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Addiction is a major health problem that costs around other mental illnesses combined (about £40 billion per year) and about around cancer and cardiovascular disorders also.

At its core addiction is really a state of altered brain function that leads to fundamental changes in behavior that are manifest by repeated usage of alcohol and other drugs or participating in activities such as for instance gambling.  These are usually resisted, albeit unsuccessfully, by the addict.  The main element top features of addiction is therefore a situation of habitual behaviour such as for example drug taking or gambling that is initially enjoyable but which eventually becomes self-sustaining or habitual. The urge to take part in the behaviour becomes so powerful that it disrupts normal life often to the stage of overtaking work, personal relationships and family activities. At this time anyone may be said to be addicted: the addict's every thought and action is directed to their addiction and the rest suffers.

If the addictive behaviour is extremely hard e.g. because they don't really have sufficient money then feelings of intense distress emerge. These could cause dangerously impulsive and sometimes aggressive actions.  In case of drug/alcohol addiction the problem is compounded by the occurrence of withdrawal reactions which cause further distress and motivate desperate attempts to locate more of the addictive agent. This urge to have the drug may be so overpowering that addicts will commit seemingly random crimes to obtain the resources to get more drug. It's been estimated that about 70% of all acquisitive crime is connected with drug and alcohol use.

Addiction is driven by a sophisticated group of internal and external factors.  The external factors are well understood:  the more access to the specified drug or behaviour e.g. gambling the more addiction there is.

The interior factors are less clear. Although most addiction is always to alcohol and other drugs, addiction to gambling and other behaviours such as sex or shopping can occur. These inform us that mental performance can develop hard-to-control urges independent of changing its chemistry with drugs.  All addictions share a standard thread in that they are initially pleasurable activities, often extremely enjoyable. This results in these behaviours hijacking the brain's normal pleasure systems in order that naturally enjoyable activities such as for example family life, work, exercise become devalued and the more excessive addiction behaviours take over.

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