Addiction changes the way the brain processes information. To understand addiction, you first must learn its language—how addiction develops and why addicts continue to use despite the harm it inevitably causes.
Addiction is a mysterious illness because it seems to make such little sense to the onlooker and even at times to the addict. Addiction is a magnet for making poor choices. Therefore, addicts are prone to repeating their poor choices because they do not process information correctly.
All addicts have poor insight and poor judgment when using. It is part of the illness of addiction.
Addiction is a dangerous illness. It can literally claim a life in a heartbeat. Once addiction develops, it is hard to stop using. It takes hold like a vice, squeezing the addict into submission to become a slave to the opioid.
In the eleven chapters that follow, I will be your guide to this mysterious and dangerous world. I explain what addiction is, why some (but not all) users of opioids develop an addiction, describe the many dangers associated with addiction, and explain why addicts are often resistant to treatment.
So let’s start our journey. I’m sure you won’t be disappointed.
Chapter 3
Our National Epidemic of Opioid Addiction
“Funny thing about the monster. The worse he treats you, the more you love him.”
─Ellen Hopkins
“However vast the darkness, we must supply our own light”
─Stanley Kubrick
“It is during our darkest moments that we must focus to see the light.”
Addiction is a chronic brain disease that often results in some sort of relapse. Addiction is characterized by inability to control drug use which results in problems with one’s behaviors and interpersonal relationships. This disease causes compulsive behaviors such as the need to use drugs despite the many harmful consequences that affect the addicted individual and those around him or her. Although for most people, the initial decision to use drugs is a one time lapse in judgement, the brain is easily affected by these drugs if the person decides to use these drugs multiple times. The changes that occur to the brain over time will cause the addicted person’s ability to resist the intense impulses of drugs to be altered causing the addict to often give into the temptation of these drugs. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. Drug addiction is an issue that many people deal with whether they are the addict or the addict is their loved one; but with a good source of support anyone can over come the challenges and consequences of addiction.
Cocaine, heroin, methamphetamines, alcohol, opium, tobacco, hypnotics, just to name a few. Addiction is a chronic disease that affects the chemicals in the brain. It dysfunctions the circuits in the brain that deal with memory, reward, sex, motivation, behavior, relationships and emotions all mostly resulting in substance use or other behaviors to fulfill those circuit rewards. This world is in a current addiction epidemic on drugs. Let’s try to understand addiction to make it a little clearer.
Addiction has a way of pulling your attention away from your basic needs and making it harder for you to succeed in life. It's a sad truth that I've seen happen to so many people over the years. These are good people, with good brains and real potential, but addiction takes over and they can only focus on that aspect of their life.
Second Main Point: As mentioned before, opioids are highly addictive, but why? Why don’t people just stop taking the drugs when they realize they have a problem? The
Many people believe the misconception that an addiction is a moral problem and not a disease. To better understand the reasons why an additicition is in fact a disease; I will identify several types of addictions, and the problems associated with them. I will examine reasons why certain people are more susceptible for developing an addiction. Also, I will determine why many addicts deny their problems and many recovery methods addicts use to fight their illness. Researching these issues, will help aid my claim that addiction is a disease.
Many people have developed an addiction due to an injury and which were prescribed painkillers to manage and treat the pain. Prolonged use leads to dependence and once a person is addicted, increasing amounts of drugs are required to prevent feeling of withdrawal. Addiction to painkillers often leads to harder drugs such as heroin due to the black market drug being cheaper. Prescription drugs remain a far deadlier problem and more people abuse prescription medication than cocaine, methamphetamine heroin, MDMA and PCP combined. Drug abuse is ending too many lives too soon and destroying families and communities.
It is believed that certain individuals are predisposed or vulnerable to addiction based on biological, psychological and social influences. The euphoric high produced by many addictive substances is the result of overstimulation of the “pleasure center” of the brain. This is the same area that controls emotions, fear, self-control and overall feelings of wellness. The presence of these foreign chemicals creates a response that the brain will crave as soon as it fades. The brain’s chemistry works against its own health, as it rewires its decision making faculties around the primary goal of finding and taking more of the drug” (1). Many people mistakenly believe that psychological addiction is somehow less serious or real than physical addiction. The psychological aspects of addiction are much more challenging to repair and recover from than the physical addiction. Psychological addiction can last for years or even a lifetime.
Addiction: is it a disease or a choice? A disease can be described as “a disorder of structure or function that produces specific signs or symptoms, or that affects a specific location and is not simply a direct result of a physical injury.” Knowing this, one can believe addiction is a disease. It is something that is done frequently, that usually does not end, just as a disease; it cannot cease on its own, because it requires some form of treatment. The big question regarding addiction is why people believe it to be a choice opposed to a disease.
Opioid use has to begin somewhere. Patients that are prescribed opioids for pain treatment run a risk of developing dependency on the prescribed medications. Numerous individuals who take the opioids for extended amounts of time may begin to progress towards higher tolerances of the prescribed medicines. Due to this higher tolerance, individuals may feel like they need to take more than what was prescribed. Eventually this can lead to craving opioids in order to function or to “feel better” throughout the day. In fact, it has been estimated that between twenty-one and twenty-nine percent of patients that are prescribed opioids for chronic pain misuse them and close to ten percent develop an opioid use disorder (https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis, 2017). “Some people experience a euphoric response to opioid medications, and it is common that people misusing opioids try to intensify their experience by snorting or injecting them” (https://www.samhsa.gov/disorders/substance-use, 2015). This means of drug intake, generally leads to the exploration of more easily acquired drugs with stronger effects.
Addicts use drugs to overcome their feelings. If an addict is feeling sad, happy, or angry, they use. This leads to their addictions. After a while, the addict can’t hold a steady job,
This learner believes that behavior and addiction should be accepted as the same as addiction to substances. Working in a substance abuse recovery program has allowed this learner to understand addiction as a behavior. Many individuals have a substance abuse addiction and issues because of their behavior. They have made a choice to use substances and their behavior has taken over their life. Overall, this learner believes that all addictions are just as important as a substance abuse addiction. In fact, it should not be considered the same type of illness despite of it being a food, sex, or even gambling addiction. However, the addictions have to be treated differently based on the type and the individuals. According Smith (2012), “Developing brain science brain science has set the
There are several theories of addiction. All of them are imperfect. All are partial explanations. It is for this reason that it is important to be aware of and question addiction theories.
More and more people are sucked into the horrible addiction. An addiction is an actual disease that occurs in the brain. Many times these drugs affect the brain and in result, cause the addiction to occur. More and more there are people coming into the hospital from a heroin overdose, are released from the hospital, go back out, and inject the drug. The drug is so powerful that these individuals do not see what is happening to them as they slowly kill themselves.
Addiction can have very harmful effects, but the truth is that there are people all around us struggling with this every day. After reviewing causes, treatment, and remission of this disease I hope that you now have more information on addiction and its’ effects.
Addiction is a choice and by classifying addiction as a disease, we are just enabling drug addicts to take no responsibility for their own actions in their lives. By labeling addiction as a medical condition it creates a false assumption that addicts have no control over their own behavior. People become addicts because of their behavior, not their brain chemistry. The disease concept is so popular because it gives people an easy way out; if they inherited their addiction they can’t be responsible for their own behavior. The disease model of addiction is flawed for a number of reasons; first, most people who take drugs do not become addicted, but may take drugs for a period of time, then stop when they choose to do so. Many well respected professors and scientist claim addiction is a scapegoat behavior that has been incorrectly identified as a physical or mental illness, an addict is only a victim of bad science and misguided policy.