The Psychology of Addiction

What defines addiction psychologically?

Understanding addiction from a psychological standpoint reveals the intricate dynamics at play. Addiction is characterized by compulsive engagement in a behavior despite adverse consequences. It transcends mere habituation, delving into a realm where the pursuit of pleasure or relief overrides rational decision-making. While addictions to substances like alcohol and drugs are readily identifiable, others, like behavioral addictions, can be subtler and easily overlooked. Individuals grappling with addiction often find themselves ensnared in a cycle of seeking gratification, even as repercussions mount. This phenomenon underscores the profound impact of neurochemical pathways and psychological conditioning. Unraveling addiction’s psychological underpinnings necessitates a nuanced approach, one that acknowledges both the individual’s subjective experience and the broader sociocultural context. By comprehending the psychological mechanisms driving addiction, interventions can be tailored to address its multifaceted nature effectively (Hartney, 2023).

Behavioral addiction

While not formally categorized as substance addiction, behavioral addiction wields a comparable capacity to wreak havoc on individuals’ lives. Its insidious grip often elicits emotions of shame and frustration, complicating efforts to break free from its hold. Advanced stages of behavioral addiction may precipitate withdrawal-like symptoms, manifesting as heightened distress in the absence of engagement in the addictive behavior. The spectrum of behavioral addictions spans a diverse array of activities, ranging from exercise and work to food, gambling, internet usage, and video gaming. Recognizing the signs and symptoms of behavioral addiction is crucial for early intervention and support. Common indicators include obsessive preoccupation with the activity, diminished control over its frequency or intensity, and continued engagement despite adverse consequences. By raising awareness of the pervasive nature of behavioral addiction, individuals and communities can foster greater understanding and empathy towards those grappling with its complexities (Hartney, 2023) through the following:

  • Spending excessive amounts of time engaging in the activity, or arranging or thinking of how to engage in the activity.
  • Having trouble stopping even when they want to, as well as experiencing withdrawals such as depression or anxiety.
  • Neglecting social activities such as work or school. family and friends in order to engage in the activity more often.
  • Continuing despite mental or physical harm.
  • Becoming dependent on the activity as a way to deal with their emotions or to feel “normal.”
  • Hiding, minimizing, or neglecting the extent of the problem the behavior causes (Hartney, 2023).

 Addiction and dependence

Addiction and dependence, while intertwined, represent distinct facets of substance use disorders, often blurred by their similarities. Addiction, a complex brain disorder, is characterized by compulsive engagement in behaviors despite adverse consequences, rooted in neurobiological changes. On the other hand, dependence encompasses the physiological and psychological reliance on a substance, often precipitating withdrawal symptoms upon cessation.

Dependence manifests in two primary forms: psychological and physical. Physical dependence ensues when the body acclimates to a substance, necessitating regular intake to stave off withdrawal symptoms. This can occur independently of psychological dependence. For instance, individuals may experience physiological distress if deprived of the substance. Conversely, psychological dependence entails a profound reliance on the substance for emotional regulation or coping mechanisms. Symptoms may include cognitive impairments and heightened anxiety, illustrating the intricate interplay between mind and body in substance use disorders. Clarifying the distinction between addiction and dependence is pivotal in fostering effective interventions and destigmatizing individuals grappling with these multifaceted challenges (Raypole, 2020).

Differences between addiction and dependence

Addiction and dependence represent distinct phenomena with diverse manifestations and treatment approaches. Addiction encompasses a broad spectrum of compulsive behaviors, spanning from substance use disorders like alcohol, cocaine, heroin, and opioids to behavioral addictions. In contrast, dependence extends beyond substances commonly associated with addiction to include everyday consumables like caffeine and medications such as beta-blockers.

Moreover, while addiction and dependence are separate issues, they often intersect, particularly concerning tolerance—the body’s adaptation to repeated substance exposure, necessitating higher doses to achieve the same effect. Addressing addiction and dependence requires tailored interventions. Treatment for dependence may vary based on severity and context, encompassing strategies to manage withdrawal symptoms and gradually reduce reliance on the substance. In contrast, addiction treatment typically involves a multifaceted approach, integrating therapy, rehabilitation, and support services to address the complex interplay of psychological, social, and biological factors driving addictive behaviors (White, 2023).

  • Sleeping or resting more
  • Drinking plenty of water
  • Engaging in calm, peaceful activities
  • Taking in more of a certain vitamin
  • Temporarily taking medications to prevent further complications, such as seizures (White, 2023).

Why is it so hard to quit addiction?

Addiction’s formidable grip on individuals stems from its profound impact on brain function and behavior. Under normal circumstances, engaging in healthy activities triggers the brain’s reward circuits, inducing feelings of pleasure and satisfaction. However, addiction has the insidious ability to usurp these neural pathways, rewiring the brain’s reward system to prioritize substance use above all else. This hijacking can extend to the emotional regulation system, amplifying stress and anxiety when the addictive substance is not consumed.

In advanced stages, addiction can evoke negative emotions, eclipsing any fleeting pleasure derived from substance use. Moreover, prolonged addiction to drugs and alcohol can impair the frontal cortex, the brain region crucial for decision-making and impulse control. This neurobiological alteration renders individuals unable to curtail their addictive behaviors, even when confronted with the dire consequences. Consequently, quitting addiction becomes an uphill battle against both the rewired brain circuitry and the overwhelming emotional and physiological cravings (Sajnani, 2022).

References

Hartney, E.,2023. How to Live With and Treat Behavioral Addiction. [online] Verywell Mind. Available at: https://www.verywellmind.com/addictive-behaviors-4157291 [Accessed 16 March 2024].

Raypole, C.,2020. Psychological Addiction: Meaning, Symptoms, Treatment. [online] Healthline. Available at: https://www.healthline.com/health/psychological-addiction#psychological-vs-physical-dependence [Accessed 16 March 2024].

Sajnani, R.,2022. Biology of Addiction. [online] Medium. Available at: https://medium.com/@rashikasajnani29/biology-of-addiction-1828c87e169 [Accessed 16 March 2024].

White, M.,2023. Addiction vs. dependence: Definitions and differences. [online] www.medicalnewstoday.com. Available at: https://www.medicalnewstoday.com/articles/addiction-vs-dependence [Accessed 16 March 2024].

By Yubeom Jeon

He is a Concordia International University student.

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