The important thing with serotonin, is to keep it at steady levels.

The important thing with serotonin, is to keep it at steady levels. The medicines that raise the level of serotonin in the brain do so by slowing the reabsorbtion of serotonin. The alcohol increases the availible serotonin for a bit and then it drops off quickly, leaving the depressed person feeling worse, and they tend to not take the medicine correctly when they feel badly or are drunk. High serotonin levels do not mean somebody will feel happy or good, It makes it more likely that they won't feel realy bad.

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It isn’t necessary to take a strictly spiritual view in order to recognize the existence of some kind of power higher than the self.

William Bateson
William Bateson (Photo credit: Wikipedia)
 The higher power referred to in A.A. may simply turn out to be the complex dynamics of directed group interaction, i.e., the group as a whole. It is a recognition of holistic processes beyond a single individual—the power of the many over and against the power of one. Sometimes that form of submission can be healthy. Addicts seem to benefit from being in a room with people who understand what they have been through, and the changes they are now facing. It is useful to know that they are not alone in this. “The unit of survival—either in ethics or in evolution—is not the organism or the species,” wrote Bateson, “but the largest system or ‘power’ within which the creature lives.” In behavioral terms, A.A. enshrines this sophisticated understanding as a first principle.

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Hitting bottom may come in the form of a wrecked car, a wrecked marriage, a jail term, or simple the inexorable buildup of the solo burden of drug-seeking behavior.

Illegal Drug Addiction and Substance Abuse
Illegal Drug Addiction and Substance Abuse (Photo credit: epSos.de)

 While the intrinsically spiritual component of the A.A. program would seem to be inconsistent with the emerging biochemical models of addiction, recall that A.A.’s basic premise has always been that alcoholism and drug addiction are diseases of the body and obsessions of the mind.
When the shocking moment arrives, and the addict hits bottom, he or she enters a “sweetly reasonable” and “softened up” state of mind, as A.A. founder Bill Wilson expressed it. Arnold Ludwig calls this the state of “therapeutic surrender.” It is crucial to everything that follows. It is the stage in their lives when addicts are prepared to consider, if only as a highly disturbing hypothesis, that they have become powerless over their use of addictive drugs. In that sense, their lives have become unmanageable. They have lost control.

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