What is an addiction?
Addiction is defined as an inability to stop using a substance or engaging in a behaviour even though it is causing psychological and physical harm. Addiction is most commonly associated with drugs (including medications) alcohol, gambling and smoking, but it's possible to be addicted to just about anything, including food, work, the internet and shopping.
Many people start using drugs as a way of eliciting pleasure or reward, whilst others start using drugs as a result of trauma. However, addiction can take over and reduce self-control, sometimes it happens very quickly.
Addiction is a common problem, but you are not alone
‘Addiction is not a choice that anybody makes; it is not a moral failure. What it actually is: a response to human suffering.’
The brain plays a central role in addiction, and understanding its effects on the brain can help us understand the nature of addiction.
When a person consumes some substances, the brain's reward system is activated. This system involves several brain regions, primarily the dopamine pathway. Addictive substances trigger the release of dopamine, a neurotransmitter which are chemical messengers that transmit signals between nerve cells in the brain throughout the body, influencing various physiological and psychological functions. Dopamine produces feelings of pleasure and makes us want to do it again. Dopamine is released in response to natural rewards like food or social interaction, but addictive substances often release much bigger levels of dopamine.
With repeated substance use the brain adapts to the excessive dopamine levels by reducing the number of dopamine receptors. In other words, our brain actually decreases dopamine production when repeatedly use drugs or alcohol. This leads to a smaller response to the substance, which creates tolerance. Tolerance drives individuals to increase their use of the same or other substances to achieve the level of pleasure they experienced before. This escalation can lead to dependence, where the brain becomes reliant on the substance to function normally. Some people can become dependent on the substance because the effects of withdrawal on the body feel unbearable.
Additionally, addiction involves changes in other brain regions involved in decision-making, impulse control, and self-regulation. These changes can impair judgment, decision-making, and the ability to resist cravings, making it challenging for individuals to quit despite ive consequences.
Connection is increasingly viewed as central to recovery from problematic substance use. Addiction itself often occurs in a context of, and exacerbates, social exclusion and marginalisation. Cohesive support networks and healthy childhood attachments have been shown to protect against addiction risk and connection-focused treatments like 12-step programs and therapeutic communities effectively reduce substance use. Early maternal-child bonding is linked to lower addiction risk, while its absence and Adverse Childhood Experiences predict higher risk.
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