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How to Break a Bad Habit, According to an Addiction Psychiatrist

You know the one. That habit you’ve tried to quit 12 different times. The one you keep bargaining with yourself about: Maybe it isn’t that bad. Maybe you can quit whenever you want. And yet, there you are again, reaching for the phone, the wine, the late-night scroll, or the thing you swore off on New Year’s Day.

If knowing better hasn’t been enough to make you stop, that doesn’t automatically mean you lack discipline. It means the habit is working exactly as your brain learned it.

According to Jud Brewer, MD, PhD, addiction psychiatrist, neuroscientist, New York Times bestselling author of Unwinding Anxiety, and professor at Brown University, most of what feels like a discipline problem is really a brain doing exactly what it was built to do.

“Our brains form habits so that we don’t have to think,” Dr. Jud says. Imagine relearning how to stand, get dressed, and talk every single morning. You’d be mentally spent by lunch. The brain takes what we repeat and turns it into something like muscle memory, running on autopilot so the rest of the brain can focus elsewhere.

The catch? That autopilot keeps score based on reward, not whether a behavior is technically “good” for us.

“A part of the brain called the orbitofrontal cortex takes the taste of the cake and the fun you had at the birthday party and everything else associated with it, and chunks all of that into a single reward value so you can retrieve it later without relearning it,” Dr. Jud explains.

Knowing a habit is bad for you happens in the prefrontal cortex, a younger and weaker part of the brain. The habit’s reward value was learned somewhere older and stronger, and disapproving of it doesn’t update the score. As Dr. Jud puts it, “No patient of mine has ever marched into my office and asked me to help them smoke more. They already know.”

Why willpower fails when you need it most

Even the research on willpower is shakier than most people assume. Dr. Jud points to studies suggesting that people who exerted more self-control were no more successful at reaching their goals and felt more depleted by the effort.

Part of the problem is timing. Willpower runs through the prefrontal cortex, and stress can take that part of the brain offline at the exact moment an old habit starts making its pitch.

“So exactly when you need it, it isn’t there, and your old brain eats cupcakes until you feel better and the new brain comes back online.”

A stressful email, a fight, exhaustion, or hunger can make the behavior you’ve practiced hundreds of times much easier to reach for than the new choice you’re trying to make for the first time.

“Stop trying to change the behavior and start paying attention to what the behavior gets you,” Dr. Jud says. “That’s how your brain learns, and it has nothing to do with willpower.”

How to break the habit loop

Say stress hits and you automatically reach for your phone. Scrolling gives you a few seconds of distraction, so your brain records it as useful, even if you feel worse five minutes later. That brief relief is enough to keep the habit going. As Dr. Jud explains, “A reward doesn’t have to be good, it only has to feel better, for a moment, than whatever we were feeling right before we we did the behavior.”

To change the pattern, he recommends moving through three steps:

  1. Put the loop on paper. Write down the trigger, the behavior, and the reward. It might look like: afternoon anxiety, open Instagram, briefly forget what was making you anxious. Don’t try to stop it yet. The first goal is simply to see what has been happening on autopilot.
  2. Notice what the habit actually gives you. Ask, “What do I get from this?” Then check your experience rather than explaining it away. Did the behavior relax you, numb you for a moment, or leave you more restless? Paying attention to the real result gives your brain current information and begins updating the habit’s old reward value.
  3. Get curious when the urge returns. Find the strongest sensation in your body and name it: tightness, pressure, restlessness, clenching. Then ask, “Hmm, what does this feel like? Hmm, what happens to it now?” Observing the urge can make it feel less consuming and easier to ride out.

This is what Dr. Jud calls the “bigger better offer.” Replacing one distraction with another may change the behavior without changing the craving beneath it. Curiosity works differently because it helps you stay with the urge long enough to learn from it. “Curiosity is always available and always feels better than anxiety,” he says. “To your brain, that’s a no-brainer.”

Guilt doesn’t teach the brain anything useful

Guilt can restart the habit loop. “Guilt is itself a trigger,” Dr. Jud says. Once the brief relief of the habit wears off, guilt creates another uncomfortable feeling, which can send us right back to the behavior we were trying to stop. He calls this an echo habit loop.

Dr. Jud’s wife has a name for moments like these: FGOs, or “F**king Growth Opportunities.” Treating a slip like data turns it into one. Ask what triggered the behavior, what you actually got from it, and how it felt afterward. Each answer gives your brain current information about how rewarding the habit really is.

This is also why Dr. Jud questions our obsession with maintaining a perfect streak. The popular idea that a habit should become automatic in 21 days traces back to a plastic surgeon’s observations from the 1960s, and Dr. Jud says he has not found peer-reviewed evidence supporting it. The real-world study he cites found that automaticity could take anywhere from 18 to 254 days.

Missing one day doesn’t erase what your brain has learned. It gives you another loop to study.

Make the easy choice easier

Your surroundings can make a difference. Dr. Jud says people with good self-control often structure their lives so they don’t have to make as many self-control decisions in the first place. That might mean keeping certain snacks out of the house, buying the foods you want to eat ahead of time, or working out at the same time each morning.

The strategy has limits. It can create a little distance from the ice cream or the phone, but it can’t remove an internal trigger. “You can’t not keep anxiety in your freezer,” Dr. Jud says. “Anything happening inside your head travels with you, which is why the internal tools matter more than the external ones.”

Arrange your environment to give yourself a head start. Curiosity is what helps when the trigger follows you anyway.

The biggest misconception about breaking a habit, according to Dr. Jud, is that we can reason our way out of it. Knowing the behavior is bad, promising ourselves this time will be different, and delivering an internal lecture may all happen in the thinking brain. The habit was learned somewhere older.

Mindful awareness doesn’t give willpower more muscle. It changes how we relate to an urge, allowing us to observe it instead of automatically obeying it.

Dr. Jud’s app, Going Beyond Anxiety, walks through the process in more depth for anyone who wants to practice it.

“The best way to practice all of this is short moments, many times,” Dr. Jud says. “Your life is your mental gym.” With each honest look at the payoff, the habit’s old sales pitch becomes a little harder to believe.

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