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The Dr. Gabrielle Lyon Show

The Science of Addiction and Recovery | Dr Russell Surasky

Dec 10, 2024
Dr. Russell Surasky, a board-certified neurologist and addiction specialist, discusses addiction as a complex brain disease influenced by genetic and environmental factors. He shares personal insights, including the tragic loss of his brother to opioid addiction. The conversation highlights the urgency of addressing the fentanyl crisis and reducing stigma surrounding addiction. Surasky explores groundbreaking treatment options, including medication-assisted therapies, and emphasizes the importance of a compassionate approach and ongoing support in recovery.
01:52:05

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Quick takeaways

  • Addiction should be recognized as a chronic brain disease influenced by genetic predisposition and environmental triggers, rather than a moral failing.
  • The fentanyl crisis represents a significant public health emergency, with its high potency resulting in unintentional overdoses among casual users.

Deep dives

Addiction as a Brain Disease

Addiction is defined as a chronic relapsing brain disease, not a moral failing or a psychological weakness. This understanding is supported by brain scans, such as PET scans, which show significant changes in the brains of individuals struggling with addiction. Medications exist that target specific receptors in the brain to help manage cravings and behaviors associated with addiction. Recognizing addiction as a brain disease helps shift the conversation towards treatment and understanding rather than stigma and blame.

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