Doctor insights on:
What Is The Difference Between Substance Dependence And Substance 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 If the drug is suddenly withdrawn, the patient will experience a withdrawal syndrome untill the body readjusts.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
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
Addiction: Alcohol/drugs can be robustly abused by someone but as long as the person is not addicted to it, and doesn't miss it after putting it down, the diagnosis is alcohol abuse. If, however, the person feels either physically or psychologically addicted/dependent on it and either cannot go a day without it, or binge drinks uncontrollably the diagnosis is alcohol dependence. ...Read more
Maladaptive pattern: Substance abuse, also known as drug abuse, is a maladaptive patterned use of a substance (drug) in which the user consumes the substance in amounts or with methods not condoned by medical professionals. Substance abuse/drug abuse is not limited to mood-altering or psycho-active drugs. Activity is also considered substance abuse when inappropriately used(as in steroids for performance enhancement). ...Read more
Short answer: The 2 defining characteristics are uncontrolled use of a substance i.e. Only intended to have 2 drinks after work and had six, and continued use despite negative consequences, causing conflict with others, missing obligations, causing finacial problems, neglecting ones own health. Usually when someone is very active in this disease they have difficulty seeing either of these problems, denial. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
What about the stories of addiction surrounding opiates? Is there a difference between physical 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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
The 2 defining characteristics are uncontrolled use of a substance i.e. Only intended to have 2 drinks after work and had six, and continued use despite negative consequences, causing conflict with others, missing obligations, causing finacial problems, neglecting ones own health. Usually when someone is very active in this disease they have difficulty seeing either ...Read more
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