The Science of Addiction
Below video describes the science of addiction as explained by a drug addict himself :
An addiction is an unhealthy relationship with drugs or alcohol in which you use more than you would like to use, and you continue to use despite negative consequences.
People use drugs or alcohol to escape, relax, or to reward themselves. But over time, drugs and alcohol make you believe that you can’t cope without them, or that you can’t enjoy life without using. The greatest damage is to your self-esteem.
What is the Medical Definition of Addiction?
An addiction must meet at least 3 of the following criteria. This is based on the criteria of the American Psychiatric Association (DSM-IV) and World Health Organization (ICD-10).
1. Tolerance. Do you use more alcohol or drugs over time?
2. Withdrawal. Have you experienced physical or emotional withdrawal when you have stopped using? Have you experienced anxiety, irritability, shakes, sweats, nausea, or vomiting? Emotional withdrawal is just as significant as physical withdrawal.
3. Limited control. Do you sometimes drink or use drugs more than you would like? Do you sometimes drink to get drunk? Does one drink lead to more drinks sometimes? Do you ever regret how much you used the day before?
4. Negative consequences. Have you continued to use even though there have been negative consequences to your mood, self-esteem, health, job, or family?
5. Neglected or postponed activities. Have you ever put off or reduced social, recreational, work, or household activities because of your use?
6. Significant time or energy spent. Have you spent a significant amount of time obtaining, using, concealing, planning, or recovering from your use? Have you spend a lot of time thinking about using? Have you ever concealed or minimized your use? Have you ever thought of schemes to avoid getting caught?
7. Desire to cut down. Have you sometimes thought about cutting down or controlling your use? Have you ever made unsuccessful attempts to cut down or control your use?
Approximately 10% of any population is addicted to drugs or alcohol. Addiction is more common than diabetes, which occurs in approximately 7% of the population.
Addiction crosses all socio-economic boundaries. 10% of teachers, 10% of plumbers, and 10% of CEOs have an addiction.
The terms alcohol addiction, alcoholism, and alcohol dependence are all equivalent. The same is true for the terms drug addiction and drug dependence.
How Does Addiction Feel?
An addictive substance feels good because it stimulates the pleasure centre of the brain through neurotransmitters such as dopamine and GABA. If you have a genetic predisposition, addictive substances don’t just feel good. They feel so good that you will want to chase after them.
This is where addiction comes in. If you have a genetic predisposition, addictive substances feel so good that you are willing to suffer negative consequences in order to get more and to continue to feel the high.
Addictive substances feel different inside an addict’s brain than they do to a non-addict. This is why the two sides have difficulty understanding each other. In someone who is not addicted, drugs and alcohol only produce a mild high. Therefore a non-addict cannot understand why the addict would go to such lengths, when it is clearly destroying their life.
Denial is a big part of addiction. Because addictive substances feel good, an addict will initially deny that they have a problem. In the long-run addiction isolates you from the people and activities and that mean the most to you.
The Cost of Addiction
The dollars and cents cost of addiction is mind boggling. At least twice as many people die from alcoholism in the US every year as die from motor vehicle accidents.
Alcohol intoxication is associated with 40-50% of traffic fatalities, 25-35% of nonfatal motor vehicle injuries, and 64% of fires. Alcohol is present in nearly 50% of homicides, either in the victim or the perpetrator.
Alcohol intoxication is involved in 31% of fatal injuries, and 23% of completed suicides.
One study found that 86 % of homicide offenders, 37 % of assault offenders, and 57 % of men and 27 % of women involved in marital violence were drinking at the time of their offense.
The Consequences of Addiction
You are ready to stop when the two sides of addiction collide. On the one hand, addiction feels so good that you want to use more. On the other hand, addiction leads to negative consequences. After a while, something has got to give.
You don't have to hit rock bottom. The purpose of Today's post is to show you the potential negative consequences of addiction so that you will be ready to quit before you've lost everything. You can imagine what it would be like to hit rock bottom. And that can help motivate you.
The most important consequences of addiction are social, emotional, and psychological. People usually think of the physical and economic consequences of addiction. "I don't have a serious addiction because my health is fine, and I haven't lost my job." But those are very late stage consequences.
As far as work is concerned that's usually the last thing to suffer. You need your work in order to pay your bills, so that you can continue your addiction. When your work begins to suffer, you've slipped from being a functioning addict to a non-functioning addict.
The damage addiction does to your relationships and self-esteem is far deeper and takes longer to repair. You've hurt friends and family. You've disappointed yourself. You've traded important things in your life so that you could make more time to use. You've lived a double life. You've seen the hurt in your family's eyes, and the disappointment in your children's faces. Those are the consequences that can motivate you to begin recovery.
Here are three tests to help you decide if you have an addiction.
The CAGE Test for Alcohol Addiction
This simple test is surprisingly accurate. Answer yes or no to each question.
- Have you ever felt you should Cut down on your drinking?
- Have you ever been Annoyed when people have commented on your drinking?
- Have you ever felt Guilty or badly about your drinking?
- Have you ever had an Eye opener first thing in the morning to steady your nerves or get rid of a hangover?
Your score:
Score one point for each yes answer.
If you scored 1, there is an 80% chance you're addicted to alcohol.
If you scored 2, there is an 89% chance you're addicted to alcohol.
If you scored 3, there is a 99% chance you're addicted to alcohol.
If you scored 4, there is a 100% chance you're addicted to alcohol.
If you scored 2, there is an 89% chance you're addicted to alcohol.
If you scored 3, there is a 99% chance you're addicted to alcohol.
If you scored 4, there is a 100% chance you're addicted to alcohol.
The Modified CAGE Test for All Addictions
Most self-test questionnaires apply to alcohol addiction, but can be easily adapted to any addiction.
- Have you ever felt you should Cut down your use of drugs?
- Have you ever been Annoyed when people have commented on your use?
- Have you ever felt Guilty or badly about your use?
- Have you ever used drugs to Ease withdrawal symptoms, or to avoid feeling low after using?
The AUDIT Test for Alcohol Addiction (Alcoholism)
To correctly answer some of these questions you need to know the definition of a drink. For this test one drink is:
One can of beer (12 oz or approx 330 ml of 5% alcohol), or
One glass of wine (5 oz or approx 140 ml of 12% alcohol), or
One shot of liquor (1.5 oz or approx 40 ml of 40% alcohol).
1. How often do you have a drink containing alcohol?
Never (score 0)
Monthly or Less (score 1)
2-4 times a month (score 2)
2-3 times a week (score 3)
4 or more times a week (score 4)
2. How many alcoholic drinks do you have on a typical day when you are drinking?
1 or 2 (0)
3 or 4 (1)
5 or 6 (2)
7-9 (3)
10 or more (4)
3. How often do you have 6 or more drinks on one occasion?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)
4. How often during the past year have you found that you drank more or for a longer time than you intended?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)
5. How often during the past year have you failed to do what was normally expected of you because of your drinking?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)
6. How often during the past year have you had a drink in the morning to get yourself going after a heavy drinking session?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)
7. How often during the past year have you felt guilty or remorseful after drinking?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)
8. How often during the past year have you been unable to remember what happened the night before because of your drinking?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)
9. Have you or anyone else been injured as a result of your drinking?
No (0)
Yes, but not in the past year (2)
Yes, during the past year (4)
10. Has a relative, friend, doctor, or health care worker been concerned about your drinking, or suggested that you cut down?
No (0)
Yes, but not in the past year (2)
Yes, during the past year (4)
Your score:
If you scored 8-10 or more, you are probably addicted to alcohol.
It may seem like the AUDIT questionnaire is an easy test to fail. If you applied this test to other aspects of your life you will almost certainly come up as being addicted to something. For example, most people watch too much television, or eat too much of their favorite food. But those are so-called "soft addictions", and the AUDIT questionnaire was not designed to assess them. It is extremely reliable when it comes to assessing alcohol addiction.
The AUDIT (Alcohol Use Disorders Identification Test) was developed by the World Health Organization (WHO). The test correctly classifies 95% of people into either alcoholics or non-alcoholics. It was tested on 2000 people before being published.
(The pdf format version of the AUDIT is available through the WHO website. Copyright 1993 World Health Organization.)
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