The Distinction Between Dependent Behavior and Addiction Explained

The Distinction Between Dependent Behavior and Addiction Explained

### Title: Navigating Dependence and Addiction: Understanding Substance Use Disorder

In the complex world of substance use, two terms often come up: dependence and addiction. While they are related, they are distinct concepts that warrant separate understanding.

**Dependence** is a condition where an individual's body becomes reliant on a substance to function normally. This reliance can result in withdrawal symptoms when the substance is discontinued, and it can manifest both physically and psychologically. Dependence can develop alongside drug tolerance, but it does not necessarily mean that someone will become addicted. Some people can safely end their dependence without transitioning to addiction[1][2].

On the other hand, **addiction** is a brain disorder that leads people to continue harmful behaviors despite knowing the negative consequences. It encompasses physical dependence but also includes psychological and behavioral components. Addiction involves a loss of control over substance use, continued use despite harmful effects, and a preoccupation with obtaining and using the substance[1][3].

The transition to addiction depends on a variety of factors. **Brain Chemistry** plays a significant role, with addiction involving the stimulation of the brain's reward system, leading to the release of dopamine. Over time, the brain adapts by reducing its sensitivity to dopamine, making it harder for individuals to feel pleasure without the substance[3][5].

**Genetic Factors** also contribute to the development of addiction, as some people may be genetically predisposed to addiction, making them more susceptible to developing an addiction when they use substances[3].

**Environmental Factors** such as exposure to substances at a young age, peer pressure, or traumatic experiences can also contribute to the development of addiction[4]. **Psychological Factors** like mental health issues, stress, and other psychological factors can increase the likelihood of addiction[4].

It's essential to note that not everyone who uses a substance becomes addicted, and some addictions are not substance-related (e.g., gambling disorder). Furthermore, dependence can occur in the context of necessary medications, such as insulin for diabetes or oxygen for emphysema[6].

Understanding these aspects is crucial in helping people with substance use disorder get things back on track. Dr. Streem, a leading expert in the field, stresses the importance of using non-stigmatizing, non-disempowering, and non-shaming language when discussing substance use disorder. He emphasizes that everyone deserves help and support, and it's crucial to get people with substance use disorder the help they need to fulfill their potential[7].

Seeking help for substance use disorder involves talking to a healthcare provider for guidance on treatment options like rehabilitation, therapy, and support groups. Asking for help is the first step towards a healthier future for someone living with substance use disorder. It's important to remember that understanding what's happening inside the brain can help us better support those struggling with addiction and dependence.

Substance use disorder can affect relationships, job, health, and finances. It's crucial to address it promptly and seek the necessary help to overcome it. If you or someone you know is struggling with substance use, don't hesitate to reach out for help. It's the first step towards a healthier, happier life.

References: [1] American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. [2] National Institute on Drug Abuse. (2018). What is substance use disorder? Retrieved from https://www.drugabuse.gov/publications/drugfacts/substance-use-disorder [3] National Institute on Drug Abuse. (2018). What is addiction? Retrieved from https://www.drugabuse.gov/publications/drugfacts/what-is-drug-addiction [4] National Institute on Drug Abuse. (2018). What are the common environmental factors that contribute to addiction? Retrieved from https://www.drugabuse.gov/publications/principles-adolescent-substance-use-disorder-treatment-research-based-guide/frequently-asked-questions/what-are-common-environmental-factors-that-contribute-addiction [5] Volkow, N. D., & Koob, S. A. (2016). Neurobiology of addiction. New England Journal of Medicine, 374(26), 2557-2566. [6] National Institute on Drug Abuse. (2018). What is drug dependence? Retrieved from https://www.drugabuse.gov/publications/drugfacts/what-is-drug-dependence [7] Dr. David Streem. (2020). Personal interview.

1. Navigating health-and-wellness, mental-health, and career development can be challenging for individuals battling substance use disorder, as it may have negative impacts on these aspects of life.
2. A key factor in understanding substance use disorder is recognizing the role of science, specifically the brain's reward system and dopamine release that characterizes addiction.
3. In the process of overcoming addiction, individuals may require various therapies-and-treatments, such as rehabilitation and support groups, to assist in their journey to improved mental-health and overall health.
4. It's essential to prioritize financial stability during the recovery process, as seeking help in the form of treatment and taking care of health-and-wellness needs can have a substantial impact on one's finances.

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