At its core, addiction is a chronic brain disease characterized by compulsive drug seeking and use, despite harmful consequences. It’s a condition that hijacks the brain’s reward system, turning what was once a source of pleasure into an all-consuming need. When the effects of substance use wears off, there can be an unpleasant emotional stage characterized by dysphoria, anxiety, and irritability. This shift from positive to negative reinforcement take place and the addicted person uses to avoid feeling these negative emotions. This stage is marked by initial excessive usage of an addictive substance that produces a sense of reward or euphoria.
- During addiction recovery, it is common for individuals to experience a relapse, which typically occurs in three stages.
- Detox, residential, or outpatient programs may be part of a person’s treatment plan, depending on the severity of the addiction.
- Financial difficulties may arise as more resources are devoted to obtaining and using the substance.
Emotional Triggers
Some may linger here for years, maintaining a semblance of normalcy while their use gradually escalates. Others may progress rapidly to full-blown addiction within a matter of months. This variability makes it challenging to pinpoint exactly when regular use crosses the line into abuse, highlighting the importance of recognizing the signs early on. These scenarios, and countless others like them, can serve as the gateway to a much darker path. Beginning her career as a freelance writer, Grace graduated summa cum laude from Arizona State University with a B.A. She wrote across various topics and found mental health and recovery to be the best fit.
Identifying Initial Use Signs
Fortunately, recovery is possible with guidance from professionals and support from peers. Get professional help from an online addiction and mental health counselor from BetterHelp. Support groups, peer recovery programs (AA, NA, and others), and recovery mentors can provide much-needed emotional support, encouragement, and accountability. There may not be daily use, but a pattern (like weekend binge drinking or drinking after stressful events) starts to emerge. During this stage, the person may begin to justify their use as a way to deal with life’s challenges. At this stage, the person is usually not aware of the risk of dependence.
- In particular, opioids can make you feel highly unwell if you stop taking them4 without a professional detox.
- It can be broken at any point, no matter how many times you’ve spun through it or how long you’ve been spinning.
- It is influenced by various biological, psychological, and social factors.
Regular Substance Use
It’s like your social circle is slowly being redrawn with substance use at the center. Effective treatment often involves a combination of behavioral therapies, counseling, and medication management. Detox, residential, or outpatient programs may be part of a person’s treatment plan, marijuana addiction depending on the severity of the addiction. Long-term recovery requires patience and commitment and must be individualized to meet the specific needs of each person and address the underlying causes of addiction. If you believe that you fall within one of these stages of addiction, remember that help is available.
Understanding Addiction Stages
Approximately half of a person’s risk of developing a drug addiction is based on their genetic makeup, while environmental factors also play a significant role (WebMD). Factors such as specific genes passed down in the family and the influence of dopamine receptors can contribute to an individual’s susceptibility to addiction (WebMD). After the initial use stage, some individuals may transition into the abuse and risky use stage.
The increasing tolerance can lead to more frequent and larger doses, often without the person realizing the extent of this gradual escalation. By recognizing the stages of addiction, you can take proactive measures to intervene before the situation worsens. Every stage presents an opportunity to find help, take action, and ultimately escape the cycle of addiction. Addiction is characterized as a neurological disorder that changes the brain’s structure and function. It often develops gradually, sometimes over extended periods, making it hard to see how deeply rooted it’s become.
Others may begin their drug use through prescribed medications or from others who have prescriptions, particularly with opioids (Mayo Clinic). The reasons for initial use can vary greatly, but it is important to note that this stage can lead to further substance use and potentially progress into the next stage. In order to gain a better understanding of addiction, it is important to explore the stages that individuals may go through when grappling with substance abuse. Two prominent models that shed light on this process are Valliant’s Three-Stage Model and Volkow, Koob, and McLellan’s Model. For example, https://ecosoberhouse.com/ someone addicted to cocaine may continue using despite financial ruin or family breakdown. In 2023, only about 10% of U.S. adults with substance use disorders sought treatment, underscoring the barriers to recovery.
CREB and other intracellular messengers can activate transcription factors, which can change gene expression and produce long-term changes in protein expression, and, as a result, neuronal function. Animals with activated ΔFosB have exaggerated sensitivity to the rewarding effects of drugs of abuse, and ΔFosB may be a sustained molecular ‘switch’ that helps to initiate and maintain a state of choose the correct cycle of addiction addiction (McClung et al, 2004). Whether (and how) such transcription factors influence the function of the brain stress systems, such as CRF and those described above, remains to be determined. Acute withdrawal from all drugs of abuse also produces an aversive or anxiety-like state in which CRF and other stress-related systems (including noradrenergic pathways) have key roles.
It becomes difficult for individuals to experience pleasure, and they may become more sensitive to negative stimuli. This can result in drug use to avoid withdrawal symptoms and negative feelings such as cravings, anxiety, and irritability (American Addiction Centers). In the withdrawal/negative affect stage, engagement of the brain stress systems, such as CRF, in animal models needs to be extended to other interactive brain stress systems and explored in human studies. Numerous other neurotransmitter systems that interact with the brain stress system are only now being explored, such as dynorphin, NPY, substance P, nociceptin, and orexin.
Individuals engage in the activity despite being aware of its potential negative consequences. They may take risks, disregard personal boundaries, or engage in dangerous behaviors while under the influence. In this stage, the individual’s ability to control their substance use or behavior becomes compromised.


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