Barriers to Change in Addiction
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When dealing with addiction there are many
barriers to change. In addiction, drug or alcohol dependency
can be both biological and psychological. For instance, cravings
can be both physiologically-based and the addict can also
have a psychological attachment to the drug of choice.
Physical dependency on drugs or alcohol is
one of the major barriers to change when it comes to addiction.
The addict may not wish to try for sobriety when their may
be intense pain due to withdrawal involved in the process.
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Past experience of withdrawal and relapse may make the addict leery
or gun-shy about breaking the physical dependency.
As difficult as physical dependency is to kick for many substance
abusers, psychological or emotional dependency may even be tougher
to break. For instance, many addicts start using because of underlying
issues with depression, anxiety, post-traumatic stress disorder
(PTSD) or other mental or emotional issues. When drugs or alcohol
are no longer being used, all of a sudden, unpleasant feelings may
overwhelm the substance abuser, which encourages using again to
make the feelings go away.
Another barrier to change when it comes to addiction is the beliefs
and attitudes of the user regarding drugs or alcohol. The abuser
may think they are weak or helpless when not using or believe that
they in some way cannot cope or even that they are a bad person.
The substance abuser may use their drugs of choice in order to avoid
these unpleasant thoughts and keep them at bay.
Family and friends may be another barrier to change in addiction.
The addict may have some "enabler" spouses, family
member or friends who encourage the drug or alcohol use and
respond negatively when the abuser stops using their drugs
of choice.
Beyond enabling friends or family members the abuser may
also have toxic people in their lives as well. These people
may have far more negative impact on the substance abuser
than even the enablers (though enablers and toxic persons
can be both) in that the toxic people may also have a negative
impact on self esteem and may be critical of all areas of
the addicts life, not just the life surrounding the drug or
alcohol abuse.
A lack of adequate support system is also a barrier to change
for many addicts. As addicts tend to increasingly isolate
themselves from family, friends and others, after awhile they
may only be surrounded by enablers and toxic people and lack
sufficient positive social influences to maintain sobriety.
The good news is that there are many ways in breaking
the barriers to change in addiction. For all new addicts
who come onboard the recovery train, many more have already
been there, dealt with the same barriers and are now living
clean and sober lives.
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