ADDICTION:

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ADDICTION
15 Universal Criteria

• Thomas E. Legere, Ph.D.

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USE ABUSE ADDICTION
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• DSM IVSubstance AbuseOne or more of the
  following
• Failure to fulfill major obligations
• Use when physically hazardous
• Recurrent legal problems
• Recurrent social or interpersonal problems

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Substance dependence (addiction)

• Substance Dependence
• (Addiction/Alcoholism)
• Three or more of the following
• Tolerance
• Withdrawal
• Large amounts over a long period

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• Unsuccessful efforts to cut down
• Time spent in obtaining the substance replaces
  social, occupational or recreational activities
• Continued use despite adverse consequences

Substance dependence cont.
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• 12 Step perspective
• BIOLOGICAL
• PSYCHOLOGICAL
• SOCIAL
• SPIRITUAL

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• 15 Indicators of Addiction

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15 IndicatORs of addiction

• 1.
• Addictive Personality

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15 IndicatORs of addiction

• 2.
• Pleasure Pathwayin the Brain

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15 IndicatORs of addiction

• 3.
• Five Brain Chemicals Involved

• DOPAMINE
• SEROTONIN
• ENDORPHINS
• GABA
• GLUTAMATE

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15 IndicatORs of addiction

• 4.
• Obsessive Dimension

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15 IndicatORs of addiction

• 5.
• Use to Intoxication
• I cant stop!

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15 IndicatORs of addiction

• 6.
• Denial

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15 IndicatORs of addiction

• 7.
• Tolerance

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15 IndicatORs of addiction

• 8.
• Continued Use
• Despite
• Adverse Consequences

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15 IndicatORs of addiction

• 9.
• Repeated Attempts
• To
• Control Use

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15 IndicatORs of addiction

• 10.
• Progressive Escalation
• Of Intake
• And Problems

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15 IndicatORs of addiction

• 11.
• Relapse

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15 IndicatORs of addiction

• 12.
• Incurable
• (only Remission)

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15 IndicatORs of addiction

• 13.
• Dual Diagnosis (often, but not always)

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15 IndicatORs of addiction

• 14.
• Withdrawal

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15 IndicatORs of addiction

• 15.
• Effectiveness of
• 12 Step Program