Addiction: Why We Keep Doing Things That Hurt Us
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Why do people keep doing things they know are harming them?
If addiction was simply a matter of willpower, nobody would smoke, gamble away their savings, drink themselves into hospital, or spend hours scrolling through videos they don’t even enjoy.
In this episode, I explore the science of addiction, the role of dopamine, why craving is often different from pleasure, and why the debate between personal responsibility and the disease model is far more complicated than either side wants to admit.
We talk about alcohol, food, gambling, smartphones, trauma, recovery, and the uncomfortable reality that modern life may be making addiction easier than ever before.
Most importantly, we ask a difficult question: At what point does a choice stop feeling like a choice?
If you or someone you know is struggling with addiction
If this episode resonated with you and you feel you may be struggling with addiction, help is available.
- NHS Addiction Support
- NHS Find a Drug and Alcohol Service
- Alcoholics Anonymous UK
- Narcotics Anonymous UK
- Gamblers Anonymous UK
- GamCare (gambling support)
- FRANK (drug information and support)
- Smoking and Nicotine Support (NHS Better Health)
- Mind - Useful contacts for drug and alcohol addiction
Healthcare Professionals
If you’re a doctor, nurse, paramedic, pharmacist, or other healthcare professional struggling with addiction, confidential support is available:
Crisis Support
If you feel at immediate risk of harming yourself or others, contact emergency services (999 in the UK) or attend your nearest Emergency Department.
For urgent mental health support in the UK:
- Call NHS 111 and select the mental health option where available.
- Samaritans (call 116 123, available 24/7)
If you’re struggling with addiction, please don’t try to face it alone. Speak to your GP, a trusted friend or family member, or one of the organisations above. Recovery is possible, and asking for help is often the hardest step.
Thank you for listening!
email: adoctorsview@gmail.com
instagram: @adoctorsview
X: @DrPolyvios
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