Evaluate Your Social Media Habits
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Answer with regards to how you have been doing in the past two weeks
I check social media first thing after waking up
Everyday
Most Days
Sometimes
Rarely
Never
I use social media during other physical gatherings to stay busy
Everyday
Most Days
Sometimes
Rarely
Never
I lose track of time when I use social media sites
Yes
No
I tend to involuntarily open an app and scroll through it without thinking
Everyday
Most Days
Sometimes
Rarely
Never
I spend more than 2 hours on social media
Everyday
Most Days
Sometimes
Rarely
Never
I stay up late scrolling through social media sites
Everyday
Most Days
Sometimes
Rarely
Never
My social media usage impacts my ability to work, maintain relationships etc.
Yes
No
Answer with regards to how you have been doing in the past two weeks
Most days, I feel
Calm and collected
Restless and worried
I feel afraid
Hardly ever
Frequently
When I think about the future,
I feel at peace
I am constantly worried
When I think about what I am doing, I feel
Like I am trying my best
Like I am falling apart
When I think about my future, I feel
Everything is going well
Nothing is going right
Throughout my day, I'm
Able to focus on the task at hand
Frequently distracted by thoughts
If I observe my physical health, recently I have been
Having no body pains or health issues
Getting frequent headaches, body pain
While working during the day, I
Feel energetic
Feel very tired
-
When at home/work, I feel
Calm and still
Impatient and edgy
-
I feel my heart
Beat as it ordinarily does
Pounds hard all the time
-
I often feel
Steady on my feet
Unsteady and dizzy
-
I feel faint or have fainted
Hardly ever
On many occassions
-
I have found my breathing to be
Steady and natural
Short and quick
-
My toes and fingers feel tingly and numb
Hardly ever
Quite often
-
Stomach issues and indigestion bother me
Rarely
Frequently
-
I have to pee
Few times in a day
More when I'm stressed
-
My hands mostly
Stay dry and warm
Cold or sweaty
-
I have
Barely any intrusive thoughts
Constantly unwanted thoughts
-
When I go to bed, I
Fall asleep in no time.
Difficult to fall sleep
-
Most of my dreams are
Pleasant or neutral
Scary or unpleasant
Attain better control over your OCD through an accurate diagnosis.
By taking this OCD test, you can gain insight into whether you might be living with obsessive-compulsive disorder.
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Tick on the thoughts that you have experienced frequently in the last 6 months.
I have repetitive thoughts or worries that I might harm myself or my loved ones.
I have disturbing, violent, or horrific images in my mind.
I fear that I will blurt out obscenities or behave inappropriately in public.
I am disgusted by bodily wastes or secretions.
I am constantly worried about coming into contact with dirt or germs.
I worry about coming in contact with chemical substances that can cause harm.
I have sexually violent thoughts, images, or impulses.
I often have thoughts or impulses that involve perverse or taboo sexual activity, even though they do not align with my personal preferences.
I have intrusive, upsetting thoughts about my sexual orientation.
I am excessively concerned with saving or keeping things for later, even if they are not very obviously useful.
I am fearful that I may act or behave in ways that would be disrespectful to God.
Discover Your Attachment Style
This test can help you find the attachment style that determines how you create and maintain relationships.
Free, standardised diagnosis of your attachment style
Takes less than 5 minutes to know your childhood conditioning
Detailed report with next steps to improve your relationships
Answer these situational questions honestly to get accurate results
-
To be on my own after being around people is
Tough for me, can't handle being alone
Good with me, I enjoy my own company
-
My close people
Would tell you that I can't keep secrets
Trust me with their secrets
-
In close relationships, I believe there is
Nothing private and confidential
Some amount of individual privacy
-
When starting a task, I
Worry about things going wrong
Am confident in my ability to accomplish it
-
When someone close to me spends time with their friends, I
Tend to worry and feel left out
Respect their space and am okay with it
-
When I need to discuss about what bothers me with someone, I am
Unable to confront them
Able to express my needs well
By taking this ADHD test, you can gain insight into whether you might be living with attention deficit/hyperactivity disorder.For each of the following items, select the option that represents how often you have experienced these thoughts before.
Do you struggle with paying close attention to details?
Do you find it difficult to sustain your attention on tasks for long?
Do you prefer to avoid tasks that require sustained mental effort?
Have you found that you are not listening even when you are being spoken to directly?
Do you often fail to follow through on instructions, and therefore fail to complete a task or meet your obligations?
Do you find it difficult to organise your time among various tasks and activities?
Are you easily distracted by external stimuli, and find it difficult to filter out irrelevant information?
Are you forgetful on a daily basis?
Do you find that lose or misplace things you need to complete a task?
Answer with regards to how you have been doing in the past two weeks
On most days I feel
Energised and excited
Low and demotivated
When I wake up in the morning
I feel ready to take on the day
I feel lethargic and tired
I have been crying
Not as much
Very frequently
When I go to bed
I sleep soundly
I have trouble sleeping
Compared to the usual, my appetite has
Remained unchanged
Increased or Decreased drastically
Over the past few months my weight
Has not changed much
Has fluctuated significantly
Over the last few weeks, I have been
Having usual bowel movements
More constipated than usual
I feel my heart
Beat as it ordinarily does
Pounds hard all the time
I feel
My energy level has not changed
Tired even without doing much
I find that my mind has been
Clear and has different kinds of thoughts
Confusing and chaotic with mostly negative thoughts
My daily chores seem
Easy and doable
Difficult to begin
When I'm going about my day, I feel
At ease
Restless
Thinking about my future make me feel
Hopeful and optimistic
Hopeless and sad
Of late, I have been
Calm and easy going
Irritable and snappy
When I have to make decisions
It is easy for me and I don't take a lot of time
It drains my energy and feels like a burden
I feel that I am
Needed and useful
Worthless
My life feels
Satisfying
Empty and meaningless
I have been having the urge to hurt myself
Never
Quiet often
The things that made me happy
Continue to be fun for me
No longer bring me any joy
Discover how food and your body are connected.
Discover probable eating disorders with this brief test, obtaining useful insights into your emotions and eating patterns.
Answer with regards to how you have been doing in the past two weeks
-
I have gone on strict diets before
Strongly Agree
Strongly Disagree
-
I've counted calories and tried to change the type and amount of food I take (Eg. Not eating food to consume calories in alcohol, eating only a couple of bites before restricting the food etc.)
Strongly Agree
Strongly Disagree
-
I stay hungry for long periods of time because it makes me feel better about myself
Strongly Agree
Strongly Disagree
-
Food is associated with shame and guilt for me
Strongly Agree
Strongly Disagree
-
I spend a lot of my time worrying about the food I'm going to eat and how it'll impact me
Strongly Agree
Strongly Disagree
-
I've felt I must work out a certain amount to earn my food that day
Strongly Agree
Strongly Disagree
-
Thinking about my body brings up a lot of disomfort and shame for me
Strongly Agree
Strongly Disagree
-
I look better to myself when I have an empty stomach or I have purged out food
Strongly Agree
Strongly Disagree
-
The only way to feel better is to change into my ideal body type, and the only way to do that is by controlling my diet.
Strongly Agree
Strongly Disagree
Tell Me Everything I Need to Know About Addiction
Addiction is a mental illness that leaves people feeling empty and alone. It's feel-good-now-regret-it-later behavior that impairs the ability to self regulate. Here's what to know, how to recognize a problem, and how to get help.
Jump to:Pursuing Pleasure to Avoid Pain What Happens in the Brain Sources of Addiction Habit or Addiction? Symptoms of Addiction Causes The Role of Shame and Trauma Treatment Stats Resources FAQs
It’s a cry for help that no one hears. The conversation goes like this: “No one likes me. No one understands me. I’m a loser. If I had been better at X, Y would have happened. I’ll never be successful. I’ll never find a partner…”
That’s the sound of emotional pain—the root of most addictions. Negative thinking. Bitterness, regret, resentment, the inability to forgive yourself or look to others for help. Non-stop toxic self-talk frequently fuels the impulse to grab the beer, pop the pill, or watch porn obsessively. These types of habits/behaviors temporarily numb the pain. Addiction is a way to escape self-loathing or some other brand of pain like loneliness, emptiness, boredom, anger, depression, or anxiety. And it almost works.
At least when I’m high (or engaging in a pleasurable activity, i.e., eating something I love, shopping, gambling, having sex, etc.) I’m happy…
Addiction is NOT a lack of willpower or a moral failing. It’s compulsive, out of control feel-good-now-but-pay-for-it-later behavior that destroys lives, careers, and marriages. Its victims suffer greatly, leaving them feeling empty and alone.
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Are You Addicted To Alcohol?
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It’s not easy to be a friend or loved one, to someone who seems to choose drugs, alcohol, gambling, insert toxic substance or behavior here, above everything else. How is it that people suffering from this illness continue to addict even when they know it’s destroying their lives and harming everyone they touch?
The family who lives in constant fear of losing their home thanks to dad’s gambling habit; the teenager who puts his future at risk with drug use because he’s unable to see his potential; the young adult who can’t hold onto a job because of her drinking problem.
The behavior is baffling because it betrays our common-sense notion that if it hurts, you don’t do it. No one chooses to be powerless over a substance they know is harmful.
The causes of addiction are complex—a mix of genetic, environmental (neglect and trauma are big areas here), and social influences contribute to this heartbreaking disease (more on that later, too).
Addiction has a powerful influence on the brain, and it manifests in three ways: cravings, loss of control, and continuing involvement despite adverse consequences.
Understanding addiction and helping those caught in its snare is a matter of life and death.
Consider these stats:
- Smoking (nicotine addiction) kills about 450,000 people every year—it is the #1 cause of preventable deaths.
- Another 100,000 die each year due to the consequences of alcohol use disorder (AUD).
- If you include food addiction and the consequences of obesity, about 1 million people die each year from the consequences of addiction.1
All told, roughly three million people die every year in the US—one-third from the consequences of addiction.
Think about that.
During my 30-year career in psychiatry, I have worked with hundreds of patients struggling with addiction. My patients can’t ask for help. They don’t feel worthy, and they don’t trust. Addiction is a disease of isolation, deceit, secrecy, fear, and shame. Victims are isolated from the truth of the disease, the consequences of the addiction, and through minimization and deceit, from others.
It is possible to recover from addiction but it’s painful and arduous work. Sadly, despite effective treatments, only 10% of people ever receive them (see below).
Here’s a look at the problem plus how you can help a loved one, or yourself if you are struggling with addiction.
Pursuing Pleasure to Avoid Pain
Old school thinking believed that people who developed addictions were morally inferior and overcoming addiction simply a matter of mustering up the willpower to “just say no”. That catchy slogan from the 1980s, unfortunately, perpetuated the idea that addictions aren’t mental health illnesses. They ARE.
Today, we know through science and research that addiction is a chronic disease. Addiction changes brain structure and function, just as cardiovascular disease damages the heart or diabetes disables the pancreas.
Addiction develops as dysregulation of our brain’s drive-reward system when stimulated by pleasure-inducing substances and/or behaviors in vulnerable people. Vulnerability is generally a combination of genetic, biological, psychological, social, and spiritual factors.2
In vulnerable people, addiction impairs the ability to self-regulate and leads to the compulsion for different reasons.
Our neurobiology drives us to do things that promote our survival and propagate our DNA. We experience these drives as motivations, compulsions, impulses, urges, desires, or cravings. Desire compels us to be safe, to feel good (pleasure) and to not feel bad, and to reproduce.
The brain has evolved to experience rewards as a way to satisfy desire. These rewards are relief of distress and pleasure. We seek relief from pain, anxiety, discomfort, and other unpleasantness. Pleasure can include satisfaction or enjoyment (playing, eating, having sex, etc.).
Often, our actions generate both relief and pleasure. For example, eating a good meal when we’re hungry. Neurobiologically, pleasure and the relief of distress are closely coupled and can be intertwined with addiction. Relief and pleasure are mediated by four main chemicals: endorphins, dopamine, serotonin, and oxytocin. Gamma-aminobutyric acid (GABA) and endocannabinoids may also be involved in the brain’s reward system.
Distress can be biological (physical pain, hunger, and fatigue), emotional (fear, anxiety, loneliness, depression, and anger), and spiritual (lack of joy, awe, reverence, and gratitude or a sense of being connected to something greater than ourselves).
Substances (medication, alcohol, etc.) and behavior (shopping, sex, video games, etc.) can alleviate distress/pain and provide pleasure.
If you are genetically vulnerable, the experience of a pleasurable reward causes excessive stimulation of the drive component of the brain’s drive-reward system. The result? An even stronger desire for the pleasure-inducing substance or behavior that often leads to intense cravings and compulsions. If we lose control and act upon these compulsions to our detriment, we have engaged in the process of addicting.
How Addiction Develops in the Brain
The drive/reward system of the brain exists in the middle of the brain where a group of structures that are part of the limbic system plays a key role. The limbic system mediates, along with other parts of the brain, emotion, and drive, or motivation.3
They include a circular strip of deep cortex called the limbic lobe, the cingulate gyrus, the orbitofrontal cortex (OFC), which rests just above our eyes, the amygdala, and the nucleus accumbens (NAc).
These structures work together with other parts of the brain to mediate motivations and emotions, including desire, pleasure, and cravings.
The amygdala determines if an experience is painful or pleasurable. It directs the brain to either repeat or avoid the experience. A part of the amygdala, the extended amygdala, is involved in both drug reward and in the negative experience produced by the stress of withdrawal that helps drive the compulsion to addict. It induces negative emotions like unease, anxiety, and irritability during withdrawal and interacts with the brain’s stress system through connections to the hypothalamus.
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Addiction Recovery: What Its Like
Reasons to Recover from Someone Who's Been There
The hippocampus records memories, including happy memories along with details such as where, when, and with whom a pleasurable experience occurred. These associations can trigger cravings.
The frontal lobes synthesize information in order to decide whether to act and what action to take. They put the brakes on impulses to act if they discern that an action is unwise. Impairment in frontal lobe functioning (due to addictive substances like alcohol) contributes to the loss of control that characterizes addicting.
Victims of addiction do what they feel urges to do regardless of what they know to be right. They have lost their “prefrontal brakes.” Part of successful treatment entails rewiring frontal lobe functioning so a person with an addiction learns how to do what is right regardless of urges/cravings to do otherwise.
Sources of Addiction
Addiction per se is not recognized as an official diagnosis. An addiction to drugs or alcohol is diagnosed as a substance use disorder (SUD). Right now there’s only one behavioral addiction disorder that is recognized by the American Psychiatric Association and included in the DSM-5-gambling disorder.4
Here are the substances most closely associated with addiction:
Addictive Substances
- Alcohol
- Marijuana
- Inhalants like paint thinners and glue
- Opioids, such as the painkillers codeine and oxycodone, and heroin
- Sedatives, hypnotics, and anxiolytics
- Stimulants like cocaine and methamphetamine, among others
- Tobacco
- Sugar/Carbs/Food
Brain changes that result from drug addiction can make the substance feel as necessary as food and water to the person that uses it. Over time people who abuse drugs and alcohol develop a tolerance to it, meaning they need higher doses of it to receive the desired effect.
With continued use, the brain and body become dependent on the presence of an addictive substance. When you try to quit abruptly, the body enters withdrawal, triggering a host of unpleasant symptoms, which vary by substance.
Addictive Behaviors
Pleasurable behaviors can become problematic when they take over your life. Though gambling disorder is the only addictive behavior in the DSM-V (see more on the symptoms of gambling disorder, below) other behaviors can be just as devastating, including 5
- Sex (sex addiction)
- Watching porn (porn addiction)
- Eating (food addiction)
- Shopping
- Using the internet (internet overuse)
- Playing internet/video games
- Work
- Love Addiction
- Exercise
Akin to drug and alcohol cravings, research suggests that people with behavioral addictions can feel intense urges to engage in their choice behavior. They may even feel a need to increase the intensity or frequency of that behavior to achieve the same high.
Habit Forming vs. Addiction: What’s the Difference?
Have you ever driven home from running an errand and realized you were on autopilot the whole way? When brushing your teeth,do you have to think about what you’re doing? Things you do from memory without really thinking about them are habits. Addiction, however, is behavior we compulsively repeat despite what we know to be negative consequences. While addiction can become routine like a habit, it is much more than a habit.
Having a glass of wine after work is a common way to relax. For some people it adds pleasure to their day and, by itself, doesn’t constitute alcoholism. If wine becomes the only way you know how to unwind—and you can’t relax without it…well then, Houston, we have a problem.
Symptoms of Addiction
The symptoms and signs of addiction depend on what you are addicted to and the severity of the addiction. For substance use disorders, some of the primary symptoms are:
- Cravings. Intense desires to addict. People caught in addiction can feel possessed by relentless preoccupations with using or engaging in addictive behaviors.
- Compulsion. This is the strong urge to do something, in the case of addiction using a drug or engaging in some other behavior
- Lack of self-control. In addiction, people lose control over their compulsions to addict. They addict even though they know it is harming them and others.
- Social problems. Substance use disorders can cause you to fall behind on important tasks at work, school, or home. You may deprioritize relationships and vital elements of your life, such as work projects or leisure time activities, due to your preoccupation with substance use. People with drug addiction, for example, often spend much of their time getting drugs, using drugs, and recovering from their effects.
- Risk-taking. You may engage in risky behaviors like driving while under the influence or stealing when you are high. You’re likely to continue to abuse substances despite obvious consequences that arise as a result, like being arrested and losing your driver’s license.
- Drug effects. Tolerance and withdrawal symptoms can be clear warning signs. People who abuse drugs and alcohol may increasingly need more of the substance to get the same effect and show withdrawal symptoms when they stop using.
- Occupational interference. As victims become preoccupied with addicting, they can let work responsibilities slide.
- Health consequences. This includes lung cancer from smoking, hepatitis from using alcohol, and infections from using IV heroin.
- Continued use despite adverse consequences. Victims of addiction often cannot stop without help even though they know their addiction is destroying their lives.
The symptoms of behavioral addictions are slightly different. Like substance use disorders, behavioral addictions may come with persistent urges to engage in a behavior, followed by a positive mood shift while engaging in said behavior. Behavioral addictions may become more habitual and ingrained.5
The American Psychiatric Association lists the following sign of gambling disorder, the only officially recognized behavioral addiction:
- Spending an increasing amount of money on gambling
- Needing to gamble more and more money to achieve the desired level of excitement
- Difficulty cutting back or quitting gambling
- Feeling restless or irritable when attempting to cut back or quit
- Persistent, frequent thoughts about gambling such as planning bets, thinking about past gambling experiences, and strategizing how to get more money to gamble with
- Turning to gambling when feeling down or distressed
- Continuing to gamble even after losing money in an attempt to break even
- Suffering financial or social consequences as a result of gambling
- Relying on others for financial support due to gambling losses
Causes of Addiction
Inescapable, unavoidable emotional pain—frequently caused by some form of trauma or neglect (more on that, below)—frequently triggers addiction. Essentially addiction is an ineffective pain management strategy for many who fall prey to it. Sometimes physical pain leads to addiction when vulnerable people use opioids for longer than a few days. But for some victims of addiction, there isn’t an identifiable pain that triggered the use of addictive substances or addictive behaviors.
Instead, they are driven (sometimes genetically) to experience pleasure in a way that throws caution to the wind. Impulsivity, too, without thought of the possible negative consequences of use, may contribute to an increased risk of addiction via pleasure-inducing substances.
No one uses addictive substances or engages in addictive behaviors with the thought of becoming addicted. They may be aware of the risk but tell themselves “it will never happen to me.”
About 70% of Americans are social or occasional drinkers. Even though they all drink the same liquor, wine, and beer, not everyone develops a problem. Around 15 million people in America have an alcohol use disorder or are addicted to alcohol. It’s not the alcohol that’s the problem, it’s the vulnerability and the person. 6
What makes someone vulnerable to addiction? Like other chronic conditions and mental health disorders, the causes of addiction can be broken down into two main categories:
Environment. Environmental factors, including stress, history of trauma or neglect, and family, friends, and relationships, seem to affect someone’s vulnerability to addiction. Prevalent use of substances among your social groups and encouraging attitudes toward drugs in these groups may heighten the chances of initial drug use. Accessibility to substances, cost, and cultural norms also play a role.
Genetics. Some risk of addiction is genetic. Depending on your genes, you might be more or less vulnerable to addiction. Certain genetic traits may increase the feeling of reward you experience after using a drug or engaging in addictive behavior. Once you’ve started using a drug, the progression toward full-blown addiction may be delayed or expedited depending on your genetic tendencies.
More specifically, risk factors for addiction include:
- Family history. Drug addiction is more common in some families. Having family members with addiction increases your risk.
- Peer pressure. Peer pressure, especially in teens and young adults, can play a substantial role in encouraging drug use and abuse.
- Family problems. Difficult family situations, lack of parental oversight, and weak bonds with family members can increase addiction risk.
- Using drugs at an early age. When the brain is still developing, substance use can more easily influence neural networks and increase the likelihood of addiction.
- Taking a drug that’s highly addictive. Some drugs are more addictive than others. Addiction may develop faster if you take drugs such as stimulants, cocaine, or opioids.
- Having another mental health disorder. Many people experience mental illness and addiction together. An existing mental illness may make someone more vulnerable to addiction, or an existing addiction may trigger or worsen a mental disorder. People with mental illnesses may turn to drugs to numb emotional pain and cope with their feelings or for other reasons related to symptoms of their condition. People with attention-deficit hyperactivity disorder (ADHD), for example, are at greater risk of addiction in part because impulsivity is a hallmark of ADHD.
Addiction and mental illness are highly interrelated. Approximately 50% of people who suffer from a mental illness will also develop a substance use disorder and vice versa.
Some of the mental illnesses that are often diagnosed alongside addiction include:
- Generalized anxiety disorder (GAD)
- Panic disorder
- Post-traumatic stress disorder (PTSD)
- Depression
- Bipolar disorder
- ADHD
- Borderline personality disorder and other personality disorders
The Role of Shame and Trauma in Addiction
Trauma—whether emotional or physical—is a significant risk factor for addiction. Trauma overwhelms a person’s capacity to cope and the effects can last for decades. The CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study is one of the largest investigations of childhood abuse and neglect and resulting challenges in health and well-being ever done. 7
The original ACE Study was conducted from 1995 to 1997. Thousands of children were studied, and the results found a strong correlation between exposure to abuse or household dysfunction during childhood and multiple risk factors including the development of addiction.
Trauma can include experiencing fairly common events like divorce, surviving a bad car accident, or a natural disaster. Perhaps you grew up in a household with a mentally ill parent or a parent addicted to drugs or alcohol. Maybe you were raped or sexually assaulted.
All of these experiences have the potential to leave traumatic scarring. Trauma can leave its heartbreaking mark on the mind, heart, and body. One (unhealthy) way to cope with the impact is through addiction.
Many clinicians find trauma to be common among those suffering from addiction, although the exact relationship of trauma to addiction is still unclear.8
Trauma can impair the ability to self-regulate and to form healthy attachments. If you grew up with a parent who ignored or trivialized your needs, you learn that asking for help is dangerous.
Loving is a skill that is learned in early development and if you don’t have those skills you can’t teach what you don’t know. Trauma makes the world feel unsafe and the person who experiences it feel unlovable.
Recovering from addiction for victims of trauma and neglect means learning how to feel loveable, how to love oneself, and how to give love to others.
Shame, or the experience that one is bad, is very common in addiction. People who addict do bad things, which leaves them vulnerable to feeling bad about themselves. Unfortunately, shame only perpetuates addiction, because victims don’t feel they deserve to recover. In a weird way, shame can drive people to continue to addict to punish themselves.
Addiction Treatment
Over the course of my career, I have been privileged to help many hundreds of people struggling with addiction. I have seen an executive that once lived under a bridge go on to rebuild his career and start a family. One patient went from being unemployed and homeless to becoming a successful attorney, a homeowner, and a loving husband. Another patient was penniless and on the verge of divorce. He went on to become the vice president of a corporation and raise two beautiful children.
Addiction provides temporary pain relief but creates more pain in the long run. In the end, addiction either destroys us or brings us to the gates of recovery. The choice is ours. We do everything we can to avoid our pain. We engage in denial (I’m not drunk, I’m just drinking), minimization (I only have a couple of beers a night), rationalization (my drinking helps me to relax, cigarettes calm me, I need pills for my pain), externalization (I wouldn’t drink if my wife wasn’t such a…), and projection (The real addicts are those junkies. I’m not like them).
Just 10% of people seek treatment in part because of shame. The other reason is that the nature of addiction compels them to addict to manage the pain of addiction. Most people don’t seek treatment because the pain of stopping seems greater than that pain of addicting and they don’t see any other alternative.
Addiction also impairs decision-making. The “value” of addicting crowds out other important life values such as relationships. This distortion of decision making of course impairs people’s ability to ask for help to stop the addiction. To recover from addiction, you must learn other ways of feeling good and NOT feeling bad.
So, if you get yelled at by your boss for making a mistake at work, instead of having a drink to deal with that anxiety, you investigate the anxiety. Rather than run from it with a drink, you learn to meditate or take a walk in nature. Healing from addiction requires the development of psychological skills, craving management skills, but most of all love skills.
Through recovery, you learn to feel that you are worthy but must also learn how to ask for help and how to give love to yourself and others, too.
No one recovers alone from addiction. Recovery is possible for those who want it and are willing to work for it. It takes time, hope, and support.
Although there is no cure for addiction, and there is always a risk of readdiction, it’s also highly treatable. Treatment strategies will depend on the person and the addiction. You may need multiple rounds of treatment, a combination of treatment approaches, and even lifelong management.
Treatment options include:
- Medication. Various medications can be used to control drug cravings and relieve severe symptoms of withdrawal. For example, at specified doses, drugs like buprenorphine and methadone keep opioid withdrawal symptoms at bay without triggering the same high. Instead of only activating the opioid receptors they work by blocking withdrawal symptoms and brightening mood. Disulfiram is a drug that can help break the cycle of alcohol abuse because it triggers an unpleasant reaction when people consume alcohol.9 People with addiction as well as another mental health disorder will benefit from treatment for that disorder as well, such as managing depression with antidepressants.
- Treatment programs. People with substance use disorders need to be able to safely and quickly detox from the substance they are addicted to. This may involve a stay at a hospital or treatment center to manage withdrawal symptoms, which can be quite severe, depending on the substance. Treatment programs may be outpatient, residential, or inpatient, depending on what level of care a patient requires. They usually mandate a drug-free environment and offer individual, group, or family therapy sessions.
- Therapy. On its own or as part of a treatment program, therapy can help you recognize and understand your addiction and learn strategies to break the cycle.
- Mutual-Help Groups. Both online and in-person groups can be effective forms of peer support and as a forum for discussing addiction without shame. Having a sponsor, recovery coach, or recovery mentor can be a real game-changer for people struggling with addiction. Research shows that popular 12-step based programs such as Alcoholics Anonymous and Narcotics Anonymous only work if you go to meetings, talk to a sponsor and do all 12 of the steps. SMART Recovery and Celebrate Recovery (for Christians) are addiction recovery programs I frequently recommend.
Addiction by the Numbers
According to the latest government statistics, nearly 23 million Americans—almost one in 10— are addicted to alcohol or other drugs. More than two-thirds of people with addiction abuse alcohol. The top three drugs causing addiction are marijuana, opioid (narcotic) pain relievers, and cocaine.10,11
The cost of addiction is high and impact life expectancy, crime, and the economy. Here a few of the startling numbers:
- $740 billion: The annual cost related to crime, lost work productivity, and health care as a result of abuse of tobacco, alcohol, and illicit drug use in the United States.
- 165.4 million: The number of people aged 12 or older who used a substance, including alcohol, tobacco, or an illicit drug, in the past month.
- 20.4 million: According to the 2019 National Survey on Drug Use and Health, this is the number of people aged 12 or older, with a substance use disorder. More specifically:
- 8.3 million people had a past year illicit drug use disorder
- 1.6 million people had a past year opioid use disorder
- 1.4 million people had a past year prescription pain reliever use disorder
- 904,000 people had a past year methamphetamine use disorder
- 2.4 million people had both an alcohol use disorder and an illicit drug use disorder in the past year.
- 67,300: The number of Americans who died from a drug-involved overdose in 2018, including illicit drugs and prescription opioids.
- 37,329: The number of alcohol-induced deaths in 2018, excluding accidents and homicides (CDC).
- 23,172: The number of alcoholic liver disease deaths in 2018 (CDC).
- 28.8 million Americans have an eating disorder. Eating disorders claim 10,200 deaths each year and cost the economy $64.7 billion.12,13,14,15
People who struggle with addiction need our love, sympathy, and support. Without it, recovering from addiction is not possible. It turns out that loved ones have an enormous impact on the victim of addiction. The combination of kindness and behavioral reward strategies called Community Reinforcement and Family Training (CRAFT) can make the difference between life and death for a loved one with addiction.
Helpful Resources for Addiction
Books About Addiction for People Struggling and Their Loved Ones
- The Joy of Recovery: A Path to Freedom from Addiction
- The Addiction Recovery Workbook: Powerful Skills for Preventing Relapse Every Day
- Beyond Addiction: How Science and Kindness Help People Change
Government Agencies, Clinical Trials, and More
National Institute on Drug Abuse (NIDA). Use this fact sheet to learn more information on the most recent and comprehensive treatment options for drug abuse and addiction.
The Substance Abuse and Mental Health Services Administration (SAMHSA) operates a confidential, 24-hour treatment referral helpline 1-800-662-HELP(4357) to help people find treatment programs and other assistance. You can also use SAMHSA’s online resource Behavioral Health Treatment Services Locator for finding mental health treatment facilities and programs in your state.
National Institute of Mental Health, is the lead federal agency for research on mental disorders. NIMH’s website has the latest research, news, and statistics on addiction and related mental health disorders, and you can explore the idea of participating in an upcoming clinical trial for finding new and better treatments.
Clinical Trials Network (CTN). If you’re interested in participating in a clinical trial or learning more about upcoming clinical trials, you can find one via the Clinical Trials Network.
Alcoholics Anonymous (AA). Find a local AA meeting near you.
Narcotics Anonymous (NA). Find a local NA meeting near you.
FAQs
What is addiction?
Addiction is a chronic brain disease that compels you to repetitively use a substance or engage in a behavior despite detrimental consequences to mind, body, and general well-being. The reward or high that addictive substances or behaviors trigger acts as an incentive. Over time, people with addiction become reliant on addictive substances or behaviors, causing long-lasting brain changes.
What causes addiction?
How can I break an addiction?
Why is addiction a disease?
Article Sources
Last Updated: Mar 3, 2021
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