I've been recommending a 30-day abstinence trial for my patients for 20 years, long before it hit the Silicon Valley headlines as a dopamine fast. What I do is ask patients to identify that drug or drugs with which they have a problem of compulsive over consumption and to eliminate that drug for a month. About 80% of my patients come back feeling better just by eliminating their drug of choice alone without me having to prescribe a pill or do any in-depth psychoanalysis.

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