[HN Gopher] How to know if you're addicted
       ___________________________________________________________________
        
       How to know if you're addicted
        
       Author : openknot
       Score  : 151 points
       Date   : 2022-02-11 13:39 UTC (9 hours ago)
        
 (HTM) web link (psyche.co)
 (TXT) w3m dump (psyche.co)
        
       | goldcountry wrote:
       | Can we finally stop calling it "drugs and alcohol" and just
       | acknowledge that alcohol is a drug?
        
         | clpm4j wrote:
         | I think the fact that they're grouped logically is enough, for
         | the most part. It seems widely acknowledged that alcohol is not
         | good for you, but there _is_ a psychological distinction
         | between doing shots at your local dive bar and a glass of Pinot
         | with dinner. I think the spectrum of alcohol use is just
         | broader than most other drugs except for maybe cannabis and
         | psilocybin.
        
         | openknot wrote:
         | From the perspective of academic psychologists, this is true:
         | "Substance use disorders (SUDs), as described in DSM-IV, are
         | part of a class of disorders (substance-related disorders) that
         | are "related to the taking of a drug of abuse (including
         | alcohol)" [1 p. 175]. Although the transition from DSM-IV to
         | DSM-5 involves changes at multiple levels for SUDs, this basic
         | definition remains unchanged [1,2]."
         | 
         | However, most likely readers of the article are likely unaware
         | of the distinction (or may resist it), so the usage of the
         | colloquial and informal definition of "drug" that excludes
         | alcohol would help more people with alcohol use disorder find
         | the article and learn about its main points.
         | 
         | [0] https://www.ncbi.nlm.nih.gov/books/NBK519702/
        
         | [deleted]
        
       | throwawayweed wrote:
       | In my mid twenties, I had two addictions - pornography and
       | Marijuana.
       | 
       | The first was significantly harder to kick than the later. Maybe
       | I'm merely a weak person, but I felt I slowly succumbed to these
       | things after years of casual use and some major relational
       | setbacks in my life post college. I got psychological help but
       | was not encouraged to stop doing these things, just to practice
       | moderation. Ultimately, I was forced by circumstance to have to
       | stop and realized I was a lot happier. I think a lot of people
       | don't want to acknowledge that they are addicted to stuff like
       | this and rationalize it away.
       | 
       | I find myself thinking we should set up better societal guard
       | rails about these things, but avoid making them illegal. Neither
       | of these are hard addictions to kick anyway, but they do cost you
       | a lot of time and money.
        
         | axiosgunnar wrote:
         | > I was forced by circumstance to have to stop
         | 
         | Could you elaborate?
        
           | throwawayweed wrote:
           | I took a contracting job where I'd travel for two or three
           | weeks at a time, often working long hours. This would usually
           | take me from a spot where weed was recreationally available
           | and ubiqutous to impossible and impractice to get. The two
           | vices ran together for me.
           | 
           | After sobering up while away, I realized how much of a drag
           | these things had been on my well being and resolved to just
           | give them up, or at least try.
        
       | [deleted]
        
       | blobbers wrote:
       | "Addiction can be defined as a persistent, compulsive need to use
       | a substance, despite the negative consequences to you or others."
       | 
       | What about things that are beneficial but unclear if they're
       | healthy? Staying up late on the computer but then taking a
       | sedative to fall asleep immediately so that you don't spend an
       | hour staring at the ceiling. You get more sleep, but you're
       | probably addicted to the sleeping pills. Without them, you don't
       | get enough rest.
        
         | openknot wrote:
         | Sleeping pills may be better than getting no sleep at all, but
         | cognitive behavioural therapy for insomnia (CBTi) may be a
         | better treatment approach than medication [0]. A problem with
         | sleeping pills is that they reduce sleep quality, so you aren't
         | as well-rested versus sleeping without them. From an interview
         | with Matthew Walker, a professor of neuroscience and psychology
         | [1]:
         | 
         | "The quality of sleep that you have when you're on these drugs
         | is not the same as normal, naturalistic sleep. They're
         | classified as "sedative hypnotics," so the drugs actually just
         | sedate you -- and sedation is not sleep."
         | 
         | [...] "They don't tend to increase sleep much beyond placebos.
         | People may be fooled into thinking that they're getting more
         | sleep, but actually they're not. This was not my conclusion --
         | it was a committee of experts, who reviewed 65 separate drug
         | placebo studies, and their conclusion was simple: There was no
         | objective benefit of sleeping pills beyond placebo. Their
         | summary was that the impact of sleeping pills was small, and of
         | questionable clinical importance.
         | 
         | "And my third problem: They are associated with a higher risk
         | of death and cancer.
         | 
         | " _About that last point, in your book you do raise the
         | possibility that it's not sleeping pills that's causing those
         | things -- it's whatever is causing you to have trouble
         | sleeping, which weakens your immune system._
         | 
         | "Yeah, I think that would be the counterargument, and I think
         | it's a very reasonable one at this stage. But I think an
         | equally reasonable, equally tenable explanation is that they do
         | shorten your life and increase your risk of cancer. The answer
         | is we just don't know which of those two things it is."
         | 
         | [0]
         | https://aims.uw.edu/nyscc/training/sites/default/files/CBTi%...
         | 
         | [1] https://www.thecut.com/2017/10/the-vicious-cycle-of-
         | insomnia...
        
           | blobbers wrote:
           | How are they measuring sleep quality? I've been taking
           | benadryl before bed because of allergies, and I am definitely
           | sedated but my metrics as far as quantified sleep seem good.
           | Heart rate drop, movement "deep sleep". Are they measuring
           | brain activity? What is the metric?
        
           | coolso wrote:
           | Hopefully non-non-drowsy antihistamines aren't considered
           | "sleeping pills"?
        
       | andrewmcwatters wrote:
       | > Addiction can be defined as a persistent, compulsive need to
       | use a substance, despite the negative consequences to you or
       | others.
       | 
       | This is a really poor definition, because you can be addicted to
       | things that have no negative consequences to you, and you still
       | don't want to do them.
       | 
       | "An inability to stop" is probably more succinct.
        
       | entropicgravity wrote:
       | Somewhere I read that an alcoholic was someone who always
       | remembers their last drink whether it was an hour ago or a decade
       | ago.
        
       | dasKrokodil wrote:
       | Funny how they keep writing 'drugs OR alcohol'
        
         | openknot wrote:
         | Sounds like the inclusive or [0] from the context.
         | 
         | [0]
         | https://english.stackexchange.com/questions/63998/inclusive-...
        
         | bananamerica wrote:
         | Many readers will not include alcohol in the group drugs, so it
         | needs to be mentioned explicitly, even though it actually _is_
         | part of the  "drugs" group.
        
       | gareiner wrote:
       | Beautiful website, beautiful content. I have learned and taken
       | account into considerations in facing addiction.
        
       | monkeybutton wrote:
       | I've had a couple of dreams where I'm chopping up lines even
       | though its been almost a decade since I've done hard drugs. The
       | dreams were very disorienting because they never go further than
       | the prep before suddenly waking up. Like falling and never
       | hitting the ground.
        
         | rjbwork wrote:
         | A huge part of addiction is the rituals surrounding the use of
         | the addicting stimuli, not just the immediate gratification of
         | the stimuli.
         | 
         | I recently watched a video of a decades long heroin addict
         | describing his life. He said that he came home from rehab once
         | and just the smell of heroin in his house was enough to make
         | him nauseous and craving it.
        
       | jagger1345 wrote:
       | It doesn't always get a ton of notice when addiction is brought
       | up but addiction to anabolics is an interesting phenomena in
       | itself.
       | 
       | I started using anabolics years ago and slowly added more
       | compounds over time. It eventually got to the point where I
       | started to experience increasingly negative sides that I had
       | trouble managing so would add further pharmaceuticals to the
       | stack to mitigate the side effects of the anabolics.
       | 
       | What is interesting about anabolic use is that if abused for long
       | enough or heavily enough (blast and cruise) going back to a state
       | of non anabolics is actually difficult and can come with
       | months/years of hormone / neurosteroid deficiency as you attempt
       | to restart your HPTA. This is why most people are on replacement
       | doses of testosterone for life after dabbling in this area which
       | is interesting in terms of your typical reformed addict =
       | quitting sense.
        
         | shard wrote:
         | To save someone else a search, HPTA is, according to Wikipedia:
         | 
         | The hypothalamic-pituitary-gonadal axis (HPG axis) refers to
         | the hypothalamus, pituitary gland, and gonadal glands as if
         | these individual endocrine glands were a single entity. Because
         | these glands often act in concert, physiologists and
         | endocrinologists find it convenient and descriptive to speak of
         | them as a single system.
        
       | MeinBlutIstBlau wrote:
        
       | drewcoo wrote:
       | Step 1: Self-Diagnosis!
       | 
       | Somehow that doesn't seem like something a credible psychologist
       | would say. And a skim through their other stories is in the same
       | vein.
        
       | JimWestergren wrote:
       | Why such a focus of substances and no mention of the more common
       | addictions such as video games, porn and social media?
        
         | matheusmoreira wrote:
         | They don't cause the severe dysfunction found in substance
         | abuse. Opioid addiction for example is among the ugliest things
         | in existence. Video games, gambling, social media addictions
         | are all bad but not to the same degree.
        
           | ModernMech wrote:
           | > They don't cause the severe dysfunction found in substance
           | abuse.
           | 
           | Big disagree. I'm not going to say opioid addiction isn't a
           | worse thing, but I watched a friend fail out of college
           | because he played WoW all day every day. For a whole year he
           | barely left his room. It definitely wasn't healthy.
           | 
           | I remember at one point I was playing Everquest all night in
           | high school. My friend had an account and let me use it when
           | he was sleeping, so I'd play from 9:00pm to 6:00am, then go
           | to school, then repeat. I hardly ever slept, which was
           | definitely not healthy. There's a reason they called it
           | Evercrack.
        
           | champagnois wrote:
           | Social media addiction can lead to severe mental health
           | issues, eating disorders, depression, and even suicide.
           | 
           | Video game addiction often leads to children and adults
           | completely destroying their professional or academic lives.
           | In many cases, a child grows up to find a balance between
           | working just enough to afford their videogame habbit.
           | 
           | I have read stories of an adult who was so addicted to a
           | simple cellphone game that they were compulsively telling
           | lies to create more game time and ultimately destroyed all of
           | their social relationships and lost their job. All of that
           | dysfunction stems from their brain's addiction to the rush of
           | progress bars, levelling up, victory screens, and success
           | chimes.
           | 
           | Not all people are wired the same. A lot of brains are
           | hopelessly addicted to these two categories of stimuli and I
           | feel you dismiss them a bit too carelessly.
        
             | PuppyTailWags wrote:
             | I remember a time where I was playing a phone game to get
             | some sleep (the mindless stimulation works for my brain,
             | which has hyperactivity issues). There were time-limited
             | events that gave bonuses for completion. One of the things
             | I distinctly remember was that there were teams you could
             | join, followed by team vs team competition for rewards at
             | the end of the week. Competitive teams then had minimum
             | floors of activity... It became like a job to keep track of
             | your own contribution for... for... some bonuses at the end
             | of the week? I remember becoming disappointed/unhappy that
             | the game was asking more from me than I wanted to give
             | (10-30 min of playing before being calm enough to sleep)
             | and quitting. Now I only play phone games without a
             | team/online component, like the stupid merge games or
             | bubble games.
        
               | matheusmoreira wrote:
               | Yeah, I know exactly what you mean. If the game has a
               | timer anywhere, it's a deliberate habit-forming design.
               | They're spaced reward schedules intended to make you come
               | back.
               | 
               | The job-like feeling is real. Before they even realize
               | it, people start organizing their own schedules around
               | some stupid phone game. Setting alarms to wake up at 3 AM
               | because that's when the timer resets and they can play
               | again.
        
               | champagnois wrote:
               | I grow concerned with the increase in addiction research
               | among technology companies. The language is disguised as
               | user retention, engagement, social, gamification, etc.
               | 
               | I do not have a solution to this problem and it is a
               | problem that I myself would contribute to if I was trying
               | to design an app that people would use. Greater addiction
               | mechanisms trend toward wider market adoption which leads
               | to a higher value for shareholders. The current system of
               | incentives to a company makes this focus inevitable.
        
             | matheusmoreira wrote:
             | I don't dispute any of that. I once fell into the mobile
             | game trap myself, it's really bad. I've posted many times
             | here on HN about how these games are deliberately designed
             | to form habits in players and I think they should be
             | illegal.
             | 
             | The thing is I've personally seen opioid addicts do
             | literally anything for a drug. Not for pleasure, just to
             | avoid the pain of abstinence. One guy killed his own mother
             | because she tried to cut off his access to the drugs, he
             | ended up homeless and reduced to crime and was eventually
             | arrested and forced to undergo treatment. The power of
             | these substances cannot be underestimated. As bad as
             | predatory video games are, I'm convinced opioids are worse.
        
               | iSnow wrote:
               | I think you are spot on but many people haven't
               | experienced opiate (or benzo) addiction or talked to ex-
               | addicts. It's really something else.
        
               | matheusmoreira wrote:
               | Indeed. I have experience at a neurology practice, I
               | suppose it has skewed what "severe" addiction means to
               | me.
               | 
               | Benzodiazepines addiction is severe as well. Not as bad
               | as opioids but still pretty bad. I've seen patients get
               | violent because a doctor didn't want to renew their
               | prescription for their own good.
        
           | nunez wrote:
           | I don't know about that. I know that anecdotes != empirical
           | data, but, anecdotally, I've seen video games and gambling
           | destroy several peoples careers, relationships, etc.
           | 
           | One dorm-mate was kicked out of college because he spent ALL
           | of his time playing WoW (World of Warcraft) and failed all of
           | his classes. (Side note: I remember being scared to go near
           | that game from hearing so many similar stories at the time.)
           | I've known many people who remain unemployed and do nothing
           | but play video games.
        
             | skulk wrote:
             | It's interesting that for some people, the pursuit of real-
             | life activities is a fair opportunity cost of spending time
             | on a computer (I won't claim I'm not one of them). Has
             | there ever in history been a diversion that is able to keep
             | people inside their homes for months on end?
        
               | DarylZero wrote:
               | Why is the computer activity the "diversion" while "real-
               | life activity" the thing diverted from? The computer is
               | only an extension of the human user. It can be used for
               | almost any purpose.
        
         | ModernMech wrote:
         | If you want an addiction that no one ever talks about,
         | addiction to money would be a big one. That's seen more or less
         | as a virtue in our society though.
        
         | Bancakes wrote:
         | Because those are legal businesses, and you can't critique the
         | world order like that. Drink your corn syrup and stay quiet.
        
         | bengale wrote:
         | Also, junk food! That is for sure my big problem.
        
         | Cthulhu_ wrote:
         | Probably because they're considered less harmful to your
         | physical health and society as a whole.
        
           | nunez wrote:
           | `s/less harmful/socially normalized/`
           | 
           | Getting blasted by/constantly engaging with tweets all day
           | and endless scrolling on Instagram/TikTok/Facebook are just
           | "things that people do" nowadays. I've seen countless couples
           | on dates where they spend a great deal of their time using
           | their phones instead of talking to each other, for example.
           | 
           | My inner curmudgeon remembers when my parents would scold me
           | for spending all of my time on the computer when 56K was all
           | the rage. I was mostly writing websites, looking at PC parts,
           | and browsing Slashdot, mind, but spending all night after
           | school doing it instead of hanging out with friends (that I
           | didn't have or want; I was aggressively bullied back then)
           | was abnormal and concerned them.
        
           | JimWestergren wrote:
           | Yes, ok. But such an article with such a title should at
           | least mention them I think. Otherwise some people keep
           | thinking it is normal spending hours daily on social media,
           | or checking their phone 50 times a day. We should speak up
           | and say that it is NOT normal.
        
             | openknot wrote:
             | It may be a writing constraint or decision by the editor to
             | keep the article focused on alcohol and drug use, as
             | addiction to "video games, porn and social media" may have
             | different treatment approaches or signs of addiction (and
             | would thus significant broaden the article's scope), though
             | I agree with your last two sentences.
             | 
             | For example, consider the criteria used to describe the
             | signs of addiction: "You need an increasing amount of
             | alcohol or drugs to feel a buzz or high. You feel an
             | urgency to get the first drink or drug of the day. You
             | experience a loss of interest in other activities and an
             | increased desire to get 'high' or 'buzzed'. You try to quit
             | or cut down on the use of alcohol or drugs but can't. You
             | will do almost anything to get the drug or alcohol."
             | 
             | You might feel an urge for these other addictive habits at
             | the start of the day; experience a loss of interest in
             | other activities; and try to cut down but can't. For the
             | pull to experience an "increasing amount" of the activity
             | for a high, that is plausible for porn (for some users,
             | it's a want for more extreme content), but less so for
             | video games and social media. It's also not immediately
             | obvious--especially when compared to drugs and alcohol--
             | that a user of video games, porn, or social media would "do
             | almost anything" to satisfy the urge.
             | 
             | The bottom line is that these behaviours, while addicting,
             | have significant differences when compared to alcohol and
             | drugs. Speaking from past writing experience, these would
             | require the article to significantly broaden its scope,
             | which may not have been possible due to editorial
             | constraints (e.g. word count). It's also plausible that the
             | original article may have been, "The first steps to respond
             | to a potential alcohol or drug addiction," but the editor
             | shortened it to a catchier "How to know if you're
             | addicted."
        
             | crypt1d wrote:
             | You are nitpicking. Not every article about addictions and
             | drugs needs to read like a disclaimer. Mentioning phone and
             | social media addiction here is certainly not going to
             | change anyone's mind - people tend to ignore facts that
             | don't fit their worldviews.
        
         | toyg wrote:
         | Because those are all pretty new phenomena, so the literature
         | and treatment culture around them are scarce. Whereas drug and
         | alcohol rehab has been effectively an industry for decades (or
         | even centuries - the Salvation Army was founded in 1865...).
         | 
         | Also, as others have said, the societal impact of substance
         | abuse are often much more visible, directly measurable, and
         | immediately felt.
        
       | sleepingadmin wrote:
       | Recently gave cannabis a break. Been using for years as a medical
       | user. If flower, I would smoke < 0.3g a day. If vape, maybe 5-10
       | hits. Barely any compared to so many others
       | 
       | Felt like I wasn't anywhere near overdoing it, but when looking
       | at cannabis withdraw symptoms... can confirm. Certainly had a
       | problem.
       | 
       | Still wondering if i can even go back.
        
         | bengale wrote:
         | I found it hard to regulate but easy to quit. I was probably
         | smoking more than you from the sound of it, but I found myself
         | smoking more during the work day when I started working from
         | home, tried to put some limits on it and then found myself
         | breaking the rules. So I stopped cold, worst of it was probably
         | the desire to smoke while winding down, more of a craving than
         | a compulsion though and no physical symptoms.
        
         | rajin444 wrote:
         | I'm similar I think. I generally smoke similar amounts daily.
         | 
         | I've taken a break a few times now and aside from some weird
         | dreams initially and my eyes being less dry, I didn't really
         | notice much. I took a 2 month break not too long ago and the
         | only benefit I found was from "doing something" - ie a mental
         | boost from setting a goal and accomplishing it.
         | 
         | I've only ever used weed to relax when all the other stressors
         | in my life are under control, which might have something to do
         | with it.
        
           | sleepingadmin wrote:
           | Ive occasionally taken breaks but I think I didn't do it long
           | enough.
           | 
           | This time at like day 3-4 I was triumphantly saying there was
           | no withdrawals, but for some reason I was unusually angry.
           | 
           | I dont deny anger, I almost denied that I was angry. Normally
           | I absorb the emotion and analyze why I was this way. I
           | couldn't really do that, I couldn't really justify why I was
           | angry. I even woke up angry with no apparent cause.
           | 
           | The next day I lost control and raised my voice out of anger
           | for a moment. Something I generally don't do. I tried
           | questioning this anger again but found no answers. I believe
           | at this time I still didn't believe cannabis was addictive or
           | for that matter I was having withdrawals. Let alone this was
           | just the beginning.
           | 
           | Took over a week for problems to really peak.
           | 
           | The bigger problem, I was using medically... without it...
           | that original problem also started to come back. Just making
           | it all that much worse.
        
         | scottious wrote:
         | Withdrawal symptoms usually last a few weeks for me. Head over
         | to reddit.com/r/leaves if you need support for quitting.
         | 
         | I've struggled with this a lot over the years. I'll quit for 6
         | months, get rid of all my paraphernalia then find myself
         | starting up again. I keep telling myself that I'll use it more
         | responsibly this time, but then I end up doing it every day.
        
           | datameta wrote:
           | Another option is /r/petioles, for those who want a
           | moderation approach.
        
       | pdenton wrote:
       | The worst of the bunch is tobacco. The effect is basically
       | nothing, but it hurts ones health and wallet.
       | 
       | I've done cocaine, marijuana, mdma, speed, xtc pills, and some
       | research chemicals. Protips: don't smoke, and never combine any
       | two drugs. If you really want a certain substance, do at least
       | the first session with someone sober to keep an eye on you. Never
       | accept drugs from strangers and don't give in to peer pressure
       | (which can be pretty tough at times when self-confidence is
       | lacking).
        
         | bodge5000 wrote:
         | Guess its just a matter of experience and perspective, because
         | for me tobacco is the "best" due its lack of any effect on you
         | mentally, even if it is pricey and bad for you. Though I guess
         | Sugar is probably a bit better and has pretty much the same
         | consequences.
         | 
         | Regardless of your perspective though, I'd say heroin is
         | absolutely the worst
        
           | iSnow wrote:
           | Sugar is not a drug though and doesn't create addiction,
           | maybe a mild dependence.
        
             | mrtranscendence wrote:
             | Sugar may not be a drug, but for some reason I had no
             | trouble stopping smoking and have been unable in 40 years
             | of life to quit overindulging in sugar despite many efforts
             | to do so.
        
         | throwaway98749 wrote:
         | I disagree. As an addict (weed, alcohol, cocaine, and tobacco
         | if you go that way), cocaine is much harder to quit than
         | tobacco.
         | 
         | But actually, telling that drug X is harder to quit that drug Y
         | is a lie. For each person, each drug will be different. Maybe
         | you struggle with tobacco, but that does not mean that its the
         | worst. There's no worst, they're all equally bad.
        
           | actusual wrote:
           | The measure of "harder to quit" actually takes into account
           | more than ones physical ability to actually give something
           | up, all else equal. Social acceptance, availability, the time
           | horizon for negative health impacts, and money all count
           | toward how hard something is to quit.
           | 
           | Nicotine is actually the hardest thing to quit when taking
           | into account all of the factors that lead to continued use in
           | the face of adverse consequences. It's everywhere, a large
           | number of people do it, it's relatively inexpensive in
           | comparison to other vices, the time horizon for negative
           | impacts is VERY long, and it's in general socially acceptable
           | (depending on where you live).
        
           | hn_version_0023 wrote:
           | To underscore your point: cocaine was much easier to kick for
           | me than tobacco. But neither had the grip that caffeine had
           | on me!
           | 
           | I'm pleased that all three are a distant memory now.
        
         | wpietri wrote:
         | For some costumes, I have held an unlit cigar in my teeth. The
         | effect for me is noticeable and strong, like caffeine but more
         | so. I really liked it! Which is why I will never take up
         | regular use of it.
        
         | petercooper wrote:
         | I've never tried tobacco, but I did try nicotine last year
         | after seeing it discussed in ADHD circles. Noticed no effect
         | (beyond perhaps a mild caffeine-esque sensation early on) but
         | forced myself to try it for a few weeks. The "cloud" aspect was
         | amusing, but I forgot about the experiment months ago and have
         | suffered not a jot for it since. Different strokes for
         | different folks, because apparently it's usually one of the
         | most addictive things going, yet I'd consider caffeine or sugar
         | to be more so than whatever nicotine was doing for me.
        
           | stryan wrote:
           | IIRC Tobacco has MAOI-inhibitors that help amplify the
           | addictive/pleasurable properties of nicotine. So if you just
           | consumed nicotine through gum/patch/old-school vape juice it
           | would be more "difficult" to get addicted to it.
        
           | mrtranscendence wrote:
           | I used to smoke as a teenager, but I found it effortless to
           | quit and never once considered smoking once I reached
           | adulthood. At the same time my mother has tried to stop
           | smoking countless times, and even now -- with COPD, requiring
           | oxygen supplementation, and unable sometimes to make it up a
           | short flight of stairs -- she still hasn't been able to quit
           | despite trying many times. Weird how that works.
           | 
           | (Also weird: she hid her smoking from us, though obviously
           | everyone knew she smoked. She _always_ smoked holed up in her
           | bathroom. I suppose I always knew where I could steal a few
           | cigarettes!)
        
         | sjcoles wrote:
         | Nicotine is a useful tool though.
         | 
         | The latest round of tobacco free pouches are great and reduce
         | risk to basically zero.
        
           | mrtranscendence wrote:
           | A useful tool for what? I haven't used nicotine in a long
           | time, but from what I recall the impact was basically zero
           | unless I hadn't smoked in a while.
        
             | sjcoles wrote:
             | It's a stimulant. It helps me concentrate and seems to help
             | my working memory (which is already poor due to ADHD).
        
             | [deleted]
        
       | GenZRiseUp wrote:
       | That is a really beautifully designed website.
       | 
       | I was addicted to pornography. The way I knew was by trying to
       | stop for at least a week, if I could accomplish that, then it
       | wouldn't be a problem. I couldn't make it past one day.
       | 
       | I thought, maybe access was the issue - so I deleted my browsers,
       | and within a day was reinstalling them just to watch porn.
       | 
       | I was watching during classes, and I would go late to events just
       | so I could finish watching a particular scene, or explore a
       | pornstar's catalogue.
       | 
       | It was only after confiding in somebody that I realised how deep
       | I had sunk (watching and paying for snuff and gore), and it was
       | extremely tough to come out of that.
       | 
       | I still get the urge when opening a browser to muscle memory type
       | in a site, and it's constant vigilance and self-discipline that
       | has held me at bay, but the pull has never went away.
        
         | throwthh436 wrote:
         | For these kind of problems, tech is not really a solution. So
         | better talk to a registered psychologist or psychiatrist.
         | 
         | But on the tech side, for android users, 'Open TimeLimit' is a
         | useful app. It's like an advanced app locker, with timers and
         | stuff. It's FOSS and on Fdroid:
         | 
         | https://codeberg.org/timelimit/opentimelimit-android
         | 
         | https://f-droid.org/app/io.timelimit.android.open
         | 
         | Edit: Make sure to disable the app when you go out etc. Because
         | it might cause obstacles during emergencies. Depends on the way
         | you set it up of course.
        
         | pqs wrote:
         | I should try to not randomly browse the web for one week. I'm
         | not sure whether I'm able. Ups. It is so easy to jus type
         | Ctrl-T and then news.ycom TAB.
        
           | wpietri wrote:
           | For me, a well-established habit can be different than
           | addiction, but they're definitely related. What I look for is
           | a) whether I'm using X to avoid discomfort, and b) whether
           | using X helps create or sustain that discomfort.
           | 
           | As an example, I play casual computer games to take breaks.
           | So popping open my current favorite can be a habit. But I've
           | had friends addicted to WoW, such that they were spending
           | enough time in it that it was making their lives worse. The
           | more they played, the worse their personal problems got,
           | causing them to seek more relief through WoW.
        
           | toyg wrote:
           | that's a lot of letters, my firefox gives it to me with just
           | "ne"-enter.
        
           | shimonabi wrote:
           | Sometimes I catch myself when I unconsciously type the
           | address of a web site.
           | 
           | I think I've been addicted to the internet for 20 years.
        
             | iSnow wrote:
             | - OK, enough reddit for now, let's do something productive
             | like work - closes tab - starting a compiler run - ctrl-t
             | types old.reddit.com - my man, what are you doing there?
             | _bangs head_
             | 
             | Much more often than I'd like to admit
        
         | rmbyrro wrote:
         | I wonder if the dopamine doses associated with the activity is
         | what causes the addiction on the area.
        
           | Mezzie wrote:
           | My ancedotal evidence says yes. I've never had a porn problem
           | (I'm a homosexual female, I'm not sure there's enough
           | material for me to _sustain_ a porn problem...), but I 've
           | had other psychological addictions and one interesting thing
           | I've noticed is that if I take modafinil when I'm trying to
           | break one that my cravings/desires are much less.
           | 
           | I think it's dopamine (as opposed to the other nts modafinil
           | is theorized to work on) because a changing short half-life
           | SNRI dose does nothing (so it's not serotonin or
           | norepinephrine making the change), caffeine does nothing (so
           | not adenosine), and histamine modifiers also do nothing.
        
             | beaconstudios wrote:
             | That's interesting because that's the opposite effect to me
             | - I used to smoke (still do rarely but try to avoid it) and
             | when I took modafinil I often had a strong urge to chain-
             | smoke, just like after a few drinks.
        
               | Mezzie wrote:
               | Nicotine?
               | 
               | God, modafinil + other stimulants is a bad time for me.
        
             | rmbyrro wrote:
             | Makes sense. It's certainly a blessing not having enough
             | material. My impression is this kind of addiction can get
             | particularly depressing if you can look at yourself from
             | the outside...
        
             | knicholes wrote:
             | Oh believe me, there is definitely enough material for you
             | to sustain a porn problem. OnlyFans alone can get you
             | paying specific people to create content for you. It's
             | infinite.
        
         | wanderer_ wrote:
         | Same. I have heard it (addiction) described as an inability to
         | 'decide not to'.
         | 
         | My most effective strategy has been to simply distract myself.
         | Always listening to music, reading, anything to keep my mind
         | from wandering.
        
         | thecleaner wrote:
         | I used the method of X to quit smoking. I mean I smoked a lot
         | less to begin with but it reached upto one or two everyday with
         | disturbing consistency. I haven't smoked in around 3 years now.
        
         | rhino369 wrote:
         | >The way I knew was by trying to stop for at least a week, if I
         | could accomplish that, then it wouldn't be a problem.
         | 
         | Not being able to stop for a week shows you are an addict. But
         | being able to stop for week doesn't really show you aren't one.
         | Most addicts do quit for weeks or even months at a time.
        
           | Cthulhu_ wrote:
           | Well yeah, but if you're not sure, you can try it and
           | introspect how you feel; if you're restless or start tweaking
           | you're likely addicted to whatever you're trying to quit, as
           | mentioned by the parent comment.
           | 
           | Addicts that quit for X amount of time and relapse KNOW
           | they're addicted. They know that they need to be conscious at
           | all times, and that even after decades they may relapse if
           | they're not careful. This is where organizations like AA come
           | in, offering support, coaching, goals and positive feedback
           | for dealing with - in that case - alcoholism.
        
           | lelanthran wrote:
           | > Not being able to stop for a week shows you are an addict.
           | But being able to stop for week doesn't really show you
           | aren't one. Most addicts do quit for weeks or even months at
           | a time.
           | 
           | Correct. "Not doing $X anymore" doesn't mean you aren't an
           | addict. "Being able to turn on/turn off doing $X" means you
           | aren't an addict. If you haven't had a drink in years, but
           | having a single one means that you now cannot do without the
           | bottle, you're still an addict.
           | 
           | I've always said that there's no such thing as an ex-smoker;
           | they're smokers who haven't smoked in a long time.
        
             | axiosgunnar wrote:
             | > I've always said that there's no such thing as an ex-
             | smoker; they're smokers who haven't smoked in a long time.
             | 
             | At least to their lungs they're not smokers anymore :)
        
             | thecleaner wrote:
             | And by that logic what will happen if they smoke one ? By
             | your logic such people will have to stop before a certain
             | threshold. What's the threshold ?
        
             | dylan604 wrote:
             | "There's no such thing as an ex-Marine", so are Marines
             | addicts?
        
             | kranner wrote:
             | > I've always said that there's no such thing as an ex-
             | smoker; they're smokers who haven't smoked in a long time.
             | 
             | This kind of absolutism may end up discouraging present-day
             | smokers from trying to quit at all. It's also not
             | necessarily true. Some people do go from being smokers to
             | hating the sight/smell/thought of smoking.
        
               | loudtieblahblah wrote:
               | Smoked from the time I was 13 until I was 29. That was 11
               | years ago.
               | 
               | I was tempted to smoke for the dirt 2-3 years after I
               | quit. But I've grown to despise it and being around it.
        
               | jwdunne wrote:
               | Interesting how close our timelines match up, minus the
               | 11 years. Smoked from 14 to just before my 30th birthday,
               | which was 6 months ago.
               | 
               | If I smell it in passing, it smells pretty disgusting.
               | But if I spend the weekend at my parents (both heavy
               | smokers), I quickly fall in love with the smell again and
               | yearn for "one last cig".
               | 
               | A big problem for me is that tobacco smoke very much
               | smells like home - it's what home smelled like growing
               | up. And nothing takes you back like a strong, familiar
               | scent.
        
               | chaircher wrote:
               | I agree, but it's also worth noting sometimes the
               | opposite can be true and it's more helpful for some
               | people who don't want to smoke to drop the "ex-smoker"
               | "quit" and similar language and start saying things like
               | "I am not smoking at the moment" instead. It takes the
               | pressure off and makes it seem like less of an all-or-
               | nothing thing. And also means if you do mess up and have
               | a cigarette, you've not failed, you've just had a
               | cigarette and now you can go back to not smoking.
               | 
               | Not posting this to be contrarian, just on the off chance
               | there's anyone reading this whose trying to quit and is
               | looking for a new angle to try. If you can't quit, don't
               | quit. Just don't smoke. This is what finally worked for
               | me.
        
               | loudtieblahblah wrote:
               | I used to say shit like "I'm not smoking at the moment"
               | or "I quit every time I put one out"
               | 
               | I turned phrases like that into a contrarian joke to
               | justify my addiction.
        
         | bloak wrote:
         | Were there withdrawal symptoms in your case? If so, what were
         | they?
         | 
         | Years ago I read that withdrawal symptoms are an essential part
         | of the definition of addiction, but probably "addiction" has
         | become a somewhat broader concept since then. The article says
         | you "might" also experience withdrawal symptoms, and I don't
         | think I've heard of people addicted to gambling, for example,
         | suffering from any specific withdrawal symptoms, though even
         | quite mildly addictive drugs like coffee can have recognisable
         | withdrawal symptoms.
         | 
         | EDIT: For the avoidance of doubt, I am not claiming that
         | addiction requires withdrawal symptoms.
        
           | GenZRiseUp wrote:
           | I couldn't sleep for the first few days because although my
           | body was tired, my mind was expecting to watch some sort of
           | carnal entertainment.
           | 
           | I also felt an uncomfortable rush of blood in my left temple
           | everytime I wanted to indulge again, but that could be purely
           | psychological, I don't know.
        
           | [deleted]
        
           | camjohnson26 wrote:
           | There's a Reddit support group for recovering porn addicts,
           | the stories over there are pretty interesting. One of the
           | withdrawal symptoms mentioned is a total lack of interest in
           | sex that they call "flatlining."https://nofap.com/porn-
           | addiction/
        
             | tenuousemphasis wrote:
             | There's a fine line between support group and cult...
        
               | amanaplanacanal wrote:
        
         | nunez wrote:
         | Massive courage to talk about your past addiction online. I'm
         | glad you got out of it.
        
       | laurex wrote:
       | I have more than a passing interest in neuroscience and
       | psychology and I'm still on the fence a bit but truthfully I do
       | think most descriptions of addiction make my relationship with my
       | phone at least in the realm of applying the addict label. There's
       | the idea in neuroscience of not liking a behavior but still doing
       | it compulsively with a unconscious hope of repeating a high that
       | becomes harder and harder to access as tolerance builds up. I
       | find myself with my phone in my hand as though by magic
       | sometimes. And yes, I'm writing my comment on my phone right now.
        
         | silicon2401 wrote:
         | personally I think everyone's addicted to their phones, or at
         | best has a horrible habit of being on their phones. I used to
         | be the standard modern person, phone always in hand and finding
         | something to do. Over the years I put in work to change that,
         | and now I generally go to my phone if I need it, rather than
         | being on it by default and finding something to do with it.
         | It's incredibly liberating. IMO The experience of using a phone
         | is incredibly cheap and shallow compared to almost anything
         | else you can do, even watching the same videos but on a proper
         | tv or monitor.
        
         | buscoquadnary wrote:
         | Honestly I am at that state right now with HN and Reddit.
        
       | kosyblysk2 wrote:
       | admit powerlessness over your addiction and start reflecting upon
       | yourself (shadow/feelings(anima)/etc)
       | 
       | ...the wound is the cure
        
       | kaycebasques wrote:
       | Just started _Urge: Our History Of Addiction_ yesterday!
       | 
       | I am doing a sober February this month as an exercise in
       | contemplating my own addictions and for the pure sake of
       | challenge. No beer, no marijuana, etc. Not even caffeine!
       | Caffeine is much harder for me than any other.
        
         | MandieD wrote:
         | I give up alcohol for Lent every year.
         | 
         | I _tried_ giving up caffeine one year instead.
         | 
         | I broke down after a week and went back to giving up alcohol
         | instead.
        
       | aurbano wrote:
       | Is it just me or it's actually hard to find an answer "how to
       | know if you're addicted" in the article?
       | 
       | I skimmed the article and thought I found it when I got to the
       | section titled "Key points - How to know if you're addicted", in
       | the middle of the article; but again this section didn't give a
       | list of things to look out for...
       | 
       | Maybe I missed it?
        
         | IAmGraydon wrote:
         | > Addiction can be defined as a persistent, compulsive need to
         | use a substance, despite the negative consequences to you or
         | others.
         | 
         | If that describes you, you likely have an addiction.
        
           | hervature wrote:
           | The problem is that this definition does not help with the
           | identification process. For instance, any use of drug is
           | arguably not compulsive as the effect often brings
           | pleasure/reward and is often premeditated. "I'm tired, let me
           | get a coffee". So, by simple rationalization, any addict can
           | come to the conclusion that their behavior is not compulsive.
           | Anyone who has the wherewithal to introspect and realize
           | where this need for coffee came from does not need this
           | definition as they already have the ability to differentiate
           | addiction versus genuine desire/want.
        
             | realce wrote:
             | > despite the negative consequences to you or others.
             | 
             | If I keep consuming coffee when I'm tired despite the
             | negative consequences, I could be addicted to it. All
             | desires are "genuine" but many desires are harmful to
             | yourself or to others. If that doesn't prevent you from
             | indulging, you should analyze it and probably try to stop.
        
           | aurbano wrote:
           | I feel like the definition should just be "Addiction can be
           | defined as a persistent, compulsive need to use a substance".
           | 
           | Surely one can be addicted even if it doesn't have negative
           | consequences right?
        
             | heikkilevanto wrote:
             | By that definition, I must be addicted to oxygen, food,
             | water, and a number of other substances.
        
             | Mezzie wrote:
             | Yeah, this is a major omission and it is also why you see
             | so many functional addicts who don't think they have a
             | problem.
             | 
             | Also it means that who is considered an 'addict' is
             | partially socially constructed: Some people have jobs that
             | will randomly drug test for weed, so if they smoke daily
             | and lose their job, they're addicts, but since my job is
             | remote and doesn't care, I could be high as a kite most
             | nights and not be an 'addict' since it didn't cause issues.
        
               | leetcrew wrote:
               | I mean yeah, different jobs come with different
               | obligations. showing up high to a construction site is a
               | problem in a way that being high during your shift at a
               | dispensary is not. I dunno if that's "socially
               | constructed"; it seems like a very real safety issue to
               | me. it's unfortunate that we can't test for acute
               | cannabis intoxication the way we can with alcohol, but
               | I'm sure we'll get there in time.
               | 
               | more generally, I would push back on the idea that
               | someone isn't experiencing consequences just because they
               | manage to hold a job. spending all your nonworking time
               | intoxicated is not usually the path to a fulfilling
               | personal life. the consequences are there whether the
               | person sees them or not.
        
             | sgc wrote:
             | I agree, but it's still not a good definition.
             | 
             | People are also addicted to porn, gambling, to sports (the
             | 'hyperfit'), or to doing nothing, etc. Activities /
             | experiences / behaviours are addictive, which shows that it
             | is not as simple as just a physiological response to
             | various substances.
             | 
             | I have an addictive personality. I have to watch my
             | routines since I fall into ruts very easily, just about
             | anything I do can do it.
        
             | leetcrew wrote:
             | I guess, but if there truly are zero negative consequences,
             | it's not really a problem that needs to be solved. I have a
             | compulsion to have one or two cups of coffee every morning.
             | is it useful to describe myself as a coffee addict?
        
               | k3liutZu wrote:
               | > is it useful to describe myself as a coffee addict?
               | 
               | I don't know whether it's useful, but it suits the
               | definition. We do enjoy this coffee, we do drink it
               | regularly, and we do crave it when we don't have it.
               | 
               | I'd say addiction sums it up.
        
               | leetcrew wrote:
               | I disagree. word definitions are not handed to us by god;
               | we get to choose useful ones. to me, the "negative
               | consequences" bit is what makes "addiction" more specific
               | than "habit", which can be of bad, neutral, or even good
               | quality.
               | 
               | maybe exercise would have been a better example. there
               | are people who damage themselves through compulsive
               | overtraining, but there is often a compulsive element to
               | moderate exercise. a person with a solid 5x1hr/week
               | regimen will often feel bad if they miss a day and be
               | very reluctant to do so. but this is not a bad thing at
               | all; it is a very healthy habit.
        
           | jdrc wrote:
           | Ok but define persistent, compulsive, negative, and it's not
           | just for substances
        
           | colinmhayes wrote:
           | How do you define that though? My cannabis use is certainly
           | persistent, but is it compulsive? Maybe I'm just in denial,
           | but it's hard for me to say. I've certainly stopped many
           | times, but find I enjoy life less sober, so I end up smoking
           | again. When does partaking in an activity you enjoy become an
           | addiction? I feel like my urge to read late at night has
           | caused me more problems than my marijuana use because of the
           | many sleepless nights it's caused.
        
             | tenuousemphasis wrote:
             | >When does partaking in an activity you enjoy become an
             | addiction?
             | 
             | When the activity is a consciousness altering chemical and
             | you compulsively use it despite the negative consequences
             | to you or others.
        
               | mediaman wrote:
               | That's interesting, but suppose I like to drink a couple
               | cups of coffee per day. It helps me get my brain active
               | in the morning, and avoid the afternoon slump.
               | 
               | Are there negative consequences to me or others? Not that
               | I can identify. The literature has no good study that
               | suggests any long-term health problems with coffee
               | consumption.
               | 
               | But I will feel out of sorts if I suddenly stop. I'll be
               | fine again after a few days. But it seems certain there
               | is a chemical dependence. This does not fit your
               | definition of addiction, but it seems odd to claim that
               | my daily coffee consumption is not, at the least, a light
               | addiction?
        
         | openknot wrote:
         | From a writing perspective, a critique with the article's
         | structure is that the sub-heading "What to do" comes first
         | before the list of questions to ask yourself.
         | 
         | It's placed under "Reflect on urges and motivation," with the
         | points:
         | 
         | "Do you recognise your feelings and behaviour in any of the
         | signs below?
         | 
         | "-You need an increasing amount of alcohol or drugs to feel a
         | buzz or high.
         | 
         | -You feel an urgency to get the first drink or drug of the day.
         | 
         | -You experience a loss of interest in other activities and an
         | increased desire to get 'high' or 'buzzed'.
         | 
         | -You try to quit or cut down on the use of alcohol or drugs but
         | can't.
         | 
         | -You will do almost anything to get the drug or alcohol."
         | 
         | This segment is particularly more difficult to find at the
         | first glance, as it's in the middle of the broader "What to do"
         | section, versus at the start or end of the section. These
         | points of the article may have been a more suitable fit under
         | the emphasized "Key points" section.
        
         | nunez wrote:
         | The author lists them pretty clearly towards the middle of the
         | article.
        
       | sumosudo wrote:
       | Remove the offending substance and see how long or to what extent
       | you would go to get it back.
        
         | carlmr wrote:
         | One of the most common addictions now is cellphone addiction.
         | But especially since the pandemic it's hard to do anything
         | without a cell phone. You need your QR codes everywhere for
         | testing or showing you're tested, show your vaccinations, check
         | in to restaurants, etc.
        
           | simlevesque wrote:
           | > You need your QR codes everywhere for testing or showing
           | you're tested, show your vaccinations
           | 
           | You can do all of that without a phone.
        
             | gpas wrote:
             | You are right. Print the qr and put in your wallet like any
             | elderly person I know does.
        
             | krageon wrote:
             | Not here. It is technically possible to use a printed
             | version, but they're not actually accepted anywhere. No
             | phone means no access.
        
               | vaylian wrote:
               | Odd. Is it because the people who do the access control
               | (think that they) have to follow strict procedures, or
               | why isn't a printout accepted?
        
             | benjaminwootton wrote:
             | Fortunately have never had to show a test or a vaccine pass
             | on a phone. Boy am I glad I've been living in England these
             | last few years if that's becoming normalised!
        
           | lelandfe wrote:
           | Mercifully, shoes do not require identification before you go
           | on a walk sans phone.
        
             | ThinkingGuy wrote:
             | Somewhere in Silicon Valley, I have no doubt that the first
             | "smart shoes" are under development.
        
               | brimble wrote:
               | Shoes that link to fitness trackers already exist. A
               | quick Google reveals shoes with integrated bluetooth
               | speakers, and shoes for the blind (not sure what those
               | do, but I gather it does involve electronics).
        
           | mythrwy wrote:
           | I have a horrible case of internet addiction and have for
           | decades but one thing I never really got sucked into was
           | phones.
           | 
           | My phone lays untouched 99% of the day and even when I'm out
           | I simply use it for maps and phone calls and messaging
           | (infrequent, hate text messaging).
           | 
           | I think it's the form factor with no keyboard and a tiny
           | screen? Just not enjoyable for some reason for which I'm
           | actually very thankful.
        
             | openknot wrote:
             | Internet browsing on the phone is also less of a pleasant
             | experience, versus with a desktop web browser.
             | 
             | Reddit for mobile is deliberately designed to make you use
             | the app that I wish not to use (you often can't expand
             | threads without moving to the app); YouTube ad blocking is
             | much clunkier, versus seamless on a desktop browser; and
             | it's more difficult to navigate (e.g. there are more taps
             | to use the "find in page" function, versus Ctrl/Cmd+F on
             | desktop).
             | 
             | It also helps that I've deliberately made the apps on the
             | phone less engaging to use (I've avoided TikTok, and
             | configured remaining social media apps like Instagram to
             | avoid subscribing to content that is too interesting or
             | designed to capture attention, so there is far less of a
             | pull to use them).
        
           | Karunamon wrote:
           | I think "cellphone addiction" isn't really a thing, the phone
           | is just a means to an end. It's going to be what's happening
           | on the phone, be it games or social media.
        
         | openknot wrote:
         | There are important caveats: sudden withdrawal from alcohol
         | (high doses, long-term use), benzodiazepines (benzos), and
         | methadone can cause death [0].
         | 
         | [0] https://www.psychologytoday.com/ca/blog/all-about-
         | addiction/...
        
         | 1970-01-01 wrote:
         | This isn't a good test because addiction is a dynamic
         | situation. One can not simply remove the offending substance
         | from their life for X days and confirm they are not addicted.
         | 
         |  _Persistent and compulsive_ is key to understanding how it
         | works.
        
         | specproc wrote:
         | With alcohol, its not so much about the urge to drink when you
         | stop, but how bad your withdrawal symptoms are.
         | 
         | I pretty much gave up in my mid thirties when I stopped for two
         | weeks to deal with some life admin and found myself in
         | withdrawal.
         | 
         | I've had a few spells off the wagon since, but now realise
         | something is properly broken in me. Even small amounts of
         | alcohol trigger hideous hangovers and anxiety. The only counter
         | is to drink again.
         | 
         | Careful with the booze, kids. The danger is real.
        
           | oigursh wrote:
           | Had a night out with friends recently after a year off.
           | Didn't start to feel right until 4 days later. Not. Worth.
           | It.
        
           | IAmGraydon wrote:
           | Were you drinking all day every day? I have a glass or two of
           | bourbon most nights and can do a week break with no sign of
           | withdrawal. Alcohol is definitely very addictive, but you do
           | have to go pretty hard to get withdrawals.
        
           | exdsq wrote:
           | 100%. Hangxiety is the worst. I'm 27 and quit last August. I
           | feel so much better for it. Binge drinking culture can really
           | damage you!
        
         | hprotagonist wrote:
         | the fortitude saving throw T-break is a good idea, once in a
         | while.
        
         | grvdrm wrote:
         | It's interesting to try it this way. Did it in the past with
         | alcohol because I was curious how long it take to eliminate the
         | urge (regardless of strength) to drink. Got through two months
         | without any drinks and I'm not sure that the urge ever really
         | went away. But I got used to tamping it down.
        
           | freedom2099 wrote:
           | I really can't relate... I drink but I never feel the "urge"
           | to drink... I can simply stop and alcohol doesn't even cross
           | my mind for weeks.
        
             | exdsq wrote:
             | That's good! That is how a healthy relationship with
             | alcohol should be.
        
             | grvdrm wrote:
             | That's interesting. I've suspected it was two things:
             | 
             | 1. Some chemical addiction - hard to understand but may
             | contribute to the "urge"
             | 
             | 2. Some component of taste - in other words, I like the
             | taste of bourbon. I don't really care to be drunk but it
             | obviously happens sometimes. But the goal is not to be
             | drunk but instead to enjoy the taste of bourbon. I'm sure
             | that desire manifests itself chemically in the body as
             | well. Yet, I think of them as different pathways to the
             | outcome.
             | 
             | So day to day, what I feel like I'm fighting is the desire
             | to taste something I really enjoy, rather than the desire
             | to be drunk, if that distinction makes sense.
        
               | freedom2099 wrote:
               | I do understand the need to taste something you really
               | enjoy... but that is what every meal is for (I always try
               | to eat nice things... eating should be a happy moment!)
        
             | mythrwy wrote:
             | Exactly the same. I can take alcohol or leave it.
             | 
             | With no social pressure, on my own I very seldom buy
             | alcohol or keep it around. I don't think about it. I don't
             | want for it, on occasion I'll have a few drinks and once in
             | a great while a few too many drinks but it's not something
             | I really care about one way or the other.
             | 
             | I've seen many people not like this. Alcohol is a central
             | part of their life even if they aren't "drunks".
             | 
             | I think it must be a biological/chemical?
        
         | EA wrote:
         | It took me almost 2 years to fully give up sodas and sugary
         | drinks. I grew up on it. I learned a lot about my willpower.
        
           | brimble wrote:
           | Club soda got me off them (this is before fizzy water became
           | a trendy drink). Turns out my craving was mostly for the
           | carbonation bite, not the sugar.
           | 
           | Seltzer water didn't work. The missing minerals make it taste
           | super weird to my palate. Had to be club soda (or sparkling
           | mineral water, but that was too expensive for me to have
           | often at the time).
        
           | exdsq wrote:
           | I wish you'd use that same strength to cut your addiction to
           | micro transactions in video games ...
           | 
           | ;)
        
       | temp0826 wrote:
       | I serve Kambo (which is the poisonous secretion derived from a
       | particular Amazonian tree frog) to people. It has been my savior
       | for breaking out of addictive patterns. It's definitely not for
       | everyone (not just considering the contraindications; it's an
       | extremely rough experience in general). It can feel like a
       | physiological and psychological "reset" (note, only speaking
       | anecdotally as there is not a lot of proper research around it).
       | Quite a breath of fresh air after being in a rut or just looking
       | to make changes in your life.
        
         | mikepurvis wrote:
         | Looks like a bit of a mixed bag:
         | 
         | https://en.wikipedia.org/wiki/Kambo_cleanse
        
           | temp0826 wrote:
           | Yah... I won't try to paint a pretty picture of it, but that
           | article (as well as any other "alternative treatment" on
           | wikipedia) portrays it pretty negatively. There definitely
           | have been a couple of studies and papers (on both kambo and
           | on some of the individual constituent peptides in the
           | secretion), but the article states otherwise. In the
           | traditional context, Kambo wouldn't ever be called a
           | "cleanse". Traditionally, it's used by a few Amazonian tribes
           | to remove what they call "panema" (which is essentially bad
           | luck, mostly in regards to hunting. Not being able to bring
           | back food has consequences for the community), to increase
           | strength and stamina, and as sort of a "vaccine" (immunity
           | booster). The "removal of toxins" or whatever is a hard
           | western woo spin on it.
        
       | standardUser wrote:
       | The most important thing for people to understand is that
       | everyone is different, and different people can have _very_
       | different experiences with the exact same substance. Some people
       | can smoke cigarettes on the weekend for years and never get
       | addicted, which sounds insane to someone like me who couldn 't go
       | for more than a hour without a cigarette for twenty years and
       | went through hell for 6 months to finally quit. But I can binge
       | cocaine for weeks on end (in college it was meth) and then stop
       | when I get bored (or my nose hurts) and suffer no withdrawal
       | beyond occasional thoughts of "it would be nice to get high!".
       | Yet other people end up in rehab for using far less than I have.
       | I drink absurd amounts of caffeine every day and will get a mild
       | headache sometimes if I skip it, and I thought this was normal
       | until a friend quit caffeine and described it the way I would
       | describe quitting nicotine! It's all over the map.
       | 
       | Wild variation is the norm, but a lot of our public health
       | messaging and "conventional wisdom" ignores this entirely.
        
         | simon1ltd wrote:
         | I just had a discussion with a friend about this last week.
         | 
         | Some people (we call it addictive personalities, not sure if
         | there's a better term) seem to get hooked almost right away.
         | Others, can stop whenever they want with little trouble.
         | 
         | The problem is that you don't know which of those possibilities
         | applies to you without trying it, and then it's too late. Since
         | my immediate family members have had issues with substances, I
         | assume I would be one of the people with a problem.
         | 
         | That's the message I'm trying to pass along to the next
         | generation too. You might not have a problem, but you won't
         | know if you do until it's too late.
         | 
         | YMMV
        
           | standardUser wrote:
           | There's even hard data on this with regards to alcohol and
           | cocaine that show that some people are predisposed to have a
           | higher risk of addiction. With alcohol we know it's at least
           | partially hereditary, so people with histories of alcohol
           | abuse in their families are often told to be extra careful. I
           | would love to see more research on this and even the ability
           | to give individuals info on their own risk levels.
           | 
           | The only thing that seems to be near-universally dangerous in
           | terms of addiction are opioids. But even still, most people
           | who try heroin or get prescribed oxycodone never become
           | addicted.
        
             | johnisgood wrote:
             | Are people who take antidepressants addicted? The reason I
             | am asking is that opiates can be used as such.
             | 
             | > Opiates promote goal-directed behavior.
             | 
             | > Interestingly, the mechanism of antidepressant action for
             | ketamine may not even involve NMDAR blockage and may
             | instead involve modulation of other CNS binding sites, such
             | as being an agonist (activator) of opioid receptors.
             | 
             | I can see how opiates would help with anxiety and
             | depression, especially for people who do not experience
             | euphoria from it, just enough calmness... which does not
             | actually go away after 2 weeks as it does with
             | benzodiazepines, or without the cognitive deficits.
        
       | anonymouse008 wrote:
       | I'd like to throw this out there to see what comes back; has
       | anyone thought about coding and development being an addiction?
       | 
       | In my experience, it has fit all of the characteristics of a
       | deeply addictive loop... There's a strong period of hard effort
       | for variable reward - and much of the time that reward is just
       | the dang thing compiling.
       | 
       | I know without a doubt I've hurt myself doing this more than I
       | should and am currently struggling with the potential long term
       | benefit vs. the current pains.
        
         | mikepurvis wrote:
         | I would agree with this, but I think for me it's more of an
         | undiagnosed ADHD thing, where I have periods of fabulous
         | productivity where I'm up all night for days riding an endless
         | wave of dopamine, and then other times where it's weeks of
         | feeling stalled and unmotivated even when the next steps should
         | be fairly clear.
        
         | [deleted]
        
         | granshaw wrote:
         | Broadly I think society only considers "harmful" activities as
         | addictive - drinking, porn, your usual
         | 
         | If you can't stop doing something that's societally acceptable
         | or even lauded, you're just "passionate"
        
         | empthought wrote:
         | Science and the Compulsive Programmer (1976)
         | 
         | https://www.sac.edu/AcademicProgs/Business/ComputerScience/P...
        
         | nunez wrote:
         | I think this viewpoint is really interesting, especially when
         | one considers how massively incentivized this addiction is (by
         | way of high-paying jobs with generally-great benefits and
         | working environments).
        
       | oceanplexian wrote:
       | It's a lot harder than you would think. I'm not a big drinker,
       | not even a daily drinker, maybe once or twice per week.. and
       | decided to do a month without drinking for fitness reasons.
       | 
       | After two weeks it was hard to resist the urge every time I'd see
       | people drinking on a TV show, or at the airport, or with dinner
       | at a restaurant. While it may not be a full blown addiction it
       | made me realize I'm much closer to addiction than I'd like to
       | admit.
        
         | wwweston wrote:
         | Did it get easier over time?
         | 
         | I've quit sugar for months at a time and found that 2-4 weeks
         | was the most difficult spot for cravings, after which it eased
         | off (though never went away).
         | 
         | I don't have experience with alcohol, though, and I hear it's
         | higher on a scale of risks for physical dependencies than a lot
         | of substances, so sugar may be a poor comparable.
        
           | xvedejas wrote:
           | For me, the urges for sugar and alcohol are very very
           | similar. I've never had urges to binge either, but cutting
           | either out completely after semi-consistent use does result
           | in similar cravings. And I've noticed that my urge for both
           | seems to be reduced if I choose to eat large meals at night
           | instead.
        
         | kolla wrote:
         | Same here, I'm probably considered an alcoholic because of the
         | ammount of liquour I drink per week/month but I can work out
         | every single day and stay in great shape but come friday and
         | saturday I do empty quite a few units. Stopping the weekend
         | urge is hard.
        
           | phs318u wrote:
           | Speaking as an addict in recovery, this definition is the
           | most practically useful. It's step 1 of every 12-step
           | program.
           | 
           | If you really want to stop doing something, and are trying
           | your hardest to not do that thing, and yet despite that
           | desire you feel an overwhelming compulsion to do that thing,
           | even though you rationally know the consequences for you or
           | others will be bad - that's addiction.
           | 
           | Or as I once put it to my daughter when she was a teen, "If
           | you are making a choice that feels like an exercise of your
           | own free will, and yet every single time without exception,
           | you make the same choice - is it really free will?"
           | 
           | (I was trying to get her to reflect on her own weed usage.
           | Almost a decade later she acknowledges her addiction).
        
           | at-fates-hands wrote:
           | Anecdotal evidence so take this as you will.
           | 
           | I have alcoholism in my family. When my Dad finally went into
           | a 30 day in-patient treatment, I was still a sophomore in
           | college. I was very much like you. An athlete (played D3
           | soccer), so I was working out, and in great shape, but
           | wouldn't touch alcohol during the week - when I first got to
           | college, my drinking was all done on the weekends. Then when
           | I was of legal drinking age (US 21 years) then it started to
           | creep into Thursday, then eventually I was drinking Wed-Sat,
           | drying out Sunday and then cramming all my homework and
           | studying into three days just to get ready for the weekend
           | again.
           | 
           | One of the things they do is a screening. You fill out a long
           | survey - How do you drink, when you drink? When do you drink?
           | How often are you drinking, etc. I fill it out based on my
           | current activity.
           | 
           | Counselor sits me down, and starts telling me that I'm not an
           | alcoholic YET, but I'm clearly heading that way. I do abuse
           | alcohol on a regular basis and these are the behaviors they
           | look for and she basically told me if I continue doing what I
           | doing? I will be there in a few years. I was 22 or 23 at the
           | time. I kind of shrugged it off. Dad continued in and out of
           | rehab while I continued doing what I was doing.
           | 
           | Then the wheels fell off for my Dad. Like really bad.
           | Disappeared for a week, Mom couldn't find him, started
           | getting worried. Found him in a shady hotel on the edge of
           | town. He was trying to drink himself to death. We got there,
           | got him into the psych ward and they forcibly detoxified him.
           | He was basically under medical house arrest until he sobered
           | up and vowed this was indeed the end.
           | 
           | I finally had a front row seat to see what my future was. My
           | mom pulled me aside that Christmas in the midst of our entire
           | extended family at my parents house celebrating. She grabs my
           | arm and pulls me into a room, looks me dead in the eyes and
           | says, "If you want to put someone you love through what your
           | father just put our family through these last two years? Then
           | keep drinking, keep partying and doing whatever you're
           | doing." and then just walked away from me.
           | 
           | That was pretty much it. I decided a few weeks later to put a
           | cap on it, I had a good run, but gambling with my future like
           | that? No thanks. Been sober 14 years. Sure I have a beer here
           | and there, but its only one (I'm a total lightweight now, so
           | its no fun) and then that's it. And I never judge the people
           | I'm around if they want to drink.
           | 
           | I would tell you what the nurse told me. It sounds like you
           | do abuse alcohol, and you're heading down that road. Is your
           | future predetermined? I don't think so, but it took a litany
           | of close calls and the one major episode with my Dad to make
           | me realize what was happening and change course before it was
           | too late.
        
             | ozim wrote:
             | I don't judge people that don't drink.
             | 
             | But people that drink I don't believe that it is only
             | alcohol that is their demise.
             | 
             | There was probably whole range of feelings your father had
             | that led him to that.
             | 
             | Cannot blame anyone but your father would be the only
             | person that could explain it. Because people are so
             | different and even if you think you know your father, there
             | is bunch of emotions that are outside of anyone that can
             | comprehend.
             | 
             | Well it is true also for EMO kids as we are ale separate
             | entities struggling with life.
        
       | [deleted]
        
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