How Addiction Works

Addiction is a complex disease that deeply affects the brain, primarily involving the neurotransmitter...

Addiction
March 21, 2025

Addiction is a complex disease that deeply affects the brain, primarily involving the neurotransmitter dopamine, which significantly alters how we perceive pleasure and reward.

As addictive substances and other drugs flood the brain, they target the prefrontal cortex, impairing decision-making and increasing the struggle with substance use disorders.

Seeking counseling and overcoming addiction is not just a battle against withdrawal symptoms but also a journey through overcoming shame and rebuilding self-esteem, often overshadowed by negative emotions and shame and guilt.

Repeated exposure to addictive substances can lead to personality disorders, further complicating the path to addiction recovery.

When one asks 'how does addiction work,' individuals can begin to address and overcome shame and take meaningful steps toward reclaiming their lives.

How Shame Increases Addiction

There are certain factors that raise a person's likelihood of becoming an addict.

And, unfortunately, a lot of these are things that you can't change.

There is a very large stigma attached to drug and alcohol abuse: despite the fact that addiction is so common in the United States and many people are overusing alcohol and drugs.

This stigma has been shown to increase people's addictive behavior and decrease their chance of seeking help.

This means that if you or someone you know is struggling with addiction, try not to judge them.

This might seem like silly advice, but research shows that drug users and addicts who are not treated as shameful are much more likely to recover.

This might be tied to the fact that compulsory treatment, criminal charges, and interventions have proven to be extremely ineffective in reducing drug use.

Making someone feel like a criminal for having a disease often increases their propensity for criminal activity.

Also, research has shown that compulsory or forced treatments aren't effective.

An addict has to want to seek treatment for it to be effective.

This is why shame-reduction around addiction is so important: people are more likely to seek help if they don't feel like they are being judged.

Pink and white pills

How Addiction Works in the Brain

Addiction begins in the brain as it reacts to enjoyable experiences, releasing chemicals like dopamine.

This neurotransmitter is responsible for feelings of pleasure and happiness during activities such as eating or socializing. Unfortunately, addictive substances hijack this reward circuit, leading to a cycle of dependency.

  • Addictive substances cause the brain to flood with dopamine, overshadowing natural rewards from pleasurable activities.
  • The brain starts to associate high dopamine levels with substance use, impairing normal dopamine production.
  • As a result, individuals living with addictions may feel shame and guilt, as they become reliant on substances for pleasure.
  • Overcoming addiction involves self-evaluation and understanding the behaviors and feelings associated with substance use.
  • Recent research highlights that addiction is not about being a bad person but regaining control of life through effective strategies.

Emphasizing the complexities of addiction helps individuals recognize it as a brain disorder, paving the way for overcoming addiction and improving one's quality of life.

Neon signs that say Drugs and Liquor

How Addiction Becomes Dependency

Addiction gradually transforms into dependency as the brain adapts to the presence of addictive substances through its inherent neuroplasticity.

This ability to change and evolve, which once helped us learn and adapt, can lead to substance use disorders when the brain begins to rely on drugs or alcohol for dopamine production.

Over time, the brain demands larger doses to achieve the same effect, shifting the focus from pleasure to necessity.

Referring to a diagnostic manual can emphasize how an addictive substance can not only affect dopamine but also disrupt other neurotransmitters, complicating the treatment process.

This dependency can have serious consequences on mental health, often leading to more shame and feelings of inadequacy.

It's crucial to remember that struggling with addiction doesn't define a person as bad; rather, it's about finding ways to regain control and restore balance in life.

How Addiction Affects the Brain

As the brain becomes dependent on large amounts of a substance in order to function, the health of the brain begins to deteriorate.

People who abuse substances will not just have trouble enjoying other activities, addiction will actually decrease the brain's ability to function over time.

One key aspect of the brain that is affected is your executive skills. Your executive skills are your ability to focus, plan, make decisions, and engage with your life.

This is why we so often see addicts devolve into "bad behavior."

This article has mentioned the stigma attached to addiction.

But, while addiction isn't caused by bad choices it can create them by lessening your brain's ability to make good choices.

This is especially prevalent in those who started abusing at a young age.

Research shows that the brain doesn't stop maturing - due to neuroplasticity - until someone is in their early 20s.

This means that someone who begins abusing drugs or alcohol at a young age can permanently rewire their brain for addictive behavior.

This is why choices are such a bad approach.

Addiction isn't created by weakness, bad character, or poor choices.

Addiction is created by physical changes in the brain.

Conclusion

Understanding how addiction works is important.

It's important because there is much misinformation about addiction that only serves to feed the cycle of addiction.

When you know how addiction works, you've taken your first step toward getting treatment for yourself or someone else.

You know that addiction isn't someone's fault.

It's a by-product of our brain's ability to adapt to our behavior - even if that behavior isn't good for us like an addiction.

Author
Jennifer Luttman, LPC, ACS

I am a Licensed Professional Counselor, and owner of Overcomers Counseling. I'm dedicated to helping individuals find strength and healing through life’s challenges. With a deep understanding of mental health and years of professional experience, I specialize in fostering hope and resilience while equipping her clients with tools to thrive. Passionate about empowering others, she creates a safe, supportive space where everyone feels seen, valued, and capable of overcoming obstacles on their path to well-being.

Common Questions about Addiction

How is alcohol abuse different from alcoholism?

Alcoholism refers to a disease that is characterized by a strong craving for alcohol and an inability to control one's drinking.

Can alcohol abuse be overcome?

Yes, alcohol abuse is a treatable condition. However, it often requires professional treatment to overcome. With the right support, though, anyone can overcome alcohol abuse and regain control of their life. It's important to reach out for help if you or someone you know is struggling. With the right treatment, anyone can overcome alcohol abuse and regain control of their life.

How do I deal with my loved one's addiction?

Dealing with someone who is addicted to drugs or alcohol can be difficult. It is important to remember that addiction is a disease, and the addict is not responsible for their behavior. You can offer support and understanding, but it is important to set boundaries. You can also get help for yourself through therapy or counseling.

Where can I get help if I'm struggling with alcohol abuse?

If you think you might be struggling with alcohol abuse, the first step is to talk to your doctor. Your doctor can help you assess your drinking habits and recommend treatment options. There are also many different types of treatment programs available for alcohol abuse, so you can find one that fits your needs and circumstances. Additionally, support groups can be a valuable resource for anyone struggling with alcohol abuse. These groups provide a safe space to share your experiences and connect with others who are facing similar challenges.

What is the treatment for alcoholism?

Treatment for alcohol abuse often includes counseling, support groups, and medication. With the right help, your spouse can recover from alcoholism and go on to lead a healthy and happy life.

What are the signs of alcohol abuse?

Some common signs of alcohol abuse include drinking more than intended, neglecting responsibilities, and continuing to drink despite negative consequences