
Episode #80
Ep 80: Reframe Your Relationship With Alcohol (guest: Vedant Pradeep)
For decades, there were two options when your drinking became a problem: a 12-step program or a residential treatment center. Both carries stigma, both requires a label, and neither fits the vast majority of people who weren't maybe physically addicted but were drinking more than they wanted to. In this episode, Tess sits down with Vedant Pradeep, co-founder of Reframe, an app for helping people reduce their alcohol intake or quit drinking altogether. With six million downloads and research partnerships at Emory and Harvard, Reframe was built on a simple but powerful idea: you have agency over your behavior, and the path to change is built through neuroscience, habit loops, and self-efficacy, not shame and labels. Vedant and Tess go deep on the 12-step model's core assumption, that you are powerless, and why it may be the very thing that keeps people stuck. They explore what it actually looks like when you stop avoiding triggers and start rewiring the loops underneath them. They also get into the surprising data on private drinking and loneliness in younger generations, why "Damp January" outperforms "Dry January" for lasting change, and what GLP-1 medications might do for addiction treatment the way SSRIs did for mental health. What listeners will learn: Why the 12-step model's self-efficacy problem may be keeping more people stuck than it helps The difference between the "I can't drink" identity and the "I don't drink" identity, and why one word changes everything What loneliness, boredom, and stress data reveal about why Gen Z is drinking more privately than publicly Why small experiments like Damp January outperform total abstinence commitments for most people, including a stat that may surprise you How to use an app as a diagnostic: what it means if you try to cut back and genuinely can't What the 66-day habit change science says about why 28-day insurance-covered programs often fail Reframe Med: how the app now connects users with naltrexone prescriptions for people whose cravings need more than behavioral change Why Vedant believes GLP-1 medications could do for addiction what Prozac did for depression CHAPTER TIMESTAMPS 00:00 Introduction: Who Is Vedant Pradeep and What Is Reframe 01:14 Origin Story: From OCD Research to Spotting a Gap in Alcohol Support 03:27 Why Reframe Chose Neuroscience Over the 12-Step Model 06:23 The Spectrum of Alcohol Use: Mindful Moderation vs. Abstinence 09:56 How Neural Pathways Drive Drinking Habits (And How to Rewire Them) 11:26 The Identity Shift: "I Don't Drink" vs. "I Can't Drink" 12:19 Gen Z, Loneliness, and the Rise of Private Drinking 17:07 The Moment That Starts Change: Relationship Crisis as Catalyst 22:10 Why Damp January Works Better Than Dry January for Most People 28:32 The Insurance Problem: Why 28-Day Programs Fall Short of the Science 35:12 What's Next for Reframe: Peak Human Condition and Reframe Med 43:00 GLP-1 Medications and the Future of Addiction Treatment GUEST AND RESOURCE CREDITS Guest: Vedant Pradeep, Co-Founder, Reframe App: Reframe available on iOS and Android Download/site: reframeapp.com Follow for weekly episodes, and be sure to visit tessbrigham.com to learn more about Tess's work as a licensed therapist and certified coach. Hosted on Acast. See acast.com/privacy for more information.






