In love addiction that experience of: 'Oh my God, I'm in love... I feel whole, and I feel like I've known this person forever.' That is a feeling that you have to have all the time. You become addicted to it.
All medicine is gradations and differences and nuances. And there's such a thing as natural recovery: people spontaneously get better. It happens.
Trauma survivors have a deficiency in their capacity to regulate emotions - they're too prolonged and too intense and too negative. As a corollary to affect regulation, self-esteem, sense of self and inter-personal functioning all goes downhill. And that's a chronic thing that's solved in an-inter personal context.
Back in the day, I was the first non-recovering doctor working in recovery. People would say, 'You can't do that! We need recovering guys in this.' But usually recovering doctors have a lot of baggage and so there's a certain amount of liability with a recovering doctor. But of course it can be ideal.
I trust my recovering peers completely. I'll occasionally look sideways at them because they're addicts but it would break my heart and surprise me to find out that any of these people were lying. Still, addiction is cunning and baffling and you never know.
Trauma super charges addiction and makes it really bad. It doesn't necessarily cause it, though it can trigger it. It's not necessarily the issue but if you have bad addiction, it's there.
It's so self-evident that I have to live my own history, to remind people the fact that I got into radio back in the early '80s was because of AIDS and HIV. It was what motivated me - that was the topic that I felt was so important that I had to talk about it, educating young people about it.
When you get your viral load down to zero, you reduce the risk of transmission of HIV by 90 percent.
In the late 90s I was hired to participate in a 2 year initiative discussing intimacy and depression which was funded by an educational grant by Glaxo Wellcome.
You should hear all the people talking to me about Heath Ledger, and yet I'm the only person shooting his mouth off out there about what everyone actually already knows.
The term 'doctor' has been so abused lately! I didn't live in a hospital for 10 years so that term could be bastardized.
Particularly women need to pay attention to what is unique to their own personal biology and emotional systems, and not deny it.
If you have a history of being attracted to people who have failed you in relationships, find people that aren't so exciting and aren't quite so attractive. Try that on for size and see if you can tolerate that.
If people fit together, they fit for a reason. It's usually the sickest part of one person fitting into the attraction of the sickest part of another.
What people have trouble getting their head around is the idea that a celebrity, somebody whom they admire, somebody who seems to have everything, would even be depressed.
Just like everybody else, celebrities have brains and those brains get conditions - addiction, depression.
People now know of the word intervention and think they understand what it means, but more often than not they go about intervening the wrong way. I see people staging things on their own. But discussing the nature of somebody's condition over breakfast isn't an intervention.
An intervention is much more than telling someone they have a problem in a unified fashion; treatment options should be in place.
Addiction has a worse prognosis than most cancers. I tell someone they have cancer and they want to be airlifted to a cancer treatment center; I tell someone they have an addiction and they're going to die and they want to argue with me about the treatment.
Patrick Melrose' is a frantically accurate exploration of the addict mind tormented by trauma, magnificently brought to life by Benedict Cumberbatch. At its core, it is a story that has a timeless quality with echoes of Cervantes.
Childhood trauma is the rocket fuel for addictive pathology, and this fundamental truth is laid bare in 'Patrick Melrose.'
I, myself, have not infrequently come across recovering addicts years later that I had given up on. It is like seeing a ghost come to life. The transformations can be astonishing.
People have sort of been swirling around me, going, 'Oh, you should run for mayor.' Well I didn't really want that job. 'Well, you should run for governor.' Well, that's not really possible.
When I started out, no one would talk to young people about HIV or AIDS. I looked around and radio looked like a powerful way to shape culture in a healthy way.
In terms of establishing a connection between a therapist and a patient, that work needs to be done in person.
People who have had severe childhood traumas lack the ability to regulate emotions and, as a result, gravitate toward whatever primitive means they can come up with.
We want to blame people who have brain disorders - they should somehow be able to magically rise above it. It's a profound misconception.
Narcissism is the result of longstanding behavioral patterns that reflect fixed brain functioning. It requires a lot of motivation to change these patterns.