The first casualty of addiction, like that of war, is the truth. At first the addict merely the truth to himself. But as the addiction, like a malignant tumor, slowly and progressively expands and invades more and more of the healthy tissue of his life and mind and world, the addict begins to deny the truth to others as well as to himself. He becomes a practiced and profligate liar in all matters related to the defense and preservation of his addiction, even though prior to the onset of his addictive illness, and often still in areas as yet untouched by the addiction, he may be scrupulously honest.
Are you addicted?
Most questions have more than one part, because everyone behaves slightly differently in addiction. You only need to answer yes to one part for that question to count as a positive response. Answer yes or no.
1. Tolerance - Has your use of drugs or alcohol increased over time?
2. Withdrawal- When you stop using, have you ever experienced physical or emotional withdrawal? Have you had any of the following symptoms: irritability, anxiety, shakes, sweats, nausea, or vomiting?
3. Difficulty controlling your use - Do you sometimes use more or for a longer time than you would like? Do you sometimes drink to get drunk? Do you stop after a few drink usually, or does one drink lead to more drinks?
4. Negative consequences- Have you continued to use even though there have been negative consequences to your mood, self-esteem, health, job, or family?
5. Neglecting or postponing activities- Have you ever put off or reduced social, recreational, work, or household activities because of your use?
6. Spending significant time or emotional energy - Have you spent a significant amount of time obtaining, using, concealing, planning, or recovering from your use? Have you spend a lot of time thinking about using? Have you ever concealed or minimized your use? Have you ever thought of schemes to avoid getting caught?
7. Desire to cut down- Have you sometimes thought about cutting down or controlling your use? Have you ever made unsuccessful attempts to cut down or control your use?
If you answered yes to at least 3 of these questions, then you meet the medical definition of addiction. This definition is based on the American Psychiatric Association (DSM-IV) and the World Health Organization (ICD-10) criteria.
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