1. Addicts are bad, crazy, or stupid.
Evolving research is demonstrating that addicts are not bad people who need to get good, crazy people who need to get sane, or stupid people who need education. Addicts have a brain disease that goes beyond their use of drugs.
2. Addiction is a willpower problem.
This is an old belief, probably based upon wanting to blame addicts for using drugs to excess. This myth is reinforced by the observation that most treatments for alcoholism and addiction are behavioral (talk) therapies, which are perceived to build self-control. But addiction occurs in an area of the brain called the mesolimbic dopamine system that is not under conscious control.
3. Addicts should be punished, not treated, for using drugs.
Science is demonstrating that addicts have a brain disease that causes them to have impaired control over their use of drugs. Addicts need treatment for their neurochemically driven brain pathology.
4. People addicted to one drug are addicted to all drugs.
While this sometimes occurs, most people who are dependent on a drug may be dependent on one or two drugs, but not all. This is probably due to how each drug "matches up" with the person's brain chemistry.
5. Addicts cannot be treated with medications.
Actually, addicts are medically detoxified in hospitals, when appropriate, all the time. But can they be treated with medications after detox? New pharmacotherapies (medicines) are being developed to help patients who have already become abstinent to further curb their craving for addicting drugs. These medications reduce the chances of relapse and enhance the effectiveness of existing behavioral (talk) therapies.
6. Addiction is treated behaviorally, so it must be a behavioral problem.
New brain scan studies are showing that behavioral treatments (i.e., psychotherapy) and medications work similarly in changing brain function. So addiction is a brain disease that can be treated by changing brain function, through several types of treatments.
7. Alcoholics can stop drinking simply by attending AA meetings, so they can't have a brain disease.
The key word here is "simply." For most people, AA is a tough, lifelong working of the Twelve Steps. On the basis of research, we know that this support system of people with a common experience is one of the active ingredients of recovery in AA. AA doesn't work for everyone, even for many people who truly want to stop drinking.
Holding yourself accountable and beating yourself up are two very different things!
Learn more at www.hbo.com/addiction
Support doesn't mean blame and shame!
