Whats the Difference Between Substance Misuse, Abuse, Dependence and Addiction?

It can also cause changes in a person’s behavior, such as engaging in risky activities to obtain or use the substance. On the other hand, abuse can lead to physical, emotional, and social problems such as loss of employment, relationship issues, and legal problems. It occurs when an individual’s body becomes accustomed to the presence of a drug of choice or alcohol and needs it to function correctly.

Signs of Dependence

At the 2009 CPDD meeting the audience was asked if there were any problems with the use of the word ‘addiction’ as a diagnosis, and there were no objections. At the 2010 RSA symposium on DSM-V, the audience present was almost unanimous in its support of the word ‘addiction’. Our hope is that these changes will produce clarification while avoiding the confusion produced by the word ‘dependence’ in previous versions of the DSM. In order to address these problems, the proposed changes for DSM-V include some changes in terminology. Gambling disorder has been included in this section as anon-substance or behavioral addiction.

It’s important to understand how different substances can affect the brain and body differently. For example, alcohol and benzodiazepines (a type of medication used to treat anxiety) both depress the central nervous system, leading to slowed breathing, heart rate, and other dangerous side effects. Stimulants like cocaine and methamphetamine, https://amcwindow.com/what-are-the-appropriate-management-and-treatment/ on the other hand, can cause increased heart rate, blood pressure, and body temperature, leading to potentially deadly consequences.

You deserve excellent care and a rewarding life in recovery.

dependence vs addiction vs abuse

Understanding the terms ‘dependence’ and ‘addiction’ is important when discussing substance use disorders. Both terms are often used interchangeably, but they have different meanings in the context of addiction treatment. Addiction is defined as a chronic, relapsing disorder characterized alcoholism treatment by compulsive drug seeking and use despite adverse consequences. It is considered a brain disorder, as it involves functional changes to brain circuits related to reward, stress, and self-control. Benzodiazepines, prescribed for anxiety and sleep disorders, can also lead to dependence and addiction with regular use.

dependence vs addiction vs abuse

Breaking Codependency in Relationships: Steps Towards Healthy Boundaries and Self-Love

The comments were reviewed by the Substance Related Disorders Working Group and the final version will be tested in a field trial later this year. Withdrawal – Alcohol is taken to relieve symptoms of withdrawal, which include (among others) depression, fatigue, mood swings, anxiety, and irritability. Use Despite Understanding of Consequences – Alcohol use https://ecosoberhouse.com/article/addiction-vs-dependence-what-is-the-difference/ persists despite the patient’s knowledge of a physical or psychological problem that’s likely caused by alcohol.

  • Addiction can impact every aspect of your life, starting with your mental health.10 Substances change your brain, and might contribute to co-occurring disorders like anxiety and depression.
  • Unlike addiction, dependence does not necessarily involve difficulty controlling behavior.
  • Dr. Pickrell is a board-certified psychiatrist with interests in addiction and psychiatry.
  • While many people use these terms interchangeably, they refer to different aspects of substance use and can have very different implications for treatment and recovery.
  • Whatever its nature, when the brain receives the cue from the trigger, a biochemical reaction within the brain influences the person’s thoughts and actions.

Recovery from a substance use disorder, whether it’s physiological dependence or addiction, requires a comprehensive approach. Psychological dependency is defined as dependence on a substance, which may not always lead to physical dependence. When a person misuses drugs or alcohol, they typically consume the substances in an unhealthy or improper way. The misuse of alcohol or drugs occurs when a person uses them outside the realm of their intended use. The opposite of substance misuse is taking medication as written by a doctor or drinking in moderation.

dependence vs addiction vs abuse

When you’re ready to recover, it may help to differentiate between the physiological and psychological aspects of what you’re going through. Doing this empowers you and your care team to choose the most effective types of treatment. There are various devastating effects that alcohol and drugs can have, as well as the healing power of accurate language and effective treatment. Let’s break down the different aspects of alcohol and drug addiction and why misuse of terms can be problematic.

Encourage Professional Treatment

While abuse may be a precursor to dependence, not all individuals who abuse substances develop dependence. Dependence is considered a more severe condition, often requiring professional intervention and treatment. Keep in mind that different substances may have different effects on addiction and dependence. For example, opioid use disorder and alcohol use disorder may result in different types of physical dependence and addiction symptoms. That’s why many health care providers offer personalized treatments to address dependence, addiction, and their effects on the brain. In addition to behavioral therapies, medications are often used to support addiction treatment.

Understanding the difference is essential to guide more effective intervention and healing. Behavioral therapies in drug addiction treatment help individuals modify their attitudes and behaviors related to drug use, enabling them to handle stressful situations and triggers that might lead to relapse. These therapies can also improve the effectiveness of medications and help individuals remain in treatment for longer periods.

  • Addiction, however, is a chronic disease that affects the brain’s reward system, leading to compulsive drug-seeking behavior.
  • Dependence and abuse can be warning signs of addiction, but they can also exist on their own.
  • Some jurisdictions are moving towards treating addiction as a health issue rather than a criminal one, but progress is slow and uneven.
  • The UK’s Medicines and Healthcare Products Regulatory Agency (MHRA) has announced updated warnings for “addiction, dependency, withdrawal, and tolerance” caused by benzodiazepines, gabapentinoids, and z-drugs.
  • Various treatment programs are available, including inpatient and outpatient treatment programs, therapy, and medication-assisted professional treatment.

The DSM-5’s change in definition eliminated these issues; although, it created a confusing divide and some clinicians still struggle to differentiate addiction and dependence. The older DSM-4 criteria for addiction and dependence led to misdiagnosing patients, which created a false relationship between addiction and dependence (labeling dependence worse than addiction). Scientific research has improved our understanding of how drugs alter the brain and body.