# Episode 384: The Hijacked Mind: The Truth About Kratom, 7-OH, and How Addiction Rewires the Soul with Dr. Muhamad Aly Rifai Page: https://stenobird.com/podcast/the-addicted-mind-podcast-444279/episode-384-the-hijacked-mind-the-truth-about-kratom-7-oh-and-how-addiction-rewires-the-soul-with-dr-muhamad-aly-rifai Text version: https://stenobird.com/podcast/the-addicted-mind-podcast-444279/episode-384-the-hijacked-mind-the-truth-about-kratom-7-oh-and-how-addiction-rewires-the-soul-with-dr-muhamad-aly-rifai.md Podcast: [The Addicted Mind Podcast](https://stenobird.com/podcast/the-addicted-mind-podcast-444279) Published: 2026-05-25T07:00:00+00:00 Episode link: https://rss.art19.com/episodes/aafda40a-7106-43ea-b1f0-f4a1448b2c88.mp3?rss_browser=BAhJIg90cmFuc2NyaWJyBjoGRVQ%3D--952c5701c84ad333c69d5faa668f8177091704f0 Audio file: https://rss.art19.com/episodes/aafda40a-7106-43ea-b1f0-f4a1448b2c88.mp3?rss_browser=BAhJIg90cmFuc2NyaWJyBjoGRVQ%3D--952c5701c84ad333c69d5faa668f8177091704f0 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/the-addicted-mind-podcast-444279/episodes/episode-384-the-hijacked-mind-the-truth-about-kratom-7-oh-and-how-addiction-rewires-the-soul-with-dr-muhamad-aly-rifai Duration seconds: 2177 ## Resource In this episode, host Duane Osterlind sits down with Dr. Muhamad Aly Rifai, a dual-trained internist, psychiatrist, and addiction medicine specialist with over 25 years of clinical experience. Together, they dive deep into a rising public health concern— Kratom and 7-OH products —and unpack the complex neuroscience of how substance abuse alters brain architecture. Dr. Rifai shares insights from his book, Hijacked Mind: How Addiction Rewires the Soul , exploring the reality of permanent brain changes, the sliver of hope offered by neuroplasticity, and how a holistic Biopsychosocial model can help individuals rebuild their lives. About the Guest Muhamad Aly Rifai, MD , is an internist, psychiatrist, and addiction specialist. He serves as the medical director of an addiction treatment center and has spent the last two decades treating individuals facing co-occurring psychiatric disorders and chemical dependencies. He is also known online as "The Virtual Psychiatrist." Key Takeaways & Discussion Points 1. The Kratom Crisis: Natural Leaf vs. 7-OH Kratom is a tropical tree native to Southeast Asia. While traditionally used as a tea for pain relief, a massive commercial market has emerged around it in the United States, creating two distinct camps: The Natural Leaf Camp: Powdered or dried leaves primary containing mitragynine . Many users report it offers relief from chronic pain, fibromyalgia, and fatigue when used responsibly. The 7-OH Camp: Highly potent, biochemically isolated 7-hydroxymitragynine sold in gas stations and smoke shops as pills, extracts, and drinks. The Clinical Reality: Because these products are completely unregulated by the FDA, consumers often don't know what they are ingesting. Dr. Rifai notes a dramatic rise in patients requiring medical detoxifi… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/the-addicted-mind-podcast-444279/episodes/episode-384-the-hijacked-mind-the-truth-about-kratom-7-oh-and-how-addiction-rewires-the-soul-with-dr-muhamad-aly-rifai/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/the-addicted-mind-podcast-444279/episode-384-the-hijacked-mind-the-truth-about-kratom-7-oh-and-how-addiction-rewires-the-soul-with-dr-muhamad-aly-rifai.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.