Dependence is the formal, clinical term for addiction, defined as physical compulsion and mental obsession to narcotics including alcohol. When the individual stops the use of drugs and/or alcohol, withdrawal symptoms are likely to occur and a clinical detox managed by professionals who can also deliver a comprehensive and holistic treatment program is best practice.
Simply put, dependence refers to a situation where your body becomes reliant on a substance to function normally. When you use drugs or alcohol repeatedly over a period of time, your body adapts to their presence and starts to rely on them for balance. As a result, if you suddenly stop or significantly reduce your substance use, your body experiences withdrawal symptoms.
Withdrawal symptoms can vary depending on the substance and its intensity of use. They can include physical discomfort such as nausea, headaches, shaking, sweating and insomnia, as well as emotional distress like anxiety, irritability and depression. These symptoms can be extremely challenging to deal with making it difficult for individuals to quit using drugs or alcohol without professional help.
The Difference Between Addiction and Dependence
The distinction between addiction and dependence is often blurred due to varying definitions across organizations with some using the terms interchangeably or preferring the term “Substance Use Disorder (SUD)” in scientific discussions. Despite this inconsistency, understanding the nuances is crucial. Dependence typically signifies a physical reliance on a substance, marked by tolerance and withdrawal symptoms, suggesting the body’s adaptation to the substance’s presence. Although one can experience physical dependence without being addicted, such dependence frequently precedes the development of addiction, indicating a more complex relationship where addiction involves compulsive use despite harmful consequences. This complexity points to the importance of clear definitions to effectively address and treat substance-related issues.
| Aspect | Addiction | Dependence |
|---|---|---|
| Definition | Compulsive use of a substance despite negative consequences affecting brain’s reward and motivation centers. | Physical reliance on a substance, characterised by tolerance and withdrawal symptoms. |
| Symptoms | Tolerance, withdrawal symptoms, inability to stop using, harm to life and relationships. | Tolerance, withdrawal symptoms, craving for the substance to achieve the same high. |
| Causes | Combination of genetic and environmental factors. | Primarily physical, though can be influenced by genetic and environmental factors. |
| Substances Involved | Alcohol, opioids, stimulants, sedatives and more. | Drugs, alcohol, prescription medications and more. |
| Classification | Defined as a substance use disorder, classified as mild, moderate or severe by the American Psychiatric Association. | Can exist without addiction but often leads to addictive behavior. |
| Treatment Recognition | Seen as a medical condition requiring professional treatment and support. | Recognition of physical dependence is crucial, can exist without addiction. |
| Key Differences | Focuses on the compulsive behaviour and psychological impact. | Centers on the physical aspects of substance use. |
| Recovery Options | Professional assistance is crucial; various treatment options available. | Important to address both if present; treatment may focus on managing withdrawal and reducing physical reliance. |
It is key to recognise that dependence alone does not necessarily indicate addiction but it is a significant factor in determining the severity of the substance use disorder. Many people can become physically dependent on substances without developing an addiction. However, dependence can still pose significant challenges when attempting to quit using a substance.
Understanding the term dependence helps professionals in the addiction recovery community provide appropriate care and support. By recognising the physical reliance on a substance, treatment providers can develop tailored detoxification plans and manage withdrawal symptoms effectively. With the right intervention, individuals can break free from their physical dependence on drugs or alcohol and take important steps towards recovery.
Founded in 2008, WeDoRecover has evolved from an advisory service for addiction treatment into a comprehensive provider of care, following its 2019 merger with Changes Addiction Rehab in Johannesburg. Specialising in connecting patients to top-tier addiction treatment centers in the UK, South Africa and supporting individuals in recovery world wide.
Inpatient Rehab
Rehab care is a good option if you are at risk of experiencing strong withdrawal symptoms when you try stop a substance. This option would also be recommended if you have experienced recurrent relapses or if you have tried a less-intensive treatment without success.
Outpatient
If you're committed to your sobriety but cannot take a break from your daily duties for an inpatient program. Outpatient rehab treatment might suit you well if you are looking for a less restricted format for addiction treatment or simply need help with mental health.
Therapy
Therapy can be good step towards healing and self-discovery. If you need support without disrupting your routine, therapy offers a flexible solution for anyone wishing to enhance their mental well-being or work through personal issues in a supportive, confidential environment.
Mental Health
Are you having persistent feelings of being swamped, sad or have sudden surges of anger or intense emotional outbursts? These are warning signs of unresolved trauma mental health. A simple assesment by a mental health expert could provide valuable insights into your recovery.
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