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.
Podcast: How To Deal With Sudden Grief After Losing A Loved One To Addiction
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
I have been thinking about cautionary tales. A cautionary tale comes from folklore; its duty is to warn the listener of danger and essentially choose to take action or heed a warning. Oft times there is a dilemma which requires action. It is no secret we have an...
None of us will get through life without a few scrapes, some losses, some wins. Sometimes things just hurt us, part of being human is experiencing pain. Most of us are in the same boat. When we are suffering or going through painful things, it's helpful to have a...
A Tornado Of A Childhood Last week a wonderful family called me. They were worried about their little boy. Both parents were in recovery and had grown up in alcoholic families. They were concerned about their child. He was 7 and every night he awoke with terrors of...
Last week I received a phone call from a distressed wife who asked me about her successful husband who she described as a high functioning alcoholic with narcissistic tendencies. It got me thinking about how we often sweep addiction and mental health problems under...
Over my career I have witnessed the vulnerability of Entrepreneurs, CEOs (women and men), Artists, Fashionistas, Writers and other Creative Folk, and each of these creatives that I worked with have been at high risk for depression, addiction and suicide. I have met...
The other morning, I received a frantic phone call. A young college student who after night of smoking pot and drinking alcohol did not want to live. God must have been on our side as I was able to call 911 and the police were able to get there in time and help this...
Life is so precious. Over the last month, I have traveled hither and yon from West Palm Beach, Florida to Morgantown West Virginia, Pittsburgh, Penna with Houston, Texas and Salt Lake City and ending Los Angeles before returning home to the desert TRAVEL Over the...
With vaping emerging as a public health crisis, Juul, one of the leading vape companies, is fending off a bevy of government agencies for its role in fanning the epidemic flames. Recently, Time Magazine did an expose titled The New American Addiction: How Juul Hooked...
Inside The Goldfinch: How Sudden Death and Trauma Influences Addiction; Louise Stanger Ed.D, LCSW,CDWF, CIP and James Flowers PHD, LPC-S
The other day my good friend and colleague Dr. James Flowers (J Flowers Health Institute) and I were discussing the eloquence of the movie The Goldfinch, a drama with enthralling force and acuity depicting how early childhood trauma may lead to addiction and the...
Additional Resources On Addiction:
The Addictive Personality
Under the Influence
Milam & K. Ketcham
Moments of Clarity
Christopher Crawford Kennedy
Falling Up: A Memoir of Renewal
Learn To Thrive
Does The Noise in My Head Bother You?
How to Break Your Addiction to a Person
Howard M. Halpern
One Day at a Time in Al-Anon
Living With an Alcoholic
The Parallel Process
The Alcoholic Family in Recovery
Stephanie Brown PhD
Stephanie Brown PhD