Mindfulness-Oriented Recovery Enhancement Remediates Hedonic Dysregulation in Opioid Users: Neural and Affective Evidence of Target Engagement

Garland, E. L., Atchley, R. M., Hanley, A. W., Zubieta, J. K., & Froeliger, B. (2019). Mindfulness-Oriented Recovery Enhancement remediates hedonic dysregulation in opioid users: Neural and affective evidence of target engagement. Science advances, 5(10), eaax1569.
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Addiction neuroscience models posit that recurrent drug use increases reactivity to drug-related cues and blunts responsiveness to natural rewards, propelling a cycle of hedonic dysregulation that drives addictive behavior.

Wellness and Recovery in the Addiction Profession Part Five: Mindfulness with Clients - Sitting with Discomfort


Many of our clients react to strong emotions by trying to get rid of them through the use of substances. Mindfulness can help clients manage uncomfortable feelings and avoid impulsive reactions or acting out. Mindfulness techniques can be added to standard treatment protocols and programs for little to no cost, and they can be used with both staff and clients.

Mindfulness to Treat Addiction

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Sanctuary of Transformation

Mindfulness is a concept that has gained significant popularity over the past few years that involves the practice of being fully present.

Mindfulness involves the nonjudgmental awareness of thoughts, feelings, and surroundings.

Mindfulness in addiction treatment can be used in recovery programmes and rehabilitation facilities.

Adolescent Brain Development, Substance Use, and Psychotherapeutic Change

Wetherill, R., & Tapert, S. F. (2013). Adolescent brain development, substance use, and psychotherapeutic change. Psychology of Addictive Behaviors, 27(2), 393.

Adolescence involves dramatic biologic, psychological, and behavioural changes.

Adolescents respond, learn and explore their environment, forming new relationships and further developing their identity.

It is often a time where individuals are more likely to participate in risky behaviour, frequently influenced by substance use. Substance use among adolescents ranges from experimentation to severe substance use disorders.

Mindful Body Awareness Training as Part of Treatment for Substance Use Disorder

Price, Cynthia J., Elaine Adams Thompson, Sheila Crowell, and Kenneth Pike. "Longitudinal effects of interoceptive awareness training through mindful awareness in body-oriented therapy (MABT) as an adjunct to women’s substance use disorder treatment: A randomized controlled trial." Drug and Alcohol Dependence (2019).
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The experiencing of intense emotions, low-stress tolerance, avoidance, and feelings of a loss of control can negatively impact substance use disorder treatment outcomes. This type of emotion dysregulation may be linked with problems with interoceptive processing, which is the experience of sensations from within the body. And in turn, it is believed that interoceptive processing may influence certain behaviours and decision making.

Cognitive and Mindfulness‐Based Therapy for Adolescents with Co‐Occurring Post‐Traumatic Stress and Substance Use Disorder

Fortuna, Lisa R., Michelle V. Porche, and Auralyd Padilla. "A treatment development study of a cognitive and mindfulness‐based therapy for adolescents with co‐occurring post‐traumatic stress and substance use disorder." Psychology and Psychotherapy: Theory, Research and Practice 91, no. 1 (2018): 42-62.
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Early life experiences of trauma are known to significantly increase the risk of substance use in adolescence and adulthood. It has been suggested that individuals may use alcohol or drugs as a means of temporarily relieving themselves from psychological distress, however this can lead to increased emotional dysregulation in the long term.