Mechanisms of Behavioral Change and Effective Treatment Interventions to Improve Addiction Recovery Outcomes

Addiction, it is all around us, affecting people from all walks of life, it is not limited to certain social classes or lifestyles. It is found in every ethnic group, regardless of gender or age. It affects our neighbors, our friends, and our family either directly or indirectly. Although substances such as alcohol and illegal drugs are two of the most common addictions we hear about, there is a wide range of substances and even activities such as gambling and shopping. There is some debate whether addiction is a brain disease or a choice.

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.

Once someone enters treatment, there are a number of addiction recovery options that they may be given. Since every addiction is different, patients are given the unique blend of treatment options that work best for their circumstance. Most patients will need to start by going into a detox program. Afterward, rehab may include options like counseling, peer support and relapse prevention.

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.

Wise and Koob state that addiction begins with positive reinforcement, habits, a person feels the “high” of the habit, however, then the tolerance sets in which conditions the brain for negative reinforcements and one increases the use to enjoy the habit (2014). According to the National Institute on Drug Abuse (2012), drug addiction is a chronic brain disease. This disease is complex disease that is treatable, however it is a lifetime of treatment, sending many into relapses over and over again. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

After each individual has completed his or her stay in the detox unit, that individual has a choice to reside in the men’s or women’s residential home or independent living. The residential homes are for men and women who still require additional treatment, which will help them to continue to support their

As results of scientific research, we know that addiction is a disease that affects both the brain and behavior. A disease is an interruption, cessation, or disorder of a body system, or organ structure, or function; according to Stedman’s Medical Dictionary. (Sheff ,2013) cites, the disease od addiction has an etiologic agent, identified by a group of signs and symptoms or consistent anatomic alterations. There are significant changes in the brain. The American Society of Addiction Medicine (ASAM) states that addiction is a primary, chronic disease of brain reward motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristics biological, psychological, social and spiritual manifestations. This is reflected in an individual pathology pursuing reward and /or relief by substance use and other behaviors. (Addiction is characterized by inability to consistently abstain, impairment of behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships and dysfunctional emotional responses. 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. (ASAM Adopted as Policy, February

Being able to identify these stressors, and high-risk situations, serves to provide needed insight that guards against potential relapse. Relapse prevention programs go further, equipping the patient with the needed tools and skills that they can use to disarm the stressors and resulting triggers that cause emotional and mental disturbance. Relapse prevention programs also contain aspects of improving physical health, as overall health, mind and body, is indicative of a greater chance of long-term recovery. This is why supplemental therapies such as yoga, art, and music are important. These participatory therapies help the patient to express themselves, have an outlet for their thoughts and energy, and get practical experience in the ways to calm themselves, and head-off

The treatment for substance abuse is a controversial subject, if to curtail the substance that is abused you replace it with drugs, can decrease the probability of recovery. Recent studies are conducted regarding this topic to cure all the addictions, and discovering neural

According to the National Institute on Drug Abuse 2014, the disease model addiction is considered a brain disease that can affect multiple circuits in the brain, which involve motivation, learning, memory and inhibitory control over one’s behavior. Because drug addiction and abuse have so many dimensions and disrupts aspects of one’s life, treatment is just not that simple. Addiction treatment must be able to stop an individual from using drugs and continuously maintain a drug free lifestyle, and achieve productive functioning in working, family and society. Because a person’s addiction is typically considered a chronic disease, those who have the disease cannot simply stop using drugs in a few days and totally be cured. Some require long-term and repeated episodes of care to be able to achieve one’s ultimate goal of sustaining abstinence and recovery of their lives. A report conducted by the Substance Abuse and Mental Health Services Administration and National Survey on Drug Use and Health (NSDUH), the

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

Addiction is like all behaviours “the business of the brain”. Addictions are compulsive physical and psychological needs from habit-forming sustenances like nicotine, alcohol, and drugs. Being occupied with or involved in such activities, leads a person who uses them again and again to become tolerant and dependent eventually experiencing withdrawal. (Molintas, 2006).

Among the numerous definitions for addiction, there lies yet another to define it from a biochemical perspective. Milkman (1983) defines it as “self-induced changes in neurotransmission that result in social problem behaviors." This definition encompasses the psychological, biochemical and social aspects of addictive processes. It is not limited to substance abuse and can be applied to any activity characterized by compulsion, loss of control and continuation of the substance despite harm. This has helped investigators gain a better understanding of the nature of addiction.

Although it is true that for most people the initial decision to take drugs is voluntary, over time the changes in the brain caused by frequent drug abuse can impair a person's self-discipline and ability to make sound judgements, and at the same time create an intense impulse to take drugs. It is because of these alterations in the brain that it is so puzzling for a person to stop abusing drugs. Luckily, there are treatments that help people to neutralize addiction's powerful disruptive effects and regain control of their lives. Study shows that combining addiction treatment medications, when suitable, with behavioral therapy is the best way to ensure success for most patients. Treatment approaches that are custom-made to each patient's drug abuse patterns and any concurrent medical, psychiatric, and social problems can help achieve sustained recovery and a life without drugs.

"Drugs, Brains, and Behavior: The Science of Addiction." Drug Abuse and Addiction. N.p., n.d. Web. 27 Mar. 2013.