At Highlands Recovery in Sydney, Australia we treat addiction as a brain disorder in the reward pathways, motivation and memory. We use a behavioural medicine model to treat the underlying causes. Our model acknowledges biological, psychological and social factors in disorders like substance use disorder and post-traumatic stress disorder (PTSD). At the heart of our approach is the role of dopamine, targeting the release mechanisms to break the craving and relapse cycle. Our world renowned Clinical Director leads this work. We offer a structured 4 phase program of stabilisation, trauma reprocessing (using techniques like EMDR, trauma focused CBT, CPT, Prolonged Exposure Therapy, integration and consolidation) with a strong therapeutic alliance and comprehensive aftercare.
Understanding Addiction Neuroscience as a Brain Disorder Through Behavioural Medicine

Addiction is a complex brain disorder that affects the core circuits of the brain that control reward, motivation and memory. At Highlands Recovery, near Sydney, Australia we see addiction through the lens of addiction neuroscience and the impact on brain structure and function. Our approach is based in behavioural medicine, an interdisciplinary field that combines biomedical, psychological and environmental science. As an Institute of Behavioural Medicine we follow the gold standard in clinical care addressing the biological, psychological and social factors that drive addictive behaviours. This integrated approach recognises that a healthy body, mind and environment are interdependent. Our clinical program is based on this model so each client receives a holistic and individualised treatment plan. We can arrange for medical detox before arrival if that’s the best option for the client.
Unlocking the Dopamine Puzzle: Addiction Neuroscience and Looking Beyond the Pleasure Chemical

Dopamine has been at the centre of addiction for a long time. But recent research has blown the lid off the idea of dopamine as simply the “pleasure chemical”. Addiction neuroscience shows that dopamine’s role goes way beyond the hedonic response. Dopamine is involved in the subjective experience of pleasure, but research now shows it’s critical in anticipation, motivation and conditioned learning. Highlands Recovery targets these subtle dopamine mechanisms to break the cycle of craving and relapse. Our Clinical Director is a world renowned expert in this area. Also note we are not a medical facility therefore we use behavioural medicine and not pharmacology or medication.
How Does Addiction Neuroscience Work in the Brain?
The dopamine system’s involvement in addiction is a journey of habit formation in the brain. Initially, dopamine is released after a rewarding experience, thus reinforcing the associated behaviour. But as the brain adapts to repeated exposure, dopamine release shifts to anticipation of the reward. Over time, dopamine levels can spike even when the expected reward is absent, driven by the powerful anticipation and associated cues. This creates a cycle of craving and dependence that can be difficult to break.
To explain the concept of “brain reward“, it can be broken down into four key components: memory, motivation, movement, and meaning. Anything capable of causing brain reward involves each of these elements. Memory circuits are activated, and the ability to motivate an individual to overcome any obstacles, drives purposeful movement to complete a task, and is meaningful to the person doing it.
If this dopamine reward circuit has been overused, then dopamine becomes consistently activated, this can cause the person’s drive, motivation, and memory to be based on the behaviour or substance they are addicted to. A key element in Highlands Recovery is helping clients take back the dopamine for the purpose of positive and healthy activities, and to restore their brain chemistry to be calm.
The Institute of Behavioural Medicine: A Holistic Approach to Addiction Neuroscience

Highlands Recovery is an Institute of Behavioural Medicine. We use a holistic approach to treatment. Behavioural medicine is an interdisciplinary field that combines biomedical, psychological and environmental science to address the root causes of illness and wellbeing. Addiction neuroscience says addiction is not just about an individual’s choices; it’s about the whole person. Behavioural medicine says health and wellbeing comes from a healthy body, a healthy mind and a healthy environment. Our clinical program covers all three; substance use disorders, trauma, stress related disorders and mood and anxiety disorders related to life events or lifestyle. We believe true and lasting recovery requires addressing all of an individual’s life.
Our institute uses multidisciplinary teams, and our clients won’t work with just doctors, psychiatrists or therapists; they’ll work with all of them, and many others, in a bespoke way. We view health as the intersection of biological, psychological and social well-being. We focus on each individual’s life and do assessments and observations on all our clients in the first couple of weeks of their stay. The relationship between the client and the professional is as important in behavioural medicine as the actual content of what is discussed, decided upon and done to get better. Prioritising this relationship, called the therapeutic alliance, is one of the key elements of behavioural medicine.
Highlands Recovery’s Comprehensive Four-Phase Program: A Journey Through Addiction Neuroscience

At Highlands Recovery we have a four-phase programme that addresses all stages of addiction and trauma. This programme is run in our private, exclusive residential setting for a maximum of 10 clients at a time so you will get personalized attention and care. In line with the science of addiction, our program is designed to facilitate neuroplasticity and rewire maladaptive neural pathways.
The first two phases of recovery are addressed through our intensive residential program which is a 12-hour a day program for 5 days and a half day on Saturdays. This includes individual therapy, group therapy, biological components; diet, yoga, meditation, personal training, massage, sauna and ice baths (not compulsory). This controlled environment removes day to day stressors and triggers and enables accelerated recovery in phases 1 and 2.
Phases three and four help clients re-integrate back into their normal home and work environment. This is the most dangerous time for relapse back into old behavioural and neurological habits. During this phase we provide ongoing support with weekly individual and group virtual therapy sessions and regular wellbeing check ins. In this final phase of recovery you will be entirely self reliant. Triggers will still exist but you will be able to self regulate, manage and minimize triggers and live a life free of the effects of trauma.
The Therapeutic Alliance: Fostering Recovery Through Collaboration and Understanding
At Highlands Recovery we put the client-professional relationship first. We practice a compassionate and collaborative therapeutic relationship, not a curious and empathic one. Research shows the therapeutic relationship is the biggest predictor of treatment outcomes. Addiction neuroscience backs this up, showing how positive social interactions can modulate brain activity and feel safe and connected. Our approach is an institutional style not a top down one used elsewhere. The mechanism is reduction of psychological bias through self calibration. Solutions in behavioural medicine take time and are rarely a quick fix. It’s achieved through the transmission of knowledge and skill from the institution professionals to the client through dialogue and education and over time it changes how the client thinks at a very deep level which translates into better decision making, more ability to manage difficult emotions and relationships and more productive behaviour.
Aftercare: Sustaining Long-Term Recovery (Outpatient)

We have basic and intensive aftercare models, both 6-12 months long. Outpatient support is key to maintaining progress and preventing relapse. Addiction neuroscience shows we need ongoing support and integration into a stable environment to cement the changes made in inpatient treatment. It’s not just about stopping the addictive behaviour; it’s about creating a life that supports long term well-being.
Aftercare involves ongoing support with weekly individual and group virtual therapy sessions and regular wellbeing check-ins. By this final stage of recovery the client is self-reliant, with the skills to manage and minimise triggers and live a full life. Admission to Highlands Recovery is subject to clinical assessment and while our world-class specialists strive for excellence we may not be able to treat all conditions. We do believe in Recovery that lasts a lifetime which is achieved through the transmission of knowledge and skill from our highly experienced and world-class professionals to our clients through conversation and education. This leads to changes in how the client thinks at a very deep level which translates into better decision-making, more effective management of difficult emotions and relationships and more productive behaviour. We have a maximum of 10 clients at any one time so can offer clients fully personalised support and guidance through recovery.
Addiction-Trauma and Healing
Trauma is at the root of addiction, people using substances or compulsive behaviors to cope with overwhelming experiences. At Highlands Recovery we understand this and offer therapies to address both the addiction and the trauma. Neuroscience of Addiction Recovery shows how trauma can rewire the brain and predispose to addiction as a means of self-soothing and emotional regulation. We address trauma and aim to promote neuroplasticity so patients can rewrite bad habits. We offer private and confidential care.
How Trauma Affects the Brain: Addiction Insights

Trauma disrupts the areas of the brain for emotional regulation and stress response, leading to an overactive autonomic nervous system (ANS) and hyper sensitivity to triggers. Addiction neuroscience shows how traumatic experiences can impair the amygdala, hippocampus and prefrontal cortex, areas for emotions, memory and decision making. This impairment can manifest as difficulty regulating emotions, intrusive memories, anxiety and impulsivity all of which can contribute to addiction.
Reprocessing traumatic memories and learning coping strategies allows clients to have control over their emotional and behavioral responses. At Highlands Recovery we want our patients to be able to live normal lives again without being controlled by the effects of trauma. Our trauma treatment plans will help our clients be self sufficient, manage and minimize triggers and live a full and free life. We treat those who need help with these challenges.
Conclusion
We see addiction as a complex brain disorder where dopamine and trauma are key. We go deeper than treating symptoms, we address the underlying issues using addiction neuroscience and behavioural medicine. Our four phase program delivered by world class professionals promotes neuroplasticity and helps clients rewrite maladaptive neural pathways. With unwavering commitment and a therapeutic alliance built on curiosity and collaboration we help them be entirely self-sufficient. And with aftercare they sustain well-being, build decision making skills and gain the ability to manage tough emotions and relationships for a life free from addiction.
FAQ
What makes Highlands Recovery different from other treatment centres?
Highlands Recovery is an Institute of Behavioural Medicine, we take a holistic approach integrating biological, psychological and environmental science. Our evidence based 4 phase program helps clients achieve long term recovery from addiction and trauma.
Does Highlands Recovery offer medical support or detoxification services?
Highlands Recovery is not a medical facility and does not offer pharmacology or medication directly, we use Behavioural Medicine and we are an institute of Behavioural Medicine. We can arrange for individuals to detox before they arrive at our facility.
How long can I stay at Highlands Recovery?
You can stay as long as you need, we offer highly personalised care with a maximum of 10 clients at any time. This personalisation means you get comprehensive support and guidance throughout your recovery and the length of time you are with us.
How does Highlands Recovery address trauma?
We understand the deep connection between trauma and addiction. Our world class team offers therapies such as EMDR, CPT and Prolonged Exposure Therapy to help clients process traumatic memories and cope with triggers.
What aftercare support does Highlands Recovery offer?
We offer basic and intensive aftercare models both, both last minimum of 6-12 months. This ongoing outpatient support includes virtual individual and group therapy and regular check ins to help you get back into your daily life.
References
PubMed Central. (2016). “Neurobiological Mechanisms of Addiction Recovery.” Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC4826727/
Nature Reviews Neuroscience. (2015). “The Neurocircuitry of Drug Addiction.” Retrieved from https://www.nature.com/articles/nrn3939
PubMed Central. (2011). “Cognitive and Emotional Processes in Addiction.” Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC3181836/
PubMed. (2017). “The Effects of Trauma on Substance Use Disorders.” Retrieved from https://pubmed.ncbi.nlm.nih.gov/28425694/
APA PsycNet. (2011). “Cognitive Behavioral Therapy for Addiction.” Retrieved from https://psycnet.apa.org/doiLanding?doi=10.1037%2Fa0022186
PubMed Central. (2004). “Long-Term Effects of Drug Use on Brain Function.” Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC510985/
PubMed. (2001). “Neuroplasticity and Addiction Recovery.” Retrieved from https://pubmed.ncbi.nlm.nih.gov/11163429/