We treat a great many patients each year who struggle with some form of substance abuse or addiction.
National estimates put the number of Americans addicted to drugs at around 3.6 million and alcoholics at 18.7 million. That’s a staggering portion of the adult population! These numbers don’t account for the non-chemical addictions that affect millions more. While the term addiction can be used liberally to describe a number of behaviors and habitual patterns, the true definition of addiction, according to the American Society of Addiction Medicine (ASAM), is as follows:“Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. ... 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.”While we tend to think of addiction as a chemical dependency, the reward circuitry in the brain can be distorted and abused by any number of compulsive behaviors that become pathologies.