Understanding Addiction

Learn about drug & alcohol addiction & abuse

Substance abuse is characterized by behaviors that consist of chronic, excessive consumption of drugs and/or alcohol that continue despite the onset of negative consequences that occur as a direct result of that consumption. Regardless of the type of substance that an individual is abusing, the longer that that pattern of abuse is allowed to persist, the more likely he or she is to develop a dependency on and an addiction to that substance. When any substance is used in excess, it causes a direct activation to occur on the brain’s reward system, ultimately forcing an individual to become much more focused on his or her drug of choice than he or she is on other things that should take priority. This significant change can subsequently result in the onset of disturbances in most, if not all, aspects of an individual’s life.

Whenever substances are used for mood-altering or mind-altering purposes, the behavior can be classified as substance abuse. There are a great deal of substances that are abused throughout the world today, but some of the most common include alcohol, marijuana, methamphetamine, heroin, stimulants like cocaine and Adderall, prescription painkillers, synthetic marijuana, and central nervous system depressants, like benzodiazepines.

Once a substance abuse problem has developed, it can be extremely difficult for an individual to overcome his or her need and compulsion to use without help from professionals in the field of mental health and addiction. Fortunately, there are many treatment options available that can help individuals put an end to their substance use and return to a life of sobriety.

Statistics

Substance abuse statistics

Research has indicated that more than 9% of the United States population over the age of 12 has used or abused various substances, including alcohol, illicit drugs, and prescription medications, at some point during their lifetimes. This is the equivalent to approximately 23.9 million people and researchers predict that the numbers will continue to steadily increase.

Causes & Risks

Causes and risk factors for substance abuse

The development of substance abuse and addiction is said to result from a number of factors that work together to increase an individual’s susceptibility to experiencing the onset of such behaviors and compulsions. Consider the following:

Genetic: Long-standing research has proven that addictions run in families, providing conclusive evidence that there is a strong genetic link to its onset. Individuals who have first-degree, biological family members who struggle with an addiction to drugs and/or alcohol are at an extremely heightened risk for suffering from an addiction at some point in their lifetimes as well.

Environmental: There are a great deal of environmental factors that can contribute to a person’s susceptibility to developing an addiction to substances. For example, individuals who are the victims of abuse or neglect, or who have gone through traumatic experiences, often turn to substances as a means of self-medicating the negative emotional turmoil that they face as a result of those experiences. In addition, individuals who are exposed to drug and/or alcohol use, or who have easy access to obtaining substances, are more likely to struggle with substance abuse concerns than are those individuals who do not have similar exposures nor do not have ease of access to obtaining substances.

Risk Factors:

Family history of substance abuse and addiction
Family history of mental illness
Personal preexisting mental health condition
Suffering from abuse and/or neglect
Experiencing a traumatic event or series of traumatic events
Having great ease of access in regards to obtaining substances
Suffering from low self-esteem
Being exposed to chronically high levels of stress
Exposure to crime and violence

Signs & Symptoms

Signs and symptoms of substance abuse

The signs and symptoms that will be displayed by an individual who is struggling with substance use will vary greatly depending upon the type of substance being abused, the length of time during which the abuse has occurred, and the frequency of the abuse. Examples of various symptoms that may indicate that a person is abusing drugs and/or alcohol can include:

Behavioral symptoms:

No longer participating in activities that were once enjoyed
Change in peer group
Frequent absences from work
Decline in occupational performance
Slurred speech
Engaging in reckless behaviors
Failing to adhere to responsibilities
Acting out in sudden, unwarranted episodes of aggression
Periods of extreme hyperactivity
Periods of extreme lethargy
Disturbances arising within one’s interpersonal relationships
Slowed or rapid speech

Physical symptoms:

Changes in eating patterns
Changes in sleeping patterns
Sudden weight loss
Excessive sweating
Decline in proper hygiene
Chronic headaches
Distorted vision
Muscle tension
Shakiness
Nausea
Vomiting
Diarrhea

Cognitive symptoms:

Concentration disturbances
Memory impairment
Loss of the ability to reason
Episodes of detachment from reality
Altered states of perception
Delayed thought processes
Delusions
Hallucinations
Paranoia
Psychosis
Hindered ability to use appropriate decision-making skills
Extreme confusion

Psychosocial symptoms:

Dramatic fluctuations in mood
Changes in temperament
Periods of emotional detachment / emotional numbness
Excessive feelings of irritability and agitation
Heightened levels of anxiety
Extreme feelings of depression
Declined interest in things once interested in
Declined ability to experience pleasure
Onset of suicidal ideation

Effects

Effects of substance abuse

Whenever individuals abuse any type of substance, they are placing themselves at risk for experiencing any number of negative, long-term consequences. These consequences can be detrimental to drug or alcohol users physically, psychologically, and socially. While the effects themselves will inevitably vary from person to person depending upon the type of substance that one is using, the length of time that he or she has been using, and the frequency of the use, possible examples may include the following:

Decline in one’s overall physical and mental health
Onset of symptoms synonymous with various mental health conditions
Exacerbation of symptoms of a preexisting mental health condition
Malnutrition
Irreversible cognitive impairment
Contraction of viruses, such as HIV/AIDS or hepatitis
Seizures
Stroke
Job loss / chronic unemployment
Onset of self-harming behaviors
Financial strife
Familial discord
Hindered lung functioning
Heart damage
Compromised immune system
Damage to the central nervous system
Unintentional overdose

Co-Occurring Disorders

Substance abuse & co-occurring disorders

Sadly, it is not uncommon for individuals who abuse substances to also be battling symptoms of additional mental health conditions. Some of the most commonly cited disorders known to occur alongside the presence of substance use disorders include: