Many argue that addiction or having a substance use disorder is a choice and not a disease. While there is no dispute that choices are initially made that can lead to the development of a substance use disorder (SUD), the choice itself is beside the point.
According to SAMHSA, substance use disorders or SUDs can be mild, moderate or severe, and occur when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems or failure to meet expectations.
A chronic disease is defined as a long-lasting condition that can be controlled but not cured. With this definition in mind, a SUD is a chronic brain disease that can be controlled through treatment and reach a stage of remission from symptoms, also known as recovery.
They choose to start. Why can’t they stop?
People with SUD can stop using, it is just much harder for them to do so and in most cases treatment is necessary.
SUDs change the way the brain works. Substance misuse disrupts regions of the brain that are responsible for reward, motivation, learning, judgment and memory. Individuals struggling with a SUD impulsively use because their impaired brain impairs them from making rational decisions about their use, despite serious health and social consequences.
Watch the video above to learn more about what substance use disorders are and how they affect the brain.
Who’s at risk?
People of any age, sex or economic status are at risk of developing a SUD, but there are certain risk factors that affect the likelihood or speed of developing one.