[excerpted from, 9 Keys to Addiction Recovery: Health Psychology ©2023]
While we heal the mind, we also heal the body. Our 4th key, then: body care.
Aka, healthy lifestyle. We know the basics: good nutrition, some exercise, hydration, sleep. Healthy advice of grandmothers everywhere – the best kind.
Addiction, if substance use, can do some damage to our bodies, and we need time for repair. Any addiction, whether substance or behavioral, is also overstimulating the neuroreceptors of the brain, and when we begin recovery, those centers are suddenly understimulated – and we can feel unwell.
In any case, regardless of the nature of our addiction, our body needs some care. What’s more: in supporting our physical body, we’re supporting our brains and thus our mental health, and vice versa; we’re not separate parts after all, but a whole person. This also connects to self-compassion, our 2nd key. In caring for our physical body, in giving ourselves good nutrition, exercise, and adequate sleep, we’re also nurturing ourselves. What our deep mind takes from this is, I’m worthy of care.
One reason that somatic approaches are especially useful in recovery is interoception – the body’s sensory ability. This is largely compromised in many types of addiction; the reward centers in the brain, that are continually overstimulated through behavioral or substance addictions, are directly related to both interoception and executive functioning, or cognitive capability including memory (Angioletti & Balconi, 2021).
Fortunately, our bodies are also filled with a range of homeostatic mechanisms to reestablish balance, and caring for our bodies will help us to heal. Exercise contributes to interoception, for example, as do mindfulness body awareness therapies. As one example, Mindful Awareness in Body-Oriented Therapy has demonstrated significant increase in interoceptive awareness, emotion dysregulation, and abstinence duration, with reductions in cravings and depression (Price et al., 2019).
Somatic therapies can help quite a lot in your ongoing recovery of mind and body; in fact, they’re known to be helpful for mental health issues as well as addiction (Chandler et al., 2022). The tissues of our bodies store toxins far longer than the active detox stage we may have gone through – hence, post-acute withdrawal symptoms. If you can, get a massage or other body therapy as often as possible. Such therapies help to work those toxins out of the tissues and into the bloodstream, whereby they can be eliminated from your body; somatic therapies generally help to rebalance the body, including neurotransmitters compromised by addiction.
Let’s talk about exercise. In a review of 53 studies on exercise and addiction recovery, Patterson et al. (2022) found significant recovery outcomes such as decreased cravings and increased abstinence duration. This was stronger when in conjunction with treatment and/or other forms of self-care, as expected; we can presume that group exercise, as a form of social support, may be stronger still, though this hasn’t yet been adequately studied. If your addictive behavior was in fact exercise, naturally you’ll need to take caution with that part of your recovery body care plan. Avoiding exercise altogether isn’t healthy, though; perhaps you can consider an eastern form of moving meditation such as yoga, makko ho, or qigong including taiqi – all of which are both exercise and mental health care (Chandler, 2022).
As we saw in our previous key on social support, the study of Jia et al. (2023) found exercise self-efficacy, or capability, along with social support and quality of life to be correlated with relapse prevention. It’s worth noting that the study, conducted in the Chinese province south of Shanghai, mentions traditional Chinese exercise in particular – likely in the form of taiqi performed in an outdoor park (with added benefit of nature), customary in China. As this or other qigong forms also follow principles of traditional Chinese medicine, such as the balance of yinyang and flow of qi, there is a bit more going on – in both mind and body, as Chinese research participants would inherently understand – than in other more physically-oriented exercise alone.
Many in today’s modern world are also addicted to processed foods. In a nationwide sample of 95,074 adolescents in Brazil, Mesas et al. (2023) found the regular consumption of ultra-processed food to be associated with frequency of alcohol, tobacco, and drug use. Refined and processed foods aren’t only unhealthy; they’re filled with chemicals, and break down into sugars and starches, all of which may serve to trigger cravings (Drake, 2020). As well, replacing our former addiction with sugar and caffeine – as is so often the case – may soothe your body in the short-term, but there are very clear pathways toward increased cravings, beginning with pancreas and adrenal function and roller-coaster blood sugar levels (Drake). Caution. Don’t let this be you. Try to have as healthy a diet, based on whole foods, as you can. If you don’t cook, at least aim for a substantial percentage of fruits and vegetables.
Sleep is your friend, though of course, don’t overdo it. Focus on sleep hygiene; create an atmosphere as conducive to good sleep as possible, and get a sufficient amount. Sleep is healing to both brain and body. (Avoid LED – smartphone – in front of your eyes just before sleep; it stimulates the pineal gland into thinking it’s daytime, for low melatonin production and shallow sleep quality.)
You may have a chronic pain condition which perhaps even led to your addiction, as in the current US opioid epidemic. You’ll need to find nonchemical ways to manage pain, so it doesn’t act as a trigger for you – and of course, so you can live more comfortably. A regular stretching routine such as yoga or similar, or an energy-based gentle routine such as taiqi or qigong, can help; you may also want to consider regular meditation, and body therapies such as massage, or learn about acupressure, reflexology, or EFT, for pressure points which you can treat yourself.
Our bodies also carry memories of trauma (van der Kolk, 2014). If you have a history of trauma, you may find that such memories or emotions resurface during somatic therapies or physical exercise, for example. This may be uncomfortable – but it also provides you with a new opportunity to process your old trauma in a healthy way, and transform your unconscious response in order to avoid relapse in the future. Working with a trauma therapist is advisable. There are also therapies especially designed to support this experience. Somatic Experiencing, for example, is body-oriented trauma therapy, working directly on interoceptive and proprioceptive sensations to reorganize your body’s imprinted experience of the trauma. In a review of 16 studies, this therapy was found to have positive effects on PTSD symptoms (Kuhfuß et al., 2021). The Community Resiliency Model is another body-based approach meant to address long-term impacts of trauma, and includes a set of sensory awareness skills for improved interoception; in a recent study (Grabbe et al., 2021), participants demonstrated significantly decreased anger, anxiety, and somatic symptoms. Yoga is already commonly engaged for addiction recovery, with evidence for decreased cravings and improved mood (Greene, 2021), and trauma-informed yoga is particularly recommended (Esfeld et al., 2023).
Treat your physical body as your best friend. It isn’t only your mind’s home; it’s you, and anything you do to heal and help your body also heals your mind. Cherish your body now.
Exercises:
Let’s begin with the obvious ones. First, physical exercise: choose just one form that you feel you can engage in daily. Don’t begin with a full routine; start small, and add other components slowly over time. Commit to one form of exercise now, even if it’s just 15 minutes a day.
Add 1 form of energy exercise when you’re ready. Taiqi, qigong, yoga, or similar – something that’s meant to balance your body in addition to the physical aspects. This can be especially healing and supportive.
And: sleep. Set a fixed bedtime and waking time for yourself, and keep to it; consistency helps greatly in sleep quality. Consider your room, and how you can make it more conducive to good sleep: dark curtains? Steady noise such as a fan? And, put the phone/pad/other device down at a certain time, then do something else just before sleep – meditation, some stretching, reading – something that isn’t LED-oriented, which is sleep-disturbing.
Nutrition: reduce or, ideally, eliminate junk foods, and especially ultra-processed, including sugar and white flour. Really. These contribute strongly to craving potential. Lots of whole foods now. Limit the natural supplements, too, even though they all seem good for health; too many can still overwhelm the liver. If you’re not knowledgeable about nutrition, you may want to watch some videos or read a website or two, and be sure you know the basics. Your approach to food can support your recovery – or not. And don’t forget to hydrate!
Get a weekly body treatment, massage or similar as mentioned above, if you can; if not, then learn one system that you can use for self-treatment, such as acupressure points or reflexology, and treat yourself weekly.
Body scan meditation: sit or lie down and quiet your mind, minimizing distractions, breathing slowly and steadily. When peaceful, begin by focusing on your feet; stay with this for a minute, and see what comes up for you – do you have any pain in your feet? Do they feel strong, or tired? Is there anything you need to be aware of there? Do you feel supported? Then move to your calves, and do the same; then your thighs, and move slowly, area by area, up your body until you’ve scanned each part. This is for increased body awareness, and for whatever you can learn about and from your own body.
You may want to become more familiar with human anatomy and physiology – so that you can know your own body better. Find some good videos online.
Take long walks in nature whenever possible, if physically able. This is not only good for your body care, but also for mental health and healing.
Playing a sport, if so inclined, can be especially useful – for support of your body, and also for enhancing your social system.
References:
Angioletti L and Balconi M (2021). Interoception and Addiction: Etiological Mechanisms and a Root for Intervention. In: Balconi M and Campanella S (eds), Advances in Substance and Behavioral Addiction. Advances in Mental Health and Addiction. Springer, Cham. https://doi.org/10.1007/978-3-030-82408-2_9
Chandler TL, Shoemaker-Beal R, and Coker ML (2022). Creative Arts and Somatic Therapies: Psychodrama, Eye Movement Desensitization Regulation, and Body/Mind Therapies. In, Co-occurring Mental Illness and Substance Use Disorders (pp. 226-240). Routledge.
Drake CY (2020). Substance Use Disorder Treatment and Nutrition: A Multidisciplinary Approach. Journal of Mental Health and Social Behaviour 2:1, 117. https://doi.org/10.33790/jmhsb1100117
Esfeld J, Pennings K, Rooney A et al. (2023). Integrating Trauma-Informed Yoga into Addiction Treatment. Journal of Creativity in Mental Health 18:2, 209-218. https://doi.org/10.1080/15401383.2021.1972067
Grabbe L, Higgins M. Jordan D et al. (2021). The Community Resiliency Model®: a Pilot of an Interoception Intervention to Increase the Emotional Self-Regulation of Women in Addiction Treatment. International Journal of Mental Health and Addiction 19, 793-808. https://doi.org/10.1007/s11469-019-00189-9
Greene DS (2021). Yoga: A Holistic Approach to Addiction Treatment and Recovery. OBM Integrative and Complementary Medicine 6:4, 047. https://doi.org/10.21926/obm.icm.2104047
Jia D, Zhang K, and Xu Y (2023). The Relationship Between Social Support and Relapse Tendency Among Those Who Struggle with Drug Addiction: Multiple Mediators of Exercise Self-Efficacy and Health-Related Quality of Life. Journal of Drug Issues. https://doi.org/10.1177/00220426231152912
Kuhfuß M, Maldei T, Hetmanek A et al. (2021). Somatic experiencing – effectiveness and key factors of a body-oriented trauma therapy: A scoping literature review. European Journal of Psychotraumatology 12:1. https://doi.org/10.1080/20008198.2021.1929023
Mesas AE, Girotto E, Rodrigues R et al. (2023). Ultra-Processed Food Consumption is Associated with Alcoholic Beverage Drinking, Tobacco Smoking, and Illicit Drug Use in Adolescents: A Nationwide Population-Based Study. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-023-01038-6
Patterson MS, Spadine MN, Graves Boswell T, et al. (2022). Exercise in the Treatment of Addiction: A Systematic Literature Review. Health Education & Behavior 49:5, 801-819. https://doi.org/10.1177/10901981221090155
Price CJ, Thompson EA, Crowell SE et al. (2019). Immediate effects of interoceptive awareness training through Mindful Awareness in Body-oriented Therapy (MABT) for women in substance use disorder treatment. Substance Abuse 40:1, 102-115. https://doi.org/10.1080/08897077.2018.1488335
van der Kolk B (2014). The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Viking.



