Centers for Medicare and Medicaid Services to measure treatment continuity for opioid use disorder. If you think you might have an alcohol problem, discuss it with a healthcare provider. They can offer advice on how to approach your treatment and assist you with the process of detoxing, withdrawing, and recovering from alcohol use disorder.
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Different Parts of the Brain Affected
Even the Centers for Disease Control and Prevention (CDC) is obviously confused about the distinction, as evidenced by the terminology page on their website, which states, “Drug addiction—The preferred term is substance abuse disorder.” This is false. To reiterate, the DSM-5 dropped the categories of “substance dependence” and “substance abuse,” and so the claim that substance abuse disorder is the preferred term for drug addiction is inaccurate. If that history lesson sounded confusing, that’s because it is, and there’s no way to simplify what happened. But the biggest source of confusion concerns the word “dependence.” Prior to the DSM-III, the term “dependence” simply meant physiological dependence, as indicated by tolerance and withdrawal symptoms. Still, she wanted to help with the difficult and painful detox stage. It is an essential step for individuals with a substance use disorder as it addresses the physical dependence on a substance, making it possible to proceed with the psychological and behavioral aspects of recovery.
As the medical and scientific discussion on these terms has progressed in recent years, both are now considered as part of a larger grouping; that of substance use disorder. This conflation of addiction with dependence, which stigmatizes effective medication treatment for opioid use disorder, is even enshrined in law. This can lead to traumatic family surveillance and even separation, not surprisingly disproportionately impacting Black, Latinx, and Native American families because of racist implementation in these reporting practices. For spouses and family members of those with substance use disorder, it may be vital that you get involved in a support group (such as Al-Anon) and seek help from a mental health professional as well. About half the risk of developing an addiction or substance use disorder is caused by genetics.
Breakthrough Oral Treatment Addresses Addiction Withdrawal Symptoms
Sometimes, drug dependence and addiction are accompanied by underlying mental health issues, such as depression, anxiety, eating, trauma, and stress-related disorders. In these cases, integrated treatment for co-occurring disorders is required, no matter the severity of the dependence and/or addiction. These changes have already https://ecosoberhouse.com/article/addiction-vs-dependence-what-is-the-difference/ been presented publicly at meetings of the American Psychiatric Association, the Research Society on Alcoholism (RSA) and the College on Problems of Drug Dependence (CPDD). At the 2009 CPDD meeting the audience was asked if there were any problems with the use of the word ‘addiction’ as a diagnosis, and there were no objections.
There are even perceived differences between addiction versus the abuse of a substance. A person who is chemically dependent on a drug might show different physiological changes around chronic usage, tolerance levels, and even withdrawal symptoms. While it isn’t possible to develop an addiction to a substance without repeated use, addictions can form more quickly and easily in certain people. Genetic, neurological, or psychological factors can all increase a person’s likelihood of developing a drug or alcohol dependence. In addition, stress, trauma, and hardship are also known ‘risk factors’ that make addiction more likely.
Opioids: Understanding Addiction Versus Dependence
We know opioids, for example, can be highly addictive, and that addiction can develop quickly. They deliver a double punch — they don’t just increase the feel-good dopamine in the brain, but there’s also a need to take them consistently to avoid painful withdrawal symptoms. Chemical dependency is broader and may include other physical signs like an increasing tolerance to the substance, or withdrawal symptoms when someone tries to quit or cut down on using it. Addiction is a disease characterized by behavioral issues, and dependence refers to a physical reliance on a substance.