#drugAddictionRecovery

2025-11-11

Beyond Willpower in Addiction: 4 Powerful Lessons

Originally Published on November 11th, 2025 at 08:00 am

We often think of addiction as a private, grueling battle of willpower.

Whether it’s a dependency on a substance, a behavior like gambling, or even an unhealthy pattern in a relationship, the prevailing narrative suggests that breaking free is a matter of pure, individual strength.

If you just try hard enough, you can overcome it. If you fail, it’s a personal failing. 

But what if this framework is fundamentally flawed? A recent, year-long study offers a more structured, hopeful, and evidence-based path to recovery.

Researchers applied a specific form of therapy, Cognitive Behavioral Therapy (CBT), to individuals struggling with a range of addictions and discovered that the right tools can do more than just help people cope; they can fundamentally transform their lives.

It’s about building a life so full and satisfying that the addiction no longer has room to thrive.

This year-long study is particularly significant because it was conducted in Kazakhstan, a region where evidence-based psychotherapy is still emerging and social stigma can be a major barrier to recovery. 

This article distills the four most impactful takeaways from this groundbreaking research. It reveals how a systematic therapeutic approach can lead to profound, measurable life changes, challenging the myth that recovery is simply a matter of gritting your teeth and pushing through. 

Lesson 1: The Change to Isn’t Small, It’s Transformative

While we might expect therapy to offer some benefit, the sheer magnitude of improvement seen in this study was extraordinary.

Participants who received Cognitive Behavioral Therapy didn’t just get slightly better; they experienced a dramatic and measurable enhancement in their overall well-being. 

The study used the World Health Organization’s Quality of Life scale (WHOQOL-BREF), which measures well-being across four key areas. The results were staggering.

On average, the experimental groups saw their quality of life scores jump from the low 40s to the mid-70s on a 100-point scale. To put that in concrete terms, participants with alcohol use disorder went from an average score of 42.31 before therapy to 74.47 after one year.

This isn’t just a number on a chart; it represents a profound shift from a life constrained by addiction to one filled with new possibilities and well-being. 

Meanwhile, the control groups, those who did not receive CBT, saw no meaningful improvement in their quality of life, with their average scores remaining essentially unchanged.

This powerful contrast repositions recovery as a genuine opportunity to build a measurably better and more satisfying life.

It’s about building a life so full and satisfying that the addiction no longer has room to thrive. 

Are you exploring your trauma? Do you feel your childhood experiences were detrimental to your current mental or physical health? Utilize this free, validated, self-report questionnaire to find out.

Take the Adverse Childhood Experience (ACE) Questionnaire

Beyond Willpower Lesson 2: The Same Tools Can Fix Different Problems

One of the most compelling aspects of the study was its breadth.

Researchers applied the same core therapeutic model, CBT, to four very different challenges:

  • Alcohol use disorder
  • Drug addiction
  • Gambling disorder
  • Codependency

The key finding was that CBT was highly effective across the board. 

For every single group that received therapy, there was a statistically significant reduction in the severity of their addiction. The data paints a clear picture of this versatility: 

  • For drug addiction, the experimental group’s average severity score dropped from 7.96 (signifying harmful use) down to 3.14 (representing low-risk or minimal use). 
  • For gambling disorder, the average severity score plummeted from a “severe” 39.55 to a “mild or moderate” 14.36

This suggests that no matter the substance or behavior, the underlying challenge is often the same: learning to recognize triggers, challenge automatic negative thoughts, and develop new, healthier coping strategies.

CBT provides a toolkit for rewiring these exact processes, effectively helping people move from a place of denial or ambivalence into decisive action and long-term maintenance. 

Do you have enough hours for your LPC renewal? Are you in need of continuing education, but bored with the current offerings? Check out Dr. Weeks’ course on Cannabis Use Disorder, and other unique courses on her practice website.

Sexual Addiction Treatment Services has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7250. Programs that do not qualify for NBCC credit are clearly identified. Sexual Addiction Treatment Services is solely responsible for all aspects of the programs.

Lesson 3: Codependency Isn’t Just a “Relationship Problem.” It’s Treatable.

The study took the significant step of including codependency, an excessive emotional or psychological dependence on a partner, often linked to that partner’s addiction, alongside clinical addictions. While codependency is not formally classified as a standalone diagnosis in major manuals like the DSM-5-TR, the researchers recognized it as a clinically significant phenomenon that is actively addressed in rehabilitation. 

The results were a powerful validation of this approach.

The experimental group for codependency saw their average severity scores drop from a “high level” of 69.12 to a “moderate or low level” of 31.44. The control group, in stark contrast, showed no significant change.

For anyone who has felt trapped in a dynamic of supporting someone else’s addiction at the expense of their own well-being, this finding is a beacon of hope. 

This is a crucial takeaway.

It frames the struggle of codependency not as a character flaw or an intractable relationship dynamic, but as a treatable condition. It offers empowerment and a clear path toward building greater independence, self-esteem, and healthier relationship dynamics. 

Beyond Willpower Lesson 4: Recovery Isn’t Just Stopping, It’s a Total Life Upgrade

The study’s design was brilliant in its simplicity: it measured success in two ways. It tracked the reduction of the negative (addiction severity) and the increase of the positive (overall quality of life). The results showed that these two things are deeply intertwined. 

The “quality of life” assessment wasn’t a vague feeling of happiness; it was a concrete evaluation of four essential domains of life: 

  • Physical Health: Including energy and fatigue, quality of sleep, and even physical mobility. 
  • Psychological Health: Covering everything from positive feelings and self-esteem to the ability to concentrate and learn new things. 
  • Social Relationships: Examining the quality of personal relationships, the strength of social support networks, and even sexual activity. 
  • Environment: Looking at practical, real-world factors like financial security, physical safety, the comfort of one’s home, and access to healthcare. 

The participants who underwent CBT saw significant improvements across all of these areas. This demonstrates that effective treatment doesn’t just happen in a therapist’s office. It radiates outward, improving every facet of a person’s existence.

True recovery, as this study shows, is about building a life that is so robust and fulfilling that the old addictive behaviors no longer hold the same power or appeal. 

Conclusion: A New Framework for Change

The findings from this study in Kazakhstan provide a powerful, evidence-based roadmap for recovery that moves far beyond the limited concept of willpower.

It shows that addiction, in its many forms, is not a moral failing but a condition that responds remarkably well to structured, compassionate, and science-backed intervention. 

By focusing on cognitive and behavioral strategies, individuals can achieve not just abstinence, but a transformative and holistic improvement in their lives. The tools exist, the evidence is clear, and the potential for change is immense.

This research leaves us with a vital question to consider: 

If we can treat these complex issues so effectively, what does that change about how we should approach mental health and personal growth in our own lives? 

Are you a professional looking to stay up-to-date with the latest information on, sex addiction, trauma, and mental health news and research? Or maybe you’re looking for continuing education courses? Then you should stay up-to-date with all of Dr. Jen’s work through her practice’s newsletter!

Do you feel your sexual behavior, or that of someone you love, is out of control? Then you should consult with a professional.

Are you looking for more reputable data-backed information on sexual addiction? The Mitigation Aide Research Archive is an excellent source for executive summaries of research studies.

#addiction #addictionRecovery #addictionTreatment #alcoholAbuse #alcoholRecovery #alcoholUse #alcoholUseDisorder #cbt #cognitiveBehavioralTherapy #drugAbuse #drugAddiction #drugAddictionRecovery #drugUse #evidenceBasedTherapy #gambling #gamblingAddiction #kazakhstan #therapyOutcomes #willpower

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2025-10-28

4 Surprising Ways Cannabis Use Disorder Impacts the Brain

Originally Published on October 28th, 2025 at 08:00 am

More Than a Buzz, According to a Major New Study

As cannabis continues to be legalized for recreational and medical use across North America, public debate often centers on its benefits, risks, and social implications. This has become a public health priority. It’s sparking discussions about everything from tax revenue to addiction potential. Lost in the noise, however, is a more nuanced and critical question: what are the lasting, residual effects on the brain not just from using cannabis, but from developing a Cannabis Use Disorder (CUD)? 

For years, research has been muddled by controversy. Some studies suggest significant cognitive decline. Others finding only minimal effects.

A major reason for this confusion is many studies lump together recreational users with those who have a clinical disorder. A new, large-scale meta-analysis published in the journal Addictive Behaviors cuts through this ambiguity by focusing specifically on individuals diagnosed with CUD. 

This article distills the four most important takeaways from this major review. Here’s some clear, evidence-based answers on how Cannabis Use Disorder leaves a measurable mark on our cognitive abilities.

1. Cannabis Use Disorder Isn’t Just a Label—It’s a Critical Distinction 

Much of the confusion around cannabis’s long-term cognitive effects comes from studies that don’t distinguish between recreational use and a clinical disorder. This new meta-analysis makes that distinction its central focus, and the results are revealing. 

The core finding is that while recreational use may be associated with minimal or small deficits, Cannabis Use Disorder is linked to clear, moderate cognitive impairments.

The researchers draw a parallel to alcohol consumption. The cognitive impact seen in individuals with alcohol use disorder is significantly larger than what is observed in those who drink recreationally. 

This distinction is the key that unlocks the rest of the study’s findings. Now that we’ve isolated the CUD population, the next question is: what exactly does this impairment look like? 

Do you have enough hours for your LPC renewal? Are you in need of continuing education, but bored with the current offerings? Check out Dr. Weeks’ course on Cannabis Use Disorder, and other unique courses on her practice website.

Sexual Addiction Treatment Services has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7250. Programs that do not qualify for NBCC credit are clearly identified. Sexual Addiction Treatment Services is solely responsible for all aspects of the programs.

2. The Damage Is Specific, Not Widespread

The cognitive impact of CUD isn’t a blunt, uniform fog across the entire brain. Instead, the meta-analysis shows that the impairments are concentrated in specific domains. The study found “small-to-moderate” impairments across several areas, with the largest deficits observed in five key domains: 

  • IQ: The most significant deficit found. It reflects a moderate impairment in overall cognitive reasoning and problem-solving abilities. 
  • Verbal Learning: The ability to learn and absorb new information presented through words. It manifests as an impairment making it harder to retain material from a lecture or meeting. 
  • Verbal Memory: The capacity to recall that learned verbal information later. A deficit can manifest as struggling to remember conversations or key details from something you’ve read. 
  • Working Memory: The mental “scratchpad” used for holding and manipulating information for short-term tasks. Impairment here makes it harder to follow multi-step instructions or perform mental calculations. 
  • Speed of Processing: How quickly you can perceive, process, and respond to information. A deficit can slow down reaction times and the ability to keep up in fast-paced conversations or environments.

To emphasize this specificity, the study also identified the cognitive domains that were least affected.

Among them were attention and verbal fluency; the ability to retrieve words from your mind. This targeted impact suggests a more complex mechanism than simple, widespread damage.

3. The Impact of Cannabis Use Disorder Is Comparable to “Harder” Drugs

In a finding that challenges longstanding public perception, the study reveals how the cognitive deficits from CUD stack up against those from other substance use disorders.

The research shows that the magnitude of the impairments in verbal memory and working memory for individuals with CUD is in a similar range to the deficits seen in people with alcohol, cocaine, and methamphetamine use disorders. 

However, a critical distinction adds another layer of complexity.

One important difference is that CUD is associated with less diffuse cognitive deficits. While the depth of impairment in those specific memory-related areas is comparable to other substance use disorders, the overall breadth of cognitive damage appears to be narrower. 

This directly challenges the common perception of cannabis as a relatively benign substance. Especially when its use escalates to the level of a disorder. The researchers highlight the importance of this finding for how the scientific and medical communities view the substance. 

“The similitude of findings between substances confirms the importance of paying attention to individuals with a CUD when studying the residual cognitive effects of cannabis.”

Are you exploring your trauma? Do you feel your childhood experiences were detrimental to your current mental or physical health? Utilize this free, validated, self-report questionnaire to find out.

Take the Adverse Childhood Experience (ACE) Questionnaire

4. It Presents a Surprising Scientific Mystery

The targeted nature of these cognitive deficits presents a fascinating paradox for neuroscientists.

The primary psychoactive compound in cannabis, Δ9-THC, acts on the brain’s CB1 receptors. From a biological standpoint, this is significant because, as the paper notes, CB1 receptors are “among the most abundant throughout the brain.” 

Based on that fact, scientists would expect that chronic, heavy cannabis use would cause diffuse, widespread cognitive effects across many domains.

Yet, as this meta-analysis confirms, the effects are actually quite specific.

This discrepancy suggests the full story is more complex than we currently understand. The authors propose this paradox “indirectly suggests that other cannabinoid receptors than CB1 receptors are mediating the cognitive effects of cannabis,” pointing toward an important new direction for future research.

Conclusion: A Sobering Reminder in the Age of Legalization

This comprehensive meta-analysis sends a clear message: Cannabis Use Disorder is not a trivial condition.

It is linked to real, measurable, and moderate cognitive deficits in crucial areas like memory, processing speed, and overall IQ.

Furthermore, these deficits are not insignificant when compared to those associated with other well-known substance use disorders. 

The study’s authors point to a pressing public health concern, noting that “the perceived risk associated with regular cannabis use has been declining in youths since the legalization of the substance.”

While the policy debates will surely continue, this research provides a sobering reminder that the conversation must include a clear-eyed view of the consequences that arise when use crosses the line into a disorder. 

As the perception of risk declines, the critical public health challenge becomes clear: how do we effectively communicate the line between casual use and the measurable cognitive costs of a disorder?

Are you a professional looking to stay up-to-date with the latest information on, sex addiction, trauma, and mental health news and research? Or maybe you’re looking for continuing education courses? Then you should stay up-to-date with all of Dr. Jen’s work through her practice’s newsletter!

Are you looking for more reputable, data-backed information on sexual addiction? The Mitigation Aide Research Archive is an excellent source for executive summaries of research studies.

#cannabinoid #cannabinoids #cannabis #cannabisEffectsOnLearning #cannabisUseDisorder #drugAbuse #drugAddiction #drugAddictionRecovery #drugUse #effectsOfCannabis #effectsOfDrugUse #longTermCannabisEffects #longTermCannabisUse #mentalHealth #research #researchArticle #researchStudy #study #THC

Cannabis Use Disorder and the four domains affected by it
A Guy Named Brian (he/him)GuyNamedBrian
2025-07-25

Such a hateful policy: “President Donald Trump’s new executive order … called ‘Ending Crime and Disorder on America’s Streets,’ attempts to defund ‘housing first’ and ‘harm reduction’ approaches to homelessness. Both strategies have played heavily in Mayor Mike Johnston’s housing efforts in Denver, and many researchers say they are backed by evidence.”

denverite.com/2025/07/25/trump

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