Addiction is often misunderstood. In his TikTok video, Dr. Brian Samford explains addiction in clear, human terms. He describes what it feels like inside the mind of a person who cannot turn off intrusive thoughts or urges, and why quick fixes like alcohol or sedatives may seem to help in the moment but make things worse over time.
@dr.brian.samford Dr. Brian Samford shares that addiction often starts long before substance use. For many, they seem to have been born that way. #therapy #mentalhealth #addictionrecovery #sobriety #addictiontreatment #sober #recovery #treatment #mentalwellbeing #mentalwellness #addictiontherapy **Disclaimer** The information provided in this video reflects the general clinical opinions of Dr. Samford and is intended for educational and informational purposes only. It is not a substitute for professional medical or mental health advice, diagnosis, or treatment. Every individual’s situation is unique, and viewers should consult with a licensed therapist or healthcare provider familiar with their specific case before making any decisions related to their mental health or treatment. The Arbor does not assume responsibility for any actions taken based on the content of this video.
Dr. Brian Samford explains addiction as a brain-based illness and why willpower alone is not enough.
Key takeaways:
- Addiction is a mental illness: the problem lies in how the brain processes thoughts and feelings.
- The addiction cycle is driven by relief. When someone cannot stop racing thoughts or anxious feelings, a drink or a pill may quiet the storm for a short time, which reinforces the behavior.
- It is not a simple willpower issue. Telling someone to distract themselves with TV or a walk does not fix the underlying brain changes.
- Pathways into addiction vary. Some people seem wired for it from early life, while others enter addiction in reaction to life circumstances.
Addiction as a mental illness
Dr. Samford frames addiction as a brain-based condition. That means the brain’s processing system, including how it handles stress, reward, and intrusive thoughts, is out of balance. For someone in this state, unwanted thoughts and urges can feel loud and constant. Distractions that work for other people might not quiet the internal noise.
In that moment, substances can seem like a solution. Alcohol or a Xanax may briefly shut down the noise. This relief is powerful. The brain remembers it, and the person is pulled back to the substance the next time the noise returns. Over time, this cycle can become compulsive, which is a hallmark of addiction.
How addiction starts
Addiction does not always start with substance use: for many people, the brain differences have been present for years, possibly their whole life. Others may develop an addiction later, as in Dr. Samford’s example: a 65-year-old retires, feels lost, starts drinking more, and slides into daily use.
Dependence versus addiction
Physical dependence means the body adapts to a substance and may have withdrawal symptoms when it stops. Addiction is compulsive use despite harm, strong cravings, and loss of control. Dependence and addiction overlap, but addiction is more than dependence: it involves changes in brain functioning and behavior.
Why cravings and relapse happen
When a substance brings quick relief, the brain learns to expect it. Stress, certain places, or emotions can trigger cravings. Even after someone stops using, those brain pathways can reactivate, which is why relapse can happen. This does not mean treatment failed. It means the brain needs continued support and practice with new skills.
Treatment and recovery
Dr. Samford’s message supports a medical view of addiction and a compassionate approach to care. Recovery works best when it treats the brain and the whole person:
- Evidence-based therapies can teach skills to handle cravings, intrusive thoughts, and stress without substances.
- Medications may be used when appropriate to help stabilize brain chemistry, reduce cravings, and support recovery.
- Co-occurring mental health disorders should be addressed in tandem with substance use for holistic healing and growth.
- Peer support groups provide much-needed community, encouragement, and accountability.
- Family therapy can help heal relationships and build a stronger foundation for recovery.
- Education is also key: seeing addiction as an illness encourages people to seek help and stick with care.
Professional support matters, and early intervention can interrupt the cycle before patterns deepen. If you or a loved one is struggling with intrusive thoughts, cravings, or daily use that is getting worse, reaching out for assessment is a strong first step. Treatment is not about willpower: it is about tools, support, and brain healing over time.
Spread the word
Dr. Samford invites us to view addiction through a medical lens. Addiction is not a character flaw; it is a brain condition that can be treated. Share Dr. Samford’s TikTok to help reduce stigma around addiction and addiction treatment. With understanding, compassion, and the right care, recovery is possible.