Commonly Asked Questions about Addiction and Treatment
What is smart recovery?
SMART Recovery (Self-Management and Recovery Training) is a global community of mutual-support groups that provide a structured, scientifically grounded program to help people manage their recovery from any type of addictive behavior, including substance abuse and behavioral addictions.
SMART Recovery's approach is different from other recovery programs like Alcoholics Anonymous or Narcotics Anonymous, which are based on the 12-step model. Instead of focusing on the concept of "powerlessness" over addiction, SMART Recovery emphasizes self-empowerment and self-reliance. It promotes the ability of individuals to change their own thoughts and behaviors to overcome addiction.
The SMART Recovery program is based on principles of cognitive-behavioral therapy (CBT) and motivational interviewing. It is designed around a 4-point program:
- Building and maintaining motivation: This helps individuals to build their motivation to change and avoid relapsing.
- Coping with urges: This gives individuals the skills to deal with urges or cravings as they arise.
- Managing thoughts, feelings, and behaviors: This is about developing healthy thoughts, emotions, and actions in place of the destructive ones that can lead to addictive behaviors.
- Living a balanced life: This involves individuals identifying what they truly value in life and building their lives around those values, leading to satisfaction and fulfillment beyond their addiction.
SMART Recovery meetings, both in-person and online, are facilitated by trained volunteers and are free to attend, though donations are appreciated. The program also offers a variety of tools and techniques for self-empowerment and self-directed change, available in various formats such as handbooks, worksheets, and online resources.
If my mom and dad were substance abusers am I destined for the same?
While a family history of substance abuse can increase your risk of developing a similar issue due to both genetic and environmental factors, it does not mean you are destined to become a substance abuser. Genetics can make up about 40-60% of the risk for addiction, but the remaining percentage is influenced by environmental and personal factors.
Environmental influences can include your upbringing, your parents' behaviors, your exposure to drugs or alcohol, your social circle, and your experiences with stress and trauma. Personal factors involve your individual personality traits, your mental health, and your coping mechanisms. All these can significantly contribute to whether or not you develop a substance use disorder.
Importantly, risk is not destiny. Just because you are at a higher risk doesn't mean you will inevitably develop a substance abuse problem. Prevention strategies can be highly effective. These might include:
Education: Understanding the risks and consequences of substance abuse can deter initiation of drug use.
Healthy Coping Mechanisms: Developing healthy ways to cope with stress, such as through exercise, meditation, hobbies, or therapy, can reduce the need to turn to substances for relief.
Strong Support Networks: Having supportive and understanding friends, family, or mentors can provide a safety net when facing potential pitfalls.
Mental Health Care: Ensuring good mental health through therapy or counseling can reduce the risk, as mental health disorders can increase the likelihood of substance abuse.
Delaying Substance Use: The later in life a person first uses drugs, the less likely they are to develop a problem.
Remember, even if substance abuse does become an issue, it is not a life sentence. Effective treatments are available that can help individuals overcome addiction and lead healthy, productive lives. If you're worried about your risk, it might be helpful to discuss your concerns with a healthcare provider, a counselor, or a trusted person in your life.
Why do people abuse addictive substances?
People may abuse addictive substances for a variety of reasons, often involving a complex interplay of biological, psychological, and social factors. Here are some common reasons:
Biological Factors: Certain individuals may be genetically predisposed to addiction. This could involve inherited traits that affect the way substances interact with their brain or influence their susceptibility to mental health disorders, which can increase the risk of substance abuse.
Psychological Factors: Many people turn to addictive substances as a way to cope with mental health issues such as depression, anxiety, or post-traumatic stress disorder. Substance use may provide temporary relief from these conditions, though in the long term it often exacerbates them.
Social Factors: Peer pressure, especially among young people, can lead to substance abuse. If an individual is in an environment where drug or alcohol use is common, they may feel compelled to partake in order to fit in.
Environmental Factors: Stressful or traumatic environments can increase the risk of substance abuse. This can include living in poverty, experiencing abuse or neglect, or being exposed to violence.
Curiosity and Experimentation: Particularly among adolescents and young adults, the desire to try new experiences can lead to substance use.
Self-Medication: Some people use substances to self-medicate physical pain. For example, the opioid crisis has been fueled in part by individuals who initially used prescription opioids to manage pain and then developed an addiction.
Escapism: People may use substances to escape their reality, numb emotional pain, or simply to feel good. Addictive substances often provide a temporary sense of euphoria or relaxation, which can be enticing.
Co-occurring Disorders: Individuals with co-occurring mental health disorders are at a significantly higher risk of substance use disorders. This is because these individuals might use substances as a form of self-medication.