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Doctor insights on: Understanding Addiction The Physical Dependence Model

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What is the difference between physical dependence vs addiction?

What is the difference between physical dependence vs addiction?

Very little: I believe we are splitting hairs. Same thing. If you are physically dependent, that describes the hallmark of addiction. Hope this helps.
Whatever you wish to call it, get help yesterday. Talk with your doctor the day before. ...Read more

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Dr. Vasu Brown
612 Doctors shared insights

Addiction (Definition)

Addiction is a primary, chronic disease of brain reward, motivation, memory, and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. A person affected by addiction will be unable to consistently Abstain from use, will have Impaired Behavioral control, will have Craving or increased "hunger" for drugs or rewarding experiences, will have a Dysfunctional Emotional response, and will show diminished recognition of significant problems with their own ...Read more


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What physically happens in the body with alcohol addiction and dependence?

What physically happens in the body with alcohol addiction and dependence?

A lot: Alcohol can adversely affect every organ in the body except the kidneys. The brain, the skin, the liver-all the organs. When dependency develops to alcohol, a person builds up a tolerance to the alcohol and the person then drinks more and more in order to obtain the desired effects. Drinking a pint of whiskey every day for at least one month, a person will have withdrawal symptoms when stopping. ...Read more

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Is physical dependence the same as drug addiction?

Is physical dependence the same as drug addiction?

No: People being treated by prescription can become dependent but not addicted. ...Read more

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What about the stories of addiction surrounding opiates? Is there a difference between physical dependence and addiction?

Yes: Physical dependence involves use to avoid withdrawal both physiologic and substance dependent without compulsive, lack of control behavior. You can have dependence without addiction. ...Read more

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What is the medical definition of addiction versus dependence?

Addiction/Dependence: Addiction is persistent engagement in rewarding behavior inspite of consequences.
Dependence is continued use to avoid withdrawal. ...Read more

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What is the difference between a tolerance/dependence and an addiction?

What is the difference between a tolerance/dependence and an addiction?

Three things: You have mentioned three different things:
tolerance - needing more of a drug to get the same effect. Very common in many drugs.
Dependence - a physical/psychological need for a drug, often accompanied by specific symptoms if you stop taking it.
Addiction - pattern of [harmful] behaviors involving a substance or behavior; typically involves dependence/tolerance related to the substance/behavior. ...Read more

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I can't stop eating fast foods. Could this behavior be indicative of a dependence, an addiction?

I can't stop eating fast foods. Could this behavior be indicative of a dependence, an addiction?

There are a lot: Of factors involved, too many for a clear answer. Time, stress management and others. If you could clear up some of these, it would help. Better yet, make an appointment with an addiction psychiatrist who can help you figure this out. ...Read more

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What's substance dependence vs addiction?

What's substance dependence vs addiction?

Addiction vs.: Dependence. Some drugs have effects on the body that the body becomes used to. This is dependence. If the drug is suddenly withdrawn, the patient will experience a withdrawal syndrome untill the body readjusts. Addiction is an uncontrollable, compulsive need for and use of a substance despite negative consequences (deteriorating health, memory, loss of relationships, legal problems, etc.). ...Read more

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What are the core symptoms of dependence v addiction?

What are the core symptoms of dependence v addiction?

Addiction dependence: Dependence is often used interchangably with addiction. However, addiction implies uncontrolled use of a substance along with the typical tolerance and withdrawal symptoms of dependence. ...Read more

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What does it mean when a woman has dependence and addiction?

Probably not good: Dependence, which is not necessarily pathological (diabetics are dependent upon insulin), is when your body has adapted to and become reliant on a certain drug such that discontinuation of that drug will result in physiological withdrawal symptoms (e. G seizures). Addiction is the repeated, pathological, compulsive abuse of a drug on which one is generally dependent despite harmful consequences. ...Read more

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Which addiction is more difficult to deal with: mental or psychological dependence?

The same: Mental or psychological dependence are essentially the same. You might mean physiological rather than psychological. Physiological involves bodily functions to include heart rate, blood pressure, shakiness, and other changes. When people are physiologically dependent, they may feel those bodily changes without a clear psychological/mental need/addiction. Addiction relates to mental/psychological. ...Read more

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My 30 yr old friend died due to medicine issues. Which of my medicines can cause addiction, dependence, or tolerance? I don't want to repeat his fate.

My 30 yr old friend died due to medicine issues. Which of my medicines can cause addiction, dependence, or tolerance? I don't want to repeat his fate.

Ask your doctor: Sorry for the loss of your friend -- that is hard. Since you don't state the medicines you're taking, we can't comment on their potential addictiveness. However, your own physician would be able to discuss this with you if you ask. Good luck to you. ...Read more

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What can be initial signs of alcohol addiction / dependence?

What can be initial signs of alcohol addiction / dependence?

Here are some signs: There are four areas that you want to look at to see if there's any dysfunction or consequences or interference in your overall functioning. Have you had any legal problems like a dui? Has your drinking affected your job? Are you depressed? Do you find it hard to stop once you started drinking? Do you drink daily and drink to get drunk? When you stop is there shaking and sweating and nausea? ...Read more

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How can I tell if I'm experiencing alcohol dependence / addiction?

How can I tell if I'm experiencing alcohol dependence / addiction?

Check symptoms: These terms are used interchangeably
alcohol dependence occurs when you have to take higher doses to get the same effect and you develop withdrawal symptoms when you quit "cold turkey"
addiction is the case when you have major areas in your life negatively being impacted and you are still not able to stop. ...Read more

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What is the alcohol dependence or drug addiction process?

Habituation: In any physical dependence the body adapts and the withdrawal symptoms are the body responding to the lack of the substance. Because addictions cause changes in neurotransmission they are difficult to treat and require enough time for the body to adjust to being "clean.". ...Read more

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How does my alcohol abuse lead to dependence and addiction?

Stop! Get help!: Sadly, your ''abuse'' is ''dependence'' and "addiction''!
please drop the semantic delay, a life is at stake! Yours! Hepatitis. ...Read more

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How to know if some of us are prone to drug addiction and alcohol dependence?

Drug and alcohol: Addictions tend to have a strong hereditary component as well as a learned behavior. If you have grown up in a family that has a tendency to have drug and alcohol problems be cautious and pay attention to your drinking. ...Read more

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Are some of us more prone than others to drug addiction and alcohol dependence?

Prone to drugs?: The same gene makes you prone to both drugs and alcohol. Kids of alcoholic, even if they do not become alcoholic, has the same gene their parents have, and can digest massive amount of booze while their friends can only take a limited amount. Cannot be alcoholic if no posession of genes that allow presence of massive amount of enzymes to digest big quantity of alcohol. Same with drugs! ...Read more

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Please tell me if a psychologist can help me with my pain pill dependence and addiction?

Please tell me if a psychologist can help me with my pain pill dependence and addiction?

In some ways yes: Psychologists can certainly help with some of the underlying issues that trigger you to use. But you'll also need an addiction medicine doctor to help with possibly Suboxone or other medication management as you deal with your addiction. It's best to have a team to work with, including 12 step group or other community support. ...Read more

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Beside dependence/addiction & testosterone and hormone decreases what are the dangers/side effects of long term opiate use for chronic pain?

Beside dependence/addiction & testosterone and hormone decreases what are the dangers/side effects of long term opiate use for chronic pain?

You hit the majors: There are also long term effects on the liver and kidneys. Long term use can also affect cognition and often lead to constipation that can lead to diverticulosis. Unfortunately these medication have a bad profile for long term use but are the only option for many patients. If the meds do not improve function and quality of life then the risks are too great. ...Read more

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