When clients say "I know what to do, I just can't make myself do it" — they're describing PFC impairment, not character weakness.
Key neuroscience: chronic use reduces gray matter in PFC and weakens connectivity to the striatum. The amygdala mounts a stress response on cue exposure. The "Go" system gains functional dominance over the "Stop" system in active addiction.
Practical implication: interventions relying heavily on insight and commitment are less effective than those building structure, reducing cue exposure, and developing competing behavioral habits.
More useful question with clients: "What made it hard to choose differently?" vs. "Why did you make that choice?"
#NeuroscienceOfAddiction #PFCImpairment #TraumaInformed #NRS #NextRightStep #FamilyImpactHub #RecoveryEducation #CentralNebraska #ProfessionalDevelopment #PeerSupport
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