I think we're facing a unique kind of stress an unprecedented kind of stress and I actually think that living in a world of overabundance is its own source of stress so how do we define stress in biological systems stresses any deviation from homeostasis or our neutral baseline position. What can trigger relapse is not just a reminder of the drug as I've mentioned before or exposure to the drug itself but actually a severe and painful trauma will trigger that relapse.severe pain actually causes a huge dopamine release so severe forms of pain are akin to drugs themselves and therefore can trigger this kind of compulsive drug seeking response alcoholics.

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