Looking back at 2021 reveals a difficult year for all of us, especially those who struggled with addiction during such challenging times. Over 10% of Americans aged 12 and older have used an illicit drug in the last year, with even more suffering from alcohol use disorder.

The National Survey on Drug Use and Health, published by the Substance Abuse and Mental Health Services Administration (or SAMHSA, shows us the breakdown of substance abuse to offer a better understanding of how widespread the issue has become.

Educating yourself about addiction is most powerful when you learn from trusted sources. Misinformation is common online, so it is best to look for resources backed by science and evidence. Reputable places to start include government sites like the National Institute on Drug Abuse and the Substance Abuse and Mental Health Services Administration. Universities and treatment centers with licensed professionals also provide reliable education. Learning about addiction early not only helps reduce stigma but can also prevent problems before they begin. By sharing accurate information with loved ones, you can create a foundation for healthier conversations and encourage positive choices.

Common Questions About Addiction

Starting with “What is addiction?”, we’ll break down addiction and what it means. Addiction is commonly referred to as substance use disorder or SUD. Diagnosing this condition is done by evaluating an individual’s relationship to a particular substance, whether that be drugs or alcohol.

When an addiction forms, consumption of a substance becomes a compulsive behavior that’s difficult or even impossible to control. This occurs when someone turns to drugs or alcohol to achieve a positive feeling. The reward felt from substance abuse comes from both the substance and the individual’s desire to avoid other feelings, such as stress or depression.

How Does Addiction Happen?

Unfortunately, multiple factors come into play when an addiction starts forming. Typically, these factors fall under the environmental or genetic category, with each one having its own set of impacts on the individual.

Environmental Factors

The environment one grows up and lives in has a substantial amount of influence on how they develop and handle what life has to throw at them. Trauma and abuse can lead to early substance use, but even simply being around regular users of drugs or alcohol can normalize the practice.

Friends, coworkers, and loved ones that an individual trusts and looks up to may sway that person’s opinion on substance use without knowing it, all just by consuming it around them. A stressful home or work life can lead to using substances as a method of stress relief, eventually forming a dependence on them.

Genetic Factors

When it comes to genetic factors in developing an addiction, some can’t be directly treated, such as a genetic predisposition to develop addictive tendencies. A predisposition like this is passed down from one or both of the parents.

Some groups are also more susceptible to periods of depression or anxiety, which can lead to self-medicating with drugs or alcohol. Having a predisposition for these conditions can also make traumatic events more severe, another leading cause for someone to turn to substance use.

Addiction vs. Dependence

Many people hear the terms addiction, dependence, and substance use disorder used interchangeably, but they are not always the same. Dependence usually refers to a physical reliance on a substance, often shown by tolerance and withdrawal. Addiction includes this physical component, but also adds a psychological element, such as cravings and compulsive behavior, even when life is being harmed. For example, someone may become dependent on prescription pain medication after surgery without developing an addiction, while another person may continue to misuse the medication despite negative consequences. Understanding this distinction helps reduce stigma and gives a clearer picture of what treatment may involve.

Can Addiction Happen From One Use?

When this question gets brought up, there’s no single answer that doesn’t properly address how addiction progresses. Simply put, no, you won’t become addicted to a single drink or use of a drug. Addiction forms over time as the mind and body become more dependent on a particular substance.

The issue is that when someone drinks or uses a drug, they often have a positive experience while feeling better than they did while sober. Seeking this state of euphoria over and over is how addiction begins due to ongoing substance abuse.

How Can I Tell if Someone Is Struggling With Addiction?

Substance abuse and addiction don’t always have obvious signs associated with them. There are different levels of severity with addiction, with the impact it has growing over time. For some, they’ll begin a routine of drinking more often until it’s a daily task. As they drink more, they need more to feel inebriated and will begin drinking all the time.

Others may not be as open with their substance use when it involves drugs. Individuals suffering from drug addiction tend to isolate themselves or choose to only be around others using the same drug. Relationships begin to diminish as the individual opts to use drugs instead of attending to other responsibilities, such as work or their family.

It can be difficult to recognize addiction in yourself or someone you care about. Some common signs include:

  • Needing more of a substance to feel the same effect
  • Drinking or using more often than intended
  • Neglecting responsibilities at home, school, or work
  • Withdrawing from friends or family to spend more time using
  • Continuing use even when it causes health, financial, or relationship problems
  • Feeling anxious, irritable, or unwell when not using

If several of these apply, it may be time to seek professional support. Addiction can look different for everyone, so it is important to take early concerns seriously.

How Is Addiction Treated?

Addiction treatment is not one-size-fits-all. Along with medical detox and inpatient or outpatient rehab, many evidence-based therapies help people build long-term recovery skills. Cognitive Behavioral Therapy helps individuals recognize and change harmful thought patterns, while Dialectical Behavioral Therapy focuses on building coping and emotional regulation skills. Motivational Interviewing encourages personal commitment to recovery goals. Medication-assisted treatment may also be used to reduce cravings and stabilize recovery. In addition to professional care, mutual support groups such as Alcoholics Anonymous, SMART Recovery, or Refuge Recovery provide community and accountability. A strong treatment plan usually combines medical care, therapy, and ongoing support to address both addiction and underlying mental health needs.

Treatment centers are important for addiction recovery, as there is a detox period where the individual stops drinking and using drugs. The body can go through withdrawal symptoms during this period as it learns how to function without the presence of an outside substance.

These symptoms can range from mildly uncomfortable to potentially fatal in some cases. Medically-assisted detox helps to alleviate these symptoms and provides individuals with a safe transition into treatment.

From there, mental health professionals and addiction specialists work together to tackle the root causes of addiction. If you have any questions or concerns about addiction or a loved one, please don’t hesitate to reach out to the ARC team today.

Recovery is an ongoing process that grows stronger with daily reflection. Asking yourself simple questions can help you stay mindful of your progress. Consider ending each day by asking: What did I do today to support my recovery? What challenges did I overcome? What am I grateful for? These check-ins may seem small, but over time they show just how much growth you have achieved. Reflection also helps you stay connected to your goals and celebrate milestones along the way.

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Dr. Paul R. Valbuena, M.D. Chief Medical Officer
Paul R. Valbuena, M.D., is a double-board-certified psychiatrist practicing in the Phoenix Metro area since 2009. Licensed in Arizona, he specializes in behavioral health, child and adolescent psychiatry, and addiction psychiatry. A diplomate of the American Board of Psychiatry and Neurology, Dr. Valbuena has been a practicing physician since 2003.