long about not life Addiction illness lifestyle choice a

Addiction is a major health problem that costs as much as all other 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 contributes to fundamental changes in behavior that are manifest by repeated usage of alcohol or other drugs or doing activities such as gambling.  They are usually resisted, albeit unsuccessfully, by the addict.  The main element 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 engage in the behaviour becomes so powerful that it disrupts normal life often to the level of overtaking work, personal relationships and family activities. Now the person could 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 difficult 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 case of drug/alcohol addiction the situation 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 have the drug might 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 all acquisitive crime is related to drug and alcohol use.

Addiction is driven by a complicated set of internal and external factors.  The external factors are well understood:  the more use of 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 sex or shopping can occur. These tell us that mental performance 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 to ensure 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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