There is no simple answer to whether drug addiction or alcohol addiction can fully go away.
Addiction is a complex, chronic condition that often requires ongoing management for the life of the patient. However, the level of management will depend heavily on the individual.
Many people find that they experience decades with virtually no symptoms as long as they receive comprehensive care, long-term aftercare, and other relapse prevention measures.
How Addiction Affects The Brain
Addiction to drugs like fentanyl, alcohol, or opioids affects the brain, altering its structure in ways that contribute to the compulsive use of substances despite harmful consequences.
The brain changes associated with addiction primarily involve the brain’s reward system, learning, and decision-making processes.
The Neurological Effects Of Addiction
Addiction exerts a noticeable impact on the brain, rewiring its neural circuits and hijacking essential processes that govern reward, motivation, and decision-making.
The repeated use of addictive substances, whether drugs or alcohol, triggers the release of neurotransmitters like dopamine, creating a heightened sense of pleasure.
Over time, the brain undergoes neuroadaptive changes, reducing its natural production of dopamine and altering the structure of key regions involved in self-control and judgment.
These changes lead to the development of tolerance, requiring more of the substance to achieve the same effects, and often culminate in the loss of inhibitory control over drug-seeking behaviors.
The brain becomes sensitized to drug-related cues, establishing powerful associations that drive cravings and increase the risk of relapse for people who aim to overcome their addiction.
The Emotional Effects Of Addiction
Addiction affects people’s emotions, creating a dynamic between the neurobiological effects of substances and the individual’s emotional well-being.
The initial euphoria associated with substance use is often replaced by emotional dysregulation as addiction progresses.
Individuals may experience heightened stress, anxiety, and irritability during periods of withdrawal, driving a compulsive cycle of drug-seeking to alleviate negative emotions.
The constant pursuit of substances can disrupt natural reward mechanisms, leading to a numbing of positive emotions and a diminished ability to find pleasure in non-drug-related activities.
Guilt, shame, and a sense of powerlessness often accompany the recognition of the adverse consequences of addiction, further impacting emotional states.
The Chronic Nature Of Substance Abuse Disorders
The chronic nature of substance abuse disorders underscores the persistent challenges people face in their life with addiction.
Characterized by a cycle of compulsive drug-seeking, continued use despite harmful consequences, and a high risk of relapse, substance abuse disorders manifest as long-term conditions.
Neurobiological changes in the brain’s reward system contribute to the chronicity, leading to alterations in decision-making, impulse control, and the prioritization of drug-seeking behaviors.
The complex nature of addiction involves physical dependence, psychological cravings, and environmental triggers, making it a relapsing condition.
Even after periods of abstinence, individuals may remain vulnerable to the reemergence of addictive behaviors, requiring ongoing management and support.
Phases In Addiction Recovery
Addiction recovery is a dynamic process that unfolds in distinct phases, each presenting unique opportunities for growth.
It’s important to note that the progression through these phases is not linear, and individuals may move back and forth between stages.
Additionally, the pace at which someone moves through these phases can vary.
Each person’s recovery journey is unique, and counseling, support groups, and holistic interventions can enhance the likelihood of sustained recovery.
Acknowledgment And Preparation
The first phase involves recognizing and acknowledging the presence of a substance abuse problem. Awareness of the impact of addiction on one’s life is a crucial initial step.
After a person acknowledges the problem, they can commit to making a change and actively seek information about addiction treatment options.
This may involve researching treatment programs, consulting healthcare professionals, and preparing for the challenges of recovery.
Early Abstinence
The early abstinence phase marks the beginning of the active recovery process.
Individuals abstain from substance use, possibly experiencing withdrawal symptoms. This phase requires coping with cravings, establishing new routines, and seeking support.
For people in formal treatment, this phase may also include detox, which is the process where the body is allowed to rid itself of substances under the guidance of medical professionals.
Detoxification can be done with or without medication-assisted treatment (MAT).
Maintenance
Maintaining recovery involves consolidating the gains made during early abstinence.
Individuals focus on building coping skills, adopting healthier habits, and addressing underlying issues contributing to addiction. Long-term recovery becomes a primary goal.
Advanced Recovery
In the advanced recovery phase, individuals have established a solid foundation for lasting change.
They continue to refine coping strategies, engage in ongoing self-discovery, and actively participate in support networks. This phase emphasizes personal growth and resilience.
Termination
While addiction recovery is considered a lifelong journey, the termination phase signifies a point where individuals feel confident in their ability to maintain sobriety independently.
It doesn’t imply an end to growth but rather a shift towards a more self-sufficient and empowered state of recovery.
Maintenance And Relapse Prevention
Sustaining recovery involves ongoing efforts to prevent relapse. Individuals remain vigilant about triggers, continue to build a supportive network, and prioritize self-care.
Maintenance and relapse prevention are integral components of long-term recovery.
Relapse Statistics Over Time
Relapse is a common challenge in addiction recovery. It’s estimated that between 40 and 60 percent of people will relapse at some point in their journey.
While relapse rates are influenced by several factors, research provides some general insights into addiction relapse statistics over time.
Early Recovery (First 90 Days)
The initial phase of recovery is often considered high-risk for relapse. Studies suggest that a significant percentage of relapses occur during the first 90 days after treatment.
The transition from a structured treatment environment to everyday life, along with the challenges of adjusting to sobriety, can contribute to vulnerability during this period.
First Year of Recovery
Relapse rates remain relatively elevated during the first year of recovery.
Factors such as the development of coping skills, establishing a support network, and addressing underlying issues are crucial during this phase to reduce the risk of returning to substance use.
Five Years of Recovery
Research indicates that the risk of relapse tends to decrease significantly after the first few years of sustained recovery.
Individuals who successfully navigate the challenges of the early phases and actively engage in ongoing support and self-care are more likely to maintain long-term sobriety.
Long-Term Recovery
For individuals who reach and maintain five or more years of recovery, the likelihood of relapse continues to diminish.
Engaging in a healthy lifestyle, maintaining a supportive social network, and addressing ongoing personal growth contribute to sustained recovery.
Learn More About Substance Use Treatment At Bedrock
If you or a loved one is experiencing substance abuse, our professionals can help. Contact Bedrock Recovery Center today to learn more about our treatment programs.
- National Institute on Drug Abuse (NIDA) https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain
- National Library of Medicine: PubMed https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1976118/
- National Library of Medicine: PubMed https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553654/
- News In Health https://newsinhealth.nih.gov/2015/10/biology-addiction