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What does addiction feel like? Understanding substance use disorder and the path to recovery

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Looking at addiction from the outside can leave many people confused. Why would someone continue with behaviors or substance use that is clearly destroying their life? The truth is that addiction is a complex substance use disorder that profoundly alters how a person thinks, feels, and behaves.

Addiction is as unique to each individual as fingerprints. However, understanding what addiction feels like from those who have experienced it can help us develop more empathy and provide better support to those struggling with substance abuse and mental health challenges.

The experience of substance use and addiction

The experience of addiction is so unique and personal to each individual suffering from it, that it is almost impossible to describe what being addicted to something feels like. This can also feel different depending on if a person is addicted to a substance, or to a behaviour, and can feel different again depending on what substance or behaviour.

Substances change how your brain functions over time. They release dopamine, a chemical in your brain that makes you feel good — until the substance wears off. Your brain and body want to continue this good feeling, even if it’s unhealthy. This neurochemical process helps explain why addiction can be so powerful, whether it involves alcohol, opioids, stimulants, or other substances.

In their own words: what addiction actually feels like

People who have recovered from addiction often describe their experiences in powerful metaphors that help others understand the grip of substance use disorder. Here are some insights from those who have lived through it:

” It’s like being in a never-ending battle with yourself. You know what you’re doing is destroying your life, but you can’t stop. It’s like being a prisoner in your own mind.”

“Addiction is like trying to fill a void that can never be filled. You keep chasing something that’s always just out of reach, and it leaves you feeling empty inside.”

“Addiction feels like you’re drowning, and the substance is the only thing keeping you afloat. But in reality, it’s dragging you deeper into the abyss.”

“It’s a love-hate relationship with the very thing that’s ruining your life. You hate it for what it’s done to you, but you can’t let go.”

“Addiction is like a dark cloud that follows you everywhere. You can’t escape it, and it casts a shadow over everything you do.”

What emerges from these descriptions is a sense of powerlessness and internal conflict. The person with substance use disorder often recognizes the harm being caused but feels unable to break free from the cycle. This struggle is a defining characteristic of addiction as classified in the diagnostic and statistical manual of mental disorders.

Common symptoms of substance use disorder

According to the American psychiatric association’s diagnostic and statistical manual of mental disorders (DSM-5), substance use disorder is characterized by specific patterns of behavior. Understanding these symptoms can help identify when drug and alcohol use has become problematic:

Physical and psychological signs

  1. Cravings and loss of control: Experiencing intense urges to use the substance and being unable to stop despite wanting to.
  2. Tolerance: Needing increasingly larger amounts of the substance to achieve the same effect, whether it’s alcohol, heroin, benzodiazepines, or stimulants like adderall or cocaine.
  3. Withdrawal: Feeling physically or psychologically ill when not using the substance, which can vary dramatically depending on whether it’s opioids, alcohol, or other drugs.
  4. Physical health deterioration: Neglecting physical health as substance use takes priority, which may include changes in weight, sleep patterns, and overall appearance.
  5. Impact on mental health: Experiencing increased anxiety, depression, paranoia, or other mental health symptoms, often creating a co-occurring disorder situation.

Behavioral indicators

  1. Social withdrawal: Pulling away from family, friends, and activities that were once enjoyable.
  2. Continuing despite negative consequences: Using substances even when they clearly cause problems in relationships, work, school, or legal issues.
  3. Spending excessive time: Dedicating significant time to obtaining, using, and recovering from the effects of the substance.
  4. Neglecting responsibilities: Failing to fulfill obligations at work, school, or home because of substance use.
  5. Using in dangerous situations: Taking substances in situations that could be physically hazardous, like driving while intoxicated.

The relationship between substance use and mental health

Mental disorders can contribute to substance use and substance use disorders. Studies found that people with a mental disorder, such as anxiety, depression, or post-traumatic stress disorder (PTSD), may use drugs or alcohol as a form of self-medication. This creates a complex relationship where substance use and mental health issues can reinforce each other.

Environmental factors and family history also play significant roles in developing addiction. Genetic predisposition combined with early exposure to drugs and alcohol, trauma, or stress can increase vulnerability to substance use disorders.

Co-occurring disorders

Many people with substance use disorders also struggle with other mental health conditions. These co-occurring disorders (sometimes called dual diagnosis) require integrated treatment approaches that address both issues simultaneously rather than treating them separately.

Common co-occurring disorders include:

  • Depression
  • Anxiety disorders
  • Post-traumatic stress disorder (PTSD)
  • Bipolar disorder
  • Attention-deficit/hyperactivity disorder (ADHD)

Do people with addiction know they’re addicted?

Not all addicts are aware that they have an addiction, or even that their use of the substance or behaviour is problematic. The awareness of addiction can vary from person to person, and changes over time for each individual.

Many individuals in addiction experience what’s referred to as ‘denial’. This is either a conscious or unconscious rejection of reality regarding their level of control and the impacts of the substance/behaviour on their life.

Denial is a powerful defense mechanism that can take many forms:

  • Minimizing (“It’s not that bad”)
  • Rationalizing (“I only use when I’m stressed”)
  • Blaming (“If you had my problems, you’d drink too”)
  • Comparing (“At least I’m not as bad as…”)

The journey to recognition often involves multiple stages, with many people not acknowledging their addiction until they’ve experienced significant consequences.

The cycle of change: understanding addiction recovery

In psychology, the journey from complete denial into an acceptance and willingness to change can be described using the “Transtheoretical Model of Change”, or “The Cycle of Change”. Developed by Prochaska and DiClemente, this model can be used to understand someone’s ‘readiness’ to change when it comes to addiction.

Understanding this cycle helps both counselors and family members provide appropriate support based on where the person is in their recovery journey:

  1. Precontemplation: Not yet recognizing there’s a problem or considering change
  2. Contemplation: Acknowledging the problem but feeling ambivalent about changing
  3. Preparation: Beginning to plan for change
  4. Action: Actively working to change behavior
  5. Maintenance: Sustaining the new behavior and preventing relapse
  6. Lapse/Relapse: Returning to old behaviors (a normal part of the recovery process for many)

Recovery is rarely linear, and people often cycle through these stages multiple times before achieving stable recovery. This understanding helps reduce stigma around relapse and encourages continued support.

Treatment options for substance use disorders

Effective treatment for addiction addresses the whole person—their physical health, mental health, social needs, and environmental factors. Treatment typically combines several approaches:

Professional treatment programs

  • Detoxification: Medically supervised withdrawal from substances, especially important for alcohol and benzodiazepines where withdrawal can be life-threatening.
  • Residential treatment: Intensive programs where clients live at a treatment facility for 30-90 days, receiving comprehensive care including individual therapy, group sessions, and structured activities.
  • Outpatient programs: Treatment while living at home, with varying levels of intensity from a few hours weekly to daily sessions.
  • Medication-assisted treatment (MAT): Using medications like buprenorphine for opioid addiction or naltrexone for alcohol dependence, combined with counseling and support.

Therapeutic approaches

  • Cognitive-behavioral therapy (CBT): Helps identify and change harmful thought patterns and behaviors related to substance use.
  • Dialectical behavior therapy (DBT): Combines cognitive techniques with mindfulness to help manage emotions and improve relationships.
  • Motivational interviewing: Enhances motivation to change by exploring and resolving ambivalence.
  • Family therapy: Involves family members in the recovery process to repair relationships and improve communication.

Ongoing support

  • Support groups: Peer groups like alcoholics anonymous, narcotics anonymous, or SMART recovery provide community and accountability.
  • Aftercare planning: Developing strategies to maintain recovery after completing formal treatment.
  • Sober living homes: Transitional housing that provides structure and support while adjusting to life in recovery.

Seeking help: when and how

If you or someone you know is struggling with substance use, reaching out for help is a critical first step. Here are some guidelines:

When to seek help

Seek help if you notice:

  • Inability to control substance use
  • Continued use despite negative consequences
  • Withdrawal symptoms when not using
  • Neglecting responsibilities and relationships
  • Using substances to cope with stress or emotions

How to find support

  1. Talk to a healthcare provider: Your primary care doctor can provide referrals and initial assessment.
  2. Call a helpline: The SAMHSA national helpline (1-800-662-HELP) offers free, confidential, 24/7 treatment referrals and information.
  3. Research treatment options: Look for programs that treat co-occurring disorders and offer evidence-based approaches.
  4. Reach out to supportive people: Confide in trusted friends or family members who can provide emotional support during recovery.

The road to recovery

Clinic Les Alpes is a leading provider of world-class addiction treatment and recovery services. If you think you, or someone you care about, are struggling with substance use or another addiction, we’re here to provide support.

Recovery from addiction is possible with the right support and treatment. The journey often includes:

  • Addressing underlying issues that contribute to substance use
  • Learning healthy coping mechanisms for stress and difficult emotions
  • Rebuilding relationships damaged by addiction
  • Developing a supportive community that encourages sobriety
  • Finding purpose and meaning in life beyond substance use

Many people find that recovery brings unexpected gifts—greater self-awareness, deeper connections with others, and a renewed appreciation for life.

Conclusion: understanding creates compassion

Every person’s experience of addiction is different, however one aspect that remains consistent is this feeling of inescapability, and dependence. For some, they may not be aware of this dynamic yet, and therefore be unprepare to change or challenge their addiction.

By learning what addiction feels like from those who have experienced it, we develop greater compassion and more effective ways to help. Substance use disorder is a complex condition influenced by biological, psychological, and social factors—not a moral failing or lack of willpower.

Whether you’re struggling with addiction yourself or supporting someone who is, remember that recovery is a journey, not a destination. With proper treatment, support, and patience, healing is possible.

If you or someone you know is struggling with substance use or addiction, don’t hesitate to reach out for professional help. The path to recovery begins with a single step.

For more information about addiction treatment options, contact Clinic Les Alpes today. Our expert team is ready to provide guidance and support on your journey to recovery.

Clinically Reviewed By

Brittany Hunt

Brittany Hunt is an internationally experienced clinician, specialised in treating addictions and co-occurring disorders. Having worked in the public and private sector, she utilises holistic and evidence-based approaches designed to empower the patients in their recovery journeys. A graduate of The University of Auckland, she has a Bachelor of Health Sciences majoring in Mental Health and Addictions, a diploma in Psychology and Counselling and a Post-Graduate degree in Health Sciences, majoring in Addictions. She is a fully registered practitioner under the Drug and Alcohol Association of Aotearoa New Zealand (DAPAANZ).

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