All Things Substance

Why is Progression the Key to Addiction?


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  • What does progression mean when talking about addiction?
  • How does progression relate to the DSM criteria?
  • What addiction criteria shows up most often?

Progression is the key to addiction. It's not about choice or willpower. It's a biologically based occurrence that is a guarantee in addiction. Progression moves people along the stages of use into addiction, unless they are able to stop using before things move too far.

In this Podcast:

  • Progression is the key factor in developing an addiction
  • Progression happens because of the changes in the brain that we covered in episode 7
  • For some people the consequences they face because of substance abuse is enough to stop them and progression can be halted
  • People don't tend to call for their substance use issues. Instead they tend to start with mental health and may or may not bring up their use to their therapist.
  • The DSM criteria use the designation of mild, moderate and severe to categorize use disorders
  • Tolerance is the most common criteria people present with
  • Cravings tend to be one of the harder criteria for people to meet
  • Withdrawal is almost always related to a severe use disorder, except where the substance is marijauna. Then withdrawal could appear in a moderate use disorder.
  • Our goals change depending on what the client wants to work on and where they are in the progression of their use.
...more
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All Things SubstanceBy Betsy Byler

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