Push-Pull Dynamics of Addiction

You don’t need to hit rock bottom to change everything.



In this episode, I sit down with James Swanwick for a grounded, honest conversation about alcohol-free living and why so many thoughtful, high-functioning people are quietly questioning their drinking. We talk about the cultural moment we’re in, the limits of traditional recovery models, and why white-knuckling never leads to freedom.

I share my own path away from social drinking and what surprised me most about the shift.

Mindful sobriety isn’t about deprivation; it’s about choosing a life that actually feels good to live. 

This episode is for anyone who is sober-curious, questioning the role of alcohol in their life, or looking for a more humane, sustainable approach to change. If you’ve ever wondered whether there’s another way, without labels, shame, or rock bottom, this conversation opens up a new perspective.

Learn more about his programs here.

You’ll Learn:

[00:00] Introduction

[06:02] Why addiction often runs on a push-pull dynamic that quietly drains energy and agency

[09:38] How the cultural shift away from alcohol is emerging first in younger generations

[11:54] What happens when “normal” drinking erodes health and relationships

[12:47] The moment a casual drinker realizes alcohol is costing more than it gives

[28:10] Why traditional recovery models often miss high-functioning, gray-area drinkers

[30:45] How identity labels can freeze growth instead of supporting real change

[46:12] Why focusing on desire creates more lasting change than focusing on restraint

[56:58] How an alcohol-free life can feel expansive rather than restrictive

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Resources Mentioned:

Clear by James Swanwick | Book or Audiobook

The Sober Truth by Lance Dodes | Book or Audiobook

The Diagnostic and Statistical Manual of Mental Disorders | Website

Rat Park: How a rat paradise changed the narrative of addiction. by Gage, S. H., & Sumnall, H. R. | Article

Randomized controlled trial of harm reduction treatment for alcohol (HaRTA) for people experiencing homelessness and alcohol use disorder by Susan E. et al. | Article

Connect with James:

Alcohol Free Lifestyle | Website

Swanwick Sleep | Website

James Swanwick | Wikipedia

James Swanwick | Instagram

Find more from Kelly:

YouTube: Reclamation Radio with Kelly Brogan, MD

Instagram: @kellybroganmd

Website: kellybroganmd.com

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Get Kelly’s new book The Reclaimed Woman here.

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