Addiction does begin with drug abuse when an individual makes a
conscious choice to use drugs, but addiction is not just "a lot of drug use."
Recent scientific research provides overwhelming evidence that not only do drugs
interfere with normal brain functioning creating powerful feelings of pleasure,
but they also have long-term effects on brain metabolism and activity. At some
point, changes occur in the brain that can turn drug abuse into addiction, a
chronic, relapsing illness. Those addicted to drugs suffer from a compulsive
drug craving and usage and cannot quit by themselves. Treatment is necessary to
end this compulsive behavior.
A variety of approaches are used in treatment programs to help patients deal
with these cravings and possibly avoid drug relapse. NIDA research shows that
addiction is clearly treatable. Through treatment that is tailored to individual
needs, patients can learn to control their condition and live relatively normal
lives.
Treatment can have a profound effect not only on drug abusers, but on society
as a whole by significantly improving social and psychological functioning,
decreasing related criminality and violence, and reducing the spread of AIDS. It
can also dramatically reduce the costs to society of drug abuse.
Understanding drug abuse also helps in understanding how to prevent use in
the first place. Results from NIDA-funded prevention research have shown that
comprehensive prevention programs that involve the family, schools, communities,
and the media are effective in reducing drug abuse. It is necessary to keep
sending the message that it is better to not start at all than to enter
rehabilitation if addiction occurs.
A tremendous opportunity exists to effectively change the ways in which the
public understands drug abuse and addiction because of the wealth of scientific
data NIDA has amassed. Overcoming misconceptions and replacing ideology with
scientific knowledge is the best hope for bridging the "great disconnect" - the
gap between the public perception of drug abuse and addiction and the scientific
facts.