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doorhammeryesterday at 3:22 PM1 replyview on HN

I think you're interpreting

> I understand how people can get addicted to it

as

> I understand how people can get addicted to it and I endorse it as a route to making all your worries go away.

I'm going to put words in the ops mouth here and assume what they were communicating is more akin to: "It's absolutely terrifying how quickly, easily, and thoroughly fentanyl can erase your sufferings and worries, replacing them with a feeling of total peace."

I'm assuming they didn't immediately become a fentanyl addict, precisely because they understand how destructive a path to equanimity it is.

Meditation and therapy are great, but addiction disorders often come with comorbidities like (or are comorbid to) PTSD, ADHD, MDD, and bipolar disorder. These are all things that can make establishing a habit like meditation difficult to impossible. Combine that with a lack of life skills and limited access to healthcare (or a complete unfamiliarity with navigating that system re:life skills) and therapy feels impossible as well.

In the last two years I've lost two very close family members to fentanyl. We scheduled therapy sessions and drove them there ourselves, we helped try to find rehab centers, we worked with them to find jobs, walked them through buying cheap transport on craigslist, helped work through medicaid paperwork with them, connected them with people we know who've gone through similar things, and in the end, they didn't make it.

I'm going to guess you're getting down-voted because your response interprets the OP as being against or unaware of meditation and therapy as tools for healthy living; it reads as lacking empathy and a recognition of the realities of addiction.

I'd encourage you to look into the literature in that area and read through the stories of people who have gone through it and survived. I find that for me it was especially helpful to find the stories of people who had life circumstances similar to mine, and still fell into addiction.

I also have strong opinions on the likelihood that meditation and therapy could mimic or match the physiological response a brain has to fentanyl, but the whole topic is draining for me. I hope you'll forgive me for passing on it. I think it might be worth your time to specifically research the physiological mechanisms as well, though.


Replies

zozbot234yesterday at 4:11 PM

It's less a reading of "GP endorses it as a route to making all your worries go away" and more one of "GP thinks it should be especially salient to us as a route to making all your worries go away". This is where I disagree. If the thought of erasing all your worries from the mind is tempting to you to the point that you "understand" the addictive potential of a narcotic drug through that one lens, your first-line approach should be learning about equanimity and structured therapy, not strong narcotics.

Also, clearly we don't need to "match the physiological response a brain has to fentanyl" (though there are newer substances like suboxone, now approved for medical use in the US and the EU, that seem to have some limited potential wrt. this), we only have to offer genuinely viable and sustainable approaches (which of course fentanyl isn't) to the narrower issue of dealing with the stressful worries in one's life.