The document distinguishes between addiction and dependence, highlighting that addiction involves continued behavior despite negative consequences, while dependence refers to the body's adaptation to substances. It illustrates the differences between pain patients, who use opioids for normal functioning, and addicts, who seek drugs to escape life. Warning signs of addiction, such as misuse of medication and denial of problems, are also discussed.

1. Addiction &
Dependence
By Andreas Hahn

2. Understanding the Terminology
•Addiction:
-is the continued repetition of a behavior despite adverse consequences
•Dependence:
-is the body's adaptation to a particular drug
•Tolerance:
-is when the body gets used to the drug, lessening its effectiveness
•Withdrawal:
-symptoms that occur upon the abrupt discontinuation ( Nervousness, Anxiety,..)

3. Chronic pain Patient – Opioids
addictive?
•Will become physically dependent, but not addicted
Addicts
Pain Patients
Addicts take drugs to get high and avoid life
Pain patients take drugs to function normally and get
on with life.
Addicts are unable to interact appropriately with
society.
When pain patients get adequate relief, they interact
with and make positive contributions to society.
Addicts are eventually unable to hold down a job.
When pain patients get adequate relief, they are often
able to go back to work.
The life on an addict is a continuous downward spiral. When a pain patient gets adequate relief, their life
progresses in a positive, upward direction.

4. Behaviors of possible addicts:
•Taking medications more frequently or at higher dosages than prescribed
•Ingesting drugs in ways other than directed
•Frequent reports of lost or stolen prescriptions
•Doctor shopping
•Using multiple pharmacies

5. Addictions
Potential addictions:
Work
Sex
Gambling
Food
Exercise
Shopping
Television
Computers
The Internet
Drugs
Alcohol

6. Denial
•Psychological defense mechanism
•“What problem? I don’t have a problem!”
Are YOU addicted?
• Do
you find yourself spending all your time alone with your computer?
• Have you ever tried to stop or control your using?
• Do you continue to use despite negative consequences?