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Why do porn cues still trigger a rush (sensitization)?
Submitted by Gary Wilson and... on Thu, 06/30/2011 - 13:27
Sensitization is believed to be the core brain change, as it makes you crave it, whatever "it" is, and involves nearly the same mechanisms as early sexual conditioning. Watch - Adolescent Brain Meets Highspeed Internet Porn - my latest video on sexual conditioning by porn during adolescence. In fact, only one study has examined the brains of compulsive porn users, and it assessed sensitization to porn cues: Cambridge University: Brain scans find porn addiction. As expected, it found the same brain response as seen in drug addicts and alcoholics - when viewing cues their reward centers lit up.
To fully understand sensitization and cravings see this page and our Psychology Today article - Why Do I Find Porn More Exciting Than A Partner? which has in-depth explanation of why porn can be more exciting than the real deal. For suggestion of dealing with triggers and cravings listen to my radio show - Brett explains how to cope with porn cues and sexual tension (show #21)
An example of sensitization:
It all makes sense. In summer 2011 I developed a new fetish and oh god I could feel the dopamine in my brain. I was so happy and excited when watching this new type of porn my body would shake. Since then I have been a lot less happy and have never gone back to normal
Early in the reboot process:
"I caught a glimpse of some porn pics the other day and there was a distinct buzz in my brain, almost like a hot flash, fortunately it freaked me out enough to get away fast. My dopamine must be like a see-saw right now as my day can turn from a great one to a near suicidal one in the space of a few hours, it's difficult to endure but it reassures me that something is trying to correct itself."
Down the road:
"I'm now about 4 months without any p/m/o and I'm noticing that when I see a suggestive image online or in a TV show or whatever, I'm still extremely conscious of a rush."
Hi all, I'm about to get off the internet for the evening because even after more than a year of not masturbating, being home alone and sitting on the computer still brings up urges.I have 2 different porn blockers set up on this computer, and I know that when my wife gets home, she's going to ask me if I had any trouble, but none of that completely keeps the desire at bay. The lesson here is that while it definitely gets easier, it never totally goes away.
And part of being successful is recognizing your rituals and avoiding them. Being alone on a computer is where 95% of my PMO events start. Rarely do I go to a computer with the intent of looking at porn or other arousing stuff, but once I'm sitting here, getting bored, I start looking for it.So I'm saying goodnight, NoFap, and going to read a good book in another room instead. If anyone else out there is struggling at all tonight, I suggest you shut this thing off and find something else to do as well. :)
First of all it's normal to be attracted to sexy images. Your dopamine would spike even if you had never been a porn addict. That said, it's likely the images are acting as strong cues that turn on sensitized neural pathways. You are feeling a reward circuitry buzz as your brain quickly anticipates possible porn use. One guy said,
My cues are:
* This is the strongest one - it's insane how deep this is. Every time I am alone in my apartment, I automatically think "porn!!". It's so deeply rooted it's really mind-blowing. I don't even think about it; it's just is there. I had a friend over yesterday, and we he left, and closed the door..instantly my brain thought "porn!!".
* When I am bored in front of the computer
* When I see something remotely tempting on the computer, can be a girl that is smiling.
* If I'm in front of the computer and it's bed time.
* If I had have a hard discussion with someone, when I'm stressed out.
* When I'm feeling sad, or low
Here's a technical explanation of sensitization, taken from drug use:
"Drug sensitization occurs in drug addiction, and is defined as an increased effect of drug following repeated doses (the opposite of drug tolerance). Addiction may also be related to increased (sensitized) drug craving when environmental stimuli associated with drug taking, or drug cues, are encountered. This process may contribute to the risk for relapse in addicts attempting to quit. Such sensitization involves changes in brain mesolimbic dopamine transmission, as well as a molecule inside mesolimbic neurons called Delta FosB."
In other words, the addiction has created strong neural pathways in your brain, Pavlovian-based memories, that are easily activated by anything associated with prior use (images, computer use, etc.) These sensitized pathways causes an abnormally high spike in electrical activity (the "buzz is literal) caused by dopamine, glutamate, or both - which induces cravings. In long-term cocaine addicts, the cue-induced spike in dopamine can be as high as the spike from taking the drug.
You may have rebooted your brain and returned your dopamine signaling to what's normal for you, but the sensitized pathways may never disappear. However, they will weaken. For example, an alcoholic who has been sober for 20 years may no longer get triggered by beer commercials. Yet if he drank a beer, his sensitized pathways would light up, and he could lose control and binge. Same thing can happen to former porn users. They need to be mindful of cues for a long time, especially powerful ones.
As one recovering porn users explained,
it is possible that once you've been hooked on porn, even if you then stop for an extended period, the risk of getting caught up again in it all is pretty much always going to be there.
That's not to say a full recovery isn't possible, but as an ex-smoker I can tell you that even though I haven't smoked for about 10 years I still get occasional cravings. I guess I am slowly realising the lure of porn will always be there too. Be prepared that the rationalization of "If I can quit for this long I'm obviously not addicted" IS THE PORN TALKING. We are repeat customers.
Another man explaining how triggers are everywhere:
Thanks guys for your support. PMO is unlike any addiction I've had to overcome. I've stopped drinking and smoking for a long time now. With the smoking, it took me like 7 tries. The cravings were brutal and one after another for about 14 days. It seemed that things got better after 14 days.
PMO on the other hand is far more difficult than the smoking addiction. There's nice looking woman around to look at all the time. Then comes the fantasizing about the women, which leads to MO or possibly PMO. If I could only stay focused and not fantasize about women, I'd have a much better shot at this thing.
Mate, I keep saying exactly that to other people on this forum. I think one of the reasons PMO is so hard to give up is because we have all these preconceived notions that somehow it should be easier to kick than things we may have given up in the past (alcohol, cigarettes, drugs...). In my experience as well, it most definitely is not - it's far more insidious. The effects can be subtle for periods, and then suddenly just jump out and take you by surprise. That's why vigilance is key.
You have to keep an eye on your own mind. Become aware of your thoughts...see yourself "going there" and put a stop to it before the reptilian part of your brain takes over the show. That's the one thing that has really worked for me well this time around. I see the patterns. I KNOW when I'm starting to go there, and I immediately jump into action to do something else to take my mind away from it. It is becoming more and more effortless over time; the thoughts come up and I just gently let them go. But in the early days, I would literally bite down on my tongue - not enough to do any real damage, of course; just enough to feel the pain and snap myself out of the hypnotic thought process that I could feel myself slipping into. Simple as it sounds, I found that to be really effective for me. I mean, you always have it at your disposal wherever you are. No one can even see you doing it.
What about accidental exposure?
Accidental exposure to something arousing is not a problem. In fact, I seriously doubt any incidental images of anything, including hard core porn, could set one back. Sensitization occurs when an addict purposely pursues his addiction. Animal experiments show that actively choosing to take a drug wires up the brain differently from having it injected with no conditioned stimulus. Pursuing or working for the addictive drug causes sensitization - which is THE core addiction brain change. The animal associates taking the drug with its own deliberate action, and the brain wires accordingly.
Actively searching Facebook is activating sensitized addiction pathways and reinforcing your addiction. Bumping into hard-core images, then immediately closing the page is actually strengthening the willpower parts of your brain. If an alcoholic could easily stop after 1/2 glass of wine...he would have no problems...right? (See Exposure Response Prevention Therapy (extinction) for more). Avoid linking deliberate seeking with arousal. An accidental glimpse isn't chosen. However, dwelling on the image you glimpse, fantasizing about it later, or seeking other images because of it can be counterproductive.