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What are Addictions?

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Addictions are recurring chronic mental disorders, in other words, periods of uncontrolled consumption are alternated with periods of abstinence, when consumption is abandoned. They generate changes in the brain circuits that cause the person to use substances compulsively, despite the negative physical, psychological, and social consequences. Addictive substances include various drugs such as tobacco, alcohol, tranquillisers, and cannabis derivatives.

Addictions | PortalCLÍNIC

And it is absolutely essential that the patient understands that it’s not about quitting the drugs and doing exactly the same as before, but it is about quitting the drugs and adopting a healthy life style.

Toni Gual Psychiatrist

Addiction explained in first person...

If you understand that not drinking is forever and that it is a tool to help you live better, you have a lot to gain.

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An addiction involves a pattern of maladaptive functioning where drug use leads to significant deterioration or discomfort. This can affect all areas of a person’s life. We usually refer to this condition as addiction when this pattern is maintained for a prolonged period of time (at least 12 months).

When we talk about drugs, we mean any substance that is consumed and which modifies different bodily functions, either mental (mood, brain function) or physical (respiratory or gastrointestinal dysfunction).

These substances are usually characterised by their rapid entry into the brain through the bloodstream, producing changes in behaviour. These effects tend to be perceived as pleasant the first time the substances are taken. As a result, many people continue to take them, even though they may have negative consequences in the medium and long term.

When a drug is consumed repeatedly it usually has some effects on the body and behaviour:

Tolerance to the substance. This means that higher and higher doses of the substance are needed to achieve the desired effect (for example, more and more alcohol must be drunk to achieve the effects of intoxication) and that the effects become clearly less intense with continued use if the dose is not increased.

Abstinence Syndrome. A set of physical and psychological reactions that occur when a person with an addiction suddenly stops using the substance or uses a smaller dose than they were used to.

In addition, when the addiction has become established, it is common for the person to exhibit some of the following characteristics:

They acknowledge that they consume a higher amount than they intend or for longer periods than they would like.
They have a persistent desire or make unsuccessful attempts to cut down or control their consumption of the substance.
They experience cravings.
They devote a significant part of their time to activities related to obtain the substance (e.g., travelling long distances) to use it or recover from its effects.
They prioritise their consumption over social, work-related or leisure activities.
It is increasingly difficult to comply with their primary obligations.
They continue to consume the substance despite having interpersonal or social problems caused or aggravated by this behaviour.
They consume the substance in situations where this is physically dangerous.
They continue to consume the substance despite being aware of having a physical and psychological problem related to this.

Although the impact of addiction is different and specific for each individual, all addictions affect brain functioning in a similar way and, therefore, the treatment has many common elements.

Addictions are treated as chronic mental illnesses, using a three-pronged approach: medical, psychological, and social.

The prevalence of tobacco consumption in the population is over 23.8% of people of 15 years or more (29.5% in men and 18.4% in women). In addition, 7.4% are exposed to second-hand smoke at home.

High-risk alcohol consumption affects 4.5% of the population (6.6% men and 2.6% women). Such use is higher (at 5.3%) for those between 15 and 44, where the trend is stabl

The proportion of people who use cannabis daily is 3.2%. This is slightly higher among the younger population, reaching 6.7% for young men aged 15 to 24.

The annual consumption of cocaine in the general population is around 2.5%, with a globally stable but worrying trend in certain vulnerable groups.

Substantiated information by:

Antoni Gual Solé Head of the Addictive Behavior Unit

Clara Oliveras Salvà

Hugo López Pelayo

Magalí Andreu Psychologist Addictive Behaviours Unit

Mireia Graell Gabriel

Pablo Barrio Giménez

Silvia Mondón Psychiatrist Addictive Behaviours Unit

Published: 16 September 2019
Updated: 16 September 2019

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