06/02/2026
DBT Skills. DBT for Substance Abuse (SUD) & Addiction. Mindfulness.
Mindfulness practices are especially important in the early days of abstinence. Many of us use high-dopamine substances and behaviours to distract ourselves from our own thoughts.
When we first stop using dopamine to escape, those painful thoughts, emotions, and sensations come crashing down on us.
The trick is to stop running away from painful emotions and instead allow ourselves to tolerate them. When we’re able to do this, our experience takes on a new and unexpectedly rich texture.
The pain is still there, but somehow transformed, seeming to encompass a vast landscape of communal suffering,
rather than being wholly our own.
When I gave up my reading habit, I was gripped in the first several weeks by an existential terror. I lay on the couch in the evening, a time when I would normally reach for a book or some other method of distraction, with my hands folded over my stomach, trying to relax but instead feeling full of
dread.
I was astounded that such a seemingly small change in my daily
routine could fill me with so much anxiety.
Then, as the days passed and I continued the practice, I experienced a gradual relaxing of my mental boundaries and an opening up of my awareness. I began to see that I didn’t need to continually distract myself from the present moment. That I could live in it and tolerate it, and maybe even something more.
Reference: Dopamine Nation. Finding Balance in the Age of Indulgence. Anna Lembke. M.D.
DBT - Dialectical Behavioural Therapy, 2026, All rights reserved.