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Rewiring the Reward Center: How the Brain Heals in Early Sobriety
Addiction Emily Kurnell Addiction Emily Kurnell

Rewiring the Reward Center: How the Brain Heals in Early Sobriety

Early sobriety is often described as a fog lifting, a slow return to clarity, or a reawakening of the self. But beneath those emotional shifts lies something even more profound: the brain’s reward system is beginning to reset itself.Understanding this process can help you stay grounded, patient, and hopeful as you move through the early stages of recovery.

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Are We Treating Addiction — or Just Medicating It?
Emily Kurnell Emily Kurnell

Are We Treating Addiction — or Just Medicating It?

In the addiction field, we talk a lot about “root causes.” Trauma. Stress. Disconnection. Emotional pain. Genetics. Environment. Learned coping patterns. These are the forces that shape a person’s relationship with substances long before the first drink, pill, or hit ever becomes a problem.

Yet in the broader healthcare system, addiction is often approached through a very different lens — one shaped heavily by the pharmaceutical industry. Medications can play a valuable role in stabilizing people, reducing harm, and supporting recovery. But when medication becomes the primary or only intervention, something essential gets lost.

From where I sit as an addiction specialist, the issue isn’t that pharma is “evil” or intentionally blocking recovery. It’s that the system is built to prioritize symptom management over root‑cause healing, and pharmaceutical solutions fit neatly into that model.

Let’s unpack what that means.

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Polysubstance Use and the Path to Fentanyl Addiction: Understanding the Risks and the Road to Recovery
Emily Kurnell Emily Kurnell

Polysubstance Use and the Path to Fentanyl Addiction: Understanding the Risks and the Road to Recovery

By: An Addiction Specialist

Polysubstance use—mixing or alternating between multiple substances—is one of the most dangerous patterns I see in addiction work. Many people don’t start with fentanyl. They begin with alcohol, cannabis, cocaine, benzodiazepines, or prescription opioids. Over time, tolerance grows, the brain adapts, and the search for a stronger or more reliable high begins.

This is often where fentanyl enters the picture—sometimes intentionally, sometimes without the person even knowing. And once fentanyl becomes part of the cycle, the risks escalate dramatically.

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When Someone You Love Is Struggling: How Loved Ones Can Seek Help for Addiction
Emily Kurnell Emily Kurnell

When Someone You Love Is Struggling: How Loved Ones Can Seek Help for Addiction

A perspective from an addiction specialist

When a partner, child, sibling, or close friend is battling addiction—whether it’s substances like alcohol or drugs, or behavioural addictions like gambling, pornography, or compulsive spending—the emotional weight can be overwhelming. Loved ones often carry fear, confusion, guilt, and exhaustion, all while trying to “hold everything together.”

As an addiction specialist, I want to say this clearly: you deserve support too. Addiction affects the entire family system, and healing requires care for everyone involved—not just the person using.

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Supporting a Loved One with Addiction: Guidance, Solutions, and Hope
Emily Kurnell Emily Kurnell

Supporting a Loved One with Addiction: Guidance, Solutions, and Hope

When someone you care about is struggling with Substance Use Disorder (SUD) or a behavioral addiction (such as gambling, pornography, or compulsive eating), it can feel overwhelming. You may experience fear, frustration, or helplessness. Addiction is not simply a matter of willpower—it is a complex condition involving brain chemistry, emotional regulation, and environmental triggers.

The good news: help is available, and recovery is possible with the right support.

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