The Problem of Addiction
Articles about addiction to substances such as prescription painkillers, cocaine, methamphetamine, and alcohol often stress that addiction is a prevalent problem in cities, large and small. Fortunately, there are a variety of treatment options for the problem of addiction.By Michael Johnson, PhD
By Michael Johnson, PhD
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By Michael Johnson, PhD
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What is substance addiction?
How do people develop problems with addiction? Counseling professionals believe that becoming addicted is a process that occurs in stages. Dr. Alan I. Leshner, Director of the National Institute on Drug Abuse from 1994-2001, says that the brain of an addict is chemically different from that of a non-addict. He explains that a person's first use of a substance results in a slight chemical change to the brain, while prolonged use creates more significant and fundamental changes. When these changes occur, the use of the substance is no longer voluntary.
Treatment for Addiction
Articles about the treatment of addiction emphasize that treatment must be tailored to meet the needs of the individual. Variables such as family history, physical and emotional health, motivation, and the duration and degree of the addiction are usually considered before a person begins treatment.
Treatment begins with cessation of substance use, or detoxification. This stage is followed by any of a variety of approaches that combine counseling and education about addiction. Counseling, both for individuals and groups, includes assisting clients in developing strategies and skills, such as interacting effectively with others, to help them cope with the demands of living. Some treatment approaches include CBT, or cognitive-behavioral therapy, which helps clients learn about the interrelationship among thoughts, emotions, and behaviors and how these play a role in substance use, and/or motivational-enhancement therapy, which allows clients to objectively explore the consequences of their addiction within a supportive environment. Other approaches involve relationship counseling and helping family members support their loved one during the transition to non-use. Medication and 12-step programs are also approaches that have been shown to be effective.


