What is Addiction?
What is Addiction?Addiction is a complex and chronic disease that affects the brain and shows symptoms through changes in behavior. It is characterized by an inability to stop using a substance or engaging in a behavior despite negative consequences. Addiction can involve substances such as alcohol, opioids, and nicotine, or behaviors like gambling and internet use. Over time, addiction alters brain function, leading to compulsive behaviors, a loss of control and negative consequences. .
The Science Behind Addiction
Addiction is more than a lack of willpower—it is a medical condition influenced by genetic, psychological, and environmental factors. The brain’s reward system plays a crucial role in addiction. Substances like drugs and alcohol increase and cause a release of dopamine, creating feelings of pleasure. Over time, the brain adapts to these substances, and the substance hijacks the brain reward system. Normal activities like food, family and sex no longer provide dopamine release and the subsequent pleasure and reward. This is because the substance causes the brain to require higher doses of the substance to achieve the same effect, which leads to dependency, addiction and the neglect of normal life activities (which are now unable to provide the brain with dopamine release, pleasure and reward).
Risk Factors for Addiction
While anyone can develop an addiction, certain factors increase the risk, including:
- Genetics: A family history of addiction can make individuals more susceptible.
- Mental Health Disorders: Conditions such as anxiety, depression, or PTSD often co-occur with addiction and addiction sometimes starts with efforts to self-medicate with alcohol and/or drugs.
- Environmental Influences: Exposure to drug use, peer pressure, or stress can contribute to addiction.
- Early Use: Using substances at a young age can increase the likelihood of addiction.
Recognizing the Signs of Addiction
Identifying addiction early can be crucial for successful treatment. Some common signs include:
- Increased tolerance and withdrawal symptoms
- Loss of control over substance use
- Neglecting responsibilities at work, school, or home
- Engaging in risky behaviors
- Social withdrawal and changes in behavior
- Failed attempts to quit or reduce usage
Treatment Options for Addiction
Effective addiction treatment is multifaceted and should be personalized to each individual. Dr. Matthew Goldenberg, D.O., offers evidence-based treatment strategies, including:
1. Detoxification
Detox is the first step to get “treatment ready,” allowing the body to eliminate substances safely. Medical supervision can be essential to manage withdrawal symptoms and prevent complications.
2. Medication-Assisted Treatment (MAT)
Certain addictions, like opioid or alcohol dependence, benefit from medications such as:
- Buprenorphine and Methadone: Used for opioid addiction to reduce cravings and withdrawal symptoms and to prevent relapse and overdose deaths.
- Naltrexone: Blocks the effects of opioids and alcohol.
- Disulfiram: Helps deter alcohol consumption by causing unpleasant reactions when alcohol is consumed.
3. Therapy and Counseling
Behavioral therapies help individuals understand their addiction, develop coping skills, and prevent relapse. Common approaches include:
- Cognitive Behavioral Therapy (CBT): Helps patients identify and change negative thought patterns.
- Motivational Interviewing (MI): Enhances motivation to change behavior.
- Group Therapy and Support Groups: Peer support plays a crucial role in long-term recovery.
4. Dual Diagnosis Treatment
Since addiction often coexists with mental health disorders, treating both conditions simultaneously is crucial for success.
5. Aftercare and Relapse Prevention
Recovery from addiction does not end with detox or with a single treatment. Ongoing therapy, support groups, and lifestyle changes help individuals maintain sobriety and find new ways to release dopamine and find meaning, purpose and connection to others. Structured aftercare programs provide continued support and accountability.
Comprehensive Q&A Section
Q1: How do I know if I or a loved one has an addiction?
A: If substance use is causing problems in daily life, relationships, or health, it may be a sign of addiction. Seeking professional evaluation can provide clarity and guidance.
Q2: Is addiction a choice or a disease?
A: Addiction is a disease that affects the brain’s chemistry and function. While the initial choice to use a substance may be voluntary, addiction alters the brain, making it difficult to stop without professional help. Many individuals start with “wanting” a substance or the way it makes them feel and then it becomes a substance they “need”, just to feel normal.
Q3: What is the most effective treatment for addiction?
A: The best treatment varies for each person. A combination of medication, individual therapy, group therapy, mutual help meetings, accountability and long-term monitoring and support yields the best results.
Q4: How long does addiction treatment take?
A: Treatment duration depends on the individual. Some may require short-term interventions, while others need long-term therapy and support to maintain sobriety.
Q5: Can addiction be cured?
A: Addiction is a chronic condition, meaning there is no permanent cure. However, with treatment and lifestyle changes, individuals can achieve long-term recovery.
Q6: How can I support a loved one struggling with addiction?
A: Offer compassion, encourage them to seek professional help, and avoid enabling behaviors. Support groups for families can also provide guidance.
Q7: Does insurance cover addiction treatment?
A: Many insurance plans cover addiction treatment. It is best to contact your insurance provider to verify coverage options. Dr. Goldenberg’s office is considered “out of network” if you have a PPO insurance plan.
Q8: What should I expect in my first visit with Dr. Goldenberg?
A: The first visit includes a comprehensive evaluation to understand your history, challenges, and treatment goals. A personalized treatment plan will be developed based on your needs and goals.
Q9: Can addiction be prevented?
A: While not all cases can be prevented, education, healthy coping mechanisms, and strong social support can reduce the risk of developing addiction.
Contact Dr. Matthew Goldenberg, D.O.
For expert addiction treatment and mental health care, contact Dr. Matthew Goldenberg, D.O.
Location:
Matthew Goldenberg D.O.
Dr. Goldenberg is licensed to see patients in California, Hawaii and Alaska.
Phone:
(424) 276-0777
Business Hours:
Monday – Friday: 8:30 am – 5:00 pm
Saturday, Sunday: Closed
Dr. Matthew Goldenberg, D.O. specializes in evidence-based addiction treatment and dual diagnosis care. If you or a loved one is struggling with addiction, reach out today to take the first step toward recovery.