Addiction about a life long illness not lifestyle choice

Addiction is really a major health problem that costs as much as other mental illnesses combined (about £40 billion per year) and about around cancer and cardiovascular disorders also.

At its core addiction is a state of altered brain function that contributes to fundamental changes in behavior which are manifest by repeated usage of alcohol or other drugs or doing activities such as for instance gambling.  They are usually resisted, albeit unsuccessfully, by the addict.  The important thing top features of addiction is therefore a state of habitual behaviour such as drug taking or gambling that is initially enjoyable but which eventually becomes self-sustaining or habitual. The urge to participate in the behaviour becomes so powerful so it inhibits normal life often to the stage of overtaking work, personal relationships and family activities. At this point the individual may be said to be addicted: the addict's every thought and action is directed for their addiction and everything else suffers.

If the addictive behaviour is extremely hard e.g. because they don't have sufficient money then feelings of intense distress emerge. These can result in dangerously impulsive and sometimes aggressive actions.  In the event of drug/alcohol addiction the problem is compounded by the occurrence of withdrawal reactions which cause further distress and motivate desperate attempts to find more of the addictive agent. This urge to obtain the drug may be so overpowering that addicts will commit seemingly random crimes to have the resources to get more drug. It has been estimated that about 70% of acquisitive crime is related to drug and alcohol use.

Addiction is driven by a complex set of internal and external factors.  The external factors are well understood:  the more use of the desired drug or behaviour e.g. gambling the more addiction there is.

The interior factors are less clear. Although most addiction is to alcohol and other drugs, addiction to gambling and other behaviours such as for instance sex or shopping can occur. These inform us that mental performance can develop hard-to-control urges independent of changing its chemistry with drugs.  All addictions share a common thread in that they are initially pleasurable activities, often extremely enjoyable. This results in these behaviours hijacking the brain's normal pleasure systems to ensure that naturally enjoyable activities such as for example family life, work, exercise become devalued and the more excessive addiction behaviours take over.

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