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Cracking Addiction
Meducate
204 episodes
5 days ago
Seeking answers about addiction or supporting someone on the path to recovery? Welcome to Cracking Addiction, the podcast that empowers you with knowledge and hope. Hosted by Addiction Medicine Specialist Dr. Ferghal Armstrong, we explore the science of addiction, effective treatments, and inspiring recovery stories. Whether you're facing addiction, helping a loved one, or a professional seeking insights, this podcast is for you. Join us weekly for expert discussions on substance abuse, behavioral addictions, and their impact on lives. Subscribe now to become part of our healing community
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Medicine
Health & Fitness
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All content for Cracking Addiction is the property of Meducate and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Seeking answers about addiction or supporting someone on the path to recovery? Welcome to Cracking Addiction, the podcast that empowers you with knowledge and hope. Hosted by Addiction Medicine Specialist Dr. Ferghal Armstrong, we explore the science of addiction, effective treatments, and inspiring recovery stories. Whether you're facing addiction, helping a loved one, or a professional seeking insights, this podcast is for you. Join us weekly for expert discussions on substance abuse, behavioral addictions, and their impact on lives. Subscribe now to become part of our healing community
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Medicine
Health & Fitness
Episodes (20/204)
Cracking Addiction
From Dopamine to Disease: Understanding the Addiction-Cancer Connection

From Dopamine to Disease: Understanding the Addiction-Cancer Connection.

What’s the hidden link between addiction and cancer? In this Cracking Addiction episode, Dr. Ferghal Armstrong and UC San Diego’s Dr Raphael E. Cuomo reveal how lifestyle and cancer risk intertwine.

Discover how cancer prevention and healthy lifestyle choices can transform your health and lower risks, including skin cancer and lifestyle choices like sun exposure or smoking.

Dr. Cuomo debunks the myth that lifestyle and cancer are solely genetic, diving into how addiction and cancer connect through neurobiology—think dopamine, mesolimbic pathways, and epigenetics.

Learn how modifiable habits, from processed foods and red meat to screen time and stress, fuel lifestyle and cancer risk. Skin cancer and lifestyle choices, like neglecting sunscreen, and behavioural addictions, like binge-watching or social media scrolling, silently drive disease.

This episode empowers you with cancer prevention and healthy lifestyle strategies to break free from self-sabotaging cycles.

Dr. Armstrong and Dr. Cuomo unpack actionable health tips, showing how lifestyle and cancer are shaped by daily choices. From understanding addiction’s grip on your brain to adopting cancer prevention and healthy lifestyle habits, this science-backed guide offers hope for addiction recovery and long-term wellness.

Whether you’re aiming to reduce lifestyle and cancer risk or live healthier, this video delivers insights on the biology of wellness and proactive prevention.

Get The Book Crave: The Hidden Biology of Addiction and Cancerhttps://raphaelcuomo.com/crave

Subscribe for more addiction and cancer insights! Share your health journey below!

Chapters:00:00:00 Introducing Dr. Raphael Cuomo: Background and Professional Focus

00:01:59 Lifestyle Factors and Cancer Risk: Beyond Smoking

00:02:44 The Role of Diet, Sugar, and Red Meat in Cancer Development

00:04:42 Addictive Behaviors and Lesser-Known Cancer Risks

00:05:29 Moving Public Health “Upstream”: Changing Mindsets, Not Just Behaviours

00:06:29 Why We Struggle to Establish Healthy Habits00:07:52 Addiction Pathways: Dopamine and Lifestyle Diseases

00:08:08 Cancer as a Modifiable Lifestyle Disease

00:09:01 Brain Pathways Involved in Addiction

00:10:11 Dopamine: “Wanting” vs. Pleasure, and the Hijacking of Reward Systems

00:12:10 How Addictive Foods and Behaviours Fuel Chronic Illness

00:13:43 The Modern Difficulty with Rest, Repair, and Reflection

00:15:03 Linking Lifestyle Addiction to Cancer: The Prevention 2.0 Model

00:16:29 Are Addictive Substances Directly Carcinogenic

00:17:55 How Process Addictions like Food and Screen Time Affect Cancer Risk

00:20:10 Epigenetics and How Lifestyle Changes Influence Cancer Outcomes

00:22:39 The Chain: Addiction, Lifestyle, Epigenetics, and Cancer Risk

00:23:22 Professor Cuomo’s Book: The Hidden Biology of Addiction and Cancer

00:24:49 Closing Remarks and Reflections on Healthy Change

#AddictionAndCancer #CancerPreventionAndHealthyLifestyle #LifestyleAndCancerRisk #SkinCancerAndLifestyleChoices

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5 days ago
25 minutes 7 seconds

Cracking Addiction
The Truth About Pill Testing: Myths, Facts, and Public Health Impact

The Truth About Pill Testing: Myths, Facts, and Public Health Impact.Ready to uncover the truth behind pill testing news?

Dr. Ferghal Armstrong dives into pill testing Australia, revealing what is pill testing and its impact on public health.

Forget myths—pill testing at festivals uses drug testing techniques like gas chromatography and mass spectrometry to identify dangerous substances in party drugs, with up to half containing unexpected or deadly compounds like fentanyl or nitazenes, as seen in recent 7 news pill testing reports.

Dr. Armstrong explores pill testing music festivals, from groovin the moo trials to Victoria’s Beyond the Valley, where over 700 festival-goers used pill testing at music festivals in 2024, with one in six discarding drugs after results. Does pill testing work?

Data shows nearly 20% of users avoid drugs post-testing, debunking the pill testing debate myth that it encourages use. The victorian governments pill testing stance has shifted since Dan Andrews pill testing opposition, with 2025 trials expanding to festivals like Pitch Music and Arts, supported by drug testing advocates.

These confidential, judgment-free services offer harm reduction advice without condoning drug use, aligning with global pill testing australia trends. Learn how pill testing at festivals saves lives, as highlighted in 7 news pill testing coverage of NSW’s Yours and Owls trial, where 10% of drugs were mislabelled.

Whether you’re a festival-goer, parent, or health advocate, this episode unpacks festival safety and party drug dangers.

Join the push for smarter drug testing policies!

Chapters

00:00:00 Introduction: What is Pill Testing?

00:00:46 Drug Use at Festivals and the Role of Pill Testing

00:01:37 How Pill Testing Works: Scientific Analysis and Harm Reduction

00:02:36 Confidential, Non-Judgmental Advice for Users

00:03:35 What’s Really in Party Drugs? Surprising and Dangerous Results

00:04:27 Does Pill Testing Encourage Drug Use? Evidence and Myths

00:05:06 Pill Testing and User Behaviour: The Impact of Results

00:05:59 Confidentiality, Legal Protections, and Access to Help

00:07:18 Pill Testing’s Influence on Drug Policy and Public Health

00:08:20 Conclusion: Pill Testing as a Life-Saving, Compassionate Service

Share your thoughts below!

#PillTestingAustralia #PillTestingMusicFestivals #DoesPillTestingWork #HarmReduction

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1 week ago
8 minutes 30 seconds

Cracking Addiction
How Your Gut Impacts Anxiety: Exploring the Surprising Brain-Gut Connection

Ever felt gut feeling vs anxiety and wondered how can you listen to your gut feeling when you have anxiety and OCD? In Cracking Addiction: Anxiety & The Gut, Dr. Ferghal Armstrong unravels the gut brain connection behind anxiety gut feeling. Discover how the gut brain axis and enteric nervous system—your “second brain”—link mental health to digestion. Struggling with relationship anxiety or true gut feeling? This video reveals how to calm down anxiety gut feeling naturally!Dr. Armstrong dives into the vagus nerve and mental health, showing how the gut microbiome and mood are tied through serotonin production in gut—90% of your serotonin comes from your gut, not your brain! Learn how gut health and anxiety connect via leaky gut anxiety, inflammation and mental health, and the gut brain axis. Stress and gut health can worsen anxiety disorder, but probiotics for anxiety, fiber rich diet gut health, anti inflammatory gut foods, and omega 3 for brain health offer relief.Packed with holistic approach anxiety tips, this episode explores coping strategies like cognitive behavioral therapy gut strategies, mindfulness for anxiety, and DBT TIP skills to manage stress management gut issues. Dr. Armstrong shares how foods for gut bacteria and a fiber rich diet gut health can boost mental health and digestion. Curious about how to calm down anxiety gut feeling or distinguish intuition from anxiety disorder? This video has answers.Whether you’re exploring gut health and anxiety or seeking a holistic approach anxiety, this science-backed guide delivers. Download our FREE mental health tools infographic—link in the show notes! Subscribe for more mental health insights! Share your anxiety gut feeling story below! Chapters00:00:00 Gut Feelings: How Your Brain and Belly Are Connected00:00:50 The Enteric Nervous System: Your “Second Brain”00:01:31 Serotonin, Gut Microbiota, and Mental Health00:02:15 Three Routes from Gut to Brain: Neural, Hormonal, Immune00:03:01 Chronic Inflammation: The Link Between Gut, Anxiety, and Depression00:03:47 Treating the Mind Helps the Gut—And Vice Versa00:04:22 Simple Gut-Healthy Habits: Diet, Movement, and More00:05:17 Final Thoughts: Why Supporting Your Gut May Reduce Anxiety#GutFeelingVsAnxiety #GutBrainConnection #MentalHealth #AnxietyGutFeeling #HolisticApproachAnxiety

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2 weeks ago
6 minutes 1 second

Cracking Addiction
A Step-By-Step Emergency Plan for Coping With Panic and Anxiety

A Step-By-Step Emergency Plan for Coping With Panic and Anxiety.Are you battling sudden anxiety attacks or panic attacks and need how to stop anxiety attacks right now?

In this Cracking Addiction episode, Dr Ferghal Armstrong delivers your emergency anxiety toolkit—a step-by-step plan for anxiety and panic attack help! Whether you’re seeking how to stop panic and anxiety attacks for good, tackling anxiety at work, or fighting how to stop anxiety attacks and overthinking, this guide has you covered.

Dr Ferghal Armstrong explains why panic attacks strike, unpacking the role of adrenaline and hyperventilation in your body. Learn coping strategies and mental health tools like the 54321 technique for grounding techniques, square breathing, and 4-7-8 breathing to calm your mind fast.

Discover paced breathing and progressive muscle relaxation to ease tension, plus dialectical behavior therapy tricks like DBT TIP skills (Temperature, Intense exercise, Paced breathing) to stop anxiety attacks in their tracks—whether at home or anxiety at work.Curious about how to stop anxiety attacks at work or when diazepam fits into anxiety treatment?

Dr. Armstrong reveals when meds help and why your own anxiety management tools often outshine the medicine cabinet. From grounding techniques to environment tweaks, these science-backed mental health tools empower you to take control, no matter if anxiety attacks are new or longstanding.For instant anxiety and panic attack help, grab our FREE downloadable Emergency Anxiety Toolkit infographic—link in the show notes! Save it, print it, or keep it on your phone for how to stop anxiety attacks right now, anytime, anywhere.

This episode blends actionable coping strategies, expert insights from Dr Ferghal Armstrong, and hope to not just survive but command your next panic attack with confidence.


Download the Emergency Toolkit PDF.https://meducate.now/wp-content/uploads/2025/06/MeducateEmergency-Anxiety-Attack-Toolkit.pdf


Chapters00:00:00 Understanding Anxiety and Panic Attacks

00:00:40 Symptoms and Reality—Why Panic Attacks Aren’t Dangerous

00:01:02 The Importance of Having a Clear Plan

00:01:35 Step 1: Acknowledge the Anxiety Attack

00:01:55 Step 2–3: 5-4-3-2-1 Technique)

00:02:42 The Role of Breathing—Hyperventilation and How to Stop It

00:03:07 Breathing Techniques: Square Breathing and 4-7-8 Breathing

00:03:38 Gentle Movement and the TIP DBT Technique

00:04:21 TIP: Temperature, Intense Exercise, Paced Breathing

00:05:19 Progressive Muscle Relaxation

00:06:02 Why Fast Breathing Happens and How to Reverse It

00:06:26 Practical Slow Breathing Exercise

00:06:54 Medication Use: Diazepam Explained

00:07:35 Practice and Preparation: Emergency Anxiety Toolkit

00:08:03 Recap of the Go-To Anxiety Attack Strategy


#AnxietyAttack #PanicAttack #HowToStopAnxietyAttacksRightNow #DrFerghalArmstrong #MentalHealthTools

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3 weeks ago
9 minutes

Cracking Addiction
Do SSRIs Really Work? Depression Treatment and the Serotonin Debate with Dr Ferghal Armstrong

Do SSRIs Really Work? Understanding Depression Treatment and the Serotonin Debate.Are you wondering how SSRIs work for depression treatment or if they’re right for your mental health? Join Dr. Ferghal Armstrong on Cracking Addiction for a myth-busting dive into selective serotonin reuptake inhibitors, the cornerstone antidepressants for mood disorders like severe depression, mild depression, and moderate depression. This episode unpacks the science behind SSRIs, from the chemical imbalance theory of serotonin to the modern role of neuroplasticity in reshaping brain pathways.Dr. Armstrong explains what do SSRIs do, revealing why antidepressant efficacy isn’t instant—those crucial 4-8 weeks are about brain adaptation, not just a serotonin boost. He breaks down clinical trials, showing where SSRIs outperform the placebo effect and where they fall short, especially for mild depression. With antidepressant controversy swirling, learn why side effects like lethargy or emotional numbness affect many, and why only about half of patients see success, highlighting the need for personalized medicine.This video is essential for anyone navigating depression treatment, supporting loved ones, or prescribing antidepressants as clinicians. Dr. Armstrong explores how therapy options and the therapeutic setting amplify results, while the placebo effect can rival SSRIs in some cases. He tackles real-world challenges, from varying response rates to the push for mental health awareness in choosing the right path.Don’t miss this honest look at SSRIs—their strengths, limits, and role in mental health. Dr. Armstrong’s evidence-based insights from clinical trials empower you to make informed decisions about mood disorders and therapy options. Hit play for trustworthy answers and a fresh perspective on the antidepressant controversy!Chapters00:00:00 Introduction: SSRIs and the Mystery of How They Work00:00:41 How SSRIs Affect Serotonin in the Brain00:01:19 Challenging the Chemical Imbalance Theory00:02:09 Do SSRIs Actually Work? Examining the Evidence00:02:53 The Placebo Effect and Study Limitations00:03:31 Real World Response Rates and What They Mean00:04:05 Clinical Judgment and Finding the Right Treatment00:04:44 Setting Realistic Expectations: SSRIs Are Not Magic Bullets00:05:11 Conclusion: The Evolving Science and Role of SSRIs in Depression

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1 month ago
5 minutes 19 seconds

Cracking Addiction
Can You Stop Antidepressants Safely? Tapering, Withdrawal & Advice from Dr. Ferghal Armstrong

Can You Stop Antidepressants Safely? Tapering, Withdrawal & Advice from Dr. Ferghal ArmstrongAre you—or someone you care about—among the millions taking SSRI antidepressants for anxiety or depression? You're not alone. In this eye-opening episode of Cracking Addiction,

Dr. Ferghal Armstrong dives deep into why Australia has one of the highest rates of antidepressant use in the world, and what that means for long-term health, mental clarity, and emotional well-being.What

You’ll Learn:-What do SSRIs really do to your brain?-Why are so many people on long-term antidepressants?-How to tell the difference between SSRI withdrawal and true relapse-Are SSRIs harmful in the long run?-

The truth about the chemical imbalance theory-Side effects of long-term SSRI use: lethargy, emotional numbness, sexual dysfunction, and more-How to safely taper off antidepressants using Australia’s “Release” programMost antidepressant research focuses on short-term use, but what happens after years or even decades?

This episode reveals the missing pieces in our understanding of long-term SSRI use—and how to take back control if your prescription has turned into a habit.Whether you:-Just started taking SSRIs-Have years of experience with antidepressants-Are a doctor or mental health professional seeking evidence-based strategies-You’ll find practical tools, expert insights, and hope in this episode.

Don't let antidepressants become a silent lifetime sentence.Watch now to learn how to stop safely, avoid withdrawal symptoms, and regain control—with guidance from Addiction Specialist Dr. Ferghal Armstrong.

Like, subscribe, and share your SSRI experience in the comments below!

Subscribe for more on mental health, psychiatry, and addiction science.#ssrians #antidepressants #mentalhealth #depressiontreatment #crackingaddiction #drferghalarmstrong

Chapters

00:00:00 Australia’s High Antidepressant Use: An Alarming Trend

00:00:43 Why Are People Staying on Antidepressants Long Term?

00:01:41 The Habit of Long Term Use: Automatic and Unquestioned

00:02:30 Lack of Evidence for Long Term Effectiveness

00:03:18 Downsides and Side Effects of Chronic Use

00:03:54 Emotional Numbness and Lasting Sexual Dysfunction

00:04:31 Withdrawal vs. Relapse: The Challenge of Stopping

00:05:08 Tapering Difficulties and Lack of Guidelines

00:05:59 The Release Program: A New Approach to Safe Deprescribing

00:06:45 Changing the Narrative: Tools and Support for Safe Discontinuation

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1 month ago
7 minutes 23 seconds

Cracking Addiction
Why Alcohol Makes Anxiety Worse

Why Alcohol Makes Anxiety Worse

Unravel the Truth! In this Cracking Addiction episode, Dr. Ferghal Armstrong dives into the complex link between anxiety and alcohol.

Ever wondered how are anxiety disorders and alcohol use related? Discover why drinking to ease social anxiety or anxiety and drinking can spiral into alcohol and anxiety disorder, leaving you with hangxiety—that dreaded anxiety after drinking. Only 20% of people with anxiety and alcohol abuse use alcohol to self-medicate, but the risks are huge. Learn how alcohol effects disrupt brain chemistry, fueling a feedback loop where anxiety and drinking worsen each other.

Dr. Armstrong reveals why quitting alcohol and anxiety go hand-in-hand and why traditional treatments often fail for mental health struggles. Get practical tips to break the cycle and build real coping skills! Why watch? Bust myths and find hope for anxiety and alcohol recovery.

Subscribe for more mental health insights!Share your story below!Chapters00:00:00 The Reality of Self-Medicating Anxiety with Alcohol

00:00:42 Prevalence and Demographics of Self-Medication

00:01:27 Who is Most at Risk for Self-Medicating?

00:02:18 Short-Term Relief, Long-Term Harm

00:03:04 Increased Risks: Dependence, Depression, and Suicidality

00:03:39 The Bidirectional Cycle: Anxiety and Alcohol

00:04:25 Withdrawal, Protracted Abstinence, and the Vicious Cycle

00:04:53 The Psychological Feedback Loop

00:05:32 Why People with Anxiety Turn to Alcohol

00:06:10 Personality, Coping Skills, and Self-Medication

00:07:06 Dual Diagnosis: Why Traditional Treatments Often Fail

00:07:51 Integrated CBT: Treating Anxiety and Alcohol Use Together

00:08:53 Clinical Practice—Prevention, Questions, and Skills for Coping

00:09:30 Recovery Is Possible with Integrated Care

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1 month ago
9 minutes 32 seconds

Cracking Addiction
Tackling Dual Diagnosis: Treating Alcohol Dependence and Depression Together

Tackling Dual Diagnosis: Treating Alcohol Dependence and Depression Together.Struggling with Alcohol and Depression? Unlock Dual Diagnosis Solutions! In this Cracking Addiction episode, Dr. Ferghal Armstrong explores cross addiction dual diagnosis, revealing why alcohol patients also suffer from dual diagnosis.

Learn what is dual diagnosis and how dual diagnosis and comorbidity—like alcohol and depression—create a vicious cycle. Did you know 64% of those with alcohol problems face clinical depression? Discover how alcohol, a depressant, worsens mental health, and why siloed treatments fail.

Dr. Armstrong breaks down dual diagnosis treatment strategies, including cognitive-behavioral therapy (CBT), motivational interviewing (MI), and screening tools like AUDIT and PHQ-9. Get practical tips to tackle drink problems and boost recovery through integrated dual diagnosis channel care.

Why watch? Gain hope with compassionate, holistic approaches to alcohol and depression recovery.

Subscribe for more mental health insights!

Share your story below!

Chapters

00:00:00 Alcohol and Depression: A Complicated Relationship

00:00:41 Prevalence and the Vicious Cycle

00:01:24 Correlation and Causation: The Two-Way Street

00:01:53 How Alcohol Triggers Depression

00:02:27 Psychosocial Consequences and Escalating Depression

00:02:55 Depression Leading to Alcohol Use: Self-Medication

00:03:34 The Impact on Quality of Life

00:04:10 Challenges with Traditional Treatment Approaches

00:04:55 Integrated Dual Diagnosis Care: CBT and MI

00:05:32 Case Example: Sam’s Story

00:06:06 The Importance of Aftercare and Ongoing Support

00:06:38 Medication, Screening, and Clinical Considerations

00:07:35 Stigma and the Need for Compassionate Care

00:08:17 Key Takeaways and Summing Up

00:08:48 Final Message: Recovery Is Possible

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1 month ago
9 minutes 10 seconds

Cracking Addiction
How Australia's Free Naloxone Program Saves 3 Lives EVERY DAY!

How Australia's Free Naloxone Program Saves 3 Lives EVERY DAY!Australia’s Naloxone Program: Saving Lives, Closing Gaps, and Fighting Opioid Overdose Deaths Addiction Specialist

Dr. Ferghal Armstrong dives into the life-saving power of naloxone (Narcan), reversing drug overdoses from fentanyl and painkillers, saving 3 lives daily.

Learn how it works as a “blocker” to restore breathing in minutes, plus life-saving techniques from paramedic school and first responder OD training.

Shocking gaps persist: Victoria Police can’t carry naloxone, 40% of pharmacies don’t stock it, and stigma endangers families. Uncover overdose EMT insights, policy failures, and reforms needed to combat drug OD as synthetic opioids hit Australia.

Chapters

00:00:00 Naloxone Saves Lives: Introduction and Key Facts

00:00:39 How Naloxone Works: Mechanism and Safety

00:01:15 Forms of Naloxone and Accessibility for the Public

00:02:10 Evidence Supporting Community Naloxone Programs

00:02:57 Successes and Gaps in Australia’s Take Home Naloxone Program

00:03:56 Emerging Threats: Synthetic Opioids and Urgency of Intervention

00:04:44 Victoria’s Policy Disconnect: Police and Naloxone Access

00:05:19 Legal Barriers and Double Standards in Overdose Response

00:06:12 Litigation Fears and Naloxone Supply Pressures

00:06:54 Misconceptions about Overdose Risk: Prescription Opioids

00:07:39 The Need for Culture Change: Normalizing Naloxone Access

00:08:20 Solutions and Recommendations: Closing the Gaps

00:09:17 Final Thoughts: Lives Saved with Better Policy

#overdoseprevention #FentanylOverdose #HarmReduction

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2 months ago
9 minutes 46 seconds

Cracking Addiction
What Really Happens To Your Body On Ecstasy?

What Really Happens To Your Body On Ecstasy?Curious about the real truth behind Ecstasy (MDMA)? Think it’s a “safe party drug”? Think again! In this eye-opening episode of Cracking Addiction, Dr. Ferghal Armstrong dives deep into everything you need to know about ecstasy—from its detailed pharmacology, shocking side effects, and hidden dangers to its emerging use in PTSD treatment research.

Dr. Armstrong breaks down the science behind ecstasy’s effects, explaining how its chemical cousins like PMA and PMMA can increase the risk of fatal overdose—sometimes with just one pill. You’ll learn about the difference between street names like “Molly”, “XTC”, and “Beans”, and why what you think you’re taking might be far more dangerous than it seems. Discover how these drugs impact the brain, causing potentially life-threatening problems such as serotonin syndrome, hyperthermia, hyponatremia, and even psychosis or severe depression days after use.

The episode explores why ecstasy produces feelings of empathy, heightened sensory experiences, and emotional connection, but also why it can lead to erectile dysfunction and a dreaded “ecstasy hangover.” Special attention is given to gender differences—did you know women face unique risks, including much higher chances of serious complications?

If you’re concerned about party drugs, fascinated by psychopharmacology, or care about your mental health and the safety of your friends, this is a must-watch! Keywords like MDMA dangers, ecstasy overdose, serotonin syndrome, party drug risks, stimulant toxicity, PTSD research, MDMA side effects, raves, pill testing, harm reduction are all tackled with clarity and compassion.

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2 months ago
12 minutes 46 seconds

Cracking Addiction
Alcohol and Opioid Withdrawal: What You Need to Know

Have you ever wondered about the difference between alcohol withdrawal and drug withdrawal? In this episode, Dr. Ferghal Armstrong breaks down alcohol withdrawal vs drug withdrawal, shedding light on the unique signs and timelines of each.

Explore the world of intoxication and withdrawal—from pinpoint pupils in opioid intoxication to cerebellar signs in alcohol intoxication. Learn to recognize the symptoms of alcohol withdrawal, including seizures, hallucinations, autonomic hyperarousal, delirium tremens, insomnia, and agitation.

Discover how these differ from opioid withdrawal, which presents with flu-like symptoms, yawning, and anxiety.Dr. Armstrong walks you through the alcohol withdrawal timeline, compares it to opioid withdrawal, and explains the neurobiology behind neuroexcitation and psychiatric arousal.

This is essential knowledge for understanding substance use, whether you're a health professional or simply curious about the human brain.

This video also touches on the role of medications like benzodiazepines and tramadol, and how respiratory depression can be a critical concern in certain types of intoxication.00:00:00 Introduction to Intoxication and Withdrawal

00:00:50 Intoxication: Pupils and Seizures

00:02:37 Intoxication and Bowel Sounds

00:03:37 Alcohol and Opioid Intoxication Differences

00:03:37 Withdrawal: General Phenomena

00:04:27 Alcohol vs. Opioid Withdrawal

00:05:16 Summary and Conclusion

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2 months ago
5 minutes 29 seconds

Cracking Addiction
Urine Drug Test Explained - Why Your Drug Test Might Be Wrong?

Ever wondered how a urine drug test really works—or how some people try to beat the system? This is the ultimate guide you've been searching for! In this compelling video, I dive deep into the fascinating world of urine drug testing, breaking down the science, procedures, and myths behind it all.From the urine drug test collection procedure to the detection windows for substances like cannabis, cocaine, opiates, and alcohol metabolites, we cover everything you need to know. You'll learn why urine is one of the most commonly used biological samples, thanks to its higher drug metabolite concentrations and longer detection periods.Curious about how to pass a drug test? I reveal the common tactics people use in an attempt to fool the system—like diluting samples, using synthetic urine, or detox kits—and explain why most of them don’t work.We also explore the Australian guidelines for urine drug screening, look at the differences between screening and confirmatory testing, and discuss which substances might evade a standard drug test.Whether you're fascinated by forensics, involved in healthcare, or just curious about drug testing, this video is packed with insights. Don't miss it!00:00:00 Introduction to Urine Drug Screening00:01:01 Biological Substrates for Drug Testing00:02:16 Detection Windows for Common Drugs00:04:07 Screening vs. Confirmatory Testing00:05:47 GCMS and LCMS Testing00:06:33 Legally Defined Cutoff Levels in Australia00:09:09 Drugs Not Detected on Standard Panels00:10:16 Errors and Cross-Reactivity in Drug Testing00:11:58 False Negatives and Evasion Techniques00:12:43 Adulteration and Evasion Techniques00:14:32 Health Risks of Adulteration00:16:33 Individual Patient Factors00:17:37 Urine Collection and Observed Testing Guidelines00:18:48 Conclusion

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2 months ago
19 minutes 42 seconds

Cracking Addiction
Cocaine Withdrawal Timeline And Treatment Facts You NEED To Know!

Curious about what cocaine withdrawal feels like? In this video, We break down everything you need to know about tackling the tough but manageable cocaine withdrawal journey. Join Dr Ferghal Armstrong for an engaging and insightful discussion as I explore the phases of cocaine withdrawal, their psychological effects, and practical tips to navigate each stage with confidence.We’ll cover the initial crash phase, the intense withdrawal phase, and the final extinction phase, giving you a clear picture of what to expect during recovery. I’ll also share key strategies to ease cocaine withdrawal symptoms, including psychoeducation, proper nutrition, and sleep hygiene—tools that can make all the difference in managing this process effectively.


00:00:00 Introduction and Disclaimer

00:00:46 Cocaine Withdrawal Overview

00:01:54 Cocaine Withdrawal Timeline

00:03:11 Managing Cocaine Withdrawal

00:04:19 Diazepam Use in Withdrawal

00:06:21 Supportive Medications

00:07:19 Discharge Planning

00:08:32 Relapse Prevention Strategies

00:09:47 Pharmacotherapy Options

00:10:42 Relapse Rates and Prognosis

00:13:11 Conclusion on Recovery Prospects

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2 months ago
13 minutes 55 seconds

Cracking Addiction
Cognitive Decline Countdown: How Cocaine Speeds It Up

Cognitive Decline Countdown: How Cocaine Speeds It Up.Dr. Ferghal Armstrong sheds light on the profound cognitive decline associated with long-term cocaine use, unraveling the mystery behind cocaine’s neuroanatomy mechanisms and their impact on everyday life. Discover how chronic cocaine use, a form of drug abuse, leads to cognitive impairments such as attention deficits, impaired executive functioning, and emotional dysregulation—all stemming from dysfunctions in the brain's neurobiological systems. This video dives deep into the toll of addiction, particularly drug addiction, on mental health.In this enlightening discussion, Dr. Armstrong explores key brain regions like the prefrontal cortex and the hippocampus, explaining the complex interplay of neurotransmitters like dopamine and glutamate in chronic cocaine users. While cocaine takes center stage, parallels are drawn to other forms of addiction, such as opioid addiction, to highlight shared mechanisms of harm. Unveil the truths about structural brain changes, oxidative stress, and real-world implications like occupational impairment and disrupted relationships. This discussion is crucial for anyone journeying towards understanding substance use disorder or supporting someone in recovery from the grips of drug addiction.

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3 months ago
18 minutes 32 seconds

Cracking Addiction
Nutritional Supplements for the Brain - Health Recovery After Cocaine Use

Are you concerned about brain health after cocaine use? You’re not alone. This video explores how nutritional supplements can speed up recovery from cocaine addiction and cocaine withdrawal. Want to know how to support your brain? Keep watching.B vitamins (B6, B9, B12) lower homocysteine levels and boost neurotransmitter production for better memory and mental health. I share exact dosages and warn about risks, like too much B6. Antioxidants like vitamin E and C, plus polyphenols (resveratrol, curcumin, EGCG), shield neurons from damage and fight brain fog. Omega-3 fatty acids improve optimal mind performance.00:00:00 Introduction to Nutritional Supplementation for Brain Health00:01:03 The Role of B Vitamins in Brain and Cardiac Health00:02:02 Vitamin B6 Dosage and Risks00:03:04 Vitamin B12 Absorption Issues and Treatment00:04:18 Antioxidants: Vitamin E and C for Neural Protection00:05:09 Dosing and Risks of Antioxidant Supplementation00:05:58 Polyphenols: Resveratrol, Curcumin, and EGCG00:07:02 Importance of Minerals: Magnesium, Zinc, and Selenium00:08:01 Omega 3 Fatty Acids for Neuroprotection and Cardiac Health00:09:03 Summary and Cautions on Supplement Use and Toxicity

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3 months ago
9 minutes 37 seconds

Cracking Addiction
Healing the Brain Post-Addiction: Understanding Neuroplasticity in Cocaine Recovery

Healing the Brain Post-Addiction: Understanding Neuroplasticity in Cocaine Recovery.Is your brain crying out for recovery from chronic cocaine use? If you're ready to embark on a transformative journey toward healing the brain post-addiction, this episode is your ticket to reclaiming your life. We delve deep into the brain's remarkable ability to repair itself through neuroplasticity, even after the damage caused by drug addiction.How can the brain bounce back? Let me guide you through the mind-bending concepts of synaptic remodelling, glutamate homeostasis, and neurogenesis—all crucial for addiction recovery. We’ll unwrap the keys to enabling your brain’s miraculous healing, focusing on how the brain rewires itself for better decision-making, impulse control, and motivation.The road to recovery doesn’t stop at abstinence. Mental health plays a vital role in cocaine addiction recovery, and we’ll explore how interventions like aerobic exercise, mindfulness, therapy, and targeted nutritional strategies can support both cognitive and structural healing.If you're searching for real, science-backed insights into addiction recovery, this episode will give you a powerful look at how the brain regenerates and how you can take an active role in your healing journey.🔔 Subscribe for more expert discussions on addiction, neuroplasticity, and mental health!

00:00:00 Introduction to cocaine recovery and neuroplasticity

00:00:54 Mechanisms of neuroplasticity in cocaine recovery

00:01:53 Synaptic remodeling and receptor recovery

00:02:53 Glutamate homeostasis restoration

00:03:42 Stages of brain healing post cocaine use

00:04:21 Acute withdrawal stage

00:05:12 Early recovery stage

00:06:10 Midterm recovery stage

00:06:52 Long term recovery stage

00:08:20 Cognitive, structural, and functional recovery patterns

00:09:56 Factors influencing recovery speed

00:10:46 Interventions that promote recovery

00:11:48 Negative factors affecting brain recovery

00:12:33 Conclusion and final thoughts


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3 months ago
12 minutes 52 seconds

Cracking Addiction
How Does Cocaine Permanently Change Your Brain Structure?

If you've ever wondered how cocaine impacts cognitive function, emotional regulation, and the relentless cycle of addiction, then you're in the right place. Witness how cocaine wreaks havoc on the prefrontal cortex, amygdala, hippocampus, and more, leading to devastating memory deficits, decision-making impairments, and risk of psychosis.Join us in exploring the grim reality of cocaine's influence on brain structure, including gray matter reduction and dopamine receptor loss, revealed through advanced neuroimaging studies. The revelations of how these changes manifest in everyday life— from blunted pleasure to heightened anxiety and stress sensitization— will leave you astounded.Chapters00:00:00 Introduction and Recap on Previous Episode00:00:35 Neuroanatomical Damage from Chronic Cocaine Use00:01:30 Cardiovascular Effects and Stroke Risks00:02:38 Neurochemical Imbalances and Neurotransmitter Dysregulation00:03:42 Psychological Impairments from Chronic Cocaine Use00:04:38 Emotional Dysregulation and Increased Impulsivity00:05:44 Structural Brain Changes in Chronic Cocaine Users00:06:38 Long Term Recovery Challenges00:07:40 Conclusion and Final Thoughts

Show more...
3 months ago
8 minutes 48 seconds

Cracking Addiction
How Does Cocaine Permanently Change Your Brain Structure?

If you've ever wondered how cocaine impacts cognitive function, emotional regulation, and the relentless cycle of addiction, then you're in the right place. Witness how cocaine wreaks havoc on the prefrontal cortex, amygdala, hippocampus, and more, leading to devastating memory deficits, decision-making impairments, and risk of psychosis.Join us in exploring the grim reality of cocaine's influence on brain structure, including gray matter reduction and dopamine receptor loss, revealed through advanced neuroimaging studies. The revelations of how these changes manifest in everyday life— from blunted pleasure to heightened anxiety and stress sensitization— will leave you astounded.Chapters00:00:00 Introduction and Recap on Previous Episode00:00:35 Neuroanatomical Damage from Chronic Cocaine Use00:01:30 Cardiovascular Effects and Stroke Risks00:02:38 Neurochemical Imbalances and Neurotransmitter Dysregulation00:03:42 Psychological Impairments from Chronic Cocaine Use00:04:38 Emotional Dysregulation and Increased Impulsivity00:05:44 Structural Brain Changes in Chronic Cocaine Users00:06:38 Long Term Recovery Challenges00:07:40 Conclusion and Final Thoughts

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3 months ago
8 minutes 48 seconds

Cracking Addiction
Your Brain on Cocaine - The SHOCKING Truth About Dopamine!

In this video, I uncover the secrets behind cocaine's manipulation of our dopamine system, which plays a pivotal role in reward, motivation, and addiction. Whether you're curious about the science or looking to understand the mechanics behind addiction, this video is your starting point.We'll explore how cocaine, in its many forms like cocaine hydrochloride, freebase, and crack, disrupts your brain's delicate balance. By blocking the dopamine transporter, cocaine creates a dopamine overload, leading to euphoria and stimulation. However, this seemingly pleasant effect harbors a darker consequence. Our deep dive doesn't stop at dopamine.We'll traverse various brain regions influenced by cocaine, witnessing its impact on the meso limbic system responsible for reward and reinforcement, and the mesocortical system overseeing decision making and impulse control. The stakes are high as we venture into the realms of stress and arousal, exploring how cocaine tips the balance and intensifies norepinephrine release, contributing to increased heart rates and blood pressure and significantly elevating the risks of heart attacks or strokes.Chapters00:00:00 Introduction and Overview 00:00:44 Cocaine and the Dopamine System 00:01:25 Mechanism of Action: Dopamine Transporter (DAT) Blockage00:02:24 Neurotransmitter Spillover: Serotonin and Norepinephrine 00:03:33 Cocaine's Effects on Reward Pathway 00:04:16 Role of the Nucleus Accumbens and Amygdala00:05:21 Hippocampus and Memory Formation 00:06:17 Decision Making and Impulse Control: Mesocortical System00:07:02 Motor System and Nigrostriatal Pathway 00:07:54 Stress and Arousal: Hypothalamus 00:08:00 Conclusion

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4 months ago
8 minutes 10 seconds

Cracking Addiction
The Science Behind Cocaine Drug Testing You NEED to Know

Are you curious about how cocaine works in the body and the secrets behind successful drug testing? Look no further! In this eye-opening video, I delve deep into cocaine's kinetics, covering everything from absorption and distribution to metabolism and excretion. We explore how various routes of administration—like snorting, smoking, and injection—affect cocaine's absorption rate and the resulting emotional highs. Learn why bioavailability is greatest through inhalation and intravenous use, and discover the factors influencing this potent drug's absorption and distribution.We also highlight crucial information on cocaine metabolism, including its breakdown into metabolites like benzoylecgonine, norcocaine, and cocaethylene. You will learn why certain combinations, such as cocaine with alcohol, can lead to detrimental effects and prolonged drug detection times. Armed with this knowledge, you'll better understand the intricacies of urine drug testing and how metabolites linger in the system for days to weeks, depending on user habits.Chapters00:00:00 Introduction to Cocaine Kinetics00:00:47 Cocaine Absorption Methods00:01:48 Distribution of Cocaine00:02:35 Cocaine Metabolism00:04:22 Metabolic Pathways and Key Harm Reduction Intervention00:05:21 Detailed Metabolites of Cocaine00:07:06 Half-Life of Cocaine and Its Metabolites00:08:17 Detection Methods for Cocaine in Biological Matrices00:09:03 Overview of Biological Matrices for Cocaine Detection00:10:47 Considerations for Cocaine Detection00:11:27 Implications for Drug Testing00:12:07 Conclusion and Next Episode Preview

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4 months ago
12 minutes 20 seconds

Cracking Addiction
Seeking answers about addiction or supporting someone on the path to recovery? Welcome to Cracking Addiction, the podcast that empowers you with knowledge and hope. Hosted by Addiction Medicine Specialist Dr. Ferghal Armstrong, we explore the science of addiction, effective treatments, and inspiring recovery stories. Whether you're facing addiction, helping a loved one, or a professional seeking insights, this podcast is for you. Join us weekly for expert discussions on substance abuse, behavioral addictions, and their impact on lives. Subscribe now to become part of our healing community