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People sometimes jokingly use the term "addiction" in everyday conversation, referring to themselves as "chocolate addicts" or "workaholics." But addiction isn't something to be taken lightly. Addiction to alcohol, marijuana, prescription medications, gambling, and other substances or activities can cause serious health issues and problems with family members, friends, coworkers, work, money, and the law. Yet, despite these problems, a person continues to use the substance or engage in the activity.
People with an addiction tend to show the three Cs:
- craving for the object of the addiction, which can be mild to intense
- loss of control over use of the object of the addiction
- continued engagement with the object of the addiction in spite of harmful consequences.
In its most basic definition, addiction is a physical dependence on a substance or activity. The dependence leads to unpleasant symptoms, called withdrawal symptoms, that appear when a person stops using the substance or doing the activity.
Nobody starts out wanting to develop an addiction. But some people do get attracted to certain substances or behaviors for specific reasons. Most of these objects of addiction offer people some psychological, social, or physical rewards. Those rewards are often compelling, so the substance or behavior remains appealing even if it also comes at a cost.
One key element in overcoming addiction involves recognizing the value it holds. Once you understand the value you derive from your addiction, you can seek alternate — and less destructive — methods for filling that need.
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Sarah Wakeman, MD, FASAM
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Hope Ricciotti, MD
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Wynne Armand, MD
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Steven J. Atlas, MD, MPH
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Steven A. Adelman, MD
The opioid crisis and physician burnout: A tale of two epidemics
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