Substance use disorder (SUD), or addiction, is classified as abnormal and is defined by the DSM-52 as a chronic, treatable illness. When it comes to addressing addiction and dependence, a range of treatment approaches are available to help individuals overcome these challenges. The specific interventions for addiction and dependence may vary depending on the individual and the severity of the condition.
Genetics can play a significant role in an individual’s susceptibility to addiction and dependence. Research has shown that certain genetic factors can increase the likelihood of developing these conditions. These genetic predispositions can involve variations in genes that affect the brain’s reward system, making some individuals more vulnerable to the effects of addictive substances or behaviors. The distinction between dependence and addiction has immense practical and financial consequences for individuals seeking help. In the American healthcare system, a formal medical diagnosis is the key that unlocks insurance coverage. Addictive disorders are highly treatable, and treatment at an inpatient or outpatient rehab can greatly increase the likelihood of long-term sobriety.

What Is Substance Dependence?

It is integrative and includes therapies that address multiple issues a person may be facing. Today, the APA classifies substance use disorders as mild, moderate, or severe. It doesn’t use the terms abuse and dependence to categorize the severity of an addiction. Stigma can affect the quality of care people receive, as healthcare providers may harbor unconscious biases that influence their treatment approaches. It can even manifest in public policies, leading to discriminatory practices and limited access to resources for those struggling with addiction.
- Whilst it is complex, however, it is still very possible and different treatment options are available.
- The criteria and definitions of mental health issues may not match the way we think and talk about things now.
- Over 47.7 million people in the U.S. aged 12 and older have a substance use disorder.
- By recognizing the behavioral patterns and psychological impacts of addiction, we can better comprehend the challenges faced by individuals struggling with addiction and provide appropriate support and treatment.
Start the road to recovery

It is now widely understood in the medical community as a primary, chronic, relapsing brain disease. The American Society of Addiction Medicine (ASAM) defines it as a disease of brain reward, motivation, memory, and related circuitry. This brain dysfunction leads to characteristic biological, psychological, and social manifestations.
- By recognizing and comprehending these differences, individuals and healthcare professionals can develop appropriate strategies for intervention, treatment, and support.
- It’s like having a team of cheerleaders rooting for you as you run a marathon – their encouragement can help you push through when you feel like giving up.
- Could someone who is dependent on alcohol or drugs be diagnosed as having an addiction?
- People used to believe that addiction only happened in certain areas, like in inner cities, or among specific groups of people, like those who were down and out.
- The other person has become dependent on the medication, too — but they have also become addicted to it.
Addiction vs Tolerance vs Dependence
Gambling disorder has been included in this section as anon-substance or behavioral addiction. Other non-pharmacological addictions were also reviewed, but only gambling met criteria for inclusion at this time; internet addiction will be recommended for the Appendix in order to encourage further research. Addiction involves a psychological compulsion to use a substance despite harmful consequences. When you’re addicted, you prioritize substance use over other important aspects of your life and struggle to control your consumption. Dependence may require medically managed withdrawal and tapering, while addiction often necessitates a comprehensive approach addressing the underlying psychological and behavioral factors. A key feature of addiction is compulsion—the uncontrollable urge addiction vs dependence to continue using the substance, despite the negative impact it may have on one’s life.
- This is where dependency can turn into full-blown addiction—when substance abuse becomes the all-encompassing main priority.
- It is important to keep in mind that physical dependence can occur without the patient developing a SUD.
- Kelly brings empathy to an underserved population and her clients share that they feel listened to without judgement.
- When people misunderstand the difference they might avoid taking the medications they need for certain health conditions.
How Addiction Affects the Brain and Body
The interplay between psychological factors and substance use can create a cycle where the substance provides temporary relief or pleasure, reinforcing the addictive behaviors. Addiction, also known as substance use disorder, is a complex condition characterized by compulsive drug or alcohol use despite negative consequences. It is a chronic brain disease that affects the reward, motivation, and memory systems. Addiction is often accompanied by physical, psychological, and social harm. By bridging the communication gap and promoting mutual understanding, healthcare providers can optimize treatment outcomes and provide comprehensive care to individuals grappling with substance use disorders 11. The American Psychiatric Association made significant changes in Halfway house 2013 by replacing terms like “dependence” and “abuse” with the more encompassing term “substance use disorder” in the DSM-5.
The persistent urge to engage in harmful behavior related to the substance, despite clear consequences, is a key indicator of addiction. The signs of addiction are beyond physical symptoms, manifesting as changes in behavior and decision-making. Physical dependence is defined by the body’s need for the substance to function normally, and without it, a person may have discomfort physically and mentally.
His expertise covers a broad of topics relating to addiction, rehab and recovery. Boris is an addiction therapist and assists in the alcohol detox and rehab process. Boris has been featured on a variety of websites, including the BBC, Verywell Mind and Healthline. Acknowledging your need for help is often the most difficult part and reaching out for support is the beginning of a new stage of life free from the battle of addiction. Do yourself the kindness of not trying to put it off and let yourself receive the help that is waiting for you. Dealing with addiction is not something that can be done alone, even though most sufferers would much rather that be an option.
Key Differences Between Drug Dependence vs Addiction
If you feel as though you are dependent on a substance, you can talk to a healthcare provider or mental health professional who can offer assessments to determine if you need treatment. During the evaluation, it is a good time for you to ask questions to learn if the doctor or therapist understands the difference between addiction and dependence and the treatments for both. Dependence without addiction is possible and is most often seen in people using certain medications like painkillers or antidepressants under a doctor’s supervision.
It’s like a complicated dance routine where the partners sometimes move in sync and other times step on each other’s toes. Short-term inpatient centers typically start with medical detox and are followed by a program of addiction treatment, such as therapy or counseling for 30 to 90 days. These programs range from basic inpatient to luxury options, all varying in terms of their amenities and types of therapy. These facilities usually provide 24-hour medical support and are often led by a team of counselors, clinicians, and doctors. Short-term inpatient rehab is ideal for individuals who need detoxing and therapy, but who don’t require long-term treatment. If you think your substance use is causing problems in your life, help is available.
Addiction vs Dependence: What’s the Difference?
The table below provides examples of substances that commonly lead to physical dependence. It occurs when the body becomes accustomed to the presence of a substance and requires it to function normally. When someone develops physical dependence, their body undergoes physiological changes, leading to withdrawal symptoms when the substance is discontinued or reduced. It is marked by an intense craving for the substance or behavior, loss of control over its use, and continued engagement despite negative outcomes. Individuals with addiction may experience significant disruptions in various aspects of life, including relationships, work, and overall well-being.
Over time, the body adapts to the presence of a drug or alcohol, leading to physical dependence. Addiction is primarily a behavioral and psychological issue, often linked to changes in the brain’s reward system. Dependence can occur with the use of certain medications, such as painkillers or antidepressants, even when taken as prescribed. It reflects a physiological adaptation, not necessarily a behavioral compulsion.