Addiction? Dependence? Or Tolerance? | What’s The Difference

Addiction, Dependence, and Tolerance are interrelated, but are unique aspects of substance use and recovery. Even with their uniqueness, there will still be crossover between the three.

Get Help Now!

Drug addiction, drug dependence, and drug tolerance each refer to different aspects of substance use and its effects on the body and mind.

Drug addiction often involves elements of drug tolerance and drug dependence, as individuals may need increasing amounts of a drug to achieve the desired effects.

What Is Drug Addiction?

Drug addiction is a chronic condition characterized by compulsive drug-seeking behavior, continued use of the substance despite consequences, and long-lasting changes in the brain.

It is more than just a physical dependence on a drug and cannot be defined as drug dependence alone.

Rather, addiction involves profound changes in brain chemistry and function, leading to intense cravings for the drug and a diminished ability to control drug use.

People with addiction may prioritize obtaining and using the substance over other aspects of their life such as work, relationships, and health.

Addiction can affect anyone regardless of age, gender, race, or socioeconomic status.

Addiction recovery often requires treatment approaches that address both the physical and psychological aspects of the condition.

What Is Drug Dependence?

Drug dependence refers to a state in which an individual’s body has adapted to the presence of a particular drug, leading to physical or psychological reliance on it.

Physical dependence involves the body’s adjustment to the drug, resulting in withdrawal symptoms when the drug is discontinued.

These withdrawal symptoms can range from mild discomfort to severe physical illness, depending on the substance and the extent of dependence.

Psychological dependence, on the other hand, involves a strong desire or craving to use the drug, often driven by the perceived need for its effects.

Drug dependence can develop with both prescription and recreational drugs and can vary in severity, from mild to severe, depending on factors such as the type of drug, dosage, and duration of use.

What Is Drug Tolerance?

Drug tolerance refers to the body’s reduced response to a drug over time, leading to the need for higher doses to achieve the same effects.

This phenomenon occurs as the body adapts to the presence of the drug, often through changes in the brain’s neurochemistry or receptor sensitivity.

As a result, people may find that the initial dose of a drug no longer produces the desired effects, prompting them to increase their dosage in order to experience the same level of response.

Tolerance can develop with both therapeutic medications and recreational drugs, and it can contribute to the escalation of substance use and the risk of overdose.

It is important to note that tolerance does not necessarily indicate addiction or dependence, but it can be a factor in the development of these conditions if substance abuse continues.

Making Personal Changes To Address Tolerance Or Dependence

Making personal changes to address tolerance or dependence on drugs typically involves behavioral, psychological, and medical interventions.

Lifestyle Changes

Making positive lifestyle changes, such as adopting a healthy diet, regular exercise routine, and stress-management techniques can support recovery efforts and promote sobriety.

Avoid Triggers And High-Risk Situations

Identifying and avoiding triggers or situations that may lead to drug use can help curb cravings. This may involve avoiding certain people, places, or activities associated with substance use.

Set Realistic Goals And Monitor Progress

Setting achievable goals and tracking progress can provide a sense of accomplishment and motivation. Celebrating milestones, no matter how small, can reinforce positive behavior change.

Therapy And Counseling

Behavioral therapies, such as cognitive behavioral therapy (CBT) and motivational interviewing (MI), can help people address underlying psychological factors that contribute to substance use.

Therapy sessions led by healthcare providers can provide coping strategies, improve motivation for change, and address co-occurring mental health issues.

Support Groups

Participating in support groups like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) can offer valuable peer support, encouragement, and accountability.

Being surrounded by others who understand the challenges of addiction is often empowering and motivating.

Seek Professional Help

If you’ve attempted to make lifestyle changes and you’re still experiencing addiction, it may be time to seek professional help.

Consulting with a healthcare professional such as a doctor, psychiatrist, or addiction specialist is the first step in developing a personalized treatment plan.

These professionals can provide guidance, support, and medical interventions tailored to your specific needs.

At What Point Should Someone Seek Substance Use Treatment?

If you’ve recognized problematic patterns of drug use in yourself or a loved one and are experiencing negative consequences as a result, it could be time to seek help.

Examples of negative consequences include difficulties in personal relationships, declining physical or mental health, and problems at work or school.

Additionally, if you find yourself unable to control your drug use, if you have intense cravings, or if you’ve felt withdrawal symptoms when attempting to cut down substance use, seek treatment promptly.

Early intervention can help prevent the escalation of substance use disorders and increase the likelihood of successful recovery.

However, it’s never too late to seek help, and people can benefit from treatment at any stage of their substance abuse journey.

Ask About Addiction Treatment At Bedrock

If you or a loved one is experiencing drug addiction, drug tolerance, or drug dependence, professional treatment programs can help. Contact our specialists today to learn more.

  1. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/drug-addiction/symptoms-causes/syc-20365112
  2. National Cancer Institute (NCI) https://www.cancer.gov/publications/dictionaries/cancer-terms/def/drug-tolerance
  3. National Institute On Drug Abuse (NIDA) https://nida.nih.gov/publications/drugfacts/understanding-drug-use-addiction#:~:text=Drug%20addiction%20is%20a%20chronic,intense%20urges%20to%20take%20drugs.
  4. National Institute On Drug Abuse (NIDA) https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction
  5. National Library of Medicine: PubMed https://pubmed.ncbi.nlm.nih.gov/20715472/#:~:text=The%20current%20idea%20is%20summarized,%2C%20psychological%2C%20or%20social%20dysfunction.

Written by Bedrock Recovery Center Editorial Team

Published on: February 12, 2024

© 2025 Bedrock Recovery Center | All Rights Reserved

* This page does not provide medical advice.

Prefer Texting?
We've got you covered.

Receive 24/7 text support right away.
There is no obligation and you can opt out at any time.
chat-header

Sign up for text support

Receive 24/7 text support right away.
There is no obligation and you can opt out at any time.
chat-header
Let us walk you through the treatment process. We're here to help.
For 24/7 Treatment Help:
100% Free & Confidential. Call (617) 657-2877
(617) 657-2877
icon-angle icon-bars icon-times