Fear

I was recently asked why someone in an active addiction cycle cannot abstain from their drug of choice even after they admittedly say they don’t want to continue use. They honestly want to chart a new course for their lives, a course that is drug free; but they can’t. This is perceived by others as an example of dishonesty, a “he doesn't really want to stop”, “she’s just saying that, but doesn't really mean it”, “drug addicts should just stop using drugs”. This week I facilitated a treatment group where we discussed and defined addiction, a complicated task for anyone to achieve. We used and examined the American Society of AddictionMedicine’s definition. Here is the “short” definition:

Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.

Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.

As you can see this is a complicated disease. There are many factors that cause an individual to engage in an addiction cycle and the baffling part of the disease is that the brain constantly “plays a trick” on the individual to continue the cycle. There is no way to “fix” the problem. Everyone has different path into addiction and just as complex as the journey into, the journey out is even more complicated. Many attempt, many commit themselves to the journey and become lost. Sometimes death is the only relieve from the suffering. I wish we could solve the complicated mess of addiction. In recovery I know how blessed I am. I am not perfect nor do I try to be, however 25 years ago something happened in the universe, the heavens, and in my life. I began the journey of recovery. I work with others daily in addiction and recovery. I get to share in the pain, the pride, the sadness, the relief, the honest and dishonest, the loneliness, the happiness, the Fear…and for that I am blessed! 

B