What is an addiction?
Recognizing an addiction problem in someone you know can be harder than it
seems. The American
Society of Addiction Medicine (ASAM) defines addiction as a chronic disease
that affects the brain’s reward, motivation, and memory functions. Someone with
an addiction will crave a substance or other behavioral habits. They’ll often
ignore other areas of life to fulfill or support their desires.
General signs of addiction are:
- lack of control, or inability to stay away from
a substance or behavior
- decreased socialization, like abandoning
commitments or ignoring relationships
- ignoring risk factors, like sharing needles
despite potential consequences
- physical effects, like withdrawal symptoms or needing
higher dosage for effect
signs are commonly linked. The degree of intensity for each sign may depend on
how long the addiction has been going on.
healthy person can usually identify a negative behavior and get rid of it. This
is not the case with someone with an addiction. Rather than admit the problem
exists, they’ll find ways to justify and continue the behavior.
The first step to getting help is being able to recognize the physical,
mental, and emotional signs, like abrupt weight or personality changes in your
friends or family members. If you or someone you know has an addiction, call
1-800-622-4357 for free and confidential treatment referral and information
from Substance Abuse and Mental
Health Services Administration (SAMHSA).
Types of addiction
Addiction is commonly associated
with substance abuse, but behavioral addictions like gambling are just as
serious. According to ASAM,
addiction is when a person is unable to consistently abstain from a behavior or
substance. This is typically at the cost of their mental and physical health.
Substance addiction is dependence on any one or more of the
- nicotine, or tobacco
- inhalants, often household items like oven
cleaners, spray paints, or other aerosol products
- drugs, illicit or non-illicit
suggest that behavioral addictions are as serious as substance addictions.
Both types result in dependency and have the same or similar negative
consequences. Behavioral addiction can include:
- video games
- using the Internet or media
No matter the type of addiction, it’s important to recognize warning signs
and seek help if necessary.
In the early stages, a person might not show telltale signs of a full-blown
addiction. Some early stage clues include:
- family history of addiction
- being particularly drawn to an activity or substance
- seeking out situations where the substance or activity
- episodes of binging or loss of control with little to no
feelings of remorse after
When it comes to common social behaviors like drinking or
smoking, it might be difficult to determine if there’s an addiction problem.
What looks like addiction could be an experimental phase or a form of stress management.
But a real addiction, if left untreated, can develop into a debilitating habit
or increased risk of illness.
for changes in personality
After a person moves past experimenting or the early phase of addiction, they’ll
likely exhibit major personality or behavior changes. These changes may be
infrequent at first. Telltale signs include:
- a lack of interest in hobbies or activities that
used to be important
- neglecting relationships or reacting negatively
to those closest to them
- missing important obligations like work
- risk taking tendencies, especially to get drugs
or continue certain behaviors
- ignoring the negative consequences of their
- distinct change in sleeping patterns that result
in chronic fatigue
- increased secrecy, like lying about the amount
of substance used or time spent
You may notice an increase in alienation over time. People with an addiction
tend to surround themselves with others who encourage their habits. When
confronted, they may make excuses and try to justify their behavior to you.
for changes in health
Another way to recognize addiction is to pay attention to your friend or
family member’s mental and physical health. Whether the addiction is to a drug
or a behavior, their health will almost always decline.
Signs that point towards changes in their health can include:
- bloodshot or glazed eyes
- constant illness
- unexplained injuries
- abrupt change in weight
- bad skin, hair, teeth, and nails (especially
when substance abuse involves illicit drugs like methamphetamines or cocaine)
- increased tolerance to drugs
- physical withdrawal symptoms like sweating, trembling,
- memory loss or problems with recall
- change in speech like slurred words or rapid
The following mental and emotional changes could also be signs of an
- sudden changes in mood
- aggressive behavior
- suicidal thoughts
It’s important to eliminate any potential medical reasons for someone’s health
decline. Keep in mind that someone with an addiction will almost always understate
the seriousness of their condition. If there’s no other explanation, then there’s
an increased chance of an underlying addiction problem.
The long-term life consequences
In the middle or later stages of an addiction, the negative effects will be
more permanent or have long-term consequences. Someone with a serious addiction
problem may allow, ignore, or trivialize these outcomes in favor of continuing
Potential long-term consequences include:
- getting an infectious disease, especially
through shared needles
- dropping out of school or getting poor grades
- damaged relationships with friends and family
- loss of good standing or tarnished reputation
- arrests or jail time
- eviction from the home or failed mortgage
- loss of job
- loss of parental rights
Similar events can occur in the lives of people without an addiction problem.
But these can become more common when an addiction is present. Before
approaching someone you think may have an addition, determine if the problem is
a result of a single incident or a growing problem with the addiction.
Next steps towards recovery
It’s important to have quick access to treatment. If you or
someone you know has an addiction, call 1-800-622-4357 for free and
confidential treatment referral and information from SAMHSA. You can also seek
help from your doctor, local treatment center, or support group.
Addictions often affect many areas of a person’s life. The
most effective treatments are comprehensive. They often have several steps that
vary from person to person. These steps can include detoxification, behavioral
counseling, and long-term follow-up.
Here are some ways you can support a friend or family
member’s recovery process:
- Learn more about the substance or behavior
dependency and the treatment.
- Stay involved, like offering to go to meetings
- Provide a sober and trigger-free setting.
- Speak up and express concern when there is a
you can treat addiction, in most cases, someone with addiction must want
to change for recovery to be successful.