Addiction
What Is Addiction?
Addiction may be diagnosed as a substance abuse disorder (alcohol, legal drugs, illegal drugs), or a process addiction disorder (food, internet, sex, gambling, debt) or a mental health disorder (depression, bipolar, mania, borderline).
A person struggling with addiction is dealing with a complex brain disease that compels them to continue their drinking or substance abuse even when faced with damaging and harmful consequences. These substances directly impact the brain itself. The brain itself sends signals that the craving (of alcohol or drugs) is the most important focus. As this need intensifies, a person may also develop a higher tolerance through increased use. Thus, more and more of the drug or alcohol is needed to satisfy the craving.
After years studying the brain, doctors understand that an addict’s brain changes.Because of their substance abuse, the addict’s decision making, judgement, memory and impulse control are severely affected. These changes can remain long after the abuse stops, which can be equally frustrating for the addict and those who surround him/her.
Causes of Addiction?
There is no single cause for addiction. Rather, a large number of factors are involved including: genetics, biology, social, psychological and environmental factors are involved. There is no one personality type or defining characteristic that means a person is going to suffer from alcohol or substance abuse, though mental illness does often co occur with addiction.
Chronic pain has increasingly become a factor with addiction. When a person feels pain for longer than 90 days it is considered chronic. This may lead to a prescription intended for pain management that leads to substance abuse.
Another important factor to consider is trauma. Trauma can take many different forms such as verbal, physical and mental abuse, divorce, death, etc. Trauma created intense feelings of discomfort and may cause people to turn to substances like alcohol and/or drugs in an effort to become numb.
Addiction and Denial
Denial is a common struggle with addiction. People may spend years denying how unhealthy and deep their habits have become. They find excuses that justify their behavior and ignore the advice of concerned loved ones watching them struggle with addiction.
Watching someone you love battle addiction is challenging. It’s painful to watch someone whose health continues to decline. It’s frustrating to find solutions for a person who doesn’t acknowledge the problem. Ultimately though, it can simply be exhausting as we feel drained emotionally, mentally, physically and sometimes even spiritually. Family members and friends are often “tapped out” and may grow resentful of the person they are most concerned about; this is why an interventionist can be crucial. Denial is a powerful tool used by the alcoholic/addict to allow the behavior to continue. Family members often use it too to hide the severity of the issue.
Is an intervention necessary?
When attempting to talk with someone in denial, it must be done while they are sober. The conversation may be difficult for them to have and hard for them to hear what you have to say. When under the influence of drugs or alcohol, they may be unfocused, inattentive, or just outright angry. When that happens, family members may become sidetracked or focused on other issues such as financial problems. The attention then shifts off the individual and conversations take wrong turns. These attempts are generally not productive steps toward recovery.
Professional interventionists have the training, experience, and knowledge needed to keep the focus on the person struggling with substance abuse disorders or mental health disorders. An interventionist will have spent time collecting information that gives a robust portrait of the identified loved one, and will guide the intervention accordingly. There are several different approaches to an intervention and a trained interventionist will know the most beneficial way to work with each individual. The ultimate goal of an intervention is to help both families and those struggling with addiction find healing.
Addiction and Stigma
Despite research findings and development in understanding addiction, there remains a stigma around the disease. Some people still consider addiction a moral failing or an inability to pull oneself up by the bootstraps. This thinking can hinder someone in recovery because that stigma leaves a mark of shame, disgrace and disapproval.
Those struggling with addiction often face two stigmas: a self based stigma and a community based one. A self based stigma is a personal sense of guilt and shame those struggling with addiction feel about who they are and the things that they have done while in midst of the disease. A community based stigma can come from the surrounding community: families, workplace, any small groups. These may be roadblocks during recovery but they are surmountable as people are so much more than their disease. As a professional interventionist and clinician, I believe in a realistic optimism that aids recovery and allows people to operate from a strength based perspective. I believe a person is the sum of their parts and not just their disorder.
Articles About Addiction
“You’ve Got a Friend” – The Power of Friendship in an Intervention
So, I have been thinking about how my life is blessed. Every once in a while I get to witness how absolutely magnificent friends can be especially when they courageously show up for their best friend whose in need of help. And I smile and sing to myself with warmth...
9 Signs You Have a Toxic Friendship
Not all friendships are wonderful. Here are 9 signs that this is not a friendship for you. The friendship doesn’t feel right. Trust your gut. Something feels uncomfortable in the relationship. It feels awkward when you think about them or talk to them. Their...
How Weather Impacts Addiction and Mental Health: Understanding and Coping with Seasonal Changes
Weather can have a significant impact on our daily lives, from affecting our moods to influencing our behavior. For people struggling with addiction and mental health issues, changes in weather can be especially challenging. Amazingly there can be a thousand words for...
Texas (Houston) – Always Flying Ahead Of The Pack
Had a great conversation with Dr. J. Flowers on Understanding the Human Condition Ep. 77, click here to listen now! Those if you who know me know I have had a long history in Texas. My first experiences with being able to visit Texas was with The Association of...
3 Ways Novelty Creates Lasting Change
The other day I read a wonderful article about novelty by Alane K. Daugherty, Ph.D., who sees the benefit of taking a novel approach to change. She asserts that when we seek newness whether it's taking a different route to work, changing old behaviors or looking at...
2023 New Year, New You, New Hope
So here we are in a New Year and I am not sure exactly what I want to tackle. Looking back on 2022 I experienced a good many things, much that I enjoyed and am proud of. My team and I helped many families. We traveled near and far, touching the lives of others. I was...
Have You Ever Had Peanut Butter Stuck In The Roof Of Your Mouth?
I have! What a messy feeling. It just swirls and swirls and swirls around and you have a hard tie swallowing and getting it out. Have you ever felt stuck? Sometimes I have felt like I have. In fact, I also have felt like I just got caught on sticky paper and not sure...
Is The Crown All Bad? Or Is Being A “Spare” The Way Towards Hollywood Royalty?
This morning my thoughts turned to the royal family, as Netflix starting streaming Harry and Megan's controversial 2-part series. Like so many of the families that we work with, they are full of life, death, lust, infidelity, sibling rivalry, adultery, disappointment,...
REPORT: Drug & Alcohol Deaths on the Rise Among Older Americans
With the holidays coming, an oft-overlooked population is aging adults. Sadly, drug and alcohol deaths are on the rise in older adults. Trauma, chronic pain, and isolation often play a part in an older adult's life. I was even invited to a Pot Party at age 72! Scams...
Additional Resources On Addiction:
American Society for Addiction Medicine
Orange County Alcoholics Anonymous
Cocaine Anonymous World Service
Narcotics Anonymous World Services
National Council on Alcoholism & Drug Dependence, Inc.
National Institute on Drug Abuse
Nicotine Anonymous World Service
Apps to Help with Addiction Recovery
The Addictive Personality
Craig Nakken
Under the Influence
Milam & K. Ketcham
Alcoholics Anonymous (A.A.’s “Big Book”)
Alcoholics Anonymous
Russel Brand
Navigating Grace
Jeff Jay
Moments of Clarity
Christopher Crawford Kennedy
Broken
William Moyers
Falling Up: A Memoir of Renewal
Louise Stanger
Learn To Thrive
Louise Stanger
Does The Noise in My Head Bother You?
Steven Tyler
Facing Co-Dependence
Pia Mellody
Choice-Making
Sharon Wegscheider
How to Break Your Addiction to a Person
Howard M. Halpern
One Day at a Time in Al-Anon
Al-Anon
Enough Already!
Bob Tyler
Living With an Alcoholic
Al-Anon
The Parallel Process
Krissy Pozatek
The Alcoholic Family in Recovery
Stephanie Brown PhD
Speed
Stephanie Brown PhD