{"podcast":{"title":"The Addicted Mind Podcast","slug":"the-addicted-mind-podcast-444279","podcast_index_feed_id":444279,"rss_url":"https://rss.art19.com/the-addicted-mind","website_url":"https://art19.com/shows/the-addicted-mind","image_url":"https://content.production.cdn.art19.com/images/dd/ac/a7/38/ddaca738-b186-42db-a080-47f391390bde/afe90945cf697f161594043b48ab8bc1b5e4dc05c0a3d762bc1a08710ecf72408e72e99de0bdefad948634d00d26a6e2cbc1b1519fc8f76bd72b204aa7cf290a.jpeg","author":"Duane Osterlind, LMFT","episode_count":504,"summary":"\"The Addicted Mind Podcast\" offers hope, understanding, and guidance for those dealing with addiction, with real stories and research to inspire and show the journey to recovery is worth it. We're here to do more than just talk about addiction. We want to show you how to heal and recover. Our talks with experts and people who have beaten addiction give you important insights into how addiction affects the mind and how recovery can happen in many ways. Whether we're looking at new treatment ideas or sharing stories that inspire, \"The Addicted Mind Podcast\" is all about understanding the complex world of addiction recovery and showing that recovery is possible. If you or someone you care about is dealing with the challenges of addiction, let \"The Addicted Mind Podcast\" be your friend and guide. We aim to give you the knowledge you need, share stories that inspire you, and show you that the journey to recovery is worth it. Subscribe now to be part of a community focused on learning, healing, and changing for the better. Your journey to a healthier mind and life begins right here.","last_synced_at":"2026-06-18T20:20:01.494829+00:00","page_url":"https://stenobird.com/podcast/the-addicted-mind-podcast-444279"},"episode":{"title":"Episode 375: Shame in the Gut: The Neurobiology of Affect Dysregulation and Addiction with Dr. Alexandra Katehakis","slug":"episode-375-shame-in-the-gut-the-neurobiology-of-affect-dysregulation-and-addiction-with-dr-alexandra-katehakis","published_at":"2026-03-09T07:00:00+00:00","page_url":"https://stenobird.com/podcast/the-addicted-mind-podcast-444279/episode-375-shame-in-the-gut-the-neurobiology-of-affect-dysregulation-and-addiction-with-dr-alexandra-katehakis","show_page_url":"https://stenobird.com/podcast/the-addicted-mind-podcast-444279","url":"https://rss.art19.com/episodes/890aca7e-67ad-4698-a65c-23fbf9737d4a.mp3?rss_browser=BAhJIg90cmFuc2NyaWJyBjoGRVQ%3D--952c5701c84ad333c69d5faa668f8177091704f0","audio_url":"https://rss.art19.com/episodes/890aca7e-67ad-4698-a65c-23fbf9737d4a.mp3?rss_browser=BAhJIg90cmFuc2NyaWJyBjoGRVQ%3D--952c5701c84ad333c69d5faa668f8177091704f0","summary":"In this episode, Duane Osterlind sits down with Dr. Alexandra Katehakis, founder of the Center for Healthy Sex, to explore the complex relationship between shame, affect dysregulation, and addiction. Dr. Katehakis breaks down why shame isn’t just a \"bad feeling\" but a survival-based biological process rooted in our nervous system and early childhood development. Key Highlights 1. What is Shame? (The Gut Connection) Shame is a pro-social function embedded in the human organism from birth. Unlike many other emotions, shame is primarily located in the enteric nervous system (the gut) . The Biology: When we experience shame, we feel a visceral \"drop.\" This is a rapid shift from a high-dopamine state (joy or excitement) to a low-dopamine state (collapse). The \"No\" Moment: Around 18 months, a child experiences the \"genesis of shame\" when a parent must use a firm \"No\" to protect them. In a healthy relationship, this is a temporary state. 2. Rupture and Repair: The Building Blocks of Resilience Healthy Dyad: A parent shames a child (rupture) but immediately follows up with soothing and \"motherese\" (repair). This teaches the child’s nervous system how to regulate itself. Toxic Shame: When shaming is chronic and unrepaired, \"states become traits.\" The child remains in a collapsed, shame-based state, leading to pathological dissociation or chronic depression. 3. Addiction as \"Auto-Regulation\" Dr. Katehakis posits that addiction is often a result of affect dysregulation . If a person lacks the internal capacity to regulate their emotions (due to a lack of interactive regulation in childhood), they turn to external sources to \"auto-regulate.\" The Cycle: People use substances or behaviors (sex, gambling, shopping) to escape the painful, \"dead\" feeling of a shame-based core. The Body…","meta_description":"In this episode, Duane Osterlind sits down with Dr. Alexandra Katehakis, founder of the Center for Healthy Sex, to explore the complex relationship betwee…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2372,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/the-addicted-mind-podcast-444279/episodes/episode-375-shame-in-the-gut-the-neurobiology-of-affect-dysregulation-and-addiction-with-dr-alexandra-katehakis/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/the-addicted-mind-podcast-444279/episode-375-shame-in-the-gut-the-neurobiology-of-affect-dysregulation-and-addiction-with-dr-alexandra-katehakis.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}