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Why are Drugs so Hard to Quit?
The first question many people ask when they hear about addiction is “Why don’t they just quit?”. The answer is that addiction is a disease and is sometimes considered to be the most severe form of Substance Use Disorder. The Centers for Disease Control and Prevention (CDC) defines substance use disorders (SUDs) as being “treatable, chronic diseases characterized by a problematic pattern of use of a substance or substances leading to impairments in health, social function, and control over substance use.”
SUDs can affect anyone, and the American Psychiatric Association groups symptoms of SUDs into four categories:
- Impaired Control:Â A craving or strong urge to use the substance; desire or failed attempts to cut down or control substance use.
- Social Problems:Â Substance use causes failure to complete major tasks at work, school or home; social, work or leisure activities are given up or cut back because of substance use.
- Risky Use:Â Substance is used in risky settings; continued use despite known problems.
- Drug Effects:Â Tolerance (need for larger amounts to get the same effect); withdrawal symptoms (different for each substance).
Individuals with addiction face their own unique struggles and symptoms, but they all experience similar physiological effects. Substances produce long-term behavioral effects by flooding the limbic system in the brain, a.k.a. the reward center, with chemicals that stimulate it. With continued use, the brain adapts to these feelings of euphoria, and develops a tolerance to the substance. This means that someone has to use more of a substance in order to achieve the same effect. This is why people struggling with addiction are constantly trying to “find the next high”.
Dr. Nicole Labor, Medical Director at OneEighty, compares addiction to being stranded in the desert with no water. She explains that you would do anything to get a bottle of water in that situation even if it meant hurting yourself or those around you. This is a great explanation for what millions of people with SUDs deal with on a daily basis. Understanding how addiction impacts someone can he
lp all of us be more compassionate and can reduce the stigma surrounding this disease.
Check out the links below for more information about substance use disorder, prevention, and treatment. After that you can take the Why are Drugs so Hard to Quit? quiz to test your newfound knowledge.
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