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The Neuroscience of Reducing Chronic Pain and Everyday Addictions | Eric Garland

58 min episode · 2 min read
·
Eric Garland

Episode

58 min

Read time

2 min

Topics

Productivity, Health & Wellness, Fundraising & VC

AI-Generated Summary

Key Takeaways

  • The STOP Technique: Before engaging in an addictive habit — scrolling, overeating, drinking — pause, take 30–60 seconds of mindful breathing, observe thoughts and cravings without judgment, then proceed with conscious intention. This interrupts the automatic neural loop driving the behavior and, with repetition, weakens craving intensity over time without requiring lengthy formal meditation sessions.
  • Mindful Pain Relief (Zoom In/Out): Focusing attention directly on pain sensations and breaking them into subcomponents — heat, tightness, tingling — rather than resisting them reduces acute pain by roughly 30% on average, comparable to 5mg of OxyContin. Toggling between breath focus and pain sensation reveals that pain is impermanent and less solid than catastrophic thinking suggests.
  • Reappraisal via ABCDE Framework: When stress arises, identify the Activating event, Beliefs driving distress, emotional Consequences, then Dispute those beliefs by asking what a trusted advisor would think, whether a hidden benefit exists, and how the challenge builds personal growth. Evaluating the outcome completes the cycle. This process measurably reduces skin conductance stress responses in clinical trials.
  • Savoring Rewires the Reward System: Addiction and chronic pain desensitize the brain to natural pleasure. Spending 20–60 seconds deliberately focusing on pleasant sensory experiences — sunlight on skin, a child's laughter — then turning attention inward to amplify the resulting positive feeling retrains the brain's reward circuitry. MORE clinical data shows this practice directly reduces opioid craving and chronic pain scores.
  • Self-Transcendence as a Craving Substitute: Briefly expanding awareness outward during meditation — sensing whether inner and outer space feel separate, or extending attention toward the horizon — produces inherent positive reward states. These self-transcendent moments offer what researcher Judson Brewer calls a "bigger, better offer," giving the brain a natural alternative to addictive behavior by generating well-being from within rather than seeking it externally.

What It Covers

Neuroscientist Eric Garland explains his Mindfulness Oriented Recovery Enhancement (MORE) protocol — a three-part system combining mindfulness, reappraisal, and savoring — backed by 16 clinical trials and $90 million in federal funding, designed to reduce addiction, chronic pain, and emotional distress in everyday life.

Key Questions Answered

  • The STOP Technique: Before engaging in an addictive habit — scrolling, overeating, drinking — pause, take 30–60 seconds of mindful breathing, observe thoughts and cravings without judgment, then proceed with conscious intention. This interrupts the automatic neural loop driving the behavior and, with repetition, weakens craving intensity over time without requiring lengthy formal meditation sessions.
  • Mindful Pain Relief (Zoom In/Out): Focusing attention directly on pain sensations and breaking them into subcomponents — heat, tightness, tingling — rather than resisting them reduces acute pain by roughly 30% on average, comparable to 5mg of OxyContin. Toggling between breath focus and pain sensation reveals that pain is impermanent and less solid than catastrophic thinking suggests.
  • Reappraisal via ABCDE Framework: When stress arises, identify the Activating event, Beliefs driving distress, emotional Consequences, then Dispute those beliefs by asking what a trusted advisor would think, whether a hidden benefit exists, and how the challenge builds personal growth. Evaluating the outcome completes the cycle. This process measurably reduces skin conductance stress responses in clinical trials.
  • Savoring Rewires the Reward System: Addiction and chronic pain desensitize the brain to natural pleasure. Spending 20–60 seconds deliberately focusing on pleasant sensory experiences — sunlight on skin, a child's laughter — then turning attention inward to amplify the resulting positive feeling retrains the brain's reward circuitry. MORE clinical data shows this practice directly reduces opioid craving and chronic pain scores.
  • Self-Transcendence as a Craving Substitute: Briefly expanding awareness outward during meditation — sensing whether inner and outer space feel separate, or extending attention toward the horizon — produces inherent positive reward states. These self-transcendent moments offer what researcher Judson Brewer calls a "bigger, better offer," giving the brain a natural alternative to addictive behavior by generating well-being from within rather than seeking it externally.

Notable Moment

Garland describes how repeated self-labeling transforms pain experience: saying "I am in pain" enough times causes the preposition to disappear, making a person's entire identity fuse with suffering. The same identity-fusion process occurs in addiction, and both conditions show measurable dysregulation in the brain's default mode network.

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Episode Transcript

This is the Ten Percent Happier podcast. I'm Dan Harris. Hello, everybody. How we doing? Today, we're gonna talk about the neuroscience of reducing your everyday addictions, like scrolling, and shopping, and gambling, and drinking, and eating. Plus, we're gonna talk about how to work with chronic pain, how to reframe your problems, and we're gonna talk about the clinical evidence for stopping and smelling the roses. This is a great interview. I really enjoyed this episode. My guest is a neuroscientist who's come up with a protocol called MORE, which stands for Mindfulness Oriented Recovery Enhancement. This protocol, in my opinion, quite brilliantly weaves in aspects of mindfulness with cognitive behavioral therapy and also has an emphasis on counter programming against your evolutionarily wired negativity bias. This protocol, again, which is called MORE, was originally designed for people with full blown addictions. But as you're about to hear, there are lots of extremely practical ways that everyone can weave aspects of this practice into daily life. And the evidence strongly suggests it will lead to an upgrade in the experience of being alive. My guest is doctor Eric Garland, PhD. He's a professor in the Department of Psychiatry at the University of California in San Diego. As mentioned, he developed mindfulness oriented recovery enhancement. He's also published more than 260 scientific manuscripts and received more than $90,000,000 in research grants. If you're interested in, practicing mindfulness yourself, may I remind you that I've got a meditation app that you might wanna check out. And over on the app, between March 23 and March 27, we're gonna be running a five day meditation challenge, which is inspired by a new Audible original, an audiobook that I recently put out, which is called Even You Can Meditate. I cowrote it and co recorded it with, the great meditation teacher and my close friend, Sebben a Salassie. If you wanna check out the book, you can go to audible.com. And if you wanna join me and Seb for the meditation challenge, just go to danharris.com to sign up for the new app, which is called 10% with Dan Harris. Again, the challenge runs from March 23 through the twenty seventh. Every day during the challenge, you'll get a guided meditation from seven a. And then a couple of times, twice actually, during the course of the challenge, we'll do live sessions so you can, join me and Seb for a live meditation and then ask us some questions. Alright. Enough out of me. We'll get started with doctor Eric Garland right after this. As a small business owner, I am running into business complexities all the time. That is just the deal when you own a business. My team and I are just constantly navigating new challenges and finding out about stuff that we had never considered. And in this work, it is very helpful to have an ally, which brings me to one of our sponsors today, Northwest Registered Agent. They've …

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  • by Eric Garland

    Neuroscientist Eric Garland explains his Mindfulness Oriented Recovery Enhancement (MORE) protocol — a three-part system combining mindfulness, reappraisal, and savoring — backed by 16 clinical trials and $90 million in federal funding

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