long Addiction a choice illness not lifestyle about life

Addiction is just a major health problem that costs around all the mental illnesses combined (about £40 billion per year) and about around cancer and cardiovascular disorders also.

At its core addiction is just a state of altered brain function that contributes to fundamental changes in behavior which are manifest by repeated utilization of alcohol or other drugs or engaging in activities such as gambling.  They are usually resisted, albeit unsuccessfully, by the addict.  The important thing features of addiction is therefore circumstances of habitual behaviour such as drug taking or gambling that's initially enjoyable but which eventually becomes self-sustaining or habitual. The urge to engage in the behaviour becomes so powerful that it disrupts normal life often to the level of overtaking work, personal relationships and family activities. Now anyone could be reported to be addicted: the addict's every thought and action is directed to their addiction and the rest suffers.

If the addictive behaviour is extremely hard e.g. because they don't really have sufficient money then feelings of intense distress emerge. These may result in dangerously impulsive and sometimes aggressive actions.  In case of drug/alcohol addiction the problem is compounded by the occurrence of withdrawal reactions which cause further distress and motivate desperate attempts to locate more of the addictive agent. This urge to have the drug might be so overpowering that addicts will commit seemingly random crimes to get the resources to buy more drug. It has been estimated that about 70% of acquisitive crime is connected with drug and alcohol use.

Addiction is driven by a sophisticated set of internal and external factors.  The external factors are well understood:  the more usage of the desired drug or behaviour e.g. gambling the more addiction there is.

The inner factors are less clear. Although most addiction is to alcohol and other drugs, addiction to gambling and other behaviours such as for example sex or shopping can occur. These tell us that the brain can develop hard-to-control urges independent of changing its chemistry with drugs.  All addictions share a typical thread in they are initially pleasurable activities, often extremely enjoyable. This results in these behaviours hijacking the brain's normal pleasure systems so that naturally enjoyable activities such as family life, work, exercise become devalued and the more excessive addiction behaviours take over.

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