Addiction about a life long illness not lifestyle choice

Addiction is really a major health problem that costs around all the 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 leads to fundamental changes in behavior that are manifest by repeated usage of alcohol or other drugs or doing activities such as for example gambling.  They're usually resisted, albeit unsuccessfully, by the addict.  The key options that come with addiction is therefore circumstances of habitual behaviour such as drug taking or gambling that's initially enjoyable but which eventually becomes self-sustaining or habitual. The urge to engage in the behaviour becomes so powerful that it interferes with normal life often to the level of overtaking work, personal relationships and family activities. At this time the individual may be considered addicted: the addict's every thought and action is directed with their addiction and the rest suffers.

If the addictive behaviour is difficult e.g. because they do not have sufficient money then feelings of intense distress emerge. These could lead to dangerously impulsive and sometimes aggressive actions.  In the case of drug/alcohol addiction the problem is compounded by the occurrence of withdrawal reactions which cause further distress and motivate desperate attempts to locate more of the addictive agent. This urge to get the drug may be so overpowering that addicts will commit seemingly random crimes to get the resources to buy more drug. It's been estimated that about 70% of all acquisitive crime is connected with drug and alcohol use.

Addiction is driven by a complex pair of internal and external factors.  The external factors are well understood:  the more access to the required drug or behaviour e.g. gambling the more addiction there is.

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

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