illness life not about choice lifestyle Addiction long a

Addiction is really a major health problem that costs as much as all the mental illnesses combined (about £40 billion per year) and about around cancer and cardiovascular disorders also.

At its core addiction is just a state of altered brain function that results in fundamental changes in behavior that are manifest by repeated usage of alcohol and other drugs or doing activities such as gambling.  They are usually resisted, albeit unsuccessfully, by the addict.  The key top features of addiction is therefore circumstances of habitual behaviour such as drug taking or gambling that is initially enjoyable but which eventually becomes self-sustaining or habitual. The urge to participate in the behaviour becomes so powerful so it interferes with normal life often to the point of overtaking work, personal relationships and family activities. At this point the person may be reported to be addicted: the addict's every thought and action is directed to their addiction and anything else suffers.

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

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

The inner factors are less clear. Although most addiction would be to alcohol and other drugs, addiction to gambling and other behaviours such as for example sex or shopping can occur. These tell us that the mind can develop hard-to-control urges independent of changing its chemistry with drugs.  All addictions share a standard 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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