Addiction
Understanding Addiction
Addiction is when a person cannot control a behavior or substance use, even when it causes harm. This term originates from the Latin word for “being a slave to something.” It includes any behavior or substance.
Addiction impacts brain chemistry, affecting life interactions in three main ways:
- Intense craving or obsession
- Loss of control over use
- Continued use despite harm
Common addictions include smoking, gambling, drug misuse, and technology. These behaviors can become reckless and harmful, affecting all life areas, leading to physical, mental, and social issues.
The Complexity of Addiction
Addiction is marked by an individual’s emotional and psychological state when not using a substance. It is a misconception that addiction is only about being under the influence; it’s more about how the person feels when sober. The use of substances offers temporary relief from emotional distress, but doesn’t address the underlying issues.
Addiction might have roots in an individual’s emotional state from birth, independent of external factors like trauma. This condition involves a mix of genetic predisposition and psychological factors, leading to a constant search for external validation and reward. Substance use provides a temporary escape from feelings of inadequacy and disconnection.
Recognizing Addiction as a Disease
Addiction is a health condition of the mind causing emotional pain and suffering. It involves an inability to stop using substances or engaging in behaviors, even when harmful. Addiction often starts because the person seeks to feel better or forget their problems. Over time, substances or activities lose their initial good feeling, and the person becomes physically and emotionally dependent.
Recognizing addiction as a disease is crucial for effective treatment, combining immediate assistance with sustained support from professionals.
Important definitions: Obsession and craving
Obsession
Obsession in addiction extends beyond compulsion to engage in behaviors. It’s an irrational belief that the outcome will differ each time, despite past failures. It leads to uncontrolled behavior, often resulting in dangerous actions. Recovery involves addressing the underlying emotional dimensions, requiring ongoing support and personal development.
This cognitive distortion leads to repeated, uncontrolled behaviour. This is where initial intentions, such as having only a few drinks, are quickly overrun by the overwhelming need to continue the addictive behaviour, often leading to dangerous and uncharacteristic actions.
The difference between an individual’s behaviour under the influence and their personality when sober can be stark. A person may lead a responsible, respectable life (challenging the typical stereotype of an addict). This contradiction shows the nature of obsession in addiction. Compulsive behaviour does not discriminate based on external success or social standing.
Craving
Craving is an intense desire to engage in substance use, triggered by the substance’s presence in the body. It leads to a loss of control and repeated harmful behaviors. Understanding the difference between craving and obsession is crucial for treatment, addressing immediate physical responses and deeper psychological patterns.

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Addiction and Dopamine
Addiction alters brain chemistry, primarily involving dopamine, the ‘feel-good’ chemical. Substances or behaviors associated with addiction trigger excessive dopamine release, overwhelming the brain’s natural pleasure processing. This leads to tolerance, where more substance or behavior is needed for the same effect. Addiction involves a cycle of temporary relief and long-term destruction, requiring a holistic treatment approach.
Stages of Addiction
Patterns: Initial use as a coping mechanism for emotional distress.
Increased Use: Escalation in frequency and intensity of use.
Tolerance Development: Needing more substance or behavior for the same effect.
Dependence and Withdrawal: Feeling the need to use to function normally.
Full-fledged Addiction: Compulsive use despite negative consequences.
Seeking Help
Understanding and addressing addiction requires compassion, appropriate treatment, and ongoing support. Addiction hotlines and counselors provide essential support, guiding individuals on the path to recovery. Recognizing addiction as a disease is key to addressing it effectively.