Addiction: Not Just a Lack of Willpower - understanding addiction as chronic illness
Addiction & Recovery

Addiction: Not Just a Lack of Willpower

December 2024
8 min read
Nugent Family Counseling

Understanding addiction as a chronic illness rooted in brain chemistry, not a moral failing—and discovering paths to hope and healing.

Understanding the Addiction Cycle

Imagine someone tried alcohol for the first time at a party. It made them feel excellent, as it released large amounts of dopamine, a brain chemical involved in feelings of pleasure and reward. The next week, when they were stressed at work, they remembered how good the alcohol felt and decided to stop at the store on their way home from work. It helped relieve their work stress, so they started using it more frequently.

The Brain Chemistry of Addiction

1

Initial Use & Dopamine Release

The brain releases large amounts of dopamine, creating feelings of pleasure and reward

2

Developing Tolerance

The brain develops tolerance and needs larger amounts to feel the same effect

3

Reduced Pleasure from Other Activities

Other activities bring less pleasure as the brain requires higher dopamine levels

4

Dependency & Addiction

Eventually, they become dependent on the substance to feel any pleasure at all

This cycle can feel confusing and isolating. Many people don't realize that addiction is not just a lack of willpower or a moral problem – it's classified as a chronic illness rooted in brain chemistry.

Why Does Addiction Happen?

There is no single cause of addiction; rather, it results from a combination of environmental and genetic factors.

Genetic Factors

If you have a family history of addiction to a certain substance, you may be at a higher risk for developing a similar addiction. The type of substance does matter, as some genetic vulnerabilities are substance-specific.

Create an Addiction Family Tree

Map out your generation and go back two generations before. Mark any possible addictions so that you are aware of what substances have a higher risk for you. You can also talk about this family tree with your general provider.

Environmental Factors

Additionally, the environment plays a large role in addiction. If you grew up in a neighbourhood where there is a liquor store on every street corner, the increased exposure and accessibility can make substance use more likely.

Adverse Childhood Experiences (ACEs)

Experiences such as abuse and neglect can heighten vulnerability to addiction, as people often turn to substances to cope with unresolved trauma. Have you noticed adverse conditions in your own family or community? Awareness is a powerful first step.

Addiction and Therapy

Mental health issues also greatly increase the risk of addiction. People with conditions such as depression or anxiety can turn to substances in an attempt to soothe emotional pain when healthier tools aren't available.

How Therapy Helps

Reduces stress through healthy coping mechanisms

Supports healthier routines and daily habits

Changes your thinking about yourself and your relationship with substances

Treats mental illness without turning to substance misuse

Addiction recovery centers can also help your body to detox from the substance and help you manage your stress levels. What matters most is continuing to apply those changes after leaving the recovery center – when real-life challenges return.

Our Approach at Nugent Family Counseling Center

Cognitive Behavioral Therapy

Helps uncover the underlying issues contributing to addiction and helps you reshape your thoughts and habit patterns

Neurofeedback Therapy

Trains your brain to regulate its own activity, supporting healing from the neurological effects of addiction

No matter which path you take, what matters most is your willingness to begin and your courage to keep going, even when it's hard.

Recovery is a journey, and while it may be challenging, hope and healing are always possible.

About the Author

The team at Nugent Family Counseling Center brings decades of combined experience helping individuals, couples, and families navigate mental health challenges with compassion and expertise.

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