Dopamining – Chasing the High

What is Dopamine?

Dopamine is one of the brain’s “feel good” neurotransmitters. It induces feelings of excitement, motivation, aliveness and gratification. When we engage in certain behaviours, dopamine is released from where it is produced in the brain and enters our bloodstream to give us a feeling of satisfaction and reward.

Why Do We Need It?

From an evolutionary perspective, a release of dopamine is what incentivises us to do the things that are good for our survival, like eating, drinking and reproducing. Human beings are hard-wired to be reward-seeking and a healthy level of dopamine makes us feel happy, focused, alert and motivated.

‘Dopamining’

It may be a word right out of an urban dictionary, but the concept of “dopamining” is being increasingly used to describe the thrill of doing things that lead to a release of dopamine.

So Is Dopamine Addictive?

Dopamine itself is not addictive, but the feeling we get when we experience a flood of dopamine lights up the reward centres of the brain and compels us to want it more. The strong memory of the pleasure we felt as a result of a dopamine release is what we are focusing on and what we continue to seek.

Excessive repeated releases of dopamine can also over-stimulate our brain. In small doses this isn’t unhealthy, but arguably, some of the reward-seeking behaviours are what can be define as unhealthy and this is where things get complex.

Our iPhones for example, are like mini dopamine factories – pumping out little highs with each pick up. Modern phones have been designed with reward-seeking behaviour in mind and you just have to watch The Social Dilemma on Netflix to understand the magnitude of the problem. While it is not the phone itself that is addictive, the plethora of social media sites and apps is what has given us a positively endless supply of social stimuli in the thumbs up, likes, happy faces or messages that we receive. And, it’s not just the positive reactions we seek, it may be the negative reactions too. It can rapidly become a case of posting anything, even posting those things we know are just ideal to set us up for an online roasting because all we’re after is a response. Neuroscientists have shown that these positive and negative social stimuli activate the same neural reward pathways in the brain as a hit of cocaine would give us.

Being ‘addicted to your phone’ is just one example of how this can work. Other activities such as playing video games, drinking alcohol or infidelity can all behaviours that are based on this same reward system.

Where It Can Go Wrong

Regularly chasing a dopamine high off the back of an unhealthy behaviour can have serious implications for many areas of our life. Studies have shown there is a link between dopamine and compulsive behaviours and at an extreme level, continued and excessive dopamine hits can result in damage to the brain. Brain pathways are altered and the brain gets used to a new level of dopamine tolerance meaning that we are less sensitive to its impact. As we no longer get the same high, we may be compelled to seek increasingly unhealthy behaviours to achieve the same feeling. In the instance of alcohol use, this may look like drinking more and more. Even low dose alcohol is known to increase the release of dopamine.

In the case of infidelity, the brain’s self-control centre short-circuits and you may someone escalate from emotionally cheating to repeated infidelities or even engaging in risky sexual deviances. The thrill of the chase can be so intense it can sometimes look like a sex addiction (but that’s another blog post altogether). It’s not the sex that someone is addicted to though, it’s the dopamine release they are seeking and the sexual activity, or the chase at least, is just a way to obtain the dopamine rush.

Ultimately, the downfall is when it leads to poor impulse control and someone finds it impossible to resist certain behaviours. Instances of “It was just one more drink….” or relationships plagued by an incessant wave of infidelities rationalised as “just sexual banter” can lead to chronic problems in maintaining self-control that ends up costing someone dearly. Not only is there an impact to oneself in increases in stress, anxiety and depression and poor sleep quality, there is also collateral damage experienced in disruptions to personal relationships or in strained or dysfunctional family dynamics.

When To Get Help

If poor impulse control is something you recognise in yourself or in someone close, get help. There is work that can be done around identifying triggers and changing patterns in thinking, feeling and behaviour. Find a therapist you can talk to and one you feel you can work well with. Therapy can help improve levels of self-control and support someone in developing healthier coping strategies.

 

Photo (social media) by Karsten Winegeart on Unsplash

Photo (heart) by Marah Bashir on Unsplash

How To Spot Emotional Abuse

Never feeling good enough. Doubting yourself and wondering where you have gone wrong. Walking on eggshells. Watching what you say and changing your behaviour to avoid being reprimanded. If any of these sounds familiar, you may be experiencing emotional abuse.

Emotional abuse, also known as psychological abuse can cover any type of non-physical abuse including control, manipulation, bullying or verbal abuse. It is a way of psychologically manipulating a victim and in a relationship it can be like a slow drip feed, incessant and insidious and has the aim of wearing you down, stripping away your personality and everything you thought you knew about yourself, leaving behind a shell of a person. It is not limited to romantic relationships either, any relationship can be affected including friendships, family or professional relationships.

While there may often be visible signs of physical abuse, emotional abuse is more subtle and often harder to identify. It is nonetheless as devastating in a relationship as other forms of abuse. Many victims report not really understanding or appreciating that they have been a victim of emotional abuse until after the fact. It may take time to sufficiently recognise the abuse you have felt subjected to. A key aspect to consider is how you feel in the relationship. Red flags to look out for are if you feel like you are being manipulated, you don’t feel able to speak your mind or you modify your actions to accommodate someone else. Ask yourself whether you feel like you are being yourself when you are with this person? If you feel in some way out of sync and wondering about your own sanity, there might be something more serious to look in to.

“But it’s for your own good”

Abusers often blame their victims and act as if they have no idea why you are upset. You may be convinced that what you are experiencing is for your own good, that you perhaps don’t know what is good enough for yourself and need someone else to help you figure this out. You may feel guilty, ashamed and silenced by the feeling of having gotten something wrong, or missed something that was supposedly very good for you.

A victim may also experience a loving side to their partner amongst episodes of emotional abuse and they may forget or deny the abusive behaviours. The ‘bad stuff’ can sometimes be rationalised in distorted ways to justify what is going on. You start to question yourself and wonder whether you can trust your own judgement or perceptions. Your self-esteem starts to chip away and the lines between what feels like reality and doubt are blurred. Before long you feel you are losing your mind.

Get the support you need

In recent years there has been a massive shift in the way we talk about emotional abuse. Terms such as “coercive control” and “gaslighting” are more widely used and and are taken more seriously. Coercive control was also recognised as a criminal offence in 2015. People are talking about it more and there is help and support on offer.

If any of the above resonates in any way or you want to talk through your experiences, contact a professional. Get the support you need to make sense of what you are going through. You may have slowly lost sight of who you are but there’s always scope to turn it around. You can regain control over your own life.

 

Photo by Sydney Sims on Unsplash

Hybrid Working

 

During the pandemic, many of us had to embrace a new way of working. This emergency way of working included remote working and offering Zoom therapy. Having had to offer online therapy sessions for the length of time that we did, many practitioners, myself included, are now seeing the potential benefits of continuing to offer a hybrid way of working going forward. It seems like a hybrid of online and face to face work is going to be the new normal. But how does this work in practice and what does it mean for clients?

Hybrid Working

Essentially, offering a hybrid is going to mean offering some sessions online via Zoom, and some sessions face to face. For many practitioners, offering Zoom sessions has meant that geographic boundaries are no longer an issue. We don’t have to limit our availability to those who are local and we can extend our reach a lot further. It also means that for those clients who have perhaps moved house during or since the pandemic, we can continue to have sessions together online. In offering a blended approach there are ethical issues to consider too. I will be working over the coming weeks to address such points.

Scheduling and Flexibility

The reality of hybrid working means that scheduling may be affected. The room I currently use for Zoom sessions would also be the room in which I see clients face to face. I currently have a laptop set-up on a table and the room is set up in a way conducive to comfortable working with just myself in mind. The set-up is likely to need tweaking for face to face sessions. This means that it is necessary to consider scheduling so that it doesn’t entail room rearrangement through the day.

Any transition and change will be addressed on an individual basis. What works for one person may not work for another. I will recontract with clients one-to-one to find a way to work going forward.

Moving Forward

As we readjust to life beyond lockdown there are still other considerations to bear in mind. There is much to navigate and unforeseen changes may still lay ahead. An innate human ability to adapt and grow to accommodate different circumstances has certainly been evident. Undoubtedly this will continue with however the rest of 2021 pans out. With this there is also an opportunity to expand our toolkit that can meet the growing needs of our client base. I for one relish the potential to embrace what lays ahead.