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Never Enough

10 min

The Neuroscience and Experience of Addiction

Introduction

Narrator: In a cheap motel room in Deerfield Beach, a 22-year-old Judith Grisel and her friend were on a drug binge. A deal had gone wrong in their favor, leaving them with a surplus of cocaine. They consumed it compulsively until it was gone, but the high was long gone, replaced by a desperate, mechanical need. In a moment of bleak clarity, her friend looked at her and made a chilling prophecy: "there would never be enough cocaine for us." That statement, uttered in a haze of addiction, captured a terrifying truth that would haunt Grisel for years. She was no longer getting high; she was just trying to escape. How could a substance that once offered profound relief become a prison with an insatiable warden?

This question drove Grisel not only to get sober but to become a behavioral neuroscientist. In her book, Never Enough: The Neuroscience and Experience of Addiction, she combines her firsthand experience with her scientific expertise to unravel the paradox at the heart of addiction, revealing how the brain’s own remarkable ability to adapt becomes the very mechanism of its enslavement.

The Brain's Adaptive Trap

Key Insight 1

Narrator: At its core, addiction is not a story of a broken brain but of a brain doing its job too well. Judith Grisel explains that the brain’s fundamental purpose is to maintain a stable internal state, a principle known as homeostasis. It acts as a contrast detector, constantly working to return to a neutral baseline so it can notice what’s important—pleasure, danger, opportunity. When a drug is introduced, it pushes the brain away from this baseline. For example, a stimulant creates a state of arousal. In response, the brain initiates an "opponent process," a counteracting force to bring things back to normal.

Grisel illustrates this with a universally understood example: coffee. A person might start drinking coffee to feel more alert. The caffeine provides a stimulating "a-process." Over time, the brain adapts by strengthening its "b-process," a counteracting sedative effect. Soon, the person is no longer drinking coffee to feel great; they are drinking it just to feel normal and stave off the lethargy and headaches of withdrawal. As Grisel puts it, an addict doesn't drink coffee because she is tired; she is tired because she drinks coffee.

This opponent-process theory explains the three hallmarks of addiction: tolerance, where more of the drug is needed for the same effect; dependence, where the drug is needed to avoid withdrawal; and craving. The brain’s natural, adaptive mechanism, designed for survival, creates a vicious cycle. The pursuit of pleasure inevitably gives way to a desperate flight from pain, a trap set by the brain's own rules.

The Illusion of a Free Lunch

Key Insight 2

Narrator: Every drug offers a unique experience, but they all come at a cost by hijacking the brain's adaptive system. Grisel uses marijuana to illustrate this principle. The active ingredient, THC, acts like a "bucket of red paint," splashing across the brain and enhancing sensory experiences. It mimics the body's natural endocannabinoid system, which acts like an exclamation point for important neural messages. This is why, under its influence, music sounds richer and food tastes better. The world on the drug seems shinier than the world without it.

However, there is no free lunch. With chronic use, the brain adapts by downregulating its cannabinoid receptors, making them less sensitive. The "red paint" begins to fade. The user needs more THC to feel anything, and more importantly, the unenhanced world becomes dull and gray. Grisel shares a poignant personal story to demonstrate the reversal of this process. Three months into her sobriety, after a period of feeling flat and uninterested in life, she was walking in Minneapolis and was suddenly struck by the breathtaking brilliance of the fall foliage. The colors felt overwhelmingly beautiful. In that moment, she realized her brain was healing. Her cannabinoid system was recovering, and she was regaining the ability to experience natural joy without a chemical catalyst. The story reveals the hidden cost of chronic use: it robs the world of its inherent beauty, a beauty that can only be reclaimed through abstinence.

The Contextual Nature of Craving

Key Insight 3

Narrator: One of the most baffling aspects of addiction is the power of relapse, which often seems to strike out of nowhere. Grisel argues that addiction is profoundly contextual. The brain doesn't just adapt to the drug itself; it learns to associate the drug with specific people, places, and feelings. These environmental cues can trigger the brain's opponent process—the withdrawal symptoms and craving—even long after the drug has left the system.

A powerful historical example of this is found in the experience of U.S. soldiers during the Vietnam War. Up to 20 percent of troops became addicted to the potent heroin that was readily available. This sparked fears of a massive addiction crisis when they returned home. However, a surprising thing happened. Once the soldiers were removed from the high-stress, cue-rich environment of the war, the vast majority—around 95 percent—did not relapse. The dramatic change in context broke the association between their environment and the drug, effectively silencing the cues that would have triggered intense craving.

This stands in stark contrast to the experience of addicts in therapeutic communities, like the "goat farm" models of the 1970s. Addicts would live soberly for months in a completely new environment, only to relapse almost immediately upon returning to their old neighborhoods and encountering the cues tied to their past use. This shows that recovery isn't just about getting the drug out of your system; it's about extinguishing the power of the memories and environments that keep the addiction alive.

The Myth of the "Addiction Gene"

Key Insight 4

Narrator: The question every addict asks is, "Why me?" It’s tempting to search for a simple answer, like a single "addiction gene" or a fundamental character flaw. However, Grisel dismantles this notion, revealing that vulnerability to addiction is a complex tapestry woven from genetics, environment, and the timing of drug exposure.

While twin and adoption studies show a clear genetic component—identical twins have a much higher concordance rate for addiction than fraternal twins—they also prove that genes are not destiny. Genetics account for roughly half of the risk, meaning there is no single gene that determines addiction. Rather, it is the interplay of many genes, each with a small effect, that creates a predisposition.

This genetic vulnerability is then shaped by the environment. Grisel points to the devastatingly high rates of alcoholism among Native American populations. For years, this was wrongly attributed to a biological deficit. In reality, it is a tragic consequence of historical trauma, cultural denigration, and lack of opportunity. Furthermore, the timing of drug use is critical. The adolescent brain is in a state of rapid development and is uniquely vulnerable. Early exposure to drugs can physically alter brain pathways, creating a "gateway effect" that makes the brain more susceptible to addiction later in life. There is no simple answer to "Why me?" because the answer is a unique combination of an individual's inherited risks, life experiences, and the choices they make within that context.

Recovery Through Freedom, Not Force

Key Insight 5

Narrator: Given the complexity of addiction, Grisel argues that the solutions offered by society are often dangerously simplistic and counterproductive. Punitive measures, like the brutal war on drugs in the Philippines, and shame-based campaigns, like "Just Say No," fail because they don't address the root cause. Grisel contends that addiction is not a failure of willpower but a failure of choice. It thrives in environments of isolation, despair, and a lack of meaningful alternatives.

Therefore, the solution cannot be restriction; it must be expansion. True recovery is about regaining the freedom to choose a life of meaning. Grisel powerfully illustrates this with a story about her own recovery. During the depths of her addiction, her relationship with her father was strained and distant. But on her twenty-third birthday, he did something unexpected. He took her out for a meal, treating her with kindness and dignity, willing to be seen with her despite her state. This simple act of human connection, she recalls, "split open my defensive shell." It was not a lecture or an ultimatum but an act of love that provided a crack of light, showing her that a different way of life was possible.

This is the core of Grisel's proposed solution. We cannot fix what we won't face. The answer to addiction lies not in more effective punishments or even a magic biomedical cure, but in fostering genuine human connection. It requires building a society with more attractive alternatives to despair, where people feel seen, valued, and connected.

Conclusion

Narrator: The single most important takeaway from Never Enough is that addiction is a logical, if tragic, consequence of the brain's fundamental drive to adapt. The very system designed to keep us stable and alive is what ensnares the user in a cycle of escalating use and diminishing returns. The addict is not pursuing pleasure but is trapped in a desperate attempt to feel normal, a state the drug itself has made impossible.

Ultimately, Grisel challenges us to reframe our entire perspective on addiction. She argues that the opposite of addiction is not sobriety, but connection. The next time you see someone in the grips of this disease, instead of turning away with judgment or revulsion, ask a different question. Don't ask what's wrong with them; ask what connection is missing from their life, and from our own.

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