a Addiction life about illness long choice not lifestyle

Addiction is a major health problem that costs around all other 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 which are manifest by repeated use of alcohol or other drugs or engaging in activities such as for example gambling.  These are usually resisted, albeit unsuccessfully, by the addict.  The key features of addiction is therefore a state of habitual behaviour such as for example 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 that it disrupts normal life often to the point of overtaking work, personal relationships and family activities. At this point the individual could be reported to be addicted: the addict's every thought and action is directed for their addiction and anything else suffers.

If the addictive behaviour is difficult e.g. because they don't really have sufficient money then feelings of intense distress emerge. These could cause dangerously impulsive and sometimes aggressive actions.  In the case of drug/alcohol addiction the specific situation is compounded by the occurrence of withdrawal reactions which cause further distress and motivate desperate attempts to find more of the addictive agent. This urge to obtain the drug might be so overpowering that addicts will commit seemingly random crimes to get the resources to buy more drug. It has been estimated that about 70% of acquisitive crime is related to drug and alcohol use.

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

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